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0011 HATHORNE - Burner Installation Form 24 Power Burners Date June 13, 1988 Name F. KingslQz Location 11 Hathorne 1st fl. No. of Tanks 969 Name of Burner pPnkPrt Mass. Approval No. 9h9 Gals. Stored 275 Kind of Heat FHA Location of Tank Kind of Oil ft2 Installed by Bouffard Oil C. of C. # 019369 Inspected by Captain Brophy Date Approved 5/31/88