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Home My WebLink About0219 MAIN STREET (HYANNIS) - Health 219 lVlain ,Sfre, ' r , ) The.Maol S '"•. r• ..: . Hlyarrn[•� hoppe� � II �I o f Date: a r( do'-1 TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: dl::�i e BUSINESS LOCATION: ` f +r) : n h r`s U r 6 0 1.MAILINGADDRESS: A y��' o Mail To: Board of Health TELEPHONE NUMBER: 5 0k Town of Barnstable CONTACTPERSON: P.O. Box 534 EMERGENCY CONTACT ITELEPHONE NUMBER: 5?S' '1A Hyannis, MA 02601 TYPEOFBUSINESS: Does your firm store any of the toxi 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(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 RECE1V (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 h ating�rrI ` `'� ' NEW USED Other petroleum products: roF BH, 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 q 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 Date: QCk TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: V ' BUSINESS LOCATION: MAILINGADDRESS: I E ' Mail To: Board of Health TELEPHONE NUMBER: o b 1 1 Z Town of Barnstable CONTACTPERSON: P.O. Box 534 EMERGENCY CONTACT TELEP�ONE NUMBER: Cog 19.E_ ��— Hyannis, MA 02601 TYPE OF BUSINESS: 1 \ V\ Does your firm store any of the toxi or hazardous materials listed below, either for sale or for you own use? YES NO —j 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:��GVih 'L4 IJAI/1A91'� MP\ 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 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 V Asphalt & roofing tar Fertilizers GqVO4 Paints, varnishes, stains, dyes PCB's I_ti �1 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 i Date: -7' a Y-03 TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: The. hLi 5LPPe_ BUSINESS LOCATION: 019 mG;n S+. MAILINGADDRESS: all m(. h St_ Mail To: TELEPHONE NUMBER: So - 77& ' y1 55 y , Board of Health Town of Barnstable CONTACTPERSON: nni rnb4c P.O. Box 534 EMERGENCY CONTACT TELEPHONE NUMBER: Hab- FI dfi-L x-vj Hyannis, MA 02601 TYPEOFBUSINESS: mc.-A 5c,10r1 . Does your firm store any 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 otherthan 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 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 x (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 monornc_ r kiou;l �Afcry I�cl (dry cleaners) Other cleaning solvents Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS -. • -.r r.. .a � s✓ -ring'•.-'. �� i -"--ti`_„r+y .-a.., .X.Fr..�= , Ls: Date: - a C1 - (J TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS- T b - �Ja-k � 5 L PD ff_ BUSINESS LOCATION: ,' a mu;n 51. �. MAILING ADDRESS: 11 5 t. Mail To: Board of Health TELEPHONENUMBER: SUS " ��8 " �I 5 5 �) Town of Barnstable CONTACT PERSON: y P �� 1 P.O. Box 534 EMERGENCY CONTACT TELEPHONE NUMBER: Hyannis, MA 02601 TYPEOFBUSINESS: -t ' Does your firm store any of the toxic or hazardous mat`enalsjistgd below, ith . sfor sale or for you own use? YES NO This form must be returned to the Board of HIth regard e 'of arye orno ansrer:.U'se the enclosed envelope for your convenience. If you answered.YES above, please indicate if the , ate iq%V restored at,a sitdbther than your mail ng.. address: _ �b'.�: ADDRESS: �--' •, ti - + TELEPHONE LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit o�c hazardous character- x, istics and must be registered regardless of volume ,Please estimate tlj&,tu- 'ty beside the product that you store. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity ��__�_. ` Quantity , �- C Antifreeze(for gasoline or coolant systems) Drain cleaners NEW USED Cesspool cleaners i Automatic transmission fluidDisinfectants ._ . - Engine and radiator flushes.,. ` X T ... .:,` Road Salt=(Hafte)- Hydraulic fluid (including brake fluid) Refrigerants Motor oils Pesticides NEW USED (insecticides, herbicides, rodenticides) j Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED Other petroleum products: grease, Photoehemicals (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 Rustpr.,00fers Lye or caustic soda w: Car wash detergents . Jewelry'cleaners Car waxes and polishes ' Leather dyes Asphalt & roofing tar Fertilizers, n Paints, varnishes, stains, dyes PCB's\ .h ' Lacquer thinners q Other chlorinated hydrocarbons,,. NEW USED .. _ „ (inc'. carbon tetrachlonde)- Paint &varnish removers, deglossers Any<other products with ",poison" labels - - Paint brush cleaners (including chloroform, for aldehyde, Floor & furniture strippers M k hydrochloric acid, other acids) Metal polishes . Laundry soil & stain removers V Other products not listedywhich you feel (including bleach) may be toxic or hazardous (please list): Spot removers & cleaning fluids (dry cleaners) Du r Other cleaning solvents 3 e-O CA� '�<< r � �r w% P r> Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS CREATI \/E NAIL ®ESIGN® June 3, 2002 Dear Customers: It has come to our attention that there is concern regarding whether Creative Nail Design artificial nail products contain Methyl Methacrylate liquid (MMA). Creative Nail Design products do not and have never contained MMA liquid. In fact, since the start of the company in 1979, Creative Nail Design has worked aggressively to educate salons on the dangers of using MMA liquid. Creative Nail Design is known not only for its high standards, but also for state-of-the-art products specifically designed to preserve the health of natural nails while creating beautiful artificial nails. John Heffner President ' C u�"t 1 e re r_r_�o..��✓ c ju-5 r(f-rA-)OUe— 6a s.� C o ez �- —Fo _ �-4 p r_t y- l,e ,N_ s'l s �o1 -A r_e._m.o v e r Sad c.+i bon vY) e r ;�o1�� _ .. j � ti_ r ;.. � � z. . � � �-f r � � t Z�r t r i � . 4 �. � 10 1 � ' ` � F � � r 1_ r. 1 L �� ' � • 1