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Home My WebLink About0080 KIDD'S HILL ROAD - HAZMAT °FTC Towti Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BA LE.MASS. • 200 Main Street• Hyannis, MA 02601 MASS. g. f639 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rF0 MA'S n Business Name: W Le S c3n Date: i "J —aZ v Location/Mailing Address: P'n a- 3 ; 1 JZJ ,eo✓t„ fille Contact Name/Phone:air � we,T b off. Ga /SA a, Inventory Total Amount: I' MSDS: I—hp , s hem License#: n Tier II : IV 6 Labeling: V�e 4-a, 1 Spill Plan: YV f 12 Oil/WaterSeparator: ly Floor Drains: My". r EmeQency Numbers: YEs Storage Areas/Tanks: 1 I i W04,60 ey-mi-4 V; 4&i i-v^ Emergency/Containment Equipment: ' Waste Generator ID: d-0 4 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 . or caustic soda Lacquer thinners Miscellaneous Combustible �1�"' 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: 4/6 .a Ssye',5 ORDERS: INFORMATION/RECOMMENDATIONS: r`ze LT Inspector: f� Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY-BUSINESS S IKE Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 • BARMAgg. 200 Main Street• Hyannis, MA 02601 Eo59. +°� i. TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: OJl vt g Rga Date: Location/Mailing Address: K, 5 ,/ 1 VQ,12, bac-v%5+4-b l e. Contact Name/Phone: Inventory Total mount: G",) MSDS: 014t, Y4aK'I�° License#: Tier II : W n Labeling: OK Spill Plan: Oil/Water Separator: 0 1A Floor Drains: D Emer ency Numbers: _ Storage Areas/Tanks: Emergency/Containment ui ment: -V %VA- Waste Generator ID: Waste Product: 0% Date&Amount of Last Shi ent/Fre uenc : Licensed Waste Hauler&Destination: Other Waste Disposal Methods: 4 Al,ke, 01 -1,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 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/ EC MMENDATIONS: -� L ,e, v` V, f5 G k Q.G aJ �t Nit•(. 1 ,,• ,'' Inspector: , "�1-� z Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS Date: z l l l 7 TOWN OF BARNSTABLE ::�r—,,,, t,or— TOXIC AND HAZARDOUS MATERIALS R FORM NAME OF BUSINESS: 104 ►L- g eo BUSINESS LOCATION: ee(i<, 's H11 ✓? INVENTORY MAILING ADDRESS: TOTAL AMOUNT: TELEPHONE NUMBER: ,�00 -Jt 2.- fS' -Z— -�-33 gal�ans CONTACT PERSON: 0a Vt— S1 even.5 EMERGENCY CONTACT ELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: No INFORMATION / RECOMMENDATIONS: 4eee25, Fire District: 4o >"I *6,-+s , 2) c,Ir-s 6—Q— 3) l.o-�.-! 7"ez �1 ,,-A cA is, ��— S-tora.�.G Waste Transportation: Last shipment of hazardous waste: Name of Hauler: Destination: Waste Product: Jvrr,, 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 1 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 �Z Qot NEW Z- C//USED 90 (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 (..,f I Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes om- yt 4o bt, Laundry soil &stain removers (including bleach) Spot removers&cleaning fluids (dry cleaners) o r Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initia