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HomeMy WebLinkAbouttank removal 1994FORM F.P. 292 (rov.9/00) APPUCITDil FOh PERIjiTT ATD PtFiJTT FDID'o/ ss Ol;l CIrrrrrrrrrrrrtrrrullll rrf fiurrurl1[ffllrt hETIOVAL AID TRANSFORTATIOII TO APPRO/ED TA'I( Y Petnlt I ?-o a, Department of Publlc Safety Dlvislon of Flre Prevention and Refulation , FOR - Da te /1r fz lL,I ai Clt y,q U.Hcl Slgnature of appl lcant: c.t2 t.t0 i,o.t ta DIG SAFE NUHBER)tsJ- n"^r, Onrn t/ -21./ Fee Pe Id I sJD pD In accordahce wlth thc provlrloh, of chapter 1,1g, god. 3gA, H.o.L., 527 cltn s.oo appllcatlon le hereby hade by,C Street Addrees a Clty or Tohrt!: /rl ^/-/ ,t( ,/' L'/ S,/t-),L l\ppllcants name prlntedr t5 t-a.zcz, r ) For perrnleelon to r€move and transport otte under grour1-/ -\ Ownett lC?o L_h y,c "A., )f Street Addrese: ,,{ Fl rrn transportlng r.raste r rd B tora U-) r /'i tatrk fronrge I /'1 / -r' , /?('State Llc.l J\pproved tank yErd!) fi/DrJ ))u/I Tank yard Addreea:t/5t I //)L Type of lnert gaa I UL tahk lr sub6tanea last atored , y':,//r+,/2.r)v I s19 Date of exp t Cc z- Tank capacl ty r Da€e of lssue I EIF KEEP ORIGINAL AS APPLICATION AND 'SSUE DIJPLICATE AS PERMff 1 T) nazardous waate nanlf ..t t fll/r f,t ,L2 s-,F-E.P.A. /UzLrqze. I algnrture/Tltle ol oftlcer grantlng pern-t ill F R o M ilt ill T o ill YARMOTITH FIRE DEPARTMENT 96 Marn Street SO ','ARllOUrH. MA 02664 (s08) 398-2212 5/L2/94 PRIORITY URGENTI sooN As PosstalE D tIO REPLY NEEDEO R. [,awl:on c. Barabe Hea I th Dent. l.l a t er Dept . C. Stiefel Undarqr(--.rrnd storage tanks have been ren,;r,s.l ir-()rn the fl]]owi-ng propertie:r. V.-1 ri,)n Russell - 379 Main St., YP Mass. ii i.ihtaay - -niill.ow St. at Higgins oi-,r,.,p11 Rd., t{.1. aalre ..,'i .l )-Op, I21 'r:t.5A, YP Jotrn i.)c,:ro'rat), .ir. - 22 Birch Rd., S-Y. r-'nr.l.r' l.le a!ty -.127 Ft.28, W.Y. Pan Slr,r,:.:hoessy - 30 ircr.Se Wa.lr. S.Y. ./ -''. t <i ..i SIGNED: Pcter r1 Ra isk io [,t,l,r-, &A€CYCLEO PAPER C.olrl* ao'a Pr.{onsur€.. lox PGrCo.tn tl..SIGNEO: SENDER: DETACH ANO FILE FOR FOLLOW-UP. MsLWe R+q R E P L ilr