HomeMy WebLinkAbout0421 MAIN STREET (OST.) UNIT #B - Health l
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7 L f� TOWN OF BARNSTABLE MAI L � �v
UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS*
ASSESSORS MAP N0. l PARCEL N0. 010
Ot
ADDRESS: �� r !✓ffb� S / VILLAGE: S
NAME
CONTACT PERSON PHONE NUMBER 171 ?e
LOCATION OF TANKS. CAPACITY: TYPE. OF- FUEL AGE: TYPE: LEAK
=='DETECT ON3
13 <IZ4 L ✓�' SYSTEM!
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•f�- Pam.. � Z�
DATE OF PURCHASE OF EACH: 1. ';,t,,/,P, 2. 3. 4. 5.
DATE OF FIRE DEPARTMENT PERMIT: B/h��•r,..-�
TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS
I 16sl A&JD &/'noV6 5 elleAes ve F-0121-Nu0iT--8
PLEASE PROVIDE A SKETCH SHOWING THE LOCATION OF TANKS ON THE BACK OF THIS CARD.
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CENTERVILLE OSTERVILLE FIRE DEPARTMENT
PERMIT FOR STORAGE OF FUEL OIL .
} In accordance with provisions Chapter 148, G.L., and Regulations
4 made under `hority thereof,
Name r1::..... T.-.N�_ ..�: ? 7^.Q� :..... Name .... ??nor : ?.T.�.ng.'.c .� x..��...r.
:. en.
(owner or occupant) (Installer)
Address ?v.^.:?: : !.....(�..^.t�rTT1.L^Address ....n a. ...............
Burner Storage
Make ry`�Y ., �..... Tvpe of Tank ..�:'i ^ ........ .... .....................
Manufacturer ............: Capacity ..... ........ gals. (or) Size............
Model'No. or Size :.1 5011T_..... ..,.......... I ocation ...................................................
`Type r:.n........... Maass. pproval No. .... 9 217-r3
Permit issued .....`3 /" l>........ :T('hr .M R,�'^; .
(`dad of Fir�I)dpartmen ;
By .� . ��..../. .;. .......''
(THIS PERMIT MUST BE CONSPICUOUSLY I�OSTED UPON THE PREM ES)
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THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM POOR
QUALITY ORIGINAL (S)
IMF��L
DATA
(City or Town) (Date)
i
PERMIT
In:accordance with.the provisions of Chapter 148, G.L. as provided in
this permit is granted to
Name;: ----------------
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(Full name/of person, firm or corporation granted permit)
to .c- t K.' - - - - ---- �.
y /
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�•• State•clearly � --.--- -
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� u ose for ---' _
hick permit / - ----- --;----'< - -----
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Restrictions: --------------------- --- ---------it - L=--�1- ---- ----------------
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ocation by street and no.-,or" describe in such manner as to p.ov e N3E un�c�iaen£{fication o location)
.(Sig of antin gt g permit)
This
= _. e;rm_ it will axpire------------ ------ -19 ,- • ----(Title)
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(THIS PERMIT MUST BE CONSPICUOUSLY POSTED UPON THE PREMISESj) j
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John IN. Carroll, M. D., Inc.
390 Pleasant Street
Maiden, Mass. 02148
4 ENVIROTECHLABORATORIES,INC.
MA CERT NO.:M MA 063
449 Rte.130
Sandwich, MA 02563
908(888-6460) 1-800-339-6460
FAX(908)888-6446
CLIENT. Coys Brook LOCATION: 421 Main St
ADDRESS: 24 Forsyth Ave Osterville MA
So Yarmouth MA 02664-1842
COLLECTED BY. DA Scannell SAMPLE DATE. 4-15-99
SAMPLE TIME. 4:00
WATER SAMPLE TYPE. New Well- Irrigation DATE RECEIVED: 4-16-99
LAB I.D. #. 994293
WELL SPECS.: 75'
RESULTS OF ANALYSIS:
Parameters Units Recommended Results Method Date Analyzed
Limits
Coliform bacteria /100ml 0 0 9222 B 4/16/99
pH pH units_ 6.5-8.5 5.64 4500 H+ 4/16/99
Conductance umhos/cm 500 225 120r1 4/16/99
Nitrate-N/Nitrite-N mg/L 10.0 3.75 4500-NO3 E 4/16%99
Sodium mg/L 28.0 24.8 200.7 4/19/99
Iron mg/L 0.3 0.19' 200.7 4/19/99
Manganese mg/L 0.05 0.025 200.7 4/19/99
COMMENTS: Low pH indicates high corrosive characteristics.
WATER MEETS EPA STANDARDS AND IS SUITABLE FOR DRINKING PURPOSES
FOR PARAMETERS TESTED.
Date
ona J. Saari
Labo ory Dire r
<=less than
>=greater than
TNT =too numerous to count