HomeMy WebLinkAbout21E Document 1994 - - 419 ANDOVER STREET 7/25/1994FORM F.P. 292
(rev. 9/90) ,
I I ,
North Andover
City, Town or District
Fee Paid.
Department of Public Safety -
Division of Fire Prevention and Regulatiol
Permit
In accordance with the provisions of Chapter
Date May 25 iq 94
C .82 4. 40 N - G . L—
DIG SAFE NUMBER
942 942 103O58
start date
148, Sec® 38A, M.G.L.,
527 CMR 9.00 application
is hereby made
by:___
Ralph Surianello Inc.
Street Address & City or.
j,owjj:._5,well
Street,
Wakefield, MA 01880
Signature of applicant:
Applicants name printed: RalfDlf Surianello
For permission to remove and transport one underground stoag
e tank from.
4
Owner.® Furniture Barn j1jAJ00J6f\-
Street Address: Junction 114/125/133
Firm transporting waste:....furphXs Waste Oil
....... . ............... State Lic.# MA014
Hazardous waste manifest
a
Turner Trucking & Salvage Co.
Tank yard Address: 235 Commercial Street, Lynn, MA
# 11490
.Type of,inert gas:
UL tank
Tank capacity: 1,000 gallon Substance last stored: #2 oil
Date of.,,"issue: 113
Date of e ration:
Signature/Title of Officer granting permit
DMP*' KEEP ORIGINAL AS APPLICATION AND ISSUE DUPLICATE AS PERMIT
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- Remo V..f-ffFaml -7.t2A,
L OCRIiOV Of ReM 0 Vdl
Date of Removal
,O.qlO Of IJ7SIdIJdliOfl
2 -
On nor of Properly
Size and Type of Tank
_2 411--�z
6 bi7ip,?j7j,, Poing Rem o T,,.ql
Xepresewlalivo Signature
E'12 ViFO)MI OJ7 MASI OV SilO
FOS
COIIt parry name'
flisable Sig17S of Leakage
Yes
If 1e I. NolVic"llim TO
IOEP hu NO
Cowservaliow Comm FOS / NO
Other
oll'icer A?h7g .07SPOCM08