HomeMy WebLinkAbout0615 SOUTH MAIN STREET - HAZMAT 6/5�'aYfi /lea in sr
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TOWN OF BARNSTABLE
UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS
NAME ��L� 1L1 Ll� EPA" AAA L(A 1 Y
ADDRESS �Ql a(a /'AIV 11 Sr. VILLAGE 0 " 7��r—V L E
LOCATION OF TANKS: CAPACITY: TYPE OF FUEL AGE: TYPE:
OR CHEMICAL
2- c 60 FcIEL oiL HT�� �T L �►U
(Give same information for any additional tanks on r verse side of card)
H• /
DATE OF PURCHASE OF EACH: 1. 2. 3. 4.�� ��
DATE OF FIRE DEPARTMENT PERMIT:
TESTING CERTIFICATION SUBMITTED:
PASSED DID NOT PASS
S6 6
rl 6, S FDA
TOWN OF BARNSTABLE f� �v� � � loq
Y`' �� UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS / � �j
ASSESSORS MAP NO. r ( � PARCEL NO.-
ADDRESS,' VILLAGE'
14AME:._. _
CONTACT PERSON PHONE NUMBER
LOCATION OF TANKS.; - CAPACITY: TYPE.-OF' FUEL AGE: T PE: LEAK
OR CHEMICAL: DETECTION
SYSTEM t
Fan 01,L
&5
,,)oV,bLeGwoAio --E&t rj-oFcAw.-AFL or-006D#d,F'Oa Olot s Afo
DATE OF PURCHASE OF EACH: 1.. 2' J 3. 4. 5. _
DATE OF FIRE DEPARTMENT PERMIT: l ^3'
TESTING CERTIFICATION SUBMITTED: PASSED - DID NOT PASS
� 1 c or of wk
y
PLEASE PROVIDE A SKETCH SHOWING THE LOCATION OF TANKS ON THE BACK OF THIS CARD.
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TOWN OF BARNSTABLE
UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS
NAME���vT et c L ec t V
ADDRESS 61S �r�lr- --r.�✓�� I �. 1"1 I�
VILLAGE
LOCATION OF TANKS: CAPACITY: TYPE OF FUEL AGE: TYPE:
i OR CHEMICAL
lacic ea alL
(Give same information for any additional tanks on reverse side of card)
DATE OF PURCHASE OF EACH: 1. 2. Nd" 3. 4.
DATE OF FIRE DEPARTMENT PERMIT:
TESTING CERTIFICATION SUBMITTED:
PASSED DID NOT PASS
ILL
THE FOLLOWING
IS/ARE THE BEST
IMAGES FROM POOR
QUALITY ORIGINALS)
I M ^C&L
DATA
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%ENTIRVILLE OSTERVILLE ;IRE DEPARTMENT.
o N ¢,�,
Pr.RMIT FOR STORAGE OF FUEL OIL ,•„�'�
In accordance with provisions Ci Chapter 148, G.L! and Regulations li
n under- uthorit thereof.
Nam . rAr'� - Le e F. N
fir.....:.ual.� NQmq u e,
. (owner or occupant) (Install ) a.,r
DU Address South gain St. , Cetitp��dre�ss 200 Monde„ �r
�Qs erville
rner
Make ..0 U. S. Car n . Type of :Tanlr `oe e rRo'und
w Manufact re Ca� r o .'...
r Capacity 1 0 a
Mod t o..or ze �N ( g Is.(or) Size
nd Locati�;, Urgrond h
T Pe...
Gu ... ass A oval 1314
Permit ssue ..
(Nead'c Fire l epart nt
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(TH , PEP
MIS �
T g� Z�ONSPIC(lODS[Y'PO'"'ED-l}PON 7HE PREI4115E4
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