HomeMy WebLinkAbout0098 BUNKER HILL ROAD - Health (2) 4 s�r�r UZ
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N S M EAD
KEEPING YOU ORGANIZED
1
No. 12134
2-153LGN
SUSTAINABLEMIN.RECYCLED
INITIATIVE CONTENT10%
Cerufied Fiber Sourcing POST-CONSUMER
wwwApmor.m.orp
SR01290
MADE W USA
GET ORGANIZED AT SMEAD.COM
! TOWN OF BARNSTABLE
VA 06 fA G
'10 UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS
Wv &�P ASSESSORS MAP NO.67&--' PARCEL NO&?2)
ADDRESS. /_� �� VILLAGE l� �y �?QA, !/►w o J G S S
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CONTACT PERSON Q,,✓ PHONE NUMBER .c-e.. 7.=31.• p ._o
LOCATION OF TANKS: - CAPACITY: ..TYPE OF- FUEL. AGE: ` TYPE: LEAK
OR-CHEMT('A,', --
DETECTION
]� i�c Q Q-✓w �-e x-+�" '"�'`'w2.� oho a d - SYSTEM
DATE OF PURCHASE OF EACH: 1. !6 2. 3. 4. 5. _
DATE OF FIRE DEPARTMENT PERMIT: 10 C ►
TESTING' .CERTIFICATION SUBMITTED: 11114SSED� DID NOT PASS
PLEASE PROVIDE .A SKETCH SHOWING THE LOCATION OF TANKS ON THE BACK OF THIS CARD. gn
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