HomeMy WebLinkAbout0248 NORTH BAY ROAD - Health (2) aLP g 4iPzrn
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KEEPING YOU ORGANIZED
No. 12134
2-153LGN
SUSTAINABLE UKRECYCLED
FORESTRY
INITIATIVE CONTENT 10%IL
Unified Fib POST4=MER
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TOWN OF BARNSTABLE
UNDERGROUND.FUEL AND CHEMICAL STORAGE SYSTEMS l�
ASSESSORS MAP NO. PARCEL NO. 1033
ADDRESS? ' liL . I VILLAGE S
. NAME; — .-S ....
CONTACT PERSON PHONE NUMBER 49
LOCATION OF TANKS:. CAPACITY: TYPE OF FUEL AGE: TYPE: LEAK
�" OR CHEMICAL: DETECTION
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DATE OF PURCHASE OF. EACH: 1. s 9 Z12 2• 3. 4. 5.
DATE 07 FIRE DEPARTMENT PERMIT:
TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS
'PLEASE PROVIDE A SKETCH SHOWING TIIE LOCATION OF TANKS ON THE BACK OF THIS CARD. ra/
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