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HomeMy WebLinkAbout0275 NORTH BAY ROAD - Health ass n�� � .� -�- _o�o - e - . _ _ � . . _ Q ._ -3-79 &uys f,'v,.l r-1'0 IL /,y� rir S M EA® KEEPING YOU ORGANIZED No. 12134 2-153LGN SUSTAINABLE RECYCLED IN�IT FORESTRY CONTENT 10% Certified Flier Sourcing POST.CONSUMER avwwsfiprogramxg 6"117D MADE W USA GET ORGANZEG AAT SM WZW /vo % "�-a�l TOWN OF BARNSTABLE M A I V VA ) _� �� G `� UNDERGROUND FUEL D 3CEMICAL STORAGE SYSTEMS ASSESSORS MAP N - 0I� v v o SSORS 0 F—� t PARCEL N0. ADDRESS; 011 S 2TF4 Q 0 A 6� VILLAGE, T 2 v L C c' � S NAME' C (a a,M c c CONTACT PERSON �.r. LL. 4�-t �( /� .�� a-k L PHONE NUMBER L - `I 16 L l J LOCATION OF TANKS; CAPACITY: TYPE- OF- FUEL AGE: TYPE: LEAK OR-CHEMIC.A.L.. _.--DETECTION._. A 0 15 e-0 i 10 G�4/LR� � - - — — - �'�{�S 6-u lkj SYSTEM' L( oc' R w k oQp D d' bf r F 6}�.SC, d 0 t 1 1��V V L DATE OF PURCHASE OF EACH: 1. 19 2. 3. 4. 5. DATE OF FIRE DEPARTMENT PERMIT: TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS (lrl S S A e p(L O v l j PLEASE PROVIDE A SKETCH SHOWING THE LOCATION OF TANKS ON THE BACK OF THIS CARD. glfl� �A, �� (l/aCsC 7 � N �---- THE FOLLOWING IS/ARE THE- BEST IMAGES FROM POOR QUALITY ORIGINALS) M A_ -1. DATA { roASS �o , rt g o l a I\ o T�Aj -�, ©w y a�� \ . �a : �� � , � � *y � . - � �2 \ • , � ! — � � § �� \ \ . ~ � � . �• , �. . � �»\: . \ . \�« ' ® . » �� � j�, ' \ . ����� � Z . � ^^���� � �< • .. � ! : � \ \ � : � . �� � . � ��! :\ . � `� �. , \