HomeMy WebLinkAbout0054 MAUREEN ROAD - HAZMAT J'� /4QotP,m ueP C¢t24elrv �le
ej •, TOWN OF BARNSTABLE ���
UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS J/
ASSESSORS MAP NO. PARCEL NO.
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ADDRESS /'`110A2e-A) A040 VILLAGE Ce/��t////c ly-fA
NAME!, %. _> - . 1� ..._. ._
CONTACT PERSON' 4P X,d 14c-1d4 k j41iA PHONE NUMBER 7,71 °-/ �Ee 7
LOCATION OF TANKS: CAPACITY: TYPE OF FUEL AGE: TYPE: LEAK
OR CHEMICAL: DETECTION
i SYSTEM!
DATE OF PURCHASE OF. EACH: 2. 3. 4. 5.
DATE OF FIRE DEPARTMENT PERMIT:)( 5z/9bo
TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS
PLEASE PROVIDE A SKETCH SHOWING TIIE LOCATION OF TANq ON THE BACK OF THIS CARD.
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CENTERVILLE - OSTERVILLE FIRE DEPARTMENT
PERMIT FOR STORAGE OF FUEL OIL
In accordante with provisions of Chapter 148, G. L., and Regulations
made under authority thereof.
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Name Ph...li.-P...IJIc. ..c^,.ma.r... ..........................Name ...Kati:.id....A........Na1l.or.....................
(owner or occupant) (Installer)
Address:V!aa., Q.e..C1 .....Gent............Address ..CO.t.uit.........................................................
Burner Storage
Make . 19:I Pr.Aatl.Pgal...............................Type of TankS.t.e.e.a.....Rclund..........................
ManufacturetA..B....0........B.Ui:'..11.e.S.....GO�.p pacity ..`j'.Q0.......... gals. (or) Size .....................
Model No. or Size c$5..... .....8...tH............ Location Undergraund...............................
.
Type ......Geri................ Maass. A roval No. ..14.5b. .. �.
Permit issued ..........
.........
.,... 70.............................. ti . ........................... P
(Head of ire Department)
...................................................................................................... B
(THIS PERMIT MUST BE CONSPICUOUSLY POSTED UPON THE PREMISES)