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�OFIHET TOWN OF BARNSTABLE
OFFICE OF
=00 aAammBz mum BOARD OF HEALTH
03 i63q.ON \ 367 MAIN STREET
HYANNIS, MASS. 02601
1 -� � -
August 14, 1987 fA
Mager/Owner er/Owne�r /� / 65S
g
The Automiser (�
Bodick Road V l 1 S
Hyannis , MA 02601
Lear Manager:
You are reminded that State regulations require periodic
pumping and or cleaning of all MDC traps (Metropolitan
District Commission, gas and oil separator tanks) .
You are directed to contract with a licensed hazardous waste
transporter\contractor to perform the required pumping and or
cleaning of your MDC trap by September 11 , 1987 , or provide
proof of such maintenance performed within the past three
months .
You are further directed to have your MDC trap inspected and
cleaned if necessary, by a licensed hazardous waste
contractor every three months . Written proof from a licensed
cont;�-a:ctor will be required.
Inspections will follow by the Health Department to verify
compliance .
You are reminded that failure to comply could result in a
fine of $200 . 00 daily under the Town of Barnstable Toxic and
Hazardous Waste By-law.
Very Truly Yours ,
2in M. Kelly
Director
Barnstable Health Department
OWN `OF BARNSTABL'�j COMPLIANCE: CLASS: `,1l Marine,Gas Stations,Repal.r'
satisfactory 2�.� Printers ,may
BOARD OF HEALTH 3. :Auto Body Shops
0unsatisfactory- 4. Manufacturers
ov,-k.
ee"Orders' S. Retail Stores
:OMPANY .:� . h Y' 6. Fuel Suppliers
%DDRESS ,��?; ��, . -- ��- Class: 7. Miscellaneous
QUANTITIES AND STORAGE (IN=indoors; OUT=outdoors)
tU1JOR MATERIALS Case lots Drums AboveTanks Undetgtound Tanks
IN IOUIT IN IOUT 10 QU I z erest?
Fuels:
Gasoline, Jet Fuel (A)
Diesel, Kerosene, N2 (B)
Heavy Oils:
waste motor oil (C)
new motor oil. . (�). 7/1
transmission/hydraulic
Synthetic Organics: r
degreasers
Miscellaneous:
J
DISPOSAL RECLAMATION REM!tRKS: f+
1. Sanitary Sewage 2. Water Supply f�- ( • ` " t�
Town Sewer I.Public ln�_
On-site Private
3. .Indoor Floor Drains: YES NO
Q Holding tank: MDC
O Catch basin/Dry well
On-site system
4. Outdoor Surface drains:YES NC
Q Holding tank: MDC T
O Catch basin/Dry well
OOn-site system
S. Waste Transporter Licensed?
Want - Product YES NO
yeti t t..P,d ton s) Ynt.ervj:ewed Inspector Date i
TOXIC AND HA AR US MATERIALS REGISTRATION FORM
Mail To:
NAME OF BUSINESS: Board of Health
MAILING ADDRESS: .4 Town of Barnstable
TELEPHONE NUMBER: � � 3-31 P.O. Box 534
Z Hyannis, MA 02601
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 toyalli , 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:
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 i
Please put a check beside each product that you store:
Antifreeze (for gasoline or coolant systems) Drain cleaners
Automatic transmission fluid Toilet cleaners
Engine and radiator flushes Cesspool cleaners
Hydraulic fluid (including brake fluid) Disinfectants
Motor oils/waste oils Road Salt (Halite)
Gasoline, Jet fuel Refrigerants
Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides,
Other petroleum products: grease, lubricants rodenticides)
Degreasers for engines and metal Photochemicals (fixers and developers)
Degreasers for driveways & garages Printing ink
Battery acid (electrolyte) Wood preservatives (creosote)
Rustproofers Swimming pool chlorine
Car wash detergents Lye or caustic soda
Car waxes and polishes Jewelry cleaners
Asphalt & roofing tar Leather dyes
Paints, varnishes,-sue Fertilizers (if stored outdoors)
1�/ Paint & lacquer thinners PCB's
n/I — Paint & varnish removers, deglossers Other chlorinated hydrocarbons,
Imo/ Paint brush cleaners (inc. carbon tetrachloride)
Floor & furniture strippers Any other products with "Poison" labels
_ Metal polishes (including chloroform, formaldehyde,
Laundry soil & stain removers hydrochloric acid, other acids)
(including bleach) Other products not listed which you feel may
Spot removers & cleaning fluids be toxic or hazardous (please list):
(dry cleaners) Rally
Other cleaning solvents .
Bug and tar removers
Household cleansers, oven cleaners
White Copy-Health Department Cana ryCoPY-
Business
-s. _ r
TOWN OF BARNSTABLE .OMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair
satisfactory 2.Printers
BOARD OF HEALTH 3.Auto Body Shops
O unsatisfactory- 4.Manufacturers
COMPANY, /i�ozB (see"Orders") 5.Retail Stores
6.Fuel Suppliers
�ADDRESS lq 22 4, c.A (;1ggg• 7.Miscellaneous
#;yAWAf QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors)
MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks
IN OUT IN OUT IN OUT #&gallons Age Test
Fuels:
Gasoline,Jet Fuel (A)
Diesel, Kerosene, #2 (B)
Heavy Oils:
waste motor oil (C)
new motor oil (C)
transmission/hydraulic
Synthetic Organics:
degreasers
Miscellaneous:
� P
1
DISPOSAIJRECLAMATIO REMARKS:
1. Sanitary Sewage 2. Water Supply 6
O Town Sewer Public
06On-site OPrivate _
3. Indoor Floor Drains YES NO
O Holding tank: MDC
0 Catch basin/Dry well
0 On-site system
4. Outdoor Surface drains:YES NO ORDERS:
0 Holding tank: MDC
O Catch basin/Dry well
0 On-site system
5.Waste Transporter
DestinationName of Hauler
YES NO
1.
2.
"Person (s) Interviewed Inspector Date
i