HomeMy WebLinkAbout0032 BACON LANE - Health 32 B%tcori St. (Centerville)
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No. 42101/3 ORA
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08-31-2001 10:15AN CENT CST FIREDEPT 5087902385 P.02
i� Make application to local Fire Department.
d Fire Department retains original application and issues duplicate as Permit.
APPLICATION and PERMIT Fee: $—T.-oo
for storage tank removal and transportation to approved tank disposal yard in accordance with the provisions
of M.G.L. Chapter 148, Section 38A, 527 CMR 9.00, application is hereby made by:
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Tank Owner Name(please print) Harold Kidwell X
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Address 61 Taylor Road . Shorthills NJ 07078
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Company Name Enviro-safe Co.crindlvidual Enviro-Safe
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Address p•O:•BOX 510, E.Sandwich, MA Address
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Signature(if applyin for pemut) Signature(if applying for permit
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1FCI Certified other�o (ItFC rtified O LSP# , Other
TankLooation { 32 Bacon Strpeti
Tank Capacity(gallons) 3-oyr L 7 OL Substance Last Stored heating b i L
Tank Dimensions(diameter x length) _-
Remarks:
329 MA
Firm transporting waste ' Envi ro,-Safe State Lic.# _•,,, __
Hazardous waste manifest# MAM772704 E.P.A.# MAD965269323
Approved tank disposaiYard Turner Salvage Tankyard# 002
Type of inert gas . --Tank yard address, 235 Commercial Street Lynn, MA
City or Town Centerville FOID# 01920 _Permit#
Date o#Issue August 23, 2001 Dateotexpiration ,September 6, 2001
Dig safe approval number. 20013305492 trig Safe Toll Free Tel.Plumber-800-M-4844
Signature/Title of officer granting permit
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After removal(s)send Form FP-290R'siigned by local Fire Dept.to UST Regulato pliance Unit,One Ashburton Place.
Room 1310,Boston,MA 02108.1510.
TGTAL P.02