HomeMy WebLinkAbout61E BODICK ROAD - Health 61E Bodick Rd.,Hyannis
A= Hollister Assoc.Boat Repair
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TOWN OF BARNSTABLE T
TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY
NAME OF BUSINESS: / .1ARJ-S L5,0•4_ 3/40f
BUSINESS LOCATION: 0b/6AC Rb INVENTORY
MAILING ADDRESS: 50 6R& r &S RE' I 0 (e — TOTAL AMOUNT:
TELEPHONE NUMBER: -r°lf *
CONTACT PERSON: A-A/,66--$°' f Z 9 Ov
EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE?
TYPE OF BUSINESS: 1 n. /1<1,A6T1<rLC
INFORMATION/RECOMMENDATIONS: a CvA).5i575 VF 60 Fire District:
A-A1 D 0.PJC/46 ,5&f�C A-T nee' 9E*;—' dF 5A-/ 25, TY-C TWA' IJVAMA1/3
fiAjHHA-&,cS c.*6/,)e rs A?..-10- Iiy 77Y A2c
r* -'_ � wrri�/r /-/r� 5tt�-wJAJ6- �ir�2�-nA ire �.r� r+cs.
G�d[l/S/ST5 d� s;lfLL,ANl� 2rGG/.vim � ',¢/R, 6A/6/.V6 /,j occ -9S.14A_ + ,,. iVi F vt✓i?-STU- aiL r"c
Waste Transportation: Last shipment of hazardous waste:
Name of Hauler: Destination: ewlgg oAJIJ L,4nJiWiu
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. �,�RL--pae-TEr> o 1,3W/
Observed/Maximum Observed/Maximum vj4.sly
Antifreeze (for gasoline or coolant systems) Misc. Corrosive 616p0,9fe--d _
NEW USED Cesspool cleaners ` —[0 -cl-
q
Automatic transmission fluid Disinfectants -/� "0r _�
Engine and radiator flushes Road Salts (Halite)
l-I��21.c![rff
Hydraulic fluid (including brake fluid) Refrigerants LA�/�F/Z�
Motor Oils Pesticides X+1-9L 4N b-CIE OA)
NEW USED -4 t"/J L (insecticides, herbicides, rodenticides)
CAI Aso line, fuel, Aviation gas15aPPt-y/A'4(-P,gVjVL Photochemicals (Fixers)
u/.�-ssic-1Z
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
o�. Battery acid (electrolyte) atterie Lye or caustic soda
Rustproofers Misc. Combustible
Car wash detergents Leather dyes
Car waxes and polishes Fertilizers
Asphalt & roofing tar PCB's
Paints, varnishes, stains, dyes Other chlorinated hydrocarbons,
Lacquer-thinners (inc. carbon tetrachloride)
i
NEW USED ONC Any other products with "poison" labels
s ot4 S/fe2-v1NC—/
Paint &varnish removers, deglossers b3Ay (including chloroform, formaldehyde,
Misc. Flammables j1f4e.,�-r w17W W"7W,&//E ^1AJO --hydrochloric acid, other acids)
seccyu6 ��aMacasrE, eA81,,6-7-
Floor &furniture str4 eTsT//u'"&"*NO Wh'$7'r Other products not listed which you feel
4d Aior�_D dC
Metal polishes may be toxic or hazardous (please list):
Laundry soil & stain removers � g-s- 6'At"AG p jj��� eF Wj�S� /G��4�dxfi
(including bleach)
Spot removers & cleaning fluids
(dry cleaners) UV ®ArTE- 'C. 077 06 E-_O , tzt- P05-r
Other cleaning solvents *K5EE tj0T5 K--_ 'F9.0V I1*> _ TWA-5 I TE HA-UloEi� ,r
Bug and tar removers AOOvL$-
Windshield wash
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- SINESS
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Town of Barnstable _ ��t
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-Inc r.. . Regulatory Services �p>
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Thomas F..Geiler,Director
, - -
- Public H ealth Division
3 Mtb3.Qr �0 't raa `
'g'�a�u•'� Thomas McKean,Director
- 200 Main Street, Hyanius,MA 0260
Office: 508 862-4644790-6304=
Application Fee:-$100 00
ASSESSORS MAP AND PARCEL NO. DATE - '
.:
Z b
y AND.
Y V — ��ATTIA 1 � OiEI 1rJ:l IL�A � '
THAN 111 GALLONS QY HA ARDOUS 1VIA TEI2IALS r _:
FULL NAME OF APPLICANT .
_ -- NAME OF:ESTABLISHMENT U01114 er
ADDRESS OF ESTABLISHMENT
_.........
-
-
P�G.:
x -
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TELEPHONE NUMBER p - 9
- - SOLE OWNER '✓YES NO
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F � 1
IPAPPLICANT IS A PARTNERSHIP,FULL NAME AND HOME.;ADDRESS O;vnAL�
PARTNERS: ir
IF APPLICANT IS TA CORPORATION: FEDERAL IDEN:TIFICAVON-NO
STATE OF-INCORPORATION
FULL NAME AND HOME ADDRESS OF: y
PRESIDENT K4r I lq
a Derca� 10 g i ve 1, b���e Sa s r►. vl�r±,��+� � 6 ��
--TREASURE
_ r
' CLERK
RESRICT ®NS --H®M
Oi _ WIN
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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
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Town of Barnstable
°FtHE rgy, Regulatory Services
P °^ Thomas F. Geiler,Director '
* RAMSTABIXPublic Health Division 9� 1 g'
AIFD rM'�A Thomas McKean,Director �0�
V
200 Main Street, Hyannis, MA 02601 11
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 `
NAME OF ESTABLISHMENT 1soctq Q4 es
ADDRESS OF ESTABLISHMENT l .971
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TELEPHONE NUMBER
SOLE OWNER:_ YES NO z
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IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF L C-n ran
PARTNERS: o
IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO.�
STATE OF INCORPORATION1 ,�,0,0 ,
FULL NAME AND F:
PRESIDENT
TREASURER
CLERK
SIGNATURE OF APPLICANT
} RESTRICTIONS: - HOME ADDRESS� 1 �, 4644.
HOME TELEPHONE# j
Haz.doc/wp/q
Date: 5' 27 y
TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY
NAME OF BUSINESS: ��a,+ ��,P�•c%z
BUSINESS LOCATION: G t C o aol
MAILING ADDRESS: �' INVENTORY
TOTAL AMOUNT:
TELEPHONE NUMBER: SD 8- -7-7
CONTACTPERSON: 5,Piyt G u.P,,L�eu ,?�-(®,�" aal&-r7s
EMERGENCY CONTACT TELEPHONE NUMBER:
TYPEOFBUSINESS:
T
OTHER INFORMATION: P(eo-av-
ovt eGc o _
5®55 00 51fe_
e ed av el
Waste Transportation:-'/Veecl
Name of Hauler: Destination:
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.
Quantity Observed (gallons):
I/ Antifreeze(for gasoline or coolant systems) Drain cleaners
6�.NEW USED Cesspool cleaners
Automatic transmission fluid Disinfectants
Engine and radiator flushes Road Salt (Halite)
Hydraulic fluid (including brake fluid) Refrigerants
Motor oils Pesticides
6lNEW USED (insecticides, herbicides, rodenticides)
Gasoline, Jet Fuel Photochemicals (Fixers)
Dieselfuel, 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) e�+es 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,
�Pcy�kNEW USED (inc. carbon tetrachloride)-
]1aA 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 MiSC.: vye a �5rr(yP.vvt ,3(o a cL!
(dry cleaners)
= Other cleaning solvents ec heZr t/e.
Bug and tar removers
TOWN OF BARNSTABLE OMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair
satisfactory 2. Printers
BOARD OF HEALTH 3.Auto Body Shops
` 1^ f/� O unsatisfactory- 4. Manufacturers
COMP ANYt'��I�STG I(� (see"Orders") 5. Retail Stores
/ V.1c, 6.Fuel Suppliers
ADDRESS C Class: 7
7.Miscellaneous
n/ S QUANTITIES AND STORAGE (IN= indoors;OUT=outdoors)
MAJOR MA ERIALSCase lots Drums Above Tanks Underground Tanks
IN OUT IN OUT IN OUT #&gallons Age Test
Fuels:
Gasoline,Jet Fuel (A)
Diesel, Kerosene, #2 (B)
Heavy Oils:
waste motor oil (C)
new motor oil (C)
transmission/hydraulic
Synthetic Organics:
degreasers
Miscellaneous:
ski-
DISPOSAIJRECLAMATION REMARKS:
1. Sanitary Sewage 2. ater Supplyff" IVfi _�JLCLA
02 Town Sewer (Public 4
0 On-site OPrivate SAV64 ( J
3. Indoor Floor Drains YES N0 `1 V�� j _ bV Q
O Holding tank:MDC /`� ` °
O Catch basin/Dry well / ✓
O On-site system 1 Vl a�K,_ L�z
4. Outdoor Surface drains:YES NO)� RDERS:
O Holding tank:MDC
O Catch basin/Dry well
O On-site system
5.Waste Transporter
Name of Hauler Desiination Waste P I roduct Licensed?,
1. 5M . (a NA S. C) cJ l�`T S NO
2.
Person(s) Interviewed Inspector Date