HomeMy WebLinkAbout0007 TUCKER ROAD - HAZMAT i
T\A( x mod..
TUi�J*N OF HARNSTA9LE — UNDERGROUND FUEL,`ANDj�`C,HEM'I CAL STORAGE REGISTRATION
4 OWNER `AND INSTALLER/INFCIRMAT^ION
ADDRESS: MAR NO. PARCEL
OWNER NAME: 4 �/ /. ,6�`/L �./` VILLAGE: � � r i �r�.'s
INSTALLATION DATE:`:
--.ADDRESS- �/`.,•s.�� _, �, � CERT. NO.
V TAN fG INFORMATION
LOCATION OF TANK:
CAPAC I TY/ ,' 9 TYPE AGE V' FUEL/CHEM•I CAL , t✓° � ;.
TESTING CERTIFICATION C J PASS 1 C ] FAIL""`DATE7--
LEAK DETECTION [.V3 CHECK IF N/A TYPE/BRAND 'G►t !✓tG r• s.,
ZONE OF CONTR I BUT-I ON-_C ] YES k!NO- DATE TO BE REMOVED
FIRE DEPT. PERMIT ISSUED CJ43 YES C ] NO DATE
CONSERVATION CY] CHECK IF N/A DATE
BOARD OF HEALTH TAG 6%E
][ ]C ]C ]. DATE
I
PLEASE PROVIDE'A :SKETCH SHOWING. THE -.TANKTLOCATION ON THE BACK. OF THIS CARD
}
s4"t._
ti�------�''�"'� -
_\ �"'.
/ 1�
,�� � a1
��/t/�
;�
i
� 1�-
C� _�
�� ��
� � : . ��
i
' K
1
No. Hyannis Fire District. »'
PERMIT FOR STORAGE OF ay
FUEL.OIL r
In accordance with provisions of Chapter 148, G.L., and Regulations made under authority
thereof. "
c Name —��aL�ls��� tl—NameoF (installer)
Address "
f ner or occupant)
II`
�� �^� ress - s
BURNER STORAGE
_Name {K.� 'H'��- -- Type_of Tank L
Manufacturer "C�� Capacity gals. (or) Size
Model No. or Size C� I I Y Location _
Type 'tiw Mass. Approval No.
Permit issued.._.—.._._ expires Head
(Plead of Fire Department)
paidY.
` � ~ ♦fir ��'�4�:'+S�iLL•'rws�.71 F` iTr�:e�Y.ZL3 �'~'t� � '. r $'ti.
_.rrGltr. t -eA_- i✓_? ek �-.ay