HomeMy WebLinkAbout0195 BUMPS RIVER ROAD - HAZMAT `g5�urn� 4���er - -t-}�n
c`�S-I�N�\� ,
�. /
7
t., TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM
NAME OF FIRM: 17�r�y _ ®A�i?�0lt JJ0/7.t'
MAILING ADDRESS: 'elver etW. v.,Ile /14_r_r,
TELEPHONE NUMBER: `7`•Z� ZZ 3,/
CONTACT PERSON: v1d 174 QA
i
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 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 %7- 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) a Fertilizers (if stored
Rustproofers outdoors) '
—�- Car wash detergents PCB' s
_I/ Car waxes and polishes Other chlorinated hydro-
Asphalt & roofing tar carbons, (inc.carbon
�—Paints, varnishes, stains, dyes tetrachloride)
-Paint and lacquer thinners E/ 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) C which you feel may be
Spot removers & cleaning fluids
(dry cleaners) HEALTH DEPT. toxic or hazardous(please
Other cleaning solvents TOWN OF BARNSTABLE list)':
Bug and tar removers
Household cleansers, oven cleaners
Drain cleaners
Toilet cleaners rMAY .i 4 1981
.Cesspool cleaners
_ Disinfectants
Road Salt (Halite)
TOWN OF BARNSTABLE
BOARD OF HEALTH
CONTROL OF TOXIC AND HAZARDOUS MATERIALS - INSPECTION SHEET =,
FIRM ! k r
o� f
ADDRESS
Major types off' materials: I CA A 2) W-_1Z 31 .
4) 5) i 6)
I. Description of materials)011=ber
II. Storage (denote product listed above)
A. Containers
metal glass paper plastic
cans,bottles,jars
drums,barrels
aboveground tanks
d 1
underground tanks
bags,boxes IZA
open,loose,uncovered
inadequate labelling
B. Storage Facility
✓or # Remarks/Recommenc::,.;_ons
1. Indoor -'-"
,t
a) separatt, 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 T
C. Off-site disposal
1. hauled by own firm
2. hired hauler
a) name of hauler
b) address or disposal site
Perso.n(s) Interviewed — Inspector'
Date
6 30 81
s �C�AF �D Or 1-1L—ALYI-1 .• 2• printers
'satisfactory
f 3. �uto .rvdyy shops
COM MY - "! �� unsatisfactory- 4. ' ltanufactlrrers
(see"Orders") S. Reta,(.1 Stores
ADDRESS. ��_ �✓ ' 6. Fuel Suppliers
12' (�" ,' 1 Classy 7. Mlsc llanevus
QUANTITIES AND S70RAGB (IN-indoors; OUI-=outdo(
N UUR MA7ERIALS Case dots Drums Abpve7arrks Urrdetgtoutrd Tanks
Fuels: . =--T' J t �� wL A 6 Qe11Qn� Aes
112
Gasoline, "jet- Fuel (A)
Diesel Kerosene, 02 (g) —
lleavy Oilst
waste motor oil C `j
new motor oil
transmission/hydraulic_-
Synthetic Organics:
deg reuE,s
Miscel aneousl. 1
!F 1
S(0O1 A7Hcfi.1 ATIU
1. Sanitary SewagerUIRKS!
2. Water Supply
Town Sewer ` _
Public • ��
Un-site private
f. Indoor Floor Drains! YES
Q Holding tanks, MIX
Catch basin/Dry well
On-site system `UttUhti�:..___.-.w_._......._ ._.---.....:._..... ._..__._.
. Outdoor Surface drains tl'ES N0 V `
Iluldin`• tank! MUC
Q Catch basin/Dry well
(� On-site stem y — ---- ..____----s ---------____._�_
Waste Transporter
..11estlna inn Licensed?
1 ._r.ti� ' a �te prn•t���t! YFS
�J..�
er arson ntery ewe- '
' `'Inspector — Uate