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0241 ATTUCKS LANE - HAZMAT
I At-f-m ck s Cm. o 1a�►�r.S °FIB rowti Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-7s0-6304 • BARMSTABLE.g! 200 Main Street• Hyannis, MA 02601 s6'9 O O C S S S O C O TXI AND HAZARDOUS MATERIAL INSPECTION REPORT TfD MP'� �eV1S� Business Name: rt Vf, 1 (6\)S Date- Location/Mailing Address: 24 1 A+ G S ay-e-, Jlptng it, 6 Contact Name/Phone: c. <, .e ,� i 3-7 213 Sb-76 Inventory Total Amount: ^ oo 4-t' 25oth SDS: License#: 3� 3 Tier II : VIA ", e, Labeling: 02 �u.twt.%-OK Spill Plan: y2sAir Oil/WaterSeparator: Floor Drains: h}n ` e, - ka bIL'6*gency Numbers: e.5 t- I Stora a Areas/Tanks: .W�1 (� �.So ,� 5T a t o �, R F « Soo a l o.s1-rg�g '1 ,5 C, n[A.� . A� � Z�,S y��1-�. AST a 1 aQ g Emer enc /Containment E ui ment: S D%I1 k�l'�..�-1�r lOoor�rs,�uot,���F ew s,-kQ- , SDe4��•Srsv,-C-4-- Waste Generator ID: Waste Product: a k k Date&Amount of Last Shi ment/Fre ue c : 5 Licensed Waste Hauler&Destination: 05rk- 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. S� Antifreeze 54 Dry cleaning fluids — Automatic transmission fluid Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid)4*`at'I Windshield wash 1'1S 1 Motor oils5W5 Miscellaneous Corrosives (,Sou Gasoline,jet fuel, aviation gas Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Soo Disinfectants isNf eTianuhous petroleum pro uc s• '�� Road salts Zrd Ib grease, lubricants, gear oil t '' Refrigerants S Degreasers for engines&garages s�h1 Pesticides: Caulk/Grout kA.i) e insecticides, herbicides, rodenticides to 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 41 Lacquer thinners Miscellaneous Combustible ►v aeCosol6, Paint&varnish removers, deglossers Leather dyes b`aQI K 00 Miscellaneous Flammables Soo� 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/RECOMMENDATIONS: L R wt t&-�t o! ,(,� 5 t 5rkaA4 w 11e! 2 o c-�� av`�s $ • li-bl-e eov tcrv� 4 � �ee, 1A Z , Inspector:` 1 Phaw+e �1 Facility Representative: /J,. SOp '7j(9rL pIEIICf WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS �S�h� PvtclI Cln�� oS-362, -3312- v � ��g- 3 fog- ��� s� Number Fee 1096 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that FIRST STUDENT Bus Company 241 ATTUCKS LANE, HYANNIS, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2017 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 07/01/2016 JUNICHI SAWAYANAGI THOMAS A.MCKEAN, R.S.,CHO Director of Public Health r• r Town of Barnstable a�TMe► Regulatory Services Richard V. Scali,Director I&AM ' Public Health Divlsioo BARNSTABLE p Sol ��6 1 ate" a.s�°o'kb"&wx= Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS DULY 1st-RUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26-110 Gallons: $50.00 ❑ CATEGORY 2 PERMIT 111 -499 Gallons: $125.00 ❑ • CATEGORY 3 PERMIT 500 or mare Gallons: $150.00 A yu. A late charge of$10.00 will be assessed if payment is not received by July 1st. ASSESSORS MAP AND PARCEL NO, 2.' H 1025 DATE_ 6/20I Z016 GG FALL NAME OF APPLICANT: t�7'5; 1-J'0 ?7 N i t n; t.. NAME OF ESTABLISHMENT: ADDRESS OF ESTABLISHMENT:_ 'Z tq 4 u r ( u N-C MAELING ADDRESS(IF DIFFERENT): TELEPHONE NUMBER OF ESTABLISHMENT: EMAIL ADDRESS Gvla. wilJisC 4-14-5 - rov • corn SOLE OWNER: ✓ YES,_,•,,,_NO IF NO,NAME OF PARTNER: FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATIONNAME First Studc-rli-,,�r�c.- 00 `/ine Sfreefi�y�LLi�c 1�{�, �jncinna 0�} �5ZO2. PRESIDENTrl n i 5 imnnle TREASURER , CLERK IF PREPARED BY OUTSIDE PARTY: • SI ATU OF APPLIC T Name: Ilan I. Aufsha lt, I 1?F_ `'• 1_ v, �� Company Address: i 10 'Peri rnei-er'Fbr k.Suite F,Kncv(V►Ile, Telephone#: 86 - 77 TtA E ►l cu�.sh a// om mail• �.� Qe1l✓• � 37�22 Q:1Application FomuVi ZZAPPRevl6.8ocx Page 1 of - - 1 Number Fee 1096 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00 Town of Barnstable Board of Health This is to Certify that FIRST STUDENT Bus Company 241 ATTUCKS LANE, 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 f - i ,M Town of Barnstable �IMME r°wti Regulatory Services °* Richard V. Scali,Director ' B"NAS& Public Health Division prFb '�" Thomas McKean,Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Application Fee:$100.00 ASSESSORS MAP AND PARCEL NO. 274/025 DATE 06/04/2015 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT First Student, Inc. NAME OF ESTABLISHMENT First Student, Inc.#11308 • ADDRESS OF ESTABLISHMENT 241 Attucks Lane, Hyannis, MA 02601 TELEPHONE NUMBER 508-362-4663 SOLE OWNER: X YES NO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. 592364035 STATE OF INCORPORATION Delaware FULL NAME AND HOME ADDRESS OF: PRESIDENT _Dennis Maple-600 Bine Street, Suite 1400, Cincinnati, Ohio 45202 TREASURER NA CLERK NA 0 . V SI NATURE OF APPLICANT RESTRICTIONS: HOME ADDRESS 241 Attacks Lane, Hyannis, MA HOME TELEPHONE# 508-922-7984 CAcachffemporary tntemet Files\O UMHAZAPP Rev2015.DOC °PINE Tok, Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 B"RM��E ' 200 Main Street• Hyannis, MA 02601 ,0� TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT CFO MPS h Business Name: t'i rSt Bos Cc .vv.-PAV V Date: Location/Mailing Address: _241 AiAvad-1 L--vw N ya n h i S Contact Name/Phone: 6-qeovL SOPd- 3o C•e.1/mod$ -73-7- 90 I Inventory Total Amount: 1,00 A,) MSDS: 25 License#: 109G eA+ 3 Tier II : At. ` eh Labeling: O mill Plan: e5 slw L4-v.� Oil/WaterSeparator: b Floor Drains: Nn Emergency Numbers: yes Storage Areas/Tanks: (aK d esc.1 A-G-,r, Dv j&X la..i• o.1 °•I t, pf�r Emergency/Containment Equipment: 5P,1112�k5 � '°"`� Waste Generator ID: MV Soo 5LA c, 64 Waste Product: t.Vr. Date&Amount of Last Shipment/Frequency: $ S r(v' 131 0,1 0% c-2x w.o• 444-4 41t4-�,rs- v-A-eri�, Licensed Waste Hauler&Destination: 5'Q- e1.� 1{�-�^- C�arS�-►-, 12--T- Other Waste Disposal Methods: AAtt LIST OF TOXIC AND HAZARDOUS MATERIALS Iv 0 wowt•1 �-�a - v. ��r�k.y 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 Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) Windshield wash 2oa 1,JA->--r2r-A 51%.•p �— Motor oils s60 y�u5�c-{�5�1'�Soo wco At K Miscellaneous Corrosives Gasoline,jet fuel, aviation gas "�''" Cesspool cleaners Diesel fuel, kerosene, #2 heating oil Disinfectants i10riscellaneous petroleum products: Road salts v/ 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" F 9,00g0.1 e0*1k, f,wA5\--,� (including chloroform,formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATI NS: Q&45 r-W- -dsGko-xDQ�.J�n. ..vlokt +Z- a<.. N cl,c.aw+ o-c l 5 +,i +< 1 �11 ti r 1k. Dt'• gk%& 4 1` �gkvcCkkn-L� c,VA4,4r5 0-��a,� by etfe'b�1 �"7 Q Inspector: �lna ar dLb �on V -k.sat�csca ode A. ! I / Q Facility Representative: �j�.� call�t•� vvz� 5�5 41�s �s� , WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BU INESS `oF►KE Tok� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARM --.g' 200 Main Street• Hyannis, MA 02601 .b39. M p,0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT tF0 Ay -� 1 �ts'F �f� w v Cpw�,pan�/ Date:Business Name: �- � � s Location/Mailing Address: 7-9 1 1'-Fue-�-- 4 h YI 'S Contact Name/Phone: -('�rle-oyt 6Lq o - -'7y Zo C e.11 Sa$-73 7-9b/l SSA Inventory Total Amount: 6- o d �,� MSDS: `e,S icense#: Tier II : Labeling:U gel"L4 ' \PkkA Spill Plan: Oil/WaterSeparator: Floor Drains:6how&'e�� Emergency Numbers: `fie- Storage Areas/Tanks: 00 p,l `I.t�.fi, o A-rr. �, q co <.-,- wAkLa k i,&wt,q«e +Y\w®, 'f1% 4gv;ee Emergency/Containment Equipment: ill w4 $ Y w�+&sN �t ,�ao ZSo I.-'-A. ,�wc5 Waste Generator ID: AA,\� © Waste Product: 6,1 ec5 PAS Date&Amount of Last Shipment/Frequency: 11 SO l led o !-Z woo . ba.-Vku,e-5 c 1� � Licensed Waste Hauler&Destination: _ Other Waste Disposal Methods: 1��5 �v. 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. 1,-o Antifreeze It'` L'144& Dry cleaning fluids I1.0 Automatic transmission fluid 55.tO Other cleaning solvents&spot removers Engine and radiator flushes Bug and tar removers Hydraulic fluid (including brake fluid) �2 SD Windshield wash '�s0 Ja1 Ag'� '110 Motor oils '3�0*1#0 cl a I Miscellaneous Corrosives Gasoline,jet fuel, aviation gas h°p Cesspool cleaners (9a00 Diesel fuel, kerosene, #2 he�atin$ oil A Disinfectants ibo Miscellaneous petroleum products: Z0 Road salts grease, lubricants, gear oil ?-ok*X°k ,L Refrigerants 'h0 Degreasers for engines&garages��� 4) Pesticides: Caulk/Grout (1- insecticides, herbicides, rodenticides y0 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 bog Lacquer thinners (oo Miscellaneous Combustible aesSot4 (V 4 rc Paint&varnish removers, deglossers Leather dyes 6.0k4 s - NO 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/RECOMMENDATIONS: P NO MI( <q vL v)2r <-,2ACW%e, a L Lokz- f, J A e,ILt-Qrj C,V— !kv4tc k. `j 1 s�ov—o QaCk,( . C,t Pam Ins 'lct. Facility Representativ WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS oF� roy Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMs�Le.� 200 Main Street• Hyannis, MA 02601 ED P& TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: lids 5 'jc oz 8vs -a y Date: -7 Location/Mailing Address: am 04y kS LawQ- � Yghnrs Contact Name/Phone: 6* yk 6r,-xm t - 7'{A0 cell-05-737-`ja 1/ Inventory Total Amount: z�OD° ck MSDS: License#: 10 1b Tier II : yp4 Labelin4: l hk oteAahlGS Glco-I-M pill Plan s -F- 6-�o-*eQ Oil/WaterSeparator: MI Floor Drains: NO Emergency Numbers: e5 Storage Areas/Tanks:N6 wb SaD cal +I t AA-►a Av6\,R--w-4t 300 4 I l6kite04 krr a+�+•w bo o�l — Emergency/Containment Equipment: 6Q,"94<4 MT Waste Generator ID: MQ - 1. Waste roduct: o+l aw-}, 'ree-'m s x s Date&Amount of Last Shipment/Frequency: -7 1 4 e-o+ /�-- IXIVVLD. Licensed Waste Hauler&Destination: 2� Q2� C<a."Ao A57- op 802g3`f Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS - NOTE: � Under the provisions of Ch. 111, Section 31, of the General Law§of MA, hazardo2mwaterial use,,,, AgTs t- storage and disposal of 111 gallons or more requires a license from the Public Health Division. JS0.l b� ol� 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) 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 'Ja Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides ti() _ 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" �P,eIl Ex%411+F„ dC (including chloroform, formaldehyde, hydrochloric acid, other acids) VIOLATIONS: ORDERS: INFORMATION/RECOMMENDATIONS: vJj,,) ro& et- V to �e Inspector Facility Representativ WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS Date: 8 l 6 113 TOWN OF BARNSTABLETOXIC AND AND HAZARDOUS MATERIALS FORM NAME OF BUSINESS: lrs- - ,,,Qr�W� �us Cor^apaw� BUSINESS LOCATION: ,2 I A-1`+o&LS 14V,404151 INVENTORY MAILING ADDRESS: '-4 1 A iLe Le-S L-a-Kt—, 14 64 n n +5 TOTAL AMOUNT: TELEPHONE NUMBER: 5-o S - 3 6 2 - 74 20 /t, X 0 0 CONTACT PERSON: G1,e-n n EMERGENCY CONTACT TELEPH E NUMBER: cx// .08-737-9011 MSDS ON SITE? TYPE OF BUSINESS: -5GWOD 1 bvs yeg INFORMATION / RECOMMENDATIONS: 9 P(ectse_s0bM if a,Ca air Fire District: ,IV,11 COV4-1VVAe la>k.IA),+L+tul 1 ec lse. lqpo I,CA-i-I s L t LI A- A �,Qr�wts ��_g��H�Z:ard(,ovs tJk s+�. ' oxl�, 4rtoQ��f'co►•c.-��,c,�s A 4e- 3) ►'[f-"ye -�,oe r�►mac s`ilia t re flJt`s ©rt s�o� '4 ra Waste T n: MV 4'o-876033:&`i Last shipment of hazardous waste: '7�?S/3 Name of Hauler: �a-�'e-4' -K1e e-K-- Destination: S, 4 cen �►�s „t 3zs�al o / Waste Product: t)a5fw- o F N.4�14r6 ckw-rhzxfs, Licensed? q ho �'I�D$�So28S�2- a K.+#4 -ee.-� -# p�-fs c Lern er NOTE: Under the provisions of a. 111, Section 31, of the General Laws of MA, hazardous material use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health and the Public Health Division have determined that the following products exhibit toxic or hazardous characteristics and must be registered regardless of volume. Observed / Maximum Observed / Maximum 330 Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive 0"NEW 27SSED S<- Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts(Halite) Hydraulic fluid (including brake fluid) Refrigerants Mot r Oils Pesticides b$ 0 NEW WOUSED 2-7S (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) 70 lubricants, gear oil ❑ NEW ❑ USED 30 Degreasers for engines and metal Printing ink Degreasers for driveways&garages Wood preservatives (creosote) Caulk/Grout Swimming pool chlorine y0 Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Miscellaneous Combustible Car wash detergents Leather dyes Car waxes and polishes Fertilizers Asphalt& roofing tar PCB's Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, Lacquer thinners (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform,formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) 1 Miscellaneous. Flammables(l�IKi `Krs.1 Other products not listed which you feel b La,6jeAXLr, may be toxic hazard Floor&furniture strippers twae.0SD y c or hazardous(Please list): Metal polishes /2y) �c6%)5+ F)v, s 30 e- Laundry soil &stain removers V(including bleach) ... #t4f,< I 410: III -�S ,��� 4A+, 11 f rs Spot removers&cleaning fluids / (dry cleaners) �O .9A+4&/Zwteac 'Kt owz-*5 -{-t� Other cleaning solvents T--I ✓ /J� Bug and tar removers �GCJrt1.5 �� � 0VL�A��� 00*C 41 K VUAVLT a.& C) Windshield wash CoV64,� ft+a) b Vf 5 or ra 5 ✓ WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials Number Fee 1335 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Five Star Bus ................................................................................................................................ 241 Attucks Lane, Hyannis, MA ........................................................................................................................................................................ Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. .................................................................................................................................................................... Restrictions: .................................................................................................................................................................... This license is granted in conformity with the Statutes and ordinances relating there to, and expires 06/30/2021 unless sooner suspended or revoked. ---------------------------------------- JOHN NORMAN DONALD A.GUADAGNOLI,M.D. 07/01/2020 PAUL J.CANNIFF,D.M.D. THOMAS A.MCKEAN, R.S.,CHO Director of Public Health i� Town of Barnstable � r Inspectional Services BARNSTABLE Public Health Division PRn.TnB E•E69I:QNR.nY.RR15 fL:.'.SitXiS M1Lt.10639-20-205?Ft'ILL_.t;Si B>iNST�E 14 575 i L = Thomas McKean, Director 039. 200 Main Street, Hyannis,MA 02601 W C> Office: 508-862-4644 Fax: 508-7906304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 R'vm— C,d y�CATEGORY 3 PERMIT 500 or more Gallons: $150.00 " *A late charge of$10.00 will be assessed if payment is not received by July 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? V' YES NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF GREATER THAN HOUSEHOLD QUANTITIES(25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT:. A 5. NAME OF ESTABLISHMENT: 6. ADDRESS OF ESTABLISHMENT: , ��� G� \a✓�P \`T 1 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME PRESIDENT TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE \Application Fonns\Haz Mat App i Draft J Q: J� Number Fee 1335 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Five Star Bus 241 Attucks Lane, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. --------------------------- -------------------------------------------------------------------------------------------------------------------------------- This license is granted in conformity with the Statutes and ordinances relating there to,and and expires 06/30/2020 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI, M.D. 07/01/2019 JUNICHI SAWAYANAGI THOMAS A. MCKEAN, R.S.,CHO Director of Public Health Town of Barnstable Inspectional Services BARMTABI,E FSHE T[L_� "uUs G.`Iekl�T3 nLµ E Public Health Division CAB . Thomas McKean Director , MAS& 9`bAr1659.ls`0$ 200 Main Street, Hyannis, MA 02601 h'S.f Office: 508-862-4644 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE t-d HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,:CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st—JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —49'9 Gallons: --- $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 .x%W Pj �1 *A late charize of$10.00 will be assessed if payment is not received by July 1st. t 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? YES_NO. IF YES, SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF • GREATER THAN HOUSEHOLD QUANTITIES (25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT r 5. NAME OF ESTABLISHMENT: Nt- r' , �C„� \� S 6. ADDRESS OF ESTABLISHMENT: 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 9. EMAIL ADDRESS: —1�)DItt-e"On�".J C G/-V--J-AS . 10. SOLEOWNER: YES_)�NO IF NO,NAME OF PARTNER: N\5�, ar, ���' r•�c.�`�'� 11. FULL NAME,HOME AD RESS,AND TELEPHONE#OF: CORPORATION N ME '. S PRESIDENT I�\\ S 0--, TREASURER CLERK 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: . COMPANY ADDRESS EMAIL: SIGNATURE OF APPLIC _ DATE _ Q:Wpplication Forms\Haz Mat App Revised 09-10-18.docx Number Fee 1335 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Five Star Bus 241 Attucks Lane, Hyannis, MA Is Hereby Granted a License For: Storing or Handling 500 gallons or more of Hazardous Materials. -------------------------------------------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------------------------------------------------------' This license is granted in conformity with the Statutes and ordinances relating there to, and and expires 06/30/2019 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2018 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health ow of Uervinstable t egVulcesa o Richard V. Scali, Director IMME Public Health Division BARNSTABLE > = Thomas McKean, Director 1°9-a 4 f—} -- -- - -- — sG39 ♦0 -- -- -..— °rEn 200 Main St�eetHpanni-s�Iv 02601-- fQ-- — »mr M Office: 508-862-4644 Fax: 508-790-6304 ' APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE, CHAPTER 108, E HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS DULY 1 st—JUNE 3 Oth). APPLICATION FEES CATEGORY 1 PERMIT 26— 11 O Gallons: $ 50.00 -❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 K VS *A late charge of$10.00 will be assessed if payment is not received by July 1st. 1. ASSESSOR'S MAP AND PARCEL NO. 2. IS THIS A PERMIT RENEWAL? YES_NO. IF YES, SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONING/BUILDING APPROVAL FOR HAZARDOUS MATERIALS STORAGE/USE OF • GREATER THAN HOUSEHOLD QUANTITIES(25 GALLONS)? YES NO. 4. FULL NAME OF APPLICANT: Z)A(r4-,-S h t �tf cc.►S�e� 5. NAME OF ESTABLISHMENT: 6. ADDRESS OF ESTABLISHMENT: t L S `S 1►'Vd�O�Q�t 7. MAILING ADDRESS (IF DIFFERENT FROM ABOVE: 8. TELEPHONE NUMBER OF ESTABLISHMENT: 6b�6 rLAg`C) "5 4 v �- 9. EMAIL ADDRESS: 1)"(ffh1 (p, 6 l),R o k kf \ks . co�tA 10. SOLEOWNER: YES_)!�NO IF NO,NAME OF PARTNER: �J 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME P V. PRESIDENT I c W%4 TREASURER CLERK 1-� 15-'1 J9 —`q � 12. IF PREPARED BY OUTSIDE PARTY: . NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: SIGNATURE OF APPLICANT DATE Q\Application Forms\HAZMAT APP 2017 REVISED.docx 1 Number Fee 1335 THE COMMONWEALTH OF MASSACHUSETTS $150.00 Town of Barnstable Board of Health This is to Certify that Five Star Bus 241 Attucks Lane, Hyannis, MA Is Hereby Granted a License For:.Storing or Handling 500 gallons or more of Hazardous Materials. This license is granted in-conformity with the Statutes and ordinances relating there to,and and expires 06/30/2018 unless sooner suspended or revoked. ---------------------------------------- PAUL J.CANNIFF,D.M.D,CHAIRMAN DONALD A.GUADAGNOLI,M.D. 07/01/2017 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health $1 o -w-(los3 'ROwn�of Barnstable egu atory ervices Richard V. Scali,Director Public Health Division BARNSTABLE ��y pitYYSTMIr• mgur•[ONR-XYwUs -Ij ASTABLE. 1 Thomas McKean,Director ""° ""�16 9;;,;"""10U MARILAr e`� 200 Main Street,Hyannis,MA 02601 � Office: 508-862-4644 cw/-7 Fax: 508-790-6304 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE ; HAZARDOUS MATERIALS IN ACCORDANCE WITH THE TOWN OF BARNSTABLE GENERAL ORDINANCE,CHAPTER 108, HAZARDOUS MATERIALS,ALL BUSINESSES THAT HANDLE OR STORE HAZARDOUS MATERIALS GREATER THAN HOUSEHOLD QUANTITIES ARE REQUIRED TO OBTAIN AN ANNUAL PERMIT(RUNS JULY 1 st-JUNE 30th). APPLICATION FEES CATEGORY 1 PERMIT' 26— 110 Gallons: $ 50.00 ❑ CATEGORY 2 PERMIT 111 —499 Gallons: $125.00 ❑ CATEGORY 3 PERMIT 500 or more Gallons: $150.00 y *A late char a of$10.00 will be assessed if Davment is not received by JuIv 1st. /r l n 1. ASSESSOR'S MAP AND PARCEL NO. G `� ��Q ('� Qv>� f NAO/ 2. IS THIS A PERMIT RENEWAL? YES v NO. IF YES,SKIP QUESTION 3. 3. FOR ALL NEW PERMIT APPLICATIONS,INDICATE WHETHER BUSINESS HAS ZONINGBUILDING APPROVAL FOR HAZARDOUS MATERIALS S�TORAGEXSE OF GREATER THAN HOUSEHOLD QUANTITIES(25 GALLONS)? ✓ YES NO. / 4. FULL NAME OF APPLICANT: r(V e, S�ay- Qf-t1 -- C4 y,re!j GP�✓�P� i� l 5. NAME OF ESTABLISHMENT: Fvc �-I mr PUcs 6. ADDRESS OF ESTABLISHMENT: P1 444 Qclb 440e q�/�/ff �jd Cwhal 7. MAILING ADDRESS(IF DIFFERENT FROM ABOVE: I 8. TELEPHONE NUMBER OF ESTABLISHMENT: �d� 02 -' 8Wb 9. EMAIL ADDRESS: Darreylg Fiyf° +c 'buJ. am 10. SOLEOWNER: YES NO IF NO,NAME OF PARTNER: 11. FULL NAME,HOME ADDRESS,AND TELEPHONE#OF: CORPORATION NAME riVe- S+4✓- B PRESIDENT AA4 4-1 LQC✓&115 i TREASURER N4��0.v\ LfC-0✓ ; CLERK Po r lr e V1 LfC✓ vAs Izi 12. IF PREPARED BY OUTSIDE PARTY: NAME: TELEPHONE#: COMPANY ADDRESS EMAIL: /- • SIGNATURE OF APPLICANT DATE � pt 6 11 C:\Users\Decollik\AppData\Locai\Microsoft\Windo4\Te porary Internet Files\Content.0utlook\BMQD49H2 MAT APP 2017 REVISED.docx MAIL-IN REQUESTS Please mail the completed application form to`the address below. In addition, please include the required fee. Make check payable to: Town of Barnstable. Allow five to seven (7) working days for in-house processing. Our mailing'address is: ` Town of Barnstable Public Health Division 200 Main Street ,Hyannis,MA 02601. FOR FAXED REQUESTS Our fax number is•(508) 790-6304. Please fax a completed application form. ,In addition, please mail the required fee amount. Please make the check payable to: Town of Barnstable. The check must be mailed to the address listed above. Allow u to four days for in-house processing. p Y P g For further assistance on any item above, call(508) 862-4644 C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\BMQD49H2\HAZMAT APP 2017 REVISED.docx f Number Fee 1096 THE COMMONWEALTH OF MASSACHUSETTS 100.00 Town of Barnstable Board of Health This is to Certify that FIRST STUDENT, INC. 241 ATTUCKS LANE, 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 6/30/2015 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 6/30/2014 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health 11 Town of Barnstable Barnstable Regulatory Services Department cjb Public Health Division 1 ,M 200 Main Street,Hyannis MA 02601 �. 2007 Office: 508-862-4W Thomas F.Geiler,Director FAX: 508-790.6304 Thomas A.McKean,CHO Application Fee:$100.00 ASSESSORS MAP AND p 274/Q25 07/11/2014 ARCEL NO, DATE APPLICATION FOR PE RMIT TO STORE AND/OR UTILIZE MORE THAN III GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT First Student, Inc. NAME OF ESTABLISHMNT First Student, Inc. #11308 ADDRESS OF ESTA BLISHMNT241 Attucks Lane Hyannis, MA 02601 TELEPHONE NUMBER 508-362-4663 SOLE OVVNER:n✓ ,YESENO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. 592364035 STATE OF INCORPORATION Delaware FULL NAME AND HOME ADDRESS OF: PRESIDENT Linda Burtwhistie-600 Vine Street,Suite 1400,Cincinnati Ohio 45202 TREASURER N/A CLERK WA SIGNA OF APPLICANT RESTRICTIONS: HOME ADDRESS 241 Attucks Lane,Hyannis,MA HOME TELEPHONE#508.922-7984 JAinspeetion handouMft Mat Application2008,DOC SPILL CONTINGENCY PLAN I Emergency Coordinator, Name: Paula Willis Address: 241 Attucks Lane, Hyannis, MA Daytime Phone. 508-362-4663 Evening Phone: 508-922-7984 Fire Department: Hyannis Fire Department (508)775-3473 Bzcn.stable Public Health Division: 508-862-464=; DEP 24 Hour Spit Hot Line: 888-304-1133 Waste Hauler: Name: ERTS Phone: 800-924-6804 j Building diagram indicating hazardous material/waste storage area, location of absorbent scavenger materials, fire extinguishers, fire!alarms (if present), and evacuation route (if applicable). / BUS PARKING (PAVL'O) f i —1 1 PROPERTY � OWNERS \ 81'OI3AGE ^ � S \% cl O GRAVELED uscDaL��,t � •O / / �ILfEH BIN OFFIG SHOP Ir2 IPHL>PAN6 r, FUEL PAD7�2 AST %I \ \\ ( fuU / 1 EMPLOYEE I PARKING y\ 8U&°ARKNNG J FLpN (GRAVELEO) \ �1 WOODS OIL STORAGE AREAS 3 CA) 14.0W GAL OKSLL AST _ 0 I.WO GAL MOTOR OL AST i ITS GAL USED OIL AST 2-215 GAL HEATING OIL ASTS - 1-SS GAL ATr DRUMS C 145 GAL MOTOR OIL DRUM IZ GAL ATr DRUM NO:fO ccx.c 2-W GAL USM OIL DRUM Actions to be taker_ to control a spill or release, and preventing it from reaching a catch basin, sewer system or the ground. Absorbent pads or granular material will be used to soak up spills. Spill containment berms will be used to divert/contain spills from reaching catch basins, sewer systems or the ground. I ' rat ENVIRONMENTAL July 15, 2014 Town of Barnstable Public Health Division 200 Main Street Hyannis, Massachusetts 02601 Hazardous Materials Storage Permit Renewal Application First Student,Inc.#11308—Hyannis,Massachusetts Permit Number 1096 Strata Environmental Project Number 0038401 To Whom It May Concern: Enclosed is the completed application for a permit to store and/or utilize more than 111 gallons of hazardous materials for the First Student, Inc. facility located at 241 Attucks Lane, Hyannis, Massachusetts. Also included is the$100.00 fee payment. If you have any questions regarding this submittal,please contact the undersigned at 865/539-2077. Sincerely, STRATA ENVIRONMENTAL Andrea Heinzenberger Environmental Scientist AEH:dlj Enclosures cc (w/Enclosures): Paula Willis, Location Manager, First Student,Inc. 110 Perimeter Park,Suite E,Knoxville,TN 37922•tel 865.539.2077•fax 865.539.3970•www.strataenv.com 0038401.23921.doc 1• Number Fee 1096 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00 Town of Barnstable Board of Health This is to Certify that FIRST STUDENT, INC. XATTUCKS LANE, HYANNIS,MA 02601 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 6/30/2014 unless sooner suspended or revoked. ---------------------------------------- WAYNE MILLER,M.D.,CHAIRMAN PAUL J.CANNIFF,D.M.D. 8/23/2013 JUNICHI SAWAYANAGI THOMAS A.MCKEAN,R.S.,CHO Director of Public Health I n 1 Strata ENVIRONMENTAL 7August 21,2013 i Town of Barnstable Public Health Division 200 Main Street Hyannis, Massachusetts 02601 Hazardous Materials Storage Permit Application First Student, Inc.#11308—Hyannis,Massachusetts Strata Environmental Project Number 0038401 To Whom It May Concern: Enclosed is the completed application for a permit to store and/or utilize more than 111 gallons of hazardous materials for the First Student, Inc. facility located at 241 Attucks Lane, Hyannis, Massachusetts. Also included is the$100.00 fee payment. If you have any questions regarding this submittal,please contact the undersigned at 865/539-2077. Sincerely, STRATA ENVIRONMENTAL Andrea Heinzenberger Environmental Scientist AEH:cmm Enclosures cc(w/Enclosures): Paula Willis, Location Manager,First Student,Inc. � Q O �-e t� t,t M 0038401.22139.ddA0 Perimeter Park,Suite E,Knoxville,TN 37922•te1865.539.2077•fax 865.539.3970•www.stratwnv.com i Town of Barnstable Barnstable .�W' Regulatory Services Departmentd Public Health Division r 200 Main Street Hyannis MA 02601 2007 Office: 508-862-4644 Thomas F.aeiler,Director FAX: 508-790-6304 Thomas A.McKean,CHO Application Fee.$100.00 ASSESSORS MAP AND PARCEL NO. 274/025 DATE 08/08/2013 APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN 111 GALLONS OF HAZARDOUS MATERIALS FULL NAME OF APPLICANT First Student, Inc. NAME OF ESTABLISHMENT First Student, Inc. #11308 ADDRESS OF ESTABLISHMENT 241 Attucks Lane, Hyannis, MA 02601 TELEPHONE NUMBER 508-362-4663 SOLE OWNER: ✓LYESELNO IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS'OF ALL PARTNERS: IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. 592364035 STATE OF INCORPORATION Delaware FULL NAME AND HOME ADDRESS OF: PRESIDENT Linda Burtwhistle-600 Vine Street,Suite 1400,Cincinnati Ohio 45202 TREASURER N/A CLERK N/A G1; )A, �r'\ Uk&4 SIGNA OF APPLICANT RESTRICTIONS: HOME ADDRESS 241 Attucks Lane,Hyannis,MA HOME TELEPHONE#508-922-7984 J:linspection handouts\Haz Mat Application=&DOC I I SPILL, CONTINGENCY PLAN Emergency Coordinator, Name: Paula Willis Address: 241 Attucks Lane, Hyannis, MA Daytime Phone;- 508-362-4663 Evening Phone: 508-922-7984 Fire Department: Hyannis Fire Department (508)775-3473 I : B��stable Public Health Division: 508-862-4644 DEP 24 Hour Spit Hot Line: 888-304-1133 Waste Hauler: Name: ERTS Phone: 800-924-6804 Building diagram indicating hazardous material/waste storage ge area, locationof absorbent scavenger materials, fire extinguishers, fire.alarms (if present), and evacuation route (if applicable). r /�.BUS PARKING / (PAVED) \ / PROPERTY OWNLRIS STORAGE V r S i 9 OAP �9 +� GRAVELED AUSCOOIL IL IEN SIN' FEE } SHOP/2 - 1 j� ANh' O FUELP/�pr�2 AST 1 EMPLOYEE �\ PARKING Bus! ON -(GRAVELEO) \ (PAVED) WOODS I OIL'STORAOE AREAS Q/'��l 1.6.000 dAL OMSLI.AST . - � 1-WO GAL MOTOR OIL.AST - - 1.276 GAL USED OIL AST - 2.775 GALHEATPIG OIL ASTS 1-33 GAL ATf DRUMS 1.65 GAL MOTOR OIL DRUM 1.53 DAL ATT DRUM- 1 No-tp cc � 2-W OAL1 USED OIL DRUM Y Actions to be taken to control a spill or release, and preventing it from reaching a catch basin:, sewer system or the ground. Absorbent pads or granular material will be used to soak up spills. Spill containment berms will be used to divert/contain spills from reaching catch basins, sewer systems or the ground. Y ®ti On-Cape Lithographers,Inc. Attucks Lane, Independence Park Hyannis, Massachusetts 02601-1811 508-771-0321 800-828-2232--- FAX 508-771-9746 P TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF BUSINESS: h MAILING ADDRESS: �' = �� ''�" �" To. - . able TELEPHONE NUMBER: -7 21 4 CONTACT PERSON: ,- f Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quan ties totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO ThisJorm 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, � F�� � � 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) Arq*,a Degreasers for engines and metal IA Photochemicals (fixers and developers) Degreasers for driveways & garages t 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 J . y /o"Y,6 TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair 0 satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops ���� 0 unsatisfactory- 4.Manufacturers COMPANY t-k��'1A!_V (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS �4-� �'-/-11(;laSs: 7.Miscellaneous �_,� WZQUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Al- Gti4 uels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) � Heavy Oils: waste motor oil (C) new motor oil(C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2. Water Supply klkj&�ok O Town Sewer ,Public _ _010n-site O Private 3. Indoor Floor Drains YES f'' NO O Holding tank:MDC Catch basin/Dry well )7 On-site system O ,.c va l&4'14 4rw 4. Outdoor Surface drains:YES ! NO ORDERS: O Holding tank:MDC Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product YES NO 2. erson (s Interviewe Inspector Date rc MATERIAL SAFETY DATA HEFT AND SAFE HANDLING AN _ =r RMATION PAGE 1 OF 3 DATE 02/14/87 Ta" ZEP MANUFACTURING COMPANY SUPERSEDES: 05/23/86 RFt°'D.1G� NUMBER: 0144 FIRST IN MAINTENANCE PRODUCTS ,e,C T ION I - E M E R G E N C Y C 0 N T A C T S i ZEP MANUFACTURING COMPANY NON-OFFICE HOURS, WEEKENDS, AND HOLIDAYS: AREA CODE 404 P. O. BOX 2015 435-2973, 996-0999, 252-1567, 351-2952, •445-9226 ATLANTA, GEORGIA 30301 LOCAL POISON CONTROL CENTER I . . . . . . . . . . . . TELEPHONE (404)352-1680 TRANSPORTATION EMERGENCY BETWEEN 8: 00A. M. -5: OOP. M. CHEMTREC: TOLL FREE 1-800-424-9300 ALL CALLS RECORDED (EASTERN TIME ZONE) DISTRICT OF COLUMBIA (202)483-7616 ALL CALLS RECORDED - - SECTION 11 - H A Z A R D 0 U S I N G R E D I E N T S, TI.V EFFECTS % IN DE.'c I(3 NAT IONS (PPM) (SEE ;REVERSE) PROD. ** Jv��OPROPYL ALCOHOL *# ipa; dimethylcarbinol; 2-pro- 400 IRR FRL 10-20 p,mol; CAS# 67-63-0; RTECS# NT8050000 OSHA PEL 400ppm # ET'HYLENE GLYCOL MONOBUTYL ETHER ## 2-butoxyethan- 25 TOX IRR CBL <5 ol ; iwtyl cellosolve; CAS# 111-76-2; RTECS# V:JE3575000; OSHA PEL (SKIN)-50 ppm. i I I ------•------------------------------------------------------------- SPECIAL NOTE ADVERSE HEALTH EFFECTS WOULD NOT BE EXPECTED UNDER RECOMMENDED CONDITIONS OF USE SO LONG AS PRESCRIBED SAFETY PRECAUTIONS ARE PRACTICED. ---------------------------------------------------------------------- SECTION III - H E A L T H H A Z fA R D D A T A ACUTE EFFECTSOF"OVEREXPOSURE: _ _ EYE»`I*RR,ITANT. 'EYE CONTACT MAY PRODUCE STINGING, BURNING, INFLAMMATION. AN.D > EXT` E-�ME CASES MAY PRODUCE CORNEAL DAMAGE. EXPOSURE MAY BE IRRITATING TO SKIN, A14D UPPER RESPIRATORY TRACT. ACCUMULATION OF HARMFUL QUANTITIES OF VAPOR IS PRE- CEDED BY SEVERE IRRITATION WHICH MAKES OVER-EXPOSURE UNLIKELY. OVER-EXPOSURE CAN :StJLT IN MILD NARCOTIC EFFECTS, INCLUDING FLUSHING, HEADACHE, DIZZINESS, AND NAUSEA. INGREDIENTS IN THIS PRODUCT MAY AGGRAVATE EXISTING SKIN, EYE, OR RESPIRATORY DISORDERS. MATERIAL SAFETY DATA SHEET AND SAFE HANDLING AND DISPOSAL INFORMATION PAGE 2 OF 3 DATE : 02/14/87 ZEP 40 ZEP MANUFACTURING COMPANY SUPERSEDES: 05/23/86 PRODUCT NUMBER: 0144 'RST IN MAINTENANCE PRODUCTS H E A L T H H A Z A R D D A' T A (CONTINUED) CHRO141C EFFECTS OF OVEREXPOSURE: REPEATED OR PROLONGED, SKIN CONTACT MAY PRODUCE SOME DRYNESS OF SKI14. CHRONIC EFFECTS FROM ALCOHOL VAPORS ARE RARE AND WOULD RESULT FrOM SEVERE, PROLONGED, AND REPEATED CONTACT, ' WHICH IS USUALLY PRECLUDED BY IRRITATION. IN MOST EXTREME CASE, NARCOSIS, UNCONSCIOUSNESS, AND DEATH COULD RESULT. ANIMAL_ STUDIES INDICATE A POTENTIAL FOR LIVER, KIDNEY, bR RED BLOOD CELL DAMAGE. RELEVANCE OF THESE STUDIES OR EXPOSURE LEVELS WHICH MIGHT PRODUCE THESE EFFECTS IN HUMANS HAS NOT BEEN ESTABLISHED. 1 z NONE OF THE HAZARDOUS INGREDIENTS ARE LISTED AS CARCINOGENS BY IARC, NTP, & OSHA EST `D PEL/TLV: NOT ESTABLISHED PRIMARY ROUTES OF ENTRY: ; INN, SKIN. -------------------------------------------------------------r-------------------------- HMIS CODES: HEALTH 1; FLAM. 3; REACT. 1; PERS. PROTECT. A ; CHRONIC HAZ. YES FIRST AID PROCEDURES: SKIN IMMEDIATELY FLUSH CONTAMINATED SKIN WITH PLENTY OF WATER FOR AT LEAST 15 MINUTES. GET MEDICAL ATTENTION IF IRRITATION DEVELOPS. EYES IMMEDIATELY FLUSH EYES WITH PLENTY OF WATER FOR AT LEAST 15 MINUTES, OC- CASIONALLY LIFTING UPPER AND LOWER LIDS. GET MEDICAL ATTENTION AT ONCE. INHALE: MOVE EXPOSED PERSON TO FRESH AIR. IF IRRITATION PERSISTS, GET MEDICAL ATTENTION PROMPTLY. l_iE ;T: THIS ROUTE OF EXPOSURE IS NOT LIKELY DUE TO PRODUCT NATURE. ----------------------------------------------------------------------------------------- SECTION IV - S P E C I A L P R 0 T E C T 1 0 N I N F 0 R M A T :1 O N PROTECTIVE CLOTHING THE USE OF NEOPRENE, NITRILE OR NATURAL RUBBER GLOVES IS STRONGLY RECOMMENDED, ESPECIALLY FOR PROLONGED CONTACT. EYE PROTECTION : USE OF TIGHT-FITTING SAFETY GLASSES OR GOGGLES IS STRON- GLY RECOMMENDED, ESPECIALLY WHEN WEARING CONTACT LENSES. RESPIRATORY PROTECTION: KEEP FACE AWAY FROM SPRAY MIST AND DO NOT BREATHE VAPORS. VENTILATION : VENTILATION SHOULD BE EQUAL TO OUTDOORS. USE: EXHAUST FANS AND/OR EXHAUST HOOD IN ENCLOSED SPACES. --------------------------------------------------------------------------------- SECTION V - P- H Y S I C A L D A T A (FOR FILL MATERIAL ONLY) BOILING POINT (F) 185-215 SPECIFIC GRAVITY VAPOR PRESSURE(MMHG) : N/D PERCENT VOLATILE BY VOLUME (%) 75 VAPOR DENSITY(AIR=1 ) : N/D r EVAPORATION RATE(WATER =1 ) : 1. 0 SOLUBILITY IN WATER COMPLETE PH(CONCENTRATE) 10. 5 . t PH(USE DILUTION OFF; ) : N/A APPEARANCE AND ODOR : CLEAR, COLORLESS FOAMY LIQUID HAVING A MILD PLEASANT ODOR ------------------------------------------------------------------ SECTION VI - F I R E A N D E X P L 0 S 1 0 N D A T' A i f= SH POINT(F) (METHOD USED) : NOT FLAMMABLE (CSMA) FLAMMABLE LIMITS LEL N/D UEL N/D EXTINGUISHING MEDIA NONE REQUIRED SPECLAL- FIRE FIGHTING: DIRECT A STREAM OF WATER ONTO CANS INVOLVED 1N FIRE. kINUSUAL FIRE HAZARDS : CONTAINER MAY BURST IF HEATED ABOVE 120F. w MATERIAL SAFETY DATA SFI EET AND SAFE HANDLING AND DISPOSAL INFORMATION PAGE 3 OF 3 DATE 02/14/87 ZEP 40 ZEP MANUFACTURING COMPANY SUPERSEDES: 05/23/86 PRODiUCT NUMBER: 0144 cIRST IN MAINTENANCE PRODUCTS r SEC T I ON V I I — R E A C T I V I T Y D A T A STABILITY STABLE INCOMFATIBILITY(AVOID) STRONG OXIDIZERS POLYMERIZATION WILL NOT OCCUR HAZARDOUS DECOMPOSITION: CARBON DIOXIDE, CARBON MONOXIDE, AND OTHER UNIDENTIFIED ORGANIC COMPOUNDS. SECTION VIII — S P I L L A, N D, D I S P 0; S A L P R 0 C E D U R E S STEPS TO BE TAKEN IN CASE MATERIAL IS RELEASED OR SPILLED: OBSERVE SAFETY PRECAUTIONS IN SECTIONS 4 & 9 DURING SPILL CLEAN—UP. LARGE SPILLS ARE UNLIKELY DUE TO PACKAGING. SPILL MAY BE ABSORBED ON AN INERT ABSORB— ENT ( g ZEP--O—ZORB ) , PLACED IN A SUITABLE CONTAINER FOR DISPOSAL. WASH AREA THOROUGHLY WITH A DETERGENT SOLUTION AND RINSE WELL WITH WATER. WASTE DISPOSAL METHOD: PRODUCT 16 CONSUMED IN USE. DO NOT CRUSH, PUNCTURE OR INCINERATE SPENT CONTAIN- EP,S. LARGE NUMBERS OF AEROSOL CONTAINERS MAY REQUIRE HANDLING AS A HAZARDOUS WASTE, BUT IN MOST STATES TOTAL HAZARDOUS WASTE QUANTITIES LESS THAN 220 LBS PER MONTH MAY ALLOW DISPOSAL IN A CHEMICAL OR INDUSTRIAL WASTE LANDFILL. CONSULT LOCAL: STATE AND FEDERAL AGENCIES FOR THE PROPER DISPOSAL -METHOD IN YOUR AREA. RCRA HAZ. WASTE NOS. : D001 ------------------------------------------------------------------------------------- SECT ION IX — S P E C I A L P R E C A U T I O N S PRECAUTIONS TO BE TAKEN WHEN HANDLING AND STORING: DO NOT STORE AT TEMPERATURES ABOVE 120F. OR IN DIRECT SUNLIGHT. DO NOT PUNCTURE .OR INCINERATE_, CONTAINERi �iOT BREA H SPRA-Y !,MISTS OR VAPORS.. ,may 1� lC�OIJTOSYES- _- _ _ _ ,.. AVOID 'PROLONGED CONTACT WITH SKIN. KEEP OUT OF THE REACH OF CHILDREN. ---�-_.----------------------------------------------------------------------------- SECTION X - T R A N S P 0 R T A .T 10 N D A T A . DOT PROPER SHIPPING NAME CONSUMER COMMODITY DOT HAZARD CLASS: N/A ')OT I. D. NUMBER : N/A DOT LABEL/PLACARD: ORM—D 'A TCA CHEMICAL. INVENTORY — ALL INGREDIENTS ARE LISTED EPA CWA 40CFR PART 117 SUBSTANCE(RQ IN A SINGLE CONTAINER ) : N/A Y r e MATERIAL SAFETY DATA SHEET ® AND SAFE HANDLING AND"DISPOSAL F NATION PAGE i OF 3 P ZEP MANUFACTURING COMPANY DATE 07/17/86 -8 `:;� ��cTu`l �jr4y `��©'eyS E^^? "IRSTIN MAINTENANCE PRODUCTS SUPERSEDES: 09/85 PRODUCT NUMBER: 0166 i r SECTION I — E M E R G E N C Y C 0 N T A C T S ZEP MANUFACTURING COMPANY NON—OFFICE HOURS, WEEKENDS, AND HOLIDAYS: AREA CODE 404 P. O. BOX 2015 435-2973, 996-0899, 252-1587, 351-2952, 445=9226 ATLANTA, GEORGIA 30301 LOCAL POISON CONTROL CENTER . . . . . . . . . . . . . . . . . . . . . . . . . . TELEPHONE (404)352-1680 TRANSPORTATION EMERGENCY BETWEEN 8: DOA. M. —5: OOP. M. CHEMTREC: TOLL FREE 1-800-424-9300 ALL CALLS RECORDED (EASTERN TIME ZONE) DISTRICT OF COLUMBIA (202)483-7616 ALL CALLS RECORDED ' -- — SECTION I I — H A Z A R D 0 U S I N G R E D I E N T S TLV EFFECTS % IN DESIGNATIONS (PPM) (SEE REVERSE) PROD. ** 1, 1, 1—TRICHLOROETHANE ** methyl chloroform 350 IRR CNS >90 chlorothenei CAS# 71-55-6s RTECS# KJ2975000 OSHA PEL 350ppm i i _ — SPECIAL NOTE ADVERSE HEALTH EFFECTS WOULD NOTBE EXPECTED UNDER RECOMMENDED CONDITIONS OF USE SO LONG AS PRESCRIBED SAFETY PRECAUTIIONS, ARE PRACTICED. SECTION III — H E A L T H H— —A Z''A R D D A T A 'I — --_______ __ t" ACUTE EFFECTS OF OVEREXPOSURE: INHALATION OF VAPOR CAN PRODUCE CENTRAL NERVOUS SYSTEMIDEPRESSION CHARACTERIZED BY DIZZINESS, HEADACHE, NAUSEA, CARDIAC AND/OR RESPIRATORY DEPRESSION, .STUPOR, 'INCONSCIOUSNESS AND DEATH, IN EXTREME CASES. EXPOSURE TO HIGH CONCENTRATIONS OF ,POR BY DIRECT CONTACT OR INHALATION CAN BE IRRITATING TO MUCOUS INEMBRANF_S, SUCH AS EYES AND UPPER RESPIRATORY TRACT. SEVERE EYE EXPOSURE TO LIQUID CAN CAUSE REVERSIBLE EYE DAMAGE. SKIN CONTACT MAY CAUSE A BURNING SENSATION AND REDDENING OF THE SKIN. INTRODUCTION OF SOLVENT TO THE LUNGS, AS IN ASPIRATION OF VOMITUS FLUIDS, MAY CAUSE CHEMICAL PNEUMONIA. EXPOSURE TO THIS PRODUCT MAY AG— GRAVATE EXISTING RESPIRATORY AND CARDIAC CONDITIONS. INHALATION OF AEROSOL MIST MAY PRODUCE CHEMICAL PNEUMONIA. f` MATERIAL SAFETY DATA SHEET I ® AND SAFE HANDLING AND DISPOSAL INFORMATION PAGE 2 OF 3 ZEP MANUFACTURING COMPANY DATE 07/17/86 ZEP—PAR 'RST IN MAINTENANCE PRODUCTS SUPERSEDES: 09/85 PRODUCT NUMBER: 0166 SECTION III — HE A L T H H A Z A R D D A T A (CONTINUED) CHRONIC EFFECTS OF OVEREXPOSURE: REPEATED OR PROLONGED CONTACT BY INHALATION OR SKIN ABSORPTION MAY PRODUCE LIVER OR KIDNEY DAMAGE OR DAMAGE TO THE CENTRAL NERVOUS SYSTEM (characterized by ting— ling or numbness 1 the EXPOSUREextremities, SOLVENTSTeIS vision SUSEPTIBLE1on). SKIN TO IRRITATIONS IS DEFATTED BY REPEATED INFECTION, AND DERMATITIS. EXPOSURE TO SOME INGREDIENTS IN THIS PRODUCT CAN AGGRAVATE EXISTING LIVER DISEASE OR HEART RHYTHM DISORDERS. NONE OF THE. HAZARDOUS INGREDIENTS ARE LISTED AS CARCINOGENS BY IARC, NTP, 9x OSHA EST'D PEL/TLV: 350 PPM EST. PRIMARY ROUTES OF ENTRY: INH, SKIN. ---------------------------------------- HMIS CODES: HEALTH 2; FLAM. I; REACT. 1; PERS. PROTECT. X ; CHRONIC HAZ. YES ------ FIRST AID PROCEDURES: SKIN WASH CONTAMINATED SKIN THROVGHLY WITH SOAP OR A. MILD DETERGENT. APPLY A SKIN CREAM WITH LANOLIN. GET MEDICAL ATTENTION IF IRRITATIOIV PERSISTS. EYES : IMMEDIATELY FLUSH EYES WITH PLENTY OF WATER FW AT LEAST 15 MINUTES, OC— CASIONALLY LIFTING UPPER AND LOWER LIDS. GET MEDICAL ATTENTION AT ONCE. "4ALE: MOVE EXPOSED PERSON TO FRESH AIR AT ONCE. IF BREATHING HAS STOPPED, PER— FORM ARTIFICIAL RESPIRATION. GET MEDICAL ATTENTION IMMEDIATELY. INGEST: IF SWALLOWED, DO NOT INDUCE VOMITING. IF VOMITING OCCURS, KEEP HEAD BELOW HIP LEVEL. GET EMERGENCY MEDICAL ATTENTION IMMEDIATELY. --------- _ ---- -------- SECTION IV — S P E C I A L P R 0 T E C T I 0 N I N F 0 R M A T I 0 N PROTECTIVE CLOTHING WEAR VITON GLOVES OR USE GLOVES WITH DEMONSTRATED RESISTANCE TO THE INGREDIENTS IN THIS PRODUCT. EYE PROTECTION USE TIGHT—FITTING SAFETY GLASSES. CONTACT LENSES SHOULD NOT BE WORN WHEN WORKING WITH THIS MATERIAL. RESPIRATORY PROTECTION: IF VENTILATION IS INADEQUATE, W ARIA PROPERLY FITTING MSA OR OSHA—APPROVED RESPIRATOR X— VENTILATION VENTILATION SHOULD BE EQUIVALENT TO OUTDOORS. USE EX— HAUST FANS AND OPEN WINDOWS IN ENCLOSED SPACES. _____ __ ---------------- -------------------------------r---------- SECTION V — P H—Y S I—C A L D A T A (FOR FILL MATERIAL ONLY) BOILING POINT (F) : 165 SPECIFIC GRAVITY 1 1. 34 VAPOR PRESSURE(MMHG) : APPROX. 100MM PERCENT VOLATILE BY VOLUME WT. 95% VAPOR DENSITY(AIR=1 ) : APPROX. 4. 0-- EVAPORATION RATE(BUTYL; ACETATE =1 ) : 5. 0 SOLUBILITY IN WATER : NEGLIGIBLE PH(CONCENTRATE) N/A PH(USE DILUTION OF APPEARANCE AND ODOR : CLEAR, THIN COLORLESS LIQUID; MILD CHLORINATED SOLVENT ODOR ------------------------- SFCTIONVI — F I RE AND E X P L 0 S I ON DATA ; FLASH POINT(F) (METHOD USED) : NONE (CSMA) FLAMMABLE LIMITS LEL 7. 0 UEL 13. 0 EXTINGUISHING MEDIA : AEROSOL CONCENTRATE IS NOT COMBUSTIBLE SPECIAL FIRE FIGHTING: WEAR CONCENTRATEDNVAPORDMAYSITIVE IGNITEPIFSEXPOSEDHTOG:3PARKRATUS. UNUSUAL FIRE HAZARDS . MATERIAL SAFETY DATA SHEET ® AND SAFE HANDLING AND DISPOSAL INFORMATION PAGE 3 OF 3 ZEP MANUFACTURING COMPANY DATE 07/17/86 ZEP-PAR cIRST IN MAINTENANCE PRODUCTS SUPERSEDES: 09/85 PRODUCT NUMBER: 0166 SECTION V I I . - R E A C T I V I T Y D A T A STABILITY STABLE INCOMPATIBILITY(AVOID) HEAT, OPEN FLAME, SPARK, AND OXIDIZING AGENTS POLYMERIZATION WILL NOT OCCUR HAZARDOUS DECOMPOSITION: CARBON DIOXIDE, CARBON MONOXIDE, HYDROGEN CHLORIDE, AND SMALL AMOUNTS OF PHOSGENE & CHLORINE GAS. ------------------------------------------------------------------------------- SECTIONVIII - SP I LL A N b D I S P 0 S A L P: R0C E D U R E S STEPS TO BE TAKEN IN CASE MATERIAL IS RELEASED OR SPILLED: OBSERVE SAFETY PRECAUTIONS IN SECTIONS 4 & 9 DURING SPILL CLEAN-UP. LARGE SPILLS ARE UNLIKELY DUE TO PACKAGING. SPILL MAY BE ABSORBED ON AN INERT ABSORB- ENT (eg ZEP-O-ZORB), PLACED IN A SUITABLE CONTAINER FOR DISPOSAL. WASH ,AREA THOROUGHLY WITH A DETERGENT SOLUTION AND RINSE WELL WITH WATER. WASTE DISPOSAL METHOD: PRODUCT IS CONSUMED IN USE. DO NOT CRUSH, PUNCTURE ORiINCINERATE SPENT CONTAIN- ERS. LARGE NUMBERS OF AEROSOL CONTAINERS MAY REQUIRE HANDLING AS A HAZARDOUS WASTE, BUT IN MOST STATES TOTAL HAZARDOUS WASTE QUANTITIES LESS THAN 220 LBS PER MONTH MAY ALLOW DISPOSAL IN A CHEMICAL OR INDUSTRIAL WASTE LANDFILL. CONSULT LOCAL, STATE AND FEDERAL AGENCIES FOR THE PROPER DISPOSAL METHOD IN YOUR AREA. it RCRA HAZ. WASTE NOS. : F002 --------------------------------------------------------------------------------- SECTION IX - S P E C I A L P R E C A U T I 0 N S PRECAUTIONS TO BE TAKEN WHEN HANDLING AND STORING: DO NOT STORE AT TEMPERATURES ABOVE 120F. OR IN DIRECT SUNLIGHT. DO NOT PUNCTURE OR INCINERATE CONTAINER. KEEP PRODUCT AWAY FROM SKIN AND EYES. DO NOT BREATHE SPRAY MISTS OR VAPORS. KEEP AWAY FROM FOOD AND FOOD PRODUCTS. CLOTHING OR SHOES WHICH BECOME CONTAMINATED WITH SUBSTANCE SHOULD BE REMOVED PROMPTLY AND NOT REWORN UNTIL THOROUGHLY CLEANED. VAPORS ARE HEAVIER THAN AIR AND WILL ACCUMULATE AT LOW POINTS. VENTILATION SHOULD INCLUDE FLOOR LEVEL EXHAUSTING. KEEP OUT OF THE REACH OF CHILDREN. f ---------------------------------I------------------------------------------------ SECTION X - T R A N S P 0 R T A f I0N DATA DOT PROPER SHIPPING NAME CONSUMER COMMODITY DOT HAZARD CLASS: N/A T I. D. NUMBER : N/A DOT LABEL/PLACARD: ORM-D LPA TSCA CHEMICAL INVENTORY - ALL INGREDIENTS ARE LISTED EPA CWA 40CFR PART 117 SUBSTANCE(RO IN A SINGLE CONTAINER) ; NONE MATERIAL SAFETY DATA SHEETSI'��e"~ m AND SAFE HANDLING AND DISPOSAL INFORMATION 4a bri Ca/I PAGE 1 OF 3 Qe ZEP MANUFACTURING COMPANY DATE 06/18/88 .. FIRST IN MAINTENANCE PRODUCTS SUPERSEDES: 06/15/88 RODUCT NUMBER: 0145 SECTION I — E M E R G E N C Y C 0 N T A C T S ZEP -MANUFACTURING COMPANY NON—OFFICE HOURS, WEEKENDS, AND HOLIDAYS: AREA CODE 404 P. O. BOX 2015 435-2973, 996-0899, 252-1587, 351-2952, 445-9226 ATLANTA, GEORGIA 30301 LOCAL POISON CONTROL CENTER . . . . . . . . . . . . . . . . . . . . . . . . . TELEPHONE (404)352-1680 TRANSPORTATION EMERGENCY BETWEEN 8: OOA. M. —5: OOP. M. CHEMTREC: TOLL FREE 1-800-424-9300 ALL CALLS RECORDED (EASTERN TIME ZONE) DISTRICT OF COLUMBIA (202)483-7616 ALL CALLS RECORDED ---------------- — — -------------------- ----------- ----------- -------------- SEC T I ON I I — H A—Z—A—R D O U S I N G R E D I E N T TLV EFFECTS % IN DESIGNATIONS (PPM) (SEE REVERSE) PROD. ** METHYLENE CHLORIDE *# dichloromethane; methylene 100 CNS IRR 10-20 dichloride; CAS# 75-09-2; RTECS# PAS050000 ! OSHA PEL-500 ppm. ** 1, 1, 1—TRICHLOROETHANE ## methyl chloroform 350 IRR CNS 20-30 chlorothene; CAS# 71-55-6; RTECS# KJ2975000 OSHA PEL 350ppm # 1, 1, 2—TRICHLORO-1, 2, 2—TRIFLUOROETHANE ** f luoro— 1000 EIR CNS 5-10 carbon 113; Freon 113; freon tf; CAS# 76-13-1; RTECS# KJ4000000; OSHA PEL 1000 PPM #* PARAFFIN OIL #* blend of heavy and light naph— N/A IRR 10-20 thenic petroleum distillate; CAS# 's 64742-52-5 and =4742-53-6; RTECS# NONE; OSHA PEL—N/D; ACGIM OIL MIST ' _IMIT 5 mg/m3 MINERAL SEAL OIL #* mineral oil; petrolatum; N/A IRR 5-10 CAS# 64741-44-2; RTECS# PY8030000; ACGIH/OSHA OIL MIST LIMIT= 5mg/M3; AMYL ACETATE *# acetic acid, pentylester (mixed 1 100 FBL IRR 5-10 isomers); banana oil; CAS# 53496-15-4; RTECS# 1 AJ2010000; OSHA PEL 100 PPM #* 2—ETHYL HEXYL ALCOHOL *# 2—ethyl—i—hexanol; ethyl— N/D TOX IRR CBL 5-10 hexanol; CAS# 104-76-7; RTECS# MP0350000; OSHA PEL N/D --------------------------------------------------------------------------------- i SPECIAL NOTE: ADVERSE HEALTH EFFECTS WOULD NOT BE EXPECTED UNDER RECOMMENDED CONDITIONS OF USE SO LONG AS PRESCRIBED SAFETY PRECAUTIONS ARE PRACTICED. -------------------------------------------------------- SECTION I I I — H E A L T H H A .Zf A R D D A T A ACUTE EFFECTS OF OVEREXPOSURE: INHALATION OF VAPOR CAN PRODUCE CENTRAL NERVOUS SYSTEM DEPRESSION CHARACTERIZED BY DIZZINESS, HEADACHE, NAUSEA, CARDIAC AND/OR RESPIRATORY DEPRESSION, STUPOR, . UNCONSCIOUSNESS AND DEATH, IN EXTREME CASES. EXPOSURE TO HIGH CONCENTRATIONS OF `APOR BY DIRECT CONTACT OR INHALATION CAN BE IRRITATING TO MUCOUS MEMBRANES, SUCH AS EYES AND UPPER RESPIRATORY TRACT. SEVERE EYE EXPOSURE TO LIQUID CAN �' CAUSE REVERSIBLE EYE DAMAGE. SKIN CONTACT MAY CAUSE A BURNING SENSATION AND REDDENING OF THE SKIN. INTRODUCTION OF SOLVENT TO THE LUNGS, AS Ihi ASPIRATION OF VOMITUS FLUIDS, MAY CAUSE CHEMICAL PNEUMONIA. EXPOSURE TO THIS PRODUCT MAY AG— GRAVATE EXISTING RESPIRATORY AND CARDIAC CONDITIONS. • INHALATION OF AEROSOL MIST MAY PRODUCE CHEMICAL PNEUMONIA. I ' Utep, ,, MATERIAL SAFETY DATA SHEET AND SAFE HANDLING AND DISPOSAL INFORMATION PAGE 2 OF 3 ZEP MANUFACTURING COMPANY DATE 06/18/88 ZEP 45 'IRST IN MAINTENANCE PRODUCTS SUPERSEDES: 06/15/88 PRODUCT NUMBER: 0145 I SECTION III — H E A L T H H A Z A R D D A T A (CONTINUED) CHRONIC EFFECTS OF OVEREXPOSURE: REPEATED OR PROLONGED CONTACT BY INHALATION OR SKIN ABSORPTION MAY PRODUCE LIVER OR KIDNEY DAMAGE OR DAMAGE TO THE CENTRAL NERVOUS SYSTEM (characterized by ting— ling or numbness in the extremities, blurred vision or confusion). SKIN WHICH IS DEFATTED BY REPEATED EXPOSURE TO SOLVENTS, IS MORE SUSEPTIBLE TO IRRITATION, INFECTION, AND DERMATITIS. EXPOSURE TO SOME INGREDIENTS IN THIS PRODUCT CAN AGGRAVATE EXISTING LIVER DISEASE OR HEART RHYTHM DISORDERS. NONE OF THE HAZARDOUS INGREDIENTS ARE LISTED AS CARCINOGENS BY )ARC, NTP, & OSHA i EST'D PEL/TLV: NOT ESTABLIHED PRIMARY ROUTES OF E TRY: INH, SKIN. ------------------------------------------------ - -------------------------- HMIS CODES: HEALTH 2; FLAM. l; REACT. 1; PERS. PROTECT. X CHRONIC HAZ. YES --------- -------------------------------------------- ----------------------- -- FIRST AID PROCEDURES: ENT. APPLY A SKIN WASH CONTAMINATED SKIN THROUGHLY WITH SOAP OR Al MILD DETERG' SKIN CREAM WITH LANOLIN. GET MEDICAL ATTENTIONIF IRRITATION PERSISTS. EYES IMMEDIATELY FLUSH EYES WITH PLENTY OF WATER FOR AT LEAST 15 MINUTES, OC— CASIONALLY LIFTING UPPER AND LOWER LIDS. GET MEDICAL ATTENTION AT ONCE. ')HALE: MOVE EXPOSED PERSON TO FRESH AIR AT ONCE. IF BREATHING HAS STOPPED, PER— GET MEDICAL ATTENTION IMMEDIATELY. FORM ARTIFICIAL RESPIRATION. INGEST: THIS ROUTE OF EXPOSURE IS NOT LIKELY DUE TO PRODUCT NATURE. ------------------------------------------------ SECTION IV — SPEC I AL PROTECT I ON I N I F 0 R M A T I ON PROTECTIVE CLOTHING THE USE OF NEOPRENE, NITRILE OR NATURAL RUBBER GLOVES IS STRONGLY RECOMMENDED, ESPECIALLY FOR PROLONGED CONTACT. EYE PROTECTION WEAR SPLASH—PROOF SAFETY GOGGLES ESPECIALLY IF CONTACT LENSES ARE WORN. RESPIRATORY PROTECTION: KEEP FACE AWAY FROM SPRAY MIST AND DO NOT BREATHE VAPORS. VENTILATION VENTILATION SHOULD BE EQUAL TO OUTDOORS. USE EXHAUST FANS AND/OR EXHAUST HOOD IN ENCLOSED SPACES. ----------------------------------------------------------- SECTION V — P. H Y S I C A L D A T A (FOR FILL MATERIAL ONLY) BOILING POINT (F) 105-620 SPECIFIC GRAVITY 1. 5 VAPOR PRESSURE(MMHG) : 122. 5 PERCENT VOLATILE BY VOLUME M 43. 7 VAPOR DENSITY(AIR=1 ) : N/D 'f EVAPORATION RATE(CCL4 =1 ) : 1. 0 SOLUBILITY IN WATER : NEGLIGIBLE* PH(CONCENTRATE) N/A PH(USE DILUTION OF ) : N/A APPEARANCE AND ODOR : A CLEAR, BROWN OILY LIQUID HAVING A STRONG, SWEET ODOR. --------------------------------- qEC T I ON VI — F I R E A N D E X P L 0 S 1 0 N D A T A FLASH POINT(F) (METHOD USED) : NOT FLAMMABLE (CSMA) FLAMMABLE LIMITS LEL N/A UEL N/A EXTINGUISHING MEDIA CO2, FOAM, DRY CHEMICAL SPECIAL FIRE FIGHTING: WEAR SELF—CONTAINED POSITIVE PRIES. BREATHING APPARATUS. UNUSUAL FIRE HAZARDS CONCENTRATED VAPOR MAY IGNITE IF EXPOSED TO SPARK. j MATERIAL SAFETY DATA SWEET ® AND SAFE HANDLING AND DISPOSAL INFORMATION PAGE 3 OF 3 ZEP MANUFACTURING COMPANY DATE 06/18/88 ZEP 45 r1RST IN MAINTENANCE PRODUCTS SUPERSEDES: 06/15/88 PRODUCT NUMBER: 0145 SECTION VII — R E A C T I V I T Y D A T A STABILITY STABLE INCOMPATIBILITY(AVOID) HEAT, OPEN FLAME, SPARK, AND .OXIDIZING AGENTS POLYMERIZATION WILL NOT OCCUR. HAZARDOUS DECOMPOSITION: HYDROGEN CHLORIDE, PHOSGENE, IAND -CHLORINE GAS ----------------------------------------------- -------------------------- SECTION V I I I — S P I L L A N D D I S P O. S A L PAR 0 C E D U R E S STEPS TO BE TAKEN IN CASE MATERIAL IS RELEASED OR SPILLED: OBSERVE SAFETY PRECAUTIONS IN SECTIONS 4 & 9 DURING SPILL CLEAN—UP. LARGE SPILLS ARE UNLIKELY DUE TO PACKAGING. SPILL MAY BE ABSORBED ON AN INERT ABSORB— ENT (eg ZEP—O—ZORB), PLACED IN A SUITABLE CONTAINER FOR DISPOSAL. WASH AREA THOROUGHLY WITH A DETERGENT SOLUTION AND RINSE WELL WITH DATER. WASTE DISPOSAL METHOD: PRODUCT IS CONSUMED IN USE. DO NOT CRUSH, PUNCTURE OR INCINERATE SPENT CONTAIN— ERS. LARGE NUMBERS OF AEROSOL CONTAINERS MAY REQUIRE HANDLING AS A HAZARDOUS WASTE, BUT IN MOST STATES TOTAL HAZARDOUS WASTE QUANTITIES LESS THAN 220 LBS PER MONTH MAY ALLOW DISPOSAL IN A CHEMICAL OR INDUSTRIAL WASTE LANDFILL. CONSULT LOCAL, STATE AND FEDERAL AGENCIES FOR THE PROPER DISPOSAL METHOD IN YOUR AREA. RCRA HAZ. WASTE NOS. : F002 SECTION IX — S P E C I A L P R E C A U T I O N S PRECAUTIONS TO BE TAKEN WHEN HANDLING AND STORING: DO NOT STORE AT TEMPERATURES ABOVE 120F. OR IN DIRECT SUNLIGHT. DO NOT PUNCTURE OR INCINERATE CONTAINER. DO NOT BREATHE SPRAY MISTS OR VAPORS. AVOID PROLONGED CONTACT WITH SKIN. KEEP PRODUCT OUT OF EYES. VAPORS ARE HEAVIER THAN AIR AND WILL ACCUMULATE AT LOW POINTS. VENTILATION SHOULD INCLUDE FLOOR LEVEL EXHAUSTING. KEEP OUT OF THE REACH OF CHILDREN. ----------- ------------------f-----------.-----.------------------------------ SECTION X — TRANSP0R TAS•T 1 ON DATA DOT PROPER SHIPPING NAME ' CONSUMER COMMODITY . DOT HAZARD CLASS: N/A 3T I. D. NUMBER : N/A DOT LABEL/PLACARD: ORM—D ! EPA TSCA CHEMICAL INVENTORY — ALL INGREDIENTS ARE LISTED EPA CWA 40CFR PART 117 SUBSTANCE(RO IN A SINGLE CONTAINER) : NONE '1 On-Cape Lithographers, Inc. Attucks Way, Independence Park Hyannis, Massachusetts 02601-1811 508 771 0321. MATERIAL SAFETY DATA SHEETS Art & Typesetting j,/ktr-i� TRADE NAME AND SYNONYMS MANUFACTURER V/� `p PITGO 3300 Fixer Helion Industries Inc. PITGO 9900 Developer Helion Industries Inc. PITGO DTR 2980 DEV. Helion Industries Inc. Z BESTINE Solvent & Thinner Union Rubber, Inc. UNIVERSAL PROCESSOR CLEANER SOLUTEK CORP. ZRC FINISHER AGFA-GEVAERT ZRC STARTER AGFA-GEVAERT 4&lk , i L On-Cape Lithographers, Inc. / Attucks Way, Independence Park Hyannis, Massachusetts 02601-1811 ` 508 771 0321 MATERIAL SAFETY DATA SHEETS Stripping & Camera TRADE NAME AND SYNONYMS MANUFACTURER Film Kleen Anchor/LithKemKo 3M Viking Make-up Solution New/Improved 3M Center 3M Viking Developer New/Improved 3M Center 3M Viking 2-in-1 Developer Gum New/Improved 3M Center Cronalith Liquid Blender Developer - Part A E.I. duPont de Nemours & Co., Inc. Cronalith Liquid Blender �. Developer - Part B E.I. duPont de Nemours & Co. , Inc. �- Command Developer R-1 E.I. duPont de Nemours & Co. , Inc. Command Developer R-2 , E.I. duPont de Nemours & Co. , Inc. Command Blender Replenisher R-3 E.I. duPont de Nemours & Co. , Inc. Du Pont Liquid Fixer - Part A E.I. duPont de Nemours. & Co. , Inc. Du Pont Liquid Fixer - Part B E.I. duPont de Nemours & Co., Inc. Wash Water Additive Kellen Industrial Corp. PITGO Fixer Systems Cleaner Helion Industries Inc. Developer Systems Cleaner Logesol Part A Helion Industries Inc. Developer Systems Cleaner Logesol Part B Helion Industries Inc. Developer Systems Cleaner Logesol Part N Helion Industries Inc. Lithographic Developer - Part A Anitec Image Corporation. Lithographic Developer - Part B Anitec Image Corporation 1 � . P On-Cape Lithographers, Inc. Material Safety Data Sheets Attucks Way, Independence Park Stripping' & Camera Hyannis, Massachusetts 02601-1811 Page 2 508 771 0321 g TRADE NAME AND SYNONYMS MANUFACTURER Fixer with Hardener Part A Anitec Image Corporation Fixer with Hardener Part B Anitec Image Corporation Reprolith 200 Developer Part A Anitec Image Corporation Reprolith 200 Developer Part B Anitec Image Corporation KODAK Glacial Acetic Acid Eastman Kodak Company z , On Cape Lithographers, Inc. Attucks Way, Independence Park Hyannis, Massachusetts 02601-1811 508 771 0321 MATERIAL SAFETY DATA SHEETS Press & Bindery TRADE NAME AND SYNONYMS MANUFACTURER POSCO Glaze Remover 502 (#6) jy Printers Oil Supply Co. , Inc. _ .cam ROOL-R-WASH NO. 1 I.C. Compound Co. .. Isopropyl Alcohol, Anhydrous /,�'�g,,Q,� Exxon Chemical Company #PR-139 Trident/Soft �f Fountain Concentrate Polychrome Corp. Total Varn Products Company, Inc. r Ink Set Drying Stimulator Printing Developments 3M Cleaner Conditioner 3M Center 3M R Scratch Remover 3M Center 3M Deletion Fluid 3M Center Image Remover Printing Developments ZEP Reach -Map Manufacturing Company Kettle Bodied Oil Sinclair & Valentine Sheet Fed Offset Ink Superior Printing Ink Co., Inc. Comtek Sheetfed Offset Inks Sinclair Valentine & Frye Ltd. Flex-Back 34-1070 National Starch and Chemical Corp. 066 - Spray Adhesive Sprayway Incorporated Permanent Blanket Repair Varn Products Company, Inc. ZEP 40 ZEP Manufacturing Company ZEP-PAR ZEP Manufacturing Company ZEP-45 ZEP Manufacturing Company Take It Off Varn Products Co. , Inc.