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HomeMy WebLinkAbout0023 ELLIOTT ROAD - HAZMAT �� -d 4A, =nS r� TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM "J �ySIR NAME OF FIRM: ���m�S� /°'6 �'►^e' �� MAILING ADDRESS: TELEPHONE NUMBER: �77 �8 �W�2 J ���W 4ar�h� b4ms+�1bl4e Ar. CONTACT PERSON: Does your firm store any, of the--toxic or hazardous materials-.l ste&--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 regard l ss o 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. y' 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 i //Motor oils/waste oils Printing Ink i Gasoline, Jet fuel Wood preservatives Diesel fuel, Kerosene, #2 heating oil (creosote) Other petroleum products: grease, Swimming Pool chlorine lubricants Lye or caustic soda ` degreasers for engines and metal I Jewelry cleaners Degreasers for driveways & garages Leather dyes Battery acid (electrolyte) Fertilizers (if stored Rustproofers outdoors) Car wash detergents PCB' s Car waxes and polishes Other chlorinated hydro- Asphalt & roofing tar carbons, (inc.carbon Paints, varnishes, stains, dyes tetrachloride) 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 (including bleach) Other products not listed Spot removers & cleaning fluids. which you feel may be (dry cleaners ) � lt %. E I V E D toxic or hazardous (please Other cleaning solvents HEALTH DEPT. listl ; Bug and tar removers TOWN Or" ARNSTABLE Household cleansers, oven cleaners Drain cleaners Toilet cleaners Cesspool cleaners $ 1981 Disinfectants MAY Road Salt (Halite) TOWN OF BARNSTABLE BOARD OF HEALTH CONTROL OF TOXIC AND HAZARDOUS MATERIALS - INSPECTION SHEET FIRM ADDRESS ` Major types of materials: 1) 2) kJauk VJ 3) VV ®l 4) 6A. AAW 5) 6) I. Description of material (s) use: a II. Storage (denote product by number listed bove) A. Containers metal glass paper plastic cans,bottles,jars drums,barrels aboveground tanks underground tanks bags,boxes open,loose,uncovered inadequate labelling B. Storage Facility ✓or.# 'Remarks/Recommendations 1. Indoor a) separate, contained room_ b) stored in general work area i) in ventilation ii) floor drains iii) inadequate fire protection - 2. Outdoor a) uncovered, exposed to weather w u U b) pervious surface/catch basins - III. Disposal S Cell A. Reclamation/Recycling unit B. On-site disposal B Bars 1. Town sewer 2. Regular septic system i �1Q� �C�. 3. Separate holding tank �� s•'�" C. v C. Off-site disposal 1. hauled by own firm 2. hired.hauler ` D cto a) name of hauler �\ AC4,Ke 6L, b) address or disposal site Persons) Interviewed — — — — InspectoXW r Date - - - - — — - - - - THE COMMONWEALTH OF MASSACHUSETTS I i �- ---------- - - --------------------...- BOAR® OF HEALTH NOTICE TO ABATE A NUISANCE --------� --- --v /-- ------------ -----------19 4 ------------ -------------- ------------------------------------------------------------------------------------------------------------------ -----owner .._----•--••-----•--------------------•----•t------------------- -- -------,-/•------------------- WA�As occupant of --_-_ "�� you are arreby notified to remedy the conditions named below within days of the service of this notice, Sundays and legal .holidays excepted, or to show Te why you sho ]d not be require7�d��so to do: ---------- �f (Q101 ....... �---- r c�-----�------- - - --------- ---- Use------�� ---------- h^p �C` (�0- - ------------ 1 `J -=------------------ ----------------- ---------- ---- - - - - --- - ----- ------------ - - --- -------- -- -- -------- ' P�v lV ",rs ­4 ------ ------ea ±e,c-� ------. - -------�-�----- - --i --- - ------- S c_1V © - ----Gl— -- -- ------1.1 M1- - -- ----------AR--- -------a rt`an-- - ----- f -------- - �e wt1 ------ tf 1- � If at the expiration of time allowed these conditions have not been remedied and no cause aforesaid be shown, such urther action will be taken as the law requires. By order ofAthe /H1! pector. Mail___________________________Personal Service- a./ --------------------------- Any objection or inquiry in reference to this notice should be filed before the expiration of the time allowed for the abatement of then 's e. Address all communications, "Board of Health-.._____ To_ _R__ Q - - "l -- .ZS --------Mass.,, FORM BOO HOBBS & WARREN, INC. TOWN OF BARNSTABLE BOAR ® OF HEALTH CONTROL OF TOXIC AND H ZARDO S .MATERIALS - INSPECTIO SHEET ' FIRM 1. / r /.�C✓a,, (, j h ADDRESS Zl L f Major types of materials: 1) � z'li 2) 3) 4) 5) 6) I. Description of materal(s). use: II. Storage (denote product by number listed above) A. Containers metal glass paper plastic cans,bottles,jars . drurrs,barrels aboveground tanks underground tanks ` bags,boxes ,.� open,loose,uncovered inadequate labelling B. Storage Facility v/or # Remarks/RecommeTic."Li_ons 1. Indoor a) separate., contained room b) stored in general work area i) inadequate ventilation ii) floor drains iii) inadequate fire protection 2. Outdoor a) uncovered, exposed to weather b) pervious surface/catch basins III. Disposal A. Reclamation/Recycling unit B. On-site disposal 1. Town sewer 2. Regular septic system 3. Separate holding tank I C. Off-site disposal 1. hauled by own firm 2, hired hauler a) name of hauler b) address or disposal site Person(s) Intervi.ewed A 4: _ _ — Inspectorh _ _ _ ; _ _ _ _ _ _ - - - - - — — — _ Date (6 f ./ _/ �` — - - — — — — - - - - 6 30 81