HomeMy WebLinkAbout0008 BAY VIEW STREET - HAZMAT �2 xD
TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM
NAME OF FIRM: y4 ' C!&—(
MAILING ADDRESS: 1c'S ��"� -" j� ��/-�� � V. -'':C' > rTL aa
TELEPHONE NUMBER:' -
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CONTACT PERSON:
Does your firm store any of the toxic or hazardous materials listed below.,
either for sale or for your own use, in quantities totalling, at any time, ore
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 herbicides,rodenticides)
Hydraulic fluid (including brake fluid) Photochemicals
Motor oils/waste oils printing Ink
Gasoline, Jet fuel
Diesel fuel, Kerosene, #2 heating oil Wood preservatives(creosote) I.
Other petroleum products: grease, (creosote)
Pool chlorine
lubricants Lye or caustic soda
Degreasers for engines and metal Jewelry cleaners
Degreasers for driveways & garages Leather dyes
Battery acid (electrolyte)
Rustproofers Fertilizers (if stored
Car wash detergents outdoors)
Car waxes and polishes PCB' s
Asphalt & roofing tar Other chlorinated hydro-
Paints, varnishes, stains, dyes carbons, (inc.carbon
Paint and lacquer thinners tetrachloride)
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
Spot removers & cleaning which you feel may be
S g P � L �sE � VE
(dry cleaners) toxic or hazardous (please j .
Other cleaning solvents HEALTH DEPT. list)TOWN OF BARNSTABLE
Bug and tar removers
Household cleansers, oven cleaners
Drain cleaners
Toilet cleaners
Cesspool
p of cleaners 1981
Disinfectants
MAY 22
Road Salt (Halite)
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