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Home My WebLink About350 WINTHROP AVE 1 .o.s ( nQ Y�iLLLT4 fl�i tat � � Department of Tire Services Office of the State Fire Marshal P.0.Box 1025,Slate Road,Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30,2023 (City or Town) (Date) NOTE:Complete top and bottom of form and forward both sections and fee to local Licensing Authority(City or Town Clerk). DO NOT RETURN FORM TO THE DEPARTMENT OF FIRE SERVICES, In accordance with the provisions of Chapter 148,Section 13,of the General Laws,the undersigned hereby certifies that: (TITLE HOLDER): Global Montello Group Corp. (ADDRESS): c/o ESC Eclipse 705-A Lakeview Plaza Blvd Worthington,OH 43085 is the holder of the license granted(Date): for the lawful use of the building(s)or other structure(s)situated or to be situated at (ADDRESS): 350 Winthrop Avenue NORTH ANDOVER,MA 01845 (City or Town) as related to the ICEEPING, STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NOTE: This certificate of registration must be signed by the holder.of the license if said license was granted prior to July 1,1936, Otherwise by the owner or occupant of the land licensed, Rece' �.��.2023......... ?er .......... .... . ............................. (Signature) Eos er.Authorized Rep.for Owner ,.. ,,,. (Official itI (Clerk) (State whether owner,occupant or holder) c/o Atlas 685 Grandview Ave.Columbus OH 43215 .........1......... .,..........�.......... 0 (Address) Department of Fite Services Office of the State Fire Marshall- `ss� P,0.Box 1025,State Road,Stow,MA 0177.5 REGISTRATION North Andover, April 30,2023 (City or Town) (Date) This is to certify that Global Montello Group Corp. has, in accordance with the provisions of Chapter 148,Section 13,of the General Laws,filed with me a certificate of registration setting forth that: Global Montello Group Corp. is the holder of the license granted(Date) for the lawful use of the buildings)or other structure(s)situated or to be situated at: 350 Winthrop Avenue as related to the ICEEPING, STORAGE,MANUFACTURE OR SALE OF FLAMMA,BL�ES OR EXPLOSIVES, �` .::"U .`........ ( (Signature and Official Title) Clerk Note:A certificate of registration must be filed on or before April 30"of cacti year. (THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES.) EXPIRES APRIL 30,2024 T'!se ConR1tturnvettltll of'Massaclizrsetts Department of hdrtstt irtl AccidestlS lr r= 1 Ofce tlf InVestigatioln Lafi{Vette Cite Cejltei- - -: i / 2Aventte de Lafayette, Boston,MA 02111-1750 tvluly.rttassgouldia W01-kers'Compensation Insurance A#•Cdavit: General Businesses AIDDHCAnt Infor>rnattion �� Please PI•int Lc ibl Business/Organization Name:'�t]ay }-I1� p Address: SOU 0 , , 'q , - _ City/state/Zip, WamAa t " (%q(�q Phone#: ! _ AF an entplayer?Chock the appropriate box: Business Type(required): 1• am a employer with � _06 employees(full and/ 5. ❑Retail part-time).' 6. ❑Restatiram/Bat/Eating Establishment 2.❑ 1 ant a sole propt•ictor or partnership and haMUNT'S (1 employees working for m PYe in any capacity. I ❑Office and/or Sales(incl.real estate,auto,etc.) [No workers' comp,insurance required] S. ❑Note-profit 3.❑ We are a corporation and its officers have exercised 9. ❑Entertainment their right of exemption per c. 152,§1(4),and we have no employees. [No workers' comp, insurance required]** 10.❑ Manufacturhig 4.❑ We are a non-profit al'gallization,staffed by volunteers, 11•❑Health Car•c with no employees. [No workers' comp. insurance red.] 12.[]Other i *Any applicnat(flat checks box t<1 rnttsl also 11110111 tho section below showing Ilecir workers'componsalion policy infomtation. "If the corponato ufticers have exempted tllomselves,but 11te corporalloa Ins other employees,n workers'compeasuliun policy is required mid sneil IItl orgnniration sltould check box I/l. 111111 an employer that is prov ding workers'compensatio,t b1str,rune fortify en,plgpees. Below is the policy i,1ft»wrado Insurance Company Nallle: n. )t{� 1tiL Insurer's Address: City/State/Zip: vS 11 VU Policyll or•Self•-ins. Lic./{ Uf�'`j G�/ � Attach a copy o1'(lie workers ;tt policdeclaration ge(showinLtt station Dlitc: J �3 g policy number and expil ation date), Failurc to scctn•e coverage as required under§25A of MGL c. 152 can lead to the unposition of criminal penalties ofa nine up to$1,500.00 and/or one-year-imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of tip to $250.00 it day against tile viollttol•. Bc advised that a copy of this statement may be fotivarded to the Offico of Investigations of the DIA for insurance coverage verification. !tJn hereby ce i y, antler t to pales and penalties of peryrml�lhnt the info,madou provider.above is titre and correct. Si natln e: n Date: L Phone/f: o� ,©� Official use only. Do not write in this area,to be completed by city or•town official. City or Town: Permlt/License# Issuing Authority(check one): 108oard of Health 2.(]Building Department 3.0 City/I'oml Clerk 4.[]Licensing Board 50 Selectmen's Office 6-[]Other Contact Person: Phone#• w<v,v.mass.gov/dia t 1 WORKERS COMPENSATION AND EMPLOYERS LIABILITY berty I INSURANCE POLICY '0Li Mytual. INFORMATION PAGE INSURANCE Issued by Liberty Insurance Corporation (a stock company) 21814 176 90rlc01ey Strout Boston,MA 02118 Policy Number WA7-69D-460066-012 Issuing Office Lewiston, ME Renewal Of WA7-69D-460066-011 Issue Date 10/18/2022 Account Number 9-460066 Sub Account 0000 1, Insured and Mailing Address Global Partners,LP FEIN 74-3140887 800 South Street, Suite 500 NJ TIN 743140887000 Waltham MA 02453 Risk ID 911385333 Status Limited Partnership Other workplaces not shown above:See Item 4. Premium-Extension of Information Page 2. Policy Period: The policy period is from 10/01/2022 to 10/01/2023 12:01 A.M. standard time at the insured's mailing address. 3. Coverage A. Workers Compensation Insurance:Part One of the policy applies to the Workers Compensation Law of the states listed here: AZ AR CT FL GA iD IN IA ME MD MA MT NH NJ NY NC OR PA RI.SC TN TX VT VA B. Employers Liability Insurance: Part Two of the policy applies to work In each state listed in Item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident $ 1,000,000 each accident Bodily Injury by Disease $ 1,000,000 policy limit Bodily Injury by Disease $ 1,000,000 each employee C. Other States Insurance:Part Three of the policy applies to the states,if any,listed here: All States except those listed In Item&A and the States of: ND OH WA WY D. This policy Includes these endorsements and schedules: See Item 3.Coverage D-Extension of Information Page 4. Premium: The premium for this policy will be determined by our Manuals of Rules, Classifications,Rates and Rating Plans. All information required below is subject to verification and change by audit. Classifications Code Premium Basis Total Rate per$100 Estimated Annual Number Estimated Annual Remuneration of Remuneration Premium See Extension of Information Page MlNmum Premium Total Estimated Annual Premium $ Premium will be billed Monthly Deposit Premium Deposit Tax/Surcharge/Assessment $ Producer 0002 004179 Countersigned by Authorized Rep. (FL) LOCKTON COMPANIES LLC 725 S FIGUEROA ST 35th FLOOR LOS ANGELES CA 90017-5850 WC 00 00 01 A 01987 National Council on Compensation Insurance,inc. Ed.07/Oi/20i i All Rights Reserved WC 00 00 01 B (CA) Page 1 of 1 The Commonwealth ofMassacltusetts Deptu ltneni of industrial Accidents Office of Investigations Lafayette City Center 2Avenue de Lafayette, Boston,MA 02111-17SO wwiv mass gov/dire Workers'Compensation Insurance Affidavit:Builders/Contractors/El lectricians/Plutmbers Annincant Information Please Print Legibly Name(Business/Organization/Individual):Global Partners LP Address:800 South St,Suite 500 City/State/Zip:Waltham, MA 02364 Phone#:781--3984032 Are you an employer?Check the appropriate box: Type of project(required): 1. 1 am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time), have hired the sub-contractors 6. ❑New conshuctioa 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp,insurance comp,insurance.# re aired. 5. ❑ We are a corporation and its 10,0 ElectricaI repairs or additions 3.❑ q ] officers have exercised their 11, Plumbin repairs or additions I am a homeowner doing all work ❑ g P myself, [No workers' comp. right of exemption per MGL 12.❑Roof repairs Insurance required]t c. 152,§1(4),and we have no 13.❑Other employees. [No workers' comp.insurance required] *Any applicantthat checks box#1 must also fill out the section below showing their workers'compensation policy intbunation. t Homeowners who submit this affidavit indiaatingthey are doing all work and then lure outside contmstors must submit a new affidavit indicating such. tcontmotors that olteck this box must attached an additional sheet showing thename ofthe sub-contractont and state whether or not those entities have employers. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am as employer t/ial isprovidirig)porkers'conrpelrsrrtion lusrrrance for my employees. Below is thepollcy andjob site hrformadorr. Insurance Company Name:Liberty Mutual Insurance Company Policy#or Self-ins.Lic.#:WA7-69D-460066-011 Expiration Date: 0-1_22 Job She Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c.152 can lead to the imposition of criminal penalties of a j fine up to$1,500.00 and/or.one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be.forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 tlo hereby cerll rattler tl a sins and penalties of per jury chat the infornrallon provided above is trite and correct. Si ature• Dam. 2-9-22 Phone# 781-398-4032 Official use only. Do not write in this area,to be completed by city or town q f elal. City or Town: ]Permit/license# Issuing Authority(check one): 1013oard oflieaith 2❑Building Department 30City/TownClerk 41DElectrical Inspector 5alumbing Inspector 6.00ther Contact Person: Phone#: i i Department of Fire Services ass h- , °eb� Office of the State Fire Marshal P.O.Box 1025,State Road,Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30,2022 (City or Town) (Date) NOTE: Complete top and bottom of form and forward both sections and fee to local Licensing Authority(City or Town Clerk). DO NOT RETURN FORM TO THE DEPARTMENT OF FIRE SERVICES. In accordance with the provisions of Chapter 148, Section 13, of the General Laws,the undersigned hereby certifies that: (TITLE HOLDER): Global Montello Group Corp. (ADDRESS): c/o ESC Eclipse 705-A Lakeview Plaza Blvd Worthington,OH 43085 is the holder of the license granted (Date): for the lawful use of the building(s) or other structure(s) situated or to be situated at (ADDRESS): 350 Winthrop Avenue NORTH ANDOVER, MA 01845 (City or Town) as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NOTE: This certificate of registration must be signed by the holder of the license if said icense was granted prior to July 1,1936, (O�th�e�r/wiseebby the owner or occupant of the land licensed. cei \d !��.\v'...?..,5 022 ........ ............................... (Signature) (Official Title) (Clerk) r(State whether owner,occupant or ho7der�— (Address) ... � .tint w! NiT � 1 Department of Fire Services Office of the State Fire Marshall P.O.Box 1025,State Road,Stow,MA 01775 REGISTRATION North Andover, April 30, 2022 (City or Town) (Date) This is to certify that Global Montello Group Corp. has, in accordance with the provisions of Chapter 148, Section 13, of the General Laws, filed with me a certificate of registration setting forth that: Global Montello Group Corp. is the holder of the license granted(Date) for the lawful use of the building(s)or other structure(s)situated or to be situated at: 350 Winthrop Avenue as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF F+LAMMABLES OR EXPLOSIVES. l �f+ i..if �.�. D� ............... (Signature and Official Title) , Clerk Note:A certificate of registration must be filed on or before April 30`h of each year. (THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES.) EXPIRES APRIL 30,2023 1q '; Department of Fire Services Office of the State Fire Marshal P.O.Box 1025, State Road,Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30,2020 (City or Town) (Date) NOTE:Complete top and bottom of form and forward both sections and fee to local Licensing Authority(City or Town Clerk). DO NOT RETURN FORM TO THE DEPARTMENT OF FIRE SERVICES. In accordance with the provisions of Chapter 148, Section 13,of the General Laws,the undersigned hereby certifies that: (TITLE HOLDER): Global Montello Group Corp. (ADDRESS): c/o ESC Eclipse 705-A Lakeview Plaza Blvd Worthington,OH 43085 is the holder of the license granted(Date): for the lawful use of the building(s)or other structure(s) situated or to be situated at (ADDRESS): 350 Winthrop Avenue NORTH ANDOVER, MA 01845 (City or Town) as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NOTE: This certificate of registration must be signed by the holder of the license if said license was granted prior to July 1,1936, Otherwise by the owner or occupant of the land licensed. Received �..2020......... (Si nature) By .. ... .. . ..... ..... vH!to. 2.c�.. le .. � ...... (Official le) (Clerk) (State whether owner,bccupant or holder) .71h�".lak�ilew�a.?a�1�4 All (Address) ry j Department of Fire Services Office of the State Fire Marshall P.O.Box 1025,State Road,Stow,MA 01775 REGISTRATION North Andover, April 30,2020 (City or Town) (Date) This is to certify that Global Montello Group Corp. has, in accordance with the provisions of Chapter 148, Section 13, of the General Laws, filed with me a certificate of registration setting forth that: Global Montello Group Corp. is the holder of the license granted(Date) for the lawful use of the building(s)or other structure(s)situated or to be situated at: 350 Winthrop Avenue as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EX�PLOS,IVES. .. ....... ..� .. (Signature an fficial Title) Clerk Note:A certificate of registration must be filed on or before April 30'of each year. (THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES.) EXPIRES APRIL 30,2021 The Commonwealth of Massachusetts Department of Industrial Accidents Of,f tce of Investigations ' Lafayette City Center 2 Avenue de Lafayette, Boston,MA 02111-1750 ` www.massgov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers AyyUcant Information Please Print Leefty Name(Business/Organization/Individual):-- t Address: S`t _C0t1JU St City/State/Zip: Phone#: - Are you an employer?Check the appropriate box: 4. I am a en Type of project(required): 1. I am a employer with _ ❑ general contractor and I employees(full and/or part-time).' have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' o workers' com comp. insurance.= 9. ❑Building addition [N p.insurance p• required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I I.[I Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.❑Other comp. insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. =Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. lam an employer that is providing workers'compensation insurance for my employees~ Below is the policy and job site information. Insurance Company Name: AM "a""Id �1", uce- 6 Policy#or Self-ins. Lic.#: I,UY�`j �j'D-- p1�f��[j C Expiration Date: —Id I 19a) Job Site Address: City/State/Zip. Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). FAure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce fy under t e pains and penalties of perjury that the information provided abo is true and correct Si Date: ,ot Phone Offldal use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(check one): 1❑Board of Health 20 Building Department 30City/Town Clerk 4.11 Electrical Inspector SOPlumbing Inspector 6.D0ther Contact Person: Phone#: p WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY. Libem Mutual. INSURANCE INFORMATION PAGE 175 Berkeley Street Boston,MA 02116 Issued byLiberty Insurance Corporation(a stock company) 21814 Policy Number WA7-69D-460066-019 Issuing Office Lewiston, ME Renewal Of WAS-69D-460066-018 Issue Date 10/31/2019 Account Number 9-460066 Sub Account 0000 1. Insured and Mailing Address FEIN 74-3140887 Global Partners, LP NJ TIN 743140887000 800 South Street,Suite 500 Risk ID 911385333 WALTHAM MA 02453 Status Limited Partnership Other workplaces not shown above:See Item 4. Premium-Extension of Information Page 2. Policy Period: The policy period is from 10/01/2019 to 10/01/2020 12:01 A.M.standard time at the Insured's mailing address. 3. Coverage A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: CT FL GA IN IA ME MD MA MT NH NJ NY NC OR PA RI TX VT VA B. Employers Liability Insurance:Part Two of the policy applies to work in each state listed in Item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident $ 1,000,000 each accident Bodily Injury by Disease $ 1,000,000 policy limit Bodily Injury by Disease $ 1,000,000 each employee C. Other States insurance: Part Three of the policy applies to the states, if any, listed here: All States except those listed in Item 3.A and the States of: ND OH WA WY D. This policy includes these endorsements and schedules:See Item 3.Coverage D-Extension of Information Page 4. Premium: The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. Classifications Code Premium Basis Total Rate per$100 Estimated Annual Number Estimated Annual Remuneration of Remuneration Premium See Extension of Information Page Minimum Premium $1,753 (PA) Total Estimated Annual Premium $ 1,074,457 Premium will be billed Annual Deposit Premium $ 1,074,457 Deposit Tax/Surcharge/Assessment $ 40,229 Producer 0002 000499 Countersigned by Authorized Rep. (FL) LOCKTON COMPANIES LLC(DALLAS SERIES) 2100 ROSS AVE STE 1400 DALLAS TX 752016706 96 WC 00 00 01 A 01987 National Council on Compensation Insurance,Inc. WC 00 00 01 B (CA) i:A n71n1 not 1 AN Rights Reserved Page 1 of 1 Department of Fire Services Office of the State Fire Marshal P.O.Box 1025,State Road,Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30, 2019 (City or Town) (Date) NOTE: Complete top and bottom of form and forward both sections and fee to local Licensing Authority(City or Town Clerk). DO NOT RETURN FORM TO THE DEPARTMENT OF FIRE SERVICES. In accordance with the provisions of Chapter 148, Section 13,of the General Laws,the undersigned hereby certifies that: (TITLE HOLDER): Global Montello Group Corp. (ADDRESS): c/o ESC Eclipse 705-A Lakeview Plaza Blvd Worthington,OH 43035 is the holder of the license granted(Date): for the lawful use of the building(s)or other 260 structure(s) situated or to be situated at (ADDRESS): —45*Winthrop Avenue NORTH ANDOVER, MA 01845 (City or Town) as related to the KEEPING, STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NOTE: This certificate of registration must be signed by the holder of the license if said license was granted prior to July 1,1936, Otherwise by the owner or occupant of the land licensed. R ceiv C7c. ..�.�P..2019.. ..... !?�vv...... ................... ......... (Signature) By .. .. . .. .. .... ...A(.l g64Cd.` � t.. ..... ) lerk) (State whether owner,occupant or holder) 7a6Ata6CV1d u`1='�yd,4rt�!t�nal 4V5 (Address) 3 Department of Fire Services �y. Office of the State Fire Marshall P.O.Box 1025.State Road,Stow,MA 01775 REGISTRATION North Andover, April 30,2019 (City or Town) (Date) This is to certify that Global Montello Group Corp. has, in accordance with the provisions of Chapter 148, Section 13, of the General Laws, filed with me a certificate of registration setting forth that: Global Montello Group Corp. is the holder of the license granted(Date) for the lawful use of the building(s)or other structure(s)situated or to be situated at: 350 Winthrop Avenue as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. (Signature and Official Title) Clerk Note:A certificate of registration must be filed on or before April 30'of each year. (THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES.) EXPIRES APRIL 30,2020 The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 www.massgov/dia Workers'Compensation Insurance Affidavit:General Businesses. TO BE FILED WITH THE PERMITTING AUTHORITY. Annlicant Information Please Print Legibly Business/Organization Name:Global Partners LP and its subsidiaries and affiliates Address:800 South St City/State/Zip:Waltham, MA 02454 Phone#:781-398-4032 Are you an employer?Check the appropriate box: Business Type(required): 1.❑✓ I am a employer with 3965 employees(full and/ 5. ❑Retail or part-time).* 6. ❑Restaurant/Bar/Eating Establishment 2.❑ I am a sole proprietor or partnership and have no 7. ❑Office and/or Sales(incl.real estate,auto,etc.) employees working for me in any capacity. [No workers'comp. insurance required] g• Non-profit 3.❑ We are a corporation and its officers have exercised 9. ❑Entertainment their right of exemption per c. 152,§1(4),and we have 10.❑ Manufacturing no employees. [No workers'comp.insurance required]* I.❑Health Care 4.❑ We are a non-profit organization,staffed by volunteers, with no employees.[No workers'comp.insurance req.] 12.0 Other Convenience Store/Gas Station *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. **If the corporate officers have exempted themselves,but the corporation has other employees,a workers'compensation policy is required and such an organization should check boa#1. 1 ant an employer that is providing workers'compensation insurance for my employees. Below is the policy information. Insurance Company Name:Liberty Mutual Insurance Company Insurer's Address: 175 Berkeley St City/State/Zip: Boston, MA 02116 Policy#or Self-ins.Lic.#WA5-69D-460066-018 Expiration Date: 10-1-19 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. k I do hereby c 'y,under t e pains and penalties of perjury that the information provided above is trite and correct. bA kl"�114 Si r n r�Gn/(d q r� Date: Phone#: ll 7[� Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Licensing Board 5.Selectmen's Office 6.Other Contact Person: Phone#: www.mass.gov/dia WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY Liberty Mutual. INFORMATION PAGE INSURANCE S 175 Berkeley Street Boston,MA 02116 Issued by LM Insurance Corporation (a stock company) 27243 Policy Number WA5-69D-460066-018 Issuing Office Lewiston, ME Renewal Of WA7-69D-460066-017 Issue Date 10/18/2018 Account Number 9-460066 Sub Account 0000 1. Insured and Mailing Address FEIN 74-3140887 Global Partners, LP NJ TIN 141924242000 800 South Street,Suite 500 PO Box 9161 Risk ID 911385333 WALTHAM MA 02453 Status Limited Partnership Other workplaces not shown above:See Item 4. Premium-Extension of Information Page 2. Policy Period: The policy period is from 10/01/2018 to 10/01/2019 12:01 A.M. standard time at the Insured's mailing address. 3. Coverage A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: CT FL GA IN IA ME MD MA MT NH NJ NY NC OR PA RI TX VT VA B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in Item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident $ 1,000,000 each accident Bodily Injury by Disease $ 1,000,000 policy limit Bodily Injury by Disease $ 1,000,000 each employee C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: All States except those listed in Item &A and the States_of: ND OH WA WY D. This policy includes these endorsements and schedules: See Item 3. Coverage D-Extension of Information Page a 4. Premium: The premium for this policy will be determined by our Manuals of Rules,Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. Classifications Code Premium Basis Total Rate per$100 Estimated Annual Number Estimated Annual Remuneration of Remuneration Premium See Extension of Information Page Minimum Premium $1,603. (PA) Total Estimated Annual Premium $ 1,019,175 Premium will be billed Annual Deposit Premium $ 1,019,175 Deposit Tax/Surcharge/Assessment $ 39,077 Producer 0002 000499 Countersigned by Authorized Rep. (FL) LOCKTON COMPANIES LLC (DALLAS SERIES) 725 S FIGUEROA STREET 35TH FLOOR LOS ANGELES CA 90017 WC 00 00 01 A 01987 National Council on Compensation Insurance,Inc. VVC 00 00 01 B (CA) Ed.07/01=11 All Rights Reserved Page 1 of 1 Clt�G I 3 1v : Department of Fire Services ` c Office of the State Fire Marshal P.O.Box 1025,State Road,Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30,2018 (City or Town) (Date) NOTE:Complete top and bottom of form and forward both sections and fee to local Licensing Authority(City or Town Clerk). DO NOT RETURN FORM TO THE DEPARTMENT OF FIRE SERVICES. In accordance with the provisions of Chapter 148, Section 13,of the General Laws,the undersigned hereby certifies that: (TITLE HOLDER): Global Montello Group Corp. (ADDRESS): c/o ESC Eclipse 705-A Lakeview Plaza Blvd Worthington,OH 43085 is the holder of the license granted(Date): for the lawful use of the building(s) or other structure(s) situated or to be situated at (ADDRESS): 350 Winthrop Avenue NORTH ANDOVER,MA 01845 (City or Town) as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NOTE: This certificate of registration must be signed by the holder of the license if said license was granted prior to July 1,1936, Otherwise by the owner or occupant of the land licensed. I ~-� rf�v��C� Receiv1...J..2018.... ...................... ........................................ Signature) By ......... ... ..... ` Fre��:>�ti.�.�;.Qw�?e,� (Official Tie (Clerk) (State whether owner,occupant or holder) (Address) Department of Fire Services 1v`• Office of the State Fire Marshall P.O.Box 1025,State Road,Stow,MA 01775 REGISTRATION North Andover, April 30,2018 (City or Town) (Date) This is to certify that Global Montello Group Corp. has, in accordance with the provisions of Chapter 148, Section 13, of the General Laws, filed with me a certificate of registration setting forth that: Global Montello Group Corp. is the holder of the license granted(Date) for the lawful use of the building(s)or other structure(s)situated or to be situated at: 350 Winthrop Avenue as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF F MABLES OR EXPLOSIVES. (Signature and Official Title) erk Note:A certificate of registration must be filed on or before April 30'of each year. (THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES.) EXPIRES APRIL 30,2019 sDepartment of Fire Services Office of the State Fire Marshal P.O.Box 1025,State Road,Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30, 2017 (City or Town) (Date) NOTE:Complete top and bottom of form and forward both sections and fee to local Licensing Authority(City or Town Clerk). DO NOT RETURN FORM TO THE DEPARTMENT OF FIRE SERVICES. In accordance with the provisions of Chapter 148, Section 13,of the General Laws,the undersigned hereby certifies that: (TITLE HOLDER): Global Montello Group Corp. (ADDRESS): c/o ESC Eclipse 705-A Lakeview Plaza Blvd Worthington,OH 43085 is the holder of the license granted(Date): for the lawful use of the building(s) or other structure(s)situated or to be situated at (ADDRESS): 350 Winthrop Avenue NORTH ANDOVER, MA 01845 (City or Town) as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NOTE: This certificate of registration must be signed by the holder of the license if said license was granted prior to July 1,1936, Otherwise by the owner or occupant of the land licensed. Received ...........................2017......... ' . . i�n at e By ....................................... 4 .Reg � . a f.X..0. .............. (Official Title) (Clerk) (State whether owner,occupant or holder) -NSA lo�I y%q.kM 6I�. ,}r�r.}I;�r��rl o►�06 .. ... .. .. (Address) Department of Fire Services Office of the State Fire Marshall jbV �^orb P.O.Box 1025, State Road,Stow,MA 01775 hit REGISTRATION North Andover, April 30, 2017 (City or Town) (Date) This is to certify that Global Montello Group Corp. has, in accordance with the provisions of Chapter 148, Section 13, of the General Laws, filed with me a certificate of registration setting forth that: Global Montello Group Corp. is the holder of the license granted(Date) for the lawful use of the building(s)or other structure(s)situated or to be situated at: 350 Winthrop Avenue as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. ( ignature and Official Title) Clerk Note:A certificate of registration must be filed on or before April 30'of each year. (THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES.) EXPIRES APRIL 30,2018 4 �d� � Qoci 3• Department of Fire Services a° Office of the State Fire Marshal FM ae. P.0. Ilov 1025. State Road,scow,MA 01771 CERTIFICATE OF REGISTRATION North Andover April 30,2016 (Ca,nr To'nl tDm" NOTE:Complete top and honnm of loon and forward both sections and fee m local Licensing Amhoriq(C'IIy or l own clerk). DO NOT RETURN FORM TO THE DEPARTMENT OF FIRE SERVICES. In accordance with the provisions of Chapter 148.Section 13.of the General Laws,the undersigned hereby certifies that: fTITLE H0LDCR1: Global Mora llo Group Corp. (ADDRLSS) c:o FSC Felipse 705-A I A11111 I'Wo nlcd µnnhmghm l 1 i 4IIM< is the holder of the license granted (Date): for the lawful use of the building(s) or other structure(s) situated or to be situated at (ADDRESS): 350 Winthrop Avenue NORTH ANDOVER.MA 01845 tC'ul orm..n) as related to the KEEPING. STORAGE, MANUFACTURE OR SALE OF FI.AMMARLES OR EXPLOSIVES. VOI'1:: 'this certificate of registration must he signed by the holder of the license if said license was granted prior to July 1,1936, Otherwise by the owner or occupant of the land licensed. Bee 1 h1e. ... rv� m (Si oat el ny - �U AUha1 �r� P4 QsIyI1N?..�m20wnef�....... I(11Fcivl Ilrle) .(('Irk) (Stem.,healer Donee occupam ur hnlde0 (Addre,o `� hrt7Ra-GGfa o� �aoaac,�iuo.�l,� s s�� n s. Department of Fire Services Office of the State Fire Marshall {e I'.O. Box 1025.State Road.SIGH MA 01775 REGISTRATION North Andover, April 30,2016 Was or lol line) "this is to certify that Global Moutello Group Corp. has. in accordance with the provisions()['Chapter 149, Section 13, of the General Laws, filed will me a certificate of registration setting forth that: Global Monello Group Corp. is the holder of license granted(Date) for the lawful use of the building(s)or other structurc(s)situated or to be situated at 350 Winthrop Avenue as related to the KEEPING. STORAGE, MAN FACT FT RE: OR SALE OF AI3 LIES GIfR Vx P.LOSI V L.S. a"nl and otreial ❑t I Clerk We A,erW!Gne or rer"Malun molt be Glad an ur before V,ad 30° ,fcach you. (THIS REGISTRATION MUST HE CONSPICUOUSLY POSTED ON THE PREMISES.) EXPIRES APRIL 30,2017 WORKERS COMPENSATION AND EMPLOYERS LIABILITY q' ,Liberty Mutual. INSURANCE POLICY L�XT'N NSU NANCE INFORMATION PAGE ns a<aeNy st...t aoamn,mnaala Issued by Liberty Insurance Corporation (a stock company) 21814 Policy Number WA7-69D-460066-015 Issuing Office Lewiston, ME Renewal Of WA7-69D-460066-014 Issue Date 1 011 5/2 01 5 Account Number 9-460066 Sub Account 0000 1. Insured and Mailing Address FEIN 74-3140887 Global Partners,LP NJ TIN 141924242000 800 South Street, Suite 500 Risk ID 911385333 PO Box 9161 WALTZ]AM MA 02453 Status Limited Partnership Other workplaces not shown above:See Item 4.Premium-Extension of Information Page 2. Policy Period: The policy period is from 1010112015 to 10/01/2016 12:01 A.M. standard time at the Insured's mailing address. 3. Coverage A. Workers Compensation Insurance'. Part One of the policy applies to the Workers Compensation Law of the states listed here: CT FI.CA IA ME MD MA MT NH NJ NY NC OR PA RI TX VT VA B. Employers Liability Insurance: Part Two of the policy applies to work in each stale listed in Item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident $ 1,000 000 each accident Bodily Injury by Disease $ 1,000,000 policy limit Bodily Injury by Disease $ 1,000,000 each employee C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: All States except those listed in Item 3.A and the States of: NO ON WA WY D. This policy includes these endorsements and schedules: See Item 3. Coverage D-Extension of Information Page 4. Premium: The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. Classifications Code Premium Basis Total Rate per$100 Estimated Annual _ Number Estimated Annual Remuneration _. of Remuneration Premium _ See Extension of Information Page Minimum Premium $1,771 (PA) Total Estimated Annual Premium $ 1,047,289 Premium will be billed Annual Deposit Premium $ 1,047,289 Deposit Tax/Surcharge/Assessment $ 106,089 Producer 0002 000499 Countersigned by Authorized Rep. (FL) LOCKTON COMPANIES LI C(DALLAS SERIES) 2100 ROSS AVE STE 1400 ; DALLAS TX 752016706 I Producer MASTERS 8828 Irving,TX 1 I WC 00 00 01 A ©1987 National Council on Compensation Insurance,Inc. WC 00 00 01 B (CA) f Ed,0710112011 All Rights Reserved Page I of 1 The Commonwealth of Massachusetts l Department of Industrial Accidents I Congress Street,Suite 100 Boston, MA 02114-2017 rvo,m mss.gov/dirt Werkers'Compensation Insurance Affidavit:General Businesses. '1'0 BE FILED WITH OUR PERMITTING All 14101111'V. Applicant Information Please Print Legibly Business/Organization Name: Global Partners LP its affiliates and subsidiaries Address:800 South Street City/State/Zip:Waltham, MA 02454 _ Phone #:781-398-4032 Are you an employer?Check the appropriate box: Business Type(required): I.❑✓ I an a employer with 3000 employees(fill]and/ 5. ❑Rclad or pa-lime).* 6. ❑Restaumnt.Qlar!F.aling Eslablislmient 2.❑ 1 our a sole proprietor or partnership and have no 7 ❑pence and/or Sales(Inel,real estatc,auto,etc.) employees working for me in any capacity. [No workers' comp. insurance required K ❑Non-profit 3.❑ We are a cut Potation and its officers have exercised 9. ❑ Pntertainment their right of exemption per c- 152,§1(4),and we have 10.❑ Manufacturing no employees. [No workers'comp, insurance requiredf 4.❑ We are anon-profit organirati on,star fled by volunteers, II.❑lleallh('arc with no employees. [No workers' romp. insurance req.i 12.❑ Other *Any.pplicont that Linvu,ho,#I most also rill out the sictiou velowiho,airtl - k c Ire . r p hey f Ron. "9fthe corporate oncers have exempted the,uelves,hen as cor,es uhaz<the, ploYccs,a workers compenxa(on potey is ne,hd and such all o"eni'ut,w should check brx#I. I ant an employer ilea/is provie ing workers'compenmdion insurance jor n+y enployeec. Below is lbe policy infurmadon. Insurance Company Nance:.Liberty Mutual Insurance Company Insurers Address: 175 Berkeley Street City/Sbde/Zip: Boston, MA 02116 Policy 9 or Self ins.Lie.#WA7-69D.460066-15 Expiration Date: 10-1-16 Attach a copy of the workers'compensation policv declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of M(iL e. I52 can lead to the imposition of eriadnea penalties of u fine up to$1,500.00 and/or one-year imprisennnenl,as well as civil penalties in the form of a STOP WORK ORDER and a tire of up to S250.00 c day against the violator. In,advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. ' i I do hereby ee,7,under the pait+.s nn penalties al-perjury that the infurmntion provided above is true rear]correct. b'iellatore: llf D,t %l PhoneP' -7K/ i L 3_) Ofjfcial use only. Do not write in(his area,to be completed by city or town ofJlelal. City to- _ _ Per mit/License# Issuing Authority(circle one): I.Board of Health 2.Building Department 3.Cilyffown Clerk 4. Licensing Board 5.Selectmen's Office 6.Other Contact Person: Phone#: { ,e,v,e n,n,, vhlin f J 4 -67ncd�, uW LXla( 3 Department of Fire Services s: Office of the State Fire Marshal P.O-Do, 1025, State Road_Shr,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30, 2015 oc loor imon) Dere) NOTE:C'omploe top and honor,of form and no,ard both Sratio.,and lee to local I.iecnsing Aelhonp (Clly or I own Clerk). DO NOT REI URN FORM TO III DEPARTMENT OF FIRE SERVICES. In accordance with the provisions ofChapter 148, Section 13, of General Laws,the undersigned hereby certifies that: (IITLE HOLDER): Global Monello Group Corp. (ADDRESS): c/o ESC Gdipse 705 A 1 okeriew plain 310 N'nnhlncton,0I1430o is the holder of the license granted (Date): for the lawful use of the building(s)or other structure(s) situated or to be situated at (ADDRESS): 350 Winthrop Avenue NORTII ANDOVER, MA 01845 (oly nt roe„u as related to the KEEPING, S I ORAGR,MANl IURE OR SALT;OF FLAMMABLES OIL EXPLOSIVES. Nol i-: This certificate of registration must be signed by the holder of the license if said license was granted prior to July 1,1936, Qtherwise by the owner or occupant of the land licensed. i Rccuve / is �_,J/ 2015_._.... .. ...... tone Irne) G 'I By L ..t.k P J e t (L� e . � . !�.w.�^cr� ax5 i�6'-. tet ousaS' (Cl,ik) fall luhaowne "'carat or holder) b 7-.5.-.2 (Address) The Commonwealth of Massachusetts IF Department of TnduslrialAcciderlis Office of Investigations 600 Wus'hington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: General Businesses Applicant information Please Print Legibly Business/Organization Namc:-&lo e��►�.�MoCY1n't�C�.kl D�7YDU�.01�-. — Address:_�Q_So cct Sszt�C•>.ut� - City/State/aip:_W affba_Y_q,M_A QaKS'z_- Pnwteii: �$1 'fS - - - - - Basing T >e re nimd Areyyu nn employer?Cheek the appropriate box: 7R YI ( 9 ) LryJ/ S. ( Retail I I am a employer with0 euploycas(full and/ or part-time).* 6. ❑RestauranURar/Bating Establishment 2.❑ I ant a sole proprietor m partnership and have no 7 ❑Or[co and/a,Sales (mel.real estate,mars,etc,) employees working forme in any capacity_ S. ❑Non-proGi [No workers'comp.insurance required] 3.❑ We area corporation and its ofLcers have exercised 9. ❑Lnwrmi:unent their rightofcxemption per c. 152, §I(4),and we have 10 L,I Manufacturing an employees. [No workers' comp. insurance required]" 1I_❑ Health Care 4.❑ We are a non-profit organization,staffed by volunteers, with no employees [No workers'comp, insurance omi j 12.❑ Other � Y , nl :cM1coks le ov",ex, mar t! itl _ C bl ':I g11 k ' i r pl' y f II[Ii eoryumle nR"cers o,Pled n,m: les,noa,o cc rye, (o Ias,rl e pY-,s,nworke I'�'�arn,Pnl cY s re9u .1'nd mh un onaniration sboald check box,",I. 1 am of enrploe,rdiat is providi ngwoork'ers'coyorpeen�sa�fimt imvaroo,ee for �my�employees. Belvip is ILe policy infnnnatiwr uranc . Inse Company N ''r ame:_ �[t�,r '" I Ylt[jSA�thSUY(AN_4(:C.-ldn-RPCON -- - -- - lnsurer's Address:_[_fs_&"t� slYCGI_.. -- - City/Statdzip:_&'hnt -rrr Gala- Policy EY,or Self his.T.ia.4__16,VA4- lQq1XAoDDW QH— _13xph'ation Date:_'-P__ Attach o copy of the workers' rou pensation policy thelaratiui page(showing the policy rum bet and expiration(late). Gailute to secure coverage as required under Section 25A of MG],a 152 can lead to the imposition of criminal penalties oft tine np to$1,500.00 and/or one-year imp somnent,as well as civil penalties in the four of e SLOP WORK ORDLR and a foe ofup to$250.00 a day agahrst the violator. Rc advised that a copy of thisstamin nt may be forwarded w the Office of Tnvestigations of the DIA Cur insurance coverage.verifwatiun. _ Jdv hereb,V ce ,order lire p 'us mu! 7]dfies of peryurp that fhe iajnrnartivrzprvvided aLnve ry fine nad rorvacl. S@nalw e: lol `l 8 I - OJficinl uve rnor. Iry nvf rvrile in lhiv area,br he evnrplefcr!fiy ri[I'yr Ivrvn rJNcin( - Cityorl'own: L [su Board oing thorlty(eircicare): l'llealtlr 2. 13nildingllepmtmmrt 3. Cityffnwn Chic 4.l.icensing Board S.Seleetm en'x Ofrree 6.Other Contact Person: Plonk fi: wwu.in sego,/din —_ WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY Liberty Mutual. uk INSURANCE INFORMATION PAGE ns Berkeley Street ureter,MA 02116 Issued by Liberty Insurance Corporation (a stock company) 21814 Policy Number WA7-69D-460066-014 Issuing Office Lewiston, ME Renewal Of WA7-69D-460066-013 Issue Dale 1020/2014 Account Number 9-460066 Sub Account 0000 1. Insured and Mailing Address FEIN 74-3140887 Global Partners, LP 800 South Street NJ I IN 141924242000 PO Box 9161 Risk ID 911385333 WALTHAM MA 02453 Status Limited Partnership Other workplaces not shown above:See Item 4. Premium - Extension of Information Page 2. Policy Period: I he policy period is from 10/01/2014 to 10/01/2015 12:01 A.M. standard time at the Insured's mailing address. 3. Coverage A. Workers Compensation Insurance:Part One of the policy applies to the Workers Compensation Law of the ' states listed here: CT FL GA ME MA MT NH NJ NY OR PA RI TX VT VA B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in Item S.A. The j limits of our liability under Part Two are: Bodily Injury by Accident $ 1,000,000 each accident ff Bodily Injury by Disease $ 1,000,000 policy limit I Bodily Injury by Disease $ 1,000,000 each employee C. Other States Insurance:Part Three of the policy applies to the states, if any, listed here: All States except those listed in Item 3.A and the States of ND OR WA WY D. This policy includes these endorsements and schedules: Soo Item 3. Coverage D -Extension of Information Page 4. Premium: The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and ; Rating Plans. All information required below is subject to verification and change by audit. Classifications Code Premium Basis Total Rate per$100 Estimated Annual Number Estimated Annual Remuneration of Remuneration Premium _ See Extension of Information Page Minimum Premium $1,835 (PA) Total Estimated Annual Premium $ 688,867 Premium will be billed Annual Deposit Premium $ 681 Deposit Tax/Surcharge/Assessment $ 31,084 Producer 0002 000499 Countersigned by Authorized Rep. (FL) LOCKTON COMPANIES LLC(DAI I.AS SERIES) 2100 ROSS AVE STE 1400 DALLAS TX 75201 i Producer MASTERS 8828 Ning,TX I WC 00 00 01 A ©1981 National Council on Compensation Insurance,Inc. WC 00 00 01 B (CA)NJ) Ed.07/01/2011 All Rights Reserved Page t of 1 t eclipse 105A_dkdmew Pla Blvd WMdlogtd, OH 43C85 B,"3 0P0 mrw.xSecLPse wm April 17, 2015 North Andover Town Clerk 120 Main Street North Andover, MA 01845 RE: FPS Certificate of Registration Renewals—Global Montello Group Corp. 350 Winthrop Avenue 12 Massachusetts Avenue To Whom It May Concern, Eclipse, a Division of ECS Inc. is an environmental and compliance consulting firm retained by Global Montello Group Corp. to assist with their storage tank compliance program. In this role, I am writing to renew FPS Certificate of Registration for the above-referenced facilities. Please find enclosed the documentation needed to perform the renewals, as follows: 1. 2 Certificate of Registration Renewal Applications 2. Worker's Comp Form 3. Remittance in the amount of$300.00—Check#606744 Our client requests that the new permits and future renewals be sent to my office at the address below for processing and distributing to the sites. Global Montello Group Corp. C/o ECS Eclipse 705-A Lakeview Plaza Blvd. Worthington, OR 43085 Thank you for your assistance. If you have any questions or need any further information, please feel free to contact me at 614-433-0170. Sincerely, Eclipse, as Division of ECS, Inc. Sarah Beaumont Compliance Analyst Enclosures The petroleum industry leader for compliance and fuel management, eclipse 7MA I-evew Plaza clad Nb..h..... off"oi& Ifi14)4aa 01]0 Septemhel-1,2014 North Andover Town Clerk 120 Main Street North Andover, MA 01845 RE: Change of owner contact information Global Montello Group Corp.and Alliance Energy LLC To Whom It May Concern: Eclipse,a Division ofECS, Inc. is an environmental and compliance consulting firm that has been retained by Alliance Energy LLC and Global Montello Group Corp.to assist with the pennining management component of their storage tank compliance program. Our client has requested that effective September 1 2014, invoices, pert ls, registrations,etc. related to their storage tank systems and compliance be sent to their attention at om'ottice address,as follows: Ann: Global Montello Group Corp: C/o ECS Eclipse 705-A Lakeview Plaza Blvd Worthington,Oil 43085 In the role of compliance consultant, I am writing to request that your agency update the contact information for the facilities listed below,to the contact information identified above,so that any future invoices,permits, registrations,etc. are sent by your agency to us,for processing on behalf of our client. a •street address,City/State 12 M 12 Massachusetts Avenue,North Andover, MA 01845 350 Winthrop Avenue,North Andover, MA 01845 Thank you for your assistance with this matter. In the event that this letter alone will not suffice as adequate documentation for your agency to make these changes, please notify me by email fn%azmierez<�k mecaecl se.conr)or contact a member of our Eclipse staff at b 14-433-0170 so that we can provide you with anything needed to make this change. Sincerely, Eclipse,a Division of ECS,Inc �li " , V / V � Megan Kaarnieremis Manager of Compliance Services sli3snN�Yss�t N3AOONY Nl j0 NMOi 86 :I I NV L I AS§18Z 3D!ajc S'"2 . 03A1303 , The petroleum Industry wder for complla nce and fuel management. w11 3 o°D) Department of Fire Services Office of the State Fire Marshal P.O_Be, 1025, Solle Rood.Stem, MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30, 2014 C'ip-ur T°er) (Dam) NOTE: Complete lop mid bouam of form and I ...ard hmh s'ectinns and ra-m local I_i<ensiop Awfi rid, or it, ur 1'ossn C'Icrky DO NOT REI URN FORM TO'I'[IF DEPAR'IMFN'I'OF FIRE SERVICES In accordance with the provisions of Chapter 148, Section 13, of General Laws, the undersigned hereby certifies than (TI'[IT I[OLDER): Global Montcllo Group Corp. (ADDRESS): c/n Gilbarco Viceder-RootCMS, 7300 W Frievds A,c MS 176,Grcrnsbom,NC 27430 is the holder of the license granted (Date): for the lawful use of the bur lding(S) o1-other Stroctare(S)Situated or to be situated at (ADDRESS): 350 Winthrop Avenue NORTH ANDOVLR, MA 0 184 5 (ufr arr�,�n as related to the KEEPING, STORAGE, MAN UFACIURE OR SALE OF FLAMMAHLES OR EXPLOSIVES. NO E I his certificate of registration must be signed by the holder afthe license if said license was grant?grant?d prior to July ],1936, Otherwise by the owner or aceupant of the lima licensed. " Received ..(.,�,r�ie / . J^- 2014. ' ,.. .gym�.nemer�weer _ . . C/o Gilbarco Veeder- Ir' s oni,,,al ud.9 ruc,t) Root .�. ...... ARn: CMS-Permitting OLOaP"n1°`1,°1dr" 7300 W Friendly Ave, MS F-76 .............................................Greensboro, NC 27420-2087 rnddre,v) -'e of , I� r -p_t`.rii pld , ,flY v t7D 1 p!E L IS�z$'r Irrrr v IrSUP.ufa CE . 9]5 BFi I:cry cYxc[ 5es'mry ppfl GZSt 5 Issued byL@crfy Insuranc4 CorpCrztion ja sicck company) 2131 1 PDCcy blumber 1P/A7-69D-4 3 0 0 66-01 3 !suing Otace Lewiston, ME I2GRevJal Of VVP7-69D 46006C-012 Issue Core 111010013 .,^account plumber 9-4600E6 Sub Account Film 1. insured and Mailing Address G FEN 74-31 40 8 87 Global Partners, LP 800 South Street NJ TIN 141 92424 2 0 0 0 P.D. Cox 9161 Risk IN 9113li WACfHAIM MA 02453 Status Limited Partnership Other workplaces not shown above:See Item 4. Premium-Extension of lnfommm-tlon Page. 2_ Policy Period: The policy period is from M01I2013 to 10/01/2014 12.01 A_M- stareald i.me at the insured'a ITlaillus address. 3, Coverage A. Worker-: Compensation Incurauce: i.,rt One of the poi:<:y epp!!es fO the Wolkers Cl penea`ion i aw'Df the al-ce listed sere. CT FL ME MA ST NIi NJ NY OR PA RI TX VIVA B. Emptoysrs ❑abili'ry Insurance: Part Two of the policy apples i0 wort 1n each safe listed in item 3A The limi s of our liability undar Part Two are: Beaty Injury by Accident $ i3OD0,000 csch,clodarrt Bodily Injury by Disease $ 1,OOg000 policy limit Bodily Injury by Disease $ 1,000,000 eachempbyce C. Other States Insurance Part Three.of the policy applies tc the states, if any, listed here: All States except those Ilsaed in Item 3.A and the Sates of: ND Off vVA WY D. This policy Includes These andorsemenis and schedules[ See Item 3,.Coverage D-FNETsion of Information Page 4. Premium: The pienlum for this poiicywnl be deuenmined by our Manuals of Rules, Classifica0ons, Rates and Doing Plans. All'mo nation required.below Is subject to vaipsanen and change by a-cit. Classifications Code Premium Basis Total Rate per$100 Esiimafed Anneal Number Es'Jrmatnd Annual Rem_ uneration of Remunam5on_ F!'emiuut See Extension at Information Page - Minlmmn Fremlum $1.818 (PA) -total Es mated Annual Premium S 591,163 Premium will be billed Annual D2?o d Premium $ 3 fJeposit Ta;JSumhalge/Assessment $ 20 2g.49<96 Producer 0002 000499 Countersl9ned by Authonzed Rep. �19 LOCK I'ON COMPANIES ITS(DAI_LP.S SERIES) 717 N HARWOOD STE 2800 �1 DALLAS 7X 75201 producer MASTERS 8823 ruing, TX 111'c PO0001 s1 °871:ac IGo n - or Ce -e �n l'. !nc. COOr✓] r13 - Vr,) Ed u XV2011 The Commonavealth of Massachusetts Deparnnent oflndustrialAcciefents Office of Investigations 1 Congress Street,Suite 100 Boston,MA 0211 A-2017 www.ntass.gov/dia Workers' Compensation Insurance Affidavit: General Businesses Applicant Information Please Print L c ibll Business/Organization Name:Global Partners, LP Address:800 South Street, PO Box 9161 ' City/State/Zip:Waltham,MA 02453 _ phone fl:(781)674-7780 Are you an employer? Check the appropriate boJ�eqhired]-* Business Type(required): I.❑� 1 am a employer with '1,100 employees 5. ❑� Retail or part-tune)* 6. ❑ Restamarb Bar/Eating Establishment ?❑ I am a sole proprietor or partnership and have7 ❑ Office and/or Sales(ineL real estate, auto,etc employees asking forme in any capacity. ) iNo workers' comp. insurance requited) 8. Non 3.❑ We are a corporation and its officers have ex9. ❑Entertainment their right of exemption per c. 152, §1(4),and10.❑ Manufacturing no employees. [No workers' comp. in - 4.❑ ll.❑Health Care We are a non-profit Organisation, staffed by volunteers with no employees. (No workers' comp. insurance req.i 12.❑ Other 'My appllcantarat chec6s box ql must also fill out the seotiou below showing thdr wmAen'mmpensetlon pofiq iGonnazioe "If Ne wryorateoHicere have exempteA themsclaes,but the mryom�ov has other employees,a workers'mmprnsauon pvliry is required and mi:h an orgenirafion should check box kl I am an employer that is providing workers'compensation insurance for my employees. Below is the policy information. Insurance Company Name: Liberty Insurance Corporation Insurer's Address:717 N Harwood, Suite 2500 City/State/Zip: Dallas,TX 75201 Policy°or Selfins. Iic. ° WA7-69D-460066-13 Ezprzation Date_]0/01/2014 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A ofMGL a 152 can lead to the imposition of criminal penalties of a fine up to$1,500,00 and/or one-)ear imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido hereby certijly,under the p 'e dgjena ies ofperjury that Ore information provided above is true and correct \..' . Date: Phones: 800 253-8054 EE only. Do not xvite in this area,to be completer)by city or loan official. n: - Permit/License khority(circle one): Elealth 2.Building Department 3. Citv/Town Clerk 4.Licensing Board 5.Selectmen's Office son: _ Phinek: yJct Department of Fire Services N Office of the State Fire Marshal P_O_Dos 1025.State Road.St., MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30, 2013 (C,tynr1.,0) male) NOTE: Complete top and bottom of lone mW forward both sections sent fee to local I.iceesing Aulhoet, (City or'fosw C'Ierk). DO NOT RETURN FORM TO I HE DEPARTMENJ OF FIRE SERVICES. In accordant;with the provisions of Chapter 148, Section 13, of the General Laws,the undersigned hereby certifies that: 0[ILE I IOLDER): Global Montello Group Corp. (ADDRESS). c/o Gilbarco Veeder-Root CMS, 7300 W.Fr godly Avc.,MS 16 Gacnabnm_NC 21120 is the holder of the license granted(Date): for the lawful use of the building(s)or other structure(s) situated or to be situated at (ADDRESS): 350 Winthrop Avenue NORTH ANDOVER, MA 01845 (City ermwro as related to the KEEPING, STORAGE, MANUFACTURE OR SALE Of FLAMMABLES OR EXPLOSIVES, NOTE 1 his certificate of registration must be signed by the holder of the license if said license was granted prior to Julv I,1936, Otherwise by the owner or occupant of the land licensed. ) Received / '� �._._2013.._..... ._.Lf�t�1-F._. . �✓/(� .2t v_!_-_.. tsy .. l1 rrl< uC4UTHORIZEA.AMT... ( (Official fide) (Clerk) (Stet,x h,E.mvncr,occupam or holder) GILBARGO VEEDER-ROOT _._.......7300 W. FR"DLYAVE: rsn glmgke nno-r _ TOWN OF NORTH ANDOVER OFFICE OF THE TOWN CLERK 120 MAIN STREET NORTH ANDOVER, MASSACHUSETTS 01845 Joyce A. Bradshaw,CMMC Telephone(978)688-9501 Town Clerk Fax (978)688-9556 e E-mail ibradshawr&,tuwnufnnrthandoveecum TO: All License Holders— Proof of Workers' Compensation 2013 Included in the renewal package for 2013 is the attached form which must be completed and returned with your renewal of the Underground Storage Tank Certificate of Registration. Massachusetts General Law Chapter 152 Section 25A requires that all employers conducting business in the Commonwealth of Massachusetts must carry a valid workers' compensation policy at all times. Proof of this coverage will be verified with the insurance carrier directly or the Department of Industrial Accidents (DIA), Office of Insurance at 800-323-3249. The Office of the 'town Clerk will retain a copy of the enclosed Workers' Compensation Affidavit. If you have any changes in your insurance carrier or have any questions please contact our office at (978)688-9501. Please return the completed form with your license mnewal to "Down Clerk's Office, 120 Main Street, North Andover, MA 01845. We appreciate your assistance and cooperation. Sincerely, l% .fovice A. Bradshaw, "town Clerk The Commonwealth oj'Massachusetts Print Form Department oj7ndustrial Accidents Office of Investigations cam. I Congress Street, Suite 100 4 Roston, 41A 02114-2017 t www.mass.gov/dia Workers' Compensation insurance Affidavit: General Businesses Applicant Information Please Print Leeibly Business/Organization Name: Global Montello Group Corp,Global Companies,LLC,Global GP LLC Address: 800 South Street; PO Box 9161 City/State/Zip: Waltham MA 02454 phone #: 781-674-7780 Are you an employer' Check the appropriate box: Business Type(required): 1.0 tam a employer with_",too employees (full and/ S. 0 Retail or part-time).' 6. ❑ RestauranUBar/Foling Establishment 2.❑ I am a sole proprietor or partnership and have no 7 ❑ Office an(Vor Sales(iticl. real estate,auto, etc_) employees working for me in any capacity. [No workers' comp. insurance required] 8. ❑ Non-profit 3.❑ We are a corporation and its officers have exercised 9. ❑ Entertainment their right of exemption per c. 152,§1(4). and we have 10.❑ Manufacturing no employees. [No workers' comp. insurance required]* 11 ❑ Health Care 4.❑ We are a non organization,staffed by vnluntcers. with no employees. [No workers' cot p. insurance req.] 121:1 Other 'Any applicant That cLccks box 41 must also fill out the seaioa belue showThg thch w.fl,r.compensation police inrortnation. "tfen,cntporme ottkers have exempad Themuh'es,bar The wrporavon It.other employe..,a workrn'eompensetion policy is required and suds mt oreanivation should check box dl, l mn an employer that is providing workers'compensation insurance for mp employees. Below is the policy information. Insurance Company Name: Liberty Insurance Corporation Insurer's Address: 717 N. HARWOOD, LB#27 City/Statc/7ip: _DALLAS TX 75201 Policy n or Self-ins. I.ic.n WA7-69D-460066-012 _- Expiration Date: 10/1/2013 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Scction 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification, t do hereby c 1i ,, under filell ins and�nalties ofperjury anal the information provided above is true and correct. Signature: ?I r s' r! U Date: 2/26/2013 Phone#: 800-253-8054 Official use only. Do not write in this area,to he completed hr city or town offciaL City,or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3. CitylTown Clerk 4. Licensing Board S. Selectmen's Office 6. Other Contact Person: Phone#: os,.,n envm� ACORD- CERTIFICATE OF LIABILITY INSURANCE ATE MM,00r,YYY _ ID/LH Ol3 226/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AN. TE CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS CERTIFICATE DOES NOT AFFIRMATIVELYQ'INSURNAN OR NEGATIVELY AMEND,EXTEND TR ALTER THE COVERAGE AFFORDED IS THE POLICIES BELOW. THIS CERTIFICATE C INSURANCE DOES NOT CONSTITUTE A CONIIiHCT 9ETW EEN THE ISSUING INSURER 51,AUTHORIZED REPRESENTATIVE OR PRODUCER.AND THE CERTIFICATE NOLOF0.. IMPORTANT:IIH He cerear,de holder A an ADDITIONAL INSURED,IM1e po IN-yisof must Le endorsed. Ir SUDROGATION IS WAIVED,xNo.AA To Ne lean.and xon014ons 01 We y NNA,E cetla Ir pAhAi-a may require an entlorsemenl. A Moval H on Has Yarahr le Eoes not comeNrgr.to Ne c¢tllneale holder m ren o1 such eoaorsememxl. PRODUCER LOCATOR COMPANIES LLCN DALLASNAM^ ]P N.PAR WOOD X7 ,Lep27 E _ r'1L Be: DALLAS T5201 QNN Ea. 1 214-969-6100 INSURE s R IN C V NAIO• INONE.RA Liberty lRsvrxacx Comaraton, 42404 IrvsoHED ONbel MonteTC Curp -- 1353083 GlobalComvant" IPq AIYiRnce Eaelgyle Global GP LLC INSURER C 800 SDJIP Street PO Box 9161 INSURER D. _ Waltham MA C2454 INSURER E _ I wsunrRE -. COVERAGES(iLOPA04 CERTIFICATE NUMBER: 12209363 II REVISION NUMBER: XXXXXXX UP IS TO SEHHFY IHAi THE POLICIES UI IEMENT TERM LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERI00 INDICA T ED.NOTWITHSTANDING ANY REOUIREMLN E rERM ON CONUI ION OF ANY COBL RAOT OR OTHER DOCUMENT WAIT RFSPFCT TO WHICH THIS CERI IFIGATE MAV BE I$$UED OR MAY PERTAIN.LITE INSURANCE AFFOROFD BY THE POLICIES DESCRIBED HEREIN IS SVBIEGT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAV HAVE BEEN REDUCED BY PAID CLAIMS. UT aMNTc ITT OF IrvsuPANLE cYAMP MACY °RE DR GENERAL EACHP'PRENCE XXXXXXX T—MUR. vor APmTcnnu "MDANLTY SEN —,,Jr. s XXXXXXX usMADE❑ CLUR raw XXXXXXX PERSONAL e ADV INJURY $ XXXXXXX GETERNLAoePEGkE sXXXXXXX NL AOGRFwrE LIMIT AP 'S crs-JU P A FRED MP A. s XXXXXXX 0 ��= b roue ALIT°NOBlle uaerury — CvAUYJAR elEUMIT a XXXXXXX NUT'APPLI 'FITT BODILY INJURY POP puxnn) $ XXXXXXX "ui°os'"I`a unT�J-L' oDILV IwURvryc¢miJs�l s XXXXXXX HIREOAYIOS NONOWNEO �Roa�T-OALIAD ALTERXXXXXX I.BRRENME, 8 - CH OL[.UHHENLE $ XXXXXXX Fxcrss uAB _ NOT APPucnau" AGGREGATE s XXXXXXX culMuu RED ETENHDNs A 2rvoEMv60A ugeNn YIN IX AVA]fi9D-0600E6012 10'1^Jld 1011COIB X lOvv iliilI III _ O u1 ED I '"L N� ry R a LOW.000 _ DHD.DDR Ia.,,anon n NE, I CA Efr IIorovvxA�ousu.w. 1,BHD DDD sLRIPTION OF WERATIONSILOCArpNSI VEHICLES IIAttacp gCORO tOy AJJinonal PemaMx SCAmwe,Il more spaai repmreJ, CERTIFICATE HOLDER CANCELLATION sHW LD ANY OI III ACTIVE DESCmRE N PoULIES Rf'ANLELLED REFURE THE FARTUATPON LATE E SUITS WIT BE Al IVERED IN ACCDRDANN EWITH THE wucYPROV19oNs. 12209363 rnoRlrFD RePRESENTATrvE Gilbamo VeNder-Root 7300 W.Yr Artily Ave. Greensboro NC 27420 ACORD 25(3010I05) marks -2010 ACORD CORPORATION,All ENNUI reservetl The ACORD name and logo are regis[eretl marks of ACORD ! UZ S1 'TOWN OF NORTH ANDOVER 0171'ICE OF TOWN CLERK 120 MAIN StREET NORTH ANDOVER. MASSACHUSE,TI S 01845 0 Joyce A. Bradshaw u��" �.�� Telephone(978)688A501 Toren('leak I AX t978)688-9557 •'Sqz his Prmail: ibradshaw'a�townofnorthandover.com R 2013 Renewal AP?1 72013 By GVR To All above Ground and Underground Storage ]ank License Holders: Enclosed please find your Registration Renewal Form(s) for above ground and/or underground storage tanks. Renewals arc due April 30's of each year. The fee for renewal is $150 per site. please sign the top portion of the registration loam and return it with the appropriate fee, payable to the Town of North Andover, 120 Main Street, North Andover, MA 01845. The bottom portion is yours to he displayed alone with your license. Also included is the requirement to provide an affidavit showing proof of Workman's Compensation Insurance. Please fill out and return the form to us with your renewal. Your immediate attention in this matter is greatly appreciated. Thank you for your continued cooperation. Please do not hesitate to contact me at the above listed phone number it you have any questions or need additional assistance. Very truly, Joyce Bradshaw Town Clerk Far. The Commonwealth ojMassachusetts _ - - Department ojlndustrial Accidents _ Wire 600 Washington Sued Sosrtorr, ,late 01111 Workers' Corn ensation lesunxe Affidavit-General llusinmes l-LL_ T4— ST?��r L714 'AM arse 1 1A site Itmti I am a role proprietor and have out arse Bnttam Type: U9 Retail❑ReslamaertMar/Fating Establishment ,./wur g inany capacity. ❑Office Sales(including Real Emtq Antos ore.) UV I am au arnpl=with A == Inll t Eart time. ❑Other I on, an employe providing wakes•oompeosatien for my®ployeca waling en thisjob. Pit. H-G,g -c 5 oBZ— Z`11 Ward, 4.St.'PN I 1✓ SI✓1T1� I M ,�-- u A t I am a role proprietor and have hired the independent cootractm listed below who have the following workers' campensauu polices: .dare..: city, .. . ahem or m ear - - .ddrsu P.Wnb.rw....enp rrsgerM mdw 9rtb.73A.fMOM.Inm.had to th.bp..ahw.rerh.hri P..um 0.d.Wb al,Saa.M.dlw .myr..'erPrMvmtr.drebapmRY beb.brm.f.bTOP wOnY ORDER.ed.ea..rfjw.M..Yy.pdrt v. I�Wth.t. e.py.(thY.be®em a,.yb hrw.rddbtb Omm. rtiptbm./Ih.DG bra..tny..eth.tba I d. hereby eatifp a pa' .,lea e t mforr.ti.n prondd.b.rr it rrrw ead cerreet Sigretlme Priori Pt..# .Iflcbl reedy d.rot nritebeW.wr b b.e.epwd bydty.r bw..nuld '.y or bw. prm(UaeeareY �BWWhq D.ynrme ❑.heck alvuoedbb rnpos.e b requVed ❑9eieetmea't OWee �Auhh Department omact pen.. Ph.m M, ❑Orher pev.ed s.µ mml The ConmronwealUr of/Vassuclruseus Print form Depurlinetu of Industrial Accidents Office of Investigations 1 I Congress Street, Suitt,100 Boston, MA 02 114-2 01 7 -,� www.mass.gov/r/ia Workers' Compensation Insurance Affidavit: General Businesses Applicant Information Please Print Legibly Business/Organization Name: GLOBAL GP LLC Address: 800 SOUTH STREET; P 0 BOX 9161 City/State/Zip:-WALTHAM, MA 02454 Phone #: 781-674-7780 Are you an employer.' Check the appropriate box: Business Type(required): I. J❑ I am a employer with >1,100 employees(full and/ 5. ✓❑ Retail urpart-time).* 6. ❑ Restaurant/Bar/Ealing kstablv,hmcnl 2.❑ am a sole proprietor or partnership and haec no 7 ❑ Office and/or Sales (ind, real estate, auto, etc.) employees working for me in any capacity'. (No workers' comp.insurance required) R. ❑ Non-profit 3-❑ We are a corporation and its olTcers have exercised 9. ❑ Entertainment their right ofcxcmption per c. 152, $I(4), and we have ILL❑ Manufacturing no employees. INo workers' comp, insurance iequiredj' L❑ Health Care T[] We are a non-profit organization, staffed by volunteers. with no employers. [No workers' comp, insurance ieq.i 12❑ Other `Any nppfcant that chcckah #I nest alsofill, mhescao,lJ h. dgth , Ikcs coi),ci,gi,Ii policpllornuton. **It themmoralcoffecrs hwcexenpted lhci_ I 1 bet(III 1111INPI.A.11Ihisoihc .rv. II - m,pcnsat t I-v i,'c"ne'lmd,wch:Lit i,,ion chnuld chat be,ill. 1 am an emplaper that is providing markers'compensation insurance far my entplo},ees. Belnro is the puliey infinntatinn. Insurance Company Name Granite State Insurance Company Insurer's Address: 175 Water Street City/State/Zitc - New York, NY 10038 8856 20- Policy ,4 or Self-ins. I-ic.N WC 007- Expiration Date: 10/01/12 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration dale). Failure to secure coverage as required under Section 25A of MG1. c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment.as well as civil penalties in the form of STOP WORK ORDER and a fine ol'up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the OITce of Investigations of DIA for insurance coverage verification. I der hereby certify, un ties of er athat tine information provided abore is true and correct. Si matt Date: 4/18/2012 Phone#: 800-253-8054 - Official use only. Do not write in this area, 10 be completed In city,or town official City or Town: Permit/License# Issuing Authority (circle one): I. Board of health 2. Building Department 3. City/Town Clerk 4. Licensing Board 5. Selectmen's Office 6. Other Contact Person: Phone#: GRANITE STATE INSURANCE COMPANY 0088122-00 WC 007-20-8856 13102 __. ---__ --- ---_ _ _________ 05444-loll-60 GLOBAL GP LTC• C H A R T I S ` 800 SOUTH ST P 0 BOX 9167 WALTHAM, MA 02454-0000 a cna.ue company EXECUTIVE OFFICES: SEE EXTENSION OF ITEM 1 OF THE INFORMATION PAGE - WC990610 175 Water Street New York, NY 10030 IDtl 911385333 LOCKTON COMPANIES LLC r WORKERS COMPENSATION AND EMPLOYERS 2 EMBARCADERO CTR LIABILITY POLICY INFORMATION PAGE # 1700 SAN FRANCISCO CA 4111-0000 INSUREDS P P NVMIILR CORPORATION REV ION REN EWEWOLICY AL 007208856 OTHER WORKPLACES NOT SHOWN ABOVE: SEE EXTENSION OF ITEM 1. OF THE INFORMATION PAGE - WG990610 ITEM 2 PERIOD 12YI A IN POLICY m.ist.rd s '.a um.ame.n..,m. FROM 10/01/11 1. 10/01/12 A. Workers Compensation Insurance'. PXd One of the policy applies to the Workers Compensation Law of the states listed here: CT MA ME NH NJ NY PA RI TX VA VT B. Employers Liability Insurance: Part Two of the policy applies to the work in each slate listed in Item 3 A. Th. limits of our liability made, Part Two are. Bodily Injury by Accident $ 1 .00D 000 each wrmd nl B-1.1y Injury by Disease f 1 .01 Palley limit Bodily Injury by Disease $ 1 000 000 each employee C. Other States Insurance: Part Three of the policy applies to the slates, if any, listed here: AK AL AR AZ CA CO DC DE FL GA HI IA ID IL IN KS KY LA MD MI MN MO MS MT NC NE NM NV OK OR SC SO TN UT WI WV D_ This policy Inclmas mesa endorsements and schedules. SEE EXTENSION OF ITEM 3D. OF THE INFORMATION PAGE - WC990612 mjrrla The premium for this polity will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information required below is subject to veHRcation and change by audit. RaniumCUS RL—RY,l O am l,glious prde Numb, I., Forarenllon 11 i R. R—inm Annual ❑3Yea QX MnnN ❑:f SEE EXTENSION OF ITEM 4. OF THE INFORMATION PAGE- WC7754 TAXES/ASSESSMENTS/SURCHARGES $73,569 EXPENSE CONSTANT(EXCEPT WHERE APPLICABLE eY$TM $338 MA x XIxUM PREMIUM $i o60 PA TOTAL ESTIMATED ANNUAL PREMIUM $461 ,791 Il lnl—IRTMuw.i11"im v1l""irs5,"Emium ss,l mYrle ❑ oi-An-11, ❑ amtxy ❑ MeoOly DEGOXITPREMITM $461 ,791 10/26/11 BOSTON 04 .A f- C4-,— xxve xle nx p nxe Repre-r—i a YyC W W 01A SFC IRYdDuce/ n �e l ¢anen¢ u4e GLf o� G lZao� u�u o e�to i Department of Fire Services Office of the State Fire Marshal P. O. no,s 1025_Stale Road Sk, MA 01775 CERTIFICATE OF REGISTRATION North Andover rely or latt,o NOTE: Complete mp and bottom of farm and forward holh xechnn,and Ice la local Licensine Author DO NOT RETURN FORM TO"1'HE DEPARTMENT OF FIRE S1 II s- U' �ie l.¢rrorrea-n�8eccccn of �I�naaa�iti, e�. Department of Fire Services Office of the State Fire Marshal 4 P.O. Daz 1025,timlu Road.Stott, MA I)1775 CERTIFICATE OF REGISTRATION North Andover April 30,2012 (ell.or rown) (Date) NOTE: Cmndem lop and bottom of Ibm)and fareard both aoetians and fee to heal Licensing Amhorit. (Cil. Io I )n n Clerk). DO NOT RETI:RN FORM 10"HIE DEPA iTNIENT OF FIRE SERVICES. In accordance with the provisions of Chapter 148, Section 13,of the General Laws,the undersigned herebq cerlifcs that (H I LE HOLDER): Global Montello Group Corp. (ADDRESS), clo Gdldarco Veeder-Root CMS, 7100 W.friendly Ate_MS 1 76,(Ireensbmo_NC 27420 is the holder of the license granted(Date)' for the lawful use of the buildings) or other structure(s) situated or to be situated at (ADDRESS): 350 Winthrop Avenue NORI II ANDOVF.R, MA 0 184 5 ICnp or mvip as related to the KEEPING SfORAGF, MANUFACI URE OR SALF OF I LAMMABLES OR EXPI.OSI NOl f Th is certificate of owner or o must t signed b7 the holder of the luense if sa d he to 19�� Otherwise by the owner or occupant of the land licensed. Received [/J)r ✓a <" v013......._ .. ._.......,_ Y7 �� OWNE11"TA&HORIZED AGENT By .._ �(....<.. ., '.,. P-l" �..... ER=RO'OT - (OlLciallidc) (Clerk] ....fStnm Whdh r 7300 W. FRIENDLY AVE, PO BOX 22W7...........I... l�� i.IC onon hIr O7A'lh z S� l _ IDL3 �� 5 LtJ<<9 z Department of Fire Services D o° Office of the State Fire Marshal I'. 0. Buz I025. Nlalc ILraJ,Stow_MA 01975 CERTIFICATE OF REGISTRATION North Andover April 30, 2011 (oryor l osv,p fumo NOTE: r'onlplcte top said bottom of Gmn and fo1'wsrd both eccdom:md lee to laical I.icens ne, Authonq K ig or Town Clerkl. DO IRE TURN FORM'1'0 IT I EDEPARTMENT OF FIRE SERVICES. In accordance with the provisions of Chapter 148, Section 13,of General Laws,the undersigned hereby ccoifies Ihat: (T I'11E I(OLDER): 1 orpor (v--10��( )1/10`41(it a (ADDRESS): c,'o Gilburco Veeder-Koot CMS, 7300 W Fkndlp All s1S 1 76.Uu+ubom.KC'7a20 is the holder of the license granted(Date): for the lawful use at building(s)or other structures)situated or to be situated at (ADDRESS): 350 Winthrop Avenue NORTH ANDOVER, MA 01945 tOp or lbs,p as related to the KEEPING,STORAGE, MANUFACTURE OR SALL OF FLAMMABLES OR EXPLOSIVES. Ntl'I'E: This certificate of registration most be signed by the holder ofthe license ifsaid license was grunted print Io July 1,1936, Olhorwise his the owner or occupant of the land licensed. ...... ._.. . _......... Received .. __.. _. .2011 ..... .. _... ,nor L toill"d Doer trJttk) t GILBARCO VEEDER-ROOT INC I MAILSTOP# F 76 7300 W FRIENDLY AVE jE I PO BOX 22087 tdk( GREENSBOROBORO NO 27420 + << - < Department of Fire Services LL, z Office of the State Fire Marshall P. U. 13oc I03S.Stmu Roud,Stow, MA 01971 REGISTRATION North Andover, April 30,2011 tClty ar'I'wrnl 1Da,,) This is to cut lily that ExxonMobil Oil Corporation has, in accordance kith the provisions ofChapter 148, Section 13, of the General Laws, filed with me a certificate of registration setting forth that: EsxonMobil Oil Corporation is the holder of the license granted (Date) for the lawful use of the hour ing(s)or other structures)situated or to be situated it. 350 W wlhrop Avenue as related to the KEEPING, STORAGE. MANUFACI'URF OR SALF: OF FLAMMAHLFS OR EXPLOSIVES. ........................................ ISxnemre nna oflidnl Tlde, Clerk Note A ccNhnnc a(m6isne(um must be fit J un or hdnm April Jo"'ol end,war ("THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES.) EXPIRES APRIL 30,2012 The Commonwealth of Massachusetts Print Form Department of Industrial Accidents ' Office of Investigations 1 Congress Street,Suite 100 Im Boston,MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: General Businesses Applicant Information //�� /n Please Print Legible Business/Organization Name: AVE Ho l d rn;s C aye / A lllg n LL' to 8/' �( Address:_ 7IU\V W n VMa W -�I/�S City/State/Zip: 4 ( I l6 rh "A Phone#: -f 0 - O-Y — _ � �'O Are you an employer?Check the appropriate box: Business Type(required): 1.X I am a employe) with?/, /0o employees(fall and/ 5. Retail or part-lime).* 6. ❑Restaumnt/Bar/Eating Establishment 2.❑ I am a sole proprietor or partnership and have no ?, ❑Office and/or Sales(met.real estate,auto,etc.) employees working for me in any capacity. [No workers' comp.insurance required] R. ❑ Non-profit 3.❑ We are a corporation and its officers have exercised 9. ❑Entertainment their right of exemption per c. 152,§1(4),and we have 10.❑Manufacturing no employees. [No workers' comp.insurance required]* 4.❑ We are a non-profit organization,staffed by volunteers, I I.❑Health Care with no employees. [No workers'comp. insurance req.] 12.0 Other 'My applicant that checks box kl must also mu..the section below showing their workers compensation policy information •'IL]he mryoreleumcr<s have exunpted@¢meatus,buuhe wgroretion has otheremployces,awod:crs c mpensatlon polity k required and ouch an organisation should check box MI. /am an employer that is providing work e s'compensation insurance for my emplo ey es. Below rs the policy information. Insurance Company Name: OM $ 1._ - --n. V✓(�/10. '/^^"'f^y tGY1 Insurer's Address _. _...- s- W ��Gr__.grrr -� City/Statcv7ip: N rxy k' NY l 00 Q Policy#or Self man Lic.# W C 00_�- 1�O —iiLf 4:2' Expiration Date: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL a 152 can lead to the imposition of criminal penalties of fine up to$1,500 00 and/or one-year imprisonment,as well as civil penalties in the form of STOP WORK ORDER and a fine of up to$250.00 a day against-the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations ofthe DIA r insurance coverage verification. do hereby c i' ;under the pains and pena(fies 0jperjury that the information provided�bov/^/'is true and correct. Si nature: �r Dale: Phone#: r/ /—7�1`/- (O7�- ' !9�_ Official use ordp o not write in this area,to be completed by city or town ojytciuL City or Town: Permit'Liena se# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Licensing Board 5.Selectmen's Office 6.Other Counsel Per son: Phone#: wwx miss-gov/die �� GILBARCO Gilbanco CMS Department, MS F-76 4. VEEDENOM 7300 West Friendly Ave. P. O. Box 22D87 Greensboro, NC 27420 March 22, 2011 United States Phone: 800-253-8054 Fax 336-547-3384 NORTH ANDOVERTOWN CLERK www.gilbarco.com 120 MAIN ST vrww.veederearn NORTH ANDOVER, MA 0 1845 RE: Global Station 4 2435 350 WINTHROP AVE NOR Fit ANDOVER. MA 01845 fo Whom It May Concern: As a Global Montello Group Corporation and Global Companies, LLC(Global) authorized Compliance Service Provider, Gilharco Veeder-Root is responsible for renewing and maintaining permits and licenses, and for coordinating and tracking the resolution of compliance issues. Global purchased the above-referenced station from ExxonMobil Oil Corporation in September 2010. At the time of purchase. Global submitted to your municipality an application to amend the facility license for storage of f7ammables and combustibles at the above-referenced gasoline service station (FP-2A form). To date we have not been issued an amended license. This letter is to request either an updated License reflecting the transfer of ownership for the above referenced gas station or written confirmation that one will not be issued. According to the "Guidelines for Municipal Officials on the Issuance of Licenses Granted under Massachusetts General Law, Chapter 148 § 13": "A license is granted by a local licensing authority and then is recorded in the office of the city of town clerk...Massachusetts General Law Chapter 148, Section 13 establishes the procedure under which local licensing authorities may grant licenses for the storage of flammable combustible and explosives on the land. City and town clerks are required to maintain records of licenses that have been granted." I have included a copy of the License in the old owner's name for your reference. If the local licensing authority does not issue an updated License for a change of ownership, please sign below. Signature: Title: B,"nan,tl-. Has loteruill act in coquiretion with the curtent Guns t sure fill]vompl'anccwilh Massachus,o Cenral 1.am,Chapter 148§13, Sincerely, Joseph'Weisman Joseph Weisman Owner's Authorized Agent (336)315-2889 PuC 11 2009 1 : 27PM NO RM➢OVER CLERK 8786889557 P. 2 al�r (9jam uLtutrmU4 of fl! 5ettr4trapffs - DEPARTMENT OF PUBLIC SAFETY—DIVISION OF FIRE PREVENTION 10tO COMMONWEALTH AVEN(JE, BOSTON May 5, 1992 04 v r,ev) (Dash APPLICATIONFOR LICENSE kb-4d.Far the lawlel use of the herein deecribed building.... or other structure.,.,, application is be[ante:with the pro%rofens of Chapter 149 of the ffrnernl Lmvsi fin n license to nso the land on which eu n,�,o{{fi{,e, -_--fj• s',n:cture.... Uhre or is.ram to be sltuatcd, and only to ouch a tent ev shoc-n on plot plan cvhieh is 81d wt RQe/a 6U• =I / part of this appliination. Lecstioa of lend 350 Winthrop Avenue,__ ,-,,,.._, ._ __ „}toute,_495,,,,,,..., ,.. __. .. heard( coon eL eh Owner of land-Mo5i1 f41 `Co4 S'�atlon , ,,,.Addreaa one„Techpo,,jogy.�arkr Westford( MA, 01886 lumbor of buildings or other saructi,res to ebooh this nppl cation upphd. .. one (} ,.,. _ ... Otcnpevey or ace of moth bulldinga Plll.l._SEryiC2 rp.4; total capacity of tanks in gallam —Aboveground None U dergroend.40R000•,•-[]811ot16 . 4 1Or000 glotoY vehicle £uel �asolineYf`� gallon tanks Kind to be .................................. ......... . ... ...... .... stored In '� �-/,. V..�..-(e1e nv� annaaeq Kind of:luid�as sroved ....�tanks........._.,_ ...�... /YILIs A..N AMT �"G.+a F�{Pue� me of, • t3eN el fl•• Der2A •� fAddnn7 , I��rl roU.l— 'Nr3 r (IImmnunulntt(ff of Musattrltagmts DEPARTMENT OF PUBLIC SAFETY—DIVISION OF FIRE PREVENTION 1010 COMMONWEALTH AVENUE. BOSTON uV North Andover August 24, 1992 LICENSE ' fgKor^os1 ta.ul In uoeordapea with the provisions of Closptor 148 of the Cenral Law., a license is hsreb$ granted to vee 'hs land j jeh, dectibed for the lawful nee of the building.... or other structure..., r,hloh felare or, ishrs to be situa'rd hereon, and as described on the plot plan filed wiW the application for this llectwe. 350 Winthrop Avenue ._NenreeE cross street liouce 495 Location of land . .. _... .,. ....... . . .... .'._'.. Owner of land .M b11 011 C�ffiFOA.ki'Y°85S „-gdgreas On,e Taehn_ologx Past WeBeFord,, MA... 01866 PPP 1 X�qB C10' .,g.g _..._. Number of buildings or other stm lures to ovhleh thus Locust applld . . ., LO Occupnney er has of s b buildings ,Pull sarvice retail &as stall Unde ao nd In '07¢ llo W,� gfa �on_tenke TOUI oapaclTy of tnrAs en gvlionse—abevegroand.,..._....._..............._...._._,....... Rind of fluid to bestow]is make ...antic vehicle fuel — asnl ins ..... ...... lbntl'icdone--If my: ............... ......... ....,............._........,..........,._....................... ..:.:.........................,....._......,....,........ I :... q dvl .uNen4 nrc1 ...._ 61 v 0 Ilcev TY L OEN9E OR A PHOTOSTATIC OR ERT COP - T ERECT S CO E Ic0ougt—y, .a.1— — ..: a — 1. -1-Ton e, Arr -- cur , sun , WHIr..N IY IA RRANTM A GUIDE FOR MUNICIPAL OFFICIALS ON LICENSING THE STORAGE OF FLAMMARLES, COMBUSTIBLE and EXPLOSIVES Licenses, Registrations and Permits The purpose of this document is to provide guidance to fire departments, local licensing authorities, and municipal clerks on licenses, registrations and permits for the storage of flammable, combustible, or explosive materials in accordance with Massachusetts General Law (MGL) Chapter 148 and the Board of Fire Prevention Regulations, Code of Massachusetts Regulation (CMR), 527 CMR 2.00, 527 CMR 6.00, 527 CMR 9,00, 527 CMR 13.00, 527 CMR 14,00. • A license is the permission by competent authority to do an act which, without such permission, would lbe—u—n7a—wTul, a trespass, or a tort. A storage license is applied for and granted by the local licensing authority. The license is granted to the land and not to an individual. Only one license may be issued to a parcel of land. This license may be amended to reflect changes in quantity, conditions or restrictions. The license may be revoked or suspended for cause by the issuing authority. Information pertaining to the license and the license shall be maintained by the city or town clerk. • A registration is the acknowledgement by competent authority of the act of recording a formal or official recor s orage registration is filed annually with the local city or town clerk. The registration serves solely to notify the community of the present license holders name and address. Only one registration may be granted for each license. Records of registration shall be maintained by the city or town clerk. • A permit is a written authority or warrant, issued by a person in authority, empowering a person to do some not forbidden by law but not allowable without such grant of authority. The law allows certain small quantities of flammable and combustibles to be kept or stored on the land without a license, but with a permit granted by the head of the fire department. 527 CMR 14 requires a permit in addition to the license. The following are definitions related to the terms "flammable or combustible Combustible liquid Any liquid having a flash point at or above 100-F shall be known as a Class II or Class III Liquid. Combustible liquids shall be divided into the following classifications: Class Il: Liquids having flash points at or above 100' and below 140'F. Class IIIA Liquids having a flash point at or above 140°F and below 200°F. Class IIIB. Liquids having a flash point at or above 200°F. Flammable Liquids: Any liquid having a flash point below 100° F and having a vapor pressure not exceeding 40 psia at 100°F. Flammable liquids shall be known as Class I liquids and shall be divided into the following classifications. Class IA Liquids having flash points below 73'F and having a boiling point below 100`F. Class IB. Liquids having flash points below 73'F and having a boiling point at or above 100°F. Class IC: Liquids having flash points at or above 73°F and below 100°F. The authority for the keeping and storage of flammables, combustibles, and explosives, is section 13, of Chapter 148, M.G.L. This General Law is rather lengthy; this document references only the relevant sections. In order to apply for a new license or to change the conditions or restrictions of an existing license, the applicant must apply for approval or disapproval from the head of the local fire department. Whether the local fire official approves or disapproves the application, the next step is a public hearing on the application. Not less than seven days prior to a public hearing it must be advertised in a newspaper published in the English language. At the applicants expense, all abutters and owners of real estate must be notified by registered mail not less than seven days prior to the hearing at which the licensing authority acts on the license application. A licensing authority may prescribe conditions or restrictions to a license. Any such license granted hereunder shall be subject to such conditions and restrictions as may be prescribed in the license by the local licensing authority, which may include a condition that the license be exercised to such extent and within such period as may be fixed by such authority. ' A certificate of registration must be filed annually on or before April thirtieth by the owner/occupant of the land who holds (exercises) the license. This informs the licensing authority that the license is still being exercised, and the name of the person or entity exercising the license. The Board of Fire Prevention Regulations has been granted the authority to exempt certain quantities of the articles (fiammables, combustibles, and explosives), articulated in section 9 of Chapter 148, from licensing, and registration.' These exemptions may be found in the relevant sections of 527 CMR governing the articles to be stored. Every license granted, and every certificate of registration fled under Section 13, is deemed to be granted or filed upon condition that if the land described in the license ceases to be used for the aforementioned uses, the holder of the license shall within three weeks after such cessation eliminate, in accordance with rules and regulations of the board, all hazardous conditions incident to cessation. Massachusetts Code of Regulations 527 CMR 9.00, Tanks and Containers, uses the definitions "abandoned" and ,out of service", to further categorize storage containers subject to cessation of use. As defined: "Abandoned. in the case of underground storage tanks, shall mean out of service for a continuous period in excess of six months where a license from the licensing authority is required under the provisions of M.G.L. c.148, s. 13, and for a period in excess of 24 months in the case of any other underground storage facility or an aboveground tank of 10,000 gallons capacity or less, and in the case of aboveground storage of any fluid other than water, where a permit is required from the Marshal under provisions of M.G.L. c. 148, s. 37, it shall mean out of service for a continuous period in excess of 60 months and it has been deemed to be unsafe and a threat to the public safety by the head of the fire department and by the Department of Fire Services." 5 "Out of service, not in use in that no filling or withdrawal is occurring." 6 Once the tank is abandoned or out of service it must be removed. (With the exception of certain double wall underground storage tanks) If it is determined that a fire or explosion hazard exists or is likely to exist as the result of the continued exercise of a license, the local fire chief may issue a cease and desist order. The fire chief shall order reasonable measures to protect the safety of the public from the hazards of a fire or explosion. Any measures so ordered are at the expense of the license holder. "When a fire or explosion hazard exists or is liable to exist due to the exercise of such license, the marshal or head of the fire department, shall issue an order to the licensee to cease and desist in the exercise of such license and said marshal or said head of the fire department shall direct that reasonable measures to insure safety to the public be undertaken at the expense of the holder of such license. "' The first paragraph of section 13, Chapter 148, speaks of certain articles named in section 9 of Chapter 148, that are subject to regulation. Section 9, names the articles subject to regulation by license or permit. "The board shall make rules and regulations for the keeping, staring, use, manufacture, sale, handling, transportation or other disposition of gunpowder, dynamite, crude petroleum or any of its products, or explosive or inflammable fluids or compounds, tablets, torpedoes or any explosives of a like nature, or any other explosives, fireworks, firecrackers, or any substance having such properties that it may spontaneously, or acting under the influence of any contiguous substance, or of any chemical or physical agency, ignite, or inflame or generate inflammable or explosive vapors or gases to a dangerous extent, and may prescribe the location, materials and construction of buildings to be used for any of the said purposes. Such rules and regulations shall require persons keeping, storing, using, selling, manufacturing, handling or transporting dynamite or other high explosives to make reports to the department in such particulars and in such detail that the quantity and location thereof will always be a matter of authentic record in the department..."a The first paragraph of section 9 of Chapter 148, states that the Board of Fire Prevention Regulations shall make rules and regulations for the keeping, storing, use, manufacture, sale, handling, transportation or other disposition of the articles name. The Board has made these Rules and Regulations with the Code of Massachusetts Regulations (CMR) 527 CMR 2.00 (Fireworks), 527 CMR 4.00 (Oil Burning Equipment) 527 CMR 6.00 (LP-gas), 527 CMR 9.00, (Tanks and Containers), 527 CMR 13.00 (Explosives) and 527 CMR 14.00, (Flammable Fluids, Solids, or Gases). These regulations allow the storage of certain quantities of materials to stored without a license, but subject to permit issued by the head of the fire department. Kegulatlon b2/ GMK 14.113 section (2), requires a permit tor the storage or any tammaole flulb, soled or gas. This permit is to be obtained from the head of the fire department, as provided by M.G.L. c.148, s.10A and 23. The head of the fire department may restrict the quantities to be stored under the permit. What this means is that a permit in addition to a license a permit is required from the head of the fire department for the storage of flammable and combustible Fluids. The head of the fire department may reduce the quantity of product allowed by permit but may not increase the quantity beyond that allowed by the regulation. Exceptions to the permit process are granted to certain persons for the storage and use of and use of limited quantities of flammables, combustible. These exemptions may be found in the relevant sections of 527 CMR governing the articles to be stored. Important Points • A license for the storage of flammable or combustible fluids in quantities in excess of those allowed by regulation is granted by the local licensing authority after approval or disapproval by the head of the fire department and after a public hearing. A permit is granted by the head of the fire department. • A license is not owned by an individual as a personal privilege. A license once exercised is a grant which runs with the land. The permanent record of a license is to be recorded and maintained by the city or town clerk. • A permit from the head of the fire department is required in addition to a license for the storage of materials regulated under 527 CMR 14.00 (Flammable or Combustible Liquids, Flammable Solids or Flammable Gases. • A certificate of registration is annually filed by the holder or occupant of licensed land to inform the city or town clerk to record (register) the license as still active and being exercised. • A city or town may develop its own form for the actual license and registration. The farm of the license and registration must contain, as a minimum, that information contained in Department of Fire Services Fire Prevention Forms, FP-2, License and FP-5, Registration respectively. • A license, when exercised, is a grant running with the land. A parcel of land may only have one license for the storage of flammable or combustible fluids. • If the conditions, capacities or restrictions authorized by a license are changed, an amended license must be obtained. A new application must be submitted to the local licensing authority, the head of the local fire department must approve or disapprove, and a public hearing must be held. If granted, the amended license supersedes and replaces the old license, and will show the aggregate total capacities allowed under the grant. The terms and conditions of the new license now prevail. The license must be plainly posted on the premises. • A certificate of registration is the vehicle used by the license holder or occupant of licensed land to notify the city or town town clerk annually, before April thirtieth, that a license is in use and currently being exercised. If a registration is not applied for and issued, after three weeks, it may be viewed as cessation and cause for review of the license. A registration must be plainly posted on the premises. 527 CMR 14.02 7 Massachusetts General Law,Chapter 148 § 13,Paragraph 3 'Massachusetts General Law,Chapter 148 § 13, Sentence 2 4 Massachusetts General Law,Chapter 148 § 13,Paragraph 3 '527 CMR 9,02 s 527 CMR 9.02 7 Massachusetts General Law,Chapter 148 § 13,Paragraph 6 s Massachusetts General Law,Chapter 148 §9 AND FEE TO t'1CAL I.ICENSIYOrAVU 1 R ARD eurx SECT[U Yj DO NOT RET I FORM TO 1) A U I AUTHORITY O SAFETYCLERK). the � �sacE�tsetts PT,/o, „ Depal•tment of Public Safety—Division of Fire Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION NAI.Lh..P.ndoyer February 16 89 In accordance with the provisions of Cha iav.. r•..i ......................iyri.... 19........ hereby terti114 that p4r 1�• Seetion 1S, of the General Laws, the undenignad »110gLL OZL 4V.!!P.RA7AT.TRN........................... Addr4g ..91.1Wnt¢a1R.�K .................. . Imth MYe.Mgran anua...Stc 4 the holder of the Iteen4 granted..,d(,16/65� 4/18/67 �"'�`.""`... of the building(a) or other ."`.......................... 19........for the lawful ux rtruotun(s) situated or to he ei ....................."....lusted at.�S.R..W.illLhf.98._Ayenue r related to the KEEPING. . 'STORAGE,MANUFACTURE OR SALE OF FLApIMABI,Eg OR EXPLOSIVES. OSIVES. _........_.....................NAI..th..PP..4' Ml ...................... yew.r.... .... lean TY...wIMl..f ryyn11.. ..w I.�ieYi b t arlr r ley 11 l"IL raw.W 1w H. M it W low N.W.L •..P..w Bealwd ..._}s,« -i:.«::J •�ai ........19._.... :. . __. ..........._..._....................._................... I.�...::� ;.. .._....._................:....... :. ?_ ,e5 .._..............._iir wwi:......, �. . tart em . ........_...._ .••.91 teontvale Avenw, 4tonehas, MA 02190 . ...............................iiii..� ........ ..... ............................................... • NOTE: COMPLETE TOP ANR'BOTTO: PIO NS AND FEE TO LOCAL LICENSINGFAUIIIORITY CITY OR TOWNT CLERK). DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY The ftIonnuouhrraft4 of ffittssachusetto Department of Public Safety—Division Of Fire Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION .........NORTH ANOOVER _March It t9 .88 ICI or T—) Ibtrl In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that MOBIL OIL CORPORATION Address ...1 ]1-MRA.tvdie..Av.enua....Sto>]eham....MA............ . ........................................ . IN—.of F.Id—of linnxl is the holder of the license granted..All9.U.S.Z..�G.,...19�.5........................................19........for the lawful use of the building(s) or other structure(s) situated or to be situated at.... 3.5.Q..Wti17.thC0A.AY.Enlle.............. isat.. ..d ..mxri as related to the KEEPING,STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. .......................................................................................... renr urT"..� Note: Thi•cenifir.ie of rcai•tr j.. ..., be•hoed br the holde\r of the Iment<if ul neenre.ee p nted 80 •Jp I 1 1936,athe•.i.br the o.ne• •oeyuPent o(t land iemred. Received rf �Ee if UF *w.......19........ , 83A0C�1V H18ON by ........................ .I,,,y.J'NM01............................ 0'101 131NVO ...............................n...n.....n...............mo...o. .."..........mu.............................. m 91 Montvale Avenue, Stoneham, MA 02180 .............................................................................................. ledd.mI NOTE: COMPLETE TOI,.,ND BOTTOM OF FOR-It AND FO.,rARD BOTH SECTIONS AND FEE 'r0 LOCAL LICENSING AUTHORITY (('[Tz OR TOWN CLFRK). DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY. y The (fommonfuralt4 of flEtssttr4use#ts of-PTI d Department of Public Safety—Division of Mre Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION .LUE✓:��'z'. o� � ,/,/ tea._ 19.�`..� /f:r.................... �ILib o.Tovnl 10.1e1 In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that .......HORSE OIL COaPOI2ATZ0,N,....,,, ..........._.... Address INnme of talon'of litemel is the holder of the license granted......_J6 Aggust....,, 19 6.5._far the lawful use of the building(s) or other structure(s) situated or to be situated at 35.0_.Wj.uth.ro.e..A.venue... ....... . ..... (stun ..it .emw.a r la ed to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLADIMABLES OR EXPLOSIVES. Norte kno)over, MA . . . ...........................I........................ [City ao Town l No,,: This enrol fir'"'of resiatrnion moat be aimed by the holder of the litione if wild liti era Ironed prior to July 1, 1936,otherwise by the owner or oreupant oft land lieeowed. ��L 7 by .............16.0.._(_:..:. Mats G1II45 ....................................... . i Isl olwawl T or worth.,nla 91 Montvale Avenue, Stoneham, MA 02180 ........................................................................................ udm.ul NOTE' compLF'l'E '1'OPaass,dD EOTTOdi OF FOR=i AND FOF.,aspa\RD POTH SECTIONS��_�� AND FEE TO LOCAL LICENSING AUTIIORrrY (CITY ON TOWN CLERK). DO NO'r RI71'11N FORM TO DEPAit'I'S4,,N"r OF PUETJU SAFETY. C�I1�E Gmtt anffiEMjt4 Df Assar4usetts Department of Public Safety—Division of )are Prevention -„ 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION North.Andover.,,.._.,APri l.. 1_: 19..._86 ICNr or ra.,,l (Da.) In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that ..... Address ..Evenu2....StolaptLm .MA............ I Nnme of polJer of lieenael is the holder of the license granted........................AMUSt 16..... „„ 19.6?,..f r the lawful use 3 `Wlnthro venue of the building(s) or other structure(s) situated or to be situated at.....5.6.......... ........P.uuts.......................... tsu.n wn4.a. n .1 as related to the KEEPING, STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. ..............................North.NprtLMAQMT................................ Icil,o,T—I Note: Thk certifieme of registration must be signed by the hol#of Grense if said license...snored ggor t Jylyd 1, 1936,otherrine by the ow u t of the land lieen�a Received ..................1... ......... .................19........ .... ' e ' e RCI111G GISID�R NI+',!GfN n ?......`..:....................................................... 83q., �.�aoN ISign.lurel by ................:iu.:..:...._rBt.................................. .n; hy; owner...................._........................ P.,,.i..r Islne .nesne,o..e.. sees>.m s,homed s..,} .. wlgd.lRrni. 91 Montvale Avenue, Stoneham, MA 02180 . ...................................................................................... b dmeaal of - z91 S� NOTE: COMPLETE TOP AN BOTTO-1 OF FOR1i AND FORM ) BOTH SECTIO\S7 A DO NOT ND FEE TO LOCAA.LICENSING AUTHORITY (CITY -Pr TOWN CLERK). RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY. �`, t`�! :�o f�nml:In<ifiJ��lfh IIf ��s��r!nzse�ts Department of Public Safety—Division of ire Prevention t� 1010 CO3i3IONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION .................NQR1'H IM0VER •........................ 19..85.. ........... ....... . In accordance with the provisions of Chapter 148, Section 13(c wn hereby certifies that of thoy ' e ..General Laws, the undersigned •••...............kI MU..O.U. GAAP.Q�/1.TLQN................ Address 611 North Avenue, Wakefield, MA 01880 I —of M1o1Jer o!liavel .. . ...d.......................................................A . is the holder of the license 16 5 granted..... ) situ¢_..,.._"" . . 19........for the lawful use of the building(s) ( ) . ........................................... . or other structures situated or to be situated aL..,3.5.0..Wigt,hrog_Ayenue fso.n enJ „ema.n . ................ .as related to the KEEPING, STORAGE, M.INCFACTCRE OR SALE OF FLAMMABLES OR EXPLOSIVES. ,,,",,,,_NORTH ANDOVER . .......................................................... . ' ICltr or Tavn I Note: Thi+ cerlifi—Ir of registration must be , ed by the holder.(,he lieen.e if e.;dJ. nr lnlr 1, 1935, othe..Ge b. the..ner or m fl w e ed Received o. me I.nd �een;edN gant by ._ ' N"Ll.. �l E_.w, h":.> U. >15 OWNER IOfinel Tilln e.r er. cogent or MIJ ,_..,,,, 611 North Avenue, Wakefield, NA 0.1.8.8....... 0 . ............................................................. . . . . .... lead..vl o i -a 9i -v NOTE: COMPLETE TOP A: BOTTOM Me" FORAT AND FORW. I BOTH SECTIONS J AND FEE TO LOCH! LICENSING AUTHORITY (CITY M TOWN CLEP.P). DO NOT RETURN FORb1 TO DEPARTMENT OF PUBLIC SAFETY. fe �ummm znz 1#IT of C ttts5adjuseffs t Department of Public Safety—Division of Fire Prevention U � _ 1010 CO.If MONtVEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION NO. ANDOVER ..........ic, — ... ... ... ................ ..... .. 19....4.. ICny or Town lv w In accordance with, the provisions of Chapter 14S, Section 13, of the General Laws, the undersigned hereby certifies that ,.......:. ..................:. MO B IL CORPORATION OIL CO .... Address ... INnme nr con a �loemn the license granted.._../.W6rj , 19........for the lawful use is the holder of of the building(s) or other structure(s) situated or to be situated at j5.O .W,i.othrop„A,ve.!ue, ,,, ,, ,._ (SI-1 —d as related to the KEEPING, STORAGE. _MANUFACTLRF OR SALE OF FLAMMABLES OR ENPLOSBTS. No. Andover ....................................................................... ,Gb o.Towel Nme: TLi, rertifrnte of registraion m let be signed by the holder of the lil—o if—id lieenee r .ar.nted p:nr m Jul. I, 1935,ether.iee b,the owner or ocwoem of the I„nJ Received a. .. I S:xnamre> b ....._D �rowrr� . L LONG................. ........... .... . Owner ....... 12p A1aia StT'BBt ...... ... .. ... Is*." orth Ardovef;l'1I1'g�; 'DY64b :":'. .............................................................................................. IALd'—' NOTE! COMPLETE TOP AND I "TQS OF FORM AND FORWARD ^OTH SECTIONS AND FEE TO LOCAL AUTHORITY (CITY OR ' VN CLERK), DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAKT'Y N. Azle Crommrruffizalf,� of r xBBarinlse#s ('A a Department of Public Safety—Division of Pyre Prevention 1 l ��41• 1010 C MMMNWEALTII AVE., BO-9TON CERTIFICATE OF RFG ➢ STRATION NORTH ANDOVBR .......... ................................................. 19...3... icn, o< ro,.�� ic.al In accordance with the provisions o hereby certifies that f Chapter 148, Section, 13. of the General Laws, the undersigned ........_._,.Mobil oil Corpgrati ................._ Address ........bil NOtiIM AYIBUE, WAKEFII10. RASS. 018a0 INnmr of M1aLler of liamel ��"�"'""""""""""" is the holder of the license B/16/65 19 .for the lawful use granted . ..... . of the building(s) or other structure(s) situated or to be situated at ........Route...t14......... ..... .. Nas related 10 16 KEEPING, STOBAGF, VANUFAC'IURI?OR SALE Of FL1DIMABLES OR EXPLOSIVES, orth Andover. . . ........................................................................ ICh u.Taw<. Nmo This rent Gr.�e of wgistrion must te,iened 'uq the hold—of the li"nx if uid license xps 5r.med pri r is lulr 1, 35,o�herxi,e hr the.. .. f she Innd lcmed. Received c 83 �.............................j ^ Isisnxmrel I ........_......1);1(UEL... .O.NC......... ..........._ TOWN CLERK Ownee by ... ............................ Maln.. isi.«.n<m.< ........ North 41i�`i`nlr T;tla ..................`.. .`'+� �..Wu gp;.iiaii!l..r.3 Y. ................. ------------- c D MI JTE: (;OMPLF.TF. TOP AND v TO Sliv Gh AG HORIT iI ('lTY OP 7,F6 N CLERK) NS AND FEE To LOCAL T Do NOT RETURN FORM TO DE;PAgPMENT OF PORLIC SAFELY. l`�C. �e (QIImzn,3IIIfiIettlt[j of C�zssttcljusetts n Division of Fire Prevention Department of Pll Safety— ' 1010 COMMONWEALTII AVE., ROSTON CERTIFICATE OF RF. GIS'FRATION North Andover .... 19AL o �1 ....._ ICib T ) In accordance with the provisions of Chapter Lls. Si tlon 19 of the General Laws, he undersigned _ ..... ... ... hereby 1,, rtifies that Address Mo r Oil Corporation Ig for the lawful use .' .... is the hole ' of the license granted s 1t oa w�mb«I of the b ugfing(s) or other structures) situated or to he situate at .J.toute..114.. . � eI gktothe KEEPING,5IUR\r } '.AANLP\( LI (J' 1I f (,I: i I \MM ABLES OR EXPLOSIVES. a ti1 h $ddovet �., r a 1 s....1a st b 6 d by Ih h Id of d'e 1 1 ce eed N �ThiF I f 1 f ve 1 -Pewt/�f/�/th�/1 /9 1 pnor 1 J IY 1. 19M16.011 ow..e by the uwn _.Y ra/ i/... ........ .... ...... .. .. W ys1-' m.r .,._19.82. .. . . - - �s .. RdRrvij by 51Ye " ................. ._. '� t, ,. sar� ••_.• 101firvl T'J.1 .__.. _ .•.... . IAda.oal NOTE: CO.111'hETE TOP .4�.i 110IT0,11 OF FORM AND FOEOV,wlsO ROTH SECTIONS AP U FlsE T(1 L(1C- 1,ICEINSING AG'I HOI.ITY tCI'PY Olt TOWN ( LERK), DO NOT RETURN FO/f�M 'VO U..EPAA�R'I'ME Nl OF PUBLIC SAFETY. � �IjC l'LLIIYCYICVaUUPM1%� � $SFICI�It$ELLS -_ Department of Public Safety—Division of Mre Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION North Andover Apr].l ........_............ ....................... ........ ........... .. ....... 19.....a1 In accordance with the provisions of Chapter 148, Section 13,cof the GeneralLaws, the undersigned Y hFtat I�'10011 Oil COIll0ratlp.n...,,.. ., Address ,..,_611 HORIH AVENUE, VANEEIELO, ?.,ASS. 01090 ere certifie t _ . . license is ser emeee, .. ...... ... . ... ...................... is the of the building(s)no( the license ranted_.____situated 5 19 for the lawful use 8 e g(s) or other structure(s) situated or to be situated at route 114 ^vm�n........ iso-en .tea ............... as related to the KEEPING, STORAGE, 111I;L LAC]I III!OR SALT: OF FLAM.MARLES OR EXPLOSIVES. ............Nuz.Ckt.Ando.v Note: To ree, t o b . and br the h Id f the 1 e, f d li wu RnmM ti �w]J� , tl Bwner Ke 4o[th 1 p 1, eed ew br th . wno", , r Received °'.�._ 't � . 19 ._ ._ ,....r. ... '� P is vrcl A&C MGR by ... � . ..� 7-0. t or holder) i ,. COTE: COlV9p.LP,TL: Top N'�) f3O'fTO-11 OP pORIl1 AND FORAS D BOTH SEC'rIO AND FEE 1,O1'A I. LI('TO DbGTYT�R TOWN CI, ET FUI/;��At TO 11 :P_1liT\3li NT Ol' pUSLl(1 SAFETY. ll0 NOT RETURN ETCRY "-- �Ily` l'.�. iL.l3i�i?{ilYi at{{ii i•j �j gg qq sk A17 Dejrarunt I., .,1 ( , vvenimn Ch: K 'C ''- Ifa ,5 North Andover P In lcco rdanc'r a'iL6 Lh.: I i - ri.LL.. ' hereby verbfil Oil Corp. Mobil dlil 611 North qv .Le unrlersigued e. , Wakefield Ma. 0.1880 ._ i.a the holder ,fstl ( G ,nrr g., 8/16/65 of the bwlding(a) i (f - ,i Route 114 is or at�tl !u ih hl_RI'IAr,. -tint i:.. i North, Andover Received BY��.0 ORAT Irn0 y _ OWNER A&C MGR Mffi—I 611 North Ave. , Wakefield, Ma. 01880 NOTE: COMPLETE TOP 13071011 OF FORAI AND FOR\ 4D BOTII SECTIONS ANO PEE TO LO(s"rL LICENSING AU'I'110RITY (fTl1-fsR 'LOWN' CLISEtii), DO NOT RETUR-N;N FORAT TO DEPARTNIENT OF PUBLIC SAFETY 'The TAIttt1 lanf CA4 lif Ssar4uSPffB Department of Public Safety Divisionof Fire Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION North Andover Aril 779 . ........__..._...................._.........._.............._......... I ........ IC¢r o.Tnwnl (Dan) In accordance with the provisions of Chapter 148, Section 13, of the Ceneral Laws, the undersigned hereb e t i tat ....... . lofilf.....1. orporation .. .............. ......... Address .....611..MORT➢ IYENUE...IYhKE(1f.1D...NiSS...➢IDfl0 .. .......... ro or noid."or r,a�.a of the bulidld'no(s) or other structure(s) situated or to be gust 16 1965 .for the lawful use Au g situatedat.....Route 114 ... ..................................... Is„m «.a —me.n as related to the BEEPING, STORACF.NIANLFAC'Il'RI: 01R SA1.1.OF I'I,kNINIAISI.I.S OR EXPLOSIVES. North Andover T— N ,m no,e'riiiv, CP Kutrnt,on must be si,ord by the holder of[lie b.ener ,f said license was Bunted`t� yn w Tsrly 1936, mhe . . by the ow ,Mrupe.. of the]and licemed. A MOBO�1�C0� ION Reserved : . ._.19.. ..... BY: 1. . . . .. ........................ b R.V. Manton iseDistrict Administrative y . , _ ,..L... .. & Conprols Mgr. Oro 32R'r, .. .. ........ 1 O1F OT`I"� 611 North Ave. , Wakefield, Ma. 01880 zc NW ' I n The Cintmoufvralt4 of seadjusetts d Department of Public Safety Division of byre Prevention >1r_ rd 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF' REGISTRATION North Andover .._....... ........................Ap..April................... .. ....... 19...8.. ��f C11y nr Townl IDnel In accordance with the provisions of Chapter 118, Section 13, of the General Laws, the undersigned hereby certifies that .Q�RkI�..Q.1�..49.iy.UfaliOfA. Address , p , S,..R1A8o INamo nma<1 or L. is the holder of the license granted... August 16, 1965 „for the lawful use of the building(s) or other structure(s) situated or to be situated at.....F.o.uLQ...IJA.... ...._......................... 181-1 and name,') as related to the KEEPING,STORAGE, NIANCPACTLRL OR SALE OF ELAIIINIABLE,OR EXPLOSIVES. ......_.......Ro r t h..Ando.ve.r............._................................. ICi1 mT-1 Nor,: This rernfirme of reaisnmion must he signed by the holder of the license if said license was seamed prior to July 1, 1936,otherwise byte t of rh 6nd lierosed. Received ( �er�l I01� _ (a. �`�..._.19.�_2. BY:J _ .......W. E� Clark .w�.,saA, ...... / is'�.dmre� A&C��Ma na ge.r............. Igr by .......................................................................... Owner ..................._..................................... ........... ................:.:. z:.......(u .:.:....................... ..... ... ....................................................................:......................... i ndd,< ) C e fLnmmntthlEtt(t4 of A655ar4usats 44 Department of Public Safety—Division of Fire Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION ANDOVER........... ...................... 19...75. In accordance with the provisions of Chapter 148, Section 1i,cof the General Laws, the undersigned hereby certifies that .. .Mobi.1..011_Corporat.inn.............................. AddresN _...6.11_..North..Ave...,...Wake.fi (Nxme o, Homo„[�re o e4d.,_Mar..0.1880. is the holder of the license granted............._............ . .AU.4USt...16.., of the building(s) - 19.6ra...far the lawful use or other situated or to be situated at..._..)?,O.Ut,Q_.1.14_._....,.._.., fRvm and az relined )o ,he KEEP] STORAGE, MAN UFAlTUflE OR SALE OF INFLAMMABLES OR F.%FSASfV1i5. ....North Andover._...... ... .................I............................ «r :c1).o,To.,.�i Vine: Thi. tier of reR�xtrmiun mve, be xian.d by ,he Imlder of,he lieenne 'f naid limnxe w xmed a[e nror 1[d, 1, lees, ame:wi.rby �fotTrrojC-M,PbY�A`�l6rdneen Received . .... .. . .......19.. _._ By A`&"C 'Manager '6y . ......................................._.. ........ ..... Owner (Ofinxl Titlrvi ....._.611 North..A.ve,..Wakefie.ld.,.._.Ma,...01-88Q...... red,,) - c�t4P Toulmonmralf4 of Malisadjusats 'g, Department of Pubic Safety--Division of Fire Prevention �hr � 1010 COMMONWEALTH AVP., BOS'PON CERTIFICATE OF REGISTRATION 60r tli uDlovert......1?arch, 17.z..1;;75.......... 19........ In accordance with the xnvlsions of Chapte' 1- i (Date)hereby certifies that F 1S. Section 13, of thr General Laws, the undersigned ...... ..... .Mob.il il Lorp................__..._......... Addrem ....... ..._ ...........: efSe�da.. I�am� or nmaa o[ hconec) . . . .............:...... . . is the holder of the license granted............. ... 16, 1965 19 .for the lawful use of the building(s) or other structure(s) situated or to be situated at oute.,111; ......... .. .. .. .. ........ as related to the KEEPING, STORAGE, MANUFACTURE OR rth ......over SALE OF ]NFLANM1IA RLF,B OR EXPLOSIVES. .............. ................?o . ................................................... Doty or r�,..,1 .. Note: This certificate of registration most be signed by the balder of the license if said license rc.s granted prior to July 1, 1936, otherwise by the owner or occupant of the land licensed. Received ....................................................19........ ................................................................................................ ............................................................... .................................................. c�::�,. N.n,.u..�. ................................ , (Ortieial Title, o`•n° . `°°°nevt oo Mltlo) ........................................................ ............................ Tile Cnamrzartl(ueu(f< Ji£ ;xs uc >z efts iq (" Department of Public Safety llivi ion of Fire Prevention lot() COMM0, , EALTH VV)i, B03TON ! CERTIFICATE OF REGISTItA 'C10N NORTH ANDOVER . ..ARril 74 In accordance �fith the provisions rf Cha{rier hereby certifies th rt 11., it eWun 7? f trr nar n r " y„ ' ` _ Mobil Oil Cprpora�zpn 67.1_North Avenue.,..Wakefield Ma Aridrvrnss i.c the holder of the license grantod _.. ..._Ruzwt 16' . _.._ . 196$ _.for ih, I t � usr of the building(s) or other vtrn t n:(,$) vt odted cr to be si4wtnf -i .R.Q.utc. 114___ vluizd I. flhr KLF pnG' YiUtt tCE, 4IAV E FACf URE UR SALE OF Prt L AMMAf11.CS Oft t% �t+�> Of S. ..... . .A oxth..Andpvex..... ..........._..... . C.b ox Tnw�,� V i T h f e o f. f x W oJul 1 1936 n�he b ',a you�x,d � Jae ,.. -m:i fs dani9 i. Received MOBIL OIL QORP�T ION .. . _._.. .,.. ....19 .By �� :__S� ti._.k._t11.,1- W. E. Clark __... by `•�� fice mgr. Owner................. .......................................... .... . 611 North Ave., Wakefield, Me. 01880 Ql�e (EUMMMEota"k of 22Cttsstttl�ixs�t#s Department of Public Safety—Division of Fore Prevention 1010 COMMONWEALTH AVE., BOSTON v�µa CERTI1, ICATE OE' REGISTRATION NORTH ANDOVER April 1:i 73 .................................................................. .... IC4y m Ywnl IUn¢1 In accordance With the provisions of Chapter 148, Section 13, of the General Laws, tf)e undersign: hereby certifies that Mobil Oil Corporation Address .. .611 North Av„e.,,,.Wakef ield.,, Ma. ,__..... `" Au us[ 16, 65 is the holder of the house glanl,d..__.. __ .$. ...._... ...._19 f r the I1wt I asc of the building(s) or other structuie(s) rca ..ad or to be situated at ...Route 114 _ 1.r 1 .oa n. M.1,d I. theKFI FIN(., ti I'OH AIIf:,MANi k i(Tl:'HP OR SALE OF IN h'LAMMAIS➢.dc OR 8XPLO'k Y1. NORTH ANDOVER No,— Thin rerlif uIe of rer;a:nlm: o, r hr :ed hr dm holder of'I" 1w...r if .n;d licessee wus en.:a.d prlor u, l.dy 1, 1936,olhe..Le be,he owner or orculnml ,f der I—o f.rennId. Received (y� M11,L 0yy CORPORATION 'byBy W E Clark '- )office Mgr. ' G IN 1 JIJS OWNER 1O�`1' T 611 North Ave. , Wakefield, Ma. 01880 ,..r BOD-291 TITC Tommalrfuettl#11 1>£ xssttd�uze#ts I Department of Public Safety—Division of Mre Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE: {IF REGISTRATION North Andover April or1S 72 .11 In accordance with the P"0I iSIMIS of Chapter 14f5 Section 13 cof the Gerler'll Laws, th m:der= .;n.0, hereV�eTWf t lt)�t o i i ornorat>_on 611. North Avenue Wakefield," '- - Address Me _ is the holder of the license g2anted..... ... Auwst 16 6 of the buddin - "" 19 5- `or the la tiu;y g(s) or other ,tmi tme(s) itliat,d or to be situ.ited at _Route 114 /r ._ it, related m the KF'.N:PI,Ac., 91'ONAGh. M 11iW, R:,F HE OR SALE OF IM I AMmAlD1 vs OR 1:111,OU\i .....................North Antioyer ....................... . . .. Note: Jb 11 1r .,f R r mu 1 uJbf 1 Lijdd rrh I' f....ll 1 ro Jul 1 1936, ah 1 sae •ra;pu-rrJ 1hr n� Received ..',^ 1 � o , MOB TL O,IL RPr/rw TION a - 1' B_S W b Clark _... .. ...._. _._._._. . Office Mgr. y E. ..... Owner rnrh � 611 North Ave. , Wakefield, Ma. 01880 SOD-291 _ The Qlantinanhiral#Il of 'MassacftusP#s Department of Public Safety—Division of byre Prevention 1� 1010 COMMONWEALTH AVE.., BOSTON CERTIFICATE OF REGISTRATION .............ARr.i.1..1.......... 19_21. (City °r Town) (Date) In accordance with the provisions of Chapter 1,18, Section 13, of the General Laws, the undersigned hereby certifies that obil Oil Corporatioq.... .....I. Address ._._611._CIR1;.Ch_.Ay>:.`1u�...Wa.kefie,Ld._Ma9 f s...... Is the holder o n me°r n°ia,r°t r,,..,,,°I the license granted__.?".dust 16 65.......... ..........uated a ........_......19........for the lawful use of the build ing(s) or other structure(s) situated or to be situated at Koute 114 . . ....................... B n, related to (he KEEPING, STORAGE,MAXI:FACTURh: OR c ALE: OF INFLAMMABLES ES ORR EXPLOSIVES. ..........._._...:Yur..th...QndA.ve.r....Mass.......... Motu 71 ( t me ofregistration must be eigneJ by the holder f the license if said 1 ea Rr.oted p 1 to July 1 1936, tl ,xe by the owm r or areulan,of the Imyy DDI��1 � d Received _. � ...._ 197 Mobil�il �Q.C..4-a!r ... - tr . . ....... by � , . ............................... owner rorce�.i Tai.o.. 611 North Avenue, Wakefield, Mass. . . ......................................................... !� J BOD-291 h T Ju1ZlSSiCth1ISE�S Department of Public Safety--Division of Fire Prevention _II 1010 COMMONWEALTH AVE., 1305TON CERTIFICATE OF REGISTRATION F.,..sQS.C.9.P...klaas....................Apr.i.l..I,..... 19.ZR... ICitr m T...) IDatel hereby certifieses that In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned that Mobil 011 Corporation Address 445 Che laea St. E Bos[on Mass I Npme of ho It!e. (I ve) " "" t ........i is the holder of the license granted.... . .... August 16, 1965 for the lawful use of the building(s) or other structure(s) situated or to be situated at..Rou[e 114 „'. tv IA.nc as related to the KEEPING. STORAGE.. MANUFA(.TURF. OR SALE OF INF'LAMMARLEB OR EKPnLLOS1VES.- tl Po,— ..........MRlf.tb..>(1RSiOV.Qr e..Ma.s.A....................................... Note: This r—.ifieate of registration must be signed by the holder of the license if mid license vas granted p,iYr to July 1. 1936,other.ise by the ovnee or utnapant of the land licensed. Received r 19 Z.Li Mobil Oil CorPRra C>_on n ............ By_ Y by ...... is' i �i . r / owner ... ................. wn.uer�..rr, o<anaat .. nou.n .._ iorcdai Tei,a 445 Chelsea St. , E. Boston, Mass. . . ...................................................................... (ndd—s) '), GILBARCO Gilbarco Inc VEEDER-ROOT CMS Department, MS F-76 7300 West Friendly Ave. P. O. Box 22087 Greensboro, NC 27420 United States Phone: 800-253-8054 Fax 336-547-3384 November 26, 2007 w uilbarco.com vdww.veeder.com NORTH ANDOVER TOWN CLERK 120 MAIN ST NORTH ANDOVER, MA 01845 RE: Mobil R/S # 11689 350 WINTHROP AVE; NORTH ANDOVER To Whom It May Concern: Gilbarco Veeder-Root's Compliance Management Department manages compliance activities at ExxonMobil Oil Corporation owned service stations. As ExxonMobil Oil Corporation's authorized Compliance Service Provider, Gilbarco Veeder-Root is responsible for renewing and maintaining registrations, licenses and/or certificates associated with the operation of the underground storage tank systems and for coordinating and tracking the resolution of compliance issues. The Certificate of Registration for the above referenced service station expires April 30, 2008. To ensure the station remains in compliance with your agency and payment for renewal is returned in a timely manner, please update your records to mail the Certificate of Registration renewal to the address below: Gilbarco Veeder-Root CMS 7300 W. Friendly Ave., MS F-76 Greensboro, NC 27420 If you have any questions, piease do not hesitate to contact me. Sincerely, Joey ZWeisman Joseph Weisman Gilbarco Veeder-Root Compliance Analyst 336.315.2889 Regulatory Administration, UST Compliance Services, USTMAN° SIR Note: Complete top of forth and forward bath secyons and fee to Iepl licensing authcnty (C11y or Town Clerk). Do not make appliatian to department P nt of PUcHC Safety, �mrr�-�ruc�a�G�i y�czcfu�seGlt � e�w.xtrrzemtaGR rxo. C��xuecra — z7 a� ur2 ✓rrgr�mtacn CltyorTown NORTH ANDOVERR Date APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with the previsions of Chapter I a. SeCdan 13, at the General Laws, the und,m9ned hereby certifies ;hat MOBIL OIL CORPORATION 350 WINTHROP AVENUE is the holder of license granted for the lawful use gr;he buiidin 9(s) or ether s;mc:uretsj sauatec or tc de situated al 350 WINTHROP AVENUE , as retated tc the KEEPING, STORAGE. MANUFACFJFE CF OF �AMMA SAL ss.FLXMIJA ELES OF =;(p:Oc;VES. NORTH ANDOVER, MA 01845 wdr� Nate: '-his a<plicab"/or cerU1Ioure of regist avcn mus Je signed by the hcicer of the license it said license .vas granted pnor:c✓uiy 1, 1 g3E. crherwrss dv the owner or eecsbant of;he land licensed. Deceived Suomicec by 4}�'/CCi✓�'7 0` C�41()"LK��7i� 111A/NIFp�c nI I'rHnRl7Fll dGENT AlISTIN. 7X 78714-2667 NOTE: COl4PLETE �OP AND BOTT031 OF FORM AND F RWARD BOTH SECTIONS pT1 AND FEE LOCAL LICENSING AUTHORITY 'p��/TY OR TOWN CLERK). DO NOT RETURN FORM TO DEPARTMENT OF SJBLI�TY Tor ClttInwnfuralf4 dS oo-.00 SfCC ffE�5 Department of Public Safety—Division Of Mre Prevention vw CERTIFICATE OF REGISTRATION NORTH ANDOVF.R...................APRIL 30 In accordance with the provisions of Chapter 148, Section 13 Da l hereby certifies that , of the General Laws, the undersigned MOBIL OIL CORPORA�Iq _................................. Address .B71.4.-.«567 .......................... ........ .. IN.me of 'cns'al Ila an is the holder of the license granted........................... . . .of the buildin '""........--• I9........for the law;ui use g(s) or other structure(s) situated or to be situated at...,7 .0._FI7.NTBRRP...AVk,ApF as related to the KEEPING. STORAGF,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NOLTH ANM,E.A . ..... ................................................. Ntnee Thin cenificaic of rcei+vatien munt be aimed by the holder of the ileeme if.id license wan pamM peion to July 1, 1936, oth<.dae by the o. or occupant oft e_and 1 eq.ed. Received ..................................................19........ 7 Y1- 7�L b ......... ..... ......I................... " fi 1................................y .............................. am.mki............................................ .,,Nf18.L. OIL„CORPORATIOK IOfieia Tple. owner, "'""""""•"'^mpam nr M1alae.� ... Y.O. BOX 142667, AUSTIN, T.FX. .A. ....S 78714-2667 . . . ............................... .. .............. . . . . ......... NOTE: COMPLFTE TOP AND BOTTOM OF FORM AND FORWARD$7- 50 BOTH sus #0i-�°zt . £ TO llEARTMEN1 SE AND FO LOCAL LI AVTHORJ CENSING NO'J UTORN FOR ' (CITY TOWN' CLERK).PUBLIC SAFE7y. (TAQUfxmfh of S �� Fa Depaltment of Public Safety—Division Of Fire Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION NORTH ANDOVER ..........Selaenber 2 ..... ........................... . rear e. ree., Iwei In accordance with the provisions of Chapter 148, Section 13, 6 .... 19._�5.. of the General Laws, the undersigned hereby certifies that Mobil oil Corporation ... ................... ....................................................... Address 3275 dJ.l cws Ro d 4' INth of ccn of linnr, ..... ..v....:................ }t. x..n.C3a�. f:f�.tY.x"L''.'i. .z1.�..j7.. is the holder of the :iccnsc g:anted..AUGUST .24 ..... . of the building(,) . .........................................1992...for tho 1.:.^•tcl ,_se or other structure(s) situated or to be situated at..._3?[?_�?,$rth_op A}_:n° as related to the KEEPI9'G, STORAGE.MANL'FACTL'RE 0 mu.., e,,. .�b.r '"""""'"" _._warn ANDohHB R SALE OF FLAMMABLES OR EXPLOSIVE,. .................................... Note: Thin«nrfira of re5retr.,ion "" be evened by the holder of the iieenee if vid liva.e,.ee anmN prior to July 1, 1936..,her.r.e by the o�..,e or Deco G SEPTEMBER 28 •^t of 11,e lend tot Received ...... L /� � ........... .........19..9 Z /J / by .......' f.C. ec..�L: ..r.:1i6Y.l.!�de.:.................... .... .. -.�.._......... TOWN CLERR ,,,J�obil. OJ1 Corporation - Owner , .............. ....................... isuu.a.w IOTna r ea¢ a.�w,er , 3225 Gallows Road, 1'airfax, . 22037 EFFTIt •G rouq Au,ee„ ROTE : r011PI.rTr TOP A EOTT011 or ND i 1:B 'I'O Lf :'AI. LI('liA�IAt; .(��llt11 :AA1)101 1'OR\ )RI, I:OTH 5El'T.IOArg LO \01' Itl'1'URN FO1:M '1'( 1)I•:1'dL"1'111 1 UF 11'1Ia.;;4. lOW (n rm; , (tIuntiulm �:. :L 2 Depal'tment of Public Safety—Division of Fire Prevention 00 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION In accordance with the provisions of Chapter 148, Section 13� of the General Laws, the undersigned...... hereby certifies that ... . ..... 3225 Gallows R ad. F ........ . ... w. .r w...n wi .................... Address a l rf x is the holder of thea. license granted ��c- �•�••��-��•��`""""$""'"•^^•^^•�••�••�A.,22'J.37 of the building(s) or other structures) situated or to ••.... -•�•• ......19.....::for the lawful use be situated at.G ;zS�:: ; r._ --_ u related to the KEEPING,STORAGE, ........_1�...�.:_\Y >r:�..i.........._._.._ MANUFACTURE OR SALE OF FLAAIMARLES ES OR ERPIASIVES. fYotm Thi, nnihenrJ of,esiunden tvmt be ti J eeior to Jalr 1. 1936.ethe i.e by It. 6,tthe holder of the licen,e if uid liu .�y pewtoi Received ....... �f 6 "�—°La"n'�oft nd lite,,,ty ...._.........._...19........ 1 ........ram..; ..�`4 1..� . 1 — �: 7� _.4 ai.._ ....._..___....._........ by -•••••............... LTOWNC ERK1Iii. "ee"e^t Representative TOWN CLERK .............obil 0.il Corporation ...._ a`. .......... .. ............. o .. ......._.._.._..._.__........ e�?F%r,MA 01845 3225 Gallows Rd. , Fairfax, VA 22037 ...................................... NOTE: COMPLETE TOP AND BOTTOM OF FORM AND FORWARD BOTH SECTIONS AND FEE TO L AL LICENSING AUTHORITY (CI OR TOWN CLERK). DO NOT RETURN FORM TO DEPARTMENT OF PU. C SAFETY. C`fllfe ommunfucaft f of f zm5zIC U5df� 7 ( Department of Public Safety—Division of Mre Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION ........North Andover..................................... 19........ . ......... ............ .. ICi1y or To_nl (D..)In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that Mobil Oil INn Corporation: Address One. Technology, Pa,L)t,,.. Westford,, MA 01886 me of WoWo nr 1 ) is the holder of the license granted ............... ..... . Aua�us,t. 25A ., 1g 92,for the lawful use of the building(s) or other structure(s) situated or to be situated at..............350 Winthro Avenue afrrrt .�,e �.ms rl. ...P..... . . .... as relatr�rJ tot K nS NG STORAGE,MANUFACTURE OR SALE OF FLAh1 ABLES OR EXPLOSIVES. _ Ivor An over Under 40 ,000 gallons (City or ................................. Four (4) . . . 10 , 000 gallon tanks Note: Thi.rertifrae of resialr.tion mun be aip,ed b> the holder of the Iicen.e it-'id lieen.c s sr.med �, p 1 J 1> 1 1936 Ih .be b>the o.ner r«rupant d 1 -� Received �5 ? � lh ....... / ✓ 19 i � by ..::: ..�� .. X.. ...... . .. 1st m 1 ...................... .�,.�......... ......n.tnr.n.nrr. ....:....... ................. ...G:./if. a: «euv.nt nr nolaerl......................... ............................. IOfReia Tltlel ................................................... .. ......................................... IAdErml P.02/05 RPR-18-2007 Not.: Nc2e: CC mFoetTawn C:ecK)Oc net make aPPli lion t tle fart tentop Publ c(s]5a5e N- ,�' aumcrrt', ( tY I I��(a �Z IZc�� _� Z, arum c�a`C� wc- czaaac�u/ ate: v '�%rnwxon pZ vre �rvv' ccn : ejcaifG.nertC e�✓"�" a"LGp25 y ^ � city or lawn NOATH�oate gpPLICATION FOR CERTIFICATE OF REGISTRATION n accercance wRh re arovi9cn5 Of Csaete' t s6, SeCien 13, of Re Generi Law% the uncem,sne0 hereoy ceniil.it at tar Te la"„-, -5e OI she bwlcingls) nr o,ner s:n+c:Urets�e�Uaiec _ Y.e aciCe'^ IFense gt24ec Ca, c oe smatec a: 3sU WINVVIOp AVE9UE as reia:ec ro me Kc'_JFING. STORAG'e. MANOFACTLAS OR SALE OF RAMMABLS OR IXP'_CS`/ NO&TN ANDOVER .v>�� arrtlan must be signeo cY Ire � nal er a!!n cen re5 a �( atC license .+as Nare: ,s=9"oeden for carolc9te : r O)NetntlOEeG. yrantec poor to JJ'tY 936, am e enw5e ov N owner Or oc:u <_ucmmed by :eCMVeG A+u p �� F �' Tvmc✓ l -73o� 2/ 2e-20,dq League Pennant LAWRENCE EAGLE-TRIBUNE—LAWRENCE, MASS.—FRI., AUG. 6, 1965 * 15 LEGAL. NOTICES SERVICES OFFERED HELP WANTED—FEMALE 33 _ ID _ ., ,. Ad THEN.COMMONWEALTH OF pLUMIHVM IOIXG BAB USA ME RS W a a IA For S tl b M. UMcandINul C a a a bl n Mp55AC5ETT5 pEPpRTMENT Oi 4L 1 tl a Itl1 0 GAS If S P.M ealt, PVBL G XERLTX All tmAN W O IS CASHIER 1.11 11 Go - al ov r STATE NOOSE BOSTON 19M1 UM 00 tl w NOTICE ^ , q I. Rome tlAl IM1 vvl 1 ALUMINUM a 1 ztl' ql M $1 5 E Sal I -Jr, G e 1 155 5 1 tl r k O !']0 fn D oremenl °I Public H II nsn o. TL F x LaS065 CP ABLE letl +°l,ae n Help b1ll bb M1ela"° Rmom ...S Sc L N E54H WELLS Ih 11ltl tl k. M rbl. 5hvllu[k Hv5011v, IM Morlpn 51 f J - - d (Ph C lle 1) HgI 1. c° p101n MvemcM1 Use115 at II y ARTESIANFe WELLS nal IPVEIe fN fl y CLEPNING 1 p 5 a s p orris. The Grants, not affect the standings. Rtll RU one WetlnesaVY Aupasl IL 1965 r pafaln9' pow". HAM LTON WOOD. INC,. An- eek. V ti1Y Lawrence SI Meln^en. first half, finished dis Pitched for the Red Sox and iIh` aoaroval by cola peponmeln or Pab.' cover rr,&L - Rasa.... aererpodo. Call AR14]91 cloys. A4 c It a' 11, AtlIdA 01 Drnanl[Otlan — - --- 30)1 eaeninas. h a 212 record, Ed Bushnell contributed four hits I^connection Is h roe Prmdsee lncpmo.a. pact'. on snore a r r m, Lin CCUNTERCIRL,-as rl ..red v to the tcam's cause. Frank Curl °O" 1d be mown as wile Gabms Nme vmrd Arr w u co., s J 's makeup game IRA Hvma n[ US SO Vernon Srcee, Sfirm, G eIn y Vel. lannel free, L ry ear L the second half n'mghom,Red SCx catchoq lhlew mn— .ss.cnasous rnl Rsz-ese _ _ _ - iellators, the will- out she runners at second III ET-Ja'y 4 Aaaml a Is ...5 I CARPENTER SERVICE DEPENDABLE home 0 m ° Py oVU,ld COMMONWEALTH OF MISSACHUSETTS.AR'L TY C 7 n bl el AO y v X pal s GRIPS. B l9 runs to the Tig Will Brian Smith taking the Lana court j da 1 , loos k aamada np r - thrOws. epee N J5W Msc. J k ap EbPa OO s VoJ n . I , and was the ¢EAu - S,I, o k. o Ira x n alai er, and was re Tuesday, .IWy 24 -Cardindk n E e n 7 BUILDERS f 'F�oa a es ao l e To Robert a e p F l r Lv r t eta r u t 1 11. he 1 branch 11' i ast filming by Ray 19, Giants 2; Braves 19, Tigers Em'Id a pr n b n and Pra s. I :. eaR sSe we- e]. Lome a ni I°e R Demers hit a 1S. Gary Wentworth was The win- 'ATm monsoon o Rpm Lpwrene, "can"cq RPExrER WORK-Poacr HE. hIm 1^' ae1 ware. ste -....oe Lumber Co., Inc., Mdetln Plumbing A PAIRS. CABINETS AND RE vQ l^ 686-R9II Ins. n a make or role for the win. nmg hitcher for the Cardinals. adding Co., Inc, tluo`ex'slln9 r - MODELING, e041TR Imern, - fions M1ay.np "Ira" o e chual bV51na55 In GIRL for general office work Good hotel LS the COntSlb Bob Cashman was r the Br With mtl al Lawrence aw Mdrwumber ., and CCABINTERWWOS PORCH Tool S antl o5l.me bwkkdmPNr Stand,work,cold Ldmpd"Y, onda., dr/ Lumber Cpa eta CABINET SM 0 III On r.i0 the Cause. RIB George May ers For the le,and LMN y saying a a., Kdpp Oy Eled[1[ SMALL. M16eR3—Salem. N.H. 09R�dz0a. v c Pry ysnA ..moon n mMo a^M1al� make-up game, double Mayers had a triple, and xrmcd `awing surw G�uF1yA Ivrina lco'HARDYMAN- - Anal. GroWInp r a ales. CARPENTER WORK. g01v mnnlnds only, pmleisldndl Sou 9ned the Cardinals doubles were hit by Edmond Incsos a olv WRIIIA .antl I.. ,Iran PAINTING ANO PAPERHANGING, PlyCa, 15 Brosel , Lowrenm. Quinn, Charles Manzi, Richard o v ' race ar wonom m North ETe 0TWO._ gooSEKEEPER WANTED—coin a small Belanger Credited Andover, Merrimack Valley WOO Prod. CEMENT p HOhTOP 11asebma. rvrlle a.. MMI E.W. and Gary Wenl. D'Elia and John Lundquist, Pill, C, as day axlstmo bon I NOT TOP-PAv NG r vane L with the loss. Monday, Judy 26 - Senators b m idn w Mwlnei.r e M e EP�Ro p o aGosT'xo L P:n:roe - coon 5, Yankees 2; Pirates 9, Red M AVBIn. I A slabhu n 1 `ez R REF ESTIMATES n aver. 1' for RIC Pirates N In, G.-my Of E tl e Common MESSINA A SON'HOT TOP CO— Col 0 mg Wood with a Sox 2. Tom Dunn was the wiro WW thr Jdakoora Cabinet Car.., a call saeaonada In J us onyrwpys. L.P.rv. rvr n m-]-d -zmn.-°lee Millet, With a nmR Pitcher' for (he Pirates and `xrs4^n ..pin b°v cop n usual Parking Lv6. 6A6O1R[, eeaeaa2 Sort ll"e /.P,N 0-11 _I so `o i'ier 1^a f buslwls " Lowell, WINwhe A. — — - - - coon. O LIIme Call I'll a )it Belanger, with Wank Shea took the loss for the mm°,mm .r o,m HIMIA, mlh 111 GxA'N uxK FExeEs Io o.m. Counle r Mltlalesxx ntl la Com� CHAIN LINK FENCING—ComOlelelY I,s — Red Sox. Richard Zieba tagged round' nM1: eta +A an ¢,Pone mmm ro,m- a work dao.amrea. No coo a N.-111N e-P.N t: ...did bar an a home run for the Pirates lC 10 'be an r t Sold Iona`$aimr5' mown. a to s ."ore tom Frn era M1BIe " $coral e1 n°'"`. other xchetluletl s S ry e DR s+go. drive in two runs. Brian Carder R ° 1 % r Iaa add 1 SEARS ROe.0 CK A CO m !ek the Red Sax M x oorme.mldd Bank a ' E sf. uBnoi SECRETARY F ' nr �r III &7, and the to was credited wiRr the Senator -r g con noyong a Loo sAXO Na EGmpmsxT E "` a 1 am Kill,wrte Ed the Braves, & victory with the Yankee ].IS o' I 11 ee fine Inaleer m FLOOR end Pecs^es. Poll h n SEEKING WORK - charged to Art Murphy, Phil De •alp rem orodenY n M m en rency! Hoar or 0o Bodeen Hare ttiu1L _ _. —___ _ on R ryamad pane. WYdl�tr+-JiYa[I .�-uu.eu — z.—. -- REGISZFC raI]4LST1uYYEYee1.. I 2007-04-26 22.37 BURKES MOBIL 9787776972 n> p V l - ,?ne Cornrnnrewcr,-:+: . }l zsiec{eu Str.:; �y�>C �_' �xpszy(n rr of Aa_ r d< r;Aenye DACE of InvedtlyaXiells son, I co 10 tit RECE/lAct ova 1 r . a_: 4 w ., '..,. rrr : a _ ayxsi ru�»7ec erxdnas_ ..:r '✓e rr'tl_pco;} cu ^+ 1bn velavaha ha t;�e f,l:uu � o.ePn'� � che: o-svrann cr .Ja-es Y u + =5 0 1,u,Oc�A n'MCLI 4.l rt rz n `� 1noi AJ(' ntl n r MT IURKt WAR MM a, A : 4 -Jer.u.J cenro t do ,x5 jy .:v6 _ an✓pa resa,pr.,..yf ma.r �Acd aAe�. - reo., .. i i cl, pan NC.,, asWine Mobil Oil Corporation 3325 GALLOWS ROAD FAIRFAX VIRGIN IA 2W37 WR1 ebruary , 1993 Town of North ,)ndovcr ATTN_ Town Clerk 120 Main Street North Andover, MA 01845 Attachod you .4i11 find four certificate of registrations for renewal along with checks in the amount of $7. 50 each, check #V100-820053, 4V100-820052, #V100-820051 , 4V100-820050. This to ronew the certificate at the Mobil facilities located at Park St_ & Chickcring Rd. , 12 Massachusetts Ave. , 350 Winthrop Ave- , 79 Chickering, Plc-se Process the rcgictration� and payments, upon completion please forward the bottom half of the registration, back to me at the address below. It is important that I receive the certificates co that I may retain copies for my records. Mobil Oil Corporation AT, TN : S_ A. Smith Room 7W318 3225 Gallows Road Fairfax, „, 22037 Should there be any questions elcoso contact me at 1-800-227-0707 extension 5864. Si,ncercly, g er;F�y Smith S nvi or., ntal Compliance IIIA sal Y-0-t' &I W w Environmental Awareness NOTE: COMPLETE TOP AND BOTTOM OF FORM AND FORWARD BOTH SECTIONS AND FEE TO LOCAL LICENSING AUTHORITY (CITY OR TOWN CLERK). DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY. The (fixtMnanf galth of fflns=fpseffs Department of Public Safety—Division of PSre Prevention a v� CERTIFICATE OF REGISTRATION ....NORTH ANDOVER...................APRIL..30. 1s...9�. tcitr e. To.N In. l• In accordance with the provisions of Chapter 149, Section 13, of the General Laws, tale undersigned hereby certifies that MOBIL.,OIL„CORPUR/1FIgN................................... Address ..X—Q,..3AX..1.4.2fih7....AUSIJa,...IEXAS..7.821.4.-2.667 I N—1 Md-.' Iieenael is the holder of the license granted..........................................................................19........for the lawful use of the building(s) or other structure(s) situated or to be situated at.....3S.q...hZIN'IBIQP...A EXLE............... 40v,— .nd .—dwO as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NQRTN„ANDQVEA......................-...... ................................ ,cxr e.Tnv., N.,r: Thin rer,ifir.te of nai.totion m..t be.i".d by the holder of the new..e if said lieensa wsa`r.n,ed peim to Idly I. 1936.wher..i.,by the o.ne or oeeup.nt of the I.nd licensed. Received ......................:..........................19........ .............................................................................................. I6ipnmeel by .......................................................................... MOBIL OIL CORPORATION .............................................................................................. ISu,.wbther Deno. vur.n,or A."." ................................................................................ m lOffi,W T111e1 P.O. BOX 142667, AUSTIN, TEXAS 78714-2667 .............................................................................................. (Add....) ( he hlommonfuralth of Assarhusetts Department of Public Safety—Division of hire Prevention uv--` REGISTRATION .....N11ATH..ANP.QVF..Ft..............AERd3....3.Q,......... 19....21 (cib or Town) la.ul This is to certify that.....MOBIL.,DLLs_CORPORATION...................... .... ....(ms in accordance with the provisions of Chapter 148, Section 13, of the General Laws, filed with me a certificate of registration set- ting forth that....Mq_67.L..QS.4..QQRRQR.QI];QN...........................................is the holder of the license granted ..................................................................19........ for the lawful use of the building(s) or other structure(s) situated or to be situa ed at.......350..W}NIH�OR...AVENFF.................................... ........ ..................................... ISll-d .nd N..M" u related to the KEEPING, STORAGE.MANUFACTURE O ALE OO 1 IMABLES OR EXPLOSIVES. ....... .. ................................................. I£imume me Offi—I M,kl No,.: A cerUfiu,.of .eaiatnlion nau., be filed on or b.fore April 301h of orh yr.r. (THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES.) bm,do l Nate: Complete top of tans and forward both sections and fee to local licensing authority (City or Town Clerk). 0o not make application to department of Public Safety. � � �cryrrrma�rccrlecc��i a�C��aLJac�zuaeCZ� a r`�. � ?%�.arG.nzmto�:1'vvo c-7v>uwcra — '?%vueaio�e City or Town NORTH ANDOVER Date APRIL 30, 1998 APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with the provisions of Chapter 148. Section 13, of the General Laws. the undersigned heresy certifies that MOBIL OIL CORPORATION P.O. BOX 142667, AUSTIN, TX 78714-2667 is the holder of license granted a.. A�for the lawful use of the buildings) or other structure(s)situated or to be situated at 350 WINTHROP AVENUE as related to the KEEPING, STORAGE. MANUFACTURE OR SALE OF FLAMMAELES OR EXPLOSIVES. NORTH ANDOVER ow- -All 71Is aopfication for certificate of registration must Se signed by the.holder of the ncense if said license was granted pnci July 1, 7936, otherwise by the owner or cccuoanl of the land licensed. Receives Suomitted by by P.O. BOX 142667 , AUSTIN, TX 78714-2667 a..w.r r... ..an. ---------------------------------------------_ ., � %c �zc�sea�li c��alaac�iclaeL�.t j= a, �efeoixCm�rzCo��vx< ✓��ice5 — �` r�w�irza7G;o r¢r�e�am� ✓rc�iwvrro CityorTown NORTH ANDOVER Date APRIL 30, 1998 REGISTRATION This ism canffy that MOBIL OIL CORPORATION has, in accordance with the provisions of Chapter Ise, Section 13, of the General Laws, filed with me a certificate of registration setting torn that MOBIL OIL CORPORATION is the hclder of the license oranted for the lawful use of the building(s) or other struHure(s) situated or to be situated at 350 WINTHROP AVENUE, NORTH ANDOVER NA s...r.r,e.—a.. as related to the KEEPING, STORAGE. MANUFACTURE OR SALE OF FLAMMAELES OR EXPLOSIVES. o . ,Cif i(,_.�iiuc; �m�,7� ✓y,If . / / ✓ sm.r,,..,,cdrs�rrr� Note:A carnfinre of regalri must be filed on or before Acnl SUM of a dit year. THIS REGISTPATION MUST BE CCNSPICJOUSLY POSTED ON Tr E PREMISES i!nnsad]r961 Note: Camplete top of farm and forward both sections and fee to loll licensing authority (City or Town Clerk). Do not make application to department of Puolic Sarery. �. r (:S-UYYI/IYGC�JZLLo2G�f2 GG ��GCCZC�I LL.:ar 3 ,'+ �emr�zCal�".re =��i.�+�ccea — ��u�criro cZ�hur< ✓;�iueoeCccrc City or Town NORTH ANDOVER Cate APPLICATION FOR CERTIFICATE OF REGISTRATION n acc2Cance with the onw,sienc cr Oh=rer i u2, Section :J. or he General -aws. the uneers:anec hereov ceinties mat MOBIL OIL CORPORATION P.O. BOX 142667, AUSTIN, TX �78714-2667 � s:he halter of license Granted tar:he lawtut use el the bmiaing(sl or other s:mc:urets; s::uaiec sr • :o ce situatec at 350 WINTHROP AVENUE as teci to the KEEPING, STORAGE. MANUFAC-JRE OR SAL OF F-AMMAELES OR E CP'-CSIVES. NORTH ANDOVER Note: Lhts application for ce.vfienre of regs:ration must,pe signed ey!be he!cer or the license i/sard license was granted chor ct July 7. 1976, crnerwtse dv the owner or ocoucant of the land licensed. Fecewec SuomitteC cv cv w.+ot pia. .m,d ---------------------------------------------- I earru arcaa�Cii a` ` ' ac�u cCZ1 '3 ai y �emmCaG�✓'vx< � xiea — LCneikzwwn¢7:�iri>r2¢e�mnrc .:�,w��. m 7 � y _ C:N or Town NORTH ANDOVER Cate REGISTRATION 'is Is :o omit, that MOBIL OIL CORPORATION nas. :n acccmanee win :he prcvistons et Chaorer '4, Section "_. of'he 6enem, �aws. :ilec with me a oerttficate of ecTs:ray.m wring �ccn that MOBI OIL CORPQP,%TTON .a :ne hoider sf me license ;anac 'cr'he lawtul use cr the bmimrg(si or other SnIC!lreM sacarec or :c 'oe situatec at 350 WINTHROP AVENUE, NORTH ANDOVER, MA 15 :e,zlec :c :he KEEPING. STv PAI:E. MANI:F4C7-FE CF SALE:F F- ,MMAEL'E CF "u's. ..zn;dcra_r loc;sucn rns;=e uln �'or Zeros-on:=Lm or 'act'rear nIS EEGIS-=A-ICN TICS- EE CCNSP'Q:CUSL' FCS CPI --E 'oF IISE3 4 Iz Department of Fire Services YSyA r^y Office of the State Fire Marshal P.O. 13o1 1025,Slat,Road,Slow, MA 01795 CERTIFICATE OF REGISTRATION 116��z� q9 — 9526 S� North Andover April 30, 2009, tcronrnn.n) (oaml NOTE:r V-Plel,We nod bottom of form and I'onwrd both sections and fee W local Licensing AwhoritV K'ily or'fmvn Clerk7_ DO NOT RE"r L'RN FORM TO THE DEPARTMENT OF FIRE SERVICES. In accordance with the provisions of Chapter 148, Section 13.of the General Laws,the undersigned hereby certifies that (Tfl'LE HOLDER): F,.xxonMobil Oil Corporation (ADDRESS): e/o Gilbarco Veedcr-Root CMS, '100 W r-riendly.AV,,Ms I`9G,Grc,nsb II,NC 51410 is the holder of the license granted (Date): for the lawful use fthe building(,) or other situtcture(s) situated or to be situated at (ADDRESS): 350 Winthrop Avenue NOR'FII ANDOVER, MA 01845 tcily ,,lowml as related to the KEEPING, STORAGE, MANUFACI ERE OR SAIL OF FLAMMAI3I.F.S OR EXPLOSIVES. NOTE: This certificate of registration must be signed by li licensed.the holder off ronse if sail license was granted prior to July 1,1936, Otherwise by the owner or oau pant of the In" _ Recelb t�� l� .)� 2009 ._.... / �__ GILBARCQ VEEDER-ROOT By a � IER AUTHORIZEF3A,r W 0 W �RIENDLYAVE. Clerkth 8OX22087 �E'11ftbR0, NC 27420 .....................MA I L.S TQ P#.F i6..... (Addres,) 9URKE5 INOBIL 9]E77]0972 r> F' 1/1 A*" 2'.e£�lYlxeetEYbF.4P .6L'f Aj'/�GSS+-3'xa �, �' s-�UAZYnraaR'gLd'.LY+ .gsx7e^tExs"& rm ' .. Nd5f Fti2fili:m^zori SdN4"�Y,�ry tilAtrk Boar XAiem E211 'd r•1tst3 Casme'avtivdgti'i>•sarnw;11SC4>R GearU[bs Ala gg(`,,,, "log h4Haffi,u_eam.} . 5`Z"J' . Ad + .e0 oysm, s'-'�vnxe anmp+apreratwnrxt trswelro-cso:' ras3ats5arac• Ssssa�.*sCueanc.'wi .aFux g'pzaKnu;kmcm'v.°, i anrvnj'oennF^mpaFes. &a9cs Ga*o 3 A�w.essar rrabtxy . Cl7maeeremN'ar.+mn§ (€yflrm x+L� "Sr:,1G'T,Y E£rG"c f/«S �"d°36Ctitsv mr,.�.,::c,res.as.,,.rt'.m... 's":m;.•"�' [] :tfitizxat-.wdWXmCa[av'v,'�e'wc¢kG9'�rqi+usa+'ffrn=;v.F0.'3`a� '�`aV�Q'Gff fBL��¢Tx .BM: ✓J�d'• ' ;''+ K,,. r � etMveeg C. T1' :r* �^' • :['l YraaKaBtk.gxa arrEf.Aaaelicad da:irdet�a,Rms'6k+dodxw N6a6rcata5e'• I,guaa$-� Se i �mTpPAia4J ' cauumwa,k mr'd • •nlmsr<Tr� ..... . e •pnxwas ` lj�mFy'1uAc�usku�'Pitt'se+5i+.-b.,"u,'fi.;.t•Yw�"S..cKla.>=. rs�4b 'k�'dm .�a'i"ta"7"r. "�'->�",x•�+�''.��,.r-.'i's`if�'Ra':Y Plcmia ae mmnwq{¢.n Unv upvkr 5mlmrzSa wmaGtiy_ynne Gu mc�:°@a%"!ti^aie.wp>4ra i�5>r,'' imcvg a[.sCrsCand'm- o�eY+arsa^9enn�ou'n:xzlYu<enn nawanam'mw rmanrm5Y(n'x5nttl¢'0i1D03c¢n.s Eta af6koab,Jx�a„ �M^tw.•Puvkr m,ura nx :eue»Ca +wmnccaeov le ru«umtiv.thnfmaaehFvilk xsons'or:u�sert.&,amM�rc7,ueolieF- - (�Ls'an a Jprs 2r,e1 p rL�.y.µppn P}s nfvt'�urF#Ru Jro dri}a+^ab+lirt,ryart�ed'+SmK#Imrs�^s++^�*rmg �, GdS+�2 ',}.✓7'.�d u.- '.��_at�.1 ;17cye . + /5/J`X�^,_ H• F'—' 2�oO':6^_ 'P •,ss`,d.. .eye'z.'a w3 •' v,=-.i.r �s.+,. -:1:m`"'�.,..;.aF•"' FN.2"ti--w`r`r+'%G"eiw^'..resat,.'ta"^^aY 'a:..G.:..:.Y,S�`>".r:`�3:iut '"fir-.•.''„�i � a�+ +l uxoml� by nd.xry.i xbt-ar..4nfesniai3w+G5AP fyr?tcy>:aYCvL' y C r)' IW+,tl'__ jlbpiGlkkr.Yk'?_ :JflvF49�fEHJ Cry. +�, . Olac®aaq ei r3 f:'...,-r_" ,..e%x� Note: Campiete top of form and forward both sections and fee to local licensing authority (City or Town Clerk). De not make application to department of Public Safety. `a � '�efamxlnxevetcG��'are ��iwrxceb — ��iri cG�"�'vrr? �iuenzi�cro y City or Town NORTH ANDOVER Gate APRIL 30, 1999 APPLICATION FOR CERTIFICATE OF REGISTRATION In accareance with the provisions of Chaster 1s8, Section 12, of the Generat laws. the unoersigrec hereby certifies that MOBIL OIL CORPORATION P.O. BOX 142667, AUSTIN, TX V78714-2667� is the holder of license granted -lot the lawful use of the building(s) or other stmcurets`.s:tuateC ar 0.- to be situated at 350 WINTHROP AVENUE as related to the KEEPING. STORAGE. MANUFAC 7 JRE OR SAL OF F AMMA6L5 OR =<PLCS VES. NORTH ANDOVER ors r� Note: his acodcol for ceroFcare or Tg!s:mvcn must be signea by"he ne!eer of"re,license it stare license was granted cnor;e Jury I. 1996, ornenvtse by the owner or cccJrznr of the land licensed. Received Submitted by by ---------------------------------------------- �, _ �, `�rimmcacuaa�/r� o�'G'��cc.11ac�c�laC�t 3�ti y �on¢rlimartCaZ:J'�r; �e�rce: — GGnc�r>v,.unG_i cfir�e r�z�ec ��>��✓.�m C:N er-cwn NORTH ANDOVER Cate APRTi, 70 1999 REGISTRATION —he;is to carity mat MOBIL OIL CORPORATION has, in accomanca with the omvisions of Chanter 148. Section 13, of the General Laws. Merl me a certificate Of :ecrs:rafcn se..^.Ing form that MOBIL OIL CORPORATION 's :he helcer of the Iicanse granted 'cr the Jamul use ct the duiicing(si or other::mcureis; Sabutea ar a be situated at 350 WINTHROP AVENUE, NORTH ANDOVER, NA as rein ea to ;he 4S=P'NG. SCRAGE, MANUFACTURE CR SALE CF F�1MMc LS OR E[F'_CSVE3. acm:: -^ncre ur",rmocv rts:cn ;ie:-:n ar cares:cnt_Cm a aan iaar -HE RE=IS7� A 1CN MLS-naCCNSP'(7-CUSLy FCS-S= CM F9EMISES =a..n,nsea.?e'r t\ �l�r Ln�mm�uiiLr-dU4 of rah trl2ltReffs DEPARTMENT OF 'PUBLIC SAFETY—DIVISION OF FIRE PREVt=NTION It I i 1010 COMMONWEALTH AVENUE BOSTON t May 5,. _1992 tar o APPLICATION 8-OR L.i(.ENSE For the La,fol Iltle � R e of the h<r n dvs�rlbed Iafdding nr tLcr a.ruetorc...., application is ha eby made in aerorH- :mcc 1h the prori- < of Chnplrr IAS of the Q,-, r I:mt, for -rn" tons ts'and on hich =. ,h banding_._ or alhcr >I nit rr i,AI,, or IF/we to br ,I r t I, :uld onlc to r nA, r vE t on l lnt plan ,ohieh ie filed ,v'ith and aniale a port of 06, apph"tion. L.a,atmn of Iand.350 Winthrop Avenue vr,l"'A Bross street Route 495 . o,yner of load Mob" t3ap eolipdFLion lddre,a One Technology Park, Westford, MA 01886 SunI of Arcot <_ to , !,irl, th l atinn tl,I ,_ ...one (1) ...... ... _... Full service retail. gas station and repair garage Folal p ity of iui to gm I,: 1bov e None g 40 000 allons , 4 10,000 r�nad LnrU round , 9 .. KInd if 91141 tobc tcrrl intmks motor vehicle fuel gasoline gallon tanks pp ,cd D approved �� _I9 / �— ✓f (m1L'/'i(it� iC��¢�! �¢�.l,c.c.t ofsy.- uo.�a bs<- Y/J 3 c�;Ife (Rnm�nrlunrttlfl� of �,a�rlTtteffs DEPARTMENT OF PUBLIC SAFETY--DIVISION OF FIRE PREVENTION 1010 COM!.1ON\YrALIH AVENUE. COSFON North Andover August 24, 1992 �� Cly�r Tcv t. tnael In radanre n'Ith the proci:ima of Chapter Ll9 of the C e i a„v, n Been>c is herebe granted to o_c the land he,on, IIII,i JCl for P'e l o ful c=e of the building or oth" zt ,t ue ,Ah 01 is/ere or i ln, to I" vi iot,d tharcon, and n= deaeri6cd on the plot plan filed ,cilh the :""'I":rtiwI for tF, licerue. strret i ¢n of I,md t 150 Winthrop Avenue Route 495 ..�rr. __Aaa crt=s n'rI,, f tend Mobil Oil �S'fp'oY�'f'�8 ,. A,hb, _ One Technology Park, Westford, MA 01886 V"nnlrrfI lJ;ne rr o.her :tructtr- 1. ,Li,hih It -c ;lpl'cs one. (1) Orcup ey or us of irh I 1111111ILg Full service retail gas station and rep,aiir,pragellon None 44 SS gg Tntl l '.Illy of 1: A m I r t „ „ �mnd _._ Ln k,groond IQ gal tanks 190 I ,f 11ald to be sly 114.� tI A, . motor vehicle fuel gasoline • T_HK LIC FNIS OR_A_ PHOTOs1 Al IC GR CrHTII-It' I PN II' Y pF MUST RC IX,`.S 9Cll OL1RLY POS(ED IN A FiP OTt CIr,] PLACE ON IHF I NI] IT:F2 aI11GH Ir 13 Ck:NI CO BOTH SECTIONS -- NOTE: COMLETE TOP ANDPFEE TO LAND BO kL TTOM LICENSING AUTHORITYFORM (CITY ORDTOWN CLERK). DO NOT RET'URAeFORM TO DEPARTMENT OF PUF-IC SAFETY. The Tomm,mfnettf 4 Of �flttssttcEjuse##s Department of Public Safety—Division of FSre Prevention 1010 COMMONWEALTH AVE., BOSTON —.. CERTIFICATE OF REGISTRATION North Andover.. ..................................... 19........ .., w. Or In accordance with the provisions of Chapter 149, Section 13, of the General Laws, the undersigned hereby certifies that ........ .. .. .. ...... ............. .. . 01886 Mobil Oil Corioration........ Address O Ae... .ec.hnot.o9X...Pa.F k.,... ..ru.m.... ... .. .. . .......................... holds,nna«) Au ust ZS . ............g...............a..............19........for the lawfuluse is the holder of the license granted.......... .i.to........ 350.,_W inthrop,.Ayenve of the building(s) or other structure(s) situated or to be situated at............(So—, sae —beri as relatr to the KEEeING,STORAGE,MANUFACTURE OR SALE UndeOOground 4B0 E000 EXPLOSIVES. of An over ................................ lons . ........... ......I.................. Four (4) 10 ,000 gallon tanks •............. •• to Ic. nr Tornt he holder of the Note: This «.G i rate of July 1, 1936,totherw6 e.by the own er or occupant of the lend licensed. ense if aid license V•e gr+nted prior w Julr 1, . .. ... Received 19........ ......................................... .................................................. by .............................................. ....................................... IStue whelho owno, euonnt nr hnldnl ....................................... ...............................iDlReiel Till.) .........................................IAdd,m% l Of f ttssadjuse##s Department of Public Safety—Division of lire Prevention lug 1010 COMMONWEALTH AVE., BOSTON REGISTRATION 19........ .....................(City.......own) . .......................IU.tsl ' (City or Town) Mobile Oil Corporation ..has, in accordance with the Thisis to certify that................................................................. provisions of Chapter 148, Section 13, of the General Laws, filed with me a certificate of registration set- ting forth that.............. Mobile Oil Corporation ,.is the holder of the license granted ................................. ................ August25 , 19, 92 for the lawful use of the building(s) or other structure(s) ..........................................................350 Winthrop Avenue . ......................................................................... situated or to be situated at...................................................... .. �iv±gg SSTT RRAAfG� AAryry 15beet and Num4d m relatedndeig Eound '�10OOUOEt3a r1gnsCTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. ................. g ....................... silos Four (4) . . . 10 , 000 tanK's'""""""" 1ea'�� n.ta.r.na otnr�.l r:nri Not.. A certificate of registration must be filed on or before April 30th of each year. (THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE. PREMISES.) Fws NE5.Y1/'lalnasA NOTE: COMPLETE TOP.r.AL'D BOTTOM OF FORM AND FOP 'RD BOTH SECTIONS AND FEE TO LOC LICENSING AUTHORITY (CIT.rOR TOWN CLERK). p0 NOT RETURN FORM TO UEPARTMENT OF PUBLIC SAFETY. PTj Ite f�ommo ITealth of $Isgmj�usetts Department of Public Safety—Division of FSre Prevention y " lo1J COMMONWEALTH AVE., BOCTON iv a CERTIFICATE OF REGISTRATION rii ..- c J� l............ . . nigned In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the unae hereby certifies that .b1A... Mobil .Oil„Corp.,, Address ...322.S..Gallows' Road,...Eairfa�, ...................... i....� fB .for the lawfuluse _...... .. .............."".... _. Is the holder of the license granted _. . of the building ls) or other structure situated or to be situated ai'�i' '- 1-u- u rcut ed to KEEPING,STORAGE. MA.9LFACTI'RE OR SALE OF FLA.1I51.ABLES OR EXPLOSIVES. 1.��.:�.�.r - ..........�......... IU �. ..... . ................................._ .. w1 ............ Nwe: T\u rtnf R.oa of rtVwnriwr �pl k utsd\r t\e Ipldw of r\e lieeort 11 rY Ibwre�u po{t \> it.. `oer aY «c M r {,N $tet1Yld .....j i � . by ""'^'-1 Town... 1.�.Lk..................... ................... Fairfax,,Vicgi nia._'2�,.,......._ FORM BOTH SECTIONS NOTE: -COMPLETE TOL�AD LI E S NGFAUT AUTHORITY CIIp,V OR D OWN CLERK). DO NOT RETURN FORM TO DEPARTMENT OF PU�LiSC SAFETY- DTI ('the T1M=Wi>I.1dth of a snchu Department of Public Safety—Division of Fire Prevention tl _� 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF R11EGISITRATIO ' ca t9C12 N O: �C ................... ....._�io-u .... c, .r b..l of chapter 14s. Section 13. of the General Laws, In accordance with the provisions the unaeraigned hereby certifies that .... Mobil _Oi1,.Corp.............. Address 322.5...Ga1lows..Raa ...................................., r Yra...r i....•, 18.. for the lawful use ..._.... .,.......... .. is the holder of the othernse granted....._...__. re..... .w ._` of the buildingls) or other structure(s) situated or to be situated at. o rrLt to a BEEPING.STORAGE, MANLFACTI RE OR SALE OF FLA.NW ABLFS OR EXPLOSIVES. kb t d.. - ................. .. I G-nr.r T...- 11 wY lie+...w W t .lv.".f..... M Ih. IplJer of the Ik..w 1936,whA:w hr 16..�+ar, Mwf: TMi. 1fA16f.Y/f R/rMrwlM wW h!M 1 d 1. Ga- 'W.�� .... . Received .................................................. ,ors w318 .......................... . ........................ ows oad Rogry..7.............. Tow.4....G.�.fZ-T,". ..................._.. Fairfax. Vic inia 2203 ....................... .. .................. .._.. .....ice- .,......... �Clhe ��montuettlth of �rxssttclTusetts aDepartment Of Public Safety—Division Of Fire Prevention q 1010 COMMONWEALTH AVE., BOSTON R REGISTRAT10N 19.... - Mobil Oi i Corp .._,_, has, in accordance With, the This is to cert:fY that............ - ' Mobil Oil ,Corp ...................... ..is the holder of the license granted provisions of Chapter that Section 13, of the General La.�s_ filed w ith me a ceriifiratt of registraron set - ting forth that_ � � � 19 for the lawful use of the building(s) or other structure(s) _. _ n...�ro . . . .. situated or to be situated at.......... ' ISvx. .M Mumbn . ............... own ...,lerk.. air elated m th/BEEPING,STORAGE, MANLFACTI RE OR SALE OF FLAMMABLES OR EXP,4,051 a�; ....... ow.�ram Wt API 34Ih.t (THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES.) MOTE: COSIP FEELETE TOP A' BOTTOM OF FORM .a\D FOL RW,-agpD BOTH ��EC iT Q\S" DOITY NOT OT RETURNLOI rORM TO DEPAET�IFvT OF IPL'BL. Tj TOWN AFETY CLERK) dtmmufm of DegP�rrtnlent of Public Safety—Division of Fire Prevention 1010 COMMONWEALTH AVE., BOSTON — - (- CERTIFICATE OF REGISTRATION NORTH ANDOVF.'R 91 tly I hereby certifies that w r..nl ............._... . n accordance with the provisions of Chapter 148, Section 13. of the General Laws, the undersigned MOHIL OIL CORPORATI,P.N........................... Address ,.3225 GALLOWS ROA_D_FAI&FAX VA 2203 I Nunn N WyrNlip„rl _ . is the holder of the license -7 -- granted...-. r� . l..it..'....:...:..:...:.:........_of the building(s) or other structure(s) situated or to t>e situated ...: ,.$0_ WINTHROP the lawful use as related to the KEEPING,STORAGE MANUFACTURE OR SALE OF FLAMMAB�rr n..boi ........................:..:.::::: noxTti AVDoveR._, . LES OR EXPLOSIVES. .... cu ......................... . New- TAN eMiaww ee e.,WmiN saor ba Nped ti:M boldr of the Maw�j -) plor n Alb 1, 1936. by the ornar ar sees pr r Pa.W Received 1 ,.,., ..................19........ - _ � ... l ... ..................................... by , ::................................................................ ` ...REPRESENTATIVE ............................. OWNER REPRESENTATIVE . . ....................................... GALLOWS . .................. I OIaAN filMl 3225 GALLOWS "ax VA FAIRFAR VA 22037 SWIM kk C` Ike (IommonfUlUdf of _4ffMSar4IMff5 ~� Department of Public Safety—Division of Fire Prevention 1010 COMMONWEALTH AVE., AOSTON CERTIFICATE OF REGISTRATION North Andover ..................... . .. ................... R.Ri>«.......... In accordance with the provisions of Chapter 148, Section 13�ot the General Laws, fpY1 hereby certifies ...! hhaat the d vaCSZL OIL coP .OH 10 a undersigned ntgned INeyH• ................................... •• •........• Address NE Business Center Drive Andover MA cOns*granl ................................................ . . is the holder o! the licetue granted... - ------- ----•- of the building(s) R3%5•••.-•••.. s19........for the lawful use g(s) or other structure($)-situated or to be situated at...35A......... .7A1 h pp..AY.£.... as related to the KEEPING,STORAGE, f f lt .wef .. ....fdnrth.Mdouer...NA................... MANUFACTURE OR SALE OF FLgAgMABt.LES FS Olt EXPLOSIVEg, Nwer Thb eeniflnu of redneulon loon he d enoe.e Julr 1. 1936' efher.i.e h4"-d hY fhe holderV id Ilceny Ne.�yd rthe ofnered lleeeeed, Received .................19.......bY ......................................._. L!!i\1irL aA/l�V•..................... • •••••.••••••••••.......... larw.MUrr e..n.am"uu er✓..II.n No &Andueeq MA OIEI11 ............................................. �` � (�! E(P �IAIIIriTIIltlttP�Il�j A�`Sr�M89�tI�1t6PYt6 J DEPARTMENT OF PUBLIC SAFETY—DIVISION OF FIRE PREVENTION 1010 COMMONWEALTH AVENUE. 608TON l d lhv 'tia ii �27 - �L19 � y •f,Fr or Towol (Il yEP ti, 1pp9Ns7�U PPLICATION FOR LICENSE <- FdONN�ar C'ttle a e herein described building or other structure. . appllcet..n is herebv m.ede in acecrel- I LIERK s pter 148 of tee General Laws, fm a license to ties the land on I In ll such building or other at is/ere o to be situated, :nd only to such extent am shown on plot plan ale h is filed with and made it part . x. 1 11 1 Location�fo�ff /land �`(� V wll n�A Rowe � q�sarost crolm flt et. ."J"�, :f le6d . �pDev,�.[ a Avm l2l I �_. 1..eQ l..Addrea! IS :-r �^- I tier of buildmgs c^ other structures to whi<(h fide application<appbes C Ae f Occui x v r or use of such buildings xis R VICe Total rapacity of teal® in gallons:—Aboveground I I yO 6a1i (now 1'odergrouud -�`♦�' G'�/�� nnit 1. "�p7 -. .7 f du:i: to be stored I. tanks _.. A U+n u/(1'1'G 4) a o +op 6-ak .Z ;� C t➢s.1. lAlc.yl<:-r-� j ,,..�.- S mac • '1`"� Approved—Iil uled ai .1976 YY} Y� N ' t en r svl my }8 fi t4 1� so-, u.Dot.) (Aa n ,;h rz ei ( (Co m witivralt4 of Mafia l iwrttS DEPARTMENT OF PUBLIC SAFETY—DIVISION OF FIRE PREVENTION 1010 COMMONWEALTH A✓'e NUE BOSTON it z1 LICENSE In accordance with the provieione of Chapter 148 of the 1, I:e,] L:,o, , a Ilrense is hereby Rrnntod to use the ]avd hereiu described for the lawful u, of the building. . or other tr, ,uT uhl c iarare or Is - 1- r,t e 1 1 Ilr.nw and as described on the plat pinn filed witi, the application f� ,<t rise. Li,atiou of land 35,0 Winthrop. .St. (9 neyy! eua.L.el P-oer of land MOb.il.. Number of buildings or other structures to which this 1,..; ap 'rr. - Occupancy or use of such buildings Service Station Total capacity of tanks in gallons—Aboveground 114Q-.gals , Riodoffluidtobeetorsliuta.ks 20a200 bass 500 Waste Ul Restrictions—lf any _... . gas additional. ....itional. �./.// .. (aira.wu of li_ranIDQ .mhodq) THIS LICENSE OR A PHOTOSTATIC OR CERTIFIED COPY THE RE tj 5i SE CONSPICUOUSLY rr ,--TOWN OF NORTH ANG..WER r� w.Em 'ft• 18bb JOHN J. LYONS, Town Clerk E H0 ELECTION DEPAETa.F TOWN BUILDWO JUSTICE OF THE PEACE - NORTB AN vEE. MASS. Olefb t� October 20, 1970 i Dear Friend: 1t is renulr=d by l w that you be notified of the following hearir:* as being one of the said abutters adjoining said property involved: TOWN OF NORTH ANDOVER. October 20, 1970 Notice is hereby given that the Board of Selectmen, Town of North Andover will hold a public hearing on November 2, 1970 at 7:45 P.Ms , in the Saleotmens Office, Town Building on the application of Mobil Oil Company 415 Chelsea St. East Boston, Mass., for a license to store underground an additional 55000 gallons of gasoline at 350 Winthrop Avenue, Route ll1y, North Andover, Mass. , along with their present authorization. If you have no objection to this license being granted, it will not be necessary for you to attend this hearing. Please call upon this office at anytime we can be of any assistance to you. Yours ver;T truly, d01111 J. LY01l5. T C Tvmmoxdnettltlt of 'ffittssxellixsetts Department of Public Safety—Division of Fore Prevention N ,? 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION is rth„,ln_',gver.._fi.9.ve.I0.1�CS....2............. 19.7_0. IClly m T—) (Dne) In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that 5 ob . 411...C.o..._......._...._......._............... Address ....... of the building(s)h orlother structure(si fJ4'F�m:oeT'_2 1`)',0 der of cense g . .e.._. ,. � . ........_.......... ......19...._..for the lawful use situated or to be situated at.. j.C..:uir..thr.og..5.h...1:.te.....114. tsv..t .ld numin') relined et he KEEPING, SFORAGE, MANUFA(TURE OR SALE OF INFLAMMARLES OR EXPLOSIVES. .._@Lor.tiil.1.ffida .................._........ Neu TI ( firm f g'an(io ( be.siKned by flor h Ide f(h "'co M f d 1 q .r K u ( d prior July 1 1936 d wue by (h or P f l In d l d � ( Received ( OVCA1LftF 3e 1'.70 . 19 - -C �� . �C by .. . ....;. �2". ......._. .. ... ... .. / 114C gals underground. 27, YLC pals ab ovotl.n o-ur-ial................_............................_............_......... _.. 20,200 gnlsgas . 5CO :;als eraste oil, 500 gnls feel oil an 5000 !,als�;as additional PoeN Pp-2. lON-5-6S-91R632 +'7 x4p Q1M=nWvt t_Idjottasttr4usetts 3 - - --- DEPARTMENT OF PUBLIC SAFETY—DIVISION OF FIRE PREVENTION 1010 COMMONWEALTH AVENUE. BOSTON 09.o n 2 i3 �Ic ��n�, art f9 19 0 P (014J or Town) (D ) a° REC p s9: ppLICATION FOR LICENSE � gi �y 1p90 f7dc _ < A100 Le 9QFtHe J e herein described building._ or other structure._., application is hereby made in acaord- o a:tw UER apter 148 of the General Laws, fin a license to use the land on which such building._. or other st _. is/are o to be situated, and only to such extent as shown on plot plan which is filed with and made a part o 11 i Location of land `� c% W i n 1 fro y� a, .,eareat arm at (&< ao a sum J q f 03ner of lad. (�abst. _� G ._Address ��.A_. � Number of buildings or other structures to ,Mali the application applies.,._ C'. Occupancy or use of such buildings _ .S�' R�.c,e S+t,f-,u•1 Total capacity of tanks in gallons Aboveground 1 I`I O Underground q 0 Kind of fluid to be stored in tanks t „tn� (jlzr a1.. .Approved—Bi,ppre,sd 1976 t .ul`_ •of (ja,-Q. tL r� `� m �.8 nevtJ ft t,izi- 1 Ixcea t sire (Ad Heal J BOD-291 Department of Public Safety—Division of Fare Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION E. , . ..................._..............Bosto........_...n....Mass.............April 11H 69......... . (cr> o. Tewa) mao In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that Mobil Oil Corporation Address ...........445 Chelsea Bt.A E. Hoam n, Mass. If! me ar nnid.r of �.�..I .. is the holder of the license granted._............._......... . ..August 16, 1965...for the lawful use of the building(s) or other structure(s) situated or to be situated at Route 114 kv y_4' rt_ Is a ameern l 1936 W.,.H,p ,•..' ns related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. North Andover, Mass. .......................................................................................... a,r1111) Note: I'hi,rrrlifi,.1e of reSisrmlon must be M,,ned by the holder of the Reenee if avid heenx w.e ara aed prior to July 1, 1936,other .e by the owner or cupent of the land liceneed. n wir ur �� Received __,�%r ccr ....a.1.11 . ....19Mobil Oil Corporation .f t t ........... AN J. by ................. ......... ............. .....;1 C ......................... `h"J Cl- )-;< owner .........................................w l,,............................................... ...... ....... y ,___._,.�.................. Isar. wnete.r awa.�. ar,a.a< a,nma.a ............. -(l)di Ial Tillrl 445 Chelsea Ht. , E. Boston,Mass. ..else ...St:...................I............. i nemo,� r 'The Tnmmaufurttlth of Massachusetts Department of Public Safety Division of Fire Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION E.Bostonx..Mass ............. 1.................. Me, ., Town) InatN In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that Mobil Oil Corporation Address ,.445 Che,isea SL„.E,.Bos[on,,,,Mats,,.._,..,..__.,, h ur nain�.er i August 16 Route 04 , is the holder off th e license granted...... .... .. ..... 1 for or the lawful use of the building(s) or other structure(s) situated or to be situated at.. a<_. %...... o"' ' and nu,nmrr ue eLord to the KEEPING., STORAGE, M.ANUFACFURF. OR SALE OF INFLAMMABLES OR EXPLOSIVES. North Andover, Mass. .......................................................................................... C,,,u,n.,..,, Nme: Thin rrrofeme of re,isr. ion must be diaued by the holder of the urenne if paid Ilcenue was granted prlur to July 1, 1936,otherwixe by the owner or orrupant of the land lireneed. /� , (( Mobil Oil Cyy,rporati n Received .._.lt ( .('..._.�.�...................19f, BY.A.....R.:.C ..:..9s...... //y ts-i�mu.oi by ................. .................................._.........._........ owner .............................................................................................. ....................................._...................................._._ istat.worm.. uwn... u..un.m n.nnmP.� roamul Tmn 445 Chelsea St. E.Boston, Mass. .............................................................................................. (Add.... r BOD-291 Zhe GmmmYf tealtll of fflasonc4uortts 1F _. �i Department of Public Safety- Division of Fire Prevention / 1010 C0M110NWEAI,T11 AVE., BOSPON CERTIFICATE OF REGISTRATION E. Boa ton Mass ............ Agril._3...........,. 19.... 67 . ..... ..... ..... I... ........ r.,:nt Illa.el In accordance with the provisions of Chapter 113, Secl ion 1, of the General Laws, the undersigned hereby certifies that Mobil Oil Corporation 1lldrr,� 445 Chelsea St., E.Aoston, Mass. is thc holdmr of the license grant 1 ___August 16__. _-19-6.5.,for the Iswful I,— nf [he building(,) or other n <I At'd to the hll;l'rN 11, SUON l I l I'.. ',lev .'�1, tt II N (W I %1A OI IVFLIN01 61 i'S pIi I PL SIVESP North Andover, Mass. V„ IN, -o.tcata "f [vK tetra G< +i I tined II ,'J., ❑i I'- i1 as d Lunn .�.�- 4;:.0 f:. "no, o�lulc ;986. nthe,n mo oy 9m ..."d �'f Ito Ianh "'e'td. ..� oc ration o Mobil Oil Corp P.eccn< 1 BY.?_ (.� ..G...1+' v-y-r�- ^e .......... ._...1 ....._...... liy .............. .:...............__........................,....._........ owner ......._.._._......._...........__........................................................ ..................... ....._..................::......., ........... (ORlelol Tile) 445 Chelsea St. E.Boston, Mass. .................................................................................... 1 naI...sl oA. 2-„„141-,3,1goglo >> WQSkI' s�Ea be Commoutnemb of oaggacbugett2; RFce� p DEP MFN F PUBLIC SAFETY—DIVISION OF FIRE PREVENTION �pHNJ � 1010 COMMONWEALTH AVENUE. BOI N o roW LYONS `7 Np �1[H North Andover, Mass. July 27 o kLt gN�uvck m 19 65 �o ` �pw o, rewat cn.�31 `2£zrz LICATION FOR LICENSE For the lawful use of the hcrnin desrrib,d buildhlg m other structure_._, applieation is hereby made in aecorcl:uu'e with the prodlions of Chapter 141 olf the General Ln"s, for n limns, to use the land on which such building or other sfincture_ is:"a r, In. is are to be situated, and nnh- to such extent as shown on plot Plan ,Bich is filed with and made it prnrt of this application. Location of land Route 114 Neln,,I4 ,tnvs sheet - John P. I�'"tfas[ari1�J._ Shay ` Ills ., Winthrop Ave. , No. Andover, Mass. qfl C.vner of land _ 3Il_W lie., aP_Ave. No_..Andoverr..Mass. NI mbei of bmld mEs m othe stew lures Io „bleb this aPPh ,Lion npPhcs ggya buileing containing 2 garage Oetupancy or nee of sodl hu ldings office,storeroom,servicing & lubricating Of motor vehicles in T,td upaeity li t...Ac in ca n, — 7 1140 gga 11. - garage UND��`cY IB � 20,200 gals:gasofllinec1 p,��}� g21,200 gals. id o fluid tr 1, t ,d h thl.eT7T—in under nund tanks, le'"18R0uiV %waste oil,500 gals. 2 d al s.antL freeze.f86 gays. �ubric nts,1�� gals. loos ne ums 00 gsealedreontai, and �lso ggasoline in tanks of 2 cars-40 gals. Js. �.-e Total 22,340 gals. Apm.,3,d—�+a /1 i f t y31 !II of Fuc D P, — •�"/tie',�a�+ _ I AUJreav, ,. The (9vmmmlfvra1t4 of fflttssttchuse#s Department of Public Safety—Division of Mre Prevention 1010 COMMONWEALTH AVE., BOSTON s ' CERTIFICATE OF REGISTRATION i;orth Andover. Au¢uot ly, 6 ..................................................................r........... 19.....5. (City or Taws) IDatrl In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that Sahn..P......Cc.S..as.tanL._J.....�hay................. Address4.�i.6r�.4'J.2...;l.i.La11F..9H...^..!.e.....PI2,... ;igover.. I Name of holder ur irau0 ALITust 16, 1965 is the holder of the license granted....................................... ........ ........... ..... ..... .....19........for the lawful use of the building(s) or other structure(s) situated or to be situated at...$.QY...ttQ...1. l..r...,3.5.Q_ .Ljx?f9P t.ve (street .ad roariu l as related to the KEEPING, STORAGE., MANUFACTURE. OR SALE.OF INFLAMMABLES OR EXPLOSIVES. Borth Anc.over, I.as 9. .............................. Ict'.. Tovn1 Note: "I'hi.certificate of re,osn ri; license uxt be riigned by the holder of the license if said licee w e wanted e prior to July 1, 1936,otherwise by the owner or occupant; he land I'ee Received 4L 19�: — .. .. ... ..... ot by Jf 'iN I I t �- '�,�-2-{ . .. .. .......... . . r^ (DMe al Ti I ) ........................_....................................... ........................... / (Address) �- BOD-291 T4C (9ammunfilettCth of fflttssadjusetts Department of Public Safety—Division of Fire Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF REGISTRATION >t s�C...EoeS.vas..Alass.............ARriI..1.............. 19..66.. MC, m T—) (Dale) In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that SotonX.,lbbi1..011,Cpmp�v,RX.....x!?R................. Address ....445..GhR1R.Pa..Sillsta..BaaC..guA4an...Heed. INxme" holder of license) is the holder of the license granted.....Auguet,...IA................... ......... .19---for the lawful use of the building(s) or other structure(a) situated or to be situated at RQRtIs. 114......... .. . . ....... .. ... .... "areet ..d ..an,0 an related to the KEEPING, STORAGE,MANUFACTURE OR SALE OF INFLAMMABLES OR EXPLOSIVES. ...................Morth..Asdoysr A.Mesa.%...............I........... (C,y Taw,) Note: This certificate of registration must be signed by the holder of the license if said license was granted / prior to July 1, 1936,otherwise by the owner or occupant of the land licensed. G /d CL Socony Mobii pil ompanyt In . Received .,.rf/ `.`. ...........//...................19........ .8y:........._...K.../.i..:.fL' .......................... / isi rare) ov ur .................................................... ...... .................... Isut,wnnner aw.er, areaaam or nala.n (omda) Title, 445 Chelsea St. I.Boeton, Mass. .............................................................................................. (Addy...) BOD-291 'TIte Tummonfnettltlt of ssttcCtnset#s Department of Public Safety—Division of Fire Prevention it 1010 COMMONWEALTH AVE., BOSTON REGISTRATION /. . /y// 19`Yr... (City or Town) (De) This is to certify that.... Socony Mobil 011 Company, Inc. has, in accordance with the provisions of Chapter 148, Section 13, of the General Laws, filed with me a certificate of registration set- ting forth that.........................i. ...............................................................is the holder of the license granted Auguat 1 65 6 19 for the lawful use of the building(s) or other structure(s) situated or to be situated at Route„ 114 „„ (Sveet and Numner) as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF I FLAMMA LgS�Q$ EXPLOSIVES 1 '4 µy�dt," 1 T-Ile). Note: A certificate of registration must be filed on or bui April 30th of each year—_ - (THIS REGISTRATION MUST RE CONSPICUOUSLY POSTED ON THE, PI"ISBS.) ror. r.v.s, zstl-s-s1_oaos The Toulnumfuettlf4 of ' f nsur4useffs E� Department of Public Safety—Division o: Fire Prevention 1010 COMMONWEALTH AVE., BOSTON CERTIFICATE OF' REGISTRATION North _n(iover Ag i1..J0.�.__.1�.-')6._.. 19..('it, .............................. .......... .........CIw or Townl (Dotal In accordance with the provisions of Chapter 1,19, Section 13, of the General Laws, the undersigned Inriry certifies that . � . .h`..r s t el't...J. .ShaY....__...... Address ............_............. w ,of harder of ) is the holder of the license glanted....`fv^ us t 16A 1(�65........ . ................79.... ._for the lawful use of the building(s) or other structure(s) situated or to be situated at..L oute...7r.1*,d.R.. J.�...'%..ip.tk;r.op --ve. (arm-, end number) aa related to the KEEPING, S' ORA(;E, MAN❑4'A/TURF. OR SALE OF INFI.AMMARI.ES OR EXPLOSIVES. or coy.er rth iin ...................................._..............._...... ............ ._ \y".T"» Gonl1 ser vied st='ti on. Ntor: Thi,rrrlifra\r of rr,istra.ian n ..I be signed by the holder of he licenee if said licenee w e R—.,.d prior to Judy 1, 1936, otherwise by the owner or oc.upant of the land licensed. Received ...............19........ _ ........ ..................................................................................... by ..............................:....r::.:.................. ............... ._ ............................................................... isuro.hkh- a.r er, a to 1 a, raider) ..................._......................................_._.........._.... " (OMrial TIJeI .............................................................................................. �� C`�lfe Uloinmoxcfuettlff� of �ttssu>•Ifuseffs Department of Public Safety—Division of Fire Prevention 1010 COMMONWEALTH AVE., BOSTON REGISTRATION i:: =.•.ph.. ;hc.avex......:xPr.il...�C................ room This is to certify that__v'.R)A7...P....,::_.Iiaatant_.S....Shay........_... .....has, in accordance with the provisions of Chapter 148, Section 13, of the General Laws, filed with me a certificate of registration set- ting faith that......John ..... gstax_t,., _..._Ukl,;�y,,,,,,_ _,_,...,.._..is the holder of the license grouted .__....19 for the lawful use of the building(s) or other structure(s) situated or to be situated at.._ .ccut e._ .],(L.,,.....J'.5. ..'::ILrzthP.o{r..dtve..................................................... Gen 11 ess v1'ce qt Ti �. lRA ,4, MA ,svrcet ..d � ti : ATURF Namher) OR SALE OF INFLAMMARLES OR EXPLOSIVES. .......................................................................................... L c:rnumrr ervl p.,W Tlflel Vmr: A rertlllrme of r ,i.tration must be filed ort or before April 30th of e.rh year. (THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON TnE PREMISES.) Flee F.e.s. 25a-10-62-93399+ TOWN OF NORTH ANDOVL% �Norclry qHe 7F=`,n�ouallr�.4� Nnnfn A,v� .IOiIN J. I.YONt; TOWII Clerk TOWN BUILDING n �1CXU9 n I:I.Ti,.TO.N DCPARTMEN'P NORLI[ ANDIlONOV2R.R. MA". dugust 5, 1965 Dear Friend: `t is re^uired by law that you be notified of the following hearing as being ore of the said abuttors adjoining said property involved: TO';,T; OF 1�01,TH h1JJ0V11,. August 5, 1965 S;otice is Lereby given that the 3ocrd of 0eleetrnen, imm of Corth 6ndover will hold a public hearin; on August lb, 1965 at 4:30 P.i,:. , in the Selectmen' s Office, Town 3uiluin on the application of Kastant F. ana John G . Shay of 1+32 ,inthrop ..venue, north Andover, „-ass. for a liter se to store underground 20,200 gals of pasolir;e, 500 gals waste oil, 500 gals fuel oil i; unaerground tanks. Abovep,round 600 gals motor oil, 200 gals anti-freeze, 200 gals lun,icarts, luG gals kerosine in drums and sealed containers and also gasoline in tanks of 2 cars- 4) .0 gallons . Tote' i2,340 gals., at aparoad mately 350 Yinthrop Avenue, S'orth 'naover, Mass. If you have no objection to this license being granted, it will not be necessary for you to Intend the hearing. Please call upon this office at anytime 1 can be of assistance to you in anyway. Tours very truly, JOHN J. LYO:vS. Note: Complete top of form and forward both sections and fee to local licensing $100.0 authority (City or Town Clerk). De not make application to department of Public Safery. I lO V?' �/fiw. me�zca�:�,re c�'��ece5 _ 'Z7`;�,ia,,c�z a�: vr� ✓r� ia>z Clty or sown NORTH ADOVF;R _Date APRIL 30, 1998 APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with the provisions of Chapter 148, Section 12. of the General Laws, the undersigned hereby certifies that MOBIL OIL CORPORATION 77 P.O. BOX 142667, AUSTIN, TX 78714-2667 wnwa.w,�„a is the holder of license granted ems Dare for the lawtuf use of the building(,) or other struciure(si situated or to be situated at 350 WINTHROP AVENUE as related to the KEEPING, STORAGE. MANLIFACTURE OR SALE OF FLAMMABLcS OR EXPLOSIVES. NORTH ANDOVER cry w o., Note: This apolication for certificate or registration must be signed by the.hoider of the license it said license was granted prior to July 1, 1936, otherwise by the owner or occupant of the land licensed. Received_ by lG ) SuOmltterl by�hn JC(, � C Owner's Authorized A enC 7 i.7fi�r,t Lar21lIL ��in� .v.,.,.�,.,a..,...�,a. -- P.O. BOX 142667, AUSTIN, TX 78714-2667 C , I ,�ausf TOWN OF NORTH ANDOVER OFFICE OF THE TOWN CLERK 120 MAIN STREET NORTH ANDOVER, NIASSACHUSETTS 01845 April 25,2006 Jovee A.Bradshaw,CMMC Telephone(978)688-9501 Town Clerk Fax (978)688-9556 F,-mail Ladshaw(aYownof Ih� d � o TO: All License Holders—Proof of Workers' Compensation The enclosed form must be completed in order to complete the renewal of your Underground Storage Tank License. The Office of the Town Clerk's acts as agent for the Board of Selectmen in their capacity as Licensing Commissioners. In that capacity, we are requesting that you fill out the enclosed form from the Commonwealth of Massachusetts, Department of Industrial Accidents. Massachusetts General Law Chapter 152 Section 25A requires that all employers conducting business in the Commonwealth of Massachusetts must carry a valid workers' compensation policy at all times. Proof of this coverage will be verified with the insurance carrier directly or the Department of Industrial Accidents (DIA), Office of Insurance at800-323-3249. The Office of the Town Clerk will retain a copy of the enclosed Workers' Compensation Affidavit. If you have any changes in your insurance carrier or have any questions please contact our office at (978)688-9501. Please return the completed form to The Town of North Andover, 120 Main Street, North Andover, MA 01845. We appreciate your assistance and cooperation. Sincerely, Q � J oyce A. Bradshaw, Town Clerk The Commonwealth ojMassachusetts Department of IndustrialAccidents x AM#N 600 Washington Street Boston, Mass 01111 Lif Workers' Com ensation Insurance Affidavit-General Businesses Harm: �XX�'uu�obi� �uCun)wa.nuri �Stcui�n lilod9 MA address: �� kv){Y)no AVt mry &604,W owe-- MAD1345 b p J�$ � Z 19s1 wo site Ionbon(fUlJddrvk ❑ I am a sole proprietor and have no one BuMani Type: b P 19tail❑Restaurant/Bar/Eating Establishment working in any capacity. Office❑ Sales(including Real Estate,Autos etc.) I m tm to with ® I full & art time- Other I am an tmploya pgroviding workers'compensative for my employee wetting on this job. eomoeovnene: ._N2Wo-th�It1�,1� ulbb � eddrew: ., 'l /U(1 1U114 r/Tv.1 e1rY• - �' AVdC��Y L}}N._ . 4• h p. imureaee - A-iPA MttlAkil" ,a- Ck- , p I am a sole proprietor and have hired the independent contractors listed below who have the following workers' compensation police: eomneev oene:. - eddrear• airy- h p. In ante eo. Ik X add.a : inmranee tw ,Icy p F.Wre M1.aw.mrenpu utral orderSeetbo 25A of MGL lSa no bdM1 tW lmp.eltYo of eremlmlpeuleW ef.eke apgrl,50a.N edgr .myrn'ImprYenmtm a % pemutr.mtMform ef.STOP WORK ORDER ed.nm.talw.aeL ammeel ./ dto We ORke eflwn Y.Pimtm lualenM1W that• •• •f ehb nptbm slth DG for eorenp rMMWn 1 do hereby'edify mdn ins pertdliea oJpojary lhm fhe lnfermanen provided above is fare and carreai Si nat ( �11GIn r>ocea 601, .mebl..dy d.mt,nite q thu.rw to be nw1OW by city er tuna.mw .ur.r M1we: aermioureo.e a (]BWldina Depnremeot El k if i®edun rnpome b re .d E]Lk.ft Bmrd EIR.etnae'.Oake D Dep.rtgeot wnnd peno.: phoec p; Elottierthcr (..aa sort xavn E5/3 /2006 11 12 978682229E BURKES MOBIL t, 4 'kir{ "r.4iPAGE al/E1 t -1r�111'iS�ri.[� Vi INSUIMCE �mu� 'ur'rry tl wowocit E4 C> �p SL SaW IC a'+an®assa'a y ii !em39r.�mm•K& won CY711� A1�F ty�p�6S6 r 9ffim 49>mR�1c maft 3-%4Ri16 Imp As A Af.#i.lkad 7w :: (A, NoaAudma MA DI&65 i 1l6sstrs m;tx>Q as zm®e�aaaaveaun+dutnE w1Q t 'fsr :a'Qaamiw�.noezv�a¢esce�r.,nrin� t Chian pSe�4,z a.masnGE uu rsarec.t�g g�.ur'B aP�partY B.tMac�Fm9�'3�nmo��R�raF�F':a4nR4�rsx,e. iJ![11LtlOH'A,®(R%r41A'1}15' [ID 4I.,1I pOI.S]!!e. Lg0SSA0141C MAT AA3'E KWI"wm TtA1fYQAfl�ii ffi a dR2'P��LS.' 1�['a. nlYdvsT9 H�fXgp6Yi. i �a P-C9�FMOAiSPS.i1"{J'YL"g'I' t r_.te��mfs,6 M969iLL6.u�.MC2C S •+°ern«;ur., c V stvwmcc m -1 ,meuosuamm . m+ I aar�>mmK, p y Y rys�.wu EMu.naxr � I 4 _� esseuasasi. %�eRY'1MP0.',GIfL1 AW x rid ,,.. . a r 1 p', .--� � mers�xarmns rsru�rus �mnrA+ms ? ul�+'•Maoa u6 h gr._ wvr.0 4 • 7 TT Qm: . ,A., �a ORAERS'CO�'(S.43I0^i Ct7dFRAP7E�AT—FLIESTJ MASSPiC6t vr�E('PS Erff'T.(7YEIgs WAY f I Caagj-M2anE G4`NY[td29Si e lmmm AI wrx3ABV.3b6S�YE�E�i'ma4>esi�.t�tsgi7olaV¢7PF ,& oNlee"mml.OCL COUP. i SRAAYE]et aAtB t�sOv, TFIE E6LTKC lmdPAFY snL. acia!A,YYr tat ' C/O AMCS '�na m wzsnm>e,Ao,xaroaae m+rse 1 ccvr,xar w,eclm m MNL sacs Ims>Lv saass.emns w mgrdec�a w. P.O. ROSt@ uneaszs w Atm > cres se wnrrA9sr. Ire rssz_,rvr c:l 1 sa>�ia.srm. � COSOICATs AR 722435 �"� � llFf•, Commo wealth of Massachusetts 3 b Departure"( of Fire Services h SYI� g9CGdQ Office Of the State Fire Marshal 1'. O. lox 1025_SWIG Rona, ti(mr, MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30 2008. (cigorm„m1 Incur) NOTE:I)O Not lop and hullrnn ul titan and funcnN both s'cclions and fec In local Littmin DO NOT RETURN FORM TO TIR,DEPARTMENT OF FIRE]SERVICES. S1ulhonly(City ar('own Clerk). In accordance with the provisions'of Chapter 149, Seniors 13,of the General laws, the undersigned hereby ecrlifies that (TI"I'LE HOI-DER). Ex.xonMobll Oil Corporation(ADDRESS): e/o Gilbarco Viceder-Root CMS Ire, is the holder of the license granted(Date) +boro.NC 27420 for the lawful use(,]-file building(s)or other structure(s)situated or to be situated at (ADDRESS): 350 Winthrop Avenue NORTH ANDOVER MA 01945 (In'orTmnp as related to the KEEPING, S"FORAGE, MANUFACTURE OR SALE OF FLAMMABLE'S OR FXI'LOSIVF;S. NO E: This cerlilicate of registration must ba•signed by the holder of the license if saitl licenu•was Otherwise 1 t the Woe'or occupant of the land licensed, g anted prior to doly 1,193h, Received ....... ."008 .. ... . _—' GILBARCO VEEDER-ROOT � h Ozcn (on�i hat') ta¢,k) g�Ono.........(s ..a.°` 730.0 W. FRIENDLYAVE. O�NEA (Slnie,�hlle,"'o,,.,,, (1ff 2087 .. GREENSBORO, NC 27420 ............................MAIL STOP*F76.. (Aadttxsl + FlOFK,ES MOBIL 9-6-]7]C7_ ._- v �_" +7:])$L:�1111Y Sr.(9IIIIdCS .-J�,r // fF'!•,gyp_ / ::.nr'. ._ �— ""i yIJ fr EDft 1 k s u u u.,Lx n nvndu _..I � ' � ° a IY w fy. 'IGG 5 x�fmc?1?tsF :vtau .P'veat_[.i - .� r^Y sans<lr Et,ysb. 1� j 40"J 3 SOIFp[ C'l +4 8D..Lfl V�J'..UF9 r}R,iPi1 C^1��!'8 IYDS f)b� !i E:]dW 1yIlC!yzVi♦?t[��➢1551+P✓+IYt hG xt.^3' ' irurv.',`".: .."FY.:_wTw.:�i+w5 u�e.PaUirS,":C,v _}i _.a.a Yi.un."J il dw`Ji^.-:.•: li rnmrsyv-�ama inx A4u Silay Ita fri �, y+ �• � _v c _ _ 1 �R vC tl nl S tu'+ ` >'A3LL! la-0 sliF vP9 ufm. Y Wp aY:n f "t-11C A0 y. T )m.'- 2{l 'nl t d (hn [ $T0. 4Rf1R3 ORJE( n. Im4P Sfp0.U{1. . � $,aJ➢..xn„ ,., ete nn, f9nc 1C, Inbx s[aepmeyl mq Lv iuwuel P. . .rm.na rufJy aovsnf.pa.Hlc.[an«xecyw+vrFlcaiWa �) f g ' zv Jp rLL ��d )�P..Jn1.cJZlr�a mrfl'awOedxA e>1 a.,r PYi v :�!/Yv+R LIM�_ ��L.+- — i IY �_ i�:d:' ° 5 Yr�+.�•- 1 Jnx E v vrV lv. M .a 1.S:mn1 c . cl f ua,.eR r�l •�.•. ! +...>nm+ ra.r G S frnnr ll ;� _ ' „xv..cux'vL `�] 1 •v Cfi e trrP ,r +oa _ Y i GILBARCO ENDORNo aooiaozs �. CHECK NO. 0000eeno8 VEEDER-ROOT DOC DATE DOC DOCUMENT NO. r. 4/28/08 IN CMS0000505) AMOUNT DISCOUNT 150. 00 PAYMENT AMOUNT - ST 11689 452659 .00 150.00 A SM129299 8 PAY CUR ENC TOTAL USD 150.00 .00 ` 150.00 V� �_'/EHIFYTHE_,TU1HEM�C�IyO 1X s.. L-TONE SEC4 RYWWMEW. _ CKECKBl CKGPXN0AFU CNMIOESCOLOR OgCpyyyV FliOMTOp TOEOTTOM 3, + 301322 , 1 Bank�E Amekica Cnecka o©ope677QS,. �319 IN 73f F'nGpolg AvenueOgntroilei Wsbijisement Date- 4/28(08 ' "GreEnsboto NG"2T410 a kofANl A,N,A Nodhbrook Alnw' NET AMOUNT VOID/OVER g0'DAYS 9 .....'*`*$150.00 ' 39 �9l� C li. �I PAY ■ONE HUNDRED FIFTY DOLLARS AND OO CENTS '•'...% . TO THE TOWN OF NORTH ANDOVER ORDER TOWM'SUILDING r A ovEN e,waw r OF 120 MAIN STREET vaiNour uA�s NA=U - NORTH ANDOVER MA.01845. IrODOD857 Mao I:D 7 19 2 3 28 41: 87651.-�o L 28910 _ I Note: Complete top of form and forward both sections and fee to local licensing (� aut4crity (City or Tawn Clerk). Do not make application to department of Public Safety, z r, 2mis � �om7rnw�nc�ea�G� ri�-'C/C`aaaczcLcuaeCGt - a �eftarx6inexCo��2rre Ve�ueiea — �%yxq�,� _G�ure �rquynCcan City or Town NORTH ANDOVER Date 2µ i1.�)f, r3 APPLICATION FOR CERTIFICATE OF REGISTRATION In ararcance with the provisions of Chapter lag, Section 13, of the General Laws, the undersigned hereby certifies that FXXONMO 350 WINTHROP AVENUE a a one hostler of license granted for the lawful use of the building(,) or other stmcrure(s) srtuaiee or o :c oe srtuatee at 35C WINTHROP AVENUE as reared m the KEEPING, STORAGE, MANUFACTURE OF SALE OF FLAMMAE1-E3 OR EXPLOSIVee, Note.' This application for cerofirare or mgisrmvcn must be signed by the h der of the license it said/icense was granted poor to July 1, 7936, otherwise by the owner or oc-� der/tte land licensed. „�, Sub fitted by ' _GILBARCO VEEDER-ROOT 12596 West Bayaud Ave Suite 100 — ———————————— L�. Lakcwood, CO 80228 TORN OE NORT11 ANUOVER OPPICL OP ;'�i;- TOWN CLERK 120 MAIN STReeT MAR 2 0 gof NORTH ANDOVER. MASS A Cl 1 ESL I 15 0184S oa+M Joan A. BndsLm� °��a 'fuirn Clark ��' Telephone(974)68 8-9501 F 15 I'AS (978)689--9i 57 +y9S5q Gilbarco-Veeder-Root Compliance Management Tcam _ 12265 West Bayaud Ave Suite 300 Lakewood. CO 80228 March 16, 2006 To Whom It May Concern: Enclosed please find your 2006 Registration Renewal Form(s) for above ground and/or underground storage tanks listed at the address(,,) ou the enclosed fom)(s). Renewals are due April 30°i ofeach year. The fee for renewal is $150 per site. Please sign the top portion of the registration form and return it with the appropriate fee, payable to the Town of North Andover, 120 Main Street, North Andover, MA 01845, The bottom portion is yours to be displaved Mon with your license Your immediate attention in this matter is greatly appreciated. Veit' truly, P° " t? .:- Joyce Bradshaw Town Clerk Inc. VERIFY THEyA�UyT�XE�MICITY OF TXIS MULTI TONE SECURITYDOCUMENT CHECK aACKGgOUNDAgEACHANGES COLOq UA GRADLLY FgOM i0FT0 SOTttIM �� GILB O _...r To « j Bank ofAme�Ca a Check# 00GO790959 �G_ VEEDEI{�R s ZL 7300 W. Friendly Avenue Controlled Disbursement Date 3120/0 Greensboro, NC 27410 Bank of America NA NOrMpmok Illinois NET AMOUNT ' VOID,OVER 90 DAYS. PAY N FOUR HUNDRED FIFTY DOLLARS AND 00 CENTS ""`.^ - TO THE TOWN OF NORTH ANDOVER ORDER TOWN BUILDING * A ovEa s.000.00 OF 120 MAIN STREET -7TH uA�s HAragas NORTH ANDOVER MA01845rl.a.a,',1(.;�,�.�j <<� 01 t,\1L ' Furl I1*00007909S911• 1:0 7 19 2 3 2841: 876SLre0L289D• lb The Commonwealth of Massachusetts Department of lndustrid Accidents -- . N 600 Washington Sireel Boston,Mass 02I17 Worken' Cout ensation Insonaee Airrdav8-General Bosi------ addrea�: ,_ V i J L Ivor site Inmli 11 edd.. ❑ I am a mleproprietw and have no one Bosintas I wmlong w any capacity. n'P Retail❑liesumant/Bar/Eating blishmtot I am aD tm I with tm 1 gag time. O��0 Sales(ivclutiing]Leal pstatS Antos etcJ I am an employer provitliag wmken'comp®seti_an for my emplayses wm y a� q�1 lring m this job. F i I ats a sale proprietor and have hued the indepmdmt contrxftlrs lisscd below who have the followiD w unarm wmpeosatiaD polices: g add c: - 1 add r: tit,, /e. Pallure aotemaesvettsoraegntrN order Sutbn lsA of Mt'1.132 mvleadbthe emymn'Impras®mt r wep r dra aop.alnev oferlmlmlpeulnr Ha Dot rp insi sue.N..I peuhfn b the form of s STOP WORK ORDPar tvd•Doe efslaD.Or•d.r.fttme. I.ndenbnd that• <opy of thb abimett vy be feranrded b the Olnta of Im"tiPDtm of the DM for ewense rartek.tbn I do hereby..dW seder tAepau.andprna(fies ofp.rJury that the inn/ormatiox provldd above i.true signttI� >•yj _ pc,.. .i Date �� G//lr ofnehlreody do note ft In fhk arm to be completed hr eery or tawv offklel ciri or town: p.rmiWeeem. Oawwme Depanmene ❑rheekatmmedbb rrpome k requhtd �Li<emi.s B.vrd <onmet penis- (]Sehtemta'r ODke pav:<a am X1 phove p; Elnmuh Deptrtmevt DOther TOWN Or NOtrrtf ANDO V FIZ OFFICH OF TOWN CLERK 120 ,MAIN STRF'.EI NORTH ANDOVER, MASSACHUSET"LS 01845 NOairy, hycu A. BrnAsha�c 3: roo Yawn Cl,k lelgphooa(97R)W 9501 FAX(978)689 9557 3 Gilbarco-Vccder-Root Compliance Management Team 12265 WestBayaud Ave. Suite300 Lakewood, C0 80228 March 16.2006 To Whom It May Concern: Enclosed please Lind your 2006 Registration Renewal Fonn(s) for above ground and/or underground storage tanks listed at the address(es) on the enclosed forri Renewals are due April 30"' of each year. The fee for renewal is S150 per site. Please sign the top portion of the registration form and return it with the appropriate tee, payable to the Town of North Andover, 120 Main Street, North Andover, MA 01845. The bottom portion is vours to be displayed alon with your license Your immediate attention in this matter is greatly appreciated. Very truly, Joyce Bradshaw Town Clerk Line. Note: Complete top of form and fcrward bath sections and fee to local licensing authority (City or Town Clerk). Do not make eapplication to department of Public Safety. - _i � VJiYriU17Z4�1'GGU2CLG�l2 �L �/GGCL.�SCLCJ2C(/�2�.1 =/B�W/M�/IKa4L�6��J'//XB L/rwULCeb 1217. y�f/X6 ✓TY9'UP/KCCLYG Y City or Town NORTH ANDOVER Cale (Ai�31,'_ ;Cly APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with the provisions of Chapter 14B, Section 13. of the General Laws, the unaersigned hereby cemlies tnat _ FXXONMORTt OII CORPORATION w.i.anaa.u ... 350 WINTHROP AVENUE s 'he hmaer of license granted for the lawful use of the buildings) or other stmcturetsl sit-wec cr to ce stuatec at 350 WINTHROP AVENUE sn.w�o.i..ro. as mialed to the KEEPING. STORAGE, MANUFACTURE OR SALE OF FLAMMASLS OR EXPLOSIVES, c+r d ro..i Nore: This application for cerbticare of r,g1s,,zon must be signed by the holder of the license if said license n-as granted prior to July 1, 7936, pmenvise by me owner or orupanr of the land licensed. 3ece"eit o Submitted by ov agi.n.. arau ru. --------------------- �GGJ2i.L--- ------ - v v t?�'�U172CC�72ClI2Q�GGl7 C�� iG,p/�y� it a% ejtanrGmerzCo��1r'vr, Cle�iecea — �linC�exoewizd.; �"/, ✓,,�vr�rro � 7 a � - Cityor NORTH ANDOVER r Town Dare ��L,. Y,�xa, REGISTRATION -rna s 'c term,mat EXXONMOBIL OIL CORPORATION nas in aC_ordance with the provisions of Chapter 148, SeCliOn 13. of the General Laws, filed with me a Cemficale of reaistraucn senmg �onh mat EXXONMOBIL OIL CORPORATION is the holder of the license ,amec c u for the lawful use of the building(s) or other simcturefs}scuaec a '.c ce Vti d at 150 WINTHROP" AVENUE NORTH ANDOVER MA 01845 s a�u,w., te:atec m he KEEPING, STORACE, :MANUFACTURE OR SALE OF FiAMMABLES OR EXPLOSIVES. 'vcm A c""`Ocw or.egrstrvcn musr]s "el Gt p/pe2re.icni;i u':n cr Jan year.TF]S REEIS7=A7ICN MUST SE CCNSP'CJCUSLY FCSTEO CN THE Aq EMIS2E e aec '^6I Note: Complete tap of famt and forward bath sections and fee to local lir_nsing 1 authardy (CRY or lawn Clerk). 00 not make application to de de partment rtment of Public Safety. -I �(YJYI/IJ2212C1J2CLLGiL OIL C///�CZdQ(yC/Z��.L _�.�.Je �rure C-lvwrN.ceb — �/y�,2L _G�'vxe �Ke'uanG,an City or Town NORTHVER Cate APPLICATION FOR CERTIFICATE OF REGISTRATION In abb raanca with the provisions of Chapter 148, Sec icn 13, of the General Laws, the undersigned hereby canines ;hat MOBIL OIL CORPORATION 350 WINTHROP AVENUE � �� b the holder of license granted for me lawful use of the building(s) or other spucture(s)situated or lobe srtuateb at 350 WINTHROP AVENUE as related to me KEE?ING, 5T MA STORAGE, MANUFACTURE OR SAL OF c- FLAMMAEI_a OR EXP!OSIVES. NORTH ANDOVER, MA 01845 urd ra... Note. This appitcadon for cardficare at mgiscauon musr beA'1e; granted poor;a Juty 1, 1936, ptherw'se by meby of the license d saki license was of the land licansed. fiecsivep U� I-- CALBARCO�c VEEDER-ROOT -mow <or^�hance ManaA, e-' t Team ell 13alaud I nkcwooJ, CO 80229 VERIFY THE AUTHENTICITY OF THIS MULTLTONE --. "GILBARCO Tn 3,3 Check# 0000 7 60 94 9� *A,-, VEMER-ROOT Bank of'Am s Tu COntrdletl Disbureamemertnt Date 4107/05. 7300 W.Friendly Ave e Bank of AD ence N.A. Greensboro:NC 27410 NoMbrook',.Illinas NET AMOUNT VOID OVER 90 DAYS ......"*$300.00 .... g9 � HAY 0 THREE HUNDRED DOLLARS AND 00 CENTS `..... TO THE TOWN OF NORTH ANDOVER NOT VAUD OVER s25,000N ORDER TOWN BUILDING VOTHom DUAL SIGNATURES OF 120 MAIN STREET NORTH ANDOVER MA 01845 U.r'k�rC�r�aric�—�dTK.S 1110000 760 94 91r I:0 7 19 2 3 2841: 6765L...0121391" Note Complete top of farm and forward both sections and fee to Iocei licensing authority(City or Town Clerk} 00 not make application to de partment of Public Salary. �ami�noouuea�L�i r��r�laaaaclucae�zy Je`irz'GrnemCo��—'oe F�v�wcias — J.'i'ruaoaro ?T o��'ure :l-:revene/G,on Cltyor Town NORT_HOVER Date n gIL JO,c :G7 APPLICATION FOR CERTIFICATE OF REGISTRATION In ac r:erdan with the Provisions of Chapter 148, Section 13, of the General riffles Nat Laws, the undersigned hereby ce MOBIL OIL CORPORATION 350 WINTHROP AVENUE m.. s the holder of license granted for the lawful use at the building(s) or other structures)situated or to be situated at 350 WINTHROP AVENUE as related to the KING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NORTH ANDOVER, MA 01845 cn> more: This application for_Mffrate of rajoma lon must be s/gne0 granted p by the ha/der Of me Gcanse If aid Ircanse was prior to Juty 1, )ATB, otherwise by me owner or ocupant of he land licensed. Recarved Submitted by by vm . wm, Omar rW _____ W� rb' � �e/"""'��v/a �e>vuei'es —��7e�gx�pcy�� rrm� ✓ he City or Town NORTH ANDOVER Date APBJL ,A)06 REGISTRATION Tnis is to certify that MOBIL OIL CORPORATION has, in aca P 'rdance with pie rovisfons of Chapter 148 Section 13, of the General Laws, filed with me a certificate of registration setting form plat MOBIL OIL CORPORATION is the holder of the license granted for the Iawiul Lisa of the building(s) or other simc:ure(s)situated or to be.situated at 350 WINTHROP AVENUE, NORTH ANDOVER, MA 01845 as related to the K =�s��'KEEPING, STORAGE MANUFACTURE OR SALE OF FLAMMASLES OR EXPLOSIVES. ' sow worm,ra. NEG A RATI re o/rUST 8taa must tb sbd an Or be/ore ApN 1pm a/ea[.M year.THIS REGISTRATION MUST 8E CONSPINCUSLY POSTEO ON THE PREMISES -5(nwao'%I Note: Complete top of form and forward both sections and fee to local licensing L authority (City or Town Clerk). Oo not make applicaticn to department of Public Safety. ,F V- 4 br :%e`tILMIYIL%ltC 6�V'(/K8 C-�INUtCPb — �!A/(OGry/y d�l:J'I/XB �I�/UP/lxlLGJl City or Town NORTH ANDOVER Date //✓rt'2 -30 a'LO`f APPLICATION FOR CERTIFICATE OF REGISTRATION in accomance with the provisions of Chapter lag, Section 13. of the General Laws, the undersigned hereby certifies that EXXONMORII OIT CORPORATION wm.a�ova. 350 WINTHROP AVENUE mw a the holler of license gwied Icr the IaMul use at the building(s) or other structures) stuaed or �o oe tauatac at 350 WINTHROP AVENUE as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NORTH ANDOVER. MA 01845 Ord ra,.. Note: This application for ceraficate of re SIMBon MUST be signed by the holder of the license if said license was granted prior To July 1, 1936, othenwse by the owner or occupant of the land licensed. ��,J,/, ,� q Recerveo >.,��/ �-19 ✓ h 1r'ti Submitted by LLL �M of OwLERS AUTHORIZED AGENT - -------- o,ro.,,,. 1a2¢i w' BAVF}W> /1CF 3cYnCll�YeO Ft� f gc1------------------------- 24/<1/2004 84: :3 9�B6E2229e BUPKEE MOBIL PACE e2 T a\ The Commonwealth o Massachusetts . �- "- � r f I �iyn Depmtmentoflndustrtaf Accidents Ivt _? 00WiashingtfAntreer 600 Washington Street �Y.iyt� Boston,Mass. 02111 Nvorkers Compensatlon 1.1"AnCe Afndavlt- General Businesses Q� r1)� �I�nm Rllrke eddcess� 3$o t�, n}hro � AJ2 em IJ . an�booer n , (� A otd`15 s R � S- 68L -� rs��/ -1:x1t1 r retuflea�s91 350 �l),ni�r;p R�;e N, Anrpoue.r MR C� IK �i �_ ❑ I am a sole proprietor and bave no one Business Type: Retail ❑ Restauraor/Bar/Eanng Evablisbm®I ,--f working in any capacity. ❑ OBice❑Sales(including Beal Estate, Amos etc.) tvl 1 em an®ployyls with em to fill& ert ume . ❑GtLer s ^41"r YX3;+ '0ffi,iR'W{ Livac�7 I am m employes providing workers' compmseuon for my emptnk+ am•kingz .n'•' tomonor v.mr _ __, I-tSSOL` � q{e� Zn � tC�{ ' S o � MAS Sq � -b2{{-ems .ddrus.: _. .�- - - - p. 6 o e K o }o lrt ru...t a U) C � oo � S alabod I,u e „ , I am a sole proprietor and have hired the independent contractors listed below wbo have the following workers' compensation p,lic - .ddre..z= _ .6,y:_ mete<o. he p _ r.rnnnnY a.nic " .ddre..r city' ivxurevcc to. i� p on,Yvon' vo vrt ov.nee ea,nivevdnrtA I v25(nvlMGL 1O Won lorhelmpo.darmf.rlmlvd pe dw, etavi av, =dvervov ai orva.rn` Autte 'btcdY eaPrIlonvaInt IIIaebllpmnhlolD theformora6rOPfOHRA to, otlevc .Non.nn.dry.ylwt vm (.pdengvd th.0 "ay of IEb nmenum may Dc for.nrdM ro ass O(fi.r.f Ivvaa¢a Nom.Rhe DIA for<oronre vM({ravon � l des hereby/eerfi �etc.the palm pen ' x ofpc ry IAarrhr information provided above ix tr7 d coI cK P"!.I ? , 1 g01 Urke ztoen g $- 68d - 295 / nT.pl.. ad, do vnt wrH.la 1EY..n.le be a a,,1v1nd by by or lawn uMool e lly er to W W[tonn C__. Parml QE Wld W8 R W rmeal E: h,k VlmmedHle re. br uu-J ❑LHewl�Ho ff. pow= q ❑11"Ith m'.Onne pxealab na1,r1m..1 .rl pnn pvont n:_ Oower •��—nW smsovey cannepicm aKN-7bfa A0014025 TOWN OF NORTH ANDOVER 5&E�H 18 Voucher Invoice Gross Amount Discount Net Amount 575811 11689 100. 00 0. 00 100. 00 UST 575812 11639 100. 00 0. 00 100, 00 UST 575813 11776 100. 00 0. 00 100. 00 UST 300. 00 0. 00 300. 00 7—� VEEDER ROOT '° 2 � � Bank of 1lmetica 29 ;i=� 8 PO. Box 2003 r�ianne,e m om �emem n"� 562918 Simsbury, Connecticut 06070-7684 5829.18 04/17/03 USD a*ana**unn300. 00 DATE AMOUNT Three Hundred Dollars And No Cents PAY TO THE TOWN OF NORTH ANDOVER 1lFIDER ROOT BY ORDER TOWN BUILDING OF 120 MAIN STREET NORTH ANDOVER, MA 01845 VI�Pt�FM-FINANCE �" 582918ji' 1:07L923281.1: E17659...G25L9n• TOWN OF NORTH ANDOVER OFFICE OF TOWN CLERK 120 MAIN STREET NORTH ANDOVER,MASSACHUSETTS 01845 °E MO vTN,H Joyce A.Bradshaw o+ .�'• •° Town Clerk Telephone(978)688-9501 r FAX(978)688-9556 SS�CMUSEI April 28, 2000 Ms Shavon L. Thornton Tanknology-NDE Corp. P.O. Box 142667 Austin, TX 78714-2667 Dear Ms Thornton: Per our conversation today, enclosed please find the"Application for Permit" for 350 Winthrop Avenue,North Andover, MA. This needs to be sent to the North Andover Fire Department, 124 Main Street,North Andover, MA 01845 with the appropriate fee of$10.00 and the FP290 for this location. The Application for Permit and the Certificate of Registration fees cannot be combine in one check as they are processed by two different departments and are credited accordingly. Please resubmit a check for$400.00 for the registration, made out to the Town of North Andover and send it to the Town Clerk's Office, 120 Main Street,North Andover, MA 01845. I have recorded the registrations as being received. Please accept my apology for any inconvenience this may have caused you. Your immediate attention in this matter is greatly appreciated. Very truly, metL. Eato� Assistant Town Clerk Enc. Note: Complete top of farm and forward bath sections and fee to local licensing authority (City or Town Clerk). 00 not make application to department of Public Safety. _ r ,' � �cm2imrirturea�t� a��asac�uleCZa ye �ne t Clry ar Town NORTH ANDOVER pale APPLICATION FOR CERTIFICATE OF REGISTRATION n acamance with the provisians of Chapter 148. Sectian 13. of the General Laws, the undersigned hereby certifies that EXXONMOBII OIL CORPORATION jNote: Complete top of form and forward both sections and fee to local licensing I authority (City or Town Clerk). Do not make application to department of Public Safety. pp � �aor�ma�rccuea�C� d�C-/G�a:�aac�uaeCZ`y � �� k .. 'a �e�E22.'f/r)CB'/Sf 6��//KB C��X�KfPb — �//W4L6'2 6�V'N.'p ✓-K<NP/rtCLGIt RED APR 0 7 2003 City or Town NORTH ANDOVER DateA/JR/L APPLICATION FOR CERTIFICATE OF REGISTRATION �r. accoreance with the provisions of Chapter 148. Section 13, of the General Laws, the undersigned hereby certifies that EXXONMOEIT. OIL CORPORATION 350 WINTHROP AVENUE m..r s 'he hoicer of license granted for the lawful use of the building(s) or other struciure(s) sttuatec a: 350 WINTHROP AVENUE as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMARLES OR EXPLOSIVES, NORTH ANDOVER, MA 01845 urd'o.. Note: This application for certrificare of registration must be signed by the holder of the licensed said license was granted prior to July 1, 1936, otherwise by the owner or ecc-upanr of the land licensed.. Pece'ee ��sif �5y c�Ol[^' Submitted by x OWNER'S AUTHORIZED AGENT —1te oRoot CMS, 1330J R'es 13vyaud AAce Suim . oar — ion. Lnkcwood,CO 6t1226 -- ------ 4----------------,....,...ms,erg,>..� �. a�,ar��; �:;;:a:e_ _� stuatea at 350 WINTHROP AVENUE NORTH AN ;MA 01845 ]�w�eEn e'atec m :re KEEPINC, STCRAGE. feANOFACTUPE CR SAL°OF F„AMMAELES CR E;(r'_CSiVES. Nora: ea^Incue or agtsbaucn.miss;n.B va:Jn Cr oercre+om SG(n a aan ve T',-1c PENS'=AT'CN MLST SE^CNSPIc'CLSL" eCS'EC CN -^e oREMls ES Z e (n tnt -fe Prevention � E>ivision of (^ "tCl?I'•L Cf Pllblir Safcty— h Depa. �d g'rR ION 19....9.E [tEGY AT h_nndP.ves..............A➢s. ..�Q......n with the NOY_ ICLv or ToA•1 in accordance with me ..certificate of reBistr has, ation se 0raeion of the license BL'anted °40bi1. Oil,C..... ..:...................filed........... holdet to certify that.....'...,: of the General Laws. i the other stntctu This is Section 13, . . ..............is of Chapter 148, Cor Drat ion ...................... lawful use of the buildinB(s.. pP re s provisions Mabil_.ail.........P.................................. . .. .................................. . . .. forth that............. 19........ for the . . .. ......... ....... tin8 thxaP..Avenua n�mo.n sv.a .o at.....�3.5.9..W RF OR SALE OF FLAN[MASLES OR EXPLOSIVES ................o be situated situated or to GE.MANtiFAC'r1- ;�•. ; . . KEEPING.STORA n7,.. .:........ ea ors �related to the c;emmrr e rva : A I ur.e{uVu,;YO O on k1l A01 Ab of euh P yBfiE, filre er (THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE � I � I/ lr i Note: Complete top of form and forward both sections and fee to local licensing authority (City or Town Clerk). Do not make application to department of Public Safety. ammwncueal a1C/G�a�aacl2LuaeCly F1 � �e�EIUML/Re9LC d�V'Uf8 CrIYNUGCPb — �(/I/(q�ryjp 6�.lJ'!/Ma �M%r/P/GCcG/L Clty ar Town NORTH ANDOVER Dare APPLICATION FOR CERTIFICATE OF REGISTRATION :n accordance with he provisions of Chapter 146, Section 13. of the General Laws, the undersigned hereey certifies that F XONMOBII OII CORPORATION r�.m.anw.ru wr.. 350 WINTHROP AVENUE is the hoieer of license granted for the lawful use of the buildings) or other siruc:ure(s) sduatee a on. c oe snualec at 350 WINTHROP AVENUE suM ua nuncw as regaled to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMASLES OR EXPLOSIVES. NORTN ANDOVFR. MA 01845 urdr�, Note: Thu application for cersfirate of registration must be signed by the holder of the license if said license was granted prior to July 1, 1936, orhenwse by the owner or ocpupant of the land licensed. 9eceivea n Submitted by ov rw�.r Sun�Mra�w.oaov.xmor omu. ne. — __________________ __ _, ,�3 rco�mirrw�rccuea�li c�� i�oa��eG�.� - City or Town NORTH ANDOVER Date REGISTRATION ^rs Is to cemfy that EXXONMOBIL OIL CORPORATION w . 'as. n ararcance with the provisions of Chapter 148, Section 13, of the General Laws, filed with me a cemfficate of registration setting ion" that EXXONMOBIL OIL CORPORATION is the holder of the license gamec pW for;he aWIW use of the buildings) or other stmc:urec5 5i1ualed ar c se srtualec at THR P AVENUfL, NORTH ANDOVER MA 01845 M Yq nu y as e:atec m Me KCPINC, STCRAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. TFlS PECIST czrr:nore nr egrsrcuon must ce Ilea on car aexre,aonl JOm a aan ieac PATION .MUST?E CCNSPIG^JCLSLv-CS-ED ON THE 09EVJSES . ansea 9E1 , Note: Complete top of farm ward both sections and fee to local licensing authority (City or Town Clerk). Do not make application to department of Public Safety. I v� �ammw�racuea�C� d�C-/GCa�aaclivaeCl%t r A 1le�eanrG�a�eC ry��r�re -`cJ.zricea— '.�`�u�co rc o��ri�ra �.+�,o"elco>z Ciryor Town NORTH ANDOVER pate APPLICATION FOR CERTIFICATE OF REGISTRATION to accordance with the provisions of Chapter 148, Section 13, of the General taws, the un0ersigned hereoy terrifies that EXXONMOBIL OIT CORPORATION /Wn.w�y'rdlvy 350 WINTHROP AVENUE narw Is the polder of license granted for the lawful use of the building(s)or other strudure(s) situated cr to oe situated at 350 WINTHROP AVENUE as related to the KEEPING, STORAGE, MANUFACTURE OR SAL OF FLAMMABLES OR EXPLOSIVES. NORTH ANDOVER. MA 01845 Nora: This application for conilpre of registration must be signed by the holder of the license if said license was granted prior to July 1, 7936, otherwise by the owner or occupant of me land licensed. Feceived n Submitted by ov �. sup.-.o...a.....�,...r�.. omu,ru. m.0 :, �; �Gar> cuerz/C�i c�C�/l/�ac�c�ae�Gt 9 NORTH ANDOVER Cry dr Town Date REGISTRATION —ins s to certify that EXXONMOBIL OIL CORPORATION pas n acomance with the provisions of Chapter 148, Seddon 13. of the General Laws, filed with me a certificate of redisuauon senmy M" trot EXXONMOBIL OIL CORPORATION is the holder of the license grantec au. for the lawful use of the building(s) or other stmc:uni situaiad cr :c oe situalso at 750 WINTHROP" AVENUE NORTH ANDOVER MA 01845 sa..�,,,e�w as ealec io :re KEEPING, S7CRACc. MANUFACTURE OR SALE OF FLAMMABLS OR EXPLCSIVES. ,Vcre:.a connote or�egrncucn.pus:ve tie,cn dr cercre.+om 8prn a aacn year. 7nI$ PE31S7P.ATION .NUS EE CCNSP!CJCUSLY FCS7ED CN THE oREMISES Note: Complete top of farm and forward both sections and fee to local licensing authority (City or Town Clerk). Do not make application to department of Public Safety. Y— F, IL C�'YI/I7Zf//2CG'2CLGCIZ _G/`/GLlzjj Lcx-&L6 en � �e�me�rzta`'�vv> F�eiwrxceb — �vu+nerm a��vre �rnierzC�cre City or Town NORTH ANDOVER Date APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with the provisions of Chanter tab. Section 18, of the General :cows, the undersigned hereby certifies that MOBIL OIL CORPORATION 350 WINTHROP AVENUE is the holder of license granted for the lawful use of the buileing(s) or other struc:urelsj situated or a.. to be seuated at 350 WINTHROP AVENUE as related to the KEEPING. STORAGE. MANUFACTURE OF SAL CF F1IMMAELES OF E(F'CSIVES. NORTH ANDOVER, MA 01845 Note: Tlrfs Walipation for cervricate of reg'srraDan must be signed by the homer of:he license if said license was granfea pner:c July I, 1956, amerweie by Ne owner or cccacanr at the;and licensed. Received Sudminec by by ---—---------�--- _—_—_------- -----_ �; � � C�rmumrircc�cc�C�i r,`v��a.�cc�coseCZ`s '�>.®� �, �efurirJimwsi c��vr� ✓er rie1 — -CGizcv�x�iiowr>a:J!:�e�2n�C �w.2rm� o Clty or Town NORTH ANDOVER Date REGISTRATION -his is to candy, that MOBIL OTT, CORPORATION has, in accordance with the provisions at Chanter 148, Search 1C, of the General Laws, filed with me a certificate of registration setting forth that MOBIL OIL CORPORATION is :he holder of the license granted for the lavrtul use at the buileing(s) or other structureis) situated or o... tobesifualedat 35U WINTHROP AVENUE, NORTH ANDOVER, MA 01845 as related to the KEEPING, STCRACE. MANUFACTURE OF SALE OF Fv1MMAELES OF E(FLCSIVES. Nara A canifics.of regrsrrl.ucn r sr be fifer?on or oefars Aonl 9oM of eae,year rliS REGR37PATICN MUST 3E CCNSF!CJCUSLV PCST'cD CN SHE PFEMIS E3 remsea>56l Nate: Complete top of fans and forward both sections and fee to local licensing Fe (City or Town Clerk). Do not make application ntto/department /of Public Safety. j �l%/J7/I7'G0�/'ZClf2CLGti7 dL V� iLLL62Gt.1 V Je�iarlmeneCc��1r'vxe CJ sruicas — �vuia.,on a��'v.Ye ✓r�iuereC an City or Town NORTH ANDOVER Date APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with the provisions of Chapter 148, Section 13,of the General Laws, the undersigned hereby camfies that MOBIL OIL CORPORATION Nn4b/Ysbbe� 350 WINTHROP AVENUE is the holder of license granted far the lawful use of me buildings)or other structures) situated or cob. to be situated at 350 WINTHROP AVENUE as related to the KEEPING, STORAGE, MANUFACTURE OR SAL OF FLAMMASLES OR EXPLOSIVES. NORTH ANDOVER, MA 01845 ur> Note: I his aopliration for carbiimre of registration must be signed by the holder of the license if said license was granted phorm July 1, 1956, otherwise by the owner or occupant of the land licensed. Received Submitted by by ---------------------------------------------- City or Town NORTH ANDOVER Date REGISTRATION Thim is to certify mat MOBIL OIL CORPORATION has, in accordance with the provisions of Chapter 148, Secdon 13, of the General Laws, filed with me a certificate of registration setting form mat MOBIL OIL CORPORATION is the holder of the license granted for the lawful use of the building(s) or other struCure(s) situated or cow to be situated at 350 WINTHROP AVENUE, NORTH ANDOVER) MA 01845 su.b.a..w. as related to the KEEPING, STORAGE. MANUFACTURE OR SAL OF FLAMMABLES OR EXPLOSIVES. ' sm.so.wommi ra. Nate:A omtifiale of rerysialver must be file9 on or asters April Join of eaCh year THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES rtNxa TNeI Note Complete top of form and forward both sections and fee to local licensing authority (City or Town Clerk). Do not make application to department of Public Safety. � �cnv>rcc�ncaec>,�t�i a�� /G�aaaac6uaetty 'Je�a�c,>renco��'vne c`�v — '�`vwoc�c a�c�vxe ✓-,reuenCcan City or Town NORTH ANDOVER Date APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with the provisions of Chapter 148, Section 13, of the General Laws, Me undersigned hereby candies !hat MOBIL OIL CORPORATION .�.wneurur�. 350 WINTHROP AVENUE Ls the holder of license granted for ate lawful use of the bulding(s) or other struc:ure(s)situated or to be situated at 350 WINTHROP AVENUE s su..m•,.ro., as recited to the KEEPING, STORAGE, MANUFACTURE OR SAL OF FLAMMABLES OR EXPLOSIVES. NORTH ANDOVER, MA 01845 Nate: This application for cerUffimro of regrstrasan must be signed by the holder of the license if said license was granted char to July 1, 1936, otherwise by me owner or occupant of the land licensed. Received Sucmibed by by ..m. m...�aM...ate..sue.. ---------------------------------------------- s v � gca� u� e� — OIG ��dc�� eeJ ✓ � City or Town NORTH ANDOVER Date REGISTRATION him a to car ty,that MOBIL OIL CORPORATION has, in accordance with the provisions at Chapter 148, Section 13, of the General Laws, filed with me a certificate of registration setting form Nat MOBIL OIL CORPORATION is the holder of the license granted for the lawful use of the building(s) or other smtclure(s) situated or a� !o be situated at 350 WINTHROP AVENUE, NORTH ANDOVER, MA 01845 se..,w naro.r as related to the KEEPING, STORAGE MANUFACTURE OR SALE OF PLAMMABLES OR EXPLOSIVES. ' sy.e...m ammi nw Nate'A comfiore of regisaatior must be file,'on or before Apol 30M of each year. THIS REGISTRATION MUST BE CONSPICUOUSLY PCSTED ON THE PREMISES Nate: Complete top Of farm and forward both sections and fee to local licrun.ng authority(City or Town perk). Do not make application to department of PUbha Safety. � �c7�yraaruueaLC�z a�C�//iLirQaczc`u�aeG21 � Je�ew�cnmCo��^'vre Celvxueire. — 1.vwaeo� o��rire ✓�',wrur�r<aorz City or Town NORTH ANDOVER Date APPLICATION FOR CERTIFICATE OF REGISTRATION In Aa—mane with the provisions of Chapter 148, Section 13. of the General laws, the undersigned hereby certifies that MOBIL OIL CORPORATION n...am.sbo. 350 WINTHROP AVENUE is the holder of license granted �• far the lawful use of the budding(s)or other structures) situated or to be situated at 350 WINTHROP AVENUE as refaced to the KEEPING, STORAGE. MANUFACTURE OR SALE OF FLAMMABLSS OR EXPLCSIVES. NORTH ANDOVER, MA 01845 c+rd Nate: This application for caraficare at regrsaturan must be signed by the holder at the license if said license was granted pnorte July 1, 1936, Otherwise by the owner or occupant of the land licensed. Received Submitted by by oe+m rd. ,my _--------------------------------------------- � �o�mimn�2c�ea`C�i r�C� `urrseC�iy of axGme Ca� xe rey , _ 2G dew « dc� �a c% y City or Town NORTH ANDOVER Date REGISTRATION hot a to certify that MOBIL OIL CORPORATION has. in accordance with the provisions of Chapter 148, Season 13. of the General Laws, filed with me a cerril a of registration setting forth that MOBIL OIL CORPORATION is the holder of the license granted am for the lawful use of the buildings) or other structure(s) situated or tcbesitusledat 350 WINTHROP AVENUE, NORTH ANDOVER, MA 01845 as relates to the KEEPING, STORAGE MANUFACTURE OR SAL OF FLAMMASLES OR EXPLCSIVES. sm.�...mamm rn Nate:A c orai 00 reg tuaban must be(rlan an Or beta..April 30fh of each year THIS REGISTRATION MUST BE CONSPICLJCUSLV POSTED ON THE PREMISES -'-Inrrsea-5sf Note: Complete top at torn and forward bath sections and fee to local licznsing autharity (City or Town Clerk). 00 not make application to department of Public Sarety. (^ l.''r/rrb7n, aGCn a`�i�C a. ac{'iu3e � _ ' y' �'?iwn'imrrci cG �h%� G iw+.acas — �vr�criro cG �h�� :��iu�aciwn C:ty or Town NORTH ANDOVER Cafe APPLICATION FOR CERTIFICATE OF REGISTRATION r. acccraarce with :he pra nsions m Chac:er '�E. Seats, cl :be Ceres _ews. Ire cncemigned bereov -envies 'ra! MOBIL OIL CORPORATION P.O. HOF 142667 , AUS'TIN, IN �78714-26o7 s:.'te ^.doer ct license grantea ,a br the :amui use of the owioirgls; or other stnl >:ua:ec cr s ce sima:ad at 350 WINTHROP AVENUE• as retaled a the'd'c=PING. 57ORACi:, MANUFAC'L'FE OF SAL CF R.AMMABI=S OF EXP'_CSIVES. NORTH ANDOVER NOre: 7 ,s appiicavion br ceierable at regis:2Lon must Se "glee Sy fne noloer of:ne license Asao license uvas granted grotto Jwy omernse by me owner or acc�Lil Of/Meg iaald'censae. 5ucn-ftlby TaMV .v ------------------- --------- Note: Complete top of form and forward both sections and fee to local licensing authority (City or Town Clerk). Co not make application to department of Public Safety. ZXG/I2Pi/LC Gt✓ LX: ` l/WGC25 /LU41IT/Y/ �iL, L7� ✓ LGJ� A 9' 38 City or Town NORTH ANDOVER pate JULY 17, 2001 APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with the provisions of Chaeter lag. Section 13. of the General laws. the unaersignee heresy certifies her EXXONMOBIT. OIL CORPORATION 350 WINTHROP AVENUE is the holder of license granted no for the IawMui use of the ouiicingor or other s"=raisl slilatec or a... to be situated at 350 WINTHROP AVENUE SYewano nvnew' as retated to the KEEPING, STORAGE, MANUFAC-U RE OR SALE OF F'LIMMABLS3 OR EXPLOSIVES. NORTH ANDOVER, MA 01845 Note: Thrs application for cervficare of reaistration must be signed by the holder of the license it said license was gral[ed briar',a uif, 1, 1936, otherwise by tee owner or ccsaant or e d and licensed. Received Sunot'll by ` tLf�U al) by 01,11 S Aut rfil tl ATarn �;r i� `i�c�myrc-nupcz�C�i c�' l`a;�ac�icase�; �a Jizi� e y 7 NORTH ANDOVER C:N or Sown Date JULY 17, 2001 REGISTRATION This is to ceriN that EXXONMOBIL OIL CORPORATION has, in accoreanca with the provisions of Chacter 1 *. Section 1 S. at the Genera Laws, f➢ec with me a certificate of reolstranur semne brh that EXXONMOBIL OIL CORPORATION is the holder of the thence craned far:ne lawful dse of me bwiaingdl or other s:mcfuretsl situates�r to he situated at 350 WINTHROP" AVENUE, NORTH ANDOVER MA 01845 as:eiatec to :he KEE?'NC. STORACE. MANL'FACCUFE CR 3AL CFF_1rMMAELE3 CR 2XF'_CS]VES- tied n - �amre=cr..JBc^or aac- iaar. Ti-IS FEGIS-3ATICN MICE- __ CCNSP'^CLSL• anc-__ CN -.E vc E?Nc E3 = : .avrsea]9fi1