HomeMy WebLinkAbout0049 GOFF TERRACE - HAZMAT �fq Riot' Terraces
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N a M EAD
KEEPING YOU ORGANIZED
No.10M
2453L
MADE IN USA
GET ORGANIZED AT SMEAD.COM
TOWN OF BARNSTABLE
UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS
NAME ��L C/�� �l/ �P �e
ADDRESS R r VILLAGE L -0 C/l < r°
LOCATION OF TANKS: CAPACITY: TYPE OF FUEL AGE: TYPE:
OR CHEMI71, I
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(Give same information for any additional tanks on reverse side of card)
DATE OF PURCHASE OF EACH: 1. 2. 3. 4.
DATE OF FIRE DEPARTMENT PERMIT: D 6
TESTING CERTIFICATION SUBMITTED:
PASSED DID NOT PASS
AppRCVED
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BARNSLE
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UNDERGROUND FUELTAND CCHEM CI ALTSTORAGE SYSTEMS V O ,_ � /A6 "'
ASSESSORS MAP NO._ 1 _ PARCEL NO. 05
ADDRESS? 49 Goff Terrace VILLAGE., Centerville
NAME Y._. Barbara M..._Whiteley
CONTACT PERSON Carl F. Riedell & Son, Inc. PHONE NUMBER 428-63.65
LOCATION OF TANKS: CAPACITY: .TYPE OF FUEL AGE: TYPE: LEAK
OR CHEMICAL: DETECTION
in hromd - 330 ';dal. #2 yrs. stee.]. SYSTEM!
DATE OF PURCHASE OF EACH: 1. 1980 2. 3. 4. 5.
DATE OF FIRE DEPARTMENT PERMIT: 1980
TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS
-PLEASE 'PROVIDE A SKETCH SHOWING THE LOCATION OF TANKS ON THE BACK OF THIS CARD.
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