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HomeMy WebLinkAboutMiscellaneous - 580 OSGOOD STREET 4/30/2018 (2) 580 OSGOOD STREET J 210/101.0-0003-0000.0 i r ' -` " � . . ~ 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