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HomeMy WebLinkAbout0035 HIDDEN LANE - Health -- - � ddAO P ,, - - �' � srJ s TOWN OF BARNSTABLE VA W�, / �� �� UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS c 10 N ASSESSORS MAP NO. ! PARCEL NO. ADDRESS,' 3, I haz o A ve FK I E MC/6 Al VILLAGE' L L e CONTACT PERSON KbReAT d ([A 66/Al .PHONE NUMBER:. 2.� i t—44 7'8 i- 26A9 LOCATION OF TANKS CAPACITY: TYPE. OF FUEL AGE: TYPE: LEAK OR CHEMICAL: DETECTION G SYSTEM; H ) UOffig GP.0 014 D 61 L '-TAAJK Sty 0 SA L. o a t. fi iI.qg DATE. .OF PURCHASE OF EACH: 1. 2. 3. 4. 5. DATE-..OF FIRE DEPARTMENT PERMIT: TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS 0000oo< PLEASE` PROVIDE .A SKETCH SHOWING THE LOCATION OF TANKS ON THE. BACK OF THIS ARD. r' iAMQ 31Z D Post- WALL ©6d- bd TOWN OF' BARNSTABLE UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS ASSESSORS MAP NO. PARCEL NO. ADDRESS, ® Ag , VILLAGE CIST,E y dL..LE NAME: Qb6EfZT- AND iTA- 'Tb.0 .ice CONTACT PERSON R08CP-i 0P— AI T A- 'r03//✓ PHONE NUMBER 61 1431 3�9 �66.9 LOCATION OF TANKS:_ CAPACITY: TYPE_OF FUEL AGE: TYPE: LEAK OR CHEMICAL DETECTION SYSTEM' � t�1•i 7 7 OVDFP-GR0VAIP 6)L 7*)'� 06 SAL oil- DATE OF PURCHASE OF.'EACH: 1. 2. 3. 4. 5. , DATE OF FIRE DEPARTMENT PERMIT: TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS 'PLEASE 'PROVIDE A SKETCH SHOWING THE LOCATION OF TANKS ON THE BACK OF THIS CARD. H GAR ► DR)vE AVE. . F1,19 G wA -L- , 1h