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TOWN OF BARNSTABLE
UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS
NAME 0AW
ADDRESS Z S729PI-40AW LJ VILLAGE �� ✓LLB-�
LOCATION OF TANKS: CAPACITY: TYPE OF FUEL AGE: TYPE:
OR CHEMICAL
LE.4-r SA06 Oic ALO!/56—: Az/,Q_.OYL A1F�J 1201JAOLM&
(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:
TESTING CERTIFICATION SUBMITTED:
PASSED DID NOT PASS
APPROVED
B,a�rnstaolo Conaorvntion Commission
Signed D to
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