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HomeMy WebLinkAbout0079 BASSETT LANE - Health 9Y,B'assettLane Hyan >� n- is Y � j d r S `1 . � M YOU WISH TO OPEN A BUSINESS? For Your Information: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (.which you must do by M.G.L. = it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office, 1°` FL., 367 Main Street, Hyannis, MA 02.601 (Town Hall) Mo ka!"�.��a�i 'F'- .�. DATE: Px ,a= .. ;. Fill in please: 3r� n APPLICANT'S YOUR NAME S: -,- 5,e PIS MV/ 7 �iY 11 � :. BUSINESS YOUR HOME ApDRESS. 1 7 I SG fi✓,f TELEPHONE # Home Telephone Number-...? -_� ---F--6�-2 NAMtbF EQRPORATION: NAME:.OF NEW BUSINESS IS THIS:A HOME OCCUPATION? YES E TYP OF.BUSINESS �C ADDRESS:OF BUSINESS MAP/PARCEL'NUMBER =-© (Assessing), 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. You MUST GO TO 200 Main St. - (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICE This individual has been informed of any permit requirements that pertain to this type of business. COMMENTS: Authorized Signature* 2. BOARD OF HEALTH This individual has be�irof the ermi p quire e s that pertain to this type of business. MUSTCOMYWITHALL thure** "''"" " COMMENTS: HAZAFOM MATERIALS REGULATIO"-^ 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the licensing requirements that pertain to this type of business. Authorized Signature* COMMENTS: Date: Oq /3o /01 `? TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: M 4 LfnLPCO-A UCL2 BUSINESS LOCATION: "70 da 2ne L-a i HY INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: 142l� CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: 77LL.S­) l 2630 MSDS ON SITE? TYPE OF BUSINESS: MM eCT'( 5 ti a P INFORMATION/RECOMMENDATIONS: Fire District: Waste Transportation: Last shipment of hazardous.waste: Name of Hauler: Destination: Waste Product: Licensed? 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 NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants 9C41- 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 4- - 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 -�-y Paint &varnish removers, deglossers (including chloroform, formaldehyde, Misc. Flammables hydrochloric acid, other acids) Floor& furniture strippers Other products not listed which you feel (6 get Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers ul'o s !J_ 0 j yS4 StlFn (including bleach) `T I , lS `fk-k- I4-41.{ Spot removers &cleaning fluids - ^� (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash . 1ti WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS