HomeMy WebLinkAbout0259 BARNSTABLE ROAD - Health 259 Barnstable Rd
Hyannis ,
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THE COMMONWEALTH OF MASSACHUSETTS Entered in compute
.PUBLIC HEALTH DIVISION - TOWN OF BARWTABLE, MASSACHUSETTS es
ZIpprication for �Digpozal *V! t5 con!gtructton Permit
l�ication for a Permit to Construct( ) Repair( ) Upgrade( ) Abandon Complete System ❑Individual Components
Location Address or Lot No. Owner's Name;Address,and T kNo.�z
Assessor's Map/Parcel M-2,I o P I �{�j l�f}I/I i) 'k 0A-1 y 2 3 V S V�,•
Installer's Name,Add% ss,and Tel.No. Designer's Name,Address and Tel.No.
3 Z ry1 l wt.v�77
Type of Building:
Dwelling No.of Bedrooms 1.0— Lot Size sq.ft. Garbage Grinder ( )
Other Type of Building (1 2 No.of Persons Showers( ) Cafeteria( )
Other Fixtures ";
c� e'
Design Flow(min.required) f �/�-- gpd Design flow provided e" gpd
Plan Date Number of sheets Revision Date O
Title C7
Size of Septic Tank Type of S.A.S.
Description of Soil yY;
.,
Nature of Repairs or Alterations(Answer when applicable) O
Date last inspected: fit AJ ll'—'Al0 vld
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 o nvironmen I Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Bo d of H alth.
Signed Date /w J Z U �—
Application Approved by �/�/•_ Date. 3 6 S
Application Disapproved by: Date
for the following reasons
Permit No. GU3 Date Issued
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
(Certificate of Compliance 1-pair-04 viol
IS IS T ERTIFY,that th On ite Sewage Disposal System Constructed ( .) Repaired ( ) Upgraded ( )
Abandoned y CAS -
=�j ►�c�ys s,�� has'been constructed in accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. 2W dated ('2 5 otr
Installer I Designer
#bedrooms �/ Approved design flow N gpd
The issuance of this permit shall not be construed as a guarantee that the system will function as designed.
Date Inspector
2.
T_4"I-
No::. �017� �111 1 F d 1 1a �3 US/ Feel yu '
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer. c�
PUBLIC HEALTH DIVISIOlNt;i T I.,WN OF BARNSTABLE, MASSACHUSETTS \Yes
01ppYication for �Xgpoga[ *nAbandon
ougtructiou Permit
Application for a Permit to Construct( )! Repair( ) Upgrade( ) /Complete System ❑Individual Components
Location Address or Lot No. Owner's Name,Address,and Tel.No.0O Z
2 S `� L2 f12 ry s T�9 t L 2 /2 ►� 7-U�J�v �J.i /1 2 ti c 7-rr E
Assessor's Map/parcel YA_�I () 1 �:F 4 �G i�/I-r/l a �,�/ +.(�.v �/ 3 v 'S U 4
Installer's Name,Address;and Tel No. �- Designer's Name,Address and Tel.No.
vin cv,-A T-/J"
.Type of Building:
+.> Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder ( )
Other Type of Building 2 46 No.of Persons Showers( ) Cafeteria( )
Other Fixtu?g '
Design Flow(min.required) gpd, Design flow provided gpd
Plan Date Number of sheets Revision Date
Title
w Size of Septic Tank Type of S.A.S.
Descripiion of Soil
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected: lA A.) ( �'
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the,provisions of Title S;o,thef riv ronmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Bo d of Health'.
Signed Date
Application Approved by _ Date — o�
�Ml..
� ..
Application Disapproved by: Date
for the following-reasons
Permit No. GUS Date Issued , I
'---=------------ -------------
THE COMMONWEALTH,OF MASSACHUSETTS _
BARNSTABLE, MASSACHUSETTS"
Certificate of Coinp hance w�J ,
CTHIS IS TO ER'TAI/FY,that th On-site Sewage Disposal System Constructed ( �)" Repaired ( ). Upgraded ( )
Andone )' y UvQ, � ✓�^ �S -a_ has been constructed in,accordance
with the provisions of Title 5 and the for Disposal System Construction Permit No. �GUs- dated Z1231 u f
Installer Designer
#bedrooms Approved design flow N gpd
The issuance of this permit shall not be construed as a guarantee that the system will function as designed.
Date Inspector
--------------------------
NO.
THE COMMONWEALTH OF MASSACHUSETTS s
PUBLIC HEALTH DIVISION—BARNSffB,LE, MASSACHUSETTS
1=i5Poga1 �ipgtem' Cow5tructiou P"er .it/-
i Abandon
Permission is hereby granted to Construct O )J/ Repair ) < Upgrade f )'; ,
System located at � I�Cif/�r 7 Jolt' 1��
and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty
to comply with Title 5 and the following local provisions or special conditions.
Provided: Construction must be completed within three years of the-date_of-th!70bkA_.1
Date (� ' 3/G�� Approved by
1, 1 r ��v°S C v✓1 c,���' -+'��I lr'U'r �) ��D�' yG T 1'
M Sf C� f Ir y
Message Page 1 of 1
Agostinelli, Joan
From: Agostinelli, Joan
Sent: Monday, November 07, 2005 2:19 PM
To: Andres, Neil
Cc: McKean, Thomas; Crocker, Sharon
Subject: Abandon - Permit Septic Construction
Neil:
As we discussed, we are waiving the installer permit fee of$75.00 and the administrative fee of$100.00 for
new applicants.
You do need to take the exam and provide references to obtain your permit for 2005. 1 have sent you the
paperwork along with the State Regs booklet and the Town regs for Title 5.
The abandonment permit does require however a transfer of funds of$25.00 to Charge code -650140 Org
Code 016501 and Project Code 433010 (Septic (Disp. Construction) Health Division.
If you have any questions, please do not hesitate to contact us.
Joan
- f
11/7/2005
Message Page 1 of 1
Agostinelli, Joan
From: Agostinelli, Joan
Sent: Monday, November 07, 2005 9:09 AM
To: McKean, Thomas; Stanton, David; Crocker, Sharon; Desmarais, Donald
Subject: Town Installer
Everyone:
The name of the town installer is James De Christofaro. He applied when he worked for Structures and
Grounds in April 2004 and fees were done by accounting transfer. This year he works at the Airport. I'll change
the address on his license to the Airport.
He can be reached at 508-778-7772.
Joan
P. S. I spoke with Neil Andres in Highway and he said he does not want to go through the Airport person as the
installer(something to do with union issues)extension 6330. He wants to take the exam and he says Tom that
you know what qualifications he has. I told him he would have to take the exam and then go before the BOH.
Tom -Are you willing to waive appearance before the BOH and what about references and the new application
fee? I am sure he will send the$75 for the license but do I pro-rate it since it is November and send him renewal
for 2006. He says the work needs to be done in a matter of weeks.
11/7/2005
Stanton, David
From: Stanton, David
Sent: Friday, December 23, 2005 9:53 AM
To: Andres, Neil
Subject: 259 Barnstable Road, septic abandonment
Good Morning Neil,
Tom gave the OK to issue the permit, and waive the fee this morning. The permit is all set, I will leave it in the outbox for
you. So you can abandon it whenever you want. Once it's filled in,just call in for an inspection, and Don will go out and
check it. Just call the main line (508) 862-4644, and let them know you need a septic inspection, give them the address,
and the permit number, which is 2005-642. Don goes out after 1 PM everyday for inspections, so just call in the morning
time after at has been filled in, and he will go out in the afternoon to check it out.
,I
Merry Christmas,
David
I
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PS Form 3800,July 1999.(Re4rse) i`\\ ,. ,N 102595-99-M-2087
,(SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3.Also complete A.
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PS Form 3811,August 2001 Domestic Return Receipt 102595.01-M-2509
UNITED STATES POSTAL SERVICE First-Class Mail
Postage&Fees Paid
USPS
Permit No.G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
Bcwd of
Town of
200 Main St
Hyannis,Mass9chusft OM
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A V VV it V 1 "41 113 LA
Regulatory Services
Thomas F. Geiler,Director
Public Health Division
9'"u'„Q Thomas McKean,Director
039. e► 200 Main Street, Hyannis,MA 02601
FD MA'S
Office: 508-862-4644 !p Fax: 508-790-6304
April 19, 2002 31
Francis B. Cash
259 Barnstable Road
Hyannis, MA 02601
RE: Map & Parcel 310171
Dear Sir:
You are directed to connect your building located at 259 Barnstable Road; Hyannis,
MA., to public sewer on or before October 19, 2002.
The Superintendent of the Department of Public Works has notified us that your
property abutts town sewer lines. 'The lines were extended because of the density, and
the size of the.lots in the area, and.the potential for serious health problems.
Failure to comply with this order will result in a court complaint against you for failure to
comply with a Board of Health Order.
If you should have any questions, please telephone me at 862-4644.
PER ORDER OF T BOARD OF HEALTH
as A. McKean, R.S. CHO
Health Agent for
TOWN OF BARNSTABLE BOARD OF HEALTH
Susan G. Rask, RS., Chairperson copy: Peter Doyle
Sumner Kaufman, M.S.P.H.. Return receipt requested
Wayne Miller, M.D.
sewe=2
iPostal
CERTIFIED
(Domestic
to
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ru31Postage $ oo�
ErRec
Certified Fee
C. Postmark
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Retum
(Endorsement Required) /' Here
O Restricted Delivery Fee
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Total Postage&Fees $
Q- Sent To
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Street,Apt.No.; __._._.__...... .._
rq or PO Box No.
C3 City,Stets,LPr
Certified Mail Provides:
■A mailing receipt
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Important Reminders:
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■Certified Mail is not available for any class of international mail.
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■For an additional fee,a Return Receipt may be requested to provide proof of
delivery.To obtain Return Receipt service,please complete and attach a Return
Receipt(PS Form 3811)to the article and add applicable postage to cover the
fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for
a duplicate return receipt,a USPS postmark on your Certified Mail receipt is
required.
■For an additional fee, delivery may be restricted to the addressee or
addressee's authorized agent.Advise the clerk or mark the mailpiece with the
endorsement"Restricted Delivery .
■If a postmark on the Certified Mail receipt is desired,please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mail
receipt is not needed,detach and affix label with postage and mail.
IMPORTANT:Save this receipt an4resentit when making an inquiry.
I PS Form 3800,January 2001 (Reverse) 702595-M•01.2425
SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3.Also complete A. Signatur
item a if Restricted Delivery is desired. Agent
■ Print your name and address on the reverse X 1❑Addressee
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so that we can return the card to you. B. eceived by(P me) ate of -elivery
■ Attach thn;card to the back of the mailpiece, +
or on the front if space permits. 1
D. Is delivery address different from item 1? ❑Y s
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3. Service Type
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0
Registered JRrReturn Receipt for Merchandise
❑ Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
2. Article
(fransfi 7001 1940 0004 9042 1372
PS Form 3811,August 2001 domestic Return Receipt 102595-02-M-1540
UNITED STATES POSTAL SERVICE First-Class Mail
Postage&Fees Paid
LISPS
Permit No.G-10
• Sender: Please print your name, address, and ZIP+4 in this box4
I
I
Public Health DivWw
Town of Bamstable
200 Main St.
Hyannis, Massachusetts 02601
I
: . .. Town of Barnstable
F ZHE 1p�
Regulatory Services
Thomas F. Geiler,Director
SARNSfABM
9� MSS. Public Health Division
AjEO pM'�A
Thomas McKean,Director
200 Main St,
Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
February 19, 2003
Francis Cash
259 Barnstable Rd.
Hyannis, MA 02601
RE: Map.& Parcel 310-171
Dear Francis Cash:
You are directed to connect your building located at 259 Barnstable Rd.,
Hyannis, Massachusetts, to public sewer on or before July 15, 2003.
The Department of Public Works, Engineering Division, has notified us that
your property abutts town sewer lines. The lines were extended because of the
density, and the size of the lots in the area, and the potential for serious health
problems.
Failure to comply with this order will result in a court complaint against you for
failure to comply with a Board of Health Order.
If you should have any questions, please telephone me at 862-4644.
PER ORDER OF THE BOARD OF HEALTH
Thomas A. McKean, R.S. CHO
Health Agent for:
TOWN OF BARNSTABLE BOARD OF HEALTH
Wayne Miller, M.D., Chairperson
Susan G. Rask, RS.
Sumner Kaufman, M.S.P.H.
Return receipt requested
Cc: Barbara Childs, Water Pollution Control
Q:Sewerorder.doc
Town of Barnstable
OF1HE►
o Regulatory Services
snxivsrnate. Thomas F. Geiler,Director
MASSi • .
�$A 639. ,�� Public Health Division
TFO MP'�A
Thomas McKean,Director
200 Main St,
Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
February 19, 2003
Francis Cash
259 Barnstable Rd.
Hyannis, MA 02601
RE: Map & Parcel 310-171
Dear Francis Cash:
You are directed to connect your building located at 259 Barnstable Rd.,
Hyannis, Massachusetts, to public sewer on or before July 15, 2003.
The Department of Public Works, Engineering Division, has notified us that
your property abutts town sewer lines. The lines were extended because of the
density, and the size of the lots in the area, and the potential for serious health
problems.
Failure to comply with this order will result in a court complaint against you for
failure to comply with a Board of Health Order.
If you should have any questions, please telephone me at 862-4644.
PER ORDER OF THE BOARD OF HEALTH
Thomas A. McKean, R.S. CHO
Health Agent for:
TOWN OF BARNSTABLE BOARD OF HEALTH
Wayne Miller, M.D., Chairperson
Susan G. Rask, RS.
Sumner Kaufman, M.S.P.H.
Return receipt requested
Cc: Barbara Childs, Water Pollution Control
Q:Sewerorder.doc
i v VV u vi "ai u3 t,avtc
Regulatory Services
Ft„E Thomas F. Geiler,Director
Public Health Division
9'AR''SrABM
�" Thomas McKean,Director
bpi 1639' A�0 200 Main Street, Hyannis,MA 02601
ED Mpl
Office: 508-862-4644 Fax: 508-790-6304
April 19, 2002
Francis B. Cash
259 Barnstable Road
Hyannis, MA 02601
RE: Map & Parcel 310171
Dear Sir:
You are directed to connect your building located at 259 Barnstable Road, Hyannis,
MA., to public sewer on or before October 19, 2002.
The Superintendent of the Department of Public Works has notified us that your
property abutts town sewer lines. 'The lines were extended because of the density,.and
the size'of the lots in the area, and the potential for serious health problems.
Failure to comply with this order will result in a court complaint against you for failure to
comply with a Board of Health Order.
If you should have any questions, please telephone me at 862-4644.
PER ORDER OF T BOARD OF HEALTH
as A. McKean, R.S. CHO
Health Agent for
TOWN OF BARNSTABLE BOARD OF HEALTH
Susan'G. Rask, RS., Chairperson copy: Peter Doyle
Tftb7ff
Sumner Kaufman, M.S.P.H. Return receipt requested
Wayne Miller, M.D.
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1
■ Complete items 1,2,and 3.Also compie2a " A. Received by(Please Print Clearly) B. Date of Delivery
item 4 if Restricted Delivery is desired.
■ Print your name and address on the revev:
so that we can return the card to you. I C. Signature
■.Attach this card to the back of the mailpiece,' X ❑Agent
or on the front if space permits. ❑Addressee
j 1. Article Addressed to: D. Is delivery address different from jtem 1? ❑Yes _ _
If YES,enter liv address b low: ❑ No
as►� . 1=� ,�^
O nn LS t"V:� 3. Service Type b
� ( ^ I-Certified Mail ❑ Expre s Mail
02�1[ 1 ❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted/Delivery?(Extra Fee) ❑ Yes
2. Article Numb
— _/(Cepy from selyice ¢e� D0 10
I. mill ill I T l 1<< <�� �PS Form 3811,'JUIy 11999 1,!t (J f=j Domestic.Return Receipt 102595.00-M-0952
s Auto B
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Body R
251 Barnstable Road
Hyannis,MA 02601
Frank Cash
508-775-0614
TOWN OF BARNSTABLE OMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair
BOARD OF HEALTH satisfactory g.Printers
dy Shops
O unsatisfactory- 4.Manufacturers
COMPANV�A' Zfz fA_rL (see"Orders") 5.Retail Stores
6.Fuel Suppliers
ADDRESS o lass: 7.Miscellaneous
^^ QUANTI S AND STORAGE (IN= indoors;OUT=outdoors)
MAJOR MAI E lALJ` Case
IN OUT IN OUT IN OUT #&gallons Age Test
Gasoline Jet Fuel (A)
E*sef,-iCffesea&r#2 (B) 2
Heavy Oils:
—,tencf0 of / y
new motor oil (C)
i
transmission/hydraulic
Synthetic Organics:
degreasers
Mi cellaneous:
DISPOSAUR.ECLAMATION REMARKS:
1. Sanitary Sewage 2.Water Supply z �
O Town Sewer Oublic
Von-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 Y - s
O On-site system
woe"I-I(-_d e"
5.Waste Transporter
Name of Hauler Destination Waste Product Lice sed?i
G U
2. `
Person WlntermeNFed Inspector Date
ram.
,-7 ly
TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair
satisfactory 2.Printers
BOARD OF HEALTH 'y 3.Auto Body Shops
1 �� nsatisf tory- 4.Manufacturers
COMPANY 4. r 5.Retail Stores
6.Fuel Suppliers
ADDRESS lass' �•Miscellaneous
Vk,-IQUANTITIES AND STORAGE (IN= indoors;OUT=outdoo s)
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)
new motor oil (C)
D
transmission/hydraulic 3
Synthetic Organics:
degreasers
Miscellaneov
2v
DISPOSALIRECLAMATION REMARKS:
1. Sanitary Sewage 2.Water Supply [�
O Town Sewer �ublic
On-site O Private
3. Indoor Floor Drains YES NO
O Holding tank: MDC
O Catch basin/Dry well
O On-site system
4. Outdoor Surface drains:YES—)LNO O RS:
O Holding tank:MDC
W.Catch basin/Dry well
On-site system
5.Waste Transporter
DestinationName of Hauler
YES NO
2.
Person (s) Interviewed Inspector Date
4
TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair
satisfactory
BOARD OF HEALTH 2.Printers3.Auto Body Shops
' � i unsatisfactory- 4.Manufacturers
COMPANY V D tl (see"Orders") 5.Retail Stores
6.Fuel Suppliers
ADDRESS lass.aZ .61 7.Miscellaneous
QUANTITIES AND STORAGE (IN= indoors;OUT=outdoors)
MAJOR MATE Case lots Drums Above Tanks Underground Tanks
IN OUT IN OUTI IN OUT #&gallons 777 Test
Fuels:
Gasoline,Jet Fuel (A)
Diesel, Kerosene, #2 (B)
Heavy Oils:
waste motor oil (C)
new m�oil X
i
q x
transmission/hydraulic
Synthetic Organics:
degreasers
Miscellaneous:
�4 YJ)a w c
0
WA u�
►Jh!
DISPOSAL/RECLAMATION REMARKS:
1. Sanitary Sewage 2.Nyater Supply '?R/4o A
Town Sewer ublic O O
WOn-site O rivate o
tj
3. Indoor Floor Drains YES NO
-k F/ I
O Holding tank:MDC ,
O Catch basin/Dry well V U
O On-site system Q
4. Outdoor Surface drains:YES NO ORDERS: o T mid
O Holding tank:MDC
O Catch basin/Dry well
O On-site system
%AL AA
5.Waste Transporter r
Name of Hauler Destination Waste Product
YES 0
1. /AIL
2.
�fb's CA S N -AT
Person (s) Interviewed Inspect r WDate—
TOXIC AND HAZARDOUS MATERIALS kGISTRATION FORM
NAME OF BUSINESS: OA0w*w AuTo (BODY & PAINT ING Mail To:
BUSINESS LOCATION: •- W1 BARMOVAOIA ROAD Board of Health
MAILING ADDRESS: MY-ANNIW M' ' -02-M l Town of Barnstable
P.O. Box 534
TELEPHONE NUMBER: 773— 0& I c4 Hyannis, MA 02601
CONTACT PERSON: fS
EMERGENCY CONTACT TELEPHONE NUMBER: 3 9S- 3 q ( 6
Does your firm store any of the toxic or hazardous materials listed below, either for sale or for
your 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: S1�in-e
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
IVV Antifreeze (for gasoline or coolant systems) 4,9 Drain cleaners
Automatic transmission fluid /`/a Toilet cleaners.
1710 Engine and radiator flushes 8 Cesspool cleaners E
-Hydraulic fluid (including brake fluid) AD Disinfectants li
Motor oils/waete-olts- / d Road Salt (Halite) '
tiQ Gasoline, Jet fuel &C Refrigerants
Diesel fuel, kerosene, #2 heating oil 416 Pesticides (insecticides, herbicides,
� qr Other petroleum products: grease, lubricants rodenticides)
Degreasers for engines and metal Photochemicals (fixers and developers)
,'y 0 Degreasers for driveways & garages .N'd Printing ink
Battery acid (electrolyte) N,6 Wood preservatives (creosote)
IM-6-517tp roof e rs &Q Swimming pool chlorine
P' Car wash detergents Alf Lye or caustic soda
.2-3 gQ/Car waxes and polishes 410 Jewelry cleaners
&0 Asphalt & roofing tar ad' Leather dyes
4^6 Paints, varnishes, stains, dyes 4/0 Fertilizers (if stored outdoors)
Paint & lacquer thinners /yt PCB's
Paint & varnish removers, deglossers 1/0 Other chlorinated hydrocarbons,
2_ Paint brush cleaners (inc. carbon tetrachloride)
rbrd Floor & furniture strippers Any other products with "Poison" labels
C Metal polishes (including chloroform, formaldehyde,
lyd 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) (� 7 9/j/ ww
2-3 050ther cleaning solvents
0 Bug and tar removers
IV 0 Household cleansers, oven cleaners
White Copy- Health Department/ Canary Copy-Business