HomeMy WebLinkAbout0008 SHOOTFLYING HILL RD - HAZMAT
TOWN OF BARNSTABLE - UNDERGROUND FUEL AND CHEMICAL STORAGE REGISTRATION
OWNER AND INSTALLER t INFORMATION
E�N" l tJ wt1 �"�Qi�d L ADDRESS: � r►J� /L.. MAP NO. j PARCEL NO III-
$ac U�+ -r �'�,i� �
OWNER NAME: ► A - L V I LLAGE cif . .✓ 1.1if f�
r
INSTALLATION DATE: ( lt "p'` ')j,bAJ BY: t } �. f (,� 6
ADDRESS: 1 3 CERT. NO.
TANK INFORMATI �l 1
LOCATION OF TAN
CAPACITY '} YPE ' c lV AGEy,v24" FUEL/CHEMICALJ1 -. 22E
�y --,
TESTING CERTIFI AT ON 'I S C F IL ' DATEi
LEAK DETECTION C CHECKiIF= N/A TYP / F AND
� i
ZONE OF CONTRVBUIrfs
C I YES C NO DATE TO BE REMOVED
FIRE ,DEPT. PERMIS,UEDf C ] YES C I NO DATE
CUNSERVATION e" ' C I CHECK IF N/A DATE
BOARD OF HEALTH `"TAG NO. "' ,t.C, ]C ]C ]C ] DATE
PLEASE PROVIDE A SKETCH SHOWING THE TANK LOCATION ON THE BACK OF THIS CARD
Gil/I-- MO VNG
IT
5hoo-f+l ji'no--fh N'1 oA-D
Co-
i
„ ASSESSOR'S MAP N0. PARCELS
LOCATION SEW XC'E PERIAIT . NO.
4L-
iLLAGE
41
I N S T At LER'S NAIME �i`' ; ADDRESS !
0 UILDE R OR O'Wl1ER
DATE PERMIT ISSUED ; �^
DATE COMPLIANCE ISSUED ` �
f r.
ff
t "
4-
\� + � 00 -OP
S
�� P,