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TOWN OF BARNSTABLE — UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION
OWNER AND INSTALLER INFORMATION
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ADDRESS: I%%% 1555 RtI 2 MAP NO. PARCEL NO.253-016
OWNER NAgE: r rankR & Catherine Mcd.en®ugh VILLAGE: Centerville
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INSTALLATION DATE: BY:
ADDRESS: CERT. NO.
TANK INFORMATION
LOCATION OF TANKp Presidential Motel { aid Of Building Near Reom7
CAPACITY 1000 Ga1STYPE 5'f rZR L- W&RPOWn FUEL/- L f
TESTING CERTIFICATION C ] PASS C ] FAIL DATOvery Fall After Closing
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LEAK DETECTION [ ] CHECK IF N/A TYPE/BRAND We Fill Tank And Check In Spry
ZONE OF CONTRIBUTION CX] YES C ] NO DATE TO BE REMOVED
FIRE DEPT. PERMIT ISSUED C ] YES C ] NO , DATE
CONSERVATION C ] CHECK IF N/A DATE
BOARD OF HEALTH TAG NO. [ ]C ]C ]C ]C J DATE
PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD
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