HomeMy WebLinkAbout0072 BOB-WHITE RUN - Health Pia 6 w hA�
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TOWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION 4 f
J OWNER AND INSTALLER INFORMATION j}
ADDRESS: 72 bob White Run MAP NO. DL Lot 23 PARCEL NO. Ro24o5O
OWNER NAME: Paul Amort VILLAGE: Cotuit
INSTALLATION DATE: 5/1/71 By; Ted Saegh
ADDRESS: Dedham, MA ( ;, ;j,;( ; J ,J CERT. NO. 32
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TANK INFORM ION
LOCATION OF TANK: Left rear corner of house tip.
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CAPACITY 1000 TYPE Steel AGE 17 FUEL/CHEMICAL # 2 Fuel nil
TESTING CERTIFICATION.C, ] _PASS C ] FAIL DATE i
LEAK DETECTION C1] CHECK IF N/A TYPE/BRAND d
ZONE OF tIGONTR I U `i+ON VI
YES [' ] NO DATE TO BE REMOVED � �F
FIRE DEPT. PERMIT I�$SUED C✓] YES C ] NO DATE—5- "/' /
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UNSERVAiION " �C ] CHECK IF N/ADATE
BOARD OF EALTH TAG NO. ]CV ]C `]"C'-'T DATE
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PLEASE2F-Fi VI"D.E A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD
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