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HomeMy WebLinkAbout0015 LEWIS STREET - HAZMAT pv3 z °FIME►o Town of Barnstable Office:508-862-4644 • °� Public Health Division Fax:508-7s0-6304 • BARMA.BR 200 Main Street• Hyannis, MA 02601 �prFOMA TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: S )Va Avto te,�'a•1, Date: I 3o t Location/Mailing Address: Lov avvm 1S Contact Name/Phone: CAVAC>t, -7-714 - W70— t360 ce,1/ Sant Inventory Total,Amount: �� eo MSDS: License#: 1�l� Tier II : Labelina: Spill Plan. Oil/Water Separator: Floor Drains:QV'VQ �Av- Emergency Numbers: StorageAreas/Tanks: I000 al o.te. w --e,V%M -- Emer enc /Containment E ui ent: Waste Generator ID: Waste Product: '����� w�'��w �1 Date&Amount of L i ast S ment/Fre uenc : 1-'3 Y CO�""`^`1 �� 12 . �a 11 1 X Licensed Waste Hauler&Destination: L-e X --7 W yJ'N 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 h Photochemicals(Developer) Car wash detergents S� ` 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 Z- 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: INFORMATION/RECOMMENDATIONS: c1h ak te"D 6LI cz w atA C,I-ea►2 0. ai Inspector-�1 , Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS °F IKE rod Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMASS. . • 200 Main Street• Hyannis, MA 02601 t639 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rE0 MP'�a Business Name: 5i We, A,)-Vo Date: Location/Mailing Address: j 5 1-ov►s 5�-., 1 �/a%,V,%s Contact Name/Phone:00mrk oS b 4-51 IV rn, -7 7 4-- 97 0 - 13 60 c tl n o Inventory Total Amount: 4%t< MSDS: 2s License#: Tier ll : MIA Labelina: oo Spill Plan: MIA N Oil/WaterSeparator: Floor Drains: b Emergency Numbers: Storage Areas/Tanks: 1600 Q1 a&od c&.'-A4 0 t, is v3k+j< A<vAx- - n�w#rt�wus +s c bo eS Emergency/Containment Equipment. -to (-, t-ud, Waste Generator ID: Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: to 002 •-t W 11 -C D-A& 0,4 �,l t A_Gto) ti 2-- J� 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 V 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: INFORMATION/RECOMMENDATIONS: 0 W4vok;rcAOvS46L CV W1, ,w-�_, ,04 Inspector: 1 1—aq e k- , Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS I►IE►ok� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • enR.sQq E, • 200 Main Street• Hyannis, MA 02601 t639. TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: 61% A,7-a >e.+,c,i f" Date: 6 g 1 Location/Mailing Address: 1 S' L-ov I-, N v¢ vk I S Contact Name/Phone: rat105 4-7 q- y'1\0,� /;3(10 cell S?0 -S ►S��(1 to Inventory Total Amount: I\ 0 MSDS: IDS License#: N tk Tier II : !Jo .V Labelino: Spill Plan; Oil/WaterSeparator: Floor Drains: Emergency Numbers:,Qk, Storage Areas/Tanks: woXe-4 &, 4..w n u. A , iar.\g- Emergency/Containment Equipment: Waste Generator ID: Waste Product: 01 v k2&*e,< Date&Amount of Last Shipment/Frequency: 2'3 X In)?f, l" 's �000 Licensed Waste Hauler&Destination: O�J L Q�J c 25 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) .7— 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: INFORMATION/RECOMMENDATIONS: -Jb eta \25-6 of i 0,v<1AL ' V b 'Li 0 Inspector:" ' ` L0.VeJ Je- Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY- BUSINESS Date: S'I z' l l 3 TOWN OF BARNSTABLE ::z—,s I TOXIC AND HAZARDOUS MATERIALS N FORM NAME OF BUSINESS: 51 Vk- Av- o -da► /1kNi BUSINESS LOCATION: 13-�L ovrs Sf- INVENTORY MAILING ADDRESS: Sari— TOTAL AMOUNT: TELEPHONE NUMBER: `77q - `(`lo - 13Lo 33 c, CONTACT PERSON: (faelo o LcS, EMERGENCY CONTACT TELEPHONE NUMBER: Sob Q//L MSDS ON SITE? TYPE OF BUSINESS: Ay+0 INFORMATION / RECOMMENDATIONS: S e- o Fire District: �xP &cc,ess.In,Ie- 4, ew�lavee,s . �5Foca✓ -FIgmr•-,%.ble.s IV%- AAe.+^- �4Yshn i s I v� No I . -1+0 re. 16 e,I J G 10, ev (o,vt,5 If yj t f�- co vl"s, "e.e,.0 (ecoroes -F'a r wa s le- r rkb%la o Pc.. 5 t fe_ - Waste Transportation: Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: 0^:5 se- r045L wa�e,," Licensed? Yes 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 Obs rued / 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 Laundry soil &stain removers (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT I CANARY COPY-BUSINESS Applicants Signature Staff's Initial