HomeMy WebLinkAbout0056 QUAKER ROAD - HAZMAT C�L�c�.c 1< c��,
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. /TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM
NAME OF FIRM: D j cl �I trio! l /qu� '` - ncl i�.
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MAILING ADDRESS:
TELEPHONE NUMBER: � ( — 2- SSZ 3
CONTACT PERSON: j`{�
Does your firm store any of the toxic or hazardous materials i ted b w,
either for sale or for your own use, in quantities totalling, at ny�t me, more
than 50 gallons liquid volume or 25 pounds dry weight? YES Y 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: 0091INNEL'L'S AUTO R€T'rlai{
ADDRESS: 32 WEST MAIN STREET
TELEPHONE: HYANNI7S. M�A3302601
LIST OF TOXIC AND HAZARD'OIIP ATERIALS
The Board of Health has determined that the following products exhi.bi`t..t.oxic C
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:
i
Antifreeze (for gasline or coolant systems) Refrigerants }
Automatic transmission fluid l cc,. -fay w Pesticides (insecticides,
Engine and Radiator flushes herbicides,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) !
v% Other petroleum products: grease,i=ircw, Swimming Pool chlorine
lubricants Lye or caustic soda
Degreasers for engines and metal Jewelry cleaners j
Degreasers for driveways & garages Leather dyes j
^per Battery acid (electrolyte) d Fertilizers (if stored
Rustproofers 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 (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
(dry cleaners ) toxic or hazardous (please
Other cleaning solvents R E C E I V E D list) : 5:
Bug and tar removers HEALTH DEPT.
T�Household cleansers, oven ceanOeRNSTAgLE
Bs
_ Drain cleaners
Toilet cleaners
Cesspool cleaners DICK LINNELL'S UTO REPAIR
Disinfectants MAY 2 8 1981 32 W- T MAIAj STREET
Road Salt (Halite) Y �NIS, MA 02601
711-2�' .,
a. _
TOWN OF BARNSTABLE'
BOARD OF HEALTH
CO RO F TOXIC AND HAZARDOUS MATERIALS - INSPECTION SHEET
FIRM
ADDRESS--'-.
Major types of materials: 1) 2) 3)
4) 5') 6)
I. Description of material(s) use: 4
II. Storage (denote product by numbe ' listed above)
A. Containers metal glass paper plastic
cans,bottles,jars
drums,barrels
aboveground tanks ;�
-underground tanks ..\, Q `
bags,boxes
open,loose,uncovered
inadequate labelling
B. Storage Facility # Remarks/Recommendations
1. Indoor
a) separate, contained room
b) stored in.general work area
-i): inadequate ventilation-
ii)..floor drains
3 i i)= inadequate- fire- protection
2. Outdoor
a) uncovered, exposed to weather _
b`))"pervious .surface%cat�h-f:-basin - i D _
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
a) name of hauler
b) address or disposal site
Persons) Interviewed fi., Ins ecto
Date - - - -