HomeMy WebLinkAbout21E document 1994 - Correspondence - 419 ANDOVER STREET 5/25/1994FORM F.P. 292
(rev. 9/90) ..
4.01jr (Ell 1111111111 Itlell fill Vf manuadjullptill
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Department of Public Safety
Division of Fire Prevention and Regulation
FDID# Oq>-216
Pei-111it Date May 25 iq 94
North Andover
cloy, Town or 01strict
C-82 6.40 H.G.L...
DIG SAFE NUMBER
Fee Paid:$ fyC)
start date
In accordance with the provisions
of Chapter 148, Sea. 38A, M.G.L.,
527 CMR 9.00 application
is hereby made by:— Ralph Surianello Inc.
Street Address & City or.
Town: 5 11 Street, Wakefield, MA 01880
Signature of applicant:
Applicants name printed:
Ra�l—, —PSurianello
--—..
For permission to remove
and transport one under -ground stol�q jge tank from.
4 / � 1jf%j00j6T�- --N I
Owner: Furniture Barn
Street Address: Junction 114/125/133
Firm transporting waste:..
Mur-PhY's Waste Oil Lic. # MA014
Hazardous waste manifest
E.P.A.0
Approved tank yard: Turner Trucking & Salvage Co. # 11490
Tank yard Address: 235 Conmrcial Street, Lynn, MA
Type of inert gas: UL tank
Tank ca,pacity:_1,000 gallon Substance last stored: #2 oil
2
Date ® Issue:
e7
oato of a -
V'v
Signature/Title of Officer granting permit
KEEP ORIGINAL AS APPLICATION AND ISSUE DUPLICATE AS PERMIT