The URL can be used to link to this page

Home My WebLink About0569 MAIN STREET (HYANNIS) - HAZMAT �� '1c.�. � ��r�e-`�' �Z � � � i � a . TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair 2.Printers BOARD OF HEALTH O satisfactory 3.Auto Body Shops i �' �(J O unsatisfactory- 4.Manufacturers COMPANY � .�� / / '7 t� (see"Orders") 5.Retail Stores i 6.Fuel Suppliers ADDRESS Class: 7.Miscellaneous YV, /lf/E//,, 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 Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: rl 'J -•t DISPOSALIRECLAMATION REMARKS: 1. Sanitary Sewage 2. Water Supply ,. +r 'O Town Sewer OPublic O On-site OPrivate 3. Indoor Floor Drains YES O Holding tank: MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC E f O Catch basin/Dry well ' O On-site system / 5. Waste Transporter Name of Hauler Destination Waste Product YES NO 1. 2. Person (s) Interviewed Inspector Date TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: NAME OF BUSINESS: laeR2� 447;5. - Board of Health MAILING ADDRESS: A bX 133511,4A-;0vF12,f 1,V,4 023-W Town of Barnstable TELEPHONE NUMBER: (60) 8'J1,o-10 7&?00 P.O. Box 534 'CONTACT PERSON: /1�1g,I A6�10 Hyannis, MA 02601 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities totalling, at any time, more than 50 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: .56q 10,460 07: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous characteristics and must be registered when stored in quantities totalling more than 50 gallons liquid volume or 25 pounds dry weight. Please put a check beside each product that you store: 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) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy- Health Department/ Canary Copy-Business TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair 2. nters BOARD OF HEALTH O satisfactory 3.Auto Body Shops Xunsatisfactory- 4.Manufacturers COMPANY (see"Orders") 5.Retail Stores --i 6.Fuel Suppliers ADDRESS 5-6 2 e a.c:w� �'��t - Class: 7.Miscellaneous ,C a QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALSUnderground . 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) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: A CGcr Z y C,i f L if vi d —i4c ryc!.'a `2�1�lt� Gv►.a �0 t1n2,� /y,C�-Q c:�� II 60-wd -A IV J i,W bea itg r DISPOSAL/RECLAMATION REA ARKS: 1. Sanitary Sewage 2. Water Supply r1ajnm.A,1b1ej < .e vel4,f4,V- 1✓tv G 1lQ�Q V Town Sewer OPublic O On-site OPrivate 3. Indoor Floor Drains YES NO Y O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO_X ORDERS: O Holding tank:MDC 1141!S J' 11MW1e64x&4 — ►^av "clti O Catch basin/Dry well O On-site system � � tv F444 5.Waste Transporter d d- -e Ke Name of Hauler Destination ticen'sedT o uct YES I NO 1. 2. nor (s) Interviewed Inspecir6r Date r Date: f T TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: _ s/�✓� /�� Li e-� B�f �� f�� ' BUSINESS LOCATION: �� Q-��2.- 2 MAILINGADDRESS: - Mail To: �- � �� 1 �1• -• �. ��Y • �� q `� �'- Board of Health TELEPHONE NUMBER: Town of Barnstable,,, CONTACT PERSON: �,IQ., P.O. Box 534 EMERGENCY CONTACT TELEPHONE NUMBER: All 2 el�- � \ i I Hyannis, MA 02601 TYPE OF BUSINESS: A W., I a 10:4 , '96 t` 8 Z z3— 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) P p ,g ( P ) 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 Paint brush cleaners Any other products with "poison" labels (includin§•cfiloroform, 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 Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS TOP'S JVams saloff Specializing in Gong&Short Nails -Sculptured Nails& Nail Tips -Overlay -Manicures, Pedicures -Nail Design OPEN:Mon.-Fri.:9:30AM.-7:OOPM. Saturda :9:OOAM.-7:OOPM. 1336 B BLUE HILL AVE. 296-651 MATTAPAN, MA 02126 G 9 /I/ra.U•. S'v�.ee-a`' � �i�n.� �� .�•aS � S s - �I G�Un wwv,W C, WC11- <��W� _ Na f y�+t� Gt vct- Q 1 � ✓� b �9 �%�,, ��del �� gal or o'er L ati p( ' fie. tiw+ l Li� Ala, 1 Pat,,<U, /`YC r�� -ej,,2,•.j CG�pcJ��cN.�.-- ¢arZ.0 pflroX��olsz fi-�yi QKA �c��v.%�.. tN otn `.�- i fiS o� Q r — Ge •cv�� r�1_ . �` c✓_'L GL C 47 1`7' (X LYt i dG lh +i"�✓(lC�1 �dpW a�i. /fA t 7 .4b644-1 r- .mac- Av 4ry,J ,4ca-4k fie. � �c 41 c-e 1-0 (pry WXA 9CL-La i'/ L f ,—D°-� fie',�- �r• (�c 1 c 2 ,"W e !F-AZ 6W r5 a �i� /�c.�ye-ekc,y/ fie Ast .�� a ivy'Nail VPEC19LIZING IN LONG R VHOkT NAILV *Sculptured Nails &Nai(Tips *Overlay .Manicures, Pedicures "Nail Design OPEN: Mon.-Sat.:9:30am.-8pm, Sunday:C4_-� 569 Main Street to A'M'' —5� Hyannis, MA 02601 508-862.8225 Date: Z/ L /9 TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAMEOFBUSINESS: BUSINESS LOCATION: 3 6tti ►^ MAILING ADDRESS:-& -F Mail To: Board of Health TELEPHONE NUMBER: 5 0 1 Town of Barnstable CONTACT PERSON: t �� f ��K Ul� r P.O. Box 534 EMERGENCY CONTAC,T� TELEPHONE NUMBER: �-�5�r�� f� � f�'�3 Hyannis, MA 02601 TYPEOFBUSINESS: A-I r VA L I S 4 Lc) Q Does your firm store y 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 aria 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 Paint brush cleaners Any other products with "poison" labels (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 N.41 P, LA, — C� (dry cleaners) 01 Other cleaning solvents Bug and tar removers WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSI ESS - - I