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0011 VALE STREET - Burner Installation Form 24 Power Burners Date January 22,1981 Name Layton G Stearns Location 11 Vale St No. of Tanks 1 Name of Burner Beckett Mass. Approval No. 969 Gals. Stored 275 Kind of Heat W .A . Location of Tank Basement Kind of Oil #2 Installed by William Lawnsby C. of C. # 16041 Inspected by R .Dansreau Date Approved 01-21-81