HomeMy WebLinkAbout0070 JOYCE ANNE ROAD - HAZMAT °70 5'nyee Anne ) toa-oi
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�r TOWN OF BARNSTABLE
9 UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS Mwe
ASSESSORS MAP NO.' PARCEL NO. 1 2-Q
ADDRESS: 7 d Te Ycc- X0,40 VILLAGE,
CONTACT PERSON P&A67'NY c PHONE NUMBER -7 7 - 071 3
LOCATION OF TANKS: . CAPACITY: TYPE- OF- FUEL AGE: TYPE: LEAK
_ OR CHEMICAL: _ DETECTION
.Z� Votr11SjD d� og; 99496 1000 }(,4Z %u�-� ®tG. T � �'°� ST466 Z- SYSfi �1:
DATE OF PURCHASE OF EACH: 1. ' 1 2. 3. 11 4. 5. _
DATE OF FIRE DEPARTMENT PERMIT: `tiS1 o� I RV _ e,,w),.
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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 • MARSTONS MILLS FIRE DISTRICT
UNDERGROUND/TANK REGISTRY PROGRAM
Owner of Property: �� ` �`/ Date of Installation:
Address:
Description: S f� z Installer: 4"17 ��►
Size: i D o v Certification:
Location of Tank:
INSPECTION INFORMATION DATE COMPLETED BY
Site Inspection
Air Test on Tank—Above Ground
Air Test on Tank—Within Hole
Test on Piping
Cathodic Protection Test
Continuous Monitoring System Type
Backfill Operations
Vent and Fill Pipes
Other:
TES'i mu ;3F TANKS AND PIPiNG: EXISTING i'ANKS
10th 15th y 19th
13th �1�{ 17th Y 20th O
I 21 st O 22nd 23rd
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24th DS 25th D 26th 17
27th 4 28th O Y 29th /D
(30) Removal
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NEW TANKS:
15th 20th 22nd
' 24th 26th 28th
i (30) Removal
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Remarks:
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