HomeMy WebLinkAbout0075 BOB WHITE CIRCLE - Health CEi4TERVILLE-OSTERVILLE-MARSTON S MILLS
FIRE DISTRICT
} 1875 ROUTE 28
CE13TERV ILLE,MA 02632
(508) 790-23801FAX0508) 790-2385
OIL/HAZARDOUS MATERIAL RELEASE FORM
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DATE OF RELEASE: ^ "" 41
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NOTIFICATIONS:
FIRE DEPARTMENT: YES(' NO( ) D ATE: - � T IME" 1 :7 5 7 `�
NATIONAL RESPONSE CENTER YES(,6 NO( ) DATE: - �- �;�TIME: �-�."c �
DEPT.-OF ENVIRONMENTAL PROTECTION YES(,, NO( ) DATE:.(-�TIME: 4Zy gy-
OIL SPILL COORDINATOR: YES( ) NO( ) DATE TIME
TOWN BOARD OF HEALTH: YES( °NO( ) DATE•�-!_�TIME: 1 2 T
TOWN HARBORMASTER: YES( ) NO( ) DATE: _ TIME:
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