HomeMy WebLinkAbouttank removal 2003d\E:-^ i\-__ _ 'rrk: application to local Fire Oepartmerrrre uepartmenv.ains original application una i".r"" Ju):|cale as permi
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APPLICATTON and pERMtT
t-
Fee: t6 . eofor storage tank remov
of M.G.L. Chapter 148,
al and kansportation to approved tank disposaSectjon 38A,527 CMR 9.00, apptication is he
I yard in accordance with the prov,sionsreoy made bv:
x
z:e
Richard LaCapra
ciry
N.Benf ick, ME 03906Address 208 Morrills Mi1I Road
O lFCl' Cerritied Other
Address 14B Jan Sebastian Drive
0 3Sandwich, MASignature (it applying for permit Signature (i, applying lor permit)
O lFCl'Cerritied O LSp #
Co. or lndividual
Address
Yarmouth port, MA
€rU.trn"" t-""t S,oriJ
l^e rn da-
Tank Capacity (galtons)t0.3
Tank Dimensions (diameter x length)
Flemarks:
303 Route 6A
-7;
I',1Ar{799 56 3
Turner Salv-age
235 Conunerci al Street, Lyr:.:r, MA
Tank yara * OO2
E.P.A. # MAD985269323
Slate Lic. # 329
Hazardous waste manifest#
Approved tank disposal yard
Type ol inert gas _Tank yard address
oll Free Tel. Number - 8OO-322-4844Dig S fe
3- a9-0 3>-o?
Oig safe app roval number: 20037202387
Oate of expiralion
Date:Conservation Dep E. :
Signature / Titte of O,ticer granting permit
FDiD# /35/
Dale ol issue ,q' 2
Permir* 6 9' o2
TankOumer
Tanklnfonndion
Femoval Contactor
Oisposal lnformaton
Approrals
After removal(s) ("Consumplive Use' fuel'oil tanks exempled) send Form FP-2908 signed by Local Fire Department to Office ol the
Stale Fire l/arshal, UST Flegulatory Comptiance Unit, P.O. Box t025, Stow, MA 01r75.
'lntemational Fire Code lnslitute
Tank Owner Name (please print)
Contaminalion assessment
Company Name Jnviro-Safe Corporation
-
Other
#2 0i1
Tank Location
Firm transporting tvaste Enviro-Saf e Corpgration
CityorTown \)O f h0,,-lh