HomeMy WebLinkAbout0323 BARNSTABLE ROAD - Health 323 Batnstable Road++ {� J Sewer A66t # 0483
Hyannis;;:
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273 TEATICKET HWY 323 BARNSTABLE RD.
EAST FALMOUTH MA HYANNIS MA
02536 02601
508-540-BIKE 508-775-3299
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TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1. Marine,Gas Stations,Repair
BOARD OF HEALTH satisfactory 3. Printers
dy Shops
O unsatisfactory- 4.Manufacturers
COMPANY' C ��+� (see"Orders") 5. Retail Stores
p 6. Fuel Suppliers
ADDRESS ` �2N�> lass' 6J(� 1 �• Miscellaneous
U�n�i S QUANTITIES AND STORAGE (IN= indoors; OUT=outdoors)
MAJOR MATE IALS 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
ll 2�
WAY-
Miscellaneous: 9 _( S
Qs
DISPOSALIRECLAMATION REMARKS:
SS Sewage 2.Water Supply —
--UTown Sewer ublic ilmc�_;_
0 On-site OPrivate
3. Indoor Floor Drains YES NO -
0 Holding tank:MDC
0 Catch basin/Dry well
0 On-site system / o ��a " 6�
X ATn
4. Outdoor Surface drains:YES NO ORDERS: r^
0 Holding tank:MDC r�0-0 04 �'✓Vl l
O Catch basin/Dry well
0 On-site system
5.Waste Transporter
Licensed?Name of Hauler Destination Waste Product
YES '0
2.
er n Int wed Inspector Date
Date:
TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM
NAMEOFBUSINESS: on�
BUSINESS LOCATION: 9 '�
MAILINGADDRESS: Mail To:
Board of Health
TELEPHONE NUMBER: e a Town of Barnstable
CONTACTPERSON: P.O. Box 534
EMERGENCY CONTACT TELEPHO14E NUMB R: • 7d 62 Hyannis, MA 02601
TYPEOFBUSINESS: lC l
Does your firm store 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(forgasoline or coolant systems) Drain cleaners
NEW USED Cesspool cleaners
Automatic transmission fluid Z Disinfectants a& '00,n
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)
iesel fuel, kerosene, #2 heating oil NEW USED
y 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) YA Ak>
Other cleaning solvent's 05
Bug and tar removers
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS
�- ` -fir:.•;. .t} {. -: .... .. ,�,.. .� ��. _ .. ,..�.. ...^r vy - .- � v .. -,.r t..
TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair
satisfactory 2.Printers
BOARD OF HEALTH � 3.Auto Body Shops
O unsatisfactory- 4.Manufacturers
COMPANYWe [/�O 20 (see"Orders") 5.Retail Stores
6.Fuel Suppliers
ADDRESS, Class: 7.Miscellaneous
QUANTITIES AND STORAGE (IN= indoors;OUT=outdoors)
MAJOR MATERIALS Case lots Drums Above Tanks UndergroundTanks
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:
/2 0
DISPOSAL/RECLAMATION REMARKS:
1. Sanitary Sewage 2. Water Supply
�? 'Down Sewer Wublic
O On-site OPrivate
3. Indoor Floor Drains YES N0J5�
O Holding tank: MDC
O Catch basin/Dry well
O On-site system
4. Outdoor Surface drains:YES—\../,NO ORDERS:
O Holding tank:MDCAV
Catch basin/Dry well
O On-site system t
5.Waste Transporter
DestinationName of Hauler
YES NO
1
2.
son(s) Interviewed Inspector Date