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KEEPING YOU ORGANIZED
No.10334
2453L
MADE IN USA
GET ORGANIZED AT SMEAD.COM
IK ►E Town of Barnstable Office:508-862-4644
Public Health Division Fax:508-790-6304
gARMASS. 200 Main Street• Hyannis, MA 02601
'°lFOMP+a`0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT
Business Name: M 611(17 Date:
Location/Mailing Addr ss: 1
Contact Name/Phone:
V—Jrox,wc0ely I �x�,-Fb ,ha1��� ,ws ,ox� — -S P& /K�'o.
Inventory Total Amou MSDS: License
Tier II : Labeling: 3 kAtk— �a}w� Spill Plan:
Oil/WaterSeparator: Floor Drains: _/yo Emergency Numbers:
Storage Areas/Tanks:
Emergency/Containment Equipment:
Waste Generator ID: Waste Product: 0-
Date&Amount of Last Shipment/Frequency:
Licensed Waste Hauler&Destination:
Other Wa to Disposal Methods. ; aA-m s o AQ&wealp �o r .xvt,
a�-t�(,cvL c22�i co>t�-f a•Y�ct,.a.•s �� � y
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 a kx,14- 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
V 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:
IN ORMATION/RECOMMENDATIONS: A�)A o IS /
h lI �, o 6 a v a -
I�e21n9•—` � gl�.o ,e.� cr;coc- 6 ova. AA5Ae,a( t-t 4-e-11
`"q0( 6?1AkJl Q-,XVJ14yG9VO4k �,Yo , VZ! 1��--(�(<2�y��) Inspe tor: LCA10-IIe.
JAL �v��C� �-�� pyl.$��'� Facility Representative:
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS
- .oF�►+�r°k1\ '`t p°: `i q} Town of Barnstable Office:508-862-4644
Public Health Division Fax:508-790-6304
BARNSTABLE."``
5• MASS. �` 200 Main Street• Hyannis, MA 02601
039.
iO�EOMA+a,O� TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT
Business Name': ` 9.v, b!< Date:
Location/Mailing Addr ss: I
Contact Name/Phone: _"S,vj6- I I w 5 Q5- �I-7 -7n("�
/ �roxr��te y r ✓ OK,,-I-1,
Inventory Total Amount: MSDS: License#:
Tier II : Labelina: * - kXtk- �Q e-� Spill Plan:
Oil/WaterSeparator: Floor Drains: A)o Emergency Numbers:
Storage Areas/Tanks:
Emergency/Containment Equipment:
Waste Generator ID: Waste Product: o' C
Date&Amount of Last Shipment/Frequency:
Licensed Waste Hauler&Destination:
Other Waste Disposal ethods: a>1 e_<s +a a � �. o f x✓l,N
S�Q, Gtvt i C2�Z�Qi
Co 1 b• -I d �'�Cit15�C ( QG+!
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 ¢ v_v,(.a- 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 4
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- i 8 0+ G ��_r�� 5 (Z), 1
n v rJ-<v v +,A A,^,
I►c21n5e `{�nle5l�o Ir�. '� C2COCY5 01n. c�xtsl�'r�► 4fi r�q, s }2�.�+ .-` �jE /kS
Inspebtor:`..."1"; 1_rvPu{le_ •
N P Cd-c+ �t'e q" OVL- S� I�. Facility Representative:
WHITE COPY-HEALTH DEPARTMENT./CANARY COPY-BUSINESS
°Ft r Town of Barnstable Office:508-862-4644
Public Health Division Fax:508-790-6304
• BARNS LE.B` 200 Main Street• Hyannis, MA 02601
1639.
�iOrfD MPy 8. TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT
Business Name: FT��-��I o�C.� , �a�� Date: �23 I
Location/Mailing Address: 2 Faa2vlr�t 5
Contact Name/Phone'"irnwc:ga Mv�c,pv,e;1(
Inventory Total Amount: 33 a1 -V Wo VGA MSDS: 0Kt%1A-L— e P1°y0-S License#: A) A
Tier 11 : t�0 Labeling: XA4-1-�1Z5 1!c1oc.JS Spill Plan:
Oil/WaterSeparator: 0-P, Floor Drains:t) Emergency Numbers: e5
Storage Areas/Tanks: fAl + I - wo w�•� w�.�.c,l- D�5
Emergency/Containment Equipment:
Waste Generator ID: tAJ-I-14 420 4 LVI 1�O Waste Product:
Date&Amount of Last Shipment/Frequenc h 4 . o 44-1 3-4 x/V
Licensed Waste Hauler&Destination: - .-C "V11. Pe,Vi vt sac.
Other Waste Dis osal Methods: V �0►1, ad lo
i- C, c- o
LIST 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 1i 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 b0 OP
Degreasers for engines&garages Pesticides:
7 Caulk/Grout&V 4y 4IIt,- 3 +2-+Z. insecticides, herbicides, rodenticides
Battery acid (electeolyte)/batteries Photochemicals(Fixers)
t Rustproofers I Photochemicals(Developer)
Car wash detergents Printing ink
Z Car waxes and polishes.Z Wood preservatives(creosote)
Asphalt&roofing tar ,yS Swimming pool chlorine
Paints, varnishes, stains, dyes-3/��Zo Lye or caustic soda
%p Lacquer thinners t l.q 4,10 -f 75 Miscellaneous Combustible 1
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:�0 10.10-4 5 �v`. U7abfi�-�X�CJWlS,
ORDERS:A1,41- 5v � e �A L�aS� (G , tlole
INFORMATION RECOMMENDATIONS: 5 i
Inspector: 1 /
Facility Representative:
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS
TOWN OF BARNSTABLE D \
o UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS' /I J
v V�,ASSE G� TA
SSORS MAP N0. PARCEL N0. V r
ADDRESS; 1 7-3 rA LM V'rk e7D VILLAGE: I-`Y A
tdAME I _rEtvc E Tv _... .. 4GA. ._4 g vfj'j 2
CONTACT PERSON r ° �-���=��c PHONE NUMBER -7--7
LOCATION OF TANK:. CAPACITY: TYPE- OF- FUEL AGE: TYPE: LEAK
OR CHEMICAL: ,�, DETECTION
QI�EC N (LAN i OF �LD6 3,OOU �UE.L ® I L. STEEL SYSTEM:
must U�
DATE OF PURCHASE OF EACH: 1. 1a70? 2. 3. 4. 5.
DATE OF FIRE DEPARTMENT PERMIT:
TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS
` PLEASE PROVIDE A SKETCH SHOWING THE LOCATION OF TANKS ON THE BACK OF THIS CARD.
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ACME LAUNDRY Co., INC.
n �- N 124 RIDGEVALE AVE.