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TOWN OF BARNSTABLE ( d f [ J 6] 0 / AG
" 4 UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS-
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MAP NO. PARCEL 140. 7
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LOCATION OF TANKS:. . CAPACITY: TYPE- OF* FUEL AGE: TYPE: LEAK
_ OR CHEMICAL: DETECTION
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DATE OF PURCHASE OF EACH: 1. 19 S 1 2. 3, 4. 5.
DATE OF FIRE DEPARTMENT PERMIT:
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TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS
PLEASE PROVIDE A SKETCH SHOWING THE LOCATION OF TANKS ON THE BACK OF THIS CARD. d
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