HomeMy WebLinkAbout0078 WEST BAY ROAD - Health ( 2-a
TOWN OF BARNSTABLE Z Z
UNDERGROUND FUEL .AND CHEMICAL STORAGE SYSTEMS oJ�
i. ASSESSORS MAP NO. r_ PARCEL NO. InAlYA4W
1AWw� /) f
AIpIIRESS. 'QrolOC VILLAGE
NAME,._. � .. 11
CONTACT PERSON ,(3/�P,/�'� / ib/<� PHONE NUMBER 9 J�
LOCATION OF TANKS: CAPACITY: TYPE OF FUEL. AGE: TYPE:, LEAK
OR CHEMICA 3� �e/07.�' DETECTION
"`��( SYSTEM•Nd
DATE OF PURCHASE OF. EACH: 1. 2. 3. 4. 5. _
DATE OF FIRE DEPARTMENT PERMIT:
TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS
PLEASE PROVIDE A SKETCH SHOWING THE LOCATION OF TANKS ON THE BACK OF THIS CARD.
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THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM POOR
QUALITY ORIGINAL (S)
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DATA
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CENTMILLE OSTERVILLE FIRE DEPARTMENT
PERMIT FOR STORAGE OF FUEL OIL
In accordance with provisions of Chapter 148, G. L., and Regulations
made under authority thereof.
.r.', l C Name .. .....
Name ..:::........................
(owner or occupant) (Installer)
Address .....'..........:.......:::......:................. Address .........................
Burner Storage
Make .P� .... .::. Type of Tank ...;a.>-'` .-.:........................
Manufacturer ..... a....a............................
-:Capacity ... gals. (or) Size............
Location
`T'.;i::..:w: r r::: :'.......',. ...........:.7._ -
Model No. or Size '
Type :............... Mass. Approval No ..
Permit issued .......................................... ..............(Head o F1i•e Department :%.
���. '�I ✓L ........
�� .... �.. ................ By ............0..: �..�. ..`...-.....
(THIS PERMIT MUST BE CONSPICUOUSLY POSTED UPON HE PREMISES)
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