HomeMy WebLinkAbout0251 FALMOUTH ROAD/RTE 28 - HAZMAT L
S M E A
KEEPING YOU ORGANIZED
No.1®S34
2-153L
MADE IN USA
CET ORGANIZED AT SMEAD.COM
Q
TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM
NAME OF FIRM: C`f% (SLrti!/OS D/S% >A/L
MAILING ADDRESS: 2 S/ ��G/t2du�t/ i1 P NV41V
TELEPHONE NUMBER: -7 7/- rO0 `J
CONTACT PERSON: 1219-61 j_ 3s7 Orr A/
Does your- firm store any of the toxic or hazardous materials- listed. b.elow.;_
either ale or for your own use, in quantities totalling, at anytime, more
than 50 gallons liquid volume or 25 pounds dry weight? YES NO X
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 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 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 PCB' s
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)
Spot removers & cleaning fluiTI E C E IV E D which you feel may be
(dry cleaners) HEALTH DEPT. toxic or hazardous(please
Other cleaning solvents TOWN OF BARNSTABLE list.:
Bug and tar removers
Household cleansers, oven cleaners
Drain cleaners
Toilet cleaners
Cesspool cleaners MAY 1 4 1981
Disinfectants
Road Salt (Halite)