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HomeMy WebLinkAbout0296 WINTER STREET - HAZMAT �I 4. {{ . PP'Ala, A .3 F t s q •.. : ..„, f ,re '`r.# :.gt. «„4 r � :�,.x ..««.. 4 s ,� ,Y z. .�^'�".w_k"V "�Y .g ,.a„�•3 S,�.y. �.: �� 4 '�+5y;. m�4:,;x a "'' qc�;:,i Y" �',. „, sS,�,�,,.,' s �';��,, §� �,. _ ^W;.,s r ri - o- z 4�t• wit� `&. r;:.`,..; e ,,t,.., c„ ,rf �r a,ro:k4? sa'_� r r:�r "'r` a ^� , s�, .�:.. .e� a ':,:: .`35 r ` .. °,`,� w :n.4� z x� .�6. rt�.•F r �� r a ,a° y�;t,`�: rir o..:. .. z, Y, ;:+.;: r ..,xr• , .. -...4 .., a, r- .,,f, y, a<, "r2�.";'°•. ,y'� t n: u;,d' y, ,,,..,b'k+,i'.i'�£Y , o:.;�r w..' ,...•k. �r' .: » r:s„ p p z.k R .�: ,"« ;y.,':°.» n, _#•5r: wS x TOM 41 Kw.,. ..,4 � V r� "h '.�-•'S. � �� �� � .�-;nr i 4�r a B .V p- � � if 1 ,,. ;or >r s? ;ay „ 'ge,w,. r �v.n 4 .•. �,. s �;... m� ,� i.+,_a+ �;:. ,• � �„�.:>,� „ .,�:,.. ,. .. ,�: :, "� e: ....has-.:a.` » ,: �,... � r. +"" #x .M'�,�n� x .p 4. „ d.. .: .,� .i• � .- ass! °: .^,, �r:a "a,� .�"`, � v m -„ .e a `:,;5,•. „°� w m, ? v w �- • :... 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TA IN"IFORMAT I O LOCATION OF TANK: W N`TL I' - CAPACITY J L TYPE l f.... AGE 4A Y4•FUEL/CHEMICAL �j�• TESTING CERTIFICATION C ] BASS C I FAIL DATE LEAK. DETECTION C ] CHECK IF N/A TYPE/BRAND ZONE OF CCINTRIBUTION C ] YES C\.] NO,TS DAlE TO BE REMOVED FIRE DEPT. PERMIT I SSIEDs .,C . ]t YES ' -.] NO DATE CONSERVATION E ] CHECK IF N/A DATE i `BOARD OF HEALTH TAG NO. [ > ]C ]C ]C ] DATE r ' PLEASE .PROVIDE. A .SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD I DI RICHARD P. MORSE, JR. Attorney at Law 161 Main Street P.O.Box 117 Yarmouth Port,Massachusetts 02675 617-362-1144 May 31, 1988 Ms. Donna Miorandi Town of Barnstable Board of Health 367 Main Street Hyannis, MA 02601 Re: 296 Winter Street, Hyannis, Massachusetts Dear Donna: Enclosed herewith please find my Underground Tank Registration form. Would you kindly send me, at your earliest convenience, a brass valve tag to attach to the filler pipe. Please also forward to me information regarding having the tank removed. I believe I have the correct Map and Parcel number indicated on the form. - -Would-you be so kind as to make sure that I do and make sure that I am in a Zone of Contribution. Thank you for your cooperation. Very truly yours, Richard P. Morse, Jr. RPM,jr:js Enclosure TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: NAME OF BUSINESS: } - � Board of Health MAILING ADDRESS: Town of Barnstable TELEPHONE NUMBER: °- ' / yl d/ P.O. Box 534 CONTACT PERSON: o 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 totallli g, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO 1/ 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 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 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 BOARD OF HEALTHsatisfactory 3.Au Body Shops /► O unsatisfactory- 4.Manufacturers a �p '7'' �f4 zejU (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS ;?Z lhji,,t17 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 ls: ine,Je (A) iesel, Ker # B) waste WuotsaWi:W� ew motor oil(C) tran'sm siodydraulic Synth4ser rganics: degr Miscellaneous: DISPOSALIRECI A�M�ATION REMARKS: V V1. Sanitary Sewage 2. Water Supply V Town Sewer Public 0 On-site SPrivate b^3. Indoor Floor Drains YES NO OHoldin tank:MD C O Catch basin/Dry well 0 On-site system tA. Outdoor Surface drains:YESALNO ORDERS: 0 Holding tank:MDC 15 Catch basin/Dry well On-site system VA 5.Waste Transporter Name of Hauler Destination Waste Product Licensed?i YES I No V' 2. Person(s) Interviewed Inspec or D