HomeMy WebLinkAbout0199 BARNSTABLE ROAD - HAZMAT e°f IKE roti1• Town of Barnstable Office:508-862-4644
Public Health Division Fax:508-790-6304
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MASS. 200 Main Street• Hyannis, MA 02601
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OMA+ TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT
Business Name: svr-r-Wr 40 vhe 4-mig+ num-f Dater
Location/Mailing Address: P 2GG
Contact Name/Phone: .Sr-1#:n A4 0 n
Inventory Total Amount: MSDS: A11 License#:
Tier II : Labeling: — Spill Plan:
Oil/WaterSeparator: Floor Drains: /'V1) Emergency Numbers:
Storage Areas/Tanks: dt_ '�?7SG yvf' S lZ.allocs
Emergency/Containment Equipment: N114
Waste Generator ID: iV1 A Waste Product: �
Date&Amount of Last Shipment/Frequency:
Licensed Waste Hauler&Destination:
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 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
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: Ala ''r g)2!?, ems, 5A o -56currcca,2 s �p �„ ►�,
ORDERS:
INFORMATION/RECOMMENDATIONS: ftZyyV L.:
Inspector:
Facility Representative:
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS
TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM
NAME OF FIRM:
MAILING ADDRESS: trON-XaVS " NA. ® ®�
TELEPHONE NUMBER:
CONTACT PERSON:
Does your farm store -any. of the toxic_ or-hazardous materials Iist:ed-below.,
either for sale or for your own use, in quantities totalling, at anime, more
than 50 gallons liquid volume or 25 pounds dry weight? YES 1NO
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: )A—JT— Irr A c .A►jCe
TELEPHONE:
LIST OF TOXIC AND HAZARDOUS MATERIALS
The Board of Health has determined that the following products exhibit toxic I
or hazardous characteristics and must be registered when. stored in quantities
totalling more than 50 gallons liquid volume or 25 pounds dry weight. Please put
. a check beside each product that you store:
Antifreeze (for gasline or coolant systems) Refrigerants
Automatic transmission fluid Pesticides (insecticides,
Engine and Radiator flushes herbicides,rodenticides)
Hydraulic fluid (including brake fluid) Photochemicals
Motor oils/waste oils Printing Ink
Gasoline, Jet fuel Wood preservatives
Diesel fuel, Kerosene, #2 heating oil (creosote)
Other petroleum products: grease, V Swimming Pool chlorine
lubricants Lye or caustic soda
Degreasers
De for engines and metal y
g g Jewelry cleaners
Degreasers for driveways & garages Leather dyes
Battery acid (electrolyte) Fertilizers (if stored
Rustproofers outdoors)
Car wash, detergents PCB' s fl
Car waxs and polishes Other chlorinated hydro,-
Asp?zalt & roofing tar � carbons, (inc.carbon
` i
Paints, varnishes, stains, dyes�i. hL,) tetrachloride)
Paint and lacquer thinners Any other products with
Paint & Varnish removers, deglossers "Poison" labels (including
Paint brush cleaners chloroform, formaldehyde,
Floor & Furniture strippers hydrochloric acid, other
Metal polishes acids)
Laundry soil & stain removers Other products not listed
(including bleach) which you feel may be
Spot removers & cleaning fluids toxic or hazardous please
(dry cleaners ) E E ® list) :-_
Other cleaning solvents HEALTH DEPT.
Bug and tar removers TOWN OF BARNSTABLE
Household cleansers, oven cleaners
Drain cleaners
Toilet cleaners
Cesspool cleaners 4 1981
Disinfectants MAY 1
Road Salt (Halite)