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0727 MAIN STREET (COTUIT) - Health
07 cY�ret-�— ? ]WN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION OWNER AND JNSTALLER INFORMATION ADDRESS: : 727 Win Street MAP NO. nab PARCEL NO. 008 OWNER NAME: Estate of Mary W. Barrett � VILLAGE: iotuit ' �l�' f�'=:r•zxr"% +.f •" 'r'7.-ti7:!•'., �le� (!J` ,� <S""7G�,,� ems``�'J .! . i,r t.,w �` • INSTALLATION DATE: BY: . w>_ CERT. NO.. ADDRESS1= .°-- - --- _ ->_ - - - _ - - B - TANK INFORMATION toy:' location LOCATION OF TANK: .-, {�jj}j aw < U r. GE FUEL/CHEMICAL " oil ff CAPACITY 25b gals. TYPE .,`) �s,;_. A TESTING CERTIFICATION C` ] :PASS C ],-,FAIL ,;�t TE,9/dZ9 LEAK DETECTION C ?] -CHECK IF N/ATYPE/BRAND >' ZONE OF +CONTRIBUTION C YES C XT NO, DATE TO BE REMOVED (-'FIRE, DEPT. PERMIT ISSUED C ] YES Cx ] NO DATE �ww�5 . r CUNSERVA i ION C ] CHECK IF N/A DATE BOARD OF HEALTH :;.TAG NO'. C ]C ]C ]C ] DATE //1f 3 C- � if -PLEASE PROVIDE -A SKETCH SHOWING THE TANK LOCATION ON THE HACK OF THI.S:,CARD , x UAS BAp BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT SUPERIOR COURT HOUSE BARNSTABLE, MASSACHUSETTS 02630 ll11 ] ©® PHONE: 362-2511 EXt 330 LAB J�[/ LAB 337 CLINIC 340 NAME Pat Donahue DATE TESTED 9/8/88 TANK LOCATION 727 Main Street Cotuit TANK AGE ? TAG # none CAPACITY 256 p6�:50ry�e_D a0 rsa to Thank you very much for participating in our program to test underground storage tanks (UST) by soil gas analysis. The free test was offered under a grant the Barnstable County Health & Environmental Department received from the ' Environmental Protection Agency. Because the use of soil vapor monitoring for UST system release detection is very recent and only limited information and experience exists with using vapor sensors in this manner, we can --.-.not -guarantee that. your tank has not leaked .---- However, our--tests - -- did not indicate anyproblem. You should also realize that a "good" result from our test is no indication of how long the tank will remain sound. If you ever decide to remove your tank , it would help our work if you notified us so we could take a look at it after excavation. This method has been given an interim approval for 1988 by your Board of Health. Depending on results of research this year, complete approval may be given, otherwise you may be required to pressure test your tank to keep it in service after 1988. A copy of this letter has been sent to your Board of Health and the records reflect that .your tank test indicated no problem.. If you have any questions, please contact Charlotte Stiefel at 362-251.1 extension 334. NOTE: To prevent possible contamination of your monitoring well with oil or other substances, we highly recommend locking or covering the well .