HomeMy WebLinkAbout0057 CEDAR STREET - Health 57 Cedar Street - - ' Sewer Acct # 22
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Hyannis
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NAME OF OFF D JBAH.� 8-80
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TOWN OF ADDRESS OF NDER
BARNSTABLE CITY,STATE, IP CODE
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TIME AND DATE OF VIOLAT If !jEoNtFORCI
VIOLATION Z
NOTICE OF l / P.M.)ON fir. . 1,20 , =Y�Y C.
SIGNATUR RCIN ERSON EPT♦ BRdGE N W
VIOLATION cn
OF TOWN I H�EBY ACKNOWLEDGE RECEIPT OF CITATION X
ORDINANCE 3 Unable to obtain Si.nature of offender. ►—
THE NONCRIMINAL.FINE FOR THIS OFFENSE IS
Date mailedal � w
OR YOU HAVE THE FOLLOWIN 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.
REGULATION a
(t)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, LU !
'Iinm a rhgo4 mn—order or Do>;tai note to Barnstable Clerk,P.O.Box 2430,
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Town ` +Barnstable
? aAaY/srAar.e,
ealth Division
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Hyannis, MA 02601
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S7 A ar Street
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MV/MB REGISTRATION NUMBER
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ME AND DATE OF VIOLATION LOCATION OF VIOLATION L!_?
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HEREBY ACKNOWLEDGE RECEIPT OF CITATION X e
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Unable to obtain signature of offender. THE NONCRIMINAL FINE FOR THIS OFFENSE IS q
Date mailed L'!
31J HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL Uj
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M l Yrn�may Alect to o—thA above fine either by gonAarinn in nP-nn betw-A.n e:30 A.M.and 4:00 P.M.,Mondav through Friday,legal hoays,excepted, ly
wnIll on Barnstable
F�riealth Division
ain Street
ann's, MA 02601
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Vi on. Rubio
57 A ed. Street
Hyanni MA U2.661
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Date:
TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM
NAMEOFBUSINESS: 0 U L�) i n
BUSINESS LOCATION: E5 4 A r C b A r 7 -/; . 0)�o
MAILINGADDRESS: Mail To:
TELEPHONE NUMBER: (moo $ Board of Health
Town of Barnstable
CONTACT PERSON: ..,V tt'..o v P v ; o . P.O. Box 534
EMERGENCY CONTACT TELEPHONE NUMBER: (.So ic Hyannis, MA 02601
TYPEOFBUSINESS: P t� �/v -1 6.
Does your firm store any of the toxic or hazardous materials listed below, either for sale or for you own
use? YES NO �c
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
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
i 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
3 Lacquer thinners Other chlorinated hydrocarbons,
X ' 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
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