HomeMy WebLinkAboutunderground tanks 1988P. 29
o rmm-sn6Pxll! uf JHassar\uretis5:
Departmenl of Public Safety-Division of Fire Prevention
APPLICATION FOR PERMIT FOR REMOVAL AND TRANSPORTATION TO APPROVED TANK YARDq-lrb ,fbt>
To: HYEAD OF FIRE DEPARTMENT
c.82 s.40 l,l.G.L.
OIG SAFE NUMBER
X? \ 6a*ob
Stort Dol!
10n
In accordance r{ith the provisions of Chapter 148,G.L. as provided in
Section 38A Application is hereby made b
ame 0 ers0n,I rm or orpord
a\ -a1cr"^\o^\r H.r^*^Address
For pernission to remove and transport underground steel storage tank(s) from
r-rS (f\rc \t\*.-.' S So \s"a,.lU'.;:$rf
Street address (city or tov,n)
-s \Aor.
to dpproved Tank yardrl O3SO\ S?.li,n
\xl r.l-<r- a.,-5 \16Type of inert gas used
Name of Person, Firm, Corporation disposing
6-Gr'''t Cofte MAFDID#
State clearly type ofinert gas used in
steel storage tank
Date issued - reiected:\'1.-/3-
Date of expi rati on
19
19
B
pa i d/due gna ure o pp cant
DEPARTMENT OF PUBLIC SAFETT-DTVISION OF FIRE PREVENTION
PERM IT -f,-E F'
FOR REMOVAL AND TRANSPORTATION TO APPROVED TANK YARD
ith the provisions of Chapter
granted to 148, G.L. as provided inermit is
s.ao }J.G,L.
In accordance w
Section 38A thi
Name:
To transport underground steel storage tank(s)^ - -to nppiovei-ti;k i;il#-'O3SO \t6ir1.t,l* t'u name o pers0n,lrm or cr lon
State clearly type ofinert gas used insteel storage tank
FDID#o
Fee paid $
Name and addre
disposing tank
Location to wh
method
ss of cont actor
IC an
>
af Gnlsteet tant\&Yr \ At c-
be tran sported
p
r gna ure o OT lcla g ran
0tG
Slorl Dotr
-
E-
'9AFE
'IUMB
E</b xo
(Head of Fire DePt. )
permr t(TiTtE)irris permit nitt expireS\ tq<L,