Loading...
HomeMy WebLinkAbout0157 PLEASANT STREET - HAZMAT saTVS 14aIu7, siuuv'�H �r sYuusAH `gaaals iusssala LST I I I Date: Y I LI /l�f TOWN OF BARNSTABL + , y TOXIC AND HAZARDOUS MATERIALS -n FORM NAME OF BUSINESS: Oys�e,< 4a.,rlaors Mav*l �� c� �������, Q�01rks) BUSINESS LOCATION: JSti INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: . -411 -3�110 CONTACT PERSON: Sul �avy�vu: t, EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: \Do�A.N<CS yyka.xy`�.e.,n INFORMATION / RECOMMENDATIONS: _4a.1es K V , sib Fire District: WD�2. oak ko IRaw�Cvec�o .(3©0�' G�ortiGs (So8-4�1 -3y'1d ) �►ln,�I,._. a,ow-a,�.s �r,h owg�t��� cctcX J&r �ZQvtILJCG +`^4- --'��.'1hh o �i Io twau JkwaC 2QSc. �311 `t iha-k �vtS � Waste Transportation: Last shipment of hazardous waste: o o Name of Hauler: Destination: Waste Product: 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 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 1products: 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 folkow,)Q MIDI 4 — A0(g-A- 5 &JW%at, Laundry soil &stain removers (including bleach) Spot removers &cleaning fluids �� (dry cleaners) 1_ L /(►� �y�a10� Mci,�2.C�S.15 Qfa Iu DCOtQ.SS OI' Other cleaning solvents ,n�nq Bug and tar removers �VvA MD 40 AA Pee -- 1 4e 'a, � Windshield wash hIJ I w 5 K Z G— 1-), 4 ht 1vt F WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Appli ant's Signature Staff's Initial ! COMPLIANCE: CLASS61.' Marine,Gas Stations,Repai.r roWN OF, BARNSTABLE 2. Printers BOARD OF HEALTH � satisfactory ' 3. • Auto Body Shops unsatisfactory- 4. Manufacturers � '<i j= C N�,i,� j�L. ,yam: ,'°, (see"Orders") S. Retail Stores COMPANY .: 6. Fuel Suppliers ADDRESS 7 aJ ��.� ��� x -��-t'� Class: • ; 7. Miscellaneous v' QUANTITIES AND STORAGE (IN=indoors; OUT-- outdoors) MAJOR MATERIALS Case lots Drums ' AbdveTanks Undetground Tanks IN U"T N e e Fes t? Fuels:. Gasoline, Jet Fuel (A) ' Diesel, Kerosene, 02 (B) r, Heavy'Oils: waste motor oil (C) new motor transmission/hydraulic Synthetic Organics: degreasers Miscellan'e-oous: I L- DISPOSAL RECLAMATION REMI,RKS: 1 1. _Sanitary Sewage 2. Water Supply Town Sewer Public Z.-e s--) On-site O Private 3. •Indoor Floor Drains: YES NO �X , O Holding tank: MDC O Catch basin/Dry well OOn-site system 4. Outdoor Surface drains:YES N%� ! 'T Q Holding tank: MUC O Catch basin/Dry well QOn-site system S. Waste Transporter. Licensed? �(,1,a;Le Produces ' .t 1 erson(sjr'*,Lnv6fVKewed Inspector Date 11VOWN OF BARNSTA O sat' factory 2. Printers BOARD OF HEALTH 3. Auto Body Shops unsatisfactory- 4. Manufacturers (see"Orders") S. Retail Stores COMPANY0. Cal 6. Fuel Suppliers ADDRESS" 0�_>4 f0-- ' Class: . 7. Miscellaneous 2 0X (1,1�1� QUANTITIES AND STORAGE (IN=indoors; OUT=outdoors biA50R MATERIALS Case lots Drums AboveTanks Underground Tanks IN LIT IN 0 IN T # 2 e Fuels: Gasoline, Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) . new motor oil (C) transmissi0 ydraulic v Synthetic Organics: ± degreasers Miscellaneous: DISPOSAL RECLAMATION MARKS: 1. Sanitary Sewage 2. Water Supp O F er ublic ite 0 Private 3. Indoor Floor Drains: YES N0 O Holding tank: MDC Catch basin/Dry well 0 On-site system ,17n 4. Outdoor Surface drains--YES NC) . O Holding tank: MDC � 2i� D�- w�,� --��.•n5��� �.-, O Catch basin/Dry well b� OOn-site system S. Waste Transporter f)�, _WasteLicensed" Name of Hauler_ Destina ion Product YES NO 1. 2. 12�v3 eiPersons Interviewed Inspector sLC ecto r i D t e ti . GRAD URY KARW , AIDS Y+ 157 PLEASANT Sl"REE'f' �® HYANNIS, MASS. 02601 TEL 775-1707 f -T'OWN OF BARNSTABLE BOARD OF HEALTH CONTROL OF TOXIC AND HAZARDOUS MATERIALS INSPECTION SHEET FIRM 17/-'I"z- ADD SS d 1;M - Major types materials: 1) 4) 5) 6). I. Description of material(s) use: 1411Z .- ,--2 /Vq d-Y-444444 r - II. Storage (denote product by number listed above) A. Containers metal glass paper plastic cans,bottl.es,jars drums,barrels aboveground tanks underground tanks bags,boxes open,loose,uncovered inadequate labelling B. Storage Facility for.# Remarks/Recommend ions 1. Indoor a) separate, contained room b) stored in general work area i) inadequate ventilation ii) floor drains iii) inadequate fire protection 2. Outdoor 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 (Jri C. Off-site disposal 1. hauled by own firm 2. hired hauler a) name of hauler b) address or disposal site Person(s) Interviewed, spector Date - 7 9 - - - - - - s Ta >. n✓/!� `Oi ,/� ig/1�$T /SCE_ SubJ" �-- , 1? 3 i _. ....._.._.__ - --- — - — 4 -3 s i •� ------- — -- �5�� .fir��' `'� r �� >� ve b,1rzt al 47 231 Poly Display Pack(50 Siots) From .47 232 Desk Dispenser.(125 t t iw.r..PNaa .Made in U. � •y'r'�p. sJ tt , S41-t,4. •�• �,�r�C4 1 _. r�1: I r •M�tk Jxl..is 4�SA�Ct 8 a .� � •1 >r I 3✓•i:<tr iir.l�l f £ L 4 }, r 4 H �o, s yrk� u miiy y 23 Yt.{ .j S '; I 3 �a n ti,a. C� �r °�r)A�' t ~t�4t• r � s r L, r r a k l� rr �,,�e* �i o �r i 1 t. , � 4. n �. ,q 1 {.�$�.S'' r-.✓ :k d � t 1 r, k }+✓tr��rt" sMt A,� 'r�•r. t. ti,q'w.5 i3 r r '� ,. ++�t,�._ .7/*�* JE�t�Y�Y'}� �'����� it�si°1r,¢ z.:•. 4 C ,1��� y ?�^ 4I S"r ,tj dS�`e' S 4 t ' c�, .�� ;:Id i.� rya ' TOWN OF BARNSTABLE UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS '# Cee� NAME n �M/J �'gr/.f/is Y•gCf/1S/�IES .�oQ U/ e9 Ul - ADDRESS A`4W 5/9/117 Sj, VILLAGE &Zl /gd /1/�s LOCATION OF TANKS: CAPACITY: TYPE OF FUEL AGE: TYPE: OR CHEMICAL 1579 Al"S!9/VT sT- C/) 42000 6W, (Give same information for any additional tanks on reverse side of card) DATE OF PURCHASE OF EACH: 1. 2. 3. 4. DATE OF FIRE DEPARTMENT PERMIT: TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS NAME LOCATION Bradbury Maxine, Inc. 157 Pleasant St. 157 Pleasant St. Hyannis Hyannis BOOK & PAGE - DATE GRANTED AMOUNT STORED an 77/16 January 15, 1954 Un a — @68-Ga�s. DATE PAID /= 1973 - March 27 APR 71g7d °apt: t� Sa "R 14 197 - - MAR 3 0 1977