HomeMy WebLinkAbout0349 SEA STREET - HAZMAT 34a Sea �1-re� , I�nn� s
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�d `T Al 0`c/is TOWN OF BARNSTABLEVAI
UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS
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ASSESSORS MAP NO. PARCEL NO.
ADDRESS: Lf 9 .S E! .Sf VILLAGE ' _4 A 612V)J
CONTACT PERSON `j ��S �s�f'� PHONE NUMBER 7 7J- yd-dl
LOCATION OF TANKS CAPACITY: TYPE- OF' FUEL AGE: TYPE: LEAK
iG L/ OR CHEMICAL: DETECTION
3 C/ f00 SYSTEM'
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DATE OF PURCHASE OF EACH: . 1.. 2. 3. � 4. 5.
DATE OF FIRE DEPARTMENT PERMIT: ;
TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS
PLEASE PROVIDE A SKETCH SHOWING THE LOCATION OF TANKS ON THE BACK OF THIS CARD.
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DEPARTMENT OF PUBLIC SAFETY--DIVISION OF FIRE PREVENTION
Date
Form F.P. 290 - -
- TO MAINTAIN AN EXISTING/NEW UNDERGROUND STORAGE FACILITY z
Part 4 In accordance with the provisions of 527CMR9.24 this permit to maintain an
existing/new underground storage facility is granted to:
Location of property: .zI;"
Street address
Owner of property:Te
full name of pe son, firm or corporation
Restrictions: /• O 2 D,/
Fee Paid:$ (M.G..L_.A._Chapt.. 148 Sec. A)=_
—_ P _ - -
- - _
This permit will expire _z..
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a ! D ate Si a ure of Head of Fire Depf. or appoi ed designe
(Owner's Copy to be posted at the storage facility with F.P.290 Part 3