HomeMy WebLinkAbout0094 OVERLOOK DRIVE - HAZMAT rqq aVerlaGK
TOWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION
�OWNER AND
INSTALLER INFORMATION
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ADDRESS: `7�l (../VekLiEJ(_J ./JAI V MAP NO. 122 PARCEL NO. ✓
OWNER NAME: 1' " o AA� � :1VT1 Il..��Ul w I L'LAGE: t_ .
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INSTALLATION DATE: BY:
ADDRESS: CERT. NO.
O TANK INFORMATION
LOCATION OF TANK:
CAPACITY 0100�-) TYPE vi��'C. AGE FUEL/CHEMICAL
TESTING CERTIFICA,T�ION C I PASS C I FAIL DATE
LEAK DETECTION /� CHECK IF N/A TYPE/BRAND
ZONE OF CONTRIBUTION C I YES C NO DATE TO BE REMOVED
FIRE DEPT. PERMIT ISSUED ll YES C I NO DATE
CONSERVATION C CHECK IF N/A DATE _
BOARD OF HEALTH TAG NO. C/ /3 ]C ]C ]C ] DATE 1�
PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD
TOWN OF BARNSTABLE
UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS Vh
ASSESSORS MAP NO. PARCEL NO. .
Ss". 4 d(JvY C,04- VILLAGE
LON
ERSON PHONE NUMBER
OF TANKS:. CAPACITY: TYPE OF FUEL. AGE: TYPE:
OR CHEMICAL: D
F PURCHASE OF. EACH: 1. _ 3. 4. 5.
F- FIRE DEPARTMENT PERMIT: tg4-S to--q-sig,
G CERTIFICATION SUBMITTED: PASSED DID NOT PAS;
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TOWN Or BARNSTABLE v A; 1
. . * . . UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS
ASSESSORS MAP N0. %' PARCEL N0. y /, Z z�-
ADDRESS, 6 v c- VILLAGE' � ji���i®: // � �'`��,1: /9 -
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NAME;._. ri f dn. r r .-./ =sl- l�All. y, 44 !.-a i, yX _
CONTACT PERSON PHONE NUMBER j �l
I,0CATION OF TANKS: CAPACITY: ..TYPE OF FUEL. AGE: TYPE: LEAK
e f OR CHEMICAL: �1/97� DETECTION
5yC'e i SYSTEM!
DATE OF PURCHASE OF. EACH: 1. /l J r _ 2. 3. 4. 5. _
DATE OF: FIRE DEPARTMENT PERMIT:
TESTING CERTIFICATION SUBMITTED: LZ/j I-,- PASSED �� DID NOT PASS
PLEASE PROVIDE A SKETCH SHOWING THE LOCATION OF TANKS ON THE BACK OF THIS CARD.
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°4 A^ s� BARNSTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT
I SUPERIOR COURT HOUSE
J0 I� - BARNSTABLE, MASSACHUSETTS 02630
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o ° PHONE:362-2511
Al A55 EXT. 330
LAB 337
CLINIC 340
NAME Caroline Luongo
TANK LOCATION 61 Padlock Lane, Centerville, MA 02632
TANK AGE 8 . CAPACITY 1000 DATE TESTED 8/19/87
Thank you very much for participating in our program to test
underground storage tanks (UST) .
The free test was of fered under a grant the Barnstable County
Health & Environmental 'Department received from the Environmental
Protection Agency. The main purpose of the extensive testing we
are doing is to develop information regarding percentages of
tanks which are leaking, and the age at which significant numbers
of tanks start to leak. The method we used, soil gas analysis, is
not the most common, so we are also using our experiences to
evaluate it as an UST testing technique.
Because of uncertainties inherent in UST testing, we can not
guarantee that your tank is not leaking. However, our tests did
not indicate any problem. You should also realize that a "good" j
result from our test is no indication of how long the tank will
remain sound. If you ever decide to remove your tank, it would
help our research if you notified us so we could take a look at
it after excavation.
If you have any questions, please contact Charlotte Stiefel or
George Heufelder at 362-2511 extension 334 .