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0003 AMES STREET - Burner Installation Form 24 Power Burners Date Aril 24, 198 Name R. Gagnon Location 3 Ames Street No. of Tanks 1 Name of Burner Carlin Mass. Approval No. 121 Gals. Stored 275 Kind of Heat FHW Location of Tank Basement Kind of Oil #2 Installed by Oil Burner Service , C. of C. -' 020071 Inspected by Capt. Robert April Date Approved 3/31/84