HomeMy WebLinkAbout0139 SPRING STREET - HAZMAT l39 ��prti� s�c�, yis�
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TOWN OF BARNSTABLE Vk�
UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS �+
ASSESSORS MAP N0. 01h PARCEL NO.
ADDRESS: 3 S p al NG 5T, VILLAGE. NK Aw-m _ MIS► �2
tdAME.:._. LE.ti/tJ.£TI aE hi
CONTACT PERSON A6JQ. _ PHONE NUMBER t
LOCATION OF TANKS:. CAPACITY: TYPE OF FUEL. AGE: TYPE: LEAK
- 3Qo a` ' OR CHEMICAL: ION
7 YSTEM
McAtr im oved hark-, 1 ftrti:a1 ��s m �T ral c yPl .
here ►the .
D .? 4.? 5
F ATE 0 PURCHASE 0F EACH: 1 ? 2. 3 HA E C S
DATE OF FIRE DEPARTMENT PERMIT: - �
TESTING CERTIFICATION SUBMITTED: ? PASSED DID NOT PASS
PLEASE PROVIDE''4 SKETCH SHOWING THE LOCATION OF TANKS ON THE BACK -OF THIS CARD.
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INVOICE NUMBER
LCRTank Services, Inc. 15263
P.O: Box 765 INVOICE DATE
Marston Mills, MA 02648 11/2/88
508-420-3365
C P
U Dr. Kenneth Henry R _
s
T 139 Spring Street_
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n
Eon Hyannis, Ma...02601 E SAME
T
R cc:,Town of Barnstable
PROJECT N CUSTOMER PO # START DATE COMPLETION DATE TERMS
T 2070 C 10/25/88 Net 30
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QUANTITY DESCRIPTION PRICE AMOUNT
Request payment for services rendered at the
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above location
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—gample analysis for acceptance to approved
disposal facility $ 250.00 $ 250.00
Roll-off container rental charges 400.00 800.00
j Transportation of (1 ) 30 yard roll-off
i 1 container to approved disposal facility 1200.00 1200.00
Transportation of (1 ) 15 yard',;roll-off
1 container to approved disposal facility 1200.00 1200.00
Tons of contaminated soil with #2 oil for
16.74 disposal 160.00 2678.40
Credit from Invoice # 15129 (Tank Removal) 150.00
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1 SUB TOTAL
$ 5978.40
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I TAX
N/A
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I TOTAL $ 5978.40
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INVOICE NUMBER
LCRTank Services, Inc. 15263
P.O:BOX 765 INVOICE DATE
Marstons Mills, MA 02648 11/2/88
508-420-3365
C P
U Dr. Kenneth Henry R _
T 139 Spring Street nn SAME
Q Hyais, Ma.-.02601 E
M T
E
R cc:,Town of Barnstable
PROJECT N CUSTOMER PO M START DATE COMPLETION DATE TERMS
T 2070 C 10/25/88 Net 30
QUANTITY DESCRIPTION PRICE AMOUNT
Request payment for services rendered at the
above location
1 Sample analysis for acceptance to approved
disposal facility $ 250.00 $ 250.00
2 Roll-off container rental charges 400.00 800.00
Transportation of (1 ) 30 yard roll-off
1 container to approved disposal facility 1200.00 1200.00
Transportation of (1 ) 15 yard'.;rol l-off
1 container to approved disposal facility 1200.00 1200.00
Tons of contaminated soil with #2 oil for
16.74 disposal 160.00 2678.40
Credit from Invoice # 15129 (Tank Removal) -150.00
SUB TOTAL
$ 5978.40
TAX
N/A
TOTAL $ 5978.40
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