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Home My WebLink About0207 IYANNOUGH ROAD - HAZMAT 32$- 3'7 - - �-- - a Number Fee 359 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Crowell's Lawn Mower & Rentals 207Iyanough Road Route 28, Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------ ------------------------------------------- --------------------------- - ----------------------------- ------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2010 unless sooner suspended or revoked. ------------------------------------ WAYNE MILLER,M.D.,CHAIRMAN PAUL J. CANNIFF,D.M.D. 6/30/2009 JUNICHI SAWAYANAGI THOMAS A. MCKEAN,R.S.,CHO Director of Public Health il. f 4� , `• Town of Barnstable Barnstable o�zHE T Regulatory Services Department • ,;,ems-ABM Public Health Division 9 ' 200 Main Street, Hyannis MA 02601 ApfD MA�'A 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. 3;6 - A3?-60A DATE `T I� I B 5 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT C C�ro�•{ r� NAME OF ESTABLISHMENT C-Y-6 w �lS �c+.►��"1�n c r^ ADDRESS OF ESTABLISHMENT TELEPHONE NUMBER Sad r7rl�- ao 3 SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADD":� S OF AU PARTNERS: M C - :j IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION r FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK • SIGNATURtl OF APPLICANT RESTRICTIONS: HOME ADDRESS a9 HOME TELEPHONE# Q:\Hazmat\Haz Niat Application200&DOC 4 • MAIL-IN REQUESTS Please mail the completed application form to the address below. Also include a copy of your contingency plan to handle hazardous wastes ills etc. In addition,' ' g Y P ( p ) please include the required fee of$100. Make check payable to: Town of Barnstable. Allow time for in-house processing. Our mailing address is: Town of Barnstable Public Health Division 200 Main-Street Hyannis, MA 02601 FOR FAXED REQUESTS Our fax number is (508) 790-6304. Please fax a completed application form. Also, please fax us a copy of your contingency plan (to handle hazardous waste spills, etc.) In addition,please mail the required fee of$100. Please make the check payable to: Town of Barnstable. The check must be mailed to the address listed above. Allow time for in- house processing. For further assistance on any item above, call (508) 862-4644 Back to Main Public Health Division Page • QAI-lazmat\Haz Mat Application2008.DOC i .e • CONTINGENCY PLAN FOR HAZARDOUS WASTE SPILLS Crowells Lawnmower 207 Iyannough Rd Hyannis In the event of a spill we will call Clean Harbors • Number Fee 359 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Crowell's Lawn Mower& Rentals 207Iyanough Road Route 28, Hyannis,MA 02601 --------------- hJ� Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------------- --------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires June 30, 2009 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/08 JUNICHI SAWAYANAGI THOMAS A. MCKEAN,R.S.,CHO Director of Public Health J e r Town of Barnstable Barnstable WE Regulatory Services Department Public Health Division BARNSrABM 9 mfix-&i639• 200 Main Street,Hyannis MA 02601 �� AjfO MP't" 2007 Office: 508-862-4644 Thomas F.Geiler,Director FAX: 508-790-6304 - Thomas A.McKean,CHO Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. 3-2 Q ' a 37 DATE 15 I o� APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT �G�re.CtA n a3e�j O c.�.c�l 7 (►v.TY.�Y�evca 1 c t' NAME OF ESTABLISHMENT nn ADDRESS OF ESTABLISHMENT o9-0 o-�'►o Ct_v�_r► i 5 TELEPHONE NUMBER SOLE OWNER: AYES NO -- IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADD SS OF%LL c% PARTNERS: C �; 1 N UO _ u C57 IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. w STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK ' r SIGNATURE OF APPLICANT RESTRICTIONS:` HOME ADDRESS HOME TELEPHONE# - 190 Q:\Hazmat\Haz Mat Application2008.DOC , Town of Barnstable �OF114 r Regulatory Services o� TO OF� Thomas F. Geiler,Director S � BARNSTABLE B" MASS. ' Public Health Divisi(� c p y �j p (� 9�A i6 9, C�J Mti 1 1 G f M 3• lJ 7 rfD MA'S a Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 ffjV j S j 0 ax: -790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. 3as- 07-00A DATE o�171 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANTr a ate-PSI NAME OF ESTABLISHMENT ADDRESS OF ESTABLISHMENT TELEPHONE NUMBER b � ' 7 rl - a2-p 36 SOLE.OWNER: I YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. U'4 3 9 4 40 STATE OF INCORPORATION ORS FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK S NATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# �� - L39�- 19a Haz.doc/wp/q 1 Torun of Barnstable 9Tp�' z� Regulatory Services �.�. Thomas F. Geiler,Director ' Public Health Division � dBARI?5TABL�� Thomas McKean,Director ArEp ,t{A, 200 Main Street, Hyannis,MA 02601 Phone: 508-862-4644 Email: health town.barnstable.ma.us Fax: 508-790-6304 Office Hours: M-F 8:00—4:30 May 19,2005 Crowell's Lawn Mower&Rentals 207 Iyannough Road Route 28 Hyannis,MA 02601 Dear Business Owner: This Tettei is to iriforiii you in advance of'an'upcoiriing'visif fo.your establil§h ait by tE6 Town 6f Barnstable Health Department,Hazardous Materials Specialist. The purpose of coming to your business is to take inventory of all hazardous materials stored, generated,handled and disposed of on-site: The Hazardous Materials inventory is a routine function of the Public Health Division required by the Town of Barnstable Ordinance, Chapter 108:Hazardous Materials;the 310 Code of Massachusetts Regulations, Section 30: Hazardous Waste Regulations and the federal Emergency Planning and Community Right to Know Act(EPCRA). Copies of these laws are available for your reference at the Town Offices. The essential functions of the Hazardous Materials Specialist are as follows: • Inventory types and quantities of hazardous materials at business establishments. • Enforce Town Ordinance and State Codes in regards to proper storage,handling and disposal methods of hazardous materials. • Educate workers and business owners regarding proper storage,handling and disposal of hazardous materials. • To assist businesses with regulation compliance through on-site inventory recording, information packets, guidelines and referrals. • Perform site inspections to ensure conformance with the regulations mentioned above. A payment has been submitted for the upcoming fiscal year of 2005-2006 for Crowell's Lawn Mower&Rentals. Upon application and payment, a Contingency Plan must be submitted. Reviewing your contingency plan for hazardous materials spills and related emergencies(and its location throughout the facility)is highly recommended at this time. Please refer to the Town of Barnstable General Ordinance: Chapter 108, Section 6(A-H) (enclosed). I - The Public Health Division will conduct a hazardous materials inventory site visit during the week of June 6—June 10. If you wish to schedule a specific day and time for your site visit, have any questions or need further information,please do not hesitate to contact Alisha L. Parker, Hazardous Materials Specialist at(508) 862-4645,or myself, at the Public Health Division(508) 862-4644. After a passing hazardous materials inventory site visit, and submission of a contingency plan, you will receive the hazardous materials permit. Thank you in advance for your time and cooperation. Sincerely, Alisha L.Parker Hazardous Materials S r omas A.McKean,R:S.,CHO Director of Public Health F Number Fee 359 THE COMMONWEALTH OF MASSACHUSETTS $loo.00 Town of Barnstable Board of Health This is to Certify that Crowell's Lawn Mower& Rentals 207lyanough Road Route 28, MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------------------- ------------------------------------------------------------------------------------ This license is granted in conformity with the Statutes and ordinances relating there to, and and expires June 30, 2006 unless sooner suspended or revoked. - ------ ---- - - - SUSAN G. RASK,R.S. WAYNE MILLER,M.D.,CHAIRMAN May 13, 2005 SUMNER KAUFMAN,M.S.P.H. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health "t r Number Fee 359 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 F Town of Barnstable Board of Health This is to Certify that Crowell's Lawn Mower&Rentals 207 Iyanough Road Route 28, MA 02601 Is Hereby Granted-a License FOR: STORING OR HANDLING 111 GALLONS OR-MORE OF HAZARDOUS MATERIALS. - ------ -------- ------- -------- -------- -------- ------ - - -------------- - ------ ------- ------------------------------------------------------------------------- ---------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires June 30, 2007 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN SUMNER KAUFMAN,M.S.P.H. May 15, 2006 PAUL J. CANNIFF,D.M.D. THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Town of Barnstable - Regulatory Services Thomas F. Geiler,Director Public Health Division Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax:.508-790-6304 . Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. 3,Zg' -a$`r DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT n NAME OF ESTABLISHMENT Yo W ej ADDRESS OF ESTABLISHMENT C;* c�.�..• o.`, ` TELEPHONE NUMBER -SOLE OWNER: AYES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: cn IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. �s STATE OF INCORPORATION , FULL NAME AND HOME ADDRESS OJT: PRESIDENT C'% h (� caui rile TREASURER c,�, w► b�-� u CLERK r � GNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE.# 6'01 F-J911- /9 a xaz.doc,'vrp(r, M j MAIL-IN REQUESTS _ r Please mail the completed application form to the address below. Also include copies of your employees food sanitation training certificates. In addition, please include the required fee amount (see fees at bottom of this page). Make check payable to: Town of Barnstable. 'Allow five to seven (7)working days for in-house processing. Our mailing address is: Town of Barnstable Public Health Division 200 Main Street . Hyannis,MA 02601 FOR FAXED REQUESTS Our fax number is (508) 790-6304. Please fax a completed application form. Also, please fax copies of your employees food sanitation training,certificates. In addition, you must mail the required fee amount (see fees at bottom of this page). Please make the check payable to: Town of Barnstable. The check must be mailed-to the address listed above. Allow up to four days for in- house processing. For farther assistance on any item above, call (508) 862-4644 Back to Main Public Health Division Paize Al r C Town of Barnstable �OF114E h Regulatory Services y�P ti� Thomas F.Geiler,Director Public Health Division * snartsrnstE, Thomas McKean,Director 9 MASS. c� i639, ,� 200 Main Street, Hyannis,MA 02601 ArFD MA't A Phone: 508-862-4644 Email: healthAtown.barnstable.ma.us Fax: 508-790-6304 Office Hours: M-F 8:00—4:30 June 26,2008 Mr. John Bell RE: Toxic and Hazardous Materials Manager On-Site Inventory and Inspection, Crowell's Lawn Mower&Rental Crowell's Lawn Mower&Rental, 207 Iyannough Road 207 Iyannough Road, Hyannis,MA 02601 Hyannis Dear Mr.Bell: On June 10,2008,a Toxic and Hazardous Materials On-Site Inventory and Inspection of the above referenced site was conducted by the Public Health Division(PHD).An On-Site Inventory and Inspection is a review of the sites storage,transport,utilization and/or disposal of toxic and hazardous materials as it relates to the Town of Barnstable Ordinance,Chapter 108:Hazardous Materials. This Ordinance was adopted to protect the public health and welfare,especially as it pertains to the public drinking water supply. The following is a description of the results of the Inventory(enclosed)and Inspection. MATERIALS INVENTORY AMOUNT AND PURPOSE: The Inventory of this site indicates the use or storage of approximately three-hundred,forty-eight and one half gallons of toxic and hazardous material.This material is used in small engine(lawn mowers,snow blowers,weed whackers)repair and maintenance. Please be aware that the Town of Barnstable has determined that a minimum of one-hundred and eleven(111)gallons of toxic and hazardous materials requires an annual license. GENERAL STORAGE AREAS AND CONDITIONS: • The Repair/Service Shop houses a parts cleaner,drain buckets for waste oil and oil filters,an acetylene kit,a dirty rag bin(covered),and new and used batteries.New product(miscellaneous oils and cleaners)is also stored in a corner of the Shop. The Repair Shop floor is constructed of cement. • A storage area adjacent to the Repair Shop houses the used oil drums.There were five drums on site,two of which were being used and three that were awaiting use. The drums were not labeled appropriately. The two drums in use were each in a containment device but the device did not provide 110%containment. • The Show Room houses shelving for retail sized containers of various material used in small engine repair and service(oils,cleaners). • Snow blowers,lawn tractors,lawn mowers,and weed whackers are stored both in a lean-to structure which has a dirt floor and in the"yard"on broken asphalt. I ' -2- SAFETY AND DOCUMENTATION: The Material Safety Data Sheets were not available. Crowells' Lawn Mower&Rental is in receipt of a License for Storing or Handling of I I I Gallons or More of Hazardous Materials,however a Contingency Plan and Spill Kit were not available. Manifest sheets for the transport of waste oil and hazardous materials were provided upon request;Cyn Oil and Safety Kleen are the licensed haulers of record. SITE FACILITIES: No floor drains were observed in the concrete floored building. . . The site building is served by an on site septic system. Any deficiencies which were discovered in the course of this inspection with regards to the Hazardous Materials Ordinance are described below. CORRECTIVE.ACTIONS TO BE TAKEN: All containers, including all drain buckets,the oil filter drainage barrel and the used waste oil drums are to be clearly marked with the words"Regulated Recyclable Material","Used Fuel Oil"and"Toxic". The waste oil drums are not stored on a completely impervious floor,therefore 110%containment of the drums is required. The floor consisted of broken and cracked asphalt. The lid on the parts cleaner is to be closed when not in use to prevent the vaporization of solvents. A Contingency Plan is to be completed and submitted to the Town with the 2008—2009 Application for Permit to store and/or utilize more than I I 1 gallons of hazardous materials. A"Spill Kit"containing speedy dry and absorbent pads is to be available on site. The PHD appreciates your cooperation and acknowledges your intent to maintain compliance with the Hazardous Materials Ordinance. This office will conduct a follow-up inspection within four weeks to verify that all corrective actions have been taken. Please contact me at the above telephone number should you have any questions or comments regarding the Inspection of your site. Very ly yours, t Cyn is A.Martin Hazardous Materials Specialist All orders to correct viola ions of Chapter 108 of the Town of Barnstable Ordinance: Hazardous Mater' complet upon receipt of this letter The A. McKean,RS,CHO Director of Public Health i -3 - Enclosures: Toxic and Hazardous Materials On-Site Inventory Number Fee 359 THE COMMONWEALTH OF MASSACHUSETTS $100.00 Town of Barnstable Board of Health This is to Certify that Crowell's Lawn Mower& Rentals 207Iyanough Road Route 28, Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. ------------------------------------------------------------------- -------------------- -------------------------- --------------------------------------------- -------------------------------------------------------------------------------------------------- ------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2011 . unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER, M.D.,CHAIRMAN PAUL J. CANNIFF, D.M.D. 6/30/2010 JUNICHI SAWAYANAGI THOMAS A. MCKEAN, R.S.,CHO x.r.., Director of Public Health Town of Barnstable �°FTME r° Regulatory Services Thomas F. Geiler, Director • + BARNSTABLE, ' 9 MASS. g Public Health Division 16j9' prFDMA�A' Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO. J - ;317 o6A DATE APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT C0_V-& NAME OF ESTABLISHMENT CM W P_/�y, L- ADDRESS OF ESTABLISHMENT n 6OC ��"- 6-h i, cS TELEPHONE NUMBER S 775 6203 SOLE OWNER: YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK IGNATU�REAOF APPLICANT RESTRICTIONS: HOME ADDRESS °� HOME TELEPHONE #G Gam/ Haz.docl p.'y �QO '�/"7 — ��6/ { 1,r " C l Number Fee 359 THE COMMONWEALTH OF MASSACHUSETTS $100.0o Town of Barnstable Board of Health This is to Certify that Crowell's Lawn Mower& Rentals 207Iyanough Road Route 28, Hyannis,MA 02601 Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 6/30/2012 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2011 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health Ci nR i 0.0 0 Town of Barnstable Regulatory Services Thomas F. Geiler,Director B MSTABLE, •` Public Health Division 'DrEn rao+" Thomas McKean,Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.00 ASSESSORS MAP AND PARCEL NO.3;.f- a67- 060 DATE `� if APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT ra(M i NAME OF ESTABLISHMENT (�rGwejIS _--_�•&wr M45 w e.r o,2G6/ ADDRESS OF ESTABLISHMENT o�`1 tVLERHONE NUMBER 507 - rI7S - a03L M t`§OLE"UWNER AYES NO ate.. CIF APcP,JLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL ART HERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. STATE OF INCORPORATION FULL NAME AND HOME ADDRESS OF: PRESIDENT TREASURER CLERK SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS HOME TELEPHONE# Haz.doc/wp/q b- TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: NAME OF BUSINESS: �'��et.,� a` � �"��w'-� Board of Health MAILING ADDRESS: -402 act" o o cxh aQ� u_7 h/!T%�� /VP - Town of Barnstable i TELEPHONE NUMBER: '7-7s- ,03 P.O. Box 534 CONTACT PERSON: 9-ge-l< Oe// 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 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 i. Please put a check eside 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, Jet fuel Refrigerants _ Qiesel4uel, kerosene; ~A Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) 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, varnishes, stains, dyes 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) e-u 1-.-i eleei h%4 Ole le � Other cleaning solvents eT fLi 5 Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH satisfactory 2.Printers 3.Auto Body Shops 0 unsatisfactory- 4.Manufacturers COMPANY ra,,W, L/s /i¢4�/e� � (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS " q4 Class: L 7.Miscellaneous "' QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: gasoline,J Bilpl, Kerosene, A b Z Heavy Oils: waste motor oil (C) 7! new motor oil (C) BL _ transn issio Synthetic Organics: degreasers ,�n 4 ` Miscellaneous: / c,. s C 17-4_ez elwr�' DISPOSALlRECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply .' . O Town Sewer *ublic AOn-site OPrivate / 3. Indoor Floor Drains YES NO 1/ O Holding tank:MDC O Catch basin/Dry well +� O On-site system ` 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank: MDC O Catch basin/Dry well O On-site system r 5.Waste Transporter Name of Hauler Destination Waste Product YES NO 2. Person (s) Interviewed Inspec or Date