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Home My WebLink About0051 IYANNOUGH ROAD - HAZMAT �1 �y�i�r�vc�._ d2� �� fI / \ l TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF FIRM: 4-'z1C,*PA1#41.1 c/cAFTT MAILING ADDRESS: 6-1 I y,4N. ,sN 2d_ 1� .v�S, � TELEPHONE NUMBER: CONTACT PERSON: AtZ1Yuu,yF.< Does your firm store- any of the toxic or..hazardous.materials.- lis.-ted.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 V 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 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 rDiesel fuel, Kerosene, #2 heating oil (creosote) Other petroleum products: grease, Swimming Pool chlorine j 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) which you feel may be Spot removers & cleaning fl (dry cleaners) ds HEALTH DEPT. list)ECEIVED :toxic or hazardous (please Other cleaning solvents TOWN OF BARNSTASLE Bug and tar removers Household cleansers, oven cleaners Drain cleaners Toilet cleaners Cesspool cleaners ? 8 1981 Disinfectants Road Salt (Halite)