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Home My WebLink About0014 PLANT ROAD - HAZMAT �y pl�t4- �e a-a TOXIC AND HAZARDOUS MATERIALS FLEGI S": A7 JjC`o F0!'_"-! 1,11E OF F1R�1: 1�� .,etf C��v`Pw�p.� .I ✓�C, MAILING ADDRESS: (`( PlaJ Roa t- Board of Health Town of Barnstable TELEPHONE NUMBER: -77C�- 6 5��6 P.O. Box 534 CONTACT PERSON: I ( Hyannis, Massachusetts 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 /re than 50 gallons liquid volume or 25 pounds dry weight? YES NO L This form must be returned to the Board of Health regardless of a YES or NO answer. 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 )y Refrigerants Automatic transmission fluid Pesticides (insecticides, Engine and Radiator flushes her.bicides,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 Rustproof ers 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 & Varnish removers, deglossers "Poison" labels (inc3uding 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 (dry cleaners ) toxic or hazardous (please list) : Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners Drain cleaners Toilet cleaners Cesspool cleaners Disinfectants Road Salt (Halite) TO W N� OF BA R N STA B L E COMPLIANCE: CLASS: 1. Marine,Gas Stations,RFpai.r satisfactory' ' 2. Printers BOARD OF HEALTH 3. Auto Body Shops O unsatisfactory- 4. Manufacturers (see"Orders") S. Retail Stores COMPANY � c�S\ �'T=" 6. 'Fuel Suppliers ADDRESS � �` n� Kam. Class: 7. Miscellaneous QUANTITIES AND STORAGE (IN=indoors; OUT=outdoors) MAJOR MATERIALS Case lots Drums AboveTanks Undergrou$d Tanks IN UT IIN IOUT f IN IOUT H iz2llons Aize 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 r) Miscellaneous: DISPOSAL RECLAMATION REMARKS: 1. Sanitary Sewage 2. Water S pply 6ZMSewer Public te O Private 3. Indoor Floor Drains: YES NOS- 0 Holding tank: MDC O Catch basin/Dry well OOn-site system 4. Outdoor Surface drains-..YES Nox 4 Holding tank: MDC -- O Catch basin/Dry well OOn-site system S. Waste Transporter Licensed? Name of auler_ D . ina ion Watte Product YES1 NO ZV 12 23 81 --Person(s) Interviewed Inspector Date lam•,. TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF FIRM: G A . MAILING ADDRESS:ql1p0lowx TELEPHONE NUMBER: 9 7-5--,5 qZ 3 CONTACT PERSON: �GtitQ e.P-n < 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 ti e, 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: 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 )w Refrigerants Automatic transmission fluid Pesticides (insecticides, En •ine and Radiator flushes herbicides,rodenticides ) ydraulic 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- sphalt & roofing tar carbons , (inc.carbon Paints, varnishes, stains, dyes tetrachloride) Paint and lacquer thinners Any other products with 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) list) : Other cleaning solvents _ Bug and tar removers _ Household cleansers, oven cleaners Drain cleaners Toilet cleaners Cesspool cleaners Disinfectants Road Salt (Halite) t TOWN OF BARNSTABLE BOARD OF HEALTH CONTROL OF TOXIC AND HAZARDOUS MATERIALS - INSPECTION SHEET FIRM A d— Gam"'ON ADDRESS &t/ 0 �' Major types of materials: 1) 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 a drums,barrels aboveground tanks underground tanks bags,boxes 671 — Is open,loose,uncovered inadequate labelling B. Storage Facility ✓or # Remarks/Recommen(��,.i.ons 1. Indoor a) separato, contained room b) stored in general work area i) inadequate ventilation ii) floor drains iii) inadequate fire protection 2. Outdoor 01C IV 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 C. Off-site disposal 1. hauled by own firm 2. hired hauler �I,, a) name of hauler Sf2 np_ b) address or disposal site Person(s) Interviewed — — — — — Inspector l sa-ena'k Date - - - - � - - - - 6 30 81 1 TOWN OF BA R N STA B L E COMPLIANCE: CLASS: 1. Marine,Gas Stations,RFpair O satisfactory 2. Printers •$OAR D OF HEALTH 3. Auto Body Shops unsatisfactory- ° `` a `` 4. Manufacturers . r COMPANY l �- ��- � �z-�- (see"Orders' S. Retai l Stores 6. Fuel Suppliers ADDRESS � � nil �r^� Z r � Class: 7. Miscellaneous QUANTITIES AND STORAGE (IN=indocrs; OUT=outdoors) MAJOR MATERIALS Case lots Drums AbdveTanks Undetgrouad Tanks IN IDUT IIN IOUT ( INIOUT # gallons Age Test? Fuels: Gasoline, Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: 1 waste -motor oil (C) new motor oil (C) r transmission/hydraulic Synthetic Organics: i --degrea-s-ers i C I Mislo "s: \ DISPOSAL RECLAMAATION REMARKS: 1. Sanitary Sewage 2. Water Supply OTown Sewer O Public OOn-site O Private 3. Indoor Floor Drains: YES NO O Holding tank: MDC O Catch basin/Dry well 0 On-site system ORDERS: 4. Outdoor Surface drains-.YES—NO O Holding tank: MDC -\J O Catch basin/Dry well OOn-site system S. Waste Transporter Licensed? Name of Hauler. _Des ina ion Waste Product 1. %I 12 23 81 Person(s) Interviewed Inspector NF-�N5 �Li L '# 6� • 2. printers QA f�D Ofi= 1=1LALY1-1� O satisfactory � �. 3. uto . hod Slops �(i unsatisrIctor 4 �i COMPANY f ?- {? ,"` O (see Orders") S. fetal 1cStores Y'l 1 ADDRESS. 6. Fuel Suppliers j : Classt 7. Ffisc llaneous WANIITIES AND S10RAGH (IN22lndoors; OU1•=outdoc MAJOR FIMERIALS Case lots Drums AbgveTanks ----- - ) T Ali_ 011f Underground Tanks Huelss . A 6 ptlnnc ISg.e. g, Gasolliie, Jet Fuel (A) Diesel, Kerosene, NZ (g) — Heavy 011st waste motor oil (C) new motor all (C) transmission/hydraulic Synthetic Organics: _ degreassis Miscellaneous: . S TU;�n�/IiI;C�r1M�iZUt 1. Sanitary Sewage 2. Wate Supirly FU'nK391 QTown Sewerpublic �• � • On-site jQ private -� R" 3. Indoor Floor Drains: YLS NO Q Holding tank t, F1UC / Q Catch basin/Dry well On-site system _`U(iUhn�s-•- ...____._._...._ ____._.....:._.... _ . Outdoor'Surface drains tYS5 NO _ �' •��- <`` {,Z,t_� Ifuldi. Q nL• tank. FfUC_ Q Catch basiniDry well QOn-site y ------ --s stem Waste Transporter .Name ,_[Le Li tlnn Ulcensedl 1 .b[asra prodt� YFS �,SL It rson s) ntery ewe --- "Spector Uate TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: NAME OF BUSINESS:r e c7i�e$ c% a rw Board of Health MAILING ADDRESS: Town of Barnstable TELEPHONE NUMBER: 771 P-7,--7 P.O. Box534 CONTACT PERSON: ��Yd A4 ,z� 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 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: VAntifreeze (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 1/ Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's V Paint & v,amiet i wers, les's�s 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) �lu7� 1 Other cleaning solvents f�!! Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business � , `''►,`�r1+•y�.•�.-^+-L...r.^•.^ti»--n�,.n2•+r..lw...-..-..,:•...+�cw..,;y .4*'+'�A,..L„a ,,,t+.......J•.aa.,.aa.-.,,,,ti•`,s""„'..`'r"'w"`7..r---r�,.^+Pv.+.ry'7.r�;•.-.- .,.w..e .\,,... .TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM -- ' Mail To: NAME OF BUSINESS:r,4P Board of Health MAILING ADDRESS: `// '" ` Town of Barnstable TELEPHONE NUMBER: *7 P.O. Box 534 Hyannis, MA 02601 CONTACT-PERSON:: 4 6,f01 t. 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 F } weight? YES NO t u This form must be returned to the Board of Health regardless of a yes or no answer. Use the {'enciosedenvelope for your convenience. If,you answered YES above, please indicate if the materials are stored at a site other than your ' mailing address: V 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 gallonsliquid volume or 25 pounds dry weight. Please put a check beside each product that you store: V Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners a F 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) j Degreasers for engines.and metal Photochemicals (fixers and developers) 4 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 'y++.` Paint & varnish.rern:ouer`sdegl:ossrs Other chlorinated hydrocarbons, Paintbrush cleaners (inc. carbon tetrachloride) Floor & furniture strippers- Any other products with "Poison" labels 7= .. Metal polishes' t' (including chloroform, forma ldehyde, ~ Laundry soil & stain removers", ;" hydrochloric acid, other acids) (including bleach) Other products not listed which you feel may �.T Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaie,rS) u. ,>ia�a Other cleaning solvents Bug and tar removers ''`' Household cleansers, oven cleaners ' 'White Copy-Health Department/ Canary Copy-Business 1r I { 'w l ` TOWN OF BARNSTABLE COMPLIANCE: CLASS. 1.Marine,Gas Stations,Repair Q satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops unsatisfactory- 4.Manufacturers ,.� (see"Orders") 5.Retail Stores COMPANY F1r,► 4 Al.i � s � !,/� r 6.Fuel Suppliers z ADDRESS (;lasS:r•� .4' 7.Miscellaneous '= s f*44�QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIAL-SCase lots Drums Above Tanks Underground Tanks , ' 11 • IN OUT IN OUT IN OUT #&gallons Age Test t .Fuels: Gasoline,Jet Fuel(A) `= Diesel,Keroser e t#2 B) - Y' Mf Heavy Oils: waste motor oil (C) new motor oil(C) transmission/hydraulic Synthetic Organics: degreasers f Miscellaneous: r �+ {� Y DISPOSAURECLAMATION REMARKS: J 1. Sanitary Sewage 2.Water Supply (i� Ylt- r .f Jar"1 O Town Sewer Ofublic 0 On-site OPrivate d 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: O Holding tank:MDC � p �Catch basin/Dr-y-well O On-site system 5. Waste Transporter NarneofHau 1 ler Destination Waste Product 1. az1f YES NO 2. Person(s) Interviewed Inspector �'- -� Date