HomeMy WebLinkAbout0365 WEST MAIN STREET - Health 365 WEST MAIN STREET, HYANNIS
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TOWN N OF BARNSTABLE MPL/ANCE: CLASS: 1. Marine,Gas Stations,Rep it
satisfactory 2.Printers
BOARD OF HEALTH 3.Auto Body Shops
/ unsatisfactory- 4.Manufacturers
COMPANY �' (l!/� /.d,f � (see"Orders") 5.Retail Stores
6.Fuel Suppliers
ADDRESS-T4!A_ r A7-- �,--�Class: 7.Miscellaneous
QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors)
MAJOR4WERL"'=ALS�
.
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:
�, �;"� >y✓ � f14�
tv
DISPOSAURECLAMATION REMARKS:
1. Sanitary Sewage 2.Water Supply I �`
O Town Sewer public
Aon-site OPrivate ell
3. Indoor Floor Drains YES N0—,V—
O Holding tank:MDC
O Catch basin/Dry well
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
Name of Hauler Destination Waste Product Licensed?
2.
Person (sl Interviewed Inspector Date
J
TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair
satisfactory 2.Printers
BOARD OF HEALTH 3.Auto Body Shops
ed unsatisfactory- 4.Manufacturers
�a`j�r'� (see"Orders") 5.Retail Stores
COMPANY 4/ 41�XA�d 6.Fuel Suppliers
ADDRESS '� r` ` SQL C183S: 7.Miscellaneous
`�',_.
QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors)
MAJOR MATERIALS
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) a" ?>
lB�
transmission/hydraulic f �
Synthetic Organics:
degreasers
� lla r �.�
6�
DISPOSAL/RELLAMATION REMARKS:
1. anitary Sewage 2.Water Supply ? /_ � o
'Town Sewer ublic
O On-site OPrivate _
�i
3. Indoor Floor Drains YES N0—Z t�
O Holding tank:MDC_ . - `�
O Catch basin/Dry well
O On-site system
4. Outdoor Surface drains:YES N0—K O RS: .
O Holding tank:MDC -^fit
O Catch basin/Dry well
O On-site system
5.Waste Transporter
YES NO
2.
bill
erson (s) Interviewed Inspector r'\ Date
�L+
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,'&G,t_� `1'1 QV Oa4 (see"Orders") 5.Retail Stores
j-_ w� 6.Fuel Suppliers
ADDRESS 3(os_jAz,A4�S et Class: 7.Miscellaneous
QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors)
MAJOR MATERIALS Case lots 1Underground
IN OUT IN OUT IN OUT #&gallons Age Test
Fuels:
Gasoline,Jet Fuel (A)
Diesel, Kerosene, #2 (B)
Heavy Oils:
waste motor oil (C)
z GV C&,Ivio c C.-'A f
new motor oil(C) Ca3jz)
transmission/hydraulic
Synthetic Organics:
degreasers
G��3� �i i ►� 1 cS
Miscellaneous: OC
3 vK
0169 ) reJ i-V\ 3 gal K
OAW, ;K
F6, s,J(U- K
DISPOSAIJRE(;LAMATION REMARKS:
i
1. Sanitary Sewage 2.Water Supply 6.�tG r�o 6, �SD r Ire E ,dx. (,Ce..J old
%Town Sewer norivate
ublic brA zel Q j � U,, j i v � ,ke1 -J 4--
O On-site 6/0
!�
3. Indoor Floor Drains YES NO d/_Pe^j
O Holding tank:MDC e -d �
O Catch basin/Dry well •e.4,_ SO 4—&t-,v2 -M
O On-site system •feze ,
4. Outdoor Surface drains:YES NO L 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.
&+L,I�_N- (0_� , 4 �'-
son(s) Interviewed F
Inspect r Date
1 + J J
l7
sl
� r
�R .
.. , �. r f P
1
a
a
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-7
TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair
BOARD OF HEALTH satisfactory 2.Printers
3.Auto Body Shops
O unsatisfactory- 4.Manufacturers
COMPANY6JC Nn'R O�aMRt> 03, (see"Orders") 5. l5.Fue Suppliers
ADDRESS E(06 1N• M d U ST Class: 7.Miscellaneous
QUANTITIES AND STORAGE (IN= indoors;OUT=outdoors)
MAJOR MATERIALS .- _ MM
IN OUT IN OUT IN OUT #&gallons Age Test
Fuels:
Gasoline Jet Fuel (A)
Diesel, Kerosene, #2(B)
Heavy Oils:
waste motor oil (C) 0b 4z>1 /P:,S
V) bit CO �2 Jc�
new motor oil(C) q
transmission/hydraulic
Synthetic Organics:
egreasers
CP b s
Miscellaneous: 3
V\Z
PA
t
bmA
O(I
C
r,-.e 30
�.
L i
Z
DISPOSALIR.ECLAMATION R MAR.KS:
1. Sanitary Sewage l ater Supply SS 0&
612
Town Sewer Wublic bOq*
O On-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 NO ORDERS:
O Holding tank:MDC -1 t') f --ctta " •i'\AQxS ev w
O Catch basin/Dry well u a 'L
O On-site system
CLAD
5.Waste Transporter
YES NO
2.
Person(s) Interviewed Inspector Date
Date: 2-11
TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM
NAMEOFBUSINESS:Ana[ ah(ff6 01) fib
BUSINESS LOCATION:
MAILINGADDRESS: Mail To:
TELEPHONE NUMB Board of Health
ER:
Town of Barnstable
CONTACT PERSON: P.O. Box 534
EMERGENCY CONTACT TELEPHONE NUMBER: Z-�PZ� 3� Hyannis, MA 02601
TYPEOFBUSINESS: M&-nftj "S\O(Q,
Does your firm store y of the toxic or hazardous materials listed below, either for sale or for you own
use? YES V 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 cleane
rs
NEW USED Cesspool cleaners
Automatic transmission fluid Disinfectants
Engine and radiator flushes Road Salt (Halite)
Hydraulic fluid (including brake fluid) Refrigerants
Motor oils Pesticides
V' NEW USED (insecticides, herbicides, rodenticides)
Gasoline, Jet Fuel Photochemicals (Fixers)
Diesel fuel, kerosene, #2 heating oil NEW USED
LCIQbQ�p Other petroleum products: grease, Photochemicals (Developer)
lubricants, gear oil NEW USED
�i� 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
oil 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)
62piS 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
'TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair
satisfactory 2.Printers
BOARD OF HEALTH 3.Auto Body Shops
6• .`� unsatisfactory- 4.Manufacturers
COMPANY
��d�j6a.V-) �O. (see"Orders") 5.Retail Stores
6.Fuel Suppliers
ADDRESS 3&.f tit Class: I , 7.Miscellaneous
UANTITIES AND STORAGE (IN=indoors;OUT=outdoors)
MAJOR MATERIALS Case lots 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 motor oil (C) s
new motor oil(C)
transmission/hydraulic
Synthetic Organics:
degreasers
Miscellaneous:Ia-oz =/
Bow
Cz�'e�✓�!� u�s �j �
-Tot W i v
*4�1
2-uIt)
DISPOSAL/RECLAMATION REMARKS:
1. Sanitary Sewage 2.Water Supply
(.Town Sewer ublic V
O On-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 NO ORDERS:
O Holding tank:MDC
O Catch basin/Dry well
O On-site system
5. Waste Transporter
Name of Hauler Destination Waste Product
1.
YES INO
��
2.
r
Person (s) Interviewed Inspector Date