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HomeMy WebLinkAbout0425 IYANNOUGH ROAD - HAZMAT (2) f i i S M E A 0 KEEPING YOU ORGANIZED No.10334 2453L WE IN USA GET ORGMIZED AT SM€AD.COM °FIB*oyti Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BA M.T% LE.� 200 Main Street• Hyannis, MA 02601 prFOMP'�039. a`0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: Rk D Date: 3,1 q Location/Mailing Address: 0 MA,' 0 T i 6pO15 Contact Name/Phone: Inventory Total Amount: C 560 SDS: e5 _ License#: u Tier I[ : Ato Labeling: Spill Plan: Oil/WaterSeparator: /l d Floor Drains: Emergency Numbers: �S Storage AreaslTanks: kf� R�l Emergency/Containment Equipment: rn aste Generator ID: _ 6AR(Zp S -` 3 g Waste Product: rNT4f)(:0 Date&Amount of Last Shipment/Frequency: EZQV mook Licensed Waste Hauler&Destination: Other Waste Disposal Methods: 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. �ntifreeze 50 Dry cleaning fluids utomatic transmission fluid Other cleaning solvents&spot removers gine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid)t6 V Windshield wash Motor oils F3 Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants I o Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: ;aulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents 66 Printing ink —VCar waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes ye or caustic soda Lacquer thinners Miscellaneou s 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) ��k43 0 Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORM TION/'RECOMMENDATIONS: ` u;shP�s , I10 reC60APd6,ai�S ni Inspector: Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY- BUSINESS °pIKETpk� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • RARMS�LE. ` 200 Main Street• Hyannis, MA 02601 �plEDMPrp,O� ,/� TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: +f. i .A o 1 Sq Date: Z I 1 Location/Mailing Address: 360 Ga A i Contact Name/Phone: - -11 - �6 511 al K-ex,),re- .c vM I W5 w7 6 roAo >Soo l InventoryA, Total Amount: SDS: ) License#: 11`4 Tier II . O Labeling, kc� 1 W�S-1 t,-bK Spill Plan: '�S Oil/WaterSeparator:_ Floor Drains: o A Emergency Numbers: �vS Storage AreaslTanks: 12 �e, t-k w-oA j, Emergency/Containment Equipment: 5,p%11 VLF �r 01C 6 W v�C awl Waste Generator ID: o WasteProduct: l�1 0Qt6- Ve-V--1 k /r�v 45 Date&Amount of Last Ski ment/Fre uenc : 2. Licensed Waste Hauler&Destination: Other Waste Disposal Methods: 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 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 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, ,,11 -n( hydrochloric acid, other acids) 1 VIOLATIONS: `N� A CkO'5 ki•2p'� 4 T- -T �1"<S ORDERS: INFORMATION/RECOMMENDATION eA1v1. of -EAM v v V ovL Si��. t, ,5-n�C� o L���(� 0 JvkAYI 1�2. °J Inspector:I�- G..��PVC `/�_ Facility Re resentative: � CQ���l� Dw2 tS of 2. lt1 1 WHITE COPY- HEALTH DEPARTMENT/CANARY COPY- BUSINESS °pIHErpM� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-7s0-6304 • BARMS�LE. • 200 Main Street• Hyannis, MA 02601 �ptF1639..O� TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: ► ,4,e- A,A s+,, /o I 9 Date: Location/Mailing Address: 3kc> �an n Contact Name/Phone: v Inventory Total mount: Ctic �' MSDS: qf-5 ' f`1\0 &d&r0* '- License#: Tier II : No 312A` Labeling: kv44A--VGk4`k Spill Plan: eg Oil/WaterSeparator: Floor Drains: O Emergency Numbers: Q'S Storage Are t l kl ` b- .r k Emer enc /Containment Equipment: 190 s Waste Generator ID: f7oD Waste Product: 5(, FGiv-Qs Date&Amount of Last Shipment/Frequency: v k<<� e-Y1 Licensed Waste Hauler&Destination: C��a�, �rbo•� .11 e, L Other Waste Disposal Methods: 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 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 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: INF RMATION/RECOMMENDATIONS: Inspector: L 113 L Facility Representativek R O—O2A. N Ny�\ WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS F `0 HE Town of.Barnstable ? Office:508-862-4644 Public Health Division Fax:508-790-6304 i • BARMAq .$ .,,200 Main Street• Hyannis, MA 02601 �°rFo►a+ TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: e //S-i,,« In qi p Date: '7 22,)/ Location/Mailing Address: r� i In_ Y � �'f g n n, r r Contact Name/Phone: lei La t...s r-7 9 `,g I,>t �-6A .7-7 f., ��,.r� 1 Inventory Total Amount: "t Ci. '�4 C� S MSDS: �`� � IV,I DfBa C-Cc"'"A.- License#: ( 0 1 Tier 11 : I� I S)Z`I�� La belino: Spill Plan: des Oil/Water Separator: n)I+A'° Floor Drains: n\H- Emergency Numbers: ¢e Storage Areas/Tanks: /u Emergency/Containment Equipment. '�r� �� 10 l,T Waste Generator ID: M,.A,( D,�l��;^ G `_ ` Waste Product: ,rth0°. Uyx' �.;Q�rA,<'k; �� VL& 1\ Date&Amount of Last Shipment/Frequency: ��i''l>E�►`i421 , ,� j:, V Licensed Waste Hauler&Destination: (�-�w��1� �b ixr s� �,�t;it' ar. \ Other Waste Disposal Methods: VI- 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. i Antifreeze 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 ' 14iscellaneous 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 A Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar t 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, n hydrochloric acid, other acids) VIOLATIONS: ' 3't - M td,�• `� .ems :�'� . ;� - '� > � -� s ORDERS: INFORMATION/RECOMMENDATIONS: V),11 ' 6A k Cl - *'?"A �r� �5 6 � � G�, tS� al�,�-vkb - � �kA.> 41� An C E'1 Ct7�M " �.�c y�neg V ,r _. i Inspector. 11' tv�� . ,r, yy ' , 17+ !� [Y /M Facility Representative WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS i3( �oFT"�'owti Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 ' B`"M�`� 200 Main Street• Hyannis, MA 02601 For'u'+° ��//��TOXIC AND� HAZARDOUS MATERIALS INSPECTION REPORT Business Name: /C \ke_ S/� A Date: 2 1-7 1 1� Location/Mailing Address: 36 4V1✓l S Contact Name/Phone: Inventory Total mount: K0,66 . &,n, �l,� MSDS: �s - b tK License#: I l - e Tier II : '��tia\ Labelin : ' �6 ��ck��� Spill Plan:- P Oil/WaterSeparator: MIA Floor Drains: MO Emergency Numbers: Storage Areas/Tanks: uA o w► F .1 Emergency/Containment Equipnient. 141k4 ��,1�0�+►.�5 -r�kQf5 60 Waste Generator ID: M AA00o ZQq 8 3 Waste Product: Te a, �na2vt � Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: oA:'r�' EQ n p kSo� Other Waste Disposal Methods: �j �Sb LIST OF TOXIC AND HAZARDOUS MATERIALS Will t �c tk T�(. i 1 clti-�1,c.S�� c��,y�-r�k,ov�- �,`� co 11 �,ke.. © ,cam 111b 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 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 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: INFORMATION4 RECOMMENDATIONS: 0s _Vj , a e, c,JCr �c2ug2 OJ'r� d C'MJ 12 � a � .Z aJr1Q� a bS v�S od Cl.o MnaQ�'� bv� Inspector Lase-�(Qi Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS 1 Date: 3 / l7 / 19- TOWN OF BARNSTABLE ,-r,5 �,,,� TOXIC AND HAZARDOUS MATERIALS FORM NAME OF BUSINESS: g Jt A BUSINESS LOCATION: 3(oD Qa<ng}abler P- f grin 1 ,5 INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: 50t -1-I I - IoSi 111 CONTACT PERSON: lA AveoejA_ Lw«K_ct, t'^g p wI Nm EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? n TYPE OF BUSINESS: INF11 RMATION / RECOMENDA I NS: 'I 5k ,I + c �ttA�'o11,Fie O M District:ter + S � .evl�, � G. l�7 Q �` tI� w, D 0 i k2. � S uc2�-�'n �, � r✓1axr�e�s�"s ay� 15J.& r Lardous vlc,�o�l-vlWaste - n: RA&DD05o3gf3� Last shipment of waste: I 3© t3 Name of Hauler: Destination: Waste Product: ok\\ c, awtMAMeo kox�eS esCmcc, Licensed No JAI b0W9,g �6 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 a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts(Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides ❑ NEW ❑ USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene,#2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes GtCSQC�/� �,l��Cllv�y[LCS��}GCe5ol6 QJ�o COD��GIS,- Laundry soil &stain removers (including bleach) IGIQdG1�� �au��cr, /C�4iK c1ca��feS�t��d6-5� Spot removers &cleaning fluids (dry cleaners) � nt Ore- y►�.coQSf �a s� ✓ &1 Dol�6�� Other cleaning solvents Bug and tar removers MJ'�'iVt��IM��i 0� 61tiaoDd Vltt,�ok,►t� Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials�_ MAR-21-2014 15:02 From:RITE AID 9570 717 972 3989 To:15027906304 P.1/7 Environmental Health & Safety 3/;IL DATE: Rite Aid Corporotion Environmental Mead d Safety 30 Hunter Lana TO: Camp MA,PA 17011 Phone 717,730-M Kav 717.972 3080 7 yr 7 ►7-7 3o-S 2 Z s FROM: .._ _. 30 Hunter Lane Camp Hill, PA 17011 RE: fir" � F1PDl�,c�i�•t.r � ���/�1�'IIQ-/�r .PAGES: . Z,6/ Lc- c41/6S2 MESSAGES heaF' �0 G 0� Pam" TOWN OF BARNSTABLE Date: 3 /2 TOXIC AND HAZARDOUS MATERIALS NAME OF BUSINESS: 1?jJC ,4,d� 101V E`er°► °N BUSINESS LOCATION: 3(oo �8a✓/1Sfyt.. je- Toaj INVENTORY MAILING ADDRESS: 3o 4 ..i4r-r Lane., 62-1-e lIVl, 1�0,4 1 701! TOTAL AMOUNT: TELEPHONE NUMBER: 09 771- &511 CONTACT PERSON: I ,all P / S EMERGENCY CONTACT YELEPHONE NUMBER: 7/7 1?'75-Y6q`3 MSDS ON SITE? TYPE OF BUSINESS: INFORMATION/RECOMMENDATIONS: Fire District: Waste Transportation: Last shipment of hazardous waste: Q a 3 I S Name of Hauler: IE�Q /� oy�kaa� 1 t)L. Destination: Waste Product: llaza.- ,--lour a4td Uniyerf.-/ ,41-icensed? Ye No 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 a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The board of health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive ANEW ❑ USED ^/ Cesspool cleaners I/ Automatic transmission fluid Disinfectants WA Engine and radiator flushes Road salts (Halite) I/ Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides , NEW ❑ USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas f�1/9r Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, !g Photochemicals (Developer) �J A lubricants, gear oil jF ❑ NEW ❑ USED Degreasers for engines and metal Printing ink �} Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout ✓ Swimming pool chlorine y/ Battery acid (electrolyte)/Batteries >l Lye or caustic soda LIA Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar liffPCB's i/ Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners 414 (including carbon tetrachloride) Any other products with "poison" labels ❑ NEW ❑ USED (including chloroform, formaldehyde, WA Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes Laundry soil &stain removers (including bleach) Spot removers &cleaning fluids (dry cleaners) I/ Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Appli is Signature Staff's Initials Date: 3 /Z TOWN OF BARNSTABLE . TOXIC-AND HAZARDOUS MATERIALSNSL�-- OY " - NAME OF BUSINESS: Ride ,41d -,4- Lot P� Aj BUSINESS LOCATION: 3(aD 'j�oaj �1�l ann'is�MA 621o0l INVENTORY MAILING ADDRESS: 3o 4AP1+e_k- Lowe �Qrhp {��ll� A54 170)/ TOTAL AMOUNT: TELEPHONE NUMBER:' (5-09) 771- (DS// CONTACT PERSON: _d1k,0A1,t1)e y 1a47 , FINS EMERGENCY CONTACT TELEPHONE NUMBER: 7/_7 Q''JS ff6 y3 MSDS ON SITE? TYPE OF BUSINESS: P I,a; I Arttwo-�- INFORMATION/RECOMMENDATIONS: Pire District: Waste Transportation: /yl�,/. �oti��/�. Last shipment of hazardous waste: a a 3 s- Name of Hauler: �Q 1\1 o4heas+ 1 nP Destination: -��1+ Waste Product: ,�i����,-�,/n�a, �l Un/�iGrr� /�,�,lcLicensed? Ye No 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 moreia month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The board of health and the Public Health'Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum I/ Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive )dNEW ❑ USED n/ A Cesspool cleaners Automatic transmission fluid Disinfectants ° n/ Engine and radiator flushes ✓ Road salts (Halite) Hydraulic fluid;(including brake fluid) N Refrigerants_ i t/ Motor Oils Pesticides a/ ,L NEW ❑ USED (insecticides, herbicides, rodenticides) XIIA Gasoline, Jet fuel,Aviation gas /��/� Photochemicals (Fixers) AIIA Diesel Fuel, kerosene, #2 heating oil / ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Ilihq Photochemicals (Developer) /J/fl lubricants, gear oil } ❑ NEW ❑ USED ✓ Degreasers for engines and metal Printing ink Ad f} Degreasers for driveways&garages All A Wood preservatives (creosote) Caulk/Grout ✓ Swimming pool chlorine Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents At R Leather dyes ✓ Car waxes and polishes ^/ F} Fertilizers Asphalt& roofing tar N t PCB's ✓ Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners � (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels j/ (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables 'Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): 3' Metal polishes Laundry soil &stain removers 1/ (including bleach) Spot removers&cleaning fluids (dry cleaners) I/ Other cleaning solvents Bug and tar removers Windshield wash r WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Appli 4 a)1t's Signature Staff's Initials P d r _ / 2 J L - � te*oy� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARMAN LE. 200 Main Street• Hyannis, MA 02601 039. �p�EDM " TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT r/p Business Name: (a S i I Date: Location/Mailing Address: Contact Name/Phone: [ 1 InventoryTotal Amount: MSDS: �G-onl I �. License#: WA Tier II NO Labelin : e Spill Plan: LA6� Oil/WaterSeparator: Floor Drains: J Nd Emergency Numbers: V Storage Areas[Tanks: Emergency/Containment Equipment C P;11 ti✓ Waste Generator ID: q 10% 5 Wastp Product: Date&Amount of Last Shipment/Frequency: 0 Licensed Waste Hauler&Destination: Other Waste Disposal Methods: 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 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 Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammab'les 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: D Mromftn&iVoo All Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS `°F� ►oy� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 Y BARMAS% D! 200 Main Street• Hyannis, MA 02601 1639.�pfFDMP+",0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT IBusiness Name: ���' �� Se M Date: 2 Location/Mailing Address: may,. Contact Name/Phone: A) i F a--v 7—'y 3� Inventory Total Amount: —a(o MSDS: VIS-1 License#: Tier II : Ari Pr Labeling ,c Spill Plan: i LS Oil/WaterSeparator: Y) n Floor Drains: N8 Emergency Numbers: Storage Areas/Tanks-.'S)N—�-, _ Emergency/Containment Equipment: — 9-0 A--t , Waste Generator ID: R/1)01 Waste Product: nay %ny2l f}r Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: 01 1A 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 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 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 removerso P V,-A (including carbon tetrachloride) (including bleach) 5 0°f Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: JVI-d ORDERS: INFORMATION/RECOMMENDATIONS: t c-'e Inspector: Facility Represent a. WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS °p1HE10h Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 ' BARMS% . M ASS. 200 Main Street• Hyannis, MA 02601 $. t63 9 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rF0 MAC '1/�� Business Name: uZa,)� t'nn lros 4 Date: 2 t$ Location/Mailing Address: 1425 arird - AV% Contact Name/Phone: 27 . 13 32-- Inventory Total Amount: 4 2< SDS: lliS _ License#: Tier II : o Labeling: OK Spill Plan: - 2M Oi[/Water Separator: IN A Floor Drains: A10 - SC1W44' Emergency Numbers: A) A — Storage Areas/Tanks: cr-K 5 144 �k0&S CO,6-Ke-k w ~Av 1v 1z5 - Av ,M <- 44yc 15 Emer enc /Containment ui ment: �a S osols Waste Generator ID: A11A Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: 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 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 Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners 'L Miscellaneous Combustible f'k 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) 3 Any other products with "poison labels" - (including chloroform, formaldehyde, 4 Cola ►v1 l k w,1 AJ v.C6 {5 act Jc k ,CS-L j t hydrochloric acid, other acids) VIOLATIONS: dv %AdL ORDERS: INFORMATION/RECOMMENDATIONS: NP the7OA Inspectorv�l� Facility Representati WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS op IKE*'l Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMA.B% • 200 Main Street• Hyannis, MA 02601 taM MP .0� TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT QED '�s Business Name: �' Tf�S Date: 3 2- /- Location/Mailing Address: Contact Name/Phone: ark al• - 3 Inventory total Amount: e, e-rfZ-V I) MSDS: "10 '�o 06+9t1A 6fD5 License#: Tier II : )�o Labeling: OK Spill Plan: Oil/WaterSeparator: Floor Drains: o _ 25A6 ,! Emergency Numbers: w< Storage Areas/Tanks: o a -e`KqA- 19,44 C0 a1 wfs Emerciency/Containment Equipment: 4,we/ Waste Generator ID: A-Yt4 Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destin t, I: Other Waste Disposal Methods: p o N0Jr'RAI-S ' air s 5+e- I'L +re Wes$fiZ Co 11-e-c-t,o,A_- q*+caivt.S-ncer S �a fi+ov� -4'0�a,�� �lrtaJ'St���K w4J 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 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 balLella<5 t A 7--� t t Diesel fuel, kerosene, #2 heating oil �— Disinfectants t+1,.+1-►-1 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 5 Lacquer thinners a Miscellaneous Combustible '`S � Paint&varnish removers, deglossers Leather dyes Re rvso t ►v`�-a etDse 1 t Miscellaneous Flammables I o,-b6l Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons �y Laundry soil &stain removers -1'3 (including carbon tetrachloride) (including bleach) 17-. Any other products with "poison labels" Cn1 011 k% (including chloroform, formaldehyde, w 1,sk..J hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: 12 C.evtJr— v t-e �s •M-�_ e e cl, s o o 2.5- o-t s 0 a✓o, �(�2-� ova 5 �. (,�,�►t�.��C�� -�o �vti.�joye.CS'. Inspector: <` r►/l0 , b 12acu- Facility Representati WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME. OF FIRM: MAILING ADDRESS: TELEPHONE NUMBER: 77J- CONTACT PERSON: 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/and time, more than 50 gallons liquid volume or 2S 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 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 w 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 Paints, varnishes, stains, 'dyes tetrachloride) Paint and lacquer thinners Any other products with Paint &Paint brush cleaners removers, deglossers "Poison" labels (including 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) RECEIVED list) : Other cleaning solvents HEALTH DEP'T, Bug and tar removers TOWN OF BARNSTA3LE Household cleansers, oven cleaners Drain cleaners Toilet cleaners Cesspool cleaners Disinfectants S E P 2 8 1981 Road Salt (Halite) ih . � TOWN OF BARNSTABLE BOARD OF HEALTH CONTROL OF TOXIC AND HAZARDOUS MATERIALS - INSPECTION SHEET FIRM ti ADDRESS--'.. Major types of materials: 1) ,�, f 2) 3) 4) 5) 6) I. Description of material(s) use. - II. Storage (denote product by number listed above) A. Containers metal glass paper plastic cans,bottles,jars drums,barrels. d aboveground tanks - ` ..underground tanks rro bags,boxes open,loose,uncovered inadequate labelling - t B. Storage Facility ✓or.# Remarks/Recommendations", 1. Indoor a) separate, contained room b) stored in general work area --i)' inadequate venti=lation ii}-_,floor -drains fi . , :. • iii)di adequate £ire protection 2. Outdoor G� 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 . r C. Off-site disposal 1. hauled by own firm 2. hired hauler a) name of hauler b) address or disposal site Person s) Interviewed Inspector'` Ins 'or71 ;- ( P Date f`