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HomeMy WebLinkAbout0367 YARMOUTH ROAD - HAZMAT , )VIA h l n 1S - Lf 9 -D Ina__+ k _ v r r_ A f C i °FTHE►°y, Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARNSTABLE. 9 MASS. �,. 200 Main Street• Hyannis, MA 02601 1639. MP TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rED S Business Name: 01 L►KA- A,4* ' x p-5 Date: y 7 Location/Mailing Address: 3 V7 .i,,i 15 Contact Name/Phone: , o A- -1 _ 60 0.rl e¢- E�- Gl vcklo Inventory Total Amount: 4241A,1 SDS: License#: Tier II : Labelina: Spill Plan: Oil/WaterSeparator: Floor Drains: Emergency Numbers: Storage Areas/Tanks: Emergency/Containment Equipment: Waste Generator ID: Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: AAl1 LIST OF TOXIC AND HAZARDOUS MATERIALS Iv J OA. W t-t- �CM IK OVli NOTE: Under the provisions of Ch. 111, Section 31, of the Getal Laws of MA, ha ardous 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: ORDERS: — — INFORMATION/RECOMMENDATIONS: M10,0s AVAoiAh t tlW413 a4, 6k4 0 11,0,1.L S�•aV•S 1 Inspector: �• ���-b� Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS IKE rok -; Town of Barnstable `p' Office:508-862-4644 �P ; 10� t Fax:508-790-6304 Public Health Division BA MA3 S.LE. • 200 Main Street• Hyannis, MA 02601 6 9 p G - 'eoMa+ TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT / Business Name: �t L f� A,4" 'So`-e 5 Date: 4/ -7//7 Location/Mailin Address: 3(-"7 �— Contact Name/Phone: // Ke -1-e- A a -5-0 R--7 t - ooS off;ee- Ss cC. CI�VJ10 Inventory Total Amount: <1.4;14a I SDS: / License#: NIA Tier II : Labeling: l Spill Plan: I Oil/WaterSeparator: Floor Drains: � Emergency Numbers: Storage Areas/Tanks: Emergency/Containment Equipment: f Waste Generator ID: Waste Product: Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods: LIST OF TOXIC AND HAZARDOUS MATERIALS 1 v � � �h !��F �C:S{ ►0 tA,ov,- 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: ORDERS: INFORMATION/RECOMMENDATIONS: r Inspector: Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS °*IKEA Town of Barnstable - Office:508-862-4644 Public Health Division Fax:508-790-6304 &`RM�LE. 200 Main Street• Hyannis, MA 02601 �preDMA+p�e� TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: L i v� AIAV '15a le 5 Date: Location/Mailing Address: 3(,,7 `/q<'MDv vk,n•5 Contact Name/Phone: o S - ?-7 - ©off 0 K�RA 'o Inventory Total Amount: MSDS: License#: � Tier II : A Labelina: (:OK Spill Plan: Oil/WaterSeparator: A A Floor Drains: A)o Emergency Numbers: Storage Areas/Tanks: -11-ho I elAa,&, j 4up pbe,5 od X Emergency/Containment Equipment: Waste Generator ID: 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: ORDERS: INFORMATION/RECOMMENDATIONS: 0 165 ve S a Vv_t a V- Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS Date: / TOWN OF BARNSTABLE 11504044f,ow-- t` TOXIC AND HAZARDOUS MATERIALS RfCAST9ATf0N FORM NAME OF BUSINESS: 4 1"A— ,Ao�o CL�S� BUSINESS LOCATION: -5 INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: CONTACT PERSON: EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: Sv+o 1544-e3 OKI:/ INFORMATION / RECOMMENDATIONS: A)g 9 gin ,sY%-5 11 — Fire District: all t/�1n���2 M#LI."tVtaKCZ- !aVJ wash, 14 411 1!2.1 1 g SUIOc.oy��.re.G� �Itih,ntS OC��Stk� Waste Transportation: NJ A Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: Licensed? Yes No 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 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 Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides ❑ NEW ❑ USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals(Fixers) Diesel Fuel, kerosene, #2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals(Developer) 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 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) 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 I WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials I ' f I COMPLIANCE: CLASS jl. Marine,Gas Stations,Repal.r TOWN OF BARNSTAOLI E Z. printers BOARD OF HEALTH O satisfactory 3, . Auto Body Shops nsatisfactory- 4. Manufacturers (see"Orders") S. Retail Stores COMPANY -L `J '�`� 6. Fuel Suppliers �l/' a. 7. Miscellaneous ADDRESS s��g;; Class: QUANTITIES AND STORAGE (I indoors; OUT outdoors' MAJOR MATERIALS Case lots Drums , AboveTanks Underground Tanks IN OUTJ ourN e T ? Fuels: Gasoline, Jet Fuel (A) Diesel, Kerosene, 82 (B) Heavy Oils: waste motor oil (C) new motor oil. transmission/hydraulic Synthetic Organics: ti degreasers )ao 4 i I Miscellaneous: DISPOSAL RECLAMATION REMARKS: 1. Sanitary Sewage2. Water Supply `'ti Al - ,Town Sewer 0A--Public r�°�a f � On-site C Q Private 3. .In, oor Floor Drains: YES NO V Holding tank: MDC { O Catch basin/Dry well O -- On-site system i / l I, Q , 4. Outdoor Surface drains:YES NO �- 0 Huldink• tank: MUC - . 0 Catch basin/Dry well ''�� �� -� '' � - OOn-site system w S. Waste Transporter. �. Name of-Ha uler- Rpstination i Person 4) i erviewe IInsetor Date u a31 ' P r ' ®`/t/� OF �� ����/� RI L��unsatisfac' 1 l-i'CG: 'i L,'SS: 1. Marirte.,Gas Stations,Rfpair V A V L 2. Printers BOARD O F EALTH ry3. Aut.o Rody Shops tory- 4. Manufacturers (see"Orders") S. Retail Stores COMPANY C .���� �,,c� 6. Fuel Suppliers r ' ADDRESS 7. Miscellaneous ��c". r f�av_.I � Class: QUANTITIES AND STORAGE :(IN=indoors; OUT=outdoors) MAJOR MATERIALS Case lots Drums AbOveTanks Undetgtouad Tanks IN OUT IN IOUT IN UT Lyallons A2e Fue s-�— ( Gasoline, Jet Fuel (A) y o � �e S Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) d� new motor oil (C) y2 -zh� transmission/hydraulic Gqq eNj- Synthetic Organics: f� degreasers i Miscellaneous: fir l i jr Jv •A.-M DISPOSAL RECLAMATION RE RK 1. Sanitary S age 2. Wa&P�Ub y `rGl�R i�� �-�� ,:r ��,�� tin c cI ,r..`,,-' C � ® wn Sewer lic �'4< ,� � � . � ,. •��`I,;1Q,c �. � ��,.,, ,, On-site 0 vate 3. Indoor Floor Drains: YES `' NO _ O Holding tank: MDC — !~ O Catch basin�hry well `r- 0 On-site system ORDERS: �fW 1.rC rn e) o C� _qzzr 4. Outdoor S rface drains:.YES , NO ding tank: MDC Catch basin/Dry well oOn-site system S. Waste Transporter Licensed? Name of Hauler Destination Naste Product 112 .23 81 Person(s) InterYYviewed J Inspector Date