HomeMy WebLinkAboutTANK REMOVAL 2003cFi YARMOUTH FIRE DEPARTN'IENT
96 Old Main Street
South Yamouth, Massachusetts 02664
Telephone (508) 398-2212 - Fax (508) 7604858
To:
FROM:
SUBJECT:
DATE:
Robert C. Lawton,
Jane Has t ings
HeaIth DePartntent
Water Department
Barnstable CountY
Peter A. Raiskio,
TANK REMOVALS
october 23, 2003
Jr.
Heafth DePartnlent
Capta in / Inspector
Be advised that tanks have been rentoved fronr the
following Properties:
1338 Route 28, South Yarmouth, 275 gal #2 oil
50 Fairwood Rd., South Yarmouth, 275 gal. #2 oi1 ;. aboveground
43 Church St., Yarmouthport. 2'15 ga]' #2 oil
22 Station Ave., South Yarnrouth, 275g,@l fi2 oi1
44 Gofferrs Circle, South Yarmouth, 275 gal #2 oil;
91 Standish way, West Yarmouth, 275 gal #2 oilt
601 Main St., West Yarnlouth, gasoline, various srzes
6 Akin Ave., South Yarmouth, 275 gaL #2 oil
41 McNamara Road, West Yarnlouth, 275 gal #2 oil;
67
36
11
170
40
Ocean Ave., South Yarnouth, 275 gal #2 oil
Pine cone Dr.. West Yarmouth, 275 ga]' #2 oil
oyster Cove Rd., South Yarmouth, 275 gal *2
ilayf lower Terr., South Yarntouth, 275 ga1 #2
Maytlower terr., South Yarmouth, 275 gal #2
oiloi1oil-
J:t-a
Make application to local Fire Department.
Fire Department retains original application and issues duplicate as permit.
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Fee
After removal(s) send Form FP-29OFi signed by Local Fire Dept. to UST Fegulatory Compliance Unit, One Ashburton place,
Floom 1310, Boston, MA 02108-1618.
X
cny zip
,itfruJ A.
tu@ (tt aqtyho tor pemr) |
AA(- Akin h.,
Tank Owner Name (please print)
Address
ying tor perm
tr lFCl Certiried
.!,
Company Name
Signature (if
Address
0i\
Othertr lFCl Cediiied tr LSP #
Signature (if applying lor permit)
Address
Tank Oimensions (diameter x length)
Remarks:
{aCity
Tank Location
Substance Last Stored
I
Slale Lic. #
Tank yard address
F Tank yard #5 e .y;Approved tank disposal yard I <e+
Type of inert gas
E.P.A. *
Firm transood,no waste
Hazardous waste manifest#
Dig Safe Toll Free Tel. Number - 800-322-4844
Permit#
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cltt- o IJ6/"s/
I
*n, r^]4^.C^. r
Signalure / Tille of Officer granting permit
Date of expiration
FDID#City or Town
Djg saie approval number:
I
Date of issue
TankOrmer
FP-292 (revised 9/S6)
APPLICATION and PERMIT
for storage tank removal and transportation to approved tank disposal yard in accordance with the provisions
of M.G.L. Chapter '148, Section 38A, 527 Cl,4R 9.00, application is hereby made by:
Other
-
Co. or lndividual
Tank Capacity (gallons)