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TOWN OF BARNSTABLE
UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS
NAME �— S �J /7 r L,TT T (Adie-QLM ♦ eS'L
ADDRESS L; VJ LS )8 A Y R4ILLAGE H rh MAI Ps
LOCATION OF TANKS: CAPACITY: TYPE OF FUEL AGE: TYPE:
OR CHEMICAL
�2 L EWIS ,8 4y AD. 10 0 0 6—A—Z A c2 1509L —� ,QS. S J-76�
Li
(Give same information for any additional tanks on reverse side of card)
DATE.OF PURCHASE OF EACH: 1. r ® 2. 3. 4.
DATE OF FIRE DEPARTMENT PERMIT:
TESTING CERTIFICATION SUBMITTED:
PASSED . DID NOT PASS
_-A P.P. R O P E D
Barnstable Conservation Commission
Signed Da e
Board of Health
Town of Bamstable
P.O.Box 634
Hyannis,Massachusetts 02601