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HomeMy WebLinkAbout0100 THORNTON DRIVE UNIT UNIT 7A - Health �-%®� ��✓D�e�V/girl��J� �F '`�rr� s fib)e , � �.�` � r � ,,,, r - ., r '.i dt v'.�� �r } t 4�� J PjJ, fl '} k 4f f 1HE r° Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 •'RARMA.RSB E.g' 200 Main Street• Hyannis, MA 02601 t639 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rE0 MAy Business Name: WLiarmS . t Date:; Location/Mailing Address: Contact Name/Phone: 5DM- 7 31 Inventory Total Amount: <0�6 MSDS: License#: l;t5 Tier II : Labeling: J Spill Plan: Oil/WaterSeparator: A Floor Drains: Emergency Numbers: Storage Areas/Tanks: Emergency/Containment Equipment: Waste Generator ID: �50 aste Pr duct: U Date&Amount of Last Shipment/Frequency: -G d-9 Licensed Waste Hauler&Destination: 00,'Inc Iinrdn. 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 �A/lotor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners t Diesel fuel, kerosene, #2 heating oil V Disinfectants k/ Miscellaneous petroleum products: _ Road salts grease, lubricants, gear Ir 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 ry Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners V Miscellaneous Combustible 4 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: S Inspector: Facility Representative: r' WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS Number Fee 1257 THE COMMONWEALTH OF MASSACHUSETTS $50.00 Town of Barnstable Board of Health This is to Certify that Hyannis Vintage Auto 100 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 r" - $S 46e 570�3 owr� of Unstable egu atory ervices Richard V. Scah Director �FIHE Tp� nrSWtiu ihYailu�u Public Health Division BARNSTABE • * i . MRTWJSVE.CEt0511YfUF•CQIIIR•HYS;iuti &U NSTABLE, Thomas McKean, Director ""RS°"}""�ib�`°ao; y MASS. $ s....: �ArED 39- �10 200 Main Street, Hyannis, MA 02601 575 s Wcs 4 Office: 508-862-4644 Fax: 508-790-004 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS 6 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. ( ATEGORY 1 PERWAIT 25 1IV.Gallons: $ 50.00 V 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? ES—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 GAL ONS)? YES NO. 4. FULL NAME OF APPLICANT: l�S 5. NAME OF ESTABLISHMENT: 6. ADDRESS OF ESTABLISHMENT: �.. 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. .TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: Qb A"�100+C-© 10. SOLEOWNER: —IAS_N IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE# OF: y CORPORATION NAME PRESIDENT TREASURER CLERK ::, 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: • COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICAN DATE Q:\Application Forms\HAZMAT APP 2017 SED.docx �— Number Fee 1257 THE COMMONWEALTH OF MASSACHUSETTS $50.00 Town of Barnstable Board of Health - This is to Certify that Hyannis Vintage Auto .�.1 100 Thornton Drive, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 26 - 110 gallons of Hazardous Materials. --------------------- ------------------------------------ ---------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2018 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2017 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,_CHO Director of Public Health 1 Tow of Unstable egi%atorvlces Richard V. Scali, Director o Public Health Division BARNSTABI WSIMS.•iENIEIM •CON1 iYn5[3 BARNffPABLE. • HARSIU:S MILLS OS9'2't•tYCSl pya.Y5f4flF' nnss. Thomas McKean, Director 1639-2034 '°lfOMp`lA�� 200 Main.Street, Hyanllts,.MA 02601 Ol9 _' Office: 508-862-4644 CQ0�� _d Fax: 508-790-6YA4 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE rya HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY l st—JUNE 30th). APPLICATION FEES, "CATEGORY I PERMIT 26—110-Gallons:'"--$ 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. I • 2. IS THIS A PERMIT RENEWAL? ,/ S_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 LONS)?_YES- NO. a . 4. FULL NAME OF APPLICANT: 5. NAME OF ESTABLISHMENT: 6. ADDRESS OF ESTABLISHMENT: 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: S. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: 10. SOLEOWNER: _VE S 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 APPLI E � QAApplication FormAJAZMAT APP 20 Y�• y /• w f� 3: f Number Fee 1257 THE COMMONWEALTH OF MASSACHUSETTS $so.00 r; _ sa A Town of Barnstable Board of Health - f �. - s This is to Certify that. Hyannis Vintage Auto 10.0 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 r 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 y Y Town of Barnstable a �tIMEE. Regulatory Services Pd Gh K Richard V. Scah, Director ,Z Slpa-- BARNSTABLE, . Public Health Division BA TABLE C-A MM 16gg `0� w sowi�CDwar'ex f•► 'Thomas McKean Director _ 1639-1014 573 200 Main Street, Hyannis;MA 02601 Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE y 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 �,L, CATEGORY 2 PERMIT 411 —499 Gallons: $125.00 ❑ ''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 1st. ASSESSORS MAP AND PARCEL NO. _ DATE FULL NAME OF APPLICANT: . NAME OF ESTABLISHMENT: `NMI S ADDRESS OF ESTABLISHMENT: by/L� a MAILING ADDRESS(IF DIFFERENT): TELEPHONE NUMBER OF ESTABLISHMENT: EMAIL ADDRESS: 4PIAlim S V I V AJ-t, G6 /W�_ SOLE OWNER: c�,YfS NO IF NO,NAME OF PARTNER: - FULL NAME,HOME ADDRESS,AND TELEPHONE# OF: CORPORATION NAME PRESIDENT , TREASURER CLERK IF PREPARED BY OUTSIDE PARTY: SIGN APP CANT Name: Company Address Telephone#: Email: r Q:\ApplicationForms\HAZZAPPRevl6.docx Page 1 of 2 Town of Barnstable Hazardous Materials On-Site Inventory and Inspection FACILITY INFORMATION: Business Name: 11NANA11s V/A/TcaEaTU Business Location: /D D 771,�X.J)_DAJ 6R>Vc Mailing Address: As '+a avE Telephone Number: Q5_VJV� - I yV ' 9,13/ Contact Person: a/R x 4&5 Emergency Contact Telephone Number: �710-11E7 Type of Business: kq l-7 dC57P;?_4770Af 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 �`� 1�1 A-s m On ✓T.S G'4-"-UNS (i) 5725 6i� �� s` 4r�cuars .f-s1-7-®k-.cpbo Af 5cE��tis�o4IS Qv �T 4tip C�A4A44r � G,Ft�.a�uS 4 13e1"1v7'S Gil u�l �,u ��u O /� o5vy PA-1AJ T /�.vv,ucE sm-,LV & i �YiscEz.i..•�,u�� � 4�a-,�T .�� s��j � ' - 1 - Misc. Combustibles Misc. Corrosives Misc.Reactive Misc.Toxics Inventory Total Amount: 10�X OXI;W A-rz, 6,#-"-0AJ S Hazardous Materials License Posted?Yes No Contingency Plan Posted? Yes No Fire District: 5A1e 557-kBL,C Fire Extinguisher Service Date: Metal Covered Rag Bin: Yes No Absorbent Material Available? es No Type of Absorbent• Speedy Dry` ads Pigs Other: MSDS on site? Yes(9 Hard Copy Computer Access Hazardous Waste Handling Hazardous Waste Generator Identification Number: RV 6-VS--77 o -PI3/ Type(s) of hazardous waste product(s): .577t Ae W,4 37E Date of last hazardous waste shipment,type of waste and quantity: ZC�G[ST Hazardous Waste Transporter(s): Designated Hazardous Waste Facility: 2�Z1,) f�oL, J r7�.#-716AJ /(-CA 7 A Hazardous Waste Storage Area Description: .S AoQ(7LE ®44,5 77C ,�'� G A--t.Z-0 A, Is hazardous waste storage area labeled: Yes Are tanks/drums/containers labeled with the words "Hazardous Waste",the tvDe of waste and the associated hazard (i.e. ignitable,corrosive,reactive or toxic) Yes o If hazardous waste is stored out of doors is it covered from the elements? Yes N 71A- Is it in 110% containment? Yes No If hazardous waste is stored indoors is it on an impervious floors es) s No - 2 - FLOOR DRAINS (Chapter 381) Town Sewer Account Number: Indoor floor drains: Yes No If 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 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 IKJ 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 i COMMENTS/RECOMMENDATIONS/CORRECTIVE ACTIONS TNT i�A Parrs W 11dr& Caen-k7-P,< Z/-e7171GicA-77od A/aiVdg&N11SOf 77S-eI V, 4t,S&--Z> 0A1 rh-C /5 NOT 0A1/%/cam W117I 77/E b6P4/`1-X,(&-2rr Or 6 N✓ikdA1AlL-�JrK Pe0 rt-�776A (b EP`1. -/7/,r !'*e4&1 Ty is 7V 0&7AiAf A ✓A"b 6�W-15XAnR lb A1dt",BeHrA 5EZF-A,55AAJl r 1r Ala P 669 S Pfy yt o 0 W1771 /7;(f S 1NS®x-T7a,J &'P--0RT� �) W,071- 6/L i 9UX /5 n 6t- /,I/ 7h1C WeP-yS"14AZee)143 3) VIC rlle-t- �x ZZN4 v/S.V-�S Wc--7Q-r 4*f7- seVi4eA z,) -f-009, 77NG 1) INC f 40O Z y 11,45 -V64)y h R y 4V, ILq-81Z I3 A-AI 46fOW,56V r,c�MeMZ.. 17"fS REZe �lEaU®� �� r, e' ORS T SoGK Sf p3�a�ts $c OBT /N E�� 7"ti2 SSE rHEE- bVE;u i of A '-a RztzM5p Dat : 1 Publ c Health Ins ctor: Facility Representative: } �C/J--/tx/AL- 5A-" d si-T/} S �}�(S i�S� A--R.E 7-0 0A1 517t l-0 - 3 - Thornton Drive Inventory Sept 2006 (Right side of street going up hill) 12 Thornton Drive I"floor Back Again Cafe Fabric Loft,Dick Elwell, Owner 2nd floor Units A&B 2-bedroom apts above cafe Egress issues in 1 bedroom of each unit. Owner, Elwell will open up wall 5' in each unit. Fabric Loft—upholstery above same shop 30 Thornton Drive A&B Amaral Auto 508-778-6769 C New England Polish AKA 32B Thornton Has spray booth—not used since 12/10/05 Upstairs has office Also found 250 gal oil storage tank half full with??? D Yankee Auto Electric E Mid Cape Metal Recycling (Currently posted as 30D) Found embryonic apartment upstairs. Open loft into bay—no railing Contacted owner Bruce Mosher 9/26/06 508-364-6554, advised he needs railing, Discussed liability issues w/illegal apt use. F&G A.R.E. CC Truck Caps 52 Thornton Drive Ron's Truck Stop 76 Thornton Drive A Appears to be vacant B Appears to be vacant C Appears to be vacant Advised that Holton Hardwood Floors occupies one bay Advised a construction company occupies another Advised remaining bay has Dinah lift for racing vehicles Thornton Drive Inventory Sept 2006 ° (Right side of street going up hill) 76 Thornton Drive D Sign Man Custom motorcycle Painting&Truck Lettering Derek&Rick Miller- 508-771-5140/774-836-8357 E Growing Company Stores landscaping equipment 80 Thornton Drive A&B Owned by Cornelius Private storage E Lens Muffler Auto Repair Len deceased but now informed son continues use. 90 Thornton Drive A&B C&C Performance— Auto accessory installation Red Building-formerly Nemec's Alarm Christian Thatcher&Casey Upton—508-539-7948 DBA Form comments: no repair or detailing,no haz mat—welding ok. Tenant informed Alisha they intend to relocate to Argus bay Or purchase 2 bays in this building. Must relocate dumpster away from building. 92 Thornton Drive A B&S Auto Repair Mufflers,brakes, shocks and struts 508-778-0503 100 Thornton Drive A-D Hyannis Vintage Auto—Gary Amster 508-778-8131 1 —One bedroom apt-side C (rear of bldg) for employee 1 —studio apartment—side C (rear of bldg) for employee Building addition commenced w/o permits Advised permit review pending not true 9/28/06—Jack LeBoeuf put 2nd stop work on this date. Also noted that new addition exceeds bounds. 118 Thornton Drive b Collision Specialist Truck accessories, frame straightening Large truck&marine refinishing Spray booth 138 Thornton Drive Classic Coach Works Mechanical&body work Unit has spray booth 146 Thornton Drive A&B A&F Towing 508-775-1324/508-771-7775 Auto repair and body work Spray booth with Ansel system Office upstairs loft area. Street&unit numbers not clearly posted. C,D,E New England Tool Storage for retail use across the street @ 157 Thornton. Also found storage trailer containing six 40 lbs propane tanks, four kerosene containers , one 5-gal gasoline container and two containers mixed. Must provide chains for propane tank and advise owner to educate workers with regards to proper storage of cylinders as tanks were found stacked on top of each other. 178 Thornton Drive Impound lot for A&F Towing. A Earth Day Landscape(first floor bay) 2"d floor A Two apartments Side A has a one bedroom unit and side C has a two bedroom unit. Side A unit is occupied. Unknown if Side C is occupied. Mail box notes Bass River Fishing. Tackle&equipment noted in hallway.Unsure of actual use but tenant in Side A unit IDed as apt. B Shaughnessy—(formerly 1-C)first floor bay C Brico (first floor bay).Unable to access bay. 2nd floor C Second floor is Brico office f t ; 178 Thornton Drive continued D Brain Rodoalph- First floor Bay Two Brazilian employees on site—language barrier 508-542-3222 Auto body work. Has spray booth—vented into adjacent Brico unit and out to rear of facility under second story stairwell. Needs fire extinguisher for first floor unit. 2"d floor D number of bedrooms& occupancy unknown. 200 Thornton Drive A&B Shepley Paint Shop—first floor Unit has haz mat room with alarm 2"d floor A&B Cafeteria 2"d floor One 1-bedroom apartment—Side C Direct access via outside stairway indoor access via cafeteria interior door Also: 60 Ben Franklin 1 bedroom apt—Side D J � V i Thornton Drive Inventory Sept 2006 (Left side of street going up hill) 31 Thornton Drive Bornstein Building A Auto Performer—repairs no fluids or haz mat B Vacant—new bay C&D Lu Car Auto Repair 508-771-7012 E&F Claudio Auto Repair 508-790-1174 G Francisco Auto Repair -also detailing 53 Thornton Drive A vacant 10/1/06 formerly Nakutis Custom Choppers B vacant 10/1/06 C vacant 10/1/06 D vacant—formerly"Carlozziandcape.com Noted 2 storage trailers too close to side of building 73 Thornton Drive A vacant B vacant C vacant D vacant E vacant 93 Thornton Drive A Metal Crafters Found 2 oil tanks B Jack's Carpentry Matt Cavanaugh, Steven Holmes&Gene Dusso Gene—508-420-4348 C vacant D &E Scala Auto Repair—Clayton Scala F Building owner uses—side bay door Sign indicates—Molinari Roofing 508-771-5266 A • c 93 Thornton Drive G Unknown—unit off side C around rear of building Delivery ramp—no indication of use or name 119 Thornton Drive Richard Clark A Vacant B& C Argus 508-775-6575 D Vacant E Vacant 139 Thornton Drive A Arnold's Bakery B Unknown C Unknown 157 Thornton Drive A All Cape Auto Machine Shop B,C,D NE Tool Supply 177 Thornton Drive Shepley's Anderson Window Showroom Also two 2-bedroom apartments 199 Thornton Drive A Unknown B Unknown C Unknown D Unknown E Unknown F&G D&C Auto Salon 508-778-6144—barrels noted here G Unknown H Warehouse—Pepperidge Farm 217 Thornton Drive A Golden Crown Cleaners—dry cleaner B Oceanside Office—Richard Clark haz mat cleaning I Footnotes: I have a street file for 88 &90 Thornton Drive. #88 is cross referenced as 100 Thornton. It's also the location of the unpermitted construction and stop work order. The street file for#90 contains a DBA form for#88 Thornton—Unit 2 Christian Thatcher and Casey Upton for C&C Performance. The form conditions the subject to—no repair or detailing, no haz mat on site. Welding OK ...,�...,. � —_...:..._.:: .__n..s..:::.,twa5_�.a:.....i]:, �.....�.::�....� �._"-'---.,ur.,.,c,.._:; .�.nh:,.t...�.,,.»,:�..:,..::r......,�._....:�i:.cm.ru�sm.....�„n�......s,..:,o..dl..n.,...n......_,...e�.,..._..�.. ...�.<....-_ ..:.Mfw,cxw'.`' '-' °".,.a�1sw�..ru..._�.-.tsa.��ma'..,..�,..I,�d...1,.u.:itdiu;.Ua1'vlrte:a�:'�w�..me,.us..wh::...�::w...r�,us�YaA,�,,::k«..wJ::.�'��n;: Number Fee 1257 THE COMMONWEALTH OF MASSACHUSETTS $50.00 Town of Barnstable Board of Health This is to Certify that Hyannis Vintage Auto ---------------------------------•-----------------•-------•--------•---------------------••----------------------...----------- 100 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 t Y` i � Town of Barnstable . Inspectional Services BARNSTABLE Public Health Division 6�BN,inBLE•RMf,VOU •hYAR�,S MBBMA HUS•OMV(Lt:•t,SS B>WIME 1 1639-201-2014 KARR Thomas McKean,Director `� 200 Main Street, Hy NIA A 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 DULY 1st—JUNE 30th). APPLICATION FEES 10iST Pd G1�4� CATEGORY 1 PERMIT' 26— 110 Gallons: $ 50.00 CATEGORY-2 PERMIT- 1.11 —499 Gallons: $125.00 _❑ �. 0 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?AES 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: P I 5. NAME OF ESTABLISHMENT: 6. ADDRESS OF ESTABLISHMENT: :�QAO-CMAUA " 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: . 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: 10. SOLEOWNER: 0'0YES_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 LA EMAIL: • SIGNATURE OF APPLICANT DATE Q:Wpplication Forms\Haz Mat Appli Dra Jan2019.docx Number Fee .1257 THE COMMONWEALTH OF MASSACHUSETTS $50.60 Town of Barnstable Board of Health This is to Certify that Hyannis Vintage Auto 100 Thornton Drive, Hyannis, HA 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 } Town of Barnstable Inspectional Services BARNSTABLE FTME/�- ennnsrna=_.atYre:r.:t.:ovn•...nxKr:ip Public Health Division "°5�.;ut05�a�"u:.. � 15]9-3014 INSTABLE, Thomas McKean Director MASS. $ - i0rfn39. +A`0 200 Main Stteet, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-63'04 W h•x:� APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE VID 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 X V5T cLC kK p CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 ElPCB CATEGORY 3 PERMIT 500 or more Gallons: $150.00 ❑ *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. o2969-- 6/4 - 00( 2. IS THIS A PERMIT RENEWAL? (/ YES NO. IF YES, SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. 'FULL NAME OF APPLICANT: 5. NAME OF ESTABLISHMENT: t 6. ADDRESS OF ESTABLISHMENT: 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE:' 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: I�t`� t ,� C CD 10. SOLEOWNER: t/YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE# CORPORATION NAME PRESID TREASURER CLERK 12. IF P ARED BY OUTSIDE PARTYc NAME: TELE + #: COMPANY AD EMAIL: 4 SIGNATURE OF APPLICANT ATE ( ® I Q:�P.pp[ication Forms�Haz Mat App Re ' Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 ° BARMAR,%. yp 200 Main Street• Hyannis, MA 02601 .bM MA TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT RFD C ' I Business Name: I"t .n s V, A4o Date: Location/Mailin Ad ress: Contact Name/Phone: ar Awo-y--e-e .So$-"1"7S-813 1 Inventory Total mount. A'' l 00 q4 MSDS: 'G5 License Tier II : Labeling: Spill Plan: -t"o oS'� Oil/WaterSeparator: Floor Drains: M0 Emergency Numbers: Oy. Storage Areas/Tanks: 554&I levw.. .v&s o. I V'.WAW Emergency/Containment Equipment: Waste Generator ID: PM-66-1-`ISSI Waste Product: Date&Amount of Last Shipment/Frequency: S I t(o -7 ad ,.. I --S it.os. 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 S Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid including brake fluid)S — Windshield wash 157 $ Motor oils3+ 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 t Degreasers for engines&garages c��� f Pesticides: �4 Caulk/Grout/�,114r 4 ��- ' insecticides, herbicides, rodenticides O Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink 'L Car waxes and polishes ti Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes> Lye or caustic soda Lacquer thinners S ti Miscellaneous Combustible 7- Paint&varnish removers, deglossersd Leather dyes Miscellaneous Flammables (cd Fertilizers Floor&furniture strippers 60' t77 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, �lc�tarr hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: Vtb t SS V2 S, v 1 � cd�Ln Inspector: LTV Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS pIHE rok Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-7s0-6304 R"nMASSSsLe.$ 200 Main Street- Hyannis, MA 02601 t639 CEO s TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT A'S M Business Name: vt i S U�KQ SVv Date: Location/Mailing Address: io0`�(nor e cc�Nt 5 Contact Name/Phone: 63-ac✓ Ao&si e r Sog-1?ia - t 3 1 Inventory Total Amount: G fit f MSDS: A115 License#: tJ Tier II : 0 Labeling: 04'C Spill Plan: Oil/WaterSeparator: Floor Drains: Emergency Numbers: Storage Area gti( ,No& e-e Jask2, a, Emergency/Containment E ui ment: 5 04, eA;P- Waste Generator ID: I Waste Product: ©% V41vtor Date&Amount of Last Shi ment/Fre uen 0 .( Licensed Waste Hauler&Destination: o e;< 1 1,3 vA-e,ol,v T Other Waste Disposal Methods: ti -VA,,A v, «'l, � <- -, t LIST OF TOXIC AND HAZARDOUS MATERIALS �0 a I a r GV,��,C. ��/� w�l ofy g�v�C,Q, a 5� wj5 3nC, NOTE: Under the provisions of Ch. 111, Section 31, of the General Lawd of MA, hazardous material use, 7/3 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 QSoJine,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 Batteryacid (electrol ta) batteri es 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 ECOMMENDA IONS: 0461 1KKZ CCL o ios- �L K2 v2vtik - a. a &-{ e Wluc i v .e !((<(Mti `CL 1M k�O v..G o ��I Inspector. L yttt - Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Date: -7 / 3 / 13 TOWN OF BARNSTABLE�S TOXIC AND HAZARDOUS MATERIALS N FORM NAME OF BUSINESS: ��Icnh is V'w- A,&o BUSINESS LOCATION: .c�cc�vt �l� INVENTORY MAILING ADDRESS: Sa TOTAL AMOUNT: TELEPHONE NUMBER: .5oR -77!;-S131 ti3244,1 CONTACT PERSON: EMERGENCY CONTACT T LEPHONE NUMBER: MS12S QN SITE? TYPE OF BUSINESS: INFORMATION / RECOMMENDATIONS: ' Jo a•vL MSS s kt-e- a,K Fire District: K ,n , Sl a',s proy,Age 4-r,eo � Z-) &I-W_ �a �e� � n6+j*,b1,P-- Waste Transportation: MN45-C&77a,31 Last shipment of hazardous waste: 3 Name of Hauler: 1Je6�V& 6), 1 Destination: L KGolw, lZ-17- Waste Product: Wa, -t g- v, k - .Soy A I t cox• Licensed No qt R 000e aoDz S 23 NOTE: Under the provisions of Ch. 111, Sec iony31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month re uires 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 Mo or Oils / Pesticides 1 NEW�&USED 10 (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, I 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 S M EADI KEEPING YOU ORGANIZED No.10334 2453L WME IN USA GET ORGANIZED AT SMEAD.COM