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HomeMy WebLinkAbout1676 FALMOUTH ROAD/RTE 28 - HAZMAT (3) iU q4� V�aQmuu� Q.d , (Je.caecvkl-� Date: 12�r1 t TOWN OF BARNSTABLE,,rs��� o,,`, TOXIC AND HAZARDOUS MATERIALS REZMTRAMN FORM NAME OF BUSINESS: ,M+vvke %&&v- 9ce55 BUSINESS LOCATION: 1644 #-'lv-^-JA-k (�� { Cevl,Te�lv�ll� INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: CONTACT PERSON: Hew<% EMERGENCY CONTACT TELEPHONE UMBER: MSDS ON SITE? TYPE OF BUSINESS: 0w,A"Nv\ INFORMATION / RECOMMENDA IONS: �vs� -�ov� o vL ��-e- . Fire District: �D \&o kK` 1S or -501.le h 4;6 6eKA- �-� © D � Waste Transportation: Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No 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 a month re uires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts(Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides ❑ NEW ❑ USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform,formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes Laundry soil &stain removers (including bleach) Spot removers&cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials ® SENDER: Co7lptete Ifs�tts 1,2,3,and 4. Ad�yalr address In the"RETURN TO" space on reverse. (CONSULT POSTMASTER FOR FEES) c` 1. The taaowing servks is requested(check one). xxUShow to whom aW date deilvered O Show to whom,date.and address of delivery.. e 2. O RESTRICTED DELIVERY................... The r ........ e ( M-ad Mmy lots Charged In adCfttan 01 0'o Mon remW fee.) TOTAL 8 3. ARTICLE ADDRESSED TO: Manager - Lowden Tree & Landscape MASHPEE MA 02649 4. TYRE OF SERVICE: ARTICLE NUMBER ❑REGISTERED OINSURED xxEICERTIFiED ❑COD P517 442 130 ODWRESS MAIL (Alwap eWn dgncWre td addresses or agent) I have recelm the arude SIGNATURE ❑ � uthorized agent S' DA E OF D VERY �' �OSfi�TAflK f be on Y 7 6. ADDRESSEE'S ADDRESS(o,*it k 1 PM = 7. UNABLE TO DEUVER BECAUSE ^ *y8� S A IN d GPO:1962379693 UNITED STATES POSTAL SERVICE OFFICIAL BUSINESS SENDER INSTRUCTIONS; Print roar ame,address,and ZIP Code In the space bolm. LL&MAIL •Aetbc to front of ortleb R pecsepermibthero,�a �® otllstWb0 lm to be of article. •Endorse ardds"Return Recelpt Regtrasted" PENALTY FOR PRIVATE •sdjmd to oamher. USE.$M RETURN BOARD OF HEALTH- TOWN OF BARNSTABLE (Name of Sender) P. 0. Box. 534 (Street or P.O.Bob HYANNIS -MA 02601 0534 (City,State,and ZIP Code) P517 442 130 RECEIPT Ca ERTIFIEDMAIL NO INSURANCE COVERAGE PROVIDED— NOT FOR INTERNATIONAL MAIL (See Reverse) Sent to Mgr.Lowden Tree & ' Street and NcLand s cape P.O.,State and ZIP'Cods Postage $; Certified Fee Special Delivery Fee Restricted Delivery Fee Return Receipt Showing to whom and Date Delivered Return Receipt Showing to whom, N Date,and Address of Delivery ao TOTAL Postage and Fees $1.55 a w Postmark or Date C 0 00 M • c mailed 7/6/84' W. W a i STICK POSTAGE STAMM TO ARTICLE TO COVER FIRST CLASS POSTAGE 1 ' ,faTWMD IfSAtI FM AND CRAROES FDA ART SHECTED OP 110M MVICES.(sts ko4 i.If you want this receipt postmarked,stickthe gummed stub on the left portion of the address sido of tha w•,°ticlo lamdar,the receipt attached and present the article at a post office service window or hand It to your rural carrier.(no extra charge) 2-*' you do not want this receipt postmarked stick the gummed stuff on the left portion of tho address aide of the"c4c,dste,detach and retain the receipt,and mail the article. WIf you want a return receipt,write the certIfted-mail number and your name and address on a �Ileturn recalpt card,Farm 3811,and attach it tothefront of the article by means of the gummed end if space permits,Otherwise,affm to back of article.Endorse front of article RETURN RECEIPT REQUESTED ad;scent io the number. 8.It you want de!Ivery restricted to the addressee,onto an authorized agent of the addressee. endorse RESTRICTED DELIVERY on the front of the article. S.Enter foes for the sorvicas requested In the appropriate spaces on the front of this receipt.L, return roceipt is requested,check the applicable blocks in item 1 of Form 3811. 0.Save this recent and present It if you make inquiry. - .:. ..yw �.,yr' :. — - •4 t ' v r ;x t a •e �'i'a .} a 'r;; Pe: * -•t i 'f 'ti r �c_>ti. '' • f � .. .,t ,,, _ �'�r .r �,� - .. ^r - ' � ] '�F `' r t s ' .pj.,,'�, , +� 1,`''tr��^t .. ��_Y. ✓ -*,ti 2. 2f f �rr -r' �, ' r j t r' ;'.,y �. 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M8shp eet * C ;�. .gyp^ ...• ."r f p !r • �x ��!•: t s • �, M a," a,.4,=r � - iri'"c 4 r 'a ��.. r.-•/ - #i .�,,�, z r,{, •, }} ]> �� sk�f . w .Crr �!,:.Y =�s. ,, �v 4 €r-;. � a.�- s� '�..� ]' 1 ;�rL 'D ear ;Sirs`�ky�t r, Y . jr •. 10 r '+• ,/ f«s• i. ^� �'S. .:*�k Y. ter' •rc .� ,'jsr *' ?1 -.. < i-_ �,,t y .k ♦ �' t tti• L _ F 1-..... � ;., a�!�T � ..e, 'a�' ' w 4 t_ ♦ ..k/' J,�`.�,: '+r3 q;- « } ry i "rThe SelecttrterikhiVe received�.compla me= that' pumper, tang trucks belon in .to rlwn«and tree service'eompasiesst'are` washing ,theirL,trucls"'arid ff lung$ ..and flush�ingr'theire,tanks at=lakes, `rivers;,streams and athe;r wate:'rcourses a= °wi.thfn.teTo�vn of Barnsabl@.�� In one location, at'> Bumps'River' xoadr in `'R {,+� '� f.Centezvilie, an�e�rosion -problemYhas =been zidentified es be inp"caused b ' ' ' nxt ' .g a ra... < { s r t g— Y •`'. rt. .. fr thie4 zaCtiv ty j t > ty r a5:rr r •Yr ° .-,.,�Y .'< /, K 1 <,;.A / •..y , y?f .'k..��r r �'. 'I':� { 1`,r ��'`�'•.�? j 1 e r{.. f`'S { This pt'actice, has "tAes poEential- to"dreate,'a serious hazard toy`the envi ` ronment rand public he$lth. In addition, `it 4s ,in:viglat onF af.`Az icle '39; 'rr : *sections'-3tand;°4,of ,the-Towfi, Bari�t�st b'1:e:By=lads` -Control d . i_, a �.: „•. °Of TOiC'°ati wn - w8azardous• Mat®vials;,•=as;, well as,ithe Flet ands,'Protec`Efon Act,'iand :Generalf i Ar r• e , '" .. - 1 '� a<,Laws, Chapter 1-31, section: 46is at►d ticle:21r' of the�.Toter► of-Barnstable w d ♦ ,. +4' s 1 7 r1�•..y y. laiary r•....?� �s 't rdJ.` , rr ` � i�. '_ ,iSk C r _ ..tr �a 'S.: >`"., ^ r •�" i5 y•, m n :s * ,� .>r f t. ' * r R �,. r `'l,,+ i•. c.- ,*'}' '1 1e'♦ !. ,r " ty+ 3 {• Y• ` As'' Jr . 'e '° r r N I{ter. . ht ,,Ydu,SA her@bytrordered toy desi*it ,from atiyx filling.;-vashitg or dieehargfs 'of. um er tank slake ;riv r r y s r- t.tf�epTop ''af Atrucke at atiya , �ond;y, `ez, stream or wetland within'. �.� wn' B$ IIstAb@.F ;x' f a v day: ; r .t to { Y 'i 4 •.; r f . r rt r t� r �,�r. �Yfl�? i �t t•..r r , r .v '�• � :4.t .., F �t �. �,.y A � t. ,err u'+�f� �.Fr � Y�� y +y t' Fai,ture to ,eomplyr'may resw t in" a fine not to 'exceed $20E9 Mach se arater� ,daq.s failure to comply with ao; ordei shah constitute a asepar$tek tolation. . f �� t. ^: "''♦ -,; {.t7,c� .,f t•'•.:F` ,.r •, r dr it F P • _ r... ..�t 2 .� '(s CX,'!n '' � sc ) A � f� ..'PER ORDER OF THEWARD,OF'!HEALTH'.AND':CONSERVATION Ct?HM•IS�IQN, ' c: '. •ra J ; ;}4 A r _ ; :�` + '/F 4 =*�".i� i 'r`'� ;� ]> x"� f ` < * ,'• > r v� k 'r'r t v: " 4r'�f �`.�� i. _ '.t{ �S �., f ';•'�'+r r f f"« i. +`. J fw, ? :♦ ohn;14• Kell 2i �"S,i '.d J 't r ti 4, E r t i� i '^, .r•. -n..# t o x Director.of`Public Health , ' �,• r TOWN:OF BARNSi"LE BOARD .OF HEALTH# f 't '`* ,F ,. .r • t. ,r. ^ s'. r e i ., '!' '.s •€3'a. ,,'+_° =r:•.,'r�.,7 11,4 1 t tit' '" r �+• r � 7'fi �'' "-e Fa` , :�' .� :,,ys .. .w '._q�," .e r+[�yc a rr,,,, 4 s f t 3+ rR r a i t Y y 3 i {"3u a 1pJ t - 't>',, '*, x -fi - � .-. ,{�.-: r ♦ s, :.d r... r �i „'t'Y:i fy, IS • ,i .4 j r .'t 3 .•a ` t '�' 'f A xs 'y!°j .�;.,(�'; , S 1:�•,S t 'a ',_.qpw " �.. `. Ci lbeert tNe4t6n4, .'r.• ,- •ti. ;ir.. �'*'• i ei,..ie'. r '� ;?el'' s } a RTABLE-CONSERVATION �, r^T TABIE GONSERVATION COMMISION t OWN.OFAS r�+y yc ajr,� _' tt '' r :� '',,° •.t n� , AL �r «` - •. 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