HomeMy WebLinkAbout0040 COMMUNICATION WAY - HAZMAT (3) �I� -��� - G�-/liZdO -�
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Number Fee
356 THE COMMONWEALTH OF MASSACHUSETTS $100.00
Town of Barnstable
Board of Health
This is to Certify that Cape Cod Times (Location I)
40 Communication Way -Mail: 319 Main St-Mike Fabia,
Barnstable -MAIL to: Hyannis, MA 02601,MA 02630
Is Hereby Granted a License
FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS.
----------------------- ----------- ----------- ..........------------------------------------- ------- -----------_----------------------------------:----
This license is granted in conformity with the Statutes and ordinances relating there to, and
and expires 6/30/2010 unless sooner suspended or revoked.
----------------------------------------
WAYNE MILLER,M.D.,CHAIRMAN
PAUL J.CANNIFF, D.M.D.
6/30/20.09 JUNICHI SAWAYANAGI
THOMAS A. MCKEAN,R.S.,CHO
Director of Public Health
i
Town Off' Barnstable JUL 01-2009
Barnstable
1 Regulatory- Services Department
AMtI4 I Public Health Division
q � ' 1
A 200 Main Street,Hyannis MA 02601
2007
Office: 508-862 4644 RETURN PAYMENT gape Cod Times
319 MAIN STREET Thomas F.Geiler,Director
FAX: 508-790 6304 TO SITE HYANNIS,MAW 0=1 Thomas A.McKean;CHO
Application Fee: $100.00
ASSESSORS MAP AND PARCEL NO. DATE_,' O�J
APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE
MORE THAN I II GALLONS OF HAZARDOUS MATERIALS
FULL NAME OF APPLICANT
NAME OF ESTABLISHMENT Pled
• ADDRESS OF ESTABLISHMENT �D Cd MMcsiwl L47 ie#,,tj c�i4-fir 1hANKtS B�?,'9.
TELEPHONE NummiR 7a+ �
SOLE OWNER: YES NO
IF APPLICANT IS A PARTNERSHIP,FULL NAN,1E AND HOME ADDRESS OF ALL
PARTNERS:
42258846
IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. �S l 3 13 k
STATE OF INCORPORATION
FULL NAME AND HOME ADDRESS OF:
PRESIDENT
TREASURER
CLERK b Rv 11-b bT
IQ URE OF APPLICANT
• RESTRICTIONS: DOME DRESS 3 tZ0 -s Lz� �r�nrcrl c,r!
HOME TELEPHONE#_ 4136-
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Number Fee
356 THE COMMONWEALTH OF.MASSACHUSETTS 100.00
Town of Barnstable
Board of Health
This is to Certify that Cape Cod Times
40 Communication Way, Barnstable, MA
Is Hereby Granted a License
FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS.
--------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------
This license is granted in conformity with the Statutes and ordinances relating there to,and
and expires 6/30/2015 unless sooner suspended or revoked.
----------------------------------------
WAYNE MILLER,M.D.,CHAIRMAN
PAUL J.CANNIFF,D.M.D.
6/30/2014 JUNICHI SAWAYANAGI
THOMAS A.MCKEAN,R.S.,CHO
Director of Public Health
�a
" Town of Barnstable ] 4
°F1HE r°,,ti Regulatory Services
Richard V. Scali, Director
'" MA&S. Public Health. Division
i639•
Ar p
fo�np. Thomas McKean, Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Application Fee: $100.00
ASSESSORS MAP AND PARCEL NO. DATE /
APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN
111 GALLONS OF HAZARDOUS MATERIALS
'n / V
FULL NAME OF APPLICANT LO Q
C C—
NAME OF ESTABLISHMENT �/�PE cod Ti n'1 is
ADDRESS OF ESTABLISHMENT 240 COM OVI GA !I AS
TELEPHONE NUMBER 570 O '
SOLE OWNERJ�YES NO
IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL
PARTNERS:
IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO.
STATE OF INCORPORATION
FULL NAME AND HOME ADDRESS OF:
PRESIDENT �l A�' r';a
TREASURER
CLERK
SIGNATURE OF APPLICANT
RESTRICTIONS: HOME ADDRESS
HOME TELEPHONE#
Q:\Application Forms\HAZAPP.DOC
Number Fee
356 THE COMMONWEALTH OF MASSACHUSETTS $1oo.00
Town of Barnstable
Board of Health
This is to Certify that Cape Cod Times (Location I)
40 Communication Way, MA 02630
Is Hereby Granted a License
FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS.
-----------------------------------------------------------------------------------------------------------------------------------------------------------------
This license is granted in conformity with the Statutes and ordinances relating there to, and
and expires June 30, 2007 unless sooner suspended or revoked.
----------------------------------------
WAYNE MILLER,M.D.,CHAIRMAN
SUMNER KAUFMAN,M.S.P.H.
June 27, 2006 PAUL J. CANNIFF,D.M.D.
THOMAS A. MCKEAN,R.S.,CHO
Director of Public Health
F7092 TOWN OF BARNSTABLE- CHECK NUMBER 9910.08825 DATE 05/31/06
INVOICE INVOICE DISCOUNT
NUMBER DESCRIPTION INVOICE DATE..:: PO NUMBER:: NET AMOUNT ,:
.... AMOUNT _..AMOUNT
052406HAZ parcel 327102 05/24/06 100.00 100.00
a
TOTAL $100.00 $100.00
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Town of4arnstable ,� too
roy Regulatory Services Q (Atx
Thomas F. Geiler,Director
Public Health Division
i639.
Thomas McKean,Director
200 Main Street Hyannis,y MA 026 Q � _. .
Office: 508-862-4644 'i L i � Fax: 508-790-6304
Application Fe $100.00 ii MAY 3 1 2006
Y-r O
ASSESSORS MAP AND PARCEL NO. A�� O DATE `7
APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN
111 GALLONS OF HAZARDOUS MATERIALS
FULL NAME OF APPLICANTkA
NAME OF ESTABLISHMENT S
ADDRESS OF ESTABLISHMENT 19 W1 &I ID 6L+
TELEPHONE NUMBER '" "
SOLE OWNER: ✓YES NO iv'U. DATE
i APPROVED -------
IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME 6DRESS� T CHARNO. GED
PARTNERS: �1Q. .
NO. $
CVO.
IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO.
STATE OF INCORPORATION t -
FULL NAME AND HOME ADDRESS OF:
PRESIDENT
TREASURER 'tee
CLERK c
SIGNATURE OF APPLI ANT '
RESTRICTIONS: HOME ADDRESS
HOME TELEPHONE#
Q\Application FormsMAZAPP.DOC
°PINE►o Town of Barnstable Office:508-862-4644
Public Health Division Fax:508-790-6304
BARMASSe`E'$ 200 Main Street• Hyannis, MA 02601
.639. TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT
RFD MPy A
Business Name: Ga , s Pro ,,e,+,a,ti:Vic+I,k-- Date: 2 t 6
Location/Mailing Addr ss: D w.w�uv�• +�� sct4ylt,� �►r5
Contact Name/Phone: 7 3 7- -L
Al 114C F'a.10- W4,vL 64
Inventory Total Amount: > 10, 1 MSDS: le,s License#:
Tier ll : 9 Labelin : 6,vm
� � Spill Plan: Y&e,
Oil/WaterSe arator: A Floor Drains: tJo Emergency Numbers: S
Storage AreaslTanks: ink 0&vu aV%1tb 0'11 K1V'1' ,C,I I- }' W zM f 14 ,r,1 ce�, kVvni
+wcg
Emergency/Containment Equipment: nwyt� a t E� ow5
Tt4n
fr o-r-t.S
Waste Generator ID: See, 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,�fwv5 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: kA swta JC4 w S Je— 1 s M, a L Iw
5 ..
5 0 2vv S
At,tl.1�0 b4— CI.ea%-- X) av`et +awk5;- IIW-S lc-el gK&Ve14 �1t�o rw� �� It •l�e + �u c�,.L o�►,t.
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r•� spec r:
V1/I t X f+� �ari�L t�n..�a_St vL �'oovti. , c o
rn SDAQLc ,Wte e-�za+�vp �- Av-Facility Representative:
aw 'C L +0 `�44 V.."�>ti ���k t v`��w.e,�o see, ► It e,¢,A.c e, s+1
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS
yOF IME�ok4• .�.. ✓ Town of Barnstable , r Office:508-862-4644
Public Health Division Fax:508-790-6304
+ BARNSTABLE. may•"
MASS. a,.. 200 Main Street• Hyannis, MA 02601
MP� Y'TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT
,, ,,'Business Name: �G Co trots �'�o /r-+l�� fir- t Date: / (0
Location/Mailing Addr ss: 0 (1>,m v %,jvt �. 1 v✓t t.)"2�j a o el r S
Contact Name/Phone:
1k2 F'a1�lk • s,��trv�s�r�r. vvl l� $4 , F �
Inventory Total Amount: a ►J,voo Q MSDS: -le License#: 3S�
Tier II : 1),, ,AV 4 b.R}icy z�, r Labelina: &eO4— Spill Plan: ye'7
Oil/WaterSeparator: t��rrk Floor Drains: !Jo Emergency Numbers: y�4
Storage Areas/Tanks ink <r�ow. �� n��5 5},18v,kly ��I) . �� IQc fwp}, ,j� ,� c.� ��J�tS 11 �v� {/ ,�•/! �k fw
1?'A G.lh I Kf.7
Emergency/Containment Equipment: SVA k I.i n,A `b, �. . u n i,i w;J ?.r t) 0
Waste Generator ID: See- 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)
j Rustproofers Photochemicals(Developer)
Car wash detergents Printing ink
Car waxes and polishes Wood preservatives(creosote)
Asphalt&roofing tar Swimming
� p g f g pool chlorine
f Paints, varnishes, stains, dyes4,A 7 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) V
(including bleach) Any other products with "poison labels"
(including chloroform, formaldehyde, ,
hydrochloric acid, other acids)
VIOLATIONS:
ORDERS:
INFORMATION RECOMMENDATIONS: t1h Cat6, 7rutti� iP. rw- S,� : S k �41t_ lk�lr
AISCps I1:1Iti + Q, k iw p� S5f .//jj"'srAy+y� ��►n�,��►�� -�� �r ,�gwtI��'I.��e Eve �>�,.=�rte_v� ' jir~s �
0,VI +A%Ak� 4 iVIA-S CZ v+nfJV ,p �tlza iux�c 1It 1.�1: f �c �.vt a,�c vt,
J r' spector:
rv+.
�.,��� , �skS vDCJ��cc S trtt� clzaIVP � ��K-FacilityRepresentative:
r --TL +o 44 v�,k .�Ga-�� t,�"S�ue � SCE �� 1�Gtiut.' - 5+, tl re v set•'
WHITE COPY HEALTH DEPARTMENT/CANARY COPY-BUSINESS 1
G)V*OLiA 1�1�1l��111���18
ENVIRONMENTAL SCRVICES
SHIPPING 1.Generator @ Number J4 Page 1 of 3.Emergency Response Phone 14.ShWrkg Do me�Tre
345432
00C111 NT
eneraUors Name and Mailing Address Gene s Sile Address ererrt thenigFing address)
C,.APV COD TfMES CAPE COD xxaAS
P.O.SOX 550 40 00tWI MCATIONS WAY
ATTN;MR3LP M FA'D)k
Generator's Phone: sdf t HYANMS,MA, 0260I HYANMB•ASH, 0=1
B.Transporter Company Name U.S.EPA ID Number
VEOLM ES T&h-MCAL SOLLMOM N J D 0 8 0 6 .3 1 3 6 9
7."Oansporter2Comparry are U.S.EPA ID Number
FREEHOLD QWCAGE INC W 3 n 0 5 4 t 2 5 I 6 4
8.DeSIgnaled Fad%M—a—rn—a—an—PZ Address U.S.EPA ID Number
VEQ1 IA V3 MWCAL WM•JTk-DNS
I25 FACTORY LAVE
Fadll s Phone: 7A2 669ZIOC, UMLESE}..NJ OW4 IN J D 0 0 2 4 4 4 5 4 d
ga, ft U.S.DOT Description(rock ding Proper$hipping Name,Hazard Class,ID Number, 10.Containers 11.Total 12.Unit 13,Codes
KM and Pad"Group(if any)) No. Type ouant y Wi1V01.
1•
O IAJ993�CQMEi138TI1�Gtt LItJ[D,n 4.s..�i,iTEit]INfG. NONE
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2.
3.
4.
M.Special Handling Instru0ona and Addillorml Information
Eft Service r..arltd0t94tsyVfs9T9 I)bR0,129VIt:S7554I
15. GENERATOR SICFFEROR S CERTIFICATION: I hereby dedars that the cordents of 8r19 consignment are fully and accurately described above by tt.e proper shipping name,and am dasslfied,packaged,
marked and l9We it Wxded,and ate In all respects in proper condllton for pansport amording to apple�ftmational and nadonel govammental regulations.
Me Ypa Offeroes P
gn o ay ear
K—S
-� 1q.IrrtamatianEd Sftlprnents ❑Impat to U.S. ❑Export from U.S. Port of entrylea
Transporlerst nature(for only,); Date kming U.S.;
17.Transporter Acknowledgment Of of Shipment
. Day "Ibw
Tra YP�Name rintediT ___�Bna re
--. _ Month.. ._ ) . _... .
ILUffT War
i
i Tragsporler2Prin Name ;76
18.DismWcy
Ilk Discrepancy Indcadon Space ❑ Guantdy ❑Type LJ Residue ❑Partial Rejedion ❑Full Rejection
Shipping Document Tracking Number:
tom.Alternate Facility(or Generator) U.S.EPA ID NUMber
C3
Fads 's Phone:
1&.Si rgture of Alternate Faaiar or Generator) Month eY Year
IS.Repot Management Mebrod Codes(i.e.,codes for dlspoesl,and reryyddng system9)
1 2. 4.
20.DeiignatBdFaeflity0wrierarOper&rqergWonGfroc,eipt of shornent exceAtas noted in Itom 18a
PfiritaclffypedName Sighaiure Month Day Year
CP-Vo
DESIGNATED FACILITYTO GENERATMR
(I)vEOLiA Ilfllflll��ll�illllll�llf
ENVIRONMENTAL SERVICES l o go
SHIPPING 1.Generator ID Number 2.Pqe 101 3,Emergency Resgonge Rhone 4.Shipping Dournunl Traaking Number
DOCUMENT 4 'Me
00345433
5.Generators Name and M9Ing Ad ees Generator's Sita Address(if different than mWing address
C"E COD TIMES CAPE-"OD TMG9
P,O,BOAC 550 40 U%a&L NCATiONB WAY
ATTN.WCUA9L FAVJIA
Generetor'a P WE S09 I KYAWSI,MA 02601 :RYAWF,,MA 0=1
nurisporter I campany Name U.S.EPA ID Number
(]LMES T£L`EWC-AL SO.LLITIC I 17 Q $ 4 5 3 I b 9
7,Transpmler 2 Company Name U.S.EPA ID Number
>~REEKOLD CARTAQE IN J D 0 5 4 1 2 b 1 6 4
$.Designated Fadlity Name and Site Addreas U.S.EPA ID Number
VEIULYA ES TEC;M4CAL SOUMOM
125 FACTORY LAIC
FadUN's phone: 732 449L5100 I'')DLHA�7,PiJ 08946 114. 3 D 0 0 2 4 5 4 5. 4 4
9, 0b.U.S.DOT Description(including Proper SNpping Name,Hazard Class,ID Number, 10,Containera 11.Total V.Unit
HM and Packing Group(if any)) No. Type Quantity VAJV01. 13.Cedes
O 1, 1903,CORTi13V13 $Ll t,IQilIpp if.D,9„GiallEiGr D NONE
LU M 's ; 50 P
LU 2.
3.
4,
14.*ctal Handhg Iltstructbns and AMdonal Information
ER$88 j0e CMb'acWdby VESTS A- I)ERO:17.8 W:575541
15. GENERATOR SIOFFEROR$CERTIFICATION! I hereby declare that the contenta of thb consignment are fuUy and accurately described above by the proper shipping name,and are dassified,packaged,
marked and labelectplacarded,and are in all respects in proper condition for transport according to applloable International and rat mal governmental regulatlans.
GenT—Znm� 1 3
� r a e y Zpad New* -S7gnatura ay ear
1 ,Internatlonad ShIpwro
❑Import to U.S. ❑Export from U.S. „ Port of entrylaxit'
Transporter signswre fa exports only): % Date10* U,S„
�= 17.Transporter AdmowledgmantofR 'tofShipment
Trap rt Prinbdlfyped Name
. .. . .. >an .. .,_ .._. __... ._. .. .. _. . . ...._ on.._ ear ..._, .
Traruppwrter22 Printecgy_pe�d(Name . .X D a
4.�
18.Discrepancy 18a Dlscrepancy IndltWon Space Quantity [:]Type ❑Residua 1-1-Partial Rejection ❑Full R4edon
Shippirur Documerd Traddrin Number.
18b.Alternate Faofity(or 0anerehor) U,&EPA ID Number
7
V
d
Fadlws Phone.
1 Be.Signabae cfAltemab Facility(or Generabr) Month Day Year
19.Report Mamgvwe Method Codes(i.e.,codes for treatment diaposd,and recycling systems)
1, r 2. 3, 4,
20.Daaignsled Fwflk DNnar of dpe .Cerfifirabon celpt of shipment except as noted In kem 18a
n e erne Signature nth Day Year
DESIGNATED FACIUTYTO GENERATOR
Please Ml t ur-,type,(Form doolmied for use'tl}r Ra 12 pitch�;typewriter. . Form Approved.t7W No.2050-0U39
UNIFORM HAZAROOUe; 1.Generator ID Number 12.Pee'1 of3:Emergency Res
. ponse Phone 4.Manifest hacking
WA$T);MANIFESY 5 3 , "C S
5,Qenbrabors Nam®and Meifmg Address•' Gen�ata°s Site Address(ff dMerent then mai4ng address) Y C r7
R:AFJ31 Cate 06D"t`.IIr=
Ad BOX 550 40 COMMTMCATIOM WAY
ATM,190HAM F ABYA
Generator's phmw:' H'lrG1I 0201 H?ANKS,WA QMJ
6.Transpart9r 1 Compwry Nsme," '
US.EPA ID Number
_JLtA IM MONOAL SOJ< O Ys J D 0 (i< J? 6 3 1 3 0. 9
7•Transporter 2 Compeny Name U.S.EPA 10 Number
8:'D igq ed adllty �t1i9'indSksAidress U.S.EPAIDNumbBr
SEA E8 T CAL SOL1{9�'1tJiln3$
4301 ENFUWARTi•RGAD
Fadli s phone; T C Rk0L.T 0AY $5449..
.9a 9b.U.S.AOT Daacdptlon(Including Proper ShlppW Name,Hazrd Class,ID Number, 10.Cordaners 11.Total
HM ...and Pad"Group(iEany)) Na Type c>vantlpl 12 12,UniUnit13.Waste Codes
2 J A >td 010 F 1x9.
C�t1 "' :A Oli r,
4 D m 9 is 00 P.
WW h:MTJ IAL.` UAW
1 D k 40b p
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14,'Speoi8lHandBng Ina4yttlons andAdditionef Infamatlonj'l1(r;575343-3)11f: '
V212 9'4)WlL*ji401,g2E3Q
1S. C+E W 6lOFpERpR'S CJATIFICATIbW: I hereby declare that the contents bf this consignmarh are fdly and acwrafely deamlhed aboVs b he ahi
marl®d and Iabei6rril F4 Y Rt?t i._.Ppin9 name,Arid are d®ar6ed,packaged,
p C6lded Aridere In all respects m.proper cnndlgon for transport b000rong td applIcable international arid nallonal gavemmentsl regal 61i ff export ehiprrient and;I ern the Prim .
exporter I certify,thal4Ne oonteft of Brie tlbrraignment conform to hre term of the attached EPAAcknixwedgment of consent. /
I certify that the washy murimas6on statement iderrti$ed in 40 CFR 262.27(e)(rf r am a Isrge quantlty generator)or(b)(If I am a small quanUty generator)Is true.
Generalorsiolfarces Mirdwyoda a._:r, :�;.� 5�
Mon Day Yebr
� 1s.bniemadorre Ship�errta
❑,Import to U.S. ❑Expert from U.S. port of entry/emt
Transparterslgndium(forsxpons anlyk bate leaving U.S.:
W 1�:TransporhEirAclmowfedgrnentofR�iptoF ride
T PrbrtWrUped Name Signature Mnmhr A
Year
4 8n1poftr2 Printed m Signahs MoPth
1.9;fharxeperuyi... .. ._ _.._..... . ...... . ... ..... .. . •... < .. ; .... ._ .
18a.DisaapsncyA.01calion Space �(
❑ ❑Type ❑Residue E I PAW Rgscban ❑Full Rejection
16b.Alternate Facility(or Generator) Mardfeat Reference Number:
U.S.EPAID Number
u�.. Fadllty's Phone:
W &.S n afAhemate FecUtty or Generator). Month Day Year
U319,14a2ardoss Waste Rewrt'NanagamerA Methad Codes(I.e.,codasior hazardous waft treatrttertl dapo9af,and fBcyding ayahgm9}
w ,
NT
20.Deaf FasJlty Owner or Opsrgtnr:Certf flcatlon of niWq t of hezweaug Materfatscovered by the rwillest.fteeptas rmf in Item 1 tja `
Prfida[VTNaM6 Signs F -month-Day Yesr
EPA Farm 970 - .(Rev.H5) Pravio4 edlgons are at> ate. DESIGNATE AGChY TO OENERATOR
;•
pt8aS9' 0.11�lt'
.:< . .�des�gn��.us• p :�lite..(12LP.... swrit�L,„:.,�. •;,.;;-;:: .
" U
ttttetion Sheet
• ' a�...<.
" ,.� e•r':FnnArov DI t
IFE nfest.Tratdig NumD
24.Geno OAdB N0,'2050-003.9.,,25.Transporter Company Name U.S.EPA ID Number
26.TransporEeP'� ; CoRlPany Name' U.S.EPA 10 Number
2ZL T p !(in �inq,PfQpetSh,Pph9. .MU?rd n
,Llase,-ID..N� 28.Cgt7j
NM ,. ddlvy�8taup(rf anY71f,.:. .s4.,Zotel... .:.31:Wsata Etida
No. Tyre Quanit, Wi1Val.
3400 � � II c
. '
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OOP
1
32,Spedel Handling tnshuc6oM and AddltlorW Inforiristion
5y W:B21287,82128p ' r
`33-T�porber AOkn mentof ofM3wriale
w PdnteglTyped Name• Signature
' 3 Month Day. Yerr
y, 34.Transpo or Admov*d mant of Receipt of Mate&
Prlr3WTyped Name 319natuns .
Month Day ..Ysat
35.D rid apency
v , i
3t3.Hamrdous• ' M egeatent Method Codes"I a,and
4 " : (: �forfaieYdouaweata.tre8tm disposal reCyding•systerna -
'6ritr ,end
EPA Form 8700 22A(Rev-3 05) Ptevious'ediffonsdy obsNefe. DESIGNATED FAGiLITY TO GENERATOR
_
i,•
pF'IKE Town of Barnstable Office:508-862-4644
Public Health Division Fax:508-790-6304
B
• ARNSTABLE.
MASS. 200 Main Street• Hyannis, MA 02601
F1639. TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT
Business Name: C L 1+w x-S Pr S a-,o-A- C-1 I I Date: 10
Location/Mailing Address: wt4•(: �/9 „c 5q
Contact Name/Phone: .Sco`f� (=ce�r vim- �'o�-"1'1 S- 6 S� c�/l SqB-73'7- 3 Sl N� &,- ., a�K4
RAJ¢, �t;C-t - �lau,�.•w..,�. 'C
Inventory t = �N MSDS: ��7 License#: "o-
Tier II : JeA7 �v.1� ► hot-t«.s5 �f„5oµ� Labeling: oo Spill Plan:- y 5
Oil/Water Separator 014 Floor Drains: IJ o Emergency Numbers:
Storage AreaslTanks: V00,n1 J cQ.a �, O�( v otS �,��{ o \WKw ce,&
Emergency/Containment Equipment: 11 IG.tS a S ca S — 1- w�• °�� cJ S 3-� � ,Klcl v�
Waste Generator ID: 5 Waste Product:
Date&Amount of Last Shipment/Frequency: 5-`{X l v C
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: C0VI ea, S-k- vv, er KA-K
Inspector: 1 .k) .1 (f -7—
�I-���
1
Facility Representative:
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS
Please;print or type.(Form designed for use on elite(12-pitch)typewnter.) Form Approved:OMB No..2050-0039-
.UNIFORM•HAZARDOUS 1.Generator I]Number ?+ A Fw. 2.Page 1 of 3 Emergency Response Phone { 4 Manifest Tracking Number
WASTE MANIFEST #,'U-X'ViQ'Zl 10 0 0•f 2 4 .4 � i������ �.,., g�s��u.l rr 0, ;`,V ES
5.Generatoes.Name and Mailing Address, r �tt -Generatoes7Site Address(if different than mailing°address)aa- aw-,
rF w•:>+,.',=T
�L`3:1;"d,atea S� c+ fv"" ���da',k���1�5ty�-ua'9•�r��;�, _
IMF
Generator's Phone: - 4
6.Transporter 1 Company Name ;t 'xa U.S;:EPA ID Number
f +. ,e• > - - ;..,+.sx.v >.a•.-. s tuz+• .. ,,, r
7.Transporter 2 Company Name #r. E+a s,c: , .. +>�U.S.EPA ID:Number
+ 8 Designated Facility Name and Site Address �r d�a U.S.EPA ID Number
t 1+a T-B5 0 Ik' 7 4 :5 �
Facility's Phone
r ga o9b'U S DOT Description(including Proper.Shipping Name Hazard Class,ID Number 10:,Containers i:, :'W Total. _ 12 Unit- #} ,.
t F r HM and Packing'Group(if any)) " ` ' 13.Waste Codes
No. Type Quantity Wt.Nol.
1.=HAILS Lr%f ffiftf Ss „r„ I `ta M+ 1 fi
o Yoil
LU
F
y
3.` ,
v .✓ft;. e4 Y *t1Sf F'Y.7,j TF 4S i1 :..r
i
trtj it-or rT!;Z,
-}+1i.
s
> h -
14 Special Handling'lnstructions and Additional Information � q ,* fq R �r �} ,*' may,? ; , 4 k £ t r
4
LLLL U. 15.•-''GENERATOR'.SIOFFEROR'S"CERTIFICATION:-'I'hereby declare'that"the contents ofahis•consignment�are fully,and accurately descdbediabove bythe prope3.shippmg.name and are dassfied packaged +}
marked and labeled/placarded,and are in all respects in proper condition for transport according to applicable-international antl nahonalrgovemmental regulations.If export st 1pment antl-1 am the.Primary
t °: 'IExportegl+certifyttiefthe'codtenfsiofthisrcon"sigfinenhconform?to-thetermsofahe±attached EPAAcknowledgmentoftConseot. ` ` `1 "'€^ F �"t 'kk' �' 't"
lil=c60ifyIhat the;waste:minimizationistatementridenffied m 40 0FR;26227(a)(ifM am a large quanfity generator).,or,1(b)(ifl am:a.smalhquantity,generator)rs;true).
rator s/Offerods Pnnte ilfypedppppppName > > „;: r� Sig ature= y , t " , Month Day Year
:�Y �°""'_�x r.,,a �� � ��"'� i
ai� y p
Ar
Intemational,Shipments_,
�. „w! i « x•fl ,f..
Umportb U:S. P�' "" Export from WS IPort ofentry//exit r e +
z Transporter signature(for:exports only): Dt r'' fr1Date leaving U`.S..r' C`E I' ft� °" r t• s
s .. -
• w 17;TransporterAcknowledgment of Receip'i�of Materials
{ ensgo er 1 Pnntedl�yped�Name' - n Signatur0"" fs ,- + "Month Day Year t" .
.z Transporter 2 Pr ntedlTyped.Name v Signature +Mj.onth Day Y ai'
Ti�� fl,n)+1:.,Es�;Ufk..t I �h I"Y - i•' .. Irrqo- 9,4
18`Discrepancy
f t 18a.Disc repancy.Indication;Spaeel i
, 0 Quantity. v El Type O Residue ❑Partial Rejection 0 Full Rejection
r # I E4�.:,;+,"..;. r. I. tt • _..,.-. - 1.., .. $«.s.
r f Manifest Reference.Number.
------------------
18b Altemate Facility(or Generator) U.S.-EPA ID Number --11119
k al.�i q
-Facility's Phone:
• `W 18c`Signature ofAltemate Facility`l(orGenerator) �fp , ?�r:• , tru., • „ tl Mo th Day, ,Year
" Q �. �; p f>. ,i �+_Y., ., .. . ;•..: s:iw 'n.;_, .,.. ,. _:• :. +,zrx.'�"„>� � n
z .
19.Hazardous.Waste Report Management Method Codes(i.e.,codes.for:hazardous•waste.treatment,disposal,and recycling systems)
W
:0 1. ! 2. z:: 3.
gb
r•,
20.Designated Facility Owner or Operator:Certification of receipt of hazardous materials covere8'by the manifest ezceptas:ncted'th'Item 1'Ba= ? ` >.- a b f' `-' e *•": z:'`
!# Frinted/Typed Name I Signature17.t*-j-t *Month; 'Day Year
!# 4- --+ . '.UC • (+"rfi -, t Mir :=ag,
� k EPA Form 8700 22(Rev.3 05) Previous editions are obsolete. GENERATOR'S INITIAL COPY
r
i
[' Q V EOUA
ENVIRONMENTAL SERVICES
SHIPPING 1.Generator ID Number 2.Page 1 of 3.Emergency Response Ph hipping Document Tracking Number
DOCUMENT ? , ' ff Q 0 0 0 6 2 4 F I 0 i r2���a one 4.S Z Z00317351
., 5.Generator's Name and Mailing Address Generators Site Address(if different than mailing address)
C�hm co D� TBAW ctVE cis.
Y;ff ? Fes.
Generators Phone:50P ti ?2 f ENA16M,WA Wz*0J1
6.Transporter 1 Company Name U.S.EPA ID Number
buad�k.:.''f'.� nm+e.M1�'�ul..�%.[w'a.�:d'v.F 6s�I.4Fa! �.� 1�- E i-' R' . • .. a t'
7.Transporter 2 Company Name U.S.EPA ID Number
> 8.Designated Facility Name and Site Address ems_MDUC U.S.EPA ID Number
t 179
Facility's Phone: WES" '*MA m -A C 3 0 G G I 7 � 9 S
.,
i ga 9b.U.S.DOT Description(including Proper Shipping Name,Hazard Class,ID Number, 10.Containers 11.Total 12,Unit.
13.Codes
HM and Packing Group('rf any)) No. Type Quantity Wt.Nol.
O
f i � z. &11,0428=1AT LAMM C8W7 FOR YC1,M k�r
O F 20 P �
[ 3.
4.
! 14.Special Handling Instructions and Additional Information
15. GENERATORS/OFFEROR S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping,name,and are classified,packagedv',�,
fmarked and labeled/placarded,and are in all respects in proper condition for transport according to applicable intemationaWnd national governmental regulations; i. �^
Gener tor's/Offeror's,Pnn}ed/Typed Name Signature k f`; on ay ear
r"
1
f�l �.
I 16.International Shipments
Import to U.S. ❑Export from U.S. Port of entry/exit:
r Transporter signature for exports only): Date leaving U.S.:
t�.
w 17.Transp rterAcknowledgmentof Receipt of Shipment .—x
Wnspo -r'l PrintedlTyped Name Signature on ay ear
t
' Q Transporter 2 Pritttod/Typed Name / Signature Month Day ear
18.Discrepancy
18a.Discrepancy Indication Space.
❑ ❑Type
Quantity yp ❑Residue ❑Partial Rejection ❑Full Rejection
t� Shipping Document Tracking Number:
18b.Alternate Facility(or Generator) U.S.EPA ID Number
.C4
LL- Facility's Phone:
w 18c.Signature of Alternate Facility j(or Generator) Month Day Year
z i
Z I
19.Report Management Method God es(i.e.,codes for treatment,disposal,and recycling systems)
f w
12. 1- 4.•
g 1 20.Designated Facility Owner or Operator:Certification of receipt of shipment except as noted in Item 18a
Printed/Typed Name Signature Month Day Year
GENERATOR I SHIPPER'S INITIAL COPY
is
Number Fee
356 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00
Town of Barnstable-
Board of Health
This is to Certify that Cape Cod Times
40 Communication Way, Barnstable, MA
Is Hereby Granted a License
FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS.
------------------------------------------------------------- ----------------------------------------- ------------------- ----------------------=----------
------------------------------------------------------------------------------------------- -------------- --------------------------------------------------------
This license is granted in conformity with the Statutes and ordinances relating there to, and
and expires 6/30/2015 unless sooner suspended or revoked.
----------------------------------------
WAYNE MILLER,M.D.,CHAIRMAN
PAUL J.CANNIFF,D.M.D.
6/30/2014 JUNICHI SAWAYANAGI
THOMAS A.MCKEAN,R-S.,CHO
Director of Public Health
Ink &Petroleum Storage Tank Systems
�.-
The following ink and oil products are stored at this plant. All containers with a
capacity of 55 gallons or more are included.
Ink ASTs
Storage Year Hazard Maximum Location Use
Aggregate
Type Installed Class al
Black Ink ASTs(2) 1987 Combustible 4,000 Ink Tank Room Printing Operations
Color Ink ASTs 3 1987 Combustible 3,000 Ink Tank Room Printing Operations
Diesel Fuel Fir-- 1987 Combustible 250 Fire Pump Room Sprinklers
Pump AST
Total 7,250
Container Storage
Storage Type Hazard Maximum Location Use/Source
Aggregate
Class (gal)
Color Ink Kits/Drums Combustible 220 Ink Room Press
Blanket Wash Combustible 220 Ink Room .Press Cleaning
Drum Storage, Combustible 220 Ink Room Press
Virgin Oils
Drum Storage, Combustible 100 Ink Room Press
Grease
Drum Storage, Combustible 220 Ink Room Press Cleaning
Waste Ink
Drum Storage, Combustible 165 Reelroom Press
Waste Oils
Total 1,145
Oil Filled Equip ment
Stora eT e Qt ( al) Location
Hydraulic Units 300 Pressroom.
10 units x 30 al.)
Pad Transformer 250 Behind Building
Total 550
The total facility capacity for petroleum and petroleum-containing products is:
• 7,220 gallons of ink(virgin and waste);
• 785 gallons of lubricating oil,hydraulic oil&grease(virgin and waste);
• 250 gallons of diesel fuel;
• 220 gallons of blanket wash(virgin); and
• 250 gallons of transformer oil.
--
Local Media Group
Tank Specifications
Tank ID Tank Material Instrumentation
Black Ink ASTs Painted vertical,conical steel tank High Level Alarm,Pressure
Gauges,Tank Gauge, Shutoff
Valve, Check Valve,Vent Pipe
Color Ink ASTs Painted vertical,conical-steel tank High Level Alarm,Pressure
Gauges,Tank Gauge, Shutoff
Valve, Check Valve,Vent Pipe
Diesel Fuel Fire Pump AST Painted horizontal,steel tank Tank Gauge
Tank Secondary Containment
The Ink Tank Room is a below grade containment pit. It has a capacity of.
24 feet x 30.5 feet x 3.3 feet - (4.67 feet x 11.3 feet x 3.3 feet) _—2,389 ft3
2,389 ft3 x 7.48 gal/ft3 =—17,869 gal
or—255 % of aggregate AST capacity
The Fire Pump AST Containment Area has a capacity of:
13.3 feet x 6.7 feet x 1 feet= —88 ft3
88 ft3 x 7.48 gaUft3 =—662 gal
or—265 % of aggregate AST capacity
Container Secondary Containment
Drums stored in the Ink Room`and are situated on secondary containment pallets capable of
containing 55 gallons. The Ink Room is also bermed and has a capacity o£
32 feet x 22.5 feet x 0.5 feet - (5 feet x 9 feet x 0.5 feet) _—338 ft3
338 ft3 x 7.48 gal/ft3 =—2,528 gal
or—220 % of aggregate drum capacity
Product Secondary Containment Volume
Blanket Wash Secondary Containment Pallet
Lubricating Oil Secondary Containment Pallet
Waste Ink& Solvent Secondary Containment Pallet
Waste Oil Secondary Containment Pallet
at Media Group
Inventory of Chemical Products
Complete chemical listings are maintained at the facility as part of the Material Safety Data
Sheet(MSDS/HAZCOM)Program. Typical chemicals stored on site are listed below:
Storage Type Qty Hazard Location_ Flow Controls
(gal) Class
Black Ink ASTs 4,000 Combustible Ink Tank 1.Impervious floor. 1.Weekly inspections.
Room 2.Would be contained in 2. Spill kit.
immediate area.
Color Ink ASTs 3,000 Combustible Ink Tank 1.Impervious floor. 1.Weekly inspections.
Room 2.Would be contained in 2. Spill kit.
immediate area.
Diesel Fuel Fire 250 Combustible Fire Pump 1.Impervious floor. 1.Weekly inspections.
Pump AST _ f Room 2.Would be contained in 2. Spill kit.
immediate area.
Portable 825 None Ink/Solvent 1. Secondary containment 1.Weekly inspections.
containers, Storage pallets. 2. Spill kit.
Virgin Color Ink Room 2.Would be contained in
immediate area.
Drum Storage, 110 None Ink/Solvent 1. Secondary containment 1.Weekly inspections.
Waste Ink Storage pallets. 2. Spill kit.
Room 2.Would be contained in
immediate area.
Containers, 80 Combustible Press Parts 1. Secondary containment 1.Weekly inspections.
Greases Room pallets. 2..Spill kit.
2.Would be contained in
immediate area.
Drum Storage, 440 Combustible Reelroom 1.Secondary containment 1.Weekly inspections.
Virgin&Waste pallets. 2. Spill kit.
Oil 2.Would be contained in
immediate area.
Drum Storage, 220 Flammable/ Ink/Solvent 1. Secondary containment ..1.Weekly inspections.
Virgin Solvent Combustible Storage pallets. 2. Spill kit.
Room 2.Would be contained in
immediate area.
Plate Processing 110 None Plateroom 1.Impervious floor 1.Daily monitoring by
Developer 2.Would be contained in operators.
immediate area 2. Spill kit.
Plate Processing 110 None Plateroom 1.Impervious floor. 1.Daily monitoring by
Finisher 2.Would be contained in operators.
immediate area. 2. Spill kit.
Drum Storage, 220 None Reelroom 1.Impervious floor. 1.Weekly inspections.
Fountain Solution 2.Would be contained in 2.Spill kit.
immediate area.
Total 9,365
} � TOWN OF BARNSTABLE Date: S/ 21 / 13
TOXIC AND HAZARDOUS MATERIALS REGI AT
FORM
NAME OF BUSINESS: Ca49.2 �a� s � ,C&- ve-k'.dw t aX
BUSINESS LOCATION: D C'o,M mvvt ^. oy,— 1JAV . Vqnn► INVENTORY
MAILING ADDRESS: 31q 4►rt ,-� 91v4mrils . )414 : ► TOTAL AMOUNT.
TELEPHONE NUMBER: _-'*8 _-/-ice 76S.t—
'�' SSo C7 9cc
CONTACT PERSON: 5cro-14 F(y-R-mow ce.11 S�)8-737-13Sb
EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE?
TYPE OF BUSINESS:
INFORMATION / RECOMME ATI S- 0 ,P14 o1D}�"ti Gvccev�,`� Fire District:
Lw.;irk,�d�s �rvl,a,-��.{,al s I,�e,�����'ll �►�.�-�i s �fore�Q►vL. �crr� , .�tfrt stab J�
a A-% Accesol6le, -hah4- 44,jk-.3)SP�1(k,+,5 f--bsdr}acrt}s6,4
�r411a hl�fo �a►n twiPla�eGs, � o��
Waste �a ier�: /� 1/o00a(76 2'f q Last shipment of hazardous waste: 7 ,21 I 3
Name of Hauler: Veol► vf.o,Ns Destination: Ve.ol►&-
Waste Product: 0k5k- Licensed No AriB002.99-y 5-qq
GISa C'Wa(, boO1I44q-I� c�
NOTE: Under the provisions of Ch. 111, Section 31, of the Geddral Laws �f MA,yhazardous 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)
f(, lubricants, gear oil ❑ NEW ❑ USED
Degreasers for engines and metal 70o0 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
q45121 11 C&H-h a aK. 15 Q QI'Itibl-e—
Laundry soil &stain removers
(including bleach)
Spot removers&cleaning fluids
(dry cleaners) p®Sttc2 S-) 411 &2"L)6 Las& ►s s- -o ire-V
6GO Other cleaning solvents I
Bug and tar removers 2 ct ►5 Ofc�C o�1 ¢dam o r�
Windshield wash
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initials
Tier Two Reporting Period: January 1 to December 31,2012
Emergency and Hazardous Chemical Inventory Page 1
Specific Information by Chemical Printed: February 21,2013
Facility Name: Cape Cod Times
FACILITY IDENTIFICATION:
Cape Cod Times
Dept:Operations
40 Comunications Way
Hyannis, MA 02601 USA
County:Barnstable
Number of employees:200
Latitude:41.68413
Longitude:-70.28585
Method:Z4-Zip+4 Code
Description: CE-Center of Facility
MAILING ADDRESS:319 Main Street
Hyannis,MA 02601 USA
IDENTIFICATION NUMBERS:
Dun&Bradstreet:019413368(Newspaper: Publishing&Printing)
NAICS:51111 (Newspaper Publishers)
SIC:2711 (NEWSPAPERS: PUBLISHING&PRINT)
CONTACT INFORMATION:
Veolia Environmental Services,Sidi
Title: Acct Manager Contact Type 1:Other
Address: 398 Cedar Hill Street,Marlboro, MA,01752
Phones:Work:508-804-4806 Mobile-Cell:508-965-0148 FAX:508-804-4836 Emergency:877-818-0087
Fabia,Michael
Title: Operations Director Contact Type 1: Regulatory Point of Contact Contact Type 2: Emergency Contact Contact Type
3:Submitter
Address: 40 Communications Way, Hyannis, MA,02601 USA
Phones:24-hour:508-776-2604 Work:508-862-1281 Home:5084300270
Email: mfabia@capecodonline.com
Meyer, Peter
Title: Publisher Contact Type 1: Owner/Operator
Address: 319 Main Street, Hyannis, MA,02601 USA
Phones:Work:508-862-1111
Email: pmeyer@capecodonline.com
Coward, Peter
Title: Territory Mgr Contact Type 1: Carrier
Address: Brodie Toyota 10 Ballard Road, Lawrence,MA,01843 USA
Phones:Work:800-828-2804
Email: pcoward@brodiecompanies.com
CHEMICAL DESCRIPTIONS:
[x] All chemicals in inventory are identical to last year's submission
------------------------------------------------------------
CHEM NAME:Lead Acid Batteries
CAS:
[ ] Identical to previous year
[ ]TRADE SECRET
[ ] Pure [x]Mix [x]Solid [x]Liquid [ ]Gas [x] EHS
CHEMICAL COMPONENTS:
[x] EHS, CAS:7664-93-9,Component:Sulfuric acid, 15%Wt
[x] EHS,CAS:7439-92-1, Component: Lead,80%Wt
PHYSICAL&HEALTH HAZARDS:
Tier Two _ Reporting Period: January 1 to December 31,2012
Emergency and Hazardous Chemical Inventory Page 2
Specific Information by Chemical Printed: February 21,2013
Facility Name: Cape Cod Times
[x] Fire [ ]Sudden Release of Pressure [x]Reactivity [x] Immediate(acute) [x] Delayed(chronic)
INVENTORY:
Max Amt: 12,000 pounds Max Daily Amt code:04(10,000-99,999 pounds)
Avg Amt: 12,000 pounds Avg Daily Amt code:04(10,000-99,999 pounds)
Max quantity in largest container:3,000 pounds
No.of days on-site:365
STORAGE CODES&STORAGE LOCATIONS:
Container Type: R Pressure: 1 Temp:4 Location:Warehouse Amount: 12000 pounds
CHEMICALS IN INVENTORY STATE FIELDS:
Massachusetts requests the following:
Mode of Shipment:
[x]Trucks [ ]Tank Trucks [ ] Rail Car [ ]Tank Car [ ] Pipeline [ ] Barge [ ]Other(Specify)
Specify other:
Frequency of Shipment:2 per Year
Maximum capacity per single vessel:3000
Max Shipment Qty(lbs):3000
Ave Qty(lbs):3000
Physical State in Transit:Solid
Comments(please provide both the preplanned and usual routes of travel): Lawrence, Bollard Street north to left on Andover
Street to 1-93S to Route 3 South to Route 6 East. Exit 6 to Route 132 South. Left on Attucks Lane.Left on Indepednence Drive. Left
on Communications Way.
Carrier: Brodie Toyoto-Lift
------------------------------------------------------------
CHEM N . rinti�Ink
CAS:
[x] Identical to previous year
[ ]TRADE SECRET
[ ] Pure [x] Mix [ )Solid [x]Liquid [ ]Gas [ ) EHS
CHEMICAL COMPONENTS:
[ ] EHS,CAS: ,Component:Carbon Black, 15%Wt
[ ] EHS,CAS:8001-22-7, Component:Soybean oil,43%Wt
[ ] EHS,CAS: ,Component: Hydrotreated Heavy Naphthenic Distillates,40%Wt
[ J EHS,CAS: 12002-43-6,Component:Gilsonite,2%Wt
PHYSICAL&HEALTH HAZARDS:
[x] Fire [ ]Sudden Release of Pressure [ ] Reactivity mmediate(acute [ ] Delayed(chronic)
INVENTORY: —
Max Amt: 17000 pounds Max Daily Amt code:04(10,000-99,999 pounds)
Avg Amt: 12000 pounds Avg Daily Amt code:04(10,000-99,999 pounds)
Max quantity in largest container: 17000 pounds O o I
No.of days on-site:365 11e6 f'l 2'Zoop
STORAGE CODES&STORAGE LOCATIONS:
Container Type:C Pressure: 1 Temp:4 Location:5 ASTs in ink storage room Amount:56000 pounds
CHEMICALS IN INVENTORY STATE FIELDS: 1—
Massachusetts requests the following:
Mode of Shipment:
[ ]Trucks [ ]Tank Trucks [ ]Rail Car ( ]Tank Car [ ] Pipeline [ ]Barge [x]Other(Specify)
Specify other:N/A
Frequency of Shipment:0 per N/A
Maximum capacity per single vessel:0
Max Shipment Qty(lbs):0
Ave Qty(lbs):0
Physical State in Transit:N/A
Comments(please provide both the preplanned and usual routes of travel): N/A
Carrier: N/A
------------------------------------------------------------
FACILITY STATE FIELDS:
Massachusetts requires some information located under other tabs.
Requested Contact:Carrier Information
STATE/LOCAL FEES: None.
Tier Two Reporting Period: January 1 to December 31,2012
Emergency and Hazardous Chemical Inventory Page 3
Specific Information by Chemical Printed: February 21,2013
Facility Name: Cape Cod Times
[x] I have attached a site plan
[ ] I have attached a list of site coordinate abbreviations
[ ] I have attached a description of dikes and other safeguard measures
Certification(Read and sign after completing all sections)
I certlfv under cenalty of law that 1 have personally examined and am familiar with the Information submitted In canes one throuah 3.
and that based on my Inquiry of those Individuals responsible for obtaining this Information,I believe that the submitted Information Is true,accurate,and complete.
Michael J Fabia Operations Director 02/21/2013
Name and official title of owner/operator
OR eivrwr/onamtaes anthnrlmd mnmmntaHvw Signature Date signed
�\ Number Fee
356 THE COMMONWEALTH OF MASSACHUSETTS 1oo.00
Town of Barnstable
Board of Health
This is to Certify that Cape Cod Times
40 Communication Way, Barnstable, MA
Is Hereby Granted a License
FOR: STORING OR HANDLING 111 GALLONS OR MORE OF HAZARDOUS MATERIALS.
--------------------------------------------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------------------------------------
This license is granted in conformity with the Statutes and ordinances relating there to, and
and expires 06/30/2016 unless sooner suspended or revoked.
----------------------------------------
WAYNE MILLER,M.D.,CHAIRMAN
PAUL J.CANNIFF,D.M.D.
07/01/2015 JUNICHI SAWAYANAGI
THOMAS A.MCKEAN,R.S.,CHO
Director of Public Health
7
Town of Barnstable ` i
oFTME>w,, Regulatory Services
Richard V.. Scali, Director
MAS& E, Public Health Division
Thomas McKean, Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Application F t
$100.00
ASSESSORS MAP AND PARCEL NO. Zkl- DATE
APPLICATION FOR PERMIT TO STORE AND/OR UTILIZE MORE THAN
111 GALLONS OF HAZARDOUS MATERIALS
FULL NAME OF APPLICANT C>CA�\ t
NAME OF ESTABLISHMENT'.Q C- (be&
ADDRESS OF ESTABLISHMENT `
TELEPHONE NUMBER
SOLE OWNER:JYES NO
IF APPLICANT IS A PARTNERSHIP,FULL NAME AND HOME ADDRESS OF ALL
PARTNERS:
IF APPLICANT IS A CORPORATION: FEDERAL IDENTIFICATION NO. - r-
STATE OF INCORPORATION
FULL NAME AND HOME ADDRESS OF:
PRESIDENT Ak
TREASURER
CLERK
• SIGNATURE OF APPLICANT
RESTRICTIONS: HOME ADDRESS
HOME TELEPHONE#
C:\cache\Temporary Intemet Fi1es\0LKD3\HAZAPP ReQOBDOC
TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM
Mail To:.
NAME OF BUSINESS: eAw &Z4
Board of Health
MAILING ADDRESS: !�"Q' ,*J*VWtC.*;Z7 Town of Barnstable
TELEPHONE NUMBER: -7-7 e-2s P.O. Box 534
CONTACT PERSON: c�'�
Hyannis, MA 02601
Does your fir store any of the toxic or hazardous materials listed below, either for sale or for
your own use, in u ntities 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
Please put a check beside each product that you store:
6■
Antifreeze (for gasoline or coolant systems) Drain cleaners
Automatic transmission fluid L/ Toilet cleaners
Engine and radiator flushes Cesspool cleaners
H draulic fluid (including brake fluid) Disinfectants
_ 4 �ils/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)
•I/' 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 toxi r hazardous (please list):
(dry cleaners)
Other cleaning solvents l/4 S® c✓7/� a~.,
Bug and tar removers
Household cleansers, oven cleaners
White Copy-Health Department/ Canary Copy-Business
TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair
BOARD OF HEALTH Satisfactory 23..Printers Body Shops
unsatisfactory- 4.Manufacturers
COMPANYf�y� O (see"Orders") 5.Retail Stores
ADDRESS ; ° ea/*A1o,�� C,#Yli w 6.Fuel Suppliers
S. � 7.Miscellaneous
'A—^VQ TANTITIE AND STORAGE (IN=indoors;OUT-outdoors)
MAJOR MATERLA LS Case Tanks
lots Drums Above Tanks Underground
Ls� IN OUT IN I OUTI IN OUT #&gallons Age Test
Fuels:A_-3 AAw.
Gasoline,Jet Fuel(A)
Diesel, Kero� )
Heavy Oils:
waste motor oil (C)
&CL
transmission/hydraulic
Synthetic Organics:
degreasers
Miscellaneous:
COP
DISPOS ECLAMATION. REMARKS:
1. Sanitary Sewage 2.Water Supply �' � � .� e3
O Town Sewer Public _
ef
On-site ivate
3. Indoor Floor Drains YES Y ; NO
JVHolding tank: MDC �a :
O Catch basin/Dry well
O On-site system.
4. Outdoor Surface drains:YES VNO ORDERS: .
Q Holding tank: MDC
Catch basin/Dry well
O On-site system
5. Waste Transporter
Name of Hauler Destination Waste Product
74
YES NO
1.
2.
Person (s)'In erview Inspector Date
r
L !
cape Cod Tim6s
"THE CAPE AND ISLANDS' DAILY NEWSPAPER"
319 Main Street, Hyannis, Mass. 02601
Telephone(508) 775-1200
BUREAUS: Falmouth, Orleans, Bourne, Provincetown d�
August 15 , 1990
To: Ed Barry Barnstable Health Inspector
From: Peter Meyer - Cape Cod Times Production Mgr.
Attached are the two material safety data sheets you requested
during your visit to our production center yesterday. Please let
me know if you need more information or have any questions .
Regards ,
MATERIAL SAFETY DATA SHEET DEINTIFIER�I PRIME lb
<- _ — .. N 1— 0— 4 90
^24�R__ E:S,S.A.G.E,—CeEN_TER 1-800-438-2647
SUMMER TTMESM+ - _-- a _ _ a �-� EMERGENCY PHONE NO.
N DIV. OF CAFE COD TIMES A 3630 E. KEMPER ROW_
A 40 COMMUNICATION WAY A SHARONVILLEt OHIO 45241 513-554-4200
HYANNISt MA 02601 T PREPARED BY: M. ANTOSIAK REFSII��ENCE
E E ON 10/31/89 B L# 260227
INV# 07-71095
• ..C-CEILING..MP-MAXIMUM PEAK..N/A-NOT APPLICABLE..N/K-NOT KNOWN..P-POTENTIAL..PEL-PERMISSIBLE EXPOSURE LIM-
IT..PM-PENSKY MARTENS..S-SKIN..ST-SHORT TERM..TLV-THRESHOLD LIMIT VALUE..TWA-TIME WEIGHTED AVERAGE..
COMMON NAME USED ON LABEL CODE
IL CHEMICAL FAMILY ALMALINt
PRINCIPAL HAZARDOUS COMPONENT(S)CHEMICAL&COMMON NAME IN) EXPOSURE LIMITS(TWA 8 HOUR UNLESS OTHERWISE SPECIFIED) UNITS
11 2—BUTOXYETHANOL ( 111-76-2 ) <5 TLV. 120 Ss PEL 120 S MG/M3
= 1
1
'II
g, • °F G I P ESSUR .. mmHg@ 2 0 °c BOy v ILh E $o
_ _ % NONE
APPEAFI4NCE$ODOR � E,) 9 N
U UUUK
FLASH FLAME { FLAMMABLE LIMITS LOWER UPPER AUTO IGNITION
,.
POINT NONE -F _EXTENSION' N A in. IN AIR BY VOLUME NONE NONE TEMPERATURE A °F
11 EXTINGUISHER MEDIA t A N t L. t
I• FIREFIGHTING L)l t
'P SPECIAL PROCEDURES
UNUSUAL FIRE AND 19 UNt
EXPLOSION HAZARDS
.Ii STABILITY POLYMERIZATION
STABLE NONE
INCOMPATIBLE.. L VEINTS AND CONCtIqrKAIEDt
i. WITH
DECOMPOSITION COp Sde W11H INCUMPLEIII:
PRODUCTS COMBUST.IOIN.
• PRIMARY ROUTES OF ENTRY INHALATION Y t SKIN Y E S INGESTION -
( 1.ACUTE SNKIAlt IRIMAILS • S INILKLASEU BLOOD
�., SIGNS FRAGILITY/EXPOSURE AGGRAVATES HEMATOP.CIETIC SYSTEM.
AND
SYMPTOMS
2.CHRONIC LABORATORY STUDIES INDICATE THAT PROLONGED OVEREXPOSURE
'OF TO 2—BUTOXYETHANOL AT LEVELS SUBSTANTIALLY ABOVE THE
OSHA PEL LIMIT MAY CAUSE ADVERSE EFFECTS ON MATERNAL
OVEREXPOSURE AND EMBRYONIC RATS AND RAiBBIT-S. THERE IS PRESENTLY NO
x POSITIVE EVIDENCE OF SIMILAR EFFECTS IN HUMANS.
` MEDICAL CONDITIONS GENERALLY SENSITIVL SKIN
AGGRAVATED BY EXPOSURE
LISTED CARCINOGEN NONE
E NTP IARC OSHA
EMERGENCY 1. ANDFI tAdf PT&Ef�RgJH AIR
f� FLUSH THOROUGHLY WITH FRESH WATERt FOR AT LEAST 15 MINUTES.
< : 2. EYES GET MEDICAL ATTENTION.
3. SKIN FLUSH WITH FRESH WATERt WASH WITH SOAP AND WATER
REMOVE CONTAMINATED CLOTHES AND SHOES
GIVE MILK OR WATERt INDUCE VOMITING. GET MEDICAL ATTENTION.
a. INGESTION NEVER GIVE ANYTHING BY MOUTH TO AN UNCONSCIOUS PERSON.
• RESPIRATORY PROTECTION NONE
VENTILATION LOCAL NO
"1 1 VENTILATION MECHANICAL PKUUULt NURMAL AIR UILUJIUN SPECIAL
1 I PROTECTIVE GLOVES
. ,
EYE PROTECTION k:LU
OTHER PROTECTIVE NUNt
CLOTHING/EQUIPMENT
HANDLINGDO Nul fKt t: LUNIAINEK IU _ . KELP E K FREEZING; KEEP
t `- AND BUNGS N CONTAINERS IF FROZENt RETURN TO PRODUCING PLANT.
.' STORAGE
PRECAUTIONS
OTHER N a LAUIIUNS UN LUNIAINEK LAt3EL*
Ow
PRECAUTIONS
1 IF MATERIAL IS WIPE UP SMALL AMOUNTS OR FLUSH TO DRAIN; T—CiLLECT AND RETURN LARGE
RELEASED/SPILLED AMOUNTS TO CONTAINER.
i 1
WASTE FH AUJUSIMENI ; NU
PHURUS
DISPOSALUSE UNTILLtSS THAN 1S.INCH REMAINS .IN CONTAINERt EMPTY CONTAINER
METHODS TRIPLE RI dSE WITH WATERt ADD TO OPERATION
REMOVE OR DEFACE LABEL BEFORE SELLING CONTAINER OR DISPOSAL
HMIS RATING HEALTH FLAMMABILITY REACTIVITY 0 PERSONAL PROTECTION C
FORMULATION THIS INGREDIENT IS REPORTABLE6AS A GLYCOL ETHER
F •71 COMPOUND*
IA
Rg • 9
d"7 A
I„
Ya 1
1' I
U.S. DEPARTMENT OF LABOR F11JS H/F/R=2/0/0
.OcCu.pational Safety and Health Administration Fee
- o Il..oeM„
MATERIAL' SAFETY DATA SHEET"... 2 0 NFPA
soww
Required under USDL Safe and Health..ty Regulations for Ship Repairing, r 1
Shipbuilding, and Shipbreaking (29 CFR 1915, 1916, 1917) ` 1
SECTION I Date of Issue: 6-13-86
- �-- MANUFACTURER'S NAME EMERGENCY TELEPHONE NO.
Rochester Midland 716-266-2283
AooaEss/Number,Stner,City.Start,and ZIP Code
333 Hollenbeck Street Rochester NY 14621
CHEMICAL NAME AND SYNONYMS TRADE NAME AND SYNONYMS "
None REPEEL
CHEMICAL F—AWIL-7 FORMULA
Mop-On, Suuee ee-Off Floor Finish Remover Mixture
M -SECTION If - HAZARDOUS INGREDIENTS
--••^ PAINTS,PRESERVATIVES,&SOLVENTS % TL ALLOYS AND METALLIC COATINGS % T _V--
_ PIGMENTS BASE METAL
CATALYST ALLOYS
"EHICL.E NOT APPLICABLE METALLIC COATINGS NOT APPLICABL `
SOLVENTS FILLER METAL
PLUS COATING OjP60RE FLUX
AOO1TIV OTHERS
O RS
HAZARDOUS MIXTURES OF OTHER LIGUIOS, SOLIDS. OR GASES % I TLV
IUnitsl
Sodium metasilicate (6834-92-0) - irritant as mist in air Ic1ol NA
Ethanolamine (141-43-5) 10 3 pal
2-Butoxyethanol (111-76-2) - skin jt25�25 m
Carcinogens: none under OSHA, IARC or NTP
SECTION III - PHYSICAL DATA
_., BOILING POINT (*F.) 212 SPECIFIC GRAVITY (H20■1)
1 .002
VAPOR PRESSURE (mm Hq.) PERCENT,VOLATILE
as water BY VOLUME (!1.) 95
VAPOR DENSITY (Al Ref)
EVAPORATION.HATE
-.- as water... I ,1) as water
SOLUBILITY IN WATER
... complete ... ..
APPEARANCE AND ODOR Blue liquid, glycol ether odor
SECTION IV - FIRE AND EXPLOSION HAZARD DATA
FLASH POINT (Metnad used) FLAMMABLE LIMITS Leo Ue1
- " None to boiling " None
EXTINGUISHING MEDIA
As for surrounding fire
SPECIAL FIRE FIGHTING PROCEDURES
Use NIOSH/MSHA self-contained breathing apparatus.
UNUSUAL FIRE AND EXPLOSION HAZARDS
• None
MSDS Form # 163A X3673
. PAGE 111 (Continued on reverse side)
SECTION V . HEALTH HAZARD DATA '
THRESHOLD LIMIT VALUE
See Section II
EFFECTS OF OVEREXPOSURE routes of ent
Inhalation of vapors, eye, skin or In estion: irritation; possible headache
nausea and voniting. Chronic: possible liver and kidney da-mage.
EMERGENCY AMC FIRST AIO PROCEDURES
Inhalation: renove to fresh air, Eye and skin: flush with 13lentv of water for 15
In all cases, get medical attention as required.
Medical conditions aq ravated by exposure:
SECTION VI .- REACTIVITY DATA
STABILITY UNSTABLECONOITIONS TO AVOIO
STABLE X None
INCOMPATABILITY (me-feriar to arwAcid solutions precipitate active ingredients.
HAZAROOUS DECOMPOSITION PROOUCTS None
HAZARDOUS
MAY OCCUR CONOITIONS TO AVOW
POLYMERIZATION
WILL NOT OCCUR X None
SECTION VI SPILL OR LEAK PROCEDURES
STEPS TO 9E TAKEN IN CASE MATERIAL IS RELEASED OR SPILLED
Small spills: rinse down drain. Large spills: dike to contain reclaim all possibl
Absorb with inert materials. Flush away residue with water.
WASTE OISPOSAL METHOO
Dispose of in accordance with Federal State and local recrulation's.
SECTION V111 . SPECIAL PROTECTION INFORMATION
RESPIRATORY PROTECTION (SPeafy type)
Wear NIOSH SHA approved respirator
VENTILATION LOCAL EXHAUST SPECIAL
As recruired to keen NA
MECHANICAL/Generdlf NA OTHER
NA
PROTECTIVE GLOVES EYE PROTECTION
Rubber or plastic Goggles to prevent accidentals lashes.
OTHER PROTECTIVE EQUIPMENT
As needed to prevent skin contact.
SECTION IX - SPECIAL PRECAUTIONS
PRECAUTIONS TO BE TAKEN IN HANDLING ANO STORING
Avoid Contact with eyes, skin and clothing, s with'
V7ash thoroughly after handling.
OTHER PRECAUTIONS
clash contaminated clothing before reuse.
lead and follow label directions. Keep out of reach of children.
PAGE MY This information was compiled from current.reliable sources and is believed to be X3673
correct As data and/or regulations change,and conditions of use and handling are
beyond our control, no warranty, expressed or implied, is made as to complete-
ness or continuing accuracy of this information.