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Home My WebLink About0092 THORNTON DRIVE - Health 92 THORNTON DRIV e it IME�ok� Town of Barnstable Office:508-862-4644 Public Health Division Fax:508-790-6304 e BARMASSBL 200 Main Street• Hyannis, MA 02601 1659. OrFOMA'�p` TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT Business Name: �J vko RL q%1 Date: 7 / Location/Mailing Address: <v o ��►e. Contact Name/Phone: &v Ce- M � .c_W% OS 77 S o S''o Inventory Total Amount: ��-� MSDS: VVJ- License#: 1" JA Tier II : N O Labeling: (g� o,% Spill Plan: N/T Oil/Water Separator: Floor Drains: o Emergency Numbers: D t( Storage Areas/Tanks: 1 C mkyu yA- x Emer enc /Containment ui ment: Waste Generator ID: N 1A Waste Product: Dvu- Date&Amount of Last Shipment/Frequency: Licensed Waste Hauler&Destination: Other Waste Disposal Methods:__& o wit wm\-z. 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/RECOMMENDATIONS: O \ 024, c>-�( -CSC-c>vA �.c�. ,Or,ovt Inspector: L 60j4e, Facility Representative: WHITE COPY- HEALTH DEPARTMENT/CANARY COPY- BUSINESS IKE Town of Barnstable Office:508-862-4644 Public Health Division Fax:508as0-6304 • BARMA% . • 200 Main Street• Hyannis, MA 02601 t639 TOXIC AND HAZARDOUS MATERIALS INSPECTION REPORT rF0 Mph s Business Name: Date: f 1/I7-1 1 Location/Mailing Addres 921 �.0� o T�1 vvvt 5 Contact Name/Phone: ��J GQ 6L+I ��S -17 S "D S�3 Inventory Total Amount: MSDS: License#: Tier II : Labeling: Spill Plan: Oil/WaterSeparator: Floor Drains: Emergency Numbers: Storage Areas/Tanks: w vAike, v,k Emergency/Containment Equi ment: 6&,19-•kc i ova, 5��?i Waste Generator ID: Ab J C a Waste Product: 0 Date&Amount of Last Shipmen Frequency: 0, ^- ��t • jC v 1 Licensed Waste Hauler&Destination: Other Waste Disposal Methods: mac kCk-&5b0C)C �-o RDA5--'R.vV- 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. JAntifreeze 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 f 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: INFORMATON/RECOMMENDATIONS: Pv N&Za., a'e- tx a 0 CDJ.r II �pA 1 II l Inspector: � � L -Q_ Facility Representative: WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Date: 7/�2--//3 TOWN OF BARNSTABLE--:;[- 4s TOXIC AND HAZARDOUS MATERIALS REGISUATiOtISI FORM NAME OF BUSINESS: S 4V+0 e-p-10a BUSINESS LOCATION: 72- f�v�e. �aCvcs-}�,� -e.. INVENTORY MAILING ADDRESS: Sartit.e_ TOTAL AMOUNT- TELEPHONE NUMBER: S-00-775-0,553 ,�„ !BOO w CONTACT PERSON: 5r'vG.-- saba� „ A 1 , EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: aofo +r a.,/ p- �NFORMATION / RECOMMENDATIONS,: ` Dbfairc N,:5b:5,s,6,f5 4xx Fire District: o��1+e_2��o nl�� x w(?ap5+�. yQrnE_s clegx� wL� t1.. was��e� 1 �`)'+� P o2.GOriks O� T�QMS1�C�l a Zr r14' ��G�ICPJS(n�QsS��TD �aV1�3 l(yG�JTa� �- i44ye �riC� ex-1'�v.Au�s�uts t+1g�e.c e-�X JPQx� mi.` tv�vev ON, Ao (1Ge1K5,e.rv-goll'e4o Waste Transportation:� �rta �ee Last shipment of hazardous waste: j Name of Hauler: eoOr+,�1'�lu,-a'�S� �Cavt ��cs Destination: Waste Product: w 5-hp- +o Riovt'"�- r, Licensed? Yes No o Y Is 0e�6 et—\ 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 / Maximum Observed / Maximum `7 Antifreeze (for gasoline or coolant systems) Miscellaneous Corrosive ❑ NEW ❑ USED Cesspool cleaners 2- Automatic transmission fluid Disinfectants Engine and radiator flushes Road salts (Halite) 16 Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides 0"NEW to Lill/USED S (insecticides, herbicides, rodenticides) Gasoline, Jet fuel,Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene,#2 heating oil ❑ NEW ❑ USED Miscellaneous petroleum products: grease, Photochemicals (Developer) I 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 2,51 Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, 1-7 Lacquer thinners V (including carbon tetrachloride) ❑ NEW ❑ USED Any other products with "poison" labels (including chloroform, formaldehyde, Paint&varnish removers, deglossers hydrochloric acid, other acids) Miscellaneous. Flammables Other products not listed which you feel Floor&furniture strippers may be toxic or hazardous (please list): Metal polishes Laundry soil &stain removers (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Applicant's Signature Staff's Initi Towwof Barnstable Hazardous Materials On-Site Inventory and Inspection FACILITY INFORMATION: Business Name: '6 �s *Iov Business Location: / XI fX 771,OAXJ04) /)IfI✓E . B 4"s rk6le Mailing Address: y x 7wi0 P- J/-%0 Telephone Number: "8 - f 4re- 0 5 a3 Contact Person: _21UUC Sf',_vA7I1L-'E-1.1 Emergency Contact Telephone Number: Type of Business: 4U7V HAZARDOUS MATERIALS (CHAPTER 108) Virgin Product Total Quantity Container Size(s) Storage Location Major Materials Gallons or Pounds Quarts,gallons, Shed,retail store, drums,tank,etc... cabinet,closet,etc /yjScL--LP-.4A/e-ocS _ Quke.A-Nd 511FL1//N6- "J LUSo2/CA/1J7S ASS 6*1L6AJS ��gGza,J Cr�RA�eE C.a rum/N�73+ �oz✓��T /'r�zi9�G1.�/US (�/L�-ilJ� �ooFt �-5t �tL /10 G/ lt_a ctS (7) 55_ 4/�u` rT-7e/019 b S � 2.JO &1iLJ11AJ - 1 - h 1. Misc. Combustibles Misc. Corrosives Misc.Reactive Misc.Toxics Inventory Total Amount: PPK0X1H /JV C-h-t- -v fS Hazardous Materials License Posted?Yes Contingency Plan Posted? Yes 6) Fire District: *XA1S7-A51-E Fire Extinguisher Service Date: ZA®3 Metal Covered Rag Bin: Yes o Absorbent Material Available?C:y No Type of Absorbent: peedy D Pads Pigs Other: MSDS on site? Yes &° Hard Copy Computer Access Hazardous Waste Handling Hazardous Waste Generator Identification Number: Type(s) of hazardous waste product(s): _ W4-,7-F- nL� Date of last hazardous waste shipment,type of waste and quantity: Hazardous Waste Transporter(s): Designated Hazardous Waste Facility: Hazardous Waste Storage Area Description: �i_F�z) A-lCrxi- yj*s-rr ooi beuxes /k sraee ovTn000ebS, Bel/,01> ' &G>LI��'K oN A Woo-Aelf PA r z dA) rn GA0 u Au h, 774t=Xg- /s vo PkozzT-mld fieox % &-z 14-d,V Is hazardous waste storage area labeled: Yes No Are tanks/drums/containers labeled with the words "Hazardous Waste",the type of waste and the associated hazard (i.e. ignitable,corrosive,reactive or toxic) Yes l__% If hazardous waste is stored out of&qrs is it covered from the elements? Yes Is it in 110% containment? Yes o If hazardous waste is stored indoors is it on an impervious floor? Yes N F I - 2 - FLOOR DRAINS (Chapter 381) Town Sewer Account Number: Indoor floor drains: Yes (9 If yes,circle one,does it discharge to a: holding tank dry well on site septic. Outdoor surface drains: Yes No If yes,circle one,does it discharge to a: holding tank dry well on site septic. FUEL AND CHEMICAL STORAGE TANKS (Chapter 326) Underground Storage Tank(s) on site? Yesly% Age: Is removal required? Yes No If yes,when? Is testing required? Yes No If yes,when? Out of doors above ground storage tank on site? Yes & If yes,is it protected from the elements? Yes No If yes,how? Is it on a foundation larger in size than the tank? Yes No COMMENTS/RECOMMENDATIONS/CORRECTIVE ACTIONS 9�F Arse/f�-h f3 S Au,m &P*x Apzvr7"m- lVa n:s WAS p/ ,55--D Of is y '?YN 0/1- AAjb 'r//f p't`P 13 -17tE/ri /mil jTV" A1. /-�Atio),:-CSr CltWE12A7Vr NuA� `7741S lb/S Pa s AIL- 9-a u c'--3 flt-r A,,,1G^n'7t/ or A-re-Ddus Z AIA r/ G7V s i rC .7G IHAAJ /// (�,-LL6!vS4 A A;r Date: rLu�i4• 3✓ .ZD/ Public Healthinspector: Facility Representative: - 3 - r B & S AUTO REPAIR ADDITIONAL NOTES January 31,20,12 Comments/Recommendations/Corrective Actions Currently the facility stores, uses, and/or generates approximately 150 (one- hundred and fifty) gallons of hazardous material and is therefore subject to Town of Barnstable Ordinance Chapter 108, hazardous materials licensing. However, 110 (one- hundred and ten) gallons of this is waste oil that Mr. Sabatinelli stated he would have removed. Should this waste oil removal transpire than the facility would no longer be subject to licensing. The waste oil is stored in two separate fifty-five gallon metal drums which are located behind the building. The drums are tightly covered,.and are on a wooden pallet, on bare ground. The drums are not labeled, not protected from the. elements nor do.they have containment. Please be aware of the following: any hazardous material stored out of doors is to be protected from the elements, and have 110% containment. All hazardous waste is to be labeled with the words "Hazardous . Waste", along with the type of waste (i.e. waste oil) and the type of hazard (i.e. toxic). ("A SUMMARY OF REQUIREMENTS FOR SMALL QUANTITY GENERATORS OF HAZARDOUS WASTE" booklet has been provided to Mr. Sabatinelli.) Mr. Sabatinelli was unable to provide a manifest sheet for the past removal of any waste oil. Therefore, a Hazardous Waste Identification Number,was unavailable. A Hazardous Waste Identification Number is to be obtained from the Department of Environmental Protection. (A"Self-Assigning a Hazardous Waste Generator Identification Number" fact sheet was provided to Mr. Sabatinelli.) The remaining hazardous material consists of various automotive lubricants and the solvent in a Parts Cleaner. These materials are stored in doors on an impervious floor. Propane tanks are stored in the Compressor Room;these should be stored out of doors in a secure manner. l� Parker, Alisha From: Childs, Barbara on behalf of wpcd wpcd Sent: Tuesday, January 02, 2007 9:43 AM To: Parker, Alisha Subject: RE: Sewer Connections Both are connected -----Original Message----- From: Parker,Alisha . Sent: Tuesday,January 02, 2007 9:32 AM To: wpcd wpcd; Mastroianni,Ann Cc: Giangregorio, Robin Subject: Sewer Connections r Good Morning, Would you please be able to tell me if 93 Thornton Drive (m/p 296-o13) and 31 Thornton Drive(m/p 296- 007) are connected to Town sewer? o Thank you,Alisha Alisha Parker Hazardous Materials Specialist Town of Barnstable Health Department 200 Main St. Hyannis, MA 02601 Phone: 508- 862-4645 Fax: 508-790-6304 alisha.parker@town.barnstable.ma.us 1 ` .Z no feltV►1, Date: /�/ 9 Nzjv TOWN OF 13ARNSTAI3LE ' ¢ 0441zel' TOXIC AND HAZARDOUS MATERIALS ON-SijrE INVLNT RY NAME OF BUSINESS: BUSINESS LOCATION: ►' INVENTORY MAILING ADDRESS: « TOTAL AMOUNT- TELEPHONE NUMBER: qQ 17& -D5a mm CONTACT PERSON: h2!� �Loyla.rAj EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: INFORMATION/RECOMMEN ATIONS' d1H Fir District: ir t - - - Waste Transportation: 1 Last shipment of hazardous.waste: Name of Hauler: Destination: WkWfb Waste Product: Licensed?Licensed? Yes No NOTE: Under the provisions of Ch. 111 , Section 31, of the General Laws of MA, hazardous materials 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/Maximum Observed/Maximum Antifreeze (for gasoline or coolant systems) Misc. Corrosive 1 NEW 5 USED Cesspool cleaners Automatic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Mo r Oils Pesticides NEW 15 USED (insecticides, herbicides, rodenticides) Gasoline, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. 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 Misc. 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 (inc. carbon tetrachloride) NEW USED Any other products with "poison" labels Paint &varnish removers, deglossers (including chloroform, formaldehyde, i Misc. Flammables hydrochloric acid, other acids) Floor&furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS ."A q� M � B 3 Oak p4f 41 v q129 f 0 tp OIL WASTE OIL OIL FILTERS F EZE WASTE 155 �o N EZE GASOLINE WASTE GAS DIESEL FUEL W/W FLUID HYDRAULIC/ MISC. MISC. MISC. MISC. BRAKE FLUID COMMBUSTIBLE MABLE CORROSIVE PETROLEUM (GEAR OlL/GREASE/ LUBRICANTS) 6 I FREON ACETYLENE CAR WASH CAR WASH PAINTS/ WAX DETERGENTS NERS 3e; SEALANT CLEANING BATTERIES/ POISION/TOXIC CAULK/GROUT SOLVENTS BATTERY ACID FERTALIZERS WASTE SOLVENT MSDS MANIFESTS U��I�Ge rro Q•iile �"�, nu, �oo ! j5c b LetwlGCf i Q � Town of Barnstable OF THE tp�Y Regulatory Services 'L Thomas F. Geiler,Director. Public Health Division * BARNSTABLE, * Thomas McKean,Director l639. 200 Main Street, Hyannis,MA 02601 prFD Mp`�a` - Phone: 508-862-4644 Email: healthgtown.bamstable.ma.us Fax: 508-790-6304 Office Hours: M-F 8:00—5:00 _ .. . . November 7, 2006 _..- Bob Leonardi _,_..._.,, .. B&S Auto Repair 92 A&B Thornton Drive Hyannis,MA 02601 ` Dear Mr. Leonardi: Thank you for your time and cooperation during the hazardous materials inventory and site visit at B&S Auto Repair on September 26,2006. This letter contains information from that visit that will help you become compliant with Chapter 108 of the Town of Barnstable Ordinance: Hazardous Materials. Enclosed is a copy of the Toxic and Hazardous Materials On-Site Inventory form from the visit to your place of business. Please note the observations listed below: OBSERVATIONS: • MSDS on site • Very Small-Quantities Generator(VSQ)and will not need to obtain a Hazardous - Materials Permit for the fiscal year 2006-2007. • All waste oil is brought to Nakutis Custom Choppers for disposal in the waste oil burner system. • Please keep all propane cylinders outdoors at all times. On Site Inventory Total The Toxic and Hazardous Materials On-Site Inventory from September 26, 2006 shows that you have approximately 79 gallons of toxic and hazardous materials being used, stored, generated and disposed of at A&B Auto Repair, 92 A&B Thornton Drive,Hyannis(Please see enclosed Toxic and Hazardous Materials On Site Inventory sheet). The Board of Health has determined that the using, storing, generating and disposing of over 111 gallons of hazardous materials per month requires businesses in the Town of Barnstable to obtain an annual Hazardous Materials License. This license is not required to be obtained for the fiscal year 2006-2007. If you have any questions about these observations, or you need further information, guidance or assistance,please do not hesitate to contact the Public Health Division. Sincerely, Alisha L. Parker Hazardous Materials Specialist Enc. On-Site Inventory(copy) Date: $ /1c/ oy TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: .8 9t S BUSINESS LOCATION: �� —��-�i+ 3lNVENTORY MAILING ADDRESS: �� TOTAL AMOUNT: TELEPHONE NUMBER: —7 7 9— 05-0 3 S CONTACT PERSON: aAd4 '°, 9 �M'1�-�' EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? TYPE OF BUSINESS: INFORMATION/RECOMMENDATIO11 a-(ecrh Fire Dis rict: ry s.-rsc Waste Transportation: 14 ee2— Last shipment of hazardous waste: e,77 s Name of Hauler: OA A Destination: "Z Waste Product: A�E Licensed? Yes No NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials use, storage and disposal of 111 gallons or more a month requires a license from the Public Health Division. UST 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/Maximum Observed/Maximum Antifreeze (for gasoline or coolant systems) Misc. Corrosive y NEW USED Cesspool cleaners A atic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides /0 NEW USED (insecticides, herbicides, rodenticides) Gas6Ane, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc.,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 Misc. Combustible Car wash detergents Leather dyes afar waxes and polishes Fertilizers Asphalt & roofing tar PCB's r7 Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, ✓ _Laeetaef thinners (inc. carbon tetrachloride) NEW USED Any other products with ".poison" labels Pai varnish removers, de lossers (including chloroform, formaldehyde, , Cal Misc. Flammables hydrochloric acid, other acids) Floor&furniture.strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers (including bleach) Spot removers &cleaning fluids (dry cleaners) Other cleaning solvents . Bug and tar removers Windshield wash , WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS Hazardous Materials On-Site Inventory/Inspection LA T�� For ALL Shops and Businesses in the Town of Barnst 1 � DBA: t27 Location: Z_ V_�) Date: : Physical Features to Inspect: Hazardous waste generation sites (production/manufacturing areas): Cam , Waste storage areas: _- Satellite accumulation points throughout: f�'�I�� a N ZA ---__ . L/ HazMat stored outdoors"— CHECK OUTSIDE:` Shipping and receiving areas; n down of shop Run p activities: . �® Housekeeping practices x . s HazMat On-Site Inventory/Inspection: Records to Review for SQGs and CESQGs DBA: Location: Site visit date: Hazardous Waste Manifests: -6 � Employee training documentation (if required): Hazardous substance spill control anp contingency plan: MSDS on site? HazMat Inventory records (if applicable): 4 eo- HazMat Waste Shipping documentation: ^ ` /A Spill records if p.pl.ic �r irk \ Gi� Town of Barnstable-Health Department Page 1 HAZARDOUS MATERIALS INVENTORY SITE VISITS ._ DBA: B&S Auto Repair Fax: E ...... Corp Name: Mailing Address _.. __ ... _.._..... __....... ......... _...... :. ......... . _.._.._...... __....__..._......_ Location: 92 Thornton Drive,Hyannis Street: 92 Thornton Drive mappar: City: Hyannis Contact: :Bruce S blli S �t � State: Ma Telephone: Zip: 02601''. Emergency: ! Person Interviewed: Business Contact Letter Date: Category: Miscellaneous Inventory Site Visit Date ................................._..... Type: 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: ..._...................._...._._._...__..__........... compliance: Page 2 Town of Barnstable-Health Department HAZARDOUS MATERIALS INVENTORY Chemicals: ❑ Zero Toxic Waste Materials ❑ gty's>25 Ibs dry or 50 gals liquid but less than 111 gals. ❑ gty's 111 gals or more v Waste Transporter: Fire District: Last HW Shipment Date: Waste Hauler Licensed: No r Date: $ //c/ oy TOWN OF BARNSTABLE TOXIC AND HAZARDOUS MATERIALS ON-SITE INVENTORY NAME OF BUSINESS: 6 9t S Z�j� BUSINESS LOCATION: `", 1-ap 0 77DZ4 LP'-P—;Ahk SINVENT0RY MAILING.ADDRESS: �� TOTAL AMOUNT: TELEPHONE NUMBER: g r -7 7 9— ®S 03 y� SAS CONTACT PERSON: sAda, - �'�"► ��-� - EMERGENCY CONTACT TELEPHONE NUMBER: MSDS ON SITE? .TYPE OF BUSINESS: LA aa_ INFORMATION/RECOMMENDATIONS: �% �e Fire Dis rict: Waste Transportation: U.es-- Last shipment of hazardous.waste: e-77 s; Name of Hauler: Destination: -Zoru Waste Product: cs;LA T-F' Licensed? Yes No_b41,6 NOTE: Under the provisions of Ch. 111, Section 31, of the General Laws of MA, hazardous materials 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/Maximum Observed/Maximum _ Antifreeze (for gasoline or coolant systems) Misc. Corrosive y NEW USED Cesspool cleaners gVA tic transmission fluid Disinfectants Engine and radiator flushes Road Salts (Halite) Hydraulic fluid (including brake fluid) Refrigerants Motor Oils Pesticides /0 NEW USED (insecticides, herbicides, rodenticides) Gasane, Jet fuel, Aviation gas Photochemicals (Fixers) Diesel Fuel, kerosene, #2 heating oil NEW USED Misc. 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 2-6 Battery acid (electrolyte)/Batteries Lye or caustic soda Rustproofers Misc. Combustible Car wash detergents Leather dyes OACar waxes and polishes Fertilizers Asphalt & roofing tar PCB's CIA Paints, varnishes, stains, dyes Other chlorinated hydrocarbons, thinners (inc. carbon tetrachloride) iZ N W USED Any other products with "poison" labels Pai varnish removers de tossers (including chloroform, formaldehyde, , Misc. Flammables hydrochloric acid, other acids) Floor&furniture strippers Other products not listed which you feel Metal polishes may be toxic or hazardous (please list): Laundry soil & stain removers e (including bleach) ` Spot removers & cleaning fluids ^� f (dry cleaners) Other cleaning solvents Bug and tar removers Windshield wash WHITE COPY-HEALTH DEPARTMENT/CANARY COPY-BUSINESS i • , a I FA'j3.Auto Body Shops =6 sf aWcto)rVya 2.Printers • "+ unsatisfactory- 14.Manufacturers 6.Fuel Suppliers s u 7.Miscellaneous • _ Case lots I Drums ;` "r bove':Tanks"� ";Under�� ound Tanks 0 PA ■ MEN 11011m FXUNJ�NAN� I MEN 0"mmmmm� N I Dili �s _ / � J. 0 ✓ Jf �i// Name of Hauler Destination Waste Product Licensed? F � :F/W f/ 1.-��J