HomeMy WebLinkAbouttank removal 1994lil
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YARMOUTH FIRE DEPARTMENT
96 Main Street
SO. YARMOUTH, MA 02654
(508) 398-22r2
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R. Lawton
G. Barabe
Health Dept.
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c. stiefel
! URGENT!
E sooN As PossELE
! tIO R€PLY I{EEDED
PRIOBITY
The underground storage tank has been removed from the property at
11 Bellevue Avenue, South Yarmouth owned by Today Real Estate.
SIGNED: Pe ter A. RaMS 1 LtlInsp.
SIGNED:RECYCLEO PAPEB
h6lrts: ao"6 Pl*Cortsums. 10% PctCollerle
SENDER: DETACH AND FILE FOR FOLLOW-UP
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FORM F.P. 292
(rev. 9/90)
a\0llr Oruurrrrilr[rllll rrf filurlrrilrlllluPllrl
APPUCATIoN Foh PERMIT, AND PERMIT, Fon REMOVAL ANo IIIANSPOnIATI0I'I Io APPROVED TANK YARI
rorol6/35i
L7*rno,*t--
CIty, Town or Dl6trlcl
permlr t 7l- olS s 3r n(I 19
c.8z s.(0 8.6.t,
Fee Pald: S
DIG SAFE I{UI,IBER
Q.rzto +ga>
start da te sf et /'t+
527 cllR 9 .00 Bpplicatlorr 1s ltereby made try:4A,*^oQ Out,aa - Sereu, .fut.
Street Address e Clty or I'own:&u '.+)L S.b<.^nr<
Slgnature of app llcatrt:.
Appllcants rrame prlnted:
For permlsslon to remove
freAr,- /tl<(o-ntn<,{
alrd transport orre undergrourrtl storage tank from.
Owner:lda Fe.street Attdress , n €<lleuAe 4.2- S laz^
Flrm transportlng vasLe:Snnn-St-ate ,r(.fwz"st,*
Ilazardous riaste manl f est #E.P.A.#
Approved tank yard t 6..*d &. .fi-a -il o35ol;sJ-*nt
Tank yard Addressl funQ-,lQ
Type of lrrert gas !
Tank capaclty l *,
Date of lssue:s 3r Dq(
UL tank {
Subs talrce last st.oretl:*>tu
L-Dat-e of ex ratlorr:_8 a4-
ffiF KEE? OR\GINAL AS APPLTCATION AM iSSUE DUPL|CA! E AS PERMIT RE
Departrnent of Public Safety
Division of Fire Preventiorr and Regulation
t)ate
2o"'
In accordatrce !,rltlt the provlslorrs of Clrapt'.er l4Br Sec. JgA, M.G.L,,-
Slgnature/'I'ltIe of of f lcer gratrtlrrq perrnlt: