HomeMy WebLinkAbout0227 BUMPS RIVER ROAD - HAZMAT ��1 j ����� R��e� f2��d
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- �' TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM
' . s NAME OF FIRM: T. Pc ncL f; saw ,L�1 Cc�SP o01 Se(-vic2�
MAILING ADDRESS: ZZ�f Eumps j�ioQr- P-0( S+f t'Ut'11`2-
TELEPHONE NUMBER: Z1Z7_`a0&Z
CONTACT PERSON: above 0
Does your-firm store-any of-the_toxic.or hazardous---mat-exials _-li:.sted-: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: ��Z �iSri �G�" - c
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:
v/
Antifreeze (for gasline or coolant systems)_ Refrigerants
Automatic transmission fluid 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
s/ Degreasers for engines and metal Jewelry cleaners
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 O 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 toxic or hazardous (please
(dry cleaners) list) /
Other cleaning solvents :>VZ
Bug and tar removers R E C E IV E D
Household cleansers, oven cleaner�iEALTH DEPT.
Drain cleaners TOWN OF BARNSTABLE
Toilet cleaners
_Cesspool cleaners
Disinfectants
Road Salt (Halite) MAY , 3 1981
•��. TOWN OF BARNSTABLE
BOARD OF HEALTH
CONTROL OF TOXIC AND HAZ DOUS MATERIALS - INSPECTION SHEET
FIRM A"14
ADDRESS
Major types of materials: 1) 2) 3}
4) S) 6)
I. Description of material(s) use:
II. Storage (denote product by number listed above)
A. Containers
metal glass paper plastic
cans,bottles,jars
drums,barrels
aboveground tanks
t
underground tanks
1 .
bags,boxes '
open,loose,uncovered
inadequate labelling
B. Storage Facility. Vor # Remarks/Recommeri(� .ions
1. Indoor "
a) separate, 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 " 4
III. Disposal
A. Reclamation/Recycling unit
B. On-site disposal
1. Town sewer
2. Regular septic system YA
3. Separate holding tank
C. Off-site disposal
1. hauled by own firm
2, hired hauler
a) name of hauler
b) address or disposal site
Person(s) Interviewed ^ Cf ,�— Inspector
Date — —/ -- - - - - - =—
6 30 61 / d
•, 2. Printers '
Q OA F�d Or I I LA LT 1satisractory
Q unsatisfactory- 3 Auto . rody Slrvps
Ianufact rers
COMP/1NY U "(,> (see"Orders") 5. Reta�.l Stores
ADDRESS.
r�, .� , f �+ . 6. Fuel Suppliers
Clasag 7. Fiisc ilanevus
QUANTITIES AND SYOINGD (I -indoors; OUT=vutdvc
MAJOR FIA7ERIALS • � Case lots . , Drums AbgveTanks Undetgtouad 'Tanks
1•:ue]s s =-_._,_ �L �T_ 1CL ytrr 6 Qe 1 lons
Aes g
Gasollne, Jet Fuel (A)
Diesel, Kerosene, 92 (g) —
]leavy Oilst
waste motor tail (C)
new motor all (C)
transmission/hydraulic -
Syn"thetic Organics: _ "--
degreaseis 6L
k --
r?
Miscellaneous:
L
1. Sanitary Sewage 2, Water Supply MIRKSI
O Town Sewer
, _
`Public
` 'On-site Private
S. Indoor Floor Drains: YE5 NUL
Q Holding tenkt, MUC ✓ r---- v
O Catch basin/Dry well
0 On-site system `UIiI3pn�s.._-._..�_........_ ._.---..... ._..... _.._ .�.
Outdvvr Surface draing.ty S NO
IhaldlnL• tank., FIUC
O Catch basin/Dry well
On-site system _
Waste Transporter ----- -___
1 . r&LIngt1an L1cer s 7 1 herd'
11 erson nt`Pr"-e�(f s
' Spector Uate