HomeMy WebLinkAbout0302 OCEAN STREET - Health 302 OCEAN ST., ?
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Make application to local Fire Department.
Fire Department retains original application and issues duplfcate-as Permit.
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APPLICATION and PERMIT Fee:
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) X
Signature(it ap/ly�m°�or permit ,!
61
street GUy^ 1 State zip
ReMoVall ContractW • •
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Company Name Advanced Fnvironmental _ Co. or Individual
Print Print
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AddressP n Rox 477 09 r-eat Western- R &Address
nnf Prinr
Signature applyin perm t Signature (if applying for permit)
IFCI Certified Other ❑ IFCI Certified t. ❑ LSP# Other
Tank Location
Stoat Address _ City
d
Tank-Capacity(gallons) y �� Substance Last Stored~ �
Tank Dimensions(diameter x length)
Remarks:
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Firm transportingwasteAdvanced Environmental State Lic. # MV5083 56100 N
Hazardous waste manifest# E.P.A. # -
I
Approved tank disposal yard James G .Grant Co. . Inc Tank yard# 008
Type of inert gas a Tank yard address wnl r,0t t c t Raadixi 1 3 ca MA
City or Town �-f �' FDID#— v A ,2- Permit# 003,37
Date of issue• /-3/�/v �.y� f expiration
9W. A
Dig safe approval number: ��� 9S,y���S i� fe Toll Free Tel. Number-800-322-4844
Signature Title of Officer g ting permit Cy` I - �®
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After removal(s)send Form FP-290R signed by Local Fire Dept. to UST Regulato e Un k%e Ashburton Place,
Room 1310, Boston, MA 02108-1618.
y '•292(revised 9/96)
c TOWN OF BARNSTABLE
UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS
,03ESSORS MAP NO��
S-O '� PARCEL NO. (✓
ADDRESS-Y=.' GC1�l ` �• VILLAGE'.'
� � 5 �
NAME;.-mw
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CONTACT PERSON PHONE NUMBER
LOCATION OF TANKS; CAPACITY: TYPE-OF' FUEL AGE: TYPE: LEAK
A Q OR SHEMICA% DETECTION
SYSTEM!
DATE OF PURCHASE OF EACH: 1.//-f 2. 3. 4. 5.
DATE OF FIRE DEPARTMENT PERMIT: //- - rJ
TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS
PLEASE PROVIDE A SKETCH SHOWING THE LOCATION OF TANKS ON THE BACK OF THIS CARD e
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Make application to local i ire uGN";
licate as Permit•
Fire Department retains original application and issues dup/
C�/22�'aO46660 �C , os
,
l� and PERMIT Fee:
AP P LIC
����® and in accordance with the provisions
transportation to approved tank disposal y
4p,; `action 38A, 527 CMR 9.00, application is hereby made by:
for storage tank removal and
of M.G.L. Chapter 1
gI W 1 X gnature i aPilyin {or�Pe m t z,6
/lLJ 61
lease Print) I_1 h n IS y o
Tank Owner Name(p int) r--� � l s�a�e i
C)Y.A v�. �-j— city
Address Street ,
Co. or Individual Print
company Name AdY Print Prof
R Pddress I
Address P I in for permit)
Signature (if app Y 9. i
perm' I
Signature applyin -----
I Other _--
❑ IFCI Certified ❑ LSP #
IFCI Certified Other __---
Jcl?
11d �
`'
Tank Location stBetAddress
Substance Last Stored
Tank Capacity(gallons) �rr � lei
Tank Dimensions(diameter xlength)
Remarks: ------------
i
\ 6 00 0�
s State Lic. # MV 5 0$ 5
nced Environmental I
Firm transporting waste i
. E.P.A.# I
Hazardous waste manifest# and# I
Approved tank disposal yard Jame s G • r n
Tank y I
Tank yard address
Type of inert gas O 0 33 i I
_Permit#
a FDID#
City or Town 3 � ��I expiration
Date of issue ( D��G 95�,,///js i� (e Toll Free Tel. Number 800 322 4844
Dig safe approval number:
Officer granting permit r `i
r r e Un �ie Ashburton Place;
Signature!Title of t to UST RegulatorQ� yN'
senr 1 6918
Room
signed by Local Fire Dept. 1
Roo 310, Boston, MA 02108
HYANNIS FIRE DEPARTMENT
95 HIGH SCHOOL ROAD EXTENSION
HYANNIS, MASS. 02601
Harold S. arunelle ` BUSINESS: 775-1300
CHIEF' � � Smoke 0eftftd Save od(pea �� EMERGENCY: 911 .
FAX: 778-6448
To /
Town of Barnstable, Board of Health - T. McKean v
Town of Barnstable, Conservation Commission From ; Fire Prevention Bureau, Hyannis Fire Department
Subject ; The installation of above ground storage tanks.
Date 5/3/00
Persuant to the applicable sections of 527 CMR Fire
Prevention Regulations, this Department .has inspected the
following location for above ground storage.
ADDRESS 302 Ocean St. Q
OWNER/OCCUPANT. : Sadie Bloom
PHONE : 7.71-1372
SIZE OF TANK(S) (1) 275 gal. Oval Steel Basement Tank
COMMODITY STORED # 2 fuel oil
PDR OSE FOR STORAGE Heating
THIS INSTALLATION IS : PRE-EX STING A REPLACEMENT
NEW
This installation complies does not comply
with the required installation regulation listed below.
***REPLACES 1000 gal. UST REMOVED 5/3/00 ***
(COPY OF REMOVAL SENT TO BOARD OF HEALTH 7/00)
FIRE PREVENTION OFFICE
For: HAROLD S.BRUNELLE,CHIEF
HYANNIS FIRE DEPARTMENT