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0295 PATRIOT WAY - HAZMAT
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TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT QED MAC Business Name: Date: I1 4 l b Location/Mailing Address: Contact Name/Phone: lc,4' ak+<, C 0k4.L '1--16-1,•k W,�- 5%-)& Inventory Total Amount: MSDS: License#: Tier II : Labeling: Spill Plan: Oil/Water Separator: Floor Drains: Emergency Numbers: Storage Areas/7anks: D Sk �bw� v! 1 vJk 2? qU q fi Emer enc /Containme=ent: Waste Generator ID: or a� aste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destinatio : Other Waste Disposal Methods: tV M'Jec, Vo 014elc- LIST OF TOXIC AND HAZARDOUS MATERIALS c LS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal gof 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 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" (including chloroform, formaldehyde, A11 �� hydrochloric acid, other acids) VIOLATION ,� dLv� �. l uC - -V &J�< Zvr 14�y Caves- ck. %11 0 \ S ORDERS: CO3\ .ti 0,vL na & s%i- v, A6 LA I I . INFORMATION/RECOMMENDATIONS:C-.e> 0-5:op, ox Inspect cellor: S�o <K l L y�,a5>S;o0 0�.� Facility Representatit e: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS i IKE►otti Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-7s0-6304 BARNSTABLE. ' MASS. g, 200 Main Street• Hyannis, MA 02601 -, t639. ♦0 .. s. TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: Date: 11 M 16 Location/Mailing Address: 1 Contact Name/Phone: 2C1 Inventory Total Amount: MSDS: License#: Tier II : Labeling: Spill Plan: Oil/Water Separator: Floor Drains: Emergency Numbers: Storage Areas/Tanks: t?t��n1 t .Sk �6 k���k 1Ar_(V3k Ati fA 1111;7_ uU q � Emergency/Containment Equipment: i�.. Waste Generator ID: R-P a vt 54 a,Y.Q�,�nr.� 't� -�'- �� k,�,. � Waste Product: Date&Amount of Last Shipment/Frequency: 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 '" Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes I,l < 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" (including chloroform, formaldehyde, \ -}} hydrochloric acid, other acids) VIOLATIONS: \ C)(,v,(( r �, N U�` G��% W C),A 4 ca\,c—�OC,(Aki 47 C° GrQv .-( n e.r -- 5D 0^ ORDERS: A9 Ann - - l ,r ��� h 41 � F\..,< .r \► „ter. „� I V, ) �� A�tQ )r , _ r f�cQr�S,, 0�>� fiC) Sr V rid r,� .,�r �o cAl1 . INFORMATION/RECOMMENDATIONS:C.SAwA T \) �G� �m `iJP �, 0 c� / �� �C1 .^., �!1`` 7�M ��PccvlS I t� ,f� 4 �l `r. C`�G1rtVp .v�.30—�:Ol'`i. ,<.1ri' (�p)�� pvL ` [ Inspector`: n�c\,t v-\,c k 1 "G�<� c! L12ktiti�'1 „t2S . Ll•LAC -�S:OppnC.(L i FacilityRepresentatve: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY., BUSINESS