Address * Name of Owner: * M.G.L. Chapter 148, Section 38JThis certifies that a visual inspection of the fuel supply line(s) for the aboveground heating oil storage tank was completed in accordance with M.G.L. Chapter 148, Section 38J (d) for the residential property identified above, and the following equipment was observed - Each fuel supply/return line is enclosed with a continuous non-metallic sleeve Each fuel supply/return line is equipped with an oil safety valve Each fuel supply/return line is not in direct contact with concrete, earth or any floor surface. No oil safety valve or continuous non-metallic sleeve is required Burner is located above the fule storage tank and the entire fule line is connected to, and above the top of the tank. No Oil safety valve or continuous non-metallic sleeve is required InspectionThis visual inspection and certification of compliance was completed on: Date * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20222023202420252026 Oil Burner Technician * Certificate of Competency # * Oil Burner Technician Signature * By entering my name i certify that all information entered is correct and complete to the best of my knowledge Leave this field blank