HomeMy WebLinkAbout0067 WILLOW AVENUE - HAZMAT '�= 3a�1 • o(,b(4
TOWN OF BARNSTABLE — UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION
OWNER AND INSTALLER INFORMATION
ADDRESS: 67 Willow Street MAP NO. 327 PARCEL NO. 064
OWNER NAME: a'- "f•_Ilo ahue, Robert J. & Shaughnessy. VILLAGE: Hyannis
Pamela J., Trustee
INSTALLATION DATE: BY:
ADDRESS: CERT. NO.
DivpflE a
TANK INFORMATION
s.t
Y .
LOCATION OF TANK:
CAPACITY 504 Ral. TYPE 3 !/ AGE jFFUEL/CHEMICAL heating oil
+r
' TESTING CERTIFICATION C ] PASS C ] FAIL DATE
LEAK DETECTION C ] CHECK IF N/A TYPE/BRAND
ZONE OF CONTRIBUTION C ] YES CX] NO DATE TO BE REMOVED
FIRE DEPT. PERMIT ISSUED C ] YES C ] NO DATE
CUNSERVATION C ] CHECK IF N/A DATE
BOARD OF HEALTH TAG NO.;[yG ✓ ]C I[ ]C ] DATE f i .
PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD