The URL can be used to link to this page

Home My WebLink About13A MAIN STREET (HYANNIS) - Health 13A Main Street, Hyannis STEEL DREAMS AUTO SALES 0 I� a o —KtiS y Date: / TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: 51�56L_ 7�4C6M5 tq4Z70 0gLz15:_5 BUSINESS LOCATION: L MAILINGADDRESS: -,5"qMC Mail To: Board of Health TELEPHONE NUMBER: D .S w Town of Barnstable CONTACT PERSON: G L G L D r/E P.O. Box 534 EMERGENCY CONTACT TELEPHONE NUMBER -ee Hyannis, MA 02601 TYPE OF BUSINESS: �_15 6 P r-Ale- Does your firm store any of the to 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: 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 c7 Antifreeze(forgasoline or coolant systems) D Drain cleaners NEW USED 0 Cesspool cleaners o Automatic transmission fluid O Disinfectants o Engine and radiator flushes 0 Road Salt (Halite) O Hydraulic fluid (including brake fluid) _o Refrigerants r Motor oils O Pesticides NEW USED (insecticides, herbicides, rodenticides) 0 Gasoline, Jet Fuel --42 Photochemicals (Fixers) O Diesel fuel, kerosene, #2 heating oil NEW USED o Other petroleum products: grease, 0 Photochemicals (Developer) lubricants, gear oil NEW USED O Degreasers for engines and metal ,� Printing ink _ > Degreasers for driveways & garages eL Wood preservatives (creosote) O Battery acid (electrolyte) O Swimming pool chlorine Rustproofers _P Lye or caustic soda C Car wash detergents 0 Jewelry cleaners 0 Car waxes and polishes O Leather dyes o Asphalt & roofing tar O Fertilizers v Paints, varnishes, stains, dyes O PCB's /_2 Lacquer thinners O Other chlorinated hydrocarbons, NEW USED (inc. carbon tetrachloride) _(L re Paint & varnish movers, deglossers O Paint brush cleaners —� Any other products with "poison" labels _� Floor & furniture strippers (including chloroform, formaldehyde, hydrochloric acid, other acids) � Metal polishes c� Laundry soil & stain removers —D Other products not listed which you feel (including bleach) may be toxic or hazardous (please list): O Spot removers & cleaning fluids (dry cleaners) O. Other cleaning solvents Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS t TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH satisfactory 2.Printers 3.Auto Body Shops i unsatisfactory- 4.Manufacturers 5.Retail Stores COMPANY Sl l �r� -F0 (see"Orders") s 6.Fuel Suppliers ADDRESS /3 .r a ��,e�y laSS' 7.Miscellaneous QUANTITIES AND STORAGE (IN= indoors;OUT=outdoors) MAJOR MATERIALSCase lots D :derground 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) F transmission/hydraulic Synthetic Organics: degreasers u Miscellaneous:. t � j i t i I i I f i `i V I i' DISPOSAL/RECLAMATION REMARKS: 1 l 1. Sanitary Sewage 2.Water Supply C� "�"""I -•� 0 LA Town Sewer Public O On-site OPrivate 3. Indoor Floor Drains YES NO O Holding tank:MDC i O Catch basin/Dry well O On-site system �4 l 4. Outdoor Surface drains:YESYNO ORDERS: O Holding tank:MDC 9-.Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product • d YES NO 1. i 2. 00 .�'Peeson .Vl6rviewed T— Inspector Date Date: -a- - -7 Vn TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM `J NAMEOFBUSINESS: STFEL b REAM 3 Av i 0 5A-LCS BUSINESS LOCATION: ` 3 A MA-Ilu S i i/VAN U t4 026oI MAILING ADDRESS: Sr44f6_ Mail To: TELEPHONE NUMBER:_ -?Y y— /c Board of Health Town of Barnstable CONTACT PERSON: EUFLW M N c 6JEW, P.O. Box 534 EMERGENCY CONTACT TELEPHONE NUMBER: _ 7 ,94) - MA 02601 TYPEOFBUSINESS: 0,5C 0) 24uTO 6 Does your firm store 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: 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 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 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) Other cleaning solvents „ „ 0 , Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Date: TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: .STEEL. D RGA M -3 u- o SA-L.ES BUSINESS LOCATION:13-,A , jAI u .s7' .41VAN1j l S M 4 0D610 I MAILINGADDRESS: &4Af6- Mail To: Board of Health TELEPHONE NUMBER: _39y— / Town of Barnstable CONTACTPERSON: E 9 K)EAQ yP.O. Box 534 { EMERGENCY CONTACT TELEPHONE NUMBER- -7 q - e"9,5 3 rtit&6_. �H{ annis, MA 02601 MAL Y TYPEOFBUSINESS: USC- tO .4L =S Does your firm store 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: 1 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 besidelthe product that you store. NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Quantity Antifreeze(for gasoline 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 a ` (inc." arbon 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 � - (dry cleaners) Other cleaning solvents �- -- Lwln(Z o Bug and tar removers J V ' WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS