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Home My WebLink About0078 FIRST AVENUE - HAZMAT _ _ _ �� 1-i �1 �� , � �� -- - - � \, �� TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF FIRM: ALL CAPE FORMS, INC. MAILING ADDRESS: BOX 325 - 78 First Avenue Osterville, MA.02655 TELEPHONE NUMBER: 428-6221 CONTACT PERSON: ROBERT J. GREENWOOD 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 XXXX 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 w 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)Rustproof ers Fertilizers (if stored 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 Paint brush cleaners "Poison" labels (including Floor & Furniture strippers chloroform, formaldehyde,hydrochloric acid, other _ Metal polishes acids) Laundry soil & stain removers(including bleach) Other products not listed which you feel may be Spot removers & cleaning fluids(dry cleaners ) RECEIVED toxic or hazardous (please Other cleaning solvents R E C E I V E D list) : HEALTH DEPT. Bug and tar removers TOWN OF BARNSTABLE Household cleansers , oven cleaners Drain cleaners Toilet cleaners Cesspool cleaners Disinfectants JUN 3 1981 Road Salt (Halite)