HomeMy WebLinkAbout0180 CARRIAGE ROAD - Health (2) y
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UPC 12143
Mold
HASt1NG3, MN
E)A.,. TOWN OF BARNSTABLE X ft V
UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS
ASSESSORS MAP NO. PARCEL NO.rA
ADDRESS; 92 VILLAGE`
' 7
CONTACT PERSON�_ � PHONE NUMBER&/_ ,
LOCATION OF TANKS: . CAPACITY: ..TYPE- OF' FUEL. AGE: TYPE: LEAK
OR CHEMICAL: DETECTION
SYSTEM
DATE OF PURCHASE OF EACH: 2 5 3. 4. 5. _
DATE OF FIRE DEPARTMENT PERMIT:
TESTING CERTIFICATION SUBMITTED-/;/ PASSED DID NOT PASS
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PLEASE PROVIDE A SKETCH SHOWING THE LOCATION OF TANKS ON THE BACK OF THIS CARD.
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}' JUL 19 -'`91 -14:31 CENT:OST:FIRE DEFT„. P.3/4 �
FORM FR. 292 . . . ,. r, _.; •. , m� , .: -__. . ..... . . . f ,
(rev. 9/90)
(9111tinuntiordO of Mw0joar4nortio
Y r Department of Public Safety
Division of Fire Prevention and Regulation
ApK"TION FOR PERMIT, AND PERMIT, FOR REMOVAL AND TRANSPORTATION TO APPROVED TANK YARD
019Z0 Date July 19, 1�91
FDTD# Permit #_
Osterville
c . 82 s . 40 M , G . t .
city,Town&District ,
1 T3IG SAFE NUMBER
10.00 91293746
Fee Pa id s
start date July 19, 19 1
In accordance with the provisions of Chapter 148, Sec. 38A, M.C. L. ,
527 CMR 9.00 application is hereby made by:_ Kelley. Landscaping
Street Address & City or Town:
31 Lake Road Sorest, W. Yarmouth, MA
Signature of applicant:,.
Applicants name printed a
For permission to remove and transport one underground storage tank from.
Owner: Street Harrington Stt Address: Carriage Road, OH a _
�Firm transporting waste: -
Enviro-safe State Lic. # 329
Hazardous waste manifest # E. P.A. #
Approved tank yard: J.G. Grant # .03501
Readville, MA
Tank yard Address$
r--
Type of inert gas t UL tank #t�... -
Tank capacity: 2?5 Substance last stored: Gasoline.-.-
Date of issue: July 19, 91 pate of expiratio : August 2, 91
officer granting permit:-Signature/Tit�.e of g 9 p
"� KEEP ORIGINAL AS APPLICATION AND ISSUE DUPLICATE AS PERMIT 014
711:
19 "91 14:31 CE•IT.OST.EIPE DEPT. f.4!4
7,* ;
FMM F.P. 292 l
(rev. 9/90) ,��►
(Flit (91111 n 01IW0140 of magAirlmoffxs
r Department of Public Safety
[Division of Fire Prevention and Regulation
r
APPLICATION FOA PERMIT, AND PFRMIT, FOR REMOVAL AND TRANSPORTATION TO APPROVED-TANK YARD
01920 date July 19, _19 91 .
F'DID# permit #
Osterv'ille -� c . ez s . 4D H . G . L .
City.Town or District �
DIG SAFE NUMBER
912937�6
Fee Paid:
10-00 7M� 7 jJuly' 19, 19 1
start date _ 1
in accordance with the provisions of Chapter 148 , Sec. 38A, H.G.L. d
Kelley Landscaping
527 CHR 9.0o application is hereby made by:
Street Address & city or Town: 1 L e R
Signature of applicants
Applicants name printed:
For permission to remove and transport one urider rou d. storage tank from.
Owner:
Harrington Street Address:. IMI, Carriage Road,. OH
Firm transporting waste:
Enviro-safe State Lic. 4 329
Hazardous wast.d manifest # F'p'A' #
03501
J.G. Grant
Approved tank yard,._ # �. -
Readville, MA-
Tank yard Addreast
Type of inert gass UL tank # .
Tank capacity: .
1,000 substance last stored: #2 Fuel. Oil
Date of iSSUO:
July 19, 91 Date of expiratio : August 2, 19 91
Signature/Title of officer granting permit: ' ,
KEEP ORIGINAL AS APPLICATION AND ISSUE DUPLICATE AS PERMIT