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Miscellaneous - 1725 TURNPIKE STREET 4/30/2018 (3)
C n11> O �r r� (n FO FO O F, z�l dm t� t3J m n �f LA now r �+ I ARGEO PAUL CELLUCCI Governor JANE SWIFT Lieutenant Governor A. L. Prime 319B Salem Wakefield, COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION Metropolitan Boston - Northeast Regional Office I` SEP 2 4 1999 Energy RE: BWP - NORTH ANDOVER Street NONCOMPLIANCE with M.G.L. MA 01880 Chapters 111 §142(A -N) 310 CMR 6.00 - 8.00 FMF Facility #321312 File No: NON -NE -99-9132-7 Attention: Nasser Abueid RE: NOTICE OF NONCOMPLIANCE BOB DURAND Secretary LAUREN A. LISS Commissioner ENCLOSED IS AN IMPORTANT NOTICE. FAILURE TO TAKE ADEQUATE ACTION IN RESPONSE TO THIS NOTICE COULD RESULT IN SERIOUS LEGAL CONSEQUENCES. Dear Mr. Abueid: Department personnel have observed that on June 4, 1999, activity occurred at A.L. Prime Energy, 1725 Turnpike Street (Rte. 114), North Andover, Massachusetts in noncompliance with one or more laws, regulations, orders, licenses, permits, or approvals enforced by the Department. Enclosed is a Notice of Noncompliance which describes (1) the activity referred to above, (2) the requirements violated, (3) the action the Department now wants you to take, and (4) the deadline for taking such action. An administrative penalty may be assessed for every day from now on that you are in noncompliance with the requirements described in this Notice of Noncompliance. Notwithstanding this Notice of Noncompliance, the Department reserves the right to exercise the full extent of its legal authority in order to obtain full compliance with all applicable requirements, including, but not limited to, criminal prosecution, civil action including court -imposed civil penalties, or administrative penalties assessed by the Department7C,,v,q (5,;. -_ - ; This information is available in alternate format by calling our ADA Coordinator at (617) 574-6872. Sc SLS' 2 8�a„ 205A Lowell St. Wilmington, MA 01887 • Phone (978) 661-7600 • Fax (978) 661-7615 • TTD# (978) 661-7679 0 Printed on Recycled Paper ' A. L. Prime Energy Page -2- Should you have any questions relative to this matter, contact Mary Persky of this office at the letterhead address or by calling (978) 661-7600. b. Very truly yours, Z. Edward J. Pawlowski Chief, Compliance and Enforcement Bureau of Waste Prevention EJP/mcp/ Certified Mail cc: Fire Department, 142 Main Street, North Andover, MA 01845 Board of Health, Town Building, North Andover, MA 01845 NERO - mpersky • A. L. Prime Energy Page -3- NOTICE OF NONCOMPLIANCE NONCOMPLIANCE SUMMARY NAME OF ENTITY IN NONCOMPLIANCE: A. L. Prime Energy LOCATION WHERE NONCOMPLIANCE OCCURRED OR WAS OBSERVED: 1725 Turnpike Street (Rte. 114), North Andover, Massachusetts DATE WHEN NONCOMPLIANCE WAS OBSERVED: June 4, 1999 DESCRIPTION OF NONCOMPLIANCE AND OF THE REQUIREMENTS NOT COMPLIED WITH: Personnel from the Department conducted a compliance inspection at A. L. Prime Energy. The following are the observed violations: AIR QUALITY (1) 310 CMR 7.24(6)(f): On the date of the inspection, Stage II recordkeeping requirements were not being met. The regulation requires ... Any person who owns, leases, operates or controls a facility subject to 310 CMR 7.24(6)(a) shall maintain records sufficient to demonstrate compliance. Records kept to demonstrate compliance shall be kept on site for at least five years, except that records of testing results under 310 CMR 7.24(6)(8) and (i) shall be kept permanently on site. All records shall be made available to representatives of the Department or EPA upon request. Such records shall include, but are not limited to: 1. a continuous record of all failures of the vapor collection and control system, including the type of failure, malfunction, the date the failure was first observed and the date of repair; 2. records of all maintenance performed, including the type of maintenance and the date the maintenance was performed; 3. records of the daily and monthly thoughputs of motor vehicle fuel; 4. the results of and dates of any testing performed under 310 CMR 7.24(6)(g) or (i), and the identity of the person who performed such tests; 5. certification that facility operators and employees have received training in accordance with 310 CMR 7.24(6)(c)3.; 6. any and all permits, orders or licenses to operate issued for the facility by the Department; 7. a chronological file of any inspection reports or other compliance documents issued for the facility by the Department; 8. any other requirements specified by the Department in any approval(s) or order(s) issued to the person. A. L. Prime Energy Page -4- (2) 310 CMR 7.24(6)(c)2. - A. L. Prime Energy did not notify and inform the Department prior to the installation of the vapor collection and control system for its gasoline dispensing facility on a form obtained from the Department, of the dates of installation and the specific type of vapor collection and control system to be installed. The regulation requires... notify and inform the Department prior to the installation of the vapor collection and control system, on the form obtained from the Department, of the dates of installation and the specific type of vapor collection and control system to be installed. (3) 310 CMR 7.24 (6)(c)5: A. L. Prime Energy failed to install signs on the dispensers to show how to properly use the vapor recovery system. The regulation requires... that any person who owns, leases, operates or controls a motor vehicle fuel dispensing facility shall conspicuously post operating instructions for dispensing motor vehicle fuel using the vapor collection and control system in the motor vehicle fuel dispensing area. ACTION TO BE TAKEN, AND THE DEADLINE FOR TAKING SUCH ACTION: AIR QUALITY (1) Immediately upon receipt of this Notice, A. L. Prime Energy must maintain and keep the necessary records at the facility as required in Air Quality violation number 1. Within thirty (30) days of your receipt of this Notice, this office must be in receipt of written confirmation that this has been done, and will continue to be done. (2) Within thirty (30) days of your receipt of this Notice, please complete the Stage II Facility Installation and Compliance Form, and return it to the Department of Environmental Protection, Division of Air Quality Control, Stage II Program, One Winter Street, 9' Floor, Boston, MA 02108. (3) Immediately upon receipt of this Notice, A. L. Prime Energy must conspicuously post the necessary signs and instructions to maintain compliance with the above referenced regulation in Air Quality violation number 3. These instructions must at a minimum include: a. a clear description of how to correctly dispense motor vehicle fuel using the system; b. a warning not to attempt continued refueling after automatic shutoff; C. telephone number 617-556-1035 to report problems experienced with the vapor collection and control system to the Department. DATE: �- S4yt�cir Edward J. Pawlowski Chief, Compliance and Enforcement Bureau of Waste Prevention Mary Pe y Environmental Analyst Certified Mail (N09132.dit 9/22/99) A � Efa' '12E / /L}z{//fin, ATTORNEY-AT-LAW 275 RANTOUL STREET BEVERLY, MASSACHUSETTS 01915 TELEPHONE: 978.927-9397 FACSIMILE: 978-927.9398 June 21, 2011 Town of North Andover Board of Health 120 Main Street North Andover, MA 01845 RE: AL Prime Energy Consultant, Inc. 1725 Turnpike Rd, North Andover, MA 01845 Date of Accident: June 3, 2010, 1:44pm Dear Sir/Madam: 4444 Please be advised that this office represents Mr. Michael Tassinari relative to the above -referenced incident. On June 3, 2010, Mr. Tassinari was getting gas at the AL Prime in North Andover when the fire suppression system went off. Both the police and fire departments responded to the scene. This afternoon I spoke with someone at the Police Department. I was informed that the Board of Health responded to the scene. I am writing to request reports of any kind relating to this incident. Kindly forward a copy of any such report to this office at your earliest convenience. If there is any charge for such report, please bill this office in your usual manner. Please contact me if you have any questions. Thank you in advance. Sincerely, 01A" Mark R. Scialdone MEMBER OF MASSACHUSETTS AND FLORIDA BARS Sawyer, Susan From: Sawyer, Susan Sent: Tuesday, June 28, 2011 3:17 PM To: 'scialdmr@gmail.com' Cc: DelleChiaie, Pamela; Grant, Michele Subject: AL Prime To: Mark Scialdone From: Susan Sawyer The Health Department has received your request for information regarding an incident in 2010 at the N. Andover A.L. Prime on Turnpike Street. After research of the health file, please note that it does not contain any written reports in this emergency response matter. My basic memory of the incident was that the NA dispatch requested a response by the Health Office. As AL Prime holds a "Food Establishment Permit" with this office the inspector simply surveyed the conditions and made recommendations regarding clean up on the interior of the building. A written report was not necessary at that time as the inspector was satisfied with the permit holder's response. If you have any other questions, do not hesitate to contact us. Thank you, Swatt Sawyu Yub& gf"dth Dinectan 1600 (96g"d Shtd 2Ug 20, unit 2-36 .Nodh and"", ✓ to UIS45 aake 973 633-9540 f 973 633-3476 All email messages and attached content sent from and to this email account are public records unless qualified as an exemption under the [ http://www.sec.state.ma.us/pre/preidx.htm ]Massachusetts Public Records Law. { a 5657 Of MORT :,� . O • t" • Ly ❑ 1Or Town of North Andover $ HEALTH DEPARTMENT �SscNu5�4 Body Art Establishment CHECK #: _���73 DATE: ❑ LOCATION: GGUL c ❑ i H/O NAME: ❑ CONTRACTOR NAME: Type of Permit or License: (Check boT/I ❑ Animal $ ❑ Body Art Establishment $ ❑ Body Art Practitioner $ ❑ Dumpster $ ❑ Food Service - Type. $ ❑ Funeral Directors $ ❑ Massage Establishment $ ❑ Massage Practice $ ❑ Offal (Septic) Hauler $ ❑ Recreational Camp $ ❑ Sun tanning $ ❑ Swimming Pool $ ❑ Tobacco $ ❑ Trash/Solid Waste Hauler $ ❑ Well Construction $ SEPTIC Systems: ❑ Septic - Soil Testing $ ❑ Septic - Design Approval $ ❑ Septic Disposal Works Construction (DWC) $ ❑ Septic Disposal Works Installers (DWI) $ ❑ Title 5 Inspector $ ❑ Title 5 Report $ Health Agent Initials White - Applicant Yellow - Health Pink - Treasurer V Town Of North Andover Department of Weights and Measures 1600 Osgood St. Big 20 Suite 2-36 North Andover 01845 Phone (508)783-6403 TO Prime Mart 1725 Turnpike Rd North Andover 01845 7 1: G T DATE: FOR: Testing and Sealing of Weights and Measures Devices Fees and adiustinq charges authorized by Section 56, M.G.L. Chapter 98 as amended. Device Legal Sealing Fees Adjusted Sealed AMOUNT Test and Seal Gas pumps $15.00 per meter 14 $210.00 TO'r.N C. ,O";" { , is ;OVER HEAL (;1 C j?N.fli i,. ENT TOTAL $210.00 This is to certify that I have this day tested, adjusted, sealed or condemned the above described device in compliance with the M.G.L., Chapter 98 as most recently amended. v 0 spector — Sealer of Weights and Measures Date DA It �J- 00 0000 N L N Y � LU¢ M 3 U v¢ 0 O 1� '� LLia L� LL F ,IL^^" Vl o a � b z� a� ie 4 W)N 7 U Noj O c7 ria a D N°Cd c � N � � c v c 2 _ m' o U c z E 2 vii c a � o � c L 2 = C U O 7 'rn v� E-� FF � •0 3 � °' 2 �3 kn :� 0 blu o O 00 O [ 00 � rj a �� O I 1 O a o = > VI 000000 a`>Lb 00 u'o 00 y E boo (r C> 00 c0i0) C. c�COz oI rn O. L ar bA CLGr i p„ u e) Q u U Q A UIG7 a A UI U A E H U C 0 2 O m a �U m m J N (D O N_ O N U) 0 d 0 4A r DelleChiaie, Pamela From: Sent: To: Cc: Subject: To: Mark Scialdone From: Susan Sawyer Sawyer, Susan Tuesday, June 28, 2011 3:17 PM 'scialdmr@gmail.com' DelleChiaie, Pamela; Grant, Michele AL Prime The Health Department has received your request for information regarding an incident in 2010 at the N. Andover A.L. Prime on Turnpike Street. After research of the health file, please note that it does not contain any written reports in this emergency response matter. My basic memory of the incident was that the NA dispatch requested a response by the Health Office. As AL Prime holds a "Food Establishment Permit" with this office the inspector simply surveyed the conditions and made recommendations regarding clean up on the interior of the building. A written report was not necessary at that time as the inspector was satisfied with the permit holder's response. If you have any other questions, do not hesitate to contact us. Thank you, Sa6aan Sawyer Yub& NearotPc Dkectan 1600 Uogaad Sttteet XUg: 20, unit 2-36 .NodA Qndw", .ill 01845 afire 978 688-9540 fax 978 688-8476 All email messages and attached content sent from and to this email account are public records unless qualified as an exemption under the [ http://www.sec.state.ma.us/pre/preidx.htm ]Massachusetts Public Records Law. Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are public records. For more information please refer to: http://www.sec.state.ma.us/pre/preidx.htm. Please consider the environment before printing this email. 1 01/19/2019 00:03 FAX A.L.PRIME.ENERGY 16001/005 4 V PYRO-CHEM ABC MULTIPURPOSE MATERIAL SAFETY DATA SHEET }>tY CONFORMSTO DIRECTIVE 2001/58/EC �i�/fl 1. IDENTIFICATION OF THE SUBSTANCE/PREPARATION AND OF THE COMPANY/UNDERTAKING 1.1. Identification of the preparation Product Name: "PYRO-CHEM ABC Multipurpose' Chemical Name: N/A —This is a mixturelpreparation. GAS No. N/A — This is a mixture/preparation. Chemical Formula; WA —This is a mixture/preparation. EINECS Number: WA—This is a mixture/preparation. /U 1.2. Use of the preparation The intended or rewrnmended use of this preparation is as a FIRE EXTINGUISHING AGENT 1.3. Company identification Manufacturer/Supplier. PYRO-CHEM Address: One Stanton Street, Marinette, Vitt 54143-2542 Prepared by; Safety and Health Department Phone: 715-732-3465 Internet/Home Page: http;/h% w.pyrochem.00m Date of Issue: September, 2009 1.4. Emergency telephone CHEMTREC 800-424-9300 or 703.527-3887. 2. COMPOSITIONANFORMATION ON INGREDIENTS 2.1. Ingredient Name: Monoammonium Phosphate. Chemical Formula: NH4H2PO4. CAS No.: 7722-76-1. EINECS Number: 231-764-5. Concentration, Wt 3'°: 80-95%, Hazard Identification: See Heading 3. Ingredient Name: Calcium Carbonate Chemical Formula: CaCO3. CAS No.: 471.34-1. EINECS Number: 207-439-8. Concentration, Wt %: 1-4%6. Hazard identification: See Heading 3, Ingredient Name: Magnesium Aluminum Silicate (Attapuigite Clay or Fuller's Earth). Chemical Formula: MgxAly(SiO4)Z. CAS No.; $q31-18 3, EINECS Number: (b). Concentration, Wt %: 1.4 °b. Hazard Identification: Sea Heading 3. Ingredient blame: Chemical Formula: CAS No.: EINECS Number: Concentration, Wt %; Hazard Identification: Ingredient Name: Chemical Formula: GAS No-: EINECS Number; Concentration, Wt %; Hazard IdenUfication_ Ingredient Name; Chemical Furmufa; CAS No.: EINECS Numtw-. Concentration, Wt %: Hazard Identification: Mica, Muscovite. Mixture/preparation. 12001-26-2. (b). 1-4%. See Heading 3. Methyl hydrogen Pulysilozans. Mixture/preparation. 63148-57.2. {a}. Gee Heading 3. Amorphous Silica. (SiO2)x- 7631-86-9. 231.545.4. 0.2-1.5%. See Heading 3. PC9085(4) 01/19/2019 00:03 FAX A.L.PRINE.ENERGY [a 002/005 PYRO-CHEM ABC MULTIPURPOSE (Continued) Page 2 (a) EINICS does not include synthetic polymers (These are registered in EINICS under their building blocks, monomers.). See; 67/548/EEC, article 13; 79/831/EC: and 81 /437/EC. (b) EINICS does not include most naturally occurring raw materials. See: 67/54WEEC, article 13; 79/831/EC; and 81/437/EC. NOTE; Unless a component presents a severe hazard, it does not need to be considered in the MSDS If the concentration is less than 1 ql . [Acoording to Directive 19014WEC.} 3. HAZARDS IDENTIFICATION FOR HUMANS: Product: EU Classification; R Phrases: 22 36/37/38 S Phrases: 26 36 Narmful, Harmful if swallowed. Irritating to eyes, respiratory system_ and skin. In Case of contact with eye-, rinse immediately with plenty of water and seek medical advice. Wear suitable protective clothing. Harmful_ Harmful if swallowed. Irritating to eyes, respiratory system, and skin. In case of contact with eyes, rinse immediately with plenty of water and seek medical advice. Wear suitable protective clothing. Ammonium sulfate: 36 Components; Irritant. Monoammonium Phosphate: EU Classification: S Phrases: 26 R Phrases: 22 seek medical advice. 36137/38 S Phrases: 26 36 Narmful, Harmful if swallowed. Irritating to eyes, respiratory system_ and skin. In Case of contact with eye-, rinse immediately with plenty of water and seek medical advice. Wear suitable protective clothing. Harmful_ Harmful if swallowed. Irritating to eyes, respiratory system, and skin. In case of contact with eyes, rinse immediately with plenty of water and seek medical advice. Wear suitable protective clothing. Ammonium sulfate: EU Classification; Irritant. R Phrases: 36137138 Irritating to eyes, respiratory system, and skin. S Phrases: 26 in case of contact with eyes, rinse immediately with plenty of water and seek medical advice. 36 Wear suitabie protective clothing. Limit Values tCr Ekposure: Nuisance dust limit: OSHA TWA: 15 mg/ms ACGIH TLV -TWA; 10 mg/ms. Neither this preparation nor the substances contained in it have been listed as carcinogenic by National Toxicology Program, I.A.R.C,, or OSHA. AS PART OF GOOD INDUSTRIAL AND PERSONAL HYGIENE AND SAFETY PROCEDURE, avoid all unnecessary exposure to the chemical substance and ensure prompt removal from skin, eyes, and clothing. SIGNS AND SYMPTOMS: Acute Exposure: Eye Contact: Mildly irritating for short periods of time. Skin Contact: May be mildly irritating_ Inhalation: Treal as a mineral dust. Irritant to the respiratory traCL Transient cough, shortness of breath. Ingestion: Not an expected route of entry. Chronic Overexposure: Inhalation: Chronic fibrosis of the lung. pneumoconiosis. MEDICAL CONDITIONS GENERALLY AGGRAVATED BY EXPOSURE: None known. FOR ENVIRONMENT: No data available. 4. FIRST AID MEASURES Eye Contact: Wash with water for a minimum of 15 minutes. It irritation persists seek medical attention. Skin Contact: Wash affected area with soap and water. if irritation persists seek medical attention. Inhalation; Remove from exposure_ If irritation persists seek medical attention. Ingestion; If patient is conscious, give targe amounts of water and Induce vomiting. Seek medical help. S. FIRE -FIGHTING MEASURES This preparation is an extinguishing media. There are NO extinguishing media which must not be used for safety reasons. NO special protective equipment is needed for fire-fighters. Wear protective equipment appropriate for the fire conditions. 01/19/2019 00:04 FAX A.L.PRIME.ENERGY 9003/005 PYRO-CHEM ABC MULTIPURPOSE (Continued) Page 3 B. ACCIDENTAL. RELEASE MEASURES For personal protection: Prevent Skin and eye contact, see Heading 8. Clean up: Sweep up and recover for use or place in CIOSed Container for disposal, see Heading 13. NO harm to the environment is expected from an accidental release of this preparation. F. HANDLING AND STORAGE 7.1. Handling Gare should be taxen in handling all chemical substances and preparations. See incompatibility information in Heading 10. 7.2. Storage NO special conditions are needed for safe storage, See incompatibility informalion in Heading 10. Store in origin,l container or PYAO-CHEM fire extinguisher, Keep tightly closed until used. There is minimal danger to the environment front a storage release. 7.3. Specific use The intended or recommended use of this preparation is as a FIRE EXTINGUISHING AGENT. 8. EXPOSURE CONTROLS/PERSONAL PROTECTION 8.1. Exposure limit values Nuisance dust limit: OSHA TWA; 15 mg/m3 AGGIH TLV -TWA: 10 mg/m3, 8.2. Exposure controls 8.2.1. Occupational exposure controls 5.2.1.1. Respiratory protection Use loot ventilation to minimize exposure to the substance. Use mechanical ventilation for general area control. Dust mask where dustiness is prevalent, or TLV is exceeded. Use mechanical Fitter respirator if exposure is prolonged. 8.2.1.2. Hand protection None normally needed. Use chemical resistant gloves when handling the preparation. 8.2.1.3. Eye protection Use safety glasses with side shields or safety goggles. 8.2.1.4. Skin protection No special equipment is needed. 8.2.2 Environmental exposure controls No special controls are needed. 9. PHYSICAL AND CHEMICAL PROPERTIES 9.t. General information Appearance: Fine Yellow Powder. Odor. Norve, 9.2. Important health, safety. and environmental information pH: Not determined. Boiling point/boiling range: Not applicable, Flash point: None. Flammability (solid/gas): Not flammable. Explosive properties: Not explosive. Oxidizing properties, Not an oxidizer. Vapor Pressure: Not appiicaAle. Relative Density: Not applicable. Solubility- - Water solubility: Slight. — Fat solubility: Not soluble. Partition coefficient, n-octanol!water: Not determined, r 01/19/2019 00:04 FAX A.L.PRIME.ENERGY 1@005/005 FYRO-CHEM ABC MULTIPURPOSE (Continued) Paye 5 15. REGULATORY INFORMATION Product: EU Classification: Harmful. R Phrases: 22 Harmful if swallowed_ 36197/36 Irritating to eyes, respiratory system, and skin. S Phrases: 26 In case of contact with eyes, rinse Immediately with plenty of water and seek medical advice. 35 Wear suitable protective clothing. Limit Values for Exposure: Nuisance dust limit: OSHA TWA: 15 mg/m3 ACGIH TLV -TWA; 10 rng/rO. EINECS Status: All components are Included in EINECS inventories or are exempt from listing. EPA TSCA Status: All components are included in TSCA Inventories or are exempt from listing. Canadian DSL (Domestic Substances List)_ All components are included in the DSL or are exempt from listing. Environmental restrictions: None are known. Restrictions on Marketing and Use: None are known. Refer to any other national measures that may be relevant. 16. OTHER INFORMATION (HMIS) HAZARDOUS MATERIAL IDENTIFICATION SYSTEM RATINGS: HEALTH: 1 4. Severe Hazard FLAMMABILITY: 0 3. Serious Hazard REACTIVITY: 0 2. Moderate Hazard 1. Slight Hazard 0. Minimal Hazard (WHMIS) CANADIAN WORKPLACE HAZARDOUS MATERIALwy� IDENTIFICATION SYSTEM RATINGS: This product is rated Not hazardous. Format is from directive 2001158/EC_ EINECS data. is from http:llexb.jrc.ittexisting-chemica►si Data used to compile the data sheet is from PYRO-CHEM Material Safety Data Sheet, January, 2002 17, DISCLAIMER THE ABOVE INFORMATION IS BELIEVED TO BE CORRECT, BUT DOES NOT PURPORT TO BE ALL INCLUSIVE AND SHALL BE USED ONLY AS A GUIDE. PYRCI.CHFM SHALL NOT BE HELD LIABLE FOR ANY DAMAGE RESULTING FROM HANDLING OR FROM CONTACT WITH THE ABOVE PRODUCT MSDS available at http:/Avmv.pyrochem.com 11/16/2009 09:55 FAX 978 409 6122 HEALTHY COMfUNITIES la001 Healthy Communities Tobacco Control Program Andover Dracut Haverhill Lynnileld Methuen Middleton Newburyport FIRST CLASS POSTAGE A Boards of Health Partnership RECEIVED NOV 16 2009 TONDOVER HEALT-NORTH DEPARTMENT North Andover North Reading Reading Stoneham Topsfield November 16, 2009 AL Prime 1725 Turnpike St. North Andover, MA 01845 e: orth Andover Board of Health, Ticket # 0225 (Tobacco Sales To Minors) Attn: Manager/Owner: On November 13, 2009 your establishment was issued ticket #0225 for a violation of North Andover Board of Health regulation Section 2(a) entitled "Article X Tobacco Control Regulations" for selling tobacco products to a minor. As outlined on the ticket, and as explained to you upon issuance of the ticket, you have the following alternatives: 1. Elect to pay the fine (100.00) within 21 days of the date of issuance of the ticket. 2. Elect to contest the matter in a non -criminal proceeding by making a written request within 21 days to the Lawrence District Court, Fenton Judicial Center, 2 Appleton Street, Lawrence, MA 01840. FAILURE TO PAY OR CONTEST THE FINE WITHIN 21 DAYS OF VIOLATION MAY RESULT IN ISSUANCE OF A CRIMINAL COMPLAINT. Under Massachusetts General Laws, Chapter 40, Section 21D (Non -Criminal Disposition Statute), "If any person so notified to appear before the clerk or a district court fails to pay the fine provided hereunder within the time specified... the clerk shall notify the enforcing person who issued the original notice, who shall determine whether to apply for the issuance of a compliant for the violation of the appropriate ordinance, by-law, rule or regulation. " All payments of fines shall be made to the Town Clerk, Town Hall, 120 Main Street, North Andover, MA 01845. If you have already made payment, thank you. Please feel free to contact me if you have any questions regarding this notice. Se , Ronald N. Beauregard Program Director cc: North Andover Health Dept. 20 Main Street, Andover, MA 01810 Tel: 978-749-8999 Town Of North Andover Department of Weights and Measures 1600 Osgood St. Blg 20 Suite 2-36 North Andover 01845 Phone(978)688-9540 (Cell) (508)783-6403 TO: Prime Mart 1725 Turnpike St. North Andover 01845 INVOICE DATE 5/9/08 FOR: Testing and Sealing of Weights and Measures Devices Fees and adiustinq charges authorized by Section 56, M.G.L. Chapter 98 as amended. Device Legal Sealing Fees Adjusted Sealed AMOUNT Test And Seal Gas pumps $15.00 per meter 14 210.00 TOTAL $210.00 This is to certify that I have this day tested, adjusted, sealed or condemned the above described device in compliance th the M.G.L., Chapter 98 as most recently amended. Date Inspector — Sealer of Weights and Measures 6"� Town Of North Andover Department of Weights and Measures 1600 Osgood St. Blg 20 Suite 2-36 North Andover 01845 Phone (978)688-9540 (Cell) (508)783-6403 TO: Prime Mart 1725 Turnpike St. North Andover 01845 KWOO ME INVOICE DATE: 6/13/07 FOR: Testing and Sealing of Weights and Measures Devices Fees and adjusting charges authorized by Section 56, M.G.L. Chapter 98 as amended. Device Legal Sealing Fees Adjusted Sealed AMOUNT Test And Seal Gas pumps $15.00 per meter 14 210.00 V� � D o � l� �D TOTAL $210.00 This is to certify that I have this day tested, adjusted, sealed or condemned the abodevice in compliance with the M.G.L., Chapter 98 as most recently amended. nspec r Sealer of Weights and Measures W o In Date RECIE ED SEP 10 2008 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT INVOICE DATE 5/9/08 FOR: Testing and Sealing of Weights and Measures Devices Fees and adjusting charges authorized by Section 56, M.G.L. Chapter 98 as amended. Device Edward Johnson tom; Sealer of weights & Measures AMOUNT h $15.00 per meter 000 ,o a•'4A5 SACNUSE 210.00 1600 Osgood Street North Andover, MA 01845 Town of North Andover Mobile Phone 508-783-6403 Health Department Fax 978-688-8476 website www.townofnorthandover.com Community Development Division 1725 Turnpike St. North Andover 01845 RECIE ED SEP 10 2008 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT INVOICE DATE 5/9/08 FOR: Testing and Sealing of Weights and Measures Devices Fees and adjusting charges authorized by Section 56, M.G.L. Chapter 98 as amended. Device Legal Sealing Fees Adjusted Sealed AMOUNT Test And Seal Gas pumps ' $15.00 per meter 14 210.00 TOTAL I $210.00 This is to certify that I have this day tested, adjusted, sealed or condemned the above des crib evice in compliance with the M.G.L., Chapter 98 as most recently amended. nspec or — S aler of eights and Measures oil D to 4 + TRANSMISSION VERIFICATION REPORT TIME 07125/2006 15:17 NAME HEALTH FAX 9786888476 TEL 9786888476 SER.# 000B4J120960 DATE DIME 07125 15:17 FAX NO./NAME 89786811172 DURATION 00:00:38 PAGE(S) 03 RESULT OK MODE STANDARD ECM North AndoVer.Health Qqp—artment 1600 Osgood Street Building 20, Suite 2-36 North Andover, MA 01845 978.688.9540 - Phone 978.688.8476 — Fax ealthde t towna oirthandave ;om w E-mail www.ta ndnorthandover.co . Website T0: Fox.-- RE: ox: Letter of „Transmittal Page _._Z - of DATE: RE: v ii�-v I .ry Coe Health Department Assistant '--#' ,4L5- M are sending you: O 0py of Letter L7 plans O Other fJ7U in Blow) These are transmitted as chocked below: ➢ O,�ggrt�desA6mal ➢ ,CTkr R ➢ OAs,lP*e w ➢ L�FnrRh wa al t > L7Avmq" > /7krrawt* A QRX0(W* wp�cfff ad ➢ O&Avy apjff&rAt J North Andover Health Department 1600 Osgood Street Building 20, Suite 2-36 North Andover, MA 01845 978.688.9540 - Phone 978.688.8476 — Fax healthdept(CD-townofnorthandover.com - E-mail www.townofnorthandover.com - Website Letter of Transmittal Page / of r10RTy T0: DATE: COMPANY: FROM: Pamela DelleChhiiaie, Health Department Assistant Phone: $ RE: 17 Fax: U� ��1// We are sending you. O Copy of Letter O Plans O Other (fill in helow) These are transmitted as checked below: ➢ L74*madarNoVd ➢ 0.4RgWa ➢ akr gq vmi ➢ a/orRev�wada�►m�►,t ➢ Olorrow* ➢ L7AW Lv r't qpiesfbr ➢ 016r rt ami!sfar&t. REMARKS: C/ COPY TO: COPY TO: SIGNED: - COPY TO: July 19, 2006 Susan Sawyer Director of Public Health 1600 Osgood Street Building 20, Suite 2-64 North Andover, MA 01845 Re: Prime Mart 1725 Turnpike Street North Andover, MA 01845 Dear Susan, RECEIVED JUL 2 5 2006 TOWN OF NORT UVER HEALTH D� l ,v ENT Acting on a complaint from the North Andover Police, I visited the above referenced address and rechecked gas pump #1, regular unleaded gasoline. The test showed the pump to be in calibration and the seal that I installed in April was still intact. I have enclosed my field test form for your information. If you need any further information, please feel free to contact me. Sincerely, ��7 Edward P. J sones-- Sealer of Weights & Measures 10, P JUL 2 5 2006 T01N�' = NO T i ANDOVER Fir �TH L' ARTfviGNT Edward P. Johnson, Sealer of North Andover OFFICE. OF THE , EALER of WEIGHTS and MEASURES . 27 Charles Street Noth Andover Ma.01845 (cell (508)783-6403 (978)688-9540 MOTOR FUEL REPORTS PAGE OF DATE:_ ? � 13.04 (� /ANNUAL TESTI1. NG MOTOR FUEL SALES ACT F-� DELINQUENT LI— ICENSE/ CHANGE_ BUSINESS NAME:Py-;%%AL H/ AV4 OWNER: r ADDRESS: ` UVfA Q&L Ji-. ATTENDANT: CITY/TOWN: V \� �N d�Olu� ZIP CODE OI� S PHONE: MOTOR FUEL SALES ACT MF LICENSE NO.. DISPLAYED: YES_ NO violations of Massachusetts General Law Chapter 84 Sections YES NO Nature of Violation /Remarks ] Ve Legal Primo Signs Posted (section 2850 Branded (section 29sF) / DAV Posted as Date: Grade Name �,�, Diesel r*, Octane Re,- TEST.No. . Complaint Number. Did Visual' Inspection of Motor Fuel Reveal Contamination Yes No Water Levels Underground Storage Tanks Unleaded Mid Grade Premium Grade CHANGE IN STATUS OF STATION OPERATORSIRECORD OF NEW AND DISCARDED STATIONS LOCATION CHANGE FROM: DPerator•s Name DBA MF License # .ormer Address: Zip: FO: iew Address: Zlp: status of Former Operator IEW STATION ` )Perator's Name & DBA Tit S 1 )�s.a! �n n hu. %o% t I .0 :.. L ;rand, Address & IELETE FILE STATION NO LONGER IN BUSINESS SIGNATURE OF PERSON IN CHARGE DATE vwvLuvC NIVU HV I vivin 1 1%-, Lll.1UlU IVIL;/' 7UMIINU UCV IVCD BRAND OF GASOLINE:. —NUMBER OF HOSES TYPE OF PUMP DEVICE MANUFACTURER SERVICE TYPE SINGLE BENNETT.................. FULL SERVE MPD GILBARCO............... SELF SERVE BLENDING ✓ SOUTH WEST........... PUMP CONDL ION TOKHEIM.................. SATISFACTORY ✓ WAYN E .. .................. UNSATISFACTORY-- .. OTHER ................. AL NUMBER OF PUMPS TESTED SEALED LISTED UNSEALED CONDEMNED Prover CaDacity PUMP# MODEL SERIAL CU.IN CU.IN ' CU.IN CU.IN CU.IN Totalizer /Gallons GRADE NUMBER NUMBER +/- +/- speed speed speed speed speed F S F S F S F. S F S 1 Finish tZ 1Z i2 5�� + Z Start Total Finish Start Total Finish Start Total Finish Start Total Finish Start Total Finish Start Total Finish Start Total Finish Start Total Finish Start Total LUB OIL MFARI IRIrJr, nwlr P;c ,. -- ..^. _..___._ �+wc SEALED rviu1JUK1NQ1 SEALED UtVICaS UNSEALED � temarks UNSEALED TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES 3+ '6 HEALTH DEPARTMENT • y it 400 OSGOOD STREET « NORTH ANDOVER, MASSACHUSETTS 01845 *� `"�•,T�o .�`'s` �Ss�c►+U Susan Y. Sawyer, REHS/RS 978.688.9540 — Phone Public Health Director 978.688.9542 — FAX healthdept@townofnorthandover.com www.townofnorthandover.com VIA CERTIFIED AND FIRST CLASS POSTAGE September 14, 2007 A.L. Prime Energy Consultant Attn: Manager 1725 Turnpike Street North Andover, MA 01845 RE: Tobacco Hearing — Thursday, September 27, 2007 — Ticket #0216 (Tobacco Sales to Minors) To Whom It May Concern: On August 14, 2007, your establishment sold tobacco products to a minor working with the Healthy Communities Tobacco Control Program for routine compliance checks. This action represents a violation of Section D. l .of the Town of North Andover Board of Health's "Regulations Affecting Smoking in Certain Places and Youth Access to Tobacco." As a result of this second violation (the first violation occurred on August 26, 2005), the North Andover Board of Health has scheduled a public hearing for Thursday September 27 2007 at 7.00 p.m. in the second floor Selectmen's Meeting Room at the Town Hall building at 120 Main Street, North Andover. The purpose of this hearing will be for the Board of Health to consider action relative to the suspension of your tobacco sales permit. Per Section J.1.b. - "In the case of a second violation within 24 months of the date of the first violation, a fine of two hundred dollars ($200) and the permit shall be suspended for 7 consecutive business days. In addition, Section J.2 of the Tobacco Regulations states: "If an employee of the licensed establishment violates Section D.1, and the employer provides proof of compliance to Section #E.7 ... the Board of Health Agent may issue a fine not to exceed $50.00 to the employee who committed the tobacco sale violation. You and/or your legal counsel are hereby ORDERED to be present at this hearing in order to respond to inquiries or present evidence relative to the Board's deliberation. Failure to appear may result in an immediate suspension of your permit to sell tobacco. Please contact this office at (978) 688-9540 if you have any questions, comments or concerns. Since usan Y. Sawyer, REHS� Health Director cc: North Andover Board of Health Members Ron Beauregard, Director, Healthy Communities 08/15/2007 12:07 FAX 978 409 6122 111?A1,191Y C011H 1N.ITIES zool Healthy CoiiamunitieS Tobacco Control Program Andover Dracut Haverhill Lynnfield Methuen Middleton Newburyport FIRST CLASS POSTAGE AL Prime Energy Consultant 1725 Turnpike Street North Andover, MA. 01845 A Boards of Health Partnership RECENED AUG 15 2007 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT North Andover North Reading Reading Stoneham Topsfield August 15, 2007 Re: North Andover Board of l Iealth, Ticket # 0216 (Tobacco Sales To Minors) Attn: Manager/Owner: On August 14, 2007 your establishment was issued ticket #0216 for a 2nd violation of North Andover Board of Health regulation Section 2(a) entitled "Article X Tobacco Control Regulations" for selling tobacco products to a minor (the first violation occurred on August 26, 2005). As outlined on the ticket, and as explained to you upon issuance of the ticket, you have the following alternatives: 1. Elect to pay the fine ($200.00) within 21. days of the date of issuance of the ticket. 2. Elect to contest the matter in a non -criminal proceeding by making a written request within 21 days to the Lawrence District Court, Fenton Judicial Center, 2 Appleton Street, Lawrence, MA 01840. FAILURE TO PAY OR CONTEST TRE FINE- WITHIN 21 DAYS OF VIOLATION MAY RESULT IN ISSUANCE OF A CRIMINAL COMPLAINT. Under Massachusetts General Laws, Chapter 40, Section 21D (Non -Criminal Disposition Statute), `If any person so notified to appear before the clerk or a district court fails to pay the fine provided hereunder within the time specired...the clerk shat! notify the enforcing person who issued the original notice, who shall determine whether to apply for the issuance of a compliant_for the violation of the appropriate ordinance, by-law, rule or regulation. " All payments of fines sball be made to the Town Clerk, Town Hall, 120 Main Street, North Andover, MA 01845. if you have already made payment, thank you. Please feel free to contact me if you have any questions regarding tl monato !N. 13eaulugmu Program Director 20 Main Street, Andover, MA 01810 Tel: 978-749-8999 08/15/2007 12:01 FAX 978 409 6122 III?rAiNII' CORINil IN1TIES x001 Healthy Coil munitieS Tobacco Control Program Andover Dracut Haverhill Lynnfield Methuen Middleton Newbwyport FIRST CLASS ]POSTAGE. North Andover Shell 980 Osgood Street North Andover, MA 01845 A Boards of Health Partnership RE%.? AUG 15 2007 TOWN OF NORTH. ANDOVER l-IEALTI DEPART1,1F VT I North Andover North Reading Reading Stoneham Topsfieid August 15, 2007 Re: North Andover Board of Health, Ticket # 0214 (Tobacco Sales To Minors) Attn: Manager/Owner: On August 14, 2007 your establishment was issued ticket #0214 for a 2"d violation of North Andover Board of Health regulation Section 2(a) entitled "Article X Tobacco Control Regulations" for selling tobacco products to a minor (the first violation occurred on March 1, 2006). As outlined on the ticket, and as explained to you upon issuance of the ticket, you have the following alternatives: 1. Elect to pay the fine ($200.00) within 21 days of the date of issuance of the ticket. 2. Elect to contest the matter in a non -criminal proceeding by making a written request within 21 days to the Lawrence District Court, Fenton Judicial Center, 2 Appleton Street, Lawrence, MA 01840. FAILURF, TO PAY OR CONTEST THE FINE WITHIN 21 DAYS OF VIOLATION MAY RESULT IN ISSUANCE OF A CRIMINAL COMPLAINT. Under Massachusetts General Laws, Chapter 40, Section 21D (Non -Criminal :Disposition Statute), `If any person so notified to appear before the clerk or a district court fails to pay the fine provided hereunder within the time speciFed... the clerk shall notify the enforcing person who issued the original notice, who shall determine whether to apply for the issuance of a compliant for the violation of lite appropriate ordinance, by-law, rule or regulation. " All payments of fines shall be made to the Town Clerk, Town Hall, 120 Main Street, North Andover, MA 01845. If you have already made payment, thank you. Please feel free to contact me if you have any questions regarding thEonald Beauregard Program Director 20 Main Street, Andover, MA 01810 Tel: 978-749-8999 08/15/2007 11:54 FAX 978 409 6122 1*',ALT11A7 COHNIIINITIES 2001 Healthy Communities Tobacco Control Program A. Boards of Health Partnership Andover North Reading Dracut Reading Methuen Stoneham Middleton Topsfield North Andover CERTIFIED .MAIL -RETURN RECEIPT REQUESTED & REGULAR MAIL Richdale (Shetu, Inc.) 4 Main Street North Andover, MA 01845 Re: North Andover Attn: Manager/Owner: RECEIVEE® AUG 15 2007 TOWN OF NORTH ANDOVER August 15, 2007 Sales To Minors) On August 14, 2007 your establishment was issued ticket #0213 for a 2"d violation of North Andover Board of Health regulation Section 2(a) entitled "Article X Tobacco Control Regulations" for selling tobacco products to a minor (the first violation occurred on November 22, 2005). As outlined on the ticket, and as explained to you upon issuance of the ticket, you have the following alterttativcs: 1. Elect to pay the line ($200.00) within 21 days of the date of issuance of the ticket. 2. Elect to contest the matter in a non -criminal proceeding by making a written request within 21 days to the Lawrence District Court, Fenton Judicial Center, 2 Appleton Street, Lawrence, MA 01840. FAILURE TO PAY OR CONTEST THE FINE WITHIN 21 DAYS OF VIOLATION MAY RESULT IN ISSUANCE OF A CRIMINAL COMPLAINT. Under Massachusetts General Laws, Chapter 40, Section 21 D (Non -Criminal Disposition Statute), `If any person so notified to appear before the clerk or a district court fails to pay the fine provided hereunder within the time specffied...the clerk shall notify the enforcing person who issued the original notice, who shall determine whether to apply for the issuance of a compliant for the violation of the appropriate ordinance, by-law, rule or regulation." All payments of fines shall be made to the Town Clerk, Town hall, 120 Main Street, North Andover, MA 01845. If you have already made payment, thank you. Please feel free to contact me if you have any questions regarding Eonald . , N. Beauregard Program Director 20 Main Street, Andover, MA 01810 Tel: 978-749-8999 08/15/2007 12:11 FAX 978 409 61.22 IH-.AL:CHY COMMINVIAES 00 -1 Healthy Com11 unitieS Tobacco Control Program A Boards of Health Partnership Andover Dracut Haverhill Lynnfield Methuen Middleton Newburyport FIRST CLASS POSTAGE Rite Aid 525 Turnpike Street North Andover, MA 01845 North Andover North Reading Reading Stoneham Topsfield August 15, 2007 Re: North Andover Board of Health, Ticket # 0215 (Tobacco Sales To Minors) Attn: Manager/Owner: On August 14, 2007 your establishment was issued ticket 40215 for a violation of North Andover Board of Health regulation Section 2(a) entitled "Article X Tobacco Control Regulations" for selling tobacco products to a minor. As outlined on the ticket, and as explained to you upon issuance of the ticket, you have the following alternatives: 1. Elect to pay the fine (100.00) within 21 days of the date of issuance of the ticket. 2. Elect to contest the matter in a non -criminal proceeding by making a written request within 21 days to the Lawrence District Court, Fenton Judicial Center, 2 Appleton Street, Lawrence, MA 01840. FAILURE TO PAY OR CONTEST THE FINE WITHIN 21 DAYS OF VIOLATION MAY RESULT IN ISSUANCE OF A CRIMINAL COMPLAINT. Under Massachusetts General Laws, Chapter 40, Section 2 1 D (Non -Criminal Disposition Statute), `7f any person so notified to appear before the clerk or a district court fails to pay the fine provided hereunder within Ilse time specifted... the clerk shall notify the enforcing person who issued the original notice, who shall determine whether to apply for the issuance o('a compliant for the violation of the appropriate ordinance, by-law, rule or regulation. n All payments of fines shall be made to the Town Clerk, Town Hall, 120 Main Street, North Andover, MA 01845. If you have already made payment, thank you. Please feel free to contact me if you have. any questions regarding thEld , . Beauregard Program Director 20 Main Street, Andover, MA 01810 Te I : 978-749-8999 08/1.5/2007 12:16 FAX 978 409 61.22 11EA1,11W CWfl111Nl.Tl+,S [a001 Healthy Com1' unitles Tobacco Control Program A Boards of Health Partnership Andover Dracut Haverhill Lynnfield Methuen Middleton Newburyport FIRST CLASS POSTAGE The Country Store 2370 Turmpuke Street North Andover, MA 01845 North Andover North Reading Reading Stoneham Topsfield August 15, 2007 Re: North Andover Board of Health, Ticket # 0217 (Tobacco Sales To Minors) Attn: Manager/Owner: On August 14, 2007 your establishment was issued ticket #0217 for a violation of Noah Andover Board of Health regulation Section 2(a) entitled "Article X Tobacco Control Regulations" for selling tobacco products to a minor. As outlined on the ticket, and as explained to you upon issuance of the ticket, you have the following alternatives: 1. Elect to pay the fine (100.00) within. 21 days of the date of issuance of the ticket. 2. Elect to contest the matter in a non -criminal proceeding by making a written request within 21 days to the Lawrence District Court, Fenton Judicial Center, 2 Appleton Street, Lawrence, MA 01840. FAILURE, TO PAY OR CONTEST THE FINE WITHIN 21 DAYS OF VIOLATION MAY RESULT IN ISSUANCE OF A CRIMINAh COMPLAINT. Under Massachusetts General Laws, Chapter 40, Section 2 1 D (Non -Criminal Disposition Statute), `If any person so notified to appear before the clerk or a district court fails to pay the fine provided hereunder within the tine specified... the clerk shall notify the enforcing person who issued the original notice, who shall determine whether to apply.for the issuance of a compliant.for the violation of the appropriate ordinance, by-law, rule or regulation. " All payments of fines shall be made to the 'town Clerk, Town Hall, 120 Main Street, North Andover, MA 01845. if you have already made payment, thank you. Please feel free to contact me if you have any questions regarding this notice. Sincerel Ronald N_ Beauregard Program Director 20 Main Street, Andover, MA 01810 Tel: 978-749-8999 08/15/2007 12:19 FAX 978 409 6122 11FAIN11Y (',010111NITIi;S [a 001. Healthy Communities Tobacco Control Program Andover Dracut Haverhill Lynnfield Methuen Middleton Newburyport FIRST CLASS POSTAGE The Vineyard 554 Turnpike Street North Andover, MA 01845 A Boards of Health Partnership North Andover North Reading Reading Stoneham Topsfield Re: North Andover Board of Health, Ticket 110218 (Tobacco Sales To Minors) Attn: Manager/ Owner: On August 14, 2007 your establishment was issued ticket #0218 for a violation of North Andover Board of Health regulation Section 2(a) entitled "Article X Tobacco Control Regulations" for selling tobacco products to a minor. As outlined on the ticket, and as explained to you upon issuance of the ticket, you have the following alternatives: 1. Elect to pay the fine (100.00) within 21 days of the date of issuance of the ticket. 2_ Elect to contest the matter in a non -criminal proceeding by making a written request within 21 days to the Lawrence District Court, Fenton Judicial Center, 2 Appleton Street, Lawrence, MA 01840. FAILURE, TO PAY OR CONTEST THE FINE WITHIN 21 DAYS OF VIOLATION MAY RESULT IN ISSUANCE OF A CRIMINAL COMPLAINT. Under Massachusetts General Laws, Chapter 40, Section 21 D (Non -Criminal Disposition Statute), "If any person so notified to appear before the clerk or a district court fails to pay the fine provided hereunder within the time specffled...the clerk shall notify the enforcing person who issued the original notice, who shall determine whether to apply for the issuance of a compliant. for the violation of the appropriate ordinance, by-law, rule or regulation. " All payments of fines shall be made to the Town Clerk, Town IIall, 120 Main Street, North Andover, MA 01845. if you have already made payment, thank you. Please feel free to contact me if you have any questions regarding this notice,- /_ Sui erely, R nald N. Beauregar Program Director 20 Main Street, Andover, MA 01810 Tel: 978-749-8999 10/19/2007 10:02 FAX 978 409 6122 HE'A1.THY CQ@'INIIIN1TTRS HEALTHY COMMUNITIES TOBACCO CONTROL PROGRAM A COALI-PION OF BOARDS OF HLAL'TH Andover Dracut Haverhill Lynnfield Methuen Middleton FIRST CLASS POSTAGE AL Prime Energy Consultant 1725 Turnpike Street North Andover, MA 01845 1@001 Newburyport North Andover North Reading Reading Stoneham Topsfield October 19, 2007 Re: NOTICE OF SUSPENSION OF TOBACCO SALES PERMIT North Andover Board of Health, Ticket # 0216 (Tobacco Sales To Minors) Attiv Manager/Owner: On August 14, 2007 your establishment was issued ticket #0216 for a 2„d violation of North Andover Board of Health regulation Section 2(a) entitled "Article X Tobacco Control Regulations" for selling tobacco products to a minor (the f rst violation occurred on August 26, 2005). Pursuant to the order of the North Andover Board of Health on September 27, 2007, your pennit to sell tobacco products has been suspended for a period of 4 consecutive business days. The suspension period will start at the opening of your business on Monday, October 29`h and continue until the end of the business day on Thursday, November V. All tobacco sales are prohibited during this period. In accordance with Board of Health regulations, all tobacco products shall be removed from. your store for the suspension period. Thank you for your attention to this matter and your continued effort to keep tobacco products out of the reach of minors. i erel onald. N. Beauregard Program Director cc: North Andover :Board of Health 20 Main Street, Andover, MA 01810 Tel: 978-749-8999 ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. Article Addressed to: A. Signature X ,,/ ❑ Agent N� < ❑ Addre see B. y (Printed Name) I C. D e of D very_ D. Is delivery address different from Rem 11 I U r If YES, enter delivery address below: ❑ N 3. 7Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number (rransfer from service label) 7005 0390 0003 4265 3937 PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 UNITED STATES pq q6 fi- X- C.. r'"y E" %tA 018 5 IS x u� E P 00;7 'P • Sender: Please print your name, address, and ZIP+4 in this box • NORTH ANDOVER HEALTH DEPT. 1600 Osgood Street Building 20, Suite 2-36 North Andover, MA 01845 lilf4?f}{jll}{tlSlifl{{i�l{{i�{33{{3iiSiiF{i�it}ti{Jilli}fllll r - m tr M Ln NOO t0Vt A Q'k A U 2 -a ru r' .. Postage $ 0630 M O Certified Fee C;"02 O Return Receipt Fee (Endorsement Required) '� 0 • $L. la Postmark Here O Er Restricted Delivery Fee (Endorsement Required) �SAJ M O Total Postage & Fees Is �7�V v $ 09!17/2007 �1 Cr Sent To� // /�' Street, Apt. ��� ....------- - ---- --- -3 f— No; or PO Box No.j� City State. ZIP+4 ��'�y-00 Certified Mail Provides: AV - - ■ A mailing receipt (esianey) zoos eunr'oos6 -od sd ■ A unique identifier for your mailpiece ■ A record of deliveey kept by I,he Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First -Class Mail® or Priority Mail®. ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables, please consider Insured or Registered Mail. ■ For an additional fee, a Return Receipt mar be requested to provide proof of delivery. To obtain Return Receipt seance, please complete and attach a Return Receipt (PS Form 3811) to the article and add applicable postage to cover the fee. Endorse mailpiece "Return Receipt Requested". To receive a fee waiver for a duplicate return receipt, a USPS® postmark on your Certified Mail receipt is required. ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent. Advise the clerk or mark the mailpiece with the endorsement "Restricted -Delivery". . ■ if a postmark on the Certified Mail receipt is desired, please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed, detach and affix label with postage and mail. IMPORTANT: Save this receipt and present it when making an inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. 0 TOWN OF NORTH ANDOVER OORrti Oce of COMMUNITY DEVELOPMENT AND SERVICES 3?Oe��`eo Y�gti� Office HEALTH DEPARTMENT x /,/e"4$0 OSGOOD STREET * �o NORTH ANDOVER, MASSACHUSETTS 01845 cHus�t Susan Y. Sawyer, REHS/RS 978.688.9540 — Phone Public Health Director 978.688.9542 —.FAX healthdept@townofnorthandover.com www.townofnorthandover.com VIA CERTIFIED AND FIRST CLASS POSTAGE September 14, 2007 A.L. Prime Energy Consultant Attn: Manager 1725 Turnpike Street North Andover, MA 01845 RE: Tobacco Hearing — Thursday, September 27, 2007 — Ticket #0216 (Tobacco Sales to Minors) To Whom It May Concern: On August 14, 2007, your establishment sold tobacco products to a minor working with the Healthy Communities Tobacco Control Program for routine compliance checks. This action represents a violation of Section D. l .of the Town of North Andover Board of Health's "Regulations Affecting Smoking in Certain Places and Youth Access to Tobacco." As a result of this second violation (the first violation occurred on August 26, 2005), the North Andover Board of Health has scheduled a public hearing for Thursday, September 27, 2007 at 7:00 a.m. in the second floor Selectmen's Meeting Room at the Town Hall building at 120 Main Street, North Andover. The purpose of this hearing will be for the Board of Health to consider action relative to the suspension of your tobacco sales permit. Per Section J.1.b. - "In the case of a second violation within 24 months of the date of the first violation, a fine of two hundred dollars ($200) and the permit shall be suspended for 7 consecutive business days. In addition, Section J.2 of the Tobacco Regulations states: "If an employee of the licensed establishment violates Section D.1, and the employer provides proof of compliance to Section #E.7 ... the Board of Health Agent may issue a fine not to exceed $50.00 to the employee who committed the tobacco sale violation. You and/or your legal counsel are hereby ORDERED to be present at this hearing in order to respond to inquiries or present evidence relative to the Board's deliberation. Failure to appear may result in an immediate suspension of your permit to sell tobacco. Please contact this office at (978) 688-9540 if you have any questions, comments or concerns. Since , usan Y. Sawyer, REHL� Health Director cc: North Andover Board of Health Members Ron Beauregard, Director, Healthy Communities s TOWN OF NORTH ANDOVER oRr t N M Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 400 OSGOOD STREET * Al NORTH ANDOVER, MASSACHUSETTS 01845 �9p04TID �" .• SS�CNUSE Susan Y. Sawyer, REHS/RS 978.688.9540 — Phone Public Health Director 978.688.9542 —.FAX healthdept c(�,townofnorthandover.com www.townofnorthandover.com VIA CERTIFIED AND FIRST CLASS POSTAGE September 14, 2007 A.L. Prime Energy Consultant Attn: Manager 1725 Turnpike Street North Andover, MA 01845 RE: Tobacco Hearing — Thursday, September 27, 2007 — Ticket #0216 (Tobacco Sales to Minors) To Whom It May Concern: On August 14, 2007, your establishment sold tobacco products to a minor working with the Healthy Communities Tobacco Control Program for routine compliance checks. This action represents a violation of Section D.l .of the Town of North Andover Board of Health's "Regulations Affecting Smoking in Certain Places and Youth Access to Tobacco." As a result of this second violation (the first violation occurred on August 26, 2005), the North Andover Board of Health has scheduled a public hearing for Thursday, September 27, 2007 at 7:00 p.m. in the second floor Selectmen's Meeting Room at the Town Hall building at 120 Main Street, North Andover. The purpose of this hearing will be for the Board of Health to consider action relative to the suspension of your tobacco sales permit. Per Section J.1.b. - "In the case of a second violation within 24 months of the date of the first violation, a fine of two hundred dollars ($200) and the permit shall be suspended for 7 consecutive business days. In addition, Section J.2 of the Tobacco Regulations states: "If an employee of the licensed establishment violates Section D.1, and the employer provides proof of compliance to Section #E.7 ... the Board of Health Agent may issue a fine not to exceed $50.00 to the employee who committed the tobacco sale violation. You and/or your legal counsel are hereby ORDERED to be present at this hearing in order to respond to inquiries or present evidence relative to the Board's deliberation. Failure to appear may result in an immediate suspension of your permit to sell tobacco. Please contact this office at (978) 688-9540 if you have any questions, comments or concerns. Since usan Y. Sawyer, REHS� Health Director cc: North Andover Board of Health Members Ron Beauregard, Director, Healthy Communities Q 1 Town Of North Andover Department of Weights and Measures 400 Osgood St. North Andover 01845 Phone(978)688-9540 (Cell) (508)783-6403 TO: Prime Mart 1725 Turnpike St. North Andover 01845 INVOICE DATE4/5/06 FOR: Testing and Sealing of Weights and Measures Devices Fees and adjusting charges authorized by Section 56, M.G.L. Chapter 98 as amended. Device Legal Sealing Fees Adjusted Sealed AMOUNT Test And Seal Gas pumps $12.00 per meter 14 168.00 APR 2 7 2006 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT TOTAL 168.00 This is to certify that I have this day tested, adjusted, sealed or condemned the above descr' ed device in compliance with the M.G.L., Chapter 98 as most recently amended. Inspector — eal of Weights and Measures Date I/VI h5 <VEINPRO November 21, 2005 Ms. Susan Sawyer, Director North Andover Health Department 400 Osgood Street North Andover, Massachusetts 01845 Nov % Zoog TOWN OF NTH ANDOVER HEALTH 1)F- � M� Reference: Submittal of Class A-1 Response Action Outcome Statement Gasoline Release as a Result of Damaged Motor Vehicle Gasoline Tank A.L. Prime Energy, Inc. Gas Station 1725 Turnpike Street (Route 114) North Andover, Massachusetts 01845 Dear Mr. Sawyer: ENPRO Services, Inca (ENPRO) is sending you this notification on behalf of our client, A.L. Prime Energy, Inc. (A.L. Prime), pursuant'to the Massachusetts Contingency Plan (MCP) Section 310 CMR 40.1400 (Public Involvement): _ . A _Class A-1 Response Action Outcome (RAO) Statement has been submitted to the Massachusetts Department of Environmental Protection (MADEP) for the remediation of a release of gasoline at the above -referenced site. The release occurred on September 23, 2005, when a motor vehicle with a damaged gasoline tank was refueled. An estimated 12 gallons of gasoline were released to the pavement. A.L. Prime contracted with ENPRO to perform an Immediate Response Action (IRA) in an attempt to clean up the release. The remediation activities completed to clean up the gasoline impacts included the application and recovery of absorbent materials and the proper disposal of one 55 -gallon drum containing gasoline -impacted absorbent materials. At the completion of the remediation activities, it was determined via the inspection of the release area that concentrations of gasoline associated with the release had been reduced to background. Accordingly, the conditions for a Class A-1 RAO were met. The Class A-1 RAO Statement indicates: • Concentrations of gasoline have been reduced to a condition of No Significant Risk of harm to health, public welfare, safety, and the environment; • A permanent solution has been achieved at the site; • The concentrations of gasoline have been reduced to background; and, • No Activity and Use Limitations are required to maintain a condition of No Significant Risk. ENPRO Services, Inc. 31 Waldron Way, Portland, ME 04103 12 Mulliken Way, Newburyport, MA 01950 (207) 878-3031 - FAX (207) 878-3043 (978) 465-1595 - FAX (978) 465-2050 www.enpro.com </EINPRO' Public Notification RTN 3-25266 Page 2 Additional information regarding this site is available at the MADEP Northeast Regional Office filed under Release Tracking Number 3-25266. If you have any questions regarding this site, please contact the undersigned at (978) 465-1595. Sincerely, ENPRO Services, Inc. Anne P. McNeil Sr. Project Manager cc: Massachusetts Department of Environmental Protection Northeast Regional Office 205 B Lowell Street Wilmington, MA 01887 Ms. Rosemary Connelly Smedile, Chairman Town of Andover Board of Selectmen Selectmen's Office 120 Main Street North Andover, Massachusetts 01845 A.L. Prime Energy, Inc. Mr. Nasser Abu-Eid 319 Salem Street Wakefield MA 01880 NAENGINEERING PROJECT FOLDERS\4909 AL Prime\Pub Not Board of Health.doc 31 Waldron Way, Portland, ME 04103 (207) 878-3031 - FAX (207) 878-3043 ENPRO Services, Inc. www.enpro.com 12 Mulliken Way, Newburyport, MA 01950 (978) 465-1595 - FAX (978) 465-2050 CARRIAGEHOUSE CONSULTING, INC. Certified Mail #7004 2890 0002 0073 0206 October 18, 2005 — Mr. Mark H. Rees ' Town Manager FOCCT2,005 120 Main Street North Andover, MA 01845 TOV Re: Former Cyr Oil Facility 1725 Turnpike Street (Route 114) North Andover, MA DEP RTN 3-24345 Dear Mr. Rees: CarriageHouse Consulting, Inc. (CHCI) has prepared this letter with the objective of providing your office and the Health Department (by copy hereto) with the following information regarding the above -referenced site pursuant to 310 CMR 40.1403 of the Massachusetts Contingency Plan (MCP): • A Phase I - Initial Site Investigation Report (Report) is benig completed and will be forwarded shortly to the Massachusetts Department of Environmental Protection (the Department) detailing those actions completed at are above -referenced property pursuant to 310 CMR 40.0000. • This Report will be accompanied by a Phase I Completion Statement. • The Risk Characterization included in this Report determined that conditions associated with RTN 3724345•at ['Illsproperly pose no sigriilicant risk, to healtr,:safety; public welfare, or the environment within the context of 310 CMR 40.0900, and given current and foreseeable future property uses, r, this condition represents a permanent solution for RTN 3-2434.5. >� :.• _:This Report also includes requisite supporting documentation for the Class A-2 Response Action Outcome (RAO) Statement which will accompany the Report. Requests to review the referenced report or other information related to this site should be directed to the Department's Northeast Region Office as follows: Department of Environmental Protection - Northeast Regional Office One Winter Street Boston, MA 02108 Ph: (617) 654-6500 Please note that the Northeast Regional Office may be moving shortly to Wilmington, Massachusetts. Please do not hesitate to give us a call with any questions or concerns. Sincerely, CarriageHouse Consulting, Inc. Brian D..Moore: a President cc: Ms.: Susan Sawyer; North Andover Health Department 120 .Maui :Street, - N. Andover MA 01845 (Certified Mail #7004 28900002 0073 0190) ` Massachusetts DEP - NERO, One Waiter Street, Boston, MA 02108 AL Prune, 319B Salem Street, Wakefield, MA 01880 25 Lincoln Street • South Natick • MA •01760 • (508) 315-3146 www.CaniageHouseInfo.com CARRIAGEHOUSE CONSULTING, INC. Ccraried Mail #70022030 0007 5676 7419 November 4, 2004 Mr. Mark H. Rees Town Manager 120 Main Street Nordh Andover, MA 01845 Re: Former Cyr Oil Facility 1725 Turnpike Street (Route 114) North Andover, MA DEP RrfN 3-24345 Dear Mr. Rees: RECEJ D 1V0V - S 2004 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT r11 CarriageHouse Consulting, Inc. (CHCI) has prepared this letter with the objective of providing your office and the Health Department (by copy hereto) with the following information regarding the above -referenced site pursuant to 310 CMR 40.1403 of the Massachusetts Contingency Plan (MCP): • A report entitled Release Abatement Measure (RAM) Plan will be forwarded shortly to die Massachusetts Department of Environmental Protection (die Department) for Release Tracking Number (RTN) 3-24345 to implement preliminary response actions at the subject property. • The activities planned for this site under the RAM include the following: excavation of soil from a discrete portion of the property for characterization and off-site recycling/disposal. • The activities outlined in the RAM Plan should be completed within the next 4 months, while die ground -intrusive portion should be complete within two (2) days. Requests to review die referenced report or other information related to dhis site should be directed to die Department's Northeast Region Office as follows: Department of Environmental Protection Northeast Regional Oilice One Winter Street Boston, MA 02108 Ph: (617) 654-6500 Please do not hesitate to give us a call with any questions or concerns. Sincerely, CarriageHouse Consulting, Inc. rian D. Moore President Cc:' `BMs. Susaii Sawyer, Director, North Andover Healdh Department �y 120 MainStreet, North Andover MA 01845 (Cerdlied Mail #7002 2030 0007 567 Massachusetts DEP - NERO, One Winter Street, Boston, MA 02108 AL Prime; 319B Salem Street, Wakefield, MA 01880 25 Lincoln Street • Soudi Natick • MA • 01760 • (.508) 315-3146 ii-my.Camage Housetiuo.com Town of North Andover Office of the Zoning Board of Appeals Community Development and Services Division 27 Charles Street North Andover, Massachusetts 01.845 D. Robert Nicetta Building Commissioner Any appeal shall be filed within (20) days after the date of filing of this notice in the office of the Town Clerk. Notice of Decision Year 2002 Property at: 1725 Turnpike Street Telephone (978) 688-9541 Fax (978) 688-9542 NAME: A. L. Prime Energy, Inc., 318B Salem Street, Wakefield, MA 01880 DATE: September 13, 2002 ADDRESS: for premises at: 1725 Turnpike Street PETITION: 2002-028 North Andover, MA 01845 HEARING: 8/13/02 & 9/10/02 The North Andover Board of Appeals held a public hearing at its regular meeting on Tuesday, September 10, 2002 at 7:30 PM upon the application of A. L. Prime Energy, Inc., 318B Salem Street, Wakefield MA 01880, for premises at 1725 Turnpike Street, North Andover requesting a Finding as a Party Aggrieved of the Building Commissioner's decision that the applicant is in violation of Section 6, Signs and Sign Lighting Regulations of the Zoning Bylaw, within the GB zoning district. The following members were present: William J. Sullivan, Walter F. Soule, John M. Pallone, Scott A. Karpinski, Ellen P. McIntyre, George M. Earley, and Joseph D. LaGrasse. Upon a motion made by Walter F. Soule and 2nd by Ellen P. McIntyre, the Board voted to uphold the Building Commissioner's decision, by DENYING the Finding of the party aggrieved. The Board allowed the applicant to keep the free.. standing sign for sixty days on the condition that the applicant will come before the Board during that sixty day period requesting a Special Permit from Section 6. Voting in favor of the denial: William J. Sullivan, Walter F. Soule, John M. Pallone, Ellen P. McIntyre, and Joseph D. LaGrasse. Decision2002-028 Town of North Andover Board of Appeals, William J. Su livan, Chairman 2 0 11002 u hJ uil .-0 Board of Appeals 688-9541 Building 688-9545 Conservation 688-9530 Health 688-9540 Planning 688-9535 -; - 0 0 u 2 TOWN OF NORTH ANDOVER NOTICE OF VIOLATION (Date of this Notice) 5%7-6( To: Sagd 6 J r5 i e f DOB (Name of Offender) AJ. Frrr+e En0ily 7✓�n7rr 2 (Address of Offender) /Vo,,tr �;nr�srP/ /✓jR (City, State, Zip Code) VIOLATION(S): Ch Sec Fine A. � r_'Gt iv ! t6 p r lPS f 2! B. /Y] an/5 f / n h, h we C. D. TOTAL FINE 7 (time and date of violation) (Signature of Enforcing Person) (Dept.) I HEREBY ACKNOWLEDGE RECEIPT OF THE FOREGOING CITATION i j / / (Signature of Offender) � Unable to obtain signature of offender YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER: 1. You may elect to pay the above fine, either by appearing in person between 8:30 A.M. and 4:30 P.M., Monday through Friday, legal holidays excepted, before: TOWN CLERK, TOWN HALL, 120 MAIN STREET, NORTH ANDOVER, MA 01845 or by mailing a check or money order to the Town Clerk WITHIN 21 DAYS OF THIS NOTICE. This will operate as a final disposition of the matter, with no resulting criminal record. 2. If you desire to contest this matter in a non -criminal proceeding, you may do so by making a written request WITHIN 21 DAYS OF THIS NOTICE to the Clerk -Magistrate, Lawrence District Court, 380 Common St., Lawrence, MA 01840, ATTN: 21 D non -criminal, for a hearing. A determination by a Judge, Clerk - Magistrate or Assistant Clerk will operate as a final disposition, with no resulting criminal record, provided any fine imposed by that office is paid within the time specified. 3. If you fail to pay the above fine or to appear as specified, a criminal complaint may be issued against you. I HEREBY ELECT the first option above, confess to the offense charged, and enclose payment in the amount of $ Signature WHITE: OFFENDER'S COPY, YELLOW: DEPT., PINK: TOWN CLERK 20 Healthy C o m m U n 1 t 1 e S Tobacco Awareness Program z street, Andover, MA 01810 Tel.: 978-749-8999 Fax: 978-470-8942 E -Mail: hcta sr Serving Andover, Dracut, Methuen, Middleton, North Andover and Topsfield CERTIFIED MAIL -RETURN RECEIPT Saad Buisier A.L. Prime Energy Consultant 1725 Turnpike Street. North Andover, MA 01845 VESTED & REGULAR MAIL May 18, 200ITO'WN ©F NORTH ANDD ER/ BOARD OF HEALTH j MAY 2 2 2001 Re: North Andover Board of Health, Ticket # 0082 (Tobacco Sales To Minors) Dear Mr. Saad: On May 17, 2001 your establishment was issued ticket # 0082 for a violation (1St violation) of North Andover Board of Health regulation Section 6, entitled "Tobacco Sales to Minors Prohibited." for selling tobacco products to a minor. As outlined on the ticket, and as explained to your clerk upon issuance of the ticket, you have the following alternatives: 1. Elect to pay the fine ($50.00) within 21 days of the date of issuance of the ticket. 2. Elect to contest the matter in a non -criminal proceeding by making a written request within 21 days to the Lawrence District Court, Common Street, Lawrence, MA. FAILURE TO PAY OR CONTEST THE FINE WITHIN 21 DAYS OF VIOLATION MAY RESULT IN ISSUANCE OF A CRIMINAL COMPLAINT. Under Massachusetts General Laws, Chapter 40, Section 21 D (Non -Criminal Disposition Statute), "If any person so notified to appear before the clerk or a district court fails to pay the fine provided hereunder within the time specified... the clerk shall notify the enforcing person who issued the original notice, who shall determine whether to apply for the issuance of a compliant for the violation of the appropriate ordinance, by-law, rule or regulation." All payments of fines shall be made to the Town Clerk, Town Hall, 120 Main Street, North Andover, MA 01845. Please feel free to contact me if you have any questions regarding this notice. Sin jjerely, Diane M. Pickles Program Director Cc: Sandy Starr, North Andover Board of Health NOfJTIf q q tt�to a ti '��- Town Of worth Andover Community ty Development & Services William J. Scott 27 Charles Street Director North Andover, Massachusetts 01845 (978) 688.9531 SSACNU`�k Fax 978-688-9542 A.L. Prime Energy Nasser Buisier, President Board of 1725 Turnpike Street Appeals North Andover, MA 01845 (978) 688-9541 Date: July 13, 2000 Building Department Re: Food Service application {978) 688-9545 Dear Mr. Buisier, Conservation Department Upon review of your application to the Health Department, the following deficiencies 078),688-9530 have been found. Please make any adjustments needed and re -submit the completed application to this office as soon as possible. Health Department 1) Specification sheets only show refrigeration. Please include equipment spec. for all (978) 688'95411 equipment. This includes all sinks, coffee pots, microwave, etc. 2) Specification sheets show a walk-in cooler and freezer that are not shown on the plan. Public Health Please identify the location in the establishment of this unit. Nurse --5T The plumbing information is incomplete. {978) 688-9543 ,) The location for personal belongings is not shown. Ie. Coats, boots etc. ,,i5) The finish schedule is not complete. What materials are you using for your walls, Planning coving and ceiling? Department � All fees have not been submitted. Further review of this application will not begin (978) 688-9533 ) PP � � until all fees are paid Thank,you Susan Ford, RS Health Inspector • FORM U - LOT RELEASE FORM ! �S Sppm +I INSTRUCTIONS: _ INS TRUCTIONS: This form is used to verify that all necessary approval a' —qb o` Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. —•-•-•--••--••••••••-"**"*APPLICANT FILLS OUT THIS SECTION" APPLICANT LOCATION: ASSeSWrS Map Number iv7 SUBDIVISION STREET TL/V .�r.. _----�--••- .-•^•••••�'".•'""OFFICIAL USE Ca�rHvti u�",j.4,r.r L/C_- s -c— 4S/11 , ( t PHONE 7 0 NOPTH ANDOVEk/ ' JARD OF HEALTH PARCEL /D 7 t LOT (S) FM' 8 ST. NUMBER/ 7' S :RE C 0DATIONS, OF TOWN AGENTS: vn CONSERVA ION ADMINISTRATOR DATE APPROVED DATE REJECTED_ COMMENTS TOWN PLANNER COMMENTS J� F000 INSPECTOR -HEAL TH �/-- SEPTIC iNSPECTOR•HEALTH COMMENTS DATE APPROVED DATE REJECTED_ DATE APPROVED DATE REJECTED. DATE APPROVED DATE REJECTED_ PUBIC WORKS - %P00E9"ATER CONNECTIONS DRIVEW Y PERMIT FIRE DEPARTMENT ! I , -� REDATCEIVED BY BUILDING INSPECTOR �„ � S I� {; ��p 17 ! �v C (/_/ f iM I`; 1:' t NORTH � O „in ."41 ti 9 4- -TA US NORTH ANDOVER OFFICE OF THE ZONING BOARD OF APPEALS 27 CHARLES STP -EFT 1 jo?,T'ri ANDOVER, & ASSACHTUSETTS 01 845 Any appeal shall be filed within (20) days after the date of filing of this notice in the office of the Town Clerk. NOTICE OF DECISION Property at: 1725 Turnpike St. JOYCE +n.,�' TOWIi ;li C NORTH JUL 1 2 2z P1" �2 FA-( (973) 6133-9.)4'Z NAME: A.L. Prime Energy, Inc. 3198 Salem St. DATE: 6129/99 ADDRESS: 1725 Turnpike St. PETITION: 019-99 North Andover, MA 01845 HEARING: 6122/99 The Board of Appeals held a regular meeting on Tuesday evening, June 22, 1999 upon the application of A.L. Prime Energy, Inc., 3198 Salem St., Wakefield, MA for premises at: 1725 Turnpike St., North Andover, requesting a Variance from (Section 6, Signage, P 6. 1, 6.6 A&D and (Section 7, Dimensional Requirements, P 7.1 lot size & 7.3 setbacks) and (Section 8, Supplemental Regulations, P 8.2 Auto Service Station) in order to remove existing motor fuel facility to make it similar and competitive with other businesses located elsewhere in town and along Rte. #114. And for a Special Permit from the requirements of Section 9, P 9.2 to altar existing non -conforming building and add canopy over gas islands and for allowance of 2"' sign within the G-8 Zoning District. The following members were present: William J. Sullivan, Walter F. Soule, Robert Ford, John Pallone & Scott Karpinski. The hearing was advertised in the Lawrence Tribune on 5i25i99 & 6!1!99 and all abutters were notified by regular mail. No persons appeared in cpposition to the petition. Upon a motion made by Robert Ford and 2' by John Pallcne, the Board agreed that signage should be in full compliance with Section 6 of the Zoning Bylaw, on the condition according to the revised Plan submitted by Anthony Guba, P. E., Registered Engineer, #32727, dated: April 22, 1999, as per revised drawings: C1, C2, 2 & 3 the Board voted to GRANT a Variance from the requirements of Section 7, P 7.1 & 7.3, & 7.8 relative to the following: To allow relief of a setback of 100' from Rte. #114, the lot is only 90 feet deep at deepest point; the proposed canopy is only 14' 6" from front property line. To allow relief of a setback of 25' plus 15 additional for abutting residential zone from rear line, both the existing building and proposed canopy do not meet these setbacks. To allow for a 15' buffer along property line abutting a residential zone. To allow a 50' setback from residence district, and limit driveways to 30' wide which is not met as existing driveways exceed this, one being 73' and the other being 50'. And to GRANT a Special Permit for Section ?,P 9.2 to allow a canopy (s) diesel and there shall be no signage on the canopy (s). Voting in favor. William J. Sullivan, Walter F. Soule, Robert Ford, John Pallone & Scott Karpinski. Variance The Board finds that the petitioner has satisfied the provisions of Section 10, paragraph 10.4 of the Zoning Bylaw and that the granting of these variances will not adversely affect the neighborhood or derogate from the intent and purpose of the Zoning Bylaw. 3C):'•.I UI :.pnE:.'•.LS o -:'-I BL'lL�f\'CiS tiSJ-95-S CONSiiR�'a.1 iC) i tiRl •9530 H_: L'I i'. b6 -'1`;U PLA.":N1\G l• Decision for: A.L. prime Energy, Inc. for property at: 1725 Turnpike St. continued 10.4 Variances and Appeals The Zoning Board of Appeals shall have power upon appeal to grant variances from the terms of this Zoning Bylaw where the Board finds that owing to circumstances relating to soil conditions, shape, or typography of the land or structure and especially affecting such land or structures but not affecting generally the zoning district in general, a literal enforcement of the provisions of this Bylaw will involve substantial hardship, financial cr otherwise, to the petitioner or applicant. and that desirable relief may be granted without substantial detriment to the public good and without nullifying or substantially derogating iom the intent or purpose of this Bylaw. SPECIAL PERMIT The Board finds that the applicant has satisfied the provision of Section 9, paragraph 9.2 of the Zoning Bylaw and that such change, extension or alteration shall not be substantially more detrimental than the existing non -conforming structure of the neighborhood. mill 999decisionl15&l 6 Board of Appeal , William J. Sulli an, Chairman, Zoning Board If Appeals Page 2 of 2 Town of North Andover OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES 27 Charles Street WII,LIAM J. SCOTT North Andover, Massachusetts 01845 Director (978)683-953! Estab 1 i shment Address: i Telenhone: Date: Parson Shaken With: Owner: Fax(978)688-9542 On this day an inspection was made of yeur�aaste receptacle area. Your waste receptacle a ea was found 'clean dirty and the cover of your waste ceptacle was found _!�— in Gocd repair in poor repair and kept closed not keit closed. Other Comments: 410.600 Storage of Garbage and Rubbish - Garbage/Rubbist shall be stared in watertight receptacles with tight -fitting covers. Said recentacle_s and covers shall be of metal cr other durable, rodent -proof material. 410.cG1 Collection of Garbage and Rubbi=_h - The owner cf anv dwelling shall be responsibie for the final collection or ultimate discsal ar incineration of garbage and rubbish by means of a regular collection system approved by the Bcard cf Health. 410.602 Maintenance of areas free from Garbage and Rubbish (A) - The owner cf anv parcel cf land, vacant or ctherri se, shall be resaens;ble for maintaining such parcel,\ of land in a clean and sanitary Condliticn F_ i, d free from garnage, rubbish or ether refuse. The owner of sucIa parcel of land stall correct anv condition caused by cr on such parcel or its amcurtanance which affects the health cr safety, and well-being of the occupants of and dwellinc or of the General public. Sent ':e -23-99 "i r; )IAt.i*,,, 177 146 Nla: ri tV IJ r�.i� �1.LSS.I!it`Nf. ��a�sS �f•r'�'C(tt... \}�uu�J Pc1CiE? HA NDOVER HANDOVER BOARD OF Ff EA .1"fi � �"__a`_�i � � CY. 1`.: lam. .� F. � 1}'�. � !�i �• l%`'.ta l'i T�,LtI Ttte C .rCi ailF : ci3+Tl"! ttii. IJ lULk'3nQ. U g)«LV•.- ',�t:C F.St,f.ri�tr_n,� Lr ist and F:ai? Re tlle~L`r Inc, r•}�: �f v ! 1.ppiicaroi,r r. a hu"�� =: tabits�rltrtlt 2z �-2-, Li :! .•U:n'75(�:' Pe(ll?it Arpiicatiorlff ZS .Cv { i .:a�:Ci �iliF_`� sF,(7I2:t <'�t3pi1�at'ti:;'. i';vi2P.i7 C;�lte;�t f17(j� Z�• Dt-7. t� 'door t la c±-stab'"sl; l:::l 1 > �+ �sltt particular err �a «. rn -, +'f"_he A ;:;lt n a... ra' is - 11. C'.ti1i�JE"fi• :;lU�'i :✓? �^�=,� ,�1 J �Uv Cl il:iu N llpi' S' }=- alatt re�7c•�• 'tF�r :5O G� • ,y, � <t::.;t l ic'(i has been r2 a; R :. + ? L ;bd ..: �Itit'cl;�.. t Qi,rt 3 3' e ,:,<,-.',l"te�. alp. 1 �,�iis�i:i:.•I%i.1r; :�.loCCl r,1w esu L _-tail.:ta_± a d ster, ar—: L'tutiG�fees a. ddilmw this pr -,-,c Ss " _4I7tiV ytvt. i}Z Vv the 1Jl l d!I} rJE 3 i'rlcvli`s, ti:e Board c:, Hearth shall inspec' tar r Iii',., .iii 'Aid, the p.0�: i'. �CJ':rt;nc7 - to equipper' 'nd ioc. '.inik,�es Crrt til is foots, and, cciiir.,>s• !;{_ht 113 anc an-,, cfher U -±+'3. (C-;1�;C't�'.Tl� :.P,S„I�C'tIL)l� 7•;ll ^+i t, ae 10 ; 5 ..?, �• ..<.n.. rj �;t ,4 '??t cie < fli�- the � ✓�,`_<;l,tt ;t .� �7� �.Jt3�'�lSiliTlc:r�� $i Tly"'i '9•' �� tfe fac'iY It Ou!d i%' `� � eir.er< 7titli t., . r, L� zt;ic. (r r i « C<j.:Ll):tli iTi 11: 1V:�3. .lQSte'u dT ° c e �a;et� cps r:in�; dat - Sent By:, Feb -2. .99 10:22 M 4 po T ae e r4m I -RE". E. F 13 u 1 S'1,51? P /Z 4, 4 ............ Flag, 2 Date t i A d T- t r Fk -V e a I d ri g a o c v S.- -i ons ChQke Saver t O'n 3 -R, %:,at�.cns Plan 4 Iq G t e Plann, na, a: -.:j 6u -I e4 i ng eac- 'ch c r" ea, L. — . -- - .- t _ as r Serle: B - • 51 �E'i U ,'7 . �, it}'di; 'a' P. 3,112 � ✓ C EL ,F: t{! zeY", -v �d4id havee 'brei 't. - t-' c: a7C]�.F� Cjii �F•_ :�y �L�„r:41.4 S' 1 *,%In � F'3 ,e.. Board orf Sei e•F :toren Lu ncL D I..1"'' Nz L` .. t IC.. Y ...,.,7 V RA l I KC-,�. J r• ,r". e'•"i i ` '- _ A1 Suc_.�4.�7 P1a�.�.,ir:� acica�•� � a __ � � �' .IB —__._S 5,��-,_�S 'f �_� (/�%F e1N /� 'X-a'7agel'r a..xc:`1etc ,4 c, � UG.l,./� _..... - ---- havee 'brei 't. - t-' c: a7C]�.F� Cjii �F•_ :�y �L�„r:41.4 S' 1 *,%In � F'3 ,e.. Board orf Sei e•F :toren Lu ncL D I..1"'' Nz L` .. t -0 .dte plar,vtiorl o", ccz ti:c)r,- of :bu, lcta nd Stz ee ti;�� catic�n O'f' am/ t y qu im a n (3 e 'i e c t -!r- c, ;3 jj_L� p1c,';aSe ma'ke c;el. Plans cr att�icl- ned on 34 Details. cl+' P. d tir P.. 'Or 11111'sS.' "Oe S7v1-,ta;7 i. 'e_ nq. s _t ar"I rafters -us-"t 'e "(p 1_ ' L PiPes mu -St !�Ot be, exposed. f SP e r3P 3 1 A c - h as F, a I a! foods and vacutlip pac"'�irlg 2 - ion. Or T ana sl*ze 1-C C a C" iatrort ,ce I u d J, n a 'Or 11111'sS.' "Oe S7v1-,ta;7 i. 'e_ nq. s _t ar"I rafters -us-"t 'e "(p 1_ ' L PiPes mu -St !�Ot be, exposed. f SP e r3P 3 1 A c - h as F, a I a! foods and vacutlip pac"'�irlg 2 - e. n t 'D Z> Insect, er.ld t.'sJ04e dcczz U l with arc"Je'rit, -�- doons for tis;,c in 3 Do all. w.ind'j-w�s I., v e 1-1- �' J.,:3.4 - On )"4F, area az-our"A o c iea� of C, f I f y C, f rige rators PC) or arr---a` 14 3, Of of 'r)ic'k 1.I I co, mp a c t,..)r 1- 14 Vp Or, - s' -441"lon age c f al v c nd e r f rige rators Sent Rv. ,;, 3 " 5 3 0 Nei e 74, ra..acle -.w.- ale Z t 3 Cj Ie77'- �[[• `� ' s-^-` A( { ?. a Y:C WL- lf r4'; v at E. A', C C, Ily 3 5'. Z. c� ni o �j r t 1: a 27., e s c r 3 0 Nei e 74, ra..acle -.w.- ale Z t 3 Cj Ie77'- �[[• `� ' s-^-` A( { ?. a Y:C WL- lf r4'; v at E. A', C C, Ily 3 5'. Z. c� for a e o f iris erotic: Ides rodent it; LOS and ond sup-! medications --------- -- 37. is laundry facilities located on pv,Via. ,,,? (,j v/1 If Yes, What will be laundered'? is location physica3ly separated from food prepar,tj,: areas and warewashing? !11 YES 38 . Location nf Q ean 1 Men sterage:__ 39 Mcation d My inen otoragw, Fire Air Cayawit): 1 - PA in, U-11 a a wayate mop sin! Presenw? YES n\ <o NO iZ no, please dezraribe facility for cienjiso of mops and other equip=env____ Y1.. is a SePau" MCI PZPPaXati0n SKX present? YES NO 42. Xs a separace handwasning sink prepdra- tion drW YES j< ) NO 1 Seri Bf. 73 2849; 43. Will sinks or a dishwavver be used Tor Dishwasher TWO COMPartment sink Three cOmpartment sink 4. Vishwagher Typc�, of sanitizaMn uo. HOt water Ctam:.pry sGalte heater Chemical Does the Iltyest pot and ,, fit j, YES NU 46. Are there drain boards an both ends? YRS Vaq Pay 9; 1 _) L. I LWO Cumpartmenh sink is used, what Method will ka Used for utensil wash 48. Wbat We Of SaniVZOr Q Used? Chlorine Hot vate'r (PlOaSe make certaia the correspandima test tits are avail- able at the precpening jn3pu,tj,,,) UTATZ11MUT: 'z CeOtlfy tW th, ilove iq!ozuatjoj is oor YeCte i' -n . 1 fully understand that any fi or'. th zt�. '-Vc without prior permission from V -1,C, nullify this ap- not constitute endorse=ent or . accept,joe of the com- pleted establishment Atzocturu ar equipment). ik preapening jr- spection of the establishment Oth equipment will be necesnary ter' determine if it =Vies with the local and state laws gniorn!". 2-- establishments., rMprege-Aft Evil S Approval of these plans and SWIfIcations by this Health Ceparv- xnent dq,Rs_.ppj indicate compliance a�..ny regulations that may be required--federaltat,!, cr accal, It further does not constitute endorse=ent or . accept,joe of the com- pleted establishment Atzocturu ar equipment). ik preapening jr- spection of the establishment Oth equipment will be necesnary ter' determine if it =Vies with the local and state laws gniorn!". food service establishments., - 7 - RIVIBWER's CaBcx de'r finish Schedule Nitcher, warewashing Food Storage Other Storage Bathrcoxs Dressing ROOMS 2. insect and Rodent Mrbaragp 3. Garbage and Refuse 4. Plumbing 5. Water Sud. epi iy 6. Sewage Disposal 7. Dressing Rooms 8. Separate storage of taxics 9. lzundxy facilitie-,; 10. Linan Starage 11. Exhaust hoods 12. SAM-; 13. DishwasNing 14. Lightini;, 15. Ventilation 16. Crease Traps 17. Employee Restraums Humber scap Hand DryM4 Lavatories Water Closets Urinals wastc ReceptacIcs 23 - 10 ; 29AV; page Insuff. swo.—MA!, ..,RZA, AnKro- Sent B;: 781,, M Patrons Restrooms Page 1111? insuf N - 9 - Loci tion Hand Drying Water Closets Urinals Waste ReceptEcIeS 19. Atchen Equipment a. Space between units or wall closed or adequate space for easy cleaning. b . Aisles sufficient width c. Storage 6" off flo= d. countertops and cutting boards of cuitable material a. Self serve foud area adequately pratnoted f. Built-in extaxnal temper- ature gauges or pLovisiori fcr separate internal thermo- meters neted Ear each piece of refrigerated equipment. 1 Utensil and Kitchen Staragxa Clean sai led h. Counter mounted equipment Floor Eounted equipment Vacuum packaging equipment k. Bulk food Self service Salad Hot/Cold Buffet - 9 - 3�1,�.,l ' JL� --- ---------'----` ---`- ---- _ - I0 -