The URL can be used to link to this page

Home My WebLink About0290 WEST MAIN STREET - HAZMAT 1 k S' gy R t 9 IVO •.i ` 410)flab. VIM low , a w- r r r C � y :✓x P A , d < 00 MANOR, :�✓ i {� ., t �•' G. r A w, Wh ..x TV w, t ;,:f W..; .�., ;.;: t aw.r'.r r T ° <Y•,. ;'.1 P a a. .:,:, >' .)s,. v „z '"oil I .+ •k,e e....,t�4 , - -:.w r,rr w.:. "r `._ r .G' sr Y ,y ..43:s son" b,.: 'W.@"". sly, l . 2 .11 •" � .. sty},.. � ,x., � .�. l :.}* -.t.�" � .pJ � � Sol rir �' ..�.,.,.z. � ': ,,i , .,. r,�._ s .^ •�,�'. '" -t. a +�+ v.a. 9�`. E •:.: a,..'�..��. 4 F...�..,;,..,,.&rs_ s.. ... ,.. , ,,: `k .r. .. . ...a, „ ,. r .:r .•w G, ,x � } •':�r �.. Hr ♦. u 'Y....,,.S „ ..,.. 3. 'li..l.:4a,x�" W.. '� .. ,w:Y r„ yy .. . v Ng.. 9. >. ... -r... ,� ,�...y; ..s � .F r nf.. a"4^` e < a,. ..�.. ,..,.. .y . . �>.t .< t a•� �' �; Ga e; , � J� ,t tt .....'t .�. ter. !! ... :�'° .. .,.x . .....mot... ...,. -.s"...,, � i.....,. .P..:'kwsr ..� y . .r,3+.v°r�' .1. :4. ..5�� ..�. t .. .. l z �. 4. .. 9 .� da, ,; - ~L .>�. .....,.-:, .,,< �„ .,•,... ., a. .ki . . .... _,.. .r .. c... :,. .: r..t. ,,..:-+ •�r„ �.>��r ,., ,� ,ha• ,� eta xw "l x .i.,.. yX ,r "+i,.. - �.laa.z„,;. s• �G ws^.�, r -vNiM.?M. ..n �;fi ��,. ......:. .. ,.. d... ..7 .b1... ,h. y.�`:. ..;.; `�,...,.,: :^4 bce,�:. � a •�.'.. .: ...F ,'4'. Mkt'. n '..:.�. .:,...r.:.- l: � 5, � b.- .. c M1v.:..,.. .'. .y i .... ro .. y . ..,�..r a. w -'�r x,a D .•�, r ..- a ,'".` F of , .... '. ?; aJ:.^.. ..> :L.... r't^•2;.r. 1 +... ,.,a.yj wv d .. < t t i6". Nw .. -� b Td .. ,a1..;._.. :>4 r `, rr^r } a, e , °«:_,ya#,ax ,..�.,. a� ,.�e�",: '.^ a ,..,.. :�.,ny.^�'f,.-.: ,.., a. !.:.:, eb ..:.., .,,.lr a.,`: S.. :'}; # r.,... r ..� : a t'4tti.-.:,. ..1 1. "5 W r ,. a ., ...., .. .}:.. §.: .^. .it ,r, t... .k?. �';tz,: ,.. .:.t ..,..E,ri _R, e't '�v ',: ��a, G., .... .�.,: .� aa1' .,, .., � _ � „.. ... ..,: M.:. r, k .t: k:u ^3M v., ti;p ...,:� �i�, u..�' a .. w...a{� .•,..y .. +:,r. „«.... <, i�'S ,......,, >r,� .. ..t ,.. ..w:. ..•... .,;.;.. ...f, .f`- � ,'�'u»f�•'. ^,. b .. ... ........ ... r.c. a .,�.._X s...'' .,. .. X.. _ v r:'y� r '�`-''�`.. t..."a' J r. `:�� w'' 4wJ f. 9.w. X. •. ... .. m r ,' ,9 ..,..Y... - r�. .>: n .. a'a;, s L,.:t."r td!�,k+:. t _r._dn va.. ".'�.z R 4N G�k ,..� _t. r i'k +r rove. k., �Y,_9fb ..r C�. .. ...N.... .,.v .._ .. •Y..:, x v ,ffi ...u. e,.."D .,.] .i'' .7': t..it.,. Kyle w. .. d vuCK .., :. .<� ..c.. ....., �r.r a. s, f+„.,,,.is ..o-:. 'k.�i....... ... ......f .. ... _�,&+: ..J':.r .. ,t•-.'.... 1r..•vr. >� .... ,.. .. .. _(.�.:�a "r:rc 3 ,. ...?- .. .,:, 7. �� .l. i ..x>,.tw. .C...�;i.,..ti;�t,. .<,-,�.w, .a •'.':� d:x Sol ax:•rr"i. uc. �§ s. #.,.=,aa,.�' ...�.t: :. .� .«�,.�. c •.. ..,. .. � ,.n:} ,., S� c.ti9w,�,,,.d �; .,,{{�...�. �:� a, .... <ti .,.,.,..^,r... �,^:- ro, 6�..a,L. � ,�.n. n:,V,.•.�..•�.�_.. _ .. _1 y. ,-.. ..: .. .3.. .a. e { , ,. , �.�.FS.k"4�"�..4 ... ,�. .� w �..Y' ...„L. �: h 3 ��5 �i r� p .,. wti::, ., ,.. k. �., �.t.. �.,,... _.. ,... „^,. _.. �. ,. .... .,. ca+> &.'3•r . :.;;gas .v .w . ...�-e. .,....,.Nt...., . .. tF.. �' x ,�._..:,. w ......,.,,..+art+ wr.,.,. ,d '.$' wW ...._r_. .. ... 3.. }k. .:.. .:. s z;. � _ ,,. >' § ,., :; ;-5. K .P�" ✓.^' u ,'q'� �.`��„'r�+ r ��a. >n a4�'c..,,, ... �ra,. a t• .i �r a. .. .v� z'+. o.. �, ,r. w,a, ,�, „r,rc� �`,. TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM • Mail To: NAME OF BUSINESS: gpl4mmon CopV Board of Health MAILING ADDRESS: 94 RARNSIABLIE RD1 Town of Barnstable TELEPHONE NUMBE 1f HYANNIS 601 P.O. Box 534 CONTACT PERSON: 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 tot ling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO V 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-a t. Please put a check beside each product that you store: Antifreeze (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 Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers 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) , Other cleaning solvents r Bug and tar removers Household cleansers, oven cleaners White Copy- Health Department/ Canary Copy-Business n TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM r.4 Mail To: NAME OF BUSINESS: n Board of Health MAILING ADDRESS: I Town of Barnstable TELEPHONE NUMBERA r /� P.O. Box 534 CONTACT PERSON: Hyannis, MA 02601 ` M�� 7/��C.��_.___ 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 I/ This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. i1 If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: ---� TELEPHONE: r , . M 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,quanti:t esytotaltcn.g5more-�than-f 0- allonsffr::d -•volum--0 21 ounds ,dry;g lt. Please put a check beside each product tlh,at'you store: Antifreeze (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 ro,denticides) 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 Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint& lacquer thinners PCB's Paint & varnish removers, deglossers 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) Other cleaning solvents �� Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair 2._ nters BOARD OF HEALTH O satisfactory 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY gnomon copy (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS 9A BARNSTABLE RM Class: - 7.Miscellaneous HYANNIS, A4ITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks I Underground Tanks IN OUT IN OUT IN OUT #&gallons Age 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 Miscellaneous: DISPOSAURECLAMATION REMARKS: 1. §Anitary Sewage 2. Water Supply / own Sewer Public O On-site OPrivate 3. Indoor Floor Drains YES NO y O Holding tank: MDC O Catch basin/Dry well O On-site-system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank: MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product ` YES NO _. . . Person (s) Interview Inspector Date` TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair Q satisfactory 2.Printers BEARD OF HEALTH 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS Class: 7•Miscellaneous QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons Age 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 Miscellaneous: bn DISPOSAL/RECLAMATION REMARKS: 1. Sanitary Sewage 2. Water Supply /6,Town Sewer ®Public O On-site OPrivate 3. Indoor Floor Drains YES NO t� O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank: MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product YES INO Person'(s) Interviewed'_ " Inspector's Date C f TOWN 01= E3ARNSTA[3LE tCONPLIANCE; CLASS; 1. Marine,Gas Stations,Ike pair Qsatisfactory 2. Printers R D OF HEALTH 3. uto actu Shops Y / Q unsatisfactory- 4. Manufacturers � /n M (see"Orders") S. Retail Stores COMRANY `�/V[///l�O,V- ( 6. Fuel Suppliers ADDRESS M), �1 � Class 7. Miscellaneous QUANTITIES AND STORAGE (IN-ludoors; OUT=outdoor. MAJOR MATERIALS • Case - lots Drums AbdveTanks- UndetgroGnd Tanks IUL it oyTallsns_ 9� Cs�s Fuels: • Gasoline, Jet Fuel (A) Diesel. Kerosene, 02 (B) Heavy Oils: ,- waste motor oil - (C) new motor oil (C) transmission/hydraulic Synthetl.c Organics: degreasers • •Miscellaneous: P40LA A F/Zjn )(t7m 0 Vc- r( DISPOSAL/RECLAMATION REMUS: 1. Sanitary Sewage 2. Water Supply O"Town Sewer Public 0 ua Ln-S i t e r � —"-- Q Private 3. Indoor Floor Drains: YES NO I Q Holding tank: MDC OCatch basin/Dry well _.___....---s___•-•--....._....---- -- - On-site system ��--�-M • 4. Outdoor Surface drains:YES NO r Q Huldint tank: MDC Q Catch basin/Dry well 0 On-site system S./Waste Transporter Licensed? r -Nam"f—fla irm Aestina inn Was to Produr..t. YE.S 1 No uaee: Person(s) Interviewe �� Inspector Date '