0015 HAWTHORNE BOULEVARD - Burner Installation Form 24 Power Burners -
Date 9/15/93
Name Immaculate Conception Church
Location 15 Hawthorne Boulevard No. of Tanks 3
a
4
Name of Burner � Mass. Approval No.
4
Gals. Stored 990 Kind of Heat
Location of Tank Basement Kind of Oil #2
Installed by Clarke Bros. C. of C.
Inspected by Lt. Hudson Date Approved 9/15/93