HomeMy WebLinkAbouttank truck permits 1972-19745 " d)r**- /.*
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L MEMOFIANElIJM
15 i,tav rs 7ll
To Dept.Publlc Ssf€ty, Fllo ilarshal pr,em Yarnoutlr Fila Dapt- r S -'/anreouth r iJas g .
flrls ls to adnlae that tho belou llsted trnl. r.agons hav6 be€n dleposed
of by the oonpanlr. Etr0se tank uagona had been lnsp€ct€d.r c€ntLflcat€I
lssuod by thls departuent.
Cannon I s Inc. 350 Main St., 1,1. Yarmouth
1967 latosrational motor no. 5Ot524 fon xast€ ollrcesspools etc.
1966 Cirevrolet rootor no. IIC6336I1O90IIO clasa B flulals
ln Heply to Abov€r:
l,lahlon A. Cbaee
l&iln. Asslstant
aFFrcrENcy! L NE NO 27.s AN ArlaO pBOouCr
t
#.fZ z-
5.@n 6.r**mtuealli1 rt Sar*ail1arell*
DEPARIMENT OF PUBTIC SAFETY
DTVISION OF FIBE PREVENTION
I(,IO COMMOInI,ET,I.TH AVE., BOSTON
................ .2-:s- /- f
(Dit )
ts2 L
APPTICATION FOB APPROVAL OF TANK TRUCK
In accordance with the provisions of the rules and regulations of the Department of Public Safety, ap-
plication is hereby made for approval of the tsnk truck herein described. (A separate opplication ntust be
fileitr lor eoch oehicle')
Name of owner of tank truck.....C )-.a.t1.e.A.,1............1..,.t....t......
Business address of owner ...3'.rl-e. ........r.72.1.t..n........rJ.f . .!ai *17.7a-*u.oe7.4.. h.lt*.t
(at!..t rld llrEid) (Clty o! Tosn) ' (St te)
Type of Y ehicte.....Qlfie. *......%.k.. .. T*e*L......
(Ioto! rrud) (T Uc!) (SeDl.T!dle!) (XoE€ DrrwD)
Make of Vehicle..........(h..m...9......... ......................Carrying capacity in tons..
Mass. Registration Truck No..c......*3...#l............Registration Truck No............
(x'nufrcturcrt Ratinc)
,o,"* ,0.. "*".i ,a,.,",
Mass. Registration Trailer No................................. .......Registration Trailer No....................
(Otte! th.D Xsr.) (Strt )
Motor No. .. .. .. .......... serial Nol/!/.2/).:P.18..Z?voaa number or tetterz/.U2-4?/3year ../..?.?/...
t
(
\\
{
J
Single or compartment tank................ LZ
Capacity of single tany.............A.2.?. e....
Gauge thickness of tank shelI......... -1,/-...
Kind of fluid to be transported:t( t-
Y.< /
Remarks :
(Do not rrite lD tit8 .pre)
Rec'd, by Fire Marsbal..
Truck inspected by.... ...
Approvcd by
Approval g?anted
Number of approval
Remarks:
of heads ....... 1.."..................of bulkheads...........
(liass A (Bulk Delivery).. . .{.4. ......Class g
class A (part Load oerrelii ll I:1..6*U
.......... Number of compartments .
gals. Capacity of compartments
( Stst4)
3 o m )2.'rr .J(Busi!c!. sddre8! - street snd NuEb.!)
.::...
*2.*.gals.
Type of lighting system *Jlt*l rn. fu.An2
tank truck................cr.r.?..?3.................Type and capacity of each..
Give location where tank truck is usually kept or housed .J'*
w <'7- .V-.ze.m.e.-,.r..?* . ........ .l?l.lt-.u. .../ (cttr or romt
(Yei o! No)
7\5t
(stlect .Dd NuEbe!)
ir€d !€Dre.eDtstive)
(Ye! or No)
19
tl)44 1..(City o!
q 2t-tr.? n....m.*.*aro"J ' ist i.i "
7)f 2a?L
(TeleDhoDa br.Eb€!)
r,P, ttlt, ,t-t*'-$grzt 9
...19...
C-l' l,-.-1.1 ,t-27rr (D?s) fr.\. \rr.,rJ
Number of fire extinguishers carried ont
(Si:nctue ol osDer
,((r0-73)
AJDRESS: 35P %z-* '{l'
iiAiiE oF vEuIcIE: Ol/O
, " rrrrrr. matfu/3za'uz-
$A:&l or c'i.;lr8Rs 9..*
:ANiIOJM TLiE ;trPA3S;I?
EAiE ESUGi nisP-joBioitrS
,/t{,k'
DArrs /2/?f ?
corE iro. -t, "'tv
Con i a:rb!6 nts /4
l//t/^
Se ranatloa
irxr6 oove:ra & vEuts
1
2
3
ll falvs r
5
c
7
I
Hoce
Statlo proteotlon
5 I tuergency ooatnols (Clasc A oly)
l)
Ll
L2 &o:Pgoncf breakiloror klt ([dHEE)
13 clxock blooks (Etlto)
iut Flre exttagutsber (a20BC) (101b. ABC)
t5 Ovenall vohlcle omdLttoa
16 iEt-arrable tr (lfr Utgh, alcler, r.ear)
//'
//4
l/
(
t/
k'
/./'
l/
lr'
l/'
/'
Llghtfng
nr6l syst@
n-hault ryateu
Auxtllaqy motors & generators
19
L7 Deoal (near upper lcft of tank)
18 Apprwod &te
RrDalE! (Use baok)
* ,4J*.*'Z.t^/j
SIG$ATUNE OF NSPRESBI'ITAITVE !
),rr//lt
-i
t/+
/r'
,4.'v4e $.am;rrmntueall\ of $awat\uwllr
DEPABTIT{EM OF PIIBIIC SAFETY
DTYISION OF EIBE PNEVENNON
IOIO COMIIIONWEAITH AVE., BOSTON
[*b.x.*,.<Y...... .... I st (D.a.t
rs?{
APPTICANON FOR APPBOVAL OF TANtr TRUCT
In accordance with the provisions of the rules aud regulations of the Department of Public Safety, ap-
plication is hereby made for approval of the tank truck herein described. (A separote applicotion n&st be
fiteil for eoch oehinle.)
Name of owner of tsDk truck..
Business aililress of o*"r..J
1
\
s
Type of vehicle.... Y.Yl.oI.oR..TR.t*S".k.
Mass. Besistration Truck tlo..C...? 2 fr?. -.*....
Mass. Registration Trailer N". n fi
(atE t rld tllEta)
not write in this rprcc)
(Clt, o! Tor.)
( 8.al-Ttrn.t)
Carrying capacity in tons..
Registration ?ruck No.........
(
Registration Trailer No.
Cnlt,tt.ot'ts..1Nc.:(Slgnsturc o! orD.t
,S..LQ..rn.€.\n..Sr
\rl., YAI-r. nrc.$r:1..(Clt, o! Tot!)
G.t
rm.a.st
(Stt)
(Eotr Dr.r!!
, S / o>14
Rstins)
th.n Xu.)
N.o.tt.9:
(8trt )t:/A .
(orL.! Utr! I{..) (8t t )
(
Motor No, ::-::::=-*.... seri8l No[7.t.7l.*.v.ik?.l24Model no ffi'or("?r3rl:-,t.l.t..tt 3...yest 1..1 ) :1...
Single or comparhnent tank...........f.,.n.1t.e-...... .....Xumber of comparhnents..... (/ ..... .. .. .....
Capacity of single tsnk.........................9.0.O.0.....ga!s. Capacity of compartments t Q a O ........ gals.
Gauge thickness of tank shell ... f 4.9.*ycot heaas ...1./..9.4tt.y.C..........of btlkheads ../..1../4?..r..*,. ....
Kind of fluid to be tranEpor-t€d: Claes A (Bulk Deliverv) " Clasg B " ,,A '
Class A (Part Load Deli'.lii.::.1:1. . ...:-:.:.::1....
rA l_ (Y!. o! No)
Type of lighting system........l.g(.s-l.o!.I... .......Number of fre extinguishers carried on
tank truck......9.n.g*...............................Type and capacity of each.....l.O.t-le .....h].:F..9..........
Give location where tank truck is usuelly kept or housed .5.S.O...rn$.rn...rtiff g.e-.i:.
.r-r.;,.Voe..rrr.o.s{\r-.1,}...... . .................... m..ntI.rtc-4:t.e#:f :::.::*] ...
(Clt, o! lot!, (8t t )
Remarks :
Rec'd. by Fire Marshal.....
Truck inspected by.........
Approvcd by ... .. . ........
Approval granted. ... ......
Number of approval.......
Remarks: ...
19
(BBines .dd!€!r . st.e€t .ad XuEb.!)
'nA.$sJ
) )- s--a .8..0.o....
td.6-*..lal t Fl,l
t' t7')l
t.t. W, y- l6
.. ...19...
{Td€DboE. DoEb.t}
(St t )
I
1 (10-73 )
:TASIIOi'M FL]E'trPA3E:;;IE
BAIIK ERUG( DiSP,JCEIOItrS
ntsencront fu.
lrA:E 0F CiilrdR3
ADDHESS s 3 ,to
t)-zzt tl-
A.-^r*2- 14
4h,</, m'
oarat //tpf a-
CoDE llo. ' t6
/fi
,b
r
ilAiiE oF VEUIoIE: e4Z c197t+
Cor'.l.)artroBrxtg
Se'raratloa
Drm€ oove:rs & ventg
h falvs s
5
c
6
7
I
Eose
tu€rgouqr oontrolE (Clasa A mfy)
Statlo proteotloa
1J
Ll
L2
13
Ul
15
15
L?
/r+
/,t-
//'
L
t:
t/
/--
L--'
V.
la'
2
3
LlSbtfag
I\rol eyeto
Enbauat ayeten
Aur111a4y trotorE & gcaolators
Eoo&goDCV b:r,edcdora ktt (EEEE)
oleock bloo&s (Tlto)
Ftre erstlagulaber (2A20Bc) (101b. ABc)
Orerall vshl,ole ooaditlou
rflamcabllcn (l1n ut6u, sldat, rea:r)
Deoal (8eal rrpper lcft of tank)
Appr.oroil &te
19 Rcuar{rr (Ugs baotc)
1B
SIGIIATUAts OF IIEPBESEIrIABIVE s
,/.
'L
r
1
@b Orrmanuratt d rfsrrsrftilltr
DBPARTMBNT OF PIJBLIC SAFETY
Divirion oI Firc Prcvcntion
1010 Commoawcalth Avc., Bortoa 02215 .{uLY.7},. . .. .. . .1e.9P.
(Date)
APPLICATION IIOR APPROVAL OF TANK TRUCK
In accordance wlth the provlslons of the rules ;rnd regulatlons (527 CMR 8) of the
Department of Publlc Safetyl appllcation ls hereby made for approval of the tank truck
hereln descrlbed, (A separate applicatlon must be filed for each vehlcle wlth the
loca1 fire department).
Naoe of owner of tank rruck. ..C.q++pnq.T*p... ,
Business address or olrner....I29.$gi+.9!.....Y....IEfnp.g!+r. ylt,.9?9L1 ,(Stteet and Number) (City or Town) (State)
Type of Vehicle,..,Motor Truck
(Motor Truck)(Trailer)(Semi-Trai 1c r )(orher )
Make of Vehicle, .. .GMC carrylng capacity in tons, ].Q,T
(manuf acturer' s RatJ-ng)
.....Reglstratlon Truck No... . .Mass.
Mass. Registratlon I'railer No....
(Other than Mass. ) (State)
Reglstratlon Traller No...,.
Slngle or conpartment tank..... ,$inglg. .....Number of compartment s . . . . . . . .
Capacity of slngle tant.?5Q9, . , . . ga1s. Capacity of each compartment. ........ga1s.
cuagc thickness of tank she1l. . ,+?. . , . . . of heads..., .1... ,.of bulkheads....
Klnd of fluid to be transported: #Z
Class A (Bulk Delivery). . class B. .XeS. . .
o) (yes or i.Io )
84t442Registration Truck No. . j.,..,
n/a
(other than Mass. ) (State)
Motor No. .......v.r. u"..TlP.PT9??2P..r,{oder number ".'TgPf.1:......v"'a,.1979.
(Yes or Nfu"I a1."" A (Parr Loatl Dellvery)..,Np.
(Yes or No)
ttghting--Type of over-current protectto". . .E+g}o.gg9. . . . . .wlring protection.,., Ty.q++F..
GLve location where Eank truck is usually kept or housed .??9.Ie++. F.lrepl(street and }luinber )West Yarmouth
(Clty or Torvn)(State)
Remarks :
Do not \,rrite in this space)
Recrd, by Fire llarslral, .......19...
Truck inspected by. .
Approved by.,,..
Approval gran !ed
Explrcs...Ilonth. ....Year..,.
Rcmarks :
( Slgna tur olmer otr authorizcd rcf,resentative
150 Street
(Buslness address - Street and Number)If. Yarmouth, Ma.
(ClEy or Tor.m )
\:9!..7.72-2BOO
F.P. 44. 311- Rev
(Telephone Number )
(State)
a
s
\N Ilre Extinguishers Type and Capacity of Each, . . . . .+?9.89
MA.
INSPIiCTION CHECK LIST
YES NO
COMPI,IES
CMR 8:03 Sec.6t.1
2
4
FPR 7
Com artments FPII 7 Sec. 5
t)E COVERS & VENTS
COMPARTMENTS
CMR 8:03
CMR 8: 14
(5)
(2)
CMR 8: 04
CMR 8:05
FPR 7
FPR 7 Sec. 8VALVES
b. Piping FPR 7. Sec. 20c
Sec. 7
5. HOSE CllR 8:05, FPR 7, Sec. 8
6. EIIERCENCY CONTROLS CMR 8:06, FPR 7, Sec. 9
CMR 8:08, FPR 7, Sec. 11
7. STATIC PROTECTION
8. LIGHTING
FPR 7 Sec. 12CMR 8: 09
13CMR 8:10 (1&2), rPR 7, Sec.
9, FUEL SYSTB1
10, EXITAUST SYSTEM
11. FIRE EXTINCUISHERS CMR 8:10 (3), FPR 7, Sec. 14
12, AUXILIARY ELI1CTRIC MOTORS CMR 8:12, FPR 7, Sec. 16
UUST BE IN PROPER REPAIR AND BE I'REE
OF LEAKS WITH NO ACCUMULATION OF
GREASE, OIL. ETC.
13. GENERAL VEHICLE CONDITIO}J
14. B,TERGENCY BREAKDOWN KIT
MUST HAVE AT LEAST TI{R.EE (3) SUITABLE
REFLECTORS
15. PLACARDING
(REGUI,ATION REVISED TO D.O.T.
STANDARD )CMR 8:02 (1)(e), FPR 7,Sec.4e
SEPARATlON
CMR 8:07. FPR 7. See. 10
15. CHOCK BLOCKS
UUST HAVE TWO (2) IN GOOD REPAIR
d\, $ommmtuwll\ at SXrsaillas*ts
/ 32o
S T W<f el?"???e-7a. |.ru-,
(Clt, o! Town) / (st4t4)
a.
$
t
t
\
N
N
DEPANTMENT OF PUBLIC SAFETY
DNIIiION OF TME PNEVENI'IOIi
TOIO COMMONV9Ef,"LTH AVX., BOSTON
.........D.*. t r
(Drt )
n2L
APPTICATION FOR APPROVAL OF TANK TRUCK
In accordance with the provisions of the rules and regulations of the Department of Public Safety, ap-
plication is hereby made for approval of the tauk truck herein described, (A sepo,rate appli,cati,on ntust be
fileil for eoch ttehicl,e.)
Name of owner of tsnk truck....C- ?!'1t2..:.n.........../ t? .9 ........ ..
Business address of owner....r3r11i2. ....... )f)..*..L'..n........
(8t!..1 rDd Nsib.!)
Type of Yehicle.....,r??..;.7?.? .%k .7-*.*
(Xot ! Trucl)(T!.iler)
10
( SeEi-Tlril€! )
..,...Carrying capacity in tons.
......Registration Truck No. ....
h+,t..,
(Stit4 )
(Xrnuf.ctuler'. Ratirs)
(Stre.l .Dd NuEber)
(Otte! tL.D Us..) (St tr)
Mass. Registration Trailer No................7..... .......Registration Trailer No...... .........i,o"* t,".' "*".i ,*i
Motor No.5.)gr..* ........SeriaI NoT..01L44?l??!.ltfrIodel number or lettetT?V.t?Near..1..?.?.1.....
Single or compartment tsnk . *...... .... .....Number of compartments ...............-
Capacity of single tank...........3.{2.9...................gats. Capacity of compartments 5-!-.3 . ..... gals.
Gauge thickness of tank shell..... .....1..T........of. hezds ...............11..............of bulkheads .. -
Make of v eniae G-... Ltt....C...... ... .. . ..........
Mass. Registration Truck N...B..C- 4.t.A..1.
. v) g-..1...
Remarks :
Y )..t:..r*..t..tt7-Al
(Cttt o! Toa)
Kind of fluid to be transprtedz / L. ciass A (Bulk Deliverv) ,N *",?t I Class A (Part Load Delivery) .
Class B. . I'6 .. ,
(Ye! or No!!a{r(
' (Ye. o! No)
Type of lighting syptem h"/"*J..th.Tp.Lt-,Number of fire extinguishers carried on
tank truck......... .....A.A. .2. ............Type antl capacity of each. g'* Dt 7 .
Give location where tank truck is usually kept or housed 3.r-a hz t .'n - S..T
(Do not trlt
Rec'd. by Fire Mgrshal........
Truck inspected by............
Approvcd by.......
Approval Sranted.
Number of approval, ... ......
Remarks: ...
3 lv)z.r- tS'f(Busihcss sddre!! - Street and Nuobcri
lD*?T- /.?.rr.tft=(City o ToFn)ll?**....
authorized !eDr€!.Dbtiv.)
(Stt)
.? 2 l-..:..ad*.(TeleDhoE. Dorrb.ll
r.t, ttl,,. l*t-t9-llJgn I
in this epoce)
19
fo*. f--,,r,JJ t-zz-2,1,ftPs1 t+1. lst.")
c)
{,10-73 )
iltsPrcroR! /dl>tt"'t-
:TAB:IOJTII !I]D JjPASS;iI?
EAIE{ EBUGT E;SP...;GTIOIIS oem: to/r/ss
:IA:id oF ci;rriRs rt,,* P-
^
ArxEss: 1e-D ZZ; /z' /u'
;rAiE oF vEIIrcIEr e//C r
com uo, r'e :ll nI
Corr-rantnonts t .4/4
Se:aratlon /.4
t/
_z_
/r''
t/'r
1/
l,/r
ir@ oove:r6 & vents
falvo r
5
7
8
6 hargonsJr ooatrola (C1asc A mly)
Statlo pr.oteotlon
c tr\:el systeu
t)
11,
L2
13
FLre erttaguisber (2A20Bc) (I01b. ABc)
t5 0vera11 veblele oondltloa
15
L7 Deoal (Bear uppc:r Loft of taalr)
Approve it dlate
Bcnallir (Uae back)
1
2
3
l+
Ltshttng
Edxaurt ayetom
Auxlllary' Dotoro & geueratons
obocJc bloolcs (lt{o)
nflalrrablcn (I1tr ur6U, aldar, near)
19
SICIUfiIE OT REPR}'SEITATflTE S
Hos6
ItrroIgoDou breakdorm ktt (SEBEE)
&
_z-
t/{
//-
r'
I
l--
I
Vq r4t
18
@\e $.rrmmontuealll1 $ Sassarlyarlrllx
DEPABI'I\4EM OF PUBTIC SAFETY
DNNSION OF EME PBSVE TIOT{
IOIO COMMONWEALTH AVE., BOSTON
............August ..24...... .
(D.t ,
APPLICATION FOR APPROVAL OF TANtr TRUCT
rs 75
In accordance with the provisions of the rules and regulations of the Department of Public Safety, ap
plication is hereby made for approval of the tank truck herein described. (A separate appli,cation must be
fileil lor eoch oehi.cle,)
Name of owner of tank Iruck............GANNONS...EI'IGINEm.ING.. C oRP
Business address of owner ,50 MAIN ST W YARIVIOUTH MA 02571
(attt.t ud Nr.Db.!)(Stlrt )
Type of Vehicle I{QIQR TRUCK
(Ioaor TtrA, (Tr.tlc!)
.l:1,r-. .........
(Xrnu!.clu!€!'. Rstiri)
NA ...
(Oth€! thrn I.!..) (St t )
N4 ...
(OtLe, th.! Xr.l) (8t t )
Motor No. . . ....... . .. .. ....Serial No..TH904I609969noael number or letter...GMC ....... . .year 19J.!... .
Single or compartment tank......SINGLE........................Number of compartments........ONE.................
Capacity of single tank.........3.f,6o.........................ga!s. Capacity of compartments........1.16Q................ gals.
Gauge thickness of tank shell..... ..,.?5Q.... of heeds ......,.?5Q.................of bulkheads. ,.?29. ................
(liass A (Bulk Delivery)....1-{9... ... .......Class B .Y*ES .Kind of fluid to be transported: (yet o! No)
Ctass A (Part Load Delivery).............. . .Nq .. . 1":.::::] ..(Y.. or No)
Type of lighting system........ELEC.TRICAL........ . .. Number of fire extinguishers carried on
tank truck ANE( 1) ....Type and capacity of each .....S......L0- BC .. .
Give location where tank truck is usually kept or housed ......550...Main..S.T . .......
(St!.ca rnd NEEb.!)
(Ci!, o! Ao'D) (St tc)
Remarks :
Make of vehicle ..GMC./THAMPS0N...TANK.
Mass. Registration Truck No...AA54...Q77.
Mass. Registration Trailer No......NA.............
(Do not rrit in lhis !!.cc)
Rec'd, by Fire Marshal. .
Truck inspected by. . . .. , ...
Approv.d by
Approval granted
Number of approval. .
............Carrying capacity in tons
............Registration Truck No. .....
.... .......Registration Trailer No...
19
,50 rIA_rN sT ..
W ,Y,AR}4OUTH MA,
775 ?g.QQ
t.t. att. y- ,22
. .19
(Td.DhoD. DrEb.r)
(St t )
(Busines! rddr.s. - Street .trd NuDbGr)
Remarks:
A,@,\e @ammantueak\ fi Sa*sail1a*eftr
DEPARII\{EM OF PUBTIC SAFETY
DNISION OF FIBE PBEVENTION
IOIO COMMONWEIITH AVE., BOSTON
.. *y_qgtT -29(D't€,
APPTICATION FOB APPROVAT OF TANT TBUCT
In accordance with the provisions of the rules and regulations of the Department of Public Safety, ap.
plication is hereby made for approval of the tank truck herein described. (A separate application must be
f.leil for eaclt, tsehicle.)
Name of owner of tenk truck . CANN.ONS...ENGI.NEMI.NG C ORP
Business address of owner......................
(8E-t ud Xlabd)550..MArN...ST.............rr..yARMOUTH MA
(Cit, or Torr)(Stat€)
of Vehicle..... . SXXVE..TRAILER.... .
(roto! rrr.r) ?ftfi b / ,r-r*,
Of VChiCIE,BROCK}IAIITHOMPSON..TANK..
Registration Truck No.... €78...9.98............
Registration Traiter No.....TI2 A7
-1 . . .
(Otbcr tf,.r I....) (8bt )
Motor No....................-.......Serial No...69027............... Model number or letter..BRQQKWA.YYesr .1969.
Single or compartment tank............SINGLE... ........ .....Number of compartments... 9NE..
Capacity of single tank.......6100-..........................gats. Capacity of compartments 67Oq .. . ....... sals.
Gause thickness of tank shell......,.?5Q...........of. heads .....'.?50-.. .. .......of bulkheatls...:.?5Q
Ciass A (Bulk Delivery).......N0...........Class B YES- . .Kind of fluid to be tratwport€d: _ - -- (y.t or No) (ye6 o! No)Class A (Part Load Delivery)........... . .tES. .-.. . - .: .(Y.! o! No)
Type of lighting systern..... EL. ECTBICAT ... ...... Number of fire extinguishers carried on
tank truck .fWO (2).... ..... . . .. ..Type and capacity of each.....20..A8C... JO..AFC-
Give location where tank truck is usually kept or housed . . . 6.FIRST A\rn..
(Stlcat rnd Nubb.t)
BRTDBEIIATIB.. .............]!{A
(citt o! ro'D) i;.;;
Type
Make
Mass.
Mass.
t9 13 (seEi'r!'r'r)
....Carrying capacity in tons.
..Registration Truck No.
Begistration Trailer No.
(UsDuttcturer'6 Eatins)
. NA ...
(Oth€! tb.D X.!!.)
NA
(St t4)
(Do not rrit4 in
Rec'd. by Fire Marshal..........
Truck inspected by. . . . . . . . . . . . . .
Approvcd by ... ..
Apprc,val g!anted
Number of approval. .
r.P. trtr. ltr- -2 I
19 (s
350 N ST,(Busine.r.ddr€& - St.eet tnd NubD.!)
W YARIiIOUTH MA
spsce)
(Cit, o! To-D)
.775 28OO(TdcDhoE. nobb6)
(Stt)
79.t.l
Remarks:
19
(al...t rDd Hu!rb.!)
( Uotot TftcL )
@\,$.ammsntuealt\ al Si*rarlyawttr
(Stst€ )
#/.r'
(Xsnuhctur€r'6 Ralins)
I /c2
DEPABI14ENT OF PUBLIC SAFETY
DN'ISION OF TME PNEVEMION
T(,IO COMMONWE,f,LTH AVE., BOSTON
,,..,............,,.D*a l
(Drtt)
APPTICATION FOR APPROVAT OF TANT TRUCK
In accordance with the provisions of the rules and regulations of the Department of Public Safety, ap-
plication is hereby made for approval of the tank truck herein described. (A separate applicati,on no-ust be
filed lor eack oebiclp.)
Name of owner of tank truck....C ?.h..n..a.n..r./.r1.*... . .
'.5.7.. .l*a..T.
(Ct, o! Toi.D)
Business address of owner...,3f.gt dTl.t.t'..n.Y
rype of vehid>y' .m..e.7-:.t T-erk....,*.:y.*.
(rrdh!)
:,
Make of Vehicle /.a..7..tc..
Mass. Resistration Truck No.A 3.?. .kg.cl
Mass. Registration Trailer No.
(Sehi-Tlail€!)
.,..Carrying capacity in tons
....Registration Truck No.......
(Otle! thlD I.l..) (Bt t )
Registration Trailer No........... . ..
-...........(O!h!! thrr X&1) (Srrtt)
Model number or letter........l ........Year...1..2.(...2.
Number of compartments ....................--...
Capacity of compartments . . .. .. .- .. . gals.l[*lt< ir'fl,u,t""as ...
(Stst4 )
Motor No.rjl? l5? i- serial No.. 6.h.*
Single or compartment tonk . Y, *.'
Kind or fluid to be transported: *l;7. (:iass A (Bulk
1't:":'.., 2*": (*" dA.. ".,- t -'t 7 Class A (Part Load DeliwliJ * ^
1I A--.t o a.fa (y€, o! No)
Type of lighting system e*.C,t, ir*t T-*.b 2.. ......Number of fire extinguishers carried on
tank truck......... ...a..n..12.....................Type and capacity of each 1.a..3.. n u4. .....
Give location where tank truck is usually kept or houseal Sf4.. lh.l .t. q :l f
(Stlect.nd Nubb€!)
Capacity of single tank...
Gauge thickness of tank
. b)au I
Remarks : ....
Rec'd. by Fire Marshal
Truck inspected by....
Approvcd by. .. .. . ...
Approval grarted .
Number of approval. .
Remarks:
7 7..t<.o.a..c.t.1f?..........!'.7.1..***a..:.
(Clt, o! Torr)
(Do not writc itl this sDsce)
.Jaroshell
J..r-..o.. . ..........gats.
./.9r5 ? or heads
- cr"$.$19
19
.utholired ttDre.eDt tiv€)
\f'?J fn a. |. . ..r s't(Busircs sddle!! . Street.trd NuEb.!)
[J.l.r.r r
(City o!
V/) unc .,rV1 l!1Wro"ll (st r.)
2? t- .: *=)d(T.t Dho!. ncD..)
\Dll ,s,t,J nz.z'!t.t. tlt. lt-t-t+glgqA 9 7<4>c\ - r"7la,"lfi (Ft=+r,.eJ
E2.L
ta
)
1 (10-73)
. xa8itoiim FLIE ttrPAttr;:lE
rlrspDcroR! Z{ lfurttz EAIE' ERuctr' DIsP;cEroNs
IIA:E OF Ci;iIER: /"-r."r-,rL /.t
ArmESSs 35 a 7;7*'z-"'9' ''Y ?
IIAIE oF IrE[IctEt /rA' g4( 94,'A
Con -rantraents
DAatr2 /oFt/)3
com u0. -,.,li7
Se:aratloa .lH
iJEa ooverg & vgEtg
l+
5
c
6
7
fuergcncy ooatnols (01asc A mly)
ilose
Statl.o ploteetloa
rla1vs r
l)E-l"arut ayatea
n
,2 Sos:ogensy breakdorea klt (EgnEE)
13
&
L5
r5
Ft:ce exttngulsbor (2A20Bc) (Iolu. lac)
Orerall voblcle ooadltl,on
Deoa1 (Bear uppen loft of tanlc)
.(-
/'
/r'
,4n
/'
(
-ra-
"r'
t/-
1"
JZ-
*/_I
I r'_
t/
I
2
3
LlgbtfDg
tr\rol eystem
Auxtllaly uotons & geaorato:ss
Omo& blootrs (nilo)
iflenrabiLcr (11' u165, atdcr, r.ear.)
r
SIGIJATUre OF REPRESENIAEIVE s
to//sr8Apprwod date
86ua!kr (Uae baok)
_l
I
L7
//
I
{
* 4r;r
rg? L
5.@,\e $rrmmrmtueaIlly ol firsady*elfu
...l..il.."...... .. ..
.sT......W-r-l-T.
(Clt, o! Town)
itl this spsce)
''DEPABIT\,TEM OF PUBLIC SAFETY
DIVISION OF T.InE PNEVENI'ION
IOTO COMMOIIuIEf,LTH AVE., BOSTON
D*. 1r
(D.tt )
APPLICATION FOR APPROVAL OF TANK TRUCE
In accordance with the provisions of the rules and regulations of the Department of Public Safety, ap
plication is hereby made for approval of the tonk truck herein described. (A separate application must be
fi.leil lor each t:ehicle.)
Name of owner of tank truck.......-C A..l/.U-.gN..5....
Business adtlress of owoer.....9 -.f.... I .......2..?. t. n.........
(8tt.t .!d XEEL!),.-/.ru."(<.
(Tlrtt.r)
( Stsre)
Mass. Registration Truck N",ts ..((..!1...3-.J1..........n.girt"ation Truck No.
Type of Yenicle..... 21..7e.2
(Ioto! Trod)
Make of venieu .C..l7..?.9.,.,.,
tank truck ..........O n..4......... ..
Give location where tank truck
(seEi.T!rile!)
.,......Carrying capacity in lons. .1/.
(OthG! ttrD X.!.. ) (Stste)
Mass. Registration Trailer No..............7....... .......Registration Trailer No.............:5
(Othe! thr. Xr.r.) (Strt )
v.oror NotlQ0.WVtL!3e!rhl No...F-9:::s............ Modet number or tettet..l-.3 ?,?.fl .year /.?C- (. ..
Single or compartment tarnk............1L.........................Number of eompartments
Capacity of single tank...........4rL. Q-e- ....gals. Capacity of compartments ... ..f1.2t..4....... .. gals.
Gauge thickness of tank shell.....l.3=..............of heads.............11................of bulkheatls........-
Kind or fluid to be transportea:fl ri I lh" 1 t|"u 1"""-""]' ,5f;;, "]i': * ,;];T,,;;Class A (Part Load Delivery) gAlf - -. '-'
(Y€! o! No)
Type of lighting system. )le/:*..!-.. .1"..7.L.'.tr. . .. .....Number of fire extinguishers carried on
...........Type and ccpacity of each .... tf: ,. .C.e..Y...
is usually kept or housed 3'tl.o. .. ltl.>.t n. .:t..7..........44.9.7 /?.?.nl.lV(St!.ct r.d NuEb€!)
(Do mt rrltc
Rec'd. by Fire Marshal........
Truck inspected by. . . ..... .. ..
Approvcd by.......
Approval granted.
Number of approval. ... ......
Remarks:
>l s ,,"t' €'. J t't77 /
19 P-*.
19
3 m+ th
.utltolired llDrs€ltltlrc)
'r.f ..(Businc.s rddr€& . Stleet rrd Nuab.r)
b4oT Y z q7y1\.... !!t)t t.........(City 6r Tovn) (St t )
2 7{..=.lo.n .. -. .2.?,t::.L.|..q.9..(adcDbo!. nobDcr,
t... \\. ,Il-r-65-9t9rz1 6 TBn\rl -,*pl...J a#rr.d
ototooft
(U3nufactu!e!'. Ratinr)
(Clt, o! Torr) (strt )
A, ,,o-r,
.IISP'CTOR:ba. r-
lfAilloJm .aI3O J-lPA3ElIilE
8A1]X TRUC;:T( DISP.,'C?IO1JS oam: 1p/7/yj
:i^:ii or,' ciilrdRs A.-rr""4-
.q:onEss : 25a /Z/4; -&? //
,;;;;.;;,,o, %.
/-r
coD ilo.6
Con:E:rtmants
Se :aratloa
D.[i6 ooverr & vents
I
2
3
h
5 Eoce
5 I fuergencSr ooatr.ola (Claar A @Iy)
7
I
Statlo proteotlolr
!\:o1 systdtr
IJ Edrauat syeton
Ll
L2 &orgonsJr breakiloua klt (gfiBEB)
13
Us FIre e:rtlagulshen (2A20Bc) (Iolb. ABc)
L5 Overqll vohlole ooadlttoa
r5
L7 &oal (Bear uppc:l loft of tank)
18 Appnored date
Rcaarks (Use back)
,t/';7,lr'
LtghtrDg
Au:ctllary rotorg & geae nato::s
Oroolc blooks (nro)
iEtanrrabl,cr ([r ngU, elder, rea:r)
r
SIGIUNJXE OT REPnESE$BATWE s
't
lt
/rA5falvsa I
e d
t/
Ta>t
@\e $rrmmantueallly at fi*sail1az*tt
DEPARITUENT OF PUBTIC SAFETY
DN'ISION OF TIBE PREVENTION
I(IIO COMMONWEf,LTH AVE., SOSTON
...............D:* . ./ - rg? !
(Drt )
APPTICANON FOB APPBOVAT OF TANtr TBUCT
In accordance with the provisions of the rules and regulations of the Department of Public Safety, ap-
plieation is hereby made for approval of the tank truck herein described. (A separate appli,cati,on must be
filed, for each o elr;i.cle. )
Name of owner of tank truck...C.? n.?..e.a.t........&2 la.."e?t*r. Crf
Business address of owner.3 J-.. q ... ...1fr..1r.i'-,.. ...5.7. . .l*.sT . :712 Pa. lV m .r(st!..t rDd !l!!t r) (Clr, o! Topn) t (Sr"t")
Type of Vehicle Sra. u-.
(Ioto! T![ t)
Make of Vehicle 7*r<..ht.,..1..F.
(t!roc) (l€El-Trr .!)
................. Carrying capacity in tons........k
Mass. Registration Truck No..7.i#HEB
Mass. Registration Trailer No.T A *.2.1-S (
. W.*t T
Remarks : .....
Y 1..k.*r..e. uf?n . ....../.1/1 **-a
{Ctt, or TorD)
(Olh!! tLrn X.&.) (Srrk)
Motor No... =-.............Seria! No..?.lrlr.*2-P-.o-!. tUoaet number or letter......-. ....Year ./..2..(..2..
Single or compartmeat tank..... . .... . .l-.................Number of compartments.... +
Capacity ol single tank..................... .. . . . ........ga!s. Capacity of compartments 2 ? o- O ...... gals.
Gauge thickness of tenk shell......../..1...........of. hezds . ......../.2.......... .....of bulkheads...
Kina of fluia to be transported: +4t/'it ciassA (Bulk:"":t]'-. m", class B yeJ-
I t - , -c- Class A (Part Load Delivery) Af>rN\ralr*.. .. . .
rype of lighting syst€m *dt/...aAd ....O.p\*tJa'TNumber or n". "*tinJli"rrl""X"'""""i"a o,
tank truck......... N.rtn.+ ............Type and iapacity of each..... .
-Give location where tank truck is usually kept or housed E r-.ei. /.?..1 * l.v, tf "rr* .. . . .... ..
(At!€.r .nd NrDt.!)
. Registration Truck No.
Registration Trailer No.
(XrnuLcture!'6 Ratins)
(Othcr thu lr!t.) (Sht€)
(Strt )
(Do lrot rrltr lD thl! !D.cG)
Rec'd. by Fire Marshgl. . .
Truck inspected by.......
Approvcd by.
Approval granted
Number of approval. .
Remarks:
l**tT t,I Y n o.*7.'lr;. . . . .lti*tt
(Sigrslur. o! ownet o!
. W1A.r..n..
?).r- >*l=lt
(TeleDboD. Dr.Eb.!)
19
(Businc rdd!.6! - Street rnd Nurnb.!)
(City or (Sttt )
r.P' lrlr. lx-l-69-93952? J
...19...
Cc.'r. E ..aA Yzt-z+ (\rs) C".\. lttu )
ls
lL (10-73)
YA3]IOJTE FLID EPAsE:;]IE
rirspDcroR! y'* rS..r*- EAIB ERucEi EisP'lcEroIIs
IIA:E OP C''';ifEn! A-,',*""-/4'
AJDrcss z 3 fD Z*A .<z .4U
iiAi;E OF VEiIIctE, fr*AzV
tu
oarn, to/+/)s
Clr-.) 7
Con rartruonts /4
//A
/iJ@ oove:is & v6nts
5 Eos o
6
?
I
tuorgonsy oontrols (Clagr A oaly)
Statlo prot€otlou
Z-
/
!/
//
r_
//
/
c
13
&
1J
Ll
12 Eoergency breekilorm klt (gtIHEE)
L5
t6
L7
1B
ncaankr (Use bac,k)
I
2
3
l+
i,rebthS
tr\.rol systero
Edrauat ryetoa
Auxtlla4y mototts & geuerato:rs
Oroc& bloolrs ($f0)
FIre errtlogulsben (zA2oBc) (101b. Arlc)
0vera11 veblale ooadltloa
tf,lanrablcn ([o argh, etdca, near)
D
Apprwod. &te
Dooal (Raar uppcr lcft of taat<)
EI
SIGIIATUNE OF REPR}:SENTAEIW !
Se.:anatlon
falvs a
/
7
{*r'
t?422
#( zu
Ctnaert I 7 C-,..f
Business adtlress of o*r"....3fP.........1M..t..r.]ra............S.f. ...f*1.*;.f(gtt.t .nd Ntlto) (Clt, o! To-D)
rypeorvehicte..!llQ7l7.c.t-....f-*r.k......7-*r-.*-/*.....(Ioto! Trt t) (f..U,!t) (SeDt-Trsile!)
Make of Vetricte.......G..!#I...g.....................................Carryins capacity in tons..
Mass. Registration Truck No..i..f {.9 f . L..............Reg'istration Truck No.........
Y
DEPARTMENT OF PUBTIC SAFETY
DN'ISION OF FME PREVENTION
IOIO COMMONWEf,LTH AVE., BOSTON
(Dcta )
APPTICATION FOB APPROVAL OF TANtr TRUCT
In accordance with the provisions of the rules and regulations of the Department of Public Safety, ap-
plication is hereby made for approval of the tsnk truck herein described. (A separate applicati,on ntust be
frled for eack oehti,clP,)
( Sht!)
(IIo!3e Drsstr)
(U.nulacture!'! Ratina)
(Ott€! th.D Xu!.) (St t )
Mass. Registration Trailer No.................7........ .......Registration Trailer No..........:,o**,n." *-".i i";;;
Motor NofCrr4.r.r..rrs-ttiif,tNo...Sa*s*-... .......Modet number or ,S#ge .. y.eat.../.2 ) *
Single or compartment ta;nk.......... 4..<-r...............Number of compartments ...............l:......
Capacity of single tank................./lt 1 .gals. Capacity of compartments . .. .. ... .- ....... . gals.
Gauge thickness of tonk shel!......1..A.f,.P......of heatls.......r...l:,r.lo-..........of bulkheads..
Kind or fluid to be transporred: -:'iTl ::* 1 tl'u:"t"-""]'.. ,;"".;;", tt"'"' ,;;";,.;;
- '' Class A (Part Load Delivery).
rype or righting system 9r d.# t::ilhU.riV Number or rre "-th;l;".;"J":"rried on
tank truck ...........eYtt.......................Type and capacity of each ....$--.t D !'7.
Give location where tank truck is usually kept or housed 3 gD )it !? *?.. . .. S.T . ..
(St!c.t.Dd NEDbct)l#rT y >.ta m p.J.j-14- ... ...... f.A.au*A.
(Cltt or Torn)( Sbt€)
Remarks :
(Do Bot tritc h tllL rprcc)
Rec'd. by Fire Mershal. .. ... . ... .....1S...
Truck inspect€d by.........
Approv.d by .. .. .
Approval granted. . . . . . . . . . . . . . . .10. . .
Number of approval. .
Remarks:
7 Vn**r JT
l'
(Sisnaturo ot o*Ea!
o
(Business sddres . St!€er .nd Nrb.!)tJ.,,-r47 jlono rT Ut eu4
(CitY o! Tom)/ (St t )
72 f . ilfdo(T.lcDho!. Dutibcr,
(".1 f---l ,t.zr-?y 6?5) l.-1 tsr", ),.1. $. 3i-a-69-r95n 5
@n fi.r *oatuwtt\ of fi*rat\awft*
19.
Name of owner of tsnk truck..
,,,It7}- fllyt-c
L'5 11 (10-73)
UA3:IOJffi FISE ;r.]PA3E];]trT
TAIEC ERUCIi liSP-,'6:tIOlIS
rilsPDcroB! zt a-a'aL
uA:E oF c'ij]fDRs &""-'--"'4-
AJDRESS s 3ro /2//au; .€t-,*Za'c
DAED2 //y'/ 3
CODE ilC. ,: :t 5
Conrs:rtn6nts
Selanatloa
D.rn3 ooverr & venta
falvs a
5
6 fuengaacy ootrtrol. (Clasc A only)
Eosa
c
7
B
Statl.o prot€otlon
iiSbtrDS
1)n*oult ayetsm
a
u
lI[
13 Groolc bloqlcs (8fl0)
L5
lo iELanaablctr (I1tr ut6u, stclar, rnear)
LT Daoal (Bear uppcr lcft of tank)
Apprwed &te
Brnailra (Uat baok)
1
2
3
h
tr\rol syst@
Auxlllaqy rotors & geaonators
19
18
SIGItrATTJM OF REPRESEfiTATIVE :
7f
"{"r,*"1/
tuorgonsJr breakilour klt (fiIAEE)
Flr.e extlagulab,er (2A20BC) (IOlb. ABc)
Ove:rall vebicle oodltl,on
.llt.*tf-
Remarks: ...
(Do not rritc ln tlrlr rprcc)
Rec'd. by Fire Marshsl. .
Truck inspected by.......
Approv.d by .. ...
Approval gtanted.
liumber of approval
Remarks
# A2o
f
7 au?1!,71. ,Yr*e
(Stst )
(HoE€ Dlll,n)
(X.nutrclu!e!'. Ratins)
(St!€.t .Dd NoEbc!)
(Stt)
(sienature ol o*[e.
( Buiinc6s rddt€!! . Strect .Dd NuEbGr)
(City o! Tom)72d-6&d-
(T€leDhoD. !u!rb.!)
@, An**rrntueallly fi fiVrrail1a*etlr
DEPARTMENT OF PUBTIC SAFETY
DI\/ISION OF FIBE PNEVENTION
IOIO COMMONWEf,TTH AVE., BOSTOND<- ./r tg2 l--
(Dat )
APPTICATION FOB APPBOVAT OF TANK TRUCK
In accordance with the provisions of the rules and regulations of the Department of Public Safety, ap-
plication is hereby made for approval of the tank truck herein described. (A separate application m,ust be
fileil lor each ltehi,ck,)
Name of owner of tenk truck....C 1.h..n.c.!:r..5... 2A ? . d?.
Business adilress of owner..,!f-cr... ......1?r.1.*.t..'u7..........5.7..........1#4 f(gtt!.t rl{ Nultd, (Cltr o! Torr)
rype or verrrsre..P.l.!/... . ll?.p..Tt:....fx.k.....T-r.il .:*-............. ........(Ioto! Ttud, (Trru.t, (SeDi-Tlr e!)
Make of Verricle.....G..*1...S............. ..... .......................Carrying capacity in tons.
Mass. Registration Truck N"...E.(.( F3..?..........n"gi.t"ation Truck No.......
2e
Mass. Registration Trailer No.
(Orfe! tbra X&..) (Atrtr)
Registration Trailer No......... ...:...........................
(Oth€! tllrrl Xu..) (St te)
Model number or letter...7.. /97..2 e...y ear...r1..2. 2. ?..
Number of compartmenk . ..- .
Capacity of
-compartments
.. .. - ..... gals.
.....l!P.t!, f ^C, .. of bulkheads
Motot N o7. ll h. lz 1fi.39 *el|iat No... s.ra*r..*. ........
Single or compartment fank............. Lt/.il
Canacitv of sinsle tarlL............../..7b-.?.... ...sals.
c"uru it,.Ln"*. "i t*"r; hJrrl / a c ( or ieaas
V >t t"t d/.777 lY:] a*a.. ,.
(Clt, o! Torr)
19 6"m ulhorL.d trDlc..rt tiv.)i-\,/
r.P, l!\. ta-t-65-93954 +
19
C4 fr-,>).1 y-zt zyfi6) f.-I. Vtx)
Kind or fluid to be transporred: '#T' ::* i t:'-. :"''.""1'.. ,,;.;;;, class B rr- ", o,"i
Lr*a te t, Class A- ( Part Load Delivery) .
rype or righting system eil;li-')l..frlri, Number or m" "*unJli.,il"X""""","u o,
tank truck......... .....O..\..:t*........ ..........Type antl capacity of each . tl r D.ry
Give location where tsnk truck is usually kept or housed 3,f a .. .277 .P.t.)rt-.... . SZ--. . .......
ut'r-a.f,72meuTz..t/t.xar
.{u rro-tt)
rllsPl cToR z,/t . Oza-az'
uA:a oF ci;]IERs
UA$IOJM FIID ;trPA.1T:;TIrAilX TRUG( EISP..jC1IIOiJS
AJDnEss s 35a 224; X')%:a''
Con:art:neutg
Se -raratloa
irxro oove:is & vEnts
rralvo a
5 Hore
c
6
7
I
I Soargcnc5r ooutrols (Clasr A oly)
Statlo proteotloa
IJ
it
12 h6t gonoy b:F€akalordc ktt ($aEE)
FIre orttngulaher (2A2oBc)(101b. ABC)
L5
16 iElaamabila n (4n afub, slaha, !oa:r)
L7 Dsoal (near uppcr lcft of tank)
18 Apprwetl date
B.Da:rk! (Ure bao&)
yA.
lYl.
t/
L.
14*..
E_"
{*
//
t/
t/
//r13
U+
oernt /t/t/l=
cc)Il;,3. 4
)
I
2
3
l+
iightlng
tr\rcI ayoto
Etharrat ryatcu
Auxtllarlr Eotors &geaor.ators
Oc,ock bloolcs (EWo)
Ovemll vohlole ooadltl,oa
ET
SIOINUINE OF nEPRESEI.ITATTVE s
4
r^-z
l//r'I
t/
6,
DEPARTMEM OF PUBTIC SAFETY
DNTTIIION OF EME PNEVENTION
IOTO COMMONVYEf,LTH TVE., BOSTON
..............D +<- / r
(Drt )
ts7l-
APPTICATION FOB APPROVAL OT TANK TRUCK
In accordance with the provisions of the rules and regulations of the Department of Public Safety, ap-
plication is hereby made for approval of the tsnk truck herein described. (A separate application nlust be
filed, for eack oehicle.)
Name of owner of tank truck......C .?.i.n.1.n.:
Business address of owner. E S1e.....r4^. r. r.ln.
(ab.rt .nd XEEtc)
d6, $o**antueah\ at $r*aillutttts
2r7t.o er*.r.*.y
92"ao'R It?lct..s.../...t*1tu.7..
(Ctty o!
|st V T- 2o
(Stst4 )
k:'.f
(Xanutrcturer's Rstinc)
(Oth€! thaD usEs.) (State)
Type of vehicle .Sz..lvr.. t.'..:.7..?. t. /1..1-..... ........ .
(Iotot Tnr.t) (r.!r0!!) (8ebi-Trrile!)
Make of Yehicle . /..?..?..t.:.t tatl./.*...................Carrying capacity in tons
Mass. Registration Truck No**#........Registration Truck No.......
Mass. Resistration Treiter No.7 R S.lt.i-/.......negistration Trailer No.....
Motor No.........-:
(O!he! tlt.D X.x.) (Strt )
Serial No,..7-dlff,..... uoa"t number or letter ......-........ ...lear...l.?.*3
Single or compartment tank
Capacity of single tank........gals.
Gauge thickness of tank shell
Kintt of fluitl to be trensported: iFoo/ oif t:iass A (Bulk Deliverv))Qlr ctass B YLs(r; e. w"r - - .. . ,r"" ". ""rvery) bQr0t\-.-L|I).- .. ......
(Ye! or No)
l >-l- d- 6 Class A (Part Load Deti
Type of lighting system A0h!,ec! n..7-?.1.,n , .. Number of fire extinguishers carried on
tank truck N<ra <Type and capacity of each
Give location where tank truck is usually kept or housed S.*t-O... ...t.'Yl.C.t tt.. S 2................... ...
(Ah€et .rd Nuhb.!)w*47 q I.l<.*.dufr !T)*.+*t
(Clt, o. Torr)(St te)
Remarks :
(Do not trrit in this 6psce)
Rec'd, by Fire Marshal
Truck inspected by....
Approv.d by... .. ....
Approval granted. ....
Number of approval. .
Remarks: .
(Busin..i qdd!€!! - Stleer .Dd NuEb..)
7-2"f...:.lrac)
(T€lcDbo!! lnDb€t)
............... Number of compartments............
.....gals. Capacity of compartments ..
of heads .......2.Q.... ... ........of bulkheads
19
3 \)Ytt.>.t vr f
(Sisratulc ot owner ot
,.P. w. !t-\-65-93954 2
......19
Ce,'r. €-,,-JJ *2r.7t fttt) t .\ ttw)
)
wr4T: .V?erat*r.f14 . .hlal.*a.(citY 9/ To*D) teii.l
ilIsPtrcloB! d.t3z-,az-
IIA:E OF Ci.;:TERS
YAfiIOJM II3D EPA.1T:;:IafAitr TRUC;:.ri trisP-l0IlOitrS
11 (10-73)
"4.
osYB; 7o/a P/1j
6!DE iio.
AJEasss >'fo /272i'& 'af
iiAiiE olr vEEICri: ,9"; -u*-z^Z
Con rartme nts
Se:aratloa
D)@ oov€rE & vents
falvs r
5 Eose
6 fuorgonsy oontroln (Clasr A o1y)
e
I
statlo p:roteotlou
IiShttutg
1)
ll Aux111a4y motons & geaenators
L2 &6tgency breakdorar ktt (g[88'd)
&
L5
13
Ft:re orttrgutaher (zAZoBc) (Iolb. ABc)
Ove:raLL veblole ooadltlon
6rock blooks (Ehto)
16 tElarrrablctr (ltn htSE, otder, r.ea:r)
t7 Daoal (Bear uppcls lcft of tank)
,t/a
/11/1.
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t/
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-4"
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t/
1..
lr'-
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1
2
3
l+
tr\:el oysteo
Eihauat ayatou,
r
S IeIIAfUnE OF REP&I-SEi{TABM :
--l.tohr/n,*
18
RcEalk! (Use back)
Apprwod tlate
,}
7
L
--lZ7:,Lil/b
-\,-\'tatye $amnwrfuealtly fi $x*rrar\awllr
DEPARIIVIENT OF PUBLIC SAFETY
DIVISION OF NBE PBEYENTION
IOIO COMMOMTIEf,I.TH AVE., IOSTON
.......*.€. /)..t*:..+..v..:,./..
(D.t y
C..e..rr.r.r..r..o..*......ty.r.o..r-*.r^/..H.uName of owner of tank truck.
Business address of owner......Jr:1g-..(stt-t .!d t{tiLa)ILt.a ) e.......... 5.21.
Typeof yehtcre......H..{..7.-e.*...Tk-.?...*.*.......*.....*1.*
APPUCAIION FOR APPBOVAL OF TANtr TBUCT
In ascordance with the provisions of the rules and regulations of the Department of Public Safety, ap-
plication is hereby made for epproval of the tank truck herein described. (A separote application must be
fileil lor eoch oehitb.)
./-J.8.2.*
cbr
l.?. t:*t a dZtu. i;(;* u-,
(EoE! DrrrD)
...Q1.*a.7...
(Cltr o! Torr)
(Semi.Tr.iler)
( Strt )
(Ioto! Ttu.I)
(Cit, o! ToE)
( Trril!!)
Mass. Registration Truck Not.Q-.XhA *..(j1...........n"gi"t""tion Truck No.
A
Make of Y ehicle......0:. /21.. -C-..................Carrying capacity in tons
Mass. Registration Trailer No.........^l*l.s--................Registration Trailer No....... rV.sl..t..<:..................
(Othct r.L.! I....) (Sr.t )
Motor No6'-r.{.*.?1. -1.?.?....Seriat No/{l2apt.":fl.*J."Model number or lettetl-t.2/.3.eAYeat.12.?...).......
Single or compartment tenk.............. J.i 4..'/.1..*............\iumber of compartments.... .. AY e=..
Capacity of single t^r*.............?-9.!|:1....................gals. Capacity of compartments.. .......:=::::::.......... cals.
Gauge thickness of tank shell..r.el:f.O..............of heads....*r./-.[J.A*t-ig.of bulkheads..........'--.......................
Kind of fluid to be transportetl: (liass A (Bulk Deliverv) "" X Class B " " ')( """
ctass A (part toad oeriu"lij "' "ll . . . . i:-::.":l
(Y.! o, No)
Type of lighting system....l.l...Y-:..t.1:..7y.br*9. . .........Number of fire extinguishers carried on/
tank truck......... ...o..h...L,................... . .Type and capacity of each..... 1e 1A. .4 &.8. .. .. ..... . .....
Give location where tank truck is usually kept or housed 4.i.t2....1.I:lt,.t.tt.....$.i......*.::1.I...1.).t.xt.c-*ik....
(sr!..t .!d Nubblt)
Remarks:
(Do not rrit in thie rpacc
19
19
C'.a.rt?/.q1r...{i(Stlrtor€ o,
3:i. o. . . ft). a. t n. . . ls.T_(8o!h... .ddr.. - att.t rnd Nre!.r,E*tr v/.1 ?a.p\1,... ma€. !.....(cltt '.! rot!, (!4.f.,
..7.2..t .. A a:.eo......
Rec'd. by Fire Msrshsl
Truck inspectzd by....
Approvcd by..........
Approval glanted. ....
Number ol approval.....
F.!. lr!. 3Ii- l,e.tt Fo.r-J.,I L fa llt-z/
(T.lcDtor. n.!b.E)
L
y'tL (10-73) v
:IAB,ilOu-m FI3E DPAiS;iilt
r,gpEcroR! d. Bra,rz, EA,B lRUCir( EisP-lcrioltrs
IIA:E oli' ciifin: A".r"*t, C,,*4;"'''+ ef'
AJDnESss sEO 2"2)-<2, '.:?'tz/tn'/
DAtE.9-/p.-\
/1
*
Cor.'r':a:rtmgnts
Se raratloa
D)rcB oove:rs & vents
falvo a
5
1)
il
L2
13
t5
15
L7
18
tul/ r
6
7
Soergonry oontrola (Clasa A only)
Stetlo pnoteotlon
Rcnat{E! (Uac baot<)
(/"
t/
r
--l*&
/,I
t
1
2
3
h
Idebtfns
trtel eysteu
n-hquat ayston
Anxtllarlr Eotols & geaenatom
$oorgoaqr breaktlour klt (gEaEE)
611ock bloolEs (${0)
Ftre exttngul,absr (2A20Bc) (101b. ABc)
Orerall vchlo].e oodltlon
nElanrabilcr (l+tr utgb, etdoa, r.ear)
D
Appr.ored iiate
Dsoal (Raar uppcr. lcft of, tank)
r
SIOItrATIIBE OF REPRESENTAETYEs
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