HomeMy WebLinkAbout0002 HINCKLEY ROAD - HAZMAT rn" Hn�Kley d2oud
� �r/1zX� � J- /
TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM
Mail To:
NAME OF BUSINESS: K Board of Health
MAILING ADDRESS: ���`��� � Town of Barnstable
TELEPHONE NUMBER: P.O. Box 534
CONTACT PERSON: -i9 t5 Hyannis, MA 02601
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_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: •�iiG✓
TELEPHONE:
LIST OF TOXIC AND MATERIALS
The Board of Health has determined that the following products exhibit toxic or hazardous
characteristics and must be registered
Please put a check beside each product that you store:
Antifreeze (for gasoline or coolant systems) Drain cleaners
Automatic transmission fluid Toilet cleaners
Engine and radiator flushes Cesspool cleaners
Hydraulic fluid (including brake fluid) Disinfectants
_ Motor oils/waste oils Road Salt (Halite)
Gasoline, JAI Refrigerants
Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides,
'X Other petroleum products: grease, lubricants rodenticides)
_ X Degreasers for engines and metal Photochemicals (fixers and developers)
Degreasers for driveways & garages Printing ink
Battery acid (electrolyte) Wood preservatives (creosote)
Rustproofers Swimming pool chlorine
Car wash detergents Lye or caustic soda
Car waxes and polishes Jewelry cleaners
Asphalt & roofing tar Leather dyes
Paints, Fertilizers (if stored outdoors)
Paint & lacquer thinners PCB's
Paint & varnish removers, deglossers Other chlorinated hydrocarbons,
Paint brush cleaners (inc. carbon tetrachloride)
Floor & furniture strippers Any other products with "Poison" labels
Metal polishes (including chloroform, formaldehyde,
Laundry soil & stain removers hydrochloric acid, other acids)
(including bleach) Other products not listed which you feel may
Spot removers & cleaning fluids be toxic or hazardous (please list):
(dry cleaners)
Other cleaning solvents
Bug and tar removers
Household cleansers, oven cleaners
r
White Copy- Health Department/ Canary Copy-Business
:.
s •
TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair
O satisfactory 2.Printers
BOARD OF HEALTH 3.Auto Body Shops
O unsatisfactory- 4.Manufacturers
COMPANYL 4"u- r� (see"Orders") 5.Retail Stores
`� 6.Fuel Suppliers
ADDRESS Class: 7.Miscellaneous
17✓�', Ya/ . QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors)
MAJOR MATERIALS Drums Above Tanks Underground
IN OUT IN OUT IN OUT #&gallons Age Test
Fuels
Gasoline,J
Diesel, Kerosene, #2 (B)
Heavy Oils:
waste motor oil (C)
new motor oil (C)
49—
transmission/hydraulic
Synthetic Organics:
degreasers 4; .1W
f
iscellaneous:
DISPOSAL/RECLAMATION REMARKS:
1 anitary Sewage 2. Water Supply S4.4fV �� ✓ ��w
'Town Sewer t'ublic
O On-site OPrivate
3. Indoor Floor Drains YES NO—k—'... "
O Holding tank:MDC
O Catch basin/Dry well f
O On-site system
4. Outdoor Surface drains:YES NO ' ORDERS:
O Holding tank:MDC
�S Catch basin/Dry well
O On-site system
5.Waste Transporter
Name of Hauler Destination Waste Product
YES NO
1.
2.
Perso (9) Interviewed Inspector Date
C
SERVICE SALES CORP.
59C
SERVICE SALES CORP.
I
STATIONARY EQUIPMENT
• Baldor Grinders
• Dewalt Radial Arm Saws
• Speed Cut/Mobile Framer
• Target Block Saws
ABRASIVES/CUTTING TOOLS
eI • Apex Bits • Pearl Dry Diamond Blades
9 • Lenox Blades • Remington
I
• Diamond Core Bits • Systematic Carbide Blades
• Freud Carbide Tips • United Abrasive Blades
• Hawera Carbide Tips • Wisconsin Knife Router Bits
• Oldham Blades • 3M Abrasive Belts
HAND TOOLS
• Channellock Pliers
• Empire Levels
r • Irwin Bits
• Peterson Vise Grips
• Stanley-Hand Tools
MISCELLANEOUS
's • Ladders • Duct Tape
• ERB Safety Equipment • National Riverside Heaters
• Gloves/Raingear/Tarps - . • Pullman Vacs
• Knaack Job Boxes o Roto-Zip
• Extension Cords a Stihl Chainsaws
• HIT Clips • Yamaha Generators
u
• Jetline Fishta.pe Systems P Wyco Vibrators
Worcester,MA E. Hartford, CT Portland,ME
F
(508) 752-0750 (203) 282-9887 (207) 774-8746
r
s9c
SERVICE SALES CORP.
POWER TOOLS i
• Black & Decker • Metabo
I
• Bosch • Milwaukee
• Hitachi • Partner
• Makita • Skil i
• Porter Cable • Hougen Mag Presses
• Kett Saws
AIR NAILING EQUIPMENT
• Hitachi Nailers
• Paslode Nailers 1
• Senco Finish Nailers
i
• Emglo Compressors
• A Complete line of quality fasteners for any nailer
POWDER ACTUATED TOOLS
• Ladd
• I m pex
t
• ITW Ramset/Red Head
• Pins and Shots for all major powder tool lines
FASTENERS
• Arrow
• Compass Drywall Screws
• ITW/Tapcon
• Phillips Anchors
• Rawl
• Hand Nails
• Adhesive Technology
• Dur-O-Wall Anchors
i
Allston, MA W. Bridgewater,MA Hyannis,MA
(617) 254-2444 (508) 580-8771 (508) 775-3014
E
e
CM
SERVICE SALES CORP.
I
New England's Leading Contractor's Supplier
6
Service Sales Corp. Service Sales of Cape Cod
442 Cambridge St. 2 Hinckley Rd.
Allston, MA 02134 Hyannis, MA 02601
(617) 254-2444 (508) 775-3014
t i
4
Service Sales of W. Bridgewater Service Sales Corp.
340 Manley St. R 95 Prescott St.
W. Bridgewater, MA 02379 Worcester, MA 01605
(508) 580-8771 (508) 752-0750
F
° Service Sales Corp. Service Sales Corp.
IF,
150 Preble St. 483 Park Ave.
Portland, ME 04101 E. Hartford, CT 06108
(207) 774-8246 (203) 282-9887
E
a
4�
�4
E
F, FAST FREE JOB SITE DELIVERY
i