HomeMy WebLinkAbout0020 VALLEY BROOK ROAD - HAZMATFa6 vl&T�MK emd (nmv(
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UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS u (�/
ASSESSORS MAP NO. PARCEL NO. •0 0
ADDRESS: (`�--� 1 VILLAGE,
ELLA HALLETT.
NAME;._ 20 Valleybrook Road
Centerville, MA 02632
CONTACT PERSON�___ _ PHONE NUMBER
LOCATION OF TANKS: CAPACITY: .TYPE OF FUEL. AGE: TYPE: LEAK
j( OR CHEMICAL: DETECTION
� o 6;-I-L lzeZ 0 1 L _ SYSTEM!
DATE OF PURCHASE OF. EACH: 1. 2. 3. 4. 5.
DATE OF FIRE DEPARTMENT PERMIT: � 9 7/
TESTING CERTIFICATION '.SUBMITTED: PASSED DID NOT PASS
PLEASE PROVIDE A SKETCH SHOWING TIIE LOCATION OF TANKS ON THE BACK OF THIS CARD.
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