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IKE►ohti Town of Barnstable Office:508-862-4644
Public Health Division Fax:508-790-6304
+ BARMST�BLE. ` 200 Main Street• Hyannis, MA 02601
°`000 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT
Business Name: V 1--- -))25 45 Se J$K- *-X -57,04t Date:
Location/Mailing Address: I D f� t0, S- ,2vt•{`&^,,I)e-
Contact Name/Phone: ►ate 6+c c ,
boy, .y 5 P<,6,f�o =10 -7 100`' 1 1 k kw -
Inventory Total Amount: _ Z��� SDS: 40 0�+O,%w License#:
Tier II : L�beling: 1& Spill Plan:
Oil/WaterSeparator: Floor Drains: 0 Emergency Numbers:
Storage Areas/Tanks: c 4k-, wVn-- o, \
Emer enc /Containment Eguipmen : !4 S
Waste Generator ID: S�h�lpment/Frequency:
Waste Product:
Date&Amount of Last
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 Dry cleaning fluids
Automatic transmission fluid Other cleaning solvents&spot removers
Engine and radiator flushes Bug and tar removers
Hydraulic fluid (including brake fluid) Windshield wash
Motor oils 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:
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 j
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
Laundry soil &stain removers (including carbon tetrachloride)
(including bleach) Any other products with "poison labels"
�5+ Ca ort&C5 1 o (including chloroform, formaldehyde,
Ca 10l hydrochloric acid, other acids)
VIOLATIONS:
ORDERS:
INF RMATION/RECOMMENDATIONS: 15,SJ- f - '4,
41 vk an
Inspector:
Facility Representativ
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS