HomeMy WebLinkAbout0721 OLD POST ROAD (CT & MM) - Health (2) yq= o54/- old-ooa
TOWN OF BARNSTABLE
UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS
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ASSESSORS MAP NO. PARCEL N0. G '
ADDRESS, / ` / 'Old p r, P..w VILLAGE
NAME; 01hor A/k 0 l��l�.__ eQ",ham
CONTACT .PERSON � J'lC�Z6rGLC PHONE NUMBER LOCATION OF OF TANKS:, CAPACITY: TYPE._OF- FUEL: AGE: TYPE: LEAK
OR CHEMICALS DETECTION
SYSTEM
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DATE OF PURCHASE OF EACH: 1. 2. 3. 4. 5.
DATE OF FIRE DEPARTMENT PERMIT: 12►3
TESTING CERTIFICATION SUBMITTED: �. /J; PASSED V' DID NOT PASS
PLEASE PROVIDE A SKETCH SHOWING THE LOCATION OF TANKS ON THE BACK OF THIS CARD.
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