HomeMy WebLinkAbout0223 BARNSTABLE ROAD - HAZMAT 3 0� - vsv I
_._v....�i-w.rw+,xr+..ww.rtr-..+..n..+.«..vw..is.+.::w+........r...rw.r;»•.•..«+." :,y„•.}+.«,,...w�t�w+.+ �. .::....... --•,:,�, ...e.......................w•. .. ... ...
BARNSTABLE COMPLIANCE: CLASS: 1. Marine,Gas Stations,Repai.r
'OWN OF . 2: Printers
Q satisfactory 3. Auto Body Shops
BOARD,, OF ,��A dunsatisfactorY- 4.' Manufacturers
(see"Orders") S. Retail Stores
COMPANY ' 6. Fuel Suppliers
ADDRESS - " `- '.�r '•..!� �ti. � ` Class: 7. Miscellaneous
+', ,�� ���,� QUAN]'I IES AND STORAGE (I Ind
OUT=outdoors]
case lots Drums ' E AbdveTanks Underground Tanks
tiI JOR MATERIALS ` IN- U T K P e Cest?
Fuels:. "OR j
Gasoline, Jet Fuel (A) .
Diesel,• Kerosene, 82_Q) �'- •
Heavy•Oils-:` -7
waste motor oil (C) ' -
r
v
�J ,
new motor oil. .., C �� '
transmission/hydraulic
Synthetic Organics:
egreasers
1✓„
bfiscel aneous:
DISPOSAL REC AMA'I'IUN REW RKS:
1. SanlAary Sewage 2. Wat,er Supply ir-,v5 �-�: ��.,::��.,,�..�.,����`�, --�`� ..--�•.
Town Sewer Q public
QOn-site Q Private
3. .Indoor Floor Drains: YES NO
C) Holding tank: MUC
O Catch basin/Dry well ._.- -= --• -,� --
UR EAM
Q On-site system
i f
4. Outdoor Surface drains:YES NO , .:C r, �y"• �� A�RC. ,�. ;' •tc
Q Huldink• tank: MUC f f
• O 'Catch basin/Dry well --(----
OOn-site system _- .--
Licensed?
S. Waste Transporter. •
of Hauler_ Uggina inn Nartot Produce '
77'
l -
s"
7�h' e:
arson s) nt.ery ewe J. Inspector Date
°F ►okti Town of Barnstable Office:508-862-4644
Public Health Division Fax:508-790-6304
• BARNSTABLE. '
v MAC, y 200 Main Street• Hyannis, MA 02601
TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT
fF0 MP'�
Business Name: yr m v a !' Date:
Location/Mailing Address: M S ,nyy. G;'-&G
Contact Name/Phone: Ly^-�s So 9`- `1 8%;o
Inventory Total Amount: LDS SDS: A/.I 11= License#:
Tier II : A/b Labeling: -- Spill Plan:
Oil/WaterSeparator: Floor Drains: XVJN Emergency Numbers:
Storage Areas/Tanks:
Emergency/Containment Equipment:
Waste Generator ID: Waste Product: Y1 t
Date&Amount of Last Shipment/Frequency:
Licensed Waste Hauler&Destination:
Other Waste Disposal Methods: gaaj. n
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 W,�A,-J _)).,A ��
Automatic transmission fluid Other cleaning solvents&= ors
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: 0 e,ei- y67 O a JI VAS
ORDERS: v
INFORMATION/RECOMMENDATIONS:
Inspector: r'
Facility Representative:
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS
I
TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM
Mail To:
NAME OF BUSINESS: 6,�I, �s���-,c Board of Health
MAILING ADDRESS: III ���'�-�'��'��-�
�'�' s Town of Barnstable
TELEPHONE NUMBER: P.O. Box 534
CONTACT PERSON: Hyannis, MA 02601
Does your firm store:any toxic or hazardous materials listed below, either for sale or for
your own use, in quantities 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 registere
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
�i
TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair
satisfactory 2.Printers
BOARD OF HEALTH 3.Auto Body Shops
�} O unsatisfactory- 4.Manufacturers
COMPANY L l (.I�.Pv �' O (see"Orders") 5.Retail Stores
6.Fuel Suppliers
ADDRESS 3T r��Lc Class: 7.Miscellaneous
A!�'�''A'f_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:
`�iu-. �ds✓ C��.u,2��-ram `��
DISPOSAURECLAMATION REMARKS:
1. Sanitary Sewage 2.Water Supply �� �s t_ 'M r.-,A fZ 42aLZE
O Town Sewer ublic �
,UOn-site OPrivate
v1L17`
3. Indoor Floor Drains YES NO
O Holding tank:MDC
O Catch basin/Dry well
O On-site system
4. Outdoor Surface drains:YES N0,/—/ 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
A
2.
1,91 U
erson(s) Interviewed Inspector Date