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Home My WebLink About0167 CORPORATION STREET - HAZMAT e m C o( oca�o� car s �CQMC, - t a - TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF FIRM: John' s Auto Radiator Shop MAILING ADDRESS: 167 Corporation Street, Hyannis, Ma . 0 2601 TELEPHONE NUMBER: 617-775-4090 CONTACT PERSON: John Gomsey 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, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO 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, pl se icate 'f the m s are stored at a !,site other than your mailing a s! ADDRESS: '0 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 in quantities totalling more than 50 gallons liquid volume or 25 pounds dry weight. Please put a check beside each product that you store: j Antifreeze (for gasline or coolant systems)w Refrigerants Automatic transmission fluid Pesticides (insecticides, Engine and Radiator flushes herbicides,rodenticides) Hydraulic fluid (including brake fluid) Photochemical*, Motor oils/waste oils Printing Ink Gasoline, Jet fuel Wood preservatives Diesel fuel, Kerosene, #2 heating oil (creosote) Other petroleum products: grease, Swimming Pool chlorine lubricants Lye or caustic soda Degreasers for engines and metal Jewelry cleaners j Degreasers for driveways & garages Leather dyes Battery acid (electrolyte) Fertilizers (if stored Rustproofers outdoors) Car wash detergents PCBs Car waxes and polishes Other chlorinated hydro- Asphalt & roofing tar Paints, varnishes, stains, dyes carbons, (inc.carbon tetrachloride) Paint and lacquer thinners Any other products with Paint & Varnish removers, deglossers "Poison" labels (including Paint brush cleaners chloroform, formaldehyde, Floor & Furniture strippers hydrochloric acid, other Metal polishes acids) Laundry soil & stain removers Other products not listed (including bleach) which you feel may be Spot removers & cleaning fluids toxic or hazardous (please (dry cleaners) R E C E IV E D list)*,: Other cleaning solvents HEALTH DEPT. Bug and tar removers TOWN OF BARNSTABLE Household cleansers, oven cleaners Drain cleaners Toilet cleaners Cesspool cleaners Disinfectants MA y 2 0 1981 Road Salt (Halite) `oFIKE r. Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 RnRMAk% L 200 Main Street• Hyannis, MA 02601 �p 039• TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: LfhwL 140�61,e5 Date: IZ 113 /b Location/Mailin Address: It-,I Cor oda�'�ov� Qnv►�5 Contact Name/Phones Invent Invento1y Tofal Amount: 1 MSDS: 011- 6A aeC&gS License#: N I� Tier II : o Labeling: V2-k•t tiV4-A,.vJ Spill Plan: Oil/WaterSeparator: b Floor Drains: Ian Emergency Numbers: Storage Areas/Tanks: NeA,1o% Emergency/Containment EaUiDme t: Waste Generator ID: Waste Product: NIA 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 f engines&garages Pesticides: Caulk/Grout 7abC1��1 W.15��xy 5 i 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 M � Swimming pool chlorine LLA Paints, varnishes, stains, dyes Pa�� f Lye or caustic soda Lacquer thinners 44-1 -t Miscellaneous Miscellaneous Combustible �1 f r'� Paint&varnish removers, tleglossers 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, gleI4v(t`sb�by C5 hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECO MENDATI NS: U <*wt V1 CL �S vwe- 4 NNNJgAkON N,J 1-5 QAA S . Inspector: Facility Representative: �?�✓ WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS °p THE T� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BnRM. .� % 200 Main Street• Hyannis, MA 02601 �'OjFDMP+A`0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT . Business Name: Ct4trilKy, 4,014101f.5 Date: 2(0 Location/Mailing Address: lo? Goy o�a-Y,bv` S a,n�%5 _ /J Contact Name/Phone: 6 AA t3�•n�c1t-,e' ,��j -'77 1 _ 12,E-1�} ov& ke-Ve.-a - INsp'aC Inventory Total Amount: 41\1 a1 MSDS: Go *,( kCce6t, License#: JV Tier II : o Labeling: o- j Spill Plan: Oil/Water Separator: Floor Drains: 0 0 Emergency Numbers: �-S Storage Areas/Tanks: NILA Emergency/Containment Eq ipment: Waste Generator ID: N A Waste Product: Date&Amount of Last S ipment/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 40gw,5 i4cl 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/Groutf 4Vj-�,v e•-,, G i o 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 L tD Lye or caustic soda Lacquer thinners .4 1 o 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: �0(1- . o Qoti 5MAI MP�. �t5 a A r� V l iov-S IS i Inspector:� Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS