HomeMy WebLinkAbout0080 WINTER STREET - HAZMAT Fc) inn iep— St���
TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM
NAME OF FIRM: ruu/ RC-P M S �RdICr
MAILING ADDRESS: ST
TELEPHONE NUMBER:
CONTACT PERSON:
E
Does your firm-store any of .the.--tox3-c or--.hazar-dous-.materi-als. listed-below,,_. =f
either for sale or for your own use, in quantities totalling, at any time, more
is
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 characteristics and must be registered when stored in quantities
totalling more than 50 gallons liquid volume or 25 pounds dry weight. Please put j
a check beside each product that you store: I
Antifreeze (for gasline or coolant systems) Refrigerants
Automatic transmission fluid Pesticides (insecticides,
Engine and Radiator flushes herbicides,rodenticides ) .
Hydraulic fluid (including brake fluid) Photochemicals 't
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 ; t
Degreasers for engines and metal Jewelry cleaners �l
Degreasers for driveways & garages Leather dyes
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) which you feel may be
Spot removers & cleaning fluids
(dry cleaners) toxic or hazardous please
Other cleaning solvents E A E I V E ® list. ;
Bug and tar removers 77�� HEALTH DEPT.
Household cleansers, oven cleWanersARNSTABLE
Drain cleaners
Toilet cleaners
Cesspool cleaners
Disinfectants M AY 2 2 1981
Road Salt (Halite)