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TOWNsOF BARNSTABLE — UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION
MAP NO. c PARCEL NO.
ADDRESS OF TANK: 4418 Falmouth Road VILLAGE: Cntui t
.,� Number ®tr��t �r�.,,
HAILING ADDRESS ( I F DIFFERENT FROM ABOVE) : SAME �1ib A�) y
OWNER 2363
NAME: � �� /U,O�I T7� I7�Cl/�� PHONE: �`! 17
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7-77
INSTALLATION DATE: '� r�" f�gfBY: 1//fje S
INSTALLER ADDRESS: ' �DL /L jYQ M;,1, 'C / 1C CERT.NO.
STANK LOCATION: it)6 X e117 ll �t
D66Ci�II�DQ TANK LOCATION W I TM PIQOPQCT TO �Lj I LLD'I"I
CAPACITY 10 TYPE OF TANK 5WL AGE YRS. FUEL/CHEMICALAx����E
TESTING CERTIFICATION [ 1+] PASS [ ] FAIL DATE /
LEAK DETECTION [ ] CHECK IF N/A TYPE/BRAND -Vkcih?xr 74S- 0:56 01V fiql /0_
ZONE OF CONTRIBUTION [)4 YES [ ] NO DATE TO BE REMOVED
FIRE DEPT. PERMIT ISSUED [ YES [ ] NO DATE
CONSERVATION [ ] CHECK IF N/A DATE
BOARD OF HEALTH TAG NO. [ ] DATE tom' ��U AIZ,
* PLEASE PROVIDE' A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD
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THE ro� TOWN OF BARNSTABLE
OFFICE OF
NSTA
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seaMUL BOARD OF HEALTH
039 1639.am ` 367 MAIN STREET
C
HYANNIS, MASS. 02601
February 14, 1989
Santuit Texaco �
4418 Falmouth Road
Cotuit, MA 02635 C1
Dear Ms .Regan:
Enclosed are brass valve tags #870-873 . Please attach to the
fill caps of your underground tanks .
If you have any questions please feel free to call me at 775
1:120,- Extension 183 .
T k you, v
Donna Miorandi
Health Inspector
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TOWN ,OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION
�. MAP NO. Oc�� PARCEL NO.
ADDRESS OF TANK: 4 47 I J T4ZAZW J,�l VILLAGE:
N u m b w r 0ft r dw m t
MAILING ADDRESS ( IF DIFFERENT FROM ABOVE) : ��~$
OWNER NAME: ,. �r �- '1G r� Q ". iJ PHONE: tv 2? `
INSTALLATION DATE: / '/a '2 By:
INSTALLER ADDRESS:: %!/i � ✓ypC/S0 '/�` � ' CERT.NO.
*TANK LOCATION: 4 oldP2., (OAA l- el A I AS~F'C /'9729C-� ` ,9)
(DQCOR S DQ TANK LOCAT 2 ON W S TM RMORMCT TO GNU Z l_D S N®>
CAPACITY D TYPE OF TANK,f Vt. S 9"Sz �--AGE YRS. FUEL/CHEM I CAL F
TESTING CERTIFICATION Evi PASS [ J FAIL DATE 1'7?`1
LEAK DETECTION [ ] CHECK IF N/A TYPE/BRAND �Ii 1 � T 74r; s519 IN /-WN/<
ZONE OF CONTRIBUTION [ ] YES [ ] NO DATE TO BE REMOVED
FIRE DEPT. PERMIT .ISSUED [ �]�Y ES [ ] NO DATE
CONSERVATION [ ] CHECK IF N/A DATE
BOARD OF HEALTH TAG NO. [ !([j/�(j /I ] DATE �/ /ff / All—
PLEASEPROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD