HomeMy WebLinkAbout0072 BAYBERRY LANE - Health (2) �� � �
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. TOWN OF BARNSTABLE VALA16
� ,UNDERGROUND FUEL ANDCHEMICAL STORAGE SYSTEMS
ASSESSORS MAP NO. C3I PARCEL NO. ,' � �o
ADDRESS; 7 "r �� � I: / f�� VILLAGE 0 l
NAME'._. f .e ... :1 ��Z fl/'�
CONTACT PERSON -5/ '1/,�,' f; PHONE NUMBER ` "�q
LOCATION OF TANKS:. CAPACITY: .TYPE OF FUEL AGE: TYPE: LEAK
OR CHEMICAL: DETECTION
ENE T-4AJ' - 55 42� � - SYSTE�+1'
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-'Nts HvosE f+ :s f:bofi 7 FRO /Vl ocrobif& 6 77-3 i Q J lv6' 1974
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DATE OF PURCHASE OF. EACH: 1. jq 2. 3. 4. 5.
DATE OF FIRE DEPARTMENT PERMIT:
TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS
PLEASE PROVIDE A SKETCH SHOWING TIIE LOCATION OF. TANKS ON THE BACK OF THIS CARD.
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