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0009 FORT AVENUE - Burner Installation Form 24 Power Burners Date 10/29/92 Name Richard Vardalanos Location 9 Fort Ave. No. of Tanks 1 Name of Burner Beckett Mass. Approval NO.BEC-88-01 Gals. Stored 500 Kind of Heat F.H.W. Location of Tank Underground Kind of Oil #2 Installed by Michaud & Raymond Oil C. of C. z 016412 Inspected by Lt. Hudson Date Approved 10/29/92 CAS-Fe-RetK0C72D .S - g- /9 G e#9P-