HomeMy WebLinkAbout0149 MAIN STREET (HYANNIS) - HAZMAT /��' �JC�i� g���- � - �i�1�.��'
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TOWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION
OWNER AND INSTALLER INFORMATION
ADDRESS: 149 Main Street MAP NO. J � PARCEL NO.��,Q
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OWNER NAME: Joseph H. Beecher VILLAGE: Hyannis
PA
INSTALLATION DATE: f ..-'+/ _ BY: ?
ADDRESS: CERT. NO.
o Al TANK INFORMATION
LOCATION OF TANK: Rear -of building- approx'ly 18 ft. from rear entrance door-
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'CAPA `1-TY 1 5O� TYPE ; r AGE r' s FUEL/CHEM I CA + ~
TESTING CERT I F I CATION E _] 'PASS ' ',C_]k-,FAIL, ,;., .DATE,
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LEAK DETECTION ] CHECK IF' N/A TYPE/BRAND
ZONE OF CONTRIBUTION C ] YES C ] NO DATE TO BE REMOVED ' '
FIRE DEPT. PERMIT ISSUED Cx] YES C ] NO DATE une 11 19€36
LUNSERVATION C ] CHECK IF N/A DATE June 13, 19$8
BOARD OF HEALTH TAG NO. 60 41 - 1 I[ ]C ]C ] DATE / l /p l d 6 I
PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD
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-JOSEPH H.-BEECHEk-ESQ.-
149 MAIN STREET
f
1, PO BOX 941
HYANNIS.MA 02601
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DEPARTMENT OF PUBLIC SAFETY—DIVISION OF FIRE PREVENTION
PI 19 gG
Date
Form F.P. 290 TO. MAINTAIN AN EXISTING/NEW UNDERGROUND STORAGE FACILITY
Part 4
In accordance with the provisions of- 527CMR9.24 this- permit to maintain an -
existing/new underground storage facility is grantedto:
Location of property:_�G �1/it� ��• �7
Street address
Owner of property: SL
Full name of person, firm or corporation
Restrictions: 6741.102 Aft
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•. , Fee Paid:$ (M.G.L.A. Chapt. 148 Sec 10A)
This permit will expire
Date Oti n ure of Head of re Dept. or app rated design e
(Owner.'s Copy to be posted at the storage facility with F.P.290 Part 3)
Facility Name or Company Site Identifier•as applicable
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Street Address I�� ,`�_�� ��•
County �- Street Address or State Road,as applicable
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City State �ZIP Code County
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Area Code Phone Number City(nearest) State ZIP Code
7Z$-2.313 Adw a 77/-y.I;F/3 �Uf.
Type of Owner (blark all that apply®)
Current ❑ State or Local Gov't Pri r Indicate Mark box here if tank(s)
orporate number of 71 are located on land within ❑
❑ Former ❑ Federal Gov't ❑ Ownership tanks at this an Indian reservation or
(GSA facility I.D.no. uncertain location Fon other Indian trust lands
Name(If same as Section I,mark box here ) Job Title. Area Code Phone Number
❑ Mark box here only if this is an amended or subsequent notification for this location.
I certify under penalty of law that I have personally examined and am familiar with the information submitted in this and all attached
documents,and that based on my inquiry of those individuals immediately responsible for obtaining the information, I believe that the
submitted information is true,accurate,and complete.
Name and official title of owner r ownerjauorized representative Sig Dpe Signed
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