HomeMy WebLinkAbout0194 EEL RIVER ROAD - Health (2) I
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UPC 12134
No.2-153LGN `�sr
HASTW#8,L'W
rid, TOWN OF BARNSTABLE
UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS' �� f
Y ASSESS ORS MAP NO. _ PARCEL NO c 1
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ADDRESS: 124 VILLAGE,
CONTACT PERSON C- PHONE NUMBER lut'L �t� � t(,t q
LOCATION OF TANKS: - CAPACITY: TYPE OF- FUEL. AGE: TYPE: LEAK
--- —:-_OR._CHEMICAL (S A►,P--DEZTECTION_-
kX 6 6�A_.Z F��t_ SYST�:M:
DATE OF PURCHASE OF,EACH: 1. .2. 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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