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HomeMy WebLinkAbout0609 BAY LANE - HAZMAT 6p4 day Lo- he TOWN OF BARNSTABLE — UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION(,' �l % OWNER AND INSTALLER INFORMATION !/ /} d n / J --r ADDRESS: n �J l AVAC/�/� / ii ,� �e,�P�1//�/ �-.... MAP NO. i �� 1 PARCEL N0.7�} OWNER NAME: ��%�C/e�_FL=�J /`—� • l U 5- VILLAGE: < " P .a_ l7`P"E'7,7e-- INSTALVATION DATE: /'i/ 7k BY: ADDRESS: /.� fV �/19 kA)• /' d tN�i'r a l( /:) CERT. NO. TANK INFORMATION LOCATION OF TANK: CAPACITY/JD Q TYPE AGE , .FUEL/CHEMICAL Off! TESTING CERTIFICATION C I PASS C ] FAIL DATE s LEAK DETECTION C43 CHECK IF N/A TYPE/BRAND ZONE OF CONTRIBUTION C I YES C k NO DATE TO BE REMOVED �yll FIRE DEPT. PERMIT ISSUED C ] YES C ] NO DATE CUNSERVATION C CHECK IF N/A DATE ✓ ,C BOARD OF HEALTH TAG NO. ool ]C ]C 71 ] DATE J U MA PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD s4 x COTUIT FIRE.DEPA.RTMENT; . z -;r t; V h. CENTER OSTERVILLE� ARE DEPART, «7 # _ PERMIT T0: INSTALL,;. ALTER ��, �.. FUEL. OIL BUItN1N0 EQUIPI�AENT6 e, jt Date ... ...19.... s ff This is to certify that ..........•� Z.<, �Wc all aster fuel oil burn r equip t •For . permission,to Inst / in a bu• d g on ... S kc eetr village of ...(. /d!G�. ••• ••• ••••• ......••• in accordance with an ap <.+ plication on rile 'in this office, and subje t to the provi 'ons of Chapter 148, Gen. Laws, and Regulations made un er ut ority T PERMIT EXPIRE .. D1 me.. . .... He Fire �G "7!° ,;q ��ic ,� .•p sF�F�`bM;:�i+�e.;.;...a'�§"+'„B' ( E. •p r ia `•..r..i_.-.. yw..._. r..s...*.... a ' 17 777 ?' p, CENTERVIL 4 E� IOSTERVILLE FIRE DEPARTMENT14" r PER ,3 FORSTORAGE STORAGE-,- F FUEL OIL k r, In accordance with?provisions of Chapter 148, Ci:L., and Regulations made under authority thereof. } y Name .. �Iac�11� ster ; • Nome Maurice DLifour ... _ tu:xxier o: oacupanti - - - (Installeri Address$ y....T��,..R:.�'.eAt.Qr,.XFU.1§!Address AN:..01.d...��fi�....:��,..,....Fal. Burner Storage Make ` Type of Tank .................... ................ +.�N� , .Manufocturer 44314e• Ia om� Eguip;; Capacity ... .OnO, gals. (or) Size............ {Y;FF;,'-,;Model No.`5or Size .... Zr . . ............. .: Location, rg '.41z??d.. %Type ( 1 ..... Masi. Approval No: 4 .. ... Permit issued ..: -.. 1. 7 .:. 5 �R. ... ''��' 1n 4n,:..Chief t .�• ,,;,1a,t ,-,(Head_:.of ire epar e ` 40, JgI�`a y (THI'i PERMIT MST SE CONSPICUOI ISLY€PASTED UPON E PREMISES) A },. K is F 4�' �. i xggY^. �F•3.fF.. t� FF`.� r G`i r:7 9S y aR a ��+, L i°$-.-.k,'"' ��r'S 7A.. F-'` �`: _a,J,,.. �$•.,,�"' N �"v S tee"' r s.. ..d......um.... ca.v su.�•'raw;e - i.ILi�tid �l�tgi{•, b i 11