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Home My WebLink About0030 THORNTON DRIVE UNIT A - HAZMAT 3� ��r,��1�1`iv�- J /, ^n�� I�� z CYOP Date: Z v4/ TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAMEOFBUSINESS: BUSINESS LOCATION: MAILING ADDRESS: '� �� —�— INVENTORY TOTAL AMOUNT: TELEPHONE NUMBER: 5-6 8— -7-7 / 3 /Z z CONTACTPERSON: o?o EMERGENCY CONTACT TELEPHONE NUM R: FIRE pt 51� TYPEOFBUSINESS: jA4! dAA- ��n ��a�l OTHER INFORMATION: s-F � s •o( M 505 00 ,54e.• Pam. Waste Transportation: Name of Hauler: Sa,s.e . J� Destination- Waste Product: cnxr, 5 kyiol� Licensed? Yes No LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. . NOTE: LIST IN TOTAL LIQUID VOLUME OR POUNDS. Quantity Observed (gallons): Antifreeze(for gasoline or coolant systems) Drain cleaners NEW USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salt (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor oils Pesticides NEW USED (insecticides, herbicides, rodenticides) Gasoline, Jet Fuel Photochemicals (Fixers) Diesel fuel, kerosene, #2 heating oil NEW USED Other petroleum products: grease, Photochemicals (Developer) lubricants, gear oil NEW USED - --- Degreasers for engines and metal Printing ink Degreasers for driveways & garages Wood preservatives (creosote) Battery acid (electrolyte) Swimming pool chlorine Rustproofers Lye or caustic soda Car wash detergents Jewelry cleaners Car waxes and polishes Leather dyes Asphalt& roofing tar Fertilizers Paints, varnishes, stains, dyes PCB's Lacquer thinners Other chlorinated hydrocarbons, NEW USED (inc. carbon te'trachloride)- Paint&varnish removers, deglossers Any other products with `poison' labels Paint brush cleaners Floor'&furniture strippers (including chloroform;formaldehyde, Metal polishes hydrochloric acid, other acids) Laundry soil &stain removers Other products not listed which you feel (including.bleach) may be toxic or hazardous (please list): Spot removers & cleaning fluids misc.: ( g,_2.Ae_ (o -Aa t. (dry cleaners) �(a�rhr»a ib•��. ouv �. Other cleaning solvents Bug and tar removers Town of Barnstable-Health Department Page 1 ;W` HAZARDOUS MATERIALS INVENTORY SITE VISITS DBA: Yankee Auto Electric Fax: — Corp Name: (of Hyannis Auto Service) Mailing Address Location: '32 Thornton Drive,Hyannis Street: 32 Thornton Drive mappar: City: Hyannis Contact: N�S��dh State: Ma Telephone: .508-771-3122 Zip: 02601 Emergency: Person Interviewed: Business Contact Letter Date: 5/21/2004 Category: Vehicle Maintenance Inventory Site Visit Date: 5/26/2004 Type: / p�ch—H�cr.( Follow Up/Inspection Date: public water ❑ indoor floor drains ❑ outdoor surface drains ❑ license required ❑ private water ❑ indoor holding tank mdc ❑ outdoor holding tank mdc ❑ currently licensed ❑ town sewage ❑ indoor catch basin/drywell ❑ outdoor catch basin/drywell expir - - ❑� on-site sewage ❑ indoor on-site syste ❑ outdoor onsite system date: ........................._......_......._.......... REMARKS: 1999 •Parts cleaners;Spray paint(cans) ORDERS: compliance: Arrange MSDS Satisfactory �s �a�s Page 2 Town of Barnstable-Health Department HAZARDOUS MATERIALS INVENTORY Chemicals: ❑ Zero Toxic Waste Materials &r'gty's>25 lbs dry or 50 gals liquid but less than 111 gals gty's 111 gals or more Waste Transporter: SG� G� Fire District: oi'GTiIM S �J� Last HW Shipment Date 4a-u-" Waste Hauler Licensed: (/f 47'i�A -7.9 oy wee/S TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM > Mail To: NAME OF BUSINESS: Board of Health MAILING ADDRESS: 1-)A1( 3Z UAN,�5TAGLE- Town of Barnstable TELEPHONE NUMBER: -3G7--q?O P.O. Box 534 Hyannis, NIA 02601 CONTACT PERSON: �RiA� �. Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in qu Ities 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 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 t// Hydraulic fluid (including brake fluid) Disinfectants ✓ Motor oils/waste oils Road Salt (Halite) yGasoline, 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 As halt & ofing tar Leather dyes Pain , varnis s, stains, dyes Fertilizers (if stored outdoors) In & uer 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) AC ETO 1i F Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business r TOWN OF BARNSTABLE OMRUANCE: CLASS: 1.Marine,Gas Stations,Repair satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops unsatisfactory- 4.Manufacturers COMPANY f �1�1i4 /i;/' (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS Class: 7.Miscellaneous `lf'*f TITIES AND STORAGE (IN=indoors;OUT-outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground Tanks IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,J el-(A3 Diesel, Kerosene, #2 (B) Heavy Oils: ✓`� waste motor oil (C) /Z Moto it (C c V transmissionlhydraulic Synthetic Organics: degreasers isc l aneous: J14 DISPOSAL/RECLAMA ON REMARKS: 1. Sanitary Sewage 2. Water Supply At Town Sewer JVPublic O On-site OPrivate .3. Indoor Floor Drains YES NO O Holding tank:MDC - O Catch basin/Dry well O On-site system 4. Outdoor Surface drains:YES N0_�Z ORDERS: O Holding tank:MDC O Catch basin/Dry well O On-site system 5.Waste Transporter Name of Hauler Destination Waste Product YES NO 1. 2. „q - Person (s) Interviewed Inspector Date J �\a TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: NAME OF BUSINESS: i � n e ( ��► Board of Health MAILING ADDRESS: 12 76'6- 1 Give Z&G? Town of Barnstable- TELEPHONE NUMBER: P.O. Box 534 CONTACT PERSON: Hyannis, MA 02601 r Ids — Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantiti totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES _I 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: �rT� 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 in quantities totalling more than 50 gallons liquid volume or 25 pounds dry weight. Please put a check beside each product that you store: jjjAntifreeze (for gasoline or coolant systems) Drain cleaners ll Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants 0 MotorY 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 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) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business �ci,�'�'"�- i.r� °`3e's. *.e4 �,JG�+r`v�lyea.�''^^M�:a�.a+.'+'^� 'ryndas,-•. �'T�°'�S vie'h4.��e:_,.Jb._1FT' �„f��"+r�v.,. ,,�:•;... '�� 2..^c, TOWN.OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair O satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops { 0 unsatisfactory- 4.Manufacturers COMPANY iQ� - <x�l (see"Orders") 5.Retail Stores 6.Fuel Suppliers 'ADDRESS 1 � `(t1.�� or .()Iijc_ Class: 7.Miscellaneous H'yQAAI QUANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel(A) Diesel, Kerosene, #2 (B) Heavy Oils: `_ - waste motor oil (C) J�,�1a` new motor oil(C) #D transmission/hy drau 1 l� Synthetic O ganics __7 x degreasers Miscellaneous: } DISPgqOS�A�I('✓"RECLAMATI`ON REMARKS: �(�{ 1. Sanitary Sewage 2.Water Supply 0 Town Sewer OPublic O On-site OPrivate -{— ^�q � l • O V .. 3. Indoor Floor Drains YES NO O Holding tank:MDC O Catch basin/Dry well O On-site system 4. Outdoor Surface,drains:YES NO . ' ORDERS: O Holding tank:MDC i��n c � O Catch basin/Dry well o(�CC c` , ,,_ , O On-site system a' Vl�✓c ( L c� n�e�� i;,ti.�f�''`� e_{ r C VA.Nc. { 5.Waste Transporter Name of Hauler Destination Waste!� Product y 1. Y ."GS�X. �//^L"' �� T'��.�ry� f��.� � 1 11 �� •��',r� fZ"�� _ �[''� }// YES NO _. 2. erson (s) Interviewed-_- Inspector Date r .