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TOWN OF BARNSTABLE
UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS
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LOCATION OF TANKS: CAPACITY: TYPE OF FUEL AGE: TYPE:
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OR CHEMICAL
(Give same information for any additional tanks on reverse side of card)
DATE OF PURCHASE OF EACH: 1. _ 2. 3. 4.
DATE OF FIRE DEPARTMENT PERMIT:
TESTING CERTIFICATION SUBMITTED:
PASSED DID NOT PASS
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