HomeMy WebLinkAbout0031 MIDWAY DRIVE - HAZMAT 31 (11Id �xe� `� r� y�
TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM
NAME OF FIRM:
MAILING ADDRESS
TELEPHONE NUMBER: - / // 311,,,3
CONTACT PERSON:
Does your an firm store of. the toxic or s.hazardous material listed_ b.el,ow, _
y
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:
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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 herbicidesrodenticides)
,
Hydraulic fluid (including brake fluid) Photochemicals
Motor oils/waste oils Printing Ink
Gasoline, Jet fuel Wood preservatives
Diesel fuel, Kerosene, #2 heating oil
Other petroleum (creosote)
p products: grease, Swimmin Pool chlorine '
lubricants g
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)
PCB' s j
Car waxes and polishes Asphalt & roofing tar Other chlorinated hydro-
Paints carbons, (inc.carbon
, varnishes, stains, dyes tetrachloride)
Paint and lacquer thinners
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 f
Spot removers & cleaning flocs which you feel may be
(dry cleaners ) . K c C E I V E ® toxic or hazardous (please
Other cleaning solvents HEALTH DEPT. list) : s�
`Bug and tar removers TOWN OF BARNSTABLE ; � •
Household cleansers, oven cleaners
Drain cleaners
Toilet cleaners
Cesspool cleaners
Disinfectants MAY 2 7 1981
Road Salt (Halite)
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