Loading...
HomeMy WebLinkAbout0300 WEST MAIN STREET - HAZMAT 300 TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF FIRM: ►Vora S}` (,e-Ka.cD NORTH STREET TIRE & AUTO SERVICE, INC. MAILING ADDRESS: CORNER OF NORTH STREET & BASSETT LANE TELEPHONE NUMBER: HYANNIS, MASS. 02601 --j-),9- 9Sb1 CONTACT PERSON: kpt,, - 4odc,y- i,wS�-K •�/ Qd, � � Cv.1 Does-your-firm=storms==any=o =the-tox 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 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: AWLti s TELEPHONE: � l 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 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) 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 PCBs 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 E IV ED toxic or hazardous (please (dry cleaners ) HEALTH DEPT. list-1;, Other cleaning solvents TOWN OF BARNSTABLE Bug and tar removers Household cleansers, oven cleaners Drain cleaners Toilet cleaners Cesspool cleaners MAY 1 5 1981 Disinfectants Road Salt (Halite) L � M t TOWN OF BARNSTABLE BOAR ® OF HEALTH . CONTROL OF TOXIC AND HAZARDOUS MATERIALS - INSPECTION SHEET FIRM Mart St -r`Q ADDRESS Major types of materials: 1) 2) y'®� ` 3) CNA 4) 5) 6) I. Description of material(s) use: !107 5 II. Storage (denote product by number listed above) A. Containers metal glass paper plastic cans,bottles,jars Z drums,barrels aboveground tanks underground tanks O 01 bags,boxes open,loose,uncovered inadequate labelling B. Storage Facility '/or # Remarks/Recommenu-, .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 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 a) name of hauler Ntk 4 oe o&5 La4t-al b) address or disposal site .�. Person(s) Interviewed Ik Uk& _ _ _ _ Inspector Date - - - - 6 30 81 TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM 3 �pG OL NAME OF FIRM: �/ � �olv°'t 'Pe4,s.)e Co a-l c- 3 MAILING ADDRESS: laoctrLrl�9re `Q'2"c4v2k�*1�f �u�K�� N TELEPHONE NUMBER: -171-G 51 ' CONTACT PERSON: /, �y. �ctcr�/•9•� - ��':��•cv 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 i1 I icate if the mate s are stort0t a site other than your mailing address: / 5.� ADDRESS: JA2,O)eA 34 ak o{,aG✓d(/ TELEPHONE: 77if- a 77S- 9,?99 �770- 9S 3A 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: i-I Antifreeze (for gasline or coolant systems) Refrigerants a/ Automatic transmission fluid 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) Other petroleum products: grease, , lubricants Swimming Pool chlorine Lye or caustic soda f Degreasers for engines and metal Jewelry cleaners i Degreasers for driveways & garages Leather dyes Battery acid (electrolyte) Fertilizers (if stored Rustproofers outdoors) " Car wash detergents g 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 HEA E I VLTH DEPTT D list. : � Bug and tar removers HEA . TO Household cleansers, oven c�leanersSTABLE Drain cleaners Toilet cleaners Cesspool cleaners Disinfectants MAY 1 8 1981 Road Salt (Halite) L_