HomeMy WebLinkAbout0045 NEWPORT LANE - Health h� eta 50:rer,-, k)g -(
THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM POOR
QUALITY ORIGINALS)
M A�C(, I
DATA
' «. - .. .. .. .. 1,tiq;n.-;y ,•#.. , .. _ r+, -. - '- -, -
TOWN ,OF BARNSTABLE - UNDERGROUND FUEL. AND CHEMICAL STORAGE REGISTRATION
`-' :i 1 1 7� J3
OWNER AND INSTALLER INFORMATION
ADDRESS: t r '/ j // % MAP NO. J I(� �� PARCEL NO.
OWNER NAME: 1 t ! ` ,J�t°f f� .'emirs-.� At i . VIUAGE:
INSTALLATION DATE: BY: ff �'
ADDRESS:. h •�! rl 1 ,{ ,J7�. C C,�/ !f I/�/r'/ri ///. CERT. NO. ~ rQ
TANK�INFORMATI N
LOCATION OF TANK:
CAPACITY . arm//J) TYPE S116 GE Jt FUEL/CHEM.ICA(L [
TESTING CERTIFICATION C ] PASS C ] FAIL +ATE
LEAK DETECTION C ] CHECK IF N/A TYPE/BRAND
ZONE OF CONTRIBUTION C ] YES CV3""NO DATE TO BE REMOVED rY .f
FIRE DEPT. PERMIT ISSUED [ \s]-"YES C ] NO DATE - 1-71 J
J r.
CUNSERVATION C ] CHECK IF N/A DATE r
BOARD OF HEALTH TAG NO. [ ]C /JE,33E ]C ] DATE
PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARDfs,
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CENTERVILLE - CISTERVILLE FIRE DEPARTMENT I
PERMIT FOR"STORAGE OF FUEL OIL
In accordance with provisions of Chapter 148, G. L., and Regulations
t, made under authority thereof.
Name`dc�rr,en,"„Pares"ea,u................... Name ,cannons Inc.
....................................................................
(owner or occupant)p (Installer) 1
Addres�9,....Uld Salem" :aJax, CS ,ddress35, .,..1'laln St. �.1. Yarmouth;
Burner Storage
Make ....................................................................Type of Tank .toelRound. .,.. .................., '
i
QQ...............Capacity r gals. (or) Size i Manufacturer r.X.',l1,J:J..G...,�k�,�.f .....,,,, .,...?..Q.Q....... ,,,,,,,,,,,,,,,,,,,,, �
Model No. or Size ...... .7 .................I.......................Location Underground
...... .....................................
i
Type .....Gun.................. Mas . Approval No. ...:9.80B........
Permit issued ............�1.. v. .G..z.........................................
....A�af�'
( epartment)
P
By ....................................:.................•..........,....,......,..................
.,,...,.. I
I
(THIS PERMIT MUST BE CONSPICUOUSLY POSTED UPON THE PREMISES) i t
i
iL
TOWN OF BARNSTABLE
yoF teE raw
�aQ ��y� OFFICE OF
BAR a9Tia
�� r,* BOARD OF HEALTH.
soo M639• 367 MAIN STREET
HYANNIS, MASS. 02601
4
t
1988
Dear
Enclosed is brass valve tag # D_�, _ . Please attach to
the fill pipe of your underground tank .
You must do the following as indicated.
---- Remove your tank . I have enclosed information for you
regarding tank removal .
V
---- Have your tank tested starting now . You must test
during the 10th, 13th, 15th, 17th and 19th year aAi5� 0
annually thereafter. Removal in the years 1 ivi,
�
have enclosed information regarding tank testing . + In
order to have your tank tested you must first contact all �f
engineering company (see attached) to have a monitoring
well installed. Once the monitoring well- has been -
installed you can then call 362-2511 , Ext. 334 and ask
for Charlotte Stiefel or George Heufelder at the
Barnstable County Health Department, to have your tank
tested via the Soil Vapor Analysis Test . Currently, the
test is done free of charge under the auspices of an EPA
grant.
____ Due to the unknown age of your tank we must presume it
is twenty (20) years of age. You must have it tested
every year and remove it by the year 1993 . To have it
tested please follow the procedure as'. indicated above
from the ** (asterisk) on .
If you have any questions please feel free to call me at 775-
1120, Extension 183 .
Thank you,
Donna Miorandi
Health Inspector