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Home My WebLink About0711 YARMOUTH ROAD - HAZMAT � j I r I /®® S M IAA® III KEEPING YOU ORGANIZED No.10334 2453L MADEINUSA GET ORGANIZED AT SMEAD.CAM °FTIME roy� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMA�BLE.g! 200 Main Street• Hyannis, MA 02601 t639.1, TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT ., lF0 MPy Business Name: A ✓ Date: �� i Location/Mailing Address: Contact Name/Phone: `� 7 Inventory Total Amount: SDS: OV1A1 vw a--ec- 55 License#: Tier II : a Labeling: Tom, Spill Plan: t Oil/WaterSeparator: Floor Drains: Ajn Emergency Numbers: 6K Storage Areas/Tanks: Emergency/Containment Equipment: Waste Generator ID: J 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 0k$kt- i., 1 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 t Refrigerants Degreasers for engines&garages Pesticides: Caulk/Grout insecticides, herbicides, rodenticides Battery acid (electrolyte)/batteries Photochemicals(Fixers) Rustproofers Photochemicals(Developer) Car wash detergents,S/ Printing ink Car waxes and polishes Wood preservatives(creosote) Asphalt&roofing tar Swimming pool chlorine V%0 Paints, varnishes, stains, dyes t t, Lye or caustic soda V Lacquer thinners.Z 7- Miscellaneous Combustible Paint&varnish removers, deglossers Leather dyes L. 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: . Uvob 0vt W Ca JL s is 6 t my 'J C4 G - VvA\JS etb tom- C\�1<titt�l'. -T-Alj- 0"62� o l ,�,.o �s• `.�-t�v�.�C--® !V D �v'�o� a� �Da�� Cv«S Inspector: � IQJ OkAAdC6 facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS °FIB Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • enRMMASSBLE.g! 200 Main Street• Hyannis, MA 02601 EDMA��`0 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name:4N I C n 4 p� tt 4.b Sode-5 Date: / Location/Mailing Address: 'l vvtv%A-� a,\A. Contact Name/Phone: Inventory Total Amount: '<2 � MSDS: wA#-,, 4� 'wke<A&-k License#: l� Tier II : Labeling: �tij ee 18� Spill Plan: Oil/WaterSeparator: — Floor Drains: — Emergency Numbers: Storage Areas/Tanks: IJ1 Emergency/Containment E ui ment. Waste Generator ID: NIA 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) J 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: 9 0#6WM OLOKooz Inspector: Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS l FDR. NCE E. VENEZIA RINARIAN }{yannis gnimal.fospilal Inc. TELEPHONE 711 YARMOUTH ROAD 775-4521 HYANN,IS. MA 02601 TOWN OF BARNSTABLE OMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY ii(see"Orders") 5.Retail Stores �-y 6.Fuel Suppliers ADDRESS °711 , lolff 01-Mnl i 12W Class: ! 7.Miscellaneous jA,V4,-/,QUANTITIES AND STORAGE (IN= indoors;OUT-outdoors) MAJOR MATERIALS Case lots Drurns Above Tanks Underground IN OUT IN OUT IN OUT #&gallons 777 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: DISPOSAURECLAMATION REMARKS: 1. Sanitary Sewage 2. Water Supply O Town Sewer ,NPublic AlOn-site OPrivate 3. Indoor Floor Drains YES-IL-NO O Holding tank: MDC O Catch basin/Dry well ,ffOn-site system 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 �✓�'+i'+�* f1t¢ �ej�Ls�r 4.,4Ar,Xy lies h d4pw NO 1. rN� Iry •t`o -d�� 2.,4,v q erson (s) Intervie ed Inspector Date TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: NAME OF BUSINESS.: r 6 . 4 �' t� � � Board of Health MAILING ADDRESS: c96�'Z�j Town of Barnstable TELEPHONE NUMBER: P.O. Box 534 CONTACT PERSON: Hyannis, MA 02601 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities tota li , 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 i _ 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 V 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) SA�� ✓,s Other cleaning solvents Bug and tar removers C Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business