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HomeMy WebLinkAbout0530 WEST MAIN STREET - HAZMAT 3o a� �O ! 0)3 `°p(ME Tpk� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 BARN�Le.$ 200 Main Street• Hyannis, MA 02601 i639 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT fF0 MPy K�l Business Name: i-P� Date: C6/ �I Location/Mailing Addres : , Contact Name/Phone:_iag —7;K -qAW Invent otal Amount: MSDS: 'On Lk, License#: Tier II : �1 Labelina: , S Spill Plan: Oil/WaterSeparator: c Floor Drains: Emergency Numbers: Storage Areas/Tanks: jUVih& Emergency/Containment Equiom tt: 1 Waste Generator ID: t5a y 5 Waste Product: ' 1 R CU Date&Amount of Last Shipment/Frequency: 0�_ n Licensed Waste Hauler&Destination: gahlk. Y Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS 00 In Ihy�NOTE: Under the provisions of Ch. 111, Section 31, of the G eral Laws of A, azardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: ► f Inspec or: Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY- BUSINESS °PIKE f° Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMAT, .% L �• 200 Main Street• Hyannis, MA 02601 •6 M TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rF0 Py Business Name: Wa S Date: 09/31/90 Location/Mailing Address: 'i Contact Name/Phone: SCV 77. ` U1.1 1.0 Inventory Total Amount: <�©'O MSDS: ' License#: Tier II : Labeling: Spill Plan: Oil/WaterSeparator: NIA Floor rains: Emergency Numbers: Storage Areas/Tanks: �6\�yn#A CkLaU Emergency/Containment E ui ment: 416 Waste Generator ID: f�Dt3`•Z " 5 Waste.Product: A)iscelkffloyj Date&Amount of Last Shipment/Frequency: 100 ti 3-Si QG12JI'll Licensed Waste Hauler&Destination: POUblit " M*P190 A-TIA16S Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS np �� � in inveWo NOTE: Under the provisions of Ch. 111, Section 31, of the Gen ral Laws of MA,lhzardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives (creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOM ENDATIONS: U cuincs "VUt_ k . Insp7tor: Facility RepLseatati e: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS L TOXIC AND HAZARD US MATERIALS REGISTR TION FORM NAME OF BUSINESS: 9 j,4ew .�i?�� � Mail To: BUSINESS LOCATION: 3_ > !�-. �i9`lr� Board of Health �,��� Town of Barnstable MAILING ADDRESS: P.O. Box 534 TELEPHONE NUMBER: "77�" �� 1 Hyannis, MA 02601 CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: 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 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 character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store: Quantity/Case Quantity/Case 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 Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business