HomeMy WebLinkAbout0282 SEA VIEW AVENUE - Health (3) A,::
TOWN OF BARNSTABLE
UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS
E. A -P®G
NAME
4 V 0
ADDRESS ',0 'ZILIP411 '- VILLAGE a e
LOCATION OF TANKS: CAPACITY: TYPE OF FUEL AGE: TYPE:
OR CHEMICAL
f
(Give same information for any additional tanks on reverse side of card) \
DATE OF PURCHASE OF EACH: 1. , 2. 3. 4.
DATE OF FIRE DEPARTMENT PERMIT: i«Cc?��s'�er'c�rxuccQct =
TESTING CERTIFICATION SUBMITTED:
PASSED DID NOT PASS `""—
. 12 infiltrators f
1 Distribution box.
1 1500 gallon tank.