HomeMy WebLinkAbout0149 FALMOUTH ROAD/RTE 28 - HAZMAT (QN d-
TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM M S C e
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NAME OF FIRM: CA p e Cop -�7-i os � 6117 O C- 01V f � --Z�'/$j
MAILING ADDRESS: o I�7 R !C
TELEPHONE NUMBER: ,.7
CONTACT PERSON: fQ
Qs�-AZ � �o L) p-r�
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
This form must be returned to the Board of Health regardless of a YES or NO k
answer. Use the enclosed envelope for your convenience.
If you answered YES above, please indicate if the materials are stored a a
site other than your mailing address:
ADDRESS: Ail jG�s --� gopv
TELEPHONE:
LIST OF TOXIC AND HAZARDOUS .MATERIALS
The Board of Health has determined that the following products exhibit toxic j
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 Pesticides (insecticides,
Engine and Radiator flushes herbicides,rodenticides)
Hydraulic fluid (including brake fluid) Photochemicals
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
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 carbons, (inc.carbon
Paints, varnishes, stains, dyes 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 ) RECEIVED list. ,:;
Other cleaning solvents HEALTH DEPT.
Bug and tar removers TOWN OF BARNSTABLE
Household cleansers, oven cleaners
Drain cleaners
Toilet cleaners
Cesspool cleaners
Disinfectants JUL 1 1981
Road Salt (Halite)