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Home My WebLink About0298 OCEAN STREET - Health (2) �� f r�e��-� a �- TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF FIRM: Z,T "d (094PAM MAILING ADDRESS: V9 A Octuo `5W I ��MQ OW TELEPHONE NUMBER: CONTACT PERSON: 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 0 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 4 The Board of Health has determined that the following products exhibit toxic i or hazardous characteristics and must be registered when stored in quantities i 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 Pesticides (insecticides, Engine and Radiator flushes herbicides,rodenticides) Hydraulic fluid (including brake fluid) Photochemicals j Motor oils/waste oils printing Ink Gasoline, Jet fuel Wood preservatives � Diesel fuel, Kerosene, #2 heating oil (creosote) 1 j Other petroleum products: grease, Swimming Pool chlorine ' lubricants j Degreasers for engines and metal Lye or caustic soda Degreasers for driveways & garages Jewelry cleaners Battery acid (electrolyte) Leather dyes Rustproofers Fertilizers (if stored Car wash .detergents outdoors) Car waxes and polishes PCB' s Asphalt & roofing tar Other chlorinated hydro- Paints, varnishes, stains, dyes carbons, (inc.carbon Paint and lacquer thinners tetrachloride) Paint &. Varnish removers, deglossers Any other products with Paint brush cleaners "Poison" labels (including Floor & Furniture strippers chloroform, formaldehyde, Metal polishes hydrochloric acid, other Laundry soil & stain removers acids) (including bleach) Other products not listed Spot removers & cleaning fluids which you feel may be (dry cleaners ) toxic or hazardous (please Other cleaning solvents list) : y� Bug and tar removers Household cleansers, oven cleaners Drain cleaners Toilet cleaners Cesspool cleaners Disinfectants Road Salt (Halite)