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°t� ►ok Town of Barnstable Office:508-862-4644
Public Health Division Fax:508-790-6304
• BARMAkq • 200 Main Street• Hyannis, MA 02601
�plFOMP�ae� TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT
Business Name: J-(9r'io Date: 5'17 /�
Location/Mailing Address: -71 6odlAc- a h rl
Contact Name/Phone: ,it
O - m
Inventory Total Amount: �I MSDS: !e h License#:
Tier II : Labeling: tea-` 1 Spill Plan:
Oil/Water Separ tor: Floor Drains: IJO Emergency Numbers:
Storage Areas/Tanks: O QAJ \At-a�k, L -1 A 15 0-
Emergency/Containment Equipm nt:
Waste Generator ID: �� 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 yibA,H 17,E 7,-/b
grease, lubricants, gear oil Refrigerants
Degreasers for engines&garages Pesticides:
CauIk/G rout 1.&e&A-6I�S/St-� t-C,5 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,
hydrochloric acid, other acids)
VIOLATIONS:
ORDERS:
INFORMATION/RECOMMENDATIONS: D! .o
`}'o i7�4'�41 x. •CYwI i� Inspector:
Facility Representative:
WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS
IKE*ok� Town of Barnstable Office:508-862-4644
Public Health Division Fax:508-790-6304
BARMS�LE. 200 Main Street• Hyannis, MA 02601
�'DrFOMP��`0� TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT
Business Name: Date: 9 23 t y
Location/Mailing Address: 7 1 00/9,c VU 14Vqn✓ris wyl
Contact Name/Phone: o V, D — 5�
Inventoilt Total A ount: f _ MSDS: PAW-4vDP'�ft�4,- License#: � A
Tier II : 0 Labeling: OK - c Spill Plan:
Oi[/Water Separator: Floor Drains: Emergency Numbers: 9-K
Storage Areas/Tanks: .cdc+f4OJC- aOLA kyp.,o) Ws-U4TAcks 4e
Emergency/Containment Equipment:
Waste Generator ID: M 14 Waste Product:
Date&Amount of Last Ship ent/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
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:
ORDERS:
INFORMATION/RECOMMENDATIONS: "f
o a II
Inspector: l�.Ve a,
Facility Representative:
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS