HomeMy WebLinkAbout0482 ELLIOTT ROAD - HAZMAT .��fir-l/-����,�.�e+2V� �� �2.
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=`rORM F.P. 292
(rev. 9/90)
a
Olip Toittntnttwralt4 of Mnjonnrliustuo
Department of Public Safety
Division of Fire Prevention t on and Regulation
APPLICATION FOR PERMIT, AND PERMIT, FOR REMOVAL AND TRANSPORTATION TO APPROVED TANK YARD
FDID# 01920 Permit # Date_ March 19 , 1992 .
Centerville; 3 /
Cit Town or District
y C . 82 S . 40 M . G . L .
DIG SAFE NUMBER
Fee Paid:.$ 10 .00 `
92102886
start dateMarch 19 , 19 2
In accordance with the provisions of Chapter 148, Sec. 38A, M.G.L. ,
527 CMR 9. 00 application is hereby made by: Mason Associates
1
Street Address & City or Town: 1 Commerce Park, Pocasset, MA
Signature of applicant: Q�Umm
Applicants name printed: CaRtw[;EnI �. JMAN
For permission to remove and transport one underground storage tank from.
owner.' Nelson Street Address.: �482 Elliott 'Road, Centerville
Firm transporting waste: Mason Associates State Lic. # MAV000011224
Hazardous waste manifest # E.P.A. #
Approved tank yard: Mid City Scrap Yard # '12889
Tank yard Addresst State Road, Westport, MA
Type of inert gast UL tank #:
Tank ca acit • 330 #2 Fuel
P Y• Substance last stored:
Date of issue: March 19 , 19 92 Date of expiration: April 2 , 19 92
Signature/Title of Officer granting permit: A .�-j11
KEEP ORIGINAL AS APPLICATION AND ISSUE DUPLICATE AS PERMIT