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HomeMy WebLinkAbout0036 PERSEVERANCE WAY - HAZMAT �� PeX561ek6m C e U�� 7 TOWN OF BA R N STAQB E COMPLIANCE: CLASS: t. Marine,Gas Stations,RFpai.r O satisfactory .+2`: 'Printers BOARD OF HEALTH 3. Auto Body Shops O unsatisfactory- 4. Manufacturers COMPANY C�-&1 /0 Ism f Ike-i' (see"Orders") 57R-6tai l Stores 6. Fuel Suppliers ADDRESS Y,AAI"P' ta,atCI Class: 7. Miscellaneous QUANTITIES AND STORAGE (IN=indoors; OUT=outdoors) MAJOR MATERIALS Case lots Drums AboveTanks Undetground Tanks IN UT IN OU IN 0 # gallons a rest? Fuels: Gasoline, Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: 111 waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers :VO I 1 Miscellaneous: DISPOSAL RECLAMATION REMARKS: , 1. Sanitary Sewage 2. Water Supply ran �s. ► `c ,�,, O Town Sewer ublic P v VOn-site O Private 3. Indoor Floor Drains: YES NO- 4 Holding tank: MDC O Catch basin/Dry well On-site system 4. Outdoor Surface drains-YES No Q Holding tank: MDC ---- O Catch basin/Dry well OOn-site system S. Waste Transporter Licensed? ` Name Lo D i na ion ,Waste Product YF.S1 NO B1 Persons) Iz{terv� ewed /' Inspector Date