CHAPTER 6 - ANALYSIS OF LAND-USE WITHIN ZOC FOR TOXIC AND HAZARDOUS MAT. 

 Cape Cod Aquifer Management Project Final Report Page 58 



TOXIC AKl) HAZAUUOIIS MATERIALS BECISTRATION FORM 



NAME OF FIR>1; 

 MAILING ADDRESS: 

 TELEPHONE NUMBER: 

 CONTACT PERSON: 



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 SO gallons liquid volume or 2S pounds dry weight? ^pg j^g 



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 wlicn 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 sys 



Automatic transmission fluid 



Engine and Radiator flushes 



Hydraulic fluid (including brake fluid 



Motor oils/waste oils 



Gasoline, Jet fuel 



Diesel fuel, Kerosene, #2 heating oil 



Other petroleum products: grease, 



lubricants 



Degreasers for engines and metal 



Degreasers for driveways & garages 



Battery acid (electrolyte) 



Rustproofers 



Car wash detergents 



Car waxes and polishes 



^Asphalt & roofing tar 



^Paints, varnishes, stains, dyes 



Paint and lacquer thinners 



Paint & Varnish removers, deglossers 



Paint brush cleaners 



Floor & Furniture strippers 



Metal polishes 



Laundry soil & stain removers 



(including bleach) 



Spot removers & cleaning fluids 



(dry cleaners) 



Other cleaning solvents 



Bug and tar removers 



Household cleansers, oven cleaners 



Drain cleaners 



Toilet cleaners 



Cesspool cleaners 



Disinfectants 



Road Salt (Halite) 



terns) Refrigerants 



Pesticides (insecticides, 



herbicides, rodenticides) 



Photochemicals 



Printing Ink 



Wood preservatives 



( creosote ) 



Swimming Pool chlorine 



Lye or caustic soda 



Jewelry cleaners 



Leather dyes 



Fertilizers (if stored 



outdoors) 



PCB's 



Other chlorinated hydro- 

 carbons, (inc. carbon 

 tetrachloride) 



Any other products with 



"Poison" labels (includinc 

 chloroform, formaldehyde, 

 hydrochloric acid, other 

 acids) 



Other products not listed 



which you feel may be 

 toxic or hazardous(please 

 list): 



Figure 6.4 Barnstable Board of Health Toxic and Hazardous Materials 

 Registration Form. 



