HomeMy WebLinkAboutMiscellaneous - 12 MIDDLESEX STREET 4/30/2018 12 MIDDLESEX STREET
210/043.0-0003-0000.0
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Blackburn, Lisa
From: Sawyer, Susan
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Sent: Monday, August 25, 2014 1:13 PM
To: Blackburn, Lisa
Subject: FW: Notice of deleading work at 12 Middlesex St.
PIs print out and file this notice
12 Middlesex
-----Original Message-----
From: Christine Giroux [mailto:cgiroux@alpine-env.net]
Sent: Friday,August 22, 201410:19 AM
To:Sawyer,Susan
Subject: FW: Notice of deleading work at 12 Middlesex St.
Hello,
Below is the notification for lead remediation
• work at 12 Middlesex St.
Thanks,
Christine Giroux
Office Manager
www.alpineenvironmentalinc.com
Toll Free: 877.527.4040
Office: 978.250.2740
-----Original Message-----
From: DoNotReply@dos.state.ma.us[mailto:DoNotReply dos.state.ma.us]
Sent: Friday,August 22, 201410:04 AM
To:Christine Giroux
Cc: katieandscott@gmail.com
Subject: DELEADING NOTIFICATION FORM DELEADING CONTRACTOR
Thank you for submitting your Deleading Notification Form DELEADING CONTRACTOR, Please retain this email for your
records and post a copy at your work site.
Confirmation#: 644570
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~Submission Date:08/22/201410:04 AM
NOTIFICATION OF DELEADING WORK
The Notification is: Routine Notification
DLS Waiver Number:
House Number: 12
Street Name: Middlesex
Street Type: St
Unit/Apt Number:
City: North Andover
Zip Code: 01845
Property Owner/Agent: Katie Graham
Phone :617-990-4554
Owner Address: 11 Swampscott Rd.Swampscott, MA 01907
Email: katieandscott@gmail.com
Name of Licensed Lead
Inspector/Risk: David Pesce
Inspector/Risk Assessor License Number: 4025
Date of Inspection: 7/25/14
Expiration Date: 4/26/15
CONTRACTOR INFORMATION
Contractor Name: Alpine Environmental, Inc.
Contractor Address: 21 Progress Ave.Suite 1
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City: Chelmsford
State MA
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Zip Code: 01824
Contractor Contact Person: Alpine Environmental, Inc.
Office Phone: 978-250-2740
Cell Phone:
Email: cgiroux@alpine-env.net
Contractor License Number: DC
Six digit Number: 000663
Expiration Date: 6/28/15
LR/LW Name:
License/Authorization Number: MR
DS/MR six digit Number:
Expiration Date:
TYPE OF DELEADING WORK TO BE PERFORMED:
Class I Deleading Methods Selected
Replacement,Wet/Dry scraping or wire brushing,
Moderate Risk Deleading Methods Selected:
Low Risk Deleading Methods Selected:
N/A,
WORK SCHEDULE:
Project Start Date: 9/2/14
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Project Completion Date: 10/1/14
Project Start time: 8:00 AM
Project End Time: 5:00 PM
End of email
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