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HomeMy WebLinkAbout0237 SEAPUIT ROAD UNIT #A - Health 234 SEAPUIT RD., OSTERVILLE A=095.014 09-23-1999 03:02PM CENT OST FIREDEPT 5087902385 P.02 i Make application to local Fire Department Fire Department retains original application and issues duplicate as Permit. APPLICATION and PERMIT gee for Storage tank removal and transportation to approved tank disposal yard in accordance with th,9 provisions of M.4.i..-Chapter 148,Section 38A,,527 CMA 9.0o,application is hereby made by: ��S. 0y Tank Owner Name(please print) Arthsir Crane X Road Osterville, MA Address 234 Seapuit; , �...._ �..r . 7evid' Compay Name,�FnviroSafe uet Pft Enviro-Safe Corp. Address P.0.BOX 810, E.Sandv ich, MA Address P,ra S• � �) Signature(dt or rmit) � i (8 IFCI Certified Other 131FC1 Certified C'LSP a - .Other TankLwaGon 234 Seavui�t Roads Ostervi 21e MA r Tank Capacity(gallons) _ 500 Substance Last Stored Duel oil r Tank Dimensions(diameter x Mngth) i Remarks: Firm trarrsportirrg waste Enyi ro•Safee -,State lic.# 329 MA Hazardous waste mandest# �1�_K$aloe E.P.A.# 14AD9$5269323 Approved tank disposal yard Turner Salvage Tank yard# 002 Type of inert gasTar►icymdaddress 235 Commercial. Street; Lynn, MPA Centerville 01920 Permit City or Town September 22, 1999 October 6, 1999 Date of issue Date of exp melon Dig$We approval number. 19993803411 Dig Safe Toil FiveTeL Number-WO-322-4W Signature I Title of Otltcer granting p®m* * Alter removat(s)send Form FP-2"signed by Local l Fire Dept,to UST Reguisto ompliarm unit,One Ashburtoni PLve, Room 1310,Boston,MA 0210&1518.- TOTAL P.02