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Home My WebLink About0340 SCUDDER AVENUE - HAZMATr3qb Scaddvy OWvc/ i i I I i f � a i I 'i i i I f 1 I i I I I S M EEALDI KEEPING YOU ORGANIZED No.10334 2.153L MADE W USA GET ORGANIZED AT SMEAD.COM TOWN OF BARNSTABLE — U14DERGRGUND FUEL AND CHEMICAL STORAGE REGISTRATION OWNER AND INSTALLER INFORMATIONN 3 l�CJ"C' MAP NO. U PARCEL NO. � ADDRESS. ��r��Gi(..,P��l�' l`0 �_ OWNER NAME: VILLAGE: INSTALLATION DATE: C? BY: ' wa C.fT ADDRESS: D - t� U / CERT. NO. ��c TANK •INFORMATION ��ZM �©� LOCATION OF TANK: u GAPAC I TY J TYPE U '�YA'GE FUEL/CHEMICALd !-t.�¢-t t� TESTING CERTIFICATION C ] PASS E ] FAIL DATE LEAK DETECTION I CHECK IF N/A 'TYPE/BRAND ZONE OF CONTRIBUTION E ] YES E ` NO DATE TO BE REMOVED FIRE DEPT. PERMIT ISSUED E ] YES E 7 NO DATE CUNSERVATION E ] CHECK IF N/A DATE BOARD OF HEALTH TAG NO. 0.1A 9 IE JE ]E ] DATE A t PLEASE PROVIDE A SKETCH SHOWING THE -TANK LOCATION ON THE BACK OF THIS CARD 4'