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TOWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATIO
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U ,, / /MAP NO. �.y.�' PARCEL NO. JI l'tJ �r1.
ADDRESS OF TANK: 17 O 6 r L'�1/� �'7 U -P VILLAGE:
Numbwr aI-
MAILING ADDRESS ( IF DIFFERENT FROM ABOVE) : O.
- � /I/ .e�S�aw O cam/ 3
OWNER NAME: 1 1 ` �/ 4 �d PHONE:
INSTALLATION DATE: BY:
INSTALLER ADDRESS: -CERT.iJO.
*TANK LOCATION:
(DCOO I TANK LOOATION W TH RCO OT TO IDIJIL co //,,
CAPACIT1�� TYPE OF TANK 1F AGE YRS. FUEL/CHEMICAL a V�DJC.
TESTING CERTIFICATION [ ] PASS [ ] FAIL DATE
LEAK DETECTION [ ] CHECK IF N/A TYPE/BRAND
ZONE OF CONTRIBUTION [ ] YES IN,
NO DATE TO BE REMOVED
FIRE DEPT. PERMIT ISSUED [ ] YES [ ] NO DATE
CONSERVATION [ ] CHECK IF N/A DATE
BOARD OF HEALTH TAG NO. [ ] DATE JAIIINZ 22-]j�4
PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD
TOWN OF BARNSTABLE TIUNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION
MAP NO. . Il PARCEL NO.1146) ' Z1 Q,:l_-
ADDRESS OF TANK: yD 6 r Loe-�Y t f' VILLAGE: _ f'
fvumb�r Qtrw4wt ! *� L
MAILING ADDRESS ( I F 'DIFFERENT FROM ABOVE) /..7 41�-r A7 Py
OWNER NAME:' /�l [ U/ A ' -�- /7 � "E: ' '� oar
3
PHONE:
INSTALLATION' DATE: BY:
INSTALLER ADDRESS: 'CERT.NO.
*TANK LOCATION: ( � .6fr''`G�� r M- ��'v"�" "l1 OJ�
(DC�QRQ ZZ'�C TANK,.,ry�LOQAT I ON ,Wu?2 TH RCOI?°CCT TO au Z D I NOpo6&
CAPACITY,a TYPE OF TANK�.J/ i AGE YRS. FUEL/CMEM I CAL OIL
11
TESTING CERTIFICATION [ ] PASS [ ] FA I.L .,. .DA,T.E.
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LEAK DETECTION C ] CHECK IF N/A TYPE/BRAND
ZONE OF CONTRIBUTION [ ] YES [ ] NO DATE TO BE -REMOVED
FIRE DEPT. PERMIT ISSUED C ] YES C ] NO DATE
CONSERVATION [ ] CHECK" IFIN/A DATE t ».. .�� ".t /
_t221
BOARD OF HEALTH TAG NO. C ] DATE Y #
PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD
x C.
TOWN OF BARNSTABLEr - UNDERGROUND FUEL •AND CHEMICAL STORAGE REGISTRATION
r MAP NO. S' PARCEL NO.�440 %--
ADDRESS OF TANK: �/O +' �� t �t �7 tf P VILLAGE:
t Number Ytrwm.!
MAILING ADDRESS ( IF DIFFERENT FROM ABOVE) : �j Pd
OWNER NAME:' PHONE.
INSTAL'LATION�DATE: BY:
INSTALLER ADDRESS': -CERT.NO.
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STANK LOCATION: h
_ c acaora I nC TAlJ'K LOOAT I OfV W,i TH RQaI?QCT TO mU I.L-O I NOy)�J I
CAPAC I TY jM'00 _TYPE,\OF TANK�� L f i.� "AGE Y;RS. FUEL/CHEMICAL 7r(5� i�11CL 01 L
TESTING CERTIFICATION [ ] PASS C ] FAIL f �_D_ArTE-'
LEAK DETECTION [ ] CHECK' }IF N/At TYPE/BRAND
ZONE OF CONTRIBUTION [ ] YES [ ] NO DATE TO HE REMOVED
FIRE DEPT. PERMIT ISSUED C ] YES C ]. NO DATE
CONSERVATION [ ] CHECK IF -N/A DATE I ! r
BOARD OF HEALTH TAG NO. C ] DATE ItIVIIN P Tz�A f
PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE HACK OF THIS CARD
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SENDER:
• Complete items 1 and/or 2 for additional services. I also wish to receive the
• Complete items 3,and 4a&b. following services (for an extra
• Print your name and address on the reverse of this form so that we can fee):
return this card to you.
• Attach this form to the front of the mailpiece,or on the back if space 1. ❑ Addressee's Address
does not permit.
• Write"Return Receipt Requested"on the mailpiece below the article number. 2. ❑ Restricted Delivery
• The Return Receipt Fee will provide you the signature of the person delivered
to and the date of delivery. Consult postmaster for fee.
3. Article Addressed to: 4a. Article Number
P 165 534 209
Michael London 4b. Service Type A"
140 Greely Ave. ❑ Registered ❑ Insured
W.Hyannisport, MA 02672 fl Certified ❑ COD
❑ Express Mail ❑ Return Receipt for
Merchandise J
7. Date of Deli v ry I
/� /q
5. gnature (Addressee) 8. Addressee's Addres (Only if requested
and fee is paid)
6. Signature (Agent)
PS Form 3811, November 1990 *U.S.GPO:1991-287.066 DOMESTIC RETURN RECEIPT
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UNITED STATES POSTAL SER ICJ�C.:-, b
Official Business
PENALTY FOR PRIVATE
USE, $300
Print your name, addrewand ZIP Code here
HEALTH DEPT.
P.O.BOX 534
HYANNIS, MA 02601
P 165 534 209
RECEIPT FOR CE:3TIFIED MAIL
NOINSURAACE COVERAGE PROVIDED
NOT FOR INTERNATIONAL MAIL
(See Reverse)
Sent to Michael London
Street and No.
140 Greely Ave.
P.O.,State and ZIP Code
W.H annis ort, MA 02672
Postage S 2.29
Certified Fee
Special Delivery Fee
Restricted Delivery Fee
Return Receipt showing
to whom and Date Delivered
rn
co Return Receipt showing to whom.
Date,and Address of Delivery
d �
j TOTAL Postage and Fees S
2.29
0
Postmark or Date
M 11/19/91
E
0
LL
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STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE,
CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES. (see front)
1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving
the receipt attached and present the article at a post office service window or hand it to your rural carrier.
(no extra charge)
2. If you do not want this receipt postmarked,stick the gummed stub to the right of the return address of
the article, date, detach and retain the receipt,and mail the article.
3. If you want a return receipt, write the certified mail number and your name and address on a return
receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends it space per-
mils. Otherwise,affix to back of article. Endorse front of article RETURN RECEIPT REQUESTED
adjacent to the number.
4. If you want delivery restricted to the addressee,or to an authorized agent of the addressee,endorse
RESTRICTED DELIVERY on the front of the article.
5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. If return
receipt is requested,check the applicable blocks in item 1 of Form 3811.
6. Save this receipt and present it if you make inquiry. + U.S.G.P.O.1988.217-132
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- p���tYEtO`f The Town of Barnstable
0` Health Department
} ""'7"' 367 Main Street, Hyannis, MA 02601
�0 Y�Y k•
Office 508-790-6265 Thomas A. McKean
FAX 508-775-3344 Director of Public Health
November 18, 1991
Michael London
140 Greely Ave.
W.Hyannisport, MA 02672
NOTICE TO ABATE VIOLATIONS OF THE BOARD OF HEALTH REGULATION
REGARDING FUEL AND CHEMICAL STORAGE SYSTEMS
ti
Our records indicate that the property owned by you located
at 140 Greely Avenue,. W.Hyannisport, MA, has an unregistered
underground fuel tank. The following violations of the
Board of Health Regulations were observed:
*BOARD OF HEALTH REGULATION REGARDING FUEL AND CHEMICAL
STORAGE SYSTEMS: Unregistered oil tank(s) underground.
If the tank(s) is older than 10 years, it must be tested
within 30 days of receipt of this letter. If the tank(s) is
older than 30 years, it shall be removed.
Please complete the enclosed card within seven (7) days of
receipt of this notice.
You may request a hearing if written petition requesting
same is received by the Board of Health within seven (7)
days after the date order is received. However, these
violations must be corrected regardless of any request for a
hearing.
PER ORDER OF THE BOARD OF HEALTH
�To—ma�.s A. McKean
Director of Public Health
cc: Chief Chisholm,Hyannis Fire Dept.
Charlotte Stiefel, County Health Dept.
fT
November 5, 1991
Ro�x-.P- --S!G i - ono t
-aple-Av I Gro
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NOTICE TO ABATE VIOLATIONS OF THE BOARD OF HEALTH REGULATION
REGARDING FUEL AND CHEMICAL STORAGE SYSTEMS
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0 Ave—
Thheeprro property owned b you located at -53-Mapthe- ee. Hyannis,
P P Y Y Y . Y J --�-f �
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cam. The following violations of the Board of Health
Regulations were observed. G
*BOARD. OF HEALTH REGULATION REGARDING FUEL AND CHEMICAL
STORAGE SYSTEMS: Unregistered oil tank(s) underground
behind dwelling. If the tank(s) is older' than 10 years, it
must be tested within 30 days of receipt of this letter. If
the tank(s) is older than 30 years, it shall be removed.
Please complete the enclosed card within seven (7) days of
receipt of this notice.
You may request a hearing if written petition requesting
same is received by the Board of Health within seven (7)
days after the date order is received. However, these
violations must be corrected regardless of any request for a
hearing.
PER ORDER OF THE BOARD OF HEALTH
Thomas A. McKean
Director of Public Health
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