0011 HAWTHORNE BOULEVARD - Burner Installation Form 24 Power Burners
Date
Name Michael O' Connor
Location 11 Hawthorne Blvd. No. of Tanks 1
Name of Burner gi a1 I, Mass. Approval No. 16317
Gals. Stored. 275 Kind of Heat FHA
Location of Tank Basement Kind of Oil #2
Installed by Pickering Oil Co. C. of C. # 17801
Inspected by Date Approved