HomeMy WebLinkAbout0105 ROUTE 149 - Health (2) i
TC*ok� Town of Barnstable Office:508-862-4644
Public Health Division Fax:508-790-6304
Y BARMASS .- 9! 200 Main Street• Hyannis, MA 02601
t639 6,0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT
Business Name: w� Mof Ke4- (2-�� 14q� Date: 0030
Location/Mailing Address: j 0
Contact Name/Phone: QT— V9-' 'lJ6 `
Inventory Total Amount: )117b MSDS: License#:
Tier II : A Labeling: Spill Plan:
Oil/WaterSeparator: Floor Drains: Emergency Numbers:
Storage Areas/Tanks:
Emergency/Containment Equipment:
Waste Generator ID: Waste Product:
Date&Amount of Last Shipment/Frequency:
Licensed Waste Hauler&Destination:
Other Waste Disposal Methods:
LIST OF TOXIC AND HAZARDOUS MATERIALS
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 requires a license from the Public Health Division.
Antifreeze i Dry cleaning fluids
Automatic transmission fluid ✓ Other cleaning solvents&spot removers
Engine and radiator flushes ug and tar removers
ydraulic fluid (including brake fluid) Windshield wash
xI/ Motor oils V Miscellaneous Corrosives
Gasoline,jet fuel, aviation gas Cesspool cleaners
Diesel fuel, kerosene, #2 heating oil Disinfectants
Miscellaneous petroleum products: Road salts
grease, lubricants, gear oil Refrigerants
Degreasers for engines&garages Pesticides: i
Caulk/Grout insecticides, herbicides, rodenticides
Battery acid (electrolyte)/batteries Photochemicals(Fixers)
Rustproofers Photochemicals(Developer)
Car wash detergents Printing ink
Car waxes and polishes Wood preservatives(creosote)
Asphalt&roofing tar Swimming pool chlorine
Paints, varnishes, stains, dyes Lye or caustic soda
Lacquer thinners ��Miscellaneous Combustible
Paint&varnish removers, deglossers Leather dyes
Miscellaneous Flammables Fertilizers
Floor&furniture strippers PCB's
Metal polishes Other chlorinated hydrocarbons
V Laundry soil &stain removers (including carbon tetrachloride)
(including bleach) Any other products with "poison labels"
(including chloroform, formaldehyde,
hydrochloric acid, other acids)
VIOLATIONS:
ORDERS:
INFORMATI N/R COMMENDATIONS: h (
Inspec
Facility Representative:
WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS
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TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair
O satisfactory 2.Printers
BOARD OF HEAL. TH 3.Auto Body Shops
O unsatisfactory- 4.Manufacturers
COMPANY (see"Orders") 5.Retail Stores
6.Fuel Suppliers
ADDRESS 14.1. 1V I ?l'"? Class: 7.Miscellaneous
QUANTITIES 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)
new motor oil (C) w
transmission/hydraulic
Synthetic Organics:
degreasers
Miscellaneous:
DISPOSAL/RECLAMATION REMARKS: '
1. Sanitary Sewage 2.Water Supply
O Town Sewer Public
O On-site OPrivate
3. Indoor Floor Drains YES NO 5—
O Holding tank:MDC " � t' '� ._� °_ P � `.
O Catch basin/Dry wellr
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
YES NO
2.
Person(s) Interviewed Inspector �' Date
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