HomeMy WebLinkAbout1122 OLD POST ROAD (CT & MM) - Health (2) �i�a old A)d p.. vto�l
TgWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION
OWNER AND INSTALLER I""ORMA I � ; c�`��'�s / �
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OWNER NAME: Row arnhc r� ;VILLA E: Cntiiit
INSTALLATION DATE: 8/25/ 7 BY: David A NO tr
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ADDRESS: 400 PQp onesSett �X,_otuit F CERT. 110.. 13498
J ~TANK IpRIIATION
LOCATION OF TANK: 1
CAPACITY S10®81 TYPE Steel AGE 11 FUEL/CHEMICAL Fuel Oil
TESTING- CERTIFICATION C ] -PASS C ]- FAIL , DATE
LEAK DETECTION Cu] CHECK IF N/A PE/BRAND
` ZONE OF CONTRIBUTION C I YES [13,�NO 0,,..BE REMOVED
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FIRE DEPT. PERMIT I S5UED C ] YES U-3—NO--'DATE
CONSERVATION C; ] CHECK. IF N/A
BOARD OF HEALTH TAG. N0. ] lC ]C ]C�# ] DATE
PLEASEi SKETCH SHOWING.`THE.. TANK LOCATION` ON -THE BACK: .OF THIS .CARD
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