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HomeMy WebLinkAbout0332 IYANNOUGH ROAD/RTE 28 - Health 332 Iyannough Rd%Rte _ Hyannis A = 328 - 072 I i A Date: ///Ax¢/�o TOWN OF BARNSTABLE � TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS:— �IA/v Z 6- BUSINESS LOCATION: -Z A14 NVIS INVENTORY MAILING ADDRESS: 04S E TOTAL AMOUNT: TELEPHONE NUMBER: 114 _ -7/ CONTACT PERSON: .Jf1RES 4-i'/AiS EMERGENCY CONTACT TELEPHONE NUMBER:•J+,,4V4 x,/AfS 01-31ll-JLI V O MSDS ON SITE? Av.4ic.agte v1 TYPE OF BUSINESS: Au?y 1-21+a7_S L Iqi I CS Coaou 7b A-"- INFORMATION/RECOMMENDA IONS: ,(/6t�s:OA/e �G°Ore-b4Q"u ®1350e Fire D strlct�: ExnA)C,yisNt7t P D*-7z0.5 DR t3so PEd1T A-V,+E-JLAALE 6J.s/R, �i ll 7a �/ `/ �4 � Vd9-J0/d MF ZA'e& s 14AIZ-XIAt- is Pos r!A�&AJ77, 4 PZ,�'xJ is Pa 57FD. Waste T--at}---%* igR"A��ARo0o0/G30-3 Last shipment of hazardous waste: /d _ Name of Hauler- 54f L-cE Destination: SkGe-rY KLZ--5i0 UAdS9->d , R Waste Product: 6ls"o d14. Licensed? es No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum _ Antifreeze (for gasoline or coolant systems) Misc. Corrosive 33 NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (He#t ) a77 PCvAf6s Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides °�j NEW /7O USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED /17 Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Caulk/Grout 399'5A Swimming pool chlorine �'�. 0A/.S/7r Ar A S Battery acid (electrolyte)/Batteri c7.*u.oais kcw Lye or caustic soda P, 13A H05T caht'eus;tgc�S Rustproofers Misc. Combustible L-15T�'7) .-s a/L/ Car wash detergents Leather dyes h"Ah"7Vc t�`{ S/7120� Car waxes and polishes Fertilizers Asphalt & roofing tar p,�� , cF PCB's /�fAIT/S - Paints, varnishes, stains, dye �i�V; Other chlorinated hydrocarbons, Lacquer thinners sP�fr ` (inc. carbon tetrachloride) NEW USED Any other products with "poison" labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor &furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers -rDXIC (�� ►.�'rS Sla�4l latJS (including bleach) 13tG ���,tp��—���C �►�-t2S I ���i � '�� Spot removers &cleaning fluids tM l S L STD F-W I b A-D A i n VrS /77?-&- k-THM- TS 1 (dry cleaners) D6 Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS 3 3 � ?`'Zl - �3 - �,� tom✓ 3���ti�.GLvw� 1 _ _ OIL 'WASTE Of) OIL FILTERS AN T-FREEZE. WASTE ANITFREEZE N GASOLTNE WASTE GAS DIESEL FUEL WAY FLUID ATF l HYDRAULIC/ misc. MISc. MISC. MISC. BRAKE FLUID COMMBUSTIBLE FLAMMABLE RIB IVE PETROLEUM AR-49W GREASE/ UB ICAT� t � Z FREON ACETYLENE CAR WAS I3[ CAR WASTI p Tg/ WAX DETERGENTS THINNERS SEALANT CLEANING BATTERIES/ POISION/TOXIC CAULK/GROUT SOLVENTS BATTERY OV/ ACID FERTALIZERS WASTE SOLVENT BLEACH DISH WASH AND MSDS DETERGENTS �Z7 ; MANIFESTS 93 SP/wl�ii- Srx &177k)C csxl n o •, L' C� 1 `h Please print or type,(Form designed for use on elite(121*ch)typewriter.) UNIFORM HAZARDOUS t Gerreretor ID Number 2 P 1 of 3.EForm Approved.OMB No.2050-W39 WASTE fiMANIFEST MAR00001630,iy Response Phone Yen /T�mclrinp Nrnnbw 5.Ger>arator a Mama and MaiWrg Address 1 �11 ;1: R 17�►V I } CEX AUTOZONE: # 316U SiteAddress(ifdiflerentme maiBngaddress) 33;' ROUTE 38 HY0041, MA 00). 2037 cmtors Plane: 508-7"1-?3"l 6.Transperier 1 Comps Name SAi F T 1-hLErh SYSTEMS, INC. U.S.EPA IDNhlrrbr TXRO00Cl!;0g30 7.Trensperter 2 Company Name U.S.EPA ID Number 6.Designated Facility Name and Site Address SAFETY-I(LSTR SYSTEMS, INC, f}4Cl�{c� U.S.EPA IDNumbert 16'7 MILL STRtF° (;RA�PB Tghi R t o?Yasa R1 401'-181-•0801t 008480284;? Fed.'s Phone: ga. 9b.U.S.DOT Desg9Q5on(including Proper Shipping Name,Hazard Class,tD Number, 10.Containers HM and g Group(if any)) 11.Total 12.Unit 13.Waste Codes MAW.1 No. Type Quantity 1J�s=.O OIL (MADEP MA9U - (OFF SPEC'.. } 1 TY (, !'1A9'C� R0!;w:;T U9001' HAZARDOUS MATER.14L) � 2 3. 4. 14.SpecialHarndlirhglnstrucgoresandAdditiomaflntormeC Sk TRCK0110913520 '0039884'164 000950285'e 0?41. .f 4 Sk IT .7_ t _ : 398540 EN f' 15. GENERATOW1110FFEROR'S CERTIFICATM: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name,and are classified,packa*, mwlhed and lebeled/ptacarded,and are in all respects In proper condlton for transport according to applic"international and national governmental regulations.If export shipment and i am the primary Exporter,I oertity that the contents of this consignment conform to the Mmhs of the attached EPA AclwaA4gment of Consent. I cartify that the woo minimization statement iderNNted in 40 CFR 262.27(a)(if I am a large We"generator)or(b)(f I am a small quantity generator)is true. Generatoes'OHeroes PrkWffyped Name ' nature Monhn Day Year 16.In*nabonal Shipments n _ iJ Ir�rt to U.S. ❑Export from U.S. Port of entry/exit Transporter signature(for exports orrly): Date leaving U.S.: 17.Transporter Acknowledgment of Receipt of Materials Trensporter 1 PrinteCyped Name Signedxe Month Day Yeer Trio Month 2 PrinEsd/Typad. natuib' nth Day Year 1 a.DrAepenky 18a.Discrepancy Mndicabcrh Space ❑ Qh"tity ❑Type ❑Residue Partial Rejection �NO RejekAoh Manifest Reference Number: 18b.Ahemate Fadlity(or Generator) U.S.EPA ID Number Fadlity's Phone: 1 k.%natwe.of Alternate Fad*(or Generator) Month. Day Year f 9.HBLardCUS Waste Repot Ihanag tad Codas(i.e.,codes for hazardous waste troa rner+t.disposal,and racyding systems) 1 2. 3 a. Operator.Certification of receipt of hazardous materials covered by the manifest except as noted in hem 16e Month y ear 20 Desgnated Facilityl)wner w C>pera tore nn GStJERATOR'S INITIAL COPY cow c at&221Rev.3-05) Previous editions are obsolete. 4 Town of Barnstable oFtHe tqw Regulatory Services Thomas F. Geiler,Director Public Health Division * BARNSTABLE, * Thomas McKean,Director MASS. $ 200 Main Street f, ArFD MA'1 A� Phone: 508-862-4644 Email: health@town.bamstable.ma.us Fax: 508-790-6304 Office Hours: M-F 8:00—4:30 May 1, 2007 Mr. Dan Freda Auto Zone 332 Iyannough Road Hyannis,MA 02601 Dear Mr. Freda: Thank you for your time and cooperation during the hazardous matchals inventory and site visit at Auto Zone on April 3,2007. This letter contains information from that visit that will help you become compliant with Chapter 108 of the Town of Barnstable Ordinance: Hazardous Materials. Enclosed are copies of the Toxic and Hazardous Materials On-Site Inventory form from the site visit, Chapter 108: Hazardous Materials Code and an application for the hazardous materials permit for 2007-2008. Please note the observations identified at your place of business during the hazardous materials inspection listed below: OBSERVATIONS: • The annual Hazardous Materials Permit has not been obtained. Please obtain the Permit for 2007-2008 by filling out the enclosed application and sending it to the address noted. This permit will expire on June 30, 2008. Please ensure we receive a payment and application for the 2007-2008 permit by July 1, 2007. • Waste oil tank is properly labeled. • Fire extinguishers are serviced. On Site Inventory Total The Toxic and Hazardous Materials On-Site Inventory from April 3, 2007 shows that you have approximately 3557 gallons of toxic and hazardous materials being used, stored, generated and disposed of at Auto Zone, 332 Iyannough Road,Hyannis,MA(Please see enclosed Toxic and Hazardous Materials On Site Inventory sheet). If you have any questions about these problems,the orders and recommendations, or you need further information, guidance or assistance,please do not hesitate to contact the Public Health Division. t Sincerely, I Alisha L. Parker Hazardous Materials Specialist All orders to correct violations of Chapter 108 of the Town of Barnstable Ordinance:Hazardous Materials shall be comple upon receipt of this letter. omas A. McKean, S. CHO Director of Public Health Cc: Auto Zone Home Office Enc. On-Site Inventoryco (copy) Application Chapter 108: Hazardous Materials •.-� .� �/� / � TOWN OF BARNSTABLE Date: TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY 011j7) NAME OF BUSINESS: 7,c u - - BUSINESS LOCATION: • / INVENTORY MAILING ADDRESS: INA 02:501 TOTAL AMOUNT: TELEPHONE NUMBER: CONTACT PERSON: II EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: INFORMATION/RECOMMENDATIONS:xa�i-i)I. -i-y1 6.1IM'd nlIS Fire District: 1 � . Y L ► _ �� ,r/ Mb I ALA 9,ff iIA',' _ 0i, , aMh 01 Waste Transportation: Last shipment of hazardous,waste: Name of Hauler.• 1✓ Destination, Waste Product: License Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111� Gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed/Maximum Observed/Maximum Antifreeze (for gasoline or coolant systems) Misc. Corrosive xiNEW , iNEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants ' Motor Oils Pesticides & NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc. Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt & roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (inc. carbon tetrachloride) NEW USED Any other products with "poison" labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor&furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers EVEWindshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS r"E ov'1 OIL ATE OIL OIL FILTERS ANTIFREEZE WASTE J l8 ZOO tQ t�i- t�b 18 ANITFREEZE -fNt- 1►► � � � C� ��. pµ,CE WASTE GAS DIESEL FUEL W/W FLUID'V4 ATF 11 x� ► 30 of HYDRAULIC/ MISC. MISC. MISC. MISC. BRAKE FLUID COMMBUSTIBLE FLAMMABLE CORROSIVE PETROLEUM dl1C jj,u�� �jj1 11L[�oy1 / (GEAR OIL/GREASE LUBRICANTS) 49 FREO ACETYLE CAR WAS$ CAR WASH PAINTS/ WAX DETERGENTS i�T�HINNERS I I 0 SEALANT CLEANING BATTERIES �PL+)1ibSf0%*f4H4-0-X+e CAULK/GROUT SOLVENTS BATTERY q L� ) ACIDtD'''''' FERTALIZERS WASTE OLVENT q� DISH WASH AND MSDS I DETERGENTS C �-��`"vo MANIFESTS i,eD Id-f/� 4flt ii ` i TOWN,OF BARNSTABLE COMPLIANCE: CLASS: 1. Marine,Gas Stations,Repair nters BOARD OFF HEALTH satisfactory g.A to Body Shops unsatisfactory- 4.Manufacturers C MPANYI�- (� O (see"Orders") 5.Retail Stores �( 6. Fuel Suppliers ADDRESS C —.S Z ass: 7. Miscellaneous M4 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: DISPOSALIRE;LAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply 1 `V Town Sewer oPublic t1 O On-site OPrivate 3. Indoor Floor Drains YES N0�"l �-- O Holding tank:MDC O Catch basin/Dry well Vf _ i O On-site system 4. Outdoor Surface drains:YES N0� ORDER S O -Q- ��. O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product Licensed?, 2. Person(s) Interviewed vInspector a e 22 •P _ 3 Zg �7Z TOWN OF BARNSTABLE COMPLIANCE: CL ne;Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops _ n 0 unsatisfactory- 4.Manufacturers COMPANY �4�Q(�1� (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS a lass: S 7.Miscellaneous f QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MAT MATERIALS Case lots Drums Above 1anks 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) 7 x new motor oil(C) transmission/hydraulic � Synthetic Organics: degreasers a4i* isce eous: .w q i.4s �f v `-90 r ~ DISPOSALJREC;LAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply 071t O Town Sewer ublic AOn-site OPrivate 3. Indoor Floor Drains YES NO O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES2!�__NO O Holding tank:MDC Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product YES NO 1. Y6&v- 2. Ak erson(s) Interviewed Inspector Date tA" /(7 TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops rr9' ass: 2ee tisfactory- 4.Manufacturers COMPANY k "Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS �- 7.Miscellaneous ;ViQUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) M MAJOR MATE LS Case lots Drums Above Tanks Underground I JOUT IN OUTI IN OUT I#&gallons Age Test Fuels: Gasoline,Jet Fuel(A) Diesel, Kerosene, #2 (B) Heavy Oils: I waste motor oil (C) new motor oil(C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: 0 `> 9 1� I ILL I I I DISPOSAURE TION REMARKS: �I� • 1. Sanitary Sewage 2.Water Supply (Allyf 4) ta4 "� O Town Sewer ublic 6 " r tl. aaw �On-site OPrivate 3. Indoor Floor Drains YES - N04 O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES--KN0 O ERS: O Holding tank:MDC A4 Catch basin/Dry well ale On-site system `� 5.Waste Transporter Name of Hauler Destination Waste Product YES NO 1. 2. Person(s) Interviewed Inspector ate TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: NAME OF BUSINESS: n��r �� 52 iRP -�}- CRV- Board of Health MAILING ADDRESS: 3 Z' J-\tn►vn$k R u— nmj� AA 0101 Town of Barnstable TELEPHONE NUMBER: r779 -'-I,- ao P.O. Box 534 --� CONTACT PERSON: �aS2pt� �Se.n9S4-ur't-nL Hyannis, MA 02601 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities tota ' g, 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 characteristics and must be registered lease put a check beside each product that you store: 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): (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business E TOWN OF BARNSTABLE OMPLIANCE: CLASS: 1.Marine,Gas Stations,IYepair satisfactory 2. Printers BOARD OF HEALTH 3.Auto Body Shops 0 unsatisfactory- 4.Manufacturers COMPANY V z, (see"Orders") 5.Retail Stores � Fuel Suppliers ADDRESS �,. L Class: < Fuel Suppliers Miscellaneous _ IES AND STORAGE (IN= indoors;OUT=outdoors) MAJOR MAT IALS , 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: DISPOSAURECI AMATION REMARKS: 1. Sanitary Sewage 2. ater Supply Mown Sewer Public l . 0 On-site OPrivate 3. Indoor Floor Drains YES NO 0 Holding tank:MDC 0 Catch basin/Dry well 0 On-site system , 4. Outdoor Surface drains:YES___NO ORD RS: 0 Holding tank:MDC O Catch basin/Dry well 0 On-site system 5.Waste Transporter Mime of Hauler Destination Waste Product 1. YES NO 2. Person (s) Interviewed ns ector / Date TOWN OF BARNSTABLE C MPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers i BOARD OF HEALTH 3.Auto Body Shops J unsatisfactory- 4.Manufacturers COMPANY^ d (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS ! — lass• 7.Miscellaneous jRjqANTITIES AND STORAGE (IN= indoors;OUT=outdoors) MAJOR MATERIALS 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) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: DISPOSAI./RECLAMATION REMARKS: 1. Sanitary Sewage 2.W ter Supply Town Sewer Public O On-site OPrivate G - 3. Indoor Floor Drains YES�NO O Holding tank:MDC � '�` ' O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: rs- O Holding tank:MDC O Catch basin/Dry well O On-site system C 5.Waste Transporter N�ftne of Hauler Destination Waste Product .. YES NO A zvz/ 4&tli�e 2. Person s) Interviewed Inspector' Date ;3`� AfIV-1 Ale, J �j TOWNrOF BARNSTABLE jCOMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD,,. satisfactory 2.Printers OF HEALTH 3.Auto Body Shops unsatisfactory- 4.Manufacturer`s o COMPANY (see"Orders") 5.Retail Stores ��}},, 6.Fuel Suppliers ADDRESS 1� %�$ & "Class: 7.Miscellaneous UANTITIES AND STORAGE (IN= indoors;OUT=outdoors) MAJOR MATER►LS Case lots L)rums Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: —Gasolirre JetFuel=(A- •-- "Diesel;K&rosen,e;#-2-(&)--' -. -Heavy Oils: / waste motor oil(C) ✓J� new motor oil(C) Fj transmission/hydraulic Synthetic Organics: 41 degreasers rV � . Miscellaneous: . 0 CIO:) 6 - 0 A rald DISPOSAIJAECLAMATION REMARKS: 1. S Mary Sewage�� 2.�W,�ter Supply � Town Sewer c0'Public O On-site /OPrivate 3. Indoor Floor Drains YES NO 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 92 O On-site system 5.Waste Transporter ProductName of Hauler Destination Waste w YES NO 2. J Person(s) Interviewed Inspector Date TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,-Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops unsatisfactory- 4.Manufacturers w. COMPANY A U �' O (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS 7.Miscellaneous �` .t,, �Q ANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERkS Case lots Drums Above Tanks Underground Tanks b IN OUT IN OUTI IN OUT #&gallons Age Test Fuels: i Gasoline Jet Fuel (A) j Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: z degreasers s Mi cells ous or j DISPOSALIRECLAMATION REMARKS: 1. Sani4ry Sewage 2.Water/supply O Town�,Sewer OPublic ✓' Q On-site OP..r'ivate 3. Indoor Floor Drains YES NO i O Holding tanks MDC��` O Catch basin/D�:y well O On-site system f\ , 4. Outdoor Surface drains:YES NO ORDERS. Q Holding tank;,DC O Catch basin/Dry well O On-site'system 5.Waste Transporter Nifnie of Hauler Destination Waste i Product YES N0 1. .17 2. f .�. 47-- Person(s) Interviewed Inspector Date TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Rep r 2.Printers satisfactory BOARD OF HEALTH 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY �014 �QQ O (see"Orders") 5.Retail Stores �/ 6.Fuel Suppliers ADDRESS 3?Z tti.� C18sS' J 7.Miscellaneous OWVAWO 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: Z7 0 YL waste motor oil (C) c&K 4. new motor oil(C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: C� Al 1 iev W pov,0 t w� ►-w i o DISPOSAIJRECI AMATION REMARKS: 1. anitary Sewage 2.Water Supply S -3 r�f S i/�j 1 f� t rf�icq Town Sewer Public �a 6 ��� 73 Q , O On-site OPrivate >s,;�abvd� 3. Indoor Floor Drains YES NO O Holding tank: MDC at,u A&4 o-,&t r,et y°C(r' d C/r/ • ✓;e.c O Catch basin/Dry well /4 S� o�-�'I 4e Q�C Gz�e,✓ �•�v eu ern O On-site system A,u St;&t o 4. Outdoor Surface drains:YES-A'NO ORDERS: O Holding tank:MDC O Catch basin/Dry well On-site system 5.Waste Transporter Name of Hauler Destination Waste Product 1. Cil '� 3/� io Y et/��iv�y � No 2. 9Q Person (s) Interviewed Inspect6r Date AaA--v Q Ol,)e9. \OI1��44I,1: L ETIME WARRANTY I / Thousands of parts ® guaranteed for as long as you own your car. I NAM & 0I L,�CArV-, PHONE TOWN OF BARNSTABLE fsatisfactory MPLIANCE: CLASS: 1.Marine,Gas Stations,Repair 2.Printers BOARD OF HEALTH 3.Auto Body Shops pp /� unsatisfactory- 4.Manufacturers r COMPANY�stly 6�L� � ' (see"Orders") 5.Retail Stores Ir 6.Fuel Suppliers ADDRESS Class: 7.Miscellaneous QUANTITIES AND STORAGE (IN= indoors;OUT=outdoors) MAJOR MAT IALS IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) L��Itxf4v Diesel, Kerosene, #2(B) Heavy Oils: waste motor oil (C) new motor oil( ) transmission/hydraulic Synthetic Organics: degreasers gcaneous: � G DISPOSAVRECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply O Town Sewer ublic � O On-site Private 3.Indoor Floor Drains YES NOZ 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 YES NO r Person(s) Interviewed Inspector Date