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0005 WINTER ISLAND ROAD - Burner Installation Form 24 Power Burners Date October 5,1981 Name Marion Jebb Location 5 Winter Island Rd No. of Tanks 1 Name of Burner U.S .Carlin Mass. Approval No. 1213 Gals. stored �75 Kind of Heat H.W. Location of Tank Garage Kind of Oil #2 Installed by Thomas Anthony C. of C. a 11388 Inspected by R .Da.nsreau Date Approved 10-05-81