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TOWN OF BARNSTABLE
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CONTACT PERSON ��/""'(� PHONE NUMBER e 17` 7 7 C-e o 7 o /ti
LOCATION OF TANKS:. CAPACITY: TYPE OF FUEL. AGE: TYPE: LEAK
OR CHEMICAL: DETECTION
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DATE OF PURCHASE OF. EACH: 1. /9 2. 3. 4. 5. _
DATE OF FIRE DEPARTMENT PERMIT:
TESTING CERTIFICATION SUBMITTED: /V& - - ' d- PASSED -DID NOT PASS
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PLEASE PROVIDE A SKETCH SHOWING THE LOCATION OF TANKS ON THE BACK OF THIS CARD.
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