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HomeMy WebLinkAbout0095 FALMOUTH ROAD/RTE 28 - Health (5) 95 Falmouth RD Brazilian Auto Hyannis A = 311 - 073 6 F' _7 II 'F, TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1. Marine,Gas Stations,Repair satisfactory 2. Printers BOARD OF HEALTH 30 3.Auto Body Shops ' `\ unsatisfactory- 4.Manufacturers COMPANY' Z'lJ (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS'9�WV;c,,Xu Class: 7.Miscellaneous QUANTITIES 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) 5 new motor oil(C) X transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply '�-!t� O\ lt O Town Sewer N�Public O On-site OPrivate 3. Indoor Floor Drains YES N0x O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NOX— ORDERS: O Holding tank:MDCCti���� O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product .d 1. YES INO 2. Person(s Interviewed Inspector Date TOWN OF BARNSTABLE COMPLIANCE: CLASS: L.Manne,Gas Stations,Repair BOARD OF HEALTH O satisfactory 2.Printers 3.Auto Body Shops O unsatisfactory- 4.Manufacturers C0MPANY�AP,/i t t1 i (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS3/ - Class: 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MAT IALS Case lots Drums IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) �6�' Djesd- (B Heavy Oils: waste motor oil (C) new motor oil(C) �L,$ transmission/hydraulic ,.. Synthetic Organics: degreasers Mis ella eou s: F 14 DISPOSALIRECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply O Town Sewer foublic dj On-site Opnva e - 3. Indoor Floor Drains YES Y NO O Holding tank:MDC -%16'Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC O Catch basin/Dry well vo- 0 On-site system 5.Waste Transporter Name of Hauler Destination Waste Product YES N0 2. Person(s) Interviewed Inspector Date r s TOWN OF BARNSTABLE C MMANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops �. 0 unsatisfactory- 4.Manufacturers COMPANY (see"Orders") 5.Retail Stores y / 6.Fuel Suppliers \., ADDRESS ec 991 : i/ Class: L 7.Miscellaneous QUANTITIES AND STORAGE (IN= indoors;OUT=outdoors) MAJOR MAT IALS l Case lots Drums :Un erground,T,�nks r IN OUT IN OUT IN OUT #&gallons 777 Test Fue 1AW ,,Diesel, Kerosene, #2 (B) y ' Heavy Oils: waste motor oil (C) new motor oil(C) ,✓��� transmission/hydraulic Synthetic Organics: degreasers aElf Miscellaneous: c DISPOSAI✓R.ECLAMATION REMARKS: tt 1. Sanitary Sewage 2.Water Supply 1 O Town Sewer ublic /'On-site OPrivate Jcr 3. Indoor Floor Drains YES N0_V_ zag�Lz O Holding tank:MDC_ O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter �t00-1- Name of Hauler Destination W •5' � � ��i � � �✓v�'?'1 � ���� � � r _ YES NO et L 1. 2. - 1 �� �' " ' n erso Interviewed Inspector Date TOWN OF BARNSTABLE COMP ANCE: CLASS: 1.Marine,Gas Stations,Repair 2. nters BOARD OF HEALTH O isfactory 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY �{ � (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS Class: � 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS 1 groun IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel(A) Diesel, Kerosene, 2 (B) Heavy Oils: , waste motor oil (C) b(- new motor oil(C) transmissio ydraulic Syn etc Organics: degreasers Miscellaneous: Eby&.. V4 C te —�� U DISPOSAURECLAMATION REM ARKS: 1ARKS: I 1. Sanitary Sewage 2. Water Supply �1O � G G file O Town Sewer Public / C XOn-site O Private kA,7 a) M 4 3. Indoor Floor Drains YES NO � � v O Holding tank:MDC O Catch basin/Dry well Ly O On-site system 4. Outdoor Surface drains:YES NO QA.:1_0 1160e - O Holding tank:MDC 2-?s.- O Catch basin/Dry well O On-site system - Ott 5.Waste Transporter Name of Hauler1 ' ' d n�0 �"�� YES NO -.2. 11 Af f lo—) Person (s) Interviewed Inspect r , Date TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair nters BOARD OF HEALTH O satisfactory 3.2.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANYOA (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS (;lass. 7.Miscellaneous �� QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MA�RIALS Drums Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel(A) Diesel, Kerosene, #2 (B) to motor oil ( ' transmissio Y draulic Synthetic Organics: degreasers Miscellaneous: "Sve -Po WG cla AwmINvin wAS DISPOSAL/RECLAMATION REMARKS: WO W ;3tgD 9 A � 1. Sanitary Sewage 2. ater SupplyAu PAS 6 / l' Town Sewer VPublic On-site I&rivate 3.Indoor Floor Drains YES N0 O Holding tank: MDC O Catch basin/Dry well O On-site system ° 4. Outdoor Surface drains:YES NO ORDERS- 0 Holding tank: MDC 4 �Ls 66_ g O Catch basin/Dry well ALL, aXPe O On-site system t - ­I d&. I 5.Waste Transporter Name of Hauler Destination Waste Product 2. Person (s) Intervie ed Inspec ` e YOkfC ND HAZA tDOUS MATERIALS REGISTRATION FORM NAME-OF BUSINESS: c d S Mail To: BUSINESS LOCATION: 5 Board of Health Town of Barnstable �MAILING ADDRESS: u e P.O. Box 534 TELEPHONE NUMBER: Hyannis, MA 02601 CONTACT PERSON: UDs tm:e R �-_) r v1 EMERGENCY CONTACT TELEPHONE NUMBER: 602� 3(�'3 1 Z L5 0 � Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quant' ies totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES VNO 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 &_q Antifreeze (for gasoline or coolant systems) Drain cleaners o�SOQ Automatic transmission fluid Toilet cleaners JJ Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants _160a 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): (dry cleaners) ) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy- Health Department/ Canary Copy-Business Date: TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: a ri z't A Al ALL'I ) _-0fa; l BUSINESS LOCATION: L.vem&4 t1 jz T/ - S MAILING ADDRESS: tO 7 Mail To: TELEPHONE NUMBER: 5 09 '7 f D 0 7`,2�7 Board of Health Town of Barnstable CONTACT PERSON: P.O. Box 534 EMERGENCY CONTACT TELEPHONE NUMBER: �509 E6 2..3 1?i!V Hyannis, MA 02601 TYPE OF BUSINESS: Does your firm store a9yof 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 otherthan your mailing address: , ADDRESS: �Jr �'►C1/ (- -c d�� "lT/ �►'.�'i� a_ ' 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 J,�NEW USED Cesspool cleaners jeg,s _Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants _ mat Motor oils Pesticides _jf-:�' EW USED (insecticides, herbicides, rodenticides) 5 Gasoline, Jet Fuel Photochemicals (Fixers) 5r)& Diesel fuel, kerosene, #2 heating oil NEW USED 3 (2 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 TO ALL NEW BUSINESS OWNERS 1 a Fill in please: APPLICANT'S YOUR NAME: 6;/{GOS 5 >,4 1 ► 0 BUSINESS YOUR HOME ADDRESS: 26L/Z (2 4 YC 1 TELEPHONE Telephone Number (Home) n Q 2(2 -9377 NAME OF NEW BUSINESS i L , A/!l Au`+0 44 H OA, 2 TYPE OF BUSINESS IS THIS A HOME OCCUPATION? �© ADDRESS OF BUSINESS /G/If^�� S MAP/PARCEL NUMBER � f'.�." (17 When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. Once you have obtained the required signatures, listed below, you may apply for a business certificate at the Town Clerk's Office (Ist floor- Town Hall). 1. GO TO BUILDING INSPECTOR OFFICE (4TH FLOOR TOWN HALL) This individual has b i forme of , y permit requirements that pertain to this type of bL!siness. Authorized Signature COMMENTS: 2. GO TO BOARD OF HEALTH (3RD FLOOR TOWN HALL) This individual ha een informed f t ermit requirements that pertain to this type of business. ao � Authorized ignature 1 A. COMMENTS: 3. GO TO CONSUMER AFFAIRS (LICENSING AUTHORITY) - (3RD FLOOR SCHOOL ADMI ISTRATION BUILDING) This individual has been informed of the licensing requirements that pertain to this,type of business. Authorized Signature COMMENTS: ' After obtaining the required signatures you must return to the Town Clerk's Office to obtain your business certificate (cost $20.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you must do by M.G.L. - it does not give you permission to operate - you must get that through completion of the processes from the various departments Involved.