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UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMSV
ASSESSORS MAP NO. 'L�Z ' PARCEL NO. 13 00p-
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LOCATION OF TANKS: CAPACITY: TYPE OF FUEL. AGE: TYPE: LEAK
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DATE OF PURCHASE OF EACH: 1 2. 3. 4. 5.
DATE QF FIRE DEPARTMENT PERMIT:
TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS
PLEAS) 'PROVIDE A SKETCH SHOWING THE LOCATION OF TANKS ON THE BACK OF THIS CARD.
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