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0119 THORNTON DRIVE - Health
a 1-19 Thornton Driveli ]�I�airirt� , A 296 - 015 i K I V R I� I' o a A t n L"0-C AT ION SEWAGE PERMIT NO. N!l LAG E INSTALLER'S NAME b A D D R E R U I L D E R OR OWNER DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED •Tc�nl�Sant -�f2a�ic. L�LvJh1 Pi2Ec�' Ply' 12! YOU WISH TO OPEN A BUSINESS? For Your Information: , Busine certificate (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 permission to operate.) Business Certificates are available at the Town Clerk's Office, 1"FL., 367 Main Street,.Hyannis, MA 02601 (Town Hall) DATE: Fill in please: APPLICANT'S YOUR NAME/S: ✓;O 4 Ae-1O 1Z;r7eX5,0A1 zzroe,c BUSINESS YOUR HOME ADDRE S:`4Jr' n'rIfB T/� i' Irc Ir9J1 r ���� /� S 9 �J. � /V C. A401 1l nx aid TELEPHONE # Home Telephone Number L NAilf,fdrJt is�li7,','.�'�jg1,1,f _.-NAME OF CORPORATION: �� � NAME OF NEW BUSINESS TYPE OF BUSINESS.4944?��OT.'f/,F. v A,:eZ-- IS THIS A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS /�I �/D t/�, — lz—A�w%.S l ga5;9/ MAP/PARCEL NUMBER C)? l S (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 COM SIO ER'S OFFICE i This indiyidu I ha een infor. d of n er it requirements that pertain to this type of business: A prized Signor"ure COMMENTS: �.. 2. BOARD OF HEALTH - 77 This individual has b informed oft �ermit e �irements that pertain to this type,of business. �* MUST COMPLY WITH ALL t rized Sig atu HAZARDOUS MATERIALS REGULATIONS COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual h n o d of the licensing requirements that pertain to this type of business. hor' S ture* - COMMENTS: ..i it YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office,1 FL., 367 Main Street,.Hyannis, MA 02601 (Town Hall) ' 7p �aa DATE: 06'��� �7 Fill in please: �-�F�M��+1 '� Ga1� ;.,� APPLICANT'S YOUR NAME/S: Yi Q .rJ A,B�O �/�'JE .P.� I$'''N1 i�(r°v'R� �tYtr�IE�YS tY�' JS•p/JC��o UfY//�,2J /�� NT�J o°' " 1Fa BUSINESS YOUR HOME ADDRE S:/VC4�/l / TELEPHONE # - Home Telephone Number _ nrar=�IILL rau m?T� h• NAME OF CORPORATION- NAME OF NEW BUSINESS TYPE OF BUSINESSAO_OTI — IS THIS A HOME OCCUPATION? YES NO ADDRESS OF BUSINESS -r> yd �.t�' /�' �✓u/%S 1Y 4 QaEOl MAP/PARCEL NUMBER g I S (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 COM SIO ER'S OFFICE This individu I ha ee infor d of n er it requirements that pertain to this type of business. t orized Signa, ure* COMMENTS: 2: BOARD OF HEALTH This individual has be informed oftermit e irements that pertain to this type,of business. MUST COMPLY WITH ALL t rized Sig atu S HAZARD COMMENTS: MATERIALS REGULATION 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: (/V71 TOXIC AND HAZARDOUS MATERIALS ON SITE INVENTORY NAME OF BUSINESS: SToC_� BUSINESS LOCATION: 11!�!) INVENTORY MAILING ADDRESS: Sgmc TOTAL AMOUNT: TELEPHONE NUMBER: Ste--GS? - 2663 CONTACT PERSON: eICA(. 0 SCAn VC.fi fl EMERGENCY CONTACT TELEPHONE NUMBER: _Sos- SGG 751g 3 MSDS ON SITE? TYPE OF BUSINESS: -M INFORMATION/RECOMMENDATI NS: 42 Fire District: ZJ Waste Transpo�at n: 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 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 a Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants 40!5poils Pesticides `b NEW ❑ USE® (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) 'Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) 3 bricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Q Printing ink Cj 'Degreasers for driveways &garages Wood preservatives (creosote) ® Caulk/Grout (� Swimming pool chlorine ® Battery acid (electrolyte)/Batteries ® Lye or caustic soda 0 Rustproofers Miscellaneous Combustible Q 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) 0 Other cleaning solvents V Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS App i ture Staff's Initials 9 01:43p Carlos guimaraes . 5087759783 p.1 Town of Barnstable, Barnstable �1"E Regulatory Services'Department Public Health Division � =ARNS'1`AB1E. bb� 200 Main Street,Hyannis MA 02601 "'ll ''rED M!►K 2007 Office. 508 8G2-?G4? Thomas F.Gei:er.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 tiTILIZE INIORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL,NAME OF APPLICANT NAME OF ESTABLISHMENT � Q G US C wTo ADDRESS OF ESTABLISHMENT TELEPHONE NUMBER �� 7)S ��6 7 SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. 2.05 340 73-9 STATE OF INCORPORATION AP-6us FULL NAME AND HOME ADDRESS OF: PRESIDENT QA 66M G,Jil a w A� y 3 TREASURER Al.C.flA&jDZA f�;nAgodl 13 jWjo6s_ L CLERK SIGNATURE OF PL CANT RESTRICTIONS: HOME ADDRESS 41j LGL�O C ;E��` Il�,flrhU�j �U�vQI HOME.TELEPHONE# Si9e— 715 5�gj Q(tF1azmzN-1az Mat Application2C08.DOC 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, 1st FI., 367 Main St., Hyannis, MA 02601(Town Hall) and get the Business Certificate that is required by law. C>ht7 �. �}c,C�c.•.�.c� i Fill in please: DATE - APPLICANT'S YOUR NAME/CORPORATE NAME c-r,itz, BUSINESS TYPE: ��S� BUSINESS YOUR HOME ADDRESS: 3Dv 'i►�. Y c A,4 6 . TELEPHONE # Home Telephone Number 50S, 3 NAME OF NEW BUSINESS Arc u ' dui "o•r,v sal+ u s Amm `Sedes EIN: Have you been given approve from the building division? YES NO ADDRESS OF BUSINESS The r c ,.,; Mtn - a z MAP/PARCEL NUMBER n6 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 Been{n#a -.,4,M the permit requirements that pertain to this type of business. I'(�► V i MUST XMPLY WITH ALL Authorized Signature** HAZARDOUS MATFRIALS COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has?, en inf°mied-oft licensing requirements that pertain to this type of business. �I Authonz d Si net re** COMMENTS: _ _.No s ���� � d-6 xe"�C. . THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) M ^�c� C DATA i TOWN OF BA RNSTABL E MASSACHIJ'.fiE'x'1" ' D V S�Y'i►7L7\rRI'R-:a R fL L rATE ISSUED: t34 IV 004 DA.':B TTIIi.NTW D: r � t _• 7-3l"ll lC IM R.T NEWAt DOO1f.: RENEWAL PAGE: F►...- �+�...T ..v+�...na. n c nnnn TW�(".�r,.,���1��1R yCIZ: TClY1R2�76TT xL�r� .nw �.r'�i:E•F-l.P..L.0 iVA;?JRS:.+':: lWslbibWO' � T)ar...vi2t.;v_.�.7�s-vas. �...wr....zrvu✓aAt1D: ��w. �.�rr[�r �J..t� - +�.a.s+.urn•vrw�f.v1_'DaNiYs��lezn�7�ay.«u'•,.luay.�an.� in wuLmywtv OY L. Yce ariii2S TIED(�1 ), �II µ°°G(3;�.xa .a Gr347?1 T.:. �- �,•F� tug t 9i�sted hcreL` 18TOt)shot 3 buaaim is corid%td under the ti!(''ie,ow,kftWd as*)Wo,by die foftwing named person,1mrsons ^":wrporattoII: :..�?._.as: -HOv_rrrnu r. TTVawmiz,tu,k M► go e���':.'b:�:.'.S.,Lt:.+;5 !.1., ,.•IPJ'.�� .K,..�nx�..�..p •e, nn.in� lit. r"PS►7 F�rs: .:v>.^:•:p cqx�'»s:s 1d40.1 r'r1 P:�.S s'";°"`:�r"t,�,,�, t1R!S94rs 1JATTQ i1r!". !}'i . A ';!: 4.'t PPRSdN(S)PERSONALLY APFE,`+J'30 BEFORE ME Al?MADb 0K.—H'I'l:TA'l'.'M FOB+•^:::^. �arsL[�Mbl�ll 1J 111Ui5. '� Tnu DATE;. fun*3,2004 PI.EAA r°M(IM' ;T M THE MIMPCNB4ILITY 7%ApRLrumy Ti)OSTm ANY 4lcmas AND Pam,m iRsoumma mYTHP a:Li.i"i+rush vvna t raFiA WF=-.i 1;;FhTs Euie riE LEIaiL`OPEAA�IAN OF THIS BUSINESS IN IME TOWN. w;ia: i;m— Ncn ADCJ-Ei� -41a SK.m► F G &i-i -1 UW MAN&ai;3iM4 AD09-0"sty M SALES"SK 120 It PG 0&194 TWDD !A_gMGq Mr4p t(�141lNUFS dr:O!$i�8�!L! !!Y�`!! In a::ntia:tce with rhr r!r+viAum4 of Cl-pr'—3r of thus,arts,3f tttgg!r—d r-,%M•Ile.SzcZoi u`the Mass General Laws.Husiam shall be to effect for fowr y,.are From:be date cR issue and shall be rest wad wph f fh--eaftqi, A uLLLcoi under pain =-vv be:i'.CI :'ice t'_:c city clerk U01.1 dtsom-,inning, retiring or witbdiwing from such l Miar a o-rzrtAxrft. Copies of such crtrtificates shall tie avatiable at thtr addtew at which such la -MM is coadta.0 d shstl�e furnished on.request durim iv oe.y x a'S4 wtLS fai(wa. u Vlll aY� Violahiva-z are sul jeci to a fin-,cf act more di r. hundred dollars(M)for trac4 trtontia;ru:pS which such violation continues. C'1LtT'SlrrA'i':ONLAUS}'s T;,Vnify teeth-der the penaltiz of parjtiry;bat 1,to 110 best of m..• knowledge;and belief,twe filed all state tax returns r_�paid all state .u:ec.•P r':n;,uresi i:.tldCr iiW. � i VAture �� ue�� Xr, e ll�atttla cry) r This tltz�se will not be issued.unieu this eerti&;atiou clause is signed by the aplicAat. Your wciel security umber will w fur iahad to die Massactweett8 Delminevt of Rev nuetletPT�ift wt>ettrer you have trtet tax filing or%K l;:risrr obligar.ons, Licensxs who fid to ra:e:t their nott-filing_rr deG„e4u:rcy will be ci hjcct tc licen,T sL;spenaion or revocation, Tait reavost b tends urd6jr the audm iLv of lvlays.G7'I'.Oha 6?.1..S.49A.. TOWN 0-F BARNSTABLE MASSACHUSETTS Tel TSL�'E,SS CERTIPAICATE FATIE ISSUED: U4/1612004 DATE RENEWED: RP,NEWAL BOOK: RF:N:?,BVAL PAGE: E 04-1.35 DATE DISCONTINUE C7EItT0C.A;f-EXPIILES: 04116120E D?SCONT'INUFU BOOK; DTSCONTINLIED PAGE: In conformity with the provisions of Chapter U.I Tm.(ti(^.Section F"ve ?j of trts aaenerai caws,as autbalvd.tee undersigned hereby declar-o(s)that a b%i'Awess ie cf dlkctea urtuor iiuc ii.JTi,1 :.ti l= s`�,t!tt 5i,linwlnv n41 A, ners:nn,persons OP i.Graol'dllUtl: ARGUS MAILING ADDRESS: 119B fHOItNTOi`'!)'tF`�k Tfi`A�r.NIS���A i�601 &;n GpTC^�.n:^.S 43 BLSI LCf)GIE AVE HYANNIS.MA 02601 r'r S;R^atur:S: THE ABOVE NAMED PE,MN(S)PERSONALLY APPEARED BEFORE ME AND IV AD17 OATH THAT THE FOREGOING STATEMENT IS TRUE. TI !� Identification Presented: DATE: April 16,2004 PLEASE NOTE: IT IS THE RESPONSIBILITY OF THE APPLICANT TO OBTAIN ANY LICENSES AND PERMITS REQUINED BY THE BUILDING,HEALTH AND CONSUMER AFFAIRS DEPARTMENTS FOR 414E ILEGAL.OPERATION OF THIS BUSIMM IN THE TOWN. CONDITIONS, NOW LISTED 1;:.accordance with the provisions of Cba_pter 311 of,-,he Acts of 1985 and Chapter 110,SeAion 5 of the Mass General Laws.Bushms :e.rrifkca/es sihali be in effect for four v';arr;fxon:tht-date of issue and shall be renesved each,fvur;eaas tbacafter. A statement under oath irustt be filed with the zity cleric Winn ai..scontiruiC9.retiring or withdrawing froth such busin.ss or parnc:ship. r;:rpim of=h.G:ertr icates shall be availA:ile ai the address at which such businwia is:Y -1=t*j ar&l a all be furnished on request during regular bosiAms hours to any person who has purcl:aaed goods or services from such business. violations are subject to a flue of mntt more titan theme hundred dollars($300)for each trx:•mh(!uring which such violation continues. -------------- ------------ CERTIFICATION CLAUSE 1 certiir under the penakies of penury that 1.to the best of my knowledge and belier;have fled ail state t,:x renirns and paid all state taxos required under'' Signature:off i'vid4fil or Corl*rat•ee N=c;:.141%d2tory) By: Co:porata Off er(IManiatory if applicable) *^ cT Fcderai ITA Number * This license will not be issued unless this certification clause is signed by the applicant. arj Your sca ial sezurity matber will De famidiead to the Massachusetts Department of Reveture to determine whether you have met tax filing or tax payment a ligl tions, Licemims w:o full to erred their noa-filing or delinquency will be subject to license suspension or revocation. 7?us reoucst is made under the authorav,of Mass. G.L.Cha 62C,S.49A. f 1 F / t, OR �• �1,ou Town of Barnstable Regulatory Services POLAA Thomas F. Geiler,Director MAC. BARNSrABLE. ` Public Health Division t ' En Thomas McKean,Director . f 4 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 i y, ASSESSORS MAP AND PARCEL NO. DATE $- 1-7—o L( 3 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS r . 1 C FULL NAME OF APPLICANT AI J,FPS F-1E . �X Ar1£Z. n NAME OF ESTABLISHMENT _&PA 9 k- ADDRESS OF ESTABLISHMENT 8 :tHWk)10 R7 I TELEPHONE NUMBER -SOLE OWNER: ✓ YES NO . IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: H14 CA 0 1. 1 IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION'NO. STATE OF INCORPORATION t f FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK • r t URE OF APPLICANT RESTRICTIONS: HOME ADDRESS C0MPras5 Cl1u.L�__ �yunn� 0 HOME TELEPHONE# ,52 -- S 19,15 Haz.doc/wp/q cili5�� • 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 Number Fee 331 THE COMMONWEALTH OF MASSAGRUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that: Argus'Aut®Repair 119 B.ThoYnton Drive, MA 02601 Is.-K.ereby Granted a License FOR:= STORING;O,R HANpUNG 111 GALLONS OR MORE::O'F HAZARD OUS'MATERIALS: This:license is granted in conformity wrthrthe Statutes and ordinances relating thereto;and and expires June 30,;2005 unless sooner su.s"pended or,re-voked. SUSAhl G RA$K,R S WAYNE M ER,M D,.•CHAIRMAN ILL August'18, ZOO4 SUMNER KAUFMAN,`M S P'H EAN 'RIS,CHO THOMAS A MCK I Director of; ublic p :Healf i T Date: r7' //6 /eY TOWN OF BARNSTABLE 'TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY f.� NAME OF BUSINESS: BUSINESS LOCATION: C �� INVENTOR cY MAILING ADDRESS: TOTAL AMOUNT. j TELEPHONE NUMBER: 5-0 8 — Z 7Lt-- c? �I 2® CONTACT PERSON: &td2 e-LA'a &0-3r o Z229dX4 eI" EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE?Ao6. TYPE OF BUSINESS: � � t -tp I 'FORMATION/R OMMENDATIONS: ��� � el Fire District: a 6-us - le. s, Waste Transportat' n: %�/ ��+ Last shipment of hazardous waste: Name of Hauler: 12e4Au [ a-rtt- Destination• (Me Product: ., � Ye Licensed? No Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, 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 c.10" Antifreeze (for gasoline or coolant systems) _ Misc. Corrosive /V a NEW U$ED Cesspool cleaners Automatic transm si�on fluid Disinfectants Engine and radiator flushes Road Salts (Halite) 42 Hydraulic fluid (including brake fluid) Refrigerants LAR Motor Oils Pesticides I33.✓.. W -USED (insecticides, herbicides, rodenticides) G—a line Jet fuel, as Photocnemicals Fixers , 9 (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED LA Misc.petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote). Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc. Combustible Car wash detergents Leather dyes 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 otiher 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 If ��l l -� `1 or��p E ���.!�( �` � � Town of Barnstable t��tOh� Regulatory Services Thomas F. Geiler,Director Public Health Division * BnRxsxnBW, *z Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Phone: 508-862-4644 Email: healthAtown.barnstable.ma.us Fax: 508-790-6304 Office Hours: M-F 8:00—5:00 July 19,2004 'P7 �e/ v', Mr. Roberto Rios,Manager O-Z;, Argus Auto Repair �( 119 Thornton Drive Hyannis,MA 02601 Dear Mr.Rios: Thank you for your time and cooperation during the hazardous materials inventory and site visit to your business on July 16th. This letter contains information from that visit that will help you,- as a business manager,become compliant with hazardous waste regulations. Enclosed are copies of Article 39: Control of Toxic and Hazardous Materials ordinance,.the. _.. Town of Barnstable Vehicle Washing Policy and a copy of the Toxic and Hazardous Materials On-Site Inventory form from the visit to your shop. Please'note the problems identified at youf place of business during the hazardous materials inventory and their corresponding recommendations/orders listed below: Problem: H zardous material spills("releases")were observed on the floor of your shop with no catchment/containment from the vehicles being repaired. These were spills of oil and petroleum, products. There was no absorbent material(Speedy-Dry,absorbent pads)used to contain or clean up these releases. Order: Beginning immediately,please use proper catchment pans/trays under vehicles when they are being worked on and liquid hazardous waste is drained from them. Place a large portion of Speedy Dry on the spills in your shop and DO NOT REUSE this absorbent material. These AhsarhP mat__P_'als should be cleaned off the shop floor and disposed of DAILY. Hazardous material spills or releases in the Town of Barnstable are PROHIBITED. Antifreeze must be contained because it is especially toxic and can cause irreversible health problems or death. /Problem: ►/ The barrels containing hazardous waste and hazardous materials.are stored directly above a large drain that leads to the town sewage system. Order: Please RELOCATE ALL barrels/containers/tanks containing hazardous waste and hazardous materials AWAY from all drains. Kee these barrels on a co ncrete oncrete surface and store absorbent materials nearby in case of an accidental spill or release of these hazardous materials. Pr blew• , O a separate occasion,your employee was observed washing a truck with soap and water irectly above a large drain in your shop that leads to the town sewage system. Order: CEASE and DESIST washing any vehicles with soaps of any kind. Vehicle washing is PROHIBITED in the Town of Barnstable at all businesses that do not have an approved car wash system/oil-water separator which meets the requirements of the Massachusetts Department of Environmental Protection and the Town of Barnstable General Ordinance,Article 39. Please refer to the Town of Barnstable Vehicle Washing Policy(enclosed). Problem: Waste oil and waste antifreeze-storage barrels are not labeled correctly. Order: Please label all hazardous waste storage barrels and tanks"TOXIC" and"HAZARDOUS WASTE"and"Waste Oil", "Waste Antifreeze",etc. This should be completed immediately. Problem: During the site visit to your shop,your employee was observed smoking in the shop area. Recommendation: Please designate a"smoking area"outside of your auto repair shop. This is recommended for health safety as well as fire hazard prevention. Problem, .. .: :.. . !Qr%e gp rags were on the floor and in open/uncovered storage containers.r• _ Used shop rags must be picked up and stored in a metal container with a metal lid at all times: Containing your shop rags properly can prevent a fire_hazard. On Site lnwentory Total: The Toxic and Hazardous Materials On-Site Inventory from June 16,2004 shows that you have approximately 336.5 gallons of toxic and hazardous materials being used, stored, generated and disposed of at Argus Auto Repair(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 Permit. This permit should be purchased within the next 30 days from the Town of Barnstable,Town Offices,located at 200 Main Street in Hyannis (see enclosed application). Why are these recommendations being made for Argus Auto Repair? •. This information is intended to educate you, a business manager 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 Control of Toxic and Hazardous Materials ordinance(Article 39)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. As a follow up to the site visit and inventory completed on Friday July 16,2004,a representative from the Public Health Division will re-visit your business during the next 30 ! days to further advise you on your compliance. If you have any questions about these problems and/or their recommendations,or you need further information and assistance,please do not hesitate to contact me or Amy Wallace,Hazardous Materials Specialist, at the Public Health Division. j x Sincerely, �717) Thomas A. McKean,RS. CHO { Director of Public Health ' r t a i O - Inventory co I enc. n_ . .Site.... rY(copy) Article 39 (copy) Vehicle Washing Policy r t i r r� i t , ve_4i Hazardous Materials On-Site Inventory/Inspection For ALL Shops and Businesses in the Town of Barn table DBA: Location.: �,�� ti,�. Date• Physical Features to Inspect: Hazardous waste generation sites (production/manufacturi g areas): Waste storage areas: Satellite accumulation points throughout:. 1 -7 HazMat stored outdoors — CHECK OUTSID j . Shipping and receiving areas: Run down of shop activities: �t Housekeeping practic s: c 1.0 (/xj t 62Zz l !/' 5 s —eIic� HazMat On-Site Inventory/inspection: Records to Review for SQGs and CESQGs DBA: � Location: �l�'j � -► �iL,'�e Site visit date: —f ® p Hazardous Waste , �� ma*�ee� geA7-) Manifests: oL ` • Employee training documentation (if required): • Hazardous substance spill control and contingency plan: • MSDS on site? �-� • HazMat Inventory records (if applicable): • HazMat Waste Shipping documentation: • Spill records (if applicable): r ARGUS SPILL CONTINGENCY PLAN l.- Evacuate the immediate area, if necessary. < 2.- ; Shutoff valves and electrical equipment as appropriate. :i'�JriStJ t .Joriq-' Eil ,..;ztzistEY�'�L� '�7�t(t3�1 3.- Remove or.restrict any potential ignitionsource from the area if the r. wyt.. ;W, [Jmtt'ija •)curiq,_�i7+ 3JY`r? :1;]i1�Zitt Cl1/1 itrJt3:1. ffi&& al is flammable. 1? 1 ` a r tt �i :fq{)iir..� Ai) � 4. Contain the spill by use of absorbent socks/booms, then apply appropriate absorbent material or additional absorbent socks/booms. 5.- Remove all absorbed material'�or-contamed-,liquid-and-package-m ,.DOT�approved container. Used absorbent materials e. l�hould� be lk :packaged,separately from liquids. 6.- Label all containers with the type of waste and the start date of accumulation. 21 7.- l,'0q ce.�the Apill hast' been controlled and materials collected and secured, inspect t1W area for cleanliness and decontaminate all equipment used in the clean up. 8.- Replace all used material and ensure all response equipment is in good working condition. 9.- Manage and dispose of collected absorbents and liquid in accordance with Federal and State environmental regulations. 1 0.- For any spill greater than the reportable quantity or 25 gallons, whichever is less, this plan shall be implemented and proper records P P P P of action shall be kept on-site. The following is a list of the spill equipment on site: a.- Oil absorbent, spills pads, socks and or booms. b.- First aid kit c.- Fire extinguishers �I:J 11214 EMERGENC tSERVICE -I rill- Local Fire Department Teleph6heri6ihbdr: '508-775' 2323 ep Local Police li lr& iikPS6ne fibiriben' 50 -775-1212 -60,C4,jAArb,u tA n-c e#Service'Telephone 61nphdn e Ifi t,ffvb-,e-f: �n C 5a-,,7Nf f213,23 National Response Center Telephone number: 1-800-.424-,8802 I Qqf, Wv5%_T.O?_f1f3 10 '21i ,-i Afficv! -,dv "MOO Ij ',wriollibt , List other emergency.numbers below:. '15ILm b�vlhr ,,4e;rtj2 7 .1:4,4 i q 1-l"I r 4 j A L i.;I.,I I i i� W 5 it r A Carlos Ariel'Sukrez Mime: 508475-1953 Cell.:- -508-685409 Roberto Rios 1 Home: 508-775-5484 'de'l 1.1 -508274--9490 ri, ei tfll nzdj -,-jJP! 4, A I Lq? hap 111.1,t rtBljej pai i 3 �br;q 1_11 i x �Tj A Date: r7 /1 /ey > TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY i NAME OF BUSINESS: BUSINESS LOCATION: INVENTORY rj r� TOTAL AMOUNT: MAILING ADDRESS: TELEPHONE NUMBER: 5-0 8 o Z?L(— ct 4120 3 3 co� ,� A"We-n� CONTACT PERSON: &J2 elt-*o e0_-!5� ew EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? /IJCo. TYPE OF BUSINESS: Aked-f'o o+Iccin. I FORMATION/RECOMMENDATIONS: )*.Te-e- Fire District: a_4�7 1t_-;(Z1a'-4dc -S 05,61.2QIe, o4cgds, Waste Transportat' n: 6/I �+` Last shipment of hazardous waste: Ai 1A Name of Hauler, w lec v [ ®+- Yr- _Destination• gWstbe Product: Licensed? Ye No Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, ge 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 c/ Antifreeze (for gasoline or coolant systems) Misc. Corrosive /V&pNEW 56_U$ED Cesspool cleaners CLA Automatic transmtssion fluid Disinfectants Engine and radiator flushes Road Salts (Halite) zQ / Hydraulic fluid (including brake fluid) Refrigerants i/ Motor Oils Pesticides 1 ,✓—N W LLQ USED; (insecticides, herbicides, rodenticides) Ga line Jet fuel iation 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 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, OL Lacquer thinners (inc. carbon tetrachloride) NEW USED Any other products with "poison" labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor&furniture strippers Other products not listed which you feel Metal polishes may be.toxic or hazardous (please list): Laundry soil & stain removers (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS ' Town of Barnstable OFt� Regulatory Services Thomas F. Geiler,Director Public Health Division ZI W SAMN �A Thomas McKean,Director �C A 5"q g 1 200 Main Street, Hyannis,MA 02601 Phone: 508-862-4644 Email: healthna,town.bamstable.ma.us Fax: 508-790-6304 Office Hours: M-F 8:00—5:00 July 19,2004 Mr.Roberto Rios,Manager Argus Auto Repair 119 Thornton Drive Hyannis,MA 02601 Dear Mr.Rios: Thank you for your time and cooperation during the hazardous materials inventory and site visit to your business on July 16th. This letter contains information from that visit that will.help you,- as a business manager,become compliant with hazardous waste regulations. Enclosed are copies of Article 39: Control of Toxic and Hazardous Materials ordinance;the.' .' Town of Barnstable Vehicle Washing Policy and a copy of the Toxic and Hazardous Materials i On-Site Inventory form from the visit to your shop. Please note the problems identified at your place of business during the hazardous materials inventory and their corresponding_ recommendations/orders listed below: Problem: Hazardous material spills("releases")were observed on the floor of your shop with no catchment/containment from the vehicles being repaired. These were spills of oil and petroleum products. There was no absorbent material(Speedy-Dry,absorbent pads)used to contain or clean up these releases. Order: Beginning immediately,please use proper catchment pans/trays under vehicles when they are being worked on and liquid hazardous waste is drained from them. Place a large portion of Speedy Dry on the spills in your shop and DO NOT REUSE this absorbent material. These absorbent materials should be cleaned off the shop floor and disposed of DAILY. Hazardous material spills or releases in the Town of Barnstable are PROHIBITED. Antifreeze must be contained because it is especially toxic and can cause irreversible health problems or death. Problem: The barrels containing hazardous waste and hazardous materials are stored directly above a large drain that leads to the town sewage system. Order: Please RELOCATE ALL barrels/containers/tanks containing hazardous waste and hazardous materials AWAY from all drains. Keep these barrels on a concrete surface and store absorbent materials nearby in case of an accidental spill or release of these hazardous materials. Problem: On a separate occasion,your employee was observed washing a truck with soap and water directly above a large drain in your shop that leads to the town sewage system. Order: CEASE and DESIST washing any vehicles with soaps of any kind. Vehicle washing is PROHIBITED in the Town of Barnstable at all businesses that do not have an approved car wash system/oil-water separator which meets the requirements of the Massachusetts Department of Environmental Protection and the Town of Barnstable General Ordinance,Article 39. Please refer to the Town of Barnstable Vehicle Washing Policy(enclosed). Problem: Waste oil and waste antifreeze storage barrels are not labeled correctly. Order: Please label all hazardous waste storage barrels and tanks"TOXIC" and"HAZARDOUS WASTE"and"Waste Oil", "Waste Antifreeze", etc. This should be completed immediately. Problem: During the site visit to your shop,your employee was observed smoking in the shop area. Recommendation: Please designate a"smoking area"outside of your auto repair shop. This is recommended for health safety as well as fire hazard prevention. Problem: Used shop rags were on the floor and in open/uncovered storage containers. Order: r .. Usedshop rags must be picked up and stored in a metal container with a metal lid at all times. Contaimn-g your shop rags properly can prevent a fire hazard: :K On SiteTfiVeniory Total: The Toxic and Hazardous Materials On-Site Inventory from June 16, 2004 shows that you have approximately 336.5 gallons of toxic and hazardous materials being used,stored, generated and disposed of at Argus Auto Repair(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 Permit. This permit should be purchased within the next 30 days from the Town of Barnstable,Town Offices,located at 200 Main Street in Hyannis (see enclosed application). Why are these recommendations being made for Argus Auto Repair? • This information is intended to educate you,a business manager 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 Control of Toxic and Hazardous Materials ordinance(Article 39)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. As a follow up to the site visit and inventory completed on Friday July 16,2004, a representative from the Public Health Division will re-visit your business during the next 30 I days to further advise you on your compliance. If you have any questions about these problems and/or their recommendations, or you need further information and assistance,please do not hesitate to contact me or Amy Wallace,Hazardous Materials Specialist, at the Public Health Division. Sincerely, Thomas A.McKean,RS, CHO Director of Public Health enc. ;On-Site Inventory(copy) Article 39{copy) ;Vehicle Washing Policy F P TOWN OF BARNSTABLE MASSACHUSETTS BUSINESS CERTIFICATE , DATE ISSUED: 04/16/2004 DATE RENEWED: BOOK 190 RENEWAL BOOK: RENEWAL PAGE: PAGE 04-135 , DATE DISCONTINUED: CERTIFICATE EXPIRES: 04/16/2008 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: ,- 77 _. ,.,�,,, , ...-N PLEASE NOTE A BUST SS CERIFIGp?TE Its®ICATES TWA 1HE NAMED,PERSON(S}'IS�(ARE}DC?ING"z�U51NES UNDE"1rt A E`: `� DIFFERENT iTHAN HES/HER�PERSBNAL NAM'E(S) IT DOES NOT IMPLY THAT THE APPLICANTS) AS{HAVE)IVIET ALL LICENS - � ., PERMIT A OTHE MPE ISSI N RE UIRED""BY THE'TOWN F BARNSTA LE B ILDIN .;HEALTM'ANp: ON MER ` FAIR E.R O,.S O U G,.. � SU AF S DEPARTMENTS FOR'THI �.EGAL'OPE ION"OF THIS=,BUSINESS AT THE STATED LOCATION ARGUS AUTO SALES MAILING ADDRESS: 119B THORNTON DRIVE HYANNIS, MA 02601 ROBERTO G. RIOS 43 ELDRIDGE AVE HYANNIS, MA 02601 CARLOS ARIEL SUAREZ 169,COMPASS CIRCLE DR HYANNIS, MA 02601 Signatures: THE ABOVE NAMED PERSON(S),PERSONALLY APPEARED BEFORE ME AND MADE OATH THAT THE FOREGOING STATEMENT IS TRUE. TITLE Identification Presented: DATE: August 17, 2005 CONDITIONS: PARTNER ADDED 6/1/04 BK 190 PG 04-191 NAME CHANGE 6/3/2004 ADDED"AUTO SALES"BK 190&PG 04-194 THIRD PARTNER-MARCILIO NUNES 45 ORRS AVE HYANNIS MA 02601 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. k' * Signature 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. Date:`- O`/ TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: A C US o 4 BUSINESS LOCATION: / 9 / (),��UtD� %)L ,�ur 421LAs i'J/�. 6-(;0 MAILINGADDRESS: 16 anl2 .2 -01Mail To: Board of Health TELEPHONE NUMBER: - Town of Barnstable CONTACT PERSON: &18LLt0 W!D j (24e&as 6une'ez- P.O. Box 534 EMERGENCY CONTACT TELEPHONE NUMBER: Hyannis, MA 02601 TYPEOFBUSINESS: ,4 /4 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 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 Q Automatic transmission fluid Disinfectants Engine and radiator-flushes Road Salt (Halite) 4 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 l , . Other petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink 14 Degreasers for driveways & garages Wood preservatives (creosote) dd Battery acid (electrolyte) y Swimming pool chlorine Rustp'roofers Lye or caustic soda Car wash detergents Jewelry cleaners lq Q.e 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 Health Complaints 22-Mar-05 Time: 9:42:00 AM Date: 3/22/2005 Complaint Number: 17985 Referred To: DAVID STANTON Taken By: JOAN AGOSTINELLI Complaint Type: ARTICLE XXXIX HAZARDOUS WASTE Article X Detail: ILLEGAL OPERATIONS Business Name: ARGUS Number: 119 Street: THORTON Village: HYANNIS Assessors Map_Parcel: - y _ V 2 f Y � .. ti T � �f r,ll a�f�.1} f /7 i �• T !�,:� S♦ }♦jJ / • lk • • - � y"'�:^14 a`'••'^ � - SA1�1�. �-.��. pe• / r -.t t f i T •t _ _ .--„r+t .gyp ` � _: � .is � / t � '.Y$1l;•w \ - , t ♦ sty' ry�' 4 s � , •}(((..1`�Mtpf T'�'+7♦� �I 7.! i �` l r r 1. _ � .'y - 4 F _ Y ¢ , ...�'V. •.i S• ivy�; �': ..t' - -V -•.✓� AA I� ''7, '�i:,.0 t 'i �% "l7'"' ! �• -!♦ Ln"- k! f-., ♦ o t Z _�. v r'_`�� � ..�i 1'� �' ♦ .. - �,.r,r y f �♦ ~.�Gtr 1 i`',•. �i{{.� ,' ♦' r..i 1 = r `♦ -�• P:' :,,� �••r �.�j:e •s' •`•�r'� .f.. r s-sat 4.#4 it., �. -,� .-'..�Yti,<<� a�.l w,K ., }. - ��. ,sty <. •!•r .L'.� K� r_:a4`f. �. ♦r, ELT •�F` ;'�S:•,P i _.� r♦ .tP .t l 'r-•♦[•<-• r.` r •I ,y- j4.r' `' iTla'�� � .� .,.+-•�,� 4 •r j .♦ �,; � D'c,. ��_,�-y +• ' ? t'1 '�.��i. ,�f� �S t y ;•,tG 1 V.� :��?F,�!- -� r . �0'•aG'•, ., �.-.. t y," '";` ti�/...��a�� _l ,♦ `.7FrGJr� 't.. f K S•4 a.•_.'4t� r1�i..iv * tir.. 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'r`' r - ' j•.` • y+► c Number Fee 331 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that Argus Auto Repair 119 B Thornton Drive, Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. --------------------------------------------------------------- ---------------------------- -------------------------------------------------------------------- --------- -------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2014 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2013 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable -Cf1NF Regulatory Service °- Thomas F. GeEer,Director Spa A—Iq ..�$ Pubhc Health Di�1�� A a Thomas MeKEan*, Director 200 Main Strut, Hyannis, MA 02601 Oft-cE: 50848 4644 Fax 50&790-6304 Applica#ion Fee: $100.D0 ASSESSORS ASAP AND PARCEL NO. DATE APPLICATIQN FOR PEP= TO STORE AND/OR UTI:= MORE THAN III GAIlLONS OF.HA2ARD-OUS MATERIALS FULL NA-Na OF APPLICANT EGA( . (,60AAM65 i 7 .ME OF ESTABLLSE Vi fENT Q,(,0 AU�Q QA VI, ADDRESS OF EST_ABLIFELN ,�7T iMQaVI QN ��. NvA,)1115 AAA Q,�G901 r TELEPHONE NUM BER �A- SOLE Off.- ES NO --� CW C 17 APPLICANT IS.A PARTNER=,FULL NAME AND HONa ADDRESS OF ALL m PARTNERS: -, ETT APPLICANT.IS A CORPORATION; FEDERAL IDENTIFICATION NO. X) 033 0 ) 3 6 STATE OF INCORPORATION IWt FULL NAME AND HOM+ ADDRESS OF: PRESIDENT &s2Le (,UrWw1 t-J RUCKP.15 N6 61t Y(;-�) O�G j)' CI= kG OF AP i.ICAYT RES'IRICTIOTS: HOB',ADDRESS a'rci1 iq ttj6 L[44' , 0 1� k HOB T=HONI # . 504- IV- Z I`q EaadoQ'wp/q i Notes to the File Date: November 3, 2009 ALGI Auto Repair 31 C Thornton Drive Hyannis, Ma Cynthia Martin, PHD Roberto Gustavo Rios is the sole owner of this business which opened in October of 2009. 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 Allesandra Guimares. r . YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1 y`FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) M DATE: O a Fill in please: M 0"" APPLICANT'S YOUR NAME: C_AQLoS &UOAA)MeS BUSINESS YOUR HOME ADDRESS: 15 KrA1)wAT(1.5 E 't)Q 0 TELEPHONE # Home Telephone Number 1� - NAME OF NEW BUSINESS �IVC TYPE OF BUSINESS p IN Cc:r(o,i IS THIS A HOME OCCUPATION. YES. Have you been given approval from the building divisions YES NO ADDRESS OF BUSINESS I t (,(0nN o v t16 VV,11411,5 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 OFFICE x 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 formf the�rmit requirements that pertain to this type of business. " uthorized Signature** COM E TS: d(/ 14C S 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: r i- Zk. Number Fee 331 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health , This is to Certify that Argus Auto Repair 119 B 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 30, 2006 PAUL J. CANNIFF,D.M.D. THOMAS A. MCKEAN,R.S.,CHO Director of Public Health r Towne of Barnstable I X� vo�sHE N Regulatory,Services Q,t,P l d� Thomas F. Geiler,Director STAB 1 Public Health Division Thomas McKean,Director ( .t 200 Main Street, Hyannis, MA 02601 r Office: 508-862-4644 - i. Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE I f APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT k 0.4(ti To 1 C L/S r A y--0 _vZI 6 S NAME OF ESTABLISHMENT A k6uS A U70 .s/+Les R J�E�f�ld1 ADDRESS OF ESTABLISHMENT A19 .3 THo Awraly b f. i4bj4wwzjS' -10A ` a'fs0.' , TELEPHONE NUMBER 1.5-Ogg ri rig • 65 I'S a u -SOLE OWNER: YES NO 1i IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL y ; PARTNERS: r . IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. 20• �5 STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT � � ���7L�40 _nO TREASURER CLERK l f I SIGNA OW APPLICANT . t • RESTRICTIONS: HOME ADDRESS HOME TELEPHONE-# Haz.doc/wplq �:n 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. R. For further assistance on any item above, call (508) 862-4644 Back to Main Public Health Division Page •V v� x µme ^ 44N'lIM " y. AID ,. �. . 1PLv. 5 ty 4 a NG tli 5cryiceitst Prices, o- Phnr�e: 508 715-6575 "- 4.. 6 ..� fz 77777=- h•: H1 y � , w k • f e w. s ,. , i. •. .+ ,-, mow. A L.f'i w { A a �4 N. — v JRR'" • a, .. , ., t es z v , �u r > w a �x Number Fee 331 THE COMMONWEALTH OF MASSACHUSETTS $10o.00 Town of Barnstable Board of Health This is to Certify that Argus Auto Repair 119 B 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, 2008 unless sooner suspended or revoked. --------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. 7M/2007 PAUL J. CANNIFF,D.M.D. THOMAS A. MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable Regulatory Services Thomas F. Geiler,Director i MAM Public Health Division °i Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANTO® NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT — Q �� 1J r. ► I � �' TELEPHONE NUMBER 5D9 7 5 " 6 5-7 5 F U lY ;cs SOLE OWNER: YES NO cn —4 IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ILL m PARTNERS: trn IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. 2053 60731 STATE OF INCORPORATION 005 v 3(oQ 7313 FULL NAME AND HOME ADDRESS OF: _ �1 PRESIDENT gQBC2M r c?STAf� f�5 7�3 —dc�6 /l ,4x ,4414 I) `4 TREASURER UG ' 1'% itQ, CGyieL(d L c2'6v1 CLERK SIGN OF APPLICANT RESTRICTIONS: HOME ADDRESS D i Ak-' dA4;114 HOME TELEPHONE 9 SOS — 75- tWIJ 0401 a l �f� i N U� 7-7_ - y. i � o� TOXIC AND HAZARDOUS MATE IALS REGISTRATION FORM Mail To: NAME OF BUSINESS: - _ Board of Health MAILING ADDRESS: l'.�� �' Town of Barnstable TELEPHONE NUMBER: ' P.O. Box 534 CONTACT PERSON: Hyannis, MA 02601 Does your firm store any of the toxic or'hazardous materials listed below, either for sale or for your own use, in qua tities totalling, at any time, more than 0 gallons liquid volume or 25 pounds dry weight? 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 characteristics and must be registered when store Please put a check beside each product that you store: Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda j,rwaxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint &varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not Fisted which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents Bug and tar removers IV Household cleansers, oven cleaners White Copy- Health Department/ Canary Copy-Business TOWN OF BARNSTABLE OMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops unsatisfactory- 4.Manufacturers ( pp (see"Orders") 5.Retail Stores COMPANY �pi'L4� 6.Fuel Suppliers ADDRESS /�45 � /� ,�1SSS• 7.Miscellaneous _09aA_`W UANTITIES AND STORAGE (IN=indoors; OUT=outdoors) MAJOR MATERIALSUnderground IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: l/ t DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2. Water Supply O Town Sewer OPublic AOn-site OPrivate 3. Indoor Floor Drains YES NOV O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES-NO- ORDERS: O Holding tank: MDC O Catch basin/Dry well O On-site system 5. Waste Transporter Name of Hauler Destination Waste Product YES NO 1. 2. Person (s) Interviewed Inspector Date Notes to the File Date: March 17, 2011 Stock Car Auto 119D Thornton Drive Hyannis, Ma Cynthia Martin, PHD Felipe Vaccari, Assistant Don Medina, Owner Business Telephone: 774-221-3669 Emergency Telephone: 774-487-1409. ° . An inspection of the above facility was performed in regards to.this being a new business with a voluntary hazardous materials inventory„of eighty gallons. The business' physical area encompasses a single garage bay with an office and a loft over the office. The garage bay floor is composed of concrete. At the time of the inspection there were less than fifteen gallons of material on site. There were five gallons .of gasoline, approximately half a dozen aerosol cans of degreaser, and three quarts of oil. The business plans to obtain hazardous material on an as need basis, therefore keeping inventory low. The owner was instructed to obtain a flammables cabinet for storage of such and to obtain Material Safety Data Sheets of hazardous products used by employees. Reportedly the waste oil is stored in the "caddy" used to catch drained oil from the cars while on a lift. This waste oil will be transferred to Argus, located next door and picked up by Cyn Oil. The owner was notified that the business is still required to obtain a Hazardous Waste ID# and to maintain a log of waste oil transported to Argus. DEP Fact Sheets describing the requirements of a Very Small Quantity Generators "Self Assigning a Hazardous Waste Generator Identification Number", and "A Summary of Requirements for Small Quantity Generators of Hazardous Waste" were provided to the owner during the inspection. At this time and based on this Hazardous Materials inspection, the facility is not subject to the Town of Barnstable's Hazardous Materials licensing requirement. i ,Hazardous Materials Inventory Sheet Checklist J/11/A/ 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-no blanks) Storage Information location of storage, how long is storage for? f.nor±e, 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? -give a vehicle washing policy and explain it- �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 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 the Town (WHICH YOU MUST DO BY M.G.L. - it'does not give you permission to operate). You must first-obtain the necessar.y si at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1" F1., 367 Main St., Hyannis, MA 0260 natures on this form the Business Certificate that is required by law. (Town Hall) and „et Fill in please: DATE:r APPLICANT'S YOUR NAME: f} G1 a BUSINESS YOUR HOME ADDRESS: �j�� TELEPHONE # — / o NAME OF NEW BUSINESS Home Tele hone Number. 5 oGK 6AR U TYPE OF BUSINESS_ 4 �9 IS THIS A HOME OCCUPATION? YES NO j4 Have you been given approval from the buildin division? YES NO ADDRESS OF BUSINESS e ON K!V +S CY_hd 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 Barnstable. This form is intended to: assist you in obtaining the information you may need. You MUST GO TO .20 i t. the Town of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and _licenses required to legal! o erate your St — (corner of is town. Y p y r business in this �. BUILDING CONM1SSIONER'S FICE This individual has been ' ' rmed of n permit requirements that pertain to this type of business. ut orized Signature** COMMENTS: c 2�� u 2. BOARD OF HEALTH. This individual has be n infor of h equire'ments that pertain to this type of business. Authorized Si at -.. COMMENTS: LYVIIITHA(� r, , .� V tl�i ------------- 3. CONSUME-R•AFFAIRS (LICENSING, AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. ` ` �V O :Z r o c ,t I,L. Authorized Signature** COMMENTS: I0V 11 ., JO i`�A 01 r.I mod 114 , TOWN OF BARNSTABLE Date: TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: 57r G-i A_r- BUSINESS LOCATION: INVENTORY MAILING ADDRESS: TOTAL AMOUNT- TELEPHONE NUMBER: 7 7 Lf — CONTACT PERSON: AQA-ties r (-) EMERGENCY CONTACT TELEPHONE NUMBER: S �P- 5/ o MSDS ON SITE? TYPE OF BUSINESS: r" 'R INFORMATION/RECOMMENDATIONS: Fire District: Waste Transportation: Last shipment of hazardous waste: tea,, A Name of Hauler: Destination: Waste Product: Licensed Ye 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 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 /p Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive NEW ❑ USED - Cesspool cleaners Automatic transmission fluid Disinfectants 3 Engine and radiator flushes --- Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants 50 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 j Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCBs 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 P 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 i Notes to the File Date: November 3, 2009 Lucar Auto Repair 119D Thornton Drive Hyannis, Ma Cynthia Martin, PHD v' " Jose Mariano Costa, Owner An inspection of the above facility revealed a single bucket of waste antifreeze which was going to be disposed of at the abutting business, Argus Auto Repair. Therefore, Mr. Costa was notified, at the time of the inspection, that the facility is not, and would not be subject to the Hazardous Materials Licensing as long as there were less than 111 gallons on site. Discussion with Building Department personnel revealed that the business location is not zoned for the storage of gMhazardous material. Mr. Costa was advised of this zoning condition (i.e. no hazardous material of any kind is to be on site)via telephone on November 3, 2009. Additionally, this "no hazardous material" stipulation was so noted on the business certificate application form. r e r Hyannis, October, 2009 To Whom It May Concern: My name is Jose M Costa,owner of Lucar Auto Repair, established at 31-B Thornton Drive, Hyannis, MA, 02601, since March 2005., and I have being understand and followed all rules as a Repair Shop owner. At this address I have being authorized by Town of Barnstable with the Business Certificate until 11/01/2010 and also from Barnstable Health Department 06/30/2010 to store 111 gallons or more of Hazardous Materials, and to do all the mechanics repair necessary as a repair shop, with the restriction of detailing. Today I am moving to new place at 119 D Thornton Drive, Hyannis, MA, 02601, and from my I understanding from Cynthia Martin I will not be allowed to store. hazardous material, because the mechanic shop,which was there before, do not have a permit to store any hazardous material from the town of Barnstable. Today I understand that I am authorized to do breaks,suspensions, exhausters, tires, swap a transmission and motors and any other works as I repair shop. By knowing that, even not understand such rule,I don't have intention to do oil change or generated any waste hazardous materials, understanding if I do, I will be charge for it. If needed any further information or question,please feel free to contact me at 508-3607221. Sincerely, SE MARI OSTA Jose Mariano Costa �L7, l%F 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 the 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" FI., 367.Main St., Hyannis, MA 02601(Town Hall) and get the Business Certificate that is required bylaw. t _ DATE: 0�/0 te: Fill in please: �: ---, APPLICANT'S YOUR NAME: DS s✓r /Q ) / /`1O ; _ It BUSINESS YOUR HOME ADDRESS: 6 Cam?S - o TELEPHONE # HomTelephone Number: NAME OF NEW BUSINESS - •..TYPE BUSINESS v /2ci4 'R IS THIS A HOME OCCUPATION? YES Have you beern:given approval fro m:the builds "-division?; YES NO �/ ADDRESS OF BUSINESS -;7,, D i2n/'TO nJ DC�E . 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 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 ben inform f t e permit.re uirements that pertain to this type of business. Authorized Sig ature** COMMENTS: SLYAt I 4LS REGULATIONS 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature** 'COMMENTS: it ` Hazardous Materials Inventory.Sheet Checklist Date Physical Street Address-Check database to ensure it exists Working Phone Number 4/ Actual Amounts -.( ie. gas being used to fuel machines, thinner to, clean brushes all count as hazardous materials) � 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 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 with them. a . . Date: 09, 09/ o ' TOWN OF BARNSTABLE JOXIC AND HAZARDOUS M TERIALS ON-SITE INVENTORY NAME OF BUSINESS: L ve-P k AUK erA- 2 BUSINESS LOCATION: �:�-� -.D -of'WE INVENTORY MAILING ADDRESS: - R_�VV&II A YC i -P'h TOTAL AMOUNT: TELEPHONE NUMBER: SO V- 0 e/9 CONTACT PERSON: /Y))4 kj4-1\1,0 EMERGENCY CONTACT TELEPHONE NUMBER: SO 2 3 6 D `7-2 MSDS ON SITE? TYPE OF BUSINESS: V t-0 12 G P6 t 2 INFORMATION/RECOMMENDATIONS: Fire District: Waste Transportation:��_QPk1' _-- shipment of hazard us was e: Name of Hauler• v 2 Destination: A-u1oq 696. Waste Product: Licensed? es No NOTE: Under the provisions of Ch. 111, Section 31, of f:he 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 3 Anti eeze (for gasoline or coolant systems) Misc. Corrosive NEW USED L 4 Cesspool cleaners 2 Automatic transmission fluid p Disinfectants Engine and radiator flushes `� Road Salts (Halite) Hydraulic fluid (ircluding 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 A Swimming pool chlorine Battery acid (elec_rolyte)/Batteries D Lye or caustic soda Ali Rustproofers Misc. Combustible IL O Car wash detergents Leather dyes 0 Car waxes and polishes Fertilizers Asphalt & roofing tar O PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, O 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 y be toxic or ardous (please list): Laundry soil & stain removers (� / (including bleach) Spot removers & cleaning fluids ,`,., (dry cleaners) V Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS 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 the 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, I" Ff., 367 Main St., Hyannis, MA 02601(Town Hall) and get the Business Certificate that is required by law. ai DATE: D Q Fill in Lease: 4 APPLICANT'S YOUR NAM f /Q l �0 BUSINESS YOUR HOME ADDRESS: s ry I' 1>2 4 002 6 o TELEPHONE # Home Telephone Number: — .360 dot 1 NAME OF NEW BUSINESS Ue,A ,2,. U1-p c{�/}j TYPE OF BUSINESS IS THIS A HOME OCCUPATION? YES NO v�� /2c�✓�'i 2 Have you been given approval from the builds g division?;:YES NO c/ ADDRESS_OF BUSINESS .1 -� p'i2n��D. ,,J MAP/.PARCEL NUMBER 'IXT(_0 G S 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 This & Main'Street) to make.sure you have the appropriate permits,and licenses required to legall town. y operate your usiness in this .1. BUILDING COMA�JSSIOER'S OFFICE This individual ha jee infor df an py permit requirements that pertain to this type of business.' `. Authorized Signature ? COWAENTS:,'' ✓ v�. . If 4 2. BOARD OF HEA This individual has Been informe f t e permi,re uirements that pertain to this type of business. `, Authorized Sig ature** V COMMENTS rWin T 3. CONSUMER AFFAIRS (LICENSING AUTHORITY This individual has((.^^)bee//n. inforrmr/edI/of the licensing requirements that pertain to this type of business. Authorized Signature** COMMENTS: LX.0 �7) (y- UNITED STATES POSTAL SIR610E First-Class Mail E s Postage&Fees.Paid USPS 'Permit No.G-10 • zo e. Sender: Please pint your name, addresT,-d-fi'd2FP-+-4-lTrthi§box' NOIS1 Public Health DIV19100 1—0 --lown of BamstablO 200 Main St 0 Hyannis,Massachusetts 02601 J, C,;0 3 2 1111 of 111111 lilt 14111 fit 1111,114111 if 1111 it fidth,'Ill I to It fit 71, COMPLETETHIS SECTION • • ON• ■ Complete items 1,2,and 3.Also complete A. rgnat e item 4 if Restricted Delivery is desired. ` �! i ❑Agent ■ Print your name and address on the reverse G V ❑Addressee ■ Attach this card to theback of f ie'mail''iece' B Received by(P — C. Dat of De' er^'i so that we can return the card to you. p or on the front ifs ace permits. - D. Is delivery address different from Rem 1? Yes 1. Article Addressed to: If YES,enter delivery address below: ❑No Rd. CA _ 3. Service Type — (�{�- A 2.,U�� �Certified Mail IJ Express Mail ❑ Registered Return Receipt for Merchandise + ❑Insured Mail ❑C.O.D. I 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number 7003 1680 0004 5458 2025 ��,p (Transfer from service label) f!i t/I PS Form 3811,August 2001 Domestic Return Receipt 102595-02-M-1540 r9 . © •` . . �' �' v O x n r ru Postageco UI � - Certified Fee exi AIDMAR 14 2 C3 Return Reciept Fee MF� Postmark f3 (Endorsement Required) Here M Restricted Delivery Fee 43 (Endorsement Required) U$_ Total Postage&Fees $ m p Sent To ------ ------ - • ---------- h- Street,Apt No.; �5 orPOBoxNo. q ��,p�[(1, calf s-(!v City;S-----.... - ZIP+4 fi of e AA,4 0' . 3G7 7,10 5 Certified Mail Provides: (esjeaed)zoozeunr'oossuuodSd a A mailing receipt o A unique identifier for your mailpiece n A record of delivery kept by the Postal Service for two years Important Reminders: © Certified Mail may ONLY be combined with, Mail®or Priority Mail®. o Certified Mail is not available for any class of international mail. o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. o For an additional fee,a Return Receipt may be.requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and.add applicable postage to cover the fee.Endorse mailpiece"Return Receipt;Requested".To receive a fee waiver for a duplicate return receipt,a USPSe postmark on your Certified Mail receipt is required. o For an additional fee, delivery may be restricted to the addressee or addressee's authorized agant.Advise the clerk.or mark the mailpiece with the endorsement"Restricted Delivery,. a If a postmark on the Certified Mail receipt is desired,please present the arti cleat the post office for postmarking. If a postmark on the Certified Maii receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. Internet access to delivery information is not available on mail addressed to APOs and PPOs. rq co cc u1 0 —/ ul Postage $ 0 Certified Fee N ✓ M U) M Return Reciept Fee ` i ark 0- 0 (Endorsement Requlred) / P J O Restricted Delivery Fee 2Q cCI (Endorsement Required) �y —0' Total Postage&.Fees u' ` $ —/.4A m r- r S�Sent To o lrl- -...A....-..- . er'YI er2i1a CQ,(, �, -------------- --- o.PO B XC O. 023 L/ �9�1,.�s 7 6s-ate,z-p+-4 DD/ l Certified Mail Provides:o A mailing receipt (as.anaa)zoozaunr'oo9e-odsa e A unique identifier for your mailpiece o A record of delivery kept by the Postal Service for two years Important Reminders: o Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail& o Certified Mail is not available for any class of international mail. e NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. o For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811 to the article and add applicable postage to cover the fee.Endorse mailpiece'Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. o For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery,. o If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. 's,, K r x Ln u C K r i. • ru .0 to F I C IALL ul Postage $ Certified Fee M ReturnReciept Fee Postmark Here O (Endorsement Required) p Restricted Delivery Fee c:C) (Endorsement Required) —0 r'9 Total Postage&.Fees $ C3 Sent To G ,may [� Street,Apt No.; fVI.0 yJ City,State IP+4 Certified Mail Provides:o A mailing receipt (as:anay)ZOOZeun r,00ee wiod Sd e A unique identifier for your mailpiece e A record of delivery kept by the Postal Service for two years Important Reminders: o Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail®. o Certified Mail is notavailable for any class of international mail. o NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. o For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is required. e For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted-Delivery". e If a postmark on the Certified Mail receipt is desired,please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. IMPORTANT:Save this receipt and present it when making an inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. FENDE NAME O�OF1( �R t/..IF' �! 11 #'rt�i(� � l../CJI.�`� ���a �`•�F'4i� BAR 65596 TOWN OF ADDRESS"OF OFFENDER A) At Tet of " BARNSTABLE CITYLL.STATE,ZIP CODE `'nill -'�' ©� D 41 pF1141 MV/MB REGISTRATION NUMBER OFFENSELjj ., IIAl1��TAN1.F.. r' o t��0$ rode: � (1k14-k-k- /dif , � lair ��i I,,f'o, w , CD ohm l /7...41-dbof 44AI(U14 ��' Perm t,4- 1;h o- vLiz 1 7� 1, � Z TIME AND DATE OF VIOLATION LOCATION OF VIOLATION < W NOTICE OF 11)! (AAk// P.M.)ON f a'f'� 20 SIGNATURE OF ENFORCING PERSON ENFORCING DEPT. BADGE NO. N VIOLATION ;��(�---.- 04ty.Aii%a �' Rea kk(��� / LU y _ rr o CL OF TOWN 1,HEREBY ACKNOWLEDGE RECEIPT OF CITATION X ORDINANCE Unable to obtain signature of offender. ►¢- g THE NONCRIMINAL FINE FOR THIS OFFENSE IS a �I�O�Dr� Date mailed -��� . w OR YOU HAVE THE FOLLOWINdALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a. DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w REGULATION (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.AM and 4:00 P.M.,Monday through Friday,legal holidays excepted, J before:The Barnstable Clerk,230 South Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. a VIf you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST NRNSTABLE DIVISION,COURT COMPOUND, MAIN STREET, BARNSyABLE, MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due criminal complaint may be issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature NAME OF�OFFENDER _ w TOWN OF ADDRESS OF OFFENDER -' /1w/?1w l 61. ?117.�_' l f�/.i BARNSTABLE CITY,-STATE,ZIP CODE - - BIKE MV/MB REGISTRATION NUMBER OFFENS 'j�l -yp l) IIAN\K7'API.f:.� s� .lJ` -f� /10 f d Ce L nlh U E / //J AO / / LU d f6)9• \' �y .,/.,.,,� �j �/f^ /�/ / �j/J�q{, 3t t' A ++/�'�' O QED MPy� 1��1).YP ,(/.(:1 �11 Y!![/ S J _ k".d^ J (-P.E v I_T l�.K �.I.II �I E t� Lu TIME AND DDA�f•T/EE OF VIOLATION LOCATION OF VIOLATION _ � ' ,, W NOTICE OF. sIGNAyUR OF ENFORCING PERSON P M.)ON 119,/ 2O �� E1171 DEPT. l)r �� BADGBPNO. / w VIOLATION 'f/.1fl t� i 'L----W 'PA l�. I �� ��1. � l i�� ��"� � � . o OF TOWN I HEREBY ACKNOWLEDGE RECEIPT OF CITATION XLU ORDINANCE i oUnable to obtain signature of offender. fop f THE NONCRIMINAL FINE FOR THIS OFFENSE IS S� Date mailed 14 An7V 146 - w LU OR YOU HAVE THE FOLLOWINGALTEP111ATIVIES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL ` DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w REGULATION Cn a (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, J before:The Barnstable Clerk,230 South Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. 22)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST ARNSTABLE DIVISION,COURT COMPOUND, MAIN STREET,BARNSTABLE, MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this citation for a hearing. fk; (3)If you fail to pay the above offense Or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due criminal complaint may be issued a ainst you. r ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature T NAME OF OFFENDER BAR f� iil J�,[VyVti VVt TOWN OF. ADbFIESS OF OFF NDER t1 a�9/w/rl BARNSTABLE CITY,STATE^I��/" , /��`` ( /y / ] !Y l rf+Y E )2 U JT THE fps q OFFFEN(S,E////j /� /�.{/- I, /,(� /� �{ )�/ Jj/� /(l`}' }n{ ItAN\ASS.I.F:.O 14/✓I.�t, • 66 IA !/A e! V. ' J/a i A/a/A II/� R R MASS. prFD MAH p,O Flirt u.Ylc h 44 Hd7w.4 a Od Of1/4 if �nm fill/ 11 A66LLJ TIME AND DATE OF VIOLATION LOCATION OF VIOLATION - W NOTICE OF !D.'!)o (0/ P.M.)ON .�I 20 0(O /9-7/) jj1 r K�?SN / i/YC'✓. Irn/,�l'lYI1S SIGNATURE OF ENFORCING PERSON ENFORCING DEPT. _ BADGE`NO. w VIOLATION ; /t��, �-�"' �GC� lee'r,Aii- kG /'1 Jt� 1fc to��M�'���h o OF TOWN I HEREBY ACKNOWLEDGE RECEIPT OF CITATION X CL ORDINANCE ©'Unable to obtain signatur of offender. THE NONCRIMINAL FINE FOR THIS OFFENSE IS S r vv Date mailed -3 751 , b ' w OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL °- DISPOSITION WITH NO RESULTING CRIMINAL RECORD, w Cn REGULATION (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, w before:The Barnstable Clerk,230 South Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, a Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. (2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BARNSTABLE DIVISION,COURT COMPOUND, MAIN STREET, BARNSTABLE,MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal com taint ma be issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature TOWN OF BARNSTABLE BAR-W Ordinance or Regulation v WARNING NOTICE Name of Offender/Manager - { Address of Offender 43 ho,ttA MV/MB Reg•# Village/State/Zip iA..pY,l6s , A4A Business Name ��� `OAK "/ am/pm, on M& 10 20 Business Address /ql b fh orn t-o A f i Iy Signature of Enforcing Officer Village/State/Zip t;t�ro MA t}` Location of Offense A Enforcing Dept/Division Offense Factslof� t m' bu it- Cr' t - A il, "YAWId WOA.Ilw (4110 IT 611MI"K f Um M ak,I W,� 91 M L�-. A/0 0 am Pt &ff(fi bl,I NO V. /I I �w 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. 71 f TOWN OF BARNSTABLE BAR-W Ordinance or Regulation WARNNING NOTICE Name of Offender/Manager >4 t Address of Offender it ,4 MV/MB Reg.# Village/State/Zip kfi ; ,.- l t ' / Business Name �` :p t . /IIt z f /p , t 20 � am m on Business Address ,r 1t � 11 V14 Signature of Enforcing Officer Village/State/Zip ;` let. P/A ? 41) . Location of Offense ` Enforcing Dept/Division Offense - � i` x>.� / /1 r./ �. ..Y ! d y• ..Facts i f-Ml Irl t 11a dI 'Tr�� � � w�� �. �1,1 `O, V,01 IA I It 4 � �� . J � .�fAI k n to y: .10 114 d M Al ) ) r,V. 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. i Shanton, David From: Hutchenrider, Linda Sent: Thursday, March 16, 2006 11:56 AM To: Stanton, David Subject: RE: Business certs, address changes of residency He has probably moved -the last address we had for him was in the 2004 census and it was 234 Bishops Terrace, Hyannis, which is the same as is on his business cert. -----Original Message----- From: Stanton, David Sent: Thursday, March 16, 2006 9:37 AM To: Hutchenrider, Linda Subject: RE: Business certs,address changes of residency Thanks. His name is Adenilson Ferreira. He is the owner of D &C Auto Salon. -----Original Message----- From: Hutchenrider, Linda Sent: Thursday, March 16, 2006 9:34 AM To: Stanton, David Subject: RE: Business certs,address changes of residency If they live in the town -they would give address changes on their census-so if you are looking for someone- might be able to help. -----Original Message----- From: Stanton, David Sent: Thursday, March 16, 2006 9:33 AM To: Hutchenrider, Linda Subject: . RE: Business certs,address changes of residency --- Great, thanks. -----Original Message---- From: Hutchenrider,Linda Sent: Thursday, March 16,2006 9:16 AM To: Stanton,David Subject: RE: Business certs,address changes of residency Not usually-if they change the location of their business they need to do a change because the location is the issue on a business certificate. Changes are made if they change an owner, change the address or change the name of the business. -----Original Message----- From: Stanton, David Sent: Thursday, March 16, 2006 9:14 AM To: Hutchenrider, Linda Subject: Business certs,address changes of residency Good Morning Linda, Quick question, when a business owner changes the address of their residence (not business location), are they supposed to update it with your office? Thanks, David i � Date: /SI f TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: DC, 24S&2�2 BUSINESS LOCATION: , 0q D -r-bO-"A*0n o AIZA ..!Z� INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: .-o 8 — 51 8 91' 5�/b s CONTACT PERSON: -1) ; (0 - EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: ' INFORMATION/RECOMMENDATIONS: Fire District: •c r. Waste Transportation: Last shipment of hazardous_waste: Name of Hauler: Destination: Product: Licensed? Yes No NOTE: der the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, nd disposal of 111 gallons or more a month requires a Icense from the Public Health Division. IZP LIST OF TOXIC AND.HAZARDOUS MATERIALS �@ �� • . J The Board of Health and the Public Health Division have determined t�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 6-q at 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) .� �S 14 Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Lj Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS t)e Z- �l 1 CA 10) � � Page 2 Town of Barnstable-Health Department HAZARDOUS MATERIALS INVENTORY i Chemicals: ❑ Zero Toxic Waste Materials ❑d gty's>25 Ibs dry or 50 gals liquid but less than 111 gals ❑ gty's 111 gals or more k descnption:, qty: ,,. unfit ofsmeasure •; paint,varnishes,stains,dyes 16gallons degreasers for engines and metal 5'gallons _. _ ___.__ car waxes and polishes i 2quarts metal polishes 1 gallons _.__....__._............._..._..._........_....__...__......._....._..............._.__....................._......_.._...__..._..........._.........__..............__._..._......_..,._...._..._....._..__.._._._._.............................._......... acquer thinners _ 55gallons antifreeze(for gasoline or coolant systems) 5gallons Waste Transporter: Safety Kleen Fire District: Last HW Shipment Date: Waste Hauler Licensed: No //� J Health Complaints 09-Jun-04 Time: 12:10:00 PM Date: 6/9/2004 Complaint Number: 17484 Referred To: DAVID STANTON Taken By: RITA Complaint Type: ARTICLE XXXIX HAZARDOUS WASTE Article X Detail: ILLEGAL OPERATIONS Business Name: Number: 119 Street: THORNTON DRIVE Village: BARNSTABLE Assessors Map_Parcel• Complainant's Name: BARNSTABLE FIRE, GLENN Address: Telephone Number: Complaint Description: SPRAY PAINTING WITHOUT A SPRAY BOOTH. Actions Taken/Results: DS WENT TO SAID LOCATION AND MET WITH DEPUTY CHIEF GLENN COFFIN AND CAPTAIN CROSBY. THEY WERE SPRAY PAINTING THE BUMPER OF A CAR. PHOTOS ON FILE. NO SPRAY BOOTH OR ' PERMIT FOR THIS TYPE OF WORK AT THIS LOCATION, WAREHOUSE STORAGE. THEY ARE ORDERED TO STOP SPRAY PAINTING UNTIL THEY GET A PERMIT. THEY ARE GOING TO GO TO BUILDING DEPARTMENT TO APPLY FOR A PERMIT TO SPRAY PAINT THERE IF THEY GET A SPRAY BOOTH. 'HAZ WASTE BEING PUT IN DUMPSTER, CANNOT DO, AS IT CAN BE A FIRE HAZARD. THEY NEED TO GET A FLAMMABLE STORAGE CABINET FOR ALL OF THE PAINT THINNERS... ` Investigation Date: 6/9/2004 Investigation Time: 12:25:00 PM TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH O satisfactory nters 4.§MPE Auto Body Shops unsatisfactory- nufacturers COMPANY H 1rAr4,3 ,�,k � -`,,�� (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS _C1 1 TG►arvi � h x4xon;S Class: 3 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors; OUT=outdoors) MAJOR MATERIALS s , IN OUT IN OUT IN OUT #&gallons Age Test Fuels 3"-C 5 Gasoline,Jet Fuel (A) '5 J 2—6 X I -27r Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) �C Z_ transmission/hydraulic .Z 1 S�j� ► ?G Synthetic Organics: degreasers Miscellaneous: C � 14". z- DISPOSA-L,IREC I AMATION REMARKS: 1. Sanitary Sewage 2. Water Supply A4j ,0-1 . A-C,41t 61 ev 91 Town Sewer C�. Public G Z, l�r.-i 6�✓1 J Ie epG c� del-cl 0.r.- cx Q do z O On-site OPrivate _ 3. Indoor Floor Drains YES N0 /du_wtc(� �� I r�` �P fie"' It � O Holding tank:MDC "V k hw yi,f,t O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YE.S N0_)�_ ORDERS: O Holding tank:MDC ICblae:0 c r¢s W5 G. C-tr„ _ zu. Li d lt' eel f u t O Catch basin/Dry well 'ip' 4 O On-site system •1 u> o �i -. .C. i YCCU ( �fc•i l * ...dLIW 5. Waste Transporter �Z`� "//�, �` C�'/y�I/^�S e /� ''1•%+t�i 1•1 1 YES NO 2. • P rso (s I- terviewed ( 1 v 7 —�7 Insp for Date R 7*5 TOXIC AND HAZARDOIJ MATERIALS REGISTRATION FORM NAME OF BUSINESS: / ,� Mail To: vo BUSINESS LOCATION: 9 i^ e Board of Health MAILING ADDRESS: Town of Barnstable P.O. Box 534 TELEPHONE NUMBER: e/o Hyannis, MA 02601 CONTACT PERSON: /' EMERGENCY CONTACT TELEPHONE NUMBER: 9C� - rk(I � �� ' Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, -11111111110jIM 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 l _Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid ` VW Toilet cleaners Engine and radiator flushes Cesspool cleaners S Hydraulic fluid (including brake fluid) r-90151 Disinfectants Motor oils/waste oils �� Road Salt (Halite) Gasoline, Jet• D Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, c2 Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Z— Degreasers for driveways & garages Printing ink Batter acid (el ectrol yte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints; varnishes, stains, dyes Fertilizers (if stored outdoors) Paint &1acquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (Inc. carbon tetrachloride) Floor & furniture strippers pP Any other products with "Poison" labels , _ Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid,, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list _ (dry cleaners) ) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy- Health Department/ Canary Copy-Business i • • COMPLIANCE: CLASS: i • ' • •, Printers1-Marine,Gas Stations,Repair' • Shops ry- 4.Manufacturers • '!1 "Orders") 5.Retail Stores • DLLs, o-0 6.Fuel Su.. - Aneous v v I 11111N. 1101I ••• • • ••• • ,, ' Di ums.�y�.tiCase lots .t ; Above Tanks' ;Underground Tank MENEM OMNI • mmmmmmm m 10001011m 1 AN, INNI'M ONE it 1,10 l j • • . _ ��'�/ . ♦ . Isar► '� 11 l Name of Hauler ' Destination '"` Waste Product ; Licensed??: j TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail NAME OF BUSINESS: /� 5 G'�9T�o� Boa To: .. _�.. Board of Health MAILING ADDRESS Town of Barnstable TELEPHONE NUMBER: 77J— —9 3/ P.O. Box 534 CONTACT PERSON: A E/ih` r-3,e�11j47ZT151,5e_ Hyannis, MA 02601 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES L NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous characteristics and must be registered when stored in quantities totalling-more than 50 gallons liquid volume or 25 pounds dry weight. Please put a check beside each product that you store: Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) _ Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) _ Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachlorides Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners . I White Copy-Health Department/ Canary Copy-Business TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair Q satisfactory BOARD OF HEALTH 2•Printers3.Auto Body shops, tl 0 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 . , . IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) . Diesel, Kerosene, #2 (B) " Heauv Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: DISPOSAL/RECLAMATION REMARKS: 1. Sanitary Sewaz-,� 2.Water Supply i O Town Sewer QTublic 'D,On-site Q Private t 3. Indoor Floor Drains YES , O Holding tank: MDC i Y O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES eK, NO _ORDERS O Holding tank: MDC `O Catch basin/Dry E well • , O On-site system 5. Waste Transporter s 1. YES NO 2. Person (s) Interviewed Inspector Date ' TOXIC AND HAZARD US MATE, IALS REGISTRATION FORM Mail To: NAME OF BUSINESS: �1 � -- � Board of Health MAILING ADDRESS: 111 ,` G � Town of Barnstable TELEPHONE NUMBER: 75`a � P.O..Box 534 ' Hyannis, MA 02601 .CONTACT PERSON: X?��, zz. Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in qua tities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? 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 characteristics and must be registered when store Please put a check beside each product that you store: Antifreeze (for gasoline or coolant systems) Drain cleaners .Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda G�waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) 4� Other cleaning solvents c Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Cana Co Business Canary Copy- Hess i TOWN OF BARNSTABLE OMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair Printers satisfactory 2.Print BOARD OF HEALTH 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS /�g ,.. Class: 7.Miscellaneous 9-- - iQUANTITIES 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) Pew motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: DISPOSALlRECLAMATION . REMARKS: 1. Sanitary Sewage 2. Water Supply O Town Sewer ,O1'ublic Ar 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 N0j1_/_ ORDERS: O Holding tank:MDC O Catch basin/Dry.well O On-site system 5. Waste Transporter 1, YES NO 2. Person (s) Interviewed Inspector Date WL Date: /.5-/ D q TOWN OF BARNSTABLE � TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: C_ SA r7jA BUSINESS LOCATION: INVENTORY MAILING ADDRESS: :3 1 Cam • C." 190aI TOTAL AMOUNT- TELEPHONE NUMBER: `^� _ -Z 8— 3(3y • 2S a_1j0W5 CONTACT PERSON: s4--5,51 5 . d" -r EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? Ak . TYPE OF BUSINESS: INFORMATION/RECOMMENDATIO L A- Fire District: • Waste Transportation:. Last shipment of hazardous waste- Name of Hauler- Destination: *V-01rog L� f l r.J!.�-Gf h►' 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) J. 2.5-NW USED Any other products with "poison" labels S Pain varnish removers de lossers (including chloroform formaldehyde, t 9 ( 9 y , Misc. Flammables hydrochloric acid, other acids) Floor&furniture strippers Other products not listed which you feel Metal"polishes' r may be toxic or,hazardous (please list): .Laundry soil & stain removers d Z b (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash I WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS P0•4 , F- L, -� / lot, r I 7 ,�6 -69 a Date: / D y TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: C S �^ BUSINESS LOCATION: a -D 6-Y" INVENTORY MAILING ADDRESS: -7 C� (2,"4ain 1904ad TOTAL AMOUNT: TELEPHONE NUMBER: _3y 42. 2-S- naa°775 CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? �QJ® TYPE OF BUSINESS: /loeeat 4 INFORMATION/RECOMMENDATIO 6-4aJIL Fire District: Waste Transportation: shipment of hazardous waste: Name of Hauler- —Last��,) 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/Maximums 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) J.ZSNW USED _ - Any other products with "poison"labels S Paint varnish removers de lossers (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 n d Z O (including bleach) Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Date: /S/ ®�/ .TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: -Dc- A?�2ea BUSINESS LOCATION: IR D Ja�y`e- INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: 5-o 8 — 9 8 9— + CONTACT PERSON: eA '— - - ��" EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: INFORMATION/RECOMMENDATIONS: `� Fire District: Waste Transportation:. Last shipment of hazardous.waste: Name of Hauler: Destination: Alaste.Product: Licensed? Yes No t;NOTE:er der the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, nd disposal of 111 gallons or more a month requires a Icense from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS ���� `'� �'���� • J The Board of Health and the Public Health Division have determined t a 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) 2--79 Misc. Corrosive NEW USED Cesspool cleaners Automatic transmission fluid 2' 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 °C, A� (including bleach) Spot removers & cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS o�h-� ' -c"e- BARNSTABLE FIRE DEPARTMENT 2y'���oeL1s"Fast: 3249 Main Street—P.O. Box 94 ;0 m'. 1987 Barnstable,Massachusetts 02630 •.-__.. :' 508-362-3312 FAX: 508-362-8444 Robert M. Crosby Glenn B.Coffin FIRE CHIEF DEPUTY FIRE CHIEF rcrosby@barnstablefire.org gcoffin@barnstablefire.org June 28, 2004 Mr. David W. Stanton, R.S. Town of Barnstable Public Health Division 200 Main Street Hyannis, MA 02601 Dear Mr. Stanton: This letter is a follow up concerning our incident at 119 Thornton Drive. As you may recall, we called you in to consult regarding the potential for health related violations at this property. Presently, the occupant has abandoned any auto body/paint spraying operations in his leased space. In addition, he has informed us that he has removed all paints and solvents related to this type of operation. On examination of the MSDS sheets I feel it is necessary to point out that some of the compounds used in his continued cleaning operation may pose a threat to ground water concerns. I am concerned that perhaps some type of "diking" arrangement may be necessary given the area of ground water protection that this business is located in. I would defer to your advice concerning this issue. I hope to hear from you soon regarding this matter. Sinc y e o Deput Chief www.bamstablefire.org Health Complaints 09-Jun-04 Time: 12:10:00 PM Date: 6/9/2004 Complaint Number: 17484 Referred To: DAVID STANTON Taken By: RITA Complaint Type: ARTICLE XXXIX HAZARDOUS WASTE Article X Detail: ILLEGAL OPERATIONS Business Name: Number: 119 Street: THORNTON DRIVE Village: BARNSTABLE Assessors Map_Parcel: Complainant's Name: BARNSTABLE FIRE, GLENN Address: Telephone Number: Complaint Description: SPRAY PAINTING WITHOUT A SPRAY BOOTH. Actions Taken/Results: DS WENT TO SAID LOCATION AND MET WITH DEPUTY CHIEF GLENN COFFIN AND CAPTAIN CROSBY. THEY WERE SPRAY PAINTING THE BUMPER OF A CAR. PHOTOS ON FILE. NO SPRAY BOOTH OR PERMIT FOR THIS TYPE OF WORK AT THIS LOCATION, WAREHOUSE STORAGE., THEY ARE ORDERED TO STOP SPRAY PAINTING UNTIE THEY GET A PERMIT. THEY ARE GOING TO GO TO BUILDING DEPARTMENT TO APPLY FOR A PERMIT TO SPRAY PAINT THERE IF THEY GET A SPRAY BOOTH. HAZ WASTE BEING PUT IN DUMPSTER, CANNOT DO, AS IT CAN BE A FIRE HAZARD. THEY NEED TO GET A FLAMMABLE STORAGE CABINET FOR ALL OF THE PAINT THINNERS... Investigation Date: 6/9/2004 Investigation Time: 12:25:00 PM 1 Apra,.-,-,Thorn��� � Dr � = th. DS ...,.-- �•'eft' '�`. r • r — _ i f ' � 4 71 goo .l �q h►q���, . '; +s r TIME LL h r-=tm o � - . Y l • 6 - - 1 r+ 119 Thornton Drive. Haz waste iaoumpster. lb j I _ • aka -. � niOL. 1 ' I a 3 s A BARNSTABLE FIRE DEPARTMENT ,2y,•' ,�pBUsy s'�1 3249 Main Street—P.O.Box 94 €a• —o— :0 1927 Barnstable,Massachusetts 02630 :. �q.. 508-362-3312 FAX: 508-362-8444 Robert M. Crosby FIRE CHIEF Glenn B.Coffin -rcrosby@barnstablefire.org DEPUTY FIRE CHIEF gcoffin@barnstablefire.org June 9, 2004 Mr. Thomas Perry Building Commissioner Town of Barnstable 200 Main Street Hyannis, MA 02601 `^ x s a�� k` • Dear Thomas: / F Was - F. ,C�'H'€'F i,CP 1Y Y'YR`+� tK Thlsrnornrng at 1152 hours; I>wasravehn ,in a"souther) direction on' ` Y �� �t �xo- g �� r � Yr Thornton rNve3Whilepassrng #i119 DThornton lDriveInspray- painting . t < . ote two�mert . aUehtcie parked within bay inthe bu )ding I ortleredthoacti ity y 7 k ar^5 °A•w m rm§ zA ap stopped and c used the Health D�epartmept=togbrye b ought"to tl e cenxe n additional liave re' uestedrt erMD`Ssheets'on�g h the various amounts of solvents and corrosives that are sto`recwitfiin h'e building Shave ordefetltho`ccu ant, a "n P ' 3 x4 n hewlwaal Mr. Adenllson Ferreira to c66W,,ond.'desi'st all auto paint spraying or other p activities of,a hazardous nature on the property'`unt�hthe prope;r;permits, spray booths and other requirements of the Town and State Building-Codes are properly met. Mr. Ferreira also owns the D & C Auto Salon located near the -Shepley Wood complex on Thornton Drive. I would respectfully request that you inspect the occupancy and look into the problems I have noted. In the event that you have any questions please feel free to contact me. Sinc ely, Pu ie www.bamstablefire.org I •r. r, ���F,�F........ BARNSTABLE FIRE DEPARTMENT 2y• 4PBLISy 'S.•� , 3249 Main Street—P.O. Box 94 m'. 1927 Barnstable,Massachusetts 02630 508-362-3312 FAX: 508-362-8444 Robert M. Crosby Glenn B.Coffin FIRE CHIEF DEPUTY FIRE CHIEF rcrosby@barnstablefire.org gcoffin@barnstablefire.org June 9, 2004 NOTICE OF ORDER: TO: Mr. Adenilson Ferreira �` y In accordance with Chapter 148 of the Massachusetts General Laws Section 148.28 you are hereby ordered to Cease and De isxalJpalnt spraying o ,other, hazardous 'ctl Aties on the property located as follouus � � 7t. ` : 4 ter, is 7 l{ ate ,.,G�.t a '�� �` .,'�; `�. r 's`.y,4q, .�.f^.Ks. { `r�o _i '�` ^z-. r y"�; ,go .v'�E 't ya` �i Lt rt -•:` �` S �E & .#fix Aa. D & C A;utuaf6alon 1 � . r- 119D Tiornt�o'n Dne v � "4K �4`h �r`a HyannisMA � 2601: a , t E r � �,fik'4 4' huiv—'. .�ts.Rv£•"''+» '�k ;r1QFq'rh,r' yN .�x 'x. � , tfa1� r # ¢ � N, �� .,._. �.,,,a .:: •�`m�xE% . ..r This order shall remain mefFect:unfilr�oper permtsare obtarnetl forthe activities described if allowed on that premises Per Or uty Chief www.bamstablefire.org TO ALL NEW BUSINESS OWNERS DATE: S '2� G Fill in please: YOUR NAME: jZ bv) .S CvL4 t vi 1'li APPLICANT'S �'� O✓ BUSINESS YOUR HOME ADDRESS: 2 b (� ► G Lf t G l v�0c�4-1 r�a TELEPHONE Tele hone Number Home J D $ NAME OF NEW BUSINESS / 'I K p fi TU [. `C�. TYPE OF BUSINESS Airy D �/�'`u IS THIS A HOME OCCUPATION? YES �_NO Have you been given approval from the building division? YES NO MAP/PARCEL NUMBER ADDRESS OF BUSINESS i I filiance with the rules and When starting a new business there are several things you must do itio e you may to be need.n compOnce you have obtained the required signatures,o listed Barnstable.-This form is intended to assist you in obtaining the inform y Y below, you may appVfor a business certificate at the Town Clerk's Office f Ist floor-Town Hall] or if you get the business certificate first you MUST go to the following office to make sure you have all the`required permits and licenses.. GO TO 200 Main St. - (corner of Yarmouth Rd. & Main.Btreet) and you will find the following offices: 1. BUILDING COMMISSI NER S 0 E This individual ha rmed of n permit requirements that pertain to this type of business. uthorize ignatyg J !'r! cese COMMENTS: 2.. BOARD OEIZALTH. tain to this type of business. This individu I has n ! r ad o it r ements that per Authorized Signature** o 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: Business certificates (cost$30.00 for 4 years). A business certificate ONLY8 REGISTERS Of the YOUR NAME in the the various departments n (which you dinvolved..G.L. -it does not glue you permission to Operate•you must get thatthrough comp p W 99MRiSAAAXOVAL FORA BUSINESS 08TIFIGATf OIVL TOWN OF BARNSTABLE OMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair ' Satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY< R✓ . q*o / rders") 5.Retail Stores 6.Fuel Suppliers ADDRESS 7.Miscellaneous ANTITIES 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: A//.x /41 Av J L � Af O r �1 A/P ", DISPOSAL/RECLAMATION REMARKS: 1. Sanitary Sewage 2. ter Supply ! P�Z- O Town Sewer o.Wublic /IrOn-site QPrivate 3. Indoor Floor Drains YES NO P, - O Holding tank:MDC i O Catch basin/Dry well - O On-site system 4. Outdoor Surface drains:YES-ZNO ORDERS: Q olding tank:MDC Catch basin/Dry well On-site system 5.Waste Transporter YES NO � 6. 2. . ww% erson(s) Interviewed I 'spector Date M-P �( --- �., �� �\ ��5��� V d �'-- r N TOWN OF BARNSTABLE OMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops 0 unsatisfactory- 4.Manufacturers COMPANY �IYW 1-74-► (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS 9J Class: 1--;"3 7.Miscellaneous TIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATE ts 1Underground IN OUT I IN OUTI IN I OUT I#&gallons Age Test Fuels: pitst�l;��� #2 (B) Heavy Oils: waste motor oil(C) new motor oil (C) OP transmission/hydraulia t Synthetic Organics: degreasers /�a L3 � Wiscen4 `� DISPOSAURECLAMATION REMARKS: 1.epaitary Sewage 2 ater Supplyown Sewer ublic 0n-site 6Private 3. Indoor Floor Drains YES NO r 0 Holding tank:MDC O Catch basin/Dry well 0 On-site system �- 4. Outdoor Surface drains: YES N0_t_1 ORDERS: 0 Holding tank:MDC 0 Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product YES N0 2. � / ' ZZ Person (s) Interviewed Inspect-or Date a Date: 0 J 19 TOXIC AND HA ARDOUS MATERIALS REPISTRATION FORM NAMEOFBUSINESS: Itt ' � 0 BUSINESS LOCATION: MAILING ADDRESS: r. b Mail To: Board of Health TELEPHONE NUMBER: �1 Town of Barnstable CONTACT PERSON: P.O. Box 534 EMERGENCY CONTACT T LEPHONLLE NUMBER: 3 Hyannis, MA 02601 TYPE OF BUSINESS: 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 1• Antifreeze(for gasoline or coolant systems) _ Drain cleaners NEW USED Cesspool cleaners Automatic transmission fluid d Disinfectants Engine and radiator flushes Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor oils wtTSED � Pesticides / �/ NEW � (insecticides, herbicides, rodenticides) QV Gasoline, Jet Fuel Photochemicals (Fixers) ,• Diesel fuel, kerosene, #2 heating oil NEW USED ri C160. Other petroleum products: grease, Photochemicals (Developer) Z lubricants, gear oil I 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 1. Car waxes and polishes _ Leather dyes Asphalt & roofing tar _ Fertilizers _2 _Paints, varnishes,_stains, dyes _ PCB's _ Lacquer thin=US Other chlorinated hydrocarbons, NEW (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 / ^� f `�vr��� �� ����� o� �� �� Date: `IA oo_� TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: c� BUSINESS LOCATION: MAILINGADDRESS: SCR — Mail To: TELEPHONE NUMBER: Board of Health Town of Barnstable CONTACT PERSON: P.O. Box 534 t EMERGENCY CONTACT TELEN4bNE NUMBER: �'�� ,C0` Hyannis, MA 02601 TYPEOFBUSINESS: �es:v Does your firm stor 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(forgasoline or coolant systems) Drain cleaners �-- Y NEW 7"—' USED Cesspool cleaners Automatic transmission fluid . Disinfectants Engine and radiator flushes Road Salt (Halite) 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 . I NEW USED 2- Degreasers for engines and metal I 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 1 Car waxes and polishes Leather dyes Asphalt & roofing tar Fertilizers Paints, varnishes, stains, dyes PCB's c uer thinners q � Other chlorinated hydrocarbons, Y 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 Date: TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: BUSINESS LOCATION: Oo���1.� MAILINGADDRESS: 1 = Mail To: TELEPHONE NUMBER: 11��a�`v� Board of Health Town of Barnstable CONTACT PERSON P.O.` Box 534 EMERGENCY CONTACT TELEPlibNE NUMBER: Hyannis, MA 02601 TYPEOFBUSINESS: ev�, Does your firm stor 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 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 �2 Antifreeze(for gasoline or coolant systems) Drain cleaners NEW 7"—' USED Cesspool cleaners y Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants " Motor oils Pesticides >— NEW ,'j:f USED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED Other petroleum products: grease, Photochemica�lsP(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, 1 Y 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,COFY-:BUSINESS, �, t TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH O satisfactory danufacturers inters uto Body Shops f unsatisfactory- COMPANY G11y+is / ,d� Tr�rF*� (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS ji 9 wto,i Pt H6_"n;S Class: 3 7.Miscellaneous QUANTITIES AND STORAGE (IN= indoors;OUT=outdoors) MAJOR MATERIALS - IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel(A.) It-S-5 Z--6 X r -a1r Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil(C) Z- transmission/hydraulic Z Synthetic Organics: degreasers po�-•N ciewv.�- '—� � Miscellaneous�: n � � 3di�i l®6 Q4f CAW 4 (goo, ci 0 DISPOSALIRECLAMATION REMARKS: pp 1. Sanitary Sewage 2.Water Supply A,4. O1 At -el Cv ,7 ee .Town Sewer Public aA4 "n .A adI L&G U V°L,d`yEx- 0 On-site 0 Private �I iQ�& _,I , s Gv 3. Indoor Floor Drains YES_NO_ O Holding tank:MDC 0 Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES N0-4- ORDERS: 0 Holding tank:MDC labt,/ mets "5 c, 24 alcsee(bjl 6 O Catch basin/Dry well O On-site system 5.Waste Transporter ems, a1d � ��� p / YES No C� �/► � fi�i� fit"/ °� 1. � 2. rso (s terviewed Insp for Date 5�� � TOXIC AND HAZARDOU MATERIALS REGISTRATION FORM NAME OF BUSINESS: i'/ / Mail To: BUSINESS LOCATION: 9 7 e Board of Health /-� Town of Barnstable MAILING ADDRESS: �30Me, P.O. Box 534 TELEPHONE NUMBER: �4� 77 016 Hyannis, MA 02601 CONTACT PERSON: /' EMERGENCY CONTACT TELEPHONE NUMBER: �9O' 1001, rA Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your 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: Quantity/Case Quantity/Case Antifreeze (for gasoline or coolant systems) Drain cleaners " Automatic transmission fluid `mil Toilet cleaners Engine.-and radiator flushes Cesspool cleaners S Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jeftmr �D' Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, i o? Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal � Photochemicals (fixers and developers) L• Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes ° Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) _ Paint & lacquer thinners PCB's CS 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 U Spot removers & cleaning fluids be toxic or hazardous (please list): U (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business COMPUANCE: CLASS: 1.Marine,Gas Stations,Rep 2.Printers satisfactory 3.Auto Body Shops unsatisfactory- 4.Manufacturers (see"Orders") 5.Retail Stores 6.Fuel Suppliers 7.Miscellaneous - n ` 1 ' Case lots Drums Above Tanks Underground Tanks :` MENOMONEE 6 . . MEMENEEMEM WAN MIME new motor II T9 �` soNs-se mom 1V,J D I k I EVOL i -- . • 1 11A .,. „ � . • AMU � �w•.��� - Cyr 1�__ /G-1/� , .��:��������►. Name of Hauler Destination Waste Product Licensed? i ;r TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: • NAME OF BUSINES Board of Health MAILING ADDRESS: ���7VA✓ Town of Barnstable TELEPHONE NUMBER: 77-5- - 9 3/ P.O. Box 534 CONTACT PERSON: �iTtf 01-9,C,s/19L7a5115z Hyannis, MA 02601 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totalling, at anytime, more than 50 gallons liquid volume or 25 pounds dry weight? YES r,7-1= NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If.you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous characteristics and must be registered when stored in quantities totalling more than 50 gallons liquid volume or 25 pounds dry weight. Please put a check beside each product that you store: Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) - T Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) _ Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business t 4 r`�• TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair 3 � satisfactory 2.Printers ! , BOARD OF HEALTH 3.Auto Body Shops, �f�` / �tr unsatisfactory- 4.Manufacturers COMPANYr i 'V r) 5�1��i'J I L I O (see"Orders") 5.Retail Stores p 6.Fuel Suppliers ADDRESS I Nnrr A f 1 1(�!1 1 ljf'r NYC, Class: 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground IN OUT IN OUT IN OUT #&gallons 777 Test Fuels: Gasoline,Jet Fuel (A) i Diesel, Kerosene, #2 (B) Heavy-Oils:---_-, L waste motor oil.(C:) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers t 4 M Miscellaneous: DISPOSALIRECLAMATION REMARKS: � 1. Sanitary Sewage 2. Water Supply --rt A vIr�n►►(Kin n( ,,( I s O Town Sewer �®aPublic " �On-site QPrivate — 1 �, I )(��� �I t A !�� S /13 ryk 3: Indoor Floor Drains YES NO K 1 Yn �y� 1 O Holding tank: MDC ( • Catch basin/Dry well O On-site system n v', - k '. rff'1 C l I(;A/ 4. Outdoor Surface drains:YES NO ORDERS:. Q Holding tank:MDC1T� a °Catch basin/Dry well O On-site system - 5. Waste Transporter Name of Hauler Destination Waste Product / 2. r'.•r.>. ` � l R' �' \• �lf,�./ �f`1'��'/ '��I'�je✓r /\.." E r P�+( ♦. ���✓',� , �ra'l l�J�.. �.�r `.✓ l�� 11 .r e ----- `Person (s) Interviewed Inspector `Date" c Town of Barnstable Hazardous Materials On-Site Inventory and Inspection FACILITY INFORMATION: Business Name: 'A"fay'S AV/ (/ Business Location: f/% & 1-_�&XA1 AVA�J �. Mailing Address: XS A4 60V'X Telephone Number: J_'9 t' Contact Person: d It"'C L as d lll"A/2A e Emergency Contact Telephone Number: � ' 8'36 — 4 AX( Type of Business: &UTD Xe�f-1,Vr,.--JA-AJCE A_iJ�h + Oolt/ 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 5'GA�c oAvs ze,,q�ia�J b�cc ZAy ) SS 6Ru.Ga n RUAq Ni q /ILA �/L AVA74AAIWES Al� �rr�i ew S SGAt�vus As154&24a-AJeV s kv4wer ro All 5CEu.4A/E-Oas /V.}/ ou.dcE GA, /k4c Bk/ 1N/,,Vo'5#W e,b o�ciL�,�-�Z®� a Akr.-46" 3-111y W4s6� G. A _F ( 4-u_0Ai S &O.V? /AJC_S 151V LVlly& a uo'rrVK f� occa cr C .v � ,�•4y - 1 - s' Misc. Combustibles Misc. Corrosives Misc.Reactive Misc.Toxics Inventory Total Amount: +PPkC)X/�(k Hazardous Materials License Posted? es No Contingency Plan Posted? Yes Fire District: 4"6 LC Fire Extinguisher Service Date: Metal Covered Rag Bin: Yes o Absorbent Material Available No Type of Absorbent: eedy Dry Pads Pigs Other: MSDS on site? Yes & Hard Copy Computer Access Hazardous Waste Handling Hazardous Waste Generator Identification Number: Type(s) of hazardous waste product(s): Date of last hazardous waste shipment,type of waste and quantity: --74Al. / /Z AlDD 614-t"A S / 6,011/usTIB1,E I-IkVIb Hazardous Waste Transporter(s): W6-S rMA/ 0/1- Designated Hazardous Waste Facility: e�STL-7QAf JBL . L/ti1 C- c Hazardous Waste Storage Area Description: WAs7r orL .cs 57cRc6 1W AW 6,EUlloyl.> 5,774*66 rf'N,`(/f''5"r). T ,tAJ0 ):19&A!S Is hazardous waste storage area labeled: Yes No 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 �q Is it in 110% containment? Yes No If hazardous waste is stored indoors is it on an impervious floors es No - 2 - FLOOR DRAINS (Chapter 3 8 1) Town Sewer Account Number: Indoor floor drains: es o If yes,circle one,does it discharge to a: holding tank dry well on site septic. S 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 61 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 G 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 Date: �3• Public Health Inspector: Facility Representative: k9,Y90 - 3 - ARGUS AUTO REPAIR Hazardous'Materials Inspection Notes February 16, 20,12 Carlos Guimaraes, Owner Donald Desmarais, Health Inspector Cynthia Martin, Hazardous Materials Inspector ' . The facility Hazardous Waste Generator Identification Number: MV5087756575 was not listed on the Department of Environmental Protections (DEP) list of said numbers. Contact the DEP to obtain an identification number. A "Self-Assigning a Hazardous Waste Generator Identification Number" fact sheet has been provided for your convenience. The above ground waste oil tank, drums and caddys are to be labeled with the words, "'Hazardous Waste", "Waste Oil'% and""Toxic".-,As a convenience;."A Summary of Requirements for Small Quantity Generators of Hazardous Waste"booklet was provided to Mr. Guimaraes at the time of the.inspection. The hazardous waste storage area is to be posted with a sign: "HAZARDOUS WASTE" in capital letters at least one inch high: Waste antifreeze should.be labeledl="Used.Antifreeze". The facility is to create and maintain on site a Material Safety Data Sheet(MSDS) file/notebook. Availability of MSDS for all hazardous material that is used in the workplace is required. A spill kit containing absorbent material sufficient enough to contain a possible spill of waste oil is to be available on site: A metal container with a tight fitting lid is to be available for the storage of combustible rags. The solvent from the obsolete parts 1cledner should-be disposed of as hazardous material. . R 41, t Number Fee 331 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of'Barnstable Board of Health This is to Certify that. Argus Auto Repair 119 B Thornton Drive, Hyannis,MA 02601 Is Hereby Granted a License S 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 e� J Town of Barnstable - S �00•r�� THE Tp� Regulatory Services °s Thomas F. Geiler, Director BAR ASS.`E. ' Public Health Division 9�A 1639. tE P 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 FULL NAME OF APPLICANT CA U2 t a �U 1 /�►1i4E� NAME OF ESTABLISHMENT ZCAidZ/ ADDRESS OF ESTABLISHMENT l I� b 'NQV&At le4/ 6IL. �U� �s A4 Qk6ol TELEPHONE NUMBER SOLE OWNER: YE NO cn If�APPLI ANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL tom— I tTNE l� IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. - pQ1 J STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT (,h&5 l-!) YQCWvs 116&X fr�`RAU AAA 0A3). TREASURER ,SSG CLERK 5AA E &A. GNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS RV01f v5 Ne 6h AD C6'I rn;VibQ ;A 32 HOME TELEPHONE# .� --ry P?38 Haz.dociwp/q WESTERN OIL INC, USED OIL COLLECTION RECEIPTS SERVICES RECYCLING DELIVERY P.O. Box 518 Tank Removal Used Oil Windshield Washe.Flwl' Lincoln, RI 02865-0518 Tank Cleaning Spent Oil Filters Remanufactured �� (4O1 727-8600 Separator Cleaning Used Antifreeze Antifreeze ,;' EPA I.D.# RIR000500025 vacuum Truck Services � Generator's Name: ' ! �(�L� /C1 � e',- Date f7 Address: f ��� ;�,a �� - ` � UL2�?� C-( QUANTITY DESCRIPTION AMOUNT CHARGED USED OIL HALOGENS<1,000 PPM By signing this receipt I certify that the halogens are less than 1000 PPM and that there are no hazardous substances including but not limited to:degreasers, mineral spirits,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,l shall become liable for all costs related to disposal of the entire contents of the contaminated material;plus,a daily demurrage charge for each vehicle.I further agree that all overdue accounts will be charged a late payment fee_of 1.5%per month and to pay all costs of collection,including reasonable attorney's fees. 6 NO D 9 9 Z Generator's Name: www.westernoil.com Driver's Name: DELUXE FOR BI.ISiNESS. 1-800-888-632' THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I M 7 --IL DA'm A Pleas print or type.(Form designed for use on elite(1 2-pitch)typewriter.) Form Approved.OMB No.2050-0039 UNIFORM HAZARDOUS 1.Generator ID Number 2.Page 1 of 3.Emergency Response Phone 4.Manifest Tr�acking"�Number �( WASTE MANIFEST isd+U 1 .8� ��I� 5.Generators Name and Mailing Address f q p y Generators Site Address(if different than mailing address) Generators Phone: r fr r » 6.Transporter I.r Company t Name tt�t�� U.S.(EPA ID Number t n 7.Transporter 2 Company Name U.S.EPA ID Number } 8.Designated Facility Name and Site Address U.S.EPA ID Number wFS1 ER NI 011, U%fli 0U(,►MESS WAY I.iNGt31.N RI 02865 Facility's Phone: ;U)'I 7' Via; 1 R 0 0 0 0 9a, 9b.U.S.DOT Description(including Prcper Shipping Name,Hazard Class,ID Number, 10.Containers 11.Total 12.Unit HM and Packing Group(if any)) No. Type Quantity Wt.Nol. 13.Waste Codes C;C it US11[SL I.fO iO,.N.G.& 11f AGI s f?01p' k (P I•RC?i._EUM 01L5)t%A 11Y93,PG III L 3. 4. 141,p ial Handling Instructions and Additiona Information 15. GENERATOR'SfOFFEROR'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 imall respects in proper condition for transpc rt 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)(if I am a large quantity generator)or(b)(if I am a small quantity generator)is true. Gegnedr'atoes/Offeroes Printed/Typed Name 'Signature Month Day Year J 16,International Shipments - r ❑Impart to U.S. ❑Export from U.S. Port of entry/exit: Transporter signature(for exports only): Date leaving U.S.: w 17.Transporter Acknowledgment of Receipt of(Materials Transporter 1 Printed/Typed Name Signature Month Day Year p zQ Transporter 2 Printed/Typed Name Signature Month Day Year H 18.Discrepancy 18a.Discrepancy Indication Space ❑ Quantity ❑Typ= El Residue ❑Partial Rejection ❑Full Rejection Manifest Reference Number: 18b.Alternate Facility(or.Generator) U.S.EPA ID Number. J Facility's Phone: W 18c.Signature of Alternate Facility(or Generatcr) Month Day Year M Q Z N19.Hazardous Waste Report Management Metiod Codes(i.e.,codes for hazardous wane treatment,disposal,and recycling systems) G 1• f#t} I T 3. 4. 20.Designated Facility Owner or Operator:Cerfication 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. GENERATOR'S INITIAL COPY 45 U.S.EPA Form 8700-22 Item 10.Containers(Number and Type) �. Read all instructions before completing this form. _ Enter the number of containers for eacti,waste and the appropriate abbreviation from Table I 1. This form has been designed for use on a 12-pit6h(elite)typewriter which is also compatible ' (below)for the type of container, a with standard computer printers;a firm point pen may also be used-press down hard. TABLE I -TYPES OF CONTAINERS 2.;Federal regulations require generators and transporters of Hazardous waste and owners or BA=Burlap,cloth,paper;or plastic bags " DT=Dump truck. ,operators of hazardous waste treatment,storage,and disposal facilities to complete this form CF=Fiber or plastic boxes,cartons,cases. DW=Wooden drums,barrels,kegs. ?(EPA Form 8700-22)and,if necessary,the continuation sheet(EPA Form 8700-22A)for CM=Metal boxes,cartons,cases(including HG=Hopper or gondola cars. Iboth inter-and intrastate transportation of hazardous waste. roll-offs). CW=Wooden boxes,cartons,cases.•. TC=Tank cars. Public reporting burden for this collection of information is estimated to average: 30 minutes for generators,:10• CY=Cylinders. TP=Portable tanks. minutes for transporters,and 25 minutes for owners or operators of treatment,storage,and disposal facilities. This DF=Fiberboard or plastic drums,barrels,kegs. TT..=Cargo tanks(tank trucks)., includes time for reviewing instructions,gathering data,completing-reviewing and transmitting the form. Any DM Metal drums,barrels,kegs. _ correspondence regarding the PRA burden statement for the manifest must be sent to the Director of the Collection Strategies Division in EPA's Office of Information Collection at the following address: U.S.Environmental Item 11.Total Quantity Protection Agency(2822T),1200 Pennsylvania Ave.,NW.,Washington,DC 20460.Do not send. _ Enter,in designated boxes,the total quantity of waste. Round partial units to the nearest the completed form to this address. whole unit,and do not enter decimals or fractions. To the extent practical,report quantities ; using appropriate units of measure that will allow you to report quantities with precision. I.Instructions for Generators Waste quantities entered should be based on actual measurements or reasonably accurate Item 1.Generator's U.S.EPA Identification Number estimates of actual quantities shipped. Container capacities are not acceptable as estimates. Enter the generator's U.S.EPA twelve digit identification number,or the State generator i; Item 12:Units of Measure-(WeighWolume) - identification number if the generator site does not have an EPA identificationfiumber• Enter,.in designated boxes,the appropriate abbreviation from Table II(below)for the unit of item 2.Page 1 of - r _. :,-,measure. . Enter the total number of pages-used to complete this Manifest(i.e.,the first page(EPA Form TABLE IL--UNITS OF MEASURE 8700-22)plus the number of Continuation Sheets(EPA Form 8700-22A),if any). 1 G=Gallons(liquids only). N=Cubic Meters. Item 3.Emergency Response Phone Number t t `. 1' K Kilograms. P=Pounds. . Enter a phone number for which emergency response information can-be obtained in the event' _ 1_=Liters(liquids only). ` ' T=Tons(2000 Pounds). of an incident during transportation. The emergency response phone number must: M=Metric Tons(1000 kilograms). Y=Cubic Yards. 1. Be the number of the generator or the number of an agency or organization who is capable t; Note: Tons,Metric Tons,Cubic Meters,and Cubic Yards should only be reported in of and accepts responsibility for providing detailed information about the shipment;. Connection with very large bulk shipments,such as rail cars,tank trucks,or barges.- 2. Reach a phone that is monitored 24 hours a day at all times the Waste is in transportation Item 13.Waste Codes (including transportation related storage);and ' 13. Reach someone who is either knowledgeable of the hazardous waste being shipped and Enter to six federal and state waste codes to describe each waste stream identified in Item has comprehensive emergency response and spill cleanupfincident mitigation information - 9b. State waste codes that are not redundant with federal codes must be entered here,in for the material being shipped or has immediate access to a person who has that knowledge addition to the federal waste codes which are most representative of the properties of the and information about the shipment. ; 4 ? waste. !Note: Emergency Response phone number information should only be entered in Item 3 when Item 14.Special Handling Instructions and Additional Information there is one phone number that applies to all the waste materials described in Item 9b. If a 1. Generators may enter any special handling or shipment-specific information necessary for situation(e.g.,consolidated shipments)arises where more than one Emergency Response the proper,management or tracking of the materials under the generator's or other phone number applies to the various wastes listed on the manifest,the phone numbers handler's business processes,such as waste profile numbers,container codes,bar codes,. associated with each specific material should be entered after its.description in Item 9b. or response guide numbers. Generators also may use this space to enter additional Item 4.Manifest Tracking Number _ _ r ti descriptive information about their shipped materials,such as chemical names,constituent percentages,physical state,or specific gravity of wastes identified with volume units in .This unique tracking number must be pre-printed on the manifest by the forms printer. Item 12. Item 5.Generator's Mailing Address,Phone Number and Site Address .2. This space may be used to record limited types of federally required information for which Enter the name of the generator,the mailing address to which the completed manifest signed `. there is no specific space provided on the manifest,including any alternate facility by the designated facility should be mailed,and the generator's telephone number. 'Note,the" " designations;the manifest tracking`number of the original manifest for rejected wastes and telephone number(including area code)should be the normal business number for the residues that are re-shipped under a second manifest;and the specification of PCB waste .generator,or the number,where the generator or his authorized agent may be reached to - descriptions and PCB out-of-service.dates required under.40 CFR 761.207. Generators, provide instructions in the event the designated and/or alternate(if any)facility rejects some or however,cannot be required to enter information in this space to meet state regulatory all of the shipment. Also enter the physical site address from which the shipment originates requirements. ,only if this address is different than the mailing address. Item 15.Generat6r's1Offero6 Certifications LL Item 6.Transporter 1 Company Name,and U.S.EPA ID Number - 1. The generator must read,sign,and date the waste minimization certification statement. In Enter,the company.name and U.S.EPA ID number of the first transporter who will transport the signing the waste minimization certification statement,those generators who have not waste. Vehicle or driver information may not be entered here. _ been exempted by statute or regulation from the duty to make a waste minimization Item 7.Transporter 2 Company Name and U.S.EPA ID Number certification under section 3002(b)of RCRA are also certifying that they have complied -If applicable,enter the company name and U.S.EPA ID number of the second transporter who with the waste minimization requirements. The Generator's Certification also contains the 'will transport the waste. Vehicle or driver information may not be entered here. - - required attestation that the shipment has been property prepared and is in proper If more than two transporters are needed,use-a"Continuation Sheet(s)(EPA Form 8700=22A). -condition for-transportation(the shipper's certification). The content of the shipper's certification statement is as follows: "I hereby declare that the contents of this Item 8.Designated Facility Name,Site Address,and U.S.EPA ID Number consignment are fully and accurately described above by the proper shipping name,and Enter the company name and site address of the facility designated to receive the waste listed are classified,packaged,marked and labeled/placarded,and are in all respects in proper on this manifest. Also enter the facility's phone number and the U.S.EPA twelve digit - - _ condition for transport according to applicable international and national governmental identification number of the facility. regulations. If export shipment and I am the Primary Exporter,I certify that the contents of Item 9.U.S.DOT Description(Including Proper Shipping Name,Hazard Class or Division, this consignment conform to the terms of the attached EPA Acknowledgment of Consent." Identification Number,and Packing Group) When a party other than the generator prepares the shipment for transportation,this party Item 9a. If file wastes identified in Item 91 consist of both hazardous and nonhazardous may also sign the shipper's certification statement as the offeror of the shipment. . materials,then identify the hazardous materials by entering an"X"in this Item next to the 2. Generator or Offeror personnel may preprint the words,"On behalf of in the signature corresponding hazardous material identified in Item 9b.. _ _ block or may hand write this statement in the signature block prior to signing the Item 9b. Enter.the U.S.DOT.Proper Shipping Name,Hazard Class or Division,Identification .. generator/offeror certification,to indicate that the individual signs as the employee or agent Number(UN/NA)and Packing Group for each waste as identified in 49 CFR 172. Include 1 of the named principal. t technical name(s)and reportable quantity references,if applicable. Note: All of the above information except the handwritten signature required in Item 15 may Note: If additional space is needed for waste descriptions,enter these additional descriptions. , be pre-printed:,in Item 27 on the Continuation Sheet(EPA Form 8700-22A):•Also,if more than one - - ,Emergency Response'phone number applies to the various wastes described in either Item 9b , or Item 27,enter applicable Emergency Response phone numbers immediately following the t _ shipping descriptions for those Items. Town of Barnstable-Health Department Page 1 HAZARDOUS MATERIALS INVENTORY SITE VISITS DBA: CSA Painting Fax — Corp Name: Mailing Address 7., p .,,.. ..... Location: 119 D Thornton Drive Street 71 Ca t.Carlton Road mappar: City: Cotuit Contact: Wallace Assis,Owner(of business) State: Ma Telephone: 508-428-3634 Zip: 02635 Emergency: Person Interviewed: Business Contact Letter Date: Category: ;Painters/Strippers......... Inventory Site Visit Date: 8/5/2004 ... ...__.....M.. _......._._ Type: Follow Up/Inspection.Date: _..............._.....:.__.... ......._........._._....................._._.. I ❑ public water ❑ indoor floor drains i ❑ outdoor surface drains ❑ license required ❑ private water ❑ indoor holding tank mdc ❑ outdoor holding tank mdc ❑ currently licensed W town sewage ❑ indoor catch basin/drywell ❑ outdoor catch basin/drywell expir - - ❑ on-site sewage ❑ indoor on-site syste ❑ outdoor onsite system date: 8/5/04 Went to this location to do a follow up with their neighbor compliance: "Argus Auto Repair". Argus was not open. Stopped in to question Satisfactory them and conducted the onsite inventory. He shares this rented c storage space with his brother-in-law. No work being done,just paint and chemical storage. Paint waste and excess paint goes to landfill collection. CSA half of storage building is in compliance. ORDERS: obtain MSDS,obtain a fire extinguisher,compose an emergency contingency plan for this location. C O V �t � D � � t Page 2 Town of Barnstable-Health Department HAZARDOUS MATERIALS INVENTORY Chemicals: ❑ Zero Toxic Waste Materials W gty's>25 Ibs dry or 50 gals liquid but less than 111 gals ❑ gty's 111 gals or more yam' npti¢nit,of�rr� asure paint,varnishes,stains,dyes 75igallons _................................................................. ..___.._._.___....._...._._.__...__.._._......_...__.........._._..__._......___..____._._----- _......_...._ Joint compound 20 gallons �...___......___ _.._................ �... ...___._ new lacquer thinner € 5.25 gallons Windshield Wash 1lgallons _.. ..__�.. ...._...__.. ......................_... _. .. ...... ....... ..._._. .._ . ............._ Misc.Flammable 2 gallons other cleaning solvents 1 gallons _ .._..__.. ._ _..._..___._._ ._._ Misc.Poison 2 gallons Waste Transporter: Fire District: :Barnstable Last HW Shipment Date: Waste Hauler.Licensed: No i i pF THE Tpw Town of Barnstable r a BARNSrABLE, : Department of Planning and Development S;0. ,00 230 South Street Hyannis, MA 02601 (617) 775.1120 ext. 141 AIFD MAtat M E M O R A N D U M To: Joseph DaLuz, Building Commissioner From: Larry L. Dunkin. Director Department of Planning and Development Date: 3 / 11 / 88 Subject: Change of Use/117 Thornton Drive The Water Quality Advisory Committee, at their regular meeting on 3/ 10/88, directed me to relay their action on the above captioned change of use proposal , to wit: By unanimous vote, the Water Quality Advisory Committee / recommends that the proposed change in use for 117 Thornton Drive (Richard Clarke) to allow for the manufacture of counter tops, sinks, spas, etc. , be considered a special permit use under the Groundwater Protection Overlay District (Sec. 3-5.2) of the Zoning Bylaw, thereby subjecting the proposal to scrutiny by the Zoning Board of Appeals. While the Water Quality Advisory Committee would recommend issuance of a Special Permit subject to standards being adopted that would prevent hazardous materials from entering the groundwater, the repeated use of acetone in the cleaning of mechani.sims utilized in the manufacturing process warrants the additional review by the Zoning Board of Appeals. If I can provide additional information, please feel free to contact me at any time. cc C-Board=offNea�1'th Board of Selectmen WQAC Zoning Board of Appeals LiD CATION S EYV A E PERMIT NO. V-11 L A-G E I N S T A LLER'S NAME & ADDRESS L4 BUILDER OR OWNER DATE PERMIT ISSUED DATE COMPLIANCE ISSUED /,/ " 71 sit No. .3 •-- FEs. D,.••••......... THE COMtv�ONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ............................O F...........................------..........................- `� Appliration for Diovoottl Works Tonotrnrtion Vamit Application is hereby made for g6 Permit tqrConstruct ( ) or Repair ( ) an Individual Sewage Disposal System ' ..... ..1... .,� .. .�... .... ... ...............•.. .....-----------..........-------•.------. oc n Ad ss or Lot No. .... .••• ...-• -- ............................................. ............................................. ............................................... Owner Address W ............................................I..... .............................••-•---••-...._...................................................... Installer Address dType of Building Size Lot............................Sq. feet U Dwelling—No. of Bedroom sion Attic ( ) Garbage Grinder ( ) �VZ4 No/gth of ns............................ Showers — Cafeteria Other—Type of Building ( ) ( ) a4 Otherfixtures .......:./... _,.... G� W Design Flow.�(�.................................gallons perper day. Total daily flow:_..........................................gallons. WSeptic Tank—Liquid capacity4�A..gallons L ............ 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 ( ) Percolation Test Results Performed by.......................................................................... Date........................................ aTest Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2_________ ____minut er ch Depth of Test Pit.................... Depth to ground water........................ P+ O Description of Soil --......_. ............... ............................--•---...._......----------------- --•-------•----------•------•---------------.............._......-•-•- x W ......................................•-••-•••••------•----•-••-••-•-•--...--•----••.....••--•-••--•••--••-••••-------••-•--•••••••-------•-••-•••••-•••••-••••••••-•••............-•••••-•----...... VNature of Repairs or Alterations—Answer when applicable............................................................................................... -------------------------•--•---•--•-•----•--•---•----------------------------•--------•----•---...----......--•------------•-------------------------•-----•------------------••••........---......••- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal_System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. .............•-----•----•-•--------•------................_..-----•.........•••...•-- G—' Da Application Approved/By. , ••• .................._...........--------................•..............•-•-•-. --•� ••-- -�Date Application Disapprov following reasons:--••...................................••-------------••-----...---•----•---............._..................--•- --.......-•---•-----•---.....--•--......--•-------•---------------------•--••----•.---.----..--•--•----------•--...---•-----------------------------------------------...----•---------------•--...... Date PermitNo......................................................... Issued......................................................... Date No. `7r ... _ FEs..` ............... j THE CORdly'j-2 NWEALTH OF MASSACHUSETTS BOARD OF HEALTH ................ ... .... . ............OF.. ....................................... Appliratioaa for Uhipa i al Workii Tomitrnrtion Vamit Application is hereby made for a Permit to onstruct ( ) or Repair ( ) an Individual Sewage Disposal System at--' �,' j 1` o�a� Address ,`--^ or Lot N�........................................... ................................ -•------•----•-......••---•............---.......... .......................... ••-- Owner Address W Installer Address U Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms ......................................... p r sion Attic ( ) Garbage Grinder ( ) Other—Type of Building _ 1�.9"�'1� No. of • r ns............................ Showers - ----w .s ( ) Cafeteria ( ) d Other fixtures ••-- k`.... ••....................................• Design F.low..r,'�i.. .. ............... gallons per er on er day. Total daily flow............................................gallons. W Septic Tank—Liquid capacity g)A.gallons Le<gth................ Width................ Diameter,.............. Depth................ x Disposal:Trench—No. .................... Width'................... Total Length.................... Total leaching area. ................... ft. 'Pit No_____________________ Diameter.._................. Depth below inlet.................._. Total leaching area..................sq. ft. Seepage Z Other Distribution box ( ) Dosing tLnk ( ) Percolation Test Results Performed by........................................................................... Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2..... -_....minus s' er ch Depth of Test Pit.................... Depth to ground water......................... • ...... e O Description of Soil -- ---------- - T w UNature of Repairs or Alterations—Answer whe-1 applicable............................................................................................... -------•---•----------------•-------•----...--•--•-------------------------------------•----.......--------------••-------------•----------•---------------•------------•--••-••-•------••--••....-•---- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of Health. 1 -e ......................................•-•--•------.....-----•--•----•---•---••---•- -•-- 1-11 ..r?'`�..... Dat ApplicationApproved By_�;;. -........ .............................--------------------------------------------------- ► f�.. . r'Date Application Disapprove .f`or tl�ve following reasons::-:.._... -- --------------------------------•--.._..___......__- ...................._ -------••--••-•-•------•-------------------•-•--•-----------.......-••-•---•••••---•---...••-•...---•-----•-- Date PermitNo...................:... - Issued--------•--------...---------------...------------...... Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ........................................OF.................................................................................... Trr#if iratr of Tomptianrr THI' ✓ 0 CERI Y hat Ind: ( al Sewage Disposal System constructed („�) or Repaired ( ) d{]� / 7 ------ by r "" < �' �- ----------------------------------•------------------........------..........._......................-•-- ' r �E �� i Installer at -..0 ..t ._....--•------------------------ -----------•-•-----•--------------•----.................. Zdes*cr,4 has been installed in accordance with the provisions of TIT 5 of The State Sanitary Cf ie ed.in the application for Disposal Works Construction Permit No..__.. .0111;1 ......... dated_ .;T s . ,,� P...✓.............. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE AS A GUARANTEE THAT THE SYSTEM WIL F FICTION SATISFACTORY. DATE...... ......................................................... Inspector..... .... --•---------....•------------------•--•---••••-•-•--.................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ...........................................OF............................................................ FEE:....................... s �i��ro,��t1 ork� �on��rion .anti# . Permissionis reb• ranted --------------•-•--- '' •..... --•-••-•-••...•-•--•••--...•-•-----••-•---••-...........••..........................._.... j to Construct it ( ) di v S :era e D'I po System atNo. 1 ...... t.. ........... .............. Street �- as shown on the application for Disposal Works Construction Permit No.............:,. ated.�7__. �:�. ,��--.-.... - / lj .................................... •.................•---•-g'�= •. !1 Board of Health DATE..1.._� _ .......... r� FORM 1255 A. M. SULKIN, INC., BOSTON Y °Ft ►oyti Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMSATSBLE.g' 200 Main Street• Hyannis, MA 02601 p 16,39. M 6. TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rF0 A'S Business Name: Ax-ps krb> Qe it Date: Location/Mailing Add ss: 1 r e w ���e L kv,n Contact Name/Phone: ax-ID6 Irvi dv &-eAe ti'}-� Inventory Total Amount: SDS: License#: Tier II : Labeling: Spill Plan: Oil/WaterSeparator: Floor Drains: Emergency Numbers: Storage Areas/Tanks: Emergency/Containment Equipment: Waste Generator ID: Waste Product: 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. 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 o'l 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: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS °FVKJE rowers Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARN STABLE.Le.� 200 Main Street• Hyannis, MA 02601 "IEOM TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: US A, D �Re i A l Date: Location/Mailing Address: Contact Name/Phone: �����s �fv i vet s��� ��—?-7 �� 15� oA r-A+4 Inventory Total Amount: SDS: License#: Tier II : Labelina: Spill Plan: Oil/Water Separator: Floor Drains: Emergency Numbers: Storage Areas/Tanks: Emergency/Containment Equipment: Waste Generator ID: Waste Product: 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. ` 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 1 x�... 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 y 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: Facility Representative: " WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS i °F IKE.r°y_ Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • snRMW;.A $ 200 Main Street• Hyannis, MA 02601 16 39. TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: Ar v$ AA. ee ( Date: 3 Location/Mailing Ad ess: I R iS �,�1f'o,�•_- r,�� anri► artier Contact Name/Phone: C&vjo , SO -7-7S-G 5' r I vent T tal moun�1 SDU Caa'2 k1 MSDS: License#: Tier II : n k°l Labeling:44 1044 A,*- Spill Plan: ' A Oil/WaterSeparator: NIA Floor Drains: N° Emergency Numbers: Storage Areas/Tanks: kl wa -Gc+l ht-f I dQ<vV&nkA,24. 1 of&,M,wmt-e-a.q,I 2 sr,r-A's ,n,t„J 4D,1 1 Emergency/Containment Equipment: Sac .k , ,9< ava,1 \e- .« ex w Waste Generator ID: M -T"T Waste Produ t: a-1. a r1,'l;4'tc.,e.:E-e- Date&Amount of Last Shipment/Frequency: IA t /b I So 4.1 2-3 r Licensed Waste Hauler&Destination: © , l . n le IA. (-Zi Other Waste Disposal Methods: Cw�I-'P<66�-e- fio /v_ / �lev«Q"� S'�rJ►c 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. klo Antifreeze y�.tSS f;�0 AI'- Dry cleaning fluids to Automatic transmission fluid Io Other cleaning solvents&spot removers Engine and radiator flushes gt S Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash 0o Motor oils 3k 11 jr y k Il,o k 7,-1 Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oi' Disinfectants I Miscellaneous petroleum products: Road salts grease, lubricants, gear oil 1k 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 1 Miscellaneous Flammables 1 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:o ORDERS: -bloW, AS au N - CtVcL. a,.1O o ee$ o Ar. o S ,\\ COW-3 INF RMATION/RECOMMENDATIONS: chk . t4l Qx o a v, � .-< --`` 8w A'gvt.' + Cl�e4v, 4 , Oerk o`I V�t �aV,-,-- aLw ins ector: p , --a���-2� Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Town of Barnstable Office:508-862-4644 °* Public Health Division Fax:508-790-6304 • BARI ABLE, 200 Main Street• Hyannis, MA 02601 1°rED MPS°,� TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: u 5 AQ RP-49I f Date: . S ! Location/Mailing Address: I ►Q efio Contact Name/Phone: o -"7!,�'- ►ems . co .. 1a o Inventory Total Amount: ^' < c,�CGuctevt � MSDS: �^� 1 c �5 �D`�h I G�°,.J License#: 33 Tier II : tJ o Labeling: Spill Plan: °-V �- Oil/Water Separator: 0 C, Floor Drains: Emergency Numbers: v+'4o Storage Areas/Janks: ;L7 4a1 wa4-kL o,l AL z .o, AO-V �,1t.�cee�e, rSyQ I Emergency/Containment Equipment: Waste Generator ID: MV O 11 S Waste Product: 011 fi a>ti+Ara-eee— Date&Amount of Last Shipment/Frequency: 1'I S ► �o0 2 Yyt c�. Licensed Waste Hauler&Destination: Westz- , ©, 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. I t D k 5 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 i►o Jr 2? Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants V 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:Q a:klvoi 01AVokyk r ws V ,t L 30 �,f . UnfC'e JS w J�)J I 5 Dy- No , o! C ORDERS: �,�.�` .r rL a, a� .,no alp +.e o s S I �+�t h o rt.e xwwU �e s vre_ l air-) S: o e b l l e l e -t- rv(5 D S Led'- -1 avt+', mezeTnspector: P�- �rJ,n,�s Facility Representative:\� Dun WHITE COPY-HEALTH DEPART4ENT/CANARY COPY-BUSINESS Date: 7/ TOWN OF BARNSTABLE -5 - TOXIC AND HAZARDOUS MATERIALSR N FORM NAME OF BUSINESS: >4��5 A Ao l�-ed4,T BUSINESS LOCATION: Ili ,Y3`j trtorl-f-o,ti,��'.�/� , �/a n�I S INVENTORY MAILING ADDRESS: TOTAL AMOUNT- TELEPHONE NUMBER: S-b8-775 6S77S— ti 32 CONTACT PERSON: nf-jos ��in�t4rkeg EMERGENCY CONTACT TELEPHONE NUMBER: -7'7 `f -836-6y I L MSDS ON SITE? TYPE OF BUSINESS: Ro4o yf,S* INFORMATION / RECOMMENDATIONS: s+e co,co,e-(2- I*'- Fire District: �aocess a� taV,.LW"A Z)Cowl%N<g— cdlee-f L541,- I�• r k+vse,:J2-fo ke-ce NUA ovt s�+e 3�U -ab�orbe.►ro� Da s �I�ew`�'r �cs 'e��•,,,�, ��s+moo, I =I-� s-tom Waste T n: AIV5a8-1-75'6.s7S' Last shipment of hazardous waste: 7 Name of Hauler: r iw i/K�a '� �' ��tJ jAe4-� S�cv��cs-g„t•�'�ce�estination: G„��o1K oeKso Waste Product: 'Z cK41�'«Se— Licensed? es No R/R.Oor��oOZ� �Sr�a/ eg44,—-- -4 Z Haas. NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws bf 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 1I D Qti NEW 5�' USED S� Cesspool cleaners 8 Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants 7Oils Pesticides 20� W S?&/SED / o (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 Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARM R&LE. • 200 Main Street• Hyannis, MA 02601 1639. �prFDIMr�`� TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: CQv, Au+o _ Date: 6 g 1 to Location/MailingAddress: 114 H.'('0►tiOft�,c,� y2nr►�g1 rls4zu6,e Contact Name/Phone: o e \Qm 6<ka Aii V, -i 7 q -22 I —34 L`T . Cell?7V- .9'A7- WO? Inventory Total Amount: MSDS: UDC License#: Tier II : gp= Labeling: /7�r- Spill Plan: Oil/WaterSeparator: N I Floor Drains: -- Emergency Numbers: Storage Areas/Tanks: Emergency/Containment quigment: 5,D22 ti a ,y avA.[wb�4 &'Vl 5 x e. Waste Generator ID: ,,)(� Waste Product: Date&Amount of Last S ih pment/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. 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 V Battery acid (electrolyte)/batteries I 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 I+I Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes VMiscellaneous Flammables 2 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" J G 'A`�le4v- 4 ©X� CqA% 5 <6 (including chloroform,formaldehyde, CV.awu,11Jf0 C:Aek6 hydrochloric acid, other acids) VIOLATIONS: ORDERS %21 'S INFORMATION/RECOMMENDATIONS. kS �� aiS tti me"5 _ 1 Nr0i - 'Oc W , o Inspector: , ��V't.L�� Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS IB►orti Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 ' B"RMASS. ' 200 Ma;n Street• Hyannis, MA 02601 "rFDMPr�`�g TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: Ab Date: 12 it 1 y Location/Mailing Address: k\q o r.� too tS :Contact Name/Phone e �v6, o �i-il-.4,> -2-zi -sc Lj c2// 7V-Y37lI-1V02 Inventory Total mount. ' MSDS: D— �l I%w� -�vGN License#: N — Tier II : Labelin : v-'+ \ W&A %d4M-twAA41-<3 Spill Plan: N Oil/WaterSeparator: Floor Drains: 00 Emergency Numbers: a '� Storage Areas/Tanks: %9 -V ��S w� �c S am t o Emergency/Containment Equipment: - 0,\Jet, Waste Generator ID: \5k Z Waste Product: o\ Avkk, tese-� Date&Amount of Last Shipme t/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: ka &rs U,)AJ4,o o R�cAJS vet-A-r hoa,(, + 'L oA,%Fr LIST OF TOXIC AND HAZARDOUS MATERIALS — 7c.-e- j�cj ow 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 X 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 o I 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/RECOMME TIO S: o lAq v . %J Inspector: ' 1 LA'J L(Je, a� S • 1`�4S �100V+ z "a atxt. &,a l b\0&-k+ -S I &+ Facility Representative: -� kaSwA5+ WHITE COPY-HEALTH DEPARTMENT/CANAO COPY-BUSINESS YOU WISH TO OPEN A BUSINESS? si 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 tofoperate.] 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. - AP_ LDATE �.01l in please: APPLICANT'S YOUR NAME I I BUSINESS YOUR HOME ADDRESS: I S TELEPHONE # Home Telephone Number NAME'OF CORPORATIDN O PVAME OF,NEW BUSINESS', TYPE OFBUSINESS. IS THI.S,A HOME OCCUPATION? YES: No :ADDRESS OF BUSINESS NISI MAP,PARCEC NUMBER (Assessln MFl a7 6 ti 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 gel informed of n permit requirements that pertain to this type of business: Authorizec�S gnature* COMMENTS: 2. BOARD OF HEALTH This individual has een n r e f the er it requirements that ertain to this e of business. m p ,q� P q p type' ' MUST COMP"Y WITKAL� Authurized Signature** HAZARDOUS MATERIALS REGULATIONS COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has f h that pertain to this e of business.du s been informed o the licensing requirements a P type _9 q I Authorized Signature* COMMENTS: "-. Date:121 5-/ 1 �I TOWN OF BARNSTABLE TOXIC AND HAZAR OUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: OkJ04 BUSINESS LOCATION: Mulit INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: CONTACT PERSON: n EMERGENCY CONTACT ELEPH NE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: A(ko Fj 19W (IVJJL— INFORMATION / RECOMMENDATIONS: F' istr'ct: S Waste Transportation: Last shipment of hazardous waste: Name of Hauler: i Destination: Waste Product: Licensed? a 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 0 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 S 6 Motor Oils 4 _ Pesticides dNEW 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 j Car wash detergents Leather dyes i Car waxes and polishes Fertilizers Asphalt&roofing tar PCB's •— Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) Any other products with "poison" labels ❑ NEW. ❑ USED. (including chloroform, formaldehyde, I L 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 I (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 Date:-7/ ? //3 TOWN OF BARNSTABLE - io►4. TOXIC AND HAZARDOUS MATERIALS FTPWRAVON FORM NAME OF BUSINESS: C&,r A. o BUSINESS LOCATION: l 0tj-T-I�jo INVENTORY MAILING ADDRESS: dam- TOTAL AMOUNT- TELEPHONE NUMBER: 7(4- 9af1 -1111t1q 777 q 4-I CONTACT PERSON: Ae i-tom EMERGENCY CONTACT TELEPHONE NUMBER: -l? MSDS ON SITE? TYPE OF BUSINESS: a y+o + +<-,e.l.c F-e-4,tI-e' D INFORMATION / RECOMMENDATIONS:N., 1.,�,tgc.-,('q vviceoQz) /U4-7 46 Fire District: O o 'a�w,/V�SJSsltie�S Aw,Z t6eW ey. 5,fe, ? /Ve-GcQ �o is gS���ag a + loci o�r ou-5+e- 4ru rls F��<�� -ba, A i?P�rtI-5 eA/�aC fd obfai r�. �fgd�K, ra,t� Q a� Waste Transportation: 0,tif-c- ,s -rates �<< Last shipment of ha ardous waste: auler: -6 AR&US Destination: Wa Rrdauct: Cteov4s -Ati-e .Q 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 I Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive Q NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) b Hydraulic fluid (including brake fluid) Refrigerants (ps Motor Oils Pesticides lid NEW��ASED 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) I lubricants, gear oil ❑ NEW ❑ USED Z 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) Li NEW ❑ USED Any other products with "poison" labels (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) I Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes a!'�a�-J►O �✓ls�ovt- lyl�� � Laundry soil &stain removers 7 (including bleach) C-0yig /cf zg. I OtA S Spot removers&cleaning fluids (dry cleaners) Other cleaning solvents 1 Bug and tar removers �i,�tN� COrC'e-C,� ��l &41 O vI-,S. Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials YOU WISH TO OPEN A BUSINESS? r For Your Information: -Business certificates (cost$�10.00 for 4 years). a business icatesfa are O available eat tlSTERS YOUR he Town Clerk's Off ice, 1" FL.AME in town ,367h you must do by M.G.L.-it does not give you permission to operate.) Business Main Street, Hyannis, MA 02601 (Town Hall) - DATE ��' Fill in please: �� 1"-<wti:)i� r,�glky lr ;�� ; i YOUR NAME S: ✓/ .4 O r „ o APPLICANT'S / , b�.F�FhJ�T�r t:ax.�tu,t+" YOUR HOME ADORE S:BUSINESS NJr A'IfiBA TN ffZ. i�AL�'JO[�T Kit. 9 AVAt}. TELEPHONE # Home Telephone Number - •i"a ram':ll�:;=3 i.i+!l,'-;%',r„ l ,�' ION: � ;v � NAME OF CORPORATION- au 0 TYPE OF BUSINESS' O�OT NAME OF NEW BUSINESS IS THIS A HOME OCCUPATION? yoYES u N :.S MAP/PARCEL NUMiER j� (Assessing) AOPRESS OF BUSINESS Les wn of When starting a new busine ss there are several things you must do in order to be in compliance with the and regulations ocothn goof Yarmouth Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO rate 2yo Main ne i r e sure you have the appropriate permits and licenses required to legally operate your business in this town. Rd. &Main Street) to malt y - 1. BUILDING coM SSIO ER'S OFFICE This individu I he be infor. d of n er it requirements that pertain to this type of business. t orized Signa COMMENTS: I 2. BOARD OF HEALTH typq This individual has b informed oft ermit+ e irements that pertain to this of business. MUST COMPLY WITH ALL A t rized Sig atu HAZARDOUS MATERIALS REGULATIONS COMMENTS: _ I 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual h n o d of the licensing requirements that pertain to this type of business. hor' S' ture COMMENTS: YOU WISH TO OPEN A BUSINESS? For Your'Iriformation: 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, 1st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. DATE: �� `/ Fill in please: APPLICANT'S YOUR NAME/S: Al A � Nti � a 4fiix '{#r �3'r Y BUSINESS YOUR HOME ADDRESS: r/ASS • 2 r/ tU . TELEPHONE # Home Telephone Number ,t NAME OF CORPORATION: /D PAti G (/ NAME OF NEW BUSINESS TYPE OF BUSINESS RL PRv� IS THIS A HOME OCCUPATION? YES NO � �,S• �o`C� I [Assessing) ADDRESS OF BUSINESS :r `PA- 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 CO ISSIO ER'S OF E This individ al s e in o ed a er t re ui ents that pertain to this type of.business. Aut orizo.0 i na C MMENT : LARD OF HEALTH . This individual has been i, ormed of t ermit re i7rements that pertain to this type of business. a� -C '-�--- MUST COMPLY WITH ALL Authorized Signature** HAZARDOUS MATERIALS REGULATIONS 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: TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF-BUSINESS: /4-b- 14SPA,,41, f P/q vd&I�i BUSINESS LOCATION:' 1I° 6 7-,4o^/tV70N P64 Hy,4n1111i 0/0 INVENTORY MAILING ADDRESS: TOTAL AMOUNT- TELEPHONE NUMBER: CONTACT (PERSON: &Vyliq EMERGENCY CONTACT TELEPHONE NUMBER: -� 4,6j 3 6 P 36T,9_ MSDS ON SITE? TYPE OF BUSINESS: 1q5 PAAG F P401^^6,,1r- INFORMATION / RECOMMENDATIONS: Fire District: P11t,L C I-A S t/ R /��A�5` �r� ��t r r-c r"U Lr�t SUn'► - dl6 LtA 37-ok6 `'?J 3 Waste Transportation: Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No a NOTE: Under the provisioneof 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 removersP 114d,0 Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initial r Number Fee 331 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Argus Auto Repair ........................................................................................................................ ...... 119 B 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 Town of Barnstable Inspectional Services BARNSTABLE CF • • na`'RuMd M us 0,7 i-VW M MBI Public Health Division 639-3014 Thomas McKean,039. 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 c: APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS s. 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 Vv&'r -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./YES 2. IS THIS A PERMIT RENEWAL? _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. r 4. FULL NAME OF APPLICANT:. C M,L�g 5. NAME OF ESTABLISHMENT: 6. ADDRESS OF ESTABLISHMENT: ` IJ ) `TKOVI„y l"gA/ ►'WNiS AM p (�rJ 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 508--115" 651 S 9. EMAIL ADDRESS: P,A(tl.01 (,u9UANC3.,11 QUIj,00kt (OM 10. SOLEOWNER: $OYES 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 06/a V600 Q:\Application Forms\Haz Mat Appli Draft Jan20l9.docx Number Fee 331 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Bard of Health f - This is to Certify that Argus Auto Repair 119 B Thornton Drive, Hyannis,MA .. 1s Hereby Granted a License For: Storing or Handling 111 -499 gallons of Hazardous Materials. This license is granted inconformity with the Statutes and ordinances relating thereto,and and expires 06/30/2020 unless sooner suspended or revoked. - ---------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI, M.D. D7/01/2019 w- • - _ JUNICHI SAWAYANAGI THOMAS A. MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable A MA Inspectional Services BARNSTABLE Public Health Division WPSTCRi 4,;5<CS E'AU°•+ANVS 'E BARNSTABLE,$ Thomas McKean, DirectorMASS- �? iDTen 3�A 200 Main Street, Hyannis,MA 02601 , Office: 508-862-4644 Fax: 508-7w90-6304 tt 01 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: $_5000 ❑ CATEGORY 2 PERMIT 111 —499-Gallons:`" -$125.00 -tSlo i 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 STORAGE/USE OF • GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: ONUI 0 " (A AAMb S 5. NAME OF ESTABLISHMENT: W� 6. ADDRESS OF ESTABLISHMENT: b -'JO 919Al 'D�(, RYA #AAS 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: ,SOc!' 115 G51� 9. EMAIL ADDRESS: 'AVtlos(,UeMA065_1°n) QU1 LpOK. corn 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 Gr.,Q o DATE a Va-e/Iq Q:\Application Forms\Haz Mat App Revised 09-10-18.dccx i Number Fee 331 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Argus Auto Repair 119 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 06/30/2019 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 ' Roof Unstable eg atory ervices OFIKE r Richard V. Scali, Director u Public Health Division BARNSTAM >yq� 8ARNS.ABLE.LEWEkVILU,=UR•NYAN415 1.•1 BARNSTABLE, " Thomas McKean Director """°"5"'�'°=`E'°iLLE•W 1"ARASlX'.k MASS. ) ie»_7.ota 200 Main Street, Hyannis,MA 02601 fag a C: Office: 508-862-4644 Fax: 508-790-6304 a,,i APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN CF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108§ HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSE-HOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st-JUNE 30th). APPLICATION FEES A TEGORY I PERI:IIT 26�- 110 0allon Q 50-.00 ❑ CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 + I CATEG PERMIT 500 or more Gallons: $150.00 ❑ Lo�+oQ_ *A late charge $10.00 ill be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? YES_ TO IF YES, SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF • GREATER THAN HOUSEHOLD QUANTITIES(25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: _�R�1Sji �0i MAh/16S 5. NAME OF ESTABLISHMENT: �Q(41)5 ORO v..ekvl. 6. ADDRESS OF ESTABLISHMENT: - M%1A0V -0VU ftvIS Mh 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: A. TELEI'F7u1`1.F;.;TTRgP�rrEcT_Q:u,LIH1bNT "�(!-�N�� 1�4 9. EMAIL ADDRESS: ( U\kmmw ���� OU\IUJ6t'L, �� 10. SOLEOWNER: Q—NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY:. ` NAME: TELEPHONE#: • COMPANY ADDRESS EMAIL: ; SIGNATURE OF APPLICANT DATE OVOF/1a QAApplication Forms\I-IAZMAT APP 2017 REVISED.docx °FTMET°y� Town of Barnstable Office:508-862-4644 • °� Public Health Division Fax:508-790-6304 • BARMA�BLE.$` 200 Main Street• Hyannis, MA 02601 �" i639 M TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rF0 A'S Business Name: v �o Date: Location/Mailing Address: r .�-¢i Contact Name/Phone: Inventory Total Amount: SDS: License#: Tier II : Labeling: Spill Plan: Oil/WaterSeparator: Floor Drains: Emergency Numbers: Storage Areas/Tanks: Emergency/Containment Equipment: Waste Generator ID: Waste Product: 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. 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) 3'3,1r7 Rustproofers Photochemicals (Developer) ✓' _ Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) J/fe re�e 5 Asphalt&roofing tar Swimming pool chlorine Cl�at �II Paints, varnishes, stains, dyes Lye or caustic soda i-evHv� Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes GLb 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 acid�sn) VIOLATION �w��Jf✓1�— . J�� .� < < c> A bb oN. Q�d� �.� �� S ' ORDERS: INFORMATION/RECOMMENDATIONS. o t -2 Inspector: ti e evl- a . WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Town of Barnstable A-% Office:508-862-4644 Public Health Division F Fax:508-790-6304 RARMA�BLE.A 200 Main Street• Hyannis, MA 02601 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: �V ei vll Nv\ o Date: Location/Mailing Address: II 1� Contact Name/Phone: Inventory Total Amount: SDS: License#: Tier II : Labeling: Spill Plan: Oil/WaterSeparator Floor Drains: Emergency Numbers: Storage Areas/Tanks: Emergency/Containment Equipment: Waste Generator ID: Waste Product: 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. 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 f Car waxes and polishes Wood preservatives(creosote) ,t Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda ,M 0,J Lacquer thinners Miscellaneous Combustible LJr�Si✓� 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 ot e�acids) VIOLATIONS` f � �`)Cle- ��! Cct•��yf. �.> rQ C��eC�S 2 4 la G` v\ �.��c� t+�VV ORDERS: ,.rkel w, v- cov-ev INFORMATION/RECOMME DATIONS: �4,0 (��tw�G <� fie_ ��G c� �� o�,v v" r6 VP t)vl i ID1 s t tto i-e 4 kAr, [A)-Lo-n � Jn -cx/-�- C, 50.�' �1"CS �J1�1,, t�tie Inspector: / Facil44e presentative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS f Number Fee 331 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable Board of Health This is to Certify that Argus Auto Repair 119 B Thornton Drive, Hyannis, HA \` 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 06/30/2018 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 Tw1� of hnstable 0egt%atoervices E y Richard V'Scali;Director aF THE T o Public Health Division BARNSTABLE • tt MRN5.wu�.E TkR luE CONK t m 15 * s !IFRStVS LL :.aVIIIF•IE'l LE, Thomas McKean,Director OSIb,9y7zo14 200 Main Street, Hyannis,MA.02601 0�8, Office: 508-862-4644 •, r Fax; 508-790-6304 . . APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALSa 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—DUNE 30th): - APPLICATION FEES CATEGORY li PERMIT 26— 110 Gallons: $ 5-0.00 El ° CATEGORY 2 PERMIT ,111 -499 Gallons: $125.00 . - • .'�1T S CATEGORY 3 PERMIT 500 or more Gallons: ' $150.00 ' , 0 *A late charge of$10.00 will be assessed if payment is not received by July Ist: - 1. ASSESSOR'S MAP AND PARCELFNO. . 2. IS THIS A PERMIT RENEWAL?�'YES=NO. IF YES,p 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 Q5 GALLONS)? YES NO. 4. FULL NAME OF'APP]LICANT: W `��A�ilns q." Uo.UvtvlAES 5. NAME OF ESTABLISHMENT: ` t2, 01-0 4004- 6. ADDRESS OF ESTABLISHMENT:'A_'` °� b 0-44 d. k ANr✓it /Il aa.601 7. MAILING ADDRESS (IF DIFFERENTFROM-ABOVE T' S. TELEPHONE NUMBER OF°ESTABLISHMENT: jfVO',.115 �57� 9. EMAIL ADDRESS: V 1 A/o C,i Vs 10 L i V6 com , 10. SOLEOWNER: 'XI YES'NO IF NO,NAME OF PARTNER: r 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: , CORPORATION NAME . ' PRESIDENT k TREASURER , CLERK.-, a t. 12 IF PREPARED,BY OUTSIDE PARTY. . NAME: `TELEPHONE#• COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT t J DATE QAApphcation Forms\HAZMAT APP 2017 REVISED.docx r Number "Fee 331 THE COMMONWEALTH OF MASSACHUSETTS $125.00 Town of Barnstable y Board of Health This is to Certify that Argus Auto Repair 119 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 06/30/2017 unless sooner suspended or revoked. -------------------------------------- - S WAYNE MILLE R,M.D. CHAIRMAN 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 �'ME� Regulatory Services Richard V. Scah, DirectorMAIL A MARNSTAH _ Q 3� Mom KAS& Public Health Division 0� •mmeanThomas McKean Director 200 Main Street, Hyannis,MA 02601 m Office: 508-862-4644 Fax: 508-790-61P 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-7UNE_30th). APPLICATION FEES CATEGORY 1 PERMIT 26-110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT ' 1117 499 Gallons: $125.00 V,� CATEGORY 3 PERMIT 500 or more Gallons: $1-50.00 ❑ • A late charge of$10.00 will be assessed if payment is not received by July 1st. ; ASSESSORS MAP AND PARCEL NO.' - -DATE A 8/ Vt(P FULL NAME OF APPLICANT '. A GUI'A4 .9r6S NAME OF ESTABLISHMENT: AL6US Alto UAI . ADDRESS OF ESTABLISHMENT: 1!°�. ( vN�ay � /}�u✓�� MAILING ADDRESS(IF DIFFERENT): TELEPHONE NUMBER OF ESTABLISHMENT: VV EMAIL ADDRESS: V Nl 1 G 1 U 5 f O 0.� �, i Ve .CD A - . f, SOLE OWNER: YES NO: IF NO,NAME OF PARTNER: +eMW5 A• bul'A,4 4A CS 03 NUGYu:4,5 ,/Ect;&D FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME iUE 111z fume W t. -t)AA A+t&U5 A)io ne Plrk- PRESIDENT GW W—S A. GuimAmes TREASURER ALOsmOz m 6u1MAyme5- CLERK m,(.nS (,WAAAvUM65 y� y IF PREPARED BY OUTSIDE PARTY: SIGNATURE OF APPLICANT Name: Company Address_ Telephone#: Email: Q:\Application Forms\HAZZAPP Revl6.docx Page 1 of 2 Number Fee 331 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Bard of Health K- This is to Certify that Argus Auto Repair 119 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. 6/30/2014 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health ; r Town of Barnstable °p1HE r° Regulatory Services Richard.V. Scali, Director &UMSTAB . ` 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 �"Al2troS (,V1M,11MS NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT iRQ&,XA1 03601 TELEPHONE NUMBER nS' 9-75 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. J7 9�3 STATE OF INCORPORATION FULL NAME AND HOME ADDRESS-OF:. - PRESIDENT kLQn GUTAMnAES TREASURER AttSsnw`pm (,Um&44cS CLERK SIG TURE OF APPLICANT RESTRICTIONS: HOME ADDRESS 13 IIIV WJ 1VWA 61) Uv)kyLf nevi HOME TELEPHONE# 5p8 Q:\AppGcation Forms AZAPP.DOC MAIL-IN REQUESTS Please mail the completed application form to the address below. Also include a copy of your contingency plan (to handle hazardous waste spills, etc). In addition, please include the required fee of$100. Make check payable to: Town of Barnstable. Allow five to seven (7) working days for in- house processing. Our mailing address is: Town of Barnstable Public Health Division 200 Main Street Hyannis, MA 02601. FOR FAXED REQUESTS Our fax number is (508) 790-6304. Please fax a completed application form. Also, please fax us a copy of your contingency plan (to handle hazardous waste spills, etc). In addition, please mail the required fee amount of$100.00. Please make the check payable to: Town of Barnstable. The check must be mailed to the address-listed above. Allow up to four days for in-house processing. For further assistance on any item above, call (508) 862-4644 Back to Main Public Health Division Page s QApplication Forms\HAZAPP.DOC. , Town of Barnstable oFt"E r Regulatory Services. Richard V. Scali, Director BAINSTABLEMAS& ' Public Health Division 43 t63p• �0 ATFo '� Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Wayne Miller,M.D. Fax: 508-790-6304 Paul J.Canniff,D.M.D. Junichi Sawayanagi NOTICE TO ALL BUSINESS OPERATORS .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 if payment is not received by July 30, 2014. Please feel free to view the above Code, Chapter 108: Hazardous Materials on the. Town Website,-www.town.barnstable.ma.us , which is located under the E-Code section if you should have'any questions or concerns. f _ , QAHazmat\Iaz Mat Permit Letter.DOC 1 SPILL CONTINGENCY PLAN Emergency Coordinator, Name: CAVLLU' Ut MAmCet Address: ,t�g -NN111121 biL WMI Adh Daytime Phone: 303- M5- VIS Evening Phone: —11y- &3 Fire Department: Barnstable Public Health Division: 508-862-4644 DEP 24 Hour Spill Hot.Line: 888-304-1133 Waste Hauler: Name: Wmay OIL .iwG. 11A,04 `14 , Phone: tw - -1)�- 9600 Building diagram indicating hazardous material/waste storage area, location of absorbent scavenger materials, fire extinguishers, fire alarms (if present), and evacuation route (if applicable). r s � ENI1 Wgs�E (CAM 6,1 D004, THvY. Actions to be to control a spill or release, and preventing it from reaching a catch basin, sewer system or the ground. W E us -0VL;P 0-4a5 713 01.A;1�h w ih 5+�a LLB}�r� �'v� USt 5rce�p/ 17` (c Qic�(.Ur WVj i VAS �au�, ;A1 TM( bAOU ) : WC MV( A SPILL hit' AV411LA6LI GNU 14Z AFL Z�MES �Nb ALL C�P(C�CGS �1N9bV W�iG<t6 1I 1 Hk"vV jo US( i le r Number Fee 331 THE COMMONWEALTH OF MASSACHUSETTS y00:0.0 Town of Barnstable Board of Health This is to Certify that Argus Auto Repair 119 B 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 4 and expires 6/30/201.0 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 t, Director of Public Health lr _ r w t Town of Barnstable Barnstable Regulatory Services Department o ;esieaC f • STAB Public Health Division 1 9 a�nss 200 Main Street, Hyannis MA 02601 �Ftp e�4• ,,� m 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 V .® APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT NAME OF ESTABLISHMENT A G V S 6-A4i k ADDRESS OF ESTABLISHMENT 1 I0&Tog Dr .S TELEPHONE NUMBER �Q� �) 5 2 SOLE OWNER: YES - NO CD IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS,-,,(A" ALL PARTNERS: ;,; c- r -nLn i -.- IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. ZOS 3W 7ff STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: !, PRESIDENT Q066LVO Willa to TREASURER, CLERK SIGNATURE OF PL ,C,,A�yN�T • RESTRICTIONS: HOME ADDRESS �13 eu#W 41, ' iJ ioyi �/°► ®) HOME TELEPHONE# 50.?- 7255�&j Q:\Hazmat\Haz Mat Application2008.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 time 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 of$100. Please make the check payable to: Town • of Barnstable. The check must be mailed to the address listed above. Allow time for in- house processing. For further assistance on any item above, call (508) 862-4644 Back to Main Public Health Division Page Q:\Hazmat\Haz Mat Application2008.DOC g� ,'' T+yI{rF� '�_;` r.�k ,`•.,.� �+'a"-- �c.,-.%'i4ac --�•3 i�tr a` y`Y .` �9`'z ,+..{ =3°. •°�.� - �,q 1 i ,f 3 �" Xe.*.' �i •f'- -�'�r7 ,Yp °l�4'dk i _Y{y yc#aC'p �a, -� "' S `J r a a s c ' ,a tee' i Number •-� �^ _ Fee • IIQi H► AAA �1T 00 Town o :Ba'rnstable Board:;of Heal,tk� This is to:Ceftify_that t�rgusAnto Repair. _ _ _ 1'.19'R Thornton Drive,}MA ,02601 Is H;eee`by Granted,-a License -TOR.'-' STORING OFF HANDLING 111 G'1,4LLONS,OR4MQR �OF_ki kD,OUS MATMALS ; i . This i 'eelmse;islranted in eonfot tnity with the.Statt tes"and-ordin�nce$--------- IelatingAthere:to, and and;expires :�une-3d,'2006 'finless s8oner_suspended or.revoked - _ - _ 1. - -., ,.rF 3.. -•'J• i Y.{u`y ,f .! ...,f�aG �t4JAN r �- x: F zW ,1FNt:�IIEILLEft,M.D CIfAIF�MAN + _ "July 1;2005` . '.� � ". . - i-% f=. , '' � 't.• SUMNER_KAUFMAN,M S KH T146mAS'_A•MCKEAN,R Directot of Public HMalth Number Fee 331 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that Argus Auto Repair 119 B 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. WAYNE MILLER,M.D.,CHAIRMAN August 18, 2004 SUMNER KAUFMAN,M.S.P.H. THOMAS A MCKEAN,R.S.,CHO Director of Public Health Number Fee 331 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that Argus Auto Repair 119 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 �t`p� Town of Barnstable b Regulatory Services • Richard V. Sc4 Director D MAALPublic Health Division �- 039 ° Thomas McKean,Director .200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 F Fax:. 508-790-6304' Application Fee:$100.00 ASSESSORS MAP AND PARCEL NO. o` 0/ DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN - 111 GALLONS OF'HA7,ARDOUS MATERIALS FULL NAME OF APPLICANT CA66 AL GU IMAM d } NAME OF ESTABLISHMENT O' ` 6LEPA ADDRESS OF ESTABLISHMENT rti �✓ h�� ,+.rs -.',D��P TELEPHONE NUMBER, _ SOLE OWNER: x YES 'NO _.. _.. IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. 'a0 3 1933 D73 STATE OF INCORPORATION AA, FULL NAME AND HOME ADDRESS OF: PRESIDENT ;A, Gu;-Wu(.a ,S TREASURER Al!ssAti�k)WA l9UiA1 M6.5- CLERK CAa�nS A Csu[ SIGNATInOF APPLICANT RESTRICTIONS: HOME ADDRESS wc(ti:&5 E�►t vL �V t,- M,q HOME TELEPHONE# _ 08 Mcache\Temporary lntemet ReAOU DMAZAPP Rev2015.DOC NAME OF OFFENDER d BA R 7 9 Q 0 TOWN OF ADDRESS OFOFFENDE BARNSTABLE CITY,STATE,ZIP CODE sy p1FtNE►(`Y ' ` MV/MB REGISTRATION NUMBER OFFENSE � 9 HAN\til'ANI.E.y./II `� ,� �-�' fl fT• V i' r �{�Q YL. Sf!°�t.l �' o r 41 �1 Q R;,.Ct�O^-.L^A iJ 3c s LU L TIME AND DATE OF VIOLAT ON. -T �► LOCATIO OF VIOLATION f� W �' �I�OTICE OFt7 ,. A.M�/ P.M.) 20 ' a �,� 7"1K' :�4 1 f SIGNATURE OFRC ENFORCING QRtT BADGE N0. W 'VIOLATION OF TOWN I HEREBY ACKNOWLEDGE RECEIPT OF CITATION X a ORDINANCE *(��'Unable to obtain sig ature of offender. ►a— , , ) THE NONCRIMINAL FINE FOR THIS OFFENSE IS S ,� u*ca w Date mailed w �R YOU HAVE THE FOLLOWING/ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITFFER OPTION(1)OR OPTION_(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w REGULATION a (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, W before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Bamstable Clark,P.O.Box 2430, a Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. (2)If you desire to contest this matter in a noncriminal proceeding,'you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST RNSTABLE DIVISION,COURT COMPOUND,MAIN STREET BARNSTABLE,MA 02630,Attr,:21D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. E ❑ 1 HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature TOWN OF BARNSTABLE Ordinance or Regulation BAR -W 6004 WARNING NOTICE Name of,Offender/Manager ; t' "+� s VVI 4<•k . Address of Offender MV/MB Reg. # Village/State/Zip Business Name Aviv Aj]_ A v < Vo 4;4m; 7&g 20 on, Business Address Signature 6,tj Aforcing Officer Village/State/Zip :, V1 vi' ' s i0- z fit ,�' Location of Offense r1"i �'i0�� Ad '� � 't Ile J ( Enforcing Dept/Division Offense X 'rL >L�i % l` aJ �' t sr� > � - . ►0 i f" ' �,rt �� CIO" r Facts 1 , (0 LJ 4 S J j I VIOLS IS III&Y ti►. 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 wily result in appropriate legal,action by the Town. WHITE.=OFFENDER CANARY-ORD./REG.—PROG. PINK—ENFORCING OFFER GOLD— ENFORCING DEPT. TOWN OF BARNSTABLE Ordinance or Regulation BAR -W 6004 WARNING NOTICE f { Name o.f.Offender/Manager. y, " Address of Offender MV/MB Reg..# Village/State/Zip Business Name i .F All :7 �4 )-I If /� � `am/pm,; on, 7/j 20 'Business Address f t X3 ( fir{�ti- °°^- r •v1G- / � f� Signature of�Enforcing Officer. .Village/State/Zip t't `� -A �`j �� ' � . �� ��.�-�� Location of Offense [ I > ` Enforcing Dept/Division Offense a e�. t�s " ��+: i' - f 1 t it t n i r,,4. G — :1 �h t Facts G. +' ` Vk 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 thetTown. WHITE-OFFENDER CANARY ORD./REG.-PROG. ' PINK- ENFORCING OFFER GOLD- ENFORCING DEPT. t NAME OF OFFENDER ,s? to _ p A D 78737 TOWN OF ADDRESS OF OFFE DER D n to �.� .� �, i 1r� Qvr�. ,�t' �Pns BARNSTABLE CITY,STATE,ZIP CO © SINE/q, MVIMB REGISTRATION NUMBER OFFENSE fM / HARNMARI.C. ' ! { ` 'MASS.639. i 0t f{ 1,."'�."r�.)jam., ,S� I lr � '" � ,..! f GJ`/.�•!i 1 7 ��d'.�' J'���yf /""'�. � � LU .A" _ tC.�1 .�.� ,r,/1 �,` •'(xl.�� V"1 J� ' � TIME AND DATE Q VIOLATIO• ��. LOCATION OF VIOLATION �} `7 A�",�'.�y/ W NOTICE OF z A.M./ P.M,}ION ir7 201,10 �I w� ,�a!�U �-� �� SIGNATURE N ORC ON. �' ^��, ENFORCING DE BADGE NO. W VIOLATION I �t; 1~�'' ' CAP OF TOWN I HJEREBY ACKNO45 GE RECEIPT OF CITATIONS ' ,' "I ORDINANCE si n ,Unable to obtai f ender.lure T �EI E OR THIS OFFENSE IS Z > U v W Date mailed w OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGAR TO SIT10�1 OF THI Afii E`T E$-�OPT 0 (1)OR OPTION(2)WILL OPERATE AS A FINAL w DISPOSITION WITH NO RESULTING CRIMINAL RECORD. REGULATION (1)You may elect to pay the above fine,either by appearing in perso` ehv$gn : A.M.and :00 P.M.Monday through Friday,legal holidays excepted, w before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,T BV'hialling a check,money order or postal note to Barnstable Clerk,P.O Box 2430, Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. a (2)ff you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET BARNSTABLE,MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature T�o-Ad-ion SMEAD KEEPING YOU ORGANIZED No.10336 2-153L MAMWUSA GET ORGANIZED AT SMEAD.COM crTi�G .o / ,. ,7r Zb' • .'�L• is z�7 u V ieo ya Wictc , 60 � c�a� /s till x r ` 7"e�7-/% j. 7-1ec> 7�7 A64 -4'A �Z:' :7� 1 Avi- 0. ..i Sa/fa,:. Gr.�'"4► A � ,,yy -JIJ�-.�qYL '_ / ,'.SyOf C. - ,ry f'` A - _ - .�✓ 42J, JY •f 8� 'riG L &L.76.6a. IrZ� •.7lJ.�iD C't ST/k"G tom`/77v,- NY � 4` ^A ` -- t ,v f00 5± � 4:RADE fiN�SR•t' PAW opit tit OV F2 " LEA-GH AR � oF, i?6A STONE : t>rrsSOY. r►rw LMZMCA ' al.lt!lE �i G r. lZ NYC a►. „ '' '- F '�' ".: '� v . 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