Loading...
HomeMy WebLinkAbout0269 BARNSTABLE ROAD - Health h9 Barnstable.Road - K>'nSewerl_ C, Y# 1261 Hyannis - -- - A 3�10=-172- _r e a . o .4 0 o (a _ A1►E'1'7f DATA ABET -_ PRODUCT NANS-1 RSVSTOL _.,_ - - : - r - __ aS-CODBs_:. H -F: R , -P=_: I PRODUCT CODNt 02220 1 2 0 E SECTION I — X&NUFBCTURER IDENTIFICATION ^-M�--=----�--__ � l01NUFAC'RJBiR•S �" - ! ADDRUSt 905 SOUTH p� , SO1f,ILLINOIS 60101 • EMEACIIICT PRONEt (800) 424-9300 INF91pfATICB PHONEc (800) 336-8276 DATE AgVISED t 10-30-92 NAW OF PREPAABA t VARN PRODUCTS CO. REASM RMSED : UPDATE; SUPERSEDES ALL PREVIOUS" REVISIONS. �. SECTION 11 — HAZARDOUS INGREDIZM/SAAA 111 18FORMATION r'F OOES�ROBiL�Os0A3 LIXI'1'8 YaPGR?REOsiA!]1 ldICFlP_' . WUL DOW C011MMUTS CaS $G1D3ER 0611h PRL ACGIB TLV OTmm Eim.Ag ! ftw Ppmw r r *223ILM.GLYM =741-1 50 am SO Ra C221j O 0.1 t6! 2 sa-sDTO=Z iT=XDL 211-76-2 25ppm a=I! 25pGa BtIA' 0.9 777 ♦ i 3i0L 67-63-0 400 600 SO �^ypt ppm OppasTBL 31.1 . 66! 3 i Indicates I- chemicals) aobject to the ceportiag tegaiiamients of ssetioa 313 of Title III end of 40 CAR 372. a1.L lAGRiDmm ARE WE9= 06 m EPA'Pica 111V=3 my SECTION III — PHYSICAL/CHEMICAL.CHARACTERISTICS -F � + SOILING POINTz '>212 Deg F SPECIFIC GRAVITY (820=1j: 1.0 • - VAPOR DENSITTt. N/A, EVAPORATION RATE: SLOWER THAN ETHER MATERIAL,V.O.C. s ' 0.97 LB/GL ( 116 G/L) = SOLUBILITY IN VAZEB: 60% _ APPEARANCE AND ODOR: STRAW-COLORED LIQUID — MILD ODOR -- SECTION IV — FIRE AND EXPLOSION HAZARD DATA FLASH POINT: 116 Deg F - METHOD USED: TAG CC FLANKABLE LIMITS IN AIR BY VOLUME— LONER: 2.0% " UPPER: 12.0% EXTINGUISHING MEDIA: FOAM, ALCOHOL FOAM, CO2, DRY CHEMICAL, WATER FOG SPECIAL FIREFIGHTING PROCEDURES AS IN AIR LIRE, REAR 5=Z-00UTAIMM SRUT8IUG APPARATUS (MSBA/91053 APPROWD) AND FULL PROTECTIVE GEAR. UNUSUAL FIRE AND EXPLOSION HAZARDS 31f011Ef. N N 02220 MATERIAL SAFETY DATA SHEET PAGE 2 OF 3 l REACTIVITY DATA SECTION V - --- STABILITY: STABLE CONDITIONS TO AVOID AVOID CONDITIONS Or EXCESSIVE SEAT TO INCREASE SHELF LIFE. INCOMPATIBILITY (MATERIALS TO AVOID) } AVOID STRONG OXIDIiING NATERIms. HAZARDOUS DECOMPOSITION OR BYPRODUCTS WMIXG VILL FSOD= OXIDES OF CAR M AND DENSE SMOKE' HAZARDOUS pO7LYMERIZATIOX: WILL NOT OCCUR SECTIO13 VI ' - RMTH HAZARD DATA - --- y IHIIA3hTIOI7 SEt3m nISKS AOD SytnpTM&S OF MMURS_ No utm:I+s Ms. _ B;ZIP I'1"D PHL Ca.s-" m .H .Tn nisrm roD sYr Ql Ov RMSURB -lSI QIJc G ti. ,i'^ �m r•�`�l7IS�$$u� C1►fi t IDI .^Io9. oOG',::-;T 1'=4 ch= nm w artyrB t�Ist3 iM ate: 8�� 8 �.%s�a� - - - �RfTriiL sa nz~asr 1::0 :� `S IIX211, r7' o SCL1 (Tffi I1 rild .1Gdiil`i �S�LaV � 3ti C=vmlT (117 uxPOSWIL0 09, OLD AND n_-t.IIT�- .> L: �-�: s �co'i u_. .-Imp Cns c Tv: !"� .1� r�actlATs.e1r17c -It TII�LL IttRIT7►TZ 1-1 tr--3, G *v-1. I OLLG.t YIr=+'+ID a'st" •+»» - s.,�:xrx 1t. fir: -- ` -r1 I= z=a '..;3t :`"r Tw:P :lIL'J a� ['2T,-�L SAfLIT13I0 ffi 0" CE m !LIED Ot'I TQ IIEIf1. CISCOL II&: 2 IDS- 73 f_S A 8'SSO-_= i5I=j D."LT.vi I• = Oa IACO iY f�tlIM-+L 4]1"+S• NO mw Z O,::cr;yat&PHo? vo waL f comv NO f r ACC 5w C �i�2;��I"'4:' (" :u :�1'�'' s � k� L ►' `:=:4 BR suomar + t;,'r7 GQ...:.�+ t',::i :"':`'T.J.-'�.')+ayi��i:p:--S.CII�e:�:p1`T� L'-�`��".ya.�I.TT.♦:.��; �r YW./t 1''S.�.'�i L�+.,.}"--:`:,z✓'al 10 IL�I.�..�a^ C'""t ��ICAL II?l"�+'SLh L7 IyljtlTl►'j'IO'.1 �LI[il Mom iT24t.! raw JIC•D�. Cry 1 A=. L'�t IIt ?ICTI�1 �.�=�i• t t'Q':�i��a1D DIW� SSY C=IClIL s OGTiiIC7 t=Dt= + r i t' _-.,_�.__. .. _. _,....._ _. . 'a:.a:al..., .t,.w•_v. _.�1,:..�.a_iarn,�s .. _9:�STdQ'y"a.... 'r:� 7...,.- ._ I ' r 02220 MATERIAL SAFETY DATA SHEET PAGE 3 OF 3 SECTION VII — PRECAUTIONS FOR SAFE HANDLING AND USE STEPS TO BE TAKEN IN CASE MATERIAL IS RELEASED OR SPILLED SOAK UP ON ABSORBENT HA.TERIAL OR TRANSFER LIQUID INTO A CLOSED CONTAINER FOR LATER DISPOSAL. DIES SPILL AND KEEP FROM ENTERING SEWER. WASTE DISPOSAL METHOD DILUTED MATERIAL MAY NEXT SEWER DISPOSAL GUIDELINES IS SOME LOCALITIES, DO NOT POUR UNDILUTED CONCENTRATE, AS SUPPLIED, DOWN SEWER. CONTACT A LOCAL SEVER AUTHORITIES BEFORE DISPOSAL. PRECAUTIONS TO BE TAKEN IN HANDLING AND STORING STORE III A COOL, DRY AREA AWAY FROM SUNLIGHT AND EXCESS HEAT. KEEP FRAM FRESIING. AVOID BREATHINO MIST 01 VAPORS. AVOID SKIN CONTACT. OTHER PRECAUTIONS WSPN 2"NSFERRSSG OR U51= THIS PRODUCT, WEAR PROPER PERSONAL PWM=IVE EQUIPmEn. OOtamcs Eo C88MICAT FOUSD OJ Tim cAuromrIA PRpPOBTTIos 65 a=. PROPER GRIPPn4 MMI COMBUSTIBLE LIQUID N.O.S. (2SOPFAPANOL), UN ItUMBERt SA1999, PACKING GROUPt III PRODUCT IS CLASSL9 AS AN OSHA CLASS II COMBUSTIBLE LIQUID �-" - SECTION VIII - CONTROL MBASURES _-_ -- --- -- RESPIRATORY PROTECTXON tSO SmClAt 7RD'1«-CTIOY IS REWIRED UNDES now" COHDITI03.9 OP USE. t VENTILATION GOOD GENERAL V-r-NZ LATIOW SEOULD $S SUfrPICIENT TO CONIROI, AIRBO:RM Z-"LS. PROTECTIVE GLOVES USE GLOVES SUCH AS BUTT- OR b' WLS RUIIc'D.4R. I � EYE PROTECTIVX 6AFETY GLASSES in-'s HIDE Sam=. OTHER PROTECTIVE CLOTHING! OR EQUIPMENT + NOT NECESSARY. WORK/HYGIENIC PRACTICES WASS WITS SOAP AND WATER AFTER SANDLX*3 pRODUCT. �---- — -= SECTION IX — DISCLAIMER DISCLAIXER TBE nt"RM amm OM mas NSDS IS sELIn" To HE AOCURATS AS OT TUR DATE SHOWY IN UCTION 1. an= mm or SSIB FRODUCI'Ta mm IN TSB CmT= 0? vus, IT IS THE USERS =PONSIB1u1-T To v=w-IYKNE vm CONS SAn USAGE FOR A PARTICQLAR PURP=- "HIS FORH Nab BS RZPRDDUCED LOMLY IN AVY QUANTITIES NkCBSSARX TO ?U= LOUR RHQU=ngSw=. Al. 1 L - it h Y+ ,1':Sa't'rrK'A•tCAi�rT !<:.....y,.LK G... re) _ -F.. 1' 02006 MATERIAL SAFETY DATA SHEET PAGE 2 OF 3 SECTION V - REACTIVITY DATA =- - STABILITY: STABLE CONDITIONS TO AVOID AVOID sxcxss un AMD-fODRGLS Of IosITIOs. INCOMPATIBILITY (MATERIALS TO AVOID) AVOID NIxnla MZTs sTROsO OIIIDIfIsO NA=RZMA. HAZARDOUS DECOMPOSITION OR BYPRODUCTS SDRNIDO WILL YROODCs OXSDZS OF CAMW MM DRUS SMXZ- 1 _ HAZARDOUS POLYMERZZATIONi WILL NOT OCCUR SECTION VI - HEALTH HAZARD DATA - INHALATION HEALTH RISKS AND SYMPTOMS OF !BZPOSURB sRZATzm zz= coxc rm=oals of PAPER, MILL CADss IRRITlk=o I or Tss Mu AO TUDAT ASD Cum 616s2 Of Cm1RAL Mmvws" _ SyMN DLFRMI= s= id.MDACES, DRaMSISM AND DIZznt s: 3 _ .SKIS"AD_SYE<_CON'1'A _m"LTa-RISKS_AM 'SYMPTOMS QF`SXPOSURL _ SZZN Asd E'la JCORTA4'! NAY fA� �ATZO�I. _ �7 `ASSOR8T30HSSA3.T8 RIBH$=AND=SYMPTOMS-OF-EXPOSURE SK3 x�s��K aspossma=rs�o�rsz�t.�:�-u�•z-:zu_.a*araiu:.samoagso�azQ;re4000a��re�,•aus-lu ssR,DRL ANo�s... _ _ _ :_._. INGESTION HEALTH RISKS AND SYMPTOMS OF EXPOSURE JIMA = NAY > GUrAC-IIMST M IARITATIOs, MW DOSSMS VMV=To v=RL ORAAsli. YaU M s1Rax AID MCIMM- HEALT8 HAZARDS (ACUTE AND CHRONIC) - RspsAifb oak idCSI{is BASATBtsO of Omwn%U=b VAPam-PAT-10110M"MOLUMs CARa OVA15C AX AND CXR"kXZ 02100s szsTau AM CW 3.IV=Alm I== E716CTs. RE RNM sm Com=ilia.on ODT Alm COAL[ s:al. ASPIRAT m NAoRD 1f ss =a mp = -71sAIiJk2TOs,.Ol.JIATJDpSAL_SNTO.;TIIE:LOSfQ?:t1N�f.ADs]t.CHxIIICAL:�NILQIaOMFlI3x-= `— .:---•. - _�__._._ - - --. _ - CARCINOGENICITY: NTP? NO IARC MONOGRAPHS? NO OSSA_RMMATBD? 140 Tm WRAO= co:r=119 so XSOss GRntxomm. MEDICAL CONDITIONS GENERALLY AGGRAVATED BY ZXPOSURS - "Ml CosTJ1CT Nit A=nv= Mi =1snn DAtN=nS. INUALA== NAY AOORAVATS PU-ZXXVMG WnNh-LIfi t0lm. EMERGENCY AND FIRST AID PROCEDURES nag mm.zm= ODss Am fLDss win sATZA rok lS urva Zs. CONTACT A fslslCIA/ :1 :RxI'unow YEalm. UVIS um •wrn soma AMD wma. Irma 2aalr --Do mm :xo6cs v0_MiTisa. szu N zcw ATuftlOY lmum z=- mum% iTORa MORIi`TO• nnN MR,,aIVs OUGkil If AAXATSIsa 10 LAROAZD. ~ t 9 limil pw�jyar� pt �i r s. rs •. {b i7rt it T ( '« 2i �. 'hAS .y .t�tr + •� .T "'{i ^.:,TF ilia. L�. `mil•-q1s i ('r ID y�.i• i � - w 02006 MATERIAL SAFETY DATA SHEET PAGE 3 OF 3 SECTION VII PRECAUTIONS FOR SAFE HANDLING AND USE STEPS TO BE TAKEN IN CASE MATERIAL IS RELEASED OR SPILLED ELIMINATE ALL IGNITION SOURCES. SPILLS SHOULD BE DINED AND EEPT FROM ENTERING TEE SEMEA. IOAZ UP NITS ASSORSXXT OR TRANSFER LIQUID INTO A CLOSED CONTAINER FOR LATER DISPOSAL. WASTE DISPOSAL METHOD IF TEIs PRODUCT, AS SUPPLIED, szcmm A HASTE IT IS REGULATED By RCRA As IGNITABLE MASTS, EPA I.D. #D001. su=uu METHODS OF DISPOSAL INCLUDE RECLAMATION AND FUEL BLENDUSG. CONTACT A LICZ"m nnRDOQS MASTS HAULER MR XURZ INFORMATION. PRECAUTIONS TO BE TAKEN IN HANDLING AND STORING CONTAINm SHOULD BE GROUNDED BEFORE TRANSFER a PRODUCT. STORE 32 mm ORIGINAL CLOSED Counam t ANAE FROM sw=GaT, EXCESS FEAT, AND SOURCES of IGNITION. AVOID MIN CONTACT. AVOID mazanINo VAPORS. OTHER PRECAUTIONS SEEN TRANSFERRING OR USING TENS PRODUCT, NEAR PROPER PERSONAL PROTECTIVE EQUZMCW. CONTAINS NO ClZKrCALS FOUND ON TEE CALIFORNIA PROPOSITION e! LINT. PROPER,SESFPIn SAM CONSU MBIS LIQUID N.O.S. (XIVE A), UN EUNEEts RU9930, PACEINO GROUPS III PRODUCT Is CLYSED AS AN OSHA CLASS It CONWXTZM LIQUID. SECTION VII2 - CONTROL MMURES a Ri�I�R_ t�kg S�`Y01t TEi USR, Of xtwtnzmr stoTiC1Z9M Ii ADVIt;p R=a CONCiaSiATiONS EEC=SD ESS a{TASLIsm EEPOsm In[=IN SECTION ZI. ONE'Tss UnURN= COSCEMMIGN, Ds= A RESPIRATOR NIT= APPROPRIATE ORGARC VAPOR CARTRIDG=s (NIP ). VE1f?�LJI'YIOR IF CO" VlYTILATIOA PRACTICES ARE NOT ADEQUA= TO Nt ZMM AI U"n CONC==Mon sEL01f 27D xXZ% u==s UMM IN Sscxt} Ii, ADDI?IOSAL GtMUL V=NTI AZX0N OR LOCAL XnMr snTEr< IS REQUIRE: PRZVE tiLGVES an) $&VOA! WISTTS" GIMU SUM AS =ITRIL= OR WT. InUR. xn i xnxCZIOx OTH$R FROTBCTIW CLOTHING OR EQUIPxii'1' roT Nt�sNsutt. WoRX/RZGIERIC PMWTICES an MAP An wma&"a PSG Cora= wm no. - SECTIOR IZ - DZSCLAtMiR DISCL D= I*ORYA" ON T=Is WD0 is sELISM To AN ACCMAU At Of TS= DATI two iN swnm I. gza= T=S =a= or TMS PRODUCT 2S =02 I= To CORtl11ol.or tA=N. s u Tst Ussa's== romaza "*mnum*IW' s Consft"M an gum FOR A PARTICULAR PRODUCT. TM TORN PAT EE NEPRODDCED IN QUAMT nn N=CEsSART To mm TOOK RiQQIREM=aW. 1 sQUA _ ' C- ,q+•jt+xt 1. � •�..4 h !:1"f.["n'e..�'1(+N ,71'IFS'AR'."..t �}(`•L.Fr �, 1 .w.W 4X.1'S -. �. .yjC'':� �7 :' Ll"'.n : 4.- t .S,r,�u,G - , s�•'Y„r :'.4"i •,M,,r►'"•d : �ti k.,'.. _ -., .i• . - - -- .. .-. - i � 1 MATERiAL �,� PRODUCT NAN s VWX $)fZBN CODES: H_ t g p l. PRODUCT" CODEt 02006 2 2 0 B 1 SECTION. I — MANUFACTURER IDENTIFICSTION F XNUTACTURER'S I M S YARN PRODUCTS A00*ASSt 905 SQp'X'E W$STNOOD, ADDISON, ILLINOIS 60102 S 1tA fC1 09 (900) 424-9300 IE RM"Im P : (800) 336-8276 DATE IMBED : 10-16-92 I MR '%W .1'Mri.1tER s VARN PRODUCTS_CO. RBASON REVISED t UPDATE; SUPERSEDES ALL PREVIOUS R4VISZONS. SECTION- 2I EAMMOU8 ING=IZNT8f 8ARA III INFORWITION .._ 0CC0MAMUL @an=ZZx= �aPoa PRsssaRs ><iZaiT �LARDDos Cm sin= am Pa ACais Tsv a2m is Eq 0 imp PtlzROL7p1! sAPaTE; 44142-41-0 #00.ypa Joo ppa _.! i8s 43 f • Indi—t- t-dc ah*miml(s) oohietrt to tho rsport'" Epnisom"s of 66etiea 211 of Titles 2XZ and of 40 CPA 372. PROM=COPUM ti.d ?i,2,4- CAst lS- 3-O, 1.64 21Lt11s CASO 1910-20-7, 1.61 LIMMO CLS$ Ps-u-t ST ! "law asks A" COMP03MM of PUMOMM sAPMU CAA 64742-0$-4. uLL I:aac=MUS &Zff= =s M IPA T=ZnZgT= s SECTION III - - .PHYSICA_L/CHEMICAL CHARACTERZ8TIC8 ' y SOILING RANGE:' 315 for 338 Deg F SPECIFIC .GRAVITY (HZO=1)s o.e VAPOR DSNSITYt HEAVIER THAN AIR • EVAPORATION'RATE: SLOWER THAN ETHER XRTBRIAL-V.O-C- t 6..74_ .LB/GL ( 807 G/L) SOLUBILITY IN RATER:_EMULSIBLE APPEARAgCE JWD "ODOR: CLEAR -LIQUID — MILD PETROLEUM ODOR --` —� SECTION IV — FIRE AND EXPLOSION HAZARD DATA -- FLASH POINT: 104 Deg F lsETROD USED: TAG CC - FLAMMABLE LIMITS IN AIR BY VOLUME— LOWER: -' 1.0% UPPER: 6.5% EXTINGUISHING MEDIA: FOAM, ALCOHOL FOAM, CO2, DRY CHEMICAL SPECIAL FIREFIGHTING PROCEDURES AS IN ANY PINE, NEAR S=J-Coy l fflW UZMI=G APPAU= (MSSA/YIOSB APPROVED) A11D PQLL PROTECTr" GW. VATER MAY MOT ZZ ETTECTIVE TO EITINGDISE TIRE. OSE HATER MAY TO COOL TIRE ZXPOSED CONTAINERS AND TO PROTECT PERSONNEL. UNUSUAL FIRE AND EXPLOSION HAZARDS TREAT AS PETROLEMM TIRE. ,�' ✓% '✓ mac! /�_/ J 2— A TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: n Mail To: BUSINESS LOCATION: 0—aBoard of Health Town of Barnstable MAILING ADDRESS: P.O. Box 534 TELEPHONE NUMBER: .5b&-/ 99e> g3GI Hyannis, MA 02601 CONTACT PERSON: _j&4, EMERGENCY CONTACT TELEPHONE NUMBER: 7°to �S3C Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO ✓ This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store: Quantity/Case Quantity/Case Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, 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): s (dry cleaners) ' Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy- Health Department/ Canary Copy-Business TOWN OF BARNSTABLE OMPL/ANCE: CLASS: 1. Marine,Gas Stations,Repair satisfactory 2•Printers BOARD OF HEALTH 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY d (see"Orders") 5.Retail Stores y�� 6.Fuel Suppliers ADDRESS �// lass; 7.Miscellaneous N QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MAT9 T Case lots Drums Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (13) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers i ® Miscellaneous: l rCW �o ll� 50, 001 4u DISPOSAL/RECLAMATION REMARKS: 1. S nitary Sewage 2)OPrivate Water Supply '11:4 r5 -- Kwav 9�gi tu��,q Town Sewer ublic 0 _ 16_1q0_1W4 0 On-site �V 3. Indoor Floor Drains YES NO ,�( /A) 0 Holding tank: MDC O Catch basin/Dry well 0 On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank: MDC O Catch basin/Dry well 0 On-site system 5.Waste Transporter Name of Hauler Destination Waste Product Licensed?i YES NO 1. , 2. C r-�R A4 Person(s) Interviewe-d Inspector v ate rs fj4C©f1 P tj�a-, TOWN OF BAR STABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair .BOARD OF HEALTq 0 satisfactory 2.Printers 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY ��� (see"Orders") 5.Retail Stores jj GG 6.Fuel Suppliers ADDRESS L- Xlass' 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: I IC-i d� � o rr v.6 C6�ri ►V6 DISPOSALJtECLAMATION REMARKS: 1. anitary Sewage 2. Water Supply /1 , -r 1 / s Town Sewer ublic O On-site OPriv to � by 3. Indoor Floor Drains YES NO j O Holding tank: MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS' o m J O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product e 1. f j AIL6�� ' `� w1v YE NO 2. V/' t u Person S) Interviewed IInspec/o�, a fe jq �/ �