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0005 VALLEY STREET - Burner Installation Form 24 Power Burners Date January 22,1982 Name Carla Solaine Location 5 Valley St No. of Tanks 1 Name of Burner U.S .Carlin Mass. Approval No. 1213 Gals. Stored �75 Kind of Heat F .H.-W. Location of Tank Basement Kind of Oil #2 Installed by John S Zolotas C. of C. 020586 Inspected by R .Dansreau Date Approved 01-19-82