HomeMy WebLinkAboutoil tank removal 20006.'
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APPLIGATION And PEHMTT Fee:--r ^ a)
Alter rEmolel(s) ('ConsrtDttuo UsC ftrel d tanls eraopbtt) s.fld Form FP-29oF lign€d by Local F,'E O€partnsnt to Offfcs of th6
Stats Firs Mar!fia|, UST Regd8tory Cormlatrs Unit P.CL gG 1@5. Stor. MA 01775-
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Iant Ownar Nam. (pl€as€ print)hra (x
R)Addr€ss /9 Hrr-ltorr (.,)lznrnau-(h.
T qt 7 Slrr.4
CorFarry Co. or Indvidual
Addr€ss 6coodridg€St.MAOl
Signatura (tr appiying for p€rmit)SignanrB frf appMnq for psrmit)O*2 t.b-Zt'Jk,Certi,iad Othet tr lFCl. C€rdfied tr LSP#_ Olher_
fank Locadon
A aty' tr
Iank Capacjty (gallons)L)5 Subsancs kln Sbrad l{
Tank Olrnensions (dameter x length)
REmarks Romrll< oac 2)r b/)L otl /uk
Flm tanspordng ryan6 Speo'allsts sAra Lic- +
Hszardous wssts manitast'MAJ693702 EP.A. *MAR000012138
Approv€d tsnk dsposal yard Tumers Truddng &Sahrage Tank Frd *oo2
Ty?e d lnert gEs _Tank )rant addlss Cornmeroial St. Lynn, MA 01905
Clty orlown c Oils P Permits c/- /7
Dat6 of issue Date ot aeiralion \
Oig safe apprwal nurtar:OQ SaIe Toll Free TeL Nurnbar - 80G€22-.1844
Signature / TUe of Otllc€r $"ntkg p6mit
Firc Departnant rrains'iaginsl applti:adon and isanaa duptrcab a3 PatfiE
for storage tank remova,l and transportation to approved tank disposaj yard in accordance with the provisions
of M.G.L Chapte l48, Sec on 3&A, 527 CMF 9.00, applicauon is hereby made by:
Removal Contaclar
Disposal lrformatior
MAR000012138
Approrals
FDIO*