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HomeMy WebLinkAbout1157 IYANNOUGH ROAD - HAZMAT J _ _ - - — .:A a, ,� � � �� TOWN bF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair BOARD OF HEALTH 0 satisfactory 3.Printers dy Shoes n 0 unsatisfactory- 4.Manufacturers COMPANY h ,r�.w ,. _ ,�, (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS /!I/s Class: 7.Miscellaneous QUANTITIES AND 9TORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground IN OUT IN OUTI IN OUT #&gallons Age ITest Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers I Miscellaneous: DISPOSAL/R.ECLAMATION REMARKS: 1. Sanitary Sewage 2. Water Supply 0 Town Sewer 'Public of 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 N0>L— ORDERS: 0 Holding tank: MDC 0 Catch basin/Dry well 0 On-site system 5.Waste Transporter Name of Hauler Destination Waste Product YES I NO 1. 2. r � ga ers n (s) Intdviewed V Inspector Date TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: NAME OF BUSINESS: AJ Board of Health MAILING ADDRESS: oaboi Town of Barnstable. TELEPHONE NUMBER: 509 ZZ5- 33a P.O. Box 534 CONTACT PERSON: ( ' Hyannis, MA 02601 t©I Li U%a0 q�' � Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in qua tities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES Z 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: 0—t 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 h ating 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 'e; ML.::_,. �.�.�.....-..-_--.....mow-•--•—•_- TOWN N 01= BARNS TABLE .' AB L E COMPLIaNce: CLASS; 1. Marine,Gas Stations,REpair ' Q satisfactory 2. Printers ffM. R� OF HEALTf-L . 3. Anuto Body Shops &MMA,, Qunsatisfactory- 5.C . RetailIQ Stores COMPANY (see"Orders") 5. Retail Stores � ,6. Fuel Suppliers ADDRESS • Classt _ 7. Miscellaneous QUANTITIES AND`STORAGE (IN=indoors; Off-outdoor Case lots Drums AbOveTanks Undetgroi:nd Tanks ' MAJOR MATERIALS- QUT �L 18 ¢�jlons &M )l Fuels: • Gasoline, Jet Fuel (A) Diesel, Kerosene, 12 (B) ; Heavy , ,- -H waste motor oil - (C) new motor oil (C) transmission/hydraulic Synihetl.c Organics: degreasers • Miscel aneouus i , ISPOSAL RECL !•SAT ON REMARKS: _ 1. Sanitary Sewage 2. Water Supply Town Sewer Public - cam' � Qon-site Q Private w 3. Indoor Floor Drains: YES NO IC holding tank: MDC r YM6 O Catch basin/Dry well On-site system � t 4. Outdoor Surface drains:YES NO Q holding; tank: MDC O Catch basin/Dry well - 0 On-site system Ind a HIj- Licensed? .,^ S. Waste Transporter i Asti on .Waste Product- 6 �tF���1SL `, u e1 erson s interviewedns ector ate — r , Y 'f� TOWN ' OF BARNSTABLE COMPLIANCE: CLASS: I. Marine,Gas Stations,Repatr Q satisfactory 2. Printers CTMR Q • OFHEALTH 3. Auto Body Shops ,- nufacturers Q unsatisfactory- 4. [a r: + - a " S. Retail Stores _ COMPANY S- I r- �''t. , , , : iYl� . �' , ✓`- � (see Orders ) . c . 6. Fuel Suppliers ADDRESS ���,� �}: _ Class: 7. Miscellaneous QUANTITIES AND STORAGE (IN=indoors; OUTwoutdoor. MAJOR MATERIALS- Case -lots Drums AbOveTanks Undetgroiiad Tanks I� )lI H QUT Rations EW Fuels: • Gasoline, Jet Fuel (A) Diesel, Kerosene, 12 (B) Heavy Oils: waste motor oil - (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers • Miscellaneous: DISPOSAL/RECLAMATION REMRKS: 1. Sanitary Sewage 2. Water Supply. QTown Sewer O Public Oon-site O Private 3. Indoor Floor Drains: YES NO 0 [folding tank: MDC Catch basin/Dry well On-site system !; ,';, %'` `'I i" �',t; `� i; _.� •_ t 4. Outdoor• Surface drains,.-YES NO O ffoldinL tank: MDC O Catch basin/Dry well X On-site system S. Waste Transporter •', Licensed? IiBm�S2f-llalll�L Ile�tin inn .11(asto Product. YES 1 2. ' I 1 12 2J 81 erson s interviewed Inspector Date 311 045 001 23037 9 � KANTER, ROBERT E 00 WAYNE PADDOCK C/O P BARRETT HY � 110 SAWMILL RE) 8800 MARSTONS MILLS MA 02648 B ROUTE 132 HY 31000 1500 213700 / 30 VAR LOTS | C8536 4 � 1 | C | 030689 060287 KANTER, ROBERT E 593 1316 ROUTE 132 PAR � M . U ---- _--------- ------ ----- ___.____ .........._________.________^_