HomeMy WebLinkAboutMiscellaneous - 580 OSGOOD STREET 4/30/2018 (2) 580 OSGOOD STREET
J 210/101.0-0003-0000.0
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Air Quality Experts, Inc .
349 So~ Broadway, Suite 8
Salem, N.H. 03079
OFILE
6013-894-6465 ~\
MARCH 25, 1994
NO. ANDOVER BOARD OF HEALTH /` \
/ \ \
120 MAIN STREET `
NO. ANDOVER, MA 01845
'
DEAR SIR:
ENCLOSED PLEASE FIND A COPY OF NOTIFICATION SENT TO THE STATE
FOR AN ASBESTOS ABATEMENT PROJECT.
THE JOB WILL TAKE PLACE ON APRIL 08, 1994.
PR0JECT: .580 OSG88D STREET
NO. ANDOVER, MA
ANY QUESTIONS CONCERNING THIS MATTER SHOULD BE DIRECTED TO MY
ATTENTION.
SINCERELY,
CHRISTOPHER THOMPSON
PRESIDENT
Commonwealth of Massachusetts
Asbestos Notification Form— ANF-001
53)
Asbestos Abatement Description
yCvr 1. Facility location: ]mill
KOULOPOULAS PROPERTY 580 OSGOOD ST.............................................................. ..........................................................................z ...
..........................................
1.All wWons of this A N 1).QV E F............I.............................. .... 0:7.
lorniffozibecormleted' Ciygawr
incider tooMlywith
#a Department of T........._...............................................................................................................................................................................
Envkonman,lal W14 1W.Iwo
pratletion nolilk"on
requkeowbol3lOW 2. Is the facility occupied? DAYes C3 No
7.16(kn*v"g dap.
prior WCAUM h 3. Asbestos Contractor:
projearepue):and the AIR QUALITY EXPERTS, INC. 349 SO. BROADWAY #8
Department of Labor ham Addrus ............................
and Industries
notification tiquirernents SALEM, NH"* 03079 603-894-6465
..................... ............. ...................................................... ...............................................................
olOCIA116.12 (ion Z/P code Whom
days prior notirisation is
iequkadofANY AC 000167 WRITTEN
abalfifilant Prolad greater ......... . .. .....
VW are &W of arUwuey
squaroko. 4. On-Site Project Supervisor/Foreman:
2.SubmitOrtinalFaim CHRISTOPHER THOMPSON SP07797
To: DUCaWWW1 ............................... ........................
ary
Commonwealth of
Massachusetts 5. Project Monitor:
Wastas Program FINAL CLEARANCE ANALYSIS AA00(_.)085
...........
DL I Ce I 6fici A Vi
0087
6. Asbestos Analytical Lab:
3.This I=may be FINAL CLEARANCE. ANALYSIS AAoc)ooe5
used IN no'llying
US.Emkonnientil DUCerdahvii 7-4
PioledlonAwqllelon 7, Frojectstart dale 0. Z_7,2sg iciflcworkhours(Mon.-Fri,) (SatSun.)
I Of asbestos dernordlognt d date
renovation operations _F
subject to NEWS(40 8. What type o q 5'
ct Ist Is? (cl(c to one):
e):
demon.WJ 109f
F0rO11icWLUO* 9. Describe the asbestos abatement procedures to be used (circle): giove AV vr*sutt ueawnmenr deNJUP
�J &WW"ON aspawady Olief(UAW)
10. Is the job belngconducte outdoors.?
11. Total amount of each type of Asbestos Containing Materials(ACM)to be handled on pipes or ducts(linear ft.)_ g-, or other
O surfaces(square ft.) o71inbe removed,enclosed or encapsulated:
'sarlspare feet
boAv.bradi4V,duct.tank surtax coatings..._/ thermal,solid owe PO insulation.......
carlugated of layeredpAw pipe insulation....aJ2_1_ kisubting cen..................
*rv-on firwoofing..................... kowdysprayfif calliv.............
doft woven kbiks..................... transile board,wallboard.............
other(please describe)...................
12. Describe the decontamination system(s)to be used:
....-FULL CSWT-A.I.M�IEUT......................................................................................................................................................
..........I......................................... ... ......... ..........
13. Describe the containerlution/disposal methods to comply with 310 CMR 7.15 and 453 CMR 6.14(2)(8):
...KE.T_..REMQVAL I.N.T.0 6XIL.....P.0LY ASBES.TJOS LABELED BAGS................................................
............................................................................... .......................................................................................;...........................................
14. For Emergency Asbestos Abatement Operations.the DEP and DLI officials who evaluated the emergency:
INSPECTOR..... .................................
Ql_ ere ..__ _________....»._...»..........._..._.
............................... ..........................................................................................................................
.............
...................
15. Do prevailing wage rates apply as per M.G.L.c.149.§26,27,or 27A-F to this project? OY10
Rev.02.
FacUlly Descriptlon
1.. current or prior use of facility: p 5 4f,0 C Al
2. is the facility owner-occupied residential with 4 units or less?. Yes 0 No
3. Facility Owner.
SAME
Clry/rown Itpade Tele/ehwx
4. Facility's Owner's On-Site Manager:
N/A
_._......._._.....».»....................................:..............................................................................«..........._........................._........................................
cl4'/f_ TW ae4 rele{rgrw
5. General Contractor.
_.»...........N LA..................._.............................. ................................._......................_..........................................................
Nnr� Addross
GyRown ZIp crode TolepAone -
contaclois woken comp.Msuror YolkyI 6rp.Dete
6. What is the size of the facility? 20.00
(sq ft)_(1 of floors)
Asbestos Transportation and Disposal
1. Transporter of asbestos-containing waste material from site to temporary storage site(if necessary)to final disposal site:
AIR QUALITY EXPERTS, INC. 349 SO. BROADWAY #8
_......._......._...................................................................................................................................................................................................................
Arne Address
SALEM, NEW HAMPSHIRE 03079 603-894-6465
..... ............ ......
CiyAown 1d�rale /ele(diwie
2. Transporter of asbestos•containing waste material from removal/temporary storage site to final disposal site:
SAME
» »_._.._............................................................................. ...................................._.............................................................................................
AWN Adrkesr
...... .....................................
'w
Note.Transfer CtG/fu+n / ade rriwdrww.......................
Stations must
compy with the 3. Refuse transfer station and owner(if applicable):
Solid Waste 1111..A............................_.
Divisionregula- _._..._......»._. ................................................................................................................................
tions 310 CMR . Ame Aauress
18.00 • ...........
t7ypawn IW ade IdalQarx
4. Final Disposal Site:
TURNKEY LANDFILL WASTE MANAGEMENT OF NEW HAMPSHIRE
LOCAM Nang
90 ROCHESTER NECK RD.
.......... _................................................................_..........................................................................................................................
ROCHESTER, NEW HAMPSHIRE 03867 603-332-2386
.................................................................................................... ...........
Iln ark Tele
Certification
The undersigned hereby states,under the penalties of perjury,that he/she has read the Commonwealth of Massachusetts Regulations
for the Removal,Containment or Encapsulation of Asbestos,453 CMR 6.00 and 310 CMR 7.15,and that the information contained in
this notification is true and correct to the best of his/her knowledge and bell f.
« CHRISTOPHER THOMPSON C� ipv►ti ,� r.. 02Z i f9�;
«..............._.......................................................... ..................................... .................
. ............... ........
PrhfAtnx Aud�airedffipnYwe
we
Note.,Contractor
musts 1pnthis PRESIDENT AIR QUALITY EXPERTS,, INC.603-894-6465
form for DLI ».............._...............»........._............—_.» .................__.._._.......»....».»........._..............................................
r�uu�avrrw Aeprosenliny raew,one ...."....._...
notification
purposes 349 SO. BROADWAY #8 SALEM, NH 03079
.»_.._._»_.._._.....»....._..».........__.»«....................._...._..........................................._..........................................................................
Address Grypuwn IW uxle
Fee exempt(City,Town,district,municipal housing authority,owner•occupied residential of four units or less)? es 0 no
Sticker/(from front of form): b X
« �
/
Air Quality Experts, Inc.
349 So. Broadway, Suite 8
Salem, N.H. 03079
603-894-6465
MARCH 25, 1994
|
/
NO. ANDOVER BOARD OF HEALTH
120 MAIN STREET �
NO. ANDOVER, MA 01845 ----/-
DEAR SIR:
ENCLOSED PLEASE FIND A COPY OF NOTIFICATION SENT TO THE STATE
FOR AN ASBESTOS ABATEMENT PROJECT.
THE JOB WILL TAKE PLACE ON APRIL 08, 1994.
PR0JECT: 580 OSGOOD STREET
NO. ANDOVER, MA
ANY QUESTIONS CONCERNING THIS MATTER SHOULD BE DIRECTED TO MY
ATTENTION.
SINCERELY,
CHRISTOPHER THOMPSON
PRESIDENT
i
Commonwealth of Massachusetts
Asbestos Ntif
ication Form
—
r
ANF-001
Asbestos Abatement Description
1. Facility location:
KbULO'POULAS
....... ...... ....... PROPERTY........... 580 OSGOOD ST.k..M ._............ . ...... ................................................ .................................................................... .
1.All sections olthis NGl..........hlhlD. .y F;.......................................... ....sn?. ..3.4.5..............`�;?�-.�`t.�..-.`g .................................
form must be completed �iOAam 1a rade Telephone
in order to comply with
theDepartment of ELASEXENT..............................................................................................................................................................................................
EnvironmentalWbafisUaawtrflelocation?huddingtam.1,wing.0oor,roan
Protection notification 2, Is the facility ted? 13(Yes 0 No
requirements 01310 CMR y occu p
7.15(fen working days
pdornodrfation'a 3. Asbestos Contractor:
and th
dthe lenient AIR QUALITY EXPERTS, INC. 349 SO. BROADWAY #8
Department of labor Lvame
Address
and Industries
notification tequkements SALEM, NH 03079 603-894-6465
ol453CMR 6.12 (len CiryAown....................................................................................... ..p................................................. .... --------
days is
Ii code Tele.................................................................
requkedo/ANY AC 000167 WRITTEN
abatemenfbvo%esYgreafer ..Lke... ...e.............. ........_.. .......................
IXrits/ ._. .. .._.... ...... .................................._.....................
Ulan three firrar o/ .. l;unfix/ry/e(wdflerWerda/) .
square feet)). 4. On-Site Project Supervisor/Foreman:
2.SubmitOdginaiForm CHRISTOPHER THOMPSON SF07797
To: »................................................................... ........................................................
Commonwealth of DucenilraUw,/
Massachusetts 5. Project Monitor:
Asbasics Program FINAL CLEARANC E ANALYSIS AAC1�>1=11 i8
P.O.Y.120067.
Boston,MA 02112• ................................................................:..................................................
............................................................................................................
0087 IX I Ceniriaa'ai/
6. Asbestos Analytical Lab:
3.This form maybe FINAL IDLEARANI E ANALYSIS AA0C-) C)e
used lot notifying the ...........................................
.............. ................................ ...................................................... ...................................................................
U.S.Environmental rrvne ........... ..........
Protection Agency Region (-)CIODIX I CeNfirafla,/
Iofasbestosdemolition/ 7. Project start date---j--,—enddate IJ-LY__%_3��spectit" 7—
cworkhours(Mon:Fri.) (Sat.Sun.)
rendvation operations
subiea to NESHAPS(40 8 What type Yy Yy
CFR Subpart M). yp of project is this? (circle one): demolition oder(explain)
r„a,;;,us&orq 9. Describe the asbestos abatement procedures to be used (circle): gioxetap enclosure uticonranmenf cleanup
,✓sMac"I encaµsufaliwf disposalonly oaerlexplain)
peone°�_ 10. Is the job being conducte ..0 i Y or 0 outdoors?
v.nw iw 11. Total amount of each type of Asbestos Containing Materials(ACM)to be handled on pipes or ducts(linear ft.) 11 .-:.Cl r other
��� surfaces(square ft.) to be removed,enclosed or encapsulated:
)%neadsquare feet
boiler,breaching,dud,lank surface coatings.,._/ thermal.solid core pipe insulation......
corrugated or kyered paper pipe insulation....t2(Z/ ksulating cement.................. _J
spray-onhreproofing....................._jtrowellsors)wcoatirgs..............
clots.woven fabrics..................... uansite board,wall board.............
other(please describe)....................
12. Describe the decontamination system(s)to be used:
FULL.....c.GlU`.A.I-WMEUT.........................................................................................................................................................
................. ..........................................................................................................................................................................
13. Describe the containerization/disposal methods to comply with 310 CMR 7.15 and 453 CMR 6.14(2)(g):
W.ET.».REMQY.AL....I.N.T.Q 15MIL....P..OLY...A.SBES.TQS....LABELEII....BAGS........... ...................................
......................................... ....................I__.....................................................................................................................
.
14. For Emergency Asbestos Abatement Operations,the DEP and DLI officials who evaluated the emergency:
.................................................................. ................... .._........... ...........................LNSPECTO '_... ..............................
Name of Dip Udh lal Tiae
- ...._*............»........................................................................... .
Dateo(Aulhotuaral ................................................................................................._.................»...»...
alter/
.......................
ameaeuak4l ............................. .. .
Tiae........................................ ............
...... ...
N ........................................................................................................ .......
,
_................................................ .........,.........................................................................................................................
vareaa,dfssfrakk,,,
Weiw/
15. Do prevailing wage rates apply as per M.G.L.c.149,§26,27,or 27A-F to this project? 0 Y No
Rev.6A2.
Facility Description
1. Current or prior use of facility: Q k C X_
2. Is the facility owner-occupied residential with 4 units or less? 0 No
3. Facility Owner:
SAME
..........
Nano Address
GryRown lip tale Telerdroru
4. Facility's Owner's On-Site Manager;
N/A ...............
limns Address
- 'I' ..........
reledole
5. General Contractor:
.................J.q
......................................................... ....t..............................................................................................................................
Name Address
........... w. ................................................................
GryRown lip colo
aphone
Contractor's Worker;Camp.Insurer Policy/
2000 a:.
6. What is the size of the facility?_(sq ft)—(I of floors)
[a Asbestos Transportation and Disposal
1. Transporter of asbestos-containing waste material from site to temporary storage site(it necessary)to final disposal site:
AIR QUALITY EXPERTS, INC. 349 SO. BROADWAY #8
Z;; Address**** ...........* ****** ** ** *
' ' *'**"*"*""***"**'*""**"*"*"* ********* * * *
SALEM, NEW HAMPSHIRE 03079 603-894-6465
GryRown zill axle Meld"
2. Transporter of asbestos-containing waste material from removal/temporary storage site to final disposal site:
SAME
................ .....................................................................
Jlmne
Note:Transfer ciryquan lit)arae
Stations must 3. Refuse transfer station and owner(if applicable):
comply with the
Solid Waste N./.A
Division regula- limns Address
tions 310 CMR
18.00 ...................................I........................:.
....................................... ....................................................... ..........................................................................
C1011TOW) IN code Telerdone
4. Final Disposal Site:
TURNKEY LANDFILL WASTE MANAGEMENT OF NEW HAMPSHIRE
90 ROCHESTER NECK RD.
Z� * "
****............** *...............***'* **.............
ROCHESTER, NEW HAMPSHIRE 03867 603-332-2386
..... ........ . .. .... . .... .....
Cfry/Rwn
Certification
The undersigned hereby states,under the penalties of perjury,that he/she has read the Commonwealth of Massachusetts Regulations
for the Removal,Containment or Encapsulation of Asbestos,453 CMR 6.00 and 310 CMR 7.15,and that the information contained in
this notification is true and correct to the best of his/her knowledge and bell f
CHRISTOPHER THOMPSON ........................................0.21.25.Z..9.4...........
Print Name A-u-9,a'-*LSiY;Lu; Date
Note:Contractor 603-894-6465
must sign this PRESIDENT AIR QUALITY EXPERTS,, INC.
form for DU
notification
purposes 349 SO. BROADWAY #8 SALEM, NH 03079
Addrers Cl Ruwn Zip axle
Fee exempt(City,Town,district,municipal housing authority,owner-occupied residential of four units or less)? es 0 no
t
S I icke.r i(from front of form): 16 0 Xy
r
�'� DS GQt.Zd
Air Quality Experts, Inc.
349 So. Broadway, Suite 8
8 Salem, N.H. 03079
603-894-6465
FILE
MAY 5, 1-394 0
NO. ANDOVER BOARD OF HEALTH
120 MAIN STREET
NO. ANDOVER, MA 01845
DEAF: SIR:
ENCLOSED PLEASE FIND A COPY OF NOTIFICATION SENT TO THE STATE
FOR AN ASBESTOS ABATEMENT PROJECT.
THE JOB WILL TAKE PLACE ON JUNE 2, 1994.
PROJEi=:T: 58�� OSGOOD STREET
NO. ANDOVER, MA
ANY QUESTIONS CONCERNING THIS MATTER SHOULD BE DIRECTED TO MY
ATTENTION.
SINCERELY,
CHRISTOPHER THOMPSON
PRESIDENT
y
kN�rr�fo FS�J.
Commonwealth of Massachusetts F;
Asbestos Notification form— ANF-001
Asbestos Abatement Description Y
1. Facility location:
.............................................i ..................... L ►.....0560Ula.....S.1.F kF.a............................
INSTROc71ONS Name Address
�.
t.All seaionsolthis ...... .U.s......Ht�l .UV.1=1�.:........................................... ...►.).1.�Et�.,.u.........................851=8a,91
loan must be completed civrow"r lip rode Telephone
in order to comply with
theDepartment of .....................................................................................................................................................
Environmental Wlrallslhewar feoran7 uildingrame,/,winy,lloor,roorn
Protection notification
requirements 01310 CMR 2. Is the facility occupied? R Yes O No
7.15(fen working days
prior notilwtionis 3. Asbestos Contractor:
requir :amtyabatemen7
projecl)qam the AIR QUALITY EXPERTS, INC. 349 SO. BROADWAY #8
................................................................................
..................... ...................................................................................................................................
Department of Labor Name Address
and Industries
notification requirementsSALEM, NH 03079 603-894-6465
..................................................................................................... ...................................................... .........................................................................
of 453 CMR 6.12 (ten Ciry/luwn lip code Telephone
days prior notification is
requiredofANY AC 000167 WRITTEN
abatement project greater Dtl License/ l:onlrxl Inv twullen/vernal)
than three linear or
squarefeeq. 4. On-Site Project Supervisor/Foreman:
2.Submit Original Form CHRISTOPHER THOMPSON SF07797
To: .....................................................................................................
Narne 0Ll(.erfiliuliaN
Commonwealth of
Massachusetts 5. Project Monitor:
Asbestos Program F'i NHL
P.O.B.120067
..................................................................................................... ...................................................................................................................................
Boston,MA 02112- Narne &ICenificaliuu/
0087
6. Asbestos Analytical Lab:
3.This lorm maybe r JfVF1i_ I_LL—At:AIVI k ANALY61b Ht--ti_lk-li-iQdn
used for notilying the
..................................................................................................... ..................................................................................................................................
U.S.Environmental Narne D(icemirwiun/
Protection Agency Region (ib i; '�-4 () 0'-:"J4 /-4
I of asbestos demolition/ 7. Project start date %end date 1=specific work hours(Mon.-Fri.) (Sat.Sun.)
renovation operations
subject to NESHAPS(40 Y y
CFR Subpart M). 8. What type of project is this? (circle one): demolition Cm , ettertr- ner(exn/aln)
Fonauw1Uw0" 9• Describe the asbestos abatement procedures to be used (circ enclosur ulrgontamrenf dearlep
encapsulaim disposal only omei(explain)
Wilotwn I
R"aj Dae 10. Is the job being conducted D indoors D outdoors?
»u X
Pamir Awo .ed 11. Total amount of each type of Asbestos Containing Materials(ACM)to be handled on pipes or ducts(linear ft.) 1 - _,or other
san�Date
surfaces(square h.) to be removed,enclosed or encapsulated: T
-
linear/square feet
boiler,breaching,dud,tank surface coatings... _ thermal,solid crone pipe insulation......
corrugated or layered paper pipe insulation....12 y , insulating cement................ ..
spray-on fireproofing....................._/ boweYsprayei coatings.............. _J
cloths,woven fabrks..................... trarsite board,wallboard............._J
other(please describe)....................
12. Describe the decontamination system(s)to be used:
...........................................................................................................................................................
_ . __.. ... .....
13. Describe the containerization/disposal methods to comply with 310 CMR 7.15 and 453 CMR 6.14(2)(8):
W.E.T....REMOVAL....I.N.T.O....6MIL....P..OL.Y....ASBESTOS...LABELEII....BAGS............
..................................
14. For Emergency Asbestos Abatement Operations,the DEP and DLI officials who evaluated the emergency:
.... ....... _ .. ...... .. .... tai: fUF:
Nacre of DEP Official rine
*............................................................................................. ...................................................................................................................................
Late olAuthoritatiai wa Ipr/
................................................................... .................................................................................................................................
NarreWDil7Xfalal Tree
....................................................................................................
Wa..
GHleWAuliewilaliwi . ...ve..r. ........................................................................................................................
../
15. Do prevailing wage rates apply as per M.G.L.c.149,§26,27,or 27A-F to this project? Ds�No
Rev.6)92
Facility Description
1. Current or prior use of facility: C C ti................................................................................. ........................ .............. ...................... ...............
2. Is the facility owner-occupied residential with 4 units or less 0 No
3. Facility Owner:
SAME........... Add'f'8'*S'S ............ .............. ........
Name
............ ...............
C!ry/Town Ilp carte telephone
4. Facility's Owner's On-Site Manager:
N/A
Nanne Address
.......... ................
Ciryquwrr
5. General Contractor:
........................................................ ....:................................................................................................................
Name Address
Ciry/lowniip'c'o-d'sTelephone
-
Contractor's Workers Camp.Insurer Polity/ EXP.Date
2Q(_)(.)
6. What is the size of the facility?_(sq ft) (i of floors)
0 Asbestos Transportation and Disposal
1. Transporter of asbestos-containing waste material from site to temporary storage site(if necessary)to final disposal site:
AIR QUALITY EXPERTS, INC. 349 SO. BROADWAY #8
................................................................................................... ....................................................................................................................................
IV" Address
SALEM, NEW HAMPSHIRE 03079 603-894-6465
lo axle Telelftne
2. Transporter of asbestos-containing waste material from removal/temporary storage site to final disposal site:
SAME
............................................................... ...................................................................................................................................
Narne Address
Note:Transfer clryquwrr Zito avieI I e
Stations must 3. Refuse transfer station and owner(if applicable):
comply with the
SolidWaste ................N/A....................................................... ................................................................................................................................
Division regula- Address
tions 310 CMR
18.00 ............ ...................... ..................
Cirygown
Teleplmne
4. Final Disposal Site:
TURNKEY LANDFILL WASTE MANAGEMENT OF NEW HAMPSHIRE
Lorallar Nane Wets Nam
90 ROCHESTER NECK RD.
........................................................................................................................................................................................................................................
Address
ROCHESTER, NEW HAMPSHIRE 03867 603-332-2386
Ciry/hnn'i lip axle Telephone
Us Certification
The undersigned hereby states,under the penalties of perjury,that he/she has read the Commonwealth of Massachusetts Regulations
for the Removal,Containment or Encapsulation of Asbestos,453 CMR 6.00 and 310 CMR 7.15,and that the information contained in
this notification is true and correct to the best of his/her knowledge and belief.
CHRISTOPHER THOMPSON C-7f 11" v�p ........................ ...... 0 b/05./'y. 4
Dale
Note:Contractor
must sign this PRESIDENT AIR QUALITY EXPERTS, INC.603-894-6465
form for DLI ......................:....
notification
purposes 349 SO. BROADWAY #8 SALEM, NH 03079
.......... ................
Address city1rown Zip axle
Fee exempt(City,Town,district,municipal housing authority,owner-occupied residential of four units or less)?t 'yes 0 no
Sticker I(from front of form): i � 68