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HomeMy WebLinkAboutNotification for Storage Tanks Regulated Under 527 CMR 9.00 - Correspondence - 1 MASSACHUSETTS AVENUE 11/16/1998 ~ � � � a �'F/t�iraJacluteff - �eicrxfirae�rGo���xe �Pirucc�y �z�cue7`� a :lLp9ulaGoa� �an�i�'a�tce ��tcG Notification for Storage Tanks Regulated Under 527 CMR 9.00 Forward completed form, signed by local fire department,to: Mass. UST Program,Dept. o . . Z of Fire Services, one Ashburton Place-Room 1310, Boston, MA 02108-161 a Use Form FP-29OR to notify of tank removals or closures in place. Date Received: / i� %�' Telephone (617)727-135QQ Fire Dept. ID1l �:z-�c7 (Fire Department retains one copy of FP-290) Fire Dept. SigA- 1 I r ❑ A. New Facility(see Instructions, 1111) r, B. Amended ❑ C. Renewal INSTRUCTIONS: Farm FP•290(Nolllicallon for Aboveground and Underground Storagn Tanks)is 10 be completed for each • location containing underground or aboveground storage tanks regulated under 527 CMR 9,00. It more than Ilva tanks are owned at this location,photocopy the following pages and staple continuation sheets to the form. The FP•290 must be A. Facility Number completed In duplicate. Although the farm may be photocopied,the facility owner or owners representative must sign each COPY separately,photocopied signatures are not sufficient. Both copies of the FP•290 are to be forwarded to the local B. Date Entered fire department,who will check all Information and cerilly the forms. The fire department will retain one copy of the FP• 290 for Its records,and the facility owner shell be responsible for forwarding the other copy to the Dept.of Fire C. Clerk's Initials Services at the address above. The local fire department will Issue the permit portion of the FP•290;however,registration Is not complete until the FP•290 Is received and chocked by the UST Regulatory Compliance Unil. All quos lions on this form are to be answered.Incomplete forms will be returned, D. COmments 1,New Facility`means a lank or tanks located at a site where Jenks have not been previously located. 2'Facifity street address'must Include both a street number and a street name. Post etfico box numbers are not acceptable, and will cause a registration to be returned.If geographic location of facility Is not provkiod,please Ind€cato distance and direction from closest Inlersectlon,s.g., (facitity at 199 North Street is totaled)400youtds sQuthe.aftlL r4fllttisitlp�Q>jt� (inlerseclion). Notification"IRaquirad Exce�(on;(a)a[armor resldentlal lank of1,100 gallons or less capaclryus�dforstoringmofor fire Prevention Form FP•290 is to be used as Notification.Registration,and Permit for fuelfornoncommercielpurposes,ar(b)clank used for storing healing o8 for consumptive aboveground and underground storage tanks and tank facilities regulated under 527 use on the promises where stored are not required to ire registered under 527 CMR 9.00. Code of Massachusetts Regulations 9,00.No regulated aboveground or underground storage tank faciAty shall be Installed,maintained,replaced,substantially modifiedar Penalties Anyowner who knowingly fails 10 nolify or Submits false Inlotmation shall be subject removed without a permit(FP-290)Issued by the head of the local lire dapartmenE. to a civil penalty not to exceed$25,000 for each lank for which notllicallon is not given or lot The owner of any storage facility shall within seven working days notify the head of the which false Information Is submitted.(MGL Chapter 140.section 38H,527 CMR 9,00) local fire department and the Dept,of Fire Services of any change in the name, Aboveground Storage Tanks address,or telephone number of the owner or operator of a storage facility subject to 527 CMR 9.00 requires the registration of any aboveground storage tank which meets the regulation by Chapter 148,Mass.General Law and by 527 CMR 9,00. following definition:a horizontal or vertical tank,equal to or less than 10,DW gallons Underground Storage Tanks capacity,that is Intended lot fixed instatlailon without back fill above or below grade,and is Each owner of an underground lank first put Into operation on or after Jan.1,t991, used lot the storage of Hazardous Substances,Hazardous Wastes,or Flammable or shall,within thirty days after the tank Is first put Into operation,notify the Department of Combustible Uquids, Fire Services(the department)of the exlstanc0 of such lank,specifying,to the extent Exc9Rtlorl i:Abovegroundtanksorrnore than 10,000 gallons capacity regulated by520CMA known,the owner of the tank,data of installation, capacity,type,location,and uses of 12.00(Requlremon(s for the Installation of Tanks Containing Fluids Other Than Water in such lank.By no later than Jan,31,1991,each owner of an underground storage lank Excess of 10,000 Gallons)are not required to be registered under 527 CMR 9.00. Ihal was in operation at any time after Jan.1, 1974, regardless of whether or not such lank was removed from beneath the surface of the ground at any time,shall nolity the Excphlton A2•(a)a farm or residential lank of 1,100 gallons or less capacity used for storing department of the existence of such lank,specifying,to the extent known,the owner of motor fuel lot noncommercial purposes, or (b) a lank used for staring heating oil for the tank,dale of Installation,capacity,type,and location of the lank,and the type and consumptive use on the premises where stored are not required to be registered under 527 quantity of substances stored In such tank,or which were stored In such tank before CMR 9.f10. the tank ceased being in operation If the tank was removed from beneath the surface Penalties:Any parson who knowingly violates any rule or regulation made by the Board of Fire at the ground prior to the submillat of such notice to the department.Such notice shall Prevention Regufallans shall,except as otherwise provided,be punished by a line of not less also specify,to the extent known,the date the lank was removed from beneath the than one hundred dollars nor more than one thousand dollars. (MGL.Chapter 140,section surface of the ground prior to the submittal of such notice to the department.The 10B,and 527 CMR 9.00) operator of any lank that has no owner or whose Owner cannel be definitely ascertained,shelf notify the department of the existence of such lank,specifying,to the Whom to NotIfy7 Two completed notification forms should be signed by both the tank owner extent known,any Information relating to ownership of the lank,and date of and the local fire department.One copy will be retained by the fire department,and the tank Installation.capacity,type,and location of the lank,and the typo and quantity of owner shall send a separate copy to the address at the top of this page. substances stored in such tank,or which were stored In such lank before the lank When to Notify?I.Owners of storage tanks In use or that have been taken out of operation ceased being In operation it the tank was removed from beneath the surface of the must notify within thirty days. ground prior to the submittal of such notice to the department.If the lank was abandoned beneath the surface of the ground prior to the submittal of such notice to Owners and Operators of Regulated Storage Tank Systems must maintain mcorda the department,such notice shall also specify,10 the extent known to the owner or certifying that all leak detection,Inventory control and tightness testing requirements operator,the dale the lank was abandoned in the ground and all methods used to for the Regulated Storage Tank System are current.These records must be readily stabilize the lank alter the tank ceased being in operation. available for Inspection. 11. OWNERSHIP OF TANK(S) 11. LOCATION OF TANK(S) Owner Name(Corporation,Individual, Public Agency,or Other Entity) If known,give the geographic location of tanks by degrees,mrnutes,and seconds,Example:Lat.42,35, 12 N Long.05,24, 17W Latitude Longitude J- T V, Tip vs f Sheol Address t Dislance,and direction florn c osesr inlorsocllon(see Instruc ions rill I �E,tFe Irr 1, ��. • Fftcllliy!fame o�any Site idonilller,es apritlAble Cit y �rl�a1e - — Street Address(P.O.Box not accaptab€e•see lmrruciloos 12) City slate zip code P �- 3/—� ) —.t�_L�_._.S�23 rf� Phone Number(include Mee Code) Ownels Employer Federal td• County --- t FP,290(revised t 1l96) C�n� r TYPE OIL OWNER IV. INDIAN LANDS D. Federal Government ❑ Commercial ❑ Tanks are located on land within an Indian Reservation or on ❑ State Government (storage and sale) Other trust lands. CW Private ❑ Local Government (storage and use) ❑ Tanks are owned by native American nation, tribe, or Individual. V. TYPE OF FACILITY Select the Appropriate Facility Description: (check all that apply) Gas Station Marina TruckinglTranspod _ Petroleum Distributor Railroad Utilities Airport Federal- Military Residential Aircraft Owner Industrial Farm Vehicle Dealership Contractor Other(explain) V1. CONTACT PERSON IN CHARGE OF TANKS Name:Ak/W aIm. p 16 iy "P h Address: Phone Number(include area code): Job Title:j �r 3 a !1 C 0 e a Home: . 2f S�7"-{2 E- ,j �A, c(,W N--A Business: - (o VNr. FINANCIAL RESPONSIBILITY / ❑ 1 have met the financial responsibility requirements in accordance with 527 CMR 9.00, Checkailthatapply: _._.--r---�_—__,..—_.--_ -...._.,....•._ r__..—.•..__-----__.._..._ ❑ Self Insurance ❑ Guarantee ❑ Letter of Credit G1 Commercial Insurance ❑ Surety Bond ❑ Trust Fund CJ Risk Retention Group ( ❑ State Fund ❑ Other Method Allowed - Specify Vill. ENVIRONMENTAL. SITE INFORMATION This information should be available from local health agent, conservation commission, or planning department. 1. Tank site located in wellhead protection area ©Yes .KNo © Unknown 2.Tank site located in surface drinking water supply protection area o Yes KNo 0 Unknown 3.Tank site located within 100 feet of a wetland ❑ Yes U;(No © Unknown 4.Tank site located within 300 feet of a stream or water body 91 Yes ❑No 0 Unknown IX. DESCRIPTION OF STORAGE TANKS AND PIPING (COMPLETE FOR EACH TANK AT THIS LOCATION) Tank lienlification Number Tank No,_ _L Tank No. Tank No.:3 Tank No.9 Tank No.-5- 1. Tank status a. Tank mfes serial Y (if known) b. Currently in Use xj c.Temporarily Out of Use (Start Date) d. Permanently Out of Use �. �� [— D e. Aboveground storage tank (AST) or p AST Underground storage tank•(UST) iF�UST �AST I iST ©AST f7 U5T C� AST t UST ra AST )<UST 2. Date of Installation (modday/yr.) 3. Estimated Total Capacity (gallons) a p 0'vo aG b00 o FP-290(rovisod i WOO) 1 ti. � Ili. TYPE OF OWNER IV. INDIAN LANDS 71 Federal Government ❑ Commercial ❑ Tanks are located on land within an Indian Reservation or on ❑ State Government (storag©and sale) other trust lands. El Private ❑ Tanks are owned b ❑ Local Government (storage and use) y n ative American nation, Tribe, or individual. V. TYPE OF FACILITY Select the Appropriate Facility Description: (check all that apply) Gas Station Marina Trucking/Transport Petroleum Distributor Railroad Utilities Airport Federal- Military Residential Aircraft Owner Industrial Farm Vehicle Dealership Contractor Other(explain) VI. CONTACT PERSON IN CHARGE OF TANKS Name: Address: Phone Number(include area code): Job Title: Home: Bustness: Vlt. FINANCIAL RESPONSIBILITY ❑ 1 have met the financial responsibility requirements in accordance with 527 CMR 9.00. Checkalllhatapply. .�....__...... �...__..._.. �..-----....._— .—^_...—_._._,.- I-] Self Insurance ❑ Guarantee L) Letter of Credit ❑ Commercial Insurance ❑ Surely Bond ❑ Trust Fund ❑ Risk Retention Group C_i State Fund ❑ Other Method Allowed - Specify Vill. ENVIRONMENTAL SITE INFORMATION This information should be available from local health agent, conservation commission, or planning department. 1.Tank site located in wellhead protection area 0 Yes ❑ No 0 Unknown 2.Tank site located in surface drinking water supply protection area 0 Yes © No o unknown 3.Tank site located within 100 feet of a wetland D Yes c No C3 Unknown 4. Wank site located within 300 feet of a stream or water body D Yes © No o unknown IX. DESCRIPTION OF STORAGE TANKS AND PIPING (COMPLETE FOR EACH TANK AT THIS LOCATION) Tank Identification Number Tank No.L Tank No. Wank No. Tank No. Tank No. 1. Tank status a. Tank mfr`s serial 0 (if known) b. Currently in Use 0 c,Temporarily Out of Use (Start Date) d. Permanently Out of Use e. Aboveground storage tank(AST) Or CI AST ) UST 0 AST DUST D AST DUST 0 AST 0 UST 0 AST DUST Underground storage tank-(UST) 2. Date of Installation (mo./day/yr.) 7 �, 3. Estimated Total Capacity (gallons) �?n G0f7 I I-P•290(ravisod 111961 Tank Identification Number(coat.) Tank No. Tank No, Tank No. Tank No. Tank No.� �..Substance Currently or Last Stored a. Gasoline E:= � Motor vehicle or other use MV r' Marina ! t MV Marina MV i7 Marina f-] MV n Marina 0 MV P Marina 'D other C other h other CJ other €,other b. Diesel Motor vehicle or other use MV Marina `" MV Marina 7 MV €� Marina r; MV Marina 0 MV E marina other El other ❑other C:i other O other c. Kerosene �._._J E:= �� C d. Fuel oil x '"Consumptive Use"tanks Woad not be registered.. Consumptive Use"fuel used exclusively for area heating andlor hot+vater. e. Waste Oil I. Other, Please specify Hazardous Substance E (other than 4a thru 4e above) �� �_, CFRCLA name and/or CAS number _—__....._,_..—..__—_...—_ — ._..__.._----_-- ———— — ___ — .-._-- Mixture of Substances Q E.._ ._1 Please specify 5. Material of Construction-Tank(mark only one) Bare steel (includes asphalt, galvanized and epoxy coated) E= Cathodically protected steel Composite (steel with fiberglass) Fiberglass reinforced plastic (FRP) Concrete Unknown Other Please specify tJ 6. Type of Construction-Tank (mark only one) Single walled �X Double walled Unknown Other Please specify 411, Is lank lined? )KYes 0 No Yes 0 No XYes ❑ No ,t(Yes n No Ayes ❑ No Does tank have excavation'llner? 0 Yes 0 No ❑ Yes n No ❑Yes F] No ❑Yes ❑ No ❑Yos ❑No FP•290(revisod 11196) Paae 3 i?!-Vo t, r- )' Tank Identification Number (cont.} Tank No.-(2 Tank No, Tank No. Tank No. Tank No. 4. Substance Currently or Last Stored a. Gasoline E= F1 MV r! Marina Cl MV U Mar€na r_-) MV 1-1 Marina Motor vehicle or other use C> OR,,, [� MV ri Marina ❑MV ❑Marina t✓ other ❑other C] other ❑other b. Diesel E� E= E:= E= Motor vehicle or other use ❑ MV ,,Marina n MV 0 Marina rl MV © Marina J MV U Marina 0 MV ❑ Marina 1I other ❑other ❑other ❑ Other n other c. Kerosene d. Fuel Oil' E= ��� C'� E -~— `Consumptive Use'Tanks need not be registered. Consumptive Use'luel used exclusively for area healing and/or hot wafer. e. Waste Oil f. Other, Please specify Hazardous Substance ��� (other than 4a thru 4e above) U E= CERCLA name and/or CAS number Mixture'of Substances E Please specify 5. Material of Construction-Tank(mark only one) Bare steel (includes asphalt, galvanized and epoxy coated) r ' Cathodically protected sleet Composite (steel with fiberglass) Fiberglass reinforced plastic (f=Rl') . . Concrete Unknown Other Please specify 6. Type of Construction-Tank (mark only one) Single walled Double wolfed Unknown Other Please specify I Is tank lined? AYes 0 No •Cl Yes Q No Ci Yes O No 0 Yea ONO 4 Yes Cl No Does tank have excavation'liner? Q Yes 0 No ❑Yes a No p Yes 0 No ❑ Yee p No O Yes ❑No r P•2gv(ravkod 1 1196) 4 Tank Identification Number (cont.) Tank No.__�_ Tank No. Tank No. Tank No. Tank No. -� T. Material of Construction-Piping(mark only one) Bare steel (includes asphalt, galvanized and epoxy coated) Cathodically protected steel Fiberglass reinforced plastic (FRP) �] Flexible � � Copper Unknown Other Please specify 8. Type of Construction-Piping(mark only one) Single waited C � r Double walled U Unknown _ Other [ �� .___._.. ......— [__........__...._ Please specify i Has piping been repaired? C Yes X No n Yes No ❑Yes Q�No C Yes �—kNo C Yes �No Is piping gravity feed? -D Yes XNo CJ Yes rY\No 7 Yes KNo D Yes /F-'-No C Yes ANo Date X. CERTIFICATION OF COMPLIANCE f 1. Installation A. Installer certified by tank and piping 1 E== manufacturers B. Installer certified or licensed by the - implementing agency C. Installation inspected by a registered engineer D. Installation inspected and approved by " the implementing agency E. Manufacturers' installation checklists have been completed F. Another method allowed by 527 CMR 9.00. Please specify 2.Tank Leak Detection Tank Tank Tank TankZZ Tank (mark only one) A. Double-wall tank- Interstitial monitoring B. Approved in-tank monitor C, Soil vapor monitoring (check one below) n Monthly 0 Continuous E. Inventory record-keeping and tank testing ❑ F. Other method allowed by 527 CMR 9.00. Please specify FM90(rovlsed 1 1196) _ cc"kI"ii L w�/lr i Are t Tank Identification Number (cunt.) Tank No. Tank No, Tank No. Tank No. Tank No, .- 7. Material of Construction-Piping(mark only one) Bare steel (includes asphalt, galvanized and epoxy coated) Cathodically protected steel Fiberglass reinforced plastic (FRP) Flexible Copper Unknown Other �,..� �_ � [�� � r--•.�...-� Please specify 8. Type of Construction-Piping(mark only one) Single walled Double walled Unknown Other Please specify Has piping been repaired? ❑Yes P'No 17 Yes 1-1 No D Yes © No Dyes D No © Yes D No Is piping gravity feed? D Yes XNo C] Yos ❑No © Yes D No D Yes D No ❑ Yes ❑No Date X. CERTIFICATION OF COMPLIANCE ' 1. Installation A. Installer certified by tank and piping manufacturers B. Installer certified or licensed by the implementing agency C. Installation inspected by a registered engineer D. Installation inspected and approved by the implementing agency E. Manufacturers' installation checklists � �l have been completed F. Another method allowed by 527 CMR 9.00. Please specify 2.Tank Leak Detection Tank Tank Tank Tank Tank (marktonly one) i A. Double-watt tank- Interstitial monitoring ❑ ❑ 1-1 B.Approved in-tank monitor 0El El ❑ I C.Soli vapor monitoring (check one below) 0 Monthly © Continuous E. Inventory record-keeping and tank testing ❑ F. Other method allowed by 527 CMR 9.00. —Q Ej 0 Please specify Tatnk Identification Number(cont.) Tank No. Tank No.--L Tank No.---S Tank No. Tank No. 3. Piping Leak Detection (mark only one) Piping Piping Piping Piping piping A.Pressurized a. Interstitial space monitor ❑ ❑ ❑ ❑ ❑ b. Product line leak detector ❑ ❑ ❑ ❑ ❑ (mark all that apply below) © Automatic flow restrictor' © Automatic shut-off device` © Continuous alarm' " Also requires annual test of device and piping tightness test or monthly vapor monitoring of soil. B. Suction: Check valve at tank only ❑ ❑ ❑ ❑ ❑ (Requires interstitial space monitor or line tightness test every three years) Cl Interstitial space monitor Line lightness test C. Suction: Check valve at dispenser only ❑ ❑ ❑ ❑ (No monitor required) D. Other method allowed by 527 CMR 9.00. Please specify 4. Date of last tightness test (tank & piping) 5. Gravity feed piping ❑ ❑ ❑ ❑ �❑ 6. Spill containment and overfill protection Tank Tank Tank Tank Tank A. Spill containment device installed La B. Overfill prevention device installed ❑� x 7. Daily Inventory Control (mark only one) A. Manual gauging by stick and records ❑ ❑ ❑ �❑ ❑ reconciliation B. Mechanical tank gauge and records ❑ ❑ ❑ ❑ ❑ reconciliation C. Automatic gauging system ❑ ❑ 0 ❑ ❑� 8. Cathodic Protection (if applicable) Tank Piping Tank Piping Tank Piping Tank Piping Tank Piping A. Sacrificial Anode Type ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ B. Impressed Current Type a ❑ ❑ © ❑ C. Dale of Last Test f i Certification of Compliance No.: UFA I X1. CIERTIFiCATION (Road and sign attar completing all sections) NOTE;Both the copy being Sent 10 the Dept.of Flra Services and the copy retained by the local lire department must be signed separately. A photocopied signature will not be accepted on either document. I declare under penalty of penury that i have personally examined and am laminar with the Information submitted in this and all attached documents,and that based on my Inquiry or those Indlviduals Immadtateiy responsiblo for obtaining the Information.I ballovo that the submitted tnformallon Is true,accurate,and complete. Name and official title of owner or owner's authorized representative(Print) Signature, Date! FP•2S0(revised t M6) Pann Tank Identification Number(cunt.) Tank No.,, L Tank No, Tank No. Tank No. Tank No. 3. Piping Leak Detection (mark only one) Piping Piping Piping Piping __Piping P 9 A.Pressurized a. Interstitial space monitor ❑ ❑ ❑ ❑ ❑ b. Product line leak detector ❑ ❑ ❑ ❑ ❑ (mark all that apply below) • Automatic flow restrictor" ❑ Automatic shut-off device- © Continuous alarm" Also requires annual lest of device and piping tightness lost or monthly vapor monitoring of soil. B. Suction: Check valve at tank only ❑ El(Requires interstitial space monitor or ❑ ❑ line tightness lest every three years) ❑ Interstitial space monitor CI Line tightness test C. Suction: Check valve at dispenser only (No monitor required) ❑ ❑ ❑ El- D. Other method allowed by 527 CMR 9.00. Please specify 4. Date of last tightness test (tank & piping) 5. Gravity feed piping ❑ (� ❑ ❑ ❑ 6. Spill containment and overfill protection Tank Tank LJ Tank Tank Tank A. Spill containment device installed ❑ ❑ ❑ Li B. Overfill prevention device installed ❑ ❑ ❑ ❑ 7. Daily Inventory Control (mark only one) A. Manual gauging by stick and records ❑ r❑ ❑ reconciliation (( (� ❑ B. Mechanical tank gauge and records ❑ ❑ ❑ ❑� ❑ reconciliation C. Automatic gauging system © ❑ ❑ ❑] 8. Cathodic Protection (if applicable) Tank Piping Tank Piping Tank Piping Tank Piping Tank Piping A. Sacrificial Anode Type ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ B. Impressed Current Type ❑ 0 r J ❑ ❑ Li ❑ ❑ ❑ ❑ C. Date of Last Test — Certification of Compliance No.: X!. CERTIFICATION (dread and sign after completing all sections) NOTE:Uolh the oepy tramp rant to the OaAt,of Fira Services and the oopy retained by the loyal Ilya daperiment must be signed sapsfalety. A ytetonnplad sinnsluts will net Yt aeeenled on alihrr doaumeat, I declare under penalty of perjury that I have parsohatly examined and am familiar with the Information submilted In this and all attached documents,and that based on my "Wry of those Indlvtduals Imme0alety responaible for obtaining the Infonnatlon.I botleve that the submitted Inrormallon Is true,accurate,and complete. Name and offictat title of owner or owners authorized reprasenlaUve(Print) 5lgnaluro: h r. rP•290(revised 11196) / ' "^I /`«/on^m . . xC-/�d�/�\ � � */v�//'/�/ � �y' . q^ �/ �x0��C (=f - <�2&�C� | ' / �/ -//- `/" '~m° `�' uzw� ��'zrvx / APPLICATION F011. PEIRU��� � ;� � / 1[� � � ��m�N �:n �3��mK���/�� �� �� ^^^ ! To: I-lead cl Firo Depaltiltelit City, town or district: -Nor h Andover Date: 11/16/98 � Owner of property: PATOB REALTY TRUST Sf;eef eddiess Number ef a~- _-- .~.,^g."""" un q groundSignature Of Q\ 11O[ 0raUUl0ri%od [op[889U\a(iv9' / ' | oa paid:S _ (10.G.L' Chapter /48L soutkn/ /UN) (Fife Dppo'mm/v's Copy- To be filed/,W/ PP'2900 Ph// V �^~- ^ ^_ _ _ _ _ _ _ __ --- _ ____ __-_-______ _-___ ___— �r�a�#/0����6kCx/y� ~�|-`^Ar-'Jc7 -/bW�/�' �/ - ' -�-- ~~ '`" | cc 0� O�e / � PERMIT �w�� | ��� ����' 0Y�� � � i ^ - --- ---~ � � ' / . 1'0 M.- oMtaiVi an ExisKhig/Neww SKot-age Taiik Facility � lot' Storage l[aiocm Regulatvvtl utider 527 CM11 9.00 � |n accordance with the provisions of 527CW1R 8.00ih|S pmnn1t [uU1alnk3k\ all oxist'(nn/oe� �hnnmym \�/)k bciUk/ ' is granted (o: ='' ' / Location of p|¢pH/k: 3 Maoaacbuamttu Avenue ov,muumn»* Owner o/ |nopo/ty: PATOB REALTY TRUST ������------------ ------- ---------'------ | v,www-- Moon—. - ----- ' / Number o| �\0ruye iaUko: 0 _ aboveground 6 UndO[QmmUnd ' . Fu/jNy kz ba n)uim(a|nod inacoordanoeWilli the nxok|oU0nodgSu/|bod below: � | M'DST MAINTAIN COMPLIANCE WITH M.G.L. CHAPTER 148 SECTIONS 8/ �----'' ---- --- / _ . l0& AND _13 AND 527 CMR 5, 8 , 9/ AND 10 WHERE APPLICABLE | | Fee VoiJ. S (1W (3.L Chnnp&or /4,q[ section /OA) ' | ' TldsponnUr/Noxpi/n | o"* _~_-__trend_-...~~,.~~'."w=="=",=n^= / KJx«/^'� Tot tud /We storage facilijyj ` �