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TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM
NAME OF FIRM: Lewis Bay Motel & Marina
MAILING ADDRESS: 53 South St. Hyamnis, Mass. 02601
TELEPHONE NUMBER: ?75-6633 ,775-8636
CONTACT PERSON: Walter .Hedlund Jr.
Does.your firm�store. any:of the toxic. or hazardous.-materials_listed aglow;
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 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:
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) Refrigerants
Automatic transmission fluid w Pesticides (insecticides,
Engine and Radiator flushes herbicides,rodenticides)
Hydraulic fluid (including brake fluid) Photochemicals
/ Motor oils/waste oils Printing Ink
V—�`- Gasoline, Jet fuel Wood preservatives
Diesel fuel, Kerosene, #2 heating oil
Other petroleum products: grease, (creosote) i
Swimming Pool chlorine
lubricants Lye or caustic soda i
Degreasers for engines and metal Jewelry cleaners r
Degreasers for driveways & garages Leather dyes I
Battery acid (electrolyte) 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)
Spot removers & cleaning fluids which you feel may be
- toxic or hazardous please
(dry cleaners)
Other cleaning solvents E
Bug and tar removers HEALTH DEPT.
®
Household cleansers, oven c�WeaneBNSTABI.E
rAS
Drain cleaners
Toilet cleaners
Cesspool cleaners
Disinfectants MAY 2 0 1Q1
Road Salt (Halite)