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HomeMy WebLinkAbout0050 AIRPORT ROAD - HAZMAT 6 - _ J S M EIS® KEEPING YOU ORGANIZED No.9®S34 245SL WE M USA GET ORGANIZED AT SMEAD.COM R �.9�•--OCR/ Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 B^M�`E�, \ 200 Main Street• Hyannis, MA 02601 .6M s,. 1-OXIC AN HAZARDOUS MATERIALS INSPECTION REPORT CEO MAy Business Name: d�S o ���C, Date: ! Location/Mailing Addre s: O Alqor4 "i4 Contact Name/Phone: - 7 _ 2 r e'< 4- InventoryTotal mount: ^�96 a, SDS: �5 ' � S License#: (i2O C 2- Tier11 : Labeling: Spill Plan: Oil/WaterSeparator: tJ I Floor Drains: &A&4v6� <Nmerciency Numbers: Storage Areas/Tanks: 2.'1 w ti oi A ku—-e%k(-k Sv ,e-ova 4&K-5 k vVK5 sAe- Emergencx/Containment Equipment: Waste Generator ID: ° l a Waste Product: Pat Ott Date&Amount of Last Shi ment/Fre uenc : l Licensed Waste Hauler&Destination: 6.Qo.� o 4 0 Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids _ Automatic transmission fluid 3 Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) 1$.FZ Windshield wash T Motor oils (a411.4 4Z3 fi3 Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Z Miscellaneous petroleum products: Road salts grease, lubricants, gear oil 2 Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries 70 Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives (creosote) Asphalt&roofing tar ; Swimming pool chlorine Paints, varnishes, stains, dyes't t�Je� Lye or caustic soda Lacquer thinners 1,k 10 <�,Ax.�2xL Miscellaneous Combustible Z Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables t S Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil&stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform,formaldehyde, 1 1 n hydrochloric acid, other acids) VIOLATIONS: ORDERS: PIkvL 0- pnz,4-, AAova A'Am Wak5. INFORMATION/RECOMMENDATIONS: 5J(& voA, -�•c� C a�w vuvw Inspector: Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY- BUSINESS °F IKE Tow Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 ",„ss`E ' 200 Main Street• Hyannis, MA 02601 1659. �pTFOMP��,e� TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: �)"%s ko w.o}'. 11 Date: "2-3 6 Location/Mailing Address: SD A,.r o-,r 42 H ci.tn✓t Contact Name/Phone: -17-7 '2.3 2 K5 Inventory Total Amount. ti qq qa MSDS: 5 k 5A'wk -'2V5 c-ltect"License#: Tier II : No Labeling: &aval Spill Plan: 2e Oil/WaterSeparator: tJ A Floor Drains: 6XVAo4 P&C* Emergency Numbers: '4e-7 Storage Areas/Tanks: Z �r�vv.S via �,• ,k0— til w tf-as I. *L,A4t }.I1ipzD Emergency/Containment Equipment: 5"' y ew S I K vA-'— Waste Generator ID: MAwbl -1 I llif> Waste Product: D WfSf-'L, Date&Amount of Last Shi ment/Fre uenc : x401 e,. all 31 1 b 161h k Licensed Waste Hauler&Destination: t;� I t-F-vL Other Waste Disposal Methods:bak %&. t6 I kvtp vvc.-e�/wtic- LIST OF TOXIC AND HAZARDOUS MATERIALS NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. IVa Antifreeze tlo vA4& Dry cleaning fluids 3 Automatic transmission fluid3 Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers `;V Hydraulic fluid (including brake flui Windshield wash Motor oils y-J Jr 114 VxsAc. Wt5 Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants -le Degreasers for engines&garages('.` Pesticides: Caulk/Grout b&.v C\11zc5-/5 e e insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries3o Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine 0 Paints, varnishes, stains, dyes W Lye or caustic soda do Lacquer thinners 10 *A-Aw-rSx wk\4 ((S\ " y Miscellaneous Combustible 2- Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: dcke a4At p ORDE 4 0Q5. Ct oc ut �a� �� M� eta•� 0�12 gi 1 � 2)• INFORMATION/RECOMMEN ATIONS: v.? A of W Cv , 5 1 w - ae<'S �,�� k A c wo<� �keslcotl-e.��►o � g ewt� a t`4e 5��� v S e���t� P Cowl lQhuS�S.�,IIS v,1. Ins ctor: arcs �'�o o� � Iy �Q5 ,S d Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Number Fee 620 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that Davis Towing and Auto Repair 50 Airport Road, Hyannis, MA Is Hereby Granted a License FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS. -------------------------------------------- ---------------------------------------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2016 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/2015 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R-S.,CHO Director of Public Health Town of Barnstable °FEE t Regulatory Services Richard V. Scali,Director r r • a $" MASS. ' Public Health Division r� 16�9 '°rEn►�o+" Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee: $100.0.0 ASSESSORS MAP AND PARCEL NO. DATE 90.S_ APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT U I q E)AV IS NAME OF ESTABLISHMENT R& t D, ,_ Ad ja -t -N • ADDRESS OF ESTABLISHMENT 510 191 r PO r p O( VILS UP 00160 TELEPHONE NUMBER SOLE OWNER:, YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. (0 9 315,5-110 STATE OF INCORPORATION s FULL NAME AND HOME ADDRESS OF: PRESIDENT )r1 A 'DPuu AG% march S pe4 C-EonleyVik MA 0063aL TREASURER •14 'p M S ,e C -f1 CLERK �K-e\J n cs A 6 2 • SIGNATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS 96' M11M.) SAP,e-i" HOME TELEPHONE# q 0'St S0 a�32 C:\cache\Temporary Intemet Files\0LKD3\HAZAPP ReQ015.DOC y°F IKE TOk� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • snRMASS. 200 Main Street• Hyannis, MA 02601 .b M TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT CFO Py Business Name: a v Date: Location/Mailing Address: .J -rpof-k JQX H,14mrif s Contact Name/Phone: Invento Total Amount: qcd MSDS: 2S License#: Tier II : Labeling: o Spill Plan: Oil/WaterSeparator: Floor Drains: ency Numbers: Storage Areas/Tanks: Zn9goLA (k5"C w ke- 1) 1 . 2 ,Pt,)w-6 Wcur -e T._. Emergency/Containment Equipment: 1,ti Vge, Waste Generator ID: 1 D7 11 a Waste Product: 1 tL►ti <Pre lw -N+wu"&-r Date&Amount of Last Shi ment/Fre uenc : 1 1 4ivt'1' 4 ablISS941 Z ► t'y 2 3 Mo Licensed Waste Hauler&Destination: V- ova Other Waste Disposal Methods: So I46e-K. LIST OF TOXIC AND HAZARDOUS MATERIALS a%I V%f)�6 ��-k1nv�^ vc �� •I� °n NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous mterial use, storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) V Windshield wash —�— Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform,formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMME DATI NS: hAoAj Go ' -t 4 4 A- \\ a Q c .egw4 a<A<v`i Q. .2 vt� �Y�ljNq_ VI V w�. 5 Insp or: Facility Representative WHITE COPY- HEALTH DEPARTMENT/CANARY COPY- BUSINESS °a IKE*0�.. Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 B"RM�LEA, 200 Main Street• Hyannis, MA 02601 059. �'OfFDMP+�`0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: Davis Date: 7 i# / Location/Mailing Address: So A,r otviviis Contact Name/Phone: —Invento1y Total Amount: —Ll SV QJ MSDS: e5 License#: 2� Tier II : e Labelina: oo Spill Plan:�Z4 Oil/Water Separator: Floor Drains: o Emergency Numbers: Storage Areas/Tanks: Dot 2"1 1 iCA v2 .& a. Emergency/Containment Equipment: Waste Generator ID: _MANP0')10711 10 Waste Product: D, Ldas}.e Date&Amount of Last Shipment/Frequency: 515114 3W b Dkl, -} n-2.vKo -o k t n.7kx ( Licensed Waste Hauler&Destination: SQ�2�'�/ �e K. - D���o•� T�L- �L.�j1g (3Y/3 Other Waste Disposal Methods: 6�ZbI LIST OF TOXIC AND HAZARDOUS MATERIALS IJa vkC,,'.l �Ii.4w�,c9 �vl I�V�vt,�o�y NOTE: Under the provisions of Ch. 111, Section 31, of the eneral Laws of MA, hazardou�lmaterial use, t l/jL7113 storage and disposal of 111 gallons or more requires a license from the Public Health Division. Antifreeze Dry cleaning fluids Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers EE E Hydraulic fluid (including brake fluid) Windshield wash Motor oils Miscellaneous Corrosives Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants Miscellaneous petroleum products: Road salts grease, lubricants, gear oil Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine Paints, varnishes, stains, dyes Lye or caustic soda �— Lacquer thinners Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes Miscellaneous Flammables Fertilizers Floor&furniture strippers PCB's Metal polishes Other chlorinated hydrocarbons Laundry soil &stain removers (including carbon tetrachloride) (including bleach) Any other products with "poison labels" (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATON/RECOMMENDATIONS: Q U v,o -e. Ci & VULD Inspector: ` -,I Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS Date: lI 1,-V 1 �3 TOWN OF BARNSTABLEg TOXIC AND HAZARDOUS MATERIALS FORM NAME OF BUSINESS: -�e-.d1 s BUSINESS LOCATION: SD h,r,Dorl' I`Cck , 0 V4rlY 1:5 INVENTORY MAILING ADDRESS: ,:kr► 4- TOTAL AMOUNT- TELEPHONE NUMBER: So$- 77.5-82)23 %,004-5 CONTACT PERSON: -Ayte2c4->y , &ti e EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: aAo r.cOa1,r + M41-1L v%AY%C-9- yes INFORMATION / RECOMMENDATIONS: 9 L►`evtse ►s Q Fire District: �r11► I �)�ti �) a I Cow+,e l �, <,e) _U co-v�c 9,v4 till Is t,t))'LA n Ol" i vt,y�4/ �,�.0 e- 4 1) SeI�YtDC. 4e ck,h/Vt1VL+ Ca-P44Q 0-+ 41 11 -f i Yge s 6)Mf ss D EP l n 49 S `E o►t Cgewt o��9•. I I&c ,a F� yyou r►1.F,, yvt t,o►� Waste TFanspe�ati6n �1f}��d l07/17� Last shipment bf hazardous waste: to y l3 O,l—Every Z wc06- Name of Hauler: c5a�e.� lee >1- Destination: SQL le1-YL ,n�-e„� 3 &,os. Waste Product: 1dk6&p jytfSAW6 bjv) s Licensed a No CrRKs2 Z9 2 aat-e ©, NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month re uires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum �3 Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive 0"NEW Ci(USED r6-f11,4j -- Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) 10 Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides 323 'NEW V& LASED 975-p41 �� � � (insecticides, herbicides, rodenticides) + *-� Photochemicals (Fixers) Gasoline, Jet fuel,Aviation gas � Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) 1 -7 lubricants, gear oil ❑ NEW ❑ USED Degreasers for engines and metal Printing ink Degreasers for driveways &garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine Battery acid (electrolyte)/Batteries 09 Lye or caustic soda 10 Rustproofers It-IX5-14, Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's I O Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, 1 Lacquer thinners (including carbon tetrachloride) a cq�NEWe LM USED 4"" Any other products with "poison" labels (including chloroform,formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes Laundry soil &stain removers (including bleach) Spot removers&cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT I CANARY COPY-BUSINESS Applicant's Signature Staff's Initials fax Cover Sheet Davis TowinS 5o Airport Road Hyannis, Ma 02601 F6one(508)77 I-5266 Fax(508)7PO-W7 5end to: From: C)� &rNA Ou 1sitLjXn L AttentionLQA\ Date: I Qfice Location: OfFilce Location: Fax Number ."l%_ (.o Fhone Number.0 _ n t-3ZL ❑ urgent ❑ Reply ASAP ❑ Flease comment M Flea5c Review ❑ For your Information Total Pages, including cover; Comments: V0/l0 avEd 99l4 l 1 wdzs:80 810Z 90/V GSG SK.Rss sox-2: Richard Fuller 03/16/16 W05 PAGE 1 Safety-Kleen Systems, Inc. 2600 N Central Expy, suits TOO Richardson, TX MA0 CORPORATE: M-409-3740 24 HR EMERGENCY: 900-49-1760 oafety-Kleen) 401MOBOO REFERENCE NO. CUSTOMER# DA20756 Davis Towing 76701634-1901046024 So AirPort Rd Snk Went 2019-20 Hyannis MA 02401-1602 SWC DATE: 05/14/16 PHONE 500-771-3266 BILL TO CUSTOMER# RILL TD ADDRESS: DA20736 Davis Towing 50 Airport Rd Hyannis MA 02601-1902 PHONE 509.771-3266 FUPoUTASE ORDERSTAx":Mirrr • PRODUCT/SERVICES SEIIIIICE/ TOTAL PRODUCT 4TY UNfl'PRICE TAX CHARGE 70700 SpRAY W'r KLNR MODEL 1 1.000 399.8900 24.31 413.20 S/1i 7077720 TAG 10000008090258460 CLEAN 1.000 SPEW 3.= SMICE TERM 12 WEEK SCANNED YES r CON1S: 1 TSOF: DOR MANIFEST#: 006300257SKS FORM CD: US SWO 225207056 CNTS: 19Og21p90102 47Y: 2S 1irAft P PROF# 150390 SKDOT 11656 10044 e7(IENDED SEIRICE AREA FEE 1.000 0.9000 0.00 0.00 100001 FEE, FUEL SURCHARGE 1.000 12,8100 0.00 13.61 .� ------------------------- ------------ TOTAL 59MCE/PRODUCTS 401.7000 25.11 426.91 TOTAL CHARGE 424.91 CROM 0,00 ............... TOTAL DUE 416.91 UWAID RALJ=K THIS WECElPf 426.91 Machine clean and posd condition? Yet Lamp Assembly Condition No Dacals in place and legible? Yes Fusible link installed?Yes Emergency closing of 14d unobstructed? Yes Machine properly grounded? Yes Local Phone No. Sticker Affixed to Machine Yea Spent solvent meets acceptance criteria?Yes GENERATOR STAiM 0-220 lbs/montb Customer certifies that (i) the above-named materials are properly classified, Packaged, marked and labeled, and are in proper, eendition for traosportatioa according to the applicable regulations of the Department of Transportation (ii) no material change bat occurred either in the characteristics of the wa■te/material or in the PreeesS generating the wasta/meterial, and (111) the show referenced Generator status is correct. Castamer agrees to pay the above charges and to be bound by the terms and conditions C0 set forth in (a) the General Terms and Conditions provided separately to Custo mr or (b) any SK agreement signed by Customer and 5K, and 0) incorporated heroin by reference. Unless othorwise indicated in the payment recoived section, SK is autherized'to sharp Custa®r's aeeoaat for v0/ZO aged 9911 1 1 wdZ5:E0 810Z 90/ti0 Please rant or . Fora!designed for use on elite 12 gtch) writer. Foam Approved.OMB No.2050403. 1.Generator 10 Number ,g L,;,.\.+,y,•, ., ;;:, 2.Paag l of 3. a{ger .RespOpae Phoney; I.Menl a Number ��� UNIFORM HAZARDOUS - 0 WASTE MANIFEST �8 5,oenerator's Nome and Ma ng Address Oenereto�s S{te Address(IfdHfarenl then mgitlrlp'addre&e) 14, Ganeratoes Phone: 8,T��(rg�ovter.t ►�p^�•y�1�1e.11�a ( U. . AID Number 7.Tren&porler 2 Company Name u. . ID Number 8.Designated Fadilty Nerve and$Its Address P.y.p.f'�;i l t-:_ .�_3 4 c�+'F': !�,; �^ .v�;: U.S.EPA ID Number FaWr,Phone: ga, 9b.U.S.DOT Desc iptlon(mduding proper Shipping Name,Hazard Claus.ID Number, 10,Containers 11.Total 12.Una 13.Waste Codes HM and P-Jdng Group Of any)) Na Type Ouan* tl LNd. 77 1. I•' 7'iR: i� :ui,l.1 �. I"Gt •�f ri4.4'i11 {`•�I) .e' i'�.. — Z 2. LU 4 3. 4. 14.speew Handung lnafmcflws an onel intormakm T i:::I"r Cie+ ;c. :! ;o-;.��='x i"9.sls :,�,:? •,fi r;. ''1 " .."�. ...�r ' t . i•"(�`•��e•y• Y4� •{ ..1;.!y.�:6:.',. :.t•ia ?i .( is�W n7 1Vi? !hC},!.n.i{;4'rl'.: 15. GENERATOWSWFEROR'e CEtTIfICATtON: I hereby dedste drat the ocntentE of►h1s caadgnment aN fully and aawratety described above by the proper ehlpphrp mane,and ere classified.padtggpd, marked and labeledlplawrded,and are In all respect&In pfopar condt86n for transport socordng to app2cable Irlterrcr8onal grid noonal govemmental regulatt=U export ehtpmsnt and I am the Primary Exporter,I aerdly that the contents of this oorielgnment conform to the Wane of the aftechad EPAAdatowledgment of Conserd. I Cerny that the waste mWrtrlxadon statement tdanli lad In 40 CFR 28227(a)M I am s large 4uari ty generator)or(b)Of I am a ertree quantlty generator)Is true. Greto sl r0llames PrInteCyped Name Signsdrre Month y Year ene • r., 16.IntemaDonal Shipments ❑import 10 U.S. ❑EWd from U.S. Pod of erdtylexlC Transports►signature for m"ft only): Date Waft U.S.: • 17.TransporterAdewwiedgment of RecsV1 of Materials T►ensport'ar d Name avaturs' Month Year ,• s• fir, • r ram' S�hature MOO Day Year reneporter 2 ft ed Name 18.Discrepancy rn-1 189.Olacrepancy IndlwBon Space D wwy 0 Type ❑Residue I__I Met Re)adon []FOR.#*Ion Marthm Reference Number: ISO,Altemate Fae ft(of Generator) U.9.,EPA ID Number I.. Fec s Phone: OI& AY Year W letSignature of Anarnate eci tty(or Gwaralor (D 19,Hazardous Waste Report Menagemerd Maurod Codes Q.s.,codes fm he:erdeus waste tru"01114 d1aP and►ecydlrg aysDeme) 20.Designated Faddy Omer or Operator Cerdfkgtiwt of receipt of hgzardotva melerlala rxlvared Dy the meaffeet except.as ndad dr Item 18a nted/Typed Name re mom Day Year EPA'Form 8700 22.(Retie 3 � Previous edltio►!tt are obsolete. GENERATOR'S INITIAL COP) V0/60 a9Pd 99l4 L l WdZ5 80 8lOZ 90/V0 SAFETY—KLEEN 04/21/2018 PAGE: 1 PLANT: RIS LDR NOTIFICATION FORM 05: 4 • 4O GENERATOR NAME: Davis Towing MANIFEST NO. : :1 ti�S75 OR SALES SERVICE NO. : 76701634 SK Shipping #: 225297056 COST#: DA20756 Pursuant to 40 CFR 268. 7(a), r hereby notify that this shipment contains waste restricted under 40 CFR part 268 land disposal restrictions (LDR). A.. GENERAL WASTE NOTIFICATION ------------------------------------------------------ ___----------_..—......_..�,.�_ LDR FORM LINE NO: 1 MANIFEST PAGE/LINE# 01/001 SKPRFL NO: 150380 SKDOT#: 0011658 EPA WASTE CODES & LDR SUBCATEGORIES ( IF ANY) : DO01 LO LIQUID >- 10% TOC D01S ' D035 D039 D040 F003 FG ANY COMBO OF ONE/MORE LISTED SOLVENTS IN 261. 31 FOOS FG ANY COMBO OF ONE/MORE LISTED SOLVENTS IN 261. :31 Treatability group: NWW Non--Wastewater Waste Constituent Notification: Legend, Number Constituent Sl 67 BENZENE 91 CHLOROFORM 184 METHYL ETHYL KETONE 229 TETRACHLOROETHYLENE 237 TRICHLOROETHYLFNF 245 XYLENES—MIXED ISOMERS (SUM OF 0—► M--, AND P—XYLENE CONCENTRATIONS) 251 CHROMIUM (TOTAL) 2SS SILVER I -------------------------------------NOTES--------------_---___—____—__-----_-----r_ EXP NOTI HIS LDR (EXPIRES ON 12/.31/2018 q IN k NAM k TITLE SI ATU E (PRINTED OR TYPED) PLANT: R CSG: 22 REF#: 76701634 SW: 201820 TOP COPY: ERATOR MIDDLE COPY: FACILITY BOTTOM COPY: TRAN91 ti0/v0 avEd 991# 1 1 WdZS:£0 810Z 90/k0 TOWN OF BARNSTABLE BOARD OF HEALTH CONTROT OF TOXIC AND HAZARDOUS MATERIALS - INSPECTION SHEET FIRM ADDRESS Ifr�Uri Major types of materials: 1) 2) 3) 4) S) 6) I. Description of materials) use: &AC�_ .._ II. Storage (denote product by number listed above) A. Containers metal glass pap r plastic cans,bottles,j ars —y© drums,barrels aboveground tanks Ao y ' underground tanks bags,boxes I open,loose,uncovered inadequate labelling i B. Storage Facility �/or•# Remarks/Recommendations I. 1. Indoor a) separate, contained room b) stored in general work area i) inadequate ventilation ii) floor drains' Al- l lk 114 inadequate',.fire protection I 2. Outdoor a) uncovered, . exposed to weather i b) pervious surface/catch basins AV ` III. Disposal - A. Reclamation/Recycling unit _ B. On-site disposal 1. Town. sewer 2. Regular septic system 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 Persons Interviewe �e' c ns ector Date - - - - .` r. 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C ,,i �,.. �a '� •+ ab j : i ,'s , , ,p i, *y 3^ h�.K• } .+„r, 'e r , ,•.� A Y -it. •x III rP;t a ,Feb uarv=l2 1985 a z t i. t � . -� i k y,t n �, c 3 ar. 7 _ �!t f t '� .•^�'•�" a x t W,, s'" a v. c- .,` 1^T.j..i t t4 T'r a �<. .". 1F j 4•t.' x t it y a ," t r t .[C'r',y 7i, ,'^ ;I j•, 3ti -,i 'e _ . :tt�'s,,*.,j) Jr•.Yq f '.X vT S.bi e* i"F'r� a �r♦ ��, ,y-L G"fr; ti�r. a,y -.S 1q w;. r I k,I',"tt, ,� r ram„rf f� a ^K: x .4::' "..` s=. 3 .'[", J -.A - - a r .r , { 4 '" v. 2= 'a" r '4., ✓� .,'h ✓ .... — ..,4 v.r` I,�z 4 r rS u.Y E;.,.r -" ,gC. 4 ,,„ _ , }y!^J'r " s q1 'tS }.a� ^;. r=S C r .,ti xkj f, ai td:..r ! s-y kT -w' t .� 4 55.,9 a }lw,,L .sa{,-'' tip. ♦r' � ,, 'rl ,'•! ,r, 4 +�f y, 4. it �-,- t yi �,r'I. .i 'sr M1 " p, «'"�{ :^. rg 't *-:, ?1""'� t�� ' > i t; }" J sr+# �e. s, f �" a a f ' '{,, ' + yr' Piet ,,r'.'q_ 44' .,<h .a. r '# 'c. ti j++R'.= '? ° ::+c'9+ a i k+, vr'� k ,r, ' .SSA - , %+i, "rR .w ; aA ti'* ,•ty '?' i F '.:a :,, `A 4 yr t s , '' .v Yy i.,K'� xY" �:" ;., , Fk ,,* k x•s . it -. ` rug lMr:'Jim Davisr r i'M' ' "4 r a:..� k . ;. .� ti r, � '{ N ; Jin1 Davis Auto^Bad s y° ,� , i ,, � t E, .it 1 ',?*� ' i NT x - r�' J.:g s;t 7. `s .,s. ":. .r S , ` ,r " ';o r�r r >'Ai port,Road "} r 'j y i �3 +Tid y f . ( .. R f p t ir.� .yw s ta° t +vr." xi �' + 'H annis Ma 02601 , s �x I: , V + ,t je- , \ r .•I,a i i y t ai^;^" ' , �,. '} •5't yr, '7¢ J ,rI 4 t.. - a 4f , •V y,. i4 l l ,Y, a ., q S L r 1r, 1 J. , i,. 4, < i'k .x .. s 1 i w ,A c �, A a; t U '4' i 2 -i .f ,.' .i i ,, + , i t � 'v- :-Re: °Yourtiunderground,fuei°store a tank'`owAir ort Road,HYannia�" f'!" "' ` `�,." ti , law * s ., _ ( . :, y -t yipj a .g ;, ;.ST 1 a 4.ka�a_k �:i' S. '..•� r r 4 a r S t °. L S+IFc i '9 , S a,,{j '� ',`r �1, v `'.� ,�.s .. - , ." fryti�y li uT .a a� i ,. y 4•. k r f :F, ;a t Dear.Mr. Davis• "Jwy 1 "� k { It .I,y � r �.*+ a ,t k Y� S f c (p t v ` � ,d� ;` t• a •" ; S .� ar a r r ° t.X `i T"' '] ;.::�+, t .r,.i' , 11r? ki. r�r '� t. �,;i d� 't �t y u`'' , r 3:,..� r �r{s.f r 4 ti r L� r' ,i r* a± = s.wc r :e• . '* t't ' ." I, tii 4 r-'Our recordsf fndicate`that.you have ra 2 000 gallon' gasolineIunderground fuel tank; '� •. ,. '.which is twenty-three kyears -bid Town regulations reQuire;ail underground;fuel :- • ,, ,1 Y: ! tanks,'twenty=years:of age 'oi older, ;that have'a capacity"ofyove'rr 500.,gallons` ,,,'-`P}. ' " *; must abe ,tested:.each- year for `leaks." rThe,* Kent.. Mopie Pressure.- Test ',ie ttie 'F t ,y ` y II '., `' .i ,;preferred:test,"'.Yiowe'ver,t.an'=empty tankl'caw-be^^tested by a'S P3I •Air4P,ressure 't '- ` q•`f a r ,;e , ,Test'rheld far�vtminimum`of four';hou s:_Theyait, pressu e'test ,chfi 6nly'tie done �` i " .` t on`'an.empty tank,and is 'not the prote rrefl test A copy of, our regulation• 1''s =t;r r = ; r{ { enClOSed. . I I c i MA" 2 w. ;,x ` >1 tem • 4 t+c �y e q ti "�t t t x" , 1.3 4= e ! t o 'S,. , 'SS1 :. T'y sx y •t t rr S QL +S'i y; (; w _"v _ r Uw ! t,y �- " ra yf, , e r} ;+t . i ,. s. -. «,t, i r' '. a ♦ ' + r ! A.,r�, r,f , w .We are in'receipt of �' " r p your,..Air Pressuref:Test�which,was`done on January 30, 1985. �, . , .<, ,, - . , t '• 11 t'^�This teeting imui be -done"each ,year,and a copy of"the'�test esults',sent'to this' ," r , . '-C , ar ',` 5 ,h ri 5w'a!'.F 1 �- d ,'e ' 1Y 4ti• I .] J " •ti` ,+i' ,, ti t , �.t. :t fey: t office. x U z r., r " T. � Ir r rr• ••' ,,1'i' c,.r•xe,, "�i r x r q., +t..•+ a ,, _k I I ` ,t,..-V.1 w~ t, {„t'wI. ,.°�h�s�",.,," „ is ,s, ` r. y ... r .nt S s .5 +.«F e.. r .,.•..�. r,'�. -?• t '` ,� y ,. .` ^.,,"' 'S .,,.°i t-. .x,J. , '+,..' `+L' " .''; s ^•'v,,•'. " ' * i y We would`,appr(ctate.',your ,cooperation"ini,this matter ,so vitaly'to public safety T 'r y• ,Il I. �� and6the water !.' 4 t•• i a iT e,r quality of the town. y y, I, a i >4t a _ � _" t �5+:\ , ''a 1 a ' _ .+)yt Wt+dq ,ra" 4 J t jf:;Q t •y Cyr 4�,' s1� 1. t ,, t+ = 4 :rY "i-•� f i }'=r + St ' § JF. A ` , n fiPPiease call if you have any'=questions :775-1120, extension 182,`:- ; �� w '`t' •;^!..a^ G" ` 'e ^; ., I '*r 'r t s-' t a.'4" C''. +C . T , q .}., i- Y , 1 r a• t "y ' s C.p q" J,S 4 3 • y v t .1 h +-T ,' . . S `, C ,' -� f'Y ' f YeT r'tr�l Dur� r''Sa `S r.� M >, ti 7 k y T4i?, ' t �'' tt 9G'S f• / tC ,Y,` 1 j t3i`�r'.}. 4 Yr. 1 F r i.v ,. �t '''t 7,, -s ,t "„ Pw' a a4`s; 4-q" r,"r e� 1Yr,i C, ,� , a ,' � �` d# 'k".,`'f' "„: ,{" i " v~ s.. t t ;. ?U , 9 , HSt"t' t '' ..!' �Y_ I'4EY Z r ,d r' ' 4�, >"' � „f. g 4`",y �'• r-�:�pY1r 'i „+ i a r ,+ � r r ti `, t �" a .d . h . „ a y"''a r'.r . I t { r ' <•, ho-r •,a 3.' - '`x i+ .L y • _ ti,r. " T r ♦kT r"t .,•G.` :�, ,+ 1. etrt' John; I. Kelly ar . ,hr .. . �t xw c , ' ' -S.G .hf ' ,) 'Director'of•Public Health " r,tk `," I "<� ;' a ."'e, `�„ x;" � . E �, 'rs :C.••` d •J, _. �." - .I. ai.q• ' r � r = ," ', ,� if t . f ,x .j , ,4df-�"i'I for (•c !, -5,-..,,j ff ,�r "}. "t�, 'u` s ,t. "I '° - - +t'' a t I. tc u r i ar ', , ° RoberVL. Childs; ChairmarT iP fi' . ,A� ^'.. 1 r J "r4 -iY'` &.i.« ! :'.NArin'Jfwne"Eshl)au h 'Y & t� r"' s;" .� ri 't' 4, x,i,".4TT; }, eT.* k ;rj , "n .,• r ,•.i'�'n. r:% r:. .,t r� fit, " ..� .».. g - G i-—i . ;y ,' +! t t 5" r *•; r- C r Grover C' .�, Farrish `Di D I-# ., r �� z., r;,rd > , , ', t , M1 i , f, "0 ~'BOA U;OF ,, ,. a r : a �: f 3 °,t. a � I t1� .h� f $ R HEALTH � I h t �� r ,� 1 , f " � N Y ir ,' ` ' }.TOWN;OF BARNSTABL`B4 s*t " k r (., � "i =" ;C; M ,,!� A ' 9 ;:T�:t ,{ rr , r ..j .4 5 �.,� �4 2 �(gx. F 'p rc, t` (_d art "':" a '.�+h' ,u°' °T4, r.. "� '-i.' kij - d r s^ ;P i -'t. 3R'YY } k r. 7D' >r • a+N" `. N + r 16 a k -r4° ii•,, } - }, �# , i✓ , f f,( +:y `i '" . r C 4-f t ; i a. �ii]• ' {ti. ,f �' " JMK/mm -',, }} a �`' 4 � tk,y, * F S. w s,i l t ._rz ,. s, !t } (.,P !•.: ,t .;, + ,� ,» t v r'�, k a �S s, ,� ,F 7.. fa = �• �' X'''r r encl•,1 i,•,r.,, ' + ` '. " x,.? g .3 ty -. hr. } fs.}C+Ft a t^�"., " Y�'t' k . f ar -.D5; i `. r ' v y " t. - ti",• �.I .a t�. r+¢-,` , L y +',S +•,`'' •r v- L n ;� - ,.,k, - ty^ y c�',. s , ., ..5 +" x ' t '"s4t •t i>�'! ,�' ,r; p" �3`h s , in rf ', t i 10. e G -:rt£ i'?-. i i`� r.'c n' r r r, i + .+ ff��,.. - I � it 4;-,, w i } a 1 +,``' , �; : !Jry$ i rA E s , ° ,",'"r », e tF S 1.`ti " "L. " " a } j.. A ; " . . "i If , +. dAti t" u J ,ri6 • r t�••,•h'� i , •' = a y 4 ..'.' ,1' «AI. `r ~ J., ! t yy'` , sa.. r,r.'t''- tt.i t x r y `f ; •y ',", g x F. t". ft.y ,a 1., ,1 r- �^{,_ r4.. ,� .sty", , ''d' ,'... .ty ` -f-f, ""; y r �,' .j tx" .F..' "7 -'. ,Y "C .`v t: y fr`•..1 ya. , i r `. _ .* Tr'k i " `' r ,y� `,C e I, n` f"_ , _ �, - i t �Sa; s`.^t. �xa k .fi. v v",' ," t ..^r tat - i - s , y ,. is e _ T'' " y,r .1 J. ` M1. ,4 t,'t+ . I. ! i, t „ � if }., " , +i 1 q r i.^. Yt ." -ti+ {a. 1 E, r ` ,.. ^+5, " 4.+„ ➢ t. s 4 - "­ i ., . .}.: v .Ir. C t '� ..I ,,, ! p t. i Department of Public .Safety - Division of Fire Prevention .Y. Barnstable, November 15, 1962 M LICENSE - i r In accordance with the provisions of Chapter 148 of the General Laws, a. y` license is hereby granted to use the land herein described for the lawful use j of the building or other structure which is/are or is/are to be situated thereon, and as described on the plot plan filed with the application for this license. Location of land: Mary Dunn Road, Hyannis. .Nearest cross street: Route 132 Owner of land: (Philjon Development Corp. ) Nemasket Transportation Co. , Inc. a a Address: Hyannis, Mass. . . .Number of buildings or other structures to which this license applies: one. . . .Occupancy or use of such buildings: freight terminal and warehouse "{ Total capacity of tanks in gallons:--Aboveground, . .Underground.: 5,000 gallons *. �' King of fluid to be stored in tanks: gasoline and petroleum Restrictions---if any: Victor F. Adams Chairman, Board of Selectmen ;= Barnstable, November 15, 1962 Received and entered in the Clerk's office of 4 the Town of Barnstable, Book of Licenses No. 77, page 109. _J d Town Clerk 1/30/85 TOWN OF BARNSTABLE UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS NAME JIM DAVIS AUTO BODY Asses. 294-11 ADDRESS Airport Road VILLAGE Hyannis LOCATION OF TANKS: CAPACITY: TYPE OF FUEL AGE: TYPE: OR CHEMICAL 2,000 Gasoline 1962 Unknown (Give same information for any additional tanks on reverse side of card) DATE OF PURCHASE OF EACH: 1. 2. 3. 4. DATE OF FIRE DEPARTMENT PERMIT: TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS Jim`s Pump & Tank Service P.O. Box 224 Harwich, Mass. 02645 i January 30,1985 To Whom It May Concern; In regards to the testing of the diesel fuel tank at Davies Auto Body on Air Port Road, ( Old" New Mafket Building) . This tanktawas air test�,,'d for a. period of 24 hours and during that time. air pressure was held at 5 ,lbs. P.S.I. Sincerely Yours; JChs.se C LOCATION NAME Airport Rd. off Rte. 132 Hyannis Hyannis, Mass. BOOK & PAGE - DATE GRAI\ITED AMOUNT STORED 77/109 November 1-5, 1962 Under - 5,000 gals. Gasoline & Petroleum DATE PAID 1973 - March 21 ifitJ 1974 1975 MAR 7 f��5 � Eg 2 2 1930 1976 1977 MA R 197�MAR D og �r TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: NAME OF BUSINESS: '.kZ c. Board of Health MAILING ADDRESS: Je 1641- Town of Barnstable TELEPHONE NUMBER: P.O. Box 534 CONTACT PERSON: .�,¢—�u33Q 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 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 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 � '"•w•* .."ti.N MMt. - .,. .r-�,=.•'•W�•e _, «,.,•.,.......a-t�•�e^-:,,.s.,. r^�4i....,r•+.,..y_ +. .._ - "q'H.�'�'.""" •v .. '��.y"-v.'.,.�"` .. .... , ,,,. • ,. , TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM r � � Mail To: NAME OF BUSINESS: �`/`� ��' f "-� A Board of Health MAILING ADDRESS: �JF7' 'e7'` � �'�'�-� Town of Barnstable r TELEPHONE NUMBER: P.O. Box 534 Hyannis, MA 02601 'CONTACT PERSON: pIrf r I- o �.:1.� 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 ayes 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: ADD-RESS: 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 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) F is ii Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda y 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 t Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) 3 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 HEALTH O satisfactory 2.3nters .Auto Body Shops unsatisfactory- 4.Manufacturers fX�COMPANY 5�r�� - ,f �` O (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS "4"' ��-,y.� T5 6P 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 Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: DISPOSAIJRECLAMATION REMARKS: 1. Sanitary Sewage 2. Water Supply 0 Town Sewer OPublic 0 On-site OPrivate 3. Indoor Floor Drains YES NO 0 Holding tank: MDC 0 Catch basin/Dry well 0 On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC 0 Catch basin/Dry well 0 On-site system 5.Waste Transporter Name of Hauler Destination Waste Product YES NO 1. 2. Person (s) Interviewed Inspector Date !r TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory BOARD OF HEALTH 2.Printers3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY ��,.5/3 r a-.�Ii,' �-.,i,� C" (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS .� ice!' Y? / d Class: 7.Miscellaneous QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground IN . OUT IN.: .OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil(C) transmission/hydraulic Synthetic.Organics: degreasers ` Miscellaneous: DISPOSALIRECLAMATION REMARKS: 1. Sanitary Sewage 2.Water Supply 0 Town Sewer OPublic O On-site OPrivate 3. Indoor Floor Drains YES NO O Holding tank:MDC -. O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES NO ORDERS: O Holding tank:MDC O Catch basin/Dry,well O On-site system 5.Waste Transporter_ Name-of Hauler Destination Waste Product YES NO 1. 2• Person (s) Interviewed `" Inspector Date OWN OF B�iR N.S�A 2. Printers 1 Q satisfactory �:`3 Auto Body Shops BOARD OF HEALT . Qu isfactory. q. Manufacturers (see orders") S. Retail Stores 'COMPANY Q 11� � ( 6. Fuel Suppliers ADDRESS 5_0 -? Class.— /J 7. Miscellaneous `` QUANTITIES AND STORAGE (IN=indoors; OUT=outdoor: MAJOR MATERIALS `� Case lots Drums AbdveTanks Undetgtouad Tanks I N OUT I R z e rest Fue3s: ' Gasoline, Jet Fuel (A)"'� Diesel, Kerosene, N2 (EO Heavy Oils: + waste motor oil (C) cf9ke new motor oil (C) '` transmission/hydraulic Synthetic.Organics 04 deg,�ea�.xs— V L Miscellaneous: r J-1 � ? DISPOSAL RECLAMATION REW%RKS: - <� i.1- Sani'tary, Sewage 2. Water Supply OTown Sewer Q Public f�A�n3 �132 vi n tr'� ✓` ' O.On-site Q Privat 3. Indoor Floor Drains: YES NO M, O Holding tank: MDC OCatch basin/Dry well .___._�_._._..._. _____-.•_.. •_- •--- - On-site system l J) -►k 4. Outdoor Surface drains-,YES N17 AA C,r ' OL 0 /1 _. Holding- tank: MDC ' Catch basin/Dry well fc� ------ OOn-site system Transporter Licensed? S. Waste P Zcte roducYE _ML Name of nr•etinatinn �+ } ##. P on s) Int.erviewe Inspector Date u z3 ;:e1. a{� ' VfOWN OF BA R N STA B L E COMPLIANCE: CLASS: 1. Marine,Gas Stations,Repair ® satisfactory 2• Printers 'iB O A R3. Auto Body Shops .D OF HEALTH------ nsatisfactory- 4. Manufacturers COMPANY t.� J� N C_ (see"Orders") S. Retail Stores 6. Fuel Suppliers. ADDRESS -b = Class: 7. Miscellaneous QUANTITIES AND STORAGE (IN=indocrs; OUT=outdoors) MAJOR MATERIALS Case lots Drums AbdveTanks Undetground Tanks IN OLIT IIN IOUT IN IOUT # & Lyallons Age 1est? Fuels: Gasoline, Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: t waste. motor oil (C) new motor oil (C) - J�7 transmission/hydraulic Synthetic Organics: degreasers i I Miscellaneous: `T7 CL r DISPOSAL RECLAMATION REW RKS: 1. San�itarx Sewage 2. Water ply Town Sewer ® Public OOn-site O Private 3. Indoor Floor Drains. YES NO O Holding tank: MDC 1 l:cc e oCatch basin/Dry well =_._�� '_.. , r-�.�__77�__ ( � ;L� On-site system 4. Outdoor Surface drains:YES NC__,Y1, f Holding tank: MDC 1 ® Catch basin/Dry well ® On-site system �' (`'fit S. Waste Transporter Licensed? Name of Hauler . Destina ;on Waste Product - 1. ic"? (r--7 r 7 , U 23 81 Persons Interviewed Inspector Date TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM e- r✓ Mail To: NAME OF BUSINESS: �'� r� Board of Health el MAILING ADDRESS: < l�s Town of Barnstable TELEPHONE NUMBER: $� `7 P.O. Box 534 CONTACT PERSON: � �� ,�y�'-! 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 totallin t 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 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 � P nts, 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 t TOWN OF BARNSTABLE C MPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory BOARD OF HEALTH 2.Printers3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY P4 "x '�y � (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS 570 P41R Class: 7.Miscellaneous XY'-"UANTITIES AND STORAGE (IN= indoors; OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Undergrround IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline Jet Fuel(A) Diesel, Kerosene, #2 (B) He Oils: '� waste motor oil (C) new motor oil(C) t �,Ldra`uhc Synthetic Organics: degreasers Miscellaneous: W DISPOSAL/RE LAMATION REMARKS: 1. Sanitary Sewage 2. Water Supply 'Town Sewer Public ,�' ,�� f O On-site OPrivate 3. Indoor Floor Drains YES—No — O Holding tank:MDC 44 O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES N0—LZ ORDERS: O Holding tank:MDC � . O Catch basin/Dry well _ O On-site system 5. Waste Transporter Name of Hauler Destination Waste Product YES NO 2. L",�,r,�' Person(s) Interviewed Inspector Date