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°Fay r. Town of Barnstable Office:508-862-4644
Public Health Division Fax:508-790-6304
• BARMATR%. . • 200 Main Street• Hyannis, MA 02601
Eo►5,9. TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT 6lgli
Business Name: Date:414f
Location/Mailing Address: A6'ott N(¢,-,6f -, 4<-AVfklol�o-
Contact Name/Phone: tS o++- 57D%--36,2-&023
Inventory Total Amount: I MSDS: License#:A
Tier II : 130 Labelina: O k Spill Plan:
Oil/WaterSeparator: '— Floor Drains: a 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:
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"
L I �at (including chloroform,formaldehyde,
hydrochloric acid, other acids)
VIOLATIONS:
ORDERS:
INFORMATION/RECOMMENDATIONS: 4-e o 0
Inspector: r , �am Ue-,
Facility Representative:
WHITE COPY-HEALTH DEPARTMENT/CANARY COPY- BUSINESS