HomeMy WebLinkAbout1218 IYANNOUGH ROAD - HAZMAT �yaV)hoc��h .
ry
.r. ..:,,.F ,4,a;.-.srw.....'y"_,it`m.r�; .r_�.,'+t.�.'� ..r... r.wsw,,,, 'a:,'►.. ,a :, .b r r ... .-• -"•'xa_,. .. ♦. ka, , ,n. "r- .... .:y' _" ;l. 1.
TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM ✓
Mail To:
NAME OF BUSINESS: `241&M 2 f//ZCoA).S T� Board of Health
MAILING ADDRESS: l J 21�' .:x Z4 f-/yAdiNl ,01 Town of Barnstable
TELEPHONE NUMBER: P.O. Box 534
CONTACT PERSON: -72N 7/1 E /-ll��, //t ( 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 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 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 Refrigdrants
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,
v� 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
NAME OF PROSPECTIVE BUSINESS. �/�J�J�?/�/Z, TT/ �yL. ��, /(JI TYPE OF BUSINESS L�/J
ADDRESS OF BUSINESS:
(Owner please jill .in above and then proceed to the following offices)
PARCEL NUMBER: jy,, j//,b0 (You can get this from your tax bill or the assessors'
office) .
TO ALL NEW BUSINESS OWNERS
If you are starting a new business there are quite a few things you
need to do in order to be in compliance with all rules and regulations of
the Town of Barnstable. Once you have been checked off on this sheet you
may apply for a business certificate at the Town Clerk's office (1st floo
Town Hall) .
1• Go to the Licensing Authority office (3rd Floor School Adm. Bmildin
9)
This individual has .been informed of any licensing
requirements that will 'qu�� _ rt�.tn t • this business. (Licensir.
Authority signature:
2. Go to the Building inspector's office (4th Floor Town Hall)
L-: This individuate is pomplian6� d h,Ls permission to star• i
a business a _I
(business addr 7 inspector's
signature)
If your business has anything to do/With food, lodging (bed and breakfast) ,
farm produce, automotive repair, hazardous waste materials (dry cleaning
etc. ) , or animals you must go to the Board of Health.. If your business has
nothing to do with any of the above. . .take this form to the Town Clerk's
office now and you can get a business certificate. If it pertains to any
of the above proceed to the third floor of the Town Hall to the Board of
Health office.
3• T 's 'indivi al is in compliance and has permission to start
a busines dat the above address.
(Board of Health -
nspector's sx4natur )
If your business is a bed and breakfast or has anything to do with food,
liquor or junk, your last stop before the Town Clerk's office is the Town
Manager's office (second floor Town Hall) .
4 . This individual is in compliance and has permission to get a
business certificate. (Town
Manager's office)
)nce this form is complete you can be issued a business certificate. This
`orm will be filed with the Town'Clerk's Office.
Mr. Sykes and Mr. Raleigh attended to discuss the ro p posed construction of a 25' x 35,
maintenance building for Budget Rent-A-Car. They maintained that the proposed
building would be used primarily for washing and vacuuming the cars. No
mechanical work or oil changes would be done. No vehicles would be stored in
the building.
Mr. Sykes and Mr. Raleigh were told that car washing is prohibited in the wP
zone.
Mr. schernig said that an even more restrictive amendment to the Groundwater
Protection regulations is being developed.
A discussion was held re minimum site plan requirements for home occupation proposals.
NOTES Mr. Traczyk was contacted by telephone on January 22 to discuss
requesting feedback from the ZBA on this topic. Mr. Traczyk felt that a
sketch by the applicant would be adequate for a site plan. Preferably
this would be done on a plot plan - or a plot plan could be submitted in
addition, if the applicant has one. Mr. Traczyk felt that a letter from
Mr. DaLuz to the effect that staff have looked at the project and feel
the impact is so inconsequential that there is no need for a full site
plan review would be acceptable to the Board. Primary concerns are
parking, traffic impact, any hazardous chemi
aignage.
cals or materials, and
TOWN OF BARNSTABLE 4COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair
Q satisfactory 2.Printers
BOARD OF HEALTH .� 3.Auto Body Shops
O unsatisfactory- 4.Manufacturers
COMPANYIfi r� (see"Orders") 5.Retail Stores
6.Fuel Suppliers
ADDRESS F�/l �•w 1�! '/+ ��t ��j Class: 7.Miscellaneous
\ _ QUANTITIES AND STORAGE (IN= indoors;OUT=outdoors)
MAJOR MATERIALSUndergroundove Tanks
IN OUT IN OUT IN OUT #&gallons Age Test
Fuels:
p
Gasoline,Jet Fuel (A)
Diesel, Kerosene, #2 (B)
Heavy-O-i-Is (,
waste motor oil (C)
new77o�tor oil (C)
transmission/hydrauh\c\\,• X
--Synthetic Organics:
degreasers
Miscellaneous:
C �v
rd
A
Orl � �
DISPOSAL/RECLAMATION REMARKS: o
1. Sanitary Sewage 2. Water Supply
� 16Public O Town Sewer I o C,
On-site &Private`S�
3. Indoor Floor Drains YES NO ® '
:"&,,Holding tank:MDC T�
O Catch basin/Dry well {/ � k�. y ��
O On-site system k't�' rV 1 C_` 1 G?,W _)/
4. Outdoor Surface drains:YES N0�_�_ORDLyRS:- � 0 L�
O Holding tank:MDC � 1(^ , �• t /�� l�' C�(_: �1
O Catch basin/Dry well I�, ,• ( (������� ���t�'�� �J ' �
O On-site system ' J
C
5. Waste Transporter
Name of Hauler Destination Waste Product
,+ I I �ii YES,' NO
2. �j J
Person (s) Interviewed Inspector Date
TOWN OF BARNSTABLE "COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair
BOARD OF HEALTH O satisfactory 3.Auto Body Shops
unsatisfactory- 4.Manufacturers
COMPANYTall. / C O (see Orders ) 5.Retail Stores
�y� \/ n 6.Fuel Suppliers
ADDRESS 1C. � - ! J1-J Lj 1� I d f'�J+ J (;1SSS: 7.Miscellaneous
r ,
QUANTITIES AND STORAGE (IN= indoors; OUT=outdoors)
MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks
IN OUT IN I OUTI IN OUT #&gallons Age Test
Fuels: 1 ,'
Gasoline,Jet Fuel (A) / / 1 t r
o
Diesel Kerosene #2 B �
Heavy Oils:
waste motor oil (C).,
new motor oil (C)
transmission/hydraulic
Synthetic Organics:
degreasers
Miscellaneous:
/ar-E 4xl
DISPOSAIJRECLAMATION REM/ARKS:: ` _ /
1. Sanitary Sewage 2.Water Supply C-ouo t c�`� 1) 1!'�J�//1, �d L'�i 4!�/ i
OlTown Sewer OPublic
G On-site OPrivate A Pr)PL- k V I'Ul.
3. Indoor Floor Drains YES NO
O Holding tank:MDC 0 A9 s�
O Catch basin/Dry well
O On-site system ( �C�
4. Outdoor Surface drains:YES NO ORDERS:
O Holding tank:MDC ' t)
O Catch basin/Dry well `'� ,?��
O On-site system1°
5.Waste Transporter
Name of Hauler Destination Waste Product
' `l1'Y n j' � ' YES! NO
1.
2.
9
Person (s) Interviewed Inspector V Date
TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair
2.Printers
BOARD OF HEALTH O satisfactory
� 3.Auto Body Shops
O unsatisfactory- 4.Manufacturers
COMPANY, ) f i (see"Orders") 5.Retail Stores
6.Fuel Suppliers
ADDRESS 1 :/^) { �+ Class:
7.Miscellaneous
QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors)
MAJOR MATERIALS Case lots / Underground Tanks
IN OUT IN OUT IN OUT #&gallons Age Test
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:
AOI�
r
1. ✓� rriCV\ fat✓
DISPOSAIJRE(;LAMATION REMARKS:
1. Sanitary Sewage 2.Water Supply
O�Town Sewer pPublic
O On-site OPrivate
3. Indoor Floor Drains YES NO Vle y
r`
O Holding tank:MDC {_
O Catch basin/Dry well
O On-site system f�r d r r- ! V r i ,
4. Outdoor Surface drains:YES NO ORDERS:
O Holding tank:MDC
O Catch basin/Dry well
t ,
O On-site system
5. Waste Transporter
Name of Hauler Destination
1. YES NO
2.
r .
Person(s) Interviewed Inspector „_t Date
TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair
BOARD OF HEALTH O satisfactory 2.Printers
3.Auto Body Shops
/ ,//1 ��( O unsatisfactory- 4.Manufacturers
COMPANY �� �f,�trf' ,�it� (see"Orders") 5.Retail Stores
ADDRESS �4_ }! r �'�) .J 6.Fuel Suppliers
1 :lass' 7.Miscellaneous
QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors)
MAJOR MATERIALS Case lots Drums Above Tanks Underground Tank
IN OUT IN OUT IN OUT #&gallons Age Test
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:
10L
f', , :, P�_ r
Y
�Jri) 4111 &D RI)ON4 rwj r
DISPOSAURECLAMATION R.-•EMffARKS: C�),�/�y�,N bAY rnC 'y}
1. Sanitary Sewage 2. Water Supply / t'".� j 1 I I p; 1 tl I fl�, A tY . J '�
v
O Town Sewer @Public v nf1 r
'b"On-site QPrivate
0
3. Indoor Floor Drains YES )K NO ��
O Holding tank:MDC� ,r� -,
O Catch basin/Dry well! � ! �� A q- V,� �(A x0,S 17)T�I_f_lC-
O On-site system nNe 8AV I>>t_�i ��I�r e-A,/�I �� (" -- RR,t`.
4. Outdoor Surface drains:YES NO `ORDERS: D �'
0 Holding tank:MDC � 1� f 6 F� ��1�--[" �f !� .C"7 �l�c� o
OCatch basin/Dry well � J1�/ �I. .. 1 � ` Y�'/ l � 1 J�'� ''1� �_l 1 ;�
O On-site system I_j re ce err1 'I C- V[)PYr I �r c
5. Waste Transporter
11 i1 C` OI L- �,s
`Name of Hauler Destination
Waste Product Licensed?
() YES, 0
A sr6 n ILI- Y
2.
Person (s)'Interviewod Inspector `Date'
7
TOWN 01= RARNSTAE3LE ,COMPLIANCE: CLASS; 1. Marine,Gas Stattons.REpatr
Qsatisfactory 2. Printers
t1M. R D * OF HEALTH 3. tuto Body Shops
O unsatisfactory- 4. tanufacturers
'- '��:'i °f �� '� (see"Orders") S. Retail Stores
COMPANY 6. Fuel Suppliers
�''' '1 • ' 1 �! / Class: 7. Miscellaneous
ADDRESS
QUANTITIES AND STORAGE (IN=indoors; OUT=dutdoor.
MAJOR MATERIALS • Case - lots Drums AbOveTanks Undetgroimd Tanks
UL n OUT __$ gallons 9M Cs�
Fuels.:
• Gasoline, Jet Fuel (A) '
Ileavy
Diesel, Kerosene, 02 (B) ,
Oils:-=-
_ r'
`►r+aste •motor oi11 (C)
• n'ew motor oil (C) _ -
transmission/hydraulic
'-Synthetic Organics:
degreasers •
Miscellaneous:
�H'f1rZ+ r
r 1 r
!J `t,E- , V9
DISPOSAL/RECLAMATION RHMARKS:
I. Sanitary Sewage 2. Water Supply
QTown Sewer O Public TiVfil�/Z _ _ •
C) on-site Q Private + z / ! P/1'1q
3. Indoor Floor Drains: YES NO _ __ ,01M re' )1.�,A•f ,� , J r +� �i - ."N . '^
Q [folding tank: MDC , I(, cr),,r�.�, L ('o0C1e,,-'r4
Catch basin/Dry well
0 On-site system
4. Outdoor Surface drains:YES NO
O floldint tank: MDC
OCatch basin/Dry, well ---
OOn-site system
S. Waste Transporter Licensed?
l( m �ilastla� Jle neon waste Prod ur.t. r �fFS�_Ha_
u et Person(s) Interviewe Inspector . Date
r