HomeMy WebLinkAbout0361 HUCKINS NECK ROAD - HAZMAT .3C� 1 Nucl� �S N ecK Bow
TOWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION
OWNER AND I NS6LLER INFORMATION
ADDRESS: 6 NvG� S /✓cCCK A,0 MAP NO. Z- 3 PARCEL NO. 0 4-3
OWNER NAME: �`�� / j K/. r�.� /c F t�7/�.�Ge' ILy VILLAGE: [-F✓/ZV r��Z"
INSTALLATIO DATE
ADDRESS: \. CERT. NO.
TANK INF 'R T ION
LOCATION OF TAN<r
CAPACITY S'0 o G TYPE AG 'J FUE /CHEMICAL
TESTING CERTIFICATION C PASS ] AIL DATE
LEAK DETECTION C I CHECK IF N/A T PE/BRAND
ZONE OF CONTRIBUTION C/] YES C 7 N DATE TO BE: REMOVED
FIRE DEPT. PERMIT ISSUED C 7 YE C-43 NO DATE
CUNSERVATION� C I CHECK IF A DATE
BOARD OF HEALTH TAG NO. C 71z}C ]C 7 C ]C I DATE r I t cl i-05,95
PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD
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