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0000 HAWTHORNE BOULEVARD - Burner Installation Form 24 Power Burners Date October 26,1981 Name Immaculate Congeption Church Location Hawthorne Blvd. No. of Tanks 1 Name of Burner U.S .Carlin Mass. Approval No. 1213 Gals. Stored 5,000 Kind of Heat Steam Location of Tank Underground Kind of Oil #2 Installed by Pete McCarrister C. of C. # 20642 Inspected by R .Dansreau Date Approved 10-20-61