Loading...
HomeMy WebLinkAbout0016 HILL CREEK ROAD - HAZMAT )lCreeK goaA TOWN OF BARNSTABLE — UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION OWNER AND INSTALLER INFORMATION`' ADDRESS: � t wL C.e =�y�"`r� 1 MAP NO. if PARCEL NO. OWNER NAME: ����F� a'l•J- 1,?-44 7y- VILLAGE: INSTALLATION DATE: t BY:- ADDRESS: �°?�J. . '_ , - /..! , ",,.., CERT. NO. P�/afV 6 © '-1 TANK INFORMATION f Y LOCATION OF TANK: CAPACITY AOM a TYPE ��`���� ! i AGE �%��� FUEL/CHEMICAL av - TESTING CERTIFICATION C ] PASS C I FAIL DATE_ LEAK DETECTION C/* CHECK IF N/A TYPE/BRAND ZONE OF CONTRIBUTION C ] YES ]�( NO DATE TO BE REMOVED QI . , FIRE DEPT. PERMIT ISSUED CJk"] YES C ] NO DATE CONSERVATION Ex CHECK IF N/A DATE BOARD OF HEALTH TAG NO. [ ]C ]C ]C ] DATE PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD r A. CENTERVILLE - OSTERVILLE FIRE DEPARTMENT PERMIT FOR STORAGE OF FUEL OIL In accordance with provisions of Chapter 148, 0.L., and Regulations made under authority thereof. Name -John—Garrity Name ...Wi.7liam..Dwi a................ (owner or occupant) (Installer) Address .1 E..Hi11.creek..ad..C.en4Address ..Marstnns...A.ve..Hy......... Burner Storage Make Beckett (New Yorker Type of Tank mxiztiY1 Manufacturer 3.eckett........................ Capacity .............. gals. (or) Size............ Model No. or Size .... ............................ Location undergr.ound...................... Ty peg'=............... Mass. Approval No. ..9b9......... Permit issued .... :.. �............. ............ J.M.F i „gton ... .. ead of F epar nt �l .............. .................. ........................ B ........ . ........... (THIS PERMIT MUST BE CONSPICUOUSLY ►OSTED UPOI1,THE PREMISES) ' t 4