HomeMy WebLinkAbout60A WASHINGTON AVE EXT. - Health 60A Washington Ave. Ext., Hyannis
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TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair
BOARD OF HEALTH O satisfactory 2.3Printers
.Auto Body Shops
Q� unsatisfactory- 4.Manufacturers
COMPANY v+� I a- ; (see"Orders") 5.Retail Stores
6.Fuel Suppliers
ADDRESS 4 6A &IC4 Pt FY-r. Class: 7.Miscellaneous
QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors)
MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks
IN OUT IN OUT IN OUT #&gallons Age Test
f
Fuels:
%
aso ine et Fuel(A)
Diesel, Kerosene, #2 (B)
Heavy Oils:
waste motor oil (C)
new motor oil (C)
Ce}
transmission/hydraulic
Synthetic Organics:
degreasers
Mi cellaneous:
�li� t�r�-51.�. ► 4S
DISPOSAIJRECLAMATION REMARKS: ,0
1. Sanitary Sewage 2.Water Supply 2 S u vJeW{ X Ct r`ll
A Town Sewer Public rho e(x1 foJ� dje-i -r-I&- a 'f'
0 On-site OPrivate al o Cv.0, dW44 W R keep Pre^ o
3. Indoor Floor Drains YES N0_K-
O Holding tank:MDC h v-G C� 1 r U&,1-efis Ve_4'-C&
0 Catch basin/Dry well rd Pie
O On-site system '447 W f D f
w
4. Outdoor Surface drains:YES NO ORDERS:
O Holding tank:MDC 1141J,-J a4.rl 1�&,
0 Catch basin/Dry well ®�' "„� ,e, ! e�4rA,�k ®,f
On-site system red'
ktw or VkV e_- 7 t( I/et,c0n GAi
5.Waste Transporter -T® �
Name of Hauler Destination Waste Product
&
110/1
2.
Person (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 A. ' (see"Orders") 5.Retail Stores
/� lad 6.Fuel Suppliers
ADDRESS 12 � Cs: 7.Miscellaneous
`-' "UANTITIES AND STORAGE (IN=indoors;OUT=outdoors)
MAJOR MATERIALS / -
IN OUT IN I OUT I IN IOUT #&gallons Age Test
Fuels:
Gasoline,Jet Fuel (A)
Diesel, Kerosene, #2 (B)
Heavy Oils: °
waste motor oil (C)
new motor oil(C)
Ctr=ansmissio]� ydraulic
Synthetic Organics:
degreasers
Miscellaneous:
0.14 c�
DISPOSAI✓RECIAMATION REMARKS:
1. Sanitary Sewage 2.Water Supply
Town Sewer �;Public
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
Catch basin/Dry well
O On-site system
5.Waste Transporter
Name of Hauler 1 '
---- yt6
1"'
~; 092
Person (s) Interviewed Inspector Date
/ ..
0 satisfactory 2.Printers
3.Auto Body Shops
unsatisfactory- 4.Manufacturers
• �'� •
rders") 5.Retail Stores
�♦ 6.Fuel Suppliers
7.Miscellaneous
I roes
� •
' Case lots Drums Above Tanks Underground Tanks
motornew
E mom
mom
N of I Oqu. ro - 'A"
Elio NINE mom msklL
• ;. • . .� .� 11 I tl
• • • r "IN t
Rig, 50
Name of Hauler Destination Waste Product Licensed?
V
TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM
NAME OF BUSINESS: Mail To:
BUSINESS LOCATION: c �aJ� Board of Health
Town of Barnstable
MAILING ADDRESS: 135 P.O. Box 534
TELEPHONE NUMBER: o-6 - T)5-0400 Hyannis, MA 02601
CONTACT PERSON: Teyin. -s &,.,- L=9 b-1 ef-
EMERGENCY CONTACT TELEPHONE NUMBER: Sara e-
Does your firm store any of the toxic or hazardous materials listed below, either for sale or for
your own use, in quant' 'es totalling, at any time, more than 5 gallons liquid volume or 25 pounds dry
weight? 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:
ase Quantity/Case
Antifreeze (for gasoline or coolant systems) Drain cleaners
Automatic transmission fluid Toilet cleaners
Engine and radiator flushes Cesspool cleaners -
Hydraulic fluid (including brake fluid) Disinfectants
Motor oils/waste oils Road Salt (Halite)
Gasoline, Jet fuel Refrigerants
Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides,
Other petroleum products: grease, lubricants rodenticides)
Degreasers for engines and metal Photochemicals (fixers and developers)
Degreasers for driveways & garages Printing ink
Battery acid (electrolyte) Wood preservatives (creosote)
Rustproofers Swimming pool chlorine
Car wash detergents Lye or caustic soda
Car waxes and polishes Jewelry cleaners
Asphalt & roofing tar Leather dyes
Paints, varnishes, stains, dyes Fertilizers (if stored outdoors)
Paint & lacquer thinners PCB's
Paint & varnish removers, deglossers Other chlorinated hydrocarbons,
Paint brush cleaners (inc. carbon tetrachloride)
Floor & furniture strippers Any other products with "Poison" labels
Metal polishes (including chloroform, formaldehyde,
Laundry soil & stain removers hydrochloric acid, other acids)
(including bleach) Other products not listed which you feel may
Spot removers & cleaning fluids be toxic or hazardous (please list):
(dry cleaners) x e >'l 4 A ei+ er
Other cleaning solvents
Bug and tar removers
Household cleansers, oven cleaners
White Copy- Health Department/ Canary Copy-Business