HomeMy WebLinkAbout0163 BARNSTABLE ROAD - HAZMAT Y
c
8
n _ d -
c rE
X w
1 i
-
,n-o...+rrvv...r��senv:.-�.ro-.*�r� mm.^Rew.mvma+.��u..pe�^s-.r,•a+.+:..v.*F�-...-n-'
1�
TOWN OF BARNSTABLE
BOARD OF HEALTH
CONTROL OF TOXIC AND HAZARDOUS MATERIALS - INSPECTION SHEET
FIRM
ADDRESS
Major types of materials: 1) F 2) 3)
4) ,� 5) 6)
I. Description of material(s) use:
II. Storage (denote product by number listed above)
A. Containers
metal glass paper plastic
cans,bottles,jars
drums,barrels
aboveground tanks t CT
,1-P/
underground tanks _ ¢
'
if r
bags,boxes T
open,loose,uncovered
inadequate labelling
B. Storage Facility
✓or # Remarks/Recommen� :: .i_ons
1. Indoor
a) separate, contained room
b) stored in general work area
r i) inadequate ventilation
ii) floor drains
` iii) inadequate fire protection ' r,
2. Outdoor
a) uncovered, exposed to weather
b)�pervious surface/catch basins
III. Disposal,
A. Reclamation/Recycling
B. On-site disposal
1. Town sewer
2. Regular septic system
,Fs ,
3. Separate holding tank
C. Off-site disposal ;/
1. hauled by own firm f.
2. hired hauler "
a) name of hauler
b) address or disposal site
G
�� r
Perso.n(s) Interviewed 01
-,- - ,- _ Inspector - r- - - - - - - - -
t
Date,• — � —.a t?1/: 4— r — — — — — — —
6 30 61 ,
TOWN OF BA R N STA B L E COMPLIANCE: CLASS: 1. Marine;.Gas. Stations,Repai.r
Qsatisfactory 2. Printers
BOARD OF HEALTH 3. Auto Body Shops
0 unsatisfactory- 4. Manufacturers
COMPANY~j � lNt�
,u (see Orders ) 5. Retail Stores
6. Fuel Suppliers
ADDRESS Class: 7. Miscellaneous
QUANTITIES AND STORAGE (IN=indoors; OUT=outdcor )
I-IAJOR MATERIALS Case lots Drums AboveTanks Undezgrouad Tanks
IN OUT, IN IOUT IN tOUT # L721lons Aee Test?
Fuels
Gasoline, Jet Fuel (A)
f
Diesel;~Kerosene, #2 (B) 1
Heavy Oils:
waste motor oil (Q .
new motor oil (C)
transmission/hydraulic
t ;
Synthetic Organics: i
degreasers }
I
Miscel ne �� r
"i
Di SPOSAL RECLA.N!ATION REWLRCYN p1-
1. Sanitary Tage 2. k'ate apply I
Town Sewer ® Public _
On-site
► .—_
ivate .
3. Indoor Floor Drains: -YES NO
1 'xg--tank: MDC
Catch
,On-site system basin we -1'
� La
0 ,;. ---------------_._ ------------...----.---- ---
4. .-Outdoor Surface drains:YES NO
` 'koldin tank: MDC --
ti0 Catch basin/Dry well
��. 0 On-site system
14
S. Waste Transporter Licensed?
tHqjQ lon Wast p)a ucx
1
ai ASING—
Pe s) Int.erviewed Inspector Date
TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM
Mail To: II
NAME OF BUSINESS: -� �Q` Board of Health
MAILING ADDRESS:A:5� V-5 4 d/V 2 -7—,4- Town of Barnstable
TELEPHONE NUMBER: 7,�— 11- 2 �Z P.O. Box 534
�f� Hyannis, MA 02601
CONTACT PERSON: _����
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
t/ Motor oils/waste oils Road Salt (Halite)
Gasoline, Jet fuel Refrigerants
Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides,
Other petroleum products: a__ea lubd aats rodenticides)
Degreasers for engines and metal Photochemicals (fixers and developers)
Degreasers for driveways & garages Printing ink
Battery acid (electrolyte) Wood preservatives (creosote)
—J/ 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