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TOWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION
MAP NO. R --4 Z'/ PARCEL NO. 63";.
ADDRESS OF TANK: 93 Circuit Ave. VILLAGE: Hyannis
NumbdWr
MAILING ADDRESS ( IF DIFFERENT FROM ABOVE) :
OWNER NAME: Ruth A. Nason PHONE: 508/775-3173
INSTALLATION DATE: About 1953? BY: Unknown
I"!STALLER ADDRESS: Unknown CERT.NO.
*TANK LOCATION: Near front of house on left side as you face house from street
(DtYC/RImK TANK "OCATION WITH MROMKCT TO WUILDINm)
CAPAC I TY275 Gal. TYPE OF TANK Steel AGE 40 YRS. FUEL/CHEMICAL Fuel
TESTING CERTIFICATION [ ] PASS C J FAIL DATE
LEAK DETECTION [ ] CHECK IF N/A TYPE/BRAND
ZONE OF CONTRIBUTION C ] YES C J NO DATE TO BE REMOVED O,
FIRE DEPT. PERMIT ISSUED C ] YES C J NO DATE
CONSERVATION [ ] CHECK IF /A DATE
BOARD OF, HEALTH TAG NO. [ L ] DATE
* PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD
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TOWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION
MAP NO. Z PARCEL NO. 0,i
ADDRESS OF TANK: 93 Circuit Ave. VILLAGE• Hyannis
Nu m b o r�^•�^'^^^^�-w^^'�o!rs•t
MAILING ADDRESS ( IF DIFFERENT FROM ABOVE) :
OWNER NAME: Ruth A. �ason PHONE: 508/775-3173
INSTALLATION DATE: About 19537 By: 4`; Unknown
INSTALLER ADDRESS: UnLown CERT.NO.
*TANK LOCATION: Near front of house on left sin' as you face house from street
(DioOA i off TANK i LOCATION WITH MROF-oCT TO wu I L-z>,I Nm)
CAPAC I TY275 Gal. TYPE OF i TANK Steel AGE'. �'�iD YRS. FUEL/CHEM I CAL Fuel
TESTING CERTIFICATION [.,_] ,_PASS -._[--]--FAIL
DATE " ►
LEAK DETECTION [ ] CHECK IF N/A TYPE/BRAND
ZONE OF CONTRIBUTION [ ] YES C ] NO DATE TO BE REMOVED y ' ' /%
FIRE DEPT. PERMIT ISSUED C ] YES C J NO DATE
CONSERVATION C ] CHECK IF N/A DATE
BOARD OF HEALTH TAG .NO. C `� J DATE
* PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD
TOWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION
MAP NO. k' PARCEL NO. Qf,,>
ADDRESS OF TANK: 93 Circuit Ave. VILLAGE• Hyannis
Num t
I I
MAILING ADDRESS ( IF DIFFERENT FROM ABOVE) : _
OWNER NAME: Ruth A. Mason PHONE: 508/775-3173
1 i
INSTALLATION DATE: About] 1953? By: j Unknmn
j
I"!STALLER ADDRESS: U60nown CERT.NO.
*TANK LOCATION: Near €rot of house on lefj s;i:di as you face house from street
j (D=00Pt I Mt TANK! LOCI T I ON WITH mww"COT TO BU I LD I Nm)
CAPAC I TY275 Gal. TYPE! OF TANK Steel o AGE- '4U r r YRS. FUEL/CHEMICAL Duel
TESTING CERTIFICATION [, ]_.PASS-�.[ _]__FAIL DATE 4,
LEAK DETECTION [ ] CHECK IF N/A TYPE/BRAND
ZONE OF CONTRIBUTION [ ] YES [ ] NO DATE TO BE REMOVED
FIRE DEPT. PERMIT- ISSUED [ ] YES C ] NO DATE -
CONSERVATION C ] CHECK IF N/A DATE
BOARD OF HEALTH TAG 'NOv' [ CJ ] DATE
* -PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD
CIRCUIT AVE