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Home My WebLink About0038 COVE ISLAND ROAD - HAZMAT Road Co. 0 - Cew�ea^u I VIE, M Al' TOWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION OWNER AND INSTALLER INFORMATION ADDRESS: tlt'iI) 'll ( :� �F f'! ! !�� MAP NO. PARCEL NO. OWNER NAME: �� ', 1 ? / I�P % VILLAGE: 7 ,// r j/F INSTALLATION DATE: BY: ADDRESS: S11: CERT. NO. o`Vc © 7�/ / TANK INFORMATION LOCATION OF TANK: CAPACITY TYPE \.� C AGE 1/J FUEL/CHEMICAL � TESTING CERTIFICATION -C 31PASS E. 3 FAIL DATE LEAK DETECTION EX] CHECK IF N/A TYPE/BRAND ZONE OF CONTRIBUTION E I YES E .7 NO DATE TO BE REMOVED �/ FIRE DEPT. PERMIT ISSUED E ] YES 1h NO DATE UUNSERVAiION E (I CHECK IF N/A DATE BOARD OF HEALTH TAG NO. E It ],E ]E ] DATE 671r C PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD �� ' �� C �i' �'"'