HomeMy WebLinkAbout0028 JOAQUIM ROAD - Health _28 JOAQUIM:ROAD
Hyannis
:EXECUTIVE LANDSCAPING, .
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TOWN OF BARNSTABLE Date: 11 / 7 ,3
TOXIC AND HAZARDOUS MATERIALS REGISTRATM
FORM
NAME OF BUSINESS: �e-c o+-v�e-
BUSINESS LOCATION: ;Zg u t4�a nA INVENTORY
MAILING ADDRESS: TOTAL AMOUNT-
TELEPHONE NUMBER: a - 790 - 4`7?"7 ia� y�llo� s
CONTACT PERSON: ,e, 4*14-o:�u ,--
EMERGENCY CONTACT TELEPHONE NUMBE : all 5--0$ -X80-65ij MSDS ON SITE?
TYPE OF BUSINESS:
INFORMATnION / RECOMMENDATIONS:.)_ Fire District:
-OocJi" liee--f-ly I.kAo S4orr►-1 KAI
o �) V3 e- 4b150rbe.vk+4 o kL -o re_ s nA� Af,*,ke-Ssv!e-
WLcI't X(4- f/if$k6 S laeD o4 sifL ay4i 4bk- o ewv(ployee.5, C, vt+,q
Waste Transportation: 21•l'4r4ri or Last shipment of hazardous waste:
Name of Hauler: 4,161 lz"o <e-eds - Destination:
WasteProduct: lCe-F4,(--I- k ell-16 Licensed? Yes No
NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use,
storage and disposal of 111 gallons or more a month requires a license from the Public Health Division.
LIST OF TOXIC AND HAZARDOUS MATERIALS
The Board of Health and the Public Health Division have determined that the following products exhibit toxic or
hazardous characteristics and must be registered regardless of volume.
Observed / Maximum Observed / Maximum
Z Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive #tt1$0Kc1 dk4Nx-c-
❑ NEW ❑ USED Cesspool cleaners
Automatic transmission fluid Disinfectants
Engine and radiator flushes Road salts (Halite)
�fl Hydraulic fluid (including brake fluid) Refrigerants
Zfl Motor Oils Pesticides
❑ NEW ❑ USED 3 (insecticides, herbicides, rodenticides)
p Gasoline, Jet fuel,Aviation gas
Photochemicals (Fixers)
Diesel Fuel, kerosene,#2 heating oil ❑ NEW ❑ USED
Miscellaneous petroleum products: grease, Photochemicals (Developer)
lubricants, gear oil ❑ NEW ❑ USED
Degreasers for engines and metal Printing ink
Degreasers for driveways&garages Wood preservatives (creosote)
6 Caulk/Grout (Ivte.. Plas+1—C*e-~ L+CA-,A$) Swimming pool chlorine
7- Battery acid (electrolyte)/Batteries Lye or caustic soda
Rustproofers Miscellaneous Combustible
Car wash detergents Leather dyes
Car waxes and polishes /bplb Fertilizers ti,Za,qcl 8/bl p l
Asphalt& roofing tar PCB's V
s Paints, varnishes, stains, dyes Other chlorinated hydrocarbons,
Lacquer thinners (including carbon tetrachloride)
❑ NEW ❑ USED Any other products with "poison" labels
(including chloroform, formaldehyde,
Paint&varnish removers, deglossers hydrochloric acid, other acids)
Z, Miscellaneous. Flammables �� i Other products not listed which you feel
Floor&furniture strippers �t I S may be toxic or hazardous (please list):.
Metal polishes y I e) &5 or rl o�fJr►�-�o 4✓OIP
Laundry soil &stain removers
(including bleach) - �-¢-� 5)
Spot removers&cleaning fluids(dry cleaners) OK, �&.2A oOq W461:c �'faY15A( LL
4 v1
Other cleaning solvents
Bug and tar removers A-
Windshield wash ��o�.�-� �ISi7- +o c6tlz-ok p co rem
WHITE COPY-HEALTH DEPARTMENT I CANARY COPY-BUSINESS Applicant's Signature Staff's Initials
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