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Town of Barnstable
Regulatory Services
4 asNSMAttt
Thomas F. Geiler, Director
a1 Public Health Division
Thomas McKean, Director
200 Main Street, Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
To: GOODMAN,ALLAN E&COLLETTE Date Tuesday,February 20,2007
4711 JAMESTOWN RD
BETHESDA MD 20816
RE: Underground Storage Tank at: .�., .
20 CROSS STREET — e Z�','�^-�
Map Parcel: 033014
ll//f)s 3 _ b `4 Tank NO: 01
Tag NO: 00441
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Our records indicate that your underground fuel(or chemical)storage tank is over 30 years old,and has
not been removed as required by section 326-3: subsection 2 of the Town of Barnstable Code regarding fuel
and chemical storage systems.
You are directed to remove this tank within sixty(60)days from the date of this notice.
After your tank is removed, please furnish this office evidence in the form of a permit from your local
Fire Department within ninety(90)days of the receipt of this notice.
You may request a hearing provided a written petition requesting same is received by the Board of
Health within ten(10) days after this order is served.
Per Order of the Board of Health
Thomas A.McKean,RS,CHO
Health Agent
THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM POOR
QUALITY ORIGINAL (S)
I M -A=0
DATA
YTS :. ,.,., _. _ �'"Re+.' 7f. v':�•(; 1 - ...
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TOWN OF BARNSTABLE — ,,UNDERGROUND,-FUEL -AND CHEMICAL .STORAGE REGISTRATION
' 6 OWNER AND INSTALLER INFORMATION.
ADDRESS: Z ✓ L::'/ �' `� ' MAP . NO.Gr _0 PARCEL NO. ! �T
OWNER NAME: i' C�.�/ " 1l VILLAGE:
INSTALLATION: DATE �•
ADDRESS. ! 7' r f +�µ � } ��w , CERT. NO
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INFO
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LOCAT I ON OF TANK: J L C.3 ✓✓t �G ! � C I ���)� . t� st_C!7'ts
CAPACITY .0 r G{ ,;TYPE AGE t l/"S FUEL/CHEMICAL
TESTING CERTIFICATION_ C_—]
'r N O
:LEAK DETECTION .-;C ; J CHECK' IF N/A TYPE/BRAND:f [ i
ZONE DF ;CONTRLBUTION. C ] .YES=C C ]': NO DATE TOr BE REMOVED
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FIRE DEBT.=•M PER I,T ISSUED C' J- YES :�•> C J ENO D,ATE
CONSERVATION C ] ,CHECK IF N/A DATE:' 4
BOARD OF HEALTH TAG, NO [� ,SJ C - ]L J C ] 6ATE / l7f�' iL1I!
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PLEASEfPROVIDE A,SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD
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