HomeMy WebLinkAbout0177 THORNTON DRIVE - Health 1'77 Th=ornton Drive, Barnstable
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VILLAGE _
INSTALLER'S NAME 6 ADDRESS
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R U I D E R OR OWN ER
DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED �-71
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VILLAGE
INSTA LLER'S NAME i ADDRESS
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B U I L D E R OR OWNER
DATE PERMIT ISSUED
DATE COMPLIANCE ISSUED
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THE COMMONWEALTH OF MASSACHUSETTS
I� BOARD OF HEALTH
J �12J ...............OF...... '�r ' � ...........................
Applir l tion for Ubipoiial Works Tons rnrtio n Permit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at:
......................... ...........................vdl�.............................................
® Locations-Adddrressss �j g, or
Lot.Nod+,
.!.'...� 1........2ll.rde=�.�1 .-• --•--^----..... iC.._-+S. d ..lG.:1l..w A!I� �d_`:G' s� .............................
Owner Address
a =:..... -••• ............... ..... r s ,c7 're. .---.................---•--•----•------•-..........
Installer Address
Type of Building Size LotZ 0.3.6.......Sq.-feet
U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( )
`4 Other—Type of Building ilding No. of persons............................ Showers ( ) — Cafeteria ( )
44 Other fixtures ......................................................
W Design Flow............1.:CiV�.-----_--.-----.-._gallons per person per day. Total daily flow............................................gallons.
WSeptic Tank—Liquid capacitylB6IP..gallons Length................ Width................ Diameter................ Depth................
Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ,( )
'_4 Percolation Test Results Performed by .PAY.__d1� AY.................... Date...-�---Vf .............
aTest Pit No. ll_��-_._.minutes per inch Depth of Test Pit..../fir- Depth to ground water........................
(z, Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
Q+' -----------------------------•-•---------------------------•---.............................••-_.............................................................
O Description of Soil.—Op % !a_._....5!®...............
W ---------------------------------------•------------•-------------•--•-------•--------------•-•---•---------•--•-•---------------------•-------•------------...---------------•--------.._...-••••-•----
UNature of Repairs or Alterations—Answer when applicable...............................................................................................
--------------------------•---------..............-•----•--•-------------------------••-•-•=••••••.............------------•------....---•---•••---------------------------•-•..............-•••-•----
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of health.
Sig7ed........ ......................................................................... ................................
_ Date
Application Approved By------.... ..1.;2. ._... . -• • --•----ti-------------------• � � =7��---•--•----•---
Date
Application Disapproved for the following reasons:--.._.._............^...........................................................................................
.............................•---•-•--------•--------------..............------------................------•---•----•...-------•----------•---------••---------------------------------...............
Date
Permit No......................................................... Issued.....
_.<...•..................
Date
F
No.. ...........Z. ..� Fimz................. .........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD. OF HEALTH
M
1 ................O F...:.. AOle±!0 xoplol v ...............................
Appliratiou for DiipnsFal Works Toutitrur#iou Prrutit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at
..:. ... .............. ...................... -.. `_..1.r... .....................................
Location-Address or Lot No.
-........ '. ''�.• .!`,?'!..a ". .r !�, '* fd!: .................. .........
Owner Address
Installer Address
Type of Building Size Lott! ...0.3.6_.._._..Sq. feet
U a
Dwelling o. oerms__: .Expansion Attic ( ) Garbage Grinder ( )
Other—T of Buildin Other—Type � No. of persons____________________________ Showers ( ) — Cafeteria ( )
Q' Other fixtures ......... ........................
W Design Flow............t�rO......................gallons per person per day. Total daily flow...................................
__
WSeptic Tank Liquid capacityi?s ±...gallons Length................ Width................ Diameter................ Depth................
x Disposal Trench—No..................... Vidth.................... Total Length.................... Total leaching area...................sq. ft.
Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
`-' Percolation Test Results,, Performed by `.r'.....��, ..................... Date..'` '""� .............
14
04 Test Pit No. ' .....minutes per inch Depth of Test Pit....tu........ Depth to ground water ......................
(i "Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
RI' i s ......- •--- ••......----••-------•---••...................................................••-••----•••--•-••-•......-••.........._•-•-_••...
D Description of Soil__ h/,'�� �t� ........... ------------------
W
U Nature of Repairs or Alterations—Answer when applicable.................................................................................................
............---•---•••••-••••••••..................••-•-••••............._.....•-••••---•-...•--•...•••.......•••••••---••-•-••---••••••••••••---••---•-----••-•--•-----•-••=----•--•-•.......••-_.....
Agreement:
Tfig unde signed agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the roHsions of TiT`:
p 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board of health.
S1912ed........ ..._ .. .._••--••--•-------•• ................................
oDate
Application Approved By........... ..._- ---- -- - tllYl ,...._....................... . =- =-- �-
t..� ..............
Date
Application Disapproved f or'Jhe following reasons.................. ........................................................................................._
rt Date
PermitNo.......................................................... Issued_..................................................
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD O HEA TH
%untif iratr of ( ompliFaurr
TH Ta--C RTI _, In- ual S age Disposal System constructed ( ) or Repaired ( )
by.........
-
In
at. -- . .: .9 q_... ..1._ .... -------------------
has been installed in accordance with the provisions of j of e State Sanitary�2de as described in the
application for Disposal Works Construction Permit iV ...... -�". .................. dated__.-_-___-_/f`7 ...................
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CON TRUE® AS A GUARANTEE THAT THE
•
SYSTEM! WILL FUNCTION SATISFACTORY.
DATE.. � ......z- ...:. :.. Inspector --....-_-
THE COMMONWEALTH OF MASSACHUSETTS
BOARD Off HEALT
L7.%f $� :1~..........OF............N ..........I.. FEE........................
�t �tg urk atuirttr#iatat utit
Permission Akreby granted....•- ._.... -•-•-•• •-- -- • .........................................
to Constr X
or air an ividu yl Sewage D' posal t
4
St a et
as shown on the application for Disposal Works Construction CAINA ........ Dated.:_s .6,&-V cl----------------
Board.of Ith
DATE... .... ..:_•--•...:.............•--•---
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS
OF 9AR.�. 4j
h 1
�� sa BARNSTABLE COUNTY HEALTH DEPARTMENT
SUPERIOR COURT HOUSE
BARNSTABLE, MASSACHUSETfS 02130
21fA8a PHONEt 362.2511
EXT. 931
Date: April 3. 1979
To: William P. Swift, Esq.
49 Elm Street
Location of Well hot 18 Thornton Drive
_ Hyannis, Mass. 02601
Hyannis
On the basis of a laboratory examination on a sample of water from ymur well we
have compiled the following results:
Total coliform bacteria (MF/100ml) 0
pH 5.8
Iron 1.13
On the basis�of the above results, -this water supply is lappraved
f I .not apprwPd for *:u.�a�� cnnsurfiptien. :.
_ Signed .
Public Health Sanitarian
cc Mr. John Kelly,. Director
Barnstable Board of Health
Town Office
Hyannis, Mass. 02601
cc Blue Rock Well Drilling Co.
65 Blue Rock Road
South Yarmouth, Mass. 02664
1/20/79
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CERTIFIED PLOT PLAN
I Ij�i2/�-3 TigBGG MAS S
i
/.r eiy LOCATION �� .. . ..� . . . . . . . . . . .J,. .. . . . . . .. . . . .
i DATE SCALE . �. =' . . . . �`!'4 j! ? 1S 79.
Ef"WARD f- K'ELL PLAN REFERENCE BE .+!G LoT'"'i8
`�,tsi � •` 4�I�► 1q "�. ;�. '4.� .Sf'bwni 00v ®!4-
41,
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o , I CERTIFY THAT THE �tSnw t�puNDA77ov
SHOWN ON THIS PLAN IS LOCATED ON THE GROUND
' AS SHOWN HEREON.
Swims ,�E�rtrY T,�c�sT
DATE
PETITIONER: /-/, ,4AIAlis 1-714--5 .
REGISTERED LAND SU YOR
N59345
` SNb'�T Z �F Z SH62'7rS
L. . 8C,.8o . ... .
TOP OF FOUNDATION
` CONCRETE COVER
CONCRETE COVERS
0 0 4"CAST IRON 12��MAX. 12"MAX.
PIPE (OR 4"ORANGEBURG(OR EQUIV.)
` EQUIV.)— MIN. PIPE- MIN. LEACH
PITCH 1/4"PER. PITCH 1/4 PER.FT PIT PRECAST
° LEACHING
INVERT a
o EL. 9- INV RT INVERT p . e : PIT OR
SEPTIC TAN K DI ST. • w EOU I V.
o INVERT EL. Z,S7. . BOX EL.$Z,Z .
8Z 74 /coo . .• GAL. INVERT v c~ia O ;;; 3/4°TO I I/2
o' EL.....r.... .. INVERT w 4:
EOPI% • . `'' WASHED
� STONE
—WDIA. —+r
PROFILE OF GROUND WATER TABLE
SEWAGE DISPOSAL SYSTEM
NO SCALE
SOIL LOG WITNESSED BY :
DATE APR!4 4 171 TIME. 9%3oAr-J vL !`9 9,Z-/, BOARD OF HEALTH
TEST HOLE I TEST HOLE 2 Tjjrydl� ENGINEER
ELEV. . ELEV. .. .. .
.-v w9-ram L. r. . . .
/TP�S✓,S )77
n
DESIGN DATA
NUMBER OF BEDROOMS
TOTAL ESTIMATED FLOW . . .47-o. . . . GALLONS/DAY
�N6 BOTTOM LEACHING AREA SO.FT. /PIT
Sq-,v,a
SIDE LEACHING AREA . .�8�' '�b . SQ.FT./ PIT
GARBAGE DISPOSAL .NO^�t. (50% AREA INCREASE)
TOTAL LEACHING AREA SQ.FT
/ 40 PERCOLATION RATE . I.�'1!N . ?SZ'� . MIN/INCH
LEACHING AREA PER PERCOLATION RATE Sr`�0. . . SQ.FT.
. . .WATER ENCOUNTERED
NUMBER OF LEACHING PITS 1.P/T" .w�rfi• Tiwy.
APPROVED . . . . . . BOARD OF HEALTH FED°F !vE o!�! ftt.0 SiL163.� /.S;L 7bAiS f
of 57Dti/E P pi 7T
TI40MAS 7E.KELL•EY•CO.
DATE . . . . . . . .
AGENT OR INSPECTOR ENGINEERS—SURVEYORS
346 LONG POND DRIVE
SOUTH YARMOUTH,MAS D. � F M4S,,
/ 4h 02664 2 THOMA
GOT �� rK�fi� -10
a K EYE+
S'wi/=T T/! . 77l,�-ST _F- ; p�FG/STEQ���.�`'�
FSS/ONAL�a�
PETITIONER y✓��nliS ASS, �fiw� / f�
lNEW
�FtMETO� TOWN OF BARNSTABLE
OFFICE OF
I BAHMAO& E, S BOARD OF HEALTH
� M4
i634�D 397 MAIN STREET YAY�'
HYANNIS, MASS. 02601
April 20, 1979
Mr. William P. Swift
49 Elm Street
Hyannis, MA.
Re: Lot 18 , Thornton Drive, Hyannis
Dear Mr. Swift:
Your-.-request for a variance to install an on-site sewage---
system for your warehouse on property at Lot-18 , -Thornton
Drive, Hyannis, which will be 101 feet from your existing
well and 103 feet from the well on the adjoining property
is granted with the following conditions :
All other Town of Barnstable Health regulations and
provisions of Title 5, of the State Environmental
Code, must be strictly adhered to.
This variance expires May 1 , 1980.
Very truly yours,
OLVA-�
aQ_
An J Esh au h Chai n
Ro ert L. Childs
A. W. Mandelstam, M. D.
BOARD OF HEALTH
TOWN OF BARNSTABLE
mm
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rya SP / / 7
LOCATION7�, SEWAGE PERMIT NO.
VILLAGE
I N S T A LLERj'S ) NAME & ADDRESS
(7e
R U I D E R OR OWNER
DATE PERMIT ISSUED _
DAT E COMPLIANCE ISSUED _
Z �o
p.P if -A°pQ
R � 3
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TOWN OF BARNSTABLE OMPI.[ANCE: CLASS: 1.Marine,Gas Stations,Repair
BOARD OF HEALTH Satisfactory 2.Printers
funsatisfactory-
3.Auto Body Shops
4.Manufacturers
COMPANY ' fiY >ti see"Orders") 5.Retail Stores
6.Fuel Suppliers
ADDRESS ?.Miscellaneous
UANTITIES AND STORAGE (IN= indoors;OUT=outdoors)
MAJOR MATERIALS MMMMM 0 . ME==
IN OUT IN OUT IN OUT #&gallons Age Test
Fuels:
.Gasoline,Jet Fuel (A)
/-VA,tz�41r,W PKI
Diesel, Kerosene, #2(B)
Heavy Oils:
waste motor oil (C)
new motor oil (C)
4f7
transmissiZo drradraul c
Y
Synthetic Organics:
degreasers
V
M cellaneous:
��,,
=L
DISPOSALIRECLAMATION REMARKS:
1. Witary Sewage 2.Water Supply 141 ,T
own Sewer / Public
r
'O On-site OPrivate
3. Indoor Floor Drains YES .NOZ_ -
O Holding tank:MDC_
e%PPCatch basin/Dry well
O On-site system
4. Outdoor Surface drains:YES r NO ORDERS:
O Holding tank:MDC
Catch basin/Dry well `
+f ,.
O On-site system
5.Waste Transporter jrl
a ,5
Name/o y
f✓.i�j
e n (s) Inte mewed Inspector Date
1 • �: ��' � i • • .
.
Printers2. •
ShopsAuto Body
unsatisfactory-"Orders")
, 6.Fuel Suppliers
7.Miscellaneous
Case lots Drums Akiove Tanks'` ! Undergi and Tanks
Pon
0 mmmmmmmpw�
.S • , • • - qw
1 PIENINNIMIN
ma
No
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♦ . �, is = - .1t �''.� r I .
• •• i• 1 • -
• • 1
got
of
y
ME rarm-10
Name of Hauler Destination,' Was Yrodiict, Licensed?
r�
I WINE;
Cof MIV
TOWN OF BARNSTABLE OMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair
satisfactory 2.Printers
BOARD OF HEALTH 3.Auto Body Shops
unsatisfactory- 4.Manufacturers
COMPANYR1r,9' S (see"Orders") 5.Retail Stores
6.Fuel Suppliers
ADD
RESS V A Class:
7.,Miscellaneous
�l' AMV S' QUANTITIES AND STORAGE (IN= indoors; OUT=outdoors)
MAJOR MATERIALSCase lots Drums lAbove Tanks Underground
IN OUT JINOUT IN OUT #&gallons Age Test
Fuels:
Gasoline,Jet Fuel (A)
Diesel, Kerosene, #2 (B)
waste motor oil ( )
new motor oil (C)
transmissio ydraulic
Synthetic Organics:
degreasers
Miscellaneous:
0 Ln
DISPOSALfRECLAMATION REMARKS:
1. 9anitary Sewage 2.Water Supply 7.-Vnq
Town Sewer 9ublic r'
On-site Private
0
3. Indoor Floor Drains YES NO �t'
O Holding tank:MDC l/I//, , r W Z 1 L
O Catch basin/Dry well Al, c,
O On-site system ' _
4. Outdoor Surface drains:YES NO g
O Holding tank: MDC 3
O Catch basin/Dry well 6L IN On-site system � a, d�3 2 9 Z 3-3-3V
C
5. Waste Transporter C, dc_'
1 • Product
1V YES INO
Person (s) Intervie ed Ins ec r Date ;
J
E�
TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM
Mail To:
NAME OF BUSINESS: o ? 11 Board of Health
MAILING ADDRESS: � �` Town of Barnstable
TELEPHONE NUMBER,---, 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 qua (ties totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry
weight? YES V 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: D7iL(J
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 i
Please put a check beside each product that you store:
Antifreeze (for gasoline or )
coolants stems Drain cleaners
systems)
Automatic transmission fluid Toilet cleaners
Engine and radiator flushes Cesspool cleaners
Hydraulic fluid (including brake fluid) Disinfectants
ell Motor oils/w to oils Road Salt (Halite)
Gasoline, Jet fuel Refrigerants
Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides,
Other petroleum products:g2ase 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
K 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
w ._ ,
TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair
atisfactory 2.Printers
BOARD OF HEALTH 3.Auto Body Shops
�p O unsatisfactory- 4.Manufacturers
COMPANY �6f��.� ha (see"Orders") 5.Retail Stores
6.Fuel Suppliers
ADDRESS / ,,w ��glass•
7.Miscellaneous
mo QUANTITIES AND STORAGE (IN= indoors; OUT=outdoors)
MAJOR MATERIALS Case lots Drunis Above tanks Underground
IN OUT IN OUTI IN OUT #&gallons Age Test
Fuels:
Gasoline,Jet Fuel (A)
Diesel, Kerosene, #2 (B)
Heavy Oils: "
waste motor oil (C)
new motor oil (C.) 1 V
transmission/hydraulic
Synthetic Organics:
degreasers
Miscellaneous:
10
LX
Ll
DISPOSALIRECLAMATION REMARKS:
1. Sanitary Sewage 2. W ter Supply •'
O_Town Sewer ublic
XOn-site OPrivate
3. Indoor Floor Drains YES NO l�
O Holding tank: MDC
O Catch basin/Dry well
O On-site system
4. Outdoor Surface drains:YES NO OR ERS: _
Q Holding tank:MDC Q
O Catch basin/Dry well -
O On-site system a 2 -Z!F 43
5. Waste Transporter -
Name of Hauler Destination Waste Product
2.
le"Ilk k
Pe son (s) Interviewed _ "nspector Date
TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair
BOARD nters
OF HEALTH O satisfactory 3.2.Auto Body Shops
unsatisfactory- 4.Manufacturers
COMPANY O (see"Orders") 5.Retail Stores
6.Fuel Suppliers
ADDRESS Class: 7.Miscellaneous
e QUANTITIES AND STORAGE (IN=indoors; OUT-outdoors)
MAJOR MATERIALSUndergroundoveTanks
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:
DISPOSAURECLAMATION REMARKS:
1. Sanitary Sewage 2. Water Supply LS H4
O Town Sewer Public !, PAPA
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 NO ORDERS:
O Holding tank: MDC
O Catch basin/Dry well
O On-site system
5. Waste Transporter
Name of Hauler Destination Waste Product
1 � YES NO
2.
Person (s) Interviewed Inspect r- ate
TOWN OF BARNSTABLE COMPLIANCE: CLASS: 1.Marine,Gas Stations,Repair r
BOARD, OF HEALTH O satisfactory 2.3Printers
.Auto Body Shops
l}} ,,� J unsatisfactory- 4.Manufacturers
COMPANY /I &.( f#� O (see"Orders") 5.Retail Stores
6.Fuel Suppliers
ADDRESS If W()f�hfl�0 14, Class: 7.Miscellaneous
QUANTITIES AND STORAGE (IN= indoors; OUT=outdoors)
MAJOR MATERIALS . 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)
new motor oil (C)
transmission/hydraulic '
Synthetic Organics:
degreasers
Miscellaneous: '
DISPOSAL/RECLAMATION REMARKS:
1. Sanitary Sewage 2`Water Supply e I 4VO
O Town Sewer Public rr, -7
6 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 NO ORDERS:
O Holding tank:MDC
O Catch basin/Dry well
O On-site system
5. Waste Transporter
Name of Hauler Destination Waste Product
1. ������ t..✓ I/ ..s-- YES NO
2.
tJ r_ �1,11r `fig f1f
Person (s) Interviewed r Inspector Date