HomeMy WebLinkAbout0193 FALMOUTH ROAD/RTE 28 - Health [93 Falmouth Road, Hyannis
U-SAVE AUTO RENTAL
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TOWN OF BARNSTABLE OMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair
satisfactory 2.Printers
BOARD F HEALTH 3.Auto Body shops
satisfactory- 4.Manufacturers
COMPANY ' �%� �Versn
ee"Ord ") 5.Retail Stores
6.Fuel Suppliers
ADDRESS ► lass: 7.Miscellaneous
�AWANTITIES AND ORAGE (IN= indoors;OUT=outdoors)
MAJOR MATERUnderground
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:
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i
DISPOSALIRECLAMATION REMARKS:
1. Sanitary Sewage 2: . ter Supply
Town Sewer RPublic
On-site OPrivate
3. Indoor Floor Drains YES NO
O Holding tank:MDC_
O Catch basin/Dry well
O On-site system -79
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4. Outdoor Surface drains:YES-.,r NO ORDERS:
O Holding tank:MDC
O Catch basin/Dry well
O On-site system �-
5.Waste Transporter
Name of Hauler Destination Waste Product
YES NO
1.
2.
Person(s) Interviewed Inspector Date
l i
TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair
satisfactory 2.Printers
BOARD OF HEALTH 3.Auto Body Shops
O unsatisfactory- 4.Manufacturers
COMPANY (see"Orders") 5.Retail Stores
6.Fuel Suppliers
ADDRESS ,tiLi�u Class: 7.Miscellaneous
QUANTITIES AND STORAGE (IN=indoors; OUT=outdoors)
MAJOR ERIALS Casef6ts Dr
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)
i
transmission/hydraulic
Synthetic Organics:
degreasers
Miscellaneous: ,
L=
DISPOSAIJR.EOLAMATION REMARKS:
1. Sanitary Sewage 2.�Wma ter Supply &6
O Town Sewer ;UPublic J
3VOn-site O Private �i GCS C
3. Indoor Floor Drains YES N0� _
O Holding tank:MDC_
O Catch basin/Dry well c
O On-site system
4. Outdoor Surface drains:YES NO ORDERS:
O Holding tank:MDC
O Catch basin/Dry well
O On-site system
5.Waste Transporter
De f � �
Name o
2. t
erson(s) Interviewed Inspector Date
TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair
satisfactory 2.Printers
BOARD OF HEALTH 3.Auto Body shops
O unsatisfactory- 4.Manufacturers
COMPANY t) S (see"Orders") 5.Retail Stores
6.Fuel Suppliers
ADDRESS Class: 7.Miscellaneous
ftCJ' QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors)
MAJOR MATERIALS 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
i
Misc llaneous:
(eljfL& UO G�
GuL $
t
�4) k j
DISPOSAL/RECLAMATION REMARKS:
1. Sanitary Sewage 2.Water SupplyS m S
ECTown Sewer 1�CPublic
0 On-site OPrivate
3. Indoor Floor Drains YES_e�_ NO
0 Holding tank:MDC
0 Catch basin/Dry well
0 On-site system
4. Outdoor Surface drains:YES-NO ORDERS:
0 Holding tank:MDC
Catch basin/Dry well
0 On-site system
5. Waste Transporter
Name of Hauler Destination Waste Product
YES No
1• I
2.
Person(s .Interviewed Inspector Date
Date:
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TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM
NAMEOFBUSINESS: 2&77�N
BUSINESS LOCATION: nh"'!E� _
MAILINGADDRESS: SCd�' 1 Mail To:
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TELEPHONE NUMBER: S-U / U CM) Board of Health
Town of Barnstable
CONTACT PERSON: Ea!ff 124,66 em P.O. Box 534
EMERGENCY CONTACT TELEPHONE NUMBER: SOS= 2 -?o Hyannis, MA 02601
TYPEOFBUSINESS: , 11�
Does you tore any of the toxic or hazardous materials listed below, either for sale or for you own
use? YES NO
This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed
envelope for your convenience.
If you answered YES above, please indicate if the materials are stored at a site other than your mailing
address:
ADDRESS: g lA44 12,1 a, A17 /
TELEPHONE:
LIST OF TOXIC AND HAZARDOUS MATERIALS
The Board of Health has determined that the following products exhibit toxic or hazardous character-
istics and must be registered regardless of volume. Please estimate the quantity beside the product that
you store. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS.
Quantity Quantity
- Antifreeze(for gasoline or coolant systems) Drain cleaners
✓NEW USED Wjt/,.DSH1 Cesspool cleaners
j r _ Automatic transmission fluid Disinfectants
U, Engine and radiator flushes Road Salt (Halite)
Hydraulic fluid (including brake fluid) Refrigerants
Ls Motor oils Pesticides
NEW USED (insecticides, herbicides, rodenticides)
Gasoline, Jet Fuel Photochemicals (Fixers)
Diesel fuel, kerosene, #2 heating oil NEW USED
Other petroleum products: grease, Photochemicals (Developer)
lubricants, gear oil NEW USED
Degreasers for engines and metal Printing ink
Degreasers for driveways & garages Wood preservatives (creosote)
Battery acid (electrolyte) Swimming pool chlorine
Rustproofers Lye or caustic soda
Car wash detergents Jewelry cleaners
Car waxes and polishes Leather dyes
Asphalt & roofing tar Fertilizers
Paints, varnishes, stains, dyes PCB's
Lacquer thinners Other chlorinated hydrocarbons,
NEW USED (inc. carbon tetrachloride)
Paint & varnish removers, deglossers
Any other products with "poison" labels
Paint brush cleaners (including chloroform, formaldehyde,
Floor & furniture strippers
Metal polishes hydrochloric acid, other acids)
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