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Home My WebLink About0380 IYANNOUGH ROAD - HAZMAT -- � � � - _ f TOWN Or- aARNsTAa�E COMPLIANCE: CLASS: 1. Marine,Gas Stations�Repair ,0 satisfactory 2. Printers ~ ' a"M R D Of HEALTH 3. (luto P•ody Shops O unsatisfactory- 4. manufacturers /�-�'"� '� (see"Orders") S. Retail Stores COMP 1 Cf��r %. ��/ ,�� -- �l 6. Fuel Suppliers �� l'.".•� 7. Miscellaneous ADDRESS('��,J��f�I'I a�� . T'� 1�fi��y�fY l� Class i QUANTITIES AND STORAGE (IN-Indoors; OU1'=outdoor. MAJOR IU1T8R1ALS • Case - lots Drums AbOveTanks Undetgrohnd Tanks iL M t_ MT OUT I R gallons 9M a" Fuels: • Gasoline, Jet Fuel (A) D1.ese1 Kerosene, 02 B) Heavy Oils: r waste motor oil - (C) new motor oil (C) transmission/hydraulic - Synthetl.c organics: degreasers _ • Miscellaneous: \; �� 14�> vC }� Wf ISPOSAL RECI. M ON RMI.RKS: C'` �/ �Z��(') 1. Sanitary Sewage 2. Water Supply / Jttt /) // � �-4`� OTown Sewer R $Public ( J4-0 On-site Private 3. Indoor Floor Drains: YES NO _ _N ./__, O Holding tank: MDC Catch basin/Dry well �1� 1�. !)` � j /)h (T r:..._. _ OOn-site system n- a 4. Outdoor Surface drains:YES NO 0 Huldinl; tank: MDC OCatch basin/Dry well _----- O�,On-site system ` u � � S. Waste Transporter Nam"Lliaul ._Ilgsiing it ltfn%te Pr d act Licensed? m ��_ 1, _ 170 n _ PX t A?rl� - u 2J 61 --Person(s) Int.erviewea Inspector Date / ` + T - TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF FIRM: MAILING ADDRESS:3?o;-r/'9�`'�` TELEPHONE NUMBER: T7 , 2 4, CONTACT PERSON: ��•4c,l�S �► 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 t/ 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 in quantities totalling more than SO 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 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 v' Paints, varnishes, stains, dyes tetrachloride) Paint and lacquer thinners Any other products with e/ 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 fluids toxic or hazardous (please (dry cleaners ) Other cleaning solvents R E C E 'v E ® list) Bug and tar removers HEALTH DEPT. Household cleansers, oven cleanj 6WN OF gARNSTABLE Drain cleaners Toilet cleaners Cesspool cleaners Disinfectants Road Salt ([Tali to ) vAy 1 3 1981 TOWN OF BARNSTABLE BOARD OF HEALTH CONTROL OF TOXIC AND HAZARDOUS MATERIALS - INSPECTION SHEET i '� I F I RM ,!, 1 A G � ADDRESS Z;l Major types � aterials: 1) , 2) , �� 3) 4} tk �_ 5) Ao� 6) z I. Description of material(s) use: II. Storage (denote product by number 1' ted above) A. Containers metal, ,I glass p per plastic cans,bottles,jarsE f , drums,barrels aboveground tanks"101, 17 underground to lk-s bags,b x open,loose,uncovered inadequate labelling B. Storage Facility nc✓or # Remarks/Recomme :�i_ons 1. Indoor a) separato, contained room b) stored in general work area i) inadequate ventilation : ii) floor drains iii) inadequate fire protection AID 2. Outdoor a) uncovered, exposed to weather b) pervious surface/catch basins III. Disposal A. Reclamation/Recycling unit B. On-site disposal 1. Town sewer 2. Regular septic system 3. Separate holding tank Ald C. Off-site disposal 1. hauled by own firm 2. hired hauler a) name of hauler alo b) address or disposal site - r f k X Persoll(s) Interviewed' — _ _ _ _ _ _ _ Inspector — — — — — — — - - - Date - - - - - - - - 6 30 81 O°,/VN OF BARNSTABL I _7 C6_MPLIANCE ; I CLASS 1 ' Marine,Gas Stations,Repair 1 2 „,Printers B ,A R D OF HEALTH� satisractors ."Auto Body Shops Q unsatisfactory- 4. Manufacturers (see"Orders") S. Retail Stores COMPANY 1,e pr) f�' 6. Fuel Suppliers �?, J I i;r ��s? i`��;` Class: 7. Miscellaneous ADDRESS QUANTITIES AND STORAGE (IN=indocrs; OUT=outdoors) IVA! MAJOR MATERIALS Case lots Drums AboveTanks. Underground Tanks 1N IOUT IN IOUT IN IOUT # 21 n e rest? Fuels: Gasoline, Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor.. oil (C) transmission/hydraulic Synthetic Organics: ! degreasers 1 r Miscellaneous: Al DISPOSAL RECLAMATION REW RKS: 1. Sanitary Sewage 2. Water Supply 6 O Town Sewer Public Jrt C . +`� _ r — -- On-site O Private 3. .Indoor Floor Drains: YES NO V Holding tank: MDC O Catch basin/Dry well URDERSE 0 On-site system 4. Outdoor Surface drains:YES NC Q Holding tank: MDC OCatch basin/Dry well ----- OOn-site system S. Waste Transporter Licensed? Name of Hauler- -De_q t i nat i on Na:Ste Product YFS NO '12 23-:ei Per50 s) Int.er°iriewed Inspector , ate TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: NAME OF BUSINESS 1-d Board of Health MAILING ADDRESS: 6'2 . Town of Barnstable TELEPHONE NUMBER: .71 : P.O. Box 534 CONTACT PERSON: ZZY 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 anytime, 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: "7G� �i��,. ly�✓a�..ti6 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 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 Diesel fuel, kerosene, #2 heating oil 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) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business b...�.�.-F#.Ss'-..:..•..�.�Jt'•`-�,��'y1't.F't•-r4.� i^.�•'•�..�v"�:R.$:`�: +�- .Y�+1P�"..r ..,ry:.+Ty"A(.i�.esuv ,�'vtge,,.+.`M,�++�w;e?yL^�wz -'4.i^u 1�` i"*s,,. xy��'�S,^rs,�Y'F,-�*+�°i'F-. °•At',J+:.,r W.'ri.n'7-�A`-.;. TOWN OF BARNSTABLE coPTUANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH O 3.Auto Body Shops 0 unsatisfactory- 4.Manufacturers COMP 5.* k,� (see"Orders") 5.Retail Stores / 6.Fuel Suppliers ADDRESS �bA..•��,�.� '�F Class: 7.Miscellaneous "QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS o Drums a l* IN OUT IN OUT IN OUT #&gallons Age Test /4"q fo'l� a 60 Fuels: Gasoline Jet Fuel (A) ° Diesel;Kerosene, #2 (B) 'Heavy Oils: waste motor oil (C) new motor oil(C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: w. i DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply O Town Sewer ®,Public 4Q�On-site OPrivate 3. Indoor Floor Drains YES NO 'O Holding tank:MDC O Catch basin/Dry well 0 On-site system 4. Outdoor Surface drains:YES NO ` ORDERS: 0 Holding tank:MDC , 0 Catch basin/Dry well O On-site system 5. Waste Transporter Name of Hauler Destination Waste ProductLicensed? L WIA'f't I-Arw Y/! bl hil .r OP,4 ,V Y1ErS NO A41 Person (sl I.Aterviewed '` Inspector ` Date