HomeMy WebLinkAbout0428 SHOOTFLYING HILL RD - HAZMATF1
= a13-00-7
�Z - mw
TOWN OF BARNSTABLE VA
�.. �� UNDER GROUND. FUEL AND CHEMICAL STORAGE SYSTEMS
ASSESS ORS MAP NO. al 3 PARCEL N0. .,. 007
ADDRESS: i( $ S1-o@�- -$a�9 ®ap� VILLAGE , U
NAME
CONTACT PERSON L Q p y.n ,�. ��-�..� L�„� PHONE NUMBER 3 faa-- 3,8 03
LOCATION OF TANKS:. . CAPACITY: TYPE OF- FUEL. AGE: TYPE: LEAK
T R CHEMICAL t - )) DETECTION
SYSTEM'
IIAMAI VA
DATE OF PURCHASE OF EACH: 1. 2. 3. 4. 5.
DATE OF FIRE DEPARTMENT PERMIT:
TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS
PLEASE PROVIDE A SKETCH SHOWING THE LOCATION OF; TANKS ON THE BACK OF THIS CARD.
r
�r
r