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TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM
NAME OF FIRM:Hyannis Millwork & Supply Co.Inc d.bs.a.. Anderson-Spinney Co
MAI LINEy-ADDRESS: p.0. Box 456 Rte 28 Hyannis, Mass a! 61P
TELEPHONE NUMBER: 774-1495
CONTACT PERSON: Mr. Donald B. Brown
Does ,your firm store any of the toxic or- hazardous mat-erials l sted' 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:
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 gasline or coolant systems) Refrigerants
Automatic transmission fluid w Pesticides (insecticides,
Engine and Radiator flushes herbicides,rodenticides)
Hydraulic fluid (including brake fluid) Photochemicals
Motor oils/waste oils Printing Ink +
Gasoline, Jet fuel _� Wood preservatives
-. Diesel fuel, Kerosene, #2 heating oil (creosote)
Other petroleum products: grease,
Swimming Pool chlorine j
lubricants Lye or caustic soda
Degreasers for engines and metal Jewelry cleaners
Degreasers for driveways & garages Leather dyes
Battery acid (electrolyte) Fertilizers (if stored
Rustproofers outdoors)
Car wash detergents PCBs. ✓
Car waxes and polishes Other chlorinated hydro-
Asphalt & roofing tar carbons, (inc.carbon
y Paints, varnishes, stains, dyes
tetrachloride)
P/' Paint and lacquer thinners Any other products with
Paint & Varnish removers, deglossers "Poison" labels (including
Paint brush cleaners chloroform, formaldehyde,
Floor & Furniture strippers hydrochloric acid, other
Metal polishes acids)
Laundry soil & stain removers Other products not listed
(including bleach) which you feel may be
Spot removers & cleaning fluids
(dry cleaners) RECEIVED toxic or hazardous (please
Other cleaning solvents HEALTH DEPT. 1istl,:
Bug and tar removers TOWN OF BARNSTABLE
Household cleansers, oven cleaners
Drain cleaners
Toilet cleaners
Cesspool cleaners 2 2 1g81
Disinfectants MAY
Road Salt (Halite)
TOWN OF BARNSTABLE
BOARD OF HEALTH
` CONTROL OF TOXIC AND HAZARDOUS MATERIALS - INSPECTION SHEET
FIRM�� irC
ADDRESS.. .
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Major types of materials: 1) 2) 3)
4) S) 6)
I. Description of material(s) use:
II. Storage (denote product by number listed above)
A. Containers metal glass paper plastic
cans,bottles,jars
drums,barrels
aboveground tanks
underground tanks 4/p
bags,boxes_
open,loose,uncovered
inadequate labellingt,,,,,�"
B. Storage Facility •# Rdmarks/Recommendations
1. Indoor
a) separatt, contained room
b) stored in general work area
i) inadequate-ventilation-=
i ii)-.floor--drains. -
.iii)-inadequate-fire--protection
2. Outdoor -
i a) .:uncovered =_expgs ed-to weather-_ " ' r r
b� -,p;ervibus!-Isurf&ce%atth:_�as As � `l
r, . - r
III. Disposal
A. Reclamation/Recycling unl_s<
B. On-site disposal
-1. Town. sewer
2. Regular septic system
3. Separate holding tank
C.- Off-site disposal
1. hauled by own firm
2. hired hauler
a) name of hauler
b) address or disposal site
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Person(s) Interviewed&fi
Inspectoar - - - — — — — — — — —
Date l �' - - - - - - - - -