HomeMy WebLinkAbout0996 MAIN STREET (COTUIT) - Health (2) R9(a macn s
2-
TOWN OF BARNSTABLE
UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS
NAME LT ``,` 'e P Y-0 c o?,10
ADDRESS Qq G Ing iN 5-T- VILLAGE C fiU
LOCATION OF TANKS: CAPACITY: TYPE OF FUEL AGE: TYPE:
OR CHEMICAL
VIV c�era�rav A /dam Gil,
or
(Give same information for any additional tanks on reverse side of card)
DATE OF PURCHASE OF EACH: J 1. 2. 3. 4.
DATE OF FIRE DEPARTMENT PERMIT:
TESTING CERTIFICATION SUBMITTED:
PASSED DID NOT PASS