HomeMy WebLinkAbout0215 WIANNO CIRCLE - Health
0 TOWN OF BARNSTABLE
,G� V UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS'
ASSESSORS MAP NO. PARCEL NO.
ADDRESS: &TO�� � L�� � VILLAGE::- ®cc' zz-
CONTACT PERSON ��pq/��" PHONE NUMBER 42 2
LOCATION OF TANKS: . CAPACITY: .TYPE OF- FUEL.' . AGE: TYPE: LEAK
OR CHEMICAL: DETECTION
c�7" G SYSTEM t
2000
DATE OF PURCHASE OF EACH: 1. t 2. 3. 4. 5.
DATE: OF FIRE DEPARTMENT PERMIT:
TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS
'LEASE PROVIDE A SKETCH SHOWING THE LOCATION OF TANKS ON THE BACK OF THIS CARD.
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DATE
ORDER GALS. GALS. BURNERS AMOUNT CA$H RECEIVED
NO. NAME RANGE FUEL &SERVICE OF CHARGE .SALE ON
OIL OIL SALE � I
ACCOUNT
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TOTALS
1:M. BRAFF Total of Cash Sales and Received on Account should equal Bank Deposits
21 IONIA STREET
AUBURNO°ALE, MASS. 02166 TEL. 969-3894
CENTERVILLE - OSTERVILLE FIRE DEPARTMENT
PERMIT FOR STORAGE OF FUEL OIL
In accordance with provisions of,-ghapter 148, G. L., and Regulations
made under aQhority thereof.
Name Herbert 0 Peterson Harold J. Reissfelder
..:. ... Name ......................
.................... .. .. .
i (owner or occupant) (Installer)
Address Lot 22 Wianno Cir. Box 323 Waquoit, Ma
I .................................................. Address
? Burner Storage
td
Make._........,.......... Amer,•...........r......................... Type of Tank .....Stee1
...gylXla cal
Manufacturer .....acme........................... Capacity .2,0.0n.. gals. (or) Size............
' . Model No. or Size .................................. Location ...,.,,under round
...
Type....E ?.........1l.. Mass. Approval No.
Permit issued ....l.� .......... .......�Q .. .. . caxS X1t.Q1�...........
ad Fire Depart ent
-- - .'............................................................... By .` ..... .-.�?.. 1 .`.
(THIS PERMIT MUST BE CONSPICUOU LY OSTED UPON THE PRE ISES)
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