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HomeMy WebLinkAbout0031 THORNTON DRIVE - Health 31 . ThorntonOS t�s� b1� 296=U0�.. i ti. 0 o G e 'O s, n,` Y; J r 1 6 '�,prtti t3. s i k pa, r rt yq t k_v r t U.i.fIi s Ts Lmp T n C Service 7 ri r}4�n~yt yke t �' F ' t Earwich NT, 02< . t ry nFtS m1Rrch 1791986 t.l�' a �..ro •r r r jn tY 4' TO WhoITI it me concern, - e.t j 1i AAA r 6 } t, a e T'rje ;elon under.. , un ?_, ,c�..., �^GCS:) drod i5 4 y'. storrage tank in .front of The Ice Man, at '31 Thorn Drq � yy'yri�`�Y1y: F3yannis, Was ��.r. tested. for r period of 24 HrsO yy } during, tb..is time K 1b �y , �Ya of, air was i;eldo- Is{x+ { to Lfkr C r i k iz .1,h�3 l Yours; ,j,l fF�i T Yn 'r1`cl k �fny 14 tr V,ye y t �+s ae ,trs�rrtn L . > j +. ,f e w t (. �9 - - _ � ':fi` t y ` (' .z � =YI ylt•. y- QF - r � t ! t '4 {��, A , S 7t „ r THE COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF PUBLIC SAFETY--DIVISION OF FIRE PREVENTION. 1010 COMMONWEALTH AVENUE, BOSTON . , February 14, 1974 LICENSEr -In accordance with the provisions of Chapter 148 of the General Laws, a z 4� license is hereby granted to use the land herein described for the lawful use .of the building---or other structure---which is/are or is/are' to- be .situat." 7. thereon., and as described on the, plot plan filed with the application for this license. '. Location of land Lot 25, Thornton Par}; Nearest Cross Street Barnstable Road :: owner of Lane Byford Realty Trust Address Hyannis, Mass. ' Number of buildings or other structures to which this license applies one ` Occupancy or use of such buildings warehouse F, Total capacity of tanks in gallons:--Aboveground Underground 2,.000 Kind of fluid to be stored in tanks Gasoline Restrictions--If any: : - s/ Martin E. Hoxie Chairman, Board of Selectman Barnstable, . ss. February 14, 1974 Received and entered in the records of the Clerk's Office of the Town of .Barnstable in Book 77 Page 284, - s/ Howard We Sears Town Clerk ��• ` 75,76,. 77 not'paid NAME + LOCATION Byford Realty,Trust Lot 25 ,q Hyannis', Mass. Thornton Park, Barnstable -BOOK & PAGE--DATE GRANTED i AMOUNT STORED Book of Licenses--77 2,000 gallons. Page 284 underground February 14, 1974 DATE .PAID 1974--Pebruary 14 I . i 'i A G TOWN OF BARNSTABLE 3 - / 7 F6/ UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS NAMES ADDRESS ��f °"��°^ i✓� VILLAGE - `4NoIs LOCATION OF TANKS: CAPACITY: TYPE OF FUEL AGE: TYPE: ' OR CHEMICAL �1 .71�-n�Yi �✓�- �/'OI �ron'�'o'� �j�y• ObC� �C.f1e ,/� �Y�' s � (Give same information for any additional tanks on reverse side of card) DATE OF PURCHASE OF EACH: 1. 2. 3. 4. DATE OF FIRE DEPARTMENT PERMIT: G/ TESTING CERTIFICATION SUBMITTED: v'C- PASSED DID NOT PASS ;' 31 Thorton Drive, Hyannis ice Man it ����o�n � it �� s ' - -III I Notes to the File Date: November 3, 2009 ALGI Auto Repair 31 C Thornton Drive Hyannis, Ma Cynthia Martin, PHD i Roberto Gustavo Rios is the sole owner of this business which opened in October of j 2009. The business space at ALGI Auto Repair, 21 C Thornton Drive, consists of a single large garage bay that is served by two garage bay doors. An office also occupies space along one wall of the large garage bay. (Mr. Rios left Argus Auto Repair, located at 119B Thornton Drive, where he is/was a co-owner and is in the process of"selling" his half of the Argus business to his business partner. The business partner at Argus is jrrdra&k4-LI Guimares.) Another business change of note is the following: The former tenant at this address, 3 1 C Thornton Drive was Lucar Auto Repair, Jose Mariano Costa owner. Lucar Auto Repair has moved to 119 D Thornton Drive as of October 2009. Health Complaints 27-Jan-06 Time: 11:30:00 AM Date: 4/2/1999 Complaint Number: 1790 Referred To: EDWARD BARRY Taken By: EDWARD BARRY Complaint Type: ARTICLE XXXIX HAZARDOUS WASTE Article X Detail: Business Name: Number: 31 Street: THORNTON DRIVE Village: BARNSTABLE Assessors Map_Parcel: Complaint Description: MULTIPLE ROOF LEAKS, WATER ON THE FLOOR, I NTERPERTED THIS DUE TO ROOF LEAKS GAVE A WARNING NOTICE TO LIZ AT STUART BORNSTEIN OFFICE AT ONE FINANCIAL PLACE STEVENS ST, HYANNIS , I GAVE HIM 14 DAYS TO FIX THE ROOF. CAR WASHING IS BEING DONE NEXT DOOR WHICH I ADDRESSED. Actions Taken/Results: Investigation Date: 4/2/1999 Investigation Time: 11:00:00 AM 1 Health Complaints 27-Jan-06 Time: 11:22:22 AM Date: 8/7/1998 Complaint Number: 1473 Referred To: GLEN HARRINGTON Taken By: THOMAS MCKEAN Complaint Type: ARTICLE XXXIX HAZARDOUS WASTE Article X Detail: Business Name: Brazilian Auto Repair? Number: 31 Street: Thornton Drive Village: BARNSTABLE Assessors Map_Parcel: Complaint Description: An employee was observed dumping a 55 gallon drum of unknown substance (oil or anti- freeze) onto the ground. The phone number of the business is 790-9377. Actions Taken/Results: GH inspected. No signs of oil or antifreeze being dumped on the ground. Cars are washed with water outside and the water runs down to the street so it may look like something was dumped. There are 4 waste oil drums at site that are full and excess waste oil is taken next door to Magic Touch Auto Repair. Safety Kleen will pump drums. Investigation Date: 8/7/1998 Investigation Time: 3:30:00 PM 1 Health Complaints 27-Jan-06 Time: 10:30:00 AM Date: 4/2/1999 Complaint Number: 1791 Referred To: EDWARD BARRY Taken By: EDWARD BARRY Complaint Type: ARTICLE XXXIX HAZARDOUS WASTE Article X Detail: Business Name: MAGIC TOUCH Number: 31A Street: THORNTON DRIVE Village: BARNSTABLE Assessors Map_Parcel: Complaint Description: WASHING CARS Actions Taken/Results: WENT ON SITE SUDSY WATER ON CEMENT FLOOR AROUND CAR THAT HAD JUST BEEN WASHED , GAVE A WARNING NOTICE AND A COPY OF THE WASHING VEHICLE POLICY TO THE OWNER OF THE SHOP,AGESON FERRIER. Investigation Date: 4/2/1999 Investigation Time: 11:00:00 AM I 1 Health Complaints 27-Jan-06 Time: 1:30:00 PM Date: 7/6/1999 Complaint Number: 1940 Referred To: EDWARD BARRY Taken By: EDWARD BARRY Complaint Type: ARTICLE XXXIX HAZARDOUS WASTE Article X Detail: Business Name: MAGIC TOUCH Number: 31 Street: THORNTON DRIVE Village: BARNSTABLE Assessors Map_Parcel: Complaint Description: WASHING OF ENGINES AND CARS WITH SOAP AND DETERGENTS Actions Taken/Results: TALKED TO OWNER AND HE SAID HE WAS NOT WASHING ENGINES AND IS NOT USING ANY SOAP OR DETERGENT WITH WATER NON CARS. I GAVE HIM A WARNING NOTICE TO CEASE AND DESISIT THE WASHING WITH SOAP OR DETERGENT. Investigation Date: 7/6/1999 Investigation Time: 3:30:00 PM 1 ate+ Health Complaints 27-Jan-06 Time: 3:00:00 PM Date: 7/14/2000 Complaint Number: 2454 Referred To: EDWARD BARRY Taken By: EDWARD'BARRY Complaint Type: ARTICLE XXXIX HAZARDOUS WASTE Article X Detail: Business Name: Number: 31 Street: THORNTON DRIVE Village: BARNSTABLE Assessors Map_Parcel: Complaint Description: NEIL ANDRES CALLED AND HE WANTED ME TO MEET HIM OUT AT MURPHS RECESSION ON THORNTON DRIVE. HE WANTED TO LOOK AT THE CATCH BASIN IN THE ROAD ON THE OPPOSITE SIDE OF THE ROAD FROM RONS TRUCKING AND IN FRONT OF BUILDING#31 THORNTON DRIVE . THE COMPLAINT WAS AN ODOR OF ( H2S) HYDROGEN SULFIDE COMING FROM THE CATCH BASIN. THE HIGHWAY DEPT HAD THE CATCH BASIN PUMPED ALONG WITH THE ONE ON THE OPPOSITE SIDE OF THE ROAD( RONS TRUCKING SIDE. THE DRAIN ON THE 31 THONTON DRIVE SIDE (WEST SIDE )WAS CHOCK FULL AND CONTAINED OIL AND ANTIFREEZE. A SAMPLE WAS TAKEN FROM THE UNDERSIDE OF THE GRATE WHICH HAD A BUILDUP OF ABOUT ONE-HALF INCH OF BLACK DEPOSIT. THE SAMPLE WAS TAKEN TO THE COUNTY LAB IN BARNSTABLE AND GIVEN TO DR. BOURNE. WE AGREED THAT A TOTAL PETROLEUM HYDROCARBON ANALYSIS WOULD BE ADEQUATE FOR OUR PURPOSES. WE ASKED HIM TO SUPPLY THE RESULTS AS SOON AS POSSIBLE. HE INITIALLY SAID TWO WEEKS. 1 Health Complaints 27-Jan-06 Actions Taken/Results: Investigation Date: 7/14/2000 Investigation Time: 100:00 PM I 2 Health Complaints 27-Jan-06 Time: 1:35:00 PM Date: 10/10/2000 Complaint Number: 2586 Referred To: EDWARD BARRY Taken By: EDWARD BARRY Complaint Type: ARTICLE XXXIX HAZARDOUS WASTE Article X Detail: Business Name: Number: 31 Street: thornton drive Village: BARNSTABLE Assessors Map_Parcel: Complaint Description: IN THE LAST TWO BAYS ON THE RIGHT OF 31 THORNTON DRIVE, BARNSTABLE . VISIBLE WASHING WITH DETERGENT ENGINE IN CAR OUTSIDE IN FRONT OF BUILDING . THE WASH GOING ON THE GROUND. THE COMPLAINT SAID HE WORKS FOR AN ENVIRONMENTAL COMPANY IN THE BOSTON AREA . Actions Taken/Results: EFB ON SITE. EVIDENCE OF WASHING OF VEHICLES ON SITE . GAVE THE OWNER OF THE LAST TWO BAYS OF 31 THORNTON DRIVE A WARNING TO CEASE AND DESIST WASHING OF VEHICLES ON SITE . IT WAS ALSO NOTED THAT THERE WAS A WHITE 55 GAL DRUM FULL OF MARINE RESIN LEFT BY THE PREVIOUS TENANT( MIKE BELISS) . WAS IN DISTRICT COURT AT 10:00 AM ON OCT 12,2000 TO TESTIFY FOR THE TOWN FOR ALL THE WARNINGS AND TICKETS I GAVE BELISS FOR THE PAST DEBRI HE LEFT AT 31 THORNTON DRIVE AS A TENANT.THERE WAS HEARING WITH CHARSTRAND (MAGISTRATE) FOLLOWED WITH AN ARRAINGMENT BEFORE JUDGE 1 Health Complaints 27-Jan-06 READON. BELISS PLEADED GUILTY,WILL PAY THE FINE . HE IS OBLIGATED TO SHOW UP WITH LANDLORD S. BORNSTEIN AT 31 THORNTON DRIVE ON FRIDAY OCT 13,2000 AT 10:00 AM TO DETERMINE WHICH PARTY WILL BE RESPONSIBLE FOR THE CLEAN-UP OF THE REST OF THE DEBRI. MIKE BELISS SAID HE HAD THE 55 GAL DRUM REMOVED WHILE WE WERE IN COURT. HE SAID HE HAS A FRIEND THAT DISPOSES OF HAZARDOUS WASTE DUE TO HIS BUSINESS. HE WILL INFORM SGT SHAWN SWEENEY SHOWING ITS PROPER DISPOSAL. Investigation Date: 10/10/2000 Investigation Time: 3:00:00 PM 2 i Health Complaints 27-Jan-06 Time: 10:59:00 AM Date: 5/20/2005 Complaint Number: 18116 Referred To: DONALD DESMARAIS Taken By: JOAN AGOSTINELLI Complaint Type: NUISANCE CONTROL REG. 1 RUBBISH Article X Detail: UNSANITARY CONDITIONS Business Name: FRANCISCO Number: 31 Street: THORNTON DRIVE Village: BARNSTABLE Assessors Map_Parcel: Complaint Description: Rubbish is all over the property. Animals are picking at it. Only left voice message at 5:35 this morning 5/20/2005. Actions Taken/Results: DD SPOKE WITH WORKER. GAVE CARD AND TOLD HIM TO HAVE BOSS CALL ME. TRASH DUMPSTER FULL (OVERFLOWING) . TOOK PICTURE. WILL STOP BY AGAIN. DD WENT BY AND SAW NO TRASH OVERFLOWING OR ON THE GROUND. 8/3/5 Investigation Date: 5/20/2005 Investigation Time: 1:00:00 PM 1. 1� Health Complaints 27-Jan-06 Time: 11:45:00 AM Date: 8/16/2005 Complaint Number: 18640 Referred To: DAVID STANTON Taken By: unknown Complaint Type: ARTICLE XXXIX HAZARDOUS WASTE Article X Detail: ILLEGAL OPERATIONS Business Name: Number: 80 Street: Thornton Drive Village: BARNSTABLE Assessors Map_Parcel: 296-012-OOC Complaint Description: CALL CAME INTO MAIN LINE AROUND LUNCH TIME, AND THEY CALLED DS TO GO TO SAID LOCATION AS BARNSTABLE FIRE REQUESTED ASSISTANCE FROM HEALTH AT SAID LOCATION Actions Taken/Results: DS WENT TO SAID LOCATION AND MET WITH DEPUTY CHIEF CHRIS OLSEN OF BARNSTABLE FIRE. SEVERAL VIOLATIONS OBSERVED (OIL SPILLS, ELECTRICAL WIRING, ETC) PHOTOS ON FILE. POLICE STATED THEY WOULD HELP US WITH MORE PROPERTIES. EVERYONE WENT TO LUNCH, AND MET AGAIN TO GO OVER MORE PROPERTIES ON THE STREET. THIS TIME THERE WERE SEVERAL POLICE OFFICERS PRESENT AND DZM FROM HEALTH. 10 LOCATIONS WERE CHECKED OUT. PHOTOS ON FILE. 31 THORNTON DRIVE HAD ILLEGAL APARTMENTS, ILLEGAL WATER CROSS-CONNECTIONS, ILLEGAL WASTEWATER DISCHARGES ONTO THE GROUND OUT BACK, UNPERMITTED WELDING TANKS, AND ILLEGAL ELECTRICAL WIRING. SEVERAL 1 Health Complaints 27-Jan-06 PHOTOS ON FILE. A GROUP DECISION WAS MADE BETWEEN HEALTH AND FIRE THAT THERE WERE SOME SERIOUS SAFETY AND HEALTH ISSUES PRESENT, AND THAT THE BUSINESSES AND HOUSING MUST CLOSE IMMEDIATELY. THE BUILDING WAS POSTED WITH ORANGE STICKERS, AND THE TENANTS WERE ALL NOTIFIED OF THE CLOSURE. THE OWNER OF THE PROPERTY WAS NOTIFIED. ON 8/26/05, DS FAXED AARON BORNSTEIN THE VIOLATIONS THAT NEEDED TO BE CORRECTED. HE WAS UNAWARE OF ANY HOUSING IN THE BUILDING, SAID THAT THEY AQUIRED THE PROPERTY AS A DEAL, AND DID NOT KNOW ANYONE WAS LIVING THERE, AND THAT THEY WOULD MAKE SURE IT WAS CORRECTED RIGHT AWAY. ON 8/18/05 DS AND AP WENT OUT TO THORNTON DRIVE AGAIN FOR FOLLOW UPS AND MORE PROPERTIES, PHOTOS AND NOTES ON FILE. BA-ELECTRICAL INSPECTOR, AND RICHARD MARSHALL OF BARNSTABLE WATER DEPT. ALSO WENT OUT TO THORNTON DRIVE TO OBSERVE VIOLATIONS. ON 10/6/2005 DS WENT BACK TO 31 THORNTON DRIVE WITH D.C. CHRIS OLSEN TO SEE WHAT PROGRESS HAS BEEN MADE. PHOTOS ON FILE. THE APARTMENT HAS BEEN REMOVED COMPLETELY. ELECTRICITY HAS BEEN RESTORED, AND ELECTRICAL PERMITS WERE ISSUED TO CORRECT THE WIRING VIOLATIONS. THE SINK DRAIN DISCHARGING ONTO THE GROUND OUT BACK HAS BEEN SHUTOFF. NO MORE HEALTH OR FIRE VIOLATIONS OBSERVED, OK TO OPEN AGAIN BY DS AND CO. ON 01/27/2006 DS AND TM WENT TO SAID LOCATION. 4 NEW SEWER LINES CONNECTED TO THE BUILDING, WITH RED CAPS ON THEM. WATER METER ALSO OBSERVED. 2 PORTA POTTIES PRESENT. NO OPEN SEWER LINES OBSERVED OUTSIDE. ACCORDING TO THE TENANTS, THERE ARE 3 BUSINESSES THERE NOW. THE TWO END UNITS HAVE 3 EMPLOYEES EACH, AND THE MIDDLE ONE HAS 2 2 I Health Complaints 27-Jan-06 EMPLOYEES, FOR A TOTAL OF 8 EMPLOYEES IN THE WHOLE BUILDING. Investigation Date: 8/16/2005 Investigation Time: 12:00:00 PM 3 1 Page 1 of 3 McKean, Thomas From: Scali, Richard Sent: Monday, August 18, 2014 8:16 AM To: McKean, Thomas Subject: Fwd: Question on 31 a Thornton drive Tom. You as well. Check on this discrepancy Sent from my iPhone Begin forwarded message: From: "Scali, Richard" <Richard.Scali2town.barnstable.ma.us> Date: August 18, 2014 at 8:12:19 AM EDT To: "Robin Anderson" <robin.anderson2town.barnstable.ma.us>, "Tom Perry" <Tom.Perry2town.barnstable.ma.us> Subject: Fwd: Question on 31 a Thornton drive Please check with dep Chief today. He says no storage of concern with him. And reply to me. Sent from my iPhone Begin forwarded message: From: "Lynch, Tom" <Tom.Lynch2town.barnstable.ma.us> Date: August 18, 2014 at 8:07:06 AM EDT To: "Scali, Richard" <Richard.Scalintown.barnstable.ma.us> Subject: FW: Question on 31 a Thornton drive FYI From: Eric Steinhilber [mailto:estein334hotmail.com] Sent: Saturday, August 16, 2014 9:05 AM To: Ells, Mark Cc: Lynch, Tom Subject: Re: Question on 31 a Thornton drive Thanks Mark. He does have several annual Health Dept. Certificates which state he can have up to 111 gallons of hazardous waste, including one that is good until 2015. That may be why there is confusion,one office states 25 gallons, the other states 111. His concern to me, was that if forced to move, he may have to close his business due to his lease requirements. Eric R. Steinhilber 781.859.9103 mobile Sent from my iPhone On Aug 16, 2014, at 8:20 AM, "Ells, Mark" <Mark.Ells2town.barnstable.ma.us> wrote: 8/18/2014 Page 2 of 3 Please find attached relative to the matter we discussed . I instructed staff to proceed as described in the email. I am available at your convenience to further discuss this matter. Mark Ells 508-509-7210 Sent from my iPhone " Begin forwarded message: From: "Scali, Richard" <Richard.Scaligtown.barnstable.ma.us> Date: August 15, 2014 at 10:21:56 AM EDT To: "Ells, Mark" <Mark.Ells(a�town.barnstable.ma.us>, "Lynch, Tom" <Tom.Lynch ,town.bamstable.ma.us> Cc: "Perry, Tom" <Tom.Perrya,town.barnstable.ma.us>, "Anderson, Robin" <Robin.Andersongtown.barnstable.ma.us> Subject: RE: Question on 31 a Thornton drive Mark: Pursuant to your inquiry yesterday, I have conferred with Tom Perry and Robin Anderson. A gentleman came into our office trying to renew his business certificate at 3 1 A Thornton Dr.which requires depts sign offs. i It was 4 years old and on time to renew it. Robin reviewed the application and attached to it was a business card which layed out that he did car repairs but also took in various amounts of hazardous waste more than 25 gallons. As you know, this is in the well water district. When he last appeared 4 or more years ago this was not revealed or was at least not discovered or not part of his business plan. He was advised he needed to reduce his operation to 25 gallons or less, modify his business plan or seek other locations for this use and ' then we could sign off on the renewal. We have not since heard from him as Robin advised him to think about it and come back. Robin is planning on reviewing the area in the early fall with the fire dept for issues like 6 8/18/2014 } Page 3 of 3 this all along Thornton Dr. This was planned before this issue arose. Please advise if you think more needs to be done. Richard Richard V. Scali, Esq. Director of Regulatory Services 200 Main St. Hyannis, MA 02601 508-862-4778 508-778-2412 fax -----Original Message----- From: Ells, Mark Sent: Thursday, August 14, 2014 10:34 AM To: Scali, Richard Subject: Question on 31 a Thornton drive can you brief me on any issues with that location? Sent from my iPhone P Z 8/18/2014 TOWN OF BARNSTABLE MASSACHUSETTS t; -u- BUSINESS CERTIFICATE [AGE: ATE ISSUED: 02/07/2007 DATE RENEWED: 06/29/2015 OOK:193 RENEWAL BOOK: 202 RENEWAI PAGE: 15-210 07-149 DATE DISCONTINUED: CERTIFICATE EXPIRES: 06/29/2019 DISCONTINUED BOOK: DISCONTINUED PAGE: In conformity with the provisions of Chapter One Hundred and Ten(110),Section Five(5)of the General Laws,as amended,the undersigned hereby declare(s)that a business is conducted under the title below,located as shown,`by the following named person,persons or corporation: .PLEASE:NOTE y A BUSINESS CERTIFICATE INDICATES THAT THE NAMED PERSONS)IS(ARE)DOING BUSINESS;UNDER -A NA ; DIFFERENT THAN„HISlHER PER50NAL:NAME(S) "IT DOES IMPLY THAT THE APPLICANTS)_HAS(HAVE)MET:ALL LICENSE, PERMIT AND OTHER PERMISSIONS REQUIRED BY THE TOWN,OF BARNSTAB'U BUILDING HEALTH AND CONSUMERAFFAIRS DEPARTMENTS FOR THELEGAL:OPERATION OF THIS BUSINESS AT THE STATED LOCATION Y, CLAUDIO'S AUTO REPAIR — W MAILING ADDRESS: r1D THORNTON DR HYANNIS,NIA 02601 CLAUDIO DASILVA 78 HOMEPORT DR HYANNIS,MA 02601 Signatures: THE ABOVE NAMED PERSON(S)PERSONALLY APPEA-RED BEFORE ME AND MADE OATH THAT THE FOREGOING STATEMENT IS TRUE. / t 4 C �c,G" LE: ' Identification Presented: DATE: June 29,2015 CONDITIONS: EXISTING BUSINESS In accordance with the provisions of Chapter-337 of the Acts of 1985 and Chapter 110,Section 5 of the Mass General Laws,Business Certificates shall be in effect for four years from the date of issue.and shall be renewed each four years thereafter. A statement under oath must be filed with the city clerk upon discontinuing,retiring or withdrawing from such business or partnership. Copies of such certificates.shall be available at the address at which such business is conducted and shall be furnished on request during regular business hours to any person who has purchased goods or services from such business. Violations are subject to a fine of not more than three hundred dollars($300)for each month during which such violation continues. ------------------ CERTIFICATION CLAUSE I certify under the penalties of perjury that I,to the best of my knowledge and belief,have filed all state tax returns and paid all state taxes required nder law. * Signature of Individual or Co ' rate Name(Mandatory) By: Corporate Officer(Mandatory if applicable) **e or Federal ID Number * This license will not be issued unless this certification clause is signed by the applicant. ** Your social security number will be furnished to the Massachusetts Department of Revenue to determine whether you have met tax filing or tax payment obligations. Licensees who fail to correct their non-filing or delinquency will be subject to license suspension or revocation. This request is made under the authority of Mass.G.L.Cha 62C,S.49A k . S� Town of Barnstable ���'-� Hazardous Materials On-Site Inventory and Inspection FACILITY INFORMATION: Business Name: ('14-4a6/ys 4-ayo Business Location: -9/ b —1_1V-,0AAJ721Af �)ely 7� i��t/ST acE Mailing Address: AS '43®V-E Telephone Number: Contact Person: t`/-P u 61a /L✓A Emergency Contact Telephone Number: 7 7 V' ff 34 3(eez Type of Business: 4U rV 95EPW11e- ��P &i4-/OJT Ji1 aGE HAZARDOUS MATERIALS (CHAPTER 108) Virgin Product Total Quantity Container Size(s) Storage Location Major Materials Gallons or Pounds Quarts,gallons, Shed,retail store, drums,tank,etc... cabinet,closet,etc 6/) 53 6At"'J W/4-s.tM 5�'Gku°,us �A-UL6xl /,�A f3 z ko 0 z f,6,4.L[._o 7r L � 7'p - 6S-Cj*"A1 DRU , $i�-�zVAJ& inl L S-f Gki-I-O A/S (�A�-,"6 B VI/Al 1)5447e..b /;J d°JV E 6-4W.;6Al C,A IZA4 6" 5- I - 1 - l Misc.Combustibles Misc. Corrosives Misc.Reactive Misc.Toxics Inventory Total Amount: AFR.OX/�Y� &kUAk).S Hazardous Materials License Posted? es No Contingency Plan Posted?'LIB'' No Fire District: "A-kArm c.,!�" Fire Extinguisher Service Date: 0/ Metal Covered Rag;4; o Absorbent Material Available? No Type of Absorbent:, Pads Pigs Other: MSDS on sites es No and Co Computer Access Hazardous Waste Handling ,/ Hazardous Waste Generator Identification Number: A!V,3z 79,011-71 Type(s) of hazardous waste product(s): <S77-7Z H&--*Vi-4-'`2F6 t)/e- WA-3 72F Date of last hazardous waste shipment,ty e of waste and quantity: �/� /L wA-,VE aZ�o ti+U-6Aus Hazardous Waste Transporter(s): 1,%„&J d/z- Designated Hazardous Waste Facility: 9W 41L 5 7-0 eta#7W / :�j,4 Hazardous Waste Storage Area Description: Aj� mom c,&vuv/a rxAjk TIDE TXE allot `i/a2 b eafit .4.2E LA6n&Z 6 77t SZ,-eA6€AteeA /S z-A-3k2Q , rI115' 1V4H of W.43rr A-a1-nfP- L:OG/}'fEb/.c! JJlc r-f-oNP Z&-Ir GDie.1la24 73A, /T/S/Key/- E.40x2,EV. Is hazardous waste storage area labeled: es No /tf4-jVe,,,r js S/-79-t-D ac!A CUJl-'k E : 77/ix45 WAS A-Ai one OU69C - of W45,r 0/1-��PK. Are tanks/drums/containers labeled with the words Hazardous Waste",the type of waste and the associated hazard (i.e. ignitable,corrosive,reactive or toxic) Yes If hazardous waste is stored out of doors is it covered from the elements? Yes No Is it in 110% containment? Yes No If hazardous waste is stored indoors is it on an impervious floors es No - 2 - r _ Icy FLOOR DRAINS (Chapter 381) Town Sewer Account Number: Indoor floor drains: Yes GoIf yes,circle one,does it discharge to a: holding tank dry well on site septic. Outdoor surface drains: Yes No If yes,circle one,does it discharge to a: holding tank dry well on site septic. FUEL AND CHEMICAL STORAGE TANKS (Chapter 326) Underground Storage Tank(s) on site? Yes lT Age: Is removal required? Yes No If yes,when? Is testing required? Yes No If yes,when? Out of doors above ground storage tank on site? Yes/ To If yes,is it protected from the elements? Yes No If yes,how? Is it on a foundation larger in size than the tank? Yes No COMMENTS/RECOMMENDATIONS/CORRECTIVE ACTIONS ���fTl�Fc�J " ��-/fU•�fo:s ,¢uro I�EP�-iR A-b�ii�7�,�� �1oi�s,, Date: D/ Public Health Inspector: Facility Representative: c,io,aA::22t i - 3 - I CLAUDIO'S AUTO REPAIR ADDITIONAL.NOTES January 31,2012 Comments/Recommendations/Corrective Actions Currently the facility stores,uses, and/or generates approximately 466 (four hundred and sixty-six) gallons of hazardous material and is therefore subject to Town of Barnstable Ordinance Chapter 108, hazardous materials licensing. The Hazardous Materials License was posted as was the Contingency Plan. The hazardous waste storage area is to be abeled as such: Additionally, the above ground waste oil storage tank is to'be labeled with the words "Hazardous Waste","Waste Oil" and "Toxic". The waste gasoline drum is to be labeled with the words "Hazardous Waste", "Waste Gasoline", "Flammable". The waste antifreezes to be labeled with the,, words. "Waste Antifreeze", "Toxic". ("A SUMMARY OF REQUIREMENTS FOR SMALL QUANTITY GENERATORS OF HAZARDOUS WASTE" booklet was provided to Mr. Silva on the day of inspection.) All waste containers should be covered when not in use. The.bucket used for the collection of waste oil fuel from oil filters should be emptied into the waste.oil tank as soon as possible. The Hazardous Waste Generator Identification Number MV5087901174 is not registered/listed with the Massachusetts Department of Environmental Protection(DEP). An appropriate Hazardous Waste Generator Identification Number is to be obtained by. you from the DEP. Please be aware that, Hazardous Waste Generator Identification Numbers are site specific, in the event of a move, a business needs to document the end .. of activity at its former location and re-register with DEP for the new location. (A"Self Assigning a Hazardous Waste Generator Identification Number" fact sheet is being provided to Mr. Silva with these Notes.) Although Speedy Dry_is available for small spills, absorbent booms/socks should be available on site in the event of a sizable hazardous material spill. YOU WISH TO OPEN A BUSINESS? L Your formation: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR,NAME in town (which you st d by M.G.L it does not give you permission to operate.] You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. e e completed form to the Town Clerl<'s Office,.1 st Fl., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is red by law. IDATE:4 Fill in please: APPLICANT'S YOUR NAME/S: o v o ' w' Sc o' k" k , S > # 4u B�pSIIVESO2 J YOUR HOME ADDRESS: v e� Af�B lvl 14Ya� s M A _ O O l , ,h r TELEPHONE # Home Telephone Number . . 'f�ri P NAME,OF CORPORATION:. r w�2/ NAME OF.NEW,BUSINESS . TYPE OF.BUSINEs$ U. Av1s L Sad o� IS THIS.A HOME'OCCUPATION? YES NO ADDRESS,OF BUSINESS. or_�i' o . r:cve..:1`l /�hA :� Wl`%a MAP/PARCEL NUMBER � 6. p (Assessing) C. 7A 0 O .. When starting a new business there are several things you must do.in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. — (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate.your business in this town. 1. BUILDING COMMISSIONER'S OFFICE This individual has been informed of any permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 2. BOARD OF HEALTH CQMIPLY'WITH ALL This individual has peen f .rm the permit requirements that pertain to this type of business. K47ARDWS MATERIALS REGULATIONS. Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has n i formed of the licensing requirements that pertain to this type of business. rin ut oriz ture** ' COMMENTS: L _- / � CONTINGENCY PLAN LIST • Evacuate the area immediate if be necessary. • Shut off electrical surge of power or equipment can make sparkling ignition. '. , • Relocate any material flammable out of the area. • Contain the spill by used the appropriate absorbent. + Contact spill response firm if necessary to assist in there activities. • Used absorbent materials should be packaged separately from liquids container when be remover or transfer out the area. • Label all containers with the type of waste hazardous material. • Notify the appropriate agencies and JLI corporate. • Once the spill has been controlled and material collected and secures inspect the area for cleanliness and decontaminate all equipment used in the clean-up. • Replace all used material and ensure all response equipment is in good condition • Spill greater of 25 gallon shall be proper records of actions. • Handles things on the site area to containing a spill of least 25 gallons • Melt brown pads, Speed dry absorbent,Cloth map,Push broom, Soak rag. Gloves, I • Personal protective equipment,First Aid Kit. • A B C class 10 lbs Fire extinguisher locate at flammable hazardous area. • Bin- 1 single drum spill pallet containment liquid to antifreeze C �—-- • Bin- 2 double drum spill pallet containment liquid to motor oil • Implemented can be improve as market offer w o v+ YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates cost $40.00 for 4 years. A Business Certificate ONLY REGISTERS YOUR NAME in the Town (WHICH YOU MUST DO according to M.G.L. -it does not give you permission to operate). You must first obtain the necessary signatures,on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, V' FI., 367 Main St., Hyannis, MA 02601(Town Hall) and get the Business Certificate that is required bylaw. Fill in please: DATE ALL APPLICANTS YOUR NAME/CORPORATE NAME N e&. 0 BUSINESS TYPE: �rt� '� finO eKs BUSINESS YOUR HOME ADDRESS: un,-n)n n� 02�y1 5O8 2 11 S TELEPHONE # Home Telephone Number NAME OF NEW BUSINESS (r Rwb� )GC '-ON C Have you been given approval from the building division? YES NO ADDRESS OF BUSINESS When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town.. 1. BUILDING COM SSION R'S OFFICE This individu I ha b kffo d f y p rmit requirements that pertain to this type of business. Aut rized Sign - e*# C ENTS: 44AZ- C) 2. -BOARD OF HEALTH This individual ha&bee for ed of the permit requirements that pertain to this type of business. L, . `WTI u�th riz d Signature** COMMENTS: U l 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: TOWN OF BARNSTABLE Date: TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: Ad 9 mar, 1,5 Ae Z Il� l/ BUSINESS LOCATION: 3 0' I /'1 [I NVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: J4-06— 77 222 CONTACT PERSON: Ho rA,,j EMERGENCY CONTACT TELEPHONg.NUMBER: 774^21 — 6fo' MSDS ON SITE? TYPE OF BUSINESS: �1Gt�5S �I dea l CQ�V1 CQ. INFORMATION/RECOMMENDATIONS: Fire District: Waste Transportation: Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month 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) Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides ❑ NEW ❑ USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene,#2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives (creosote) 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): Metal polishes ,Wv, axe, noY 4o t use, Laundry soil &stain removers O� (including bleach) ] OL �Ot 20.Z OUS Spot removers &cleaning fluids (dry cleaners) Wl s Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Staff's Initials YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$¢40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you.must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1"FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) DATE: 1005 201( Fill in please: APPLICANT'S YOUR NAME/S: D AL PI 5 s BUSINESS YOUR HOME ADD CUR ESS: S *D 772'2222N.A . 267,3 ' ' I` ryryryryry��ggryry�� r TELEPHONE # Home Telephone Number " NAME OF CORPORATION: NAME OF NEW BUSINESS TYPE OF BUSINESS CLA&71 ALLY0W( ¢�(R IS THIS A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS N 13 ' MAP/PARCEL NUMBER i� �i (Assessing] R P 216 OCEL X 7 When starting a new business there are several things you must do in order to be in compliance with the rules and regul tions of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner, of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1'. BUILDING COM 10 ER'S OFFICE This individu ha b n i o of a y permit requirements that pertain to this type of business. Aut d SignatuP& COMMENTS: i 2. BOARD OF HEALTH MUST,,AMPLY WITH ALL This individual ha be nformed of the permit requirements that pertain to this type of business. `'HA7ARDOUS MATERIALS REGULATIONS I f VI VI MUST,,OMPLY WITH Al. Authorized Signature** HAZARDOUS MATERIALS COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** . �A COMMENTS: Z� - - YOU 1/e/9Sa—I TO ®PEIII A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1"FL, 367 Main Street, Hyannis, MA 02601 (Town Hall) DATE: QS-03 ~1 f Fill i4j&T-b0 "Dft*,Drive YOURNAM /S: LAAPPLICNT'S 2601 `�'° •}0j r4 BUSINES3-11 S YOUR HOME ADDRESS: 74 TELEPHONE # Home elephone Number SOS R NAME OF CORPORATION: NAME OF NEW BUSINESS la V 1 QJ A i N TYPE OF BUSINESS -� mil() O�i EP^(fZ IS THIS A HOME OCCUPATION?-_AYES- —ENO_= C_ e© ADDRESS OF BUSINESS O ) Q+ V"C�-r- -0� MAP/PARCEL NUMBER (Assessing) -.� When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICE This individual has been informed of any permit requirements that pertain to this type of business. Authorized.Signature* COMMENTS: 2. BOARD OF HEALTH This individual has bee n rmed of e pe it re ments that pertain to this type of business. MUST COMPLY WITI'A' orized Signat OUS MATERIALS REGULAI G;1;S COMMENTS• 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual ha Abe n informed f the licensing requirements that pertain to this type of business. _�sd�41�-� � Au t orized Signature* COMMENTS: i _ om IV No CW'es �e � r y Tel '.1 800 899 i038 NW .� OUTSIDE MA 1=781 "0265 1771 Washingtpo $tog.. Mn"o2072 S E:N Y I C E,S EPANu r�Ao 0823037TZ Check No. LIC TWOS MA 40TNH 0019T_ 840V CT HW 28 RI315 ME H]KT 23 Received Aeldress ,T: ,�� i r r � QU8NTITY D SCR=0N 9MOUNT CH9R(iED:'` 0 �{'p+ sTan nNspoa a�FyB.�� �L T. 77 (lenerator, k .H v t .T T 4ivE_ riedtie pfut ui type.jr-tun tiestyiieu mi use un eine t iL-iinun)typewriter.) t-offn Approved.UIVII3 No.ZUt)U-UU39 UNIFORM HAZARDOUS 1.Generator ID Number 2.Page I of 3.Emergency Response Phone 14.Manifest Tracking Number -31 WASTE MANIFEST F 1-800-899-1038 5.Generators Name and Mailing Address Generators Site Address(if different than mailing address) Generators Phone: 6.Transporter I Company Name U.S.EPA ID Number CYN OIL CORPORATION MAD082303777 7.Transporter 2 Company Name U.S.EPA ID Number 8.Designated Facility Name and Site Address U.S.EPA ID Number CYN OIL CORPORATION, 1771 WASHINGTON STREET,STOUGHTON, MA 02072 Facility's Phone: 781-341-5108 MAD 082303777 9a. 9b.U.S.DOT Description(nducting Proper Shipping Name,Hazard Class,ID Number, 10.Containers 11.Total 12 Unit 13.Waste Codes HM and Pecking Group(I any)) No. Type Quantity WtJV0I. 1. '1 0 STATE REGULATED OIL WASTE MA98 uj ;Z 2. W 4. 14.Special Handling Instructions and Additional Information 24 HOUR EMERGENCY SPILL RESPONSE 800-899-103.8 D.O.T. EMERGENCY GUIDE#128 PASSED DEXSIL I& GENERATOR'SlOFFEROIrS CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name,and are classified,packaged, i marked and labeled/placarded,and are in all respects in proper condition for transport according to applicable international and national governmental regulations.If export shipment and I am the Primary Exporter,I certify that the contents of this consignment conform to the terms of the attached EPAAcknowledgment of Consent I certify that the waste minimization statement identified in 40 CFR 262.27(a) I am a large quantity generator)or(b)(If I am a small quantity generator)is true. Generators/Offerors Printed/Typed Name Signature Month Day Year —j 16.International Shipments 1-- 1:1 Import to U.S. El Export from U.S. Port of entry/exit —0 1 Transporter signature(for exports only): Date leaving U.S.: UW 17.TransporterAckriaMedgment of Receipt of Materials Transporter I NBP1-PfintedIT,yp ed Signature e Month Day Year 0 2E Transporter 2 Prinledffyped Name Signature Month Day Year 18.Discrepancy I Be.Discrepancy Indication Space 0 ou.ntity, ElType EJ Residue 0 Partial Reject, ❑Full Rejection Manifest Reference Number. 18b.Alternate Facility(or Generator) U.S.EPA ID Number LL. Facility's Phone: LLj 18c.Signature of Alternate Facility(or Generator) Month Day Year Z. 0 U5 19.Hazardous Waste Report Management Method Cood9s(.e.,codes for hazardous waste treatment disposal,and recycling systems) LU 1 3. 4. 20. Designated Facility Owner orOorator.Certification of receipt of hazardous materials covered by the manifest except as noted in Item 18a Pfint�;:Nme Signature Month Day Year ER orm ev.Mb) Previous editions are obsolete. 15 • • l F •`�. Tel 1a800-899-1038 ` ,� «+�,�xi, 5 _ OUTSIDE WIA 1 781 344 0265 N � 1771:Washington;St P O:Box 119 - 1Iswughton MA 02072 S E A y i C E S EPA No MAD Q82303777 ' Check77777777 NO LIC NCS MA 40 TNH 0019 VT t CT FIW 28_Rt 315;MEHW[84023 Received Address � � r� QII9NTiTY DESQRIPTION AMOIINT C13ARtiED WASTE MTOMOTm OIL $ REMTotal $ . MOSTA yes T Driver:X. Geuerator`X :; 1 4s _ t Please print or type.(Form designed for use an elite(12-pitch)typewriter.) Form Approved.OMB No.2050-0039 UNIFORM HAZARDOUS 1.Generator ID Number 2.Page 1 of 3.Emergency Response Phone 14,Manifest Tracking Number B WASTE MANIFEST 1-800-899-1038 G F 5.Generator's Name and Mailing Address Generator's Site Address(if different than mailing address) Generators Phone: 6.Transporter 1 Company Name U.S.EPA ID Number CYN OIL CORPORATION MAD082303777 7.Transporter 2 Company Name U.S.EPA ID Number 8.Designated Facility Name and Site Address U.S.EPA ID Number CYN OIL CORPORATION, 1771 WASHINGTON STREET, STOUGHTON, MA 02072 Facilfty'sPhone: 781-341-5108 MAD 082303777 9a. 9b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 10.Containers 11.Total 12.Unit HM and Packing Group(d any)) No. Type Quantity Wtivol. 13..Waste Codes 1 Ix MA98' 0 STATE REGULATED OIL WASTE Uj 2. LU 4. to 14.Special Handling Instructions and Additional Information .24 HOUR EMERGENCY SPILL RESPONSE 800-899-1038 D.O.T. EMERGENCY GUIDE#128 PASSED DEXSIL 15. GENERATOWSIOFFEROIrS CERTIFICATION: I hereby declare that the contents of this consignment are fully and accuirately described above by the proper shipping name,and are classified,packaged, marked and labeWplacarded,and are in all respects in proper condition for transport according to applicable international and national governmental regulations.If export shipment and I am the Primary Exporter,I certify that the contents of this consignment conform to the terms of the attached EPAAcknowledgment of Consent. I certify that the waste minimization statement identified in 40 CFR 262.27(a)(d I am a large quantity generator)or(b)(if I am a small quantity generator)is true. Generatarst0flemes Printedrryped Name Signature Month Day Year 7�. 16.Intemational Shipments 11 Import to U.S. El Export from U.S. Port of entry/exit Transporter signature(for exports only): Date leading U.S.: LW17.TransporlerAcknowledginent of Receipt of Materials Li Transporter I Printed/Typed Nam Signature Month Day Year Z Transporter 2 Printed/Typed Name Signature Month Day Year 18-Discrepancy 1 Ba.Discrepancy indication Space El Ottantity El Type El Residue ❑Partial Rejection ❑Full Rejection Manifest Reference Number. >- 18b.Alternate Facility(or Generator) U.S.EPA ID Number LL.; Facility's Phone: LLj I 8c.Signature of Alternate Facility(or Generator) Month Day Year 19.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment disposal,and recycling systems) 1. 2. r T 20.Designated FaalilgOwner or Operator.Certification of receipt of hazardous materialsoovered by the manifest except as noted in Item 18a PrintedifTyped Name Signature Month Day Year t,A I-onn B I UU-ZZ(Kev.Mb) Previous ednions are obsolete. iniff AL CC) Y Date:,�I 03 / Jr TOWN OF BARNSTABLE TOXIC AND HAZAFPA9jVP0N ff& 4 jON-SITE INVENTORY NAME OF BUSINESS: n 1*o;,��� BUSINESS LOCATION: Hya=189K4 Owl INVENTORY MAILING ADDRESS: (W7ft—- 1174 TOTAL AMOUNT: TELEPHONE NUMBER: , CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: auto m Holz _PA1c!R_ INFORMATION/RECOMMENDATIONS: Fire District: Waste Transportation: Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month 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) Miscellaneous Corrosive L14EW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants (® ( Engine and radiator flushes Road salts (Halite) 10 Hydraulic fluid (including brake fluid) Refrigerants . c, Motor Oils Pesticides 'NEW ❑ USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) 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): Metal polishes Laundry soil &stain removers (including bleach) Spot removers&cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Appli ant's Signature Staff's Init' . : !'a TOWN OF BARNSTABLE Date l Z3 1®f TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: �� BUSINESS LOCATION: 3/A 7—#0Rti/7aaJ D/`� . I6 A-NA/1 S INVENTORY E MAILING ADDRESS: 4,5 A hove TOTAL AMOUNT. TELEPHONE NUMBER: 2U ! 3'Z- ^ ,3:7 GAi-4-1 Oi,JS CONTACT PERSON: J O-HAl ,r/L V,4 0* 11NO%. ,1. T EMERGENCY CONTACT TELEPHONE NUMBE14/_efu- _b De_ •-lS - /dr% MSDS ON SITE? TYPE OF BUSINESS: Aura /I41,V7Z-N4-AX A-Alb ef-PA/C 6� INFORMATION/RECOMMENDATIONS:-dafXLs1T4' 4s °1''N - THE Fire District: ,60SAoUESS /S NOT sv67ZZr TO �y 4NaI/S *iO_ sli_m ieEmucstEb 7;vE i vsP&-z.r2oAj �rw P.-�-2= 72) his cuss jlfE/�®ss/�3/ci7y of 449W)1j6_ His 5 Si,Ug�55 - faJH/c# Al*-y aCA)E7Z.krr meet VA4Aj A04tS RA'TNT IAL. Waste Transportation: NSA Last shipment of hazardous waste: &AlIr Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Obs rved/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 I �srE�� (insecticides, herbicides, rodenticides) . uf Gasoline, Jet fuel, Aviation gas /yoac kaM 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 N Swimming pool chlorine �® Battery acid (electrolyte)/Batteries 4"eo 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, sre l c*Ns or ec.&tN� 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 1,,U6944 lb H,?- Sl"A (including bleach) %u BLIC-1h L7N WH&Aj*e- 9&?Pc t s TTtr Spot removers & cleaning fluids Ill Q/4'1-t-oAl L/m iT, 14E 1-f,4-S 3EEN IN -MuCH (dry cleaners) W17V 13&L W f-i(.#r te6& 4R1)1aJ4 r?AajX W*S rr Other cleaning solvents n�s9�Lvmw iy�-��ta). CEP vJA-37r- Bug and tar removers GE-?U&- A7Df_ /aJF01eAiATlou W A3 L-E-FT W11W Windshield wash M/l Sj,_VA A7' 771E �M& QL 1nrsPtz77au 4S Vic-LL. WHITE CO HEALTH DEPARTMENT/CANARY COPY-BUSINESS�1�SF/UP /5 C '74N �No a)eb&T_Ly, SP&_UyDJey /s *V41c.A8LG;k4AM, TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1. Marine,Gas Stations,Repair nters BOARD OF HEALTH satisfactory s.A to Body Shops O unsatisfactory- 4.Manufacturers COMPANY 4u ��2Fo2/-� Z (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS k -r,4oi 1j-rWJ Class: 7.Miscellaneous 3) A QUANTITIES 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) (/)il- - new motor oil(C) � �. Y transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: 3 ' z- /etc DISPOSAIJRECLAMATION REMARKS: 1.�S�anitary Sewage 2.W ter Supply C1 ✓ / ��s 2 ,� Town Sewer ublic 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 Name of Haute, esti nation Waste Pr� � YES NO ct ' Licensed? 1. 2. Person(s) Interviewed Inspecto Date- r— Town of Barnstable �FWE r, Regulatory Services 'L Thomas F. Geiler,Director Public Health Division * s vsTAsLE, Thomas McKean,Director MASS. � 200 Main Street, Hyannis,MA 02601 ' ATfD MAC a. Phone: 508-862-4644 Email: health@town.bamstable.ma.us Fax: 508-790-6304 Office Hours: M-F 8:00—4:30 April 2,2007 Mr. Aaron Bornstein Holly Management& Supply Corp. 297 North Street 7 Hyannis,MA 02601 RE: 31 Thornton Drive Business Site Visits and Inventories Dear Mr. Bornstein: Thank you for your request and interest in receiving copies of the Hazardous Materials site visits and inventories of the business located at 31 Thornton Drive,Hyannis,MA. Recently,I conducted site visits to Auto Performer,Claudio's Auto Repair, and Ferreira's. You will find a copy of each order letter and a copy of each on-site inventory enclosed. _ Claudio's Auto Repair has many violations that need immediate attention. If theses problems at this site continue,I will be forced to contact the Department of Environmental Protection(DEP) to conduct a dual site visit. At that time,they may fine the business owner for any and all issues found within. On a positive note,Ferreira's status is outstanding. The facility is very clean and organized. The products are separated and labeled appropriately. Mr.Ferreira was left with five 55 gallons of waste product from the previous tenant. He disposed of the product at Nakutis Choppers for use of the waste oil burner. Mr. Ferreira has also taken the initiative to clean up behind the building along with the lot north of the building. As you may or may not know,the amount of illegal dumping behind the buildings along Thornton Drive has increased. I commend Mr. Ferreira's work and hope you will recognize his work. If you have any further questions, or if you would like more information please do not hesitate to contact the Health Division. Thank you for your interest in this matter. Sincerely, Alisha L. Parker Hazardous Materials Specialist I Town of Barnstable oFVE r Regulatory.Services yP� ~� Thomas F. Geiler,Director Public Health Division * sARNQS BLE, * Thomas McKean,Director v� MASS `�, 200 Main Street, Hyannis,MA 02601 ArED MP'1 A Phone: 508-862-4644 Email: health(c)town.barnstable.ma.us Fax: 508-790-6304 Office Hours: M-F 8:00—4:30 April 2,2007 Mr.Claudio Silva Claudio Auto Repair 31 Thornton Drive Hyannis,MA 02601 Dear Mr. Silva: Thank you for your time and cooperation during the hazardous materials inventory and site visit at Claudio Auto Repair,31 Thornton Drive,Hyannis on March 14,2007. This letter contains information from that visit that will help you become compliant with the Town of Barnstable Ordinance Chapter 108:Hazardous Materials. Enclosed are copies of the Chapter 108: Hazardous Materials ordinance and a copy of the Toxic and Hazardous Materials On-Site Inventory form from the visit to your business. Please note the problems and orders identified during the hazardous materials inspection listed below: Failure to comply with the issues will result in a non-criminal citation and suspension of the hazardous materials permit. PROBLEMS: • No Material Safety Data Sheets are on site. ORDER: • Obtain MSDS for your facility immediately. Failure to do so will result in a fine PROBLEMS: • Manifests are not kept up to date and are not readily accessible. ORDER: • Manifests must be kept on site and shall be available upon request from the Health Division. PROBLEMS: • Large releases of oil are observed throughout the building. ORDER: • You are in violation of the Town of Barnstable Code 108:Hazardous Materials §108-9 Prohibitions,"The release of any hazardous materials and/or acutely hazardous materials upon the ground,or into any surface....within the Town of Barnstable,is prohibited." Failure to clean un all releases will result in a fine. PROBLEMS: • The use of cardboard for absorbent purposes. I ORDER: • Cardboard shall not be used to absorb any petroleum product within the facility. Obtain and use specific absorbent pads to place any and all vehicle parts onto while working on them. The use of cardboard creates a fire hazard to the facility and the entire building. PROBLEMS: • Speedy dry is mounded on top of an oil spill. ORDER: • Immediately clean up all speedy dry that has absorbed product within. Disposal requirements are to place in a plastic bag and place in the regular garbage. On Site Inventory Total The Toxic and Hazardous Materials On-Site Inventory from March 14,2007 shows that you have approximately 378 gallons of toxic and hazardous materials being used or stored at Claudio Auto Repair, 31 Thornton Drive,Hyannis,MA(Please see enclosed Toxic and Hazardous Materials On- Site Inventory sheet). A site visit will be conducted within the next 30 days to ensure compliance of the above orders. If you . have any questions about these observations or you need further information, guidance or assistance,please do not hesitate to contact the Public Health Division. Sincerely, Alisha L.Parker Hazardous Materials Specialist All orders to correct violations oA Chapter 108 of the Town of Barnstable Ordinance: Hazardous Materials (:21rector be--ompleted upon receipt f this letter. mas ean,R CHO of Public Health Cc. Aaron Bornstein,Holly Management&Supply Corp. (cover letter,inventory) Enc. Chapter 108:Hazardous Materials On-Site Inventory i Town of Barnstable �oFIME t Regulatory Services Thomas F. Geiler,Director Public Health Division * BARNSTABLE, * Thomas McKean,Director 9 MASS. eb 1639. 200 Main Street, Hyannis,MA 02601 Ar�D �a, Phone: 508-862-4644 Email: healthna,town.bamstable.ma.us Fax: 508-790-6304 Office Hours: M-F 8:00—4:30 April 2,2007 Mr.Joao Dos Santos Silva Auto Performer 3 1 A Thornton Drive Hyannis,MA 02601 Dear Mr. Silva: Thank you for your time and cooperation during the hazardous materials inventory and site visit at Auto Performer,31A Thornton Drive,Hyannis on March 13,2007. This letter contains information from that visit that will help you become and remain compliant with the Town of Barnstable Ordinance Chapter 108: 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 during the hazardous materials inspection listed below: OBSERVATIONS: • No Material Safety Data Sheets are on site.Please obtain MSDS for your facility immediately. Failure to do so will result in a violation. • No Hazardous Materials permit required for this location at the time. • No emergency phone list posted. Please post emergency phone numbers near all tele hp ones • No oil changes take place at this location. • All oil drained from a vehicle to complete work is placed in a catch pan and drained back into the vehicle once work is complete. On Site Inventory Total The Toxic and Hazardous Materials On-Site Inventory from March 14,2007 shows that you have approximately 6 gallons of toxic and hazardous materials being used or stored at Auto Performer,3 1 A Thornton Drive,Hyannis,MA(Please see enclosed Toxic and Hazardous Materials On-Site Inventory sheet). If you have any questions about these observations or you need further information,guidance or assistance, please do not hesitate to contact the Public Health Division. S' erely, A10ha 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 f this letter.' Tioma R I rl ea , , CHO Director of Public Health Cc. Aaron Bornstein,Holly Management&Supply Corp. Enc. On-Site Inventory 'PA55��l k1c) Pea TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: a;h P1cbysr BUSINESS LOCATION: ji A TI/1.r7yyi_t6yt O ye, bja _ms INVENTORY MAILINGADDRESS: �I ' TOTAL AMOUNT- TELEPHONE NUMBER: CONTACT PERSON: J04-0 SkK-:tp,,-- EMERGENCY CONTACT TELEPHONE NUMBER: MSD SITE? TYPE OF BUSINESS: 111L tgo �I INFORMATION/RECOMMENDATIONS: I K- Me?X2 Ift 0i ( a," 41, Fire rict: 6 1E1 /1K-nfrffV­ NO 4 VPJA wAshimt6 �. 11M Imlkt& i0 Luna ' 1 _ Waste Transportation: Last shipment of hazardous,waste: Name of Hauler: Destination: _ Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous 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 A ' eeze (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 Pal r 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 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;' •�--, � Date: J? /�`f'/ 07 TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: i d I 1'16 V�olf I*r BUSINESS LOCATION INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: -7q� - /lipS CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: A1tatb dllVA­) MSDS ON SITE? TYPE OF BUSINESS: _�Q�Q�_��I/1.11-IpL �� l 1�}� A�f�-U INFORMATION/RECOMMENDATIONS: ID1& If A.C# AIfj P t vi JI IS Al -r}'htl. Fire (strict: L 5 i IDS .e �an' ,Qbb57. ham' Di ? IUD lit 50�! Waste Transportation: L4 6c, Last shipment of hazardous.waste: (ALUM bU ttL-ZweT Name of Hauler 1.14,"o IA62 Destination: Waste Product: t� I, Licensed? Yes No I��-�W�- NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum _ Antifreeze (for gasoline or coolant systems) Misc. Corrosive NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides NEW BUSED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Miss. 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 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 i 311,11q OIL WASTE OIL OIL FILTERS ANTIFREEZE WASTE ANITFREEZE GASOLINE WASTE GAS DIESEL'FUEL W/W FLUID ATF HYDRAULIC/ MISC. MISC. MISC. MISC. BRAKE FLUID COMMBUSTIBLE FLAMMABLE CORROSIVE PETROLEUM (GEAR OIL/GREASE/ LUBRICANTS) . 0 FREON ACETYLENE CAR WASH CAR WASH PAINTS/ WAX DETERGENTS THINNERS SEALANT CLEANING BATTERIES/ POISION/TOXIC CAULK/GROUT SOLVENTS BATTERY ACID FERTALIZERS WASTE SOLVENT 6 M S MANIFESTS Mlo' Qini PW [A Ito ;410 v ate' WO ..um 6 w,Cf u,Q,P omat �rnraejjAkltp 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, 10 FL.,367 Main Stredt,Hyannis,MA 02601 (Town Hall) DATE: D Fill in please: APPLICANT'S YOUR NAME:iCcv.0 10 A S i LIA U INESS YOUR HOME ADDRESS: 0 F � Cep �4 TE HONE # Home Telephone Number NAME QF AIEW BUSINES •�' TYPI Q :OUSINESS. A IS THIS-A HOME QCCU QN'10.'. YES Ha- a yuu been given.appraival from th buildin :division?`YES NO ADORI~S�OF NFU§INESS H-g-ggi5 j1AAP/RAROEI::NUMI3ER O`� When'starting a new business.there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form its intended to assist you in obtaining the information you may need. You MUST-GO TO 200 Main St.--.(corner of Yarmouth. Rd.&Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. ' 1. BUILDING COMM NER'S OFFIC This individu he b n infoF J y permit requirements t ertain to this type of business. ut orized Sig ure COMMENTS: 2. BOARD OF HEALTH This individual h en infor d the per, it re meets that pertain to this type of'business. A horized lature* COMMENTS. 3. CONSUMER AFFAIRS JCE ING AUT This individual hasbq0-rhformejJ of en ' g requirements that pertain to this type of business. uth rized Sign ure* COMMENTS: azaPdous.Materials Inventory Sheet Checklist Date -__Physical Street Address-Check database to ensure it exists JWorking Phone Number c --Actual Amounts-(le.gas being used to fuel machines,thinner to clean brushes all count as hazardous materials) 4—Storage Information-location of storage,how long is storage for? If none,note.that. Disposal Information-where and who?If none,note that. Applicant Signature-understand what Is listed and noted Staff Initial-any questions,know who to ask Vehicle Washing/Rinsing? -provide a vehicle washing policy and explain it-note that it was given Attach the Business Certificate with your sign off and comments "The inventory form should explain what the business consists of and the procedures they are doing. Notes need to be left to explain what you discnssarl with rtio... Date: 04/0 /0 TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: C%I_J d ►n 6 0A 0 QE ,PC r BUSINESS LOCATION: 0 c nJ+0 ►J ',3br ► ✓c 14v&L NN)S INVENTORY MAILING ADDRESS: IS- 2 we)p TOTAL AMOUNT: TELEPHONE NUMBER: CONTACT PERSON: EMERGENCY CONTACT TELE HONE NUMBER: - �� - 2 � l f l MSDS ON SITE? TYPE OF BUSINESS: �I y T o QE po�k r INFORMATION/RECOMMENDATIONS: Fire District: Waste Transportation: Last shipment of hazardous waste: V -Q( -0 j Name of Hauler: �N I I v✓-c '►9 h Destination: Waste Product: 6 1 )- I A Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, +storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum Antifreeze (for gasoline or coolant systems) Misc. Corrosive NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides NEW i IOdJSED (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 L 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 Meta! 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 Parker, Alisha From: Childs, Barbara on behalf of wpcd wpcd Sent: Tuesday, January 02, 2007 9:43 AM To: Parker, Alisha Subject: RE: Sewer Connections Both are connected -----Original Message----- From: Parker,Alisha Sent: Tuesday,January 02, 2007 9:32 AM To: wpcd wpcd; Mastroianni,Ann Cc: Giangregorio, Robin Subject: Sewer Connections Good Morning, Would you please be able to tell me if 93 Thornton Drive (m/p 296-o13) and gi Thornton Drive(m/p 296 007) are connected to Town sewer? Thank you,Alisha Alisha Parker Hazardous Materials Specialist Town of Barnstable Health Department 200 Main St. Hyannis, MA 02601 Phone: 508- 862-4645 Fax: 508-790-6304 alisha.parker@town.barnstable.ma.us i 1 L. Date: TOWN OF BARNSTABLE TOXIC AND HAZARDOUS(� MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: �A mot' TD Y'VW - BUSINESS LOCATION: �M INVENTORY MAILING ADDRESS: r-V1,51 °. S TOTAL AMOUNT- TELEPHONE NUMBER: _ CONTACT PERSON: < Q416 17a'-2 EMERGENCY CONTACT TELEPHONE NUMBER: g MSDS ON SITE? TYPE OF BUSINESS: r In INFORMATION/RECOMMENDATIONS: Fire District: U W65�- N d" nl*0 . Waste Transportation: —Last shipment of hazard',:. s Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division, LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum Antifreeze (for gasoline or coolant systems) Misc. Corrosive NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink- Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc. Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) NEW USED Any other products with "poison" labels Paint &varnish removers, deglossers (including 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 Y GASOLINE WASTE GAS DIESEL FUEL W/W FLUID ATF 143 HYDRAULIC/ MISC. MISC. MISC. MISC. BRAKE FLUID COMMBUSTIBLE FLAMMABLE CORROSIVE PETROLEUM (GEAR OIL/GREASE/ LUBRICANTS) FREON ACETYLENE CAR WASH CAR WASH PAINTS/ WAX DETERGENTS THINNERS SEALANT CLEANING BATTERIES/ POISION/TOXIC CAULK/GROUT SOLVENTS BATTERY ACID FERTALIZERS WASTE SOLVENT MSDS MANIFESTS clwol- ov- - �7y�J/Aj Jq/ •w� �t YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates cost $30.00 for 4 years. A Business Certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L. - it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1st FL., 367 Main Street, Hyannis, MA 02601 (Town Hall). DATE: Auglos1 b 6 ' v3 Fill in please:�Av� ' APPLICANT'S YOUR NAME: JoA rs cis S'&,i BUSINESS YOUR HOME ADDRESS: Dr numb ' t, %9 3c?3I A-5- vic11 TELEPHONE # Home Telephone Number: aC) NAME OF NEW BUSINESS [ P ��- TYPE QF:BUSINESS ,4t t' -- 1S THIS A H(3ME OCCUPATION? YES NO Have you beers g thebuld�ngd Niven OY _ . ADDRESS OF;BUSaNESS :. _' r7; �7. ` �' AW c MAPIP ►►RCEL NUMBER When starting a new business there are several things you must do in r to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the informatio you may need. You MUST GO TO 200 Main St. — (corner of Yarmouth Rd. & Main Street) to make sure you have the appropri a permits and licenses re uired to legally operate your business in this town. -1 ws � (,E> 1. BUILDING COMMISSIONER'S OFFICE 230 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 be informed o the permit requirements that pertain to this type of business. thohzed ignature** COMMENTS: ZA4Itg6,Q ' 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature" COMMENTS: er 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, I" FL., 367 Main Street, Hyannis, MA 02601 (Town Hall). gal . . DATE: u u-s z Fill in please: �' � _�} �` APPLICANT' YOUR NAME: JoA o cto BUSINESS �8� YOUR HOME ADDRESS: / ® S ��/� e�� ��� f of. �90 3�a3% MA TELEPHONE # Home Telephone Number: ,5c�-C; 7 7-- NAME OF IaLEW BUSINESS ,�' �' LS THIS A HOME CJCCUPA TIO[�l? YES NO TY Nave you been ven a 9 pproval froth the burl In do g on? YES NO ADDRf=SS OF BUSINESS . $ # .7 I r -- t� f�;, c ..MAP/ ARGEL N(JMiBEI When starting a new business there are several things y Barnstable. This form is intended to assist you in obtaini ou must do in to be in compliance with the rules and regulations of the To ng the informatio you may need. You MUST GO TO wn of Yarmouth Rd. Main Street) to make sure you have the a 200 Main St. — (corner of in this town. ppropri a permits and licenses re wired to legally operate your business I. BUILDING COMMISSIONER'S OFFI ws�� This individual ha>Amrr informed o any permit requirements that pertain to this type of business. Aut rized Signature*" COMMENTS: Oct � — 17 A) 2. BOARD OF HEALTH This individual has be informed oj the permit requirements that pertain to this type of business. thorized ignatur�` COMMENTS: p Z ,t L e" (A,/� 7s- 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. -, COMMENTS: Authorized Signature'" vie. � /� Z f � ❑ Please complete the enclosed renewal form when submitting your payment. ❑ A late fee of$10.00 will be charged after May 31, 2006. Sincerely, Thomas A. McKean Health Agent Town of Barnstable J:massage-renew-notice.doc t YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates cost $30.00 for 4 years. A Business Certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L. - it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1st FL., 367 Main Street, Hyannis, MA 02601 (Town Hall). - - DATE. Fill in please: APPLICANT'�,. ANT YOUR NAME: cJoA o �S -Sa. y e�50� q� f r, BUSINESS &09) YOUR HOME ADDRESS: . s ��1 7`TO-3.2 A-SI �,or err ;11 M A c�2 6 '�5 TELEPHONE # Home Telephone Number: NAMI�OF NEW BUSINESS TYfE OF BUSINESS IS THIS A HOME Or✓CU�A�'ldN2 YES NO Have you been giett apprdrral fr+otr� the bUtic(ing dt�rsiott? .YIS -NO When starting a new business there are several things you must do in to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the informatio you may need. You MUST GO TO 200 Main St. — (corner of Yarmouth Rd. 8 Main Street) to make sure you have the appropri a permits and licenses re uired to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFI ►fJ�_�.! This individual ha n informed o any permit requirements that pertain to this type of business. Aut rized Signature** COMMENTS: 2. BOARD OF HEALTH This individual has be informed o the permit requirements that pertain tg this type of business. thorized ignature** COMMENTS: Z 4 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: 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) ,y DATE:, 0 �. Fill in please: APPLICANT'S YOUR NAME: 1'u1& BUSINESS YOUR HOME ADDRESS: fo e��.}lc e,2 ►2c� TELEPHONE # Home Telephone. umber 27`1 "12 Y J 6$2 NAME OF NEW.BUSINESS f.Q C PE IS THIS A Hb.M QOCUPAfi�pN? Have you been given approvoy from he bUilcl 9 divisions :YES . NO ' ADDJiS$OF SU3INI=SS 1 �: ry MAP/PAROEL NUMB When starting a new business.there are several things.you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need: You MUST GO TO 200 Main St: .-..(oorner of Yarmouth Rd.&Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. -1. BUILDING COMMISSIONER'S OFFICE This individual.has been med tany permit requirements that pertain to this type of business. Authorized.Signature** w COMMENTS: 2.'BOARD OF HEALTH This individual has be formed of th p rmit requirements that pertain to this type of business. Authorize Signature* COMMENTS: s �.cP lr/aZ /►�G --( < ll[a-►. l / �e� �•r-e� 3. CONSUMER AFFAIRS(LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to.this type of business. is Authorized Signature** COMMENTS: a I " Telephone:(508)744-1513 The Deacon John Munroe House Cell Phone:(508)367-5621 3291 Main Street Facsimile:(508)362-7770 P.O.Box 730 Email:jpconnorsatty@gmail.com Barnstable,MA 62630 a ... .ter Date: l /'7 /c�,� ' �T TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: d — a P-c A`� BUSINESS LOCATION: tkot4 0r�X aSr INVENTORY rs MAILING ADDRESS: , 31 Tor., 1"e, `o-r'`m TOTAL AMOUNT: In�� TELEPHONE NUMBER: `7 -7 / — 1001 CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: —7 —7'y 59Lt MSDS ON SITE? TYPE OF BUSINESS: lf-L�'cs,:N 00\0, ESDA S tj Ili INFORMATION/RECOMMENDATIONS: Fire District: Waste Transportation: '�� Last shipment of hazardous waste: Name of Hauler. f` ! Destination: Waste Product: 0_.0 Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum Antifreeze (for gasoline or coolant systems) Misc. Corrosive NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides __a__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 removers (including bleach), Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash fs. 7;r_7 gWHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS '7 y /-S Town of Barnstable �FTNE T Regulatory Services Thomas F. Geiler,Director Public Health Division * BARNSTABLE, * Thomas McKean,Director MAS9� 03 , 1��' 200 Main Street, Hyannis,MA 02601 ArFD MAC a Phone: 508-862-4644 Email: healthna,town.barnstable.ma.us Fax: 508-790-6304 Office Hours: M-F 8:00—4:30 May 14, 2007 Mr. Claudio Silva Claudio Auto Repair 31 Thornton Drive Hyannis,MA 02601 ` Dear Mr. Silva: Thank you for your time and cooperation during the hazardous materials follow up site visit at Claudio Auto Repair located at 31 Thornton Drive,Hyannis on April 17, 2007. This letter contains information from that visit that will help you become compliant with the Town of Barnstable Ordinance Chapter 108: Hazardous Materials. Enclosed are copies of the Chapter 108: Hazardous Materials ordinance and a copy of the Toxic and Hazardous Materials On-Site Inventory form from the visit to your business. Please note the problems and orders identified during the hazardous materials inspection listed below: Failure to comply with the issues will result in a non-criminal citation and suspension of the hazardous materials permit. PROBLEMS(March 14,2007): • No Material Safety Data Sheets are on site. ORDER: • Obtain MSDS for your facility immediately. Failure to do so will result in a fine OBSERVATIONS(April 17,2007): • MSDS have been obtained for the products being used on the site and are stored in the shop area. PROBLEMS(March 14,2007): • Manifests are not kept up to date and are not readily accessible. ORDER: • Manifests must be kept on site and shall be available upon request from the Health Division. OBSERVATIONS(April 17,2007): • Manifests were gathered together and are kept in a filing cabinet on location. The last manifest was from 3/15/2007 with Autobody Solvent Recovery Corporation a� PROBLEMS(March 14,2007): • Large releases of oil are observed throughout the building. ORDER: • You are in violation of the Town of Barnstable Code 108:Hazardous Materials §108-9 Prohibitions,"The release of any hazardous materials and/or acutely hazardous materials upon the i ground, or into any surface....within the Town of Barnstable, is prohibited." Failure to clean up all releases will result in a fine. OBSERVATIONS(April 17,2007): • The oil spill areas have been cleaned up. Speedy dry was added to spills and the absorbed product was disposed of in the garbage. PROBLEMS(March 14,2007): • The use of cardboard for absorbent purposes. ORDER: • Cardboard shall not be used to absorb any petroleum product within the facility. Obtain and use specific absorbent pads to place any and all vehicle parts onto while working on them. The use of cardboard creates a fire hazard to the facility and the entire building. OBSERVATIONS(April 17,2007): • Cardboard has been removed from the facility. PROBLEMS(March 14,2007): • Speedy dry is mounded on top of an oil spill. ORDER: • Immediately clean up all speedy dry that has absorbed product within. Disposal requirements are to place in a plastic bag and place in the regular garbage. OBSERVATIONS(April 17,2007): • Speedy dry has been removed from the absorbed spills. The area is much cleaner: On Site Inventory Total The Toxic and Hazardous Materials On-Site Inventory from March 14, 2007 shows that you have approximately 378 gallons of toxic and hazardous materials being used or stored at Claudio Auto Repair, 31 Thornton Drive,Hyannis,MA(Please see enclosed Toxic and Hazardous Materials On- Site Inventory sheet). The current Hazardous Materials Permit will expire on June 30,2007. A reminder letter will be sent for the 2007-2008 hazardous materials permit application. If you have any questions about these observations or you need further information,guidance or assistance, please do not hesitate to contact the Public Health Division. ASincerely,®� AIsha L.Parker Hazardous Materials Specialist All orders to correct viola ions of Chapter 108 of the Town of Barnstable Ordinance: Hazardous Materials shall be completed upon r ceipt of this letter. McKean, O Director of Public Health Cc. Aaron Bornstein,Holly Management&Supply Corp.(cover letter, inventory) Enc. Chapter 108:Hazardous Materials On-Site Inventory TOWN OF BARNSTABLE Date: '`J / t 3 /O`l TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: C/a,,ct� 4coio d8.PatL BUSINESS LOCATION: �� ��" �4-err-� ��c . 4 Mpa�a INVENTORY MAILING ADDRESS: " TOTAL AMOUNT: TELEPHONE NUMBER: 52-2 —796 — �`7`f I'S CONTACT PERSON: C ado GaJli�t Zc� 0%v��. EMERGENCY CONTACT TELEPHONE NUMBER: �S— 3w '�3.� 15— SDS ON SITE? AJo TYPE OF BUSINESS: INFORMATION/RECOMMENDATIONS: a ire District: s 1 6 a u n7S.DS i'l fc,.i/yl�t✓r'S'. �o�r'v�i�'�l. Waste Transportation: e4- *ast shipment of hazardous waste:— Name of Hauler: eVI I Ag*7 Destination: Waste Product: cra Licensed?(S 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 �U ED Cesspool cleaners Automatic transm�fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides 6 NEW /I0 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, 3 ALL 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 The Town of Barnstable "AB Office of Town Manager MAM 367 Main Street Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4610 John C.Klimm,Town Manager Fax: 508-790-6226 Email: john.klimm@town.barnstable.ma.us MEMORANDUM TO: Tom McKean FR: John C. Klimm, Town Manager DT: 7/3/07 RE: Illegal Dumping For your information, I am forwarding you correspondence on the above-mentioned matter. Thank you JCK:Ids V � f June 22, 2007 Tom McKean Public Health Division Town of Barnstable 200 Main Street Hyannis, MA 02601` Chris Olsen, Chief Barnstable Fire Department P.O. Box 546 Barnstable, MA .02630 Dear Sirs: There appears to be some questionable/illegal dumping of oil by some of the little shops on Thornton Drive, and I was hoping that the town departments would look into this since it is affecting the quality of our environment and water supply. Thank you very much. A Concerned Citizen Cc: John Klimm, Town Manager -.I O C- - r- _ T June 22, 2007 Tom McKean Public Health Division Town of Barnstable 200 Main Street Hyannis, MA 02601 Chris Olsen, Chief Barnstable Fire Department P.O. Box 546 Barnstable, MA 02630 Dear Sirs: f There appears to be some questionable/illegal dumping of oil by some of the little shops on Thornton Drive, and I was hoping that the town departments would look into this since it is affecting the quality of our environment and water supply. Thank you very'much. A Concerned Citizen Cc: John Klimm,Town Manager it w to aN f Citizen Web Request Page 1 of 3 'ell I ''' 1p t r s Zk Logger( In As: -. Monday,July 9 2007 TOWN\desmarad Citizen Request Management Route to Users Search Requests Create Requests Changes saved Message has been sent Request Information Request ID: 21097 Created: 7/6/2007 12:35:51 PM Status: Closed Assigned To: Desmarais, Donald Health Office Anonymous: Yes Request Category: Chapter 108 : Hazardous Materials Estimated 7/10/2007 Change Estimated Jun 3uly 2007 Aug Completion Completion Date: Date: Sun Mon 1 Thu Sri 51 24 25 26 27 28 29 30 1. 2 3 4 5 6 7 0 1 0 10 11 12 13 14 15 16 17 1 1 20 2:1 22 23 24 25 26 ail 28 29 30 31. 1. 2 3 1 4 Created By: Fontaine,Tina Priority: Medium Health Office Citation Numbers: Requestor Information Requestor Request DETAILS: LOCATION: 0 THORNTON DRIVE Barnstable, Ma 02630 Request Parcel Number a letter came into the department Map: 000 Block: 000 x Lot: 000 { saying that the little shops on Thornton Dr are dumping oil there Parcel Lookup was no street number givin. Email: http://issgl2/IntemalWRS/WRequest.aspx?ID=21097 7/9/2007 Citizen Web Request Page 2 of 3 Track Request Progress Request Work History: Internal Note History: Entered on 7/9/2007 8:13:39 AM Entered on 7/6/2007 12:35:51 PM by Desmarais, Donald by Fontaine, Tina DD went and investigated. Went behind all see tina for the letter that was sent to the the buildings looking for oil on the ground. office Talked to shop owners to find out what they do with their their oil. Could not find anything. System entry on 7/6/2007 12:35:51 PM: Assigned to Desmarais, Donald Entered on 7/9/2007 8:13:39 AM by Desmarais, Donald When I was talking to a guy at Ferreira's Scrap the owner came flying in driving his cab over truck and went within 6" of me. He got out of his truck like he was shot out of a cannon and proceeded to scream at me. F--- this and F---that. I and the worker tried to calm him down telling him that I was not singling him out specifically, I was just doing my job. He remained very agitated, so I left. I went across the street and spoke with a guy at Rons'Truck Stop. He told me that on Sunday Ferreira was poking holes in gas tanks and letting the gas go on the ground. Will contact DEP and ask if they will set up a video surveillance of the scrap shop. J System entry on 7/9/2007 8:13:39 AM: Request Closed by desmarad Enter work progress: Enter internal note: (Viewed by everybody) (Viewed internally only) 12 4 } S e F ;`=-Spell Check: SpeIlCheckE http://issgl2/IntemalWRS/WRequest.aspx?ID=21097 7/9/2007 Citizen Web Request Page 3 of 3 Add document or image link: * You can also type in a folder name to see everything in the folder C: rrent Links: Time worked on request: PT Response time: .1 N00 x * Time entries are in hours. Examples of time entries: 1.25, 0.5, 0.75, 1, 3.5, 0.25, 0.10 * Response time: Measured from the creation date to your first actions on the request. * Do not include nights, weekends, and holidays in response time for most departments. Reopen Reopen and notify citizen Reopen Public Use: Printer Friendly Version Internal Use: Printer Friendly Version http://issgl2/IntemalWRS/WRequest.aspx?ID=21097 7/9/2007 ,:�, 9 y�mf � x��2 _ - - ����\/`�� , - . / �\����» � . � . . _� � d;�\�:��\\� / /\� � /,/ � / \«� : « zz -az � w: � ���� . » � � *J�& � - 2 � » � y w� °�» �� :�\� ` ' w. - �a . , a � w© . \/ . , �� ,3. / - , - �a � r , ; \y\ /��y. �� <& — ®z < � �� � \� z � : � : � ��» z ... w . . 2/\� � t�.w <� . �a;:\\�� e = . sz �. . :. � : . . . , . \ /\\� �\:a > � .. ,/� / f . �« - T � � � - - ��, ���j �� \ .\�\/� ±2� \\ cv° ���/ � ��� . . _ � .�����w :�\«\ - - �- . . . .�`��$ « *�/_ �. « ��������` � � \\ \ ® \��\� `��/��/z � - ��1 i .� I - � - _-�.► ..�_ �; �_ .0 i" �:a � .Y,:'.�.�yc-i J�1�..+.• 4 d -mac_ s�tf.r` - !f i r tt� � �' - ,� _ � >� '�"" _� .��a.' �`���' ♦7F .. ,.1�, ._ :t.�''. ��� r • 41 I K I r _ - a �r ..Y - 1 w 1 ,+ Mlr 4 �4 f I Town of Barnstable �FTHE r Regulatory Services Thomas F. Geiler,Director Public Health Division • BARNSTABLE, Thomas McKean,Director 9� ib q. 200 Main Street, Hyannis,MA 02601 Phone: 508-862-4644 Email: health@town.barnstable.ma.us Fax: 508-790-6304 VI\ ti a Office Hours: M-F 8:00—4:30 April 2,2007 Mr.Timothy Ferreira Ferreira's� 31 Thornton Drive 1 Hyannis,MA 02601 Dear Mr.Ferreira: Thank you for your time and cooperation during the hazardous materials inventory and site visit at Ferreira's,31 Thornton Drive,Hyannis on March 14,2007. This letter contains information from that visit that will help you become compliant with and remain compliant with the Town of Barnstable Ordinance Chapter 108:Hazardous Materials. Enclosed are copies of the Chapter 108:Hazardous Materials ordinance and a copy of the Toxic and Hazardous Materials On-Site Inventory form from the visit to your business: Please note the observations. identified during the hazardous materials inspection listed below: OBSERVATIONS: • The shop is very clean and organized. • All recyclable products are separated into boxes which are stored on individual pallets. • All debris is disposed of off Cape. • Previous business leasee left behind five 55 gallon drums of waste. Mr.Ferreira had the drums removed by a licensed hauler. • All waste oil is brought to Nakutis for heating. Please collect receipts indicating the date and amount of all waste oil delivered to Nakutis and keep on file. • Mr.Ferreira is cleaning up the area behind the building and the lot adjacent to the building by recycling and disposing of the illegally dumped debris that was present upon his moving in to the building,including properly disposing of two 55 gallon drums of an unknown substance. This type of service he is providing does not go unnoticed by the Town of Barnstable. On Site Inventory Total The Toxic and Hazardous Materials On-Site Inventory from March 14,2007 shows that you have approximately 63 gallons of toxic and hazardous materials being used or stored at Ferreira's,31 Thornton Drive,Hyannis,MA(Please see enclosed Toxic and Hazardous Materials On-Site Inventory sheet). At this time you are allowed to have one 55 gallon drum on the site at all times. Failure to comply will result in having to obtain a hazardous materials permit. You are not required to obtain a hazardous materials permit at.this time. If you have any questions about these observations or you need further information,guidance or assistance, please do not hesitate to contact the Public Health Division. f Sinf.grel � QAW Ali a L.Parker Hazardous Materials Specialist Z WRS,CHO iolations of Chapter 108 of the Town of Barnstable Ordinance: Hazardous Materials on receipt of this letter. Director of Public Health Cc. Aaron Bornstein,Holly Management&Supply Corp. (cover letter,inventory) Enc. Chapter 108:Hazardous Materials On-Site Inventory l "nip mvoo Date: X07 TOWN OF BARNSTABLE c"nZ_* TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: �P�'I'P it-."1-5 BUSINESS LOCATION: 31 D ]I to ( KA-yI brig) 6 jd i,', ► 6 INVENTORY MAILING ADDRESS: 01 ' TOTAL AMOUNT: TELEPHONE NUMBER: 6pg' 771 — 119 q CONTACT PERSON: EMERGENCY CONTACT TELEP144F NUMBER: M- J2/- II M MSDS ON SITE? TYPE OF BUSINESS: c f g yam.bvd INFORMATION/RECOMME DATIONS: C i e District: fb r° I uvl •5& bunlin6j-00f2uh Gtlb Waste Transportation: Last shipment of hazardous.waste: Name of Hauler.• Destination- Waste Product: aL Licensed. es. No NOTE: Under the provisions of Ch. 111, Section 31, of the Genera 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 An 'freeze (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 X NEW Ob 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 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 E GASOLINE WASTE GAS DIESEL•FUEL W/W FLUID ATF II HYDRAULIC/ MISC. MISC. MISC. MISC. BRAKE FLUID COMMBUSTIBLE FLAMMABLE CORROSIVE PETROLEUM (GEAR OIL/GREASE/ LUBRICANTS) FREON ACETYLENE CAR WASH CAR WASH PAINTS/ WAX DETERGENTS THINNERS SEALANT CLEANING BATTERIES/ POISION/TOXIC CAULK/GROUT SOLVENTS BATTERY ACID FERTALIZERS WASTE SOLVENT ®� DS Tfm dad Ti C nvi of u�Zkzw-vl- (L/J;t� �m 6wMANIFESTS W� Pou l� {u U p ' (od eV- J th n� vM 6� �Q-Vt- G D Alisha L. Parker Hazardous Materials 1HE..oE °�, Specialist _ Town of Barnstable YOU.WISH TO OPEN A BUSINESS? . BARNSTABLE. 9 MASS. Department of Regulatory Services - prFOMP'�� as (cost$30.00 for 4:years).. A business certificate ONLY REGISTERS YOUR NAME in town (which PUBLIC HEALTH DIVISION permission to operate.) Business Certificates are available at the Town Clerk's Office, 1-FL-, 367 V1: 508 in�862-4644 s,MA 02601 Office Hours: 08 8:30a-9:30a(x -,Th) alisha.parker@town.barnstable.ma.us DATE:glze LIT APPLICANT'S YOUR NAME: liwoXq TT APPLICANT'S {q BUSINESS YOUR.HOMEADDRESS: fZA- �- r TELEPHONE # Home Telephone Number. NAME OF NEW BUSINESS TYPE OF BUSINESS_(��,?�i�L.l2 cve�,:x� �£y sS�Z o�✓�C�. IS THIS A HOME OCCUPATION? YES NO Have.you been given approval from the building divisions YESNO ADDRESS OF BUSPNESS10 .tfUN Orive cc�t��S �, o o MAP/PARCEL NUMBER �( When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town.of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. (corner of Yarmouth Rd. & Main Street),to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFIC This individual has�-eninforme f any permit requirements that pertain to this type of business. Authorized Signature COMMENTS: . IL S (L 2. BOARD OF HEALTH - This individual has been ) orme of permit requirements that pertain to this type of business.. Authori ed Signature** , COMMENTS: . �jz2nrr2/e71!;t 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing r-gVirem ntsthat,pertain to this type of business. .91 T. Wd i s� r tic Authorized Signature.* COMMENTS: .p�?I';'t t�' 01/25/2006 11:52 5087756526 HOLLY MNGT PAGE 01/02 HOLLY MANAGEMENT & SUPPLY CCIRPORATION 297 North Street Hyannis,Massachuscrts 02601 (508)775-9316 FAX(508)775-6526 Thomas A McKean, RS, CHO Director of Public Health Fax: 508-790-6304 January 25, 2006 Dear Tom; This letter is to update you on the situation at 31 ThornI:on Drive in Barnstable. The plumbers are on site trying to install the toilet faci]°ties but it is extremely difficult to work at this location because the tenant is rctuctant to give them.space in which to work.We are waiting for the inspection of be rough plumbing and anticipate the facilities to be finished within the next to a days. We will advise you when the work has been completed. Thank you for your patience and perseverance in this r:'Latter. Regards, i� Stuart omstein 01/25/2006 11:52 5087756526 HOLLY MNGT PAGE 02/02 t Town of Barn stable JIM'MASM .p Regulatory Services. 1".)epartment Public Health Ili,.-ision 200 Main Street,Hyannis 14A 02601 Office; 508-862.4644 Thomas F.Goner,Director FAX: 508-790-004 Thomas A.McKean,CIIO January 18, 2006 Mr. Aaron Bornstein 297 North Street Hyannis,MA. 02601 RE: ORDER TO CONSTRUCT TOILET FACILITIES.A 'x 31 THORNTON DRIVE Dear Mr. Bornstein, This Office received several.complaints regarding the propert,- owned by you located at " 31 Thornton Drive,Barnstable. The complainants indicates.tl i at there is a automobile business in operation and the tenants do not have any toilet facilities available within this building. Toilet facilities are,required per the State Plumbing i'-ode, 24 CMR 2.10. You stated to me on the telephone today that there were wo-rki;rs at this site today installing piping for the future bathrooms. You also called 1)e back later in the afternoon and stated new walls will be constructed tomorrow for the r.ieS bathrooms. You are directed to install operational toilet facilities onsite fc a-the existing tenants within seven(7) days of your receipt of this order letter. - You may.request a hearing if written petition requesting sa3ne is received by the Board of Health within seven days of this letter. Failure to comply with an order of the Public Health Divisian may result in penalties. PER ORDER OF THE P LIC HEALTH DIVISION e, Thomas A. McKean,RS, CHO Director of Public Health t McKean, Thomas From: Childs, Barbara Sent: Wednesday, January 18, 2006 6:37 AM To: Doyle, Peter; Anderson, Dave Cc: McKean, Thomas Subject: RE: #31 thornton drive 31 Thornton.Dr. is being billed, I have the permit, corripliancc and sketch. 30 Thornton drive is not tied in -----Original Message----- From: Doyle, Peter Sent: Tuesday,January 17,2006 3:38 PM To: Childs,Barbara Subject: FW: #31 thornton drive -----Original Message----- From: Anderson, Dave Sent: Tuesday,January 17, 2006 3:17 PM To: Doyle, Peter Cc: McKean,Thomas; Stanton,David Subject: RE: #31 thornton drive This property was tied-in approx'97 or'98. I don't know why they aren't being billed. I'll have to go over to Town Hall and research the records to find the tie-in info. I'll make a copy for B Childs, and any back-up material, that she needs to start the billing process for the property. -----Original Message----- From: Doyle, Peter Sent: Tuesday,January 17, 2006 3:11 PM To: McKean,Thomas Cc: Anderson, Dave Subject: #31 thornton drive They are not being billed nor are they tied in. If they are requesting a dye test let me know. i 1 1 - McKean, Thomas From: Anderson, Dave Sent: Tuesday, January 17, 2006 3:17 PM To: Doyle, Peter Cc: McKean, Thomas; Stanton, David Subject: RE: #31 thornton drive This property was tied-in approx'97 or'98. I don't know why they aren't being billed. I'll have to go over to Town Hall and research the records to find the tie-in info. I'll make a copy for B Childs; and any back-up material, that she needs to start the billing process for the property. -----Original Message----- From: Doyle, Peter Sent: Tuesday,January 17, 2006 3:11 PM To: McKean,Thomas Cc: Anderson, Dave Subject: #31 thornton drive They are not being billed nor are they tied in. If they are requesting a dye test let me know. i i 1 Barnstable Assessing Search Results Page 1 of 2 ROM/ Home: Departments:Assessors Division: Property Assessment Search Results a 31 T110 R N T Owner: THORTON DRIVE LTD PTSHP Property "end Map/Parcel/Parcel Extension 296 /007/ Mailing Address r THORTON!DRIVE LTD PTSHP E 297 NORTH ST HYANNIS, MA.02601 2005 Assessed Values: Appraised Value Assessed Value Building Value: $269,800 $269,800 Extra Features: $0 $0 Outbuildings: $0 $0 Land Value: $ 145,500 $ 145,500 Interactive Property Map: ap requires Plug in: Totals:$415,300 $415,300 1 have visited the maps before �IIfCIL �r Show Me The Man April 2001 photos available „ Sales History: Owner: Sale Date Book/Page: Sale Price: THORTON DRIVE LTD PTSHP 11/3/1997 11041/235 $ 1 THORNTON ENTERPRISES INC 8/15/1996 10338320 $345,000 THORNTON DR LIMITED PARTNER 6/15/1995 9711/326 $ 100 BORNSTEIN, STUART 5/15/1991 7524/296 $ 116,000 RENAUD, RICHARD B TRS 6/15/1988 6321/283 $445,000 GALLAGHER,JOHN A TRS 6/15/1987 5771/091 $ 10 RODRIGUES,JOSEPH M 6/15/1987 5771/080 $390,000 CROSBY, RICHARD B TRS 3/15/1986 4988/189 $400,000 RODRIGUES,JOSEPH M TR 6/15/1982 3491/136 $0 2005 REAL ESTATE Tax Information: Tax Rates: (per$1,000 of valuation) Land Bank Tax $75.38 Town Fire District Rates Other I $6.05 Barnstable-Residential $2.12 Land B. Barnstable-Commercial $2.80 Barnstable FD Tax(Commercial) $ 1,162.84 C.O.M.M.-All Classes $1.01 http://www.town.bamstable.ma.us/Assessing/Assess05/displayparce103.asp?mappar=2960... 1/18/2006 E_amstable Assessing Search Results Page 2 of 2 Cotuit FD-All Classes $1.28 Town Tax(Commercial) $2,512.57 Hyannis-Residential $1.52 Hyannis-Commercial $2.39 W Barnstable-Residential $1.44 W Barnstable-Commercial $2.10 Total: $3,750.79 Due to rounding differences these values may vary Land and Building Information Land Building Lot Size(Acres) 0.49 Year Built 1972 Appraised Value $ 145,500 Living Area 9100 Assessed Value $ 145,500 Replacement Cost$293,248 Depreciation 20 Building Value 269,800 Construction Details Style Pre-Eng Warehs Interior Floors Concr Finished Model Ind/Comm Interior Walls Minimum Grade Average Heat Fuel Typical Stories 1 Story Heat Type Typical Exterior Walls Pre-finsh Metl AC Type None Roof Structure Gable/Hip Bedrooms 1 Bedroom Roof Cover Metal/Tin Bathrooms Zero Bathrms Total Rooms 1 Room Extra Building Features Code Description Units/SQ ft Appraised Value Assessed Value Property Sketch Legend BAS First Floor, Living Area FST Utility Area(Finished Interior) UAT Attic Area(Unfinished) BMT Basement Area(Unfinished) FTS Third Story Living Area(Finished) UHS Half Story(Unfinished) CAN Canopy FUS Second Story Living Area(Finished) UST Utility Area(Unfinished) FAT Attic Area(Finished) GAR Garage UTQ Three Quarters Story(Unfinished) FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story(Unfinished) FHS Half Story(Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story(Finished) http://www.town.bamstable.ma.us/Assessing/Assess05/displayparce103.asp?mappar=2960... 1/18/2006 AssessBegin Page 1 of 2 Y y2 ic? - '••: Idome: Departments:Assessors Division: Property Assessment Search Please do not e-mail questions regarding the information contained on these pages. Please Contact the Assessors Office at 508-862-4022 Disclaimer Actual Fiscal Year 2005 Values. Search By Map Parcel Number ' Search By Owner Name Search By Property Address Street Number(optional) Thornton Street Name Search AddressE Scroll Down For Search Results Enter Street Number and Name or Just Street Name. Leave out Street Name Suffix(e.g. "Main"not"Main Street") Parcel ID Owner Name House Number Street Name 296005001 BOURQUE,DAVID B,TRUSTEE 11 THORNTON DRIVE 29500600A COMES,MARTA 12 THORNTON DRIVE 29500600E ELWELL,RICHARD C&BRENDA D 12 THORNTON DRIVE 29500600C ELWELL,RICHARD C&BRENDA D 12 THORNTON DRIVE 29500600D ELWELL,RICHARD C&BRENDA D 12 THORNTON DRIVE 29500600E ELWELL,RICHARD C&BRENDA D 12 THORNTON DRIVE 2950060OG ELWELL,RICHARD C&BRENDA D 12 THORNTON DRIVE 29600800A AMARAL,WILLIAM A&RITA A 30 THORNTON DRIVE 29600800E FLEMING,RICHARD J 30 THORNTON DRIVE 29600800C FLEMING,RICHARD J 30 THORNTON DRIVE 29600800D ROBINSON,CHRISTINE SABO 30 THORNTON DRIVE 29600800E MICHNAY,MICHAEL S 30 THORNTON DRIVE 2960b800F MICHNAY,MICHAEL S 30 THORNTON DRIVE 296007 THORTON DRIVE LTD PTSHP 31 THORNTON DRIVE 296010 PACHECO,RONALD G&CATHY A TRS 52 THORNTON DRIVE 296009 GLOWACKI,DAVID ET ALS 53 THORNTON DRIVE 29601200E LUFF,JEFFREY P 72 THORNTON DRIVE 2960120OF MILLER,RICHARD T 72 THORNTON DRIVE 2960120OG LEBOUEF,JACK 72 THORNTON DRIVE 29601200H HULTEN,MARC R 72 THORNTON DRIVE 296012001 HULTEN,MARC R 72 THORNTON DRIVE 296011 AMSTER,HENRY P TR 73 THORNTON DRIVE http://www.town.bamstable.ma.us/DNet05/AssessingDNet/Assessbegin.aspx 1/17/2006 AssessBegin Page 2 of 2 29601200C MORRISON,JOHN B&SUSAN 80 THORNTON DRIVE 29601200D MORRISON,JOHN B&SUSAN 82 THORNTON DRIVE 29601200E SOARES,LEONARD J 84 THORNTON DRIVE 29601200A SOARES,LEONARD 86 THORNTON DRIVE 29601400A HILL,GEORGE J JR TR 88 THORNTON DRIVE 29601400E HILL,GEORGE J JR TR 88 THORNTON DRIVE 29601400C SABATINELLI,BRUCE 88 THORNTON DRIVE 29601400D SABATINELLI,BRUCE 88 THORNTON DRIVE 29601400E AGGARWAL,ASHOK J 88 THORNTON DRIVE 2960140OF AMSTER,BRUCE D TR 88 THORNTON DRIVE 2960140OG AMSTER,BRUCE D TR 88 THORNTON DRIVE 29601400H AMSTER,BRUCE D TRS 88 THORNTON DRIVE 296013 MOLINARI,LIBERO&NANCY 93 THORNTON DRIVE 296016 AMSTER,BRUCE D 118 THORNTON DRIVE 296015 CLARK,RICHARD W TRS 119 THORNTON DRIVE 296018 MCGRAW,DAVID W TRS 138 THORNTON DRIVE 296017 PERRON,NORMAND E 139 THORNTON DRIVE 29602000D DONCROFT LLC 145 THORNTON DRIVE 29602000E RODOALPH,BRIAN W 146 THORNTON DRIVE 29602000F RODOALPH,BRIAN W 146 THORNTON DRIVE 29602000A CAPE COD PHOENIX,LLC 146 THORNTON DRIVE 29602000E CAPE COD PHOENIX,LLC 146 THORNTON DRIVE 29602000C DONCROFT LLC 146 THORNTON DRIVE 296019 PIANTES,JOANNA C 157 THORNTON DRIVE 296021 SHEPLEY,HAMILTON N TR 177 THORNTON DRIVE 296022 RODOALPH,BRIAN W TR& 178 THORNTON DRIVE 296023 PIANTES,SPERO H 199 THORNTON DRIVE 296024 SHEPLEY,HAMILTON N 200 THORNTON DRIVE 297027 SHEPLEY,HAMILTON N 216 THORNTON DRIVE 297028 CLARK,RICHARD W TRS 217 THORNTON DRIVE Website Developed and Maintained internally by the Town of Barnstable Information Systems Department Town Hall-367 Main Street- Hyannis,MA-02601 -508-862-4000 I http://www.town.bamstable.ma.us/DNet05/AssessingDNet/Assessbegin.aspx 1/17/2006 Health Complaints 27-Jan-06 Time: 11:45:00 AM Date: 8/16/2005 Complaint Number: 18640 Referred To: DAVID STANTON Taken By: unknown Complaint Type: ARTICLE XXXIX HAZARDOUS WASTE Article X Detail: ILL AL OPERATIONS Business N 3 e- be Num ` r• 8. � reet: Thornton Drive Village: BARNSTABLE Assessors Map_Parcel: 296-012-OOC Complaint Description: CALL CAME INTO MAIN LINE AROUND LUNCH TIME, AND THEY CALLED DS TO GO TO SAID LOCATION AS BARNSTABLE FIRE REQUESTED ASSISTANCE FROM HEALTH AT SAID LOCATION Actions Taken/Results: DS WENT TO SAID LOCATION AND MET WITH DEPUTY CHIEF CHRIS OLSEN OF BARNSTABLE FIRE. SEVERAL VIOLATIONS OBSERVED (OIL SPILLS, ELECTRICAL WIRING, ETC) PHOTOS ON FILE. POLICE STATED THEY WOULD HELP US WITH MORE PROPERTIES. EVERYONE WENT TO LUNCH, AND MET AGAIN TO GO OVER MORE PROPERTIES ON THE STREET. THIS TIME THERE WERE SEVERAL POLICE OFFICERS PRESENT AND DZM FROM HEALTH. 10 LOCATIONS WERE CHECKED OUT. PHOTOS ON FILE. 31 THORNTON DRIVE HAD ILLEGAL APARTMENTS, ILLEGAL WATER CROSS-CONNECTIONS, ILLEGAL WASTEWATER DISCHARGES ONTO THE GROUND OUT BACK, UNPERMITTED WELDING TANKS, AND ILLEGAL ELECTRICAL WIRING. SEVERAL 1 Health Complaints 27-Jan-06 PHOTOS ON FILE. A GROUP DECISION WAS MADE BETWEEN HEALTH AND FIRE THAT THERE WERE SOME SERIOUS SAFETY AND HEALTH ISSUES PRESENT, AND THAT THE BUSINESSES AND HOUSING MUST CLOSE IMMEDIATELY. THE BUILDING WAS POSTED WITH ORANGE STICKERS, AND THE TENANTS WERE ALL NOTIFIED OF THE CLOSURE. 11 THE OWNER OF THE PROPERTY WAS NOTIFIED. ON 8/26/05, DS FAXED AARON BORNSTEIN THE VIOLATIONS THAT NEEDED TO BE CORRECTED. HE WAS UNAWARE OF ANY HOUSING IN THE BUILDING, SAID THAT THEY AQUIRED THE PROPERTY AS A DEAL, AND DID NOT KNOW ANYONE WAS LIVING THERE, AND THAT THEY WOULD MAKE SURE IT WAS CORRECTED RIGHT AWAY. ON 8/18/05 DS AND AP WENT OUT TO THORNTON DRIVE AGAIN FOR FOLLOW UPS AND MORE PROPERTIES, PHOTOS AND NOTES ON FILE. BA-ELECTRICAL INSPECTOR, AND RICHARD MARSHALL OF BARNSTABLE WATER DEPT. ALSO WENT OUT TO THORNTON DRIVE TO OBSERVE VIOLATIONS. ON 10/6/2005 DS WENT BACK TO 31 THORNTON DRIVE WITH D.C. CHRIS OLSEN TO SEE WHAT PROGRESS HAS BEEN MADE. PHOTOS ON FILE. THE APARTMENT HAS BEEN REMOVED COMPLETELY. ELECTRICITY HAS BEEN RESTORED, AND ELECTRICAL PERMITS WERE ISSUED TO CORRECT THE WIRING VIOLATIONS. THE SINK DRAIN DISCHARGING ONTO THE GROUND OUT BACK HAS BEEN SHUTOFF. NO MORE HEALTH OR FIRE VIOLATIONS OBSERVED, OK TO OPEN AGAIN BY DS AND CO. ON 01/27/2006 DS AND TM WENT TO SAID LOCATION. 4 NEW SEWER LINES CONNECTED TO THE BUILDING, WITH RED CAPS ON THEM. WATER METER ALSO OBSERVED. 2 PORTA POTTIES PRESENT. NO OPEN SEWER LINES OBSERVED OUTSIDE. ACCORDING TO THE TENANTS, THERE ARE 3 BUSINESSES THERE NOW. THE TWO END UNITS HAVE 3 EMPLOYEES EACH, AND THE MIDDLE ONE HAS 2 2 Health Complaints 27-Jan-06 EMPLOYEES, FOR A TOTAL OF 8 EMPLOYEES IN THE WHOLE BUILDING. Investigation Date: 8/16/2005 Investigation Time: 12:00:00 PM 3 nib A, Bai ns+ah'&. Locat.o!l 'of for ner ?il ,aa3 r-)a gnlyn �✓: `�r�.� w ` �s 4 s -- -- __ ---- - - 0 AN 27 2006 ._. - w R v MOM- �_ --• •r •f �.�� ♦ SIR 1. i \ 3 , t .. w r .Y Y it 1 oil i • . � y� s,�� ��� �� � / ,�, fir. � �•. , � (, � . -Gull canna . . , . z - - • » i ¥. . ; ,• �. . , . �. ■ � « . 2 « \ � . • 11 x �, �.' 3 §ewer line. DSCTM A , PF feQ i.. i•. 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Health Complaints 27-Jan-06 Time: 11:45:00 AM Date: 8/16/2005 Complaint Number: 18356 Referred To: DAVID STANTON Taken By: unknown Complaint Type: ARTICLE XXXIX HAZARDOUS WASTE Article X Detail: ILLEGAL OPERATIONS Business Name: Number: 80 Street: Thornton Drive Village: BARNSTABLE Assessors Map_Parcel: 296-012-OOC Complaint Description: CALL CAME INTO MAIN LINE AROUND LUNCH TIME, AND THEY CALLED DS TO GO TO SAID LOCATION AS BARNSTABLE FIRE REQUESTED ASSISTANCE FROM HEALTH AT SAID LOCATION Actions Taken/Results: DS WENT TO SAID LOCATION AND MET WITH DEPUTY CHIEF CHRIS OLSEN OF BARNSTABLE FIRE. SEVERAL VIOLATIONS OBSERVED (OIL SPILLS, ELECTRICAL WIRING, ETC) PHOTOS ON FILE. POLICE STATED THEY WOULD HELP US WITH MORE PROPERTIES. EVERYONE WENT TO LUNCH, AND MET AGAIN TO GO OVER MORE PROPERTIES ON THE STREET. THIS,TIME THERE WERE SEVERAL POLICE OFFICERS PRESENT AND DZM FROM HEALTH. 10 LOCATIONS WERE CHECKED OUT. PHOTOS ON FILE. 31 THORNTON DRIVE HAD ILLEGAL APARTMENTS, ILLEGAL WATER CROSS-CONNECTIONS, ILLEGAL WASTEWATER DISCHARGES ONTO THE GROUND OUT BACK, UNPERMITTED WELDING TANKS, AND ILLEGAL ELECTRICAL WIRING. SEVERAL 1 Health Complaints 27-Jan-06 PHOTOS ON FILE. A GROUP DECISION WAS MADE BETWEEN HEALTH AND FIRE THAT THERE WERE SOME SERIOUS SAFETY AND HEALTH ISSUES PRESENT, AND THAT THE BUSINESSES AND HOUSING MUST CLOSE IMMEDIATELY. THE BUILDING WAS POSTED WITH ORANGE STICKERS, AND THE TENANTS WERE ALL NOTIFIED OF THE CLOSURE. THE OWNER OF THE PROPERTY WAS NOTIFIED. ON 8/26/05, DS FAXED AARON BORNSTEIN THE VIOLATIONS THAT NEEDED TO BE CORRECTED. HE WAS UNAWARE OF ANY HOUSING IN THE BUILDING, SAID THAT THEY AQUIRED THE PROPERTY AS A DEAL, AND DID NOT KNOW ANYONE WAS LIVING THERE, AND THAT THEY WOULD MAKE SURE IT WAS CORRECTED RIGHT AWAY. ON 8/18/05 DS AND AP WENT OUT TO THORNTON DRIVE AGAIN FOR FOLLOW UPS AND MORE PROPERTIES, PHOTOS AND NOTES ON FILE. BA-ELECTRICAL INSPECTOR, AND RICHARD MARSHALL OF BARNSTABLE WATER DEPT. ALSO WENT OUT TO THORNTON DRIVE TO OBSERVE VIOLATIONS. ON 10/6/2005 DS WENT BACK TO 31 THORNTON DRIVE WITH D.C. CHRIS OLSEN TO SEE WHAT PROGRESS HAS BEEN MADE. PHOTOS ON FILE. THE APARTMENT HAS BEEN REMOVED COMPLETELY. ELECTRICITY HAS BEEN RESTORED, AND ELECTRICAL PERMITS WERE ISSUED TO CORRECT THE WIRING VIOLATIONS. THE SINK DRAIN DISCHARGING ONTO THE GROUND OUT BACK HAS BEEN SHUTOFF. NO MORE HEALTH OR FIRE VIOLATIONS OBSERVED, OK TO OPEN AGAIN BY DS AND CO. ON 01/27/2006 DS AND TM WENT TO SAID LOCATION. 4 NEW SEWER LINES CONNECTED TO THE BUILDING, WITH RED CAPS ON THEM. WATER METER ALSO OBSERVED. 2 PORTA POTTIES PRESENT. NO OPEN SEWER'LINES OBSERVED OUTSIDE. ACCORDING TO THE TENANTS, THERE ARE 3 BUSINESSES THERE NOW. THE TWO END UNITS HAVE 3 EMPLOYEES EACH, AND THE MIDDLE ONE HAS 2 2 Health Complaints 27-Jan-06 EMPLOYEES, FOR A TOTAL OF 8 EMPLOYEES IN THE WHOLE BUILDING. Investigation Date: 8/16/2005 Investigation Time: 12:00:00 PM 3 Town. of Barnstable H b Regulatory Services Thomas F. Geiler,Director Public Health Division '°Tecnna`` Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 0ffiC!!Y508-8�,Q-4644 Fax: 508-790-6304 co Application Fee:$100.00 ct CIO C\j AAND ASSESS'ORS M PARCEL NO. DATE � Q APPLICATION.FOR PERMIT.TO.STORE.AND/OR UTILIZE MORE THAN 111.GALLONS.OF.HAZARDOUS MATERIALS FULL NAME OF APPLICANT ''(D �Od eA 0��� S ( 1 U G NAME OF ESTABLISHMENT C \aU CL G & p0 l ADDRESS OF ESTABLISHMENT :�hC3 GaG l\ 'D Q U t. 'H-�Q n nn((S _ TELEPHONE NUMBER SOLE OWNER: v YES NO N IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: ' IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK SIGNATURg OF APPLICANT RESTRICTIONS: HOME ADDRESS OA-A G'Y')✓1 I S 1 r s esaj, S g �OME TELEPHONE# 5C$ -� p q 3 --. as ('C - r Y� MAIL-IN REQUESTS Please mail,the completed application form to the address below. Also include a copy of your contingency plan (to handle hazardous waste spills, etc). In addition, please include the required fee of$100. Make check payable to: Town of Barnstable. Allow five to seven(7)working days for in- house processing. Our mailing address is: Town of Barnstable Public Health Division 200 Main Street Hyannis,MA 02601 4 FOR FAXED REQUESTS Our fax number is (508) 790-6304. Please fax a completed application form. Also, please fax us a copy of your contingency plan (to handle hazardous waste spills, etc). In addition, please mail the required fee amount of$100.00. Please make the check payable to: Town of Barnstable. The check must be mailed to the address listed above. Allow up to four days for in-house processing. For further assistance on any item above, call(508) 862-4644 . _ t'^' .,£.-,-. x;..w K.. ., w.�..?<x;--vc+v��.rr.nr.. --F,.�nr-+fir,•:P -�.'rtrv--..-..�,.,, ,�y,,,...•..:'^.w"^y,.v�nv.}+��+Mr.';,.-r�*•-n+. _ TOWN OF BARNSTABLE BAR-W3396 �! Ordinance or Regulation : WARNING NOTICE Name of Offender/Manager , ►,, ,,�, , �'���,� Address of Offender MV/MB Reg.# Village/State/Zip Business Name z4ge 0 7,(3.at',�'4; '41•-?bY/pm; onAw4, .4320 , Cjf Business Address _q,,�,.�; s ��,[ ",,/ .. Signaturq( of�Enforcing Officer Village/State/Zipt Location of Offense Enforclifg Vept/Division Offense a Eft lQ4.fa!A;2 . A 2% Facts .,�..rrr•124*'L *&4 . This will serve only as a wa Wing. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and . Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. __M MW A fA X .. .... ...... Qx! %MAWA gnm g� W WM Wt� Qe §r ma�_ - _2 ­_1 E-A�',L7 H`�7'037 FF� ;f �:w M to- bi mom M 'Em ES, Pf, rz 4:fid f Health- IBM 4- Wp­ M ........... IKIR OK �1_7:Ml ot d� two nag Rk gym MAW, r oil MR Aurm� wum WN, i!54, �q_�_Vk 0 TOP AIR I .......... mom "026 HATE 3;T �qZ Phu -A tax -W� W Yom p DO RZ12 W%A t", e, W 4-1censwa- n e RE FdIj V-_g_ _M_a, M so 20,EW wom-No" OUVW iA7-,A Z WSTORIN 11'GALLONSIOKWOKE OF--,'F sm-N- + -lice] fii YVWI pi utances.-re a in -Ifer nsels�gra MOM& d hj VIRN, % U. OneUist 'IsPe ---------- Om _�T, 4 ism _�w 3 "M" �"WIE AYNEM zv NK p"AM V.rUUIK;_ S, Ww,�R3, New ............. �A_ VIN\KEI 9. TOWN OF BARNSTABLE /TOXIC AND HAZARDOUS MATERIALS ON-SY NAME OF BUSINESS: ��- - BUSINESS LOCATION: �f z!9 �� • aw-+'1- INVENTORY MAILING ADDRESS: TOTAL AMOUNT- TELEPHONE NUMBER: 5-OS -791) -&'-7 CONTACT PERSON: C� O�iyft%ta EMERGENCY CONTACT TELEPHONE NUMBER: 08- 5— SIDS ON SITE? /Uo TYPE OF BUSINESS: z4p,4y I FOR eAx, ire District: veAn-;aA#- s � 5 hA&*.5. 5 a-,t 1 Cap- ^F i r R- p0<41' 1 44Z d-b Waste Transportation: L4&0- -q!ast shipment of hazardous.waste: 130 -0 Name of Hauler: AM !" Destination: Waste Product: CEi:A . Licensed?IC No N 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 -55—IU ED Cesspool cleaners Automatic transmqlsion fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides (jo 4 NEW / �I ED " (insecticides, herbicides, rodenticides) Gasoline, Jet fue , viation 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) CauWGrout 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, 3 Misc. Flammables. hydrochloric acid, other acids) Floor&furniture strippers Other,products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers (including bleach) in 3o0( 5 Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS L � ,�5�5 -v✓�zrni� K-7 �� s - / r Town of Barnstable-Health Department Page 1 HAZARDOUS MATERIALS INVENTORY SITE VISITS DBA: Claudio's Auto Repair Fax: _ Corp Name: Mailing Address Location: 31 Thornton Road,Hyannis(Unit"A",1st on I Street: 31 Thornton Road _..__. .................. .. mappar: City: Hyannis Contact: Claudio Silva,Manage rl(,�j?a State: Ma Telephone: 508-790-1174 Zip: 02601 Emergency: Person Interviewed: _........_...._.............. ....._......_ Business Contact Letter Date: 7/8/2004 Category: Vehicle Maintenance Inventory Site Visit Date: 7/13/2004 Type: Auto Repair 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: .............................. ....:.......... 6/10/04 Conducted onsite inventory/inspection for their neighbor(Lucar compliance: �� Auto Repair). Stopped in to introduce myself and tell them I would call to make an appt.to come see them. 7/12/04 Claudio Called to make 7 appt.for inspection on Tuesday,July 13. I _ I Nt44 looll 6 . I c — � Lep CVV-4a4 s b--o,Ki-r— A v , 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 C rans orter: `S P Fire District: 'ShiDmeni;Date: Waste Hauler Licensed: No `C s 4 40 r Hazardous Materials On-Site Inventory/Inspection For ALL Shops and Businesses in the Town of Barnstable : DBA: Location -3 c Lam" '�.L_ .. Date:' `7 --J.5F-4—o 4 Physical Features to Inspect: Hazardous waste generation sites (production/manufacturing areas): Waste storage areas: Satellite accumulation points throughout: HazMat stored outdoors— CHECK OUTSIDE: Shipping and receiving areas: Run down of shop activities: Housekeeping practices: HazMat On-Site Inventorylinspection: Records to Review for SQGs and CESQGs DBA: � Location: Site visit date: —7 /5—O Y • Hazardous Waste e Manifests: • Employee training documentation (if required): • Hazardous substance spill control and contingency plan: cl e� • MSDS on site? • HazMat Inventory records (if applicable): ` • HazMat Waste Shipping documentation: • Spill records (if applicable): � v f UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid I USPS Permit No.G-10 p O Print your name, address, and ZIP Code in this box C C I hiblic Health Division I Town of Barnstable I PO Box 534 SENDER: Z ■Complete items 1 and/or 2 for additional services. I also wish to receive the ■Complete items 3,4a,and 4b. following services(for an ■Print your name and address on the reverse of this form so that we can return this extra fee): card to you. ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address permit. $ ■Write'Retum Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery N ■The Return Receipt will show to whom the article was delivered and the date I C delivered. Consult postmaster for fee. 0 -0 3.Article Addressed to: 4a.Article Number I ��°'� �' P 33q 5 7� ��3 C j Ic nlac E '"" """ 2 4b.Service Type Cc�r�jQilTi Q, ,�, f ❑. Registered Certified c Cn ❑ Express Mail ❑ Insured ¢ Trt y ❑ Relum Receipt for Merchandise ❑ COD �iP 7.Dat f Delivery . z �G �7 -.92 ?, I 5.Received By:(Ptint N 8.Add ssee's Address(O ly if requested c cP c o and fee is paid) 6 at re:(Addrips en 0 F rm 3M 1, December 1994 102595-97-B-0179 Domestic Return Receipt P 339 578 653 _ US Postal Service Receipt for Certified Mail -;}_ No Insurance Coverage Provided. Do not use for International Mail See reverse Sent to �3� NTK�T�. yQs P t ce,State,&ZIP Code- s rn.)9 026 Pos ge $ Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt Showing to Whom&Date Delivered a Return Receipt Stowing to Whom, Q Date,&Addressee's Address 0 TOTAL Postage&Fees $ V) Postmark or Date 0 Stick postage stamps to article to cover First-Class postage,certified mail fee,and charges for any selected optional services(See front). 1.If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post office service [Z' + window or hand it to your rural carrier(no extra charge). , N r 2. It you do not want this receipt postmarked,stick the gummed stub to the right of the m cc return address of the article,date,detach,and retain the receipt,and mail the article. U) 3. If you want a return receipt,write the certified mail number and your name and address rn on a return receipt card,Fond 3811,and attach it to the front of the article by means of the gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article a RETURN RECEIPT REQUESTED adjacent to the number. Q j 4. If you want delivery restricted to the addressee, or to an authorized agent of the C addressee,endorse RESTRICTED DELIVERY on the front of the article. M 5. Enter fees for the services requested in the appropriate spaces on the front of this E receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. ti 6. Save this receipt and present it if you make an inquiry. rn a I ,9 pIHETO Town of Barnstable N � sAuvsrascE Department of Health, Safety, and Environmental Services Public Health Division ATFD1A°�A P.O. Box 534, Hyannis MA 02601 Office: 508-790-6265 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health August 13, 1999 Mr. Jose Carlos Simao Brazilian Auto Shop 31 Thornton Drive Hyannis,MA 02630 Dear Mr. Simao, Your property located at 31 Thornton Drive, Barnstable listed as parcel 007, Assessors map 296 does not contain separate employee toilet facilities within the business establishment Brazilian Auto Shop as required by 24 CMR 2.10. Unisex bathrooms may be allowed if all the requirements of the State Plumbing Code are met. You may call to Town Plumbers Inspector, Edward Jenkins,to inquire about this at 862-4028. You are hereby ordered to install employee toilet facilities within this business establishment within 90 days of your receipt of this notice. Temporary portable toilets (or"porta-porties")do not satisfy this requirement You may request a hearing if written petition requesting same is received by the Board within seven (7)days. Failure to comply with this order will result in a petition to the Building Commissioner to revoke the occupancy permit for the business establishment which is in operation without any toilet facilities. PER ORDER OF THE BOARD OF HEALTH io as McKean, R.S. Director of Public Health I q/thcarlos.-k.s. UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid ' USPS Permit No.G-10 h C Print your name, address, and ZIP Code in this box C PORT: Health Division Town of Barnstable PO Box 534 Hvannis. Massachusetts 02601 till lllliIIttip#I11JllllttfillllilllllttIIitI I ll11111l ll,ltIII d SENDER: ■Complete items 1 and/or 2 for additional services. I also wish to receive the N ■Complete items 3,4a,and 4b. ,:,_ following services(for an 0 •Print too ou.ame and address on the reverse of this form so that we Can return this extra fee): card di■Ac ■permit.this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address •2 d rite'Retum Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery N Jj ■The Return Receipt will show to whom the article was delivered and the date delivered. Consult postmaster for fee. 0 3.Article Addressed to: 4a.Article Number /17 AC aS'fua rf o�h��feai-v -ti l�339 .�78 t7 o 46�Service Type � O ❑ Rdg—Ttered Certified cc�? ❑ Expr.ss Mail p Insured c o ��Giih y��f/ �Z��0/ �t`��;❑ Return Receipt for Merchandise ❑ COD 'o 7.,Date'of ery w y, 5.Received By:(Print Name) - 81 Addre ee's Addr ss(Only' requested W and fe is paid) r g 6. g te:(Addr, rAgent a°.9 IL P�Fo'rrn 38 , December 1994 102595-97f13-0179 Domestic Return Receipt P 339 575 652 US Postal Service " Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail See reverse Sent to ,1- Street&Nun!�ya Post Office,St tq &ZIP CC a a/ 171A 00491 Postage $ Certified Fee ` Special Delivery Fee Restricted Delivery Fee - ~ rn Return Receipt Showing to Whom&Date Delivered Return Receipt Showing to Whom, Date,&Addressee's Address TOTAL Postage&Fees $ Postmark or Date ,���� Stick postage stamps to article to cover First-Class postage,certified mail fee,and charges for any selected optional services(See/runt). j1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post office service m Window or hand it to your rural carrier(no extra charge). m 2: If you do not want this receipt postmarked,stick the gummed stub to the right of the m return address of the article,date,detach,and retain the receipt,and mail the article. 1 I Ln 3. If you want a return receipt,write the certified mail number and your name and address on a return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article a RETURN RECEIPT REQUESTED adjacent to the number. Q 4. If you want delivery restricted to the addressee, or to an authorized agent of the C t addressee,endorse RESTRICTED DELIVERY on the front of the article. GO i I5. Enter fees for the services requested in the appropriate spaces on the front of this I receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. to ! 6. Save this receipt and present it if you make an inquiry. a + f FTHEI �o� Town of Barnstable L: H '► seatvsenstt;. i Department of Health, Safety, and Environmental Services MASS. 039. Public Health Division ♦0 p'f01A0rA P.O. Box 534, Hyannis MA 02601 Office: 508-790-6265 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health August 13, 1999 Mr. Stuart Bornstein 297 North Street Hyannis,MA 02630 Dear Mr. Bornstein, Your property located at 31 Thornton Drive,Barnstable listed as parcel 007,Assessors map 296 does not contain separate employee toilet facilities within the business establishments Brazilian Auto and Magic Touch as required by 24 CMR 2.10. Unisex bathrooms may be allowed if all the requirements of the State Plumbing Code are met. You may call to Town Plumbers Inspector, Edward Jenkins,to inquire about this at 862-4028. You are hereby ordered to install employee toilet facilities within this business establishments within 90 days of your receipt of this notice. Temporary portable toilets (or"porta-porties")do not satisfy this requirement You may request a hearing if written petition requesting same is received by the Board within seven (7)days. Failure to comply with this order will result in a petition to the Building Commissioner to revoke the occupancy permit for the business establishments Brazilian Auto and Magic Touch which is in operation without any toilet facilities. PER ORDER OF THE BOARD OF HEALTH cKean,R.S. Director of Public Health cc:Jose Carlos Simao,Brazilian Auto Shop Adenilson Ferrera,Magic Touch q/thbornst.-k.s. 1 UNITED STATES POSTAL SERVICE 44 First-Class Mail p Ftostage&Fees Paid USPS A(� APermit No.G 10 G Print your a e, address, n ZIP Code in this box C I 1'S Rblic Health Division Town of Barnstable PO Box 534 Hyannis, Massachusetts 02601 Fax(508)775-3344 Phone(508)790-6265 III If I,IIIIIIIJielfi:Iilli:If1111►fill!III,flfill!Ii:Il}, ,i1 ai SENDER: I also wish to receive the V ■Complete items 1 and/or 2 for additional services.w ■Completvitems 3,4a,and 4b. following services(for an d ■Print your name an&address on the reverse of this form so that we can retugl this. extra fee): card to you. ; ■Aettramc f ■W this form to the front of the mallpiece,or on the back if space does not 1. ❑ Addressee's Address Z rite'Rstum Receipt Requested'on the mailpiece below the article number._ *' 2, ❑ Restricted Delivery N r ■The Return Receipt will show to whom the article was delivered and the data ., delivered. Consult postmaster for fee. a 0 3.Article Addressed to: 4a.Article Number E � 4b.Service Type Z97 /uJ - " ❑ Registered Certified Q��•fj� �26�/ ❑ Express Mail ❑ Insured c ❑ Retum Receipt for Merchandise ❑ COD c 7.DateTfry.,zS` o M 5.Received By:(Print Name) 8.Addressee' Addres (Only if requested W and fee is Aaidl t g 6.Si nature: (Ad ess a 'rAg nt) PS Form 31M 1, December 1994 102595-97-13-0179 Domestic Return Receipt P 339 578 654 US Postal Service ,{ Receipt for Certified Mail No Insurance Coverage Provided. Do not us f r International Mail See reverse Sent to Stre L Post MMX od� Postage $ Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt Showing to Whom&Date Delivered n Return Receipt Showing to Whom, Q Date,&Addressee's Address TOTAL Postage&Fees Is Go C') Postmark or Date 0 LL Stick postage stamps to article to cover First-Class postage,certified mail fee,and charges for any selected optional services(See front). 1.If you want this receipt postmarked,stick the gummed stub to the right of the return . address leaving the receipt attached, and present the article at a post office service m window or hand it to your rural carrier(no extra charge). 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the ko return address of the article,date,detach,and retain the receipt,and mail the article. 3. H you want a return receipt,write the certified mail number and your name and address h on a return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article a iI RETURN RECEIPT REQUESTED adjacent to the number. Q 4. H you want delivery restricted to the addressee, or to an authorized agent of the C addressee,endorse RESTRICTED DELIVERY on the front of the article. M i 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. H return receipt is requested,check the applicable blocks in item 1 of Forth 3811. li 6. Save this receipt and present it it you make an inquiry. Cl) + - r t FTHE Tp� Town of Barnstable O Department of Health, Safety, and Environmental Services * IAMSrABLE, Ass. �1639. Public Health Division prfD1AD�A P.O. Box 534, Hyannis MA 02601 Office: 508-790-6265 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health August 12, 1999 Mr. Stuart Bornstein 297 North Street, Hyannis,MA 02601 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.00, STATE SANITARY CODE II, MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION AND THE TOWN OF BARNSTABLE BOARD OF HEALTH'S NUISANCE CONTROL REGULATION NUMBER ONE. The property owned by you located at 31 Thornton Drive,Barnstable was inspected on August 11,1999, by Edward F. Barry, Health Inspector for the Town of Barnstable, because of a complaint. The following violations of the Nuisance Control Regulation Number One Regulation and the Sanitary Code II were observed: 410-602A: The following rubbish and debris were observed on the ground: Three old wooden boats, old small plastic skiff,two rusted wheeled flat bed trailers, multiple pieces of paper, cardboard, plastic, used wood,corrugated aluminum siding pieces of iron pipe,wire fencing, irregular shaped plastic units, auto parts,three unregistered vehicles, and over eighty used tires. You are directed to correct the above violations within ten (10) days of r eipt of this notice by removing the above listed debris. You may request a hearing if written petition requesting same is received by the Board of Health within seven(7) days after the date order is received. However, this violation must be corrected regardless of any request for a hearing. Please be advised that failure to comply with an order could result in a fine of not more than $500. Each separate day's failure to comply with an order shall constitute a separate violation. You are also subject to non criminal citations of$40.00 for the first violation and $15.00 for each additional violation. Tickets will be issued daily until the violations are corrected. PER ORDER OF THE BOARD OF HEALTH 4io as A. McKean Director of Public Health 1 Health Complaints 14-Oct-98 Time: 11:22:22 AM Date: 8/7/98 Complaint Number: 1473 Referred To: GLEN HARRINGTON Taken By: THOMAS MCKEAN Complaint Type: ARTICLE XXXIX HAZARDOUS WASTE Article X Detail: Business Name: Brazilian Auto Repair? Number: 31 Street: Thornton Drive Village: BARNSTABLE Assessors Map_Parcel: Complaint Description: An employee was observed dumping a 55 gallon drum of unknown substance (oil or anti- freeze) onto the ground. The phone number of the business is 790-937.7. Actions Taken/Results: GH inspected. No signs of oil or antifreeze being dumped on the ground. Cars are washed with water outside and the water runs down to the street so it may look like something was dumped. There are 4 waste oil drums at site that are full and excess waste oil is.taken next door to Magic Touch Auto Repair. Safety Kleen will pump drums. Investigation Date: 8/7/98 Investigation Time: 3:30:00 PM 1 .dm:E CAL L FOR 2 DATE TIME M 0 1`14' FAX 2 7 7 7 UI NE% PHONE ❑MOBILe ,UIGALL AREA CODE NUMBER EXTENSIO .3 PLEASE cAx:�` MESSAGE y/t Gtr1-C _.�GriC Zv�� •'�--k� �c X�1" �;��I±YCJl1c,' ', 5?7 `��? 5S Weirs ra SIGNED Vbps FORM 4003 NOTES S � i yam"` r Health Complaints 13-Oct-98 Time: 11:22:22 AM Date: 8/7/98 Complaint Number: 1473 Referred To: GLEN HARRINGTON Taken By: THOMAS MCKEAN Complaint Type: ARTICLE XXXIX HAZARDOUS WASTE Article X Detail: Business Name: Brazilian Auto Repair? Number: 31 Street: Thornton Drive Village: BARNSTABLE • Assessors Map_Parcel: Complaint Description: An employee was observed dumping a 55 gallon drum of unknown substance (oil or anti- freeze) onto the ground. The phone number of the business is 790-9377. Actions Taken/Results: Investigation Date: Investigation Time: 1 � �.t�,• S'+�^ "« J�Iti�� ram~ � ��;�, �: � 'Y �_� , �� '� � � / � � ' 1 - _I A� -t ram• of1HET° Town of Barnstable Department of Wealth, Safety, and Environmental Services MASS.BAPNSrABEZ 9� .�� Public Health Division ATFD MA'S A ' 367 Main Street, Hyannis MA 02601 FAX Date: Number of pages to follow: To: From: P<< Phone: ',� �9 7 — 77� Phone: 508-862-4644 Fax phone: S O } �/ -- 7 Fax phone: 508-790-6304 CC: REMARKS: Urgent or your review Reply ASAP Please comment TOWN OF BARNSTABLE BAR-W .1603 Ordinance or Re.gulati.gn ,, F. . �- WARNING.,/NOTICE, ; Name of Offender/Manager oYlg 14-&- -V�C.Y�ri Address of Offender MV/MB Reg.# Village/State/Zip Business Name —AV_r_440-" 6y am/pm, on 3 2 19j;� Business Address Signature .of Enfo cing Officer Village/State/zip ",,I's © "t.601 Location of Offense / , ar-p 14" A- a �be i� + e 6 ff 'M f/a QQ Enforcing Dept/Division OffensG(-k xyr/9y' /(/v/(Gt tiCfl Id Facts IIQ �(�,�s6�ftG .� s4vied #V*i /CYX 1 This will' serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary . compliance of Town Ordinances, Rules and. Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent .violations will result in appropriate. legal action by the Town. i. rry.,��•saR,.,��7.,;.�..� .,.,.., ,� w("'��. �n .,�n�. •-�'-T�-K+7..�:n..,.� r.- �,.��, nrn,:�:-,.,w"-'-?.:�-.,�-..�r;t'.'v.srs^r..._..,..,.;...c<T.._„n,,,,.M'�ee:+.- n..�,..;.:.,.�,,,n,«;..��,:.• r.�.x,i� • t TOWN OF BARNSTABLE BAR-W 603 Ordinance or Regulation WARNINQ� NOTICE Name of 'Offender/Manager Aoy ,r Ziy Iry Address of Offender MV/MB Reg.# Village/State/Zip Business Name o'r4-611-'7 601 -0r'(10I am/pm; on 1959 Business Address 73 . ' ' ar� ,-, w. r ,, -�'• Ge^✓LKr -a*' Signature of Enfo cing Officer Village/State,,/Zig 14 ;..$ Location of Offense d Enforcing Dept/Division; r Offense f. � "!X Wk�-J( "( /reL hey ! Facts 0 el 46rlto.S -ew Y-') ido I f This wily se ire only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and �Regulations. Education efforts and warning notices are *attempts to gain voluntary compliance. .Subsequent violations will result in appropriate legal action by the Town. 6:0"" 9 TOWN OF BARNSTABLE II' LOCATION �c���. �t` =S 1 � r� SEWAGE # III VILLAGE ,S ASSESSOR'S IPP Eva INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY i 160 0 1 I ew S -`L LEACHING FACILITYAtype) t--em&n 1 }{_10 (size) cc)a NO. OF BEDROOMS 0 PRIVATE WELL O PUBLIC WATER BUILDER OR OWNER. Hot, A-c' DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: VARIANCE GRANTED: Yes No �-- I ro cav d�� RCS q 70 No----A-Q-:3Yj... Flcs...7­5..."...:.. -/ THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ......... ...............................OF.........................................--------.---------.....................-----.---- Applira#ilan far Uhipati al Works Team rttrtiaan Prrutit Application is hereby made for a Permit to Construct ( ) or Repair �< an Individual Sewage Disposal System at: �r........V IL'..-` P------- - ------------ ------------------------------------------------ --------------- Location- dress . or L tio,n ' 3.1.....T., - ,t.;......................................... f . 'g l l A 1 ., � � .� a Owner Ad ress t a �,!�.... 3'--------------------------- ----- -- - 0 _� ,.o ..'i_. ..... .I _ Installer Address dType of Building Size Lot...17_ ........Sq. feet V Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—T e of Building No. of persons............................ Showers a YP g ---------------------------- P ( ) — Cafeteria ( ) P4Other fixtures ------------------------•----------------------••-----------------•----------------......-•--•--••-----•-----•--------------•------------•-----------. W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. ' Seepage Pit No---_---------------- Diameter.................... Depth below inlet...............:.... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date..---------------•-----------••-•----- ,� Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water-_-___.______----__-_ f� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water___---__.__-_-_-._--___. ..... t . r O Description of Soil....!"l. .....----•-•--._ COI ... .......... ------------------.------.--------------. ------------.------..........---- x W V Nature of Repairs or Alterations—Answer when applicable._____. ..._ +_:_ _e._.._.... _-q......___.......... Q.. ............. ----------------------------------------------------------•---------------......----------. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of II A!L- 5 of the State Sanitary Code— The iundersigned further agr s of to place the system in operation until a Certificate of Compliance has been issued td of health. Signed ---------------------- ----------........................... Date ,Application Approved By.............. . ' .. ...-------- ...................................... ........._-a® - 5- • Date Application Disapproved for the following reasons----------------•---------------•------------------------------•-------------•--•--------•---------•------------- .' .............................................................................................................._...._......._...._....__.............---..._..........._._........_.__........._..._...___ p .. Permit No A_ �-------------------- Issued-----...--•--...-----------------•---.....Date ---- r Date No.---- yl... Fes$..... ...-. I� THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ------- ----------- -------------------OF...........................-- A11VUrFation for Disposal Works Tomitrnrtinn Vamit Application is hereby made for a Permit to Construct ( ) or Repair (`< an Individual Sewage Disposal System at: ( �.-----� P......_/ ----------- -------- ------------- ---- ---------------- ---------------------- Location-Address or Lo�'v o. .�.--..TJA . - ---------------------------------•-•----- ...r w�. != -••••. . . ik- Rd------- -•P.I��4 --- Owner Address Installer Address 77 Type of Building Size Lot.1.1-_77__.....Sq. feet U Dwelling—No. of Bedrooms.........................................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons.....................------. Showers. ( ) — Cafeteria ( ) Otherfixtures ---------------------------------------•---••---------••-•---••••-•••-••••---•-----------••••-•••••••-•-••••••-•--••-•-••-••••-••-•-•-•-.......•••••- W Design Flow............................................gallons per person per day. Total daily flow-.--.------•------_._--_................gallons. V WSeptic Tank—Liquid'capacity............gallons Length................ Width................ Diameter--------------... Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------------------- Diameter....--.............. Depth below inlet.................... Total leaching area..................sq. ft. z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1----------------minutes per inch Depth of Test Pit................--.. Depth to ground water....--..----.--._.------ G%, Test Pit No. 2................minutes per inch Depth of Test Pit.....--............. Depth to ground water---------------..------- DDescription.of Soil......j'•`1 e-----•----••..... -----•----•-------------------•---------- -------------------------------------•----------------------------------.----. x 11 U .....................-•-----•-----•-•------•-........-•--•-•--•--...----•-------•--------------•--•----.....-----•--------••-•-•------------•------•-•................................................ ----•-----------------•-----••----......•--•----•-----•--------......------------•-•--•-------••--•---••••--••••-----•---...........-•-•----•-•...•••----••--•••••••••-••---•---•--•••-•--••-•---•-•_... V Nature of Repairs or Alterations—Answer when applicable...--V-/l....... 5.-e-----.-.-:r_0---.-.------ _-.----_---. J ------------------•----------------------------•---------------------------------------............--------------------/------•----------------------------------------------------------------......--- Agreement: The undersigned agrees to install the aforedescribed Indiui6al Sewage Disposal System in accordance with the provisions of TITL p 5 of the State Sanitary Code—The undersigned further agrpe<not to place the system in operation until a Certificate of Compliance hEbeenssued th Ord of health.SigneDate Application Approved By............... . ........ . .. ._. Date -Application Disapproved for the following reasons--------------------------------------------------------•----------------------------------------------••--•--... -•.••-•-••------•-••----••....-•---•--••......--•-••--•-••-•-••---•---•-•------•••••-•-----•-•••••--•-••------•••-------•-•••••••-•••-----•---•-•-••-•••-------•--•-••••••----••-••--- ................. Date PermitNo....... _ .:.. 7 .................... Issued-....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH -Yi!mil..........OF..........H�ca'�^�V����� ................................. �rrtifiratr of TuntpliFatta THIS � TO CERTIFY, That the na:vidual Sewage Disposal System constructed (�) or Repaired ( by { - � .----•-•••-••-•--•-••••--•--•.................••-•......---....-•----•._..........._.__.........._......--•.._.._•...._ Installer at..................... ......... Z _.......2)..'..------_--•-••----- has been installed in accordance with the provisions of TITIZ 5 of The Smote Sanitary Code as described in the application for Disposal Works Construction Permit No....... .--.��` .�/-1._... dated................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SA�I�FACTORY. \ DATE............................l�..�. ....................................... Inspector........... •--------------- .. ..... .-.---------•----------•------------ THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .............. .. .:�... . OF........---•{! � rz-•B•,� -l(!-'�.............................. �-- No..._... �:. `` �•.Y� ..... FEE.._....... ..?......... Disposal Work\s�Ton a� wit rranit Permission is hereby granted.......... �.t-altz` •. to Construct ( ) or Repair anIdividual Sewage Disposal System atNo. f = ........... ----•----------------------•-------------••--•--......•-••-••••.----- Street as shown on the application for Disposal Works Construction Permit No..El.�.3 .. Dated.......................................... DATE. oard of Health ---•--•---•----•---.._--- -------------------------•----•-----------•----....-••-•-......--•--••--.-•--- FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS -rat/ /eq .......... a e)..... THE COMMONWEALTH OF MASSACHUSETTS Xx BOARD OF HEALTH 7r0.UJ. .kJ...........0F..... ..... ......�6........................ Appliration -for Uhipwial Works Tonstrurtion Prruti M 71 Application is hereby made for a Permit to Construct or Repair an Individual Se age D' o I system t Y �f............. ...a ...... ................. ........................ ......C............................................ LLrt,.on r Lot-No. A ................. ----- .............. .. ..................................... -�f­r Address ................ Ad,. ........... ........ ........................ ....... ---------------- ------- Installe Address Type of Building Size Lot-----------------------------Sq. fee U Dwelling No. of Bedrooms-.-__-__-.----------------------------------Expansion Attic Garbage--jGrinder (Cafeteria Other—Type of Building'W-MEM&S.C.. No. of persons----------------- --------- Showers Cafeteria Other fixtures ................gallons ---.......................................... ..................................................................................... Design Flow.............................................gallons per person per day. Total daily flow-___.__ ___--____ ____--___ -..------gallons. Septic Tank—Liquid caplacity------------gallons Length................. Width................ Diameter___.-....--.-_-_ Depth---._____--.-_. u. Disposal Trench—No. .................... Width._........._._._.-_. Total Length__.................. Total leaching area------------_-----sq. ft. Seepage Pit No..................... Diameter-------------------- Depth below inlet.......___._.._..... Total leaching area------------------sq. ft Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by--------------------------------.......................................... Date..__...___.._-_.__._....__..._......... Test Pit No. I................minutes per inch Depth of Test Pit..._-___.___._____-. Depth to -round water.._........_......._-.. f� Test Pit No. 2................minutes per inch Depth of Test Pit.---._-_.._..__-____ Depth to ground water...................... 94 - --------------------------------------------------- ................. .......... ..........;... ......................... X0,...?'L'"Z----------- 0 Description of Soil-------- -----------4� " -- -- - ----- ------------------­- ----------------- U -------------- --------------------_ 4__V_ -- ------------ .......... -—­----------------------- ----------- --------------------------- ----------------- U Natur Re airs or Alterations Ans.wer when applicable...... LL -,erldv- 4 . ..................................... -:--------I---------------------- ..................................... ------------------------------------- ............................... .......... ------- ------------------- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal Sy em in accordance with the provisions of Article XI of the State Sanitary C The undersigned further agrees no to place the system in operation until a Certificate of Compliance has eQfl Asued by the - ­- ----------------------- ---------­--------­- ...... ------/------- 77 Signed_... -----1------------------- Date ApplicationApproved BY------------- A ....... ......................................................... ..................1-1--------------- Date Re a ?r- ------------- Application Disapproved for the following reasons:---------------------------------------------------------------------- ---------1............................... ........................................ ............................................. ........................................ ............................. ........................................... Date Permit No.......24.......................................... Issued........................................................ 9Date No.. . •-•---..... F>�s........... THE COMMONWEALTH OF MASSACHUSETTS ; BOARD OF HEALTH J. .. ..........OF .... ................. Applirtation -fur Riipoiitt1 Worko Tomitrurtiaaa Prrmit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual t5ewage Disposal system x �i .... ..... l u k'-••---•.......... ....................................•---•A-•----•.....--............................................ Lo tion. s or Lot No. W Owess ; ----- ----- Installer r Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms_________________________________ p ( ) g� _ ......._..Ex Expansion. Garbage Grinder ( ) a4 Other—Type of Building W_A!tSVVI __ No. of persons............................. Showers ( ) — Cafeteria ( ) QI Other fixtures ___--.-_----_ -"; W Design Flow--------...................................gallons per person per day.; Total daily flow--------------------------------------------gallons. Ra Septic Tank—Liquid capacity...-_---___gallons Length________________ Width................ Diameter........-------- Depth----_----------- �� = Disposal Trench—No- -------------------- Width.................... Total Length.................... Total leaching area...............-----sq. ft. Seepage Pit No--------------------- Diameter...........•--------- Depth below inlet.................... Total leaching area------------------sq. ft. z Other Distribution box { ) Dosing tank ( ) a Percolation Test.Results Performed by---------------- ........................................................ Date............................--------..... Test Pit No. 1----------------minutes per inch Depth of ,"Pest Pit____________________ Depth to ground water_..._--.----_---..-_--- fX4 Test Pit No. 2................minutes per inch Depth of;f est Pit.................... Depth to g:ound water-..-..-..-_.---_------. --- ------•---•------- . �j�, ---•------••------------- O Description of Soil " �} �, , ..... " s'' � ' -' ' x -•----.--- .�., ------------- ------ • c. . A-_e'P.......... rn r �Prr���- '�-t'� � ----------��- � ------------------ ---------------- Nature of Repairs or Alterations—Answer when applicable----_ ' .r .. /��!'G1'!D/b ---- --••----------------------------------------•---•----.--.--.---..-....---------•----•---._._---._--------------------•-- ............................................................ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary Cf e—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been -sued by the ardx�^erf�ne .,k . i. . d.Sig 7 � ........................................................... Date Application Approved By--------- ---- --------- .....................- Date Application Disapproved for the following reasons:................................................................................................................ --------------------------------------------------------••-•------------•-••••---- •----•------•••--•••••-••---...-•------------..............-•--------------=-------•------•-•----------------•--- Date PermitNo.------� .......................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ro.w#........ ..........OF....... tit. + .�� ....................... }1 (11rdifirate of Tomptiaaurr TO CERTIFY, Th t the dividual Sewage Disposal System constructed O or Repaired ( ) 60.1-Y.-C stallerat.--•---. �� � .. -0/t-v..T4, ---•-•---- - /9 ---••-•-----••-------•----------------- has been installed in accordance with the provisions of Article XI of The State Sanitary Code as des5rila-d in the application for Disposal Works Construction Permit No..-_._._.��'�...................... dated...._..,1�/t/�."......._....___.._........ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. � 4�C'4 .� d / ti,. DATE . Inspector--------------- -•--• -•------•------- -----------•-.----- THEiCOMMONWEALTH OF.MASSACHUSETTS hst BOA OF �kALTH..W.A�,J..........OF� ,�4II� No....... fer••..... FEE_ / ............. his: urk,i LITtr r tall rrrmit Permission ns hereby granted !! _ __. • ... ................................................. to Construct ) or Re. ij ( ) a Individ 1 Sewage Disp s I ystem at No..__&v- `7 -l..t�A, 111 "+ ------ '-W e.(.S----------------------------- -- S eet as shown on the application for Disposal Works Construction Permit No.... .14......... Dated-_--_ ---- £{�/ (t % s � and of Health DATE----- / l --^--...7-------......................................... FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS r . a , 77 1_�1T� i! !y�_: __ z x 2a� oo ji y'r�.:fs ,'�l..d('b$c�\ _. P��SG`� .�✓•�/1�..G'J�/:lt/;'y!'r �� � _� " `� � rP 's• yI irt/�... IA\ 6. � �a• �i _ f ( Z (I- 12p✓S r 40 /ate o A zf �#3ro .1 + v u .. '..:. ` NE CONSTRUCTION 0.NLY. `� muc TQR OF: FOUNDATION !S FEE7d� �REcc v N A: O,'!E L0 1 POINT OF ADJACCS'JT �� �� Z RR,0A Di;. �PJp � . �� f3 "�° SCALE / �fD OATS ��2/ f e DRE G� ENGINEERING CO.INC) � I CERTIFY THAT .THE � C L I EN T/ i",�RTNr ------� SHOWN ON THIS` PLAN IS PpoPoZ EGISaEREDi REGISTERED NOB t,�o. F �7N ME GROUND ASNCaCA Eta AND � 7T f Cz4�JL i LAND °_ CONFORMS TO THE ZONING 11-AWS � E�'IG�i3EER S�JFtVE'lOR DR:DY��_ OF BARNSTABLE , ASS. EK<!6 is Cap �Y is R ° r `3 NO." MAIN ST 712 MAIN ST �� i7 ---- �•a'�-- _ ' JQ YARMOUTH, MASS. HYANNIS, �iA.�S. SHEET `/ �� 2 DATE R G. ' LAN SUR YJR � 7 , s, Ah _.?�;'1'iW".r'-tb 1.4 } ;t Ly q„ `4�rr} 1�'i-' �''htifriM Rj :�.-,ice•T t v f.. t b 1: x: q .i •.+ �un-,� ., ,.. � 2 r K p�:i�'. o .u'3 ,•..� r fd'rt s '� tH s ..i. 4 n e t t, E R f a�%,, y f,� E•'e �.. ki b�, a. -.n�n. .. .... t r..:c. „ ...<,:.,r 7 .H ,.i s4. 4. t': .,c ,., .. :. ..,. >'_s. -,,: .. � f�,,,.,. ,:... Y• ..:,.. k .,. r f :ar: .,; a.� ;r. f rt< � 'k. , 2 a t,.•• ��.�; r.Yi c.d -'<< ,;,e._.F, .Y ..� ar l t k- b:A- .yf: .t r J,,.7,,5" M. '.x.{;r• E:.. ':,,t :. t .�' i'x 1 IYY i:. .Y-....:,. :ra .I :.::, !�• -:�:.. y?: X' F X.. P c IC FT MIN. , _ t cI�EAN sANo � .� r 4 PVC 01/oo � PE T CO•NCRE E . MIN' PITCH - � Em•ov� -7 COVER I/811 E;���r. 77 o; PER F7; MvEa«� -CONCRETE COVER / LIQUID I.EVEL'77; ' : i. 1 LAYER I I I , �_ 4Yr ,4ST._ �f, Ji7�TTl/77Ti — OF 1/8 - 3/8 '�1 PIPE ° • , WASHED STONE r {!tv MIN PITCH. t ° o I },o�e o •° e ♦ 0 1 ° 11 �•$EPTIC y •TAN®♦ 4 J' 1 S f -i ` f !' 't- 1 !. ♦� 6 I 'e-° 1 ° ''� I��: 7 I/4 p s b R T 3/4 /2 , ♦ EFFECTIVE : , PTN • / / WASHED STONE QE r � 'Ipf '. Itir'3b� '•; J . w } , ,F. a o, a .. / ♦ e ..• ® .,® ® ♦'e 1 �° ° PRECAST SEEPAGE � „♦' a °.:! ! ♦ a ® • • • • � ♦ . ° ♦ , / PIT OR` EOUIV r- l r. o VATt N FT DIA n v ERA', Q :.. : (SEE ;l'ABt1LATI0N) A UILDI 'd F 0 'FT ~` INVE+� ' AT 13 . __ INLET. SEPTIC ?ANl4 lA, '�FT t GRnUtJD ; WATER TAf3L� ' :. � FT SEC7`1t71U CIF P :c?UTL E SEPTIC .TANK -1 �. ;.t �g••g� I sad ,.IN8 T:: "JIST.RI®L/"B.,I®N ..`;:IO py.� ,q /'''y��µ?���/ 4•. V ., .,yN 49 Cm.ID® V Ar 3 y��'��•F+'IYYV Em .0'.�Q ���•'F k 5 -'4 ;i .__..•.r..:-. ..: .. ..; ,'_ . ". t<r.;:•.Fri $$,: _ $.; ._.V6_ it .a•�, i' .$ ,t; _ •, r t ' � F _ -+ ` p� P! n -per p ,,,:BO�q�/�.':: r •T �x. T;..::I?15'�RIt3UT'ION @="^'— :1 f,.l:. �y. . pp.��. fin} }.. �l?' 'y.: LAA L f.. ff4CE~T SEEPAGE:; PIT C a .. IF { blMENSION ' A 3 FT DESIGN,- CRITERIA DIMENSION ®�' FT pl. P4U DIt�AENSION C --FT E 00 it F. R , ..1.. , NUMBER , S Jib a , y GAR ACE PpSAL .0 IT:: ,: SOIL TEST TOTAI_ ESTI6�RATIrD FIOW Ze!2 GAL,'®QAY • � gp�ptet g a !*B�EVATI01� " NUF� OF ' SEEPAGE PITS �._I _ .OATE OF SOIL V TEST' �-� e SlDC . LEACHING :': I'ER PIT 1a SGa, ET RESULTS WITNESSED BY 7 ;. PERCOLATIlON RATE ?" .� 2 MIRI/1P►CN BOTTOM LEACHING PER .PlT .._.—_.:.,r.._SO F� , , _ _ TOTAL LEACHING AREA . ' S� ESQ ; ` a -q"p /�.� �1 �3ezc►c.� ,.�v �� Feu , RESERVE LEACHING AREA �tl 71, qp a a d,/$b19 bRos=R r "° I�tI1P 0° 4 _._....� ._. _ g>.s E ! �; �� I faa� G NG CO. INC I I Ea •` !'St '' 11 d'-i'`;'0Pi°!A Ifs•IYI AIN ,S•1,.. 4� T,: 33 NO, MAINy ST fdaASS.. NYANNIS 'MA M a ��,,�„C�+ s.,, � .,'pv,•'�SQ�.., , 130, YARMOUTHSS. ....t .P.7;, _ t "�, ,: �•_ �1.x'">,,.4/'1 PJ �..I �.� ,.f�-' p.�e..:ry�h 'P'�7 N,11 1i /���/ �}�Q�Y 1 p� /� / ,:+. .,...c ,.p • ;,-, :::,,..?}a {;: >,'.Y .i+YV'd , t�f:.> B ph 4p SIiEE'I'.�a kf f $ .,, ,j ry.:.g;5• .... { _ru p.,�.' ,gp .3,r •,;a. 7!, F y 4 f, f 1 --°' .�� !1 '�np3.. � `�'- , - ,,< .!,'. r+� s.,t., .., .. n..�..., ,✓ ,:7 f'.S J a�.�. J,� :.A6�$✓ �fi;,=1..�'�d �„ <,c I Jr,� •CgA�S•.11.'.'�v rl,. .�:ri•?;'d3 �rlNrti� ',A?gip y.y.. M'�t�'�n;9}-�•.,m^Wprt� '.4fr•+ g 1. .ro�a ;h•.+iri' :et:atFxrca• s: $i ti� ..v r r e x v r ;�'t ,:J .,.. .. - If'' .,::: :..,,.- ...,�.. -. c, ,,,•, y..r :.h a '., r',t,;vJ:, .� l ! .. S. *v...y„ vf. •,(. f. -z9 t.:.fi :... .,,, .. -..,+:.o ,. s:;..s> p:iN,., - 1 �. ,:�:;i e ,.;` a, o, F' x d r.:f ,. -nx Y. .x r h:a �u',, a. ,1.� 1.. 1 ( ; ��. lad ^� __ --�� � �� lc3 z ( ( � R .. ,.�,. Date: ° TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: A'� �� ����ly BUSINESS LOCATION: ail 'Tbo, -n-10�q TW MAILINGADDRESS: �9 bK)P_ Mail To: TELEPHONE NUMBER: GOQ - Board of Health Town of Barnstable CONTACT PERSON:, 2S2 G(MkL05 C)ty�\ja O i P.O. Box 534 EMERGENCY CONTACT TELEPHONE NUMBER: �• 3 6,2-2���S Hyannis, MA 02601 TYPEOFBUSINESS: R�Jl z_?eR, 1v< Does your firm store a y of the toxic or hazardous materials listed below, either for sale or for you own use? 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. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity I Antifreeze(forgasolineorcoolantsystems) Drain cleaners _k�'NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) fi Hydraulic fluid (including brake fluid) Refrigerants Motor oils Pesticides NEW —ZUSED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED Other petroleum products: grease; Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine Rustproofers Lye or caustic soda Car wash detergents Jewelry cleaners Car waxes and polishes Leather dyes Asphalt & roofing tar Fertilizers Paints, varnishes, stains, dyes PCB's Lacquer thinners Other chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride) Paint & varnish removers, deglossers An other products with " Paint brush cleaners Y p poison" labels (including chloroform, formaldehyde, Floor & furniture strippers Metal polishes hydrochloric acid, other acids) Laundry soil & stain removers Other products not listed which you feel (including bleach) may be toxic or hazardous (please list): Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Date: Y ~ TOXIC AND HAZARDOUS. MATERIALS REGISTRATION FORM NAMEOFBUSINESS: Y\010 Maly BUSINESS LOCATION: 31 n�-n' 0_ I�`C MAILINGADDRESS: Mail To: Board of Health � TELEPHONE NUMBER: G02 - :�90. Q3�`� •Town of Barnstable I CONTACT PERSON e G Hkd C t c(1 0 P.O: Box 534 EMERGENCY CONTACT TELEPHONE NUMBER: W- 3 6, 3992 Hyannis, MA 02601 TYPE OF BUSINESS: �U) k n k e yl� `C i Does your firm store any of the toxic or hazardous materials listed below, either for sale or for you own use? YES NO �.. Thi's form must.be returned to the Board of Health regardless of a yes or no answer. Use the enclosed �I envelope for your convenience. '', If you answered YES above, please indicate if the materials are stored at a4"site other than your mailing } address: ADDRESS: l 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. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity j f i6Antifreeze(for gasoline or coolant systems) Drain cleaners l _( NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants II Engine and radiator flushes Road Salt (Halite) r r� Hydraulic fluid (including brake fluid) Refrigerants I' c Motor oils Pesticides + _ZNEW —ZU SED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel . Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED i Other petroleum products: grease, Photochemicals (Developer). lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink _.-Degreasers for driveways &garages Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine j Rustproofers Lye or caustic soda Car wash detergents Jewelry cleaners Car waxes and polishes Leather dyes Asphalt & roofing tar Fertilizers �- ,._—Paints;varnishes;_stains=dyes ' PCB'sY� ,_ ._:r•_ _. . _:_ _. w - Lacquer thinners Other chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride) Paint & varnish removers, deglossers Paint brush cleaners Any other products with "poison" labels (including chloroform, formaldehyde, Floor & furniture strippers Metal polishes hydrochloric acid, other acids) Laundry soil & stain removers Other products not listed which you feel (including bleach) may be toxic or hazardous (please li t): Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents 'f Bug and tar removers I WHITE COPY-HEALTH DEPARTMENT/CANARY COPY"BUSINESS • d t Brazilian Auto Shop M11 Phases of Repair Foreign & Domestic I ' I I 31A Thornton Dr. Jose Carlos Hyannis MA Tel: 508-790-9377 y TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,ts Stations,Repair 0 satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY ���z� /� A� Ow ' O (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS 31 �-�'� � Class: 7.Miscellaneous Z f3a Y_5 A-0k;QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums AboveTanks 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 45 Miscellaneous: 60 15 K cd �S , Cw,,G, C&aA,-",, S�� S DISPOSALIRECLAMATION REMARKS: 1.�Sa ry Sewage 2.Wa r Supply e f@ C 1 /C ` cam- •_ +^ 6,, -j C ('Town Sewer lic ` 61•v,&e WCLJ g !ice. V B"►�!GL vy- v� O On-site OPrivate � � *Got.�t " � t q- U�r'v w,f, �o 3. Indoor Floor Drains YES I NO O Uolding tank:MDC_ ( /O- je Al kt iL F.vik/ s '? Catch basin/Dry well vt-L S hr¢!L : f co,r O On-site system / �k ��st. Ca % !� -r1 7C. C9t'f• 4. Outdoor Surface drains:YEST NO ✓ RDERS: el or I."qi-k ^�® �` CfiiO�w�s+J • O Holding tank:MDC I , T*�i� c ch �c Gt�ea-� S' &L4,p, S4,WA a O Catch basin/Dry well C eL-144C S rc ��14 aJ 4L thi O On-site system 6Ceaje /\/o PSY /9 �� j ' Y� Y� 5.Waste Transporter — YES NO Name of Hauler Destination duct Licienkd? 1. 2. Person(s In erviewed Inspector Date I Town of Barnstable Regulatory Services ti Thomas F. Geiler,Director anxtcsrns , . g Public Health Division .�G39 �� prED 39 A Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS l . FULL NAME OF APPLICANT NAME OF ESTABLISHMENT C, I d-;J d t o y 10 E PP I ADDRESS OF ESTABLISHMENT i k OvJpn t`s r H y cam-n/ii i.S MA TELEPHONE NUMBER SOLE OWNER: V YES NO t IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK SIGNA URE OF APPLICANT RESTRICTIONS: HOME ADDRESS 1 No yn c po;. HOME TELEPHONE# 2 f 71 Item No. In the space below describe all violations checked Page of lop�. FOOD ESTABLISHMENT INSPECTION REPORT FAddress shment Name Date ' i r- - .. / Fe: ' Out oned° Typ of Establishment: rpose: {• _ Food Service 41 Owners Name Retail Food Routine - 'Pa Residential Kitchen Follow-up Person In Charge Mobile Unit Complaint Temporary Food Service Investigation Inspectors Name Caterer: Other, ' E ' s .. Oq Based on an inspection today,the items checked belowy n icate the violated provisions of 105 CMR 590.000. Each item is followed by the applicable�section of the Massachusetts regulation. Non-critical violations are marked-under column"N"and or critical violations are marked under column"C',: Descriptions of each item appear on the back of this form. Each violation checked requires an explanation on the narrative page(s). This report serves as official notice of violated provisions and t official notice to correcYsaI violations ' t Food 3' Sanitary Facilities N C WT. v 1. Food Supply .002 j 29. Water Source 015r7T 4 ! 2. Food Containers .002 30. Sewage .016 4 31. Cross-Connections 017 4 r r ' f Food Protection 32. Toilets/Handwashing 018 8 019 4 t r X. 3. PHF Temperatures .004 4 33. Insects/Rodents .021 2 - S 4. Facilities. Hot 8 Cold Storage .004 2 34, Plumbing .017 1 * 5. PHF Re-servicp .006 <" 4 '35. Toilet Rooms .018 2 ' 6. Spoiled/Damaged Foods .003 4 136. Handwashing Areas .019 2 `•f s 7. Food Protected .003 37. Garbage/Refuse .020 2 8. Food Thermometers .004 2 3g. Outside Disposal .020 1 9. Cross Contamination .005 2 39. Outer Openings .021 2 :L 10. PHFs thawed,cooked 8 cooled .005 40. Pesticide/Rodenticide Application .021 1 11. Food Handling .005 2 k 12. Dispensing Utensils .0061-1 1 Physical Facilities 41. Floors .022 2 Personnel 42. Walls, Ceiling .022 2 +' 13. Employee Infections 008 4 43. Lighting .023 1 14. Employee Hygiene 009 ' 4 44. Ventilation .024 2 y 15. Employee Clothing 010 EF 1 45. Dressing Rooms .025 1 Equipment 3 Utensils Other 16. Equipment/Utensil Clean 8 Sanitized .013 2 46. Toxics .626 4 17. Food Contact Surfaces .013 1 47. Premises 027 1 18. Non-Food Contact Surfaces .013 1 48. Living Areas 027 1 Discussion with Management OL- 19. Food Contact Surfaces Clean .013 2 49. Linen .027 1 20. Non-Food Contact Surfaces Clean .013 1 50• Pets .027 1 � { r 21. Wiping Cloths .013 1 51. Bulk Foods .031 1 22. Dish/Warewashing Facilities .013 1 52. Salad Bars 032 1 23. Pre-Scraped, Soaked .013 24. Wash/Rinse Water .013 1 t No.of 13 Critical Items Violated 25. Thermometers/Test Kits .013 These items require immediate attention. 1 q 26. Equipment/Utensil Storage .014 1 27. Single Service Articles 014 1 28. Single Service Re-Use .012Li 1 „ 1 Inspected b � Received,by i Full Item Descriptions Food C1 Food Source, approved, wholesome 2 Containers, properly labelled Food Protection C3 Potentially hazardous foods at proper temperatures: 140OF or above, 450F or below, O°F; rapid cooling of cooked foods within 4 hours 04 Facilities to maintain product temperature C5 Unwrapped and potentially hazardous foods not re-served 6 Damaged, spoiled, returned foods segregated 7 Food protected during storage, preparation, display, dispensing, service, transportation 8 Thermometers provided, conspicuous, accurate 9 No cross-contamination 10 Potentially hazardous foods properly thawed, cooked, and cooled 11 Food handling minimized 12 Dispensing utensils stored Personnel C13 Employees with infections restricted C14 Hands washed and clean; good hygienic practices 15 Clean clothes, hair restraints Equipment & Utensils C16 Equipment, utensils sanitized (automatic and manual methods) 17 Food contact surfaces: design, constructed, installed, maintained, located 18 Non-food contact surfaces: design, constructed, installed, maintained, located 19 Food contact surfaces clean, free of all cleansers 20 Non-food contact surfaces clean, free of all cleansers 21 Wiping cloths; clean, use restricted 22 Dish/Warewashing facilities: designed, constructed, maintained, installed, located, operated 23 Pre-flushed, scraped, soaked 24 'dash/Rinse water clean, temperature 25 Accurate thermometers, chemical test kits provided; instructions posted 26 Storage, handling of clean equipment/utensils 27 Single service articles, storage, dispensing 28 No re-use of single service articles Sanitary Facilities C29 Water source; approved, hot&cold under pressure C30 Sewage and waste grater disposal C31 No cross-connections, back siphonage, backflow C32 Toilets & Handwashing: number, accessible, design, installed C33 No insects or rodents; harborage prevented 34 Plumbing; installed, maintained 35 Toilet rooms enclosed, self-closing doors, fixtures good repair, clean, signs 36 Handwashing areas supplied with soap and towel dispensers, proper waste receptacles 37 Garbage and refuse: containers covered, adequate number, insect/rodent resistant, frequency, clean 38 Outside area: dumpster covered, construction, clean 39 Outer openings protected 40 Pesticides and rodenticides, proper application Physical Facilities- 41 Floors constructed, maintained, clean 42 Walls, ceiling, attached equipment; constructed, maintained, clean 43 Lighting provided as required, fixtures shielded 44 Roosts and equipment vented as required 45 Dressing, locker areas provided used, clean ot her C46 Toxies properly stored, labelled, used 47 Premises litter-free, unnecessary articles, cleaning maintenance equipment properly stored, Authorized personnel 48 Living/sleeping quarters and laundry separate 49 Linen properly stored 50 No pets or other live animals except guide dogs 51 Bulk foods stored, labelled, dispensed 52 Salad bar operations prepared, refrigerated, displayed, protected 4 TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair 2.Printers BOARD OF HEALTH O satisfactory 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY C L C�'�� ?,- (see"Orders") 5.Retail Stores B� 6.Fuel Suppliers ADDRESS 3 t,�q Class: _ 7.Miscellaneous 14taL4VI 1,5 QUANTITIES ANIYSTORAGE (IN= indoors;OUT=outdoors) MAJOR MATERIALS (3ase lotsA)runls � Underground TanksAbove Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) 3-f 5 X Diesel rosen , #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: 10 PC) 4%,�, 4"21 V5 DISPOSAIJRECLAMATION REMARKS: 1-. Sanitary Sewage 2.Water Supply s� yv�w) el &42AQ�' SG•� :- v _ Town Sewer Public s , wa 66" 4PLI W eu 4if W,0 O On-site OPrivate 3. Indoor Floor Drains YES- NO O Holding tank:MDC 7 O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC Os-( 44-t, 4,oL c/' o4t O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination 11 YES NO 1. 2. Person nterviewed Inspect Date `t let CLt �Lev reii 6.tiC,�� w i 1 _ cL G� pia Gc Jt�----------------- TV /a`-C,r`f �(d y , If u-Eris! Iq Z If/C O /.� Gyt �i✓+ �2''�'f!\� _ Re > � _ � i r f _. _ _ r, t k ' ;-- �, Y i - � - �� s ♦k � .y 4 , _ � # _ Date: TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: .ALL E A 22 �JZX BUSINESS LOCATION: 5 I L _1Pa9Q- -nLS INVENTORY MAILING ADDRESS: NraA�AIAIK /QA TOTAL AMOUNT: TELEPHONE NUMBER: I 9VfV sili)P CONTACT PERSON: O S VD OS .yR�!ku wRsrr EMERGENCY CONTACT TELEPHONE NUMBER: 5- MSDS ON SITE? TYPE OF BUSINESS: dv.-/P447.1- &TD A61 IN FOR MATION/RECOMMENDATIONS:Collfft-r-nilE Fire District: ANh Pa 7-A Al a,K,560s/&jVe 4t Z-/a�usC FcAW0067A-44/A WASrF Cy�7tlEK', M j /,36 7Giek77e11J(7b) Na1/662 ®! 6Z 77&- WAS7� d/C 77FVk-' A Wb C.F/),a .DIVA r7ir R4,r/t AdJ77,,9 D2�tl��''t A�3F2- wA s r>r ht2�l 0/3alAf 4/4/D )YAVC 4V,+//- t316 5 t Y 12y&067;41A/.4NA hFAVC ,+VR/4. 0tc At1A-rE9/A-1-- SA-A-&fib _ Waste Transportation:,N77-^/,042i� ti01v6_>a ast shipment of hazardous waste: Name of Hauler: Destination: Waste Waste Product:. icensed? 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. (eog'T) Observed/Maximum Observed/Maximum sNs aM ALL Antifreeze (for gasoline or coolant systems)IAJ oV Misc. Corrosive tit r_4kUL 0AD NEW US���,,,�,,)�s• a&eD7o Cesspool cleaners t0C� EV (�E sro�) 1A)V1451K W "( 0 M Pt.oy E� � Automatic transmission uld Disinfectants � Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants ZI Motor Oils 'VC- og. %v�c&&F�ieT aN 7nIAWe-S Pesticides NEW FUSE us` 41'- 7"6E (, es) f � Insecticides, herbicides, rodenticid 3Gasoline, iv a s,T• ,�SSG Gas oline, Jet fuel, Aviation gas eowmllulgZ 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, SPi2Acf efbl.� C>F hydrochloric acid, other acids) Misc. Flammables r3��}KE PART5 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) -2r QNE_/.R-9_' LLXT7A16I&SgO(Z- 6A) �S/Tr WAS UP 7b Spot removers &cleaning fluids Z?Az (dry cleaners) p(zn nu.cxz Other cleaning sekterrts l�.vF,RC�77V� ��77OAI S / . 3 Wit` Bug and tar removers fo�PC.LZ�� G/�dir/ �'E�,��p Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Hazardous Materials Inventory Sheet Checklist / (1 Date Physical Street Address-Check database to ensure it exists Working Phone Number ,�-- Actual Amounts -( ie. gas being used to fuel machines, thinner to clean brushes all count as hazardous materials) torage Information -location of storage, how long is storage for? If none, note that. Disposal Information -where and who? If none, note that. Applicant Signature - understand what is listed and noted Staff Initial -any questions,_ know who to ask Vehicle Washing/Rinsing? -provide a vehicle washing policy and ex lain it- note that it was given ttach the Business Certificate with your sign off and comments '*The inventory form should explain what the business consists of and the procedures they are doing. Notes need to be left to explain what you discussed_m4th YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates'COST $30.00 for 4 years. A Business Certificate ONLY REGISTERS (WHICH YOU MUST DO BY M.G.L. - it does not give you permission to operate). You must first obtain the necessary signatures es NAME in the Town at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 13' FI., 367 Main St., Hyannis, MA 02b01 ow Y g on this form the Business Certificate that is required by law. (Town Hall) and get € Fill in please: DATE: APPLICANT'S YOUR NAME: P BUSINESS YOUR HOMER t�BE�Tt7 Gu57AVa �laS 7�LESSAN�2 Z � a.�80 DDRESS 117G ,[Il/F 61 Y/�nty I c I`i�Ia���� Z 2S —5 K$y TELEPHONE # Home Telephone Number: NAME OF NEEna S L. - % TYPE OF BUSINESS (A� np IS THIS A HOATION? YES p �p 5 'toy Have you beenoval from the building division. YES NO ADDRESS OF B 0 TDN DA2 D1 MAP/PARCEL NUMBER p�� L�7 When starting a new business there are several things you must do in order to be in compliance with Barnstable. This form is intended to assist you in obtaining p the rules and regulations of the Town of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits mits a d licenses es reqmay need. uired to legally u MUST OTO 200 Main St. - (corner of town. pe ate your business in this I. BUILDING CO ISSIO ER'S�FF' CEThis individ al h s n inf d o{ Io'l - y ermi requirements that pertain to this type of business. uthorized Signatu COMMENTS: �S 2. BOARD OF HEALTH This individual has ee informe rm � ' i r uir s that pertain to this type of business. z Authorized Si ture** . ...... ... COMMENTS: " - 1NUSTCOWY*MALC-� TIM 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: Date:10 0 TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: ALC,/ A vt Rajd i/' BUSINESS LOCATION: I c `Thptn Vm Or INVENTORY MAILING ADDRESS: 5MRIW 6 4k fI WA)i j #AMI TOTAL AMOUNT: TELEPHONE NUMBER: ® _ Z 0 CONTACT PERSON: 0 1_tQ duSjavp '® /4 Q d# tl Vdk EMERGENCY CONTACT TELEPHONE NUMBER: 50&9- 775 _61J 9 MSDS ON SITE? TYPE OF BUSINESS: R-12t T INFORMATION/RECOMMENDATIONS: Fire District: i Waste Transportation: Last shipment of hazardous.waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous 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 24 G'al Antifree e (for gasoline or coolant systems) Misc. Corrosive l NEW USED Cesspool cleaners Z 6al Automatic transmission fluid Disinfectants ID AJA Engine and radiator flushes Road Salts (Halite) 10 6-L 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 Z 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 `9 s � p� ------ Z r Tel. 1-800-899-1038 OUTSIDE MA 1-781-344-0265 N 1771 Washington St., P.O.Box 119 O 165133, E R V I R O R RI E 01 fl L Stoughton,MA 02072 O SERVICES EPA No. MAD 082303777 aL IIC. NOS. MA-40. TNH 0019, VT Check No. p CT-HW-28. RI 315. ME-HWT 84023 S lizi Received from _,,41-1- 6, ,S Date "7 c Address O Q QUANTITY -� DESCRIPTION z AMOUNT CHARGED WASTE AUTOMOTIVE OIL o - S v ? PAY THIS INVOICE STATE TRANSPORTER FEE NO STATEMENT WILL BE SENT V JI t� ,Total S 1:Z-) Dri ver X - Generator X Town of Barnstable OF THE r Regulatory Services Thomas F. Geiler,Director Public Health Division * BARNSTABLE, * Thomas McKean,Director �00 i3 MASS. � 200 Main Street, Hyannis,MA 02601 ArFD MP'�A Phone: 508-862-4644 Email: health@town.barnstable.ma.us Fax: 508-790-6304 Office Hours: M-F 8:00—4:30 October 2, 2006 I Mr.Mariano Costa Lucar Auto Repair 31 Thornton Drive Hyannis,MA 02601' Dear Mr. Costa: Thank you for your time and cooperation during the hazardous materials inventory and site visit at Lucar Auto Repair, 31 Thornton Drive,Hyannis,MA on August 23, 2006. 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 copies of Chapter 108: Hazardous Materials ordinance, a copy of the Toxic and Hazardous Materials On-Site Inventory form from the visit to your business, a sample contingency plan, a list of Internet searches to obtain MSDS and an application to obtain a hazardous materials permit for the fiscal year 2006-2007. Please note the problems identified at your place of business during the hazardous materials inspection and their corresponding orders or recommendations listed below: PROBLEM: • No Hazardous Materials Permit for the fiscal year 2006-2007. ORDER: • Please obtain a Hazardous Materials Permit for the fiscal year 2006-2007 by filling out the enclosed application and returning it to the Town of Barnstable within 30 days. PROBLEM: • The waste oil drum on your property is not properly labeled and doesn't indicate what the material is. ORDER: • Please label the drum"Waste Oil". PROBLEM: • No MSDS on site. ORDER: • Please use the internet links provided to you to obtain an Material Safety Data Sheet for all products that are on site. PROBLEM: • Oily rags are placed in a box after use. RECOMMENDATION: • Please obtain a metal garbage can with a lid for oily rag disposal. PROBLEM: • No contingency plan is posted in the event of a spill or release. ORDER: • Post contingency plan near each telephone throughout the facility. A sample of a contingency plan is enclosed. RECOMMENDATIONS: • Put together a spill kit with absorbents (i.e. Speedy dry,pads, or dykes), gloves, glasses, and separate containment for waste materials. On Site Inventory Total The Toxic and Hazardous Materials On-Site Inventory from August 23,2006 shows that you have approximately 464 gallons of toxic and hazardous materials being used, stored, generated and disposed of at Lucar Auto Repair, 31 Thornton Drive,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 shall be purchased from the Town of Barnstable within 30 days from the 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 facility) is highly recommended at this time. Why are these recommendations being made for Lucar Auto Repair? • This information is intended to educate you, a business owner/operator in the Town of Barnstable,in order to keep your business operations in compliance with local, state and federal toxic and hazardous materials laws so that you can avoid future regulatory problems. • Complying with the Hazardous Materials ordinance(Chapter 108) can prevent contamination of Barnstable's existing and future drinking water supply,prevent environmental contamination which can bankrupt site owners, lower or destroy land values, drive out residents and industry, depress local economies and endanger public health. 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 u� r 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, Alis a 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. (DORKean.2RS, HO Director of Public Health Enc. On-Site Inventory(copy) Chapter 108 (copy) Contingency plan sample(copy) MSDS internet links Application s . a, �� dJe: g l�3 TOWN OF BARNSTA LE ��dt TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: cLr &h Unai BUSINESS LOCATION: O INVENTORY MAILING ADDRESS: TOTAL AMOUNT- TELEPHONE NUMBER: y, CONTACT PERSON: MInaAD ab EMERGENCY CONTACT TELEPHONE UMBER: MSDS ON SITE? TYPE OF BUSINESS: rV -&talp1� III I FORMATION/RECOMMENDATIONS: Zh4 AT O&M Fire District: WE fid0.UUUIZ1i,(A,1J"PAA fn VM Phj EPA 014 W MS- S V1A ° i Waste Transportation• Last shipment of hazardous waste: Name of Hauler- Destination: Waste Product: Licensed? Yes o 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 S I eeze (for gasoline or coolant systems) Misc. Corrosive NEW BUSED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) 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 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 removers 11-11�" (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents i Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Town of Barnstable-Health Department Page 1 HAZARDOUS MATERIALS INVENTORY SITE VISITS DBA: Lucar Auto Repair Fax: Corp Name: Mailing Address Location: 31 Thornton Drive Hyannis Street: 31 Thornton Drive mappar: 296-007-000-000 City: Hyannis Contact: ;Mariano Costa State: Ma Telephone: (508)862-1680 Zip: 02601 Emergency: (508)771-4174 Person Interviewed: :Mariano Costa ........................... ...._.....__......... Business Contact Letter Date: Category: ; Miscellaneous Inventory Site Visit Date: 8/23/2006 ........... Type: Auto Repair Follow Up/Inspection Date: .......... ................ ❑ public water ❑ indoor floor drains ❑ outdoor surface drains ❑d license required ❑ private water ❑ indoor holding tank mdc ❑ outdoor holding tank mdc ❑ currently licensed ❑ town sewage ❑ indoor catch basin/drywell ❑ outdoor catch basin/drywell expir El on-sitesewage Elindoor on-site syste Eloutdoor onsite system date 6/30/2006 5 gal.Anatifreeze,10 gal. Motor oils,used 10 gal.#2 heating oil,1 gal. compliance: Hand grease remover. 200.D-need MSDS file. 6/10/04 Onsite Satisfactory inventory. Has fire extinguishers and service is current. Metal can with lid for shop rags. Has absorbent,manifests onsite. ORDERS: No auto repair in driveway/lot(if any is taking place-CEASE&DESIST). Obtain MSDS sheets immediately. Continue to dispose of tires(tire piles inside are accumulating too much). Label HW drums"TOXIC& HAZARDOUS WASTE." 8/16/2005 alp Building closed down due to electrical and life safety issues per board of health. 8/18/2005 Owner in building working in the dark upon arrival.Police made him leave and closed business down again.3/8/2006 alp/ds Observations:very clean,very organized,has metal can with lid for rags.Orders: Need to label waste oil,Fire extinguisher is blocked behind a table. Hang it up for easier access. Gave permit for 05-06 while on site.8/23/06-alp New owner,Mariano Costa.Must obtain haz mat permit for 06-07(will send application to Mariano)Facility is satisfactory,need to update MSDS,need to get metal rag can with lid for oil rags,label 55 gallon drum of waste oil. f � y. Page 2 Town of Barnstable-Health Department HAZARDOUS MATERIALS INVENTORY Chemicals: ❑ Zero Toxic Waste Materials ❑ gty's>25 Ibs dry or 50 gals liquid but less than 111 gals ❑d gty's 111 gals or more descnpton qt _ unit of r0l. waste oil 340 gallons motor oil 1 gallons antifreeze(for gasoline or coolant systems) 4 gallons oil filters 55 gallons waste antifreeze 55 gallons hydraulic fluids(including break fluid) 2 gallons misc.petroleum products:grease,lubricants 1 gallons Windshield Wash 6 gallons Waste Transporter: Bill Wright Fire District: Hyannis ..................._., Last HW Shipment Date: 5/22/2005 Waste Hauler Licensed: Yes. OIL WASTE OI OIL FILTERS ANTIFREEZE WASTE ANTTFREEZE Alba 10 1 1 275 GASOLINE WASTE GAS DIESEL FUEL W/W FLUID ATF V HYDRAULIC/ MISC. MISC. MISC. MISC. BRAKE FLUID COMMBUSTIBLE FLAMMABLE CORROSIVE PETROLEUM (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 FERTALIZERS WASTE SOLVENT MSDS IMANIFESTS ffX aDate: 3 / 9 / TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE I VENTORY NAME OF BUSINESS: 1���� BUSINESS LOCATION:_- ( INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: -- a � CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUM ER: MSDS ON SITE? TYPE OF BUSINESS: 0 � P INFORMATION/RECOMMENDATIONS: V . j1dFire District: UhJ5 1 � Waste Transportation: Last shipment of hazardous.waste: Name of Hauler: wlja Destination: Waste Product: A I 14r W Licensed Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum Antifreeze (for gas line or coolant systems) Misc. Corrosive INEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides __.L NEW `USED • (insecticides, herbicides, rodenticides) Gam so_,lips, 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 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 ANTIFREEZK WAS ANTFREEZE GASOLINE WASTE GAS DIESEL FUEL W/W FLUIDD ATF 7 HYDRAULIC/ MISC. MISC. MISC. MISC. BRAKE FLUID COMMBUSTIBLE FLAMMABLE CORROSIVE PETROLEUM ' (GEAR OIL/GREASE/ f LUBRICANTS) FREON ACETYLENE CAR WASH CAR WASH PAINTS/ WAX DETERGENTS THINNERS SEALANT CLEANING BATTERI POISION/TOXIC CAULK/GROUT SOLVENTS BATT YC ACI J FERTALIZERS WASTE SOLVENT NmS MANIFESTS 90Q ou, n Tessa L-flc 340 1 goo I Date: TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: L ✓ C A tZ 11 v iy R C Pq i Q BUSINESS LOCATION: N 'j O P" DTZ ► yt MAILINGADDRESS: Mail To: TELEPHONE NUMBER: ( F/ - 7-0 Board of Health Town of Barnstable CONTACTPERSON: VA WO 'DE So v Zr P.O. Box 534 EMERGENCY CONTACT TELEPHONE NUMBER: Hyannis, MA 02601 TYPE OF BUSINESS: A v '7-o R.k PA 1 0 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for you own use? YES :�,Z 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: / N � ADDRESS: .� 0 R a ►'`l 1 V, TELEPHONE: (�S o-3/ - ^70 )—) 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. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity _\ Antifreeze(for gasoline or coolant systems) Drain cleaners NEW x USED Cesspool cleaners Automatic transmission fluid Disinfectants _ Engine and radiator flushes Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor oils Pesticides X NEW Y, USED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED Other petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine Rustproofers Lye or caustic soda Car wash detergents Jewelry cleaners Car waxes and polishes Leather dyes Asphalt & roofing tar Fertilizers Paints, varnishes, stains, dyes PCB's Lacquer thinners Other chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride) Paint & varnish removers, deglossers Any other products with "poison" labels Paint brush cleaners (including chloroform, formaldehyde, Floor & furniture strippers hydrochloric acid, other acids) Metal polishes Laundry soil & stain removers Other products not listed which you feel (including bleach) may be toxic or hazardous (please list): Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Aug 23 05 04: 01p Barnstable Fire District 5083629616 p. l �l ion i p^\ _v;iz .-`_\' S i 0: , mizT CO?v.1✓_NTS: Dc-,, y�f 81) � 08/17/2005 TOWN OF BARNSTABL,E 10:10:08 Account Master Maintenance Account Parcel Customer Name. Location Stat ---- - ----- - --- --------`-•----- ------ -t- ------- ----------- ------ ------_----_--------------------------------- ---- 395.8 296010 l -fPACHEC'O, RONALD 52 THORNTON DRIVE' ACTI 3962- 296022 114-/r-(RODOALPH, BY-IAN W TR 178 THORNTON DRIVE ACT] 3971. 296016 jH+-) TRorro, CAROL 4t'. 118 THORNTON DRIVE ACT! 3972 296015 . CLARK, RICHARD'yT.. TRS 119 THORNTON DRIVE - ACTI 3995 29602000E RODOALPH, BRIAN W 146 THORNTON DRIVE 1'W b,8 ACTI 3999 296007 )s THORNTON- DRIVE. LTD PARTNE 31 THORNTON DRIV33 "• ACTI 4004 296021. /4 7n SHEPLLY, HAMILT"ON N, TR 177 'IHOPUT-ION DRIVE ACTI 4033 296024 Itn�lf SHEPLEY, HAMILTON N. 200 THORNTON DRIVE ACTI 4.061 297028 1u:,.j i CLARK, RLCHARD W TRS 217 THURNTON DRIVE i1_7 � ACTI 4084 29500600B , IrJT. '7 BIMSLL, RICHARD 12 THORVTON DRIVE `—'-- ACTI 4086 29500600A ll�atr GOMES, MARTA 12 THORNTON DRIVE ACTI 4093 296023 sy PIANTES, SPERO: E 199 THORNTON DRIVE ACTI 4094 296019 1518 PIANTES, JOA,,RJA C 157- THORN"TON DRIVE. ACTI 409E 296U17 GEORGE.WESTON, BA}03R.IES IN139 TRORN70N DRIVE ACTI 4099 296013 � +��'� MOLINARI, NANCY 93 'rHUIiNTON DRIVE ACTI 4166 29601200C i7�[-1't MORRISON,. JOHN B & SUSAN 72 T.HORt-ITON'`f)RIVE ACT:[ 41•9.3 2960OS00i :1 BOURQUE, DAVID'.B 11. THORNTON DRIVE ACTI 7541 29500600G i(rt) ELWELL, RICIIARD 12 THORNTON DRIVE ACT] 7543 297.027 ! t1'a SHEP'LBY, HAMILTON N 216 T-HOPVTON. DRIVE ACTI '1706 29601200Ii HULTEN, MARC 72 THORNrON "RIVE ACT] 7709 29601900E 11 1(ol HILL-, GEORGE J 90 THOR14TON DRIVE ACI`i •• 7710 29601400C IqC SABATINELLI, BRUCE 9T_ THOR ON T3RIVIs ACT] 7711 29601400D ! =o ? SABATINELLI, BRUCE 94 THOR:N'IY7N DRIVE ACTI 7731 ,2960_i200A SCARES, LEONARD . 8;6 THORNTON DRIVE ACTS END OF REPORT *" 16, l7 ro f AssessBegin Page 1 of 2 e �'Ypa �fs�. a�# � ...7 ^ "m ��� * +✓ ��.,y/ n%"'.'fir �v ,� *y�' Home: Departments:Assessors Division: Property Assessment Search Please do not e-mail questions regarding the information contained on these pages. Please Contact the Assessors Office at 508-862-4022 Disclaimer Actual Fiscal Year 2005 Values 0 Search By Map Parcel Number Q Search By Owner Name CO)Search By Property Address ,Street Number(optional) THORNTON Street Name Search Address Scroll Down For Search Results Enter Street Number and Name or Just Street Name. Leave out Street Name Suffix(e.g."Main"not"Main Street") Parcel ID Owner Name House Number Street Name 296005001 BOURQUE,DAVID B,TRUSTEE 11 THORNTON DRIVE 29500600B ELWELL,RICHARD C&BRENDA D 12 THORNTON DRIVE 29500600C ELWELL,RICHARD C&BRENDA D 12 THORNTON DRIVE 29500600D ELWELL,RICHARD C&BRENDA D 12 THORNTON DRIVE 29500600E ELWELL,RICHARD C&BRENDA D 12 THORNTON DRIVE 2950060OG ELWELL,RICHARD C&BRENDA D 12 THORNTON DRIVE 29500600A COMES,MARTA 12 THORNTON DRIVE 29600800A AMARAL,WILLIAM A&RITA A 30 THORNTON DRIVE 29600800E FLEMING,RICHARD J 30 THORNTON DRIVE 29600800C FLEMING,RICHARD J 30 THORNTON DRIVE 29600800E MICHNAY,MICHAEL S 30 THORNTON DRIVE 2960080OF MICHNAY,MICHAEL S 30 THORNTON DRIVE 29600800D ROBINSON,CHRISTINE SABO 30 THORNTON DRIVE 296007 THORTON DRIVE LTD PTSHP 31 THORNTON DRIVE 296010 PACHECO,RONALD G&CATHY A TRS 52 THORNTON DRIVE 296009 GLOWACKI,DAVID ET ALS 53 THORNTON DRIVE 29601200H HULTEN,MARC R 72 THORNTON DRIVE 296012001 HULTEN,MARC R 72 THORNTON DRIVE 2960120OG LEBOUEF,JACK 72 THORNTON DRIVE 29601200E LUFF,JEFFREY P 72 THORNTON DRIVE 2960120OF MILLER,RICHARD T 72 THORNTON DRIVE 296011 AMSTER,HENRY P TR 73 THORNTON DRIVE http://www.town.bamstable.ma.us/tob02/dnetO5/AssessingDNet/Assessbegin.aspx 8/16/2005 AssessBegin Page 2 of 2 yy --ja 296012000 MORRISON,JOHN B&SUSAN 80 THORNTON DRIVE 29601200D MORRISON,JOHN B&SUSAN 82 THORNTON DRIVE 29601200E SOARES,LEONARD J 84 THORNTON DRIVE 29601200A SCARES,LEONARD 86 THORNTON DRIVE 29601400E AGGARWAL,ASHOK J 88 THORNTON DRIVE 2960140OF AMSTER,BRUCE D TR 88 THORNTON DRIVE 2960140OG AMSTER,BRUCE D.TR 88 THORNTON DRIVE 29601`400H AMSTER,BRUCE D TRS. 88 THORNTON DRIVE 29601400A HILL,GEORGE J JR TR 88 THORNTON DRIVE 29601400B HILL,.GEORGE J JR TR 88 THORNTON DRIVE 29601400C SABATINELLI,BRUCE 88 THORNTON DRIVE 29601400D SABATINELLI,BRUCE 88 THORNTON DRIVE 296013 MOLINARI,LIBERO&NANCY 93 THORNTON DRIVE 296016 AMSTER,BRUCE D 118 THORNTON DRIVE 296015 CLARK,RICHARD W TRS 119 THORNTON DRIVE 296018 MCGRAW,DAVID W TRS 138 THORNTON DRIVE 296017 PERRON,NORMAND E 139 THORNTON DRIVE 29602000D DONCROFT LLC 145 THORNTON DRIVE 29602000A CAPE COD PHOENIX,LLC 146 THORNTON DRIVE 29602000E CAPE COD PHOENIX,LLC 146 THORNTON DRIVE 29602000C DONCROFT LLC 146 THORNTON DRIVE 29602000E RODOALPH,BRIAN W 146 THORNTON DRIVE 29602000F RODOALPH,BRIAN W 146 THORNTON DRIVE 296019 PIANTES,JOANNA C. 157 THORNTON DRIVE 296021 SHEPLEY,HAMILTON N TR 177 THORNTON DRIVE 296022 RODOALPH,BRIAN W TR& 178 THORNTON DRIVE 296023 PIANTES,SPERO H 199 THORNTON DRIVE 296024 SHEPLEY,HAMILTON N 200 THORNTON DRIVE 297027 SHEPLEY,HAMILTON N 216 THORNTON DRIVE 297028 CLARK,RICHARD W TRS 217 THORNTON DRIVE Website Developed and Maintained internally by the Town of Barnstable Information Systems Department Town Hall-367 Main Street- Hyannis,MA-02601 -508-862-4000 http://www.town.bamstable.ma.us/tob02/dnetO5/AssessingDNet/Assessbegin.aspx 8/16/2005 f T' Town of Barnstable / �oF o,,tio Regulatory Services Thomas F. Geiler,Director !,£ ., yr � r Public Health Division `�VN3,9 i639• ♦� 039 Thomas McKean,Director Office: 508-862-4644 200 Main Street, Hyannis,MA 02641 `S/� �/ 508-790- 6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. I = DATE ® 4 ®S APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME.OF APPLICANT VA LJ V a 1: �1 >E —5D U ZA' NAME OF ESTABLISHMENT L. (/ CA VC f OA %(Z ADDRESS OF ESTABLISHMENT :;S I -rH0 a u TD N TELEPHONE NUMBER f O�J „? " SOLE OWNER: YES NO _ IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL R PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: . PRESIDENT TREASURER CLERK SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS e A`(-'T WO t (j-qT (Z, HOME TELEPHONE#1qo j),3!74L Haz.doc/wp/q + i �4 l•yrt•vY^+Fiw+�i Jti4,f'rrfti.?.Yn i+ 4.r a I.. TOWN OF BARNSTABLE Date: TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: r BUSINESS LOCATION'-a' ON ntm 1�y(r INVENTORY MAILING ADDRESS: TOTAL AMOUNT. TELEPHONE NUMBER: 50b __7 71 ` 7012 CONTACTPERSON: dP fa«-) EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE F BUSINESS. P v _0 US SS r ? f, � � � 'INFORMATION/RECOMMENDATIONS: Fire�,M istrict:�L � � � yil �4" � d Sl( ou iv A?4 M)a(1'e ou It.. i 1moc 0 N)vi'tte A, Waste Transportation: Last shipment of hazardous waste: Name of Hauler: bw7x-- Destination:. Waste Product:I)/IJ' e a L. Licensed?'Yes No 2 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 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 n Antifreeze (for gas line or coolant systems) Misc. Corrosive NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants ff Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants 4 Motor Oils Pesticides NEW-06 USED (insecticides, herbicides, rodenticides) Paso i e, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED ( � Misc. petroleum products: grease, Photochemicals (Developer) f lubricants, gear oil NEW USED I Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) i 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, deglosse s (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 06 TOWN OF BARNSTABL TOXIC AND HAZARDOUS MATERIALS ON- NV ` TORY NAME OF BUSINESS: jq!46Z�S- BUSINESS LOCATION: 3 I crr /-/(A Qn*a S INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: 8- `7-7 / - "70 f Z- / Z �GLG(ons CONTACT PERSON: ego v�od cam;sues 1/ei�nn,c� �a u�-�- EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? A1W TYPE OF BUSINESS: �q wd-o g4ea t- 05 Q6d Q, or-ks-f-w'n INFORMATION/RECOMMENDATIONS: � �► I'>'15'D5 =Tl-,eels Fire District: -F esz o_Ak c k)ean,;ecc•t IQ v z)dA 4k s l.&secl. L a-Ao Pal �A k Aza-rdaus &4cwwr i s LAL)u,, CAaA,.fv, s V-p)(/c- I k4Zf4 C&"+o cum d o a-r-T ob -rh cr j. Ke.e-V P 5peSi°r►q a� -e e •re /es in 5h"ep. Waste Transportation: Q Laet shipment of hazardous waste: Name of Hauler: &tl (. I,44AtA l ',5 T%�_eDestination: t4jkxi ct-n Waste Product: wee- 01'I . a;vkn�Pc@e-Z-p- Licensed? Ye No GiiV�11_ P,�s NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazasdDU mate aLo 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 2 NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils /g�o Pesticides J`-�NEW Z�a US�ED (insecticides, herbicides, rodenticides) 2 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)/Ba� tteries 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) •� 5 Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Town of Barnstable-Health Department Page 1 HAZARDOUS MATERIALS INVENTORY SITE VISITS DBA: Lucar Auto Repair Fax: � Corp Name: Mailing Address . ....... . .....__.... ......... Location: 31 Thornton Drive Hyannis Street: 31 Thornton Drive mappar: i296-007-000-000 City: Hyannis Contact: !Carlucio Veloso State: Ma Telephone: 008)862-1680 Zip: 02601 Emergency: (508)771-4174 Person Interviewed: J Business Contact Letter Date: C, 13 J. �1 " d Category: Miscellaneous Inventory Site Visit Date: e 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: ... 5 gal.Anatifreeze,10 gal.Motor oils,used 10 gal.#2 heating oil,1 gal. Compliance: 1�- Hand grease remover. 2000-need MSDS file. t e" S -- q��3Szt�� �U "'�ri (� 5—�-�vs^ikeyt. ;�, ram. •{—vt.e s c"� s` y . 5 , i i, 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 dct r " _ r motor oil 10`gallons ...................._.__ _. .____.._........_......_............_..._........___.__...._...__.............._._._..___. __..._._.__..;_.................._............._................... _._._. diesel fuel,kerosene,#2 he_ating oil 10 gallons antifreeze(for gasoline or coolant systems) _ 5 gallons degreasers for driveways and garages l 1gallons Waste Transporter: l ��d'v Fire District: Last HW Shipment Date l� / Waste Hauler Licensed: 6 -.. ........ I 1 Hazardous Materials On-Site Inventory/Inspection For ALL Shops and Businesses: Location: 3 1 Date: <v /o co`1 Physical Features to Inspect: 1. Hazardous waste generation sites (production/manufacturing areas): 2. Waste storage areas: / 3. Satellite accumulation points throughout: 4. HazMat.stored outdoors — CHECK OUTSIDE: Nfi 5. Shipping and receiving areas: pp 9 9 e 6. Run down of shop activities: e� -z LA �- 7. Housekeeping practices: � ' 5- J �- M 5 D5 ? e 5 Lj � � s r HazMat On-Site Inventory/Inspection: Records to Review for SQGs and CESQGs DBA: Location: Site visit date: 40 1/v f ay • Hazardous Waste / Manifests: • Employee training documentation (if required): • Hazardous substance spill control and contingency plan: • MSDS on site? • HazMat Inventory records (if applicable): s» • HazMat Waste Shipping documentation: • Spill records (if applicable): _ ,o . I Town of Barnstable �tMME Regulatory Services °; Thomas F. Geiler,Director ��f sn MAS S. ` Public Health Division � ArFp " Thomas McKean,Director 4a 200 Main Street, Hyannis,MA 02601 06 1, Office: 508-862-4644 ax: 508-790-6304 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 F 'ULL NAME OF APPLICANT 1l/-� G I'V D }-E(Z fZE 12A NAME OF ESTABLISHMENT L V c A ADDRESS OF ESTABLISHMENT —,A, I _rk0 VR N D vV t)rU VE 1 J M N/N i.5 M Q O o2(D l TELEPHONE NUMBER ��D 2�) �'1 ?'O J a2 SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: / SAGI O -04 Gou'zh— 1 IF v °may /3 !&4gT7(t ,cr/�s7c�. ,�.oW s�c7`ti KA n.ov7ln Ja/� 0 6 y IF APPLICANT IS A.—CORPORATION:' FEDERAL 1DENTIFICAT ION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK SIGNATURE OF APPLICAT RESTRICTIONS: HOME ADDRESS W qZ 01./( d2,j�,5)ene+p v7"N M 4 HOME TELEPHONE#,��p$L (��. $g _ 0a66ay Haz.dodwp/q f MAIL-IN REQUESTS Please mail the completed application form to the address below. Also include a copy of your contingency plan (to handle hazardous waste spills, etc). In addition, please include the required fee of$100. Make check payable to: Town of Barnstable. Allow five to seven (7)working days for in- house processing. Our mailing address is: Town of Barnstable Public Health Division 200 Main Street Hyannis,MA 02601 FOR FAXED REQUESTS Our fax number is (508) 790-6304. Please fax a completed application form. Also, please fax us a copy of your contingency plan (to handle hazardous waste spills, etc). In addition, please mail the required fee amount of$100.00. Please make the check payable to: Town of Barnstable. The check must be mailed to the address listed above. Allow up to four days for in-house processing. For further assistance on any item above, call (508) 862-4644 UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 I + • Sender: Please print your name, address, and ZIP+4 in this box • Pubuc BMIS OM" Town of Bollsb& P.O.Bork 534 wyaml�„ t tts 02601 i SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,_and 3.Also complete A. Received by(Please Pr' ) at ofJQelive y item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. C. Signature ■ Attach this card to the back of the mailpiece, X ❑Agent or on the front if space permits. dvessee 1. Article Addressed to: D. Is deli address different from item 1? ❑Yes If YES,enter delivery address below: ❑ No 2q 7 /�/ 0 h Jl 1,774 Q2 G Q� 3. Se ice Type //� Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Aryr�le Number(COPY from service�'7 PS Form 3811,"July 1999 k ;i i+ i Domestic Return Receipt 102595-99-M-1789 P,-3 39t578 945 't-juS rostal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for Inte ational Mail See reverse Sent t y;(_ Sta�ett t�nberr Pos, ce,State,&ZIP�CGodte¢// 0 00 Post ge $ Certified Fee Special Delivery Fee Restricted Delivery Fee N Return Receipt Showing to Whom&Date Delivered n Return Receipt Showing to Whom, Q Date,&Addressee's Address TOTAL Postage&Fees $ ch Postmark or Date ELL // � v/J/ 0_ Stick postage stamps to article to cover First-Class postage,certified mail fee,and charges for any selected optional services(See front). 1.If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post office service m f window or hand it to your rural carrier(no extra charge). i 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the QQi return address of the article,date,detach,and retain the receipt,and mail the article. L rn � 3. If you want a return receipt,write the certified mail number and your name and address � on a return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends it space permits. Otherwise,affix to back of article. Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. 4. ti you want delivery restricted to the addressee, or to an authorized agent of the addressee,endorse RESTRICTED DELIVERY on the front of the article. 5. Enter fees for the services requested in the appropriate spaces on the front of this •€ receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811.t}, li 6. Save this receipt and present it if you make an inquiry. rn ;, a os 01 91e OAT O O ti Town of Barnstable Regulatory Services MASS. g Thomas F.Geiler,Director 1639• Public Health Division tea`= Thomas McKean,Director 367 Main Street, Hyannis,MA 02601 ALI T ..- Office: 508-862-4644 , Fax: 508 790 6364 ' August 3, 2000 Mr. Stuart Bornstein 297 North Street, • Hyannis, MA 02601 RE: Thornton Drive LTD. Partnership _ 6 j u �'o� aj 6 k c' Dear Mr. Bornstein, Upon the investigation of a complaint on July 14, 2000 regarding odor from a leaching catch basin on Thornton Drive in front of Parcel 7 on Map 29, it has been determined that chemicals originating from your property have contaminated the leaching catch basin ,_:_....._ and the stone surrounding it: We are affording you this opportunity to clean up the contamination. Failure to do so will result in the town coordinating the cleanup and assessing you, the owner, for all costs. Cleanup must be supervised by a Licensed Site _ Professional (L,SP). Attached is a copy of the report regarding this matter. : .: Sincerely, McKean, R.S., C.H.O. Director of Public Health 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 COMPANY ZV (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADEass• 7.Miscellaneous DR SS *J 44,,,j UANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS m IN OUT IN OUT IN OUT #&gallons Age Test Fuels: '} Gasoline jet Fuel(A) U it Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Mi c s: • ,z i DISPOSAL'RE(;LAMATION REA AR.KS:, 1. Sanitary Sewage 2fPnvat ter Supply O Town Sewer ublic O On e - 3. Indoor Floor Drains YES NO —e O Holding tank:MDC O Catch basin/Dry well O On-site system r' 4. Outdoor Surface drains:YES NO O ERS: �. O Holding tank:MDC AZZAA O Catch basin/Dry well O On-site system 5.Waste Transporter ` . ,aName of Hauler Destination: Waste Prodluct,� Licensed? rd',�_ /GI1� i� F� ✓ i✓ 4'is" i YES NO .. ZIP -* 2 �. p N .y Person(s) Interviewed Inspector Date Date: 6 / /O / 6v TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: - 6&49� BUSINESS LOCATION: 3 f -rh a-rt A ► INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: So $- -7-7 ( - `7O 1 Z- 19 2- g,a.Gffvris CONTACT PERSON: eJlti� 'a�ocl �';sues VaW3,o �a- EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? A/o. TYPE OF BUSINESS }LL*,o egg- N. e ed : -a e-b-.«a'n INFORMATION/RECOMMENDATIONS: -AeeA s Fire District: -raz a t.t Cie yn.;CGLA t2ra,dAA4-s t,_seaA. La_-6e_l cLAA haza�rda%,s J-4t4a ,.,ras No Gz.t t*-o r of of Q -r-5 ob s Keep P 5e-bs,'s� �b ,2 '('e /eS in ship. Waste Transportation: Laet shipment of hazardous waste: Name of Hauler: Betl °s aDestination: rite c,vw1 Waste Product: adz- o'I ^e@ Licensed?a No �s NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardo �s 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 2 NEW USED Cesspool cleaners i Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils /6-0 Pesticides ,5-4-9A NEW ,USED (insecticides, herbicides, rodenticides) 2 Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED i 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 removers r- � eT a,4 (including bleach) •� S Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers f Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS �k�5se� Date: /X°) TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: �r�YMA�s BUSINESS LOCATI INVENTORY MAILING ADDRESS: 'A 6 0 V E TOTAL AMOUNT: TELEPHONE NUMBER: °S--7*S —2'zz ��•���'� CONTACT PERSON: S-466 -�4�EH f, A'q%%/ EMERGENCY CONTACT TE•_EPHONENUMBER: MSDS ON SITE? TYPE OF BUSINESS: 4"n &PAle A-iJD A fl-iAJ rL-�AJCE /t/o INFORMATION/RECOMMENDATIONS: 06741tiJ SH&-z:-rs Fire District: `n P,ea D uC775 ase-7) o/J V/7-C A-A)b X.t2P /n/ A 6/W/)E72. LA 86L rh 71 /o bt/*s rF 3 R ie AJs?A 13 LE o/L e14645 U /1A2,+,eA0aS WASa'.I, 6I4 " rOk tC ' A5 WE-[- A S rW c SS&,tl"J h)2uC ULsFU FaR- KJA-5X 67L IA61FL IW-- ss 61fLw.d b�uK�w,4SrE- 4,u,7F/ea_aE` D/37A/A/ HE7*1-, C6V-696� &A, Fog elLy /?AU 5, F/LL/,u A-ND P05 r C0NnA1QE-,W PLA - Waste Transportation: Last shipment of hazardous,waste: Nf A- Name of Hauler: WR-16/-iF Destination: Waste Product: l�/457F ��L /ReJTI-�REI: t Licensed? �'s 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 'ublic 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� a� Auto-vatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (incl'+uding brake fluid) Refrigerants 9 S Motor Oils Pesticides 75- NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED o,J 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 ,Ku Swimming pool chlorine sro�EGE� Battery acid (electrolyte)/Batteries pae-o kSFd 0 Lye or caustic soda /✓etL-^S SARI/, 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 - _ _ _(nc. 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 C, Other products not listed which you feel Metal polishes _I� I may be toxic or hazardous (please list): Laundry soil & stain removers jyyA,R5 IS S�Ht'�utt� TP opz_.i F2 D o/ VS/,jtsS (including bleach) N�zT w EEK. A- 66xg)e-4c-T u 77L/27/aG BILL w e/4/4 r Spot removers & cleaning fluids 4-5 rmE wp-sre- 61L yAuLr-7- WA AV,+1i_ ,5tC, �0 n�hrS (dry cleaners) A2,EA-VfF/LJ�,pLE � /�-Lt%UC WA-STr p,�G/)ocTS� �fE A0eE7J Other cleaning solvents /s s�,,_A5-O y `A I—Vt F/2c EXT71614u/5A40e_5 Aje Bug and tar removers kP ra P ArE, No 1-C6OR D 4A/,4S L'i Litc 05 5MVEb. Windshield wash rYt 1MZA<b0A5 14, r&-%-/A•LS 1-ICE95F RA-9 4P PC,t�� WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS fti4 AAJP 17/4:777 d'tJ '4'/77 C/OA��T7Oi of y4v1N6 7/// 6A&S or'r-1A Z. AY,4T�/QL_ U," s/r:. r Notes to the File n Date: September 10, 2009 Twin Brothers Auto Repair 31 B Thornton Dr. Hyannis, Ma Cynthia Martin, PHD Sharles Albino Thales Albino A Hazardous Materials Inspection was prompted by the completion of a business application for the auto repair shop. The shop consists of one garage bay without a car lift. There are work benches along one wall and a small office occupying the opposite wall. Reportedly the business will focus on small engine repairs (chainsaws, lawnmowers, scooters, motorcycles and similar engines). However, automotive oil changes and brake jobs will also be performed. Sharles Albino stated that Bill Wright will be the waste oil hauler of record; a fifty-five gallon drum has yet to be provided for this purpose. Fluids needed for repair work are going to be purchased on an as need basis. At the time of inspection there were approximately two and a half gallons of virgin motor oil on site. Parts cleaning will be performed using a spray cleaner such as Brake Kleen. The floor is of concrete construction with no floor drains observed. Shales Albino was informed of the licensing requirement should the business store greater than one-hundred gallons of hazardous materials in the future. An a convenience an application for the license was left with him as was, A Summary of Requirements for Small Quantity Generators of Hazardous Waste, and a fact sheet regarding Self Assigning a Hazardous Waste Generator Identification Number. Based on the inspection and anticipated business it has been determined that a Hazardous Materials License is not required of Twin Brothers Auto Repair at this time. Date: TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: ca"&6cxf A itand d BUSINESS LOCATION: %a"yji_c / MAILING ADDRESS: Mail To: Board of Health TELEPHONE NUMBER: -0� Town of Barnstable CONTACT PERSON: c P.O. Box 534 EMERGENCY CONTACT ELEPHONE NUMBER: 08 - �q�- 056 6 _ Hyannis, MA 02601 TYPEOFBUSINESS: R e t Does your firm store Oy of the toxic or hazardous materials listed below, either for sale or for you own use? YES V 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. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity Antifreeze(for gasoline or coolant systems) Drain cleaners NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants f G-t� Motor oils Pesticides V NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED !� Other petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine Rustproofers Lye or caustic soda Car wash detergents Jewelry cleaners Car waxes and polishes Leather dyes Asphalt & roofing tar Fertilizers Paints, varnishes, stains, dyes PCB's Lacquer thinners Other chlorinated hydrocarbons, _ NEW _USED _ _- _(inc. carbon_tetrachloride-).- Paint & varnish removers, deglossers An other products with Paint brush cleaners Y P "poison" labels (including chloroform, formaldehyde, Floor& furniture strippers Metal polishes hydrochloric acid, other acids) Laundry soil & stain removers Other products not listed which you feel (including bleach) may be toxic or hazardous (please list): Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS TO ALL NEW BUSINESS OWNERS MIN Fill in please: APPLICANT'Sh � �y YOUR NAME: " OUR HOME � s BUSINESS Y ADDRESS:, y s ,�:< 1E Akly (S ,l TELEPHONE Telephone Number Home 8- - N�kI�E ;F NEW BUST E ,S c Q t GL TYPE OF �ESINESS c o t ' IS THIS A HOME OCCUPATION? t7 AD PRESS OF:BUSINESS 161iAP/PARCEL NDt;MBE62 ., `�. When starting a new business there are several things ou must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. Once you have obtained the required signatures, listed below, you may apply for a business certificate at the Town Clerk's Office (Ist floor- Town Hall): 1. GO TO BUIL G INS CTOR'S OFFICE (4TH FLOOR TOWN HALL) This individual as bee i med fan p uirements that pertain to this type of business. zed Signature. COMMENTS:. HEALTH 3RD FLOOR TOWN HALL 2. GO TO BOARD OF HE H ( ) This individual ha en informe oft he permit requirem s that pertain to this type of business. - 3 Authorized Signature COMMENTS: 3. GO TO CONSUMER AFFAIRS (LICENSING AUTHORITY) - (3RD FLOOR SCHOOL ADMINISTRATION BUILDING) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature COMMENTS: After obtaining the required signatures you must return to the Town Clerk's Office to obtain your business certificate (cost$20.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you must do by M.G.L. - it does not give you permission to operate -you must get that through completion of the processes from the various departments involved. :i 4 - I I� CD � 1 cn •� ru L!" a r Date: -1 //�l0 y TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTOMN/ NAME OF BUSINESS: Edgw aycoIs 41 BUSINESS LOCATION: �' m'✓ a� �4. VEN TIDRY®f2"*- MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: S`68--773 -- 03 2-Of jS CONTACT PERSON: r./a4011'� -T EMERGENCY CONTACT TELEPHONE NUMBER:. 5'09--7?S 027 (o MSDS ON SITE? /Uo. TYPE OF BUSINESS: Aeat '& 0-h' to,' INFORMATION/RECOMMENDATIONS: S Fire District: eel - E42,AQjQ__ S l o s f-* earl Waste Trans oftation- Last shipment of hazardous,waste: S Z�—oaf Name of Hauler: I's(1 l via Destination: Waste Product: odd - AF Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the Genera Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the-Public Health Division. UST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum Antifreeze (for 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 2 EW 2�ISUUSS D (insecticides, herbicides, rodenticides) G line Jet fuel ration as 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 (O Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc. Combustible Car wash detergents Leather dyes . Z Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) V- NEW USED Any other products with "poison" labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, 2- 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 � LQ/lb� Ap (including bleach) G a f_ Lei-�P�s /V TOjC/C..� Spot removers &cleaning fluids ��l��z 7i (dry cleaners) Other cleaning solvents Bug and tar removers P�GiI,p,S Mt--30 clams S. Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS jg - oLI jw I iY tf� Town of Barnstable-Health Department Page 1 HAZARDOUS MATERIALS INVENTORY SITE VISITS DBA: Francisco's Auto Fax: .. ' Corp Name: Mailing Address Location: 31 Thornton Drive,Hyannis Street: 31 F&G Thornton Dr. mappar: 298-007-000-000 City: Hyannis Contact: State: Ma Telephone: Zip: 02601' Emergency: Person Interviewed: Business Contact Letter Date: 7/8/2004 Category: (Vehicle Maintenance Inventory Site Visit Date: '7/15/2004 Type: !. Follow Up/Inspection Date: ~_ ❑� public water ❑ indoor floor drains ❑ outdoor surface drains ❑ license required ❑ private water ❑ indoor holding tank mdc ❑ outdoor holding tank mdc ❑ currently licensed dC town sewage ❑ indoor catch basin/drywell ❑ outdoor catch basin/drywell expir -- - -- T on-site sewage ❑ indoor on-site syste ❑ outdoor onsite system date: ............,_._._...__ 4/21/04 Received complaint from business near this address that this compliance: business uses improper drainage for runoff,dumps trash and liquid waste on site. Need to inventory and inspect: 'Onsite inventory and inspection mz)5 a Wxewl 2 s �` a-v/ =-�k/AAAJO c�v�` Mac 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 Waste Transporter: 41 Gl w^' Fire District: Last HW Shipment Date Waste Hauler Licensed: v S lit n�6Y'�1Jr z HazMat On-Site Inventory/Inspection: Records to Review for SQGs and CESQGs DBA: ���� T Location: ' Site visit date: • Hazardous Waste Manifests: u Pii dlgy _ % 's- ;t$Zo y • Employee training documentation (if required): • Hazardous substance spill control and contingency plan: Stogy v►, • MSDS on site? • HazMat Inventory records (if applicable): • HazMat Waste Shipping documentation: 6_1444 • Spill records (if applicable): YL-510 F'#§'3..n( ...rcr�sYl52rh x t firma t --tin 02 Q. �. okimMA y n - � 1 is iP y e zc. �: gam. 1 � wz�� 4,33 it i tor� � r , yy — _ f wrap pPHrs WA -M jp p p 8 - _a f.. ._ f. 1 Et File Frl r u 1 U. �._ a _r d—a— u4tvwl z } m Wx t r - _ 5 - i S f } t✓ - i Sn ".Sx'. .: }6 r--� .n....c.+r yY •_X' d f� � 1TeT'�" t. s --" .__ { Y r � L Date: -7 //5-/0 y TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: �S BUSINESS LOCATION: .' 1 Thar VL*t r>I D/t. _ 14 IVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: S'O$--778 — 0-3 2-01o7is CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: SO 8—7 7S — 02 $ 6 MSDS ON SITE? No TYPE OF BUSINESS: AU2,9r � �G .s.t Ana AeA INFORMATION/RECOMMENDATIONS: S Fire District: she P — Sa.,nrl S4a,4aJ S w i o s eat east e-1`.5 a w 01 00.,40 pp"S. No aA1tk0 ef la.� icte.. :-xt v . . Waste Transpoftation: IA69- Last shipment of hazardous,waste: S—ZzR-04f Name of Hauler: Pa t 1 Destination: Waste Product: AF Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the Genera 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 2 EW 2 SUJS D (insecticides, herbicides, rodenticides) G line, Jet fuel, Mation as Photochemicals Fixers g ( ) 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 'o Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc. Combustible Car wash detergents Leather dyes Z Car waxes and polishes Fertilizers L Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) V NEW USED Any other products with "poison" labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, Z 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 �Q�t� a," , _ (including bleach) Ls�ItsX Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers e.,ns A,rL-91) aa•-A S. Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Town. of Barnstable 1(0 Regulatory Services Thomas F. Geiler,Director a r Public Health Division a Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee:$100.00 ASSESSORS MAP AND PARCEL NO. 2-61 4 _aQ_7 DATE APPLICATION.FOR PERMIT.TO.STORE.AND/OR UTILIZE.MORE THAN 111.GALLONS. OF.HAZARDOUS MATERIALS FULL NAME OF APPLICANT F('d n L l _ Q re ' n NAME OF ESTABLISHMENT E'r A n C f S Cn 1.S A U �-o e o7A, r � 5 ADDRESS OF ESTABLISHMENT r r) n o �, , TELEPHONE NUMBER Jt" 4 �: : T_ r, � x. .. .,, SOLE OWNER• >C YES NO > IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: p r- av CC) m r IF APPLICANT'IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK a ��t t�•�. 81019i Phi;ems SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS 10Ot Wood [2 n(j �9,U2 ) j,yann,', ._.HOME TELEPHONE y Haz.doc/w�4140".117 V?/Lb , C e.a4zc a im. d Number Fee 303 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Francisco's Auto Repair& Detailing 31 Thornton Drive, 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.,CHAIRMAN WAYNE MILLER,M.D. July 1, 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 P w NAME'OF BUSINESS: ' BUSINESS LOCATION: ,J INVENTORY MAILING ADDRESS: " h TOT NT•. TELEPHONE NUMBER: 5 e f' r CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: `aim INFORMATION/RECOMMENDATIONS: ire istrict: i-itilu, pbt-a th a RA-m m&hte r 0Aj911nP_j UZ17 i 1 II !j ,�1 LY Waste Transportati 114"T • Last shipment of hazardous.waste.: 51111a,5- Name of Hauler: L Destination- Waste Product: ' Licensed? fes) No NOTE: Under the provisions of Ch. 111, Section 31, of the Genera aws 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 An (freeze (for gasoline or coolant systems) _ Misc. Corrosive NEW bD USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils / Pesticides 411,2-1 NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas ' Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease,i 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 (electrolvte)/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 wask. Qd (including bleach) Spot removers & cleaning fluids _ (dry cleaners) Other cleaning solvents / Bug and tar removers Windshield wash ✓ WHITE COPY-HEALTH DEPARTMENT!CANARY COPY-BUSINESS Town of Barnstable °EINE Regulatory Services ow?'r}� Thomas F. GeUer,D1recfqS,,4 sAMsrnar.E. . Public Health Divisiony 16 1°lEc °i Thomas McKean,Directier• / Office: 508-862-4644 200 Main Street, Hyannis,MA 0��S�Oh Fax:.. 509-790-6304 i Application Fee:-$100.00 ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE TFUN III GALLONS OF HAZARDOUS MATERIALS 1 ' FULL NAME OF APPLICANT (`cA n r i <[,0 I Q �.i r2• �D'Y1 NAME OF ESTABLISHMENT F(U(n _ LZ �6 Wo a i r �ai ADDRESS OF ESTABLISHMENT-3 i 1-bor n. D �) TELEPHONE NUMBER' SOLE OWNER:_J�YES ... NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER .CLERK .. SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADD RESS HOME TELEPHONE# H=doc/"/q Town f o n o Barnstable- ealth Department 'Page 1 p 9 HAZARDOUS MATERIALS I VENTORY SITE VISITS __.. DBA: Francisco's Auto Repair&Detailing Fax Corp Name: Mailing Address Location: ':31 Thornton Drive,Hyannis Street: 31 F&G Thornton Dr. mappar: 298-007-000-000 City: Hyannis k Contact: State: Ma Telephone: 1:508-778-0329 Zip: 02601 Emergency: '.508-778-0286 Person Interviewed: .................-.......... ,.................. Business Contact Letter Date: _. ....... /Category: Vehicle Maintenance Inventory Site Visit Date 115 / /6 j✓ - _.. (. Type: Auto Repair Follow Up/Inspection Date. ❑ / IL � public water indoor floor drains El surface drains /y�❑ � license required r V t��l private water ❑ indoor holding tank mdc ❑ outdoor holding tank mdc ❑d currently licensed C ❑d town sewage ❑ indoor catch basin/d b 7 g rywell ❑ outdoor catch basin/drywell . expir 6/30/2006 El on-sitesewage El indoor on-site syste ❑ date outdoor onsite system --- - ----- 4/21/04 Received complaint from business near this address that this compliance: business uses improper drainage for runoff,dumps trash and liquid Satisfactory .: waste on site. Need to inventory and 0 d r evzry inspect. 7/15104 Onsite inventory and inspection. Manifests onsite. Lots of clutter. Fire extinguishers serviced. Uses absorbant. Has proper satellite accumulation. ORDERS: MSDS sheets must be obtained.Shop rags / should be kept in shop rag can. No open pans or spill buckets-dump 3 �/ all or contain all. Recommend spill tray under air compressor. No outdoor auto work at any time. (He plans on moving air compressor and,installing,secondary.contain� ,,Lahel,HW druww,and tanks! Mailing permit application,,car wash policy and contingency: 8/18/04 Follow up hazmat inspection. Completed all orders. Told ` Francisco verbally to CEASE and DESIST all car washing with soap and water-water only. Gave him a copy of the Vehicle washing policy in person on this date. 8/19/04 Mailed Francisco information on oil water seperator systems. 0 V S 0,l�� - . 15--Vck is i b w wLeo- . ✓ UO _ c � Town of Barnstable-Health Department Page 1 HAZARDOUS MATERIALS INVENTORY SITE VISITS DBA: Francisco's Auto Repair& Detailing Fax:Corp Name: Mailing Address (91 1 Location: 31 Thornton Drive,Hyannis Street: 31 F&G Thornton Dr. mappar: 298-007-000-000 City: Hyannis Contact: State: Ma Telephone: 508-778-0329 Zip: 02601 Emergency: 508-778-0286 Person Interviewed: Business Contact Letter Date: 6/15/2005 Category: Vehicle Maintenance Inventory Site Visit Date: 6/29/2005 Type: Auto Repair Follow Up/Inspection Date: ❑� public water ❑ indoor floor drains ❑ outdoor surface drains k license required ❑ private water ❑ indoor holding tank mdc ❑ outdoor holding tank mdc ❑d currently licensed * town sewage ❑ indoor catch basin/drywell ❑ outdoor catch basin/drywell expir on-site sewage El indoor on-site syste ❑ outdoor onsite system date: 6/30/2006 4/21/04 Received complaint from business near this address that this compliance: business uses improper drainage for runoff,dumps trash and liquid Satisfactory waste on site. Need to inventory and inspect. 7/15/04 Onsite inventory and inspection. Manifests onsite. Lots of clutter. Fire extinguishers serviced. Uses absorbant. Has proper satellite accumulation. ORDERS: MSDS sheets must be obtained.Shop rags should be kept in shop rag can. No open pans or spill buckets-dump all or contain all. Recommend spill tray under air compressor. No outdoor auto work at any time. (He plans on moving air compressor and installing secondary containment). Label HW drums and tank. Mailing permit application,car wash policy and contingency. 8/18/04 Follow up hazmat inspection. Completed all orders. Told Francisco verbally to CEASE and DESIST all car washing with soap and water-water only. Gave him a copy of the Vehicle washing policy in person on this date. 8/19/04 Mailed Francisco information on oil water seperator systems.6/15/05 ALP Obtain all MSDS,obtain a flammables cabinet,label all hazardous waste with"waste oil"or"used oil",some clutter in shop area,dispose of all unnecessary supplies,label all containers that do not have original product. Page 2 Town of Barnstable-Health Department HAZARDOUS MATERIALS INVENTORY Chernicals: Zero Toxic Waste Materials gty's>25 Ibs dry or 50 gals liquid but less than 111 gals �! gty's 111 gals or more description: qty: unit of measure other cleaning solvents 11 gallons car waxes and polishes 65 gallons Windshield Wash 2 gallons waste oil — 285;gallons __...........__......-_-----......_...__._..........---.._...--.._._....._.._.__....__...._ ....._......_ ........._......_..... _._........._.. Misc. Flammable 23 gallons _ misc.petroleum products:grease,lubricants _ 15 gallons motor oil — 77 gallons Batteries 8gallons _._..._............__._....._......___--.._..._ gasoline 20 gallons antifreeze(for gasoline or coolant systems) - 4 gallons ........._....-.._... _--........- .._.............. ............... waste antifreeze 55 gallons hydraulic fluids(including break fluid) 19 gallons car wash detergents 60 gallons _ Misc.Combustible 30 gallons __......._.___.___._..................._._....._...___._._._._ ........_.__..._......._._..._........._........ _. _...,._.___..._..._....... it filters 110 gallons Acetylene 13„gallons 02 tank 13 gallons Waste Transporter: Bill Wright Fire District: Hyannis Last HW Shipment Date: 5/4/2005 Waste Hauler Licensed: Yes Fir UNITED STATES PO TAL SERVICE Postage & Mall Postaage&Fees Paid USPS Permit No.G-10 © rint your name, address, and ZIP Code in this box C Health Department Town of Bamstabl8 pw;.­ P 0.Box 534 , Hyannis,Massaftft M601 � Fax(508)775-3344 None(508)790-6265 �ii i I jit tttiititlitrfia fit 111111iireisi-tttiit fill ist1i1fitlittltli SENDER: o ■Complete items 1 and/or 2 for additional services. I also Wish to receive the y ■Complete items 3,4a,and 4b. following services(for an d ■Print your name and address on the reverse of this form so that we can return this H extra fee): card to you. ai ■Atttamc?this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address A ■Write'Retum Receipt Re uested'on the mail piece below the article number. d v 4 P' 2. ❑ Restricted Delivery rn 1 ■The Return Receipt will show to whom the article was delivered and the date a c delivered. Consult postmaster for fee. _ m a 3:Article Addressed to: 4a.Article Numbor W er d 3 l 4b.Service Type 0 ❑ Registered AP CertifiedCn � (nn ❑ Express Mail ❑ Insured S I G ❑ Return Receipt for Merchandise ❑ COD I a / 7.Date of Delivery �u o z (� �'U >. D 5.Received By:(Print Name) 8.Add ss e's A ress( my if requested c I W and fee is paid)tit g 6.Signat e:(A cildressee or Agent) I � y PS Form 3811, December iss4 Domestic Return Receipt I Z -,548 651 019- • Receipt for Certified Mail No Insurance Coverage Provided �UtU STATES Do not use for International Mail T POSTAL SEFVICE (See Reverse) M Sent to 0) t S e o ate and IP ode Po ge $ CO M yl E Certified Fee ~O LL Special Delivery Fee CO) � I to Whom&Date Delivered Return Receipt Showing to W m, Date,and Addressee's Addres . Ln TOTAL Postage &Fees �9 Postmark or Date i STICK POSTAGE STAMPS,TO ARTICLE TO COVER FIRST CLASS POSTAGE, CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES(see front). 1. If you want this receipt postmarked;stick the gummed stub to the right of the return address leaving the receipt attached and present the article at a post office service window or hand it to your rural carrier Ino extra charge)- , IC to 1 2. If you do not-want this receipt postmarked,stick the gummed stub to the right of the return rn address of the article,date,detach and retain the receipt,and mail the article. rn r L 3. If you want a return receipt,write the certified mail number and your name and address on a return receipt card,Form 3811,and attach it to the front of the article by means of the gummed co ends if space permits.Otherwise,affix to back of article.Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. 4. If you want delivery restricted to the addressee,or to an authorized agent of the addressee, 4" endorse RESTRICTED DELIVERY on the front of the article. E `o 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt.If LL return receipt is requested,check the applicable blocks in item 1 of Form 3811. a 6. Save this receipt and pf^sgo-sr-if you make inquiry. 105603-93-B-0216 t . .y Town of Barnstable Health Department 367 Main Street, Hyannis, MA 02601 163 Office 508-790-6265 Thomas A. McKean FAX 508-775-3344 Director of Public Health October 26, 1995 David Glowacki, et al Box 28 Nantucket, MA 02554 RE: PROPERTY OWNED BY YOU LOCATED AT 53 THORNTON DRIVE, HYANNIS/MAGIC TOUCH The property owned by you located at 53 Thornton Drive, Hyannis with a car washing and cleaning business known as Magic Touch, was inspected on October 25, 1995 by Donna Miorandi, Health Inspector of the Town of Barnstable. Mr. Guilherme DeAndrade stated he washes vehicles. Ms. Miorandi and I observed wetness on the driveway which was draining into the street. Ms. Miorandi and I also observed a power washer outside on the driveway. This is a violation of Town Ordinance, Chapter III, Article I, Section (3) (copy attached). There was also no holding tank or closed-loop wastewater recycling system at this site. for the washing of vehicles. In addition there were no toilet facilities for the three employees at this unit. This is a violaltion of the State Plumbing Code, 248 CMR 210. You are directed to cease and desist washing of vehicles at this site, upon receipt of this notice. You are required to comply with the MA Department of Environmental Protection Division of Water Pollution Control Regulation 314 CMR 5.00 which requires a groundwater discharge permit. You are directed to inform this department in writing of your intentions within seven (7) days of receipt of this notice and you are directed to complete the required work within thirty (30) days. PER ORDER OF TH BOARD OF HEALTH Thomas McKean Director of Public Health cc: Guilhermen DeAndrade, Magic Touch I First-Class,Mail.. ; UNITED STATES POSTAL SERVICE Postage&Fees Pald USPS Permit No.G-10 I I • Print your name, address, and ZIP Code in this box• I I % I Health Depardnent Town of Bamstabie !P.0.Box 534 3 , Hyannis,Massachusetts 02601 Fax(508)775-3344 Fiione(Kkl")7C'S-6265 SENDER: :2 ■Complete items t and/or 2 for additional services. I also wish to receive the H ■Complete items 3,4a,and 4b. following services(for an ■Print too ou.ame and address on the reverse of this form so that we can return this extra fee): card > ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address lv permit. m ■Write'Return Receipt Requested'on the mailpieoe below the article number. 2. ❑ Restricted Delivery N ■The Return Receipt will show to whom the article was delivered and the date O delr;;ered. Consult postmaster for fee. 0 3.Article Addres d t Ia.Article Num er d E e 4b.Service Type 0 cJ 3 r ❑ Registered 10 Certified � (n ❑ Express Mail ❑ Insured c W ¢ ❑ Return Receipt for Merchandise ❑ COD 2 0 Date of livery o p 5.Received By: (Print Name) 8.Addressee's Address(Only if requested c W and fee is paid) t W f— g 6.Signature: (A TV ent) �. X N PS Form 3811, Dece ber 1994 Domestic Return Receipt Z 348 651 5 6 r Receipt for Certified Mail No Insurance Coverage Provided LRRTEO Do not use for International Mail PoST11L SERVILE (See R9,yers Cl) Seht to Street an t6 P. .,S e and ZIP O Pos CIO Certi i R'e �- lL Special Delivery Fee `L, t Re3tfi6tetljTe05eTwFeEe \ e'• rREIOMIFIeee4pttgfowiigl to Whom&Date Delivered Return Receipt Showing to Whom, Date,and Addressee's Address TOTAL Postage &Fees Postmark or Date I I STICK POSTAGE STAMPS TO.ARTICLE TO COVER FIRST CLASS POSTAGE, CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES(see front). a� 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached and present the article at a post office service window or hand it to y your rural carrier(no extra charge). 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the return I address of the article,date,detach and retain the receipt,and mail the article. _ t 3. If you want a return receipt write the,certified mail number and your name and address on a return receipt card,Form 3811,and attach it to the front of the article by means of the gummed 01 ends if space permits.Otherwise,affix to back of article.Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. 0 0 0 4. If you want delivery restricted to the addressee,or to an authorized agent of the addressee, M endorse RESTRICTED DELIVERY an the front of the article. E 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt.It 1L0 return receipt is requested,check the applicable blocks in item 1 of Form 3811. a 6. Save this receipt and present it if you make inquiry. 105603-93-13-0218 Town of Barnstable Health Department 367 Main Street, Hyannis, MA 02601 I&- $ office 508-790.6265 Thomas A. McKean FAX 508-775-3344 Director of Public Health October 26, 1995 Guilherme DeAndrade 53 Thornton Drive Hyannis, MA 02601 RE: PROPERTY OWNED BY YOU LOCATED AT 53 THORNTON DRIVE, HYANNIS/MAGIC TOUCH { The property owned by you located at 53 Thornton Drive, Hyannis with a car washing and cleaning business known as Magic Touch, was inspected on October 25, 1995 by Donna Miorandi, Health Inspector of the Town of Barnstable. Mr. Guilherme DeAndrade stated he washes vehicles. Ms. Miorandi and I observed wetness on the driveway which was draining into the street. Ms. Miorandi and I also observed a power washer outside on the driveway. This is a violation of Town Ordinance, Chapter III, Article I, Section (3) (copy attached). There was also no holding tank or closed-loop wastewater recycling system at this site. for the washing of vehicles. In addition there were no toilet facilities for the three employees at this unit. This is a violaltion of the State Plumbing Code, 248 CMR 210. You are directed to cease and desist washing of vehicles at this site, upon receipt of this notice. You are required to comply with the MA Department of Environmental Protection Division of Water Pollution Control Regulation 314 CMR 5.00 which requires a groundwater discharge permit. You are directed to inform this department in writing of your intentions within seven (7) days of receipt of this notice and you are directed to complete the required work within thirty (30) days. PER ORDER OF THE BOARD OF HEALTH Q omas McKean Director of Public Health OL) 1_ e lA'r', "L 1�1/�2l/� YvM k ej Avv� nArl Ale �� r `""" v ;t r � do myz V— -G� Y L �A 61P. Ul 61J1 ? w� l — U ��o^ YW' c�vi s 7/ , Town of Barnstable �ib Health Department i 1 367 Main Street, Hyannis, MA 02601 r *V Thomas A. McKean offine SWI90.6265 FAX 508-775-3344 Director of Public Health y i 4 ^` L } ; { 6'tr SF1"Z�6""M XA ( 0(.Aj ck 'mac 5 a� f ' i ! !.�� { r �!'�r i�A {(tiny g, 6gE � In a Lfi * { Ai Ev RE: PROPERTY OWNED BY YOU LOCATED ATJM THORNTON DRIVE; HYANNIS D/B/A The property owned you business as inspected one . Donna Mioran ' Inspector for the T of arnsta a On r 1995 ym er ally admitted to Donna Miorandi hat the t� p oyees o s. Ms. Miorandi also _ ° wetness o outside on the driveway. a V pressure washer inking. ere is no holding tank or closed-loo astewater w recycling system at this building. , You are directed to immediately cease,the. h premises. : You are required to comply with the Dep ment of Environmental Protection Divisio ofaa 5 ,; Water Pollution Control Regulation 31 CMR 5.00 which requires a groundw ter ch� �4 discharge permit. d .¢ , You are directed to in in this department in writing of your intentions wi m seven days of receipt of this no 'ce and completing the work within thirty(30) days. ( , PER ORDER OF THE B RD OF HEALTH �-Lx.S i S aLsv � ✓'c DlactL�P- .rJ"'� ��� �r .! ',� �,,,s ) � omas A. McKean n 5ta Oil .ter� c� G� i�. �' f Public Health // hi n' f ' 29 CHAPTER III. PUBLIC HEALTH, SAFETY, WELFARE, CONVENIENCE AND GOOD. ORDER ARTICLE I. GENERAL SANITARY REGULATIONS Section 1. No person shall throw away or sweep into, or place, or drop, or suffer to remain in any street, any hoops, boards, or other wood with nails projecting therefrom or nails of any kind, shavings, ashes. hair, manure, rubbish, offal or filth of any kind, or any noxious or refuse liquid or solid substance. Amended May 18, 1976. Approved September 13, 1976. Rescission of text pertaining to placing of clam and oyster shells. Section 2. No person shall pasture any cattle, . goats, or other animal, either with or without keeper upon an p p y street or way in the town, provided that nothing herein contained shall affect the right of a person to use of the land within the limits of a street or way adjoining his own..premi.s_es. Ctection 3. No ,person shall allow any sink water or other impure liquid to n from the house, barn or lot, occupied byhim into any street of he town. , Se ion 4. No person shall barter, or trade, and collect Junk without a license from the Town Manager of the Town. Adopted March 3, 1914. Approved October 28,- 1915. . ARTICLE II,. ADVERTISING DEVICES AND BILLBOARDS Section 1. No person, firm, association or corporation shall erect, display or maintain a billboard sign, or other outdoor advertising device, except those exempted by Section 30 and 32 of Chapter 93 of the General Laws. (a) Within fifty (50)' feet' of any public way. (b) Within three hundred (300) feet of any public park, playground or other public grounds, if within view of any portion of the same. ;1 rr N OF BARNS ABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops unsatisfactory- 4.Manufacturers IIN (see"Orders") 5.Retail Stores COMPANY WAG 6.Fuel Suppliers ADDRESS Class: 7.Miscellaneous ffffJJQUANTITIES AND STORAGE (IN= indoors;OUT=outdoors) MAJOR MATERISUndergroundove 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 Synthe ' Organics: I degreasers Miscellaneous: oy s 'lot DISPOSAIJRECI AMA ION R(�EALcA KS: 1. Sanitary Sewage 2.Water Supply O Town SewerPublic XOn-site "OPrivate 3. Indoor Floor Drains YES N0X O Holding tank:MDC , I O Catch basin/Dry well o S y. O On-site system 4. Outdoor Surface drains:YES NO ORDERS: � 0 O Holding tank: MDC 6 C2 O Catch basin/Dry well O On-site system 5. Waste Transporter Name of Hauler Destination Waste Product YES NO 1. 2. On��)(s Intervie inspector OXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: ly?Ar1 & VoaI -ht Mail To: BUSINESS LOCATION: 53 P_VTb4j .if-. Board of Health MAILING ADDRESS: 54/b5 Town of Barnstable P.O. Box 534 TELEPHONE NUMBER: 5®�� 7�®� 8!� /� Hyannis, MA 02601 CONTACT PERSON: _ ZaVU5 e64_1-hFo EMERGENCY CONTACT TELEPHONE NUMBEF�S -g)779-04 X3 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, 1300, Other petroleum products: grease, lubricants rodenticides) 55 AL 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 °y f�L Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, arnishes, 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): c4M ff.PQ dr cleaners) � 5 (yA • SoLw -- Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy- Health Department/ Canary Copy-Business RZ ov. �f0 Walter J. Glowackia 61995 P. O. Box 28ni�" N Nantucket, Ma. 02554 S ti Town of Barnstable Health Department 367 Main Street Hyannis, Ma. 02601 November 3, 1995 Attention: Thomas McKean Dear Mr. McKean, We are in receipt of your letter regarding our property at 53 Thomon Drive, Hyannis, Ma.. We have been in communication with Magic Touch and they have told us that they have immediately stopped the washing of vehicles at 53 Thornton Drive. In addition to this, they will be vacating the building by November 15, 1995. We plan to use the space for storage. i Sincerely, Walter J. Glowacki c . i . l g' • SPEED MESSAGE TO FROM SUBJECT IVIZ m/"C) DATE /�C7 V • { , / 9 ci C �� 1GQ� �t�'' ! ✓tia �` O! er�� i f v e� S."lam 0 1. 6 • nj N d C 'ap SIGNED f � �!- ,, r~ a ` � r PA WII$OodOp@S® WHITE-ORIGINAj � NAUPLICATE - 00 Duplicate w ... UNITED STATES POSTAL SERVICE First-Class MailPostage&Fees Paid LISPS Permit No.G-10 s C Print your name, address, and ZIP Code in this box O Pdblic Health Division Town of Barnstable PO Box 534 SENDER: L V ■Complete items 1 and/or 24or additional services. I also wish to receive the m ■Complete items 3,4a,and 4b. following services(for an 4) ■Print your name and address on the reverse of this form so that we can return this extra fee): card to you. ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address- permit. Z 4D ■ rite'Retum Receipt Requested'on the mailpieoe below the article number. 2. ❑ Restricted Delivery N ■The Return Receipt will show to whom the article was delivered and the date a C delivered. Consult postmaster for fee. 3.Article Addressed to: 4a.Article Number?g E /tomGI �(/ / 4b.Service Type 0 ❑ Registered Certified of ❑ Express Mail ❑ Insured OS s /LU ❑ Retum.Receipt for Merchandise ❑ COD C / 4 7.Date of ry ° Z Ir N ®L 6 5.Receiv d y:(Print e) 0 8.Addressee's Address(Only i req ested W and fed is paid) r ¢ g 6.Signatu a �dre e�orAent) X a� PS Form M1, Decembe 94 102595-97-e-0179 Domestic Return Receipt P 339 578 669 US Postal Service _ Receipt for Certified Mail No Insurance Coverage Provided. 1 Do not use for International Mail See reverse Sent to StreeL&Number :Zj V•if/ Post Offi ,State,&ZIP Code Postage $ Certified Fee Special Delivery Fee Restricted Delivery Fee u7 0 Return Receipt Showing to Whom&Date Delivered a Return Receipt Showing to Whom, Q Date,&Addressee's Address 0 TOTAL Postage&Fees $ COGo Postmark or Date LL hl/f Stick postage stamps to article to cover First-Class postage,certified mail fee,and charges for any selected optional services(See front). a 1.If you want this receipt postmarked,stick the gummed stub to the right of-the return' address leaving the receipt attached, and present the article at a post office service window or hand it to your rural carrier(no extra charge). Tko 2. if you do not want this receipt postmarked,stick the gummed stub to the right of the m cc return address of the article,date,detach,and retain the receipt,and mail the article. uO 3. K you want a return receipt,write the certified mail number and your name and address on a return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends it space permits. Otherwise,affix to back of article. Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. 4. If you want delivery restricted to the addressee, or to an authorized agent of the C addressee,endorse RESTRICTED DELIVERY on the front of the article. M 5. Enter fees for the services requested in the appropriate spaces on the front of this .E receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. to 6. Save this receipt and present it if you make an inquiry. a IMETO`''4 Town of Barnstable Department of Health, Safety, and Environmental Services BARNsrASLE, 15' ,0� Public Health Division ATf�N1°�A P.O. Box 534, Hyannis MA 02601 Office: 508-790-6265 Thomas A.McKean,RS,CHO FAX: 508 790-6304 Director of Public Health August 13, 1999 Mr. Adenilson Ferrera Magic Touch 31 Thornton Drive Hyannis, MA 02630 Daar Mr. Ferrera, Your property located at 31 Thornton Drive, Barnstable listed as parcel 007, Assessors map 296 does not contain separate employee toilet facilities within the business establishment Magic Touch as required by 24 CMR 2.10. Unisex bathrooms may be allowed if all the requirements of the State Plumbing Code are met. You may call to Town Plumbers Inspector, Edward Jenkins,to inquire about this at 862-4028. Yo--i are hereby ordered to install employee toilet facilities within this business establishment wit_-iin 90 days of your receipt of this notice. Temporary portable toilets(or"porta-porties")do not satisfy this requirement Yot:.may request a hearing if written petition requesting same is received by the Board within seven (7)days. Failure to comply with this order will result in a petition to the Building Commissioner to revoke the occupancy permit for the business establishment which is in operation without any toile.facilities. PER ORDER OF T BOARD OF HEALTH Tiorr.as McKean,R.S. Direc-or of Public Health q/ferrera. -k.s. TOWN OF BARNSTABLE eOMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops �-s O unsatisfactory- 4.Manufacturers COMPANYR 4ie-f�' e! ek (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS Y ' a es% �.{ :lass: 17, 1 7.Miscellaneous y 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:,,* t'.9"Or--�r? . D �V �2 DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply Z O Town Sewer Public 0 On-site OPrivate 3. Indoor Floor Drains YES NO 6' O Holding tank:MDC 0 Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES N0 ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter 1• � YES NO 2. Person(s) Interviewed I pector Date Date: 117101 TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: WV�O(G ]ZU� BUSINESS LOCATION: 31 T /,(w MAILINGADDRESS: Mail To: TELEPHONE NUMBER: 250 0� ka Board of HealthTown of Barnstable CONTACT PERSON: v0 P.O. Box 534 EMERGENCY CONTACT TELEPHONE NUMBER: Hyannis, MA 02601 TYPEOFBUSINESS: Does your firm store any of the toxic or hazardous materials listed below, either for sale or for you own use? 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 otherthan 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. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity Antifreeze(for gasoline or coolant systems) r✓o Drain cleaners NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants jLto _ Engine and radiator flushes ---Pzo Road Salt (Halite) _/,/0 Hydraulic fluid (including brake fluid) Refrigerants a o Motor oils Pesticides NEW USED (insecticides, herbicides, rodenticides) _ Gasoline, Jet Fuel 4✓_( Photochemicals (Fixers) _1�1/0 Diesel fuel, kerosene, #2 heating oil NEW USED _,lo Other petroleum products: grease, ---�- Photochemicals (Developer) lubricants, gear oil ' NEW USED NO Degreasers for engines and metal c-�o Printing ink &,2 Degreasers for driveways & garages 0o Wood preservatives (creosote) �, Battery acid (electrolyte) Swimming pool chlorine Rustproofers Lye or caustic soda _ Lyc; Car wash detergents Jewelry cleaners z�c� Car waxes and polishes Leather dyes ), Asphalt & roofing tar _ Fertilizers Ap Paints, varnishes, stains, dyes PCB's �c � Lacquer thinners Other chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride) .Paint &varnish removers, deglossers - -�' Paint brush cleaners —� Any other products with "poison" labels (including chloroform, formaldehyde, P Floor& furniture strippers hydrochloric acid other acids) Metal polishes q< Laundry soil & stain removers Other products not listed which you feel (including bleach) may be toxic or hazardous (please list): A// o Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents g� Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS 1� f Health Complaints 27-Jan-06 Time: 1:30:00 PM Date: 7/6/1999 Complaint Number: 1940 Referred To: EDWA.RD BARRY Taken By: EDWARD BARRY Complaint Type: ARTICLE XXXIX HAZARDOUS WASTE Article X Detail: Business Name: MAGIC TOUCH Number: 31 Street: THORNTON DRIVE Village: BARNSTABLE Assessors Map_Parcel: Complaint Description: WASHING OF ENGINES AND CARS WITH SOAP AND DETERGENTS Actions Taken/Results: TALKED TO OWNER AND HE SAID HE WAS NOT WASHING ENGINES AND IS NOT USING ANY SOAP OR DETERGENT WITH WATER NON CARS. I GAVE HIM A WARNING NOTICE TO CEASE AND DESISIT THE WASHING WITH SOAP OR DETERGENT. Investigation Date: 7/6/1999 Investigation Time: 3:30:00 PM 1 Date: -7 TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: BUSINESS LOCATION: 31 INVENTORY MAILING ADDRESS: If TOTAL AMOUNT: TELEPHONE NUMBER: S s -790- 9 01E -1L'7• �5 CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: D - 36 - 3('7 MSD ON SITE. . TYPE OF BUSINESS: �C INF RMATION/RECOMMENDATIONS: CA Fire DI i2ne sys NtAa,7 - orn - cq, _T ',see- 61 e_ t1v�n e �01 _ Waste Transportati ast shipment of hazardous waste: S-� Name of Hauler: Destination: �- Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 11'1 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 (elect-olyte)/Batteries Lye or caustic soda Rustproofers Misc. Combustible 3� 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, ZA 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 ®� 0 Q aw (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 TOWN OF BARNSTABLE ti,190M DANCE: CLASS: 1.Marine,Gas Stations,Repair 2.Printers BOARD OF HEALTH O satisfactory 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY/« (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS av (r 1^t;j Glass: 7.Miscellaneous Gwvlo 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 ails: 3-ss x waste notor oil(C) new motor oil(C) l c-S D� transmi 3sion/hydraul=,c Syntheti•: Organics: degreasers Miscellaneous, s=19 p� y_s of (&vA,)&1 cca,it _ sofa 5 DISPOSAIJRECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply 1A EM 0 92 16 ILO � °/�` J o s-ta O\Town Sewer OPublic Se e '41 f-0-f Q/,L q%4p,31�-A O On-site QPrivate 1,4'5 O f (9 � . o f tir�ic6 - e"emu ta J . 3. Indoor Floor Drains YES. NO v � �� O Holding tank:MDC_ CIO-0 cl� IV C144 O Catch basin/Dry well O On-site system 4. Outdoor Surfaca drains:YES NO ✓ ORDERS: O Holding tank: MDC 4L4�,, d-.C/ -L4 A4auAr'& f 00, I�r�F10� O Catch basin/Dry well 1-.eii its „�o &,it,� � O On-site system 5.Waste Transporter Name of Hauler Destin,atioh Was o'd YES � NO C. 2. Al Person (s) Interviewed Inspect r Date TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTTJ 0 satisfactory 2.Printers 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPA_'VY ' (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS Class: 7.Miscellaneous o TITIES AND STORAGE (IN=indoors; OUT=outdoors) MAJOR MATER�S C se lots Drums Above Tanks ,. , N YA IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Die3el, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: c6;-rof�/ DISPOSAIJRE(;LAMATION REAU„ : 1. Sanitary SewG e 2. V ater Supply �4�Dpfiilc O Town Sewer Public O On-site a OPrivate Q 3. Indoor Floor Drains YES NO O Holding tank: MDC c O Catch basin/Dry well O On-site syste-n 4. Outdoor Surface drains:YES NO ORDERS: ).� 0 �75061 a O Holding tank: MDC O Catch basin/Dry well - O On-site syster_i 5.Waste Transporter Name of Hauler Destination Waste Product Ucense6 YES NO 2. Person(s) Interviewed �'� Insp c o Date i TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH O satisfactory 2.Printers 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY (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 Fuels: ' i Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic �. Synthetic Organics: degreasers Miscellaneous: DISPOSAL/RECLAMATION RE JM/}ARKS: 1. Sanitary Sewage 2. Water Supply INl( l O Town Sewer C Public u /� ["% �� ( ( O On-site /OPrivate v r 41", 3. Indoor Floor Drains YES NO Q Holding_tank:MDC ` Y O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: �/l Q Holding tank: MDC O Catch basin/Dry well ;r lr_1, , J ' f O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product YES NO 1. 2. ` � u Person (s) Intervie;ved Inspector Date Date: -7 / NIOLl TOWN OF BARNSTABLE -TT&iCANDHAZARDOUS MATERIALS ON-SITE INVENTORY 0 . NAME OF BUSINESS: BUSINESS LOCATION: INVENTORY MAILING ADDRESS: �r TOTAL AMOUNT. TELEPHONE NUMBER: ®S - -790- 901 9 �• l0'!75 CONTACT PERSON: �R EMERGENCY CONTACT TELEPHONE NUMBER: D _ z?6 - - MSD ON SI;. ,TYPEO FBUSINESS:INF RMATION/RECOMMENDATIONS: Fire DI .� asll 5 . A16 o 2"aAP-,e- 0- 'J5i4e O-" Cue v(.cC-S"—�.SC.� ve kA d4 �. 0A n� ;c_ Waste Transportati . ast shipment of hazardous,waste: Name of Hauler Destination: Waste Product: Licensed? .Yes No M 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) a 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, herbicildes, 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 removers (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers I Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS f_ Hazardous Materials On-Site Inventorylinspection For ALL Shops and Businesses in the Town of Barnstable DBA: Location: 3` -D y Date: 3� a Z Physical Features to Inspect: Hazardous waste generation sites (production/manufacturing areas): Waste storage areas: Satellite accumulation points throughout: '' HazMat stored outdoors — CHECK OUTSIDE: �) Shipping and receiving areas: CIO °�-- 1 Run down of shop activities: Housekeeping practices: C Scd-aaQ `Z. 54A HazMat On-Site Inventory/Inspection: Records to Review for SQGs and CESQGs DBA: Location: Site visit date: • Hazardous Waste Manifests: S S • Employee training documentation (if required): • Hazardous substance spill control and contingency plan: c • MSDS on site? • HazMat Inventory records (if applicable): c/ • HazMat Waste Shipping documentation: �J • Spill records (if applicable): I ti 10, f. ate. s d ..•., i•p. pay,. 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" v rJr w. n . �+'�' 'Z.S• .,. � ��. ,�a 4,.®r _ c $ 'y+° a s - ki - rr fF .� k=7 � r 7,ui-�-`.-a.- a�a+a�'{•� d fw.,,2,.FL .•e+r .,3--. x �� F. � � .".'� u �� ' �es��5 e rvice•r$es dP�ices =' -�` :©o 'oo`FM :K16 e : 50$ _775s_6.575 _ J; , , E 1.19 m � r + a I ,{ HA , x b • d �r � �$g � a.c•� •k��� �� �{ ��y"t f ...$ :ate,`. ^ P r w� , J -0k .?S�• r_*z.$Y"" t Ack n '.�`dY' +', .. te a• r. b N .,' c "�` "` '" � " ' J"£awl �' _ n '"'a'a •. '� �� � 'ro"" �"��•t5 �� x�. ,s� ��� g$ a � i --lMar,11oN ��,) fl y Date: 0_�S . 11-qq TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: gAigOVY iguIO BUSINESS LOCATION: 3 1- _��%© rJ�� ► :PI, /✓�//�' MAILING ADDRESS: 'S(A4A t? Mail To: TELEPHONE NUMBER:15� _)96. 9.3:77 Board of Health Town of Barnstable CONTACT PERSON: ' �/ r' P.O. Box 534 EMERGENCY CONTACT TELEPHONE NUMBER: ZA , 7 2 1757 Hyannis, MA 02601 TYPEOFBUSINESS: At `110 2P_`i Ai)_S &4 Does your firm stgrean y of the toxic or hazardous materials listed below, either for sale or for you own it use? 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. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity Antifreeze(for gasoline or coolant systems) Drain cleaners NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) i Hydraulic fluid (including brake fluid) Refrigerants Motor oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED Other petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine Rustproofers Lye or caustic soda Car wash detergents Jewelry cleaners .5,,z,.Car waxes and polishes Leather dyes Asphalt & roofing tar Fertilizers 4L Paints, varnishes, stains, dyes PCB's ,+A- Lacquer thinners Other chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride) Paint & varnish removers, deglossers Paint brush cleaners Any other products with "poison" labels (including chloroform, formaldehyde, Floor &.furniture strippers hydrochloric acid, other acids) Metal polishes Laundry soil & stain removers Other products not listed which you feel (including bleach)I may be toxic or hazardous (please list): L Spot removers & cleaning fluidsT_ ��� �41- i is ��E ,5 (dry cleaners) Other cleaning solvents -LaL. Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS 33 TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair 2.Printers BOARD OF HEALTH O satisfactory 3.Auto Body Shops y O unsatisfactory- 4.Manufacturers COMPANY Z / ee"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS 31 Class: I 7.Miscellaneous kis QUANTITIES AND STORAGE (IN= indoors;OUT=outdoors) MAJOR MATERIALS ove ,. - 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) 5� new motor oil (C) ' transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: Add 3 - DISPOSAIJRECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply k, 6-- ti G O Town Sewer OPublic O On-site OPrivate 3. Indoor Floor Drains YES N0A' O Holding tank:MDC O Catch basin/Dry well O On-site system - 4. Outdoor Surface drains:YES / NO ORDERS: O Holding tank:MDC !d+ d oll- 0 Catch basin/Dry well - O On-site system bt .t7 5.Waste Transporter Name of Hauler Destination Waste Product ', YES NO 1. 2. Perscn erviewed Inspector Date i TOWN OF BARNSTABLE BAR-W Ordinance or Regulation WARNING NOTICE Name of Offender/Manager f �` .// Address of Offender , '1 t'J fOrffr��, , ��lr MV/MB Reg.# Village!State/Zip �`r� �f E�;11 / �i!� ( ��"'1/� .( s / i �J Business Name am/Pm�, on 19 1 Business Address Signature of Enforcing Officer Village/State/Zip ✓ t( ro �;� ) 0JNY � Location of Offense J Enforcing Dept/Division S11 , , Aj Offense ` / j{:f ' r` /;. > �f } '` �}� �^ Facts This will serve only as a warning:, At this time no legal action Chas b'eenr taken. It is- the goal of Town agencies to achieve voluntary compliance of Town Ordinances; Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) I A , ,- m / �C(:J IL DATA TOWN OF BARNSTABLE BAR-W Ordinance or Regulation WARNING NOTICE Name of Offender/Manager Address of Offender MV/MB Reg. # Village/State/Zip Business Name am/pm, on 19_ Business Address Signature of Enforcing Officer Village/State/Zip Location of Offense Enforcing Dept/Division Offense Facts This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. TOWN OF BARNSTABLE BAR-W 450 Ordinance or Regulation ' WARNING NOTICE 0 Name of Offender/Manager ��_ Address of Offender ' MV/MB Reg.# Village/State/Zip `r' �� ' f i Business Name am -on +f '� 19 . Business Address t Signature of Enforcing Officer Village/State/Zip Location of Offense Enforcing Dept/Division Offense Facts 1 � This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. FOR �'� DATE/'7TIIVIE� A M . . O F - S�H4f�{�C1 PHON1,03 # AREA CODE NU BER NSION �"WfUNI M MESSAGI'LlE I fiGl�#N Ck1UlE 0 _. � EYC111 • WA�i�'S 1'Et.; • S��YCJU , SIGNS ` TOPS MRM4003 Nt i ES Y s TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1. Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH _ 3.Auto Body Shops {, o 1 I i unsatisfactory- 4.Manufacturers COMPANY VJ � rJ► (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS 2,1 r C1SSS: 7.Miscellaneous I QUANTITIES AND STORAGE (IN=indoors; OUT=outdoors) MAJOR MAT91LAALN4j)6 Case lots Drums Above' Tanks' Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline, Jet Fuel (A) i� Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers i Miscellaneous: V D YGOI PAK135. DISPOSAIJRECLAMATION AEMAR.KS: 0 1. Sanitary Sewage 2. ater Supply l/ 1A C Q Town Sewer <S XPublic S On-site OPrivate 3. Indoor Floor Drains YES' N0 m �► O Holding tank"MDC )(— rl_t j O Catch basin/Dry well J5 O On-site system 1 r, 4. Outdoor Surface drains:YES NO O DE S: Holding tank: MDC ' 7-Catch basin/Dry well On-site system I I r r� 5.Waste Transporter Name of Hauler 1 AC YES NO 1. 2. rson (s) Interview d Inspector Date � t - "`' OF BARNSTABLE _ .. BAR W 7450 TOWIC , Ordinance or Regulation WARNING NOTICE Name of Offender/Manager 1 Y� /MB Re g. Address of Offender 1 Village/State/Zip aa(/pm,;' on l 19 Business Name - �? Business Address S'gnature of Ernforcii�g Officer Village/State/Zip 01 V!Le Location of. Offense l ' (,i��t-1V % h'` r i _ Enforcing ep Division Offense Facts ��-- ., /!�.'C.L/� ,•� /t3 � � x'-/�•''. ��if1' JV f`.Jl .1 I This` ll serve only as a warning.; At this time no legal action s en taken. goal of Town agencies to achieve , voluntary comp iance of Tare E own It i the. g warning-, notices Ordinances* ,Rules and Regulations. Education efforts and warnin , not ,. compliance. Subsequent violations will, result in attempts to gain voluntary, appropriate legal action by the Town. TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair 4satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops o P1 unsatisfactory- 4.Manufacturers COMPANY a �f�� (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS Class: 7.Miscellaneous Ja 0)S QUANTITIES AND STORAGE (IN= indoors;OUT=outdoors) MAJOR MAT IALS 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: It f UK L2 Eli r11000, .� LK ff) . 6iT DISPOSAL/RECLAMATION AEAL RKS:N Via o p r'1 re-,5 '� I to U / , 1. Sanitary Sewage 2. Water Supply O Town Sewer Public t E 11WS . On-site OPrivate 3. Indoor Floor Drains YES—NO)(- 0 Holding tank: MDC O Catch basin/Dry well .S O On-site system LoO S 4. Outdoor Surface drains:YES NO O DE SS: � Holding tank: MDC ��, Catch basin/Dry well On-site system 0 5.Waste Transporter Name of Hauler Destination Waste Product'r ;"IMOI_� YES NO 1. 2 Al t)ftlA Al Lu ' rson (s) Interv-ew d Inspector Date R HOLLY MANAGEMENT & SUPPLY CORPORATION 297 Nortli Street Hyannis, Massachusetts 02601 (508) 775-9316 PAX (508) 775-6526 August 10, 1995 Ralph Crossen, Building Commissioner Town of Barnstable 367 Main Street Hyannis, MA 0260:1 Dear Mr. Crossen: Regarding 31 Thornton Drive, the long yellow building ;second on the lef the history of this building is varied. originally, it was used for ice and fish processing for Cape Cod Ice and then for produce . This was on the first half ; the second half had varied uses . There was an auto body shop and an engine repair shop in the next bay over. They eventually merged. There was, I believe, Murphy's Auto .Body and, at one time, a tire store. The auto body shop did full. auto body fiberglass work and all kinds of metal work. There are still remnants there since they left . The apace has been empty for a couple of. years . I have owned the building for about three years and kicked them out when T. took. over because of: the mess there. This has been the historical use of the building. There: may have been other uses, but I am not aware of them. This is for your information only. Kindly, Stuart A. Bornstein SAB:j k 2 d Wd ec:b 96E1 'et '-in :731 W�J�Id i The Town of Barnstable •AMSTASM 9q� "9 � Department of Health Safety and Environmental Services 10rFo Mop" Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-5230 Building Commissioner July 30, 1996 Re: 31 Thornton Drive,Hyannis,MA To Whom It May Concern: Please be advised that the use of the above referenced structure for auto body and mechanical repairs is a preexisting non-conforming lawful use and may continue. Only an expansion of this use or a change of use will require municipal review. Sincerely, G L Ralph M. Crossen Building Commissioner RMC✓km r r Town of Barnstable Building Department Complaint/Inquiry Report Date: / — - G Rec'd by: Assessor's No.: Originator Naine: Street: V llage: State: Zip: Teleplione: D/E 1 Complaint Description: ' i PARTITION WALL N CENTER HAS BEEN REMOVED. Inquiry 0 Description: For Once Use Only "Map 296-007 TIME 3 :30 P.M. Inspector's Action/Comments Date: January 2, 19 9 6 Inspector. R H Weston Inspected above property being used for vehicle repair 1. wiring to lift #2 9 ton presently wires with nm cable being used. 2. Flourescent li is (two) wired with ex ension cord and nm cable. Owner will be required Follow-up to rewire necessary subject items as per Article 511 of the Mass Electrical Code for safety and hazard Action LETTER TO BE SENT BY BUILDING DEPARTMENT.. Additional Info. Attached Copy Distribution ggLite-Depamnent Fde I elloW-Inspector l �r TOWN'-OF BARNSTABLE BAR-W 03 ".� Ordinance or Regulation WARNING NOTICE Name of Offender/Manager � 7[) Address of Offender ( t� / 'fit �JG 111 Y 0.1111�v MB Reg.# p Village/State/Zip , . oa, /> ' / Business Name 0pm; on /� 19 Ar Business AddressV7;b-AAAo Si nature of Ernfor is Officer Village/State/Zip Location of Offensej � / Q�M�/ nforcing/�Dept/Div'ision Offense ( A0 cj o� �.. y 1h(5'� �1;5A o)"Di- .Facts m ?h 'NOS MA! . / k °' (XWS u/lV/ / 1( f r )0 �f Ire 91"') r N fC`3 'l' (.� !, This will serve n only as a war "ing. A Ri this time o legal. action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent ,violations 'will result in appropriate legal action by the Town. � 1 G , �' �� TOWN'rbF BARNSTABLE BAR-W 423 /1? ((C% Ordinance or Regulation 1�: WARNING NOTICE -76 Name of Offender/Mane er `--f1" ) g � ) J1 �f� Address of. Offender ! -(i0!o ?00t 6 t , '�•,� Y t,/A/•-MV/MB Reg.# AA Village/State/Zip Aw M S ji A 0 c4 ifs' � 4 / Business Name �� 1 am �pm,,/'on ,I l-) 19-1 Business Address lL`' �,��"0 ',4° I : Signature of /En/for-6 ng Officer. Village/State/Zip , Location of Offense k /l t ( J ) � 1 !� o f �/`� En`forcing Dept/Division Offense .lt I _ 1 - "� a '" G l I,�(5A ff ..Facts II� Y ,1 .. ) t.! .. /N NN This will' serve only as a warning. At this time no legal action has. been taken. It is , the :goal of Town agencies to achieve voluntary compliance .of Town Ordinances, -Rules and Regulations. 3,Education efforts and warning notices are attempts to- gain voluntary. compliance. Subsequent violations will result in � approp J atej,legal "action by the Town. ' Poll X / TOWN OF BARNSTABLE BAR-tW 423 q Ordinance or Regulation WARNING NOTICE _rr t Name of Offender/Manager !i� ``> ( �'. - ' Address of Offender J � � f c t: fr i )AJ J Vit I/P MV/MB Reg.# Village/State/Zip ! it I .! J`, t / ,^ ( r) ! _ / Business Name , - !(94"m/,pm, on "ic 19t Business Address � � x Signature of Enforcing Officer- Village/State/Zip Location of Offense Enforcing ,Dept/Division Offense '.) ' �' ` fft^ t 1l)tj ,11 )1 1+ ' Y Factslit 1 ,'i• t _ ff ^� f � r This will serve -only as---a warning. At this time no legal action has 'been taken. It is the goal cf Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulation's. :yEducation efforts and warning notices are attempts to gain voluntary , compliance. Subsequent violations will result in appropriate legal action by the Town. ' s , ./ti r,'{ s b�` sty �. "•�. ?`..��. � ::.� A TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1. Marine,Gas Stations,Repair BOARD OF HEALTH O satisfactory 2. Printers 3.Auto Body Shops O unsatisfactory- 4. Manufacturers COMPANY L U6� OIL (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS :3 e 81-740P Aj-!Vd bJ�- :lass: 7. Miscellaneous �-'� (Af1C1 5 QUANTITIES AND STORAGE (IN= indoors; OUT=outdoors) MAJOR MATERIS IN OUT IN OUTI IN OUT I#&gallons 777 Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil(C) f i rL j ' s fir, transmission/hydraulic It 11 Synthetic Organics: degreasers I Miscellaneous: l F•L N-n 1 4 ���, DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply O Town Sewer OPublics O On-site OPrivate - 3. Indoor Floor Drains YES NO „ O Holding tank:MDC O Catch basin/Dry well �� r 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 na66.h 11�aste Product Licensed?, 1. YES NO 2. Person (s) Interviewed Inspector Date TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1. Marine,Gas Stations, Repair BOARD OF HEALTH O satisfactory g.A Body Shops ll O unsatisfactory- 4.Manufacturers COMPANY l ur/a-/P (see"Orders") 5.Retail Stores 1 6.Fuel Suppliers ADDRESS 31 g_1740rZAJ1Zk1 bK- Class: 7. Miscellaneous QUANTITIES AND STORAGE (IN=indoors; OUT=outdoors) MAJOR MATERIALS Case lots I)rums Above Tanks, Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels. Gasoline,Jet Fuel (A) 1 � ' Diesel, Kerosene, #2 (B) Ik Heavy Oils: ' w,aste motor oil (C) " ���.. new motor oil (C) transmission/hydraulic Synthetic Organics degreasers... . ) { (( t Miscellaneous: n DISPOSALIRECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply O Town Sewer OPublic 0 . U O On-site. OPrivate�-.��:_ _-�� _ 3. Indoor Floor Drains YES • NO O Holding tank:MDC O Catch basin/Dry well Bch O On-site system &�3uA— 4. Outdoor Surface drains:YES NO ORDERS: ; 0 Holding tank:MDC ` O Catch basin/Dry well O On-site system z 5.Waste Transporter Name of Hauler Destination Waste Product 1. �. YES NO 2. . . d i Person(s) Interviewed Inspector Date TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF FIRM: MAILING ADDRESS: n�YL � TELEPHONE NUMBER: CONTACT PERSON: .lpp !jl ` i Does your firm store any of the toxic or hazardous mater ais 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 A'IATERIALS 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 gasline or coolant systems ) \.)Refrigerants ��or iV\ v"1ac�iy Automatic transmission fluid Pesticides (insecticides, ,gene and Radiator flushes herbicides,rodenticides ) 1/Hydraulic fluid (including brake fluid) Photochemicals Motor oils/waste oils Printing Ink gu�' nef Jet fuel Wood preservatives iese fuel, Kerosene, #2 heating�il (creosote) Ot er petroleum products: grease, Swimming Pool chlorine lubricants Lye or caustic soda Degreasers for engines and metal Jewelry cleaners Degreasers for driveways & garages Leather dyes Battery acid (electrolyte) Fertilizers (if stored Rustproofers outdoors ) Car wash detergents PCB' s Car waxes and polishes Other chlorinated hydro- Asphalt & roofing tar carl�ons, ( inc.carbon Paints, varnishes, stains, dyes tetrachloride) Paint and lacquer thinners Any other products with Paint & Varnish removers, deglossers "Poison" labels (including Paint brush cleaners chloroform, formaldehyde, Floor & Furniture strippers hydrochloric acid, other Metal polishes acids) Laundry soil & stain removers Other products not listed (including bleach) which you feel may be Spot removers & cleaning fluids toxic or hazardous (please (dry cleaners) list) : Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners r� Drain cleaners . Toilet cleaners Cesspool cleaners Disinfectants Road Salt (Halite) TOWN OF RARNS�FARLE BOARD. OF HEALTH CONTROL OF TOXIC AND HAZARDOUS MATERIALS - INSPECTION SHEET FIRM . ADDRESS JYY w\S f 2_ `r Major types of materials: � yp 1 ti) 3VI f s 4) o. f5 6) I. Description of material(s) use: ere II. Storage (denote product by number listed above) A. Containers metal glass paper plastic cans,bottles,jars drums,barrels aboveground tanks underground tanks bags,boxes open,loose,uncovered inadequate labelling B. Storage Facility Vor # Remarks/Recomment." .ions 1. Indoor a) separate, contained room b) stored in general work area _j a l^ 4- i) inadequate ventilation v CSC u ii) floor drains iii) inadequate fire protection 2. Outdoor C a) uncovered, exposed to weather b) pervious surface/catch basins III. Disposal A. Reclamation/Recycling unit B. On-site disposal 0 1. Town sewer l 2. Regular septic system 3. Separate holding tank C. Off-site disposal 1. hauled by own firm 2. hired hauler a) name of hauler b) address or disposal site Person(s) Interviewed _ _ _ _ _ _ Inspector — _ t Date - - �� 6 30 81 °Ft rokti Town of Barnstable Office:508-862-4644 °* Public Health Division Fax:508-790-6304 B"RMASS. 200 Main Street• Hyannis, MA 02601 1639. �ArED MP'�p`0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: OeLv9s - Date:2 -- ✓L/— Location/Mailing Address: 1 Contact Name/Phone: --� aVN n- .Sa h ga 406'— -2 9a— J J>`7 j Inventory Total Amount: MSDS: License#: ILA) Tier II : A/8 Lab lino: kkO Spill Plan: Oil/WaterSeparator: Floor Drains: Emergency Numbers: Storage Areas/Tanks: 1it-1fCCZZ Emergency/Containment Equipment: 'T:Y Waste Generator ID: Waste Product: P,uo s)--I'rl On, ' ie-e',�rw Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: W&-g rs•a I LIST OF TOXIC AND HAZARDOUS MATERIALS 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 requires a license from the Public Health Division. L Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers 1 Hydraulic fluid (including brake fluid) Windshield wash 6 i 1, Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides �Q Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: �.� � —1 �Q �s��pu �j �.p �. n J%d - �►� ORDERS: INFORMATION/RECOMMENDATIONS: 6' 17, J tAAA Inspector: Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY- BUSINESS 6-6 IKE TOk4• Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BAR 338LE. Kg` 200 Main Street• Hyannis, MA 02601 .659.a,0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rF°MAy Business Name: Date: �� ! �P Location/Mailing Address: ikk Contact Name/Phone: Ord Inventory °Total Amount: " q0 . 0 SDS: q46 License#: 061 Tier II : O Labeling: ,.J Spill Plan: Oil/Water Separator: q e _ Floor Drains: a Emergency Numbers: Storage Areas/Tanks: Emergency/Containment E uipment: L S Waste Generator ID: Waste Product: (��C Date&Amount of Last Shi ment/Fre uenc : rx t-e Licensed Waste Hauler&Destination: 110 e- Other Waste Disposal Methods:U, ' O Ise( (.4i rcc I a%'mt co— LIST OF TOXIC AND HAZARDOUS MATERIALS 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 requires a license from the Public Health Division. �.0 Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil J6 Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish;removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) . VIOLATIONS: no 1/e al(d f 0 ORDERS: INFORMATION/RECOMMENDATIONS: t 1 ) e 4-0 ` wGtS �Wle,r u P v�� n�^'�' ►' Inspector: zh SOS 04- 5P6AO / f!&YN Facility Representative: WHITE COPY- HEALTH(DEPARTMENT/CANARY COPY- BUSINESS h TME f°{y� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMST�BLE.$' 200 Main Street• Hyannis, MA 02601 p 1639.A�0 'EDMA+ TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: Ado I'e,r-t�rriu-� Date: � lZ /7 Location/Mailing Address: 3► A 444W TS / c.tis�aJol Contact Name/Phone: �1�.,., S,I v �R--19 D-3�31 c�o9-2.42- 18'7.I Inventory Total Amount: 0 wl SDS: 1.Z"^�"� S�'� � License#: l0tb7S �Ak 1 Tier II : Labelina: Spill Plan: ye s Oil/WaterSeparator: Floor Drains: IDS ,p Emergency Numbers: '!eS Storage Areas/Tanks: - o Emergency/Containment Equipment: A-e— -r 5 8ce.,�\S<y Waste Generator ID: Waste Product: 0.1 Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destinat' n: Other Waste Disposal Methods: a �1 s u-ox ciLLvw� erJ� ova LIST OF TOXIC AND HAZARDOUS MATERIALS 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 requires a license from the Public Health Division. ti Antifreeze 1+1 Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Z k-1 Motor oils oS Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants 1 Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants 20 �1O 1 Degreasers for engines&garages% Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Atrco5vl5 I Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: 0 155005 a 15 Inspector: Facility Representative: Vr WHITE COPY- HEALTH DEPARTMENT/CANARY COPY- BUSINESS oFi►+e r Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMSTSAS.BLE. • 200 Main Street• Hyannis, MA 02601 �iO�FDMA�A`�� TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: �A, Z-C or Date: Location/Mailing Address: :3 l o ,s <04sm 5+a,6te- Contact Name/Phone: r-I I 00 -2 2- g71 Inventory Total Amount: 5ez 4%okes MSDS: 1�eS License#: I oto� Tier II : if ti 50�a Labeling: Spill Plan: *Ye-5 Oi[/Water Separator: MIA Floor Drains: 1�1 o Emer e c Numbers: Ye,S Storage Areas/Tanks: 0 11 VJJ I L5 ��� �k5k-e— &A W — A--c'kV1,54A-<< v as . Emergency/Containment Equipment: < v A A1e- Waste Generator ID: v DAD 19125V�?\ Waste Product: 41 Date&Amount of Last Shipment/Frequency: 3 I to 1 ID a a I - 0A0 A, Licensed Waste Hauler&Destination: fA 1 Other Waste Disposal Methods: S •(, kS ctGc VA - -Ito elrerR'�o w�v� �coS LIST OF TOXIC AND HAZARDOUS MATERIALS - 10444/Ky 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 requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil&stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: Inspector: I ' L-a A t Acir Facility Representative: ' WHITE COPY- HEALTH DEPARTMENT/CANARY COPY- BUSINESS k JOHN SALVA 1 1292-1871 In the annual schedule,the heahh department inspector bad kspected 3IA thornton drive,Hyannis ma 02601. The inspector;found everything in perfm working order accordingly with his deWtment. In the same penod,I had applied for a credit of line for an eventually business ewes Of`equipment upgrade,then I had find that the buses certificate hIad expired,and that was one of the requirements for the trade be qualified Whets I approached to the town halt to renew the business certificate,the location had a wrie restriction. This restriction was hazard restriction. To comply with the hazard quantity,I had to remove all of Mess that I used to hoW at this location,with a consistent of 55 gallons of o oil and enoy barrels to the waste dIW had been gamed that period,until to ' 'Y mil. This cycle was repeated every 3 to 4 months a year. As this present day,I no #Ire wed quantity. List of product and quantity Hand soap I Gales Hand cleaner I Gallon Cleaner degreaser t Antifreeze 2 Gallon � r Windshield wash 2 Galloni Motor oil 6 Gallon Brake clean I Gallon Gear oil I Gallon Power steering fluid t Hydraulic fluid I Gal Transmission fluid 1 Won h � 3 Toilet cleaner I Gallon `} _ 'A Muptupose grease I Gallon '�� _- s Lubricates fluid I Gallon Brake fluid I Gallon Car'biuutor cater I Gall The total -go to be Tess the half from"the above list qurfity,because some use more or less other and replace never occur at the same time. 3!A TPKMNM ORPA HYANW,MA 0360 Wow. Q tlt a ►» R"ZffAX(50) O-U31 ,� IIK*E►opt Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARNSTABLE. MASS. g. 1 200 Main Street• Hyannis, MA 02601 i63 9 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT lED MA'S A Business Name: X o Date: i o 0 if Location/Mailing Address: 31 A777M&t D Contact Name/Phone: �Ll o S --7 Inventory Total Amount: " l 10 qa-� MSDS: I eS License#: 0(o3 Tier II : o Labelino: 15)(—' Spill Plan: YeS Oil/Water Separator: ►.1 Floor Drains: t-1 o Emergency Numbers: _Ye.S _ Storage Areas/Tanks: y —SS- al zokS PA/ Da\�ek5 A w o• a%&A-%Cc 6A6+, 2 Emergency/Containment Equipment: 1k 4 5,t-e.- Waste Generator ID: 0 1 aste Prod ct: p A =t Date&Amount of Last Shipment/Frequency: 1 o S yo e i Is Licensed Waste Hauler&Destination: 605 ° v� ,�1 7 �,1 wec v?- o� i s o �►J� Other Waste Disposal Methods: wk5k.s?Q 2A a'M4 LIST OF TOXIC AND HAZARDOUS MATERIALS 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 requires a license from the Public Health Division. Sx25 Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers —�� Hydraulic fluid (including brake fluid) Windshield wash k 1-6-t2 Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants / Miscellaneous petroleum products: Road salts J grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform,formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: *t C C2 0 C �c,� e t vt, v D v�5 aJ� -k A 1 Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS I r Date: 6 12Y / 13 TOWN OF BARNSTABLE ., � TOXIC AND HAZARDOUS MATERIALS FORM NAME OF BUSINESS: 'f 'o BUSINESS LOCATION: 31Q�iotv�-{-ov., l�t-. , �)14V1 INVENTORY MAILING ADDRESS: saves— TOTAL AMOUNT: TELEPHONE NUMBER: �S --79o- 3�2-31 CONTACT PERSON: oh,,.. 57< <\/o- EMERGENCY CONTACT TELEPHONE NUMBER: Cc,// -2g2- 1 2�71 MSDS ON SITE? TYPE OF BUSINESS: a,)+-e vKa Yes INFORMATION / RECOMMENDATIONS: 4 Fire District: s6p ✓►'laNc_ s�r�c 4-o Vex-y �o4s+;e mgt4 �Gg--S 47o( /. "t<-' F-�ya,ah,� si+e_ — �)asfe--. 0, 1 A44A,Vests a)(e Q%Arl-A1ole. Waste Transportation: JA\JS0B?RD3�3 Last shipment of hazardous waste: I lb 13 Name of Hauler: f,.)Pst��•ti t Destination: 41 KC.0Ir., 9-T- Waste Product: bj&6te- a, I 4- arit-,Feeeee— Licensed,?^fl9 No K I A.0cao<00025-'� 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 / Maximum Observed / Maximum Anti reeze (for gasoline or coolant systems) Miscellaneous Corrosive 113 2 NEWAS CAUSED 53' Cesspool cleaners - Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Z Hydraulic fluid (including brake fluid) Refrigerants Mo or Oils / Pesticides NEW60 Cd USED S? (insecticides, herbicides;rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Photochemicals (Developer) Miscellaneous petroleum products: grease, { 13 lubricants, gear oil ❑ NEW ❑ USED 2, 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): Metal polishes s I I c e n x- Laundry soil &stain removers (including bleach) ,r� Spot removers&cleaning fluids (dry cleaners) Q vi j Other cleaning solvents Bug and tar removers o►1 stiR— , 1 n Windshield wash s WCcS{-2 Sfvf ale-�X� WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initial Number Fee 1063 THE COMMONWEALTH OF MASSACHUSETTS $50.00 Town of Barnstable Board of Health This is to Certify that Auto Performer .-----------................................••---............---.............--.....------......---------------------------..---- 31A Thornton Drive, Hyannis, MA .----------------------------------------------------------------------------------------------------------------------------------------------------------------------- Is Hereby Granted a License For: Storing or Handling 26 - 110 gallons of Hazardous Materials. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- Restrictions: .------------------------------------------------------------------------------------------------------------------------------------------------------------------. This license is granted in conformity with the Statutes and ordinances relating there to, and expires 06/30/2021 unless sooner suspended or revoked. ---------------------------------------- JOHN NORMAN DONALD A.GUADAGNOLI,M.D. 07/01/2020 PAUL J.CANNIFF,D.M.D. THOMAS A.MCKEAN, R.S.,CHO Director of Public Health Town of Barnstable Inspectional Services BARNSTABLE Public Health Division = , 5 639- L tSB?NNAS 4BLE • R Thomas McKean, Director 1639. 200 Main Street, Hyannis,MA-02601 Office: 508-862-4644 Fax: 508 79-6304 ' { APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE c HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY I st-JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 -CATEGORY 2_PERMIT.J J 1 499 Gallons:, „ $1.25,00 CATEGORY3 PERMIT�500 or'more Gallons: $150.00 *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? y YES NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES(25 GALLONS)? YES-' NO. < 4. FULL NAME OF APPLICANT,,, �040 d o y �m+� a�s s "I✓A 5. NAMVOF ESTABLISHMENT: AV r #Oer-,Io!'v+a e1-- 6. ADDRESS OF ESTABLISHMENT: 31 A `Thar-, 3g breve N y6 o i i s MA 02 G 0l 7. . MAILING ADDRESS(IF IDIFFERENT FROM:ABOVEc 8. TELEPHONE NUMBER OF ESTABLISHMENT: Sao 7-10 323 • 9. EMAIL ADDRESS: Jo�n Avtol2er-Ze mer CovVA 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: '• COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE J v N e 18 12 Q:\Application Fonns\Haz Mat-Appli Draft Jan2019.docx Number Fee 1063 THE COMMONWEALTH OF MASSACHUSETTS $50.00 Town of Barnstable Board .of Health This is to Certify that Auto Performer 3IA Thornton Drive, Hyannis,ALL Is Hereby Granted a License For: Storing or Handling 26 - 110 gallons of Hazardous Materials. This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2020 unless sooner suspended or revoked. PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI, M.D. 07/01/2019 JUNICHI SAWAYANAGI THOMAS A. MCKEAN, R.S.,CHO Director of Public Health C Town of Barnstable yA M A- " FTHE Inspectional Services BARNSTABLE Tf1,I WPSC�i NF:. Gs4u=•°-.i Public Health Division =,39-20'4+. sn AS&LE, = Thomas McKean Director - "' y MAS3. $ � f r.:. `l'ArEo �A`m .200-Main Street, Hyannis,NA 02601 1XI , Office: 508-862-4644. Fax;-508-790-6304 •i APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS5 IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS DULY 1st-JIJNE 3Oth). APPLICATION FEES CATEGORY.1 PERMIT 26— 110 Gallons: $ 50 00 v ' CATEGORY"YPERMITm"r11-=499"Gallons:--" 25.00�"-'+`'❑` CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed if payment is not received by July 1st. I 1. ASSESSOR'S MAP AND PARCEL NO. ?—qc A-.,a ODD• 2. IS THIS A PERMIT RENEWAL? V YES NO. IF YES, SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF • GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4: FULL NAME OF APPLICANT: J o n o A Gs S� v� 5. NAME OF ESTABLISHMENT: u �0- 1`er-, c> I' v►1 e�' 6. ADDRESS OF ESTABLISHMENT: 31 A Thor 0 10--1 Drt y-e 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 509 10 32. 31 9. EMAIL ADDRESS: 10. SOLEOWNER: I/ YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME tj ro per o r wi a/`' PRESIDENT ,jor� o cloy s .n1 .5 5 ojvs 292 /O ;rl TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE Juae Q:\Application Forms\Haz Mat App Revised 09-10-18.docx Number Fee 1063. THE COMMONWEALTH OF MASSACHUSETTS $5o.00 Town of Barnstable Board of Health This is to Certify that Auto Performer 31A Thornton Drive, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 26 - 110 gallons of Hazardous Materials. ----------- --------------------------------------------------- -------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2019 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2018 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health eA ow of B nsxable Regulatory ervices of t"e r� Richard V. Scali, Director -�, Public Health Division BARNSTABLE ME. 9 BARNMIMA$ Thomas McKean, Director 1639_ 14 -16 - - - - —-- Main _- rEu�s 200 1v1ain Street,-Hparints;lvLA 02G01�-- Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108,(D HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st-JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26- 110 Gallons: - $ 50.00 19 V S . CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 9-76 '6vna ©® -' 2. IS THIS A PERMIT RENEWAL? y YES_NO. IF YES, SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONINGBUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF • GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: J©A o J a5 S&.1 rS GjVA 5. NAME OF ESTABLISHMENT: AL,A Per f o r rn ei- 6. ADDRESS OF ESTABLISHMENT: 3 I A 7h o l-m jS��j Drile }a y&&v1 + S _M d o26oj 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 540 7?0 9. EMAIL ADDRESS: pe/ kr-wl el- • C cowl ' d 10. SOLEOWNER: V YES_NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: • SIGNATURE OF APPLICANT 4.' DATE_fAAY 2-3 zog Q:\Application Forms\HAZMAT APP 2017 REVISED.docx 'I Number Fee 1063 THE COMMONWEALTH OF MASSACHUSETTS $50.00 Town of Barnstable Board of Health J This is to Certify that Auto Performer , 31A Thornton Drive,Hyannis, MA Is Hereby Granted a License For: Storing or Handling 26 - 110 gallons of Hazardous Materials. ------------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2018 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2017 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Number Fee 1063 THE COMMONWEALTH OF MASSACHUSETTS $so.00 Town of Barnstable Board of Health This is to Certify that Auto Performer 31A Thornton Drive, Hyannis, MA Is Hereby Granted a License For: Storing or Handling.26 - 100 gallons of Hazardous Materials. C�h ------------------------------------------------------------------------------------------------------------------------------------------------------------------- CSJ -------------------------------------------------------------------------------------------------------------------- -------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2018 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2017 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health (cIw ,:t r Town, of Barnstable Regulatory ervices Richard V. Scali, Director Public Health Division BARNemTABLE w er.uw5rnntE•itxreFQe•tmuIT-HI AS STABLE, r Thomas McKean) DirectorM'�"' MASS. A '0rfo +°`0 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 58-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE t'�' HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE'REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st-JUNE 3 Oth)., `yam -7 APPLICATION FEES - CATEGORY 1-PERMIT 26- 1-10 Gallons: -$ 50.00 CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? V, YES_NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS/STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? i/ YES NO. 4. . FULL NAME OF APPLICANT: tJ®Av cl o5 5A✓7!0'5 S 1 f VA 5. NAME OF ESTABLISHMENT: A V l Pe rl o r►m e r 6. ADDRESS OF ESTABLISHMENT: 31 A 7kor 1r', .Drive )IV,4 ,�Y5 MIS 02601 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: - NT—"SCe—j`?-9✓ 9. EMAIL ADDRESS:. i 0�iq ji�b /a uto pefGo r-vo e/` o C n vvt v 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK - 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE Ju tia 0 th J l� Q:\App(ication Forms\HAZMAT APP 2017 REVISED.docx 61. Number Fee 1063 THE COMMONWEALTH OF MASSACHUSETTS $50.00 Town of Barnstable Board of. Health This is to Certify that Auto Performer 31A Thornton Drive, Hyannis, MA - Is Hereby Granted a License For: Storing or Handling 26 - 100 gallons of Hazardous Materials.` ---------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2017 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/2016 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable �t Regulatory Services Richard V. Scah, Director MMSTARM Public Health Division BARNSTABLE a6;q "s o a Ms uemw�a"eaw"ms. p'FO"" a Thomas McKean, Director 1639_2014 200 Main Street, Hyannis,MA 02601 f=.. Office: 508-862-4644 Fax: 508-790-630 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE.WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS _ MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS'JULY 1 st—JUNE 30th): - E APPLICATION FEES 1' CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 CATEGORY 2 PERMIT 111 =499 Gallons: $125.00 11 CATEGORY 3 PERMIT 500 or more Gallons: $150.00 El • A late charge of$10.00 will be assessed if payment is not received by July ASSESSORS MAP AND PARCEL NO. 96 And 00� DATE Ju Ne 15-±& FULL NAME OF APPLICANT: J040 s NAME OF ESTABLISHMENT: A v[a I e/) o r- M r- ADDRESS OF ESTABLISHMENT: 2/ A l l 0V-V? /0-1 D c 1 y e y�y�yl i s A4A 02601 MAILING ADDRESS (IF DIFFERENT): TELEPHONE NUMBER OF ESTABLISHMENT: EMAIL ADDRESS: Jo�►dl �J � erL-o r v�-e�` C c�wi SOLE OWNER: V YES NO - IF NO NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK IF PREPARED BY OUTSIDE PARTY: SIGNA'TU F APPLICANT Name: Company Address Telephone#: Email: Q:\Application Forms\HAZZAPP Rev 16.docx Page I of 2 types Town of Barnstable Office: 508-862-4644 Fax: 508-790-6304 Regulatory Services Department . , „� Public Health Division MASSs'. Thomas A.McKean,CHO i639• 200 Main Street, Hyannis, MA 02601 Payment Receipt Hazardous Materials Payment received: $50.00 (Check) on 6./10/2016Permit number: 1063 Check number: 4518 Check amount: $50.00 Name on check: Auto Performer Business: Auto Performer { ;Address: 31 THORNTON DRIVE, Barnstable { I k Number Fee 315 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that Claudio Auto Repair 31 Thornton Drive, #A, Hyannis, MA Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. --------------------------------------------------------------------------------------------------------------------------------------------------=------------ - --------------------------- ------------------------------------------- ------------------------------------------------------------------------------------------. This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2015 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2014 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health Town of Barnstable' °FTHE T°wti Regulatory Services Richard V. Scali, Director B"'MAS& Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT U.p c .D tob P y+o Kr PwrL NAME OF ESTABLISHMENT CkU.DbD ITV�0 "i>N( ADDRESS OF ESTABLISHMENT PtriiV ! N ,O&y TELEPHONE NUMBER I 540 9-I 75 o 1/1 SOLE OWNER:( YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. / STATE OF INCORPORATION /V FULL NAME AND HOME ADDRESS OF: PRESIDENT . TREASURER CLERK SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS 335. HOME TELEPHONE# 91 36 3 -4\Application FormS1HAZAPP.DGG Please Print or type.(Form designed for use on elite(-2-pitch)typewriter) Form Approved.OMB No.2050.0039 ar UNIFORM HAZARDOUS 1,Generator ID Numbs, 2.Page 1 of 3.Emergency Response Phone 14.Manifest Tracking Number WASTE MANIFEST " .?� '1 ry ( k, 00? 50 JJ K 5.Generators Name and Mailing Address/ v. Generators Site Address(if different than mailing address) {' �1 C>>'• Lr✓ d.Jc� . f NIt•r>;, <e r z Generators Phone: - .�-� 6 - If Transporter 1 Company Name U.S.EPA ID Number WESTERN OIL, !NC. R I R 0 0 0 5 0 0 0 2 5 7.Transporter Company Name U.S.EPA ID Number B.Designated Facility Name and Site Address U.S.EPA ID Number WESTERN OIL,INC. ONE DUCHESS WAY Facility's Phone: 401 727-8 R I R 0- 0,01 5 0 0 0 2 5 ga• 9b.U.S.DOT Description(including Proper Shippimg Name,Hazard Class,ID Number, 10.Containers 11.Total. 12.Unit HM and Packing Group(if any)) 13.Waste Codes No. Type Quantity .Wt VOI. 1-NA1W3,COMBUSTIBLE L��'�D,'>'0A t oX (PETROLEUM OILS) ei..fi $L� . a#1 ' 9A96 1f4 � 2. y (( ..,MM✓ 4 - Uj 3. 4, r k[ 14.Special Handling Instructions and Additional Information 1) ERG# 12 15. GENERATOR'SIOFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described biivelby the proper shipping name,and are classified,packaged, marked and labeled/placarded,and are in all respects in xoper condition for transport according to applicable international and atonalyover��iehtal regulations.If export shipment and I am the Primary Exporter,I certify that the contents of this consignment conform to the terms of the attached EPAAcknowledgment of Cons nt'o i I certify thatthe waste minimization statement identified iri 40 CFR 262.27(a)(if 1 am a large quantity generator or(b) if1 am a small quanbty generator)is true, Generators/O14ZIs PrintedlTy 'd ame Signature Month Da,, pt j �� Y Year t iYU —+ 16.International Ship eats ❑Import to U.S. ❑Export from U.S. Port of entry/exit: Transporter signature(for exports only): Date leaving U.S.: w 17.TransporterAcknowledgment of Receipt of Materials Transporter 1 Printed/Typed Name-.----; Signature -•_ -. Month Day Year N C'" ✓ (.w t7f E. �� / "tr.E f�lri L+ �'y, ZTransporter 2 Printed/Typed Name Signature Month Day Year 18.Discrepancy - 18a.Discrepancy Indication Space ' ❑ Quantity El ❑Residue ❑Partial Rejection ❑Full Rejection Manifest Reference Number:' - 18b.Alternate Facility(or Generator) 341 U.S.EPA ID Number LL Facility's Phone: w 18c.Signature of Alternate Facility(or Generator) Month Day Year - N19.Hazardous Waste Report Management Method Codes(i a spas:,forhazardous waste treatment,disposal,and recycling systems)LLJ _ 1 HO 12- x y i A, r 3. 4.At 20.Designated Facility Owner or Operator:Certification 0(reCkint ca#1azq iigys ,a erials covered by the manifest_except as noted in Item 18a Printed/Typed Name t 9 4:. "� Signa re ! Month Day Year i t M EPA Form 8700-22(Rev.3-05);P.evii s editions are oIs$ote' DESIGNATED,N7r'N r " FACILITY TO�aEN BA f3i $w E v >:. WESTERN OIL INC. USED OIL COLLECTION RECEIPTS SERVICES RECYCLING DELIVERY P.O.BOX 518 Tank Removal Used Oil Windshield Washer Fluid Lincoln, RI 02865-0518 Tank Cleaning Spent Oil Filters Remanufactured Separator Cleaning Used Antifreeze Antifreeze (401 727-8600 EPA I.D.#RIR000500025 vacuymTruckservices Generator's Name: J .- Date Address: f Es c�/ b1l "tf4lV A/ QUANTITY DESCRIPTION AMOUNT CHARGED USED OIL HALOGENS<1,000 PPM By signing this receipt I certify that the haIlogensyare less than 1fRJf)PPM and that there are no hazardous substances including but not limited,to:degreasers, mineral sports,gasoline,solvents.halogenated compounds;PCBs,water,or antifreeze in the product represented by the above receipt.I understand.that a sample of my waste shall be analyzed and compared to the waste report.I agree that should my waste material result in cross contamination,'I shall become liable for all costs related to disposal of the entire contents of the contaminated material;plus,a daily,demurrage charge f9r each vehicle.I further agree that all overdue accounts will be charged slate payment fee of 7.5k per-month and to payall costs of collection,inclu ng reasonable ilorAey's fees. t VD �1 ® 5,61 Generatof s.Name: _ ~Drivel's Name: WWW.UVE;St8C1109{,COCt1 ,j ✓ 19i UXE FOR BUSINESS 1-800-888-6327 / n"-Na. w�an<'s8 �.� _ 4 w Number Fee 1063 THE COMMONWEALTH OF MASSACHUSETTS- 100.00 Town of Barnstable Board of Health This is to Certify that Auto Performer 31A Thornton Drive, Hyannis, MA Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ----------------------------------------------------------------------------- ----------------------------------------------------------------------------------- ----------------------------------- ------------------------------------------------------------------------------------------------------------------------------ This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2016 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/2015 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health f 7 Town of Barnstable �THE� Regulatory Services • � °* Richard V. Scab,Director IMENSTAMM MASS Public Health Division i639' ED M� Thomas McKean,Director , 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: SO&790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. %A n a CIO 7 DATE Ju�!. �d 115- APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN Ill GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT JO A O J 0 S S�1115 )v't NAME OF ESTABLISHMENT A o i o—' •Per • ADDRESS OF ESTABLISHMENT 3 / A TELEPHONE NUMBER .J 0 SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF; PRESIDENT TREASURER CLERK SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS P©//er- AV � f• M HOME TELEPHONE# 500 2 pjy'b V,.1 . M A 0?/"c01 Mcwhe\Temporary Internet Files\OLKD3EAZAPP Rev2015.DOC Number Fee 315 THE COMMONWEALTH OF MASSACHUSETTS $loo.00 Town of Barnstable Board of Health This is to Certify that Claudio Auto Repair 31 A Thornton Drive, Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ----------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in with the Statutes and ordinances relating there to, and and expires 6/30/2014 unless sooner suspended or revoked. --------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2013 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Number Fee 1063 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that Auto Performer 31A Thorton Drive, Hyannis, MA Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. -------------------------------- ----------------------------------------------------- ------------ ---------------------------------------- --------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 6/30/2015 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2014 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable Regulatory Services ti Richard V. Scali, Director " '" MASS. ` Public Health Division •i639 ♦0 '°rEa 39 Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 . Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. �36 Av)J 007 DATE Ju Ne D APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT 1J oA © J d S -1 T,S .Si NAME OF ESTABLISHMENT ,A v/—a 19e r 1a r ADDRESS OF ESTABLISHMENT 3) A 7-bor q k� O r, e /fly,&�1'1►5 020 TELEPHONE NUMBER L,508� 770 3 2 3 SOLE OWNER: /YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK 1 . . SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS 17 Pv!/2r AV• Al2 M A Anojt mit 0260.1 HOME TELEPHONE Q\Application FonnMAZAPP.DOC . - cw CONTINGENCY PLAN LIST o Evactrft the area immediate if be necessary. Shut off electrical surge of power or equipment can make sparkling ignition. a Relocate any material flammable out of the area. ® Contain the spill by used the appropriate absorbent. e Contact spill response firm if necessary to assist in there activities. o Used absorbent materials should be packaged separately from liquids container when be remover or transfer out the area. o Label all containers with the type of waste hazardous natmal. o Notify the appropriate agencies and JL1 corporate. e Once the spilt has been controlled and material collected and secures,inspect the area for cleanliness and decontaminate all equipment used in the clean-up. o Replace all used material.and ensure all response equipment is in goad condition o Spill greater of 25 gallon shall be proper records of actions. e Handles things on the site area to containing a spill of least 25 gallons • Melt brown pacts,Speed dry absorbent,Cloth asap,Push broom, Soak rag. Gloves, o Personal protective equipment,First Aid Kit. • A B C.class 10 lbs Fire extinguisher locate at$anunable hazardous area. o Implemented can be improve as market offer. Number fee 1063 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that Auto Performer 31A Thorton Drive, Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ----------------------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2014 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF, D.M.D. 6/30/2013 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health t ` Town of Barnstable of 1HE Regulatory Services -* Thomas F. Geiler,Director } i RdRN.CTSAYF public Health DIVISlon .9 MASS. t}7p 1639• a Thomas McKean,Director i 20C Main Street, Hyannis, MA 02601 Offica: 508462-4644 Fax: 50&790-6304 Appiication Fes: $100A0 ASSESSORS MAP AND PARCEL NO. 276 And DATE J uNe ) 5 0— 0 t 3 APPLICATION FOR PERK ET TO STORE AND/OR MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT JOA O J®S _SAM ho5 e5 I y A NAME OF ESTABijsmy= A u l o Per /o r- vvl a p ADDRESS OF ESTABLISITYSENT 31 A -th �o" D r`i V e TELEPHONE NUYIDER J SOLE OWNER. V YES NO IF APPLICANT IS A PARTNER,FULL NA 4E AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: . PRESIDENT TREASURER. C IFIRK SIGNATURE OF APPLICANT i RESTRICT1ONS: HOME ADDRESS 1? PoC r- AV- A � M N Avgn►s MA ®i2601 HOME TELEPHONE#U50 S I Haz.doc/wp/q 1 r- COGENCY PLANT LIST Evacuate the area immediate if be necessary: • Shut off electrical surge of poorer or equnmwnt can make sparing ignition. • Relocate any material flammable out of the area. = Contain the spill by used the appropriate absorbent. • Contact spill response firm if necessary to assist in there activities. • Used absorbent materials should be packaged separately from liquids container Mien be remover or transfer out the area. • babel all containers with the type of waste hazardous material. o Notify the appropriate agencies and JL1 corporate. • Once the spill has been controlled and material collected and secures,inspect the area for cleanliness and decontaminate all equipment used in the clean-up. • Replace all used material and ensure all.response equipment is in good condition • Spill greater of 25 gallon shall be proper records of actions. • Handles things on the site area to containing a spill of least 25 gallons • Melt brawn pads,Speed dry absorbent,Cloth map,Push broom, Soak;rag. Gloves, • Personal protective equipment,First Aid Kit. ® A B C class 10 lbs Fire extinguisher locate at flammable hazardous area. • Implemented can be improve as market offer. Number Fee 1063 THE COMMONWEALTH OF MASSACHUSETTS $100-.00 - y Town of Barnstable Board of Health This is to Certify that Auto Performer 31A Thorton Drive, Hyannis,MA 02601 - Is Hereby Granted a License 1 FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------ -----------------------------------------------------------�----------------------------------------------------------------------------- ----------------------------------------------------------------------------- -------- ------------------------------------ ---------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2013 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2012 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable �1NE rqy, Regulatory Services ti Thomas F. Geiler, Director " B" MASS. Public Health Division y MASS. i639 �0 '°rEn 39n• 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. c-) ZOO 7 DATE J V NC-1 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT J o A 0 j o g Sn - jo S Si I%//k NAME OF ESTABLISHMENT A J /o Poerl-o r ✓" e l ADDRESS OF ESTABLISHMENT 31 A rNl �� Pr /�( � N S MAo2Go1 TELEPHONE NUMBER (Soo,) 7!0 3231 SOLE OWNER: (/YES NO U APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL rPARTNERS: U CIF APPLICANy CIS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK SIGN URE OF APPLICANT RESTRICTIONS: HOME ADDRESS /-7 Pore r AV, APeM HyAn4js mA o26ol HOME TELEPHONE# So; 2-92 I8 ;Z/ Haz.doc/wp/q 1 CONTINGENCY PLAN LIST • Evacuate the area immediate if be necessary_ • Shut offeleetrical surge of power or equipment can make sparkling ignition'. • Relocate any material flammable out of the area • Contain the,spill by used.the appropriate absorbent. • Contact spill response fire if necessary to assist in there activities. • Used absorbent materials should be packaged separately from liquids container when be remover or transfer out the area • Label all containers with the type of waste hazardous material. • Notify the appropriate agencies and JLl corporate. • Once the spill has been controlled and material collected and secures,inspect the area for cleanliness and decontaminate all equipment used in the clean-up. • Replace all used material and ensure all response equipment is in good condition • Spill greater of 25 gallon shall be proper records of actions. ,• Handles things on the site area to containing a spill'of least 251 gallons • Melt brown pads,Speed dry absorbent,Cloth map,Push broom, Soak rag. Gloves, • Personal protective equipment,First Aid Kit. • A B C class 10 lbs Fire extinguisher locate at flammable hazardous area. .. • Bin- I single drum spill pallet containment liquid to antifreeze • Bin- 2 double drum spill pallet containment liquid to motor oil • Implemented can be improve as market offer CONTINGENCY PLAN ( To handle hazardous waste spills ) Emergency service phone numbers FIRE DEPARTMENT 508 775 2323 POLICE DEPARMENT 508 775 1212 AMBULANCE ' SERVICE ' 508 775 2323 NATIONAL RESPONSE AGENCY 800 424 8802 Emergency service environmental phone number BILL WRIGHT 508 685 0871 J L I ENVIROMENTAL COORDINATOR 713 546 8512 CLEAN HARBOR 617 849 1800' I Number Fee 1063 ' THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Auto Performer 31A Thorton Drive, Hyannis,MA 02601 Is.Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. - ---- -------- ------- =-------- -------- ------- ------- -------- --------- ------- -------- --------- ------- -------- ------- ------ --- - --- ----- -- ----- -- -- _--- --- --- ------- ---- ----- ------- -- ---- ----- ---------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 6/30/2012 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2011 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health r 't Vb Town of Barns le Ntkk ZT-1 Regulatory Scmicesl OQ. O d Thomas.F. Ge0.er,Director } MASS. Public Health Division a Thous McKean,Director 200 Main Street Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 Application Fee:$100.00 ASSESSORS MAP AND PARCEL NO. �—!60 /p 0 711#31 DATE JU N e. 23 D L'�011 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT J O A 0 Jos 96tj Go S E i 1 V A. NAME OF ESTABL NT / Per,(� --4 ADDRESS OF ESTABLummENT 31 A C F TELEPHONE NUMER ' y 00 � 4 SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAMM AND HOME ADDRESS OF t�LL ego s PARTNERS: ,f, IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAMW AND HOME ADDRESS OF: PRESIDENT TREASU CLERK SIG-NATITAR OF APPLICANT RESTRICTIONS: HOME ADDRESS '!� P� e� , V Pe4nvlls MA o2 0j HOME TELEPHONE# ,S®9 e 4 1 a Haz.docJwp/q y CONTINGENCY PLAN LIST ® Evacuate the area immediate if be neamary- 0 Shut off electrical surge of power or equipment can make sparkling ignition. ® Relocate any material flammable out of the area_ Contain the spill by used the appropriate absorbent. 0 Contact spill response firm if necessary to assist in there activities. ® Used absorbent materials should be paged separately from liquids container when be remover or transfer out the area- 0 Label all containers with the type of waste hazardous material. c Notify the appropriate agencies and JLI corporate. o since the spill has been controlled and material collected and secures, inspect the area for cleanliness and decontaminate all equipment used in the clean-up. • replace all used material and ensure all response equipment is in good condition e Spill greater of 25 gallon shall be proper records of actions. e Handles things on the site area to containing a spill of least 25 gallons s belt brown pads,Speed dry absorbent,Cloth map,Push broom,Soak rag. Gloves, e Personal protective equipment,First Aid lit, • A B C class 10 lbs Fire extinguisher locate at flammable hazardous area. • Bin- I single drum spill pallet containment liquid to antifreeze Bin- 2 double drum spill pallet containment liquid to motor oil implemented can be improve as market offer ✓` 1 CONTINGENCY PLAN To handle hazardous waste spills } Emergency service phone numbers EME DEPAR T 508 775.2323 POLICE DEPARNIENT 508 775 1212 AMBULANCE SERVICE 508 775 2323 NATIONAL. RESPONSE AGENCY 800 424 8802 Emergency service environmental phone number BILL WRIGHT 508 685 0871 J L I ENVIR MEI+ITAL COORDINATOR 713 546 8512 CLEAN HARBOR 617 849 1800 Number Fee 315 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Claudio Auto Repair 31 A Thornton Drive, HyannisMA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING Ill GALLONS OR MORE OF HAZARDOUS MATERIALS. ----------------------------------------------------------------------------------- -------------------------------- ------------ ----- o� - -- ----- ----------------------------------------------- -------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2012 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF, D.M.D. 6/30/2011 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable THE l Regulatory Services Iti3��i anti g Y °M Thomas F. Geiler, Director B"R'''AS& ' Public Health Division 9� ib q• �0� 'O�En 39. is 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 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT (2/1 A V�1 o Rcd f 1 Utls clot 6 t I yq NAME OF ESTABLISHMENT Clovd10 A,v+o. "&=pi ADDRESS OF ESTABLISHMENT 31 C) `ilov'4 n -"4 n n, G MA 02601 TELEPHONE NUMBER (5 ) 1 go f "�y `-' o � SOLE OWNER: V YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL; , PARTNERS: R . IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK SIGNATN OF APPLICANT RESTRICTIONS: HOME ADDRESS cJ P 'T1nj U HOME TELEPHONE# % q 5121 Haz.doc/wp/q a MAIL-IN REQUESTS Please mail the completed application form to the address below. In addition, please include the required fee amount. Make check payable to: Town of Barnstable. Our mailing address is: Town of Barnstable Public Health Division 200 Main Street Hyannis,MA 02601 FOR FAXED REQUESTS Our fax number is (508) 790-6304. Please fax a completed application form. In addition, you must mail the required fee amount (see fees at bottom of this page). Please make the check payable to: Town of Barnstable. The check must be mailed to the address listed above. For further assistance on any item above, call'(508) 862-4644 t r' CONTINGENCY PLANNING'. Location: �Q 1 �._ -A��•. _ Manager's Name: A Ud a do \511\ja Office Phone Number: I��Og� 1 q O Home Phone Number: _ ('S 0$� q51 z 199 FOR CHEMICAL EMERGENCIES INVOLVING SPILL,LEAKS,FIRES, EXPOSURE VA NDALISM, TORNADOES - . OR ACCIDENTS, Fire q,(� Police q National Response Center CHEMTREC Note: The information on this page should also be located on the cover of your plan copies. RESPONSE AGENCIES Fire Dept. Police Dept. q Sheriff Depth q I EMS/Ambulance q j Doctor Hospital Poison Control Center ( $OQ 5r, " r State Emergency Disaster Agency National Response Center $w 42 $$:OZ, CHEMTREC Electric Company Gas/Oil Company Clean-up& Containment Specialists DEP Spill Hotline I 501e 9 950 SID0 When calling the emergency response groups,give them the following information: • Name and call-back phone number of person reporting • Location of the incident • General description of what has occurred. • Exact name, quantity and hazard class of the chemicals involved • Extent of injuries • Potential danger to the environment and neighboring population EMERGENCY COORDINATOR/ALTERNATES Emergency Coordinator Name: C I{{G lld+ DQ ,J i (UA —Phone'# ` 9 I Address � 1j(,t101✓lS City,State, Zip: f q p'p 1'5 PIA OZ60) Alternates List Name: Luc a perkji r Q '2 60 4/f 04 Address: 4 012s'5 Te if City, State, Zip: 4\1 C1 n-n 1 S 012601 Name: A i G�¢,���- o I i\J6 r q hI 6225 Address: __'Z5 6 i'562y ! t 4bf City,State,Zip: In case of an emergency,contact the Emergency Coordinator or an Alternate(in the order listed above). If the Emergency Coordinator is not present at the site,an Alternate should assume on-site coordination responsibility until the Emergency Coordinator arrives. Number r Fee 1063 THE COMMONWEALTH PF; MASSACHUSETTS $100.00 Town of Barnstable, < .:Board of Health'. Y This is to Certify that, Auto Performer 31A Thorton Drive, Hyannis,MA V2601 ` Is Hereby Granted a License - FOR: STORING OR HANDLING 11.1 GALLONS OR MORE OF HAZARDOUS MATERIALS. ------ This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2011 unless sooner suspended or revoked. --- -< WAYNE MILLER,M.D.,CHAIRMAN PAUL J. CANNIFF_,D.M.D. 6/30/2010 JUNICHI SAWAYANAGI --- THOMAS,.A.,MCKEAN, R.S.,CHO = Director of Public Health s Number Fee. 1063 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that f Auto Performer, 31A Thorton Drive, Hyannis,lVA 02601 Is.Hereby,Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. This license is•granted in conformity with the Statutes and ordinances relating there to, and and expires, 6/30/2011 unless sooner suspended or revoked. WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF, D.M.D. 6/30/2010 JUNICHI SAWAYANAGI _ -- — _; TH.OMAS A. MCKEAN, R.S.,CHO Director of Public Health f Town of Barnstable TNErohti Regulatory Services Thomas F. Geiler, Director. • BARNSTABLE, ' MASS. $. Public Health Division `1639. �0 ATEDpIaA��' Thomas Mclean; Director 200 Main Street, Hyannis; MA 02601 Office: 508-862A644 Fax: 508-790-6304 Application Fee:$100.00 ASSESSORS MAP AND PARCEL NO.. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT J OA O 8 oS �,& > .S V/a. NAME OF ESTABLISHMENT A 11 o. Pg rEo✓-vvi e r ADDRESS OF ESTABLISHMENT 21A AD d"N/t7 s1 J)r"l v e M A. ®2 6 D 1 • TELEPHONE NUMBER � 0 SOLE OWNER: /YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO, STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK ^ x • GNATURE APPLICANT I RESTRICTIONS: HOME ADDRESS f-re5 Woes h AM nos M A 02 e)l HOME TELEPHONE# Z` / Haz.dOc+%piy Number Fee ,. 315 THE COMMONWEALTH OF-MASSACHUSETTS $�oo.00 Town of Barnstable Board Of Health This is to Certify that Claudio Auto Repair 31 A' Thornton Drive, Hyannis,MA 02601 Is Hereby Granted a License y ~ FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ___ _ _ ------ _._.___ _ g _ .__.__- _ ._. _______----------- This _ v license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2011 unless,sooner suspended or revoked. w ------------------------------------ WAYNE MILLER,M.D.,CHAIRMAN ' PAUL J.CANNIFF,D.M.D. 6/30/2010 JUNICHI SAWAYANAGI .:. .. w _TH.OMAS.A.,MCKEAN,R.S.,CHO.. ' ' Director of Public Health , ; rTowvn of Barnstable x �oFVE r ti Regulatory Services P Thomas F. Geiler, Director BARNSTABLE, MASS. a .Public Health Division v� 1639. om A' Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $1.00.00 ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT au � l(Q NAME OF ESTABLISHMENT C'QU d 0 kuiQ k epq( 2 ADDRESS OF ESTABLISHMENT,_`) -iiw nicn '-z� t k y 1n/I(s Q*Qj TELEPHONE NUMBER C D .19 Q ' (.1 (4. SOLE OWNER: ✓YES _ NO IF APPLICANT IS A PARTNERSHIP, FULL NAME AND HOME ADDRESS OF ALL PARTNERS: t u . IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION 00 tlE� T FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS lstwD5 HOME TELEPHONE#� 77 a-7 FSas"�Oc r Flaz.docAcP;`y IL MALL-IN REQUESTS Please mail the completed application form to the address below. hi addition, please include the required fee amount (see fees at bottom of this page). Make checl< payable to: Town of Barnstable. Allow five to seven (7) working days for in-house processing. Our mailing address is: Town of Barnstable Public Health Division 200 Main Street Hyannis, MA 02601 .—FOR FAXED REQUESTS Our fax number is (508) 790-6304. Please fax a completed application form. In addition, you must mail the required fee amount (see fees at bottom of this page). Please make the check payable to: Town of Barnstable. The clieck must be mailed to the address listed above. Allow up to four days for in-house processing. For further assistance on any item above, call (508) 862-4644 Back to Main Public Health Division Page L f i T �- Tel. 1-800-899.1038 OUTSIDE MA 1-781.3444265 N 1771 Washington SI P.O.Box 119 _ E R U I R U R f R E R i fl L Stoughton,MA 02072 S 10 V IT E S EPA No. MAD 082303777 ' Check No. DS. MA-40.TNH 0019.VT Date -28:'RI 315.ME-HWT 84023 Received from t I ` Address- _ i � v t QUANTITY DESCRIPTION AMOUNT CHARGEDr7 WASTE AV MOTIVE OIL PAY THIS INV610E STATE TRANSPORTER FEE N4 STATENiE�TWl' 8E SENT Total S Driver)', Generator X 1 Please print or type.(Form designed for Use on elite(12-pitch)typewriter.) Form Approved.OMB No.2050-0039 2. enerator ID Number Emergency p UNIFORM HAZARDOUS Page 1 of 3.Emer enc Response Phone 4,Manifest Trackin Number 1 G 9 WASTE MANIFEST 1-800-899.1D38 G B F. 5.Generator's Name and Mailing Address''.fy^ Generatoes'Site Address(if diffefftWo Gener rs Phone: I3 ?� a �'AA e-N-)- 6..Transponer 1 Company Name U.S.EPA ID Number CYN OIL CORPORATION M D 0 80 3.77 7.Transporter 2 Company Name " U:S:EPA ID Number 8.Designated Facility Name and Site Address U.S.EPA ID Number CYN-OIL CORPORATION0771 WASHINGTON STREET,STOUGHTO MA 02072- Facility's Phone:- 781-341-5108 MAD 0 6 2 3 0 3 7 77 - ga 9b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID.Number, 10.Containers 11.Total 12,Unit 13.Waste Codes HM and Packing Group(if any)) No. Type Quantity Wt.Nol. - MA981 STATE.REGULATED OILWASTE -� �. - Z 2. LLI 4. " 14.Special Handling Instructions and Additional Information 24 HOUR EMERGENCY SPILL RESPONSE 800 899-1038 D.O.1 EMERGENCY GUIDE#128 PASSED:DEXSIL 15. GENERATOR'SIOFFEROR'S CERTIFICATION: I hereby declare'that the contents of this consignment are fully and accurately described above by.the proper shipping name,and.are classified,packaged, marked and labeledfpiararded,and are in ail respects in proper condition for transport according to applicable iniemational and national governmental regulations.if export shipment and l am the,Primary Exporter,I certify that the contents of this consignment conform to the terms of the attached EPAAcknowledgment ofConsent: I certify that the waste minimization statement identified in 40 CFR 262.27(a)(if I am a large quantity generator)or.(b).(if I am a small quantity generator)is true: . Generators/OfterorsPrinted/Typed Name Signature Month Day Year; 11&-Ifiternational Shipments F- ❑Import to U.S. ❑.Export from U.S. Port of Entrylexri ' Z Transporter signatrire(for exports only): Date leaving U.S.: 17:TransporterAeknowledgmentofReceiptofMatenals Transpo r f a71e /, ' me Signs re°" Month Day Year Q Transporter TPfinted7ryped Name - - Signature `�_' _ .. ✓ _Morith` Day Year 18 Discrepancy ; 18a.Discrepancy Indication Space I ❑ YP ❑' ❑�? ❑Full Rejection ❑ Quantrfi T e Residue, er�f R iection I Manifestw. Reference Number 18b Alternate Facility(or Generator) U.S.EPA ID Nu rh r J - U., tar. Facil'itjlsPhone: w j 18c.Signature of Alternate Facility(or Generator)E •. - Month Day Year' . N 19 Hazardous Waste Report Management Method Codes(i.e.codes for hazardous waste treatment disposal,and recycling systems); UJ 1 � a 2. 3' 4 Y f y ,a r , Designated Fadlily0wner or Operator;Certificali n of'receipt,of.tiazardous materials covered by the manue,t eiceot;as noted in Item 18a P d(iyped Name; j/ S patu> er /9 +f '' �P+ nttip` Day Yearry' Jr i».✓`Yb"...or'''�t..••ts%1. ...r�5.' T,w'{�1 ,!°� �� ��a�v EPKForm 8700.22(Rev.3.05) Previous editions are obsolete SIC�BATED,F�4Ci� TO GIENEMTOE, . J, Number Fee 172 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Lucar Auto Repair 31 Thornton Drive, Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------------------------------------------------------------------------------------------ -------------------------------------------------------- This license is granted inconformity with the Statutes and ordinances relating thereto, and and expires 6/30/2010 unless sooner suspended or revoked. -------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF, D.M.D. 6/30/2009 JUNICHI SAWAYANAGI THOMAS A. MCKEAN,R.S.,CHO Director of Public Health Town .of Barnstable Barnstable Regulatory Services Department • Public Health Division a UMINS-h la , 200 Main Street;Hyannis MA 02601 m Tf�)NAB a 2007 Office: 508 862-4b4 l Thomas F.Geiler,Director FAX: 508-790 6304 Thomas A.McKean,CHO Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TOf STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT S KAI e/ NAME OF ESTABLISHMENT /`.Ve,A,9 U ADDRESS OF ESTABLISHMENT V el-j�4N7-0N • TELEPHONE NUM ER �� — / / SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK f NATURE OF CANT. , • RESTRICTIONS: HOME ADDRESS i HOME TELEPHONE Q:\HazmathHaz Mat Application2008.DOC SPILL CONTINGENCY PLAN 1).Evacuate the immediate area,if necessary:'. 2) Shut off valve,pumps,and electrical equipment as appropriate 3) Restnct or remove any potential ignition source from the area if the material is flammable:. 4) Contain the spill buy used of absorbent socks/booms;then apply appropriate absorbent material'or additional absorbent'socks/booms. Contact spill response.firms in,Appen ix E,if necessary to'assist in these activities. 5) -Remove all absorbed material or contained liquid and package' in DOT approved,' ; Container .Used'absorbent'mate'ials should be packaged separately from liquids 6)Label.all containers with the type of waste and the start date of accumulation 7 Notify the appropriate agencies and JLI corporate contacts as prescribed in Sections. IV. 8) Once the spill has been controlled and materialcollected and secures,.inspect the area. for cleanliness and decontaminate all equipment used in the clean up:$;. 9) Replace all used.materials and- ensure all response equipment is in.food working.: Condition. 14) Manage and dispose of collected absorbents and liquid is accordance with Federal` and State environmental regulations. • 11) For any spill greater than the reportable"quantity ( see. Section IV) or 25 gall6ns;. which ever is less, this plan shall be implemented and proper records of actions Shall be kept on-site as prescribed in Sections IX. 12) Spill cleanup equipment is located in the garage, in the.yellow tub,In.the spill tray area. 13)The following is a list of the spill equipment on site: . A. Spills response kit capable of containing,a spill of.at least 25 gallons.This kit includes absorbent spill pads,socks,and/or booms B.An adequate amount of nitrile gloves,nitrile or rubber boots.and.other Personal.protective equipment- C.First Aid Kit D.Eye wash. E.Fire extinguishers.:, SPILL CONTINGENCY PLAN. APPENDIX E EMERGENCY SERVICES PHONE NUMBERS FIRE DEPARTMENT 508-775-2323 POLICE DEPARTMENT 508=775-1212 'y AMBULANCE SERVICE _ F 508-775-2323 NATIONAL RESPONSE AGENCY 800-42448802 - ENVIRONMENTAL PHONE NUMBERS' ADVANCED LIQUID RECYCLING ­203-238-6771 CLEAN HARBORS 617-8494800 617-935.9066 JIFFY LUBE CORPORATE:QFFICE . 617-878-9121 G1�RNER'IF 800-442-7637-:: PENNZOIL INCIDENT REPORTING 800-848-7525 JLI ENVIROMENTAL COORDINATOR 713-546=8512 JLI PUBLIC RELATIONS(MICKEY GENTRY) 713-546-8538 • 1 Number Fee 1051 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Bars! of Health This is to Certify that ADYMAR'S 31 Thorton Drive, Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS. OR MORE OF HAZARDOUS. MATERIALS. . --------------------------- -------------------------------- -------------------------------------- ----------------- ---------------------------------------- ---------------------------------------- ----------------- ----------------------------------- ---------- --- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2010 unless sooner suspended or revoked. WAYNE MILLER,M.D.,CHAIRMAN PAUL J..CANNIFF,D.M.D. 6/30/2009 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health �r fiE i 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 Wvhich 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: � ��� � � "* APPLICANT'S I in pl se: m g YOUR NAME/S:, tag#�y BUSINESS YOUR HOME ADDRESS: Mk �- TELEPHONE # Home Telephone Number NAME:OF CORPORATION: NAME OF NEW BUSINESS )b�D;' M R> S T.,�� IS THIS:A HOME OCCUPATIONS r PE � F n� �SInGcc YES ADORE SS:OF BUSINESS 31 t. G�NTQ S, D � ` MAP/PARCEL NUMBER_ 13; (Assessing) : ` When starting a new business there are several things you must do in.order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. .(corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business.in this town. 1. BUILDING COMMISSIONER'S OFFICE This individual has Jaen informed o a y permit requirements that pertain to this type of business. I Authgrize Signature* COMMENTS:. c��11 2. BOARD OF HEALTH This individual has be i ca d th per it r n hat p pin toy i pe of business. Autho ed i nature* / COMMENTS: p.,i✓rl 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: c� < } c r ., . . .. `0 '.y..- ...i .. - ,.r .�... ;,.+dam ;`l" t ♦� ,�'.."w-...../�;tia+wir�-.S'.h`v;tee, .b#.`�.i„lC.�"v..'�"�..��{,,........�.. v r - TOWN OF BARNSTABLE Date: TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY &ME OF BUSINESS: Aoz±zz S BUSINESS LOCATION: INVENTORY MAILING ADDRESS: kr;1/11.7 TOTAL AMOUNT: TELEPHONE NUMBER: CONTACT PERSON: EMERGENCYCONTACTTELEPHONENUMBER: 2 MSDS ON SITE? TYPE OF BUSINESS: D INFORMATION/RECOMMENDATIONS: Fire District: Waste Transportation: Last shipment of hazardous.waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous 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 hazardous characteristics and must be registered regardless of volume. served/Maximum Observed/Maximum /O OGAn eze (for gasoline or coolant systems) Misc. Corrosive 7 NEW `� USED Cesspool cleaners 106 eGAutomatic transmission fluid Disinfectants /O Engine and radiator flushes Road Salts (Halite) S G Ko Hydraulic fluid (including brake fluid) Refrigerants S s Motor Oils v Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,,Aviation gas a Photochemicals (Fixers) Diesel Fuel, kerosene, #2°heating oil NEW USED Misc. petroleum products: grease, Photochemicals (Developer) ZG f/ lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways¢&garages Wood preservatives (creosote) ,. Y 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 removers t (including bleach) Spot removers & cleaning fluids §' (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash l WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS r Town of Barnstable >• Barnstable �ocINE'�w RegulatoryServices Department M- meicacin Public Health Division P + BARNSrABLE. `- 9cb ' . �0�' 200 Main Street, Hyannis MA 02601 ATF0 a, 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 III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT � � NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT TELEPHONE NUMBER SOLE OWNER: n YES . NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRES OF: PRESIDENT TREASURER_ CLERK _1GNATfWbfrAPP ICANT M RESTRICTIONS: HOME ADDRESS 'powe HOME TELEPHONE# Q:\Hazmat\Haz Mat Application2008.DOC Number Fee 315 THE COMMONWEALTH OF MASSACHUSETTS $100:oo Town of Barnstable Board of Health This.is to Certify that Claudio Auto.Repair 31 A. Thornton.Drive, Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2010 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2009 JUNICHI SAWAYANAGI THOMAS A. MCKEAN, R.S.,CHO Director of Public Health Town of Barnstable Barnstable ~° JHE Regulatory Services Department bnftxl aT ;�Arnericat�iy . Public Health Division &kRNVA13M 9$ A-Sa 200 Main Street, Hyannis MA 02601 s m ATFD H1A'�" - 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_(Dr.1.9,j-t G(97 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT r_)_A CfDL0 Q O A S 1 kU R NAME OF ESTABLISHMENT CkA.UD r C) A U10 Q—e-PNA ADDRESS OF ESTABLISHMENT 1'n b iR LqC e TELEPHONE NUMBER C) 1 -7-44 SOLE OWNER: YES NO c._. IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRES ALLY PARTNERS: � � v tv r- o CO M IF APPLICANT IS A CORPORATION: FEDERAL.IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK AD e • SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE # Q:\Hazmat\Haz Mat Application2008.DOC Tires Service• 4-Wheel• Suspension Brakes• Exhaust• Batteries• r - Heating&Cooling• Engine&Transmission• Maintenance• Computer Dlagnostles• John Silva Consultant 31A Thornton Dd -Hyannis,MA 02601 Cell:(508)292-1871 Phone:508-790-3231 e-mall.john@autoperformer.com www.autoperformeecom a Name: - HA SAN APPO IN TM E NT ON MON TUES OWED THURS F-]FRI SAT DATE: AT: A.M. P.M. 31A THORNTON DRIVE-HYANNIS,MA 02601 PHONE/FAX..(508)790-3231 www.autoperformer com y F'tfNRBLTO`KEEP ..,, wA,,,PofN•Th4 iN86 FVf'2' HOU O"Tl• 1' Number Fee 1063 THE COMMONWEALTH OF MASSACHUSETTS $100.00 ° Town of Barnstable - _ - --Board of Health This is to Certify that Auto Performer 31A Thorton Drive, Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF, HAZARDOUS MATERIALS. --------------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2010 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 10/02/2009 JUNICHI SAWAYANAGI THOMAS A. MCKEAN,R.S.,CHO Director of Public Health Town of: arnstable Barnstable tKE T Regulatory Services Department AMWOM . Public Health Division Ift BAR I'STABLE. �. 8 200 Main Street, Hyannis MA 02601 -Pp 1 639. 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 c OA 0 d'oS 54-2 r,.,.1 -51 1 v A NAME OF ESTABLISHMENT /v 0 /0 PC'r C`t2 r nmot eJ` ADDRESS OF ESTABLISHMENT 3 J A 7hov-h 5ii Prl y e- 14 vw to n i s MA ©Z6 0I • TELEPHONE-NUMBER 508 2YO 3Z3! SOLE OWNER: V YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION � can FULL NAME AND-ROME ADDRESS OF: PRESIDENT TREASURER CLERK SIGNATURE PF APPLICANT �I • RESTRICTIONS: HOME ADDRESS L Alit P+? /��✓"w1 .fig o yS HOME TELEPHONE# �O Q:lHazmat\Haz Mat Application2008.DOC • CONTINGENCY PLAN ( To handle hazardous waste spills ) Emergency service phone numbers FIRE DEPARTMENT 508 775,2323 POLICE DEPARMENT 508 775 1212 AMBULANCE SERVICE 508 775 2323 NATIONAL RESPONSE AGENCY 800 424 8802 Emergency service environmental phone number • BILL WRIGHT 508 685 0871 J L I ENVIROMENTAL COORDINATOR 713 546 8512 CLEAN HARBOR 617 849 1800 i C • CONTINGENCY PLAN LIST • Evacuate the area immediate if be necessary. ® Shut off electrical surge of power or equipment can make sparkling ignition. • Relocate any material flammable out of the area. • Contain the spill by used the appropriate absorbent. • Contact spill response firm if necessary to assist in there activities. • Used absorbent materials should be packaged separately from liquids container when be remover or transfer out the area. • Label all containers with the type of waste hazardous material. • Notify the appropriate agencies and JLI corporate. • Once the spill has been controlled and material collected and secures,inspect the • area for cleanliness and decontaminate all equipment used in the clean-up. F • Replace all used material and ensure all response equipment is in good condition • Spill greater of 25 gallon shall be proper records of actions. • Handles things on the site area to containing a spill of least 25 gallons • Melt brown pads, Speed dry absorbent,Cloth map,Push broom, Soak rag. Gloves, • Personal protective equipment,First Aid Kit. i • A B C class 10 Ibs Fire extinguisher locate at flammable hazardous area. • Implemented can be improve as market offer. • w Date: !- / TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY OME OF BUSINESS: `�-' BUSINESS LOCATION: 3114 F#6`/t-_j`V 7Z'A/ ��� /-/� A)A'1 S INVENTORY MAILING ADDRESS: A 6,-, r TOTAL AMOUNT . "t 3-7 0xiS TELEPHONE NUMBER: _ CONTACT PERSON: `�`ofrj _T14 V i �`� G' ° ;`• EMERGENCY CONTACT TELEPHONE NUMB' !: eeram.- ' �� .j-4_ /j r/ MSDS ON SITE? d( '4 fJt 7� 1 Y t> 1.t1 r'j✓ tl Cf t ��t-x TYPE OF BUSINESS: INFORMATION/RECOMMENDATIONS: - Fire District: SLkStiESS 15l© J� / dt�fSG�sS } i 'l�t�t'{. �FCNSd,VG, y ,aifs s q 1 f IA" / (/'d t ll� a E �fil 3 C.rlC7dl} fL1 /�/ /• }fry !Lt ': ,"'Q 5S16�iL d T�/ / �'Gt%iiL�s �I'< ljlf.SJ ,.o j {q,pyK r� /ttf#,s� sr.Arf%�'r4 3 a✓Pk'r 11A ld;-IZ13f?!3 Waste Transportation:_*1-4 Last shipment of hazardous.waste:(_e, "' T rLI"-VV Name of Hauler Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC-AND HAZARDOUS MATERIALS 4Board of Health and the Public Health Division have determined that the following products exhibit toxic iazardous characteristics and must be registered regardless of volume. Observed/Max_imum 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 flits Pesticides NEW - USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gash'5efAt A 1-1n 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 (" .v taE S Battery acid electrolyte)/Batteries 'r.V'et5 Lye or caustic soda Ak Rustprooters 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) _eezwtt aric"u P/Y£ 5-5 Waste Transportation: Last shipment of hazardous waste: "A,'' r>t-16W) Mamie of Hauler• Destination: aste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a Month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. ' Observed{IVlaxilmum 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 Oft Pesticides NEW USED (insecticides, herbicides, rodenticides) jl�A 5 rc(1A 5 , Gasoline, .let fuel,Aviation gas c r A CM 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 rP& .upA) Swimming pool chlorine'' Battery acid etectrolyte)/Batteries gcvek5 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, g sP,fF $` ¢� hydrochloric,acid, other acids Misc..Flammables 4-,�� Y ) Floor&furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil&stain rerno' rs 7" �'t� HP SIL.VA �i� ������+� e.6N(71 t7 (including bleach) r"`U 13x ti Spot removers&cleaning flu.ds;_ t / / (;4.1.t 4 l ; (dry-cleaners) ¢ ' r {, Iz c VIR, 6yr # �Ai �r4J6 ?4e � �`t Other cleaning solvents t l�^ '� �_)/5?4aS�Lt t�ri��.o /V : , �C/3 w,4. 5 V J Bug and tar removers - p L? 1,'t;& r u'fZ- /,tiFt�RAIX 7?uj vV A S 1-- t tAJ I ` a' L� f�i ill" r �° /tt' 1 K1d Windshield wash Ip fvl �� IMiliE COPY-HEM314 DEPARTMENT!CANARY COPY-BI NESS .. e r ,5=Qa-a 7 ter: -Fe%#Jn8J6a?- -71 A'i 7�o /e'l fr�oduce yov -�O ov�e 1 �f ea.rz 1.��sfe o�/�i�t2t9ct/�rrL 120q lve 90e 616 -f-v Se�2utc�. qou �'L'nLi,�aYa, �I/ee-a� . (Tease leeaWOOZ hove �eFt fit.', �,�� you. to da,c/S � lU�e�.- cc�fSa �cvn dou If 44u-,,'; //haj hIVVC datea7lfn)-2 tv/ -4,ovp- qO 112ac-1, i qo i, - � ���s,r �,4,,��� `���Y .�'�� ' .c�� `� b � '�� �'c`y .z.. w{t�sa,�y.�"r,tlrr � ru�*,g s��t�ya ✓z�." �'�r$a do'r�' ,'' t��.g� rF�.�r �`s�- 5r ^�"�. �� ix` �'3'q.�%"7.J+,• ..,s >-fit w-�`�' �'P' � �i x*."i`t� � - x(2>.�„ b. m 3� z 3i"-x�e-u��,s 7^ yr"'� +r�a�ia��'�•r .� l +fit � � � �vA.�w��c� �` � F ' '� �� �`, � � r•;� ��X.����s.��5-�r Irv, ���{+r „r'z t��� �� �- � -` � 3_'.3 F� A, y e`�.^ s4''..'�1'�,s y �k 3 �+t4is��`t'. '#hTK +.) 5� rt�n. S,y< '^'.� 'Yi - '�'- 'fib 11" ' �D �g}fr'" 1 � � ou CSF 'FA4 �' -' f_ a�h i W i'• >3 d �2.tt y r" Y '9-.�w �� f s y '3" ++ n A2'r jJ z.` 7''�s ��.t d�,TD2ggr z r r�,v" 15 k - 5s a a yrr 41 .'a,-Yity#-'4, " erg' `ft,:t�r F #d�-,r£, ��'r a. iy - ;C��..,,3Ec +,5.13r -r t`•T- u- i a^f aavxFo t ';. c`Pt' LCq/ �l P > •i�-,'�3g,. MN 3F�§yam .t r � .sr�b l3f is�''''„�q` •+.,R'-,ai �. .�3, .�4 tjz ?r� �v :r`f 1 �>t 7 su nr s" .1 r�k � ���� '.drv, n �f � st t - � 4 ks i y�v ''fi'a'a Lta - d i ` rs. '€" s �^ e j �risrF� �.�" ii -n(R k x eye. "� rs+tra. 7� i ..C''' L`' tY Py f4 f �'�s v t �fi p x an Hs spa tar ,�a� 01LPItLL� LAP % �`A1K5 CL�EAg�I� Df&'F2EMy.0 �IED � {_ r..4 ri s.fY.l^ .G f.E I Y eY Y- 3M N� 'Y'tir. -f G '`�.'� �" `za #�' Qb �' r�3�'ti "yP,�k�3�' 'tN:'x(Y3 077 ry F fs t 'i b i fj•�` S G�t MR,TRAP CLEANOUT �LUC GE;RE,MO�AL ` �i. - � f 3 v, # #DC 4�ER RAP#CLEAttOU m Ir�pfit , PR " _ yy.. >� � �{D�Ly � R1�UlS AVA�LABL-EI � .,u,, p�, ' ��$Yt` � "' rr—.r< ? r -e'`A.� y y.�y -•� .'f'' taPF r:"�- x T}QNtG } 'EQ; ��'�x&�RENI�OED �+F § p a?t 6 0 gym-. y, - rw- 'h. l .h•u'k 4�"'_�CdC 'a'.,r.R � rs E, .er r.tAnt..3 atd,F3'` .•tea�i 1xs� "�,!' a s. Psi �' Y s- 4 IN `- -^a� °';s x ""j�. � rl '� k —y' �-f � hQQ'�,��>��%diu^xr'z�x.2 ,y'S.f,reu a t� r1 yJJyt'NN��aa��+ww■�■-�p'•3yy�t��.�. ax.s"€'t�{ � ,� m� '��•�#tea.r � �,��r`� x' 3'r�"�>����R ��,� a�,r �r� ,�.� .>t. ���ft� U f�l�.�s • Number Fee 315 THE COMMONWEALTH OF MASSACHUSETTS $loo.00 Town of Barnstable Board of.Health This is to Certify that Claudio Auto Repair --- -- - -- �\ 31 A Thornton Drive, 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 } � I Town of Barnstable Barnstable Regulatory Services Department o ;erieaC""; • Public Health Division + RAtuvSTABLE, 6zq 200 Main Street,Hyannis MA 02601 '°1 fp Mp'1 p 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 � LoG L G' APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT i klteA e NAME OF ESTABLISHMENT V c7 �V wO ADDRESS OF ESTABLISHMENT, hJ � z �� N cc TELEPHONE NUMBER 5'Q 0 IT 7 SOLE OWNER:�YES NO 2 IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF LL w f" PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# Q:\Hazmat\Haz Mat Application2008.DOC } Number Fee 315 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of,Barnstable. _;Board of:Health _ This is to Certify that Claudio Auto Repair 31,A Thornton Drive, 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 31, 2008 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. 5/31/2007 PAUL J. CANNIFF,D.M.D. THOMAS A. MCKEAN,R.S.,CHO Director of Public.Health r S Town of Barnstable � z Regulatory Services 0 Thomas F. Geiler,Director Iq i BLARMN MM& Public Health Division � Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-8624644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE c L '6(0-1 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT �� CC, NAME OF ESTABLISHMENT -�1., _ c� �,, ADDRESS OF ESTABLISHMENT I t r I (7� , )� nao- -i-. � TELEPHONE NUMBER SOLE OWNER:�YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: } t � I IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. - , STATE OF INCORPORATION �`•' ri FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK . - SIGNATURE OF APPLICANT ,� RESTRICTIONS: HOME ADDRESS 7 UG PmT Pi ') 13 ax HOME TELEPHONE# Number Fee 315 THE COMMONWEALTH OF MASSACHUSETTS $10o.00 Town of Barnstable Board of Health This is to Certify that Claudio Auto Repair 31 A Thornton Drive, 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. t THOMAS A.MCKEAN,R.S.,CHO Director of Public Health r Town of Barnstable Regulatory Services VWI" Thomas F. Geiler,Director Public Health Dlvislon Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-8624644 Fax:.508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE ,A APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS ' FULL NAME OF APPLICANT NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT TELEPHONE NUMBER Lls. —o$ SOLE OWNER: I YES NO F 7 µPQr, IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: w.7 a IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. r STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS I t }-� � `ig IAA HOME TELEPHONE# 5Fj,� I-In.aowVpfg f k . . r MAIL-IN REQUESTS Please mail the completed application form to the address below. Also include copies of your ur employees food sanitation trainingcertificates. In addition, please include the required fee amount (see fees at bottom of this page). Make check payable to: Town of Barnstable. 'Allow five to seven t (7)working days for in-house processing. Our mailing address is: Town of Barnstable Public Health Division 200 Main Street Hyannis,MA 02601 - - - FOR FAXED-REQUESTS Our fax number is (508) 790-6304. Please fax a completed application form. Also, please fax copies of your employees food sanitation training certificates. In addition, you must mail the aired fee amount se this(see fees at bottom- •f this page). Please make the check payable to: Town of Barnstable. The check must be mailed to the address listed above. Allow up to four days for in- house processing. For further assistance on any item above, call (508) 862-4644 Back to Main Public Health Division Page Number Fee 172 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Lucar Auto Repair 31 Thornton Drive, 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. November 7, 2006 PAUL J. CANNIFF,D.M.D. THOMAS A. MCKEAN,R.S.,CHO Director of Public Health - Town of Barnstable Y Services g Re / Regulatory ✓ ,�, �aFswe ram, �I Thomas F. Geiler,Director 118L Public Health Division r t 9 TYfA33.. �, � l•� Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax:.508-790-6304 . Application Fee: $100. 0 ASSESSORS MAP AND PARCEL NO. DATE .L O /0 '2"(o. k APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS hl FULL NAME OF APPLICANT y 0 S 4 i Pri-j 0 (2c)S -(-& - L � NAME OF ESTABLISHMENT R AUJ-0 �+ l qE � I� ADDRESS OF ESTABLISHMENT !.6 - �/14 �'�D PJ , 1,e w c nl.�l I v 0 4 �Je� n 02 6 Q/ TELEPHONE NUMBER / / G SOLE OWNER: 10 YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: 3 ca C-5 . --' IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION c.9 i'' cb n FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK �ATI&FOf APPLICANT RESTRICTIONS: HOME ADDRESS M u R_P# A y✓N i S:M� HOME TELEPHONE.# Y,2�( Haz.doc,'wp/q M'a Z MAIL-IN REQUESTS Please mail the completed application form to the address below. Also include copies of your employees food sanitation training certificates. In addition, please include the required fee amount (see fees at bottom of this page). Make check payable to: Town of Barnstable. Allow five to seven (7)working days for in-house processing. Our mailing address is: Town of Barnstable Public Health Division 200 Main Street Hyannis,MA 02601 FOR FAXED REQUESTS Our fax number is (508) 790-6304. Please fax a completed application form. Also, please fax copies of your employees food sanitation training certificates. In addition, you must mail the required fee amount (see fees at bottom of this page). Please make the check payable to: Town of Barnstable. The check must be mailed to the address listed above. Allow up to four days for in- house processing. For further assistance on any item above, call (508) 862-4644 Back to Main Public Health Division Pa e [i/// S M EAR KEEPING YOU ORGANIZED No.10334 2-153L MADE W USA GET ORGANIZED AT SMEAD.COM oFIME Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 7 snRMAS,'; � 200 Main Street• Hyannis, MA 02601 �prfOMA�N TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: --FwV� ; e NePp�� Date: 9'J'o Location/Mailing Address: l � � �6� , �b Contact Name/Phone: Y.d t )� a 771 q 7a 1 W Inventory Total Amount: e--YOO MSDS:Je'S License#:�) Tier II a Labeling: Cot,& Spill Plan: Wt. Oil/WaterSeparator: Floor Drains: _ Emergency Numbers: Y&zY Storage Areas/Tanks: SSN w 0�`1 I ��� d9h�i rr&czC. 1 -i�--O'v I a V- dw Emergency/Containment Equipment: q Waste Generator ID: m V 72q 4701 0 L . Waste Product: [A/Cm d-0 Date&Amount of Last Shipment/Frequency: J5'0 d q Y'6F14 VC Licensed Waste Hauler&Destination: 0 it Y? Other Waste Disposal Methods: W14 LIST OF TOXIC AND HAZARDOUS MATERIALS 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 requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (includi brake fluid) Windshield wash �� Motor oils t� Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners I` Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: 19 P—00 s 1 Lc - yA5i-e — Sp: 11 Ph,,� — lCLye �eW ORDERS: INFORMATION/RECOMMENDATIONS: Inspector:Oro<N Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY- BUSINESS `°Ftroti� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARMS�LE. • 200 Main Street• Hyannis, MA 02601 OrE%639. e� TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT (1 Business Name: 1wi U� re ;r Date: 6/7/ I 1 Location/Mailin Address: Contact Name/Phone: ' 74 - 7 - 9C `�Inventory Total Amount: y o d SDS: eS License#: I I $3 W , Tier II : N D Labelina: 2S Spill Plan: Ll tS — Oil/WaterSeparator: NZA Floo_r Dom: Emergency Numbers: Storage Areas/Tanks: 0 2 'al auo /'eSsu«� Emergency/Containment Equipment: 0✓ Waste Generator ID: PTV 77y 4 7b N 6 4 Waste Product: 01 Date&Amount of Last Shipment/Frequency: L'V 3 I0 f ih Licensed Waste Hauler&Destination: WEST Ern 0'I Uncoln . R,E Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS 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 requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers IHydraulic fluid (including brake.fluid) Windshield wash 53 Motor oils I o d 4- 1o0 WaS j o Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) . Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints,varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: e ` S Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS a 1 a °Ftaer�� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARMA BR $` 200 Main Street• Hyannis, MA 02601 i639.6. TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rED MPS Business Name: — I w�.�- roq��- 6A,,.l1 Date: y 3 Location/Mailing Addres • AHvn,s 4, 1e- Contact Name/Phone: ob-f--cio A b,wo 7'7 - - - qo Inventory Total mount: ^^' lG�` SDS: 1%M,Mn,- S License#: Z- Tier II 0 Labeling: OK Spill Plan: Oil/WaterSeparator: Floor Drains: tJ o Emergency Numbers: QN:�, Storage Areas/Tanks: w e oA--e, a,1 Emergency/Containment Equipment: 6 �J414 Waste Generator ID: ffil-7-V4410114641 Waste Product: V1 Date&Amount of Last Shipment/Frequency: y-5 f Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS 'v VAe 10,( C'Va'Iz- I', kwv wce e, (0.v� � NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous mat rial use, kk5 I- �K storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils-r wt,->k4-., Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: Covl.. Inspector: 1 Le Facility Representative:: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS °ft ►off Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMS�LE. • 200 Main Street• Hyannis, MA 02601 ,6,q s TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT CEO MP'� Business Name: 1 w 1 K o v o ,4 Date: Location/Mailin Addres : 31 11 h Contact Name/Phone: o A&HO 7 q- 7D- / a Inventory Total Amount: ^' 2�'�� MSDS: I- K g��x�� �5 License#: Tier II : Labelino: ©k�� 1&.I6c k 2�`� .>w. Spill Plan: OK Oil/Water Separator: 4D Floor Drains: N fl Emergency Numbers: e S Storage Areas/Tanks: 1- `Ae* u),O, Emergency/Containment Equipment: Waste Generator ID: � y o N Waste Product: D 1 Date&Amount of Last Shipment/Frequengy: )- 1 b 0 cd oo-k1.- Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS 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 requires a license from the Public Health Division. Antifreeze Dry cleaning fluids �— Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils %t° ° Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Syal Disinfectants — Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil&stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: IN ORMATION/RECOMM DATIONS: w -v-,,,- O. J CD wt.l• e I Inspector: , A Al Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS r• THE f° Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-7s0-6304 • BARMASSBLE.�• 200 Main Street• Hyannis, MA 02601 "rFOMP+ TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: ,�,- &0`Nn v,S PV�J-'a ,'f- Date: Location/Mailing Address: 4hVt1 Contact Name/Phone: o y- o l,6,vt_o -77!� -140 4/ Inventory Total Amount: ��� I MSDS: ova\N v.e—— vUAVe-Sv<<—License#: V 93 Tier II : Labeling: WAJA i�5�� Spill Plan: A I( t Oil/WaterSeparator: Floor Drains: 00 Emergency Numbers: �C Storage Are o i 1 Emergency/Containment Equipment: 4) 0-VOLO d i k Waste Generator ID: AW -1 O 1 n Waste Product: 01 / Date&Amount of Last Shipment/Frequency: I I o a- /-- .QJ± 'A- 3 wt° Licensed Waste Hauler&Destination: t" ©, 1 1 vt, 3�' Other Waste Disposal Methods: ^1 LIST OF TOXIC AND HAZARDOUS MATERIALS S 1 v�- I�V�4 S�v�E-� [os lk NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materiel use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. JAntifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils So tokStg- Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages &0751A Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes l kiLf Lye or caustic soda Lacquer thinners Miscellaneous Combustible Qerd5o15 Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/ ECOMM DATIONS: Gt SJCr? of ? fi$ O o 0 Inspector: Ve.��2i Facility Representative: zr WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS °FIME A Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARWq .MA - 200 Main Street• Hyannis, MA 02601 1639. TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rFD MPS / Business Name:-- cott-*--c-;, -AJA o a Date: I �� Location/Mailing Address: \5 Contact Name/Phone: -7-1 - ILI o -A\ Inventory Total Amount: '\�6L1 MSDS: License#: I Tier II : N� Labeling: A, � W&4-e- �J�- Spill Plan: `f� °5t� Oil/WaterSeparato t3l Floor Drains: o Emergency Numbers: 2 Storage AreaslTanks: - J W VA L <, al-e o Emergency/Containment Equip ent: A- % < c o Waste Generator ID: -7-7 `70! D Waste Product: of Date&Amount of Last Shi ment/Fre uenc : .SD a '?h bY 3-Llxly e Licensed Waste Hauler&Destination: 2 Cvt, ol 1, f,%A6A1V'14 (Q Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS 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 requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers I Hydraulic fluid (including brake fluid) _ Windshield wash 174 Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants I Miscellaneous petroleum products: Road salts _ grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda c Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: �a�At, Nlti���eSkol ask is r �1alo�� . ORDERS: J W, OAA l 5 0< 1414- S—�/,�ars qo-K VV k o A-.,. INFORMATION/RECOMMENDATIONS: ZQ-4\ Oi C�P- s a cl c 0.vt 5\n o� - Xbf oIMM:F-vl t10vL'5, Inspector I - L J.e-II Z Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Date: 61;:?Yl 13 TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS RM NAME OF BUSINESS I�1V1-Scitlu.rs A,.+o O?Rloa►{ BUSINESS LOCATION: 31 $ INVENTORY MAILING ADDRESS: __.Sa,u-s— TOTAL AMOUNT: TELEPHONE NUMBER: 7'74t - y,o - I LI a4 �- ! t8 I►']�X CONTACT PERSON: jg4aQ.r$-0 .1.1-1 b 1 Ko EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: G A4aI /Vo -` INFORMATION / RECOMMENDATIONS: 5rf2. wAs ►.as �� 02� a '4-I�•� � Fire District: �Q01•I D��c�n.�ts•-— t r�ve..�.4-oc v �s rna,dc�wt�w. . I�tSf--c.. o� I ,s r-cw,oye,rQ�, e�c,cy b-f�/a��►S 3-4 rrttrs.�i AJCEer C re.F ✓1 o I 1 c cnse �/�9'i► r-e k . + oc�k,��,,r f'� ,I, !-y M U� �O b-6,Yl Y,`�1^6 h6 6 ne C+!& 4A,4 qe-+ �Y,re' s kc<,s s- ^C'j, c-<,aQ. Waste Transportation: A4 "1-7 4 1-7o r y oq Last shipment of hazardous waste: ss a 1 111,J61 Name of Hauler: 1A)Zst- ro- 0, ( Destination: 4 j Waste Product: __r,, euus�� o, 1 Licensed?(a No RiR©��ocooz� 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 / Maximum Observed / Maximum Ant�if eeze (for gasoline or coolant systems) Miscellaneous Corrosive : NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) 2. Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides 105, C'NEW So M/USED s� (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals(Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals(Developer) lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal J 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): Metal polishes _ p Laundry soil &stain removers �'���r{/S�5 (including bleach) D ►k�� s ►l a blocs an s ►+.e✓ Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT I CANARY COPY-BUSINESS Applicant's Signature Staff's Initials Number Fee 1183 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that TWIN BROTHERS A UTO REPAIR .-------------------------------------------------------------------------------------------------------------------------------- 31B THORNTON DRIVE, HYANNIS,CIA ------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- Restrictions: --------------------- --------------------------------------------------------------------------------------------------------------------------- ...... This license is granted in conformity with the Statutes and ordinances relating.there to, and expires 06/30/2021 unless sooner suspended or revoked. ---------------------------------------- JOHN NORMAN DONALD A.GUADAGNOLI,M.D. 07/01/2020 PAUL J.CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health ea Town of Barnstable Inspectional Services BARNSTABLE Public Health Division MRY.TnBIE EI6M.39-2 14 UR•FYR N,S - Yt WSMIS WIU-05:F.MU%•t,?51 B?MMUE -. 1639-2U34.. �U J 1 BAMszAsLE. 1 Thomas McKean, Director o�a 200 Main Street, Hyannis,MA 02601' Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE . 4". HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE'GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26 - 110 Gallons:' $ 50.00 ❑ '} 4_.99Gallorls�, $125:00 �� CATEGORY 3 PERMIT 500 or more Gallons__:$150.00 *A late charge of$10.00 will be assessed if payment is not received by July ist. .,(,�(O 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL?'YES—NO. IF YES,SKIP QUESTION 3. ,* 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. c 4. FULL NAME OF APPLICANTc 1 D 5. NAME OF ESTABLISHMENT: 1[ w \n �'O'rdl�fX 6_Ega ,t 6. ADDRESS OF ESTABLISHMENT: 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: A-w\r- y C®A- I\ r S OlU )'Q i('-qQ`(' )W' MQI( l •'CO/V) 10. SOLEOWNER:IYES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT t\0be CA0 k11 25 t- cad 1\ - nnli-- 7 76--15E_{ TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: • SIGNATURE OF APPLICANT ATE — o Q:Wpplication FormsU-laz Mat Appli Draft Jan2019.docx I i 9 Tripp,Vanessa , I� Oo : Tripp,Vanessa n mt Friday, July 24, 2020 1:02 PM To: 'twinbrothersautorepair@hotmail.com' Subject: FW: Hazardous Materials Renewal Application Attachments: Hazardous Materials Renewal App PDF.pdf Good Afternoon, i I am following up with you in regards to the renewal application. Please see original email below. If you have any questions, contact the Health Division at 508-862-4644. Thank you, Vanessa Tripp From: Tripp,Vanessa Sent: Monday, June 22, 2020 1:26 PM To: 'tvvinbrothersautorepair@hotmail.com' Subject: Hazardous Materials Renewal Application Good Afternoon, K ank you for submitting your payment to store and/or utilize Hazardous Materials. We did not receive the renewal plication with the payment. Please complete application, attached above,and return to me by email,fax to 508-790- 6304, or mail to 200 Main Street, Hyannis, MA 02601. If you have any questions, contact the Health Division at 508-862-4644. Thank.you, Vanessa Tripp Town of Barnstable Public Health Division 200 Main Street H annis,MA 02601 The information contained in this electronic transmission("e-mail"),incl cling any attachment:(the"Informat:ion"),may be confidential or otherwise exempt from.disclosure. It is.for the addressee only.This Information may be pri-6leged and confidential work-product or a pri-6leged and confidential communication.The Information may also be deliberative and pre-decisional in nature._1s such,it is for internal use only.The:Information may not be disclosed without the prior written consent of the Director of Public Health and/or the Town Att:orney's Office of the Town of Barnstable. If your have received this e-mail by mistake,please notify the sender and delete it from your systern. Please do not copy or forward it."Thank.you for your cooperation. 1 AM Town of Barnstable Office: 508-862-4644 .. Fax: 508-790-6304 Regulatory Services Department NAa '; Public Health Division . Mom,. Thomas A.McKean,CHO 200 Main Street, Hyannis,MA 02601 Payment Receipt =Hazardous Materials Payment received:_ 125.00 (Check) on 6/22/2020 µ Permit number: FY 202C Check number: 2266 Check amount: $125.00 Name on check: Twin Brothers Auto Repair Business: TWIN BROTHERS AUTO REPAIR " ;Address: 31 THORNTON DRIVE, Barnstable I app a, U/01a1010L • I Number Fee 1183 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that TWIN BROTHERS A UTO REPAIR 31 B THORNTON DRIVE, HYANNIS, MA Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2020 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF, D.M.D,CHAIRMAN DONALD A.GUADAGNOLI, M.D. 07/01/2019 JUNICHI SAWAYANAGI THOMAS A. MCKEAN, R.S.,CHO Director of Public Health 2� Town of'Barnstable Inspectional Services BARNS LE FSHE Tp� - ew wsrnel=_•rerail.i<.can.ime.anxr- Public Health Division °s, °'°.5•��" "=3`°"�"` D,n 1579-7r0�14 B 9 MASS.BLE, Thomas McKean, Director ; ArE i639. 200 Main Street; Hyannis,M.,k 02601 q C Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE C, HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS MY 1st-JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 wqw Pd eh" CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ I S y$ *A late charge of$10.00 will be assessed if payment is not received by July 1st. _ q w 1. ASSESSOR'S MAP AND PARCEL NO. 0 /tp'0 0 2. IS THIS A PERMIT RENEWAL? V� YES_NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS TORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: 5. NAME OF ESTABLISHMENT: W i 6,T016e4z) 6. ADDRESS OF ESTABLISHMENT: 1r\OfAoa Nq I 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: y c y ` 1( O g 9. EMAIL ADDRESS: �\n AA-��cS GLU �O r-e,gc .k r (2 10. SOLEOWNER: IYES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE# OF: CORPORATIO NAME W\C\ j O AVM 5 PRESIDENT n(o�-Q TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT, — DATE �J��� Q:\Application Forms\Haz Mat App Revised 09-10-18.docx Number Fee 1183 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that TWIN BROTHERS AUTO REPAIR 31B THORNTON DRIVE,HYANNIS,MA Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. -----------------------------------------------------------------------------------------------------------------------------------7-------------------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2019 unless sooner suspended or revoked. -------------------------- ------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2018 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health . .; Voegulatoryw of B rnsxable Services _ Richard V. Scali,Director �� r` �t Public Health Division BARNSTABLE BAKNSTMLE.CLMERYILLE.CDNR•HYRNYIS BARNSTABLE, Thomas McKeanMASS. , Director ""�°�""�16 9" 4" STA�� 3L659. 659. a`� 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 �<..r APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st—JUNE 3 Oth). 0/ APPLICATION FEES - R -: CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? V YES_NO. IF YES, SHIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: god er-to 66210 FRO)5 5. NAME OF ESTABLISHMENT: �W o h g I-of h e r A vlo J?e p/a 12 6. ADDRESS OF ESTABLISHMENT: 3� B -Jo!'N/o� ID iel v e 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT. 7 7-4 zi �® A O y 9. EMAIL ADDRESS: /w I'l 6 r-olh efS A 013 Qe eA 1 - @ k MA-t --N 10. SOLEOWNER: V YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: • COMPANY ADDRESS ' EMAIL: SIGNATURE OF APPLICANT DATE MA y 16 /?-0/8 Q\Appfication Forms\HAZMAT APP 2017 REVI b.Kcx ' Number Fee 1183 THE °COMMONWEALTH OF MASSACHUSETTS ` $125.00 Town of Barnstable Board of Health 4 This is to Certify that TWIN BR OTHERS AUTO REPAIR 31 B THORNTON DRIVE, HYANNIS,MA Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. This license is granted in with the.Statutes and ordinances relating there to,and and expires 06/30/2018 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN ; _ DONALD A.GUADAGNOLI,M.D. 07/01/2017 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health �w Of B ' stable eguWory-�ervices Richard V. Scali, Director , THE Public Health Division BARNSrr BLE • ♦ 9P4NSfAtltl.iH+rERVILF.�'Ufi•HYAi:r:15 - ,. w �RN�ABr.L # NMSIU:S NILLS•MIE0.VILLE '+YSrp4>xsrae:e Mwss Thomas McKean, Director 1639-20j4a 039. 3,�p�� 200.Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 50890-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZEMa HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, . HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1st-JUNE 30th). APPLICATION FEES CATEGORY-1 PERMIT 26- 116 Gallons: $ 50:00 E, - CATEGORY 2 PERMIT 111 -499 Gallons: $125:00 A V-S , CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? YES_NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS S%5TORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? V YES NO. . i 4. FULL NAME OF APPLICANT: 'Twi&ib eolhers . AvJ-0 tCj2,&),e -T 6 A Rohenlo- Md/ivo Fr-oos 5. NAME OF ESTABLISHMENT: Tw I u A irA 6-S �e p� �" ;. 6. ADDRESS OF ESTABLISHMENT: 31 je / be r v, I Z -i D r'/,jt /I Y&h vi is S 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 14,70 )4 04 9. . EMAIL ADDRESS: 7w i vi b r®lhe r5 A vLo rei2AI r �o ►-►., ;�I I 'Co" ' 10. SOLEOWNER:ZYES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK. M 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#• COMPANY ADDRESS -EMAIL: ` 4.. SIGNATURE OF APPLICANT DATE SIG �f Q:GApplication Forms\HAZMAT APP 2017 REVIS Admix f i - 1) Number Fee 1183 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that TWIN BROTHERS A UTO REPAIR 31 B THORNTON DRIVE, HYANNIS, MA Is Hereby Granted a License For: Storing or Handling 11.1 - 499 gallons of Hazardous Materials. ---------------------------------------------------------------------------------------------------------_----------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2017 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/2016 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health i • A Town of Barnstable Regulatory Services Richard V. Scali, Director Public Health Division. BARNSTABLE a6 q. eartnSnutE•CvaIExVIUE.conln•Hrarcrcls v 3 ._/ NMSTOxS MWS•OS •W3T0MNSIABIE ��JD `� \1♦(, 1639-201-2014 Thomas:McKean, Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 „ Fax: 508-790-63044 ;.: 41. APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS P IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL"PERMIT(RUNS JULY 1st DUNE 3-Oth). APPLICATION FEES ti W CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ 1/ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 V S CATEGORY 3 PERMIT 500 or more Gallons:,$150.00 ❑ • A late charge of$10.00 will be assessed if payment is not received by July ASSESSORS MAP AND PARCEL NO. DATE FULL NAME OF APPLICANT: gober4o t'r©CS NAME OF ESTABLISHMENT: ! t,J Cn &0+ le-FS Aof o Re-Pc-,-I - ADDRESS OF ESTABLISHMENT: [ ��j 1 C 1C�(-(l` � ��`l u� MAILING ADDRESS(IF DIFFERENT): . TELEPHONE NUMBER OF ESTABLISHMENT: ,t EMAII.ADDRESS: SOLE OWNER: YES_NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: ` CORPORATION NAME PRESIDENT , TREASURER CLERK IF PREPARED BY OUTSIDE PARTY: SIG T W LICANT Name: Company Address Telephone#: Email: 4Q:\ApphcationForms\HA="P Rev 16.docx Page l of ; Number Fee 1183 THE COMMONWEALTH OF MASSACHUSETTS 100.00 Town of Barnstable Board of Health This is to Certify that TWIN BROTHERS AUTO REPAIR 31 B THORNTON DRIVE, HYANNIS, MA Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ----------------------------------------------------------- ----------- -------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2016 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/2015 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health i Town of Barnstable Regulatory Services • °� Richard V. Sca1i,Director '" MAS& ' Public Health Division 9� 16yg6 ''rFn► �' Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 e Application Fee: $100.0.0 ASSESSORS MAP AND PARCEL NO. (Y U DATE ":Un�Q `�>; ✓ APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN Ill GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT R owe r o Al bl ry o Fg'i`i S NAME OF ESTABLISHMENT /uv,in -ol,b Prs A t IZe�►�eae 2 • ADDRESS OF ESTABLISHMENT 3) 8 ` ho c n r n .Drive , 1JV,6 bj aS A 6 601 TELEPHONE NUMBER 77 y.. 7 l�l b SOLE OWNER: /YES NO ' IF.APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK .. • SIGNATURE OF APPLICANT RESTRICTIONS: HOMEADDRESS 37 SkA/fi—n I.N R wnv►►SlLi/a o?6ol HOME TELEPHONE# (500") !$ C:\cache\Temporary Intemet Fi1es\0LKD3\HAZAPP ReQ015.DOC r �IKE Town of Barnstable office: 508-862-4644 Fax: 508-790-6304 Regulatory Services Department • ant"StnnM Public Health Division Mom. Thomas A.McKean,CHO 39- & 200 Main Street, Hyannis, MA 02601 Payment Receipt ,Hazardous Materials Payment received: $100.00 (Check) on 6/29/2015 Permit number: 1183 Check number: 1290 Check amount: $100.00 Name on check: Twin Brothers Auto Repair !Business: TWIN BROTHERS AUTO REPAIR , 'Address: 31.THORNTON DRIVE, Barnstable • j Number Fee 1183 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that TWIN BROTHERS A UTO REPAIR 31 B THORNTON DRIVE, HYANNIS, MA Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------------------------------------------------------------------------------------------------------------------------------------------------------ --------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 6/30/2015 unless sooner suspended or revoked. --------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 11/13/2014 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health cw i ' "- Town of Barnstable °F1HE t Regulatory Services ; ., ti 1 Richard V. Scali, Director MA SS ASS � � Public Health Division 9 MASS. 039. �0 ArEDMA'�a ,Thomas McKean, Director 200 Main Streef, Hyannis, MA 02601" Office: 508-862-4644 I I �(� Fax: 508-700-6304 `Application'Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE'" APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN I I I GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT , V�&(40 NAME OF ESTABLISHMENT r� 3C Q- C��S /-�� ADDRESS OF ESTABLISHMENT l �1rJ r Von ( `l e- TELEPHONE NUMBER ``t'S_ �QI SOLE OWNER: Z 'ES ,NO { IF APPLICANT IS A PARTNERSHIP,FULL NAME AND'HOME ADD RES ALL PARTNERS: t ' _ A IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION E STATE OF INCORPORATION FULL NAME AND HOM ,SS�OF: :. # PRESIDENT THE R s RK S G ATURE OF APPLICANT' RESTRICTIONS:,t'' HOME ADDRESS 7 - HOME TELEPHONE# J:\HA PP DOC i MAIL-IN REQUESTS Please mail the completed application form to the address below. Also include a copy of your contingency plan (to handle hazardous waste spills, etc). In addition, please include the required fee of$100. Make check payable to: Town of Barnstable. Allow five to seven (7) working days for in- house processing. Our mailing address is: Town of Barnstable Public Health Division 200 Main Street Hyannis, MA 02601 FOR FAXED REQUESTS Our fax number is (508) 790-6304. Please fax a completed application form. Also, please fax us a copy of your contingency plan (to handle hazardous waste spills, etc). In addition, please mail the required fee amount of$100.00. Please make the check.payable to: Town of Barnstable. The check must be mailed to the address listed above. Allow up to four days for in-house processing. For further assistance on any item above, call (508)'862-4644 Back to Main Public Health Division Page JAHAZAPP.DOC Page 1 of 1 R Town of Barnstable, MA Tuesday,July 7, 2074. Chapter 54. BUILDING AND PREMISES MAINTENANCE § 54-3. Outdoor storage. A. Indoor items, such as furniture, appliances, plumbing fixtures and bedding, shall be kept within enclosed structures after 15 days. All other personal property shall be kept within enclosed structures or screened from .public view after six months. = B. Functional outdoor items; such as fixtures, landscape elements,`outdoor furniture, outdoor appliances, children's play structures, firewood, compost materials, construction materials, boats and inventory, shall not be subject to the requirements.of this section. C. Motor vehicles and trailers shall be kept in compliance with Chapter 228,. Vehicles, Storage of. http://ecode360..com/print/BA2043?guid=27981179 7/1/2014 SPILL CONTINGENCY�PLAN Emergency Coordinator, Name: Address: Daytime Phone: Evening Phone: Fire Department: Barnstable Public Health Division: 508-862-4644 DEP 24 Hour Spill Hot Line: 888-304-1133 Waste Hauler: Name: Phone: Building diagram indicating hazardous material/waste storage area, location of absorbent scavenger materials, fire extinguishers, fire alarms (if present), and evacuation route (if applicable). Actions to be taken to control a spill or release, and preventing it from reaching a catch basin, sewer system or the ground. - ha` ct sheet Best Management Practices for Automotive Recyclers Waste Oil; Used Oil.Filters, and Waste Oil-Space Heaters Oil poured down drains or onto the ground can work its way into our ground and surface waters and cause serious.pollution. Waste oilcan contain a variety of M a s s a c h u s e t t s 0 e p a r t m e n t contaminants, including lead, magnesium, copper, zinc, chromium, arsenic, ENV 1 R O N M E N T A l chlorides, cadmium, and chlorinated compounds.' One gallon of waste oil can foul P R o T E c T 1 o N a million gallons of drinking water.: Waste oil is classified as a hazardous waste ir�Massachusetts and is regulated , under the Massachusetts Hazardous Waste Regulations found at 310.CMR 30.000. Important points to remember r " Do NOT mix waste oil with gasoline, gas ad6tives, degreasers, antifreeze, or solvents. Mixtures of these materials cannot be legally burned and must be managed as a hazardous waste. Only used q' engine oil (which may be°mixed with other oil-based fluids) may be burned in an oil-fired,space heater: Never.put waste oil in a rusty, unlabeled,'dented or leaking container or tank. • Never put waste oil in,the trash or pour it on the ground or down. ` drains. Immediately clean up spills, •n Always keep waste oil containers closed except when filling or removing oil from them. a: ` It is important to manage waste oil from end-of-life vehicles in a way,that protects the environment. Options include burning your waste oil in an oil-fired space heater' transporting it to an authorized marketer/recycler(if you are a.Very Small Quantity.Generator), or hiring,a licensed hazardous waste transporter to recycle it or properly dispose of it as a hazardous waste.(If you are a Small Quantity Generator or a Large Quantity Generator, you must hire a-licensed transporter). Know Your Generator Status Your facility must be registered with MassDEP as a,generator of waste oil and obtain a permanent Identification Number. Depending on the quantity you - generate each month, you must determine whether you are a Very Small Quantity Generator, Small Quantity Generator, or Large Quantity Generator. Visit the MassDEP web site to find out which category fits your facility, and how to register: http`//www.mass.gov/dep/recycle/hazardous/hwgens.htm 3 BEST MANAGEMENT PRACTICES - Waste oil management Remove waste oil from end-of-life vehicles soon"after they arrive at the _ facility and before the vehicles are stored or crushed. Do this overAa LIL W concrete pad (or other impervious surface)without cracks, gaps or floor drains. Always use a drip pan. . Safe Handling of Waste Oil.for Motor Vehicle Recyclers Page 1. Floor drains that discharge to the ground are regulated as Underground Injection Wells. If,these wells will continue to be used; you will need to get a groundwater discharge permit and/or register with the Underground Injection Control (UIC) Program with MassDEP (see 310 CMR 27:00 at http://www.mass.gov/dep/service/regulations/310cmr27.pdf). 1f a'well is'no longer needed, it should be closed (see the link above for proper procedures). • Store waste oil away from ignition sources in a tank or container that is in good condition. • If you are recycling or burning the collected oil, the container must be labeled with the words: "REGULATED RECYCLABLE MATERIAL", "USED OIL FUEL", and "TOXIC',and the date on which accumulation began in letters/numbers at least one inch (1") high. If you are not recycling the waste oil, label the container according to hazardous waste requirements. See http://www.mass.gov/dep/recycle/laws/sggsum.pdf for the SQG Hazardous Waste Guidance, June 2004 (page 8). To prevent spills, use a funnel when transferring oil to the storage container.]" • Have spill cleanup materials readily available and train staff on their Use., • Never mix waste oil with gasoline,antifreeze, solvents, or other such fluids. These mixtures cannot be legally burned in oil-fired space heaters and must Massachusetts Department of be managed as a hazardous waste. Used engine oil may be mixed with Environmental Protection other types of oil-based fluids, such as.uncontaminated.transmission fluid, One Winter street differential oil, brake fluid (non-chlorinated), power-steering fluid and Boston,MA02108-4746 transaxle fluid, and burned in oil-fired.space heaters: - • Keep all waste oil containers and tanks tightly sealed when not in use. Commonwealth of Report any oil spills of 10 gallons or more into the environment to MassDEP Massachusetts within two hours. Call 1-888-304-1133 (toll free, 24 hours/day)for directions.. Mitt Romney,Governor - Spills of less than 10 gallons still require cleanup, but do not need to be reported to MassDEP. Procedures for cleaning up••releases of oil and` y hazardous materials to.the environment are established by the ° Executive Office of Massachusetts Contingency Plan(310 CMR 40.0000), which also Environmental Affairs establishes specific reportable quantities or concentrations for other y Stephen R.Pritchard,Secretary" _ '' hazardous materials. When in doubt, call MassDEP: • Department of Waste Oil Burning in Space Heaters Environmental Protection If you choose to burn waste oil in a space heater, you must submit a one-time Robert W.Golledge Jr. On-Site Class A Recycling Notification form to MassDEP. See Commissioner' http://www.mass.gov/dep/recycle/approvals/hwforms:him for the form and http://www.mass.gov/dep/recycle/laws/spacehtr.pdf for the fact sheet, "Safe Produced by thef Handling of Waste Oil for Burning in Space Heaters." Before deciding to burn Bureau of Waste Prevention, waste oil in a Space heater, contact your municipal fire department to learn about . March 2006. any local permitting and/or regulatory requirements. Printed on recycled paper. Used Oil Filters Puncture,and,drain oil filters over a drip rack or drain table for at least 12,hours, This information is available in' r alternate format by caning our immediately after they,are removed from vehicles, or use a filter crusher and ADA coordinator at collect the drained oil. (611 j 574-6872. 'Fully drained.used oil filters are not a hazardous waste and can be sent to a scrap metal recycler with other scrap metal from your facility or managed as solid waste. See MassDEP Policy for the Management of Waste Oil Filters, Policy i Number 93-02, http://www.mass.gov/dep/recycle/laws/policies,htm#hw Ll w Safe Handling of Waste Oil for Motor Vehicle Recyclers•Page 2 For Additional Information • Read the"Summary of Requirements for Small Quality Generators of Hazardous Waste" (http://www.state.ma.us/dep/bwp/dhm/files/sggsum.pdf) • . Massachusetts Department of Fire Services: Regulates the storage of combustible or flammable materials at 527 CMR 10.00 (http://www.mass.gov/dfs/osfm/fireprevention/cmr/iridex.htm) • Call the MassDEP Used Oil Hotline at 617-556-1022 • Visit the EPA UIC Program Web pages: >' http://www.epa.qov/safewater/uic/c5imp.html > http://www.epa.gov/safewater/uic/c5fin-fs.html Massachusetts Department of Environmental Protection One Vlnter Street Boston,MA•32108-4746 Commonwealth of Massachusetts Mitt Romney,Governor Executive Office of Environmental Affairs Stephen R.Pritchard,Secretary Department of Environmental Protection Robert W.Golledge Jr. Commissioner Produced by the Bureau of Waste Prevention, _ March 2006. , Printed on recycled paper. This information is available in alternate format by calling our ADA Coordinator at (617)574-6872. Safe Handling of Waste Oil for Motor Vehicle Recyclers•Page 3 Notes to the File Date: September 10, 2009 Twin Brothers Auto Repair 4 31 B Thornton Dr. Hyannis,,Ma Cynthia Martin, PHD Sharles Albino Thales Albino A Hazardous Materials Inspection was prompted by the completion of a business application for the auto repair shop. The shop consists of one garage bay without a car lift. There are work benches along one wall and a small office occupying the opposite wall. Reportedly the business will focus on small engine repairs (chainsaws, lawnmowers, scooters, motorcycles and similar engines). However, automotive oil changes and brake jobs will also be performed. Sharles Albino stated that Bill Wright will be the waste oil hauler of record; a fifty-five gallon drum has yet to be provided for this purpose. Fluids needed for repair work are going to be purchased on an as need basis. At the time of inspection there were approximately two and a half gallons of virgin motor oil on site. Parts cleaning will be performed using a spray cleaner such as Brake Kleen. The floor is of concrete construction with no floor drains observed. Shales Albino was informed of the licensing requirement should the business store greater than one-hundred gallons of hazardous materials in the future. An a convenience an application for the license was left with him as was, A,Summary of Requirements for Small Quantity Generators of Hazardous Waste, and a fact sheet regarding Self Assigning a Hazardous Waste Generator Identification Number. Based on the inspection and anticipated business it has been determined that a Hazardous Materials License is not required of Twin Brothers Auto Repair at this time. r r Hazardous Materials Inventory Sheet Checklist - Date f� Physical Street Address-Check ciatabasie to en ure i exists 1r Working Phone Number(Wau qa mbw- / �y Actual Amounts -( ie. gas being UsLyd to fuel machines,thinner to. clean brushes all count as hazardous materials-no blanks) Storage Information -location of storage, how long is storage for? If none, note that. Disposal Information -where and who? If none, note that.. izo _%/"_Applicant Signature understand what is listed and noted Staff Initial -any questions, know who to ask _Vehicle Washing/Rinsing? -give a vehicle washing policy and explain it _Attach the Business Certificate with your sign off and comments **The inventory form should explain what the business consists of and the procedures they are doing. Notes need to be left to explain what you discussed with them. 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. a Main Street, Hyannis, MA 02601 (Town Hall) _ DATE: Oq Fill in plea w APPLICANT'S YOUR NAME/S: Y r//D ���� (��@{i�6 /�i��U ' BUSINESS YOUR HOME ADDRESS: Gt/,¢ f Zv i�c Pr C,<. } (L f/^ ��, " z TELEPHONE # Home Telephone Number --6341 e� So8 - 6 -86 "(cc -Z - NAME OF CORPORATION: T E (- 6 i NAME OF NEW BUSINESS TYPE OF BUSINESS i IS THIS A HOME OCCUPATION?• YES: NO ADDRESS OF BUSINESS r-4 r ��i f 6 o( MAP/PARCEL NUMBER (Assessing) When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the+Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this.town. 1. BUILDING COMMISSIONER'S OFFICE This individual,has been informed of any permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 2. BOARD OF HEALTH This individual h ` infor f the p m+tie rements that pertain to this type of business. uthorizec1 Si nature** '� t � COMMENTS: "AMMIS MA 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: o ' Date: 9 /� I Dq TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: 7—y � f3 pro-t4e(d J ►Q 0� t3e im)'C BUSINESS LOCATION:�3/& Jai.o r/t -k0,i [2r INVENTORY MAILING ADDRESS: �`31 baQr/I ion r7 r TOTAL AMOUNT: TELEPHONE NUMBER: CONTACTPERSON:567.4,ks- d/,lm& / Th41es 416mo EMERGENCY CONTACT TELEPHONE NUMBER C�. ) 40' '--36 1- MI 6 /5' MSDS ON SITE? /� TYPE OFBUSINESS: /7U-1-U �� �Cxl/ �o$ — 2-3-3 — 05y 5— �IC,�Ao INFORMATION/RECOMMENDATIONS: Fire District: Waste Transportation: �' 'r w��� Last shipment of hazardous waste: Name of Hauler: &11 Destination: Waste Product: Olt I it; .&,oz.r° Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum Antifreeze (for gasoline or coolant systems) _ Misc. Corrosive NEW )D USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides 5 NEW 90 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 to 'c or hazardous (please list): Laundry soil & stain removers (including bleach) Spot removers &cleaning fluids e (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS -1 V Number Fee 1051 THE COMMONWEALTH OF MASSACHUSETTS 100.00 Town of Barnstable Board of Health This is to Certify that ADYMAR'S 31 -Thornton Drive, Hyannis, MA Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2016 unless sooner suspended or revoked. ----------------------------- --------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/2015 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health • } Town of Barnstable Regulatory Services • Richard V. Scan,Director ( ` NAB& Public Health Division s6 Eoa� Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.0.0 ASSESSORS MAP AND PARCEL NO. J9 e0 DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT . r NAME OF ESTABLISHMENT AduZL(,q f • ADDRESS OF ESTABLISHMENT 3 Av n/IJ TELEPHONE NUMBER 67718' �7,6 , oluA ' SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. '- STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER ' CLERK _ 3 • SIGNATURE F APPLICANT - RESTRICTIONS: HOME ADDRESS0S7 /'� � v HOME TELEPHONE# ��8 -� Mcache\Temporary Intemet Files\0LKD3\RAZAPP Rev2015.Doc Jean 13 07 02: 500 Jose M Costa 508-771 -7012 r p. 1 Town of Barnstable Regulatory Services Thomas F.Geiler,Director Public Health Division '0�ga r Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fix: 508-790 304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL'NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS - FULL NAME OF APPLICANT ��S j, !� C O NAME OF ESTABLISHMENT V 14 R V 10 PG 161-I ADDRESS OF ESTABLISHMENT 'rp o P a L TELEPHONE NUMBER Jf Q / 70 4z SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP, FULL NAME AND ROME ADDRESS OF ALL PARTNERS: �Y IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. 4 STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK 71 �STGNAEANTTUR ,OF�PL RESTRICTIONS: HOME ADDRESy fq L'K P `% � �yA HOME TELEPHONE 4 ci b y `7 7 S- Y 71, Jun 13 07 02: 50p Jose M Costa 508-771 -7012 p. 2 Please print or pe.(Form designed for use on elite(12-pitch)typegnilhen) UNIFORM HAZARDOUS I.Generator ID Number Form Approved.01U13 No ZMAM 2 Page 1 of 3, ency bane. 4. an Tracking umber WASTE MANIFEST xt� `°g a JJ 5.Generators Name and MaiRngAddress Generators Sit,Address(if different than mailing address) _-- r i81 Generator's Phone: 3 '' f " &Y}; 6.7ranspTorter 1 r ny" r -_ 71-f.4 s:NL:! Jifp°skit. RZYib,;cl�'Erery rl�eiz�''. U.S.EPA IDI�ul�lber 7.Transporter 2 Company Name U.S.EPA ID Number -- 8.Designated Facility Name and Site Address _ U.S.EPA ID Number 1.` ";�E,ukn�kgi-��i `r�'8+:�%?d` c_.4lt :3%•�`a•'�,yi:. 3[ FadVi vPhone: ire - k •4 _ : .:.r<; :a> 1i-1; ga. 9b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 10.Containers HM and P"Group(If any)) 11.Total 12.Unit 1. No. Type Quantity try - 13.Wa';t=Codes r?rn013LY.si; fat -��j ;ice ° �r z -r, r -- W _ - 0 3. Generator Completed Copy From MURPHY'S WASTE OIL SERVICES, INC. _ IMPORTANT INFORMATION 4. File in Safe Place Y 14.Spedal Handling Instructions and Additional Information t I "-theT .i�}.cii.Z k:'l -�'Ql C1.L, ?li 114J ji.'t 4'.::.tr,ir:l�d":.'ii:1}?( �r ,' :�llr ',u._%: 'v\T)� [•.k+ c 1 .: �T -5 `l.-i wJS 15. GFNERATOR'SfQFFEROR'S CERTIFICATIOq I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name,and are classified,padtaged, marked and labeledlplararded,and are in all respects In proper condition for transport according to applicable intemabonaland national governmental regulations.If export shipment and I am the Primary Exporter,t certify that the contents of this consignment conform to the terms of the attached EPAAcknowtedgment of Consent I cents that the waste minimization statement identified in 40 CFR 282.27(a)[d I am a large quantity ) {)( quantity generator)I, q tygeneralor at b iffama•sma8 uanti GeneratorWOfferaes PdnteFFYj*-d Name - - Signature _ Day Year 5i ��, 16.InternationalShipments �r �*' S ^f Import to U.S. i' nlrylexit Transporter Signature(for exports only): 0 Evart from U.S. Doha tea Port of evin exit: - w lT.TtartsportarAdmtvMedgrrrent at Recut of Materials 9 CC Translooner 1 Mrilmlyped Name Signature a Month I?ay Year "i;.'. S, a Transporter2 n yp ' ` Signature Mon I Year 18.Discrepancy =. r 18a.Discrepancy Indication Space ❑ Quantity ❑Type ❑Residue ❑Partial Rejection ❑FullR jedion 1-- II&Altemate Fad l (or Generator) Manifest Reference Number. U.S.EPA ID Number U Fedliys Phone: U nature of ` ZMonth Liss!r Year 19.He rd—s Waste Report liftnagement Method Codes(i.e.,cades for hazardous rsasla treatment,disposal,and I6c7rCllRg systems) - Q LQ 1 f J 1 2. 3. 4. � 20.Designated Facility Owner or Operator.Cer ration of recoipt of hazardous materials covered b the manifest ex -- PdmadlTyped Name y except as noted in Item 18a SignaWre Month Ivry Year I r,.- r.,..^-�,.Ti*'s:; ''.+F n�-f"r :'+^:T'.",'w,ff"j"„,'.x7':",T.' ..^-•ti':?�n-s "rfs`.;:-�i`y-".'..w^;r+w..^-.r-.a TOWN OF BARNSTABLE BAR-W 3390 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager C-1 4? Address of Offender MV/MB Reg.# Village/State/Zip Business Name_ ��°`�..�.dr.se� _r rae210 pm; on $20 iC` Business Address Si—g tur—o-Enf ding Officer Village/State/Zip ,111 Location of Offense }" f , �,' .. �tlx.,r .�..f '9►"�' _ Enforclifg 4D'ept/Division Offense ,�? e.,�.;e+ t. �P t' .n.r,+��+9 cry, t• s :. .. .'" r €!. , Facts This will serve only as a warning. At this time no legal action has been taken. It. is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain .voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. 3 i 1�or� o`er -O m Q t ®®� S M E A KEEPING YOU ORGANIZED No.1®334 2453L MADE IN USA GET ORGANIZED AT SMEAD.COM 1 'I ,\y 1 �\ er Fee �\ Numb 1000 THE COMMONWEALTH OF MASSACHUSETTS 100.00 Town of Barnstable Board of Health This is to Certify that ALGIAuto Repair 31 %� C Thornton Drive, Hyannis, MA Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ---------------------------------- ---------------------------------------------------------------------------------------------_----------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2016 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/2015 JUNICHI SAWAYANAGI I THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable Regulatory Services Richard V. Scan,Director EORNSMAJEM MASL Public Health Division b'd Eck° Thomas McKean;Director _ 200 Main Street, Hyannis,MA 02601 t4.� Office: 508-862-4644 - . ;r, r Fax: 508-790-6304 rT Application Fee: $100.00 , -ASSESSORS MAP AND PARCEL NO. D (o L4 DATE l5 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF ITAZARDOUS MATERIALS FULL NAME OF APPLICANT _Q NAME OF ESTABLISHMENT JA( N 0 • ADDRESS OF ESTABLISHMENT 3 ` e T IYD J(`AI TO TELEPHONE NUMBER SOLE OWNER: YES><-NO „ 3 IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: _ ; ,L-#Ck t44nn.A M d S Tc1 hn . Aty411 L( `� 7uQ IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO.-2 1 D�a 02 0 I STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF `.. • - 'PRESIDENT C���f.9;� TREASURER CLERK CSZ�, rv�` SIGNATURE OF AITLICANT RESTRICTIONS: HOME ADDRESS IC wc0© HOME TELEPHONE C:\cache\Tempoiary Intemet Files\OLKD3UiAZAPP Rev2015.DOC K�E royh Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BA ASS.LE. MASS. p• 200 Main Street• Hyannis, MA 02601 9 M 0 �ArfDMP+ TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: dq U�� Date: Location/Mailing Address: ) C - C 0 :a&0-1 A Contact Name/Phone: ( Pgo% A r-p 1/U�,8 �' y 7� 139 Inventory Total Amount: �''�� Ci MSDS: ViO License#: Tier II : ft Labeling: YES Spill Plan: Oil/WaterSeparator: Floor Drains: Emergency Numbers: �eqy Storage Areas/Tanks: d. 1 f`V-r-L`t Emergency/Containment Equipment: jl��i C3i-r Waste Generator ID: J11 V 7 T 4'Z! /3!7! Waste Product:a - Date&Amount of Last Shipment/Frequency: 17-) 7 G> &4 .2 k `I Licensed Waste Hauler&Destination: 1AA-4t-^ A Oil ).,� cal h ) -Z^ Other Waste Disposal Methods:dy)j6 LIST OF TOXIC AND HAZARDOUS MATERIALS 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 requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils )Y&vV 5,Sq)1-1U Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) . Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: Ala A/C— ORDERS: INFORMATION/RECOMMENDATIONS: Inspector: U Facility Representative. WHITE COPY- HEALTH DEPARTMENT/CANARY COPY- BUSINESS IKE�o Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARM SSR`'E.$ 200 Main Street• Hyannis, MA 02601 1639. �PrFOMP+a`0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: AI&I Date: 6� 1 Location/Mailin Address: 31C AorOon DO a Contact Name/Phone: y Inventory Total Amount: C SIDS: e� License#: 100 0 Tier II : NO Labelina: IJ 0-c's Spill Plan: Oil/WaterSeparator: At � Floor Drains: � Emergency Numbers: U Storage Areas/Tanks: a ti� , ( Oa MAN 60I z► Emergency/Containment E ui ent: VA Waste Generator ID: V 7 3 Waste Product: Date&Amount of Last Shipment/Frequency: A,;P1heA4-& Licensed Waste Hauler&bestination: 606 Other Waste Disposal Methods: �QD` LIST OF TOXIC AND HAZARDOUS MATERIALS 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 requires a license from the Public Health Division. 100 Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash to Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATIOW RECOMMENDATIONS: , ice- hInspector: Facility Representati WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 T+BARMASSBL' 200 Main Street• Hyannis, MA 02601 "r1639.+ TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: i-&_I. v+o ,Y� a-,-r Date: Location/Mailing Address: 3� C"�.o-� vx. rt.�e. av►,n,s ruts Contact Name/Phone: InventoryTotal A ount: +� 300 �� SDS: sb6 -Di*', `�0 o loA'11"n License#: /000 f Z Tier II : No Labeling: o6k s�5 Spill Plan: Ype Oil/WaterSeparator: Floor Drains: JO b Emergency Numbers: As Storage Areas/Tanks: S f,t Emer enc /Containment E u ment: Waste Generator ID: MJ?-1 'I`7v 1,391 Waste Product: 91fue"c. Date&Amount of Last Shipment/Frequency: 3 b 17 2 50 qI ^'�Zx Licensed Waste Hauler&Destination: kksl <o- 0, -�►�cdl r.,, ►2� Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS 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 requires a license from the Public Health Division. Antifreeze fi WMAo Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers 7— Hydraulic fluid (including brake fluid) Windshield wash Motor oils Jr w6AA— <+1A Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil ✓ Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners ✓ Miscellaneous Combustible Qe�o5�1s Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: a g �a.w V J-LJ INFORMATION RECOMMENDATIONS: 0 fS5v-CS o-x( �co vv� Insp ,tor���--� -1 Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS `°ate rok� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • RnRMTR%. .A g! 200 Main Street• Hyannis, MA 02601 �'DTEDMn+a�w TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: L U I Ao+o Date: Location/Mailing Addres : 31 ( "5 f4 Contact Name/Phone: -77 Y- o -13 1 Inventory Total Amount: MSDS: License#: 1 t7 0 0 Tier II MIA Labeling: Spill Plan: e s Oil/WaterSeparator: Floor Drains: Emergency Numbers: Z 5 Storage Areas/Tanks: 1 I S"1'A�•10, S a1 V),60 , Emergency/Containment E ui ent: 5 Q a l�b 1-p—w< a 1{t, Waste.Generator ID: -7-7 y 013 I Waste Product: y 1 Date&Amount of Last Shi ment/Fre uen : Q 131+< SD 9 R-1 "- 2�/,/ Licensed Waste Hauler&Destination: f 1 +v1 co VI-J (2 Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS 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 requires a license from the Public Health Division. Antifreeze W). a F• Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils -27SA6-rv)-o- Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: -05 of 4 e-LL0*A ,D&5 CA-N�&�5 Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS FI►IE*ok Town of Barnstable Office:508-862-4644 • ~°� Public Health Division Fax:508-790-6304 • BARMA�BLE. 200 Main Street• Hyannis, MA 02601 i639 `e TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT � o Business Name: 1- ��o e r Date: 3 I Location/Mailing Address: 1 Contact Name/Phone: 235awa2^r-o K uvk.c-5 9-70 Inventory Total Amount: s� a MSDS: `�8 6 License#: o o D Tier Il : D Labeling: oo Spill Plan: l Oil/WaterSeparator: 01A Floor Drains: 00 Emergency Numbers: Q.S Storage Areas/Tanks: 1 ww5A�P- o%N -6-VeA a )o-Wf 55 tom Avt -9CP,e:7,e b,�-e- Emer enc /Containment E ui ment: dr C' S c0a,14,0k , Waste Generator ID: 13 I Waste Product: of I Date&Amount of Last Shipment/Frequency: Iv I - l Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS I 0 Ako,)u,l c,\Aaw. I Vl vL5 NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous aterial use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. V Antifreeze+ waSke- Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils v wws}v Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform,formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION 4 RECOMMENDATIONS: S Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Date: .6 / a l 13 TOWN OF BARNSTABLE MS�CLOW% TOXIC AND HAZARDOUS MATERIALS IREGWR FORM NAME OF BUSINESS: L&1L &4o 19.E -r BUSINESS LOCATION: 9 ► C " !Je . 4\� e-yxvl ,s INVENTORY MAILING ADDRESS: rsavu-e, 7- TOTAL AMOUNT: TELEPHONE NUMBER: "7-7(4 -1-1-1 o I 1 3?o �- CONTACT PERSON: Aj,)0-t,5 EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: 40+0 INFORMATION / RECOMMEND TIONS: -"&jS t& 064,R)K 146±6 Fire District: "'I',5 a�A 61+e, -�2 M4441 ' j1i&v1r1t6 JA �1'Z �tS-1-G K-d'�r'fe.G L-e , c_ m I ' onb tote, .t►4- -shop lvo -J'a . cye- tr rp , 11a ►vcfo W T�2►�-<' ✓S!`� O of I S /" Eti.o 1 e_ Waste Sy? 13 1 Last shipment of hazardous waste. i8 i3 Name of Hauler: 1Jes4,-,r, o I I Destination: L.It46010-., ► T Waste Product: Was+,e- oI I/aA4-i (7rce-fie, Licensed?e!p No 1R►1�000�5'0002se" 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 / Maximum Observed / Maximum (�(� Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive UdNEW S 0 USED Sr Cesspool cleaners 1 Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts(Halite) Z Hydraulic fluid (including brake fluid) Refrigerants 3 O Motor Oils Pesticides dNEW3 - Ld USED 275-- (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals(Developer) f 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): Metal polishes e oVJ1 roc f Laundry soil &stain removers ✓ (including bleach) ,�yywlril vtLy 06� ►�,%vtn LW-,rS ,P VL S r+e" . Spot removers&cleaning fluids (dry cleaners) S , 11 alos d ►^-�S .►� i-�, A I l ux5fe_ Other cleaning solvents Bug and tar removers < 1,5 46CJCJ� .ok-,6 14"I K-- Windshield wash COVP� S 44,e, A_ ► - �& 0, WHITE COPY-HEALTH DEPARTMENT I CANARY COPY-BUSINESS Applicant's Signature Staff's Initial `pFTHe►okti Town of Barnstable Office:508-862-4644 LE'� Public Health Division Fax:508-790-6304 r BA MASS. 200 Main Street• Hyannis, MA 02601 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rE0 MA'S 1_ II�� Business Name: A�A n rtN',( Date: 7 15 Q Location/Mailing Address: n TtNmf Contact Name/Phone: 502 -ay .- 1336 Inventory Total Amount: ��1 ' qq COO 2 SDS: 0(6er, es License#: 1343- Tier II : NO Labeling: LSpill Plan: �S Oil/WaterSeparator: NO Floor Drains: NO Emergency Numbers: J J Storage Areas/Tanks: 9'7� gall 1,.,G f- 0�l Emergency/Containment E ui ment: 8 � &f+ � CWaste Generator ID: — v� Waste Product: G� Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: WkA4er01 f1i jhC. T Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage gnd disposal of 111 gallons or more requires a license from the Public Health Division. V Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) ------Z7 Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil �— Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives (creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATIO /REC MMEN TIONS: +; O f r" + r Inspector: l Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS F IKE r Town of Barnstable Offic :508-862-464 Public Health Division F 508-790-63 4 Z� BARMAR,& 9` 200 Main Street• Hyannis, MA 02601 p t639.p�0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rF0 MAC Business Name: �,a ��'���� �� �iT Date: ?� Location/Mailing Address: —3 1 n --CrAw,1• vn OCx�e Contact Name/Phone: G 14 Vtizo,1 �2 rrr{ Inventory Total Amount: MSDS: S License#: 3 yl5 Tier II : A/0 Labeling: Spill Plan: Oil/WaterSeparator: Floor Drains: ,Vo Emergency Numbers: Storage Areas/Tanks: 27.f i W0-t+e-d Emergency/Containment Equipment: -ecJ 3 Waste Generator ID: Waste Product: Lc Date&Amount of Last Shipment/Frequency: Llsr-,) IC Licensed Waste Hauler&Destination: �T7Y'i .� J °., n (�, I Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage an disposal of 111 gallons or more requires a license from the Public Health Division. A 'freeze ,Dry cleaning fluids tomatic transmission fluid •X� Other cleaning solvents&spot removers Engine and radiator flushesug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: M_w 47—K G,, Inspector: Facility Representat WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS A. �INE r , ;Town of Barrstable. a *k ter` Office:°508-862-4644 = w Fax,'508 790-6304 . Public°Health Division a` ry le �� BARNSTABLE. • a ' # ''�# 4" d MASS, ^:* 200 Main Street• Hyannis,MA 02601` - °►Ea►,�+" TOXIC AND HAZARDOUS MATERIALS..INSPECTION REPORT, a< tt Business Name Location/Mailing.Address:; o r- <` Contact Name/Phone: jot t ' �f��t ��' MSDS: �s s Inventory Total Amount: t i z s License# ' Tier II Labeling ` ={ =4°h ` mill Plan Oil/WaterSeparator 4 n4 ws:.4— -IL t x Storage Areas/Tanks s Emergency/Containment Equ1 ment Waste Generator ID. b +. v Waste Product:`. r "Date&Amount of Last Shipment/Frequency � License8 Waste Haulers&bestin'kibrif' Cf Y f .s f�a / _ � Other Waste Disposal Methods::,, LIST OF TOXIC AND HAZARDOUS MATERIALS.` ,4� _a x NOTE. Under,the,provisions ofCh 111:, Section 31;,of the General Laws of MA;;hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division:N > 'x ,'S Antifreeze �, Q c m , Dry clearnng^fluids a " t'� 7f1,7; Other cleaning.soly ne is&spotfremovers ' t ' Automatic transmission fluid4 } Engine and radiator flushes- ' Bug'and tar removers t Hydraulic fluid (mcludmg brake fluid) r., , _ Windshield:wash r Motor oils is ti� h Miscellaneous Corrosives Gasoline,jet fuel, aviation gas ° ry Cesspool cleaners Diesel fuel,kerosene, #2 heating*oil R s "'' Disinfectants�y '�, t �f` Miscellaneous etroleum rotlucts p p °°� _, Road salts e : , 4r grease lubricants gear oil Refrigerants� F _ Degreasers for engines&garages Abe Pesticides " °� Y Caulk/Grout' ' s p * insecticides, herbicides; rodenticides Battery acid'(electrglyte)/battenes Photochemicals(Fixers) N <f Rustproofers t3 Phot(chem cats(Developer) F 4 Car wash detergents , 1 ' Printing ink a � � P Car waxes and polishes, ;T Y,�� ` Wood preservatives(creosote) Asphalt&roofing ter s _ Swimming pool chlonne., Paints, varnishes;stains, dyes A Lie or caustic soda sit= ' q a y. � Lacquer,thinners # ` ' } .K.., :: x eons Combustible i�; Miscellan Paint&varnish 7emovers, deglossers x Leather dyes , x °r s � 4 Miscellaneous Flammables Fe if' Floor&furniture strippers-' y '>PCB's } Metal polishes q 4 _ Other chlorinated h, d'' bons Laundry soil&stain remoVers, "' `x (including carbon tetrachloride) (including bleach) other'products with"poison labels" r�c Jar .y (including`chlorofdrrn;formaltlehyde, hydrochloric acid, other acids) f , a. d s' t x. ., , ,� F,..° r x. z° : e --,'F" , ^ail R• �' VIOLATIONS. x �' �� ' { „?s -+'* e .x` ! �, _,...,4,iS«, ' i +. _z _'^' -.a c e s 4 La s Pz fir .`v AORDERS: � k° r6 z, ,A �'� 1i . t �. p 13 INFORMATION/RECOMMENDATIONS ��° :'� a k + Inspector g � g, f� 3r ` • i Facility Representative. ,5 k WHITE COPY HEALTH DEPARTMENT/CANARY COPY-BUSINESS _. t . • . i Town of Barnstable IME Inspectional Services BARNSTABLE Public Health Division �,. .4wA' .,1.... EwaQm. 1 � r Thomas McKean,Director �'�eoMxta`� 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE, HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY Ist—JUNE30th).. APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ o� 3 �' CATEGORY 2 PERMIT .111 —499 Gallons: $125.00 iZ Kr9. CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ S ,G DV_­TD *A late charge of$10.00 will be assessed if payment is not received by July 1st. i pei- 1. ASSESSOR'S MAP AND PARCEL NO. 9 6 M 0 Li � (ZI(9 2. IS THIS A PERMIT RENEWAL? YES _NO. IF YES,SKIP QUESTION 3. Iv/_-- 1A1 - (�yvNF_/Z 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES(25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: CZ C_Le 'rS0.ol, 5. NAME OF ESTABLISHMENT: rh^�c/?iiv�9�9 6. ADDRESS OF ESTABLISHMENT: 3 12 aa 7- n ✓ 41 0 � 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 31 a 7 f o 6y Ta v D10 04c'/ 8. TELEPHONE NUMBER OF ESTABLISHMENT: 3U2 3. 9. EMAIL ADDRESS: 10. SOLEOWNER: Io YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#E OF:Cif !/q/'SU/i 3'F/�/'�' 34.)Y413J6 CORPORATION NAME G,/A PRESIDENT TREASURER CLERK l 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICAN DATE O V 1( . 201 Q:\Application FormsU-laz Mat App Revised 09-10-18.docx TOWN OF BARNSTABLE E A Rx#S TA.B.L E. " • MASSACHUSETTS J BUSINESS CERTIFICATE -44 19 DATE ISSUED: 04/04/2019 :DATE RENEWED: BOOK:208 RENEWAL BOOK: RENEWAL PAGE: PAGE: 19-440 DATE DISCONTINUED: CERTIFICATE EXPIRES: 04/04/2023 DISCONTINUED BOOK: DISCONTINUED PAGE: In conformity with the provisions of Chapter One Hundred and Ten(110),Section Five(5)of the General Laws,as amended,the undersigned hereby declare(s)that a business is conducted under the title below, located as shown,by the following named person,persons or corporation: PLEASE NOTE A_BUSINESS CERTIFICATE INDICATES THAT THE NAMED PERSONS)IS(ARE)DOING BUSINESS UNDER A NAME DIFFERENT THAN.HIS/HER.PERSONAL NAMES) IT DOES.NOT IMPLY THAT THE AFPLICANT(S)HAS(HAVE)MET ALL LICENSE;t .PERMIT AND OTHER PERMISSIONS.REQUIRED BY THE TOWN OF BARNSTABLE BUILDING,HEALTH AND_CONSUMER AFFAIRS ."; Y' DEPARTMENTS FOR THE LEGAL OPERATION OF.THIS BUSINESS AT THE STATED LOCATION. CHACRINHA AUTO REPAIR MAILING ADDRESS: 31D THORNTON DR HYANNIS,MA 02601 CLEVERSON SERRA 31 D THORNTON DR HYANNIS,MA 02601 Sign THE ABOVE NAMED PERSON(S)PERSONALLY APPE D BEFORE ME AND MADE OATH THAT THE FOREGOING STATEMENT IS TRUE. TITLE Identification Presented: DATE: April 4,2019 CONDITIONS: EXISTING USE-NO CHANGES. MUST OBTAIN A SIGN PERMIT. In accordance with the provisions of Chapter 337 of the Acts of 1985 and Chapter 110,Section 5 of the Mass General Laws,Business Certificates shall be in effect for four years from the date of issue and shall be renewed each four years thereafter. A statement under oath must be filed with the city clerk upon discontinuing,retiring or withdrawing from such business or partnership. Copies of such certificates shall be available at the address at which such business is conducted and shall be furnished on request during regular business hours to any person who has purchased goods or services from such business. Violations are subject to a fine of not more than three hundred dollars($300)for each month during which such violation continues. ------------------------------------------------------------------------------------------------------=--------------------------------------------------------- CERTIFICATION CLAUSE , I certify under the penalties of perjury that I,to the best of my knowledge and belief,have filed all state tax returns and paid all state taxes required under law. r - * Signa ure of Individual or Corporate Name(Mandatory) By: Corporate Officer(Mandatory if applicable) ** or Federal ID Number * This license will not be issued unless this certification clause is signed by the applicant. ** Your social security number will be furnished to the Massachusetts Department of Revenue to determine whether you have met tax filing or tax payment obligations. Licensees who fail to correct their non-filing or delinquency will be subject to license suspension or revocation. This request is made under the authority of Mass.G.L. Cha 62C,S.49A. Town of Barnstable Building Department Brian Florence, CB Building Commissioner 200 Main Street,Hyannis, MA 02601 www.towiLbamstable.ma.us Pre-application for Business Certificate OG DateY a MapaqN Parcel Applicant Information 4plicants Name G 4 Applicants Address .3 12 Email Address, S C G r (e0 r/O r/m1q a C'D/-I Telephone Number 7l 0 wl. 3 3 Listed ❑ Unlisted ❑ Business Information New Business? Cly2[ �I0_ lec�i¢//�___ Ye6�/ No Business is a registered corporation? ------------------------. Yes No If yes Name of Corporation rPA�ni Does business operate under the registered corporate name? Y4 No Is the business a sole proprietorship or home occupation? --------- Yes I�er If yes then a Home Occupation Registration is required-See Building Division Staff Name of Business C YI/<7 C 2/ ly /q U 7-0 kF 6402 Business Address Type of Business n�l C 5 ,Building Commissioner Office Use Only CO� , Building Coromissione Date Clerk Office Use Only �oFIME Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARMA�BLE.g' 200 Main Street• Hyannis, MA 02601 A i639 6 `0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rE0 MA'S Business Name: Luc, aria v*o Iq•c a1r Date: Location/Mailing Address: 31 )> 4ro-5 •e.' Contact Name/Phone: L.octav`-v Sav os ?7 y- 2CqI- 162-2. Inventory Total Amount: SDS: - 0V J1 t CLCX_e55 License#: Tier II IJ-a 11 Labeling: D�S Spill Plan: A s Oil/WaterSeparator: NIA Floor Drains: t fl Emergency Numbers: Ye,�, Storage Areas/Tanks: 2.1 al wayk-e, 61 �r5 Emer enc /Containment E ui ment: �-5 �(Waste Generator ID: 7 q 11$22 Waste Product: o Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS 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 requires a license from the Public Health Division. 3 Antifreeze Dry cleaning fluids I Automatic transmission fluid t Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers I Hydraulic fluid (including brake fluid) I I Windshield wash I �5o Motor oils W4.5- e. Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants I Miscellaneous petroleum products: Road salts grease, lubricants, gear oil 1 1 Zo\ o� Refrigerants Za I b Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: o c<. e 50 win -44A y a,l��r< o -ka �oo�G ,p cevu- V\O, / a Inspecto . �CPn�o� Q. ,. Xok a�Nme flC��►�, III 1�i7• Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS YOU WISH, TO OPEN A BUSINESS? For Your Information: Business certificates [costS40.00 for 4.years).-A business certificate ONLY REGISTERS'YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St.; Hyannis. Take the completed form to the Town Clerk's.Office, 1 st FI.,367 Main St., Hyannis, MA 02601.-(Town Hall) and get the Business Certificate that is •required by law. ; DATE:b Fill in p ease: 5 ' APPLICANT'S YOUR NAME/S: -' BUSINESS YOUR HOMEADDRESS: jrOZ{j1 zg TELEPHONE # Home Telephone Number-, - 1l' ..J t;;.l t�: :I•;r [N'" �� �L� t1v � Z, �'7 - C� V/1•Lt1 l Ql� n �� NAME OF CORPORATION: NAME OF-NEW BUSINESS TYPE OF BUSINESS . w IS THIS A HOME OCCUPATION? YES NO ' ADDRESS OF BUSINESS. . MAP/PARCEL NUMBER G `r (Assessing) When starting a.new business there are several things you must do in order to be'in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the informatiori you may need.. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits sr!d licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONE OFFICE This individual has bee form of an it ui�nts that pertain to this type of business. Aut ind igna e** CGIVI MENTS: ZL All 2. BOARD OF HEALTH r This individual has been informed ermit requirements that pertain to this type of business. MUST COMPLY WITH ALL HAZARDOUS MATERIALS REGULATIONS; Authorized Signet , COMMENTS: A kTZr : L(JCl 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that'pertain to this type of business. Authorized Signature** COMMENTS: I►IErpk� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • RnR.ASS E, . $ 200 Main Street• Hyannis, MA 02601 F039. raa+"�0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: LociaAo, Y►Aa, e ,.( Date: 10(o Location/Mailing Address: 1 T-,v2, g Y4V%A i s a f a l-e— Contact Name/Phone: -77y-;Z4 !- 182Z Inventory Total Amount: 21S' 001c,� MSDS: w\c t ac�0 r4e- License#: I ►�� � Tier II : NIA Labeling: Spill Plan: *o Do ' Oil/WaterSeparator: Floor Drains:N-n Emergency Numbers: Storage Areas/Tanks: 1 - wl 1 .e-'.-� _ill 11411 a l s. Emergency/Containment E ui m nt: i2y,S Waste Generator ID: o Waste Product: 04ti�k-e- o, Date&Amount of Last Shipmen Frequency: c-�w�y-c - �k� �ovS• s Licensed Waste Hauler&Destination: Other Waste Disposal Methods:LIST OF TOXIC AND HAZARDOUS MATERIALS LAA ea (,,v\-C%\ A- (-osvas - ,(2Go•cA NOTE: Under the provisions of Ch. 111, Section 31, of he General Laws of MPI, hazardous materialuse, iHV-eA�0< storage and disposal of 111 gallons or more requires a license from the Public Health Division. dv�< 1j�j x 1v�lQioc�- Antifreeze Dry cleaning fluids 11 Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil&stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform,formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: n IbJEORMATION/RECOMMENDATIONS: J Wl q A N -,A- a A,4t C i1 0 14 lev1 ti r;Q �.vkRvgt n� OV%R-,v1Q,�19cry l) MCtS S Inspector: V46 �c4o -+.6'y ty Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS TOWN OF BARNSTABLE BAR-W 1-5111 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager Address of Offender MV/MB Reg.# Village/State/Zip Business Name am/pm, on 20_ Business Address Signature of Enforcing Officer Village/State/Zip Location of Offense Enforcing Dept/Division Offense Facts z. e This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT TOWN OF BARNSTABLE BAR-W 13111 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager Address of Offender MV/MB Reg.# Village/State/Zip Business Name: >� , r am/pm, on t Business Address ; ..(Ok _ Signature of/t forcing Officer Village/State/Zip ° ` I ;,t ` ... f ' Location of Offense Enforcing Dept/Division 5 Offense Facts �#i ltl, ,.i' �. �"✓'t 5:!�'t� ¢..�', � �>1 !�.,X '�w^Y r•,.r,. .t kf � 4 f� ` This will serve only as a warning. At this time no legal action has been taken. It is ithe goal of Town agencies to achieve .voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is . required by law. DATE: S Fill in please: APPLICANT'S ..YOUR NAME/S: �✓ � N BUSINESS YOUR HOME ADDRESS: TELEPHONE # Home Telephone Number NAME OF CORPORATION: r .zf , � r''` ' NAME OF. NEW BUSINESS /✓ Y TYPE OF BUSINESS C IS THIS A HOME OCCUPATION? S _ 0 T � ADDRESS OF BUSINESS A fi ^/ MAP/PARCEL-NUMBER . 3 J (Assessing) � When starting a new business there are several things you must do in order to be in compliance with t_he rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. — (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this tow vn. c,- 1. BUILDING COMMISSIONER'S OFFICE This individual has f ed of ermit requirements that pertain to this type of business.. ® Authorized Signature* COMMENTS: 2. BOARD OF HEALTH �-" This individual has been informe ,1 the fir;; �t req—nm5i` ents that pertain to this type of business. �IU$ -COMPLY 1�VIYH ALI? '� f HAZARDOUS MATERIALS REGULATIONS Authorized Signa ure- COMMENTS: 3. CONSUMER AFFAIRS[LICENSING AUTHORITY) This individual has-been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: Date:Di 3c, �20J-5' TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: UGJ (�- BUSINESS LOCATION: `3 INVENTORY MAILING ADDRESS:. -9A lv3tq 00 -, -C OTAL AMOUNT: TELEPHONE NUMBER: - CONTACT PERSON: G t EMERGENCY CONTACT TELEPHONE NUMBER: l �_ ��_ � 02 MS ON SITE? TYPE OF BUSINESS: C J / INFORMATION / RECOMMENDATIONS: Fire District: Waste Transportation: Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month 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 SAntifreeze (for gasoline or coolant systems) Miscellaneous Corrosive W NEW ❑ USED Cesspool cleaners idutomatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) `3 ydraulic fluid (including brake fluid) Refrigerants otor Oils Pesticides A NEW ❑ USED f (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals(Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW I ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) ubricants, 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 3 USED Any other products with "poison" labels (including chloroform,formaldehyde, Paint&varnish removers,.,deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes Laundry soil &stain removers (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers QV�Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials r, Number Fee 1345 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Chacrinha Auto Repair - ............................................................•.................................................................... 31D Thornton Drive, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. ....................................................................................................................:.............................................. Restrictions: .................................................................................... .............................................................................. This license is granted in conformity with the Statutes and ordinances relating there to, and expires 06/30/2021 unless sooner suspended or revoked. ---------------------------------------- JOHN NORMAN DONALD A.GUADAGNOLI,M.D. 07/01/2020 PAUL J.CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable Inspectional Services BARNSTABLE Public Health Division amp 1679-701{ BARNUM= 1 Thomas McKean,Director 63 6` 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax; 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY I st—JUNE 30th). APPLICATION FEES >CATEGORY 1 PERMIT 26— 110 Gallons: $50.00 CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 — 420"� CATEGORY 3 PERMIT 500 or more Gallons: $150.00 Q *A late charge of$10.00 will be assessed if Dayment is not received by Ja 1st. 1. ASSESSOR'S MAP AND PARCEL NO. - 2. IS THIS A PERMIT RENEWAL? f/�/YES NO. IF YES,SKIP QUESTION 3. 3, FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGEMSE OF GREATER THAN HOUSEHOLD QUANTITIES(&GALLONS)?1�ES�NO. 4. FULL NAME OF APPLICANT: (2t�� �2SOlry "w 5. NAME OF ESTABLISHMENT: 6. ADDRESS OF ESTABLISHMENT: ' 7.. MAILING ADDRESS.(IF DIFFERENT FROM ABOVE: S. TELEPHONE NUMBER OF ESTABLISHMENT: a y6. r 3 3 r 9. EMAIL ADDRESS: F 10. SOLEOWNER: 6,"YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME C_A CeLyXll 4,L& 21 1 ®vS PRESIDENT TREASURER CLERK 12. IF PREPARED BY-OUTSIDE PARTY: a NAME: �� � TELEPHONE#: COMPANY ADDRESS,rf• EMAIL: *SIGNATURE OF APPLICANT5::-5 DATE /3�/,2 02-� f , C:1Users\trippv\DcsktopiRmewat Applications for 2020 Save for VSl'�Quick t ookupftz Mat App Revised 09-10.18.docx M1: .I f Number Fee 1000 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that ALGI Auto Repair ..------------------------------------------------------------------------------------------------------------------------------- 31 C Thornton Drive, Hyannis, MA ........................................................................................................................................................................ Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. .............-...................................................................................................................................................... Restrictions: This license is granted in conformity with the Statutes and ordinances relating there to, and expires 06/30/2021 unless sooner suspended or revoked. ---------------------------------------- JOHN NORMAN DONALD A.GUADAGNOLI,M.D. 07/01/2020 PAUL J.CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health ilk Town of Barnstable Inspectional Services BARNSTABLE TMe rq Public Health Division P4RX.ieBE E6.39N F•[ONR•FYSXXIS M4iii(N!5 X'll5•DS'?EV1LL%%•?..?Sf BTkNSThBLE ��W 3639-2014 '•. RAMSTABM 1 Thomas McKean, Director �g 200 Main Street, Hyannis,MA 02601 ` �? Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st-JUNE 30th). , APPLICATION FEES CATEGORY 1 PERMIT 26- 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 -.499-Gallons: $125.00 V✓er CATEGORY 3 PERMIT 500 or more Gallons: $150.00 *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 3 O G 4 2. IS THIS A PERMIT RENEWAL? YES_N.O. IF YES, SKIP QUESTION 3. • 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALSSTORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: 5. NAME OF ESTABLISHMENT: 'n 6. ADDRESS OF ESTABLISHMENT: J� ^1 '��c- V O 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: l 4 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: 10. SOLEOWNER: / YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME U cam. " 1 sue. PRESIDENT o - 151 TREASURER-� CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANTDATE., - O NJ Q:Wpplication Forms\Haz Mat Appli Draft Jan2019.docx e Number - Fee 1345 THE, COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Chaerinha Auto Repair 3ID Thornton Drive, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 111 -499 gallons of Hazardous Materials. This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2020 unless sooner suspended or revoked. PAUL J.CANNIFF, D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2019 JUNICHI SAWAYANAGI THOMAS A. MCKEAN, R.S.,CHO Director of Public Health Town of Barnstable Inspectional-Services BARNS LE �i SNE r� MR.Sf _E-CEltE\M11•:01R•xrahhl' " Public Health Division "°� t alas arEnru=•r[s.exn. E O, icis-7nta ".. 2 9&nxxABLE, Thomas McKean, Director q'ArEo .�p`0 .200,Main Street, Hyannis, MA 02601 3> Office: 508-862-4644 Fax: 508 790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE ` HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN.ANNUAL PERMIT(RUNS JULY 1 st—JUNE 3 Oth). „ APPLICATION FEES _ CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 499 Gallons: $125.00 .it V!�1_ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ �d t �f *A late charge of$10.00 will be assessed if payment is notreceived by Jules 1. ASSESSOR'S MAP AND PARCEL NO. ' 2. IS THIS A PERMIT RENEWAL?ZYES_NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: 5. NAME OF ESTABLISHMENT: C'1174C1e1;-Pil�1/9 /9C/7Q le6Pi2/Ie 6. ADDRESS OF ESTABLISHMENT: �I �� %?O/c ��•� ��� 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 7 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: 10. SOLEOWNER:_ZYES_NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRE S,AND TEL PHONE#OF: CORPORATION NAME Cf? ' 461-1Ty /Zf�%i� PRESIDENT CGl-Y/ SDti S2-51,`6 4 TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLIC DATE O� S �Application Forms�IIaz Mat App Revised 09- -Q: ocx Number Fee 1345 THE COMMONWEALTH OF MASSACH'USETTS $125.00 Town of Barnstable Board of Health This is to Certify that Chacrinha•Auto Repair 31D Thornton Drive, Hyannis, MA' 1s Hereby Granted a License For,°Storing or Handling 111 -499 gallons of Hazardous Materials. ---------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------------------------------------- ------ -------------------------------------------------- --------------------------------------------- This license is granted in conformity with.the Statutes and ordinances relating there to, and and expires 06/30/2019 unless sooner suspended or revoked. PAUL J.CANNIFF,D.M.D,'CHAIRMAN DONALD A.GUADAGNOLI,M.D. 04/12/2019 z JUNICHI SAWAYANAGI THOMAS A. MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable Inspectional Services BARNSTABLE Public Health Division 163q.`20=. BARNEMABLA i MAS& Thomas McKean, _. . .Director iDlse e`� 200 Main Street, Hyannis,MA 02601 `- Office: 508-862-4644 F Fax: 508-790!6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE " HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY lst—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ 3 �- CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 D i2 ATM CATEGORY 3 PERMIT 500 or more Gallons: $150.00. ❑ S,G cV_­TD *A late charge of$10.00 will be assessed if payment is not received by July 1st. mft�I permf{- 1. ASSESSOR'S MAP AND PARCEL NO.•_� 9 6 C2o�t L' 1 (2'1( J 2. IS THIS A PERMIT RENEWAL? YES_NO. IF YES,SKIP QUESTION 3. .l l-lam' O WIYF2 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF • GREATER THAN HOUSEHOLD QUANTITIES(25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: Z jE /�i`IS6) 5. NAME OF ESTABLISHMENT: CAlgel?i `94 �!z7D��i9rl,? 6. ADDRESS OF ESTABLISHMENT: 3 /,0 22W?b� 1-2NY��y�,S M14 0 � 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 3/0 Yl oA,.?oti Dls ffVAyA-g`S .NA O)GO� 8. TELEPHONE NUMBER OF ESTABLISHMENT: 3oi?. �i. / 3 U 9. EMAIL ADDRESS: 10. SOLEOWNER: to YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: V6 CORPORATION NAME iPi/A PRESIDENT TREASURER CLERK _ 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: • SIGNATURE OF APPLICAN DATE Q(/_f/ , 901 Q:\Application Fonns\Haz Mat App Revised 09-10-18.docx TOWN OF BARNSTABLE TO R 1. ;L E B; MASSACHUSETTS BUSINESS CERTIFICATE • DATE ISSUED: 04/04/2019 DATE RENEWED: BOOK:208 RENEWAL BOOK: RENEWAL PAGE: PAGE: 19-440 DATE DISCONTINUED: CERTIFICATE EXPIRES: 04/04/2023 DISCONTINUED BOOK: DISCONTINUED PAGE: In conformity with the provisions of Chapter One Hundred and Ten(110),Section Five(5)of the General Laws,as amended,the undersigned hereby declare(s)that a business is conducted under the title below,located as shown,by the following named person,persons or corporation: PLEASE NOTE ,A''BUSINESS CERTIFICATE INDICATES THAT THE NAMED_PERSON(S)IS(ARE)DOING BUSINESS UNDER A'NAME s,.S.s.x�=.«rre�r DIFFERENTrTHAN.HIS/HER'PERSONAL NAMES) IT DOES NOT IMPLY,THAT THE£APPLICANT(S)HAS(HAVE)MET ALL LI,CENSE $3ts ,c*N _ PERMIT AND OTHER PERMISSIONS REQUIRED�BY THE TOWN OFrBARNSTABLE BUILDING,HEALTH AND-CONSUMER AFFAIRS x +} DEPARTMENTS FOR THE'LEGAL OPERATION OF-THIS BUSINESS AT THE STATED LOCATION 1 ;} + '; 1,„ � " f ,�r."�.x..�.a.,.. ��'`�s.,..�.,�!s�i,....h'S��:$ sir.o,',4;,� �'�.�s,'1,.'"�•3�d�., �'`i4F>es},Pl...a.:?s.:�FSu..A&..a :a?;Iw it. .d-.?',.ia..1.�.".>�;�t. .�:,:,�.nw 1�G7�i�� ..., .?rG' s g,,, n ,s � :, CHACRINHA AUTO REPAIR MAILING ADDRESS: 3 1 D THORNTON DR HYANNIS,MA 02601 CLEVERSON SERRA 3 1 D THORNTON DR HYANNIS,MA 02601 Sign THE ABOVE NAMED,PERSON(S)PERSONALLY APPE D BEFORE ME AND MADE OATH THAT THE FOREGOING • STATEMENT IS TRUE. TITLE Identification Presented: DATE: April 4,2019 CONDITIONS: EXISTING USE-NO CHANGES. MUST OBTAIN A SIGN PERMIT. In accordance with the provisions of Chapter 337 of the Acts of 1985 and Chapter. 110,.Section 5 of the Mass General Laws,Business Certificates shall be in effect for four years from the date of issue and shall be renewed each four years thereafter. A statement under oath must be filed with the city clerk upon discontinuing,retiring or withdrawing from such business or partnership. 4 Copies of such certificates shall be available at the address at which such business is conducted and shall be furnished on request during regular business hours to any person who has purchased goods or services from such business. Violations are subject to a fine of not more than three hundred dollars($300)for each month during which such violation continues. ---------------------------------------------------------------------------------------------------------------------------------------------------------------- CERTIFICATION CLAUSE I certify under the penalties of perjury that I,to the best of my knowledge and belief,have filed all state tax returns and paid all state taxes required under law. * Signa re of Individual or Corporate Name(Mandatory) By: Corporate Officer(Mandatory if applicable) ** or Federal ID Number • * This license will not be issued unless this certification clause is signed by the applicant. ** Your social security number will be furnished to the Massachusetts Department of Revenue to determine whether you have met tax filing or tax payment obligations. Licensees who fail to correct their non-filing or delinquency will be subject to license suspension or revocation. This request is made under the.authority of Mass.G.L. Cha 62C,S.49A. Town of Barnstable ✓+���_ Building Department Brian Florence, CB Building Commissioner. 200 Main Street,Hyannis,MA 02601 _� www.town.barnstable.ma.ns h, Pre-application for Business Certificate { 06 �- Date O 7�/� 0 V, Map;�� Parcel ;. Applicant Information - Applicants Name Gz- Applicants.Address TD/t/ �li � fl�/y�s /H i9 Email Address ��S r G l= I-In F'-mIg f L co'o Telephone Number 7l 0 3 Listed ❑ Unlisted ❑ Business Information • C f7� /9 c'/�O LE14wl? Yes/ No New Business? -/2 -j C1_1�---------------------------• Business is a registered corporation? ___1__-____--_ _=. Yes No If yes Name of Corporation rP-Af Does business operate under the registered corporate name? Y4 No Is the business a sole proprietorship or home occupation? ---_-____ Yes If yes then a Home Occupation Registration is required—See Building Division Staff Name of Business C A/,q C/P/ il/A,q A{/7U Business Address .� // �/l OR�N�b v N V ��it/iyy S �� ©off b�� Type of Business A4/F CJ n iy l C 5 Building Commissioner Office Use Only Co ti Building Commission Date Clerk Office Use Only r Town of Barnstable Office: 508-862-4644 Fax: 508-790-6304 Regulatory Services Department • + antt�fstn Public Health Division 161 Thomas A.McKean,CHO s` 200 Main Street, Hyannis, MA 02601 Payment Receipt .Hazardous Materials Payment received: $31.25 (Cash) on 4/11/2019 Permit number: FY 2019 Business: Chacrinha Auto Repair Owner: THORNTON DRIVE LP ;Address: 31 THORNTON DRIVE, Barnstable a - Note: 31 D Thornton, Category II (No changes, new owner; Pro Rate $31.25) p IKE rower Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • RnRMASS. 200 Main Street• Hyannis, MA 02601 • �'° 039 �0 rEOMn+° TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT , Business Name: tom` "3-av r ,n -a `t b ' ?+�- Date: o ' Location/Mailing Address: 'Z .t (I -Tll,I--r^)N-0r OK'O'- � Contact Name/Phone: fir)A °)z4t, 1 �.�4( Inventory Total Amount: t 1 qri 'j MSDS: License#: Tier II : Labeling: Spill Plan: Oil/WaterSeparator: Floor Drains: Emergency Numbers: Storage Areas/Tanks: 0:0 5't-l-r. i,A1 n f Emergency/Containment Equipment: Waste Generator ID: w Waste Product: e' Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: 1A ' Tie. tom,► ` t Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS 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 requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives aGasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides~ Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) is Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" +!�,��effu �.� (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: ar rt, A_ r"I".- Vr,r- < '11.1d 1\ K:1 i I I 3 C • INFORMATION/RECOMMENDATIONS: ` lY 'l -�"'� Inspector: l Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS V Number Fee THE COMMONWEALTH OF MASSACHUSETTS LC 1222 $125.00 Town of Barnstable Board of Health This is to Certify that Luciano Auto Repair 31D Thornton Drive, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 111 -499 gallons of Hazardous Materials. --------- ---- --------------------------------------------------- ------------------------------------------------------------ ---------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2019 unless sooner suspended or revoked. -------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2018 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health i" owj of Barnstable egu atory ervices HMERichard V. Scali, Director `T �""�, Public Health Division BARNSTABLE • r� MRNSTAK-CEKErtYILL.CWUU-A''MN15 r BARNSTABLE, Thomas McKean, Director "" '°5M,'S•°SEN,^.LE.x.SiMFNSf^E MASS. 1.679-2o14 1639. o39.t 61 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1st-JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons; $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL?_X,' YES_NO. IF YES, SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ` ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: ; Gl�i✓� � Ue ,���✓ S _ 5. NAME OF ESTABLISHMENT: ju(- 4:k-1V6 6. ADDRESS OF ESTABLISHMENT: k4,jn1 I w 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: p n 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: ' SAAl fos ,, �oa i u=SA 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADD SS,AND TEL PHONE OF• CORPORATIO NAME , r'Jt G, PRESIDENT TREASURER �- CLERK / l l 12. IF PREPARE_ D BY OUTSIDE PARTY: NAME: TELEPHONE#: • COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE O L 0 Q:\Application Forms\HAZMAT APP 2017 REVISED. cx !I Number Fee 1000 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health J This is to Certify that ALGIAuto Repair 31 C Thornton Drive, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 111 -499 gallons of Hazardous Materials. This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2020 unless sooner suspended or revoked. ------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2019 JUNICHI SAWAYANAGI THOMAS A. MCKEAN, R.S.,CHO Director of Public Health Vi a EIRAIR AUT t.e 1 360-7151 31 Thornton Drive,Hyannis,MA y'E ' $I Oki ■� Scan this " .� ® ® QR Code ® ' Jeep — J. and visit y7��-� b 1 C). ( .� ®or gyd1M • our mobile. — _•� ' website �' 40 Town of Barnstable y Inspectional Services BARNSTABLE .. �FZ� ry/_ MRN9TnP:E•(SSiIE:\1:L•°0'lii•nrNlKi= ( 1I' Public Health Division °='°°s°'°S °5.�°u:•'.��N�:", K 0� 1639-2014 rnTm BARNSTABLE, ' Thomas McKean Director MAS& $ '+ i63q. �0 < hti:;i Arlo a 200 Main Street, Hyannis,MA 02601 � Office: 508-862-4644 Fax: 508-790 6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE ° HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $'50.00 ❑ 7 . z_. _ - .--CATEGORY 2 PERIVIIT' -l'11=499"Gallons:` "$125:00 CATEGORY 3 PERMIT 500 or more Gallons: • $150.00 ❑ cab L f c1 *A late charge of$10.00 will be assessed iif'payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. O Ip 2. IS THIS A PERMIT RENEWAL?_\/ YES_NO. IF YES, SKIP QUESTION 3. 3. 'FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIAL STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)?' YES NO. 4. FULL NAME OF APPLICANT: � ,..�� 5. NAME OF ESTABLISHMENT: 6. ADDRESS OF ESTABLISHMENT: 2 \ C. Ak\ I \\J�O ��0,%\'\L� 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 1 8. TELEPHONE NUMBER OF ESTABLISHMENT: , 1 �� i 9. EMAIL ADDRESS: 10. SOLEOWNER:V_YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND)TELEPHONE#OF: CORPORATION NAME U PRESIDENT ® . TREASURER A o T)15.1 CLERKc7lh►1t 12. IF PREPARED BY OUTSIDE PARTY: t NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: k SIGNATURE OF APPLICANTI�Q DATE �' 5 -� J q Q:\Application Forms\Haz Mat App Revised 09-10-18.docx Number Fee 1000 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that 'ALGIAuto Repair ' 31 C&D C Thornton Drive, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2019 unless sooner suspended or revoked. PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2018 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health TC0 Vwofor B4rnsxable eg atory Services TFIE Richard V. Scah, Director � Public Health Division BAMSTABLE C : enaNsneWILS-OSIER F1 .nnr.xvaxnis BARNEMABLE. • Thomas McKean Director MIA510.4S MLL.6 051FkV.LIF wESi 9AFpSI4E:F �- MAB& A 1 1639-2014 -- - -- - -s639- ♦0 ---- - - �� _.._....---200 Mairi Street Hyannis;lVlA 02G01--, ----- .__-- -------- �4:y -- - C o2od� Office: 508-862-4644 Fax: 508-790-6304 r APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE PID HAZARDOUS MATERIALS 0"i IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, j HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st-JUNE 3 Oth). APPLICATION FEES ` CATEGORY 1-PERMILT -26— 110 Gallons: 150.00 :_- ❑. _ ._- CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed if payment is not received by July 1st 1. ASSESSOR'S MAP AND PARCEL NO. 3 O 6 q 2. IS THIS A PERMIT RENEWAL?_�j YES_NO. IF YES,SHIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS�TORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: 3a - c� 5. NAME OF ESTABLISHMENT: 6. ADDRESS OF ESTABLISHMENT: C T-4r) �A ,W-rnL/y- 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: 10. SOLEOWNER: YES AO IF NO,NAME OF PARTNER: '` 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: ' CORPORATION NAME PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: • COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE Q:\Application Forms\HAZMAT APP 2017 REVISED.docx 00 Number Fee 1000 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that ALGI Auto Repair 31 C&D C Thornton Drive, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. --------------------------- ----------------------------------------- ------------------------------------------------ ---------------------------------------- --------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 0a/30/2018 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2017 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health 07:T 1 LTOZ 61 N11p TRown of Barnstable eg atory ervlces Richard V. Scah, Director r..4 Public Health Division BABSTABLE r eaurvsrnutF.¢.xruuE,rourt.Hyuris = s NSTAare Thomas McKean,Director 1639 VZp4areaeneraut 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 02 W- �`�'�� Fax: 508-790-6304 0 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,- ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS V MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS DULY 1 st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26—1-10 Gallons: $ 50.00 ' ❑— " CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 V CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessedif payment is not received by July 1st. 1 f 1. ASSESSOR'S MAP AND PCEL NO. '� 2. IS THIS A PERMIT RENEWAL? V YES NO. IF YES, SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS TORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES-(25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: 5. NAME OF ESTABLISHMENT: 6. ADDRESS OF ESTABLISHMENT: C , 1�� . l a)L\ `- n� q 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: h 8. TELEPHONE NUMBER OF ESTABLISHMENT: C7. 9. EMAIL ADDRESS:. ' 10. SOLEOWNER: YES_�NO IF NO,NAME OF PARTNER: Cp a XlR �,Q jZQrc ,, 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: _ CORPORATION NAME U � L PRESIDENT TREASURER CLERK. Qn,� � 12. IF PREPARED BY OUTSIDE PARTY: , NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE ` .S ` I Q\Application Forms\HAZMAT APP 2017 REVISED.& Town of Barnstable �P�oFTHe rq,,� Regulatory.Services Thomas F. Geiler, Director • BA LE,MASS. * Public-Health Division MASS. 1639. o'rForn Thomas McKean;Directoi ' 200 Main. Street, `Hyannis, MA 02601 Office: 508-862-4644 ' Fax: 508-790-6304 Application,Fee: $100.00 ASSESSORS MAP AND PARCEL NO.' DATE �`�- s�To APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN I I I GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT- obe,do Cu%ih�� F- os NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT -C M0 RNTOU b,(Z TELEPHONE NUMBER 7 4 Q I Y1 SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL n PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. Z7 �~o8Z Z STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT /79 TREASURER •c . CLERK SIGNA RE F APPLICANT RESTRICTIONS: HOME ADDRESS 1 _ HOME TELEPHONE # Haz.doc/u p,'y CONTINGENCY PLAN Emergency Coordinator, Name: R L C.55 A N b f-0 N-i IN 671ao Address: �� i bit �lU Daytime Phone: S0 J .- Z'�Ll 9 80 Evening Phone: 509 1�(P 0-71 51 Fire Department: ??S 13 w. DEP 24 Hour Spill Hot Line: 888-304-1133 Waste Hauler: Name: y - CN V1,e0M6 MTAL Phone: Building diagram indicating hazardous material/waste storage area, location of absorbent scavenger materials; fire extinguishers',fire alarms (if present), Ad evacuation routd.�(if applicable). X>rrNv�sWW IfA- = � of la- .Actions to be taken to control.a spill or release and preventing it from reaching a catch basin, sewer system or the ground. • ,,e"` Of �i� ToWn Of Barnstable pp114E rp�Y , A Regulatory Service "sy ' Thomas F. Geder, Director BA MASS. • Public Health.Division . Y MASS. - � ., �p 1639• . ArForna+°` Thomas McKean, Director W p` �200 Mai i Street; Hyannis, MA,02601 F Office: 508-862-4644 ' ' d '+ Fax .508-790-6304 'Application Fee-- $100.00 w ' t • ° ASSESSORS MAP"AND PARCEL NO• DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS w FULL NAME OF APPLICANT NAME OF ESTABLISHMENT CG, e `t k MO �1tU io Its PPt r� A ADDRESS OF ESTABLISIMENT 0 KI TELEPHONE NUMBER 3 SOLE OWNER: -,\/YES NO. t r IF APPLICANT IS A PARTNERSHIP,FULL NAME AND"HOME�,ADDRESS OF ALL PARTNERS: r K x -n IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFI CATION NO., - I,�. u- s5 : STATE OF INCORPORATION ` y FULL NAME AND HOME ADDRESS OF: PRESIDENT F4 - TREASURER � CLERK • -SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE # a • r Haz.docn�p'y A a Number Fee 1222 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Luciano Auto Repair 31D Thornton Drive, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- ---------- ------------ -- ----------------------------- ------------------------------------------------- This license is granted in conformity, with the Statutes and ordinances relating there to, and and expires 06/30/2016 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 04/01/2016 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health i Number Fee 1222 THE COMMONWEALTH OF MASSACHUSETTS $125.00 �- Town of Barnstable Board of'Health This is to Certify that Luciano Auto Repair 31D Thornton Drive, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. ----------------------------------------------------�--------------------------- ------------------- ------------------- --------------------------------- --------------------------- ------------------------------------------------------------------------------------------------------------------------------ -------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2017 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 06/30/2016 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health fir, • Town of Barnstable cwv ca °FIME• Regulatory Services • °� Richard V. Scali Director `" MASS*`E' BARNSTAB ` Public Health Division �,ss. �0� was"oxsb11L"m..r Wsra r°i Thomas McKean, Director 1639-2014 200 Main Street, Hyannis,MA 02601 =. Office: 508-862-4644 Fax: 508-790-C 24 as APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE,..,,,ca� HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108,- HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS DULY 1 st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26- 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: . $125.00 CATEGORY 3 PERMIT 500 or more Gallons: $150.00 El • r'" A late charge of$10.00 will be assessed if payment is not received by 1st. f ASSESSORS MAP AND PARCEL NO. DATE FULL NAME OF APPLICANT: NAME OF ESTABLISHMENT: ( /✓ / _ v 1 ADDRESS OF ESTABLISHMENT: ` ./V �✓ l 1�:C �✓ j J, MAILING ADDRESS (IF DIFFERENT): TELEPHONE NUMBER OF ESTABLISHMENT: EMAIL ADDRESS: • �006, SOLE OWNER: ` YES NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHONE #OF: . CORPORATION NAME PRESIDENT TREASURER CLERK IF PREPARED BY OUTSIDE PARTY: • SI NATURE OF A"L ,CA T Name: Company Address,: 61. Telephone#: Email: Q:\Application Forms\HAZZAPP Revl6.docx Page 1 of 2 1, TOWN OF BARNSTABLE BAR-W Ordinance or Regulation WARNING NOTICE Name of Offender/Manager L' �av�-�oS Address of Offender MV/MB Reg.# Village/State/Zip Business Name Lob) a v�o 14��'0 R-e-pa,,-e' /9 Ov /pm on 16 2016 Business Address Sig 0q, nature f nforcing Officer Village/State/Zip ✓1✓I ►3 0210C) I Location of Offens�VG►a.vto U+0 ►°( �� ,� _ �I�� Enforcing Dept/Division 1 Offense vX_5.e- t✓ 1 Facts �CCOr�a✓�G2 �� I a�1v� o� Cr15�a.�o(2 l�o�e- /fig "6 This will serve onl s a warning. At his time no legal action has been taken. ;et is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are a*ate to gain voluntary compliance. Subsequ violations will result in arppro ate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. Town of Barnstable Office: 508-862-4644 .. Fax: 508-790-6304 • Regulatory Services Department `. anFcNra� Public Health Division 114nS& Thomas A.McKean,CHO 200 Main Street, Hyannis, MA 02601 Payment Receipt Hazardous Materials Payment received: $145.00 (Check) on 5/20/2016 Check number: 1002 Check amount: $145.00 Name on check: Luciano Auto Repair/Luciano Arauio .Santos Business: Luciano Auto Repair Owner: THORTON DRIVE LP Address: 31 THORNTON DRIVE, Barnstable I Note: Pro Rate $20 + $125 Category II 2016-2017 Permit_ . ... Number Fee 1000 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that ALGI Auto Repair 31 C Thorton Drive, Hyannis, MA Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ----------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 6/30/2015 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2014 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Air Town of Barnstable °F�HETOwti Regulatory Services Richard V. Scali, Director t B" �'MASS. " Public Health Division 9 ass. � qj .i63g `�. °rF1 39 Thomas McKean,Director •. 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT„S�\ay�� — e NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT C _T \\(�k b`r-\VQ TELEPHONE NUMBER SOLE OWNER: YESXNO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME-ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATIONS FULL NAME AND HOME ADDRESS OF: PRESIDENT 2 2m,�-'a TREASURER 0,*k L(�,o�7j!Q CLERK n ,...� SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS �3S- JV1 ,Q Imo Uv HOME TELEPHONE Q:\Application Forms\HAZAPP.D0C Number Fee 1000 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that ALGI Auto Repair 31 C Thorton Drive, Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. --------------------------------------------------------------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------.--------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2014 unless sooner suspended or revoked. --------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF, D.M.D. 6/30/2013 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health 6 Town of Barnstable of IME Regulatory Services 3 Thomas F. Geiler,Director i MASS. Public Health Division- Thomas - 9 CS. McKean,Director 200 Main Strut, Hyannis, MA 02601 Offica: 508462-4644 Fax: 50&790-6304 Appiicaticn Fee: $10.0.00 ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERNUI' TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT �M_ . NANSE OF ESTABL7S_T i ENT ADDRESS OFESTABLIS=NT„ V f n I TELEPHONE NTT OER SOLE OWYi =,X).TS NO T-F,,A IS A PARTNERSHIP,FULL NA HAND HOMT ADDRESS OF ALL y PARTNERS: ' i I"APPLICANT IS A CORPORATION: FF,DFRAL IDENTIKCATION NO. 10 1.g g STATE OF INCORPORATION AA Q gSa 0—\ y SZY FULL NAME AND HONIZ ADDRESS OF: PRESIDENT TREASURER SIGNATIIRE OF APPLICANT RESTRICTIONS: HOMT ADDRESS HOAff TELEPHONE #,5 o'R- I(,r) �=dodwp/q l r• Number Fee THE COMMONWEALTH OF MASSACHUSETTS 1000• $100.00 Town of Barnstable Board of Health This is to Certify that '" ALGI Auto Repair T 31 C Thorton Drive, Hyannis,MA 02601' - Is Hereby Granted a License ; FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. .. 'a: ---------=----------- -------- -------- ---- -- ------ --------------- -- ;- ------- ------ ------- --------- ---------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2013 unless sooner suspended or revoked. w WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2012 JUNICHI SAWAYANAGI M THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable �'THE ri Regulatory Services Thomas F. Geiler, Director , g Public Health, Division 1639• �� �. Thomas McKean,Director 200'Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ' � I 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 E S4 (4t, D� 9 19L1 -1 k'a '& v 2v A S NAME OF ESTABLISHMENT ('�1 Q�T6 ka Q 0,1 H ADDRESS OF ESTABLISHMENT 3 J" �OAh inT12.a .- (, 1V.p TELEPHONE NUMBER av SOLE OWNER: YES NO c � IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF AU, PARTNERS: _ h ' 6172 z , IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. 9.71 I O$2 g 2 8 STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT _ 4r .-n-Qa, TREASURER CLERK - hyRi✓� SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS 41 - HOME TELEPHONE#508. 3G o r11 5 l Haz.doc/wp/q �" Number 'Fee, THE COMMONWEALTH OF*MASSACHUSETTS .' 1000 $100.00 _ ¢ . Town of Barnstable . Board of Health . y This;is�to Certify that :ALGIAutoRepair N 31 C Thorton Drive, Hyannis,MA 02601 .• Q 1s 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 Ito,and and expires 6/30/2012 k unless sooner suspended or revoked , m WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. Y4- 6/30/2011 - JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health W f Town of Barnstable � r oo.oo 16 a ce�� �1HE tom, Regulatory Services ti Thomas F. Geiler, Director * M RNSI'ABLE � .. g Public Health Division 1639. iOrFn Mop° Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 a 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 ( ll NAME OF ESTABLISHMENT ��(J �f-oc . ADDRESS OF ESTABLISHMENT On 6 \� '�o Af C' yin 5 �Oac�a� TELEPHONE NUMBER u t SOLE OWNER: YES -)<NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: .-p IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NOT I q ©sa er b STATE OF INCORPORATION e a�)' C,V,U��. 1 rn FULL NAME HOME AkDRESS PRESIDENT _ 12 o�\ p Jn2'j TREASURER �\ CLERK \\ SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS �'�t d �V O") 00) 1 � HOME TELEPHONE# 50g- - -71 15� )'(9 Haz.doc/wp/q a " y Yy. Please print or type.(Form designed for use on elite(12-pitch)typewriter.) Form Approved,OMB No.2050-0039 UNIFORM HAZARDOUS 1.GeneratorlD Number 2.Page 1 of 3.Emergency Response Phone 4.Manifest Tracking Number WASTE MANIFEST M V 5 0P 70/3 1 800 240,5540 007815298 JJ K 5.Generator's Name and Mailing Address Generator's Site Address(if different than mailing address) y \ J Gener'afo(P&ne:JrV) S MA 6.Transporter 1 Company Name U.S.EPA ID Number WESTERN OIL, INC. R I R 0 0 0 5 0 0 0 2 5 7.Transporter 2 Company Name U.S.EPA ID Number 8.Designated Facility Name n V'dESTERN OILa d Si to Address U.S.EPA ID Number ONE DUCHESS WAY LINCOLN RI 02$65 ft ! i� 0 � G 5 Q � 0�� 5 Facility's Phone: 401 727-86W 9a. 9b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 10.Containers 11.Total 12.Unit 13.Waste Codes HM and Packing Group(if any)) No. Type Quantity Wt.Nol. 1.COMBUSTIBLE LIQUID,N.O.S. MA98 r R014 o .X (PETROLEUM OILS)NA.199-3,PG III , 0 0 1 TT G z 2. Uj 3. 4. l 14.Special Handling Instructions and Additional Information 1) ER(W128 15. GENERATOR'SIOFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name,and are classified,packaged, marked and labeled/placarded,and are in all respects in proper condition for transport according to applicable international and national governmental regulations.If export shipment and I am the Primary Exporter,I certify that the contents of this consignment conform to the terms of the attached EPAAdmowledgment of Consent. I certify that the waste minimization statement identified in 40 CFR 262.27(a)(f I am a large quantity generator)o11 (if I am a small quantity generator)is true. Generator's/Offeror's Printed/Typed Name Signature Month Day Year .� 16.Intematio al Shipments i- ❑_Import to U.S. ❑Export from U.S. Port try/exit: Transporter signature(for exports only): Date leaving U.S.: w 17.Transporter Acknowledgment of Receipt of Materials Transporter 1 Printed/Typed Name Signature ff: Month Day Year rn i Z�L Transporter 2 Printed/Typed Name Signature Month Day Year F- 18.Discrepancy 18a.Discrepancy Indication Space ❑ Quanti Type Residue ty ❑ yp ❑ El Partial Rejection El Full Rejection Manifest Reference Number. 18b.Alternate Facility(or Generator) U.S.EPA ID Number J LL Facilitys Phone: w 18c.Signature of Alternate Facility(or Generator) Month Day Year z y19.Hazardous Waste Report Management Method Codes(i.e.,codes for hazardous waste treatment,disposal,and recycling systems) C 1' H061 2' 3. 4. 20.Designated Facility Owner or Operator:Certification of receipt of hazardous materials covered by the manifest except as noted in Item 18a Printed/Typed Name Signature ! ( Month Day Year EPA Form 8700 22(Rev.3-05) Previous editions are obsolete. DESIGNATED FACILITY TO GENERATOR e Number Fee 1000 THE COMMONWEALTH,OF MASSACHUSETTS $1oo.o0 o � Town of Barnstable ` Board of Health This is to Certify that ALGI Auto Repair 31 C Thorton Drive, Hyannis,MA, 02601 0 0 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS_ o This license is granted in conformity with the Statutes and ordinances relatilig there to, and and. expires 6/30/2011 unless sooner suspended or revoked. WAYNE MILLER,M.D.,CHAIRMAN v J.CANNIFF,D.M.D.PAUL 6/30/2010 ° JUNICHI SAWAYANAGi THOMAS A.MCKEAN,R.S.,CHO r Director of Public Health Number Fee THE. COMMONWEALTH OF MASSACHUSETTS' . 1000 $100.00 Town of Barnstable - Board of Health 's This is to Certify that ALGI Auto Repair" - r 31 CThorton.Drive, Hyannis,MA 02601 - Is Hereby Granted-a:License . FOR: STORING OR HANDLING 111 GALLONS OR'MORE OF HAZARDOUS MATERIALS. This-license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2011 r unless sooner suspended or revoked. , WAYNE MILLER;M.D.,CHAIRMAN u PAUL J.CANNIFF,D.M.D. 6/30/2010 : JUNICHI SAWAYANAGI THOMAS A MCKEAN,R.S.,CHO Director of Public Health Number Fee 1222 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is,to Certify that Luciano Auto Repairy 311) Thornton Drive, Hyannis, MA ' .ZZ-S 1s Hereby Granted,a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. -=------------------- ----------------------=-------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------- -----------------------------------------------------------------=----------------- This license is granted in conformity with the Statutes and ordinances relating there to,and 1 and expires 06/30/2018 unless sooner suspended or revoked. --------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2017 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health TRown�of Barnstable egu atory ervices 'THE r Richard V. Scah, Director :tglmPublic Health Division ABLEE.COIUIi'.HYANNISILL E•WEST BARNS fA,OS■ARNSPABLE, Thomas McKean, Director U.4MASS. vM `0200 Main Street, Hyannis, MA 02601g Office: 508-862-4644 Q�V/ Gov./ Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS, ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS DULY 1 st-JUNE 30th). • I APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 y CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 VA CATEGORY 3 PERMIT 500 or more Gallons: $150.00 oo: *A late charize of$10.00 will be assessed if payment is not received by July Ist. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL?,!�- YES'_NO. IF YES, SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? AYES. NO. 4. FULL NAME OF APPLICANT: �i j/ ,/ �/✓1� g � i 5. NAME OF ESTABLISHMENT: p��J k tt 6. ADDRESS OF ESTABLISHMENT: 041Y II l L// C 64�jy, 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: �p n 11v- 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9... EMAIL ADDRESS: -�,tNf r S ll 10. SOLEOWNER:AYES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME AD RESS,,AND TEL P ONE # O CORPORATION NAME A /V 6 A U ( G PRESIDENT /v R- N TREASURER r� CLERK w 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT 1 DATE �1 Q:\Application Forms\HAZMAT APP 2017 REVISED. f Number Fee !� 1079 THE COMMONWEALTH OF MASSACHUSETTS $100.00 1` � — v Town of Barnstable Board of Health ? This is to Certify that Ferreira's (2008) 31 Thornton Drive, Suite D, Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING Ill GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------------------------------------------- -- This license is granted in conformity with the Statutes and ordinances relating there to, and l 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 li r Town of Barnstable Barnstable 'THE Regulatory Services Department � r o ;erieaC-i + BARNBt'ABLE. Public Health Division 9 MASS. 039. 200 Main Street, y H annis MA 02601 I �m �m V 2007 re Office: 508 862-4644 Thomas F.Geit r e,Director FAX: 508-790-6304 Thomas A.McKean,CHO Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO.�-q Wb 1 L4 DATE OS APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT ��t1ov�5 •�et t ��� NAME OF ESTABLISHMENT f-T-a^P S ADDRESS OF ESTABLISHMENT 3 1 1 ct (tits 1,S TELEPHONE NUMBER SOLE OWNER: 4ES NO ry a ; IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS F ALIT PARTNERS: �-- ,c� C r L. VY1 ca M i :> IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO N rn i STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT fS TREASURER CLERK SI N U�1RE OF APPLICANT RESTRICTIONS: HOME ADDRESS 1K C�-2GL��. 4tiS HOME TELEPHONE# "77VI—994- l Q Q:\Hazmat\Haz Mat Applicaiion2008.DOC - j i n qcq 77ffi) �)9a: -k a (781) 29W91 (978) 659-8013 PAGER j (508) 685-0871 CELL 24 HR.ANS.. EMERGENCY SERVICE •24 HRS. UD ® ��IC � 7a=cir,]gC.�]MrER UDgC [ZUUD OIL SPILL CLEANUP - TANKS CLEANED& REMOVED GAS & OIL TRAP CLEANOUT SLUDGE REMOVAL MDC WATER TRAP CLEANOUT ` D.O.T. DRUMS AVAILABLE D.O.T. DRUMS CLEANED, CUT & REMOVED j� (508) 362-0130 --P.O. BOX 726 THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I A m / �(�C�"- LI DATA Number Fee 1345 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Chacrinha Auto Repair 31D Thornton Drive,Hyannis, MA Is Hereby Granted a License For: Storing or Handling 111 -499 gallons of Hazardous Materials. ----------------------------------------------------------------------------------------------------------------- ------------------------------------------------ This license is granted in conformity with the Statutes and ordinances relating there to, and 06/30/2019 unless sooner suspended or revoked. ------- ------ ---- ,i,. air ry PAUL J.CANNIFF,D.M.D,CHAIRMAN . t DONALD A.GUADAGNOLI, M.D. JUNICHI SAWAYANAGI r THOMAS A.MCKEAN, R.S.,CHO Director of Public Health - i Town of Barnstable Inspectional Services BARNSTABLE Public Health Division F�'IA�-fu .,�_ l:• µ •WS'C\t M::L� 'A'iAlf A:.Y.L4t'.i:• 0� 1R]9F7f4lt �Y d� LE. r Thomas McKean,Director Bc 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790.6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY ist—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ 3 �- CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ S',G � *A late charge of$10.00 will be assessed if payment is not received by July 1st, mot�1 pe 1. ASSESSOR'S MAP AND PARCEL NO. 96 _ . p 2. IS THIS A PERMIT RENEWAL? YES-NO. IF.YES,SKIP QUESTION 3. /1//_" IAI &9?y1vF2 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES(25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: (" IEV -, `,C 5. NAME OF ESTABLISHMENT: C1AC/?l 7C- / F&A 6. ADDRESS OF ESTABLISHMENT: 3 % D T/nl?70.E all 0; 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 319 -)q oA t.,Tarn 12il -,t4A o4ol 8. TELEPHONE NUMBER OF ESTABLISHMENT: <o Pi, VL 13 "/b 9. EMAIL ADDRESS: 10. SOLEOWNER: (/ YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS;AND TELEPHONE#OF: CORPORATION NAME A.i,4 PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICAN DATE 0 4 . 2 Ol 9 Q:1Application Forms\Haz Mat App Revised 09-10-18.docx T TOWN OF BARNSTABLE Br A F N13 r�B L t I OWH CLERK MASSACHUSETTS BUSINESS CERTIFICATE DATE ISSUED: 04/04/2019 DATE RENEWED: BOOK:208 RENEWAL BOOK: RENEWAL PAGE: PAGE: 19-440 DATE DISCONTINUED: CERTIFICATE EXPIRES: 04/04/2023 DISCONTINUED BOOK: DISCONTINUED PAGE: ° In conformity with the provisions of Chapter One Hundred and Ten(110),Section Five(5)of the General Laws,as amended,the undersigned hereby declare(s)that a business is conducted under the title below,located as shown,by the following named person,persons or corporation: _ PLEASE NOTE A BUSINESS CERTIFICATE INDICATES THAT THE NAMED PERSON(S)IS ARE)DOING BUSINESS UNDER A NAME r: DIFFERENT THAN HIS/HER PERSONAL NAMES) IT DOES NOT IMPLY THAT THE APPLICANTS)HAS(HAVE)MET ALL LICENSE; PERMIT AND OTHER PERMISSIONS REQUIRED BY THE TOWN OF BARNSTABLE BUILDING;HEALTH.AND CONSUMER AFFAIRS DEPARTMENTS FOR THE LEGAL OPERATION OF,THIS BUSINESS AT THE STATED LOCATION f � ' CHACRINHA AUTO REPAIR MAILING ADDRESS: 31D THORNTON DR HYANNIS,MA 02601 CLEVERSON SERRA 3 1 D THORNTON DR HYANNIS,MA 02601 Signt�u THE ABOVE NAMED PERSON(S)PERSONALLY APPE D BEFORE ME AND MADE OATH THAT THE FOREGOING STATEMENT IS TRUE. TITLE Identification Presented: DATE: April 4,2019 CONDITIONS: EXISTING USE-NO CHANGES. MUST OBTAIN A SIGN PERMIT. In accordance with the provisions of Chapter 337 of the Acts of 1985 and Chapter 1 10,.Section 5 of the Mass General Laws,Business Certificates shall be in effect for four years from the date of issue and shall be renewed each four years thereafter. A statement under oath must be filed with the city clerk upon discontinuing,retiring or withdrawing from such business or partnership. Copies of such certificates shall be available at the address at which such business is conducted and shall be furnished on request during regular business hours to any person who has purchased goods or services from such business. Violations are subject to a fine of not more than three hundred dollars($300)for each month during which such violation continues. --------------------------------------------------------------------------------------------------------------------------------------------------------------- CERTIFICATION CLAUSE I certify under the penalties of perjury that I,to the best of my knowledge and belief,have filed all state tax returns and paid all state taxes required under law. * Signa re of Individual or Corporate Name(Mandatory) By: Corporate Officer(Mandatory if applicable) ** or Federal ID Number * This license will not be issued unless this certification clause is signed by the applicant. ** Your social security number will be furnished to the Massachusetts Department of Revenue to determine whether you have met tax filing or tax payment obligations. Licensees who fail to correct their non-filing or delinquency will be subject to license suspension or revocation. This request is made under the authority of Mass.G.L. Cha 62C,S..49A. THE Town of Barnstable Office: 508-862-4644 Fax: 508-790-6304 Regulatory Services Department ' Public Health Division MAss. $` Thomas A.McKean,CHO fay a 200 Main Street, Hyannis, MA 02601 Payment Receipt `Hazardous Materials Payment received: $31.25 (Cash) on 4/11/2019 Permit number: FY 2019 i Business: Chacrinha Auto Repair Owner: THORNTON DRIVE LP (Address: 31 THORNTON DRIVE, Barnstable Note: 31 D Thornton, Category II (No changes, new owner; Pro Rate $31.25) R . r r ci. Town of Barnstable Building Department Brian Florence, CB Building Commissioner 200 Main Street,Hyannis,MA 02601 .*ww.town barnstable.ma.ns - Pre-application for Business Certificate Ma `0 Parcel oG Date 7,0 D �. � 2 pa Applicant Information Applicants Name GL E(/:RSO.r/ Applicants Address: . [� /�1cD��/TDit/ ��/ � i9ir/��S /!i! 0,2(6D� Email Address Telephone Number 5 0 Listed❑ Unlisted ❑ Business Information New Business? CI(�L l�L rU�/� A v��_ fc'C�4wl?__ Yes/ No Business is a registered corporation? ___________ / __. Yes No If yes Name of Corporation dl�j( 1,,&11�9 /9y70 T Per�i Does business operate under the registered corporate name? Yee, No Is the business a sole proprietorship or home occupation? _________ Yes I if yes then a Home Occupation Registration is required d—See Building Division Staff Name of Business C Vl/<7 C 2 i ,l//1.4 A t/7-0 CF/)/,1rR Business Address,?j // �/!4/2NTb'Y [�/`� �i9yivY S �4 0, b Ol Type of Business' CA 4 l C S Building Commissioner Office Use Only <j Building CommissionDL� & Date Clerk Office Use Only x F ssmrLA KEEPING YOU ORGANIZED No.10334 2-153L MAMuuUSA GET ORGANIZED AT SMEAD.COM �— �k �� ,........ . . , . ,...,.-,.. ., Y,e� ., ,.; 3�i,r(:x�a�.au�rfr,6v�6:s.�.�L�d •••.••:,,•.�.wyti:ew�dj.!"� c ��..s��wi,,::4.:�.,:,�Stil.tr3.3i�•,•.:-�"�s� s.Jr.w.;:tw1,;,tirv. �_... ,��.�� :,��xw�.&a_....&� sy:.:svr c''Ya��.�siii., S°.�:�xi.smn.e�<.,,wa�„w.ft.;�us.:su;�m.d..,,�n.L'a» ;.,;�&La++u��.,.,.:. Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 9B^",„sse`E'g 200 Main Street• Hyannis, MA 02601 i639 M ',0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT QED Ay Business Name: d ovlk'5 Auio R )-r Dater .Location/Mailing Address: r Contact Name/Phone: Inventory Total Amount: MSDS: ' a UVq License#: � Tier II : NO Labeling: Spill Plan: QeeA Oil/WaterSeparator: ' .� Floor Dr Emergence Numbers: Storage Areas/Tanks: n Emergency/Containment Eg WDment: (A; aste Generator ID: ftVb Waste Product: Date&Amount of Last Shipment/Frequency: i3 Q Licensed Waste Hauler&Destination: WCke Q Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS ill NOTE: Under the provisions of Ch. 111, Section 31, of the General Lfiws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers ydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners �iesel fuel, kerosene, #2 heating oil Disinfectants = iv1iscellaneous petroleum products: Road salts / grease, lubricants, gear oil Refrigerants �L Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Aye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: Inspector: 11 - Facility Representative: D WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS A `°Fz►w rohti Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 vB^"MA.% 200 Main Street• Hyannis, MA 02601 t639. M p�0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rFD P'� Business Name: -, C, v- -,�>qb-5 � Date: —tea Location/Mailina Addre s: 4 t% Contact Name/Phone: MiN, Fn^yca 509 SZ�J 9/1 1 Inventory Total Amount: MSDS: License#: J a 4'6 Tier II : Labeling: JZAIJ �' Spill Plan:tAs. �dc, Cvur Oil/Water Separa or: Floor Drains: Emergency Numbers: L.-- B/91,� Storage Areas/Tanks: qo a S q Jl Emergency/Containment Equipment: Waste Generator ID: .� 3 S Waste Product: Date&Amount of Last Shipment/Frequency. �� d �- Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS 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 requires a license from the Public Health Division. rl Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including _brake fluid) Windshield wash Motor oils �� rJ1�'� ,-Iv Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil J-''Disinfectants Miscellaneous petroleum products: ]/Road salts 5+111'V31-- grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible10�8 Paint&varnish removers, deglossers Leather dyes y3y->lu Coy) Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ✓V�n,o ORDERS: INFORMATION/RECOMMENDATIONS: f� Q Is Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS °FIKE►ok Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARNSTABLE.�, 200 Main Street• Hyannis, MA 02601 ,6 M s,0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rED P'� Business Name: ( oe �r Date: Location/Mailing Address: fd0 D i e Contact Name/Phone: 1<2Vlr) FrCk /5-6s 5-Im-gis' Inventory Total Amount: 3 60' SDS: Dh VI ne- License#:12 SO Tier II : Labelino: e.S Spill Plan: ✓ Oil/WaterSeparator: Floor Drains: S — Emergency Numbers: Storage Areas/Tanks: fb I m('1 �/ Q.X, 10 d o o; Emergency/Containment Equipm t: s&- erg 11 Waste Generator ID: M,VS0253gM A J Waste Product: i Date&Amount of Last ShiLment/Frequency: Licensed Waste Hauler&Destination: U ` Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS 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 requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers � ydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives soline,jet fuel, aviation gas Cesspool cleaners diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides ✓ Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing'ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil&stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: ` &CCni 1 i INFORMATION/ ECOMMENDATIONS: �` ck) YtV2r 4-0 Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS °.IKE A Town of Barnstable Office:508-862-4644 Public Health Division Fax:508a90-6304 "MARS. ' 200 Main Street• Hyannis, MA 02601 �l/6 1639. o TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT 3! M�� Business Name: �C7' vko ��4� Re a,! Date: f Location/Mailing Address: �5 1 Contact Name/Phone: t-C2,im, Inventory Total Amount: o0 ^'�iD k� -�o � J MSDS: License#: Tier II : N� 'QaA� Labeling: 0 Spill Plan: o osfi Oil/WaterSeparator: 1J Floor Drains: a Emergency Numbers: Storage Areas/Tanks: O+ UDv40--k,,-cs a � Emergency/Containment Equipment: � al ��Ssv1 frMS c�5 crc te Waste Generator ID: Waste Product: e,r�5 e-Leawc.•� Date&Amount of Last Shipment/Frequency: 1 S _Pt o -6174% Licensed Waste Hauler&Destination: Cy v 0 1 Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS 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 requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash —� Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners NDiesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts Jgrease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: IN RMATION/RECOMMENDATIONS: JQ'7 t o %& v r4 t 2oi to , G� •2 t ov�j a l-(,al S C-(-vv54--\5 t v t' b o Rub to 0 00 COK�i W Cot , 1 ,P- ISt2rnspector: Facility Representative: WHITE COPY- HEALTH DEPARTME`NT/CANARY COPY- BUSINESS I- '-o ov\,4 v<C�t..V A <41 c aA Va ry ovt. F T11ET Town of Barnstable Office:508-862-4644 Mt° 508-790-6304 Public Health Division Fax: �/7 BARNSTABLE. `��//I.6 � MASS. �,, 200 Main Street• Hyannis, MA 02601 . JCS 'a ` 39 M TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT TED AC Business Name: v o SaI•eg Q. a.T.r Date: y `' j Location/Mailing Address: ayj h1 ig4rviafeW6 E Contact Name/Phone: �v�.•. a - I ,�.^�ol ac Inventory Total Amount: "- ClaJ SIDS: License#: (Z�O Tier I[ : a Labelin \koke. Spill Plan: Oil/WaterSeparator: Floor Drains: Emergency Numbers: Storage Areas/Tanks:,2� tit v ar S4k 1 1 Emer enc /Containment E ui ment: 5" S Waste Generator ID: oQj q Waste Product: e� Date&Amount of Last Shipment/Frequency: 4 16t I I I ao QAJ ti IX eV Licensed Waste Hauler&Destination: C w o VMS �L Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS 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 requires a license from the Public Health Division. Antifreeze 'j Dry cleaning fluids Automatic transmission fluid I Other cleaning solvents&spot removers Engine and radiator flushes S Bug and tar removers (o Hydraulic flui�(including brake fluid) `k Windshield wash Motor oils Ix W&b}w— Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants r Miscellaneous petroleum products: Road salts grease, lubricants, gear oil j, Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries ( Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives (creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda T_ Lacquer thinners I I Miscellaneous Combustible 1 Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: I A AW 6o<,e.al r1T X a<,e- C, ,Ct2 Q.C- �-V 5X- a -Z 10 >✓2S �ht� 0. L S ly.e + INFORMATION/RE OMMEND TIONS: • J!Egi2 Aq" " CAu5,2 IS Inspecto . e- Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS 1 � fr j� 4 c �_ ,* - - _ ' Date:�j l o�4 l,2p 1 6 II TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF'BUSINESS: .� ® i P BUSINESS LOCATION: 01,6 p DPILle, Pexy E7 INVENTORY MAILING ADDRESS: TOTAL AMOUNT- TELEPHONE NUMBER: Spy — v CONTACT PERSON: c EMERGENCY CONTACT TELEPHONE N MBER: MSDS ON SITE? TYPE OF BUSINESS: () p ('�F' ( SP_c Cvci�Yl S�leS INFORMATION / RECOMMENDATIONS: Fire District: Waste Transportation: Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product- Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month 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) Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides ❑ NEW ❑ USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals(Fixers) Diesel Fuel, kerosene,#2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ❑ NEW ❑ USED - Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives (creosote) 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): Metal polishes Laundry soil &stain removers (including bleach) Spot removers&cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Sign ture V Staff's Initials - ' Date:6 104 l 2o)6 J TOWN OF BARNSTABLE TO IC AND HAZARDOUS. MATERIALS REGISTRATION FORM E NAM -OF BUSINESS: 7;::� A o _q e BUSINESS LOCATION: o!n t o l✓� INVENTORY MAILING ADDRESS: 'g a CA. hfl /Y) TOTAL AMOUNT: TELEPHONE NUMBER: (sop) t? — aaa CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: AA (T t('P L,Se o_u o SajeS INFORMATION / RECOMMENDATIONS: Fire District: Waste Transportation: Last shipment of hazardous waste:- Name of Hauler: Destination: Waste Product- Licensed? Yes No - NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month 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) Miscellaneous Corrosive ;y ❑ 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 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 p ; (including chloroform, formaldehyde,-, -, — 1 Paint&varnish removers, deglosser's hydrochloric;acid, other,acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic 60azardous (please list): ' Metal polishes 8 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 Applicant's Sign ture Staff's Initials f Number Fee 1250 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that JGAuto Sales & Repair .-------------------------------------------------------------------------------------------------------------------------------- 31 E Thornton Drive, Hyannis, MA .----------------------------------------------------------------------------------------------------------------------------------------------------------------------- Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. Restrictions: .---------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and expires 06/30/2021 unless sooner suspended or revoked. ---------------------------------------- JOHN NORMAN DONALD A.GUADAGNOLI,M.D. 07/01/2020 PAUL J.CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health E r f Y Town of Barnstable Inspectional Services BARNSTABLE d• ^ P Syn E•(Et.' lE ca-cmg-•,AA%IS • • • Ngi$70liS H'll5.639 20c.'i1E5i 8aWtl5TA&E Public Health Division 1639i=2014 1 BAMNST'ABLE, 1 Thomas McKean, Director MAM iOrF1659. c a 200 Main Street, Hyannis,MA 02601 � 1 Office: 508-862-4644 Fax: 5'08-7qt�14` f APPLICATION FOR PERMIT TO STORE AND/OR UTILIZES • HAZARDOUS MATERIALS' IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st-JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT . 26— 1 10 Gallons: $ 50.00 El ` CATEGORY 2 PERMIT` 1.11 —499 Gallons: ' $125.00 IJ VG 1 CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10 00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. ��� 001= 2. IS THIS A PERMIT RENEWAL? YES NO. IF YES,SKIP QUESTION'3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES(25 GALLONS)? YES NO. ' a <: 4. FULL NAME OF APPLICANT: Gc-.-NuQ f=�O KP- DR SI LVA- -QVJJ101e 5. NAME OF ESTABLISHMENT: ,TC1 V�() f, A 6. ADDRESS OF ESTABLISHMENT: 31 T�09,N-�Q1V RR ��}IV1 S (YP1 7. MAILING ADDRESS(IF DIFFERENT FRONT ABOVE: S 8. TELEPHONE NUMBER OF ESTABLISHMENT: � rJ 9. EMAIL ADDRESS: %)'TO RUW 71 GrT LCGV - CQW) 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE (0(0k co Q:\Application Forms\Hai Mat Appli Draft Jan2019.d cx Number Fee 1250 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that JGAuto Sales & Repair 31 E Thornton Drive, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 111 499 gallons of Hazardous Materials. - -------------------------------------------- ---------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2020 unless sooner suspended or revoked. -------------------------------------- PAUL J.CANNIFF, D.M.D,CHAIRMAN D_O_NALD A.GUADAGNOLI,M.D. 07/01/2019 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health Town of Barnstable HE Inspectional Services BARNSTABLE QFt Bnrt.Wfte•s.ara��.�•Fmm-mazy- Q Public Health DivisionEStCUM15=5]t9F'1�n19E. 8u E I � Y � f 1ARNSPABLE. Thomas McKean Director �� l iOr1 659. > 200 Main Street, Hyannis, MA 02601 _. U11 Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS c IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st—JUNE 3 Oth). APPLICATION FEES _ CATEGORY 1 PERMIT 26— 110 Gallons $ 50.00 `CATEGORY 2 PERMIT '11.1'=`499 Gallons: $125:00'` CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed if-payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. Z O-C)1 —r•v 2. IS THIS A PERMIT RENEWAL? ✓ YES_NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: f&DAIS 5. NAME OF ESTABLISHMENT: G'1 • NfiO &Aj ff 12.P i m1 r 6. ADDRESS OF ESTABLISHMENT: (lY fiG 1 DYl ve Ninh�',s� �?��I 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: x I Ink 8. TELEPHONE NUMBER OF ESTABLISHMENT: 5695,3(4 q I S 1 9. EMAIL ADDRESS: N 1 10. SOLEOWNER: YES JNO IF NO,NAME OF PARTNER: Of-W K C0 W I 3l)�r 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: '1� _ ' 0"$1j`b COMPANY DRESS • C EMAIL: F'YtGrJ) C® ) CI!1 C S p-1 O 01 SIGNATURE OF APPLICANTI� p�DATE Q:Wpplication Forms\Haz Mat App Revised 09-10-18. x Number Fee 1250 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that JGAuto Sales & Repair 31 E Thornton Drive, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------- --- -------- ----------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2019 unless sooner suspended or revoked. -------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,.M.D. 07/01/2018 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health F l aS� Voewgu'Aatoryof B r e ervicesvi.ces Richard V. Scali,Director'THE to M _ Public Health Division BARNSTABLE' ' i f IMR510N5 IlS OSIE0.YIlIF�BM1WIST4C k Ti-. BABNSfABLE. �` Thomas McKean,Director 1639-20I4 / iOrEc A�i� 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304-F. APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS ) IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS DULY 1 st—JUNE 30th). APPLICATION FEES -- CATEGORY 1 PERMIT 26- 110 Gallons: $ 50.00 ❑- - CATEGORY 2 PERMIT 111 -499 Gallons: . $125.00 9 V.s CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? K YES NO. IF YES, SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGEIUSE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. s O 4. FULL NAME OF APPLICANT: � � / �2 5. NAME OF ESTABLISHMENT: 16 AUTO S 61te�! °f a; 6. ADDRESS OF ESTABLISHMENT: :�i�r&M .fw <»D d?iV,---, Ii✓/s �� 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 5,4:m e 8. TELEPHONE NUMBER OF ESTABLISHMENT: 6"3` / 9a�� 9. EMAIL ADDRESS: m 4k"I'? 69/ V u N, w o2 , , ('04-1 10. SOLEONER: YES XNO IF NO,NAME OF PARTNER: ���/!/ W 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT /G DATE V6 16 - 2 L-91A Q:Wpplication FormsUiAZMAT APP 2017 REVIS .Kocx Number Fee 1250 - THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of'Barnstable Board of Health This is to Certify that JGAuto Sales &Repair 31 E Thornton Drive, Hyannis, MA Is Hereby Granted a License Q� For: Storing or Handling 111 -499 gallons of Hazardous Materials. I' V ---------------------------------- -------------------------------------------------------------------------- ---------------- _S This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2018 unless sooner suspended or revoked. --------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2017 JUNICHI SAWAYANAGI THOMAS,A.MCKEAN,R.S.,CHO Director of Public Health r� I SOa� t�'� a eg story ervlces g /7129 Richard V. Scah,Director Public Health Division BARNSTABL;E MIMSTABM ; Thomas McKean,DirectorMARA 109.2014 - 1639. A`� 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 -APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st-JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26- 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 L►� ' CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed if payment is not received by 1st. 1. ASSESSOR'S MAP AND PARCEL NO.V 2. IS THIS A PERMIT RENEWAL? YES_NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONINGBUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF • GREATER THAN HOUSEHOLD QUANTITIES(25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: AOV,16L. bl(t5 5. NAME OF ESTABLISHMENT: 7�-6 AA) SLles 02+r 6. ADDRESS OF ESTABLISHMENT: -31 0en' or leou E 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEP11ONg#OF: CORPORATION NAME :J�( A-j+b 5-* PRESIDENT &rf q + S TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICAN DATE W�// T C:\Users\Decollik\AppData\Local\Microsoft\Windows pora I t iles\Content.Outlook\BMQD49H2\HAZMAT APP 2017 REVISED.docx Number Fee ' 1000 THE COMMONWEALTH OF MASSACHUSETTS $125.00 �. - Town of Barnstable Board of Health This is to Certify that ALGI Auto Repair 31 C&D C Thornton Drive, Hyannis, MA is Hereby Granted a License For: Storing or Handling 111 - 499 gallons of Hazardous Materials. -- --------------------------------------------------------------------------------------------------------------------------------------------------- -------_--- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2017 unless sooner suspended or revoked. ------------------------ WAYNE MILLER,M.D.,CHAIRMAN _ r PAUL J.CANNIFF,D.M.D. 07/01/2016 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health r Town of Barnstable ° Regulatory Services Richard V. Scah, Director AR Public Health Division BARNS LE 1639• `0� "uw as"rox"s vuis�.'os`"aw t�rw�v�"r"euu"�v a �EDMA'�A Thomas McKean, Director 1639 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 5T90-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 'El CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 U'S CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ • A late charge of$10.00 will be assessed if payment is not received by July 1st. ASSESSORS-MAP AND PARCEL NO. .: ®(� ._DATE 6 ® 3 J 6 FULL NAME OF APPLICANT:, "X\A k� NAME OF ESTABLISHMENT: ADDRESS OF ESTABLISHMENT: 2�Vc- MAILING ADDRESS.(IF DIFFERENT): TELEPHONE,NUMBER OF ESTABLISHMENT.: EMAIL ADDRESS: SOLE OWNER: YESdNO IF NO,NAME OF PARTNER: t FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME U S PRESIDENT TREASURER Q CLERK hh z• IF PREPARED,BY OUTSIDE PARTY: SIGNATURE OF APPLICANT Name: - Company Address Telephone#: ' Email: I, Q:\Application Forms\HAZZAPP Rev I6.docx Page 1 of 2 t c Town' of Barnstable Office: 508-862-4644 Fax: 508-790-6304 Regulatory Services Department Public Health Division Thomas A.McKean,CHO 200 Main Street, Hyannis,MA 02601 Payment Receipt Hazardous Materials Payment received: $125.00 (Check) on 6/7/2016 .Check number: 1462 Check amount: $125.00 Name on check: Algi Auto Repair . I 'Business: Algi Auto Repair Owner: THORTON DRIVE LP. ,Address: 31 THORNTON DRIVE, Barnstable i • i Note: 31C ....... i l Number V fee 1051 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00f Town of Barnstable + Board of Health This is to Certify that ADYMAR'S 31 Thorton Drive,Hyannis, MA . Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. p ---------------------------_--------------------------------------------------------------------------------------------------------------------------_____-____ - This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 6/30/2015 unless sooner suspended or revoked. } ---------------------------------------- WAYNEWILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2014 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health Town of Barnstable Regulatory Services Richard V. Scali,Director MUMMAMSTABLE. ' Public Health. Division °rF1 39. ° Thomas McKean, Director. 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO: DATE (0 -/0' dOIy APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT A . NAME OF ESTABLISHMENT' 4 ADDRESS OF ESTABLISHMENT '��2 rD N 1-64 CZ60/ TELEPHONE NUMBER 5 OS AA O -7 O 0-5 SOLE OOWNER:KYES NO fF APRL'•ICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL; PARTNERS: IF APPLICAN�`.TJ IS A CORPORATION: FEDERAL IDENTIFICATION NO. ' STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF:_ PRESIDENT TREASURER CLERK SIGNATURE OF APPLICANT RESTRICTIONS:, HOME ADDRESS HOME TELEPHONE# ,�4Oc9 Q:\Application FonnsEAZAPP.DOC MAIL-IN.REQUESTS Please mail the completed application form to the address below. Also include, a copy of your contingency plan (to handle hazardous waste spills, etc).. In addition, please include the required fee of$100. Make check payable to: Town of Barnstable.. Allow five to seven (7).working days for in- house processing. Our mailing address is: Town of Barnstable Public Health Division 200 Main Street _Hyannis, MA 02601 FOR FAXED REQUESTS Our fax number is (508) 790-6304. Please fax a completed application form. Also; please fax us-a copy of your contingency plan (to handle hazardous waste_spills, etc). In addition, please mail the required fee amount of$100.00. Please make the check payable to: Town of Barnstable. The check must be mailed to the address listed above. Allow up to four days.for in-house processing. r For further assistance on any item above, call.(508) 862-4644 Back to Main Public Health Division Page Q:1Application Forms\HAZAPP.DOC I SPILL CONTINGENCY PLAN Emergency Coordinator, Name: ' Address: Daytime Phone: 'Evening Phone: se— . Fire Department'. Barnstable Public Health Division: 508-862-4644 DEP 24 Dour Spill Hot Line: 888-304-1133 Waste Hauler-, Name: Phone: Building diagram indicating hazardous material/waste storage area, location of absorbent scavenger materials, fire extinguishers, fire alarms'(if present), and evacuation route (if applicable). glo Actions to betaken to control a spill or release, and preventing it from reaching a catch basin, sewer system or the ground. T000/TOOOC�j 55�d'I�AiI HOH�� ZZZZ9LL902 XVd Aid b9:Z VTOZ/CZ/90 Town ®f Barnstable �OFSt1E r � Regulatory Service Richard V. Scali, Director * BARNSfABLE, " MASS. Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Wayne Miller,M.D. Fay:: 508-790-6304 Paul J. Canniff, D.M.D. Junichi Sawayanagi NOTICE TO ALL BUSINESS OPERATORS ORS WITH HAZARDOUS MATERIALS IN BARNSTABLE The Town of Barnstable Town Council adopted, Chapter 108: Hazardous Materials, a requirement for each business operator to obtain an annual permit and to remit a fee of$100.00 if one-hundred and eleven (111) gallons or more of hazardous materials are stored, transported, utilized, and/or disposed of at a particular site. STEPS 1 — 2 - 3: 1. Please complete the attached application form 2. Include a copy of your contingency plan (to handle hazardous waste spills, etc.) 3. Submit the fee of$100.00 payable to the: Town of Barnstable. MAIL all of the above to this office on or before June 30, 2014. A late charge of$10.00 will be'assessed cif payment is not received by July 30,2014, Please feel free to view the above Code, Chapter 108: Hazardous Materials on the. Town Web site, «mww.town.barnstable:ma.us ., which is located under the E-Code section if you should have any questions or concerns. , QAHazmat\Haz Mat Permit Lett6I.DOC i i Number Fee 1051 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that ADYMAR'S 31 Thorton Drive, Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 6/30/2014 unless sooner suspended or revoked. --- ----------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2013 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health } Town o Barnstable of IME Regulatory.Services �- Thomas F. Geiier,Director 3 ;BA . Public Health Division ? nnay a Thomas McKean,Director 200 Main Steil, Hyannis, MA 02601 Of-ncz: 508462-4644 Fax: 508-790-63 04 Application Fee:$100.00 ASSESSORS MA.P AND PARCEL NO. DATE APPLICATION FOR PERK TT TO STORE AND/OR UTE= MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAYS OF APPLICANT NAME OF ESTABLISEA TTTT ADDRESS OF ESTA 3LIS1�yi = TELEPHONE NU MR k2—,7� 3 SOLE OVY ER:j,�'YES NO IF APPLICANT IS A PARTNERSHEP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: C= � w t �•- z Q , C v � IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. C171 ry y co STATE OF INCORPORATION M FULL NAME AND HOME ADDRESS OF: PRESIDENT TRYASURER C YRK SIGMA APPLICANT i RESTRICTIONS: HO1AU ADDRESS HOME TELEPHONE # 1 Number Fee 1051 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable = Board of Health This is to Certify that ADYMAR'S , 31 Thorton Drive, Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. --- ------------------------------------------------------------------------------------------------------------------------------------------------------------- N ---------------------------------- -------------------------- -------------------------------------------------------------=------------------------------------_. This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 6/30/2013 unless sooner suspended or revoked. -------------------------- ------------ WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2012 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health t� Town of Barnstable oF1�,E Regulatory Services Thomas F. Geiler,Director s s M`�•� Public Health Division •9 i63 �� pPf 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 06 /, .0 0I 2— APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FUEL NAME OF APPLICANT � rzh NAME OF ESTABLISHMENT I` r^` " /f ADDRESS OF ESTABLISHMENT '' i'h(x 6S 6 I TELEPHONE NUbMER' 06 - 7 72 G222— "-'z'- SOLE OWNER: VYls NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: - 0 , N « r 4 _ fi IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. + co STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT _. TREASURER CLERK . . SIGNATURE OF APPLICANT i RESTRICTIONS: HOME ADDRESS 7 �ow 94 JoAm" i rry HOME TELEPHONE# '58 O :026 Haz.doc/wp/q �t Number Fee y 1051 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that ADYMAR'S 31 Thorton Drive, Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. - ------ ----------- ---- -------- -.------- ------ -------- ----- ----- ------ -- --- ------ --- --- -------- ---------- .--------- -- --------- ---------'-- ------- ------- ------ ---=- ----------------- -------- -------- --------- ----- --- - -- --- ----------- This ------ - license is granted in conformity with the Statutes and ordinances relating there to,and and expires 6/30/2012 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2011 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health _ (�12Z1411 � Town of Barnstable Regulatory Services ' Thomas F. Geiler,Director S ` AM.MAss. " Public Health Division y g' i639• iOrEn�n►+°i Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 i ASSESSORS MAP AND PARCEL NO. DATE ' APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS I I FULL NAME OF APPLICANT ' Al I7 P NAME OF ESTABLISHMENT / Zt, ADDRESS OF ESTABLISHMENT - 0z" 11V(X1QnMOwl/ TELEPHONE NUMBER 57N " 778 8 222 69OLf.'OWNER: V YES NO F A PLICAN r IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARWRS: { (1=34 - IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK OF APP,L CANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# Haz.doc/wp/q Number Fee 1250 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that JG Auto Sales & Repair 31 E Thornton Drive, Hyannis, MA (Y15� `� Is Hereby Granted a License . For: Storing or Handling 111 - 499 gallons of Hazardous Materials. -------------- f- - -------- ---- -------- ------- -------- ------- --------- ------- -------- --------- ---- -------- ---- -- ------- --- T This license is granted in conformity with the Statutes and ordinances relating there to, and uand expires 06/30/2017 unless sooner suspended or revoked. C -------------------------------------- 6 S PAUL J.CANNIFF, D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. f- 07/01/2016 JUNICHI SAWAYANAGI L _ THOMAS A.MCKEAN,R.S.,CHO JJ Director of Public Health J Number Fee 1250 THE COMMONWEALTH OF MASSACHUSETTS $50.00 Town of Barnstable Board of Health This is to Certify that JGAuto Sales & Repair 31 E Thornton Drive, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 26 - 100 gallons of Hazardous Materials. -------------------------------- ---------------------------------------- ----------------------------------------------------------------------------------- - This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2017 unless sooner suspended or revoked.. WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF, D.M.D. 07/01/2016 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health s ` a k Town of Barnstable tHME Regufatory Services N9 Richard V. Scah, Director " . MAM,STABr�' ` Public Health Division B 91 STABLE 16 9• �0 eawrneic•�"xt2nmu¢.conm•Mnwws ��fD Al nnasoarnis�,omealut•wsre.wisrne f 1°k Thomas McKean, Director ry�a�` 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 08-790-6304 _4 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1st—JUNE 30th). APPLICATION FEES CATEGORY I PERMIT 26- 110 Gallons: $ 50.00 ❑ G I CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 �pq f � ` CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ A late charge of$10.00 will be assessed if payment is not received by July 1st. ASSESSORS MAP AND PARCEL NO. DATE FULL NAME OF APPLICANT: I✓� Gc CJ& NAME OF ESTABLISHMENT: V All ,o Soi� ,5 gem ADDRESS OF ESTABLISHMENT: I l �� f�?'1 rA IAA �E MAILING ADDRESS(IF'DIFFERENT): TELEPHONE NUMBER OF ESTABLISHMENT: Q �^ �j ' 4— "I 1 I EMAIL ADDRESS: !n'1l i t�l SOLE OWNER: YES ' NO IF NO,NAME-OF PARTNER: Aoa AC4�, FULL NAME,HOME ADDRESS,AND TELEPHONE# OF:Q-7J(,ornixts5 c.rc1 u111► 5 CORPORATION NAME PRESIDENT TREASURER CLERK _ IF PREPARED BY OUTSIDE PARTY: �s SIGN TURE F APPLICANT Name: Company Address Telephone#: Email: Q:\Application Forms\HAZ.ZAPP Revl6.docx Page 1 of 2 � Town of Barnstable Regulatory Services Richard V. Scali, Director .R . MAS& Public Health Division BARNSTABL i6 9, •� aprsnsillelE•COarznvnlE-mrvrt•manxts 7 S� euarois rws-oslmwuF•ware.rxsr Thomas McKean,Director 1639-201 4 200 Main Street,Hyannis,MA 02601 1 Office: 508-862-4644 Fax: 508-790-63 ft . Cif v APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108,,, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1st—JUNE 30th): APPLICATION FEES CATEGORY I PERMIT 26— 110 Gallons: $ 50.00 �--�L CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 El CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ A late charge of$10.00 will be assessed if paMent is not received by July Ist. r ASSESSORS MAP AND PARCEL NO. , DATE FULL NAME OF APPLICANT: Ul n , -NAME OF ESTABLISHMENT: �"G U � E'/22�1� i ADDRESS OF ESTABLISHMENT: I Af4m_61 hPIV� IJrGa G MAILING ADDRESS (IF DIFFERENT): ®Y''� 43 �!✓G/iC r9�h�3 TELEPHONE NUMBER OF ESTABLISHMENT: 3q— /! EMAIL ADDRESS: N rz;r CY✓�G'� CO SOLE OWNER: YESYNO IF NO,NAME OF PARTNER: ��� /J7 G S FULL NAME,HOME ADDUSS, ],TELEPHONE# OF: CORPORATION NAME _, V66 Sa IeS PRESIDENT TREASURER CLERK e IF PREPARED BY OUTSIDE PARTY: SIGNATU OF APPLICANT Name: Company Address IV Telephone#: Email: Q:Application Forms\HAZZAPP Revl6.docx Page 1 of 2 f °aTHE►off Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 ' &'RM TABLE. 200 Main Street• Hyannis, MA 02601 6 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: Date: Location/Mailing Address: 31 G —T1 e o r,v�- a 2(-y15*0-6 -¢-- Contact Name/Phone: L A l c So - 7 -7-Z cell -,ZPa -7�3 Inventory T tal Amount: �_ ��� l MSDS: License#: Tier II : NIA Labeling: Spill Plan: e- S Oil/Water Separator: A Floor Drains: Emergency Numbers: y�S Storage Areas/Tanks: SS 10 v%, a,ru-r S Emergency/Containment E ui ment: Waste Generator ID: Waste Product: d Date&Amount of Last Shipment/Frequency: I (-14 v,Q 61 c.4- �-014 , v►ag 0ok ovt- aLl y v$o C�n�eSY Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS 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 requires a license from the Public Health Division. ✓ Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers —� Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants �— Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible '9- Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform,formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: ND 5 f2, e{ e(-D.My`�� �pv�S 4 lVt Inspector: ` La 1 Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS IKE rok$ Town of Barnstable Office:508-862-4644 • °� Public Health Division Fax:508-790-6304 • BARNSTABLE. ' MAS& g, 200 Main Street• Hyannis, MA 02601 1659. TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT -� Business Name: Ab S t',) .rho 09- af Date: I I Location/Mailing Address: - o e. aHv1 t5 Contact Name/Phone: S .e, 5 g-7-79- 21- C-e .Q - -'700 Inventory Total Amount: ^'I�� �� MSDS: License#: 10 I Tier II : Labelina: d Spill Plan: �5 Oi[/Water Separator: N Floor Drains: t�o Emergency Numbers: e� Storage Areas/Tanks: -SSG vimt2, of\ r-Q a ,( cv4Akt iIn 6 Emergency/Containment Equipment: Waste Generator ID: thV6So9 1700 22-'1- ante Product: o%1 Date&Amount of Last Shipment/Frequency: %S i`h 10o 4- Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS 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 requires a license from the Public Health Division. Antifreeze &)o w4,5-ki. Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers J Hydraulic fluid (including brake fluid) Windshield wash Motor oils +o 4,110 Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants ✓ Degreasers for engines&garages Pesticides:. Caulk/Grout insecticides, herbicides, rodenticides �— Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: 12211 Wktlot Inspector—.—, Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Date: 6 l-> l 13 TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: Lqy-lq-dg' BUSINESS LOCATION: 31 INVENTORY MAILING ADDRESS: -44v-t� TOTAL AMOUNT- TELEPHONE NUMBER: .5-09-77 0 - ZL2Z 73 CONTACT PERSON: 5aj S,,-jrk Alar t EMERGENCY CONTACT TELEPHONE NUMBER: 11 ro 8-28D- 7oo3 MSDS ON SITE? TYPE OF BUSINESS: �v�o ✓��a,r 1 ►yleint�I'-enaxce_ y25 INFORMATION / RECOMMENDATIONS: .be.klo 44 o s Fire District: 0�lavnn,I I a�j a l 1 ,,.AS+-0- COIVC�-4 11.cs I d1t�.1. ;I I�,a�r.�d�a v snn w��s�}n-e. �rK y}a b Imo.. 4'.�p,c b� in 0.-.ke— aix-+ t,re. -�Xk��v 1 s"r5 g-L-rjtLePQ , ctv�,� , v, - Waste Transportation: 04"41/wto Last shipment of hazardous waste: S/b 13 Name of Hauler: 4y A- 01 Destination: 6'T' k+0't , ✓w14 Waste Product: Wa.5�-e- o Licensed es No NO D82 30 3 7-7 7 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 / Maximum Observed / Maximum s 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 M oto Oils � Pesticides Sp C�USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals(Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) / lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives (creosote) 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): Metal polishes Laundry soil &stain removers (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials Number Fee 1000 THE COMMONWEALTH OF MASSACHUSETTS $10o.00 Town of Barnstable Board of Health This is to Certify that ALGI Auto Repair 31 C.Thorton Drive, Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2010 unless sooner suspended or revoked. ------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF, D.M.D. 6/30/2009 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health r Town of Barnstabk- y .; Regulatory Services y ° ' Thomas F. Geiler,Director Public Health Division. Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508462-4644 Fax; 508-790-6304 AppI cation`Peet$1-00:00 ASSESSORS MAP AND PARCEL NO. DATE APPLICATION.FOR PERMIT.TO. STORE.AND/OR UTILIZE.MORE:THAN. III GALLONS.OF.HAZARDOUS MATERIALS FULL NAME OF APPLICANT a :t3 'Us 11 VV NAME OF ESTABLISHMENT _A L61 A o o- . e,64d ADDRESS OF ESTABLISHMENT L thot! 6-4 .0/7 TELEPHONE NUMBER • SOLE OWNER: YES NO r IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME.ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. -7 I 09Z 0 Z Y STATE OF INCORPORATION 27 102 U2 FULL NAME AND HOME ADDRESS OF: PRESIDENT � '�. �� �1CP�� �II�SdTr.�,�Ld�N�n.�j � �f3 �G�"�•�Ah� Ars' Y�;-,�N�� � CzLERK SAsl7� a5 � ,�Pi,:# SIG OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# SO?72r- -aoc/wp/q r MAIL-IN REQUESTS • Please mail the completed application form to the address below.FF Also include a copy of your contingency plan (to handle hazardous waste spills, etc). In addition, please include the required fee of$100. Make check payable to: Town of Barnstable. Allow five to seven (7)working days for in- house processing. Our mailing address is: Town of Barnstable Public Health Division 200 Main Street Hyannis,MA 02601 FOR FAXED REQUESTS Our fax number is (568) 790-6304. Please fax.a completed application form. Also, please fax us a copy of your contingency plan (to handle hazardous waste spills, etc). In addition, please mail the required fee amount of$100.00. Please make the check payable to: Town of Barnstable. The check must be mailed to the address listed above. Allow up to four days for in-house processing: For further assistance on any item above, call(508) 862-4644 1. . • CONTINGENCY PLAN Emergency Coordinator, Name: RL I SAO�0 NJNL$ .R0&tp (7(AhvO leiu Address: C Lb9- Daytime Phone: SDy '- 27 cl 4 To Evening Phone: 5D$ 0 7 l 5 l Fire Department: so?- ?�5 13001 DEP 24 Hour Spill Hot Line: 888-304-1133 Waste Hauler: Name: EN Vl/eOM�NT► L S Phone: 1-$ 0- gql —10-M Building diagram indicating hazardous material/waste storage area, location of absorbent scavenger materials, fire extinguishers, fire alarms (if present), and evacuation route (if applicable). z _ s R(�L S R Vt- 61chir r �F it/ or �X l #_ Actions to be taken to control a spill or release and preventing it from reaching a:catch basin, sewer system or the ground. � P • P ffoo� Number Fee 316 THE COMMONWEALTH OF MASSACHUSETTS 100.00. Town of Barnstable Board of Health This is to Certify that Claudio Auto Repair 31D Thornton.Drive, Hyannis, MA Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------------------------------------------------ ------------------------------ -------------------------------------------------------------------------------------------------- --------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2016 unless sooner suspended or revoked. ---------- ----------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 06/29/2015 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health ,4 Town of Barnstable °FEE toti, Regulatory Services Richard V. Scali, Director =" MASS. ' Public Health Division 9� i639. ,��' RFD 39 A Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.0.0 ASSESSORS MAP AND PARCEL NO. 7 .;w(/ DATE �U �J APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN N 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT C 180AD k Q A .S'I k V A NAME OF ESTABLISHMENT _C L Ao di'p Auto IF PA 1 R • ADDRESS OF ESTABLISHMENT ( t h 01 ' o fy Id1Q TELEPHONE NUMBER O t f SOLE OWNER: )i� YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. y STATE OF INCORPORATION R � FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK • SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS 3�5 BIS6 PJ WA Wwt 06 D I HOME TELEPHONE# C:\cache\Temporary Intemet Fi1es\0LKD3\HAZAPP ReQ015.DOC J <i S M E A KEEPING YOU ORGANIZED No.10334 2-153L MAMMUsA GET ORGANIZED AT SMEAD.COM g093 /[F1-17 �1 �} I _ tit 096660 ... _ -_ - ._.-----.----•--_-- aq� ai w/p 5 I g i,�/pc l53 5/Act.4- w1r4cc+# 5ygJAc�f go9(a ►a«� ► 6l ISM na r n g3 ; ---- — - t ,.�.., � � �. ..: rPoo Ar ��i��L`�F',u, '1 10 JraCC-f 18aa s/A«t 77 31 64) t5`IS �1 a y A . 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