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Home My WebLink About0082 THORNTON DRIVE BLDG A UNIT 4 - HAZMAT r.. r C l 3 t Y W Y r1 �sR N Y' w.. 5 s"Cih.. ,. .,. ,. A ,. a •. .' u r u.. .. '.. ri* ......:.T v,...n x .... :.... r. •. .sY .. ... ..w :.. ).. ..�,. .,I ? ,,.f... r ,-F, .. a. � .. ':"s. ..ha' l.. .. +fr. 1 x x , ... . '6... 3'... ..,.. •.. � -xv . .,Y .. xaa.,:, ..n.. .. r. •.. } �� e't. w.,f2, .. ch�a, w,r..�"* s ,.:?�. <. sq, at .. `d*:of•'r3."G, "Yt.. .. ..E X ....:h• ..f �+" 7•. ,?r 1..;'?<..a". '.44v.., ,.. -.Tfah:"3.'. S,'(.h .r3 S 4 1V .4y.., .'$7 3 F'� #, t ,lu....: •.'!"&,. ..+. •r ,.., ,r.� a .,'Gs r .i.tt9`"�,+. ._+Y,�I. 1�F. e�4�.,..s ie ,�4.. :P`.re?rc.#...�w t, sxa. t. ,�• .. .,R .;ti 5 #+ .c w �R ;�.. �`" ....: .r _ r.. �.. � .,�..�'..;�,� ,....a* �,,,..p.rr : �. ;t,r. �,t.. .., �<. ��„�.,, •. ��4�. rS � , .>�' r>„" r e,:, ��. = 7.i.1 k;'�� . �'� is��, � { -'�t i»� �• �h�,#T�¢ y�z � s "h:� _v. a ,- ., , - r ' ��?<.` '��ra+c 3�..'� ar.si,�"'4. '' �.:7 .� };,)'h�lt,v �;E•��,,x�e,}ti�,�+4'��n ��.„y�� `s. �; 1 � F • I .. #..t;,�7P t�"'f,;h .� 7 � e � ,t;�. ,.+,."r. d '`t'`%+,r�'a?��' '`,$af("tmi .ei,x§ r' r l e' u R 4:� � ' (r 4) Y `J V • .2f r t ' 0' hR 1 a . f .'r f'', ... � a l I " . _ - � � � - .. ., • ''�� ., ,, p ,. � � ,; 3 I .. .. } .. .R � - .. :. _ �r s,y �. _. i ,. .. .. .�: # '� t '. i r r _ ., S' � �. � ;�` - it-� i 'r � - i. . ., � .. n - � � �t .. _ � ., - f TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM Mail To: NAME OF B U S I N E S Board of Health MAILING ADDRESS: Town of Barnstable TELEPHONE NUMBER: �T7S P.O. Box 534 CONTACT PERSON: Hyannis, MA 02601 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities tot��`alllling, 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: �f hor 0ro 1 �� TELEPHONE: 7 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 store �,- -- lease 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 Hydraulic fluid (including brake fluid) Disinfectants Motor 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 T Bug and tar removers Household cleansers, oven cleaners White Copy-Health Department/ Canary Copy-Business TOWN OF BARNSTABLE MPLIANCE: CLASS: 1.Marine,Gas Stations,Repair Satisfactory 2.Printers BOARD OF HEALTH 3.Auto Body Shops O unsatisfactory- 4.Manufacturers COMPANY (see"Orders") 5.Retail Stores 6.Fuel Suppliers ADDRESS Class: 7.Miscellaneous / OU-V { UANTITIES AND STORAGE (IN=indoors;OUT=outdoors) MAJOR MATERIALS Case lots Drums Above Tanks Underground 77 IN OUT IN OUT IN OUT #&gallons Age Test Fuels: Gasoline,Jet Fuel (A) Diesel, Kerosene, #2 (B) Heavy Oils: waste motor oil (C) new motor oil (C) transmission/hydraulic Synthetic Organics: degreasers Miscellaneous: EllL f�. ra DISPOSAL/RECLAMATION REMARKS: 1. Sanitary Sewage 2. Water Supply Avee 56IJ2 4r�. O Town Sewer Public ,'On-site OPrivate 3. Indoor Floor Drains YES NO y - OH olding 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. J Alvvl Per/ n (s) Interviewed Inspector Date TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF FIRM: !� y MAILING ADDRESS: TELEPHONE NUMBER: CONTACT PERSON: y� l/y�/¢ F L= Does your firm store any of the toxic or` hazardous materials listed below, either for sale or for your own use, in quantities totalling, at any tijoe, 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 th6 materials are stored at a site other than your mailing adess• ADDRESS: ? �Q ° TELEPHONE: , '�9 1.3,5 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: Antifreeze (for gasline or coolant systems)_ Refrigerants Automatic transmission fluid Pesticides (insecticides, Engine and Radiator flushes herbicides,rodenticides) Hydraulic fluid (including brake fluid) Photochemicals ,,-Motor oils/waste oils Printing Ink Gasoline, Jet fuel Wood preservatives Diesel fuel, Kerosene, #2 heating oil (creosote) Other petroleum products: grease, Swimming Pool chlorine lubricants Lye or caustic soda Degreasers for engines and metal Jewelry cleaners Degreasers for driveways & garages Leather dyes 1 Battery acid (electrolyte) Fertilizers (if stored Rustproofers outdoors) Car wash detergents PCB' s ' Car waxes and polishes Other chlorinated hydro,- Asphalt & roofing tar carbons, (inc.carbon Paints, varnishes, stains, dyes tetrachloride) Paint and lacquer thinners Any other products with Paint & Varnish removers, deglossers "Poison" labels (including Paint brush cleaners chloroform, formaldehyde, Floor & Furniture strippers hydrochloric acid, other Metal. polishes acids) Laundry soil & stain removers Other products not listed (including bleach) which you feel may be Spot removers & cleaning fluids toxic or hazardous(please (dry cleaners) list) :' Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners Drain cleaners Toilet cleaners Cesspool cleaners Disinfectants Road Salt (Halite) 'TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1. Marine,Gas Stations Repair O satisfactory 2. Printers BOARD OF HEALTH 3. Auto Body shops unsatisfactory- 4. Manufacturers COMPANY ZT- ,- _1 (see"Orders") S. Retail Stores 6. Fuel Suppliers. ADDRESS Class: 7. Miscellaneous QU I'TIES AND STORAGE (IN=indoors; OUT=outdoors) MAJOR MATERIALS Case lots Drums AbCveTanks Undetgrouad Tanks -IN OUT IIN IOUT IN UT # & iz2llonsAgerest? Fuels: Gasoline, Jet Fuel (A) F7 Diesel, Kerosene, #2 (B) Heavy Oils: ii ! I waste motor oil (C) new motor oil transmission/hydraulic z; Synthetic Organics: degreasers r Miscellaneous: ® �c9rSSi i DISPOSAL RECLAMATION REMARKS: 1. SariitarySewage 2. Water Supply O Town Sewer O Public mite Private 3. Indoor Floor Drains: YES NO O Holding tank: MDC O Catch basin/Dry well ORD OOn-site system ' 4. Outdoor Surface drains:YES N O Holding tank: MDC VU(L� O Catch basin/Dry well OOn-site system S. Waste Transporter Licensed? Name of Hauler- D - in tion Waste Product IfV si er o� s - � ewed12 23 Inspec"tor D to J I00. 'i .i`i) HALIIA1'DOIUS i,JATERI�:LS li`.GIS R.-,'T!ON F1�P NAME OF FIRM: (2AMMrrr CoNsTrzuc -)oq MAILING ADDRESS: P•o. "Box 16o YAP_Kourffp1_T� MA OZ67S . TELEPHONE NUMBER: 394-13 57 eg 775 -577� CONTACT PERSON: Jim M UrAsc i o j" Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in quantities 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: -rwokmToi( D2 HyANNIs MA TELEPHONE: 775-5771 LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous characteristics and must be registerea" 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: - Antifreeze (for gasline or coolant systems )_ Refrigerants Automatic transmission fluid Pesticides (insecticides, Engine and Radiator flushes herbicides,rodenticides ) Hydraulic fluid (including brake fluid) v/ Motor oils/waste oils Photochemicals Printing Ink I Gasoline, Jet fuel Wood preservatives Diesel fuel, Kerosene, #2 heating oil (creosote) i Other petroleum products: grease, Swimming Pool chlorine r lubricants Lye or caustic soda Degreasers for engines and metal Jewelry cleaners Degreasers for driveways & garages Leather dyes Battery acid (electrolyte) Fertilizers (if stored Rustproof ers outdoors) it Car wash detergents PCB' s Car waxes and polishes Other chlorinated -hydro- Asphalt & roofing tar carbons, (inc.carbon Paints, varnishes, stains , dyes tetrachloride) Paint and lacquer thinners Any other products with Paint & Varnish removers, deglossers Paint brush cleaners "Poison" labels (including F Floor & Furniture strippers chloroform, formaldehyde,hydrochloric acid, other Metal polishes acids) Laundry soil & stain removers (including bleach) . Other products not listed i which you feel may be Spot removers & .cleaning fluids toxic or hazardous (please (dry cleaners ) Other cleaning solvents list) : f Bug and tar removers Household cleansers, oven cleaners Drain cleaners Toilet cleaners Cesspool cleaners Disinfectants Road Salt (Halite) TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM NAME OF FIRM: Cape Cod Audio Clinic MAILING ADDRESS: 80 Enterprise Rd. , Hyannis TELEPHONE NUMBER: CONTACT PERSON: Does your fi n=-store -any-.of the toxic-.or.hazardous materials l stedbei:vwj either for sale or for your own use, in quantities totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO X 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 in quantities totalling mote than 50 gallons liquid volume or 25 pounds dry weight. Please put a check beside each product that,you store: Antifreeze (for gasline or coolant systems)w Refrigerants Automatic transmission fluid Pesticides (insecticides, Engine and Radiator flushes herbicides,rodenticides) Hydraulic fluid (including brake fluid) Photochemicals Motor oils/waste oils Printing Ink Gasoline, Jet fuel Wood preservatives Diesel fuel, Kerosene, #2 heating oil (creosote) Other petroleum products: grease, Swimming Pool chlorine lubricants Lye or caustic soda Degreasers for engines and metal Jewelry cleaners Degreasers for driveways & garages Leather dyes Battery acid (electrolyte) Fertilizers (if stored Rustproofers outdoors) Car wash detergents PCB' s Car waxes and polishes Other chlorinated hydro- Asphalt & roofing tar carbons, (inc.carbon Paints, varnishes, stains, dyes tetrachloride) Paint and lacquer thinners Any other products with Paint & Varnish removers, deglossers "Poison" labels (including Paint brush cleaners chloroform, formaldehyde, Floor & Furniture strippers hydrochloric acid, other Metal polishes acids) Laundry soil & stain removers Other products not listed (including bleach) Spot removers & cleaning fludrs which you feel may be (dry cleaners ) R E C E IV E ® toxic or hazardous (please Other cleaning solvents HEALTH DEPT. list.1; Bug and tar removers TOWN OF BARNSTABLE Household cleansers, oven cleaners Drain cleaners Toilet cleaners Cesspool cleaners MAY 5 1981 Disinfectants Road Salt (Halite) TOWN OF BARNSrine �• i r Q satisfactory WiAutotBody Shops .BOARD OF HEALT- - -_ . . .�. .-_- unsatisfactory 4." Manufacturers " (see"Orders") S. Retail Stores COMPANY ; 6. Fuel' Suppliers ADDRESS ��i ,� An Classy 7. Miscellaneous i QUANTITIES AND STORAGE (IN=indocrs; OUT=outdoor; MAJOR MATERIALS Case lbt.s Drums. AboveTanks- Undetgro.und Tanks IN IOUT IN 0- IN IOUT #' 6 L721lonse Test Fuels: Gasoline, Jet Fuel (A) Diesel, Kerosene, N2 (B) Heavy Oils: waste motor oil (C) 7LS new motor oil (C) transmission/hydraulic Synthetic Organics: { degreasers 54 Miscel aneous: i IT 4-9A A YL 4' _ P r DJSPOSAL RECPNAAT N . (// REW.RKS: 1. Sanitary Sewage \2. Water Sup;Ply 1.. 4 r � ' OTown Sewer Publ:i x ��1 �V On-site Q P ivate 3. I door Floor Drains: YES N0 ().Holding tank: MDC__ O Catch basin/Dry wel-1 On-site system _ t ' 4. Outdoor ,Surface drains-YES NC__ O Holding, tank MDC �- , O Catch basin/Dry we S Q -= OOn-site system , S. Waste Transporter Licensed? y5Laste Product YES NO Q i 12 23 of erson s inY"er wed Inspector Da e