HomeMy WebLinkAbout0053 CROSBY CIRCLE - HAZMAT 3 C ro s bi CA-y-c-If
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TOWN OF BARNSTABLE
UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS V 1 An
ASSESSORS MAP NO. 9-19F PARCEL NO. G(NG
ADDRESS: ;'3 CRGSp,-V Cjtt-LT= VILLAGE, V ll
14AME 1._.. ..._ ST. ...... ce 0 X
CONTACT PERSON PHONE NUMBER
LOCATION OF TANKS: . CAPACITY: . TYPE- OF' FUEL. AGE: TYPE: LEAK
OR CHEMICAL: DETECTION
SYSTEM'
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.