HomeMy WebLinkAbout0033 JOYCE ANNE ROAD - HAZMAT 33 J o� ce %4nne 'RoQA
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TOWN OF BARNSTABLE
UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS �,
ASOSESSORS MAP NO. � D q PARCEL NO.
- A �
ADDRESS: JU ,( fi[d VILLAGE e /
14AME
CONTACT PERSON /�. � � PHONE NUMBER
LOCATION OF TANKS: . CAPACITY: ..TYPE OF' FUEL AGE: TYPE: LEAK
OR C q EMICAL: DETECTION
SYSTEM.
DATE OF PURCHASE OF EACH: 1. //��� 2. d 3. 4. 5.
DATE OF FIRE DEPARTMENT PERMIT: fz
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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CENTERVILLE - OSTERVILLE FIRE DEPARTMENT
PERMIT FOR STORAGE OF FUEL OIL l
In accordance with provisions of Chapter 148, 0.L.. and Regulations
made under authority thereof.
Name G�...Eolleti U ;, ,' NameGregoire. &. Jones ,,,,,,. , ,
.......... .... ...... .. .... . . .......
(owner or occupant), Cent (Installer)
Address .FN..JOYCe AT111 Rd.. Address .....Centerville,,,,,,,,,,,,,,,,
.
Burner Storage
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Make .....ReCk,?ttr............................... Type of Tank Underground Steele;
Manufacturer ......Sa.....'.....me.......................... Capacity ... QQ.� . gals. (or) Size............
Model No. or Size 44............................ location ........U.QdeT.g>;Q.1A3ad............. �
Type......CAM........... Mass:Approval No. ..................
Permit issued ........ .......:.. ........J.&Ma...Farrl to
(Head of Fiiir�re D p nt
............................................................... By ..... ...
E
(THIS PERMIT MUST BE CONSPICUOUSLY P ED UPON TH MUSES)
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