0023 ANDREW STREET - Burner Installation Form 24 Power Burners
Date 6/18/86 1st floor
Name Albert Eisen
Location 23 Andrew St. No. of Tanks 1
Nome of Burner Carlin CRD99 Mass. Approval No. 1213
Gals. Stored 275 Kind of Heat DHW
Basement #2
Location of Tank Kind of Oil
Installed by Albert Eisen C. of C. x 019346
Deputy Munroe 6/25/86
Inspected by Date Approved