HomeMy WebLinkAbout61D BODICK ROAD - Health l O af HyannisA ,54l3O Is
&'&I Fenger *Cape PRO Cleaning Serv.
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- Town of Barnstable
oz .ry Regulatory Services
Thomas F.Geiler,Director - G
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YA WSTABLE,
Public Health DiVlsion
'°� arn�►'�°` Thomas McKean,Director
200 Main Street, Hyannis,MA.02601
Office: 508-862-4644
3 a€W50&-790-6304
Application Fee: $100.00
ASSESSORS MAP AND PARCEL NO. DATE
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-AJ'P-L4C-TnOI4-FOR-PE-RH-T TO-- TORF-ANC?/-0R UTILL u i\'I00
THAN.111 GALLONS OF HAZARDOUS AIATERIALS
FULL NAME OF APPLICANTon
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NAME OF ESTABLISHMENT �Td� ,5'f rr 19SSrs ciG IPS
ADDRESS OF ESTABLISHMENT t_ _.
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TELEPHONE NUMBER - q3, -
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SOLE OWNER: ES NO
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IF-APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS Ojr. . .
PARTNERS: ,> ,
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IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO
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STATE OF INCORPORATION
FULL NAME AND HOME ADDRESS OF: ,.
PRESIDENT I F_ A4Dercas, io 2,ves- b^`ile _ SaMTh_,. d .a`
TREASURER
CLERK
SIGNATURE Off'�"L,ICANT
I -TIONS- --HOME ADI - -
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= -HOMEE'TEhE +E_M�_ —
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Contingency Plan For Hazardous Waste Spills
• Make sure, all products are properly labeled and stored on the
work shelf.
• If there happens to be a spill use oil absorbent rags and the
kitty litter to clean up the spill
• Do not put the rags and litter in a trash bag and throw away.
Dispose of in appropriate manner and mark as hazardous
waste.
• If spill is to large contact the following, depending on spill.
• Hazmat 617-527-6706
• EPA 888-372-7341
Ma,,�A e Cie 2-n,2P- - Rate:• 5' z 7 y J
TOXIC AND HAZARDOUS MATERIALS O NTORY J
NAMEOFBUSINESS:
BUSINESS LOCATION: 6 t E o o{ ,eiCP met
.MAILINGADDRESS: �' ti INVENTORY��
TELEPHONE NUMBER: J O8- -7-7
CONTACTPERSON:
EMERGENCY CONTACT TELEPHONE NUMBER: FIRE p�57R1�
TYPEOFBUSINESS: �b rn.�Pa err, -�-e�a�c�-
OTHER INFORMATION: e(e.-a-
ecc O
M 5 L,5 on fife
c?g -F(c�,�rric�l.�e- rn P�icc �rri Pic .S�c-eat- .
Waste Transportation:�'/Ve-e i t7-Co -/Z> ewe ;vas
crest. .
Name of Hauler: III, Destination:
P
Waste Product: Licensed?-Yes No
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. .
NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. a
Quantity Observed (gallons):
Antifreeze(for gasoline or coolant systems) Drain cleaners
5:�fa.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 Photochemical s Fixers
Diesel fuel, kerosene, #2 heating oil NEW USED
S*4 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){nadFP,%,,•es Swimming pool chlorine
Rustproofers Lye or caustic soda
Car wash detergents Jewelry cleaners
Car wakes and polishes Leather dyes
Asphalt& roofing tar Fertilizers.
Paints, varnishes, stains, dyes PCB's
Lacquer thinners Other chlorinated hydrocarbons,
EW° USED i N (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 Misc.: o-fye4-� 3
(dry cleaners) � �,y��,(�
Other cleaning solvents AaC*7ea4-ve 3
Bug and tar removers
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Hazardous Materials On-Site Inventory/Inspection
For ALL Shops and Businesses:
DBA: lAAS "
Location: G C (25&ApC.A(-- Date:
c
Physical Features to Inspect:
1. Hazardous waste generation sites (production/manufacturing areas):
2. Waste storage areas:
3,. Satellite accumulation points throughout:
�" ✓ weW(
4. HazMat stored outdoors — CHECK OUTSIDE:
5. Shipping and receiving areas:
Shot'
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6. Run down of shop activities. S
7. Housekeeping practices:
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HazMat On-Site Inventory/Inspection:
Records to Review for SQGs and CESQGs
DBA:
Location:
Site visit date:
• Hazardous Waste
Manifests: '0-,p
14
• Employee training documentation (if required):
IVIA
• Hazardous subst nce control and ontingency plan:
• MSDS on site?
• HazMat Inventory records (if applicable): ue.
• HazMat Waste Shipping documentation:_
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• Spill records (if applicable): VID,
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Town of Barnstable-Health Department Page 1
4 HAZARDOUS MATERIALS INVENTORY SITE VISITS
DBA: Hollister Assocation Boat Repair Fax:
Corp Name: Mailing Address
Location: 61 E Bodick Rd. Street:
mappar. 343-022 OOE-000 > City:
Contact�a +�' `j q�ttih�.. Gc�rL�`�T iN.t State: .Mw
Telephone: 508-771-2119 Zip: 0��-
Emergency: 508-398-5004 Person Interviewed:
Business Contact Letter Date: 5/13/2004
Category: Boats/Marinas Inventory Site Visit Date: 5/27/2004
Type: Follow Up/Inspection Date:
❑� public water ❑ indoor floor drains ❑ outdoor surface drains ❑ license required
❑ private water ❑ indoor holding tank mdc ❑ outdoor holding tank mdc ❑ currently licensed
❑d town sewage ❑ indoor catch basin/drywell ❑ outdoor catch basin/drywell expir -
❑ on-site sewage ❑ indoor on-site syste ❑ outdoor onsite system date:
REMARKS: Paint products&waste drum kept in fire resistant cabinet. compliance:
MSDS available. PPE available-Gloves&Resp. Paint gun-LPHV 50 Satisfactory
PSI. Fire Ext.serviced by Ralph Perry.Small amounts of wast oil
disposed at Sadder ORDERS: Label all waste containers.
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Page 2
Town of Barnstable-Health Department
HAZARDOUS MATERIALS INVENTORY
Chemicals: ❑ Zero Toxic Waste Materials
❑ gty's>25 Ibs dry or 50 gals liquid but less than 111 gals
d❑ gty's 111 gals or more
description qty up L measure _/�
Batteries 5 each GG[
_._....--------._._....__._._ ._..._.____..__._._.__.__.._.__.._..__.__ ..____.. ____ ___-----------
paint,varnishes,stains,dyes 50gallons
a_cquer thinners 15 gallons
Waste Paint 55gallons
Waste Transpo4er: dvanced Environmental Tech. Fire District:
Last HW Shipment�Date Waste Hauler Licensed:
-ok L`
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Town of Barnstable
�FtHE Tpk� Regulatory Services
os Thomas F. Geiler,Director
sA MAS&LE, ` Public Health Division
9� b3
'OlF1659. a Thomas McKean, Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Application Fee: $100.00
ASSESSORS MAP AND PARCEL NO. DATE
APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN
111 GALLONS OF HAZARDOUS MATERIALS
FULL NAME OF APPLICANT j�/`� C ► �(1
NAME OF ESTABLISHMENT `1 -5k-e( Pf-S5C :(GLi-(q5
ADDRESS OF ESTABLISHMENT V1IL5
TELEPHONE NUMBER
SOLE OWNER: AYES NO
IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL --
PARTNERS: --:.<_ (J,
C) rri
IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO.
STATE OF INCORPORATION
FULL NAME
DRESS
PRESIDENT ac -'n
TREASURER t(
CLERK c
WO �rl,4
SIG URE OF11APPLICANT
RESTRICTIONS: HOME ADDRESS �IQUIIIl��lfl�
HOME TELEPHONE# V(-(S9
Q:\Application FormsUiAZAPP.DOC
MAIL-IN REQUESTS
Please mail the completed application form to the address below. Also include a copy of your
contingency plan (to handle hazardous waste spills, etc). In addition, please include the required
fee of$100. Make check payable to: Town of Barnstable. Allow five to seven(7) working days for
in-house processing. Our mailing address is:
Town of Barnstable
Public Health Division
200 Main Street
Hyannis, MA 02601
FOR FAXED REQUESTS
Our fax number is (508) 790-6304. Please fax a completed application form. Also, please fax us a
copy of your contingency plan (to handle hazardous waste spills, etc). In addition, please mail the
required fee amount of$100.00. Please make the check payable to: Town of Barnstable. The check
must be mailed to the address listed above. Allow up to four days for in-house processing.
For further assistance on any item above, call (508) 862-4644
Back to Main Public Health Division Page
Q Upplication Forms\HAZAPP.DOC
Number Fee
146 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00
Town of Barnstable
Board of Health
This is to Certify that Karl's Boat Shop, Inca
61 D Bodick Rd.,11 MA 02601
Is Hereby Grantee! a License
FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS.
---------- -------------------------------------------------------------------------------------------------------------------------------- --------------------
This license is granted in conformity with the Statutes and ordinances relating there to, and
and expires June 30, 2007 unless sooner suspended or revoked.
----------------------- --------------
WAYNE MILLER,M.D.,CHAIRMAN
SUMNER KAUFMAN,M.S.P.H.
May 30, 2006 PAUL J. CANNIFF,D.M.D.
THOMAS A. MCKEAN,R.S.,CHO
Director of Public Health
Town of Barnstable
S
Regulatory Services d
Thomas F. Geiler,Director
' '" NSTABM vision' Public Health Division' 4
�
0
Thomas McKean,Director
200 Main Street, Hyannis,MA 02601
Office: 508-862-4644 Fax:., 508-790-6304
Application Fee: $100.00
ASSESSORS MAP AND PARCEL NO. DATE
APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN
111 GALLONS OF HAZARDOUS MATERIALS
J 5--
FULL NAME OF APPLICANT ,
NAME OF ESTABLISHMENT f e4
ADDRESS OF ESTABLISHMENT 61 / eLd CqC .�.. 4Q-a'or)1,Ll
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TELEPHONE N..R q
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SOLE OWNER: `AY� -ES NO ` ca Lv
CD
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IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HO o DRESS OF L
PARTNERS:
� M
IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO.
STATE OF INCORPORATION
FULL NAME AND HOME RESS OF:
PRESIDENT
TREASURER S�ii V 1� (c/Sr
CLERK --)(-1 yylk _.
SIGNATURE OF APPLICANT
RESTRICTIONS: HOME ADDRESS Mr. Karl E. Anderson
HOME TELEPHONE# 50 Great Western Rd.
Harwich,MA 02645
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TOWN OF BARNSTABLE OMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair
satisfactory 2.Printers
BOARD OF HEALTH 3.Auto Body Shops
O unsatisfactory- 4.Manufacturers
COMPANYa �� i��JeC� (see"Orders") 5.Retail Stores \j
6.Fuel Suppliers
ADDRESS � 97� r�di��° V Class: 7.Miscellaneous
^�N)OUANTITIES AND STORAGE (IN=indoors;OUT=outdoors)
MAJOR MAf'ERIALS 1Underground Tanks
IN OUT IN OUT IN OUT #&gallons Age Test
,Q
Fuels:
Gasolin5,Jet Fuel (A)
Heavy Oils:
waste aiekeeroil (C) .
.tee oil(.C)----
.,Uansmissi r uLe--
Synthetic Organics:
degreasers
Miscellaneous:
IV 4f
ov
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DISPOSAURECLAMATION REMARKS:
1. Sanitary Sewage 2.Water Supply 415;vl..4.741 �, -gyp AP12926
O Town Sewer ublic 44
A� on-site OPrivate
3. Indoor Floor Drains YES N0—//
O Holding tank:MDC role
O Catch basin/Dry wellee
O On-site system
4. Outdoor Surface drains:YES NOV O ERS:
O Holding tank:MDC
O Catch basin/Dry well
O On-site system
5.Waste Transporter
Name of Hauler Destination Waste Product
2.
Pe son(s) Interviewed "`'" nspector ! Date
j1✓` � � � off A.,� /� �� C
TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Re air
2.Printers
satisfactory
3. Shops
BOARD OF HEALTH X Auto Body S p
Ounsatisfactory- 4.Manufacturers
(see"Orders") 5.Retail Stores
COMPANY �� 6.Fuel Suppliers
ADDRESS 9I ��Y� tlj(, 7.Miscellaneous
gJj/,� QUANTITIES STORAGE (IN= indoors; OUT=outdoors)
MAJOW ,mom MATERIALS H {
IN OUT IN OUT IN OUT #&gallons Age Test
Fuels:
e
erose , #2 (B)
Heavy Oils: -
. )
r
pewmatar-ftl (C)
ban-s—m-1—s1wn&kydrVic
Synthetic Organics:
degreasers
Miscellaneous:
G
u
DISPOSAIJRECLAMATION REMARKS:
1. Sanitary Sewage 2.Water Supply v�G�
O Town Sewer 'ublic 229
$rOn-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-ZNO ORDERS-
0 Holding tank:MDC k
O Catch basin/Dry well
O On-site system
5.Waste Transporter
a on
ti
2.
PPo (s) Interviewed Inspector Date
TOWN OF BARNSTABLE MPLIANCE: CLMS: 1.Marine,Gas Stations,Repair
satisfactory 2.Printers
BOARD OF HEALTH 3.Auto Body Shops
unsatisfactory- 4.Manufacturers
COMPANYt`9' r (see"Orders") 5.Retail Stores
6.Fuel Suppliers
ADDRESS 0,l � Class: 7.Miscellaneous
QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors)
MAJOR MATERIALS Caselots , '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 )
new motor oil(C)
transmission/hydraulic
Synthetic Organics:
degreasers
Miscellaneous:
Ae
DISPOSALIREC;LAMATION REMARKS:
1. Sanitary Sewage 2.Water Supply
O Town Sewer qfublic
Von-site O Private
3. Indoor Floor Drains YES NOJl—
O Holding tank:MDC
O Catch basin/Dry well
O On-site system
4. Outdoor Surface drains:YES Y'NO O ERS:
O Holding tank:MDC _
If t5z:�ZAZ—
• Catch basin/Dry well ✓
O On-site system
5.Waste Transporter
Name of Hauler 1Product91
Z-V2 A � � s No
2.
Person(s) Interviewed Inspector Date
{ Date: V
TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM
NAMEOFBUSINESS: afc Vm
BUSINESS LOCATION: 59dicic, cct
MAILING ADDRESS: 1, 169 UT M 3 Mail To:
TELEPHONE NUMBER: o - 0/_ Board of Health
Town of Barnstable
CONTACTPERSON: 6l/sdl..c`O �,�.►'►7 O. Box 534
EMERGENCY CONTACT TELEPHONE NUMBER c506) 27456 4 6 L5 e yannis, MA 02601
TYPEOFBUSINESS:_ IU91/G C40.4/e-,G
Does your firm store any of the toxic or hazardous materials listed below, either for sale or for you own
use? YES A/ 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(forgasoline 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
Paint brush cleaners Any other products with "poison" labels
(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
u
f MATERIAL SAFETY DATA SHEET
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FIRE
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0 PRODUCT NAME
3 � ��i�O�Bi�.riAl� HEALTH 1 O REACTIVITY
Cq ..
' Traffic Lane & Bonnet Cleaner HAZARD RATING
4-EXTREME
3-HIGH
W C C 14 2-MODERATE
' 1-INSIGNIFICANT
SPECIFIC
HAZARD
Z DISTRIBUTED BY - EMERGENCY TELEPHONE NUMBER -
_ O BRIDGEPOINT SYSTEMS INC. t-NO-535-5053(INFOTRAC)
Z?Q ADDRESS TELEPHONE NUMBER FOR INFORMATION
542 West Confluence Ave. (801) 1-1282
W _Salt Lake, UT 84123 DATE PREPARED
1994
0 tZ U. SIGNATURE OF PREPARER(OPTIONAL)
Z
PRINCIPAL/ULIROGUS COMPONENT(S) ORAL LDp DERMAL Lon TLV(Ufft) %
_ Dipropylene Glycol Monomethyl Ether N/A N/A N/A 2-3%
zz
0 W (CAS#34590-94-8)
UW
W
Cn
Z Note: Product at it's final use dilution is not
considered as a hazard.
BOILING POINT(FO) 2120 F SPECIFIC GRAVITY(Hp.1) 1.1450
VAPOR J i )PRESSURE Similar to water s'VOUI E )T'LE Undetermined
4 VAPOR PH
Q U
i=N Q Approx 0.8 91
V } o soLue WATER
N 0. lLm iN In-finite
APPE000A Light yellow liquid -fruity fragrance
Q FLASH POWT(METHOO USED)
z f- Above 1470 F OC
O 0 EXTINGU ►MNG IS MEDIA
Z m Does not support combustion
O O SPECIAL FIRE FXWTING PROCEDURES
UXFNA
W W UNUSUAL FIRE AND EXPIOSKNN HAZAR09
to ui a None
tZ W
While this informabon and recommeridations set forth herein are believed to be.accurate as of the date hereof, BRIDGEPONT SYSTEAAS INC MAKES NO WARRANTY
WITH RESPECT HERETO AND DISCLAIMS AL LIABILITY FROM RELIANCE THEREON. This form comp w with OSHAb Hazard Commw ication Standard, 20 CFR
1901.1200. Standard must be consulted for speck requirements.
2 PRO HYDRO—BREAK PRODUCT NUMB" ��.
CC14
UNSTABLE CONDITIONS TO
AVOID
Q STABIUN STABLE
H g
Q
ZO INCOMPATIBILITY(Mori**To AwiO
O Not known
HAZARDOUS DECOMPOSITION OR BYPRODUCTS
w �. NAcj
i
(n MAY OCCUR CONDITIONS TO
LLJ
HAZARDOUS AVOID None
POLYMERIZATION WILLNOT v
OCCUR
ROV TE(S)OF ENTRY: INHALATION? SKIN? INGESTION?
HEALTH HAZARDS(Aar aw dram-) .
Q
Q
CARCINOGENICITY: NTP? VAC MONOGRAPHS?
OSHA REGULATED?
yZ Q
i= da
V = SIGNS AND SYMPTOMS OF EXPOSURE
N Drowsiness- Fati ue- Depression
J MEDICAL CONDITIONS
GENERALLY AGGRAVATED BY EXPOSURE
= EMERGENCY AND FIRST AID PROCEDURES Flush skin contact with water for up t015 minutes. in case of contact with
e es flush with water for 15 minutes. Move to fresh air. Do NOT induce vomiting. Drink water or
me
STEPS TO BE TAKEN IN CASE MATERIAL IS RELEASED OR SPILLED
Dilute with water and flush down sewer if permitted by federal,state and local regulations.
w
LL
Q W
N N WASTE DISPOSAL METHOD In accordance with era ,state and localregulationsflush down withwater to
— it :) sewer connected to waste disposal treatment center.
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a
O O PRE
CAUTIONS TO BETAKEN IN HANDLING AND STOFWO exposure an keep eve O exposure ra commensu e
W F z with good industrial h ene practice.
a °z
w= OTHER PRECAtTISO►N8 As the conditions o use are vond our controL we do not assume any responsibflity
a and therefore disclaim an liabilityfor use of this roduct.
RESPIRATORY PROTECTION(Spdry Tom)
QStandard NIOSH mask -work in ventilated area.
LOCAL EXHAUST SPECIAL
> N VENTILATION Standard types Not required
z MECHANICAL(Oar.vp OTHER
O g Air moving fans
J PROTECTIVE GLOVES EYE PROTECTION
wO Standard rubber gloves Standard lab goggles
CC
(n OTHER PROTECTIVE CLOTHING OR EWPMENT
Work related clothing and shoes
U V40A YGENIC PRACTICES
MATERIAL SAFETY DATA SHEET
_ FIRE
o
PRODUCT NAME Bto Break
y
HEALTH REACTIVITY
C C 18
HAZARD RATING
111 V 4 = EXTREME
. .444 3 = HIGH
• J AA 2 = MODERATE
1 = SLIGHT SPECIFIC
=.INSIGNIFICANT HAZARD
DISTRIBUTED BY EMERGENCY TELEPHONE NUMBER
Z O BRIDGEPOINT (801) 268-3844.
ADDRESS TELEPHONE NUMBER FOR INFORMATION
O d Q 1676 West 800 South (801) 268-3844
0 Q DATE PREPARED
Uj CC O Salt Lake, Utah 84115 10/23/89
SIGNATURE OF PREPARER(OPTIONAL)
i Z
PRINCIPAL HAZARDOUS COMPONENT(S) ORAL LDso DERMAL LDso TLV{{Units) %
Phosphate Builders' N/A N/A N/A 70.0
r-
_ N Silicates " 5.0
_ F-
ZO 0 D-Limonene 5.0
��... w tt w (letting Agents 9.0
Z
Enzymes <1 .0
BOILING POINT (IF) N/A SPECIFIC GRAVITY (H20=1) N/A
J PERCENT VOLATILE
Z Q VAPOR PRESSURE (mmHg.) N/A BY VOLUME % N/A
OUFQ-
VAPOR DENSITY (AIR=1) N/A pH (10/6 SOLUTION) 11 .5
Wa
SOLUBILITY IN WATER Infinite
APPEARANCE AND ODOR
FLASH POINT(METHOD USED)
Z!-- N/A
>O 0 EXTINGUISHING MEDIA
Z(O>- None Required
O J SPECIAL FIRE FIGHTING PROCEDURES
^. X> None Required
W W� UNUSUAL FIRE AND EXPLOSION HAZARDS
N L Q None known
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elllt till Ioftrrelltl oil rtco m olllltot etl fort[ Iorito ort 1tlltrel tt le ectorllt Io tf'tlt Ills Itrttf• IIIIGIf111T 1/![S l0 IttlltlTL
Will IFI?EC1 Itfill 01 11[C1111[ ILL 1I111LITT FM ITIiIICE illf[01. Tilt lore tete►Iltit rill IStI'e llilrl Ceatoltetllte Ilu lerl• 11 CFI
t,II,1111. St a ltrl tool ►e cttttlltl fir tttcifle rettlrtotole. -
l2 I BI0 ^BREAK CC18 I
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UNSTABLE CONDI-IONS TO AVOID
None
Q STABILITY STABLE
>n
Z} INCOti ATIBILITY(Malanals to Ar04)
O F-
> HAZAr DOUS DECOMPOSITION OR BYPRODUCTS
LIJ~
�U
Q MAY OCCUR coNDrTIONs TO AVOID
LUcc HAZARDOUS :None
POLYMERIZATION
WILL NOT
OCCUR Y
ROUT=i.S)OF ENTRY: !NHALATION? SKIN? INGESTION?
/:\ N/A N/A
HEALTH HAZARDS(Acuta end Chromc)
Potential skin irritation
F-
a
�] CARCiNOGENICITY: NTP? IARC MONOGRAPHS? 0:1HA REGULATED?
Q N/A N/A N/A
ZQ
O N
Q
LiJ SIGNS AND SYMPTOMS OF EXPOSURE
N'i ;epeaced wet exposeure may cause allergy or irritation with itching or redding
J
Q
W 3f the skin.
r
MEC.CAL CONDITIONS
GENERALLY AGGRAVATED BY EXPOSURE
Redding or itchin if the skin in areas of ti h[ clothin
EME.=,GENCY AND FIRST AID PROCEDURES }�v
Flesh eves for 15 minutes if solution is accedently 5pilled- in eyes. If irritationa
persists see a physician.
STE?S TO BE TAKEN IN CASE MATERIAL IS RELEASED OR SPILLED
Pc-.;der pil , - h r, rn legal rn le al landfill. Li quid spills may be flushed
UJ
QLU down legal sewer connected to a waste treatment facility.
N WAS,E DISPOSAL METHOD
_ � Per may be dumped at .legal landfill .
>OQ : :d
LL
Z
z�Q
O Z O PRECAUTIONS TO BE TAKEN IN HANDLING AND STORING
Oz
w _J AvD id extensive eve or skin contact. Wash all clothing before reuse.
�QZ
U Q W= after use.
LU= OT--ER PRECAUTIONS
a
J
RESPIRATORY PROTECTION S ecity T pe)
Use of standard AN �ega1 respirator os recommended.
w
c LOCAL EXHAUST SPECIAL
—Cf7 Standard fans open windows None required
> IQ VENTILATION MECHANICAL(General) OTHER
Z Standard air movers, fans, etc. None required
O
J FFP.ZTECTIVE GLOVES EYE PROTECTION
O Rubber Cloves Standard safety glasses J
W CC
N F- OTiiER PROTECTIVE CLOTHING OR EQUIPMENT
Z Regular work clothing may be used - wash daily
O V%CRKIHYGIENIC PRACTICES
U Wash hands and clothing after use.
MATERIAL SAFETY DATA SHEE-
FIRE
0
of
on e
tj I
cetil� PRODUCT NAME 1
Nmkn
l
- i FL I HEALTH' 1 C REA'-r.
�N FABRIC PRESPRAY
y HAZARD RATING
C U 6 5 G L 4 = EXTREME
3 = HIGH
2 - MODERATE
1 = SLIGHT SPECIFIC
= INSIGNIFICANT HAZARD
DISTRIBUTED BY EMERGENCY TELEPHONE NUMBER
_ Z ridteocint Svstens (801) 268=3844
O J -
Z ADDRESS TELEPHONE NUMBER FOR INFORMATION
O=O� 3775 South 500 `�1est (801) 268-3844
DATE PREPARED
F—O cc
w CC 0 Salt Lake City, Utah 84115 3/17/92
(1 a-LL SIGNATURE OF PREPARER(OPTIONAL)
Z
PPINCIPAL HAZA.RCOUS CCMPONENT(S) ORAL LDse DERMAL Lose TC�(Urvs)
( 1Cz� —iS_ tN A N/A N/A —_
— 1— - -
Z Z
p
w t2
(n z
Z
-0ILINr, POINT (°F) 212oF SPECIFIC GRAVITY (H20=1)
PERCENT,VOLATILE
— J VAPOR PRESSURE (mmHg. 76 -m y . BY VOLUME °� 9
Z U Q -
to Q VAPOR DENSITY (AIR=1) NI 'A pI--(14itr-30tUTiOtft (As is) 8,0
>- —7wr
(n lL SOLUBILITY IN WATER _
APPEARANCE AND ODOR r ,_ .I -- _tear solution.
FLASH POINT(!.IETHO0 UoED)
Z la-- TAG 1.50°F
QEXTINGUISH'NG MEDIA
Standard fire fighting methods.
zp>-
O J F. SPECSAL FIRE FIGHTING PROCEDURES
0.> `ono_ recommended
�x —
w w r UNUSUAL FIRE AND EXPLOSION HAZARDS
CnILQ lli%'1 dlle to small TTnunr5 '�f Chlorine breakdown.
2 w
u.cc "se f;re fighting closed air breathing apparatus.
1111t till Itftr atlol sit rl a 1volltlitll rot f u t► %trill lro.lolltlol to 11 Ittortll at of tit Ills ►tno1. IIIIct11111.Will 11 W t► ,
till 1(Ir(Ct 1(Iltl III iltftllli lit lI U llitf fill IItIIICI tlrftll. till fort cot11111 fill 411►11 Illtti Cltlttlt21111 ttu 11r1. 11 cd1
ittl.ltll. I11111rl out to colt1lt11 for a octllc rtlrlrottoLr.
PRODUCT NAME rri�V�� tvl,n+ocri
2 F.�BRIC PRESPRAY CU65CL I
UNSTABLE CONDITIONS TO AVOID
STABIUTY STABLE
f �
>p
Z} INCOMPATIBILITY(A/aNOWS to AWid)
OI— Oxidizing compounds and hi-h heat.
> HAZARDOUS DECOMPOSITION OR BYPRODUCTS
U.J Chlorinated Hydrocarb..n, Tin 'oraak .own.
N Q MAY OCCUP ( _ONDITIONS TO AVOID
Wcc HAZARDOUS
POLYMERIZATION
WILL NOT
OCCUR
ROUTES)OF ENTRY: iNHP.LATION? SKIN? INGESTION?
Sorav Skin Contact Swa1lowi7:a
HEALTH HAZARDS(Acura and Qitonee) —
Q Short term to direct exposure can defar_ the skin.
Q
p Mucous membrane can be irrita_ed. indigestion can occur _
p CARCINOGENICITY: NTP? IARC MONOGRAPHS? OSHA REGULAi EO?
Z� `1 A N/A N/A I
Q
ON
LI = SIGNS AND SYMPTOMS OF EXPOSURE
�I- Skin can develop reddness , mucous membrane can become swollen, nausea can
J
a
Lu
MEDICAL CONDITIONS
GENERALLY AGGRAVATED BY EXPOSURE
EMERG NCY AND FIRST AID PROCEDURES
a—
Skin care ?molliant could be used on irritated skin avoid further
Fresh air for relief. Plenty of drinking fluids should be consumed.
STEPS TO BE TAKEN IN CASE MATERIAL IS RELEASED OR SPILLED
Enclose area where spill occured and either' flush, mop or absorb spill.
LJU
LL
Q Lu -
N WAS'E DISPGSAL ME T rIC'D
—lY Flush down legal sewer System connected to a treatment sewage center. Shove! '.
> 0Z
ZZ N C absorbed material and ship to legal land site. —
Z Z PRECAUTIONS TO BE TAKEN IN HANDLING ANO STORING
ORegular storage facilities are acceptable.
UQ
uj LLI = OTHER PRECAUTIONS
a Keep awav from children.
RESPIRATORY PROTECTION(Specdy Type)
v7 Standard regular OSHA face mask.
LU
cc LOCAL EXHAUST SPECIAL
—_ Continuous air movement N/A
_ V)
> a VENTILATION MECHANICAL(Ganeral) OTHER
w Regular fan N/A
O �
— J PROTEC IVE GLOVES EYE PROTECTION -
rJ O Protective Latex gloves ISide shielded gokgles
Lu
N Q OTHER PROTECTIVE CLOTHING OR EQUIPMENT
Z Standard street clothes
0 WORKlHYGIENIC PRACTICES
U Wash hands after use.. Wash clothes after spill.
MATERIAL SAFETY DATA SHEET
Y ,...._ .. FIRE _
8
PRODUCT NAME
HEALTH O O REACTIVITY
F" SET
HAZARD RATING
CR12GL �A►TE
� GHT
=NS FICANT SPECIFIC
poll HAZARD
DLSTRIeUTM ev EWRGETNCY TELEPHONE NUMBER
Z BRIDGEPOINT SYSTEMS INC. 1.81-535-5050 l(INFOTRAC)
Z V O ADDRESS TELEPHONE NUMSER FOR wFORMATM
O Q 542 WEST CONFLUENCE AVENUE (801)261-1282
V O DATE PREPARED
SALT LAKE CITY,UTAH 84123 3M7/92
N d IOL SIMATURE OF PREPARER(OPTIONAy
Z
PRINCIPAL HAZARDOUS COMPONENT(M ORAL LDp DERMAL LDn TLV(UNw !�
a H No hazardous components in this formula 0%
ZZ
OW
Vw
W u,
fA Z
BMW POINT 2120 F SPECM GRAVM(Hs0.1) V#/gaL
=a VAPOR PRESSURE 76 mmHg. By 100%
pN Q VAPOR DEHSRY(AIR.,) N/A pH(L%SOLVrK*A) ,� C
W= SOLLO nY w WATER Infinate ir.J
ya
APPEAODOR AM Light green in color with light floral fragrance. Crystal clear solution.
.5 Q FLASH Powr(METHOD used►
ZI- NA
>0 Q E MNowS OM MEM
ZC4 NA
O j SPECIAL FIRE FKIHTING PROCEDURES
N/A
UJ W 1" UNUSUAL FIRE AND D(PLOSION HAZARDS
t»OFLy
a N A
�cc
While this inlomiatim and reoommendations set North herein are believed b be accurate as d the dale hereof,BRIDGEPOINT SYSTEMS INC MAKES NO WARRANTY
WITH RESPECT HERETO AND DISCLAIMS ALL LIABILITY FROM RELIANCE THEREON. This fort ewplies with OSHA's Hazard CwM rication Standard 20 CFR
1901.1200. Stanftrd must be consulted for specific requirements.
2 PROI=I NAME FAB SET PRooRrL�r�NMeER CR12GL
UNSTANLE CONDITIONS TO
AVOW
STABILITY :TA. X
a
>C MICOMPATIBB m owwo To Aw e
p Avoid mixing with oxidizindreducing agent.
HAZARDOUS OR"11COUCT11
w H ByVroducts could be pressure build up.
(/�Q MAY OCCUR AVOID TO
W HAZARDOUS
cc POLYMERIZATION WILL NOT
OCCUR X
ROUTE(S)OF ENTRY. INHALATION? SIGN? INGESTION?
Spray Direct Contact Swallowing
HEALTH HAZARDS(Aaft rw ) No short term build up of health hazards.
a
a
CARCINOGENICITY: NTP? IARC MONOGRAPHS? OSHA REGULATED?
>�
z NA NA NA
09
i=a
V= SIGNS AND SYMPTOM OF EXPOSURE
N H Possible reddeningof skin or stomach indigestion after longterm exposure.
J
a
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= TIONS
GENERALLY NLAwmvATED eY EXPmm Irritated skin or nauseous feeling.
EMERGENCY AND FIRST AID PROco"" 8
Medical cream moisturizer for skin. Plenty of fluids.
STEPS TO BE TAKEN IN CASE MATERIAL IS RELEASED OR SPILLED
Contain spill if possible
W
U.
IOW
N N WASTE VSPOSAL METHOD
w 0 Use absorbent material or hose down to legal sewers stem connected to a sewage treatement center.
z`)Q
VZN
Z IN PRECAUTIONS TO BE TAKEN IN HANDL AND STORING
(AO o None recommended-Keep away from excessive heat.
a z
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W= OTHER PRECAUTIlONB
of Keep away from children.
IL
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w ION Use standard filter paper nose and mouth mask.
Q LOCAL EXHAUST SPEC"
U) Standard air movement
Z< VENTILATION MECHANICAL LAICAL(Gww" OTHER
LU
02 Air Fan
;:J PROTECTIVE GLOVES EYE PROTECTION
w O None None
mo MI.. OTHER PROTECTIVE CLOTHING OR EOUIPMENT
z None
VWOR1(1HYGENIC PRACTICES
o,
MATERIAL SAFETY DATA SHEET
3 FIRE
U
PRODUCT NAME 0
t BOOST-ALL HEALTH 0 1 REACTIVITY
to Cn y
CR16
I HAZARD RATING
4 = EXTREME
3 = HIGH
2 = MODERATE
i = SLIGHT SPECIFIC
a INSIGNIFICANT HAZARD
DISTRIBUTED BY EMERGENCY TELEPHONE NUMBER
ZO Brid a oint S sterns 8 _ 44
ADDRESS TELEPHONE NUMBER FOR INFORMATION
0 o Q 542 West Con}luence Ave. 801 268-3844
DATE PREPARED
�j0cc Salt Lake, UT 84123 3/17/92
W oc O
a Z SIGNATURE OF PREPARER(OPTIONAL)
PRINCIPAL HAZARDOUS COMPONENT(S) ORAL LDte DERMAL LDs4 TLV(Units) %
_ Inorganic Peroxy en Compound N/A NIA NIA 100'
ZZ
Oo
W
Wcc
cn�
z
BOILING POINT (OF) N/A SPECIFIC GRAVITY (H2O=1) N/A
J VAPOR PRESSURE (mmHg.) N/A PERCENT VOLATILE
Z Q ( 9) BY VOLUME /0 0
OuQ
>- <( VAPOR DENSITY (AIR=1) N/A pH (1% SOLUTION) 7-8%
w =
In SOLUBILITY IN WATER 1140g/100o m
APPEARANCE AND ODOR Fine white powder with no. odor.
Ca FLASH POINT(METHOD USED)
Z Q N/A
> O Q EXTINGUISHING MEDIA
Ztn } CO or fire extinguisher powder.
O_j F— SPECIAL FIRE FIGHTING PROCEDURES
rX > 0 is released on contact with water.
LU UJ� UNUSUAL FIRE AND EXPLOSION HAZARDS
ujQ 0 Decom osition is accelerated with heat .
W _.
U% 0 Presence can create pressure in containers or can increase combustion rate . _
ttlllt tt11 1lftntll1 1
,1 rtctut�111111t WNoll 1rrtit trt Witold to It tcrutlt 11 if tit 4111 Itrtll, It1111tt1l11 Intl 11 111ltitf
tltl !t{ttCt IItI11 111 II1CI►Iit Itt 111161f R till 111111Cl rlttttl. lilt fire 111►Iltl 1111 1111'1 1111r1 Cltttticlrlct tltt11r1, tc CII
IitI.l111. 111141(1 till It c1 a 1111d for Ificllle rtttlrtaetit,
BOOST—ALL 1
UNSTABLE CONDITIONS TO AVOID
4 STA6IUN }{ High heat and contact with water.
STABLE
>�
Z>. INCOMPATIBILITY(MsfrAvt b Awkn
OF— Avoid combustible products, flames, compounds sensitive to oxidizing compounds.
b> HAZARDOUS DECOMPOSITION OR BYPRODUCTS
W U (0 ) OXYRen is released
U).4 MAY OCCUR CONDITIONS TO AVOID 1
W NAZARaOUS
POLYMERIZATION WILL NOT
OCCUR X
ROUTES)OF ENTRY: INHALATION? SKIN? INGESTION?
Direct Particles Direct Contact Swallowing
HEALTH HAZARDS(Acuer end CAronk;)
Q Inhalation may cause mucous membrane irritation. Short and long term exposure.
Q
CARCINOGENICITY: NTP? IARC MONOGRAPHS? OSHA REGULATED?.
Z cc N/A N/A N/A
ON
W=
SIGNS AND SYMPTOMS OF EXPOSURE
N JJ Reddening of the skin, nose or eyes.
W
MEDICAL CONDITIONS
GENERALLY AGGRAVATED BY EXPOSURE Eye tearing, skin itch, running nose.
EMERGENCY AND FIRST NO PROCEDURES Flush affected areas, if ingested drink plenty of fluid . I
In the care of eye spill flush with water for 15 minutes.
STEPS TO BE TAKEN IN CASE MATERIAL IS RELEASED OR SPILLED Dispose spilled material to legal dump s i t .
Solutionscan be flushed with water to legal sewer treatment center.
W
IL
Q W
to? WASTE DISPOSAL METHOD
Q Methods can be applied as stated above.
>LLZ
Z(n Q
O�.-.-Z 0 PRECAUTIONS TO BE TAKEN IN HANDLING AND STORING
0 IU J Avoid storage under high temperatures.
to v Q
W= OTHER PRECAUTIONS
cc
d Keep away from children.
RESPIRATORY PROTECTION(Specify type)
WStandard paper dust mask
c LOCAL EXHAUST SPECIAL
_ I Local air movement
50 VENTILATION MECHANICAIIGen«.q OTHER
Z
O 2 Fans
J PROTECTIVE GLOVES EYE PROTECTION
jO Rubber _ loves Regular eye safety goggles
W cc
(n I,_ OTHER PROTECTIVE CLOTHING OR EQUIPMENT
ZStreet clothes may be worn
L) WORKMYGIENIC PRACTICES
Brush powder residue off clothes. Wash body with water.
�. MAI LKIAL SAIL I Y IUAIA SHLLI
t� N
00� FIRE
ai PRODUCT NAME 0
BUFF—ALL HEALTH 1 0 REACTIVITY
CR18 HAZARD RATING
4 . EXTREME
3 - HIGH
2 - MODERATE
i - SLIGHT SPECIFIC
- INSIGNIFICANT HAZARD
DISTRIBUTED BY EMERGENCY TELEPHONE NUMBER
Z Bridgepoint Systems 801 268=3844
Z j f..
ADDRESS TELEPHONE NUMBER FOR INFORMATION
00g 542 West Confluence Ave. 268-3844
W 0 0c Salt Lake. UT 84123 DATE PREPARED
31892
N a'Z SIGNATURE OF PREPARER(OPTIONAL)
PRINCIPAL HAZARDOUS COMPONENTS) ORAL Woo DERMAL LOW TLV(Units) %
_FN- Acid phosphate Compound (CAS# 7558-80-7) N/A N/A N/A 100%
ZZ
O_a
Uul
w�
fn z
z
BOILING POINT (OF) N/A SPECIFIC GRAVITY (H2O=1) N/A
VAPOR PRESSURE mmH N/A PERCENT VOLATILE
Z a' ( 9•) BY VOLUME ft 0
UQ
r 0 VAPOR DENSITY (AIR=1) N/A pH (1% SOLUTION) 2-3
w=
U) SOLUBILITY IN WATER Infinite
APPEARANCE AND ODOR White granular powder with no odor
5
ca FLASH POINT(METHOD USED)
Z Ia- N/A
>Q O EXTINGUISHING MEDIA
ZN>- N/A
0_3 1-- SPECIAL FIRE FIGHTING PROCEDURES
�>< N/A
w w UNUSUAL FIRE AND EXPLOSION HAZARDS
N„jQ NIA.
CL ;
t% •
Alit tits Isrerulles sip receursfetless set ferll Ierets are le11e114 to to scssrels as of lit tall sorest, ttllaturtf 11111 tt uuutr
rill ettstcr Ittill All Iictllitl ALL uuull/ fur 11Lutct 11111111. till for. ssspllu Oil 111114 tsssN tuusslcstist tlsslsrf. to at
1114.1160. Iteeferf m t It ceessttel for specific relslrssesls.
PRODUCT NAME PROOUCrNUMBER
BUFF—ALL CR18
UNSTABLE CONDITIONS 70 AVOID
STABILITY N/A '
STABLE
>0 X
Z} INCOMPATIBILITY(Metedab b Ar010
O_F— N/A
t> HAZARDOUS DECOMPOSITION OR BYPRODUCTS
uj N/A
N Q MAY OCC JR CONDITIONS TO AVOID
cc W HAZARDOUS N/A
POLYMERIZATION
WILL NOT
OCCUR X
ROUTE(S)OF ENTRY: INHALATION? SKIN? INGESTION?
No effect Possible mild irritation Mild nausea
HEALTH HAZARDS(Acute and Chronic)
Q Possible mild dermatitis. Product is relatively safe.
Q
p CARCINOGENICITY. NTP? [ARC MONOGRAPHS? OSHA REGULATED?
ZQ Ni A N/A N/A
ON
�Q
W= SIGNS AND SYMPTOMS OF.EXPOSURE
N J Mild skin irritation.
Q
W
MEDICAL CONDITIONS
T
GENERALLY AGGRAVATED BY EXPOSURE Possibly dermatitis.
EMERGENCY AND FIRST AID PROCEDURES
Flush affected skin with wa=er.
STEPS TO BE TAKEN IN CASE MATERIAL IS RELEASED OR SPILLED
In solid form product can be shoveled into polyethylene bags and disposed of in
LU legal dump sight. In iqui orm product can a us a wi water into legal.
Q W sewer connected to 'waste treatment facility.
to WASTE DISPOSAL METHOD
Q O Waste disposal based on state and federal regulations.
Z O Q
O
N
—Z
�-O Z PRECAUTIONS TO BE TAKEN IN HANDLING AND STORING
WF-J Avoid storage in extreme temperatures.
UQ Keep away from children.
Q= OTHER PRECAUTIONS
D. Avoid transfer of product into containers other than the one it was received in. i
RESPIRATORY PROTECTION(Specify Type)
WNone required
cc LOCAL EXHAUST SPECIAL
Standard room air circulation
Z w VENTILATION MECHANICAL(GenenQ OTHER
O� None re wired
,,,I PROTECTIVE GLOVES EYE PROTECTION
O Standard rubber work gloves Side shielded safety glasses
Uj N� OTHER PROTECTIVE CLOTHING OR EOUIPMENT
ZO Standard street clothing
U WORK/HYGIENIC PRACTICES
MATERIAL SAFETY DATA SHEET
^ I, FIRE
00
�v PI
o l r i
li 0 r
Lam , 0
'o x I PRODUCT NAME
Ii V)
J I = HEALTH
"N T-P ,ST
HAZARD RATING
r RUSC 4 . EXTREME
1= 3 = HIGH
I` CS12P"C 2 = MODERATE I
1 - SLIGHT SPECIFIC I>.
= INSIGNIFICANT HAZARD
DISTRIBUTED BY EMERGENCY TELEPHONE NUMBER
ZO BridQepoinr. SvsreIns ?rc 801-261-1282 I
_. . _
Z �-.
ADDRESS TELEPHONE NUMBER FOFI INFORt- AATION
p_Q� 3775 South 500 '.Jest 801-261-1282
uj O GATE PREPARED
w OCO Salt Lake City, Utah 3=-i. i5 12.,/26/91
D U SIGNATURE OF PREPAREF- ;OPTIONAL!
Z
PRINCIPAL HAZARDOUS COMPONENTS) ORAL LD, DERMAL LD„ TLV
No Hazardous Components
zZ
O_ Contents Confidential - Prcprietory _
� w
w0 -
u) Z I
BOILING POINT (OF) 217 SPECIFIC GRAVITY (H2O=1)
PERCENT VOLATILE
OU Q VAPOR PRESSURE (mmHg.) BY VOLUME
_tea VAPOR DENSITY (AIR=1) N/A pH (1% SOLUTION) 5 .
V d SOLUBILITY IN WATER
APPEARANCE AND ODOR 1. h.r :,met , 0i1o:
FLASH POINT(METHOD USED) —
Z Q p l t e r.o i>o l 1 1 n i; 1,n i n C r -- ----- ---- --
Q E.XTiNGU+SWING MEDIA -
{)t Ch + --
O J SPECIAL F.F'.E FIGHTIt4G PROCE06RES
- 1- - 1
� x > -
w w UNUSUAL FIRE AND EXPLOSION HAZARDS
w ----
a_
LL
ell:. .1, r...,(Ir, r11 rrlr llrrlrllrrl ill +rrll lrrrlr Irr IIIIIPII II 11 i!Cl/111 11 11 I11 Ii11 Ilfll 1, II11111111I 11111 It llllll+/
2 , PRODUCT"TAME PRODUCT NUMBER
T-Rust Rust Remover CS12PT
UNSTABLE CONDITIONS TO AVOID
a STABILITY STABLE.
> X
Z } INCOMPATIBILITY(Materiels to Ayo4
p Reacts pith mer.als and regular zlass
F— > HAZARDOUS DECOMPOSITION OR BYPRODUCTS
I_ w
U) Q MAY OCCUR CCNDITIONS TO A'.OiO
W HAZARDOUS
I �
I POLYMERIZATION WILL NOT
OCCUR
i ROUTE(S)CF ENTR'Y. •WIAL1rION? SKIN? !INGESTION? i
i
HEALTH HAZARDS(Acuw and C.,.wc)
Q i
Q
Q
�] CARCINOGENICITY: NTP? IARC MONOGRAPHS? OSHA REGULATED?
(L
Z
Q
ON
Q I
W S SIGNS AND SYMPTOMS OF EXPOSURE �
J
Q `
W
MEOICAL CONDITIONS
GENERALLY AGGRAVATED BY EXPOSURE 5kir, and eye irritation
EMERGENCY MO FIRST AIO PROCEDURES
Flush ewes with fres'n .pater, wash splashed body area with fresh water.
be e k prompt mediica I ar_tenrion i. . swa I lowed , may cause illness .
STEPS TO BE TAKEN IN CASE MATERIAL IS RELEASED OR SPILLFi)
1)ike anci >nrain sni ! 1 pith inerr. mat _rial ;Tn shovel into suitable
U-
Q W c0nr.a:ner for di �pcs.11 .
U) WASTE DISPOSAL METHOD
— cc Non-Toxic fee disposal.
OQ z f
O O z PRECAUTIONS TO BE TAKEN IN HANDLING AND STORING
sear Dr r >rl: iv Lo es and goggles
QZ
UQ
LiJ = OTHER PRECAUTIONS
a
I
i
i
RESPIRATORY PROTECTION ISpocfy i'pel
. 1. 1 1 ._, t "1;. �n! :i�. �L". .f, .. .1 •�{ ,JS' I}�r�F [;I!"<_?);V _
LOG'L EXHAUST SPECIAL '
— :D I
IQ VENTILATION MECHANCAJ- OTHER
Z
O �
PROTECTI'vE GLOVES EYE PROTECTION
�j0 I �D1ASI proof gnggles I
W Q:
N � OTHER PRcT�ECTIvE CLOTHING OR EQUIPMENT
Z
O ---------
C) VYORK/HYGtEN..0 PRACTICES
r;-.. - .t.-�4.sr. .._ �*`c'�: ..&'�.�•s�.c.. -* ,=r,- •�- e. e.._ � > *.- .ac^sµ vi ^.,. ^�s Y-td: �ssK�K st:+ . .-q}•:
MATERIAL SAFETY DATA;SHEET CITRUS SOLV
,.
Date Prepared._2-15-94_By Charles D.Werner
Yr
Manufactured For-Bridgepoint Systems Emergency Phone-'No: 1-800-229-5635 ext 059
Address: 542 Contluence Ave;Salt Lake City UT 84107
Trade Name:.t ITRU ""S LV ProductType: cleaner degreaser
Chemical Family: Formula:
Chemical Name/Common Name: CAS NO. PERCENT TLV (Source)
(optional) r
d-Limonene 5989-27-5 none established
Petroleum solvent 64742-48-9 100(ACGIIi)
Boiling Point: (F)340-348 Specific Gravity: (H20= 1.0) 0.8 pHi'u.•
Vapor Pressure: .'(mmHg) Not Determined I Vapor Densiry: Heavier than air
Solubility In Water:. _ Emulsifiable(or dispersible)
Evaporation Rate(vs ether) Slower r
Appearance and Odor - w,!quid-non-viscous,water white color and orange fragrance
Flash Point(T.C.C.): .I 15 F; s,.Fkammablc Limitsr G y «,,,Lower 0.7% Upper. 7.0%
Extinguishing Media: Foam,Alcohol'Foam, CO2,dry,chemical,water Fog
Special Fire Fighting Procedures: Fire lighters should wear sell-contamcd,breathing apparatus and lull protective clothing. Use Water spray to cool nearby containers
and structures exposed to fire.
Unusual Fire and Explosion Hazards: Extinguish all'ncarby sources of ignition because vapors may be moved by air currents.
CrION , -AC,I1vE;
i
Stabiiitv: Stable Incompatibiiity: Strong oxidizers
Hazardous Decomposition Products: may liberate carbon dioxide or carbon monoxide. t
I hresnoid Limit Value - Product(See Section ' for Ingredient iLV) None Established
Primary Routes of Exposure: Eye -vcs Skin-Not Established Oral-yes Inhalaiionryes Other. ,
Signs and Symptoms tit Over-exposure tAcuicl: EYES: Vapors and mists may irritate the nose and throat. Inhalation of higner concentration may cause heaaacne�s
Signs and Symptoms of Ovcr-exposure(Chronic): No specific intormation available. 1
Vtcuicat Conditions Aggravated by flyer-exposure: Persons with preexisting skin disorders,eye problems, impaired respiratory function may more susceptible to
ctic I�
,- cis. III
l arcinuecn or Suspcct Carcinugen Ingrcuients: N FP :NU'; [ARC - NO 0SFHA - N V ONE
CTION yJ,I RG I+C ;..z} tD it
Eves: Flush with immcdi5t ivYwdh;lots tit running water for at least 15 minutes holcitrig eyelids open. Get medical attention.
Skin: Wash skin with soap and water. Remove contaminated clothing&shoes. 1
ingcsnon: DO.N.UZ'.LYDUI'E VOMITING If vomiting occurs spontaneously, keep victims head below his hips to prevent his breathing vomitus into nit.lungs. "Call
physician ur'puisun control center immediately. Treat symptomatically. i
Inhaiation:.'Get to fresh air. r n
Respiratory Protection: not normally required Ventilation Requirements: A equate ventilation required. Mechanical required it necessary to
maintain ex osure below PEL.
Protective 61oves: Wear resistant gloves it excessive exposure is anticipated. tection: Not normally required. Recommended it used
i
overhead or misting or spraying. j
Other Protective Clothing: Where gross eye anti skin contact may occur use and wear appropriate protective clothing,including resistant clothing,rubber boots with
a,pants on the outside,and be gloves
i
S[eps.to bc.Taken it Released or Spilled: EXTINGUISH ALL IGNITION SOURCES. For small spills,mop or wipe up and contain. For large spit s,contain by
dikintt with absorbent material and contain. Keep material out of sewers, storms drains,surface waters,&soils.
a
Waste Disposal `Icthoiis: Note that the contaminates tit the product must be consider when disposing . consult appropnate Fedcral. State and Locai reguiatory
agencies to ascertain proper disposal procedures and comply with them. a
SEC- nON fl'i,ifS�I..Q;R GF.IXINI3 � DL,IN ;I
.y
CHEMSPEC, INC. 3001 E. MADISON STREET, BALTO. , MD 21205
MATERIAL SAFETY DATA SHEET
HAZARD RATING : HEALTH =1 ; FLAMMABI`LITY =2 , REACTIVITY =0 , SPECIAL =
HMIS KEY : 4 = EXTREME , 3 = HIGH, 2 = MODERATE, 1 SLIGHT, 0 = INSIGNIFICANT
DATE : IL :i -20-92
PRODUCT NAME : LIQUA-GEL
DOCUMENT CODE : LiquaGel
CHEMICAL FAMILY : ' Mixture
SECTION I : HAZARDOUS INGREDIENT
NAME CAS NO. %VOL
---------- - ------------.------------------------------------------------ --
D' LIMONENE 68647-72-3
Irritating and sensitizer . Vapors irritating to throat and lungs . OSA
PEL and ACGIH TLV not established .
SECTION II : PHYSICAL / CHEMICAL DATA
BOILING POINT: 350 degrees F MELTING POINT: N/A
SPECIFIC GRAVITY : 1 . 04 pH : N/A
VAPOR PRESSURE : Not determined
VAPOR DENSITY: Not determined
WATER SOLUBILITY, % BY WT. : Insoluble % VOLATILE/VOL. : 85 - 95
EVAPORATION RATE ( BUTYL ACETATE = 1 ) : Not determined
APPEARANCE AND ODOR: Thixotropic liquid with orange odor .
SECTION III FIRE AND EXPLOSION DATA
************************************************************************ * ** * *
FLASH POINT: 105 deg. (TCC) AUTOIGNITION TEMPERATURE : Not known
EXPLOSIVE LIMITS - UPPER: Unknown LOWER: Unknown
EXTINGUISHING MEDIA: -0O2 ,. dcy chemical , alcohol foam
SPECIAL. FIRE FIGHTING PROCEDURES : Use NIOSH/MSHA approved self-conta _::ed
positive-pressure breathing apparatus a::d
protective clothing where this material -s
involved in a fire .
UNUSUAL FIRE AND EXPLOSION HAZARD: Keep away from sparks and open sources of
flame .
LIQUA-GEL PAGE 2
SECTION IV: HEALTH HAZARD DATA
EFFEC _S OF EXPOSURE / OVEREXPOSURE AND FIRST AID PROCEDURES
EYE CONTACT: Irritant--
SKIN : Irritant
INHALATION: May be irritating
INGESTION : May cause nausea
EMERGENCY AND FIRST AID PROCEDURES
E` ES : Flush with water . Consult physician . SKIN : Flush with water
INHALED : Remove to fresh air
INGESTION : Consult physician
PHYSICIAN : See above information .
SECTION V: REACTIVITY DATA
STABILITY : Not known
INCOMPATIBILITY : Not known
HAZARDOUS DECOMPOSITION PRODUCTS : Liberates CO, CO2 and smoke
HAZARDOUS POLYMERIZATION: None
** **** ************ ************************************************ ***** *** A,
SECTION VI : SPILL, LEAK AND DISPOSAL PROCEDURES
WASTE DISPOSAL : Absorb material and place in trash if permitted by
Federal , State and Local regulations . ,
NEUTRALIZING CHEMICALS : Not determined
SECTION VII : PROTECTION MEASURES
VENTILATION : Use with adequate ventilation
RESPIRATORY PROTECTION: Use mechanical ventilation if necessary
EYE PROTECTION : Goggles
GLOVES : Rubber gloves
OTHER PROTECTIVE EQUIPMENT: Not generally required
SECTION VIII : SPECIAL PRECAUTIONS
* ************************************************************************ * ** *
One should always use chemicals with awareness of potential hazards , known
and unknown, and their effect on the human system. We urge users to minimi.z.e
employee exposure to all chemicals , including this product and to keep the
level of exposure commensurate with good industrial hygiene practices .
DISCLAIMER OF LIABILITY:
The manufacturer and seller warrants that this product conforms to is
standard specifications when used according to directions .
As the conditions or methods of use are beyond our control , we do not assume
any responsibility and expressly disclaim any liability for use of tiii_S
product . Information contained herein is believed to be true and accurate
but all statements or suggestions are made without any warranty, expressed or-
implied, regarding accuracy of the information, the hazards connected lwitfl
the use of the material and the results to be obtained from the use thereo
CHEMSPEC, INC ( 410 ) 675-4800
3001 E . MADISON ST . , BAL70. , MD. 21205 PREPARED BY KEVIN KRIVACSY
SPRAY 'N GO PAGE 2
SECTION IV: HEALTH HAZARD DATA t'
EFFECTS OF EXPOSURE / OVEREXPOSURE AND FIRST AID PROCEDURES
EYE CONTACT: Irritating
SKIN: Slightly irritating
INHALATION: May cause respiratory irritation.
INGESTION: Results in gastric disturbances
EMERGENCY AND FIRST AID PROCEDURES
EYES : Flush with water. Consult physician . SKIN: Flush with water.
INHALED: Remove to fresh air
INGESTION: Consult physician
PHYSICIAN: See above information .
SECTION V: REACTIVITY DATA
STABILITY: Unstable
INCOMPATIBILITY: .Acids, oxidizing agents and metals . Protect from moisture.
HAZARDOUS DECOMPOSITION PRODUCTS : S02 liberated
HAZARDOUS POLYMERIZATION: None
.SECTION VI: SPILL, LEAK AND DISPOSAL PROCEDURES
WASTE DISPOSAL: In accordance with Federal, State and Local regulations .
NEUTRALIZING CHEMICALS : None
SECTION VII : PROTECTION MEASURESY
VENTILATION: Ventilation sufficient to control dust .
RESPIRATORY PROTECTION: If necessary, approved dust mask
EYE PROTECTION: Eye glasses with safety shields
GLOVES: Rubber gloves recommended
OTHER PROTECTIVE EQUIPMENT: Clothing to minimize contact
SECTION VIII SPECIAL PRECAUTIONS
One"-should always use chemicals with awar'eness ' ofs- potential hazards, known
and unknown, and their effec on the human system.,, We urge users to minimi"ze
employee exposure to all chemicals, including this -product. and, to keep .the
level of exposure commensurate .,with good industrial hygiene practices :
DISCLAIMER OF LIABILITY:
The manufacturer and seller warrants that this product conforms to its
standard specifications when used according to directions .
As the conditions or methods of use are beyond our control, we do not assume
any responsibility and expressly disclaim any liability for use of this
product . Information contained herein is believed to be true and accurate
but all statements or suggestions are made without any warranty, expressed or
implied, regarding accuracy of the information, the hazards connected with
the use of the material and the results to be obtained from the use thereof .
CHEMSPEC, INC (410) 675-4800
3001 E . MADISON ST . , BALTO. , MD. 21205 PREPARED BY KEVIN KRIVACSY
f CHEMSPEC, I.NC. 3001 E. MADISON STREET, BALTO. , MD 21205
4 MATERIAL SAFETY DATA SHEET
HAZARD RATING : HEALTH =2 , FLAMMABILITY =0, REACTIVITY =1 , SPECIAL =
HMIS KEY: 4 = EXTREME, 3 HIGH, 2 = MODERATE, 1 = SLIGHT, 0 = INSIGNIFICANT
DATE : 11-20-92
PRODUCT NAME : SPRAY 'N 'GO
DOCUMENT CODE : SprayNGo
CHEMICAL FAMILY: Mixture
SECTION I HAZARDOUS INGREDIENT
*****************************************************************************
NAME CAS NO. %VOL
-----------------------------------------------------------------------------
SODIUM METABISULFITE 0007681-57-4
Irritating to eyes and throat . Certain individuals , including
asthmatics, may show sensitivity to bisulfites . ACGIH TLV/TWA 5 mg. per
cubic meter respirable.
SECTION II : PHYSICAL / CHEMICAL .DATA
. BOILING POINT: N/A MELTING POINT: Decomposes
SPECIFIC GRAVITY: Not determined pH: 1% solution 4 . 5
VAPOR PRESSURE : N/A
VAPOR DENSITY: N/A
WATER SOLUBILITY, % BY WT. : Greater than 98% % VOLATILE/VOL: N/A
EVAPORATION RATE (BUTYL ACETATE = 1 ) : N/A
APPEARANCE AND ODOR: White powder with sulfite odor.
4
SECTION III: FIRE AND EXPLOSION DATA
FLASH POINT: None (TOC) AUTO-IGNITION TEMPERATURE: None
EXPLOSIVE LIMITS - UPPER: N/A LOWER: N/A
EXTINGUISHING MEDIA: Water fog, foam, CO2 , dry chemical
SPECIAL FIRE FIGHTING PROCEDURES : Use NIOSH/MSHA approved self-contained
positive-pressure breathing apparatus and
protective clothing where this material is
involved in a fire.
UNUSUAL FIRE AND EXPLOSION HAZARD: Heat causes release of S02 gas .
f"
t`
ORIENTAL RUG SHAMPOO PAGE 2
SECTION IV: FIRE AND EXPLOSION DATA
FLASH POINT: > 200 degrees F (TCC) AUTO—IGNITION TEMPERATURE : N/D
EXPLOSIVE LIMITS - LEL: N/D UEL: N/D
EXTINGUISHING MEDIA: Water fog, CO2 , dry chemical and foam.
SPECIAL FIRE FIGHTING PROCEDURES : Use NIOSH/MSHA approved self-contained
positive pressure breathing apparatus and protective clothing where this
material is involved in a fire .
UNUSUAL FIRE AND EXPLOSION HAZARD : None known .
SECTION V: REACTIVITY DATA
STABILITY: Stable HAZARDOUS POLYMERIZATION: Will not occur .
INCOMPATIBILITY: Strong oxidizing agents .
HAZARDOUS DECOMPOSITION/COMBUSTION PRODUCTS : Possibly CO, CO2 , H2O , nitrous
oxides and unidentified organic compounds .
SECTION VI : SPILL, LEAK AND DISPOSAL PROCEDURES
WASTE DISPOSAL: In accordance with Federal , State and Local reaulations..
NEUTRALIZING CHEMICALS : N/A
SECTION VII : PROTECTION MEASURES
VENTILATION: Local exhaust or dilution ventilation .
RESPIRATORY PROTECTION: When adequate ventilation cannot be achieved, use
NIOSH/MSHA approved respirator equipped with organic vapor cartridges .
_EYE PROTECTION: Chemical resistant safety glasses .
CLOVES : Rubber gloves .
OTHER PROTECTIVE EQUIPMENT: Body-covering clothing should be worn .
SECTION VIII : SPECIAL PRECAUTIONS
One should always use chemicals with awareness of potential hazards , known
and unknown, and their effect on the human system. We urge users to minimize
employee exposure to all chemicals , including this product and to keep the
level of exposure commensurate with good industrial hygiene practices .
DISCLAIMER OF LIABILITY
The manufacturer and seller warrants that this product conforms to its
standard specifications when used according to directions . As the conditions
or methods of use are beyond our control ,. we do not assume any responsibility
and expressly disclaim any liability for 'use of this product . Information
contained herein is believed to be true and accurate but all statements or
suggestions are made without any warranty, expressed or implied, regarding
accuracy of the information, the hazards connected with the use of the
material and the results to be obtained from the use ..thereof .
CHEMSPEC, INC. , 901 N. NEWKIRK STREET, BALTO. , MD 21205 (410 ) 675-4800
MATERIAL SAFETY DATA SHEET
HAZARD RATING: HEALTH = 1 , FLAID,IABILITY = 1 , REACTIVITY = 0 , SPECIAL =
HMIS KEY: 4 = EXTREME, 3 = HIGH . 2 = MODERATE, 1 = SLIGHT, 0 = INSIGNIFICANT
DATE : 12-09-94
PRODUCT NAME : ORIENTAL RUG SHAMPOO
DOCUMENT CODE : ORS099A
CHEMICAL FAMILY: Mixture
N/A = Not Applicable N/D = Not Determined
SECTION I : HAZARDOUS INGREDIENTS/HEALTH HAZARD DATA
This product has not been tested as a whole for health effects on animals or
humans . Hazardous ingredients > 0 . 99% and carcinocenic material >0 . 1% posed
the following health hazards when tested individu-aily at 100% .
NAME CAS NO. %VOL
2-PROPA.NOL-I-BUTOXY 005131-66-8-
May cause eye irritation and corneal injury. May cause skin irritation .
Absorption of material may produce anesthetic or narcotic effects .
Excessive inhalation may cause upper respiratory tract irritation and CNS
effects . Overexposures may effect liver. Oral rat LD50 is 3300 mg/kc;
dermal rabbit LD50 is 1400 mg/kg. OSHA PEL and ACGIH TLV not available .
2-METHOXYMETHYLETHOXY PROPANOL 034590-94-8
- Inhalation -u
May cause eye irritation . Inh�_a�ion of vapors may cause irritation and s
drowsiness . OSHA PEL and ACGIH TLV not available .
TRISODIuM NI1TRILOTRIACETIC ACID 018662-53-8
May cause eye and skin irritation . Oral rat LD50 is 1450 mg/kg; dermal
rabbit LD50 is >10, 000 mg/kg. Listed as a possible carcinogen by !ARC and
NTP . OSHA PEL and ACGIH TLV not available .
SECTION II : EMERGENCY AND FIRST AID PROCEDURES
EYES : Flush with water at least 15 min . Consult physician .
SKIN: Remove contaminated clothing. Thoroughly wash exposed skin with soap
and water .
INHALED: Remove to fresh air . If symptoms persist consult physician .
INGESTION: Drink water and induce vomiting. Seek medical attention .
PHYSICIAN: Treatment based on judgement of attending physician .
SECTION III : PHYSICAL / CHEMICAL DATA
APPEARANCE AND ODOR: Clear yellow liquid with spicy odor.
SPECIFIC GRAVITY: 1 . 03 WT/GAL: 8 . 6 lbs
% VOLATILE BY WT. : 8.6 - 88% pH: 6 . 7 - 7 . 0
BOILING POINT: N/D pH @ USE : 7 . 0 - 7 . 3
WATER SOLUBILITY, % BY WT. : 94 - 97 %
TRAFFIC LANE CLEANER (and_ XB) PAGE 2
SECTION IV: HEALTH HAZARD DATA
k
EFFFC _ :) EXPOSURE / OVEREXPOSURE AND FIRST AID PROCEDURES
EYE CONTACT : Irritant
SKIN : irri ant I
INHALATION : May be ir. itating
INGESTION : :,lay cause nausea
EMERGENCY AND FIRST AID PROCEDURES
EYES : Flush with �pjater . Consult physician . SKIN : Flush with water
INHALED : Re ;ove to fresh air
INGESTION : Consult physician
PHYSICIAN : ,'aterial. has a high pH . See information above .
SECTION V: REACTIVITY DATA
STABILITY : Stable
INCOMPATIBILITY : Acids
HAZARDOUS DECOMPOSITION PRODUCTS : Emits acrid and toxic fumes
HAZARDOUS POLYMERIZATION : None
SECTION VI : SPILL, LEAK AND DISPOSAL PROCEDURES
WASTE DISPOSAL : In accordance with Federal , State and Local regulations .
NEUTRALIZING CHEMICALS : None required
SECTION VII: PROTECTION MEASURES A
VENTILATION : Mechanical ventilation to keep below TLV
RESPIRATORY PROTECTION: Minimize inhalation . Use NIOSH-appr . mask if needed
EYE PROTECTION : Goggles or eye glasses with safety shields
GLOVES : Neoprene gloves
OTHER PROTECTIVE EQUIPMENT: Not normally required
SECTION VIII : SPECIAL PRECAUTIONS
One should always use chemicals with awareness of potential hazards , kno-.';n
and unknown, and their effect on the human system. We urge users to minimize
employee exposure to all chemicals , including this product and to keep the
level of exposure commensurate with good industrial hygiene practices .
DISCLAIMER OF LIABILITY:
The manufacturer and seller warrants that this product conforms to i--- s
standard specifications when used according to directions .
As the conditions or methods of use are beyond our control , we do not assu:-,,.e
any responsibility and expressly disclaim any liability for use of t . .s
product . Information contained herein is believed to be true and accura_e
but all statements or suggestions are made without any warranty, expressed Dr-
imp-lied, regarding accuracy of the information, the hazards connected w.—i
the use of the material and the results to be obtained from the use thereof .
CHEMSPEC, INC ( 410 ) 675-4800
3001 E . M-ADISON ST . , BALTO . , MD . 21205 PREPARED BY KEVIN KRIVACSY
CHEMSPEC, INC. 3001 E . MADISON STREET, BALTO. , MD 21205
MATERIAL SAFETY DATA SHEET
! ?AZARD RATING : HEALTH =2 , FLAMMABILITY =0 , REACTIVITY =0 , SPECIAL =
HMIS KEY : 4 = EXTREME, 3 = HIGH,-2 = MODERATE , 1 = SLIGHT, 0 = INSIGNIFICANT
DATE : 1i -20-92
PRODUCT NAME : TRAFFIC LANE CLEANER (and XB)
DOCUMENT CODE : TrafficLane
CHEMICAL FAMILY : Mixture
* ****** * ** ** ** *** *************** * ********************************************
SECTION I : HAZARDOUS INGREDIENT
*** ******** *** ******************* ********************************************
NAME CAS NO. %VOL
-----------------------------------------------------------------------------
TETRAPOTASSIUM PYROPHOSPHATE 0007320-34-5
Moderately irritating to eyes . OSHA PEL and ACGIH TLV not established.
ALCOHOL ETHOXYLATES , MIX OF C12-C14 0068439-50-9
May cause irritation of eyes . Ingestion may cause abdominal discomfort,
nausea and diarrhea . OSHA PEL and ACGIH TLV not established .
2-PROPANOL- I-BUTOXY 0005131-66-8
Toxic by skin absorptior_ . Irritant to eyes and skin upon prolonged
f contact . OSHA PEL and ACGIH TLV not established. SARA Title III , glycol
ethers .
******** * * *** * ***************************************************************
SECTION II : PHYSICAL / CHEMICAL DATA
***** *** ***** ***** ***********************************************************
BOILING POINT : Approx. 212 degrees F MELTING POINT: N/A
SPECIFIC GRAVITY : 1 . 01 pH : 12 . 4 - 13 . 0
VAPOR PRESSURE : Not determined
VAPOR DENSITY : Not determined
WATER SOLUBILITY, % BY WT. : All proportions % VOLATILE/VOL. : 83
EVAPORATION RATE ( BUTYL ACETATE = 1 ) : N/A
APPEARANCE AND ODOR: Light green clear liquid with mild solvent odor
* ********** ***** *************************************************************
SECTION III : FIRE AND EXPLOSION DATA
*** ********* * ** **** *************************************************** *******
FLASH POINT : Above 200 degrees F ( TOC ) AUTOIGNITION TEMPERATURE : None
EXPLOSIVE LIMITS - UPPER: None LOWER : None
EXTINGUISHING MEDIA : N/A
SPECIAL FIRE FIGHTING PROCEDURES : Use NIOSH/MSHA approved self-contained
positive-pressure breathing apparatus and
protective clothing where this material is
involved in a fire .
UNUSUAL FIRE AND EXPLOSION HAZARD : None
KILL ODOR PAGE 2
SECTION IV: HEALTH HAZARD DATA
EFFECTS OF EXPOSURE / OVEREXPOSURE AND FIRST AID PROCEDURES
EYE CONTACT: Irritant
SKIN : Irritant
INHhLATION : Extremely irritating if inhaled as a fine mist .
INGESTION : May cause nausea .
EMERGENCY AND FIRST AID PROCEDURES
EYES : Flush with water . Consult physician SKIN: Flush with water. .
INHALED: Remove to fresh air.
INGESTION : Consult physician
PHYSICIAN : See above information .
SECTION V: REACTIVITY DATA
STABILITY: Stable
INCOMPATIBILITY : Anionic surfactants , Oxidizing agents .
.HAZARDOUS DECOMPOSITION PRODUCTS : Emits toxic fumes of NOx and chlorine
HAZARDOUS POLYMERIZATION: None
SECTION VI : SPILL, LEAK AND DISPOSAL PROCEDURES
WASTE DISPOSAL: Mop up or flush to sanitary sewer if permitted by Federal ,
State or Local regulations .
NEUTRALIZING CHEMICALS : Dilute with water
SECTION VII : PROTECTION MEASURES
VENTILATION: Mechanical ventilation .
RESPIRATORY PROTECTION : Avoid inhalation , use NIOSH-approved mask in
non-ventilated area
EYE PROTECTION: Goggles or eye glasses with side shields .
GLOVES : Rubber or neoprene gloves
OTHER PROTECTIVE EQUIPMENT: Not generally needed.
SECTION VIII : SPECIAL PRECAUTIONS
One should always use chemicals with awareness of potential hazards, known
and unknown, and their effect on the human system. We urge users to minimize
employee exposure to all chemicals, including this product and to keep the
level of exposure commensurate with good industrial hygiene practices .
DISCLAIMER OF LIABILITY:
The manufacturer and seller warrants that this product conforms to 'its
standard specifications when used according to directions .
As the conditions or methods of use are beyond our control , we do not assume
any responsibility and expressly disclaim any liability for use of this
. product . Information contained herein is believed to be true and accurate
but all statements or suggestions are made without any warranty, expressed or
implied, regarding accuracy of the information, the hazards connected with
the use of the material and the results to be obtained from the use thereof .
CHEMSPEC, INC . ( 410) 675-4800
3001 E . MADISON ST. , BALTO. , MD 21205 PREPARED BY KEVIN KRIVACSY
;�• .�. �- III
1�
CHEMSPEC, INC. 3001 E. MADISON STREET, BALTO. , MD 21205
MATERIAL SAFETY DATA SHEET
1HAZARD RATING : HEALTH = 2 , FLAMMABILITY = 0 , REACTIVITY = 0 , SPr—'_. L = I
HMIS KEY : 4 = EXTREME, 3 = HIGH, 2 = MODERATE, 1 = SLIGHT, 0 = INSIGNII : ':AN
DATE : 11 -20-92
PRODUCT NAME : RILL ODOR
DOCUMENT CODE : KillOdor
CHEMICAL FAMILY : Mixture
SECTION I HAZARDOUS INGREDIENT
NAME CAS NO.
DIDECYL DIMETHYL AMMONIUM CHLORIDE 0007173-51-5
Severe eye and skin irritant . OSHA HA PEL not established.
ALCOHOL ETHOX -YLATES, MIX OF C12 C14 0068439-50-9
May cause irritation of eves . Ingestion may cause abdominal
nausea and diarrhea . OSHA PEL and ACGIH TLV not established .
SECTION II: PHYSICAL / CHEMICAL DATA
******************************************************************* ** * * ** * * k
BOILING POINT: Approx. 212 degrees F MELTING POINT: N/A
SPECIFIC GRAVITY: 0 . 997 pH: 6 . 0 7 . 0
VAPOR PRESSURE : Similar to water
VAPOR DENSITY : Approx. 0 . 8
WATER SOLUBILITY, % BY WT. : All proportions % VOLATILE/VOL. : 97
EVAPORATION RATE ( BUTYL ACETATE = 1 ) : Not determined.
APPEARANCE AND ODOR: Clear solution with perfume odor (amber if Regular )
SECTION III : FIRE AND EXPLOSION DATA
FLASH POINT: Above 200 degrees F(TOC) AUTO-IGNITION TEMPERATURE : Noi;e
EXPLOSIVE LIMITS - UPPER: None LOWER: None
EXTINGUISHING MEDIA: Water, carbon dioxide, dry chemical , alcohol foam
SPECIAL, FIRE FIGHTING PROCEDURES : Use NIOSH/MSHA approved self- ;:or,,a : ::ed
positive pressure breathing ac. J—,
and protective clothing whe.-e , is
material is involved in a f i r�-,- .
UNUSUAL FIRE AND EXPLOSION HAZARD: None
Date:
TOXIC AND HAZARDOUS MATERIALS REL TRATION FORM
NAMEOFBUSINESS: ' LL6!VZ-
BUSINESS LOCATION: 6 f r olcjr-- RA v f�
�/S "A e� l
MAILINGADDRESS: g- fl/ 5,y.4(Z41AeA ajA 6z Aail To:
TELEPHONE NUMBER: ' �® -7� I - 1 �S Board of Health
Town of Barnstable
CONTACT PERSON: . - i S " P.O. Box 534
EMERGENCY CONTACT TELEPHONE NUMBER: 'S�60 3q5 S'OpY Hyannis, MA 02601
TYPEOFBUSINESS: P (L.
Does your firm storejany 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 other than your mailing
address:
ADDRESS: C 17) .i` 6i� 1i4i✓.�i
TELEPHONE: _ _ 7 -7 t - Z 1 15 Co-e- 4-- -Fbt- IN,�>F� 14-. ' t If
LIST OF TOXIC AND HAZARDOUS MATERIALSe�e�tc.�Y
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) 0 Drain cleaners
NEW USED Cesspool cleaners
Automatic transmission fluid Disinfectants
Engine and radiator flushes Road Salt (Halite)
Hydraulic fluid (including brake fluid) Refrigerants
-A motor oils / / 0- Pesticides
NEW � USED (insecticides, herbicides, rodenticides)
Gasoline, Jet Fuel Photochemicals (Fixers) `
Diesel fuel, kerosene, #2 heating oil NEW USED
't Z S Other petroleum products: grease, Photochemicals (Developer)
lubricants, gear oil NEW USED
Degreasers for engines and metal Printing ink
6 — Degreasers for driveways & garages Wood preservatives (creosote)
Battery acid (electrolyte) Swimming pool chlorine
Rustproofers Lye or caustic soda
Car wash detergents Jewelry cleaners
fly. Car waxes and polishes Leather dyes
0— Asphalt & roofing tar Fertilizers
�� Paints, varnishes, stains, dyes PCB's
2-56-t4(--Lacquer thinners p Other chlorinated hydrocarbons,
A NEW �, USED (inc. carbon tetrachloride)
C-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)
l' Other cleaning solvents
C; Bug and tar removers
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS
c1 I
\�/�nA ACKNOWLEDGEMENT OF NOTIFICATION
OF HAZARDOUS WASTE ACTIVITY
This is to acknowledge that you have filed a Notification of Hazardous Waste Activity for
the installation located at the address shown in the box below to comply with Section 3010
of the Resource Conservation and Recovery Act(RCRA). Your EPA Identification Number
for that installation appears in the box below. The EPA Identification Number must be
included on all shipping manifests for transporting hazardous wastes; on all Annual
Reports that generators of hazardous waste,and owners and operators of hazardous waste
treatment, storage and disposal facilities must file with EPA; on all applications for a
Federal Hazardous Waste Permit; and other hazardous wast@ management reports and
documents required under Subtitle C of RCRA.
+
EPA I.D.NUMBER MAI 51 000002048 ;
da `I� l�III15 Rll
MOU
ISxI� IlOI::i,IS�.'k:It tSWI��
INSTALLATION ADDRESS " -
511. . LICIV, Pd)
tYl fz113IS IM 02601
EPA Form 8700-12A(4-80)
CWM
f+tCCOUNT NUMBER-- SERVICE .CONTRACT + u P.O..:BOX 96
SEALSTON, VA 22547
1 t' 800-237-1333
s " CHEMICAL WASTE MA GE ENT, INC. ("C M'+' he eb 'agrees to'l irovide transportation,treat-'
yD G/A E�5 "Customer"
�. J T ),
ment and/or di posal s rvices t� O G D
located at �C7 Phone 771
-
_ S
for WASTE MA ERIAL PROFILE SHEET Number Such.waste in will be treated and/or
disposed of by incineration and/or fuels blending at CWM-approved facilities, which are permitted to recei�ve,the.
described waste material.
STORAGE CONTAINERS:The Customer shall accumulate and store waste materials on Customer's premises
in Customer's designated hazardous waste containers. Said containers must be of serviceable condition and of at
least 55 gallons, and shall be appropriately constructed'and marked and labeled by Customer. CWM shall remove
the waste materials in accordance with the agreed pick-up schedule. Customer shall ensure that only waste
materials described in-the Waste Materials Profile Sheet and identified by the appropriate label are placed in the
'designated containers '�GWM may reject or'revoke its acceptance of any waste materials not conforming to the
descriptions contained in the Waste Material Profile Sheets, including but not limited to contamination by
Polychlorinated Biphenyl.(PCB).wastes.If CWM determines that Customer's waste materials are non-conforming,
and all
4';'including by PCB`contamination, Customer will be charged for the reasonable transportation, disposal,
other costs associated with the'disposition of the contaminated aggregated load.If CWM can lawfully treat and/or
dispose of non-conforming waste materials,CWM will provide a price quote for such treatment and/or disposal. .....
SCHEDULEIFEES / JOBBER OR S. SPERSON INFORMATION
Code `
No. of pick-ups or Gallons
<., �/�
months. Name
Collection scheduled every" ,
T. , F
First pick up month City,State,Zip
0.
Initial per pick up price /4�
Total contract cost'
,z t+f , . . �.,. Phone Number ,
t � e
t 7FC > : $ ,
Overage per gallons price t ''
� rry oI,
k'k r-
Comments/Piclt uppp site(if y�fferent) ,
i't 't' .Y ~'t, C lK. v�F
Gallons exceeding,the�stated contracted amount will be charged,at the contracted per gallon rate
Prices firm'' one year from the date of contract execution:'''
r
PAYMENT TERMS Contract may be paid in full or in quarterly increments prior to service.
s L P O #or'payment received ,y.I
} decisions,. or
s. INDEMNIFICATION!; CWM agrees to indemnify 'Customer for final judgments,
settlements ,in,an administrative or udicial.action against,.Custm rie for r negligence onntent orial mis o or riduet
pproperty;sthe'.;proximate cause',of.whic is'_CWM's breach_of contract; g g
Customer igrees:,to likewise indemnify CWM.
. ;y,�in t a e 4a }'�-,r nay�`•`�k2'£.""s'�'� &�k'. f'Y�+i�
TERMSc.This Service Contract is subject to price.adjustment'and/or cancellation when either party
has graven notice in writing 30 days in advance.Contracts will be subject to a cancellation fee of$100.00.
to 1 , with its
CUSTOMER CERTIF sCbAl ONof a t generator ofl hazardous es that it isfa
telia and hereby legal
authorizes responsibilities,.
to
<_including.all.the legal'responnd gn
supply and complete!`Uri foa Hazardous
.not do sainaBENZENE inste Manifests aamountsethat would be subject Customer
mBENZENE
that the waste generated cont
, .. j: > •>r;
NESHAP regu1lations iLi a
, xl
ENTIRE AGREEMENT: This Service Agreement (including the attached Waste Material Profile
I rior
Sheet), represents the:e�nts whether wriire tten en or oral,that between the may exiersedes ar
st betty en the arties hereto and parties and supersede all s any,
1 , representation or agreements,,
and.all terms and.conditions which may be contained,in any purchase orders issued by Customer prior to or
fix, ,subsequent to this Agreement
CHEMICXL•WASTE MANAGEMENT, INC. CONTACT PE ON:
L 7Lt_r
SIGN:
rt; ern i PRINTENAME: \�i �-
TITLE y�`'�/
r
TITLE
DATE
L
DATE
SALESPERSON TE.
72
r '.x15�t�sr1' ,tl h ty r nA
�. X
1 `d ] �.? t t t 3 l C.X�' tir! 1rR`
Tn �G000NT NUMBER�'¢�� ��� 4 'SERVICE CONTRACT P.O:BOx ss s
Yt r t , t•t t
a,.'� :� , r r RENEWAL- SEALSTON, VA 22547Y� 1,
>s
E>' itD`//����d d0 4 2.0�� �3�r �- ,r;r, + .as . ��ir� ,,,,t,.•'a ,t... �{ 800-237-1333 ,M� �.'
CHEMICALWASTEMANA E N C ,( WM'') hereby ees to provide transportation,treat-
rinent and/or disposal servicesfirtt01 6 "`fitsc�'U'G�� '� ("Cu me
FH
Y'
fiocated at
�/ V sto )
�.,
d� hone 7
7*7
orry WASTE MA}fERIAL-PROFILE<SHEET'Numbered? f x � "Such'waste material w►ll be treated and/or ,Yr
1 :.... tfs`k'
.c is osed of bye ncmeratlot>�and7or,fudels blending at CWM-approved faaiitties which-are permitted'to receive the - « -'•�
if-,
'x�'' 7as't�°#nJ+tfr,r`�;#t e(IT a:13�b',�i~�;,'q O I•�:16�.�1'�130AK �;-�� ..4 'j''�''1 L Co rifl.A {?
described waste materialyrwt, yt f „ -
The Customer"shall accumulate and store.waste materials on Customers premises in
µs,,_�: STORAGE CONT ;,, __ ,
ustomer's designated`liazar qt waste coptainere:.Said containe`ra must;be of se v►ceable condition and of at least 55 gallonar4
arld'shall be'a propriatelycoristructed and"Wmarked-:and labeled by,,Cuatomfer`.,CWN1�shall;remove the waste materialsm S}
- •- �°` ;'pp 3 ure'that'only"waste materials described"in the'Waste r�
accordance:V�nth the agreed„pclg�tipiiechedule'Customer shall„ens
x 11latenals Profile Sheet'andridenttii!ed;byrthIs appropriate labeltare-placed in the d'esignated'containera':CWM`may reject orr`
' evoke;its aceep£aiibe�bi',itii va a mathnala"iio `conforming tothe`desci'iptions contained`in''the Waste Material Profile
Slieets;;including but,`not limited.,to;'contamination'.by Polychlorinated.Biphenyl (PCB) wastes,,If CWM,determines,;thatx
' r ARMS Winer.,s�vi+a`ate ,materials are non=conforming;including by"PCB`contamination;CCustomer will,be;:charged for the
a+qw. A.r, ,d ggregated load If
a seas„o�•irindstransportation,disposal,and all other costs,associated with the dnsposition of the contaminated a
WM;can lawfully treat`and/or.dis$pose of non conforming waste material's,CWM'will provide a pace quote for such treatment �� P
.t J, or! Ja ! ig O :_..-
dor disposal., t� Slc P.a` , 's, l,t] f' 1 S „
SC b1QLE/FEES,: 1 J B R O SALE PER INFORMATI
� 3 t Efi lE SY n Nt � � SON
qy ra OB R SO
+��, o:wi'i ick ups or,
€ a`4 1 ,+.t { i. ,�„p�U�..�«�?s. 6s.'II0�1 .1+,�t��'"ti.•Ul'1 -:�'. � _r��, t:.,1 t r t tit t I a.tin f � t 1 t .
! d` ' '`ii�,yy�6 2ti�rr Lil'kl. ," �� cg'ni' d# .f) t
+... ... „ i `c�uled every "� months Phone Number
s r ��'c a r a tt R A." , r r4na
:-: tOJ„ Z
.I�r, 'tk'' t •,,� .�' '4 n}:'.' r�;
a.�t f "r•'`' �y-rit�T
" ri �I•iii3t, 1� $nthklr�L ,i �1rY71.��rli:r7
�f'7 ;
F 0fi
1'!UU!a'x :<! ' "lk�k 00',7 l t,fi {i, c�•t�.2s. ldA..t±�r Ytj a(3'17. 1 ]3
1 /�I ,3 5 . «.+u wry L .,—..,+ 4 •+-ht {AT'.
} h� die ,,pickP,iPnce;$ - -� Rr
6, � ii[pG*t�"5 �a tla e' t it#lGf rYtF ,3d3V1u43�i �
1
04
'ot ntragt Costs ' a
".,+s-rMM A 41.t;.l.r; {4 :.b.C,F1v :v$'' #:pxaSl�ul�..'i lF a1f rll'1;3ri"t+ t+{rt'::3t§111,nFSlklt`t,, tr,;p 3i"1f.Ai'(1 �$rrgy-1��1^i }.i;
YT ,!• atr•" 'r'iwd Rr';*; ur 1',)t rr,F,.1)r1J Yi7{ri(ji 11gh Q'S�J.'�Xt r�Ui t.{'ti'f94. J tip.f
s, h 3 ,4Z,,• ta41t
"p Overage er,gallona rice Bmfir t' i�rFt t]c ] r �r a d rti'.tt ads^t1ti
,p '� rs• 5 °T�'.�{('"r,sh .t11� F i'�7f7 '�
..:.:.•, H; _. ��a -� kj: -.+���st�••""' rES� rj�,,. �b ;.?,�itt .
Co iitl3%Pick u Nit f(if differer
z..,.,
W WAR
udcy H lnCt' J 1 d
` i% r krfittil� { r >'t.t141 rtlr$ C4 "r 1
t !> eel t $tr� rrt tk r Y
%PAYMENT TERMS Conract maybe paid m full or in quarterly mcrements prior to service
r s
' 7c���9 'rlt.il s" tRs ?J:, 16rs.tlD{a;d 6:Y r�
r .k' r
zc F,w�h A "" s ..r - ''r•r?',, x n t d 7 y`stY'' r. .e;�1 t" t. a::� k }firir�.
I DEMNIFICATI,ON{ CWM,�,agrees +toy indemnify Customers for i•ifinal!judgments,t,decisions;
alemen�ts,in fan admiiustrative:i orJudicial=actionagainst Customer sfor,personal;l m�ury or:damage
erty thepromatecause`rofyvhicHis�CWM's breach of.contract, negligence or intentional''misconduct 4 `
11atoIner A .e8 't0'11keW1S@ lIllleIllIllfy:GWmlilfi; .( �f)ir±ri{ 3 t " f y �x�fY7
5isi i s kpF€��]rtru`,` rtt t �*;s �• 7x 17 ( i
4�� � TERMS This,erviceContract,is subject to rice ad'ust ent and%or cancellation-when either party,;
ll T� 7 in
F ,Jd. „`2;,1 �i. J l.r I t.ayr 5 A S
2idttt � tot,fifitcl a< tf eof:,$100Q0 p
as given notice in writing'�30`days in advance Contracts will Ee'subject to a cancellation fee
''fit `��`� a•. t , 4� i ¢t
GUSTC3�1!I RiCERTIFICATION <Customer certifies chat it is amiliar with its leg• � 3 al responsibilities,
mclu rig all the a 'al es 'onsibih ies�of a eneratdr'ofthazardous'waste,;And hereby authorizes�CWM W
pp and complete t ufopin Hazardous"Waste;Manifests arid,Profilestfor-its si ature:-Customer.certifies 'S ry
w gn >r ..
a . fiat'the waste enerated;floes riot contain BENZENE,'1w.amounts Ethan would be subject to BENZENE
Zi y�'
TESHAPt re latlona �
"Has
t a na s t ir' trb ;
` Fp, ENTI]R�E ` �EMENT'tI"H areServicel,A ee, ent (in'Cw,0 ng the'. attached. Waste Material Profile', r
w s tf t
{?� 8heety- repree{itee ems° --iderstanding„betweenFthe,parties lie eto.and-supersedes''any.and`=a11 prior't lt,l
tjYliS,� •w -et j r i F.Ft 'Ir17al t.F e.^fi sT wa> l ff Vet
g.. 1 !J
6 rep"resentalionior agr menes,,i hether wn en or oral that may:exist between•the parties and supersedes any
, 4 onsiwhich may be contained in any,purchase orders issued by�CustomerM prior to on ,� t
A,all terms;and conditi ,,
G } bae•Quent t0 th18eeil�l@iA
ntf�iltlk}t' t�it?4Tlt#E9itvtl(A iA' t'A d{5(vS1: r, , s <1 let 4 1 ,t rill i t
:. ityp: {ja f t!3 ![)�C) 9V Gsa r t$rt a ttthi'tl)?uVt ;:i
917d4.r It s 4] s
�� (� 3� r �++P°f.F� � &.�Y`E '�r�]y��A+,��,• `S'' u� .�'» y..s 5...t „y...�. ., ...,�: ..,, _,.a:. ...St atrt]t 1Z<Sy�Ir, e Irt.t?h'# O
t f.J l,;;j
x HEM 1WAST €1VlA'. G MENT,,INCt t r 'tr ,,;` CONTACT P 1 SON
ICJfl&hix a 4/ n'�i }r Slr r'i. a$.rrl7IGN 3 J V t f
� nM'l��✓� �v".'`�,�$��+''s',-tcx}t"e,�'6�'np� � --;rt� %�?h' �' RIM
fy14Ya - '�.'1e+i
f rf TI
•a' �a r ` TV a U-NC-4
...
k J 3' m r t r r r k,- J
ft � %{"<'t f , t ct r' 4.�rk M1 '
�MG•+ L a!"�^+^"k ..,sry '^�,..+� µ».k- w4 --<w c, ..�>;.
r t§. !Y ,k?r r t< S�t'lt ,,; z � s rk' , r+Ty✓-r) 6 t , » ...
CUSTOMER ';DATE— —
�
b 1
NUMBER+4 `NBMA 1004 RD+ t f 4 ti
�NBMA� � ` " ., r:>• : f THINNi�':WASTEr � .:� P.O. BOX 96
,�rt x�a SERVICE CONTACT RENEWAL sEAt_sTON, VA 2254
EP
MA500000?048 ,h #w FKa w 6 4d
A -.....v� y V cb%$'r a �.ey'� r.a!: .rl�ufy d r
'*.. � ,., 800-237=.1333
CHEMIC,�I ,,WASTE MA eby agrees to provide'transportation
x w�,ment and/or disposal
4a t, S8 J.
,M #or WASTE aMAT)3RIAL�PROF.,ILE,SHEET Number - Such� t$rial will .be treated apdyor
�6:n,yu.w r(t.'t� tJ ,t l :.,.• 'y t {'+±'e7i1 aY�'9 .IiY' 5
, .,. d�spAsed of bye mcmeraupp--and or fuels blending at,CWM-approved fac y.,.. ch are perrrutted to receive the
ATescribedwaste'Smatenal. ' er
*STORAGE'CONTAINERS The Customer shall accumulate and store 1'r ti' t s4 on'Customer's premises
m Customer's.designatedlhazardous.waste.containers. Said containers.mtxtaeerviceable condition and "� ri
k of at'least 55 gallons; and shall be appropriately constructed and:marked,"' eled by Customer. ,CWM
r shall'i�emove the.waste materials ui':accordance with the agreed ick-up schedule�Gtiistomer. shall ensure'that' x i
wohiy waste materials'`describld�`m�the-.Waste"Materials.Profile S eet and.identified by the appropriate label`
are'placed in,the desighated;contamers:''CWM'may reject or'revoke' its acceptance of any waste materials '
ti not conforming'to'`the desc'f,ipptions-contained 1n the Waste' MateriaVProfile Sheets, incluunig but not -m-U
.,r contamination b Pol ehl toy y,r. y xt ormated Biphenyl (PCB) wastes If CWM determines that,.Customer' Fwaste
y
inateiials,are non,confo rtung including by~PCB contamination,;Gi stQ ?er will bey charged.:for th reasonable
arts -ortation Fdisposal�and�all othex Costs associated:Witi1 thcfc� i of the nohc onfo fJlllung materials
tfti CWM`can'lawfutly`treat-ant1/or "dispose of,non conformin s sYs, G t.. 1' rovide`a price
quotP for such treatment,and%r disposal J -
6` SCHEDU E/FEES JOBBER OR Sk SPERSO INFORMATION
+"RZ�1t �rmd� � � -a+vw.- -G.r.r•Serma a, .. -7
r No pick ups i - or Gallons bode ,
5ti''4.0 f r f
s l
4.1
Colleton'scheduled every months Phone Number
w4'jgp�'x� ,w/h�t�z
ItTA�.w�`«"F+t�w�� �(�I.C961��a,r`= ➢ a.:...r t � .. e e r
r.yil'`�" x --��,'
I+'1 bin'tl ClOnth° t+Ub €t+ 8e °y }Apt . t e t t k { _? k '1 ^,
{5.,e �4i v Y S i,Sf - (v+' s,.. hy. m+£ i ttt9t +, c f rut {+ r;
�py�h� �lV" t r
-_ - A
. '`•` 7.,r a t `�.t. G,': 1{J +L/tQt t "c h.
a.:. SkPt nwn M� 2
5, lck p +! k ..:,1°"f•- ti ;Ka,
y rs4l
I�4y'4Si�,;n�• }�t��gi ts/�,�i/°�'yrcsT,,,� r`°* x <� •«,v r 1 tF = fs<,rrT iatXK at`l � �,'1 ;
F✓. 'Ny�4*�
• � rltract
r 3':•M t 4 '4!y �,N 4 °v$;A i ._ 1 } ;H _ ,d �+ ,Y° -^`m+^q_.
- `�{�*;�r•,��' '�fi:c u '^y F�{ tart Yv er�.,q, -� .y : ,td.cw�`.i4-� -:!hx yi+ a � ♦ t �'}r a 7 �rl^'Mj ��;,aiy ��,uK i1
Ove ' e,per gallons.
r f4^'� G,,'. n:tp§= n•, ut n ,�4 11:ry i: 'is5lr+ti"�Yt -:� 7t , i.�... It a . 7-:K '� " � cr
. :tea it CALL E3.4,, PU :I, MAhI'i=5hldP
�o t�/ ck up site (r .d'ifferent)
ZIy'f`1 .h�,.,� 4.=,,d*, , Il3i 'w`p xIfi v 4f.r'f�.`•,.Ce"F t .t t.,t y .. ,
'a3Y �.h{r }; '
Pt '1V 1�NTf 'ERMS Contract_tjm¢a4y�be'paad in fullkor in quarterly,imcrements prior,totiservice,A`4
'as s.f's.>t�. §} 4k k`,•.. W^SN 1{`'d'"tttr�' A�. rof•b t �+ h a p s*r;•t f i.s34� ,i �. 1' + i :y..nF? IIV,
IMl d d,, F.z /. 0 :':•.. J' :, e'' <.
INDEMNIFICATION CWM'agrees;to indemnify„Customer for"final:•judgments, decisions,•or'�settlements K=t�
aniadmmistrative'' udiCial"action against:.Customer;for'Personal- juryt on damage,to property;the proximate
�kcausesof�which is CW��at'O breach%oof� contract, negligence or intentiona misconduct.Customer agrees to,hkewise r
tihdeMilry�CWNI�• ' a`�'„""`r` �i " A :{ t4
, rTERMS�CWM;mayac�ustits3 rices�under this:.Contract7at anytime upon 30,days`prior written,notice.
+x itta5takg ustgmer, ' tin ie� business"tas'its"M agreement�to(such'>Price changes. This Contract 'shall
, ,Mp
^ 6ntinWix! i`ilsatRiftih fed;l� eitli r Iia t��+`for i reason upon t30 bays prior,written=notice;.,Cancellation by j , d;
�Gustomer shall''entitle CWM to a#c�aacel&Gn fee ofa$100.00 i ;,;; , _�,;,�;� ,r ,,f
' GENERATOR c RESPONSIBIl•ITIES Customer. warrants.that•it.is familiar with its legal responsibilities
,
(' rac ing all'.thelegal:resporisib sties.of.a generator•of hazardous waste, and hereby authorizes CWM toasupply
Y,and complete Uniform=iHaiar giist�iste Manifests,and .Profiles for:it's signature.-Customer -warrants that the .
waste'generated does not`contam BENZENE m amounts that would be subject..to.BENZENE;NESHAP regulations. 7
F ENTIRE AGREEMENTtThis Service t�Agreement (including!the attached Waste Material'Profile She
et
represents the entire:understandingwbetween the.parties hereto.and supersedes'-any and all.prior representation
orbagreements,ttwhether written or oral that may,exist between the:parties and supersedes any and all ter
ms tie
fend coiiditionsr,whicN-�may5,be�contained in any purchase orders issued by Customer prior to or :subsequent
4.> to this Agreement 3 k a�P r n f 1 . a �G
w SIGNATURE ANDS,dERTIFICATION.',The Customer,'srsi nature{`below indicates its a reement to the terms
a 5 off"this,�Service Contxact,�arid eer`.y�es as:rts°certif"ication".thatgaIl;information. submitted in;the,:profile'sheet on+ '
„��the reverse Oide heYeof�and ahattached documents;contain true'and accurate;descriptions of;this_waste.material, {
+ ahal relevantitormationregarduig known or suspected hazards in the possessioiC of the„generator has',been j
l
iSc Ose ;s'ira
� ^AnL�.{{+„'..�, -•kt'N`-k"''�W�Y*"�4'k-.. $'{ C i '. . t...
s14-417 4 ,9 Y 'tu"A`tY SS" s k'w P •, "'1 F .,A
w EII91
AL V�ASTE MANAGEMENT,iNC CONTACT PE 07.
t s,rw��� nt ('� •- Gt' (::G�.. SIGN.
* B�
}..cti�w--.x r.... ... «.--.,•...h„.r. "�''i�'i.aa'y"' ..:5 ... .. .rs: . ,. _1` &
FT1LDTEHN4GSF1N ,,/a
�T1TLE x'., it r PRINTED NAM E ,l/ ,,�.G frri�-'�-
Tr�i
!' f rt,±t TE 1 J'# ♦ ''.`tart*+'; ' t' ".{,tye3 lfru' .'k'1 :, "� i t A t T11LE {L 1
� ^( ' "' , 3 y�f,F°{ tN/"oFYFt•'a a -•aE'�a-Ct^. � tq w e..: z y�
bar k ¢� � ;p { CUSTOMER
DATE:,-p ,
�
P
No..&.1=9 z*.. Fns.. .................
_ THE COMMONWEALTH MASSACHUSETTS
�4' BOARD OF e �1-�1.EALTH
-•----�/ �..........OF...(.•-?�1-e/,k57,4 -....................
..................
ApplirFation for Elisputiaal Works Toutitrurtion ramit
Application is hereby made for a Permit to Construct ( 41-16r Repair ( ) an Individual Sewage Disposal
System at:
......... J. IZ 0 --•------•---------- .............................. .......-------`......----•-------
Locatio - ddress r N
....w ,...8ddress
4
Installer Address
d Type of Building Size Lot...ZZ;& feet
U DwellingNo. of Bedrooms.................................. Expansion Attic Garbage Grinder .
— -------Ex P ( ) g ( )
04 Other—Type of Building 4WACW �of persons............................ Showers ( ) — Cafeteria ( )
Q' Other fixtuyac�it7�jallons
_. ______
W Design Flow2�a4allons per person per day. Total daily flow---------- .:..............gallons.�
9 Septic Tank—Liquid ca Length..46...4. Width___' Diameter................ Depth... �.
Disposal Trench—No......../......... Width.../Z.°...... Total Length....-Y.0?....... Total leaching area___,?<3®...sq. ft.
Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box (49:4 � Dosing tank r
'-' Percolation Test Results Performed by.... ____ ._1 .__ ! v>. a �$ .
a .,
Test Pit No. 1....A;;;� aninutes per inch Depth of Test Pit---- 3.1 .._ Depth to ground water.....
Test Pit No. 2....C' minutes per inch Depth of Test Pit..../_.3_� Depth to ground water.C'........... 52,'
P -----•......••-•----•-•.............•-•---------------..............--.......
Description of Soil -----•--
U ..........0.. ... "---• .�• ...... !J....... VIE.Z ...... _._14 ....Y.Ie? ........... ./ n
U Nature of Repairs or Alterations—Answer when applicable.--.............................................................................................
---------------------------------------------------------------•--------•--.....---•--••--------------------------------------------------------.......................................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITILL 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance hasjbb -,"."d.�ythe board of health.
Signe ----- — --_-
Date
Application Approved BY �� ..__' � . ....................
ate
Application Disapproved for the following reasons:.................................................................................................................
..................••----------•-•----•-•-•------•-----•••----......._............--------------...-•-•-•.-------------•---•-------•-•--•----•---•--•-•-----------------•--••-----••----•--••--•-•-------
Date
PermitNo......................................................... Issued-.......................................................
Date
No..,6 -9 t$, Fps..•��1.'000
THE COMMONWEALTH OF MASSACHUSETTS
BOARD /O� F� HEALTH
......_% L!/N..........OF... .................. ..
Appliration for Bhipaoal Works Cnnnittrurtinn Vrrmft
Application is hereby made for a Permit to Construct ( 4T-00'r Repair ( ) an.Individual Sewage Disposal
System at: I
1
......... _a��.�.t_---•./ d'9✓.�.................... .......•----....-----•-� -=�----•---..:".....__..........•--..._...--------------.._.
Locatio ddres r r N
..... ...................................•---------......._.....
�wn�r, �aE�ddress
Installer -__
� � Address � —�
UType of Building Size Lot _/__�'___ Sq. feet
Dwelling—No. of Bedrooms............
-----_,,,_........Expansion Attic ( ) Garbage Grinder ( )
Other—Type of Building 1� of persons____________________________ Showers ( ) — Cafeteria ( )
{
Q' Other fixtures ��
WDesign Flow_ ��! .__gallons per person per,day. Total daily�ow_________________-% __._.___________gallons.,
R; Septic Tank—Liquid capacity Length___..'_____-__ Width.____!__-.. Diameter................ Dep�th___L-._
Disposal Trench—No......../......... Width.../Z. ..... Total Length.._. d__.___ Total leaching area____�?3_!_..sq. ft.
Seepage Pit No..................... Diameter.................... Depth below•inlet__-_._._..__________ Total leaching area..................sq. ft.
Z Other Distribution box ( '� Dosing t k �- `
'-' Percolation Test Results Performed by _U__,_.��r°J_ ate__.__ __7.. _ _......
a
Test Pit No. I.....G' minutes per inch Depth of Test Pit.......3__�'__.Depth to ground water......
`
f=, Test Pit No. 2.._..!��minutesper inch Depth of Test Pit..._ 3
f__..__L_Y. Depth to ground water__c''..._..____.....__Z'
Description of Soil _.....•--j� -- �1 - ----------•-----------------------
w
U Nature of Repairs or Alterations
—Answer when applicable...............................................................................................
--------•-------------------------•-•-----•-----•-•----------------------------------.......__-•-•--••--•-•-----•-••----••--------••----•-•--•••---•-••--•-.•-----------------------------------•-------
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has the board of health.
oe f G------ e7 /...a .. ,
Signed7� --- =�:.�?_, == .�/
Date
Application Approved BY ` ." - - ----••............... d te -....._..
Application Disapproved for the following reasons-------------•-------------------------------------------------------------------•---------------------..._--•---
Date
PermitNo.......................................................- Issued_.......................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
OF.... fta..............................
Trrfif iratr of Tuntplianrr
THIS IS TO CERTIFY, That the Ind' idual Sewage Disposal System constructed ( or Repaired ( )
b ' =='9•� - ' ,- ..............•----•-•-•---•--...
Y ....................................................
.. C ...
at.._..._c f9 — ....6� �r� Ctaller � VA
at .._.__._••......... - -
has been installed in accordance with the provisions of TI`� ` of he Sate SanitaryCode as described in the
application for Disposal Works Construction Permit No----`'..`:_"- � ______________ dated ..._.___._._.__.........-._.•__:_..___.____.._
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE................•....---••-••--....-•-•------•-•---..........----••--•-••_-•--_. Inspector...........................................................................:........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
No......................... .....OF....T'�-}� .. .� � G .................... FEE.... f .....
Disposal nrkv TDnnotr irrnKrrmi� t + � I
Permission is her y granted---- _ ,
to Construct Re airy, ) a dividual Sewage Dip+9sal ys em Street
as shown on the application for Disposal Works Construction Permit No________________1_ Dated........_........................_........
Board of Health
DATE ••••==
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS
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LO CAT 19,111- v SEWAGE PERMIT NO.
(. VILLAGE
I N S T A LLER,'/S NAME i , ADDRESS
-
UILDE R OR OWNER
DATE PERMIT ASSUED .
j DATE COMPLIANCE ISSUED
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