HomeMy WebLinkAbout1680 FALMOUTH ROAD/RTE 28 - Health �P80-Falmouth-Road;Ceinter-vilie
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Coachlight Carpets, Inc.
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UPC 17534
No.2153COR `w4vov
k ABTINGB. MN
TOWN OF BARNSTABLE C. MPIJANCE: CLASS: 1.Marine,Gas Stations,Repair
satisfactory 2.Printers
BOARD OF HEALTH 3.Auto Body Shops
O unsatisfactory- 4.Manufacturers
COMPANY�,^7CA 1 .�` � (see"Orders") 5.Retail Stores
6.Fuel Suppliers
ADDRESS Z 4riff � tV� 2 � Class: 7.Miscellaneous
/4 ANTITIES AND STORAGE (IN= indoors;OUT-outdoors)
MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks
IN OUT IN OUT IN OUT #&gallons Age Test
Fuels:
Gasoline Jet Fuel (A)
Diesel, Kerosene, #2 (B)
Heavy Oils:
waste motor oil (C)
new motor oil (C)-
transmission/hydraulic
Synthetic Organics:
degreasers
4Mscellaneous:
s
DISPOSALME;LAMATION REMARKS:
1Abitary Sewage 2.Water Supply L-
own Sewer 4(public
O On-site OPrivate
3. Indoor Floor Drains YES NO-J,/
O Holding tank:MDC
G
O Catch basin/Dry well
O On-site system
4. Outdoor Surface drains:YES_NO ORDE S:
O Holding tank:MDC
O Catch basin/Dry well
O On-site system
5.Waste Transporter
Name of Hauler Destination Waste Product Licensed?
YES NO
1.
2.
Person s) Interviewed Inspector Date
TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair
jg� satisfactory 2.Printers
BOARD OF HEALTH O 3.Auto Body Shops
unsatisfactory- 4.Manufacturers
C0MPANYCaaRc�/ �1 !V'� -0 (see"Orders") 5.Retail Stores
6.Fuel Suppliers
ADDRESS its- 4 � Class: 7.Miscellaneous
QUANTITIES AND STORAGE (IN= indoors;OUT=outdoors)
MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks
IN OUT IN OUT IN OUT #&gallons Age Test
Fuels:
Gasoline Jet Fuel (A)
Diesel, Kerosene, #2(B)
Heavy Oils:
waste motor oil(C)
new motor oil (C)
transmission/hydraulic
Synthetic Organics:
degreasers
.
Miscellaneous:
Aa
IV
DISPOSAL/RECLAMATION REMARKS:
1. Sanitary Sewage 2.Yater Supply
O Town Sewer bPublic
XOn-site OPrivate
3. Indoor Floor Drains YES N0—I/— � _
O Holding tank:MDC_
O Catch basin/Dry well 02
O On-site system :
4. Outdoor Surface drains:YES _NO ORDERS:
O olding tank:MDC
Catch basin/Dry well
O On-site system
5.Waste Transporter
Name of Hauler Destination Waste Product
1.
2.
rson (s) Interviewed Inspector Date
Date. February 20 , 1997
�- '
TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM
NAMEOFBUSINESS: Coachlight Carpets, Inc.
BUSINESS LOCATION: 1680 Falmouth Road
MAILINGADDRESS: Centerville, MA 02632 Mail To:
TELEPHONE NUMBER: (508) 771-0256 Board of Health
Town of Barnstable
CONTACTPERSON: David Luciani
P.O. Box 534
EMERGENCY CONTACT TELEPHONE NUMBER: (508) 775-7773 Hyannis, MA 02601
TYPEOFBUSINESS: Carpet & Flooring store
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 or coolant systems) Drain cleaners
NEW USED Cesspool cleaners
Automatic transmission fluid Disinfectants
Engine and radiator flushes Road Salt (Halite)
Hydraulic fluid (including brake fluid) Refrigerants
Motor oils Pesticides
NEW USED (insecticides, herbicides, rodenticides)
Gasoline, Jet Fuel Photochemicals (Fixers)
Diesel fuel, kerosene, #2 heating oil NEW USED
Other petroleum products: grease, Photochemicals (Developer)
lubricants, gear oil NEW USED
Degreasers for engines and metal Printing ink
Degreasers for driveways & garages Wood preservatives (creosote)
Battery acid (electrolyte) Swimming pool chlorine
Rustproofers Lye or caustic soda
Car wash detergents Jewelry cleaners
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
TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair
satisfactory 2.Printers
BOARD OF HEALTH 3.Auto Body Shops
,,p O unsatisfactory- 4.Manufacturers
COMPANY 6& XG ' (see"Orders") 5.Retail Stores
6.Fuel Suppliers
ADDRESS �� Class: 7.Miscellaneous
G QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors)
MAJOR MATERIALSoveUnderground Tanks
IN OUT IN OUT IN OUT #&gallons Age Test
Fuels:
Gasoline,Jet Fuel (A)
Diesel, Kerosene, #2 (B)
Heavy Oils:
waste motor oil(C)
new motor oil(C)
transmission/hydraulic
Synthetic Organics:
degreasers
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DISPOSAL/RECLAMATION REMARKS:
1. Sanitary Sewage 2 Water Supply
0 Town Sewer Public
�D On-site OPrivate
3. Indoor Floor Drains YES NO
0 Holding tank:MDC
O Catch basin/Dry well
0 On-site system
4. Outdoor Surface drains:YES x NO ORDERS: '
0 Holding tank:MDC A 9 LrS
Catch basin/Dry well
0 On-site system
5.Waste Transporter
Name of Hauler Destination Waste Product
YES NO
2.
In
erso (s) Interviewed Inspector Date