HomeMy WebLinkAbout0050 LOUIS STREET - HAZMAT 50 tp U
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TOWN OF BARNSTABLE — UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION
OWNER AND INST--li-1ALLER INFORMATION f
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ADDRESS:. /�/ � �J / - MAP NO. 4 : O PARCEL NO. Z
OWNER NAME: ( )i U 14 1 X t �� ! VILLAGE I /
INSTALLATION DATE: PtSQ f BY:
NDDRESS: CERT. NO..
I TANK INFORMATION
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LOCATION OF TANK:
CAPACITY TYPE 's'-) AGE/ c') FUEL/CHEMICAL
TESTING CERTIFICATION C I PASS C I FAIL DATE
LEAK DETECTION CJ CHECK IF N/A TYPE/BRAND
ZONE .OF CONTRIBUTION C ] YES C\VI NO DATE TO BE REMOVED !
FIRE' DEPT. PERMIT ISSUED C I YES C ] 'NO DATE
CONSERVATION C ] CHECK IF N/A DATE ti
. .'BOARD OF HEALTH TAG NO. C ]'C dE I C ]C ].. DATE
PLEASE PROV I DE A SKETCH; SHOW I NO THE,' TANK `LOCA:TLON ON THE BACK OF THIS CARD
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Harbor Ridge Road
P. O. Box 677 y
forth Falmouth, Mass. 025561.
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TOWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION
/ ,,, j OWNER AND INSTALLER INFORMATION
L-l1�J
ADDRESS: t. [ ./ l"-s t MAP NO. � PARCEL NO.y �q
o c (71
OWNER NAME: W f t✓ �! ; 1 f 1°J1.►+ i / VILLAGE: V J
INSTALLATION DATE: pt9l,�`i t i� BY:
t
� ADDRESS: CERT. NO.
MA
� �/ i (� jgT NK NF�OR T ON ® f�c� c; � ff i �J
LOCATION OF TANK: _
CAPACITY TYPE AGE FUEL/CHEM I CAL f (/ L..- (02 L,
TESTING CERTIFICATION C ] PASS C ] FAIL DATE
LEAK DETECTION C)(] CHECK IF N/A TYPE/BRAND;
ZONE OF CONTRIBUTION ; C 1 YES C) 7 NO DATErTO BE REMOVED s ;7
FIRE DEPT. PERMIT ISSUED C I YES I I NO DATE
CUNSERtiAiION I CHECK IF N/A DATE
BOARD OF HEALTH TAG NO. IV" 711 ]C ]C 7 DATE ! io t ^
PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD ',
TOWN OF BARNSTABLE
THE Tp
OFFICE OF
�!!
9TLBB BOARD OF HEALTH
I, � DAH3 i
MMa 367 MAIN STREET
O 39 k� HYANNIS, MASS. 02601
4y
1988
Dear
W
rasa valve to # ( Please attach to
Enclosed-l-a- b g5 _
the fill pipe of your underground tank.
You must do the following as . indicated.
---- Remove your tank . I have enclosed information for you
regarding tank removal.
---- Have your tank tested starting _ �!___ _ . You must test
during .the loth, 13th, 15th, 17th and 19th y fr�and
annually thereafter. Removal in the year �_ ��_ . I
nave encioseri information reggardi.ng tank testing. in
order to have your tank tested you must first contact an
engineering company (see attached) to have a monitoring
Once the monitoring well installed. 0 g well has been
installed you can then call 362-2511 , Ext. 334 and ask
for Charlotte Stiefel or George Heufelder at the
Barnstable County Health Department, to have your tank
tested via the Soil Vapor Analysis Test. Currently, the
test is done free of charge under the auspices of an EPA
grant.
X _ Due to the unknown age of your tank we must presume it
is twenty (20) years of age. You must have it tested
_ r year and remove it by the year 1993 . To have it
e p ease follow the procedure as indicated above
from the ** (asterisk) on.
If you have any questions please feel free to call me at 775-
1120, Extension 183 .
T you, a
onna Miorandi`
Health Inspector
TOWN OF BARNSTABLE — UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION
OWNER AND INSTALLER INFORMATION
ADDRESS: � bwl-cMAP NO. PARCEL NOa,VY9
AAOWNER NAME: VILLAGE:
INSTALLATION DATE: /� BY:
ADDRESS: �.�J_l�l�,l� 10'l" 0 I lU � ( �.� CERT. NO.
TANK INFORMATION
LOCATION -OF TANK:
CAPACITY TYPE AGE FUEL/CHEMICAL
2
TESTING CERTIFICATION C I PASS E ] FAIL DATE '
7
LEAK DETECTION E ] CHECK IF N/A TYPE/BRAND
•� I
ZONE OF CONTRIBUTION E ] YES E I NO DATE TO BE REMOVED
FIRE DEPT. PERMIT ISSUED C 7 YES E ] NO DATE
GUNSERVATION E ] CHECK IF N/A DATE
7
BOARD OF HEALTH TAG NO. [ ]E 7E ]E ]C ] DATE
PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD
TOWN OF BARNSTABLE — UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION
OWNER AND INSTALLER INFORMATION p,
ADDRESS: I�A C MAP NO. PARCEL NO 'r
OWNER NAME: , 1 , VILLAGE:
INSTALLATION DATE: BY:
ADDRESS:�O 0" I f) I�(�d �C1� C�d CERT. NO.
TANK INFORMATION
LOCATION OF TANK:
CAPACITY TYPE -� AGE FUEL/CHEMICAL
TESTING CERTIFICATION C ] PASS C ] FAIL DATE
LEAK DETECTION C ] CHECK IF N/A TYPE/BRAND
ZONE OF CONTRIBUTION C I YES C ] NO DATE TO BE REMOVED
FIRE DEPT. PERMIT ISSUED C ] YES C ] NO DATE `
LUNSERVATION C I CHECK IF N/A DATE "
7
BOARD OF HEALTH TAG NO. [ ]C IT ]C ]C ] DATE
PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD