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HomeMy WebLinkAboutMiscellaneous - 275 WAVERLY ROAD 4/30/2018 (2)ENVIRONMENTAL SPECIALISTS 10 LOWELL JUNCTION ROAD ANDOVER, MASSACHUSETTS 01810-5906 978-470-2860 ND_P F.R� FFAX 978-470-1017 tOvji3oARD OF N of April 19, 1999 APR 2 1999 Town of North Andover Health Department 146 Main Street No. Andover, MA 01845 Attn: Health Agent RE: Asbestos Abatement 275 Waverly Road' To Whom It May Concern: Please be advised that Dec -Tam Corporation will be performing an asbestos abatement project at the above referenced location on the following scheduled dates: Scheduled Start and Completion: May 14, 1999 All applicable state and federal agencies have been notified. If you need any additional information, please contact me. Sincerely, Michael S. Morris Sales/Estimating ASBESTOS ABATEMENT www.dectam.com LEAD ABATEMENT E-mail: dectam@aol.com INDOOR AIR QUALITY INSTRUCTIONS I. All src.lials nl This IM n I Isl be ralnplulid In rxda In comply Willi Iho Ilaparlmoul of 111JIt"Ill :n[al I'solncllmr nulili,.allun requirnncrds ill 310 CIAII 1.I ; (fell II"A inv (Ar)s prior nurilicalion Is Inrpdfnl of anyabalmlorl pn,/,.Y:fj; and Ilm Ilupallolunl el Lalmr and ludusldes uulificalioll leyliamor is :I 4 53 0 6111 0.12 (fon dq s /mar nnlibi:afinn is lopm..I of ANY abalrmrrri ploject prralnr Ibar) fhrrc lhw.v or squaro 2. ,;rano it (h 10Ilia 1 I uI to: Cnnnnnnw:alih of 6lassachusolls Ashnslos Pr:oram P,O.If. 120007 N:stn:, MA 02112- 00117 3. Ihls loud mayho u:rd lur nnlllylno tile11S. rnvhumnadal P,illmllon Ap ncy Ilcolon I ulasbeslos (Ullollliell/ Iruovalion oprletions subjecl to Ilf A IMPS (40 CM Sllhpall IA), ne: 6rn Commonwealth of Massachusetts Asbestos Not/flcatlon Form — ANF -11[11 Ll AShnshls Ahrllttlnent VLscrlpllan 1. Ncllily locallon: Davis Residence 275 Waverly Road No. Andover 01845 (978) 687-6065 • axrr 71p aYb lrlephanr -� - basement 2. Is Is Ilio facility occtgded7 3LXYos rt No 3. Asbeslos Contractor. DLC—'Pani Corporatioll 10 Lnwcl_I Jct. (toad AiploveI 6 10 (97fi) /r7/170--)860__.------- ---_--.-- -01 Ila nab felupGnne .. -- ACnnnn 35 :J. 1 hall rose/ fonhailyln (ndlbMnrhal) __.__.._�...._ _ .. ._.... .. .. 4. On -Site Plolocl llpelvisol/foreman: Charles Brewer AS30504 ---------... _..--- —---- ---------- Il! 5. Project Monilor: ERS AAOOnl99 fY I Cnll/IuNA,n / 6. Asbestos Analyllcal Lab: same as 5 IY I l:,.vllal.rf.V rn / 7. Plolec(slaII&,(,jili 99enrlda,LS ./_147 9911ecilJcwoiknoins(b1on. FIL) 7am-4pm _(5x15::.)--.----._ - R. Mal typo of prolocl Is Ihls7 (cllclu one.): dcnxdlann nlulr m 1.111" "If", (a gd.,hr) 9. Duscilbo Iho asbuslos abalomord plocuduros to bu osod (chole): aper:p a/rcAnom nni rnrr.dnrsnrr Ueanop .mat,s,,IWAW d(sp-'d-ly (Jlnr (n.pLrin) 10. Is Ilio lob belnp conducled 1XI Indoors 11 onldoois 7 11. Total amount of earl) typo of Asbeslos Coi lalnblp Malailals (AGIA) Its Ile ImmilLif oil p1pos or d11Cls (Ilnoar If 125 nr other surfaces (s(luare 11.) _—_—_____...lo bo ronlovad, onclosod or oncapsula,lo(I: - lirlcarlsgrla/'c fact bnikbr r, evhinp, duel, lvlk sulfaraeoafinps... ' . / _ Urunna! solid r.(vn pipo Insnla(inn, ..... enrrlrll"Walla)tvetlpapclpipoinsulalims...I�SrJ—his'Adinprrrnenl.................. sprey-on (rrproo(np clot/ss. wolrn bbrks.....................! 1 Vs.............. _--/ —, bansifo bo,vd, ball board .... ......... a(her (plraso drsrribnJ.................... / — --, ---- 12. Doscilbo Iho IIUco11Ia111lllallo(l cyslonl(s) to be ,soil three stage ------------------- 13. Doscrlbo Ill contafile, Izallonrdlsposaf Ill othot's to comply villIt 310 CMR 7.15 and 453 ChM 6.14(2)(1)): we CClu��•_.maCL.r_1a.L_.tui.Ch._nmendc(L._wa Coer:._and.-pl-aclnpp,._J-n..-doublc...6_ul.Ll__puJ.y._...... .._.___... ]_16eletl bogs to_ be LraiisporCL(LCo -an_approved.._Icin(1F1J_J_._In_q)-senle(1 lockable rontafncr 14. For Fmorurlo y Asbestos Ahalomanl Opoiallons, Iho DI:P and DLI officials who ovalualod Iho mnelpol1q: -------------------- - — — - --- /J3/In /J llry llnlrJJl -�-�-- -�--�---�--"'—"- IAde WAulhurG,,pnn Ildnu W M/ Of/7,131 _._._ _— ----- ...__ o W AofhurG:d6 m 15i Ito plevallln0 wa(In tales apply as per M.G.L. C. 149, j 26, 27, of 2/A - F to Ihls piolecl? I I Yr.s f%F1a Fac1/l1y Descrlptlon 1. Clmonl or pllor use of faclllly: residence 2. Is Iho facility ownar-occuplod resldonllal will, 4 unils or loss? Xg Yes ❑ P10 3. facility Owr,or: Tom Davis 275 Waverly Road A,pdou No. Andover 01845 (978) 687-6065 Ilp axk — Telephone 4. Facility's Owner's On -Site Manauer. N/A Nano — k0ess cl/r/roan _-- - TIP .A, I.ltphon. 5. nonoral Callliactof; Nance Add/,ss Clly/foan I/p cod, — IeMphan, ALU :hisuru,rce Co. _ 14C5026655 12/213/99 Connect-,-, IYorAars Comp. lnsule/ :nllty/ Exp.Dab G. Whal Is Iho slzo of Iho lacilily? 2 , 000 (scl Il) 2 (/ of Iloors) © llsbeslos Transporlallon 11111 Disposal I. Tlenspollor of asboslos-contandng waste mala/lal from silo to temporary storage Gila (If nocossmy) to (trial disposal silo: Service Transport Inc. 321 1.1-11coln Avenue -- Bristol-- ----- PA lvnn7 (877) 999-9559 lip � M lalapAnw --- 2. Traospollor of ashoslos-coolalolog waste material from romoval/tomporary storage silo to filial disposal silo: same Nam, Arlrliut Note:1'ra/Ister c/ryroan —--711,mk -- rerept-0 Stations comply IVith 1h0 3. fieiso Transfer stallon and owner (II applicable): Solid Multi VivislonJovuh— Nana -------------- ---- ----- lions 310 CAM Axhm 19,01) _ Dp rode rtlennon. 4. final Disposal Silo: Greenridee Rer.lamntion Waste Manapement-,_l:ne- _ l rx�em N�nu rM,nrs None RD 111 Scottdale PA 15683. (877) 999-9559 C/ry/li,an Al mk Ielol,Mne to Ccrtl/lcatlon Tho nnderslgood her aby states, under ilio ponalllos of porlmy, that he/she has road the Commonweallh of Massachusetts Rogulallons lot Ilse Removal, Conlalnrnenf or Encapsulation of Asbestos, 453 CMR 6.00 and 310 CMR 7.15, and Ilial Ilia Inlornlatlon coola tried In Ihls nolillcallon Is true and correct to Ilia best of hls/her knowledgo and bollel. It(!tty L.,cilnritc--------- 4/1.6/99 fY,nl Nana Audxuoed5wn(me IAlk ---- (;nIINHCtnf must s101)this tom)for DL l field Support: Serv. DCC—l"1111 Corporation (978) 470-1860 , lI ol,i,Calloll rUtllbM/tle----- 1k(vesanllnp Il/ep/qM pulposas 10 Lowell Jct. Road Andover 01810 nddlecs Chy/Poan — --- lip uxla fee oxonlpl (City, Town, dlslllcl, mmildlial housing aulhmlly, owuol-orcuplod resldoollal of lour mills or loss) ?XX yes Cl mo Slicker / (from ffool of form):