HomeMy WebLinkAbout0132 ESTEY AVENUE - HAZMAT 13a �g�-�� Rvenue, l�nn� S
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TOWN OF BARNSTABLE -:-UNDERGROUND FUEL AND CHEMICAL STORAGEREGISTRATION
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14 o N ���_ � OWNER AND INSTALLER INFORMATION
ADDRESS: l U�. XI.t. d ,t. .r MAP NO. PARCEL N0.
- OWNER-NAME:f 90 �t /��/! hr�,C����,f✓f,/c� VILLAGE: y y1l► s
INSTALLATION DATE: BY:
ADDRESS! CERT. NO.
TANK INFORMATION
LOCATION OF TANK: J�a ,t l t p lto
CAPACITY 0 TYPE ""` AGE r FUEL/CHEMICAL
TESTING. CERTIFICATION C ] PASS.- 'I ] FAIL DATE
LEAK DETECTION' —+ CHECK IF N/A TYPE/BRAND
ZONE OF CONTRIBUTI,-ON-nm YES C, ] NO DATE TO BE REMOVED Iq q 3 ar
FIRE"DEPT. PERMIT ISSUED C ]'AwY C ] NO DATE
CUNSERVATION C ] CHECK IF N/A DATE
BOARD OF HEALTH TAG No. 41 C ]C ]C 71'f, ] DATE ,
PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD
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