HomeMy WebLinkAbout1678 FALMOUTH ROAD/RTE 28 - Health 1678 Falmouth Rd. Centerville
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UPC 10259
No.H163OR
NASTINOi. UN
_.. ..,_.
"A Full Service Printer"
RICHARD S. ST. GEORGE
General Manager
775-3005.1-800-660-3065•FAX 790-2329
1678 Falmouth Road. (Rt. 28)•Centerville, MA 02632
TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair
BOARD OF HEALTH 0 satisfactory 3.Printers
3.Auto Body Shops
,/ unsatisfactory 4.Manufacturers
COMPANY v`t-h`� P� (see"Orders") 5.Retail Stores
6.Fuel Suppliers
ADDRESS �` t" 7 gg; 7.Miscellaneous
00 UANTITIES AND STORAGE (IN=indoors;OUT=outdoors)
MAJOR MATERIALS Case lots Drums Above Tanks Underground
IN OUT IN OUT IN OUT #&gallons Age Test
Fuels:
Gasoline,Jet Fuel(A)
Diesel,Kerosene, #2 (B)
Heavy Oils:
waste motor oil (C)
new motor oil(C)
transmission/hydraulic
Synthetic Organics:
degreasers
f +�
Miscellaneous:
� o O
6 ::?c"A k-ev-,4
d
71 k
G0&44_t�-
VWor
_co Jozeo4
ISPOSAURECLAMATIO REMARKS:
1. Sanitary Sewage 2.Water Supply 0-�,
O Town Sewer �rPublic
�cOn-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/X NO ORDERS:
O Holding tank: MDC
Q Catch basin/Dry well
On-site system
5.Waste Transporter
Name of Hauler Destination Waste Product
1. J—P S l (oetl- C-0
d YES NO
2.
Pec
•o
r on s) ewed Inspector Date
Date: _ iT/ e/
TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM
NAMEOFBUSINESS: /1,e ✓ �Ieae,
BUSINESS LOCATION: l/0 7 Cj /✓j4-
MAILINGADDRESS: f.-44 Mail To:
TELEPHONE NUMBER: �"�' �/ � �� Board of Health
Town of Barnstable
CONTACTPERSON:���, 1� /o����� P.O. Box 534
EMERGENCY CONTACT TELEPPHON NUMBER: Jar Hyannis, MA 02601
TYPEOFBUSINESS: 11fe
Does your firm store any of the toxic or hazardous materials listed below, either for sale or for you own
use? YES NO X
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(forgasoline orcoolant systems) Drain cleaners
NEW 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, kerose e, # h ti oil NEW USED
Other petroleu r duct rease, Photochemicals (Developer)
lubricants, ar oil NEW USED
Degr ers i es and metal ` Printing ink
ja
r a ers for driveways & gara s , Wood preservatives (creosote)
S
ery acid (electrolyte) Swimming pool chlorine
tproofers Lye or caustic soda
0j
wash detergents Jewelry cleaners
Car waxes and polishes Leather dyes
Asphalt & roofing tar Fertilizers
Paints, varnishes, stains, dy s 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