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70 Flagship Drive
.r ( 3 hR 16, Department of Fire Services & ... �° Office of the State Fire Marshal P.O.Box 1025,State Road,Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30,2019 (City or Town) (Date) NOTE:Complete top and bottom of form and forward both sections and fee to local Licensing Authority(City or Town Clerk). DO NOT RETURN FORM TO THE DEPARTMENT OF FIRE SERVICES. In accordance with the provisions of Chapter 148, Section 13, of the General Laws,the undersigned hereby certifies that: (TITLE HOLDER): Johnson Matthey Pharma Services (ADDRESS): 70 Flagship Drive is the holder of the license granted(Date): 8/17/1998 for the lawful use of the building(s)or other Amended 8/22/2015 to increase the storage of flammable chemicals from 10,000 gallons to 15,000 gallons. structure(s) situated or to be situated at (ADDRESS): 70 Flagship Drive NORTH ANDOVER, MA 01845 (City or Town) as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NOTE: This certificate of registration must be signed by the holder of the license if s license wa granted prior to July 1,1936, Otherwise by the owner or occupant of the land licensed. ceiv C_..11 019......... .. .. ................. � '_" ` (Signat (Offs I ) (Clerk) (State whether owner,occupant or holder) �� ................... (Address) The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:General Businesses. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information n Please Print Legiblyl Business/Organization Name: _-J'ok nsan M 60 Address: 215 PtT-teL PVu U City/State/Zip: Phone#: Are you an employer?Check the appropriate box: Business Type(required): 1.[A I am a employer with 1 q q employees(full and/ 5• ❑Retail or part-time).* 6. Restaurant/Bar/Eating Establishment 2.0 I am a sole proprietor or partnership and have no 7. M Office and/or Sales(incl.real estate,auto,etc.) employees working for me in any capacity. g, Non-profit [No workers'comp.insurance required] 3.❑ We are a corporation and its officers have exercised 9. ❑Entertainment their right of exemption per c.152,§1(4),and we have 10.[]Manufacturing no employees.[No workers'comp.insurance required]* I1.❑Health Care 4.❑ We are a non-profit organization,staffed by volunteers, with no employees.[No workers'comp.insurance req.] 1 12.❑Other *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. •elf the corporate officers have exempted themselves,but the corporation has other employees,a workers'compensation policy is required and such an organization should check box#1. I am an employer that is providing workers'compensation Insurance for my employees. Below Is the policy information. Insurance Company Name: L t t3L u 4Vy i'D1 n Co ' Insurer's Address: `1� (, ,�/{� �IJ City/State/Zip:__�v ��n 1 r`'� �v 11 -7 Policy#or Self-ins.Lie.# WA ?��3 —00 f I" —3 Expiration Date: Ma Attach a copy of the workers'compensation policy declaration page(showing the policy number and expitfition date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cerd ,under the pains and penalties of perjury th nformadon provided above is true and correct 12 l� 19 Si Date:a re: Q Phone# 1 O ` �d ! Official use only. Do not write in this area,to be completed by city or town ofjiclal. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Licensing Board 5.Selectmen's Office 6.Other Contact Person: Phone#- www.mass.gov/dia Certificate of Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICATE HOLDER.THIS CERTIFICATE IS NOT AN INSURANCE POLICY AND DOES NOT AMEND,EXTEND,OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW.POLICY LIMITS ARE NO LESS THAN THOSE LISTED ALTHOUGH POLICIES MAY INCLUDE ADDITIONAL SUBLIMIT/LIMITS NOT LISTED BELOW. This is to Certify that ' JOHNSON MATTHEY HOLDINGS, INC. DEVON PARK DRIVE, SUITE 600 D WA Liberty Mutual. WAYNE PA 19087 ADDRESS OF INSURED INSURANCE is,at the issue date of this certificate,insured by the Company under the policy(ies)listed below. The insurance afforded by the listed policy(ies)is subject to all their terms,exclusions and Conditions and is not altered by any requirement,term or condition of any contract or other document with respect to which this certificate may be issued. EXP DATE TYPE OF POLICY ❑CONTINUOUS POLICY NUMBER LIMIT OF LIABILITY ❑TT EXTF,NDE.D [21 POLICY TERM WORKERS 6/1/2019 WA7-63D-004123-358 COVERAGE AFFORDED UNDER WC EMPLOYERS LIABILITY LAW OF THE FOLLOWING STATES: COMPENSATION All States Except. Bodily 117 by Accident oH,WA,ND,v�iY 1 000 OOOE.enAceiaeat Bodily Injury By Disease 1 000 000 Bodily Injury By Disease 1 000 000 COMMERCIAL 6/1/2019 TB2-631-004123-348 General Aggregate GENERAL LIABILITY $4,000,000 ❑OCCURRENCE Products/Completed Operations Aggregate $4 000 000 ❑CLAIMS MADE Each Occurrence $2,000,000 RETRO DATE Personal&Advertising Injury $2,000,000 Per Person/Organization Other they AUTOMOBILE 6/1/2019 AS2-631-004123-338 Each Accident—Single Limit LIABILITY $5 OOO OOO B.I.And P.D.Combined Each Person L�J OWNED mNON-OWNED Each Accident or Occurrence HIRED Each Accident or Occurrence OTHER 6/1/2018-6/1/2019 TB2-631-004123-348 1,500,000 Per Pollution Incident Environmental Policy 2 000 000 Agggr ate Limit 5b0,Ob0 Deducttile ADDITIONAL COMMENTS Environmental Liability:$1,500,000 Per Pollution Incident,$2,000,000 Aggregate Limit,$500,000 Deductible. •If the certificate expiration date is continuous or extended term,you will be notified if coverage is terminated or reduced before the certificate expiration date. NOTICE OF CANCELLATION:(NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW.) Liberty Mutual BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL OR REDUCE THE Ty INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST 30 DAYS NOTICE Insurance Group OF SUCH CANCELLATION HAS BEEN MAILED TO: Evidence of Coverage CD1kaTrU Ld- m.CO3in ts✓L� Courtney Connolly New York/0202 AUTHORIZED REPRESENTATIVE E= 114 West 47th St. New York NY 10036 212-391-7500 5/30/2018 LOFFICE PHONE DATE ISSUED This certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by those Companies NM 772 07-10 42220510 1 LM_63 1 6/18-6/19 - Environmental Certificate I Donna Smitala 1 5/30/2018 2:58:29 PM (CDT1 I Page 1 of 1 LDI Cot 268896 02 11 s ` GIS Coordinates LA . > o 0 _ LONG. M Certificate of Registration FP—5 License Num er (Rev.05-2009) Massachusetts General Law, Chapter 148 §13 In accordance with the provisions of Massachusetts General Law,Chapter 148 §13,the undersigned hereby certifies that: Person,partnership,corporation or other entity: y_EL-- 7—J Name of License Ho der Business Address of License Holder Is the holder of a license granted on !" /% ,and subsequently amended onwi For the lawfu use o buildings and structures ocated or to be located —,t ���f�� _ct Number,Street and ss sees Wp and Parcel ID As relat s to the keeping,storage,manufacture,or sale of flammables,combustibles,or explosives. 2 � / azure of License H or gent D e Printed Name All materials must be stored in accordance with the vrovisions of Massachusetts General Law,Chapter 148, the Massachusetts Fire Code(527 CMR) and all other applicable laws and regulations,including the terms and conditions of the subject license Quantities stored may not exceed the maximum quantity specified by the license. REGISTRATION This is to certify that the within named license holder has in accordance with the provisions of Massachusetts General Law, Chapter 148 §13 filed with me, a certificate of registration setting forth that the above named entity is the holder of license as relates to the keeping, storage, manufacture, or sale of flammables, combustibles, or explosives at the above described location. Signature of Official �1 Title Date f THIS REGISTRATION AND THE LICENSE MUST BE CONSPICIOUSLY POSTED ON THE LAND FOR WHICH IT IS GRANTED. t i GIS Coordinates Wig > AT. a Certificate of Registration FP-5 (Rev.05-2009) Massachusetts General Law, Chapter 148 §13 License Num er I In accordance with the provisions of Massachusetts General Law,Chapter 148 §13,the undersigned hereby certifies that: Person,partnership,corporation or other entity: SEIL T—,> r � Name of License Holder Business A ress o License Ho er Is the holder of a license granted on 1' ,/ // ,and subsequently amended on For the lawful use o buildings and structures ocated or to be located 16)7 1 , Number,Street and ss sor s p and Parcel ID As Arelat to the keeping, storage,manufacture,or sale of flammables,combustibles,or explosives. ature of License H or gent Dafe Printed Name All materials must be stored in accordance with the provisions of Massachusetts General Law Chapter 148 the Massachusetts Fire Code(527 CMR) and all other applicable laws and regulations including the terms and conditions of the subject license Quantities stored may not exceed the maximum quantity specified by the license REGISTRATION This is to certify that the within named license holder has in accordance with the provisions of Massachusetts General Law, Chapter 148 §13 filed with me, a certificate of registration setting forth that the above named entity is the holder of license as relates to the keeping, storage, manufacture, or sale of flammables, combustibles, or explosives at the above described location. !� I Signature of Official � Title Date V 1 THIS REGISTRATION AND THE LICENSE MUST BE CONSPICIOUSLY POSTED ON THE LAND FOR WHICH IT IS GRANTED. Certificate of Insurance SS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICATE HOLDER.THIS CERTIFICATE IS NOT AN URANCE POLICY AND DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW.POLICY LIMITS ARE NO LESS THAN THOSE TBD ALTHOUGH POLICIES MAY INCLUDE ADDITIONAL SUBLIMIT/LIhIITS NOT LISTED BELOW. This is to Certify that I JOHNSON MATTHEY HOLDINGS, INC. 435 DEVON PARK DRIVE, SUITE 600 NAME� �pND Liberty Mutual. WAYNE PA 19087 �T 1 i.i<.l OF INSURED I INSURANCE is,at the issue date of this certificate,insured by the Company under the policy(ies)listed below. The insurance afforded by the listed policy(its)is subject to all their terms,exclusions and Conditions and is not altered by any requirement,term or condition of any contract or other document with respect to which this certificate may be issued. EXP DATE ❑CONTINUOUS TYPE OF POLICY EXTENDED POLICY NUMBER LIMIT OF LIABILITY POLICY TERM WORKERS 6/1/2018 WA5-63D-004123-357 COVERAGE AFFORDED UNDER WC EMPLOYERS LIABILITY LAW OF THE FOLLOWING STATES: COMPENSATION All States Except. Bodily In ury by Accident WA,ND,WY _ 000,000 Each Accident Bodily Injury By Disease 1 000 000 Bodily Injury By Disease $1,000,000 COMMERCIAL 6/1/2018 T62-631-004123-347 General Aggregate GENERAL LIABILITY $4,000,000 OCCURRENCE Products/Completed Operations Aggregate $4,000 000 ❑CLAIMS MADE Each Occurrence $2 000 000 RETRO DATE Personal 8e Advertising Injury $2,000,000 Per Pentat/Organization Other her AUTOMOBILE Each Accident—SingleLimit 1 6/1/2018 AS2-631-004123-337 $5,000,000 B.I.And P.D.Combined LIABILITY Each Peron GJ OWNED m NON-OWNED Each Accident or Occurrence HIRED Each Accident or Occurrence OTHER ADDITIONAL COMMENTS •If the certificate expiration date is continuous or extended term,you will be notified if coverage is terminated or reduced before the certificate expiration date. NOTICE OF CANCELLATION:(NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW.) Liberty Mutual BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL OR REDUCE TfiE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST 80 DAYS NOTICE Insurance Group OF SUCH CANCELLATION HAS BEEN MAILED TO: m.Conn" FEvidence of Coverage Courtney Connolly 3 AUTHORIZED REPRESENTATIVE New York/0202 �u 114 West 47th St. New York NY 10036 212-391-7500 5/30/2017 JOFFICE PHONE DATE ISSUED This certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by those Companies NM 772 07-10 35071131 I Itt_63 1 6/17-6/18 - Johnson-Matthey Holdings All I Donna amitala 1 5/30/2017 1:30:22 PM (CDT) I Page 1 of 1 3 ti The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 www mass gov/dia Workers'Compensation Insurance Affidavit:General Businesses. TO BE FILED WITH THE PERMT MG AUTHORITY. Applicant Information / Please Print-Legibly _ Business/Otanization_ _: --JoAfl So/l a, 'li P aL a Address: a 5 City/State/Zip: U i't M A 6 q Phone M 17 g 7 F Y SD Q o Are you an employer?Check the appropriate box: Business Type(required): 1.R lam a employer with 10 employees(full and/ S. [3 Retail 2.❑ or part-time).* 6. Restaurant/Bar/Eating Establishment I am a sole proprietor or partnership and have no 7. Office and/or Sales(incl.real estate,auto,etc.) employees working for me in any capacity. [No workers'comp.insurance required] 8. Non-profit 3.❑ We are a corporation and its officers have exercised 9. ❑Entertainment their right of exemption per c. 152,§1(4),and we have 10.❑Manufacturing no employees. [No workers'comp.insurance required]* 4.❑ We are a non-profit organization,staffed by volunteers, 11.❑Health Care with no employees. [No workers'comp.insurance req.] 12.❑Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. If the corporate officers have exempted themselves,but the corporation has other employees,a workers'compensation policy is required and such an organization should check box#1. I am an employer that isproviding workers'compensation insurance for my employees Below is thepoRcy information. Insurance Company Name: Insurer's Address: City/State(Zip: D - o Policy#or Self-ins.Lic.# 0'3 5�7 Expiration Date: O O l Attach a copy of the workers'compensation policy declaration page(showing the policy number and ex iration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. r do hereby cen y,under the pains and penalties of perjury that the ir{formadon provided above is true and correct. Si � � Date: 0 3 ( (� Phone#: Qjj'rclal use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Licensing Board 5.Selectmen's OBice 6.Other Contact Person: Phone#: www.mass.gov/dia i CHECK 17 5310 NUMBER Johnson Matthey Check Date - 03/13/18 vendor bIa. - 64644 Stub 1 Of 1 AMOUNTNET • 150.00 NUMBER DATE 150.00 030918 030918 p 150.00 150.00 Cl1 c DETACH AND RETAIN FOR YOUR RECORDS I t i i Certificate of Insurance THIS IWSU ANCE(POLICY AND DO SS NA MATTEROT AMEND,EXTINFORMATIEND,OR ALOTER THE COVED RAGEAFFORD DI BYT TTHE POLICIES LISTED BELOW.POLICY LIMITS N ONLY AN CNFERS NO RGHS UPON YOU THE CERTIFICME HOLDER. IARE NO LIE S THAN THOSE LISTED ALTHOUGH POLICIES MAY INCLUDE ADDITIONAL SUBLIMIT/LIMITS NOT LISTED BELOW. This is to Certify that 1435 DEVN MAARK D HOLDINGS INC. Life* 435 DEVON PARK DRIVE, SUITS 600 NAME AND WAYNE PA 19087 ADDRESS OFINSURED INSURANCE L� is,at the issue date of this certificate,insured by the Company under the policy(ies)listed below. The insurance afforded by the listed policy(ies)is subject to all their terms,exclusions and Conditions and is not altered by any requirement,term or condition of any contract or other document with respect to which this certificate may be issued. EXP DATE ❑CONTINUOUS POLICY NUMBER LIMIT OF LIABILITY TYPE OF POLICY EXTENDED POLICY TERM COVERAGE AFFORDED UNDER WC EMPLOYERS LIABILITY WORKERS 6/1/2019 WA7-63D-004123-358 LAW OF THE FOLLOWING STATES: All States Except: Bodily Injury by Accident COMPENSATION OH,WA,ND,WY 1 000 000 Each Accident Bodily Injury By Disease FBodilynjury By Disease 1 000 000 General Aggregate COMMERCIAL 6/1/2019 TB2-631-004123-348 $4,000,000 GENERAL LIABILITY Products/Completed Operations Aggregate $ OCCURRENCE 4'0 0 0 '0 0 0 Each Occurrence ❑CLAIMS MADE $2 QQQ QQO RETRO DATE Personal&Advertising Injury $2 000,000 Per Person/Organization Other ther Each Accident—Single Limit AUTOMOBILE 6/1/2019 AS2-631-004123-338 $5,000 000 B.I.And P.D.Combined LIABILITY Each Person OWNED Each Accident or Occurrence 0 NON-OWNED 7� Each Accident or Occurrence `CJ HIRED OTHER ADDITIONAL COMMENTS •If the certificate expiration date is continuous or extended term,you will be notified if coverage is terminated or reduced before the certificate expiration date. NOTICE OF CANCELLATION:(NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW.) Liberty Mutual BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL OR REDUCE THE Insurance Group INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST 30 DAYS NOTICE OF SUCH CANCELLATION HAS BEEN MAILED TO: Town of North Andover/Office Courtney Connolly of the Town Clerk AUTHORIZED REPRESENTATIVE Joyce A. Bradshaw,Town Clerk New York/0202 t; 12D Main Street 114 West 47th St. m North Andover MA 01845 New York NY 10036 212-391 7500 5/30/2018 I OFFICE PHONE DATE ISSUED I This certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as.respects such insurance as is afforded by those Companies NM 772 07-10 42222125 1 I.M_63 1 6/18-6/19 - Johnson-Matthey Holdings All I Donna smitala 1 5/30/2018 3:18:05 PM (CDT) I Page 1 of 1 LDI COI 268896 02 11 W GIS Coordinates � LAT. 0 Certificate of Registration FP-5 (Rev.05-2009) Massachusetts General Law, Chapter 148 §13 [tense tttn r In accordance with the provisions of Massachusetts General Law,Chapter 148 §13,the undersigned hereby certifies that: Person,partnership,corporation or other entity: 51-,E7-S LL "'"License License Holder ri Vim., /v�- j r Business Address Of icense Holder Is the holder of a license granted on / and subsequently amended on For the lawful use of buildings and structures locat d r to a lot ted at: r' r Number Street and Assessor's Map a d arce D As relates to the keepi , storage,manufacture,or sale of flammables,combustibles,or explosives. A4�� Alj,;, rC-7;zl// ,m�� 3' of Licen H or gent D Prmte Name All materials must be stored in accordance with the provisions of Massachusetts General Law Chapter 148 the Massachusetts Fire Code(527 CMR) and all other applicable laws and regulations including the terms and conditions of the subiect license Quantities stored may not exceed the maximum quantityspecified by the license REGISTRATION This is to certify that the within named license holder has in accordance with the provisions of Massachusetts General Law, Chapter 148 §13 filed with me, a certificate of registration setting forth that the above named entity is the holder of license as relates to the keeping, storage, manufacture, or sale of flammables, cc bustibles, or explosives at the above described location. t oz QA k" 4143 -� Signature o O �cial Qi" Date THIS REGISTRATION AND THE LICENSE MUST BE CONSPICIOUSLY POSTED ON THE LAND FOR WHICH IT IS GRANTED. Certificate of Insurance • THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIRCArE HOLDER THIS CERTIFICATE IS NOTJANSTED ALTHOUGH POLICIINSURANCE POLICY AND ES MAYY INES NOT�E ADD�'NAL SUB�LIMIT/LIM THE�ITS NOT LIUGE STED BEELOOED WTHE���ES LISTED BELOW.POLICY LIMfTS ARE NO LESS THAN TH This is to Certify that 1 JOHNSON MATTHEY HOLDINGS INC. 435 DEVON PARK DRIVE, SUITf_'600 NAME AND mutual, WAYNE PA 19087 ADDRESS OF INSURED L INSURANCE is,at the issue date of this certificate,insured by the Company under the policy(ies)listed below. The insurance afforded by the listed policy(ies)its subject to all their urns,exclusions and Conditions and is not altered by any requirement,term or condition of any contract or other document with respect to which this certificate may be issued. EXP DATE ❑TYPE OF POLICY ❑EXTENDED CONTINUOUS POLICY NUMBER LIMIT OF LIABILITY m POLICY TERM WORKERS 6/1/2017 WA5-63D-004123-356 COVERAGE AFFORDED UNDER WC EMPLOYERS LIABILITY LAW OF THE FOLpL(O:WING STATES: COMPENSATION OH Late NDcWY nth' urybyAccident 1 Uea� t Bodily Injury By Disease 1 000 000 PONMUb Bodily Injury By Disease 1 0 00 COMMERCIAL 6/1/2017 T62-631-004123-346 General GENERAL LIABILITY $4,000,000 m OCCURRENCE Products/Completed Operations Aggregate ❑CLAIMS MADE $4 000,000 Each Occurrence 2 000 000 REMO DATE Personal&Advertising Injury $2,000,000 Per Person/Organization Other AUTOMOBILE 6/1/2017 AS2-631-004123-336 Each Accident-4ingle Limit LIABILITY $5 000 000 B.I.And P.D.Combined m OWNED Each Person m NON-OWNED Each Accident or Occurrence HIRED Each Accident or Occurrence OTHER ADDITIONAL COMMENTS •If the certificate expiration date is continuous or extended terms you will be notified if coverage is terminated or reduced before the certificate expiration date. NOTICE OF CANCELLATION:(NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BELOW.) BEFORE THE STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL OR REDUCE THE Liberty Mutual INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST 30 DAYS NOTICE Insurance Group OF SUCH CANCELLATION HAS BEEN MAILED TO: Evidence of Coverage � Karyn Lessard � New York/0202 AUTHORIZED RERESEFA-7—TVE s 114 West 47th St. New York NY 10036 212-391-7500 5/31/2016 OFFICE PHONE DATE ISSUED This certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by those Companies NM 772 07-10 30159696 1 U_63 1 6/16-6/17 - Johnson-Ratthey Holdings All I Donna smitala 1 5/31/2026 1:58:54 PM (CDT) I Page 1 of 1 LDI COI 268896 02 11 The Commonwealth of Massachusetts Department of IndustrialAccidents > I Congress Street,Suite 100 Boston,MA 02114-2017 www.massgov/dia Workers'Compensation Insurance Affidavit:General Businesses. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Business/Organization Name:Johnson Matthey Pharmaceutical Materials, Inc. Address:25 Patton Road City/State/Zip:Devens, MA 01432 Phone#:978 784 5000 Are you an employer?Check the appropriate box: Business Type(required): 1.❑✓ I am a employer with 209 employees(full and/ 5. ❑Retail or part-time).* 6. E]Restaurant/Bar/Eating Establishment 2.❑ I am a sole proprietor or partnership and have no 7, ❑Office and/or Sales(incl.real estate,auto,etc.) employees working for me in any capacity. [No workers'comp.insurance required] 8• ❑Non-profit 3.❑ We are a corporation and its officers have exercised 9. ❑Entertainment their right of exemption per c. 152,§1(4),and we have 10.❑✓ Manufacturing no employees.[No workers'comp,insurance required]* I LE]Health Care 4.❑ We are a non-profit organization,staffed by volunteers, with no employees.[No workers'comp.insurance req.] 12.0 Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. **If the corporate officers have exempted themselves,but the corporation has other employees,a workers'compensation policy is required and such an organization should check box#1. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy information. Insurance Company Name:Liberty Mutual Insurer's Address:175 Berkeley Street City/State/Zip: Boston, MA 02117 Policy#or Self-ins.Lic.#WA5-63D 004123-356 Expiration Date:06/01/17 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify,under the pains andpenalties ofperjury that the information provided above is true and correct. Signature: pp p� te: � 1 -7 Phone#: l� to ! �� 3 D 1 � Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Licensing Board 5.Selectmen's Office 6.Other Contact Person: Phone#: www.mass.gov/dia ' /Ir Liberty Mutual Insurance Co.Nat'l Ins Northeast 2000 Westwood Dr. Wausau,WI 54401 MAIL DOCUMENT Certificate of Insurance Delivery by ecertsonlineTM Town of North Andover/Office Sender: Donna Smitala of the Town Clerk Joyce A. Bradshaw,Town Clerk Phone: 715-870-6376 120 Main Street North Andover MA 01845 Subject: Cert No.35871377-Certificate of Casualty Insurance:Johnson Matthey Holdings,Inc.- Date: 5/30/2017 No. of Pages: 2 URL: www.LibertyMutual.com trs � t� © cc v� Q la 4jl-- tloc*nt wpgLc ed by the Liberty Mutual Insurance Group. ttactd dr� t(s)contains a Certificate of Insurance for the Insured named above.Y our any4 listq=Qa organization requesting receipt of this document(s). an�' ns regarding the content of this message, please contact y our local sales p'che'r Dig 'hoseq and telephone number appears in the lower right hand corner of the attached i I I THIS MESSAGE IS INTENDED FOR THE USE OF THE INDIVIDUAL OR ENTITY TO WHICH IT IS ADDRESSED AND MAY CONTAIN INFORMATION THAT IS PRIVILEGED,CONFIDENTIAL AND EXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW.IF THE READER OF THE MESSAGE IS NOT THE INTENDED RECIPIENT,OR THE EMPLOYEE OR AGENT RESPONSIBLE FOR DELIVERING THE MESSAGE TO THE INTENDED RECIPIENT,You ARE HEREBYNOTIFIED THAT ANY DISSEMINATION,DISTRIBUTION OR COPYING OF THIS COMMUNICATION IS STRICTLY PROHIBITED.IF YOU HAVE RECEIVED THIS COMMUNICATION IN ERROR,PLEASE NOTIFY US IMEDIATELY BYTELEPHONE,AND RETURN THE i ORIGINAL MESSAGE TO US AT THE ABOVE ADDRESS VIA REGULAR POSTAL SERVICE. f Certificate of Insurance Delivered by ecertsonline"m Insurance Visions,Inc.All rights reserved. i j i Certificate of Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON YOU THE CERTIFICATE HOLDER, THIS CERTIFICATE IS NOT AN INSURANCE POLICY AND DOES NOT AMEND,EXTEND,OR ALTER THE COVERAGE AFFORDED BY THE POLICIES LISTED BELOW.POLICY LIMITS ARE NO LESS THAN THOSE LISTED ALTHOUGH POLICIES MAY INCLUDE ADDITIONAL SUBLIMIT/LIMITS NOT LISTED BELOW. This is to Certify that I JOHNSON MATTHEY HOLDINGS, INC. 435 DEVON PARK DRIVE, SUIT E 600 NAME AND �b _ Mutmi . . WAYNE PA 19087 ADDRESSle OFINSURED L I INSURANCE is,at the issue date of this certificate,insured by the Company under the policy(ies)listed below. The insurance afforded by the listed policy(ies)is subject to all their terms,exclusions and Conditions and is not altered by any requirement,term or condition of any contract or other document with respect to which this certificate may be issued. EXP DATE TYPE OF POLICY ❑CONTINUOUS POLICY NUMBER LIMIT OF LIABILITY [-]EXTENDED 0 POLICY TERM WORKERS 6/1/2018 WA5-63D-004123-357 COVERAGE AFFORDED UNDER WC EMPLOYERS LIABILITY LAW OF THE FOLLOWING STATES: COMPENSATION All SWAB Ex WY Bodily Injury by Accident 1 000 000 Each Accident Bodily Injury By Disease 1 000 000 Bodily Injury By Disease 1 000 000 COMMERCIAL 6/1/2018 T62-631-004123-347 General Aggregate GENERAL LIABILITY $4,000,000 0 OCCURRENCE Products/Completed Operations Aggregate ❑CLAIMS MADE $4,000,000 Each Occurrence $2 000 000 RETRO DATE Personal&Advertising Injury $2,000 000 Per Person/Organization Other her AUTOMOBILE 6/1/2018 AS2-631-004123-337 Each Accident—Single Limit LIABILITY $5,000,000 B.I.And P.D.Combined OWNED Each Person 0 NON-OWNED Each Accident or Occurrence HIRED Each Accident or Occurrence OTHER ADDITIONAL COMMENTS 8 .— >=Q •If the certificate expiration date is continuous or extended term,you will be notified if coverage is terminated or reduced b efore the certificate exp' M< J CAM OT APPLICABLE UNLESS A NUBER OF DAYS IS ENTERED BF ORE FTICEOTHE STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL OR EDUCE T E) R 1 L iVWy Mutual INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST 30 DAYS NOTICE 4W In;i6nce Group OF SUCH CANCELLATION HAS BEEN MAILED TO: t 1 r Town of North Andover/Office C ufuyu.Ld- m.Cnrnc�. of the Town Clerk Courtney Connolly Joyce A. Bradshaw,Town Clerk New York/0202 AUTHORIZED REPRESENTATIVE t s 120 Main Street 114 West 47th St. North Andover MA 01845 New York NY 10036 212-391-7500 5/30/2017 OFFICE PHONE DATE ISSUED This certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by those Companies NM 772 07-10 j 35871377 1 r.M 63 1 6/17-6/18 - Johnson-Matthey Holdings All I Donna Smitala 1 5/30/2017 1:30:11 PM (CDT) I Page 1 of 1 LDI COI 268896 02 11 i 1 i, r d qt� . W3 Department of Fire Services Office of the State Fire Marshal P.O_It., 1025,State Road.Ste,MA 01775 CERTIFICATE, OF REGISTRATION North Andover April 30,2016 (01, ur'tuwn) (I)XI) NOTE:(omp lei e lop and bottom of form and fo ,s ad both...[inns and fee to local Licensing Atahonty gin. or I own CIerk) DO NOT RETURN FORM TO THE DEPAR'INIEN'1 01 FIRE;SERVICES. In accordance with the provisions of Chapter 148,Section 13.of the General Laws,the undersigned hereby certifles that (IITLE HOLDER): Johnson Matthey Pharma Services (ADDRESS): 70 Flagship Drive is the holder of the license granted(Dale): 8/17/1998 for the lawful use of the building(s)or other Amended 8/22/2015 to increase the storage of flammable chemicals from 10.000 gallons to 15.000 gallons. structures) situated or to be situated at (ADDRESS): 70 Flagship Drive NORTH ANDOVER, MA 01845 Wily-Town) as related to the KEEPING. STORAGE, MANUFACI URF.OR SALE OF FLAMMABLES OR EXPLOSIVES. N(1'I E: This certificate of registration must be signed by the holder of the license if said license was granted priur to.luk 1,1936, Otherwise b"y�the owner or occupant of the land licensed. Re d�i�llic) � 011 re� it (�. h t ,) (Addr, ) The Commonwealth ofMassaehasens Department oflndustrialAccidents I Congress Street,Suite 100 Boston,MA 02114-2 01 7 www.mass.gov/dia Workers'Compensation Insurance Affidavit:General Businesses. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Business/Organization Name:Johnson Matthey Pharmaceutical Materials, Inc. Address:25 Patton Road City/State/Zip:Devens, MA 01432 Phone#:978-784-5000 Are you an employer?Check the appropriate box: Business Type(required): 1.❑O 1 arm a employer with 175 employees(full and/ 5. ❑Retail or Part-time).* 6. �RestaumnNBar/Fazing Establishment 2.❑ 1 am a sole proprietor or partnership and have no 7. ❑Office and/or Sales(incl.real estate,auto,etc.) employees working for me in any capacity. [No workers comp.insurance required] 8. ❑Non-profit 3.❑ We am a corporation and its officers have exercised 9. ❑Entertainment their right of exemption per c. 152,§1(4),and we have 10.❑� Manufacturing no employees.[No workers'comp.insurance required]' 4.❑ We are a non-profit organiration,staged by volunteers, I I.Q Health Care with no employees.[No workers'comp.insurance req.] 1. 12.0 Other 'AnY apylu antMN chrda box#1 must also fill out me moon blow showing thair workers compmanon policy informmion. "Ifthc cotporre otrce have exempted themselves,but me corporation hasotheremployees,a workerscompensation polity is reIuimdendsuch xn orgarmason should check box#I, l am an employ"that is providing works,rnmpemadon insurance for my employees. Below is the potlry informa9om Insurance Company Name:Liberty Mutual Insurance Company Insurer's Address:175 Berkeley St. City/Staulzip: Boston, MA 02117 Policy#or Self-ins.Lie,#WA5-63D-004123-355 Expiration Date:06/01/16 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A ofMGL a 152 can lead to the imposition of criminal penalties of a fine up 10$1,500.00 andfor one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certlfy,underthepmns andpeaoltfes afperury thatthe mformaaonprovideetd above is true andmrred. Signature, 11] # l Date- I/ o Phone#: �O In �7� v61,� Official use only. Do not write in this area,io be completed by Nty or row"offldoC City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cityrfown Clerk 4.Licensing Board 5.Selectmen's Office 6.Other Contact Person• Phone#• www.mass.gav/die e s � Department of Fire Services Office of the State Fire Marshal P. O. [lox 1025, state Road, Slat,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30,2011 t(ip:or l'orsa» fume) NOTE: Complete top and bosom of form and nonvurd bull,tt sue,and Ice lu lucid I Jcensing Amhority fC'iIs or'I own Clark) DO NOT RETURN FORM TO'I HE DEPARTMENT OF FIRE SERVICES In accordance with the provisions off hapter 148, Section 13, of the General Laws, the undersigned hereby certifies that: (TITLE HOLDER) S I I I S LLC - Phram-ECO (ADDRESS). 70 Flagship Drive is the holder of the license granted(Date): 81711998 for the lawful use of the building(s) or other Amended 8/22/2011 to increase the storage of flammable chemicals from 10,000 gallons to 15.000 gallons. sit ucture(s) situated or to be situated at (ADDRESS): NORTII ANDOVER, MA 01845 (Gin or Too., as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMAHLES OR EXPLOSIVES. NOTE: '[his certificate of registration must he signed by the holder of the license if said license was grunted prior to July I,1936, Otherwise by the owner or occupant of the land licensed. / lieceivcd .2(II I....__. __._., .__ _. ...... _.� fOlicml l'illal (C'lerk) (Snna n'hdhcr 1111111,ocnipunl or holAv) ...................................................... /� �p (Add.... LQdYlM1.Q11M).fsLfzf' Q2/l /LCtQdcIGlLUs22LG0. s / vti s Uep rrtmcnt of Fire Services z Office of the State Fire Marshall F O Ito n �. Snm 12na Sans, MA Il l'17? h REGISTRATION North Andover, ApriI30,2011 tonorlDvm (D.AL) his is to certify that S"PETS LLC -Phram-ECO as, in accordance with the provisions of Chapter 149, Section 13, of the General Lrnvs, Ncd with tie a certificate of gxhation setting forth that. S'IT I S LLC - Phram-F:CO the holde of the license granted(Late) 8/17,1998 cr the lawful use of the budding(s)or other structure(s) situnred or to be situated at ,related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMAHLLS OR,1�I'LOSIVIiS. 0.S"'o"and Ulrmul nflo Clerk Note.A xo1 fiwlu of x,e,aiuo mual be tiled on or hubre Apnl 3o' of each)car (THIS REGISTRATION MUST DE CONSPICUOUSLY POSTED ON THE PREMISES.) EXPIRES APRIL 30, 2012 ` `_ C'%ft l('o nr vea rxova/l/ (��^ /�rr,Uac/ zde((d GIS Coordinates -i w —G Lic rise [UN Massachusetts General Law, Chapter 148 §13 FP Laaac Number IPe,-os"zoos) ❑ New License 3-At ended License _ After notice and hearing, and in accordance with Chapter 148 of the Mass. General Laws, a license is hereby granted to use the land herein described(or the purposes described. 7 t/�Location of Land 1 s s ta. t dmlam Owner of Land: �ll.� Address of Land().net. LlLs'. Ira, '`,1L 2i�'LIL't] Flammable and Combustible Liquids, Flammable Gases and Solids Contplelr this serrinn far'the smragn of/laminrzblc mid conihuoiible lipnids.solid.,, mtd gnw.c. All tank"and ivnmin" n�e eorr..dered fidlfor the purpasas al Geea.lrye rind penrrlirbig. otrinclt addlriorml pages if.....esnp l PRODUCT NAME CLASS NIA%IMU.M UNITS CONTAINER QUANTITY gal.,Ibs, UST,AST, 16C, cable tcu( Iran,, LP-pas (Cmnplete[h ,sanian%nr the slurvge of I I'-gar nt'ps'opnnrl Maximum sprint,ty (in gallons)ofI P-gas at be storm in ,be, ,ornd eonWlnci, List sizes and capacities of all ally,ycground containers used for storage ivinxinani,quarnt,(in gallons)cf LP-bus to he t red in underground contalnets: List sizes and capacities of:ll tmderground containers used for storage _ Twirl I oggrelete quantity of all I P PIS to he slot d - Fireworks (Cmnp1cre11in senlnnf r-the xmra,gr(llyt"'k,) Maximum nmount (in pmaul,)of Class I.R; . Maximum amount(in pound,)ofClms IAG. _ Maxlomm amouN a,,pmuida)of On, lA: Toed aggregate quantity of all clauses of liracorks w bs stored. THIS LICENSE OR,k cii 111'[ED COPY I HEREOF MUST BE C'ONSPICIOUSIA' POSTED ON "rHE LAND FOR WHICH 11 IS GRAN IED. Explosives (Complete tM16 seoilun l r 'I"...nzs) Maximum emmmt(o,puundsq of 0111 1.1 NN ber of mugaa'mes used &,rsmrn81 Maximum amount(in pounds)ofClzss 1.2- Nwnberuf magazines used Cur sturage- _ Maximum emoum(ln pmnds)of C l ass 1.3: Number of maguzines used for storage: Maximum ameu,(in pnunde)u t('Inss I A s'umber of magaeines used for stumge: Maximumumoum(in pom¢Lr).Klass 1.5: _ Number of used for smrage. _ Maxinmm amm�nt(!v pmmdv)of Class 1.6: tiumher nil magazines used fonawrage- 1 'censine Authority Use: 'Phis license is granted upon the condition that the licensed activity will comply with all applicable laws. codes, rules and regulations, including but not limited to Massachusetts General Law, Chapter 148, and the Massachusetts Fire Code(527 CMR) as amended. The license holder may not store materials in an amount exceeding the capacities herein specified unless and until any amended license has been granted- ADDITIONAL Rh S'1'RICTIONS: � THIS LICENSE OR A CI?RI IFIED COI'Y I HEREOF N1US"1 RE COVSPICIOCSLA' POSTED ON 1'HE LAND FOR NN'HICH I ' IS(;RANTED, ragr rrv2 um..os^aoy) -- 50.90 1 JVMOpNL A. 19Johnson Matthey se'NY FHARMA SERVICES CHECFLi—MAD 25 A XPS PATTON ROAD NUMBER 171605 p3[O.Op OEVENS,MA 01434 DATE AMo 08/17/11 $******10000 .00 ONE HUNDRED AND 00/100 vo11 AFTER po oAvs rvO SIGNATURFS REWIRED ANTHORIZEO REPRESENTATIVES OF JORNSON MATTHEY PHARMACEUTICAL MATERIALS INC. PAVTOTHEORDEROF TOWN OF NORTH ANDOVER ARC �( 120 NAIN ST NO ANDOVER MA 01845 PUTN I1- 1716051I• 1:0 2 1 309 3 791: 63015156359091I• 1 h A �J1 Johnson Matthe `J.PE 171605 y Check Date - OS/17/17 UMRER N Vendor No. 64644 Stub 1 of i INISDICE COMMENT NUMOER DATE 081611 081611 Flamm Storage License Bra Is 100. 00 100.00 ----------- ---------- -- 100.00 100.00 OE TACH AND RETAIN FOR YOUR Rr CORDS Fitzgibbons Karen From: Bradshaw, Joyce Sent: Monday, June 06, 2011 8:45 AM To: 'Gail Grosbeck' Cc: Fitzgibbons, Karen Subject: RE: Application to Increase Flammable Storage License I will get back to you with the date of the Selectmen's meeting that we will put this on the agenda. They are meeting tonight. you need direct abutters and the Assessor's can supply that. We will prepare the legal notice once we have the meeting dates. We will get you copies of the notice when ready and they must be mailed certified mail. Will let you know if there is anything else we need. From: Gail Grosbeck fmailto•GGrosbeck@jmusa.coml Sent: Monday, June 06, 2011 8:23 AM To: Bradshaw, Joyce Subject: Application to Increase Flammable Storage License Joyce, I'm completing the application to increase my company's flammable storage license and I've never done this type of application before. I want to make sure I understand the process and that I have all my ducks in a row. I've spoken with the Fire Chief and the Fire Prevention Officer about the proposed storage increase. I have the application ready to go. Karen in your office advised that I draft a letter to submit with my application stating why we are seeking the increase. I've done that as well and have attached it for your review. I want to be sure that the letter contains information that you want. The one item I have left is to get a list of abutters. I have a map that Garret in the Assessors office sent over. What we weren't sure of is how the abutters are determined. The MGL 148 Sect 13 does have specific language regarding abutters of said land and those directly across from said property. Do you have any additional requirement to notify others? I understand that this week is your town meeting and you will be very busy early this week. I'd appreciate any guidance you can offer so I can get this matter before the Selectmen as soon as reasonably practical, given all the notices and certified mailings that must happen. Thank you for your time and look forward to hearing from you. Regards, Gail Grosbeck Environmental Coordinator Johnson Matthey Pharma Services 25 Patton Road Devens, MA 01434 office 978-784-5607 t TOWN OF NORTH ANDOVER OFFICE; OF TOWN CLERK 120MAIN XIRFF:T NOR[ 11 ANDOVFR, MASSACH(1SF"EI S 01845 O' RORTry, ~O u Tele hmn (978 Joyce A. Bradshaw, CMMC -� P )688-9501 7m. .( 1,k, R FAX (979)688-9557 9, uss�`s MEMORANDUM TO: 1 racy Watson, Chairman BOS Members of the Board of Selectmen James Purcell, Interim Mown Manager FROM: Karen A. Fitzgibbons, Asst. Town Clerk DATE: August 17. 2011 SUBJEC"1: 70 Flagship Drive Attached please find an application from Johnson Matthey Pharma Services,25 Patton Road, Devens, MA to increase the storage of flammable chemicals from 10,000 gallons to 15,000 gallons at their location of 70 Flagship Drive. The chemicals will continue to be stored in 55 gallon drums in the existing storage locations. According to a letter from Fire Chief Andrew Melnikas, the applicant has been working with a Fire Protection Engineer and is aware of the need to comply with all applicable fire safety codes. Given their assurance, the Fire Department does not have any additional fire safety concerns regarding this change in license. The legal notice was published in the North Andover Citizen on July 29, 2011. the abutters have been duly notified and proof of mailings are in the tile. If you have any questions or concerns please do not hesitate to contact me. Thank you. !JMs Johnson Matthey Pharma Services June 6. 2011 Ms. Joyce Bradshaw, Town Clerk Office of the'I'own Clerk 120 Main Street North Andover, MA 01845 RE: APPLICATION TO AMEND FLAMMABLE STORAGE LICENSE AT 70 FLAGSHIP DRIVE-JOHNSON MATTHEY PHARMA SERVICES Dear Ms. Bradshaw: Johnson Matthey Pharnta Services respectfully submits the enclosed application to amend its Flammable storage license for the property at 70 Flagship Drive, North Andover. The request is generated by business needs that warrant the use of additional flammable chemicals to meet client project demand. The current flammable storage license allows JMPS to store 10.000 gallons. JMPS is seeking to store 15,000 gallons in the building. The chemicals will continue to be stored in 55 gallon drums in the existing storage locations. A list of the proposed chemicals is attached to the application along with a copy of the current license. Please advise when this matter can be brought before the Board of Selectmen lot review. JMPS recognizes there are requirements to provide notification to abutters and a letter of intent no less than two weeks prior to the meeting. Should you require any additional information From JMPS to assist in approving this request please contact Gail Grosbeck at 978-784-5607 or via email at g grog sbeck(n)imusn.com. Sincerely, (jail Grosbeck Environmental Coordinator Attachments Johnson Matthey Pharmaceutical Materials, Inc. 25 Patton Road Devens, MA 01434 Tel 978-784-5000 Fax 978-784-5500 Johnson Matthey Inc.70 Flagship Drive,North Andover MA FLAMMABLE LIQUID STORAGE AS OF AMENDED LICENSE APPROVAL 2011 VNIT2&a Flammable Solvents&Reagents Average # of Normal Gallons Drums in Storage Maximum Ethyl Acetate(Class iB) 8 10 - 550. _n-Heptane (ClasstB) 8 -_ tO 550 - Toluene (Class IB) __.. 4 _... . . 8 440 Acetonrirde (ClasstB) 4 6 330 Ethanol (Class tB) 2 4_ _ zzo tB) 4 4 220 Acetone (Class Methanol (Class 16) 8 to 650 Tetrahydrofuran (ClasstB) 3 4 220 Isopropanol (Class IB) 4. 4 220 Tricthylamine (Class tE) t z uo - Pyridine (ClasstB) 1... z .-. - . uo t-Butyl Methyl_Bther (ClasstB) 5 6 330_ -.. . - Butanol (Class t6) '. 2 4 zzo Methyl Ethyl Ketone (Class tB) zo _. zq _. .1320 _. . _ -__ Methyl[sobutyl Ketone (ClasstB) 20 24 7320 Isopropyl Acetate (ClasstB) 6 8 440 26o Diesel Fuel (Class t6) _ __. __. Hazardous Waste Speut Solvents 20 28 1540 Unit 3&4 Flammablcs Total 120 158 8950 UNIT _. _ - ._. __. . ------ __ - __ - n-Heptaae lass 113) __._.... _ ... . __,.. . ___ .. _ _ _. . .. _ . ... . .. Aeetondnle (Class tB) The system contains an average of 2400 gallons of any one or two of the solvents listed on the left plus an additional four to Methanol(Class iB) . twenty drums of the same solvents for makeup. An additional _ one to five drums of Isopropanol or n-Heptane is used as Ethanol (Class IB) hydraulic fluid Isopropanol (ClasstB) Methyl Ethyl Ketone (Class tB) Methyl Isobutyl Ketone (Class 16) Tank Storage 2400 _.______ - ty _ 27 t485. Toml DTUTS - _. Hazardous Waste Solvents 4 8 qqo Unit 2 Flammables Total u _ 35 4325. _.. Total Building Storage 141 _. 193 13275 Last Update: 6/1/11 AC :�� �T� wrrmrrrarzrrrecc�� o''^✓fTakNe<,�i.(inall' GIS Coordinates Application For License FP=2A Massachusetts General Law, Chapter 148 §13 (Rav-o4-zoto) ❑ New License Ii�B/ Amended License Application is hereby made in accordance with the provisions of Chapter 148 of the General Laws of Massai,husees fare license to store flammables,combustibles or explosives on land in buildings or struoNres herein described. Location of Levd- F �i! UvrVe Halo- L1 Fr'P `21Q�/07.L' -�J7 �i Td3n ,r,Mi".1 cm .._ Attach a plot plan of the properlyIndivatlog the locatloa of property Into, tr and all buildings or suctures. OwncrofL ,l and: 0_VAt',/.T L-LC— Addressof Land Owner. f TI'tOr^ 'O✓1 t,(GYc 'r live and Occupancy of Buildings and Svucmres: lAdjA/Yry�('�'r�n/(�t{-�/�pf 119h ✓/ _ If AM,is an apphcat on tu, ra pr merngot� isRt Ireense indicate date of original license and am suhseyuva amendments _—_�/ nn�l n Flammable and Combustible Liquids,Flammable Gases and Solids Complete fhi.r sact io.Jor elmsrorage nf1lammahle and,ven aanih,liquids,eolidr,andgae' sce 527 LAIR 14; Arai additional pagvo iilneuled All ranks and""Iraners arc aonsidervd/idl/ur on,puryoses alli"aseg and permfnfng. PRODU'CTNAME CLASS MAXIMUM UNITS CONTAINER QOAMPIIY gall-,Has, UST,AS'1,IBC, Az X� (l feel drums la Total quantity of all flammable liquids to be stored: ✓F�D�J ga Total quantity of all combustible liquids to be stored: .�C� F'J Total quantity of all flammable gases to be stored: Tool quantity of all flammable solids to be stored: LP-eas (Complete this s,tmnfb,rh, storage fLP-gas oryrap,,o,) Indicate the maximum quantity of LP-gas to be stored and the sizes and capacities of all storage containers. (See 527 CMR 6) .• Maximnn quantity(in gallons)of LP-eas to be stored in aboveground containers- USA s17e'and capacities of all aboveground containers used for storage: ! Maximum quantity(in gall...)of LP-gar to II,smred in underground containers:._____ _. Listsizes and capacities of all undergmand iunaroas,,caved to,aWorge:. 'foul aggregate quaia ine of a l l Ll-gas to be stored Fireworks (Complete this seem,fr the enrage c/It,111or IL) Indicate classes of fireworks to be stored and maximum quantity of each class. (See 527 CMR 2) Maximum amoum Un potwds9 of Class 1.3G: 1111class of magaaine used Ibr storage: :• Maximum ummmt(in pounds)of Class 1.4G: _ Type/class of mega,mv used for storage. b Maximum umounl(in povncis)ofClass I.4: 'Type/class of ulage,me used forstorage'. Total aggregate quantity of all classes offireworks to be stored: Explosives (Cs pl,m this...tionf,the storage fexplosives) Indicate classes of explosive to be stored and maximum quantity of each class.(.Sec 527 CMR 13) •: Maximon amoum(fn povndsl of Class 1.1: Number of magazines used for storage: .• Maximum amount(in p..ds)of Class 1.2, Number ofmagazioes used for storage- •? Maximum amount(in pnand.,)of Class 1.3: sambernf muui,ares used for snrage'. o Maximum amount list pounds)of Class 1.4: Number of magazines used for storage. •e Maximum amount(m I fs)of Cbcs 1.5: Number of magazine used for storage: Maximain auroua(in poursdc)of Class 1.6: _ Number ofvagaria,s used for storage: hereby attest that I am authorized to make this application. I acknowledge that the information contained herein is accurate and complete to the hest of my knowledge and belief, I acknowledge that all[materials stored pursuant to any❑censer granted hereunder must be stored or kept in accordance with all applicable laws,codes, rotes and regulations, including but not limited to Massachusetts Chapter 148,and the Massachusetts Fire Code(527 CMR). I further acknowledge that the storage ofany material specified in any license granted hereunder may not exceed the maximum quantity specified by the license Signature � r Date G 4 // Name rlalz Fire Deparonenr Use Onl) 1, ,Head of the_ Fire De{tanment endorse this application with my ❑ Approval O Disapproval tluW o 'A<Pirc lkfavn ... _._ .. Dn ,gnu' rt o n. Recommendations.______,------, _ FP-2A (Rev_04/2010) Page 2 Fitzgibbons, Karen To: legals@wickedlocal court Subject: Publication of legal notice Hi Mary, The Town of North Andover would like to place this legal notice in the North Andover Citizen on July 29, 2011: Town of North Andover Licensing Commission Public Hearing Notice Notice is hereby given that a public hearing will be held on August 22, 2011 at 7:30 pm in the Selectmen's Meeting Room, 2nd Floor rear, 120 Main Street on an application from Johnson Matthey Pharma Services, 25 Patton Road, Devens, MA 01434 to increase the storage of flammable chemicals from 10,000 gallons to 15, 000 gallons at 70 Flagship Drive, North Andover. The chemicals will continue to be stored in 55 gallon drums in the existing storage locations. Tracy Watson, Licensing Chairman 70 FLAGSHIP DP. LEGAL NOTICE /kaf Town or Nara Anmve, LkarthO gOommleslon Pubec Nadng Notice bill_ Johnson Matthey Pharma Services Net,.la neteby given that a publlc hearing will be and on August 22, c/o Gait Grosbeck 2011 at 7: 0 pm in the salac an$ Meeting F1com,2nd Floor res,, 12o 25 Patton Road Haan great o an apppilceRon from Devens, MA 01434 the AOM,Oaverro;MA 014BJ to reeds tlla tloryppee of Nammeble 15AW 11a I O,g00 gallons to North AM{ever.Th 'bN la Will tontine to be stora0 In 65 gallon shunts In the exMMBslwagalBceearc. Please acknowledge receipt of this e-mall and confirm date of publication. TracyWeYon Thank you! Karen Licensing CM1 A0e12.49001I i Andover 71A1/tt �iNvnL.�omrz �.F 97S 68S 9,501 a0urcerronbutterl x L Ruudng Depe coosemanon r zoning I 1 FEOUNtEMENT' ucVx. mnm ,. s aagb i s . applsaeie i .m n i mryeriwn,4b q+n np Wam ai imrsy o^wn,am rry pynnn0 eoeN of erory m,.onp my vlarn. SubleRPmoeM' 'MAP PARCEL Nen Atlatlreas 107.0 79 JOMAT,LLC One Thampaan Squem,S.A.205,Chatlsmn,MA 02139 PROPERTYLOCAWM. 70 Flagahlp On,,NaM AnOO ,,MA 01H/S A "tea P.— tleae AddT s 10.0 23 Pkoco- 4343 Von KamMn$uile tl35p Nenlnse-1 CA92060 107,C e5 Del,ey sn,e - 79 Marian Dnvq NOCII Anoomr MA 107 C Te Gelevy.LLC 8 LO l SPeel,Pepperell,MA 01463 10T.0 113A6B Margaret Fl¢gad10 05AFlagstip C— Nee,,Gvaq MA01845 107.0 113C DemolWy5,LLC 85 C FIe90.1 DMe.Nonh An.-, MA 0{845 107.0 113D TBSW.LLC , BSO Flagahlp Dm ,Nonh Ai aveq MA 01845 1W1C 113E 6113) SWtl Buil8inB 22 LLC 12 Rope9 Hoaq Heven,11 MA01895 107.0 111 F Flagship,NA LLC 12 re. ,Lane,Wakelield MA 01860 107 C 113 G Flagahlp,NA LLC- 85 G FlogshP Dave.NC A,I—,.MA 01045 1W.0 113H MohS Iard 19Wng Rood Lynnfie .MA01940 102.0 113K Ky-0oun Realty 8SK Flagahlp Drme,Nonh AnEovar,MA 01645 This certifies that the names appearing on the records of the Assesso Office as of Certified by: Dale ' A/ Fitzgibbons Karen To: legals@wickedlocal.com Subject: Publication of legal notice Hi Mary, The Town of North Andover would like to place this legal notice in the North Andover Citizen on July 29, 2011: Town of North Andover Licensing Commission Public Hearing Notice Notice is hereby given that a public hearing will be held on August 22, 2011 at 7:30 pm in the Selectmen's Meeting Room, 2nd Floor rear, 120 Main Street on an application from Johnson Matthey Pharma Services, 25 Patton Road, Devens, MA 01434 to increase the storage of flammable chemicals from 10,000 gallons to 15,000 gallons at 70 Flagship Drive, North Andover, The chemicals will continue to be stored in 55 gallon drums in the existing storage locations. Tracy Watson, Licensing Chairman 70 FLAGSHIP DR. LEGAL NOTICE /kaf Town of North Andover Liceneing Commieeion Publlc Hearing Notice yy Bill: Johnson Matthey Pharma Services nae`ngswilll beYholl'deoobnitrust 22 c/o Gail Grosbeck 2011 at 7'ao vm 'm the selectmehe Maini6treatoon ao applicrationr lmm 25 Patton Road Johnson manna Pharma Sona a 25 Devens, MA 01434 Patton Road, sae s, MA 01434 to ccrease the storagge of flammable hemicals from 10,000 gallons to Isom gallons at 70 Flagship Drive, North Antlover. The chemicals will continue to be stored In 55 gallon drums In the existing storage Iabov ers. Please acknowledge receipt of this e-mail and confirm date of publication. Tracy Watson, brothers Cihalmlan Thank you! Karen A11p12560010 Nodh Andover CAzen 7Y 11 =w, l.Aw 97&688-9,501 t BTW, still working on getting Fire Chiefs signature on my application to increase storage. Most likely next week I'll get his sign off and then drop off package in your office. If we don't make July's i meeting that's okay. I appreciate your assistance. Gail Regards, Gail Grosbeek Environmental Coordinator Johnson Matthey Pharma Services 25 Patton Road Devens, MA 01434 office 978-784-5607 cell 978-399-8182 yyrpsbeckC7 mu sa,cg m If the reader of this email is not the intended recipicm(s), please be advised that any dissemination, distribution or copying of this information is strictly prohibited. Johnson Matthey Inc. has its main place of business at 435 Devon Park Drive, Wayne, PA, 19087 USA While Johnson Matthey aims to keep its network free from viruses you should note that we are unable to scan certain emails, particularly if any part is encrypted or password-protected, and accordingly you are strongly advised to check this email and any attachments for viruses. 'Ihc company shall NOT ACCEPT any liability with regard to computer viruses transferred by way of email. Please note that your communication may be monitored in accordance with Johnson Matthey internal policy documentation. .. , , .:. r- nryu//www_s9c s/a/e ma us/ore/oreidr mm rease 2 'FO)NN OFNORTII AN DOA ER Fine Dep.1rtnicni I'Ire Prevmnion Office CcNral Dire Ileadyuaocrs I'_a 8-I�11N SIRI[I_I tyOl<III vA1)0 '6R. %1ASSA(I I I;SG I-IS 018I3 1'dcphonu(N78] 688-9593 PAX 19181688-9�94 4...he"r.19el... /)re('hirl "um Guha" a_]?non jA rlh D"drn Cr 61 /}ederick Ilr'(?rrlhr Firr Prrrru/ion O%/firer F..t/cCt�rlhrn7oirnuh�or[hundurer.i mn Date: August 15, 2011 To: Karen Fitzgibbons From: Andrew Melnikas, Fire Chief Re: Johnson Matthey The North Andover Fire Department has been working with Johnson Matthey regarding their license application for increased flammable storage on their property. They have been working with a Fire protection Engineer and are aware of the need to comply with all applicable fire safety codes. Given their assurance.the Fire Department does not have any additional fire safely concerns regarding this change in license. Respectfully, Chief Andrew Melnikas Fitzgibbons, Karen To: Melnikas, Andrew, McCarthy, Fred Subject: 70 Flagship Drive Attachments: noreply@townofnorthandover com_20110804_120145 Good Morning, Any recommendations or comments you can provide re this project would be appreciated. I would need them no later than Monday, August 15th, as they are scheduled for the August 22nd BOS/Licensing Comm meeting. Thank you, Karen 1 o AV o ce unea rre p Pdum H¢celitl Ftt as,msM1 G �. ��—_ I Posm,¢�k fSEor.¢mpn Aaqun tl) Pray �t p twM Amvnr Hors 111 I6¢fa' rM9u' 1 __ N (E '.wsv IOo�N P¢ li � YL.P Sa BiF W `..�.+6L� � YrW� 9 ftf I.V .g �� • .. �b Gmpfl '13 n f u Y r m g m a -- A 3 � p sawm Pawmc¢. �j—✓_y_� .PPH p Ha P grea —..�.'SL_ Pwifn 'n ri p (EEO wmanfl I) LJ�' O f6NOms .Prqulrxlj �, 3C) H C] PwMctetl Po4veryF ��� p HearMBO U¢ivmy Fai N fF NarvsmentP 81M) N RMnreemanrAryulmtp ��� r iG ibl Nv /Z Racy _..{ u��.Na. GIy S.L14➢Fe4 � �// 7 p'.541q 11YA ...[.... rn ID 1 ti ' N rMl tlF p PWumP e¢ Fu 2 ryry� p fHl'/Ja�9l lAytl Fv9 1 tll� ,36 � ar'!• ..� yr�� 11NNNN P nj Ik.shrlN CeIN ryFoe F1Mr PryulmE N (E¢Ir Sartgor Hag h601 � '� Told PoeNJ ans I..y �� p A 85=.? 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Johnson Matthey Flagship Drive Abutters List Attachments: NA Ltr to Increase Storage 6-2-11.docx, FP2A Application Pkg to Town Clerk 6-9-11.pdf Karen, I drafted a brief letter to accompany our application. I've attached the letter, the chemical list and the application for your review. I planned on dropping off the application, letter and required documents to your office along with the required site plan. The application must be signed off by the Fire Chief, which hasn't been done yet. I planned on getting his signature next week and then dropping off the entire package to your office. Is the letter's content sufficient? I wasn't sure how much detail the letter required- The date of 7/18 works for us. And that offers plenty of time to get notifications to our neighbors. Thank you again for your help. Gail G. Regards, Gail Grosbeck Environmental Coordinator Johnson Matthey Pharma Services 25 Patton Road Devens, MA O1434 office 978-784-5607 cell 978-399-8182 ggrocbeck(a:jmusu com »> "Fitzgibbons, Karen' <kfitzgibLtowncfnorthandover.com, 6/9/201110,44 AM >>> Hi Gail, I will try to help as Joyce Is not here. First of all, you mentioned sending a letter of intent to Joyce for your project. I have not seen the letter yet (Joyce may have it). She is out until Monday so I will check with her on Tuesday. Or, you could scan or e-mail me the letter and your completed application. From that information, I will produce a legal notice that you must send (certified mail) to the names on your abutter list. Proof of mailing must be returned to our office before the BOS meeting. I think we can get your project on the July 18th BOS/Licensing Comm meeting agenda. Does that work for you? I am out of the office tomorrow and will return on Tuesday at 8:30. Please do not hesitate to contact me with questions/concerns. 1 Fitzgibbons, Karen To: Gail Grosbeck Subject: RE: Johnson Matthey Flagship Drive Abutters List That sounds great Gall. If all this is completed in the time frame you outlined, I see no reason why your project cannot be on the 7/18 meeting agenda. When you drop off the materials next week, I (or Joyce) can complete the legal notice, fax it to you, and that will be sufficient to send to your abutter list. Remember, we need proof of mailing so save those slips from the post office. If you have any other questions or concerns, please do not hesitate to contact me. Karen From: Gail Grosbeck fmailto:GGrosbeck(aimusa.coml Sent: Thursday, June 09, 2011 11:30 AM To: Fitzgibbons, Karen Subject: RE: Johnson Matthey Flagship Drive Abutters List Karen, I drafted a brief letter to accompany our application. I've attached the letter, the chemical list and the application for your review. I planned on dropping off the application, letter and required documents to your office along with the required site plan. The application must be signed off by the Fire Chief, which hasn't been done yet. I planned on getting his signature next week and then dropping off the entire package to your office. Is the letter's content sufficient? I wasn't sure haw much detail the letter required. The date of 7/18 works for us. And that offers plenty of time to get notifications to our neighbors. Thank you again for your help. Gail G. Regards, Gail Grosbeck Environmental Coordinator Johnson Matthey Pharma Services 25 Patton Road Devens, MA 01434 oil-ice 978-784-5607 cell 978-399-8182 6'6'rg-1��ti${°1rAUsacum l Karen From: Gail Grosbeck rmailto:GGro_sbeckCnimusa.coml Sent: Wednesday, June 08, 2011 10:06 AM To: Bradshaw, Joyce Subject: Johnson Matthey Flagship Drive Abutters List Joyce, I picked up the abutters list for the property at 70 Flagship Drive; the list is attached. Can you provide an example of a notification letter orjust offer the key items we must include in our letter to abutters? Or is the meeting notice considered the notification to abutters? I just want to be prepared and have everything ready to go. I don't want to jeopardize our spot on the BoS agenda because I didn't follow the process. Thanks again for your help. Regards, Gail Grosbeek Environmental Coordinator Johnson Matthev Pharma Services 25 Patton Road Devens, MA 01434 office 978-784-5607 cell 978-399-8182 gig,rosbeckLiniusa.cgm i.o htl 'fl.. ec stele ma u,c,e/ore tlxhtm If the reader of this email is not the intended recipientls), please be advised that any dissemination, distribution or copying of this information is strictly prohibited. Johnson Matthey Inc. has its main place of business at 435 Devon Park Drive, Wayne, PA, 19087 USA While Johnson Matthey aims to keep its network free from viruses you should note that we are unable to scan certain corals, particularly if any part is encrypted or password-protected, and accordingly you are strongly advised to check this email and any attachments for viruses. The company shall NOT ACCFPT any liability with regard to computer viruses transferred by way of email. 2 PMED Johnson Matthey Pharma Services Johnson Matthey Pharmaceutical Materials, Inc. 25 Patton Road Devens, MA 01434 Tel 978-784-5000 Fax 978-784-5500 autr onty (City or�r Fown Clerk). Do act make application to department at Public Safety. ' lC'(YYl7/79Z(YlZCU2lL�L� G����Lld.1fLC�CG:S�LUY l Tt � 'c �/�rime�al'a`�v� C�+� <ces — /�uu;c�c c���'o,•. ✓viu�nCc`nc e y Clry or Town North Andover Data 8/17/98 APPLICATION FOR LICENSE F or me'awiul use cl the herein nescahed beilding._ar other stmc:ure__. aopticadan s hereby made in accc,aii wdh she provisions at Cribber 14✓3 at the General taws,for tt license to USe rre land or wrid, SOGS bGildlnC._. a,other simaTure_.. are at are la be situated, and only to sCCn eAeat as shown on plot plan wharf is lilac ,in and Tao.a pan at this dp(lli[aCon. Lacatien of iano 70 Flagship Dr. North Andover uesrast c;ess sceet Willows St. rm.a..�,.o..t Owner of land Arena TT': Address 70 Flagship Dr. North Andover Number of Out ar gs or other slNdures Id which This aaplicaucir applies 1 Occupancy or use a!such buildings Multi Tenant Industrial Total case:ty of tanks ir,gallons: —Abovegroune 10 000 Unaerg do rrc Kina Of.",ulC lC be stores in larks'. —Abavagrounc _Zlapvnr Lai of f hl a Underground A..ccrcved = Disapproved 7ii 65N, D2 v J A✓Abf/G-fl—' __ —__—_ �.� ___ _—__ —_ C�rrmrirecueaL�h e�✓G�cw.c�cli«IeCZ �FC 'J re/un✓nx.;r,,,r c� s��-✓s'x E+ccaa ��wilrcnr�Jr .�.ank ��r r;�✓rrVa � =1 City or Town, ;worth Andoyux Cate /r'- 1_1 LICENSE In accordance with the promsi0ns of Chester 146 of the General Laws,a license is hereby granted to use the and herein 0e5'Y'1;ec `a,the lawful use of the bull Cing....or other structure....which iavare or lstate to be situated therean and as described on the plat clan ded'w On he a sication for this license. _ccauon of iand 70 Fl g hid Dr Nort t s t h A dnver Nearest oss ree( Willows r- re.�rA, Owner of and 5tets LLC Acdress 70 Flagship Dr. North Andover uumber of b,io ngs or nine, s:mc'utes to wmc,into apinlcanon applies 1 - Jccsoanq muse at such Cu,1tI Mill h i 'tenant liadliul'r i a Totaiczpacty of tanks in gallons_—Abevegroune 10.000 __Underground _ Xina al fluid fo oamtea In tanks'—Abov.cound _ Unacrgrcund Festnc mre THIS LICENSE OF a PHOTOSTATIC OR CEFTIFIEO COPY THcREOF MUST 13E CONSPICUOUSLY POSTE:]IN A PRC i=_CTPC -'-2lrew,5m 7s'ol PLACE ON THE L4NO FOR WHICH IT IS CRANED Lind,0 Weslwootl Drrance Co.Nat'l Ins Norihadat Wausau,W154401 MAILLLIIDOCUMLENT Snider Nicholas Mlsoni Town of North AndoverrlOffice -- - of the Town Clerk "Phone: 715-870-6135 Joyce A. Bradshaw,Town Clerk 120 Main Street SUbJeclo NIA 772(07110)certificate of Casually Insurance'. North Andover MA 01845 Johnson Varney Holdings,Inc. Date: 512 812 01 5 No. of Pages: 2 URLu www.LibertyMutual.com This document was issued by the Liberty Mutual Insurance Group. The attached document(s) contains a Certificate of Insurance for the Insured named above. Your company is listed as the organization requesting receipt of this document(s). If you have any questions regarding the content of this message, please contact your local sales producer whose name and telephone number appears in the lower right hand corner of the attached Certificate. FIT IS MESSAGE IS INTENDED FOR THE LEE OF THE IN DIVA OR ENTITY TO MICHIi IS AFORESAID AND MAY CON TAIN I NFORMATION➢HAT S PRIVILEGED,CONFIDENTIAL AN O EXEMPT FROM DISCLOSURE USES R APPLICABLE AGE IF THE READER OF THE MESSAGE S NOT THE INTENDED RECIPIENT,OR THE EMPLOYEE OR AGENT RESPONSIBLE fOR OELNERIIA THEME GRACE TO THE INTENDED HE61REX[LOU AFE HERE BY NOT IFITo IRAT My OISSFMUN AT ION 016iRI BUTTON OR GOP YIN G OF THE COMMUNICATION IS STRICTLY PROHIBITED IF YOU HAVE RECEIVED THIS COMMUNICATION IN ERROR,PLEASE NOTIFY ICE IMEDIATELY BYTE L`ELOVE AND REURN THE ONALEAL ME MAGI TO US AT THE MOVE ADDRESS VIA REGULAR POSTAL SERVICE. - Certificate of Insurance Delivered by ecertsonllne T" Insurance UaionG,Inc.All rights reserved. CDrliftcate of Insurance THIS CERTIFICATEIS ISSUED AS 4 MATTFR OF INFORMATIOF ONSUBJEl"LY AND t OFFERS NO all IS UPON YOU ME CIA IFICN'E FOI I)ER THIS CFAIIFIC4TE IS NOT AI: INSURANCE POLICY AND DOHS NOT AMEND,EX I£Nn OR ALTER THE COl I R 14E AF1'ORDI D 6Y TIM POI WITI LISTED BEI1w P01111 LIMOS ARLNO LESS THAN THOSE 0DE This is to Certify that I JOHNSON MATTHEY HOLDINGS INC. WA DE PA PARK DRIVE, SUITS 600 NnNIF.nrvn Liberty Mutual. 435 DE O PAR N!AA 5 IIo"IFSm'ED INSURANCE L nun n rE T day 1 Company dr,me RDl rI -II . eI I rn - rN db' n I. aq(Tt 9 Ij - Hall lhdrmm i.emnz wra u Cotdc lno altered by yteP to c ., rbib"F.—ce ul .epue Nt.l I(ac T�t Has no'xrudt RAP DATE ❑CONTINUOUS 'TYPE OF POLICY �ExieNOEO POLICY NUMBER LIMIT OF LIABILITY POLICY TER" W OFTHEFOLLO ORKERS 6/1/2016 WAS-63D-004123-355 COVEEA4EAFl FDEDUNi-C-- EMPLOYERS LIABILITY LAW WINOSIATFS'. COMPENSATION All States Isor Bodily Ill by Aaidem OM,WA,ED,VPrI' 000 OOOc.a�Aa�d�a 000 000 Bodily Infnry Ey Disease 1 000 000 • COMMERCIAL n.ml Ayyreyat. GENERAL LIABILITY 6/1/2016 TB2-631-004123-345 $4,000,000 OCCURRENCE Products/Complemd Operations AORrtSmc $4 000 000 ❑CLNMS MADE FnN Oamrcna $2 000 000 7tR7 o,1.1 r Pee Peonot Or - $2.00Q000 Famaauon OiaAU'fONIOBILE Fwli Aaideal—SI.Re Lons $5,000,000 B I.and PD.Corralled LIABILITY �/I I=ndi pe— M oll F.acn Accdent of Occlocna rm�.\ON(IW\CD L'J AIRED FaeM1 Accident P,Oer—r. OTHER ADDITIONAL COMM LNI I •per eeniEwm-bortot but, ar exuryl tam you mill lx nod li=ddc—ore is clonlnmd or(educed bt,bobc—ficmn....moon dam. NOTICE OF CANCF LLAI'[ON (NOT APPLICABLE UNLESS A NUMRFR OF DAY IS FA IT RED BELOW I Liberty Mutual BEFORE THE STATED EXPIRATION DAIS 'IIIE COMPANY WILL NOT CANCEL OR RPDUCL 'IHIi INSURANCE AFFO ION I UNDER THE ABOVE POLICIES UNTIL AT I LAS 1 30 DAPS NOTICE Insurance Group OF SUCH CANCELLATION 111S BEEN MATTED It) f` Town of North Andover/Office 'ti�s��'t'� of the Town Clerk Raryn LessaM Jo A. Brad_Saw,Town Clerk New York 10202 ALnl)lll]FD xLivREsrFTAnvL "? 120 Main Street 114 west 47tn St. €: North Andover MA D1845 New York NY 10036 212-391-7500 5128QO15 LOFFICE PHONIC DATE ISSUED This certificate is executed by LIBLR'IY MUTUAL INSURANCR GROUP as ro,Va,such insurance us is afforded by(host Cmopaoies NM 772 07-10 I OR Cs I ans-snn nare.av ...!Nc xn I n rn=_sa arena I an-oa OF "orl I e u= a ne t tLDI COI 268896 02 11 OcPa<{meo F.CYe M 01115 eStale d sto 0 0i t�sSlt a0 o0c . 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OR SPo ih�F \'e�ss+d license i M wfl S ns Amy., Pt'r`e atledsl s\(eta PNUF PCFb`the bo\dr �ti,.. mnl at° {QRPGF.,M flstb,SIV, . , // alion U` f the \\<cflse /,. 9, e pnd } boAda o � t 2.❑ le} KEF,F\NC,, o(re8`sU roccoPaot ���//�.� ptf OLGUpan or "PI^. re\a(ed(�(h Shis ceM6cflu the owner o IBIe}(hClhf( 3.[] [NO We e Is The Commonweafth ofMassachusens Department ofrndastrlalAccidents Offwe oflnveNigarions 600 Washington Street Barton,AM 01111 www.mass.gov/dk Workers'Compensation Insurance Agdavit: General Businesses Applicant Wormathurs Please Print Legibly Business/Organiration Name: Address:4 � ti CitylState/zip: !f °7 Phone#: Are you en employer?Check the appropriate box: Businesses Type(requhmd): 1.0 1 ere a employer with /GO employees(full end/ S. ❑Retail orpxa-dme).e 6. ResmmanUBm/Fating Establishment 2,❑ I am a sole proprietor or partnership and have no ? employees working for me in my capacity. ❑06ia and/or Seip(loci.net estate,auto,etcJ [No warkers'camp.imum we,required] 8. ❑Non•prollt 1❑ We are a corporation and its officers have examined V. ❑Entertainment their right of exemptlan per c.152,§1(4).and we have 10,®Manulao eng no employees.[No workers'comp.insurance required]' I I.[]Health Care 4,❑ We am a non-profit orgeniafion,staffed by volunteers, with no employees.INo wakem' comp,insurance mq,) 12.Q Other •Airy"Inuat am cfeelo bar NI mM she fill out de reetien setow eAowrna lh6 workar'cmavud'aa polity irlurm inn. ••lithe mryam oalav hive aeny,n4 demseMs,but Ne mryomuonhu ad,v employen,ewoAw'uompwaaon Poilry to r«ryimd en4 welt en orymlmlee d+ould ohed bas NI. lam an employer U�m B provfdi`ng cooCraers{'camp�ensnAon-lrn-surance jar my emp/fo}''set Below B the policy Information. Imtuanoe Company Noma �LF'/C1 �tiTfan � Slarn✓tCZ! O/✓� !tHl! Imunn's Address: 1751 �r'Ial�Y S� Y Citylslatnzip: HA h211'7 Policy#or Self-me.Lia.#I w-7-(,3(r-ooq 1�3-353 Exphndon Data: Attach a copy of the workeW compensation policy deckntion page(showing the policy amne! ezp sdon date).. Failure to=core coverage m required under Section 25A ofMOL c, 152 can lead to the imposition ofmiminal penalties of a line up to$1,500.00 and/or one-ymr imprisomnem,as well us civil penalties in the form ofa STOP WORK ORDER and a fine ofup to 5250.00 a day against the violator. Be advised that a copy ofthis sumancnt may be fmwaded m the Office of Imtitigetiom oftbe DIA for houmnm coverage verifiratlon. t Ida irrohyc r enders epoins audpanahleeof Py Met die hrformmknprovidadabowls rme andcorrcf.. Me' � J�ec� nl�ma 0H!70 Phone#' 30t,- 't Offakl ass only. Do not wrtk N U�0 crag robe cempkmd by etd orJman oJfl4aL ' j City or Town: Permit/License# leasing Authority(circle one}. I.Board of Health 2,Building Department 3.City/Tow.Clerk 4,Licensing Board S.Selectmen's Office 6.Other i Ceabcl Panama: Phone Jk. ' amw.ounaavldia r=�41n LCornrrrttnurna��� r tr �2 r��rAu% / CIS Coordinates Application For License aON11-- FP en Massachusetts General Law, Chapter 148 §13 (Rev o4-2010) ❑ New License YArnended License Application is hereby made in accordance with the provisions of Chapter 148 of the General Laws of Massachusetts for a license to store flammables,combustibles or explosives on land in buildings or structures herein described Location of Land: f(� It ,541 ��'.vt (' ..( 7 j- l:�-lf). it 's1+6r nim =no —�— Attach a plot plan of the property indicating the location of property lines mad all buildings or structures. Ownerof Land: Address of land Owner: 0,— Lse and Occupancy of uildings and Structures If this is an application for amendon IQofan ist" ltcense,indicate date nnforiganal license and any subsequent amendments Flammable and Combustible Liquids Flammable Gases and Solids Complete this.seetionfi the storage or flammable and c'ombusable liquids .vchd.+'. undhases:.ree 121 CMR 14 Attach additiattal pµg s ifneeded All tanks and conml tors arcc nstde ed fidl for theproposes afliccoding and pmvnbting. PRODUCT NAME CLASS MAXIMUM UNITS CONTAINER QUANTITY gal.,lbs, UST,AST,IBC, Cubic feet drums Total quantity of all flammable liquids to be stored: Total quantity of all combustible liquids to be stored: Total quantity of all flammable gases to be stored: Total quantity of all flammable solids to be stored: LP-¢as Complete our,section for the shrug,oI LP-go, or propane) Indicate the maximum quantity of LP-gas to be stored and the sizes and capacities of all storage containers. t5ee 527 CMft 6) Maximum quantity(in gellnue) of LP-gus to be stored in aboveground containers: List sizes and capacities of all aboveground containers used for storage Maximum quantity(in gallons)of LP-gas to be stored in underground containers: - List sizes and capacities of all underground containers used for storage Total aggregate quantity of all LP-gas to be stored' - }'irew0rks (Complete Ihisxecdan,hr thestatageolferevcorko Indicate classes of fireworks to be stored and maximum quantity of each class. (See 527 CMR 2) :• Maximum amount(in pounds)of Class 1.3G:_ Typeiclass ofmagazine used for storage: _ Maximum amount(in pmmds)of Class LAG: Type/class of magazine used for storage } Max nation amount(in pounds)of Class IA: Type/class of magazine used for storage: — Total aggregate quantity of all classes of fireworks to bestored: Explosives (Contple(e this ,on jot the on no,ufegnlolil-) Indicate classes of explosive to be stored and maximum quantity of each class. (.See 527 CbfR Ls) Maximum amount(in pounds)of Class 1.1'. Number of magazines used for storage: __ Maximum amount(in pounds)of Class 1.2: Number of magazines used for storage: Maximum amount(in pounds)of Class 1.3: Number of magazines used for storage: S Maximum amount(in pounds)of Class IA: Number of magazines used for storage: Maximnnt amount tin pounds)of Class 1.5: Number of magazines used for storage: .• Maximum amount( /in pounds)of Class 1.6: Number of magazines used for storage. h 6y 'I Cr",A-Cjk , hereby attest that I am authorized to make this application. I acknowledge that the information contained herein is accurate and complete to the best of my knowledge and belief. I acknowledge that all materials stored pursuant to any license granted hereunder must be stored or kept in accordance with all applicable laws,codes,rules and regulations,including but not limited to Massachusetts Chapter 148, and the Massachusetts Fire Code(527 CMR). I further acknowledge that the storage of any material specified in any license granted hereunder may not exceed the maximum quantity specified by the license. Signature 5ela, Date- Ca 4 f/ Name c c lz Crr�cu�L�� F-c Depot uncut Use Only q I,,,��,/�, ���er F /Lire Department endorse this application with my yr.vpproval ❑ Disapproval s�s� eii n r n _ Recommendations: FP-2A(Rev.04/2010) Page 2 Nate: Complete top of tarn and forward both sections and fee to local licensing authority (City or Town Clerk). Oa not make application to department of Public Safery. VJU'77'!//7'.!/JZCl�1j2CLGGiZ G�Vv�CllIQCLCiLG//EGG'.l '-,�, � �efianfimrrcd a��ur: VC v�uecea — �vwdwrc a��r�n ✓�eveCeon a Cityor Town NORTH ANDOVER Cate APRIL 30, APPLICATION FOR CERTIFICATE OF REGISTRATION In aasnaince with the provisions of Chapter 148, Section 13. of the General laws, the undersigned hereby aerates that STETS LLC - PHRAM-ECO Y 70 FLAGSHIP DRIVE, NORTH ANOOVER, MA s :he naider of license granted AUGUST 17 11998 for the lawful use of the buildings) or other saucture(s) situated or 70 FLAGSHIP DRIVE :a ae =atea at as related to be KEEPING. STORAGE, MANUFACTURE OR SAL OF FLAMMAELES OR EXPLOSNES. NORTH ANDOVER MA _ Afore his appllcalion for cerdfidefe at regrs:Avon must be signed by the holder of the license it said license was granted prlar ro July 1. 1936, Otherwise by the owner or ocaupanr of the land licensed. Fecstved Submitted by av -------- -------------------------------------. `�`,®3e� �; �efca�GmereC c��vvg cJ rr xcvs —��irz�ax�ra<urzdcd Co�xa�e�vin�C ✓gym C',ty or Town NORTH ANDOVER pate APRIL. 30, REGISTRATION -,,.s s Za-entry mat STETS LLC - PHRAM-ECO eai in accomance with the provisions of Chapter 148, Sector '3, of the General laws, filed with me a certificate of reglsti se ding 'cnh mat STETS LLC is the holder at the license gtanrea AI1Gl1,ST 171 1998 for the lawful use of the buildel at other structurill situated or a... :c oe situated at 70 FLAGSHIP DRIVE, NORTH ANDOVER, MA as reoatep to ne KEEPING, STORAGE, MANUFACTURE OR SAL OF r.AMMABLES OR EXPLCSIVES. sue...-.—ci o'M. Nora:A cemhare of'e'5rhi must Ge filM on ar aelore Aoril]pin at eaca yeah -rIIS REGISTRASION MUST BE CONSPICJOUSLY POSTED ON THE PREMISE5 "'ir,-16 Note: Complete tap of form and forward both sections and fee to local licensing authority (City or Town Clerk). Do not make appliotion to department of Public Safety. �c7�mc�ruuea`C�i ��C/l/�a�aclivae�lC�Z`t a �e/LO/xri2f�I✓. 6�V'r/✓= C-/✓IY�UCCCb — �NYd.O�/o d��� ✓�✓%uB�A.6n 3 City or Town NORTH ANUOVER Dale APRIL 30, APPLICATION FOR CERTIFICATE OF REGISTRATION In accoomanca with me provisions of Chapter 1a8. Section 13, of the General Laws. the undersigned hereby certifies :ha( STETS LLC — PHRAM—ECO r. u --- 70 FLAGSHIP DRIVE, NORTH^ANODVER, MA a me holder of license granted AUGUST 17, 1998 for the lawtut use of the buildings) or other structuretsl rtuatea or m oe situated at 70 FLAGSHIP DRIVE 5—,-- as remied to Me KEPING. STORAGE, MANUFACTURE OFl SAL OF FLAMMAELES OF; EXPLOSIVES. NORTH ANDOVER MA and r� Nerd: 'is application for cemfrrare of regrsrrauon must be signed by the holder of the licarea if said license was granted pnor;e July 1, 1936, erhenvrse by the owner or occupant of the land licensed. Pece"ec Submitted by --- - -- - ------ --------------------------------- �— � CC 6�Yl7//72!/YGUJ2LrtiGlZ G����%GCIA6CLGlZ�QE�i.L r-. =�,®i� �, '�e�,GrnvzC c��vxg C7�e�kces —'2Gitr�r�n,«NtdClCarar�e�am� Jrn�rznc NORTH ANDOVER APRIL 30, City or Town Date REGISTRATION ' 'a i;o cams, Nat STETS LLC — PHRAM—ECO n acorcance with ;he provisions of Chanter 148, Section 13. of ate Ceneral Laws. filed with me a carlficare of reglsraucn settirg 'crtn mat STETS LLC is the holder of the license granted AIIGUS'Y 171 1998 for the lawful use of the buildings) or other strucurelsl situated or a,. c ve situated at 70 FLAGSHIP DRIVE, NORTH ANDOVER, P1d as reia:ec 'o T..e KEEPING. STORAGE. MANUFACTURE OF SAL OF FLAMMASLES OR EXPLOSIVES. s:o,.w.,m ome.r r Note:A cemfiocrs el/eg crhsto, r or de fileh on cr before April Xth of can year. HIS REEISTRATION MUST BE CONSPICUOUSLY POST cD ON THE PREMISES Nate: Complete top of lean and forward both sections and tee to local licensing authority (City or Town Clerk). Da not make application to department of Public Safety. _ j�, �e7rumoozeuyea��� e�C�/�/�arJaccc�icu�eGl� 83, �efzai+'riicevcCap� urro• V eirrtxeea — 1217 arc a� urn ✓�i�vercCecn City or Town NORTH ANDOVER Date APRIL 30, APPLICATION FOR CERTIFICATE OF REGISTRATION :n acrcanca with the provisions of Chapter 148. Secoon 13, of the General Laws, the undersigned hereby aemfies :hat STETS LLC — PHRAM—ECO 1. 70 FLAGSHIP DRIVE, NORTH^ANOOVER, MA a the holder of license granted AUGUST 17, 1998 far the lawful use of the building(s) or other struc:urels) situated or c.'. to oe situated at 70 FLAGSHIP DRIVE su...w.�. as related to me KEEPING, STORAGE. MANUFACTURE OF SAL OF FLAMMABLES OR EXPLOSIVES. NORTH ANDOVER, MA ,vote' his aoplic3lion for cervfirare of regrstra➢on must be signed by the holder of the licensed said license was granted poor u,July 1. 1936, otherwise by me owner or occupant of the land licensed. Fecerved Submitted by ov _- -- --_ - -------------------------------------- _ ® 3, �efeaixGmaieC a�-�J vxa LJ e�riece5 — �'�irzdmx�xountdC-/Coaw�e C�/vin� ✓>�� NORTH ANDOVER APRIL 30, City or Town Date REGISTRATION ^,ts a :o cenity mat STETS LLC — PHRAM—ECO as. .n acardarce with the provisions of Chapter 148. Season 13. of the General Laws, filed with me a certificate of registration sell 'onn :hat STETS LLC is the holder at the license pramec ADGU4T 17. 1998 for the lawful use of the building(s) or other 4NCtlrea) situated or o.. '.o oe stmatec at 70 FLAGSHIP DRIVE, NORTH ANDOVER, NA as retarea to me KEEPING, STORAGE, MANUFACTURE OR SAL OF R.AMMABLES OR EXPLOSIVES. s,.—.m arao.�rw Nate A cem6ore of reg6Raapn as.be filed on or aetore Apnl 30M of aaca/ear -HS REGISTRATION MUST BE CONSPIC�CUSLY POSED ON THE PREMISES re�xx'se', Nate: Complete tap of farm and forward both sections and fee to local licensing authority (City or Town Clerk). Ca not make application to department of Public Safety. � �c7rumaozusea`C�z ri�C�l/`a�aac�zu/eCly ✓, pan City or Town NORTH ANDOVER pale APRIL 30, APPLICATION FOR CERTIFICATE OF REGISTRATION In acraance with the provisions of Chapter 148. Section 13, of the General Laws, the undersigned hereby cent 'hat STETS LLC - PHRAM-ECO 70 FLAGSHIP DRIVE, NORTH ANODVER, MA a me hoieer of license granted AUGUST 17. 1998 for the lawful use of the building(s) or other struc:urefsl s:;uatea or ou. to ae smaeea at 70 FLAGSHIP DRIVE as rela[ea to he KEEPING, STORAGE,MANUFACTURE C� SAL OF Fv1MMABLES OR EXPLOSIVES. NORTH ANDOVER MA Note: Trs application for camrcare of registration must be signed by the bolder of the license if said license was granted poor ro Juiy 1. 7936, arherwtse by the owner or db=�panr of the land licensed. Pece"ec Submitted by ow. wuw Qr. --- - -- ---------------------------------------- UI^ ��m��L�l�tzC��L v` V✓ C {yi�Q��� LMFym efaonrGmareCG� vrg e;Wirras —� /Lizr�ax psurzdVCoxa�e�iol ? 1�'� City or Town NORTH ANDOVER pate APRIL 30, REGISTRATION 'vs s :a-entry net STETS LLC - PHRAM-ECO -�. In acarCance with the provisions of Chaoter 148, Section t8, of the General Laws, filed with me a certificate of regtsrenen sen:ng :one mat STETS LLC Is the holder of the license granted ADGPST 17, 1998 for the lawful use of the builaing(s) or other snucmre(s) sauated or ar. s oe s:r,aod at 70 FLAGSHIP DRIVE, NORTH ANDOVER, hU1 as reiatec to me KEEPING. 57CRAGe. MANUFACTURE OR SAL OF F.AMMABLES OR EXPLOSIVES. Nate:A cemfiare of regsbtvb n must oe file,,on or perore April]0M 01 eon yeaf r JS RE_-IS7aA71CN MUST 2E CONSPICJOUSLY POSED ON THE PREMISES Note: Camplete top of fora and forward bath sections and fee to local licensing authority (City or Town Clerk). Do net make application to department of Public Safety. III Dc477/In-o-rl6(J�j2LL�C� ^ate �Cf[O/YrM.P9tl6�✓'r/I4 C-�Il/�W.C26 — �LW.6G0�/c d��UV9 ✓-K N✓/IL�i6�L Clryar Town NORTH ANDOVER Date APRIL 30, APPLICATION FOR CERTIFICATE OF REGISTRATION h acarcance with, the provisions of Chapter 148, Section 13. of the General laws, the undersigned hereby Certifies ;hat STETS LLD - PHRAM-ECO 4. n 70 .FLAGSHIP DRIVE, NORTH ANODVER, MA a Me roltler of license granted AUGUST 17 1998 ter the lawful use of the building(s) or other sbucturets) situated or ou. to be situated at 70 FLAGSHIP DRIVE as related to me KEEPING, STORAGE, MANUFACTURE OR SAL OF FLAMMABLEs OR =XP'_OSiVES. NORTH ANDOVER MA cr d rw.. ,Vote This advacavon for camficata of registration must be signed by the holder of the license it said license was granted poor x Jury 1, 1936, otherwise vv the owner or occ✓pant of the land licensed. Pecewed Submitted by Cv ...,.. s.,....,........�,au.a.Boa.. ---------------------------------------------. �f/YYl/YI2�/YLUI2CZ�� G�C�/�GCl,SQCLG�G�i.L ® �, �efearxGmarnCaxe Ge�Aecea — G�inde�nouinc�C-JCoacu�e C�✓om� ✓, >z City or Town NORTH ANDOVER Date APRIL 30, REGISTRATION -'so to cemri that STETS LLC - PHRAM-ECO n accordance with the provisions of Chanter ;a8, Section 10. of the General Laws. filed with me a certificate of reglsttzner seeing 'arm mat STETS LLD is the holder of the license grained AT GUST 17, 1998 for Me lawful use of the buildings) or other smim e(s) situated or o.. a oe s;tuared at 70 FLAGSHIP DRIVE, NORTH ANDOVER, NA as relater ;o me KEER NC. STORAGE, MANUFACTURE OR SALE OF F AMMABLES OR EXPLOSIVES. area.,ru,. Nara'A coral of regrsrrawn must Ce file]on or Galore April lore of can year, 'HIS PEGISTRA-ION MUST BE CONSPICJOUSLY P057ED ON THE PREMISES Note: Complete top of form and forward both sections and tee to local licensing authority (City or Town Clerk). Do not make appliatidn to department of Public Safety. � �canirrwortrsea`Cli a�C�l/�o%,�tzclivaeCly �efza�line�reCa��'vx? �e�ru..cea — �vwacaoz a��vxs ✓�i�iuenCccn City or Town NORTH ANDOVER Date APRIL 30, APPLICATION FOR CERTIFICATE OF REGISTRATION In ac nsl with the provisions of Chapter 148, Secion 13, of the General Laws. the undersigned hereby certifies :Pat STETS LLC — PHRAM—ECO y. . 70 FLAGSHIP DRIVE, NORTH^ANODVER, MA is the nolaer of license granted AUGUST 17, 1998 for the Iawlul use of the building(s) or ocher structured) sauatec or to de situated at 70 FLAGSHIP DRIVE as related to me KEEPING, STORAGE. MANUFACTURE OR SAL OF FLAMMARLES OR EXPLOSIVES. NORTH ANDOVER NA cn o,I— Note: ?us application 10,certificate of registration must be signed by the holder of the license if said license was granted pnoro July 1, 19,76, otherwise by the owner or occpdanr of the land licensed. cecemec Submitted of ov n.... mo..,a..o�.r.omit.,.o•� acss,.r'd 'om^' --- - ------------------------------------- ----. a"racaeacN'/ .a®�e y �efta x(r'nam.CG���"LXe tJ EX^KC21 — �///W��?"4UnL6 lJ Cd1'61�4 V QM/G ✓ XR�MQ/11L City or Town NORTH ANDOVER Cate APRIL 30, REGISTRATION -piss;o cemly that STETS LLC — PHRAM—ECO n accdmanca with :he provisions of Chapter 148. Sector, 13, of the Ceneral Laws, tiled with me a certificate of registration sailing onn that STETS LLC is the holder of the license granted Al (;Ut T 17 1998 for the lawtul use of the buildings) or other strucureof situated or o r. c be situated at 70 FLAGSHIP DRIVE, NORTH ANDOVER, NA su..r...o.�c.. as relates to me KEEPING. STORAGE, MANUFACTURE CR SAL OF FLAMMABLES OR EXPLCSIVES. s'_„w owo. rn Now A cemficare o1 registration must�a filch on or belore April 30M 01 eacr year. rlls REGISSRATICN MUST RE CCNSPICJOUSLY POSTED CN THE PF,E?dISES - Rrsec rse: Note: Complete top of form and forward both sections and fee to Iecal licensing authority (City or Town Clerk). Co not make application to department of Public Safety. Mi �c7�rnrrruueca�Cfi G�c/G� � ccy � 'd J¢fL2X�inLf�IcC b�.V'N9 C_�P/JWCC26 — �t/WMA'YL 6�V"vK� �r�lU%�LGY4 4 City or Town NORTH ANDOVER pale APRIL 30, APPLICATION FOR CERTIFICATE OF REGISTRATION !n acmance with the provisions at Chanter 148. Section 13. of the General (Laws, me undersigned hereby camfies 'hat STETS LLC - PHRAM-ECO b 70 FLAGSHIP DRIVE, NORTH ANODVER, MA is the holder of license granted AUGUST 17, 1998 for the lawtul use of the building(s)or other 9ructureb) situated or ;a oe situated at 70 FLAGSHIP DRIVE s�...w..,e.r as retatea to me K`c?ING. STORAGE, MANUFACTURE OR SAL OF FLAMMABLES OR EXPO OSIVES. NORTH ANDOVER MA Note: "ta a,vic ven for camfiwre of regispstlon must be signed by the holder of the license if sad license was granted poor to July 1. 1935, dthenmse by the owner or p¢upant of the land licansed. Fece"ec Submitted by -__ _ _________ ______________��—,�_�/ __—___—___ ____--_ lz�\\ � `�c�amim�recueaCC�i r�L%aLalaac�uaeG�t �.®j y -%¢�LILJr�T.%ICCG��I'/iX9 �CX'UU.C1 — ///f�XO.NC.b C/CdX2CZ2VCtnNG � Ciry ar Town NORTH ANDOVER pate APRIL 30, REGISTRATION 'vs s 70 comfy mat STETS LLC - PHRAM-ECO ras. In accomance with the provisions of Chanter 148, Section 13, of the Ceneral Laws, filed with me a certificate of regtstrancn setting 'ortn hat STETS LLC is the holder of the license grantec AUGUST 17 1998 for the lawful use of the buildings) or other strucmrelsl situated or a... :c oe situated at 70 FLAGSHIP DRIVE, NORTH ANDOVER, MA as rotates to me KEEPINC. STCRACE. MANUFACTURE OF SAL OF Fv1MMABLES OR EXFLCSIVES. Nate:A Cerritos at ragatrabon must be filer on or cerdre April J-0M ai can year THIS REGIScATION .MUST BE CONSPICUOUSLY POSTED ON THE PREMISES __ revsaa r9c, Note: Complete top of farm and forward both sections and fee to local licensing authority (City or Town Clerk). Do not make application to department of Public Safety. �c7rumancueca�l`c ���Gl ��ccy �2,NLfRMtp�V' 4 � - 2/1d� City or Town NORTH ANDOVER Date APRIL 30, APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with the provisions of Chapter 148. Section 13, of the General (Laws, the undersigned hereby camfies that STETS LLC - PHRAM-ECO y. 70 FLAGSHIP DRIVE, NORTH ANODVER, MA s the hoider of license granted AUGUST 17 1998 for the lawful use of the building(s) or other struclurels) siWalee or b be snuated at 70 FLAGSHIP DRIVE as related to me KE'F'%G, STORAGE. MANUFACTURE CA SAL OF FLAMMABLES OR EXPLOSIVES. NORTH ANDOVER MA Note: -his application for cenifirare of registration must be signed by the holder of the license if said license was granted prat ro July 1. 1936. otherwise by the owner or occupant of the land licensed. P.ecatved Sustained by by --- - -- ------------------------------- ------- -- � �Camirr�rrrzcuea�Cli r�-� //�a�aaClivaeC�iy a�.®� 3, �efeaaGmareCa��vxe �e�uecaa — �lirr.�ar�xouns¢7VCoaa�e�ain.E ✓rx�>z �o7 Clry or Town NORTH ANDOVER Da1e APRIL 30, REGISTRATION Cris a to sanity oat STETS LLC - PHRAM-ECO as, In ac_Jrtranee'with the provisions of Chapter 148, Section 13, of the General laws, filed with me a eemlfipate of registrdtler. sitting 'orr that STETS LLC is the holder of the license cronies AUGUST 17, 1998 for the lawful use of the building(s) or other sm9c ire(s) trustee or '.c oe situated at 70 FLAGSHIP DRIVE, NORTH ANDOVER, MA as reetec to the K-cc_PI.NC. STORAGE, MANUFACTURE CA SAL OF FLAMMABLES CA EXPLCSIVES. o�,n. Nate A ceinfiote st iagrsrratipn must be Merl on or before April 3pm of eacr year HIS RE3ISToATICN MUS-SE CONSPICJCUSLY POSED CN 7HE PFEMISc3 Note: Complete tap of form and forward both sections and fee to local licensing authority (City or Town Clerk). Do not make application to/department/of Public Safety. IIJC!YYI//72G'IZCU2LLr/CIZ G�VG�CLU6CLGiLU/.i2CZS 0 �ef.m.�Grnemt o��ure V✓�w<cea — (7vrxaarc a��'uxn ✓',�urinCcon City or Town NORTH ANDOVER Date APRIL 30, APPLICATION FOR CERTIFICATE OF REGISTRATION ',n acarrance with the provisions of Chapter ;48. Sector 13, of the General Laws, the undersigned hereby cenifies that STETS LLC - PHRAM-ECO 70 FLAGSHIP DRIVE, NORTH ANDOVER, MA a :ne node,of license granted AUGUST 17, 1998 m far the lawful use of the bwldtil or other somewrels; s!tuatec or ar. .o be situated at 70 FLAGSHIP DRIVE su...,....e.r as retailed :b the KEE-?ING. STORAGE. MANUFACTURE Obi SAL OF FLAMMAEL`_S OR EXPLOSIVES. NORTH ANDOVER MA ,Vcrer Thrs apolidavo, for csmoI of regrsbatidn mug be signed by the holder of the license if said license was granted pncr;c July 1, 1936, crhetwo a by me owner or occupant of the land licensed. Pecervec Submitted by ar. sy+.no. _------- ----------------- --------------------_ a _ � �am/rrt�rtccea��i c��luu�aac�ivaeGli5 } 1 3. elxmxGmareL6� vxe cr�icce5 — �Gndexr�ixGeund SCa�'¢�e�am+c ✓ >n 4wy City or Town NORTH ANDOVER Date APRII. 30, REGISTRATION -Is Is tc cemty that STETS LLC - PHRAM-ECO « -.as, In ar_areance with the provisions of Chapter 148, Sector 13, of the General Laws, filed with me a certificate of regis:2ncn sell 'ern Nat STETS LLC a the holder of the license gril AUGUST 17, 1998 for the lawful use of the built ing(s) or other strucuretsl situated or a,. MA se sruated at 70 FLAGSHIP DRIVE, NORTH ANDOVER, su«r,ea.�ar as etalec to Jae KE=PINC, STORAGE, MANUFACTURE OF SAL OF FL.AMMAELES OR EXPLCSIVES. a,.—.ome.r M. Nate:A cemfiate at ragrsrrdnon must be blee on or before April 308I of can year. r1I5 REGISTAATION MUST BE CONSPICUOUSLY POSTED ON THE FREMISc_- - Note: Complete top of tarn and forward bath sections and fee to local licensing authartty (City or Town Clerk). Do not make application to department of Public Safety. li ` T � �c7ninu✓r�cuea`Cfi �c�G� ��tcy ;} �efea�r'LmenCn C,ry or Town NORTH ANDOVER Date APRIL 30, APPLICATION FOR CERTIFICATE OF REGISTRATION In a=roance with me provisions of Chapter 148, Easton 17, of the General Laws. Me undersigned hereby carvfies that STETS LLC — PHRAM—ECO S. 70 FLAGSHIP DRIVE, NORTH ANODVER, MA c the nalder of license granted AUGUST 17, 1998 .o for the lawful use of the building(s) or other struc:uretsl situaiec or o.r. b be smlated at 70 FLAGSHIP DRIVE Sl as elated to the KEEPING. STORAGE, MANUFACTURE OR SAL OF FLAMMAELES OR EXPLOSIVES. NORTH ANDOVEA MA Note- 7,,s aFpdcauon for cerdfirate of registrars,must be signed by the holder of me);cane if said license was granted pnor m July 1, 1 g38, orherwrse by me owner or ocupanr of me land licensed. nec=wed Submilted by cY wo.. -------- -------------------------------------- C �- � IDam�umarceueaCG�i c�C��craaac�ivaeCYii G ®j��� 3, �efw�xlmwrnCp��v,� cJ ex+Jecvs — ��rz�n�rxa�CJ Co�ta�e C�am� ✓ City or Town NORTH ANDOVER Date APRIL 30, REGISTRATION 'vs c to Comfy mat STETS LLC — PHRAM—ECO -as. In accomance with the provisions at Chanter 1 a8, Section 1 J, of the Ceneral Laws, filed with me a cemficate of registration setting 'coin mat STETS LLC is the holder of the license grantee AJIGUST 17 1998 for the lawful use of the buildings)or other struccurels) situated or o.. 'c se situates at 70 FLAGSHIP DRIVE, NORTH ANDOVEA, MA as ,t iatr to me KEEPING, STCRACE, MANUFACTURE OF SAL OF FLAMMASLES OR EXPLOSIVES. sy.w.,,n omo.i rum core'A cembore of reg"cranon musr be blew on or os"April_-Om ae eaev year 'HIS REGISTRATION ML'S. SE CONSPICJCUSLV POSTED CN 7HE PREMISES Johnson NJatthev Pharma Services June 9, 2006 Joyce A. Bradshaw, Town Clerk Town of North Andover Office of the Town Clerk LO Main Street North Andover, Massachusetts 01845 RE: Proof of Workers' Compensation Dear Ms. Bradshaw, Attached is the proof of insurance that you requested. If you have any questions conceming this information please contact me at 978-784- 5349. Sincerely, Gary S. Hastings Environmental Health and Safety Manager Johnson MatH,ey Pha,moceutoal Materials, hc- 25 Patton Road Devens, MA 01434 IeL 978 784-5C00 Fax. 978-784 5500 www_jmpharmaservices.com - - Gary Hastings SCAN6531 OOO.pdf _ _ Page.t iurt-0H-2006 17:06 PHRRM-ECO SCI 1ST 990 464 5600 P.03 The Commonwealth OfMussachusetts _ Deportment offndustrial Accidents - OIDpd � - 600 Washington Street 4' Soston,,Vws. 02111 linWorkers'Com rnsativn Huorvvve AlfidaWt-General Husineves gig ...-1nhnSn✓1�W1_ P�hc��ImacP�h r�.P Wln.fr'�Iu.LS 1 ZivI � a �z Pa�fon 12ocdc( ygr st Mft zitt 0I1(32- h x g�K78Y S o00 anHan mu droa,: O G ,t. h� v�vP No%!i]AYlc�ove� mA i S wor I om a wI<Pr°Metm and have uo dne esivna Type: 0 ReWl❑ReslaHravltHar/Patiag Fsmb)ishmmt wa-S 8 a°Y wpvdTy. ❑Ofr<❑Sales(iodudmg Real Pste,Anion etc.) I am m® 3 =vvitb m In rs (bg 8c art time. OWa I um au mploya providing wmlasr Odmpmaetimfmmymplvyva tiogoetbisjob. JtiN✓� ✓� a �ha�mG �fira-I t?9af:eu(w�s l�'ic 111 '7 -b.3(7 �Q raj 5sb 1m2wlepropriel0t aadbave hiral Wcmdcp dme ra vat hstrA WtaSv wha hove WeSsllowmg wwkae mmpmsaem poliar; Wdxs: Awe N. e eddrfv: ohove Fl — [.K F.IFuv l.ttnm<rovmpe.+ceriW.d ondvr Samoa 25A.f MG1153 uo bd 1.rW r Jn-Wmlmmvryrs 1"sfO Orc vp w Slj O'v.dM1r n'Impce.omm(vweHu.MUPwHka in ffial-1.RFOF WOHROHDERaotl a noe.f510a.09."Yetalwf me 1 md<nbod Wt. e.PY.f 1�aM14mmt m.Yb(aPn,led b We OmcufLrvatlpMm e(<W HIA foae..erage orlfoE.n f do henrbyr der tbePaina and aa:n efpcjfrYthalrhe:n/ormvr5vn pron'Qd above unRe wdearre.L H:�ana n c nea 0 b 109 (o 0 Aiatn •�• ��k G�L Pmaeu 10 9 301d1- .m=oi w•.dY e...<wntemwn..a,mxwmnwm M.in ar nay.m.mi ❑ .a,ma e..ra O<u..ku�<dmm.uPeo.e n.<nwm ❑saro�m.oR.. ❑Real16 oaw.m<m <.moor n•��er pvevea; - Oan.. mr<w<zai �. Certificate of Insurance THIS CER To ISSUED AS A MATTER OF CERTIFICATE THIS CERTIFICATE IS NOT AN SURM'ErPOLICY ANDODESNOTAMEN.,ECTEND,OIIIAOLTER THE CON ONLY OVERAGE AFFORDED HYTHEPOLICIES COIB ERS NO RIGHT UPON YOU THLISTED BELOW,NOLUE0. This IS to Certify that Johnson Matthey Pharmaceutical MFftcMIS, Inc. T ��� liz NAME AND •�� L 7D Flagship Drive ADDRESS OFINSURED mut m. North Andover MA 01845 � �.l�u D. I Ne issue Jwe orlLb emlllmle,ImurtJ by the ComF"ray unJcnhe pa['Icgies1161[J below.Thei Iv ulroNetl by lM1e llFletl polirylic luzuhjmuoulllMlrlemrs,<¢IusionseW Cos.,[—and by no uttered by any lequhemenL lermmmndilion orony o Intl or other doornme with mWO to wirsh Ibis ewlamlu maybe inner. BXP DATE ❑CONTINUous TYPEOFPOLICY �ENTENDEO POLICY NUMBER LIMIT OF LIABILITY JZ]POLICY TEIN1 WD7-69G-004123-356 COVEMGE AFFORDED UNDER w'C EhIPLOYERS LIABILITY WORKERS 6/1/2007 LAW OF'THE FOLLOWING STAT— COMPENSATION CA,CC.FL,GAJL,IN,KY,MA,MI,MO, B [1yln'aryby AtOd:o NJ,tNV,Nv,Pa,TN,TK,uT,vA 1000000EIm A.=1m.' Bodily Dolor,BY Proton 81 000 000 BWny lnpAy By 1 ir�Fe 1000 ODD . Dercm]Aggmpt OlherlMn PlducB/Complekd Opwliom GENERAL LIABILITY ❑OCCURRENCE PmJoru ICo n,le ed OpeMiAO A,,DyNe ❑CINMS MADE Portly Injury mN Pmletly U—ge Liobiliry ane rmm�a R—U11 DATE R-rount toy Per Ptmorl Or IHnaalmn Gn1er n,er AUTOMOBILE .11 A<enle-5hlsle Lndl n,1.And TO.Combine, LIABILITY both Perron ❑OWNED ❑NON OWNED ath AmMoso0lormme ❑HIRED Pooh Accidem or Odor--e OTHER ADDITIONALCONIMENTS This cerilficate confirms coverage for the Johnson Matthey Pharmaceutical Materials. Inc.,70 Flagship Drive,North Andover, MA 01845 location. -Iflro aninefter,goi.,due hcominuom M oronded Dren,—ill benodned lreoremyea,,romweil Y,Dducd bd'ore are¢RlGrnm ego' lion doe ANLAPrLICATMORFILfACTAIMCOM1TAININGAFA EORD4 P9""I HATENTHO nOR-EGlUtUNTISUL'Il YOEININGTHAT HE IS I SORATXCEHUVOO AGAINST AN IXEVRkIC SLRAInS HOPHIITANTNOTICEM FLOIIIR.MUCYIIOWF.Ri AND CERTIFICATE 1101 DENS INTHE EVENT YOU IIAVE ANN QUESTIONS ORT£ED INFORMATION ABOUT ;nnolEIRAPCATE D(mnIED OF111fts CEDIYN FICAMEASE ML AN ROPIUATF.LOCAACT Yeftoft LOCAL L SALES OrTeL MAILING ADDRESSUDereftWoOSENAME ANDM Y ALSO BE OBTANEO BYCAALLINGTHIS ontolR Llbnrty 51u1oRl NOTICE OF CANCELLATION:MOT APPLICABLE UNLESS A NUMBEROF DAYS IS ENTERED BELOW, IDsurmao Croup BEFORE ME STATED INSURANCE AFFORDEED�UNDER TTHEABOVE P041CCIES UNTILATE THE COMPANY VITLLEAS CANCEL UR AYS NOTCC ICE OF SUCH CANCELLATION HAS BEEN MAILCD TO: 9U 11 Faommonsvealth of Massachusetts Y J �[.�.'-� Marie Athens Department of Industrial Accidents Peru,End 0320 Al1TH0Rl]PO REPRESENTATIVE 3 Recker Farm ROad IOO Sheet RDseland NJ 07008 973-533e509 6191200e 600 Washington YO 9 MA 02111 OFFICE PHONE DATE ISSUED BOston J This ca ddie.te is execaled by LIBERTY MUILAL INSURANCE GROUP as respects such insurance us is afforded by those Companies hIM 772 7 167 856 714 - Z 167 6S8 718 Z 167 858 717 us PSI . usft"Service Z Receipt for Certified Mail Receipt for Certified Mail Receipt for Certified Mail - Fbbcuarcecum wPw.JA W Mevanae Cmera]e PmvE d. MO lrcuace co-ers9e Fm,,dK m Do mi�m toF lrtvnahoW MailIS"reserseJrsftmvmse Oo rot ua brlrAain BonalM®15ee[averse I�pnLv te!yll�,ienc se Nominee Trust stets & oz. Der & Denise F. Smith w o D t street #24P 70a shi Drive 7�9 aMari Dr' oston ,�2111 P No. Andover.MA 01845 No. ArTWer MA 01845 �m $ Is .--- nmmeeioi v„;;;.e/-• d3S � FtiimdD+.eiFa <i� ~ wYip i. .y t iberieoeFensee 1c D m $ na,.Ftamq sm.:y u::y` a nsmFmmeisn.+ym O% m PiL,nlKglswam \ —_ MmTa oa20efrwee f` — tt'antamoan.ee b3A0.- —_ clam aoxoe.�ene 'rya " IImmM1F1.4wgbl�p., .��-.��.i � gpsM1t4�+�b � I40mNaA�5M,I9ENt1 — _ 6 O4.IMh el[AMns W¢6JYmnt N6® � pg.6lJYesswSbho mrornEa�earm S a meurbmyeaau S S wcunayearem s - F MUMbEZ;N a � d m 2 167 858 713 Z l67 858 7I6 Z 167 856 715 Us POCaI Saysr ti Receegri for Certified Mail Receipt for Certified Mail u a Y. uoasrm,3r�Fe�.wft " FwnaoosC-erage Receipt ceiptforCertifiedMail Do not irsefa lbemaiiaW Matl Sm rerenn 11oMueb 4rpamakonal Mil see Ne Yaaraire Coterd9a Ptmide4 �U. Do not me la 4iertalianat Mai See rn troplatijIleat ne Realt `lrut'maship D 85"�`o°�`hz�6'ver,, .No. Andover Mul 0184Ower MA 01845 oP-am Pwnx ��l ER,�,� Pmmra S— vavnaDee oeemee � Manaoatomaei --� N ` Rln PoaP 9nrlm nlmnwNs^�Bm ` PmnPee{i8sui9b - <pia6lWegeesalim a pytMlesvh Mims <Cal,EMleast Miev O tltFAlPo9aJeaiees $$ �� O IOTYP»aFim O mrawwmar� S O PorYW wade € Pmme4>Offie P0pef1tIX4b PHFRM-EC0 TE rl �r'.1 l 3eF I`.Li��yw: .xlrneno . OV"I P. 02 Pna Yo ey.� �e eaenee-e^N6 .n.Deno lmme n.l na uvnum We extra f0o)' pMNlnv4i rM rwmlolM bon MtM 'IpW.or allM bed XyamLL.M 1. (] AtlNle6ee'•rt�rom eµ'rIB'Rarum RN'11p Rquvlq'M IN nyIIpl.v bNpw IM NIN n�rtnMc Q.O RwtdCtad Cali...y .TM RNum Rtmw't"I tow to Its Nlaa wu e.IlveM ard lM tlata g d611vv.G. C.oraWt pwbn•abr 10,fee. Jg{ e 3."CIO Addressed to: M.ANe a N imbee $ 1 7 8 Ei g Electroplating Realty :rust 4o.6ervke TYp• S Attn: C. Shibltls ❑ Registered ❑ CaMeo 80 Flagship Drive ❑ Exptm Max ❑ Ir Ural No, Andover, M.A 01845 ❑ ReNm Rama roe MV "M u Coo L l 5.Rx01v y:( dnJ ems fi.Addroww4 Address fcwy jr and leskPaul a. pn4 ro:(A ssee oMgenr R PSForm3811r 06carribe,1004 lozsysxaeova 0"Atic Return ROD91PI ,p •MNUB n.m.l enaorx rot uk rtwvr.nmaa.. rMw wVell to.eceive flM .comp N.u.m.a,4. M4n. following services por en Q .Fne our nem.ene eCartl.mmenron.Nmu rarm wlMLLa can tram lma 84ra fed). d LCL .As-1Oe.ram no rM awe artn.m (Usa..... IM e.d n wau aow nm 1. Q Addressee's Addro66 p n"'t p...pNewN ets"nume.r. 2. m RW`[c`t.d Doll,."very .W 11'RNYm R.cIW RpV.NeE'M 1n.mNl .TR.RNum R.aNN M11.Mwlp w6wnlM Mltl.wet tlNN.rM YN M.0s'. CorleuItpw_ sterforf6e. �'I C G N.ne. G 3,ANde Addre666d lo', 4e.A clo NumCer y Z 167 858 715 + g b.Serve. ype ES Kousin Realty Trust 0 Pi.gatered ❑ oenlRad Attn: J.J. Coos & C.R. •Tomes ❑ Exposs Mail ❑ lnsurw .� . 0 65 Flagship Drive [I Return Raoeipt for MOrciewdm ❑—DOD h1 o North Andover, MA. 01845 T.Defeo 0411. $: ¢ 3, eaelved Y:(Pdnl ems) areeee>sA rase YlJie9✓eaJ6d "cg I errd Jee is peN) F' ¢ 6. I9netur�ddreesnt� S' PS Fqml 3811r D6camber 1994 DORt6Stlo Return Rec9lpt a %t;nvgm: IRI6a Wlah b reC61Ve R1e •eanpu:liem.f, ww etlanen ssme... lallowirt9 wrvieas llw an .Pelarorov n.m.W.e]M.unT.nvN..or Ml.MnwlMl w.un ntum llr. e%fra fax): .npYnwMntnu bn'a le m.xonl611N m.uaw,or en lM r»an.wnaa«na i,C3 ACdreeaos's AEdrse• E .Wn1e1NNam R.urRr R.vv.N.G•u.lM m.up.0 eNow m..nm.r,rmMr. F. 13 Reemded Dexvery .iM RNum fleulq..w anon to wnwn lM.niaa wa.eelr+a.d e+e me Gale Ca wtR M.w for N- �.. d EN NW. 3.ANCIa Addreawd to: b.ANcle Number Z 167 858 716 E : 46,SOMU TYPe Regld0re0 ❑ C•NRed Champagne Realty Trrugt � qI [] Express Me11 U Insured .g Lawrence A. Lyons, Tc. ❑ R•lum Feslpf br 4YmNrldss O !�D 91 85 Flagship Drive i.Dnt•o1 • I North Andover, MA 01845 ' � s. eceW By:(Print N.—) 9.Mdrov m MyttJequesN Ord,J."4 p"?d)e pale) 6. 'gnaNre' � enp Ps Form 3611, Dea•mbof 1994 lozsasa,ea,n DDmest c RetuffRecalpf 09/24/98 14:43 TX/RX N0. 1746 P.002 PHr4pM—ECC, TEL r . 8g. t,86 3eI r4 ' 98 i4 :S4 fdo nn9 F. 03 1 .ENDEnll.m.�eNueupv 1✓rd�arila eadlPanc'�mmc••. I file.W.h to lecalva the F .00mWm•Ilwn•3.",.nd 4e1 tort fl geenaca.(for en R •PfiM YOP neIM.M edYeU er llm R1.1..al l nh l0,m b tn•twcen W,,'lnli BAre IBB). •nn,eyyy to you. Y�. acn mm roan 1plro bonianne melrale<e,or on m.e.c.If tlaBe trot 1. 0 Addlesaaa'B Atldresc fYtn comic 2. C Reelrctad D01'rvery .wmn'n.mm Pecebr Pepwerad'on m.mWpbu e•Iow the ad',a•.frms:r. � •Soo Romm R.ulpi wu mow m venom a..mde w.•demend.�d IM ace• deuveted. C.n3Ult poBM.Bter for lw yt i be, rtl B NUmDer tilt a Addreasad to: j � D.B.rvlpe ype $E Delroy and Dcnise F. Smith ❑ R.0im.,ed ❑ cerined 6 ' 79 Marian Drive n E.preee roan ❑ Insur.d No. Andover, 11A 018w5 ❑ RBNm Rawtpt rot Merheriaise ❑ COO L a s t) BOVery R 5.RaCeived By: tP/lnt emd) B.Ad rB93 e'e myll/BgWO(Bd L333F9...i 1/b bil9 pent F 0,Xna( rp: ddressee or ABenl. f Oww PS Form 3011,December teea� Domestic filar" 0001pt tl' I also wish to receive the •CC�Ue t.ompteu lb� ' a nvortnr•dd4irn.I"-free. IOIlowlnp wMCa.(br an p,md•1.hw.ena..•nd as ,,yow m .e ama a.de,e"on ma,eaer.a o l •mrm i o tro w3 e mue'-Ii .xtre fee): •Anr•ih ml morn mrta lmnl of m.m.up1•u,fir de11.a.f n1--9— 1. 0 Aedr.reee'e Addmss y •Wn 'Ferurn.enrpr R.aaetr•d'on 11.mdlvl.-b.mw the erode nam0er. 2, M ReetnCtBd OOVVY Jp� p •m.RNumR..IfI mu•now lawnomwemeu w"d•r..red and lne ar. D...Of poemoster for too, au.arad. g a .Attlee Aad,....b: 46. NGe Number ¢, Y718 .b,Bervlce Typa F5& St©ts and CO. 0R.07sured CaM6ed ¢ Attn: Paul and Merin :i"feecc [2 E.CreesMe, ❑ Insured .� 70 Flagship Drive Rehm Receipt for Meterandi" ❑ coo No. Andover, NIA C1845 ° pie of v ry �' 4 / I 6. BCB ved BY (Print Hamel .. R Addrtsaae i AodrOss(Only lr/®WBeted : end fee fs pe,d) ¢I 6. rs.war B.np % PS Form 3811, Decembe,1024 omestiC RetUM ReCeipt 09/24/98 14:43 TX/RX NO. 1748 P.003 :CCTSVPHARMECOV9725\9725STPLAN.dog Fri Aug 14 15. 29: 09 799E �- III -r ((6l .;J �M III II l s :"K I l�l - - J iii Town of North Andover OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES 30 School Street lW,11AM L SCOTT North Andover. Massachusetts 01945 s,cwus Director September 24, 1998 Memorandum To: Janet Eaton From: D. Robert Nicetta, Building Commissioner Re: 70 Flagship Drive - Aboveground Storage Tank Please be advised that I have review the application for a 10,000 gallon, above-ground storage tank from Pharm-Eco, 70 Flagship Drive. I concur with the recommendation of the William V. Dolan, Fire Chief and Lt. Andrew Melnikas, Fire Prevention Officer as to the issuance of this license. See Attached letter from the Fire Department. I°.OARI)OF APPEALS 688-9541 BUILDING 689-9545 CONSERVATION 688-9530 IIEA lII 688-9540 PLANNING 688-9535 ,j50 YRS b �O4 HORTp 9 ��9 '`p'� ' � �° °' NORTH ANDOVER FIRE DEPARTMENT m. y.�� L CENTRAL FIRE HEADCUARTERS " � "w' � 124 Main Street �'+s "^��' t�y North Andover, Mass, 01845 SacH�sE WILLIAM V. DOLAN Chief (978) 688-9593 Corer or Department Business (978) 688-9590 Fax (978) 688-9594 To: Licensing Board From: N. Andover Fire Dept Re: Pharm-Eco 70 Flagship Drive Date: September 22 , 1998 Fire Chief Dolan and I have reviewed the plans for the proposed renovations at this location. In order to clarify any possible misconceptions, the flammable storage amount is not for a single vessel but is a total of all the amounts stored on the premise. The owner has agreed to upgrade the fire safety systems within the whole building giving not only the Fire Department but the surrounding residents a significantly safer structure. As a result, the Chief and I are in agreement as to the issuance of this license. William V. Dolan, Fire Chief Lt. Andrew Melnik as, Fire Prevention Officer 350 YPS, b/ 4'10.�„q a n NORTH ANDOVER FIRE DEPARTMENT CENTRAL FIRE HEADQUARTERS 124 Main Street North Andover, Mass. 01845 `S9CXUSE WILLIAM V. DOLAN Chief (978) 688-9593 Chief of O Part .W Business (978) 688-9590 Fax (978) 688.9594 To: Licensing Board From: N. Andover Fire Dept Re: Pharm—ECO 70 Flagship Drive Date: September 22 , 1998 Fire Chief Dolan and I have reviewed the plans for the proposed renovations at this location. In order to clarify any possible misconceptions, the flammable storage amount is not for a single vessel but is a total of all the amounts stored on the premise. The owner has agreed to upgrade the fire safety systems within the whole building giving not only the Fire Department but the surrounding residents a significantly safer structure. As a result, the Chief and I are in agreement as to the issuance of this license. William V. Dolan, Fire Chief Lt. Andrew Melnikas, Fire Prevention Officer SERVING PROUDLY SINCE 1921 Ovate: Complete upper anc Icwer perlcns or tcrm al fcrn nte ara o sec:ions to I cc-tl licansinc authchty (City or Tawn Clerk). Cc not make appdropvcn to Ceparment of Public Safety. rcarrrrmarc��aa��h c��/G�crrsuzclicoeCCs S ' �rerirrximem,C,ls�.•� =itx+ cea — ��vrr.:iw�n r��s�xg ✓,.?svm.�ivrc 2 3 c:ry ar Tcwn North Andover rate 8/17/98 APPLICATION FOR LICENSE Far the lawful use of ;he herein drecrbec cuiicira... or other strcvre..... acpiicaticn Is heresy mace In acccrcan ra an :he provisions of Chapter i46 of the Ceneral Laws, for a:ICanse to use Ire Iant:on Ni' soon builcina.... or other smut 'Dare or 1v are to he situated, ana only!a sucr.. e%tent as sro..an plot,'.lan 'Nmi is ties varn aaa mace a pan of this accli ancri Location of lane 70 Flagship Dr. rth Andover epos street Willows St. Cwner of lane Sr rs TT!' dVumNo�' Vearest Acdress 70 Flagship Dr. North Andover Number of buildings ar other structures to wi this acclicaticn applies 1 Occupani or use of ii i bmicirgs Multi Tenant Industrial Tatal rp iry of!inks in gallons: —Atcveolnunc 10 000 i-ncereround K;nc of tluic to Se stared in tanks: —Above;recnd Fl h1,a/(uoahjjst:jh1P Lacercmund — AccrCVEC G�i7YLf/YrG.'�CG���L G�. C.i.,IGC CL:rP,�i :juzw,"n+ant CJ`ar>• � x u.'z^ — � nc:a�yv �unC J%cFrzrz� ✓inic .,r'tsr ern pe— rp— A j City or Town North Andover Coe LICENSE In acccrcancs Nth :he orcvislons of C'.acter 148 of ;he Ceneral _aws. a license Is heresy grantee ;c use the lard herein ceer..bec tar the lawrul use of the:utidre.... cr piper s;mcture....winch isiare or isiare is tE sdL2lea ;hereon, anc as cesconao en me Piet otin tile^_with the aocliina{Ian 'or:tls'.icense. Lecauan ci and 70 Fl,,aE hio Dr North Andover Neares:cross street Willows Cwner of and Stets LLC W mu >ccress 70 Flagship Dr. North Andover Number of huilcincs or other s;re:ures :o canon !his acpiicaticn aeon's 1 Ccc:npancl or use of uuc-.tufdmcs Tnd '"r Total capacty of Tanks n aauans: —Ataveeroune 10,000 -'nderorcuna Kind at flute to to 5.cred'n tarks' —Aeoo crcunc Jncerercuna Pesmaticns f any: THIS L CCNS=OP A C T r'STA'.0 P -c.TIF CP'!T'n=BE P YLS7=E CCNSr C.;CI.' -T=r` IN A P5CT-C-EC -_.C--CN==-°NC TCE NHCH CIS CPAN72E TOWN OF NORTH ANDOVER OFFICE OI' TOWN CLERK w 120 MAIN STREET NORTH AN'DOVER_ MASSACHUSETTS 0. e ]ovice A 6radshuw �O�To.,Clek �� _ Memorandum To: Building Inspector Chief of Police Fire Chief From: la et tt5n, A s� ant Town Clerk Date: September 17, 1998 Subject: Aboveground Storage Tank - 70 Flagship Drive Please review the attached application for a 10,000 gallon, above-ground storage tank from Pharm-Eco, 70 Flagship Drive, North Andover, MA . Please send your comments to me by September24, 1998. Thank you for your cooperation in this matter. attachment 5.os'�,�,r. J�� WTI/N/LQ/Z{✓'r.�✓IML � ✓/eAIFJtiM1IMGLLd.('/LG2 '� •'i Department of Fire Services Office of the State Fire Marshal P.O. Ros 1025, Slalc Road, Slues. MA o1775 CERTIFICATE OF REGISTRATION North Andover April 30,2015 (ols ,r rowa) maw) NOTE:Complcic top and bottom o1'foon and na,,c] bush s,dione and fcc m local Licensing Aalhonty(City or Town(lerk). DO NOT RF.'1'URN FORM TO THE DEPARTMENT OF FIRE tirRVICt S In accordance with the provisions ofChapler 148, Section 13, ofthe General Laws, the undersigned hereby certifies that (I I I I-E HOLDER): Johnson Matthey Pharme Services (ADDRESS): 70 Flagship Drive is the holder of the license granted (Date): 8/17/1998 for the lawful use of the building(s)or other Amended 8/22/201 5 to increase the storage of flammable chemicals from 10.000 gallons to 15.00) gallons, structure(s) situated or to be situated at (ADDRESS): 70 Flagship Drive NORTH ANDOVER. MA 01845 (City ur I"'r) as related to the KEEPING, STORAGE, MANUFACTURE OR SALE, OF P LAMMABLES OR EXPLOSIVES. NO'I't This certificate of registration must be signed by the holder of the boons,if wood license was granted prior to July I,1936, Otherwise by the owner me o,oapmd of the load licensed. G i Rucn ed �r�// � ". 701i. � �,J• �..� at alar) _ ._. .._._". -tuni t',ue1 lc lerq ...... l5'wro whether/oner,uccnpant or holder) ........... Alt :(<i. ... ....................... ('ertificate of Insurance (II Llll li li i. M1r Il 141V Itl lll. tl!RlI , II'll I l llll II AIL IS �nI >Y U L'li V. 11. liAp1 N l . 11o61) Alr Ol, "t>I r41i 1111 IIL�r II.AII I11111 I��I Ir ?Irlt Hl1. r cI t111VIII I. Y 1- IIInllIt 1 ri OII IbI IC II S VI AI IA lll..Anri l luYV.ll It AllI II%i I Vul I �.I:I HIl I`IThis is to(crlifA that F—JOHNSON MATTHEY HOLDINGS. INC. s 435 D DEE O PARK WA PA K DRIVE, SUITE 600 SAME: nnu Liberty Mutual \ppµ4SS 04 ❑Sl;liNU -- INSURANCE 1. .. .Il.l .n i.. „ , I YP kIkI I: I lies ClmN r' r PUII(T ]'I:NIII IJ)II I'UP L6ARILrI'V' 1AYI f1I I(11J(\' �nevT ll 0la ll l�l A %I+ffirl",Ip tll, Y_AII'llll'4:H[LlAllll.111 e Oalaxs 6/l/2014 WC7-63G-004123353 Ilse -.w n nn or rvr sl ns C OM PESSATI(IS CA,co Cl 0E.FL cn IL IN Ilv. W..� NO,NJ.NY.PA60.TN.Tx UT 2700e vn.wl b.16,n,lu,n,Il 1 000,Goo n"a�w n,:r��y nr n�>..�.. 000 000 C'OMM1IFJt(f\I' 6/1/2014 TB2-63G-004123-343 GE]El 1.Ll.%RII.IT) .r $4,000,000 ED rroltur..P tillxi ',r— I .r. $4.000,p00 ❑, I nnlr v]nl mn Vuomn¢ 52,000 000 J41tU I)AIL. .o�JA_...uaiy Incl Above Ith- 4 LrI k RIORILe: 6l1/2014 A52�i3G-004123-333 $5.004000 nl LIABII.III' ordr rnia.o D.. u v\rvl QIllet o L.oi A::moor I..w.......... rI IIfiR IN AOOITIIIM1dI.('OM1IM1IE\1'F Irn I..yvme.. �� m�oiart J I c of . . Manµ gnu Wu..l � ar l�ii. mi:Jme VV(LI-L IIl I1. A 11 r1�IJ NI II t 1 II ml nlal lit IAIW 1AI IRV nl IIII cY III Ar I' III nuolmlo aura mm �nm I'llI:<InIr r* 130 l" lr . ma rva(',mp orll I[c m( I II.I nl IV I Ilu I'.Y analuuI l_ Town of North Andover/Office 7 `-`_`a r 0Z-dead of the Town Clerk Naryn Lessard Joyce A. Bradshaw,Town Clerk New York 1C202 vumxm oula al rlNunn 120 Main Street 114 west 47rl St N orth An cover MA 01845 New von NY10036 212-391-7500 5,2g2013 L —j nnllI IunVl oVl i.11r I, Thnc nt - I. xswcd h}LINLRI) Nil It ,AI. IN9IIRVA(IL(;R01-P p"1.iuch Ill 11 offorlll 0xc(........." N M TT'_ 0--In L1) C01 268896 02 11 r Liberyy Mutual Insurance Co.Nat ins Northeast 2000 We t..d Dr Wausau Vol 54401 MAIL DOCUMENT CsoI11-to or lnaian.c no I ,, h,• ceartmdirs, Scndcc Heidi McLaughlin Town of North Andover/Office of the Town Clerk Phone: 715-261-5421 Joyce A. Bradshaw,Town Clerk 120 Main Street Sub'I we NM /]21m110)cmencal.at Caauauy rn,,ranco North Andover MA 01845 - doers.,Mauhey naa.gs me Date: 5/29/2013 No. of Pages: 2 URL. www.LibertyMulual.com This document was issued by the Liberty Mutual Insurance Group. The attached document(s) contains a Certificate of Insurance for the Insured named above. Your company Is listed as the organization requesting receipt of this document(s). If you have any questions regarding the content of this message. please contact your local sales producer whose name and telephone number appears in the lower right hand corner of the attached Certlflcate Ac CD c...... c ,I l,...rancc odnomd h, wcrttorrim "In.won.a Yis,rn, ei, All n Jns —,Id C erf f ca le of Insnr.Ince IIISCCRTIHCAII ItiIAY9'I AS VAIIITrR(111WOBAIAIIVV tINIA 1 (lAI'FN ) RIt 116 VIO� YVI IIIF(I:Nlllll All II ICl IIllll (I III It11HA I is N[YI IN 'OL U 1ND D)I l VD 1A11 NI),1 AILAD OR VI 9 FR l HI OA RAGL AR ORDI n nA HI'YOI I(11 S IJSTI D 13GI DA4 YOI IC1 IMI $ \RF V) lS THAN TI I(ISI. I I, IN NIj This is fo Cerfilty that I JOHNSON MATTHEY HOLDINGS, INC. WA DE PA PARK DRIVE, SUITE 600 NIDDRESN'u Liberty Mutual. 435 DE O PAR AUURPSS IIo'INS' '" INSURANCE J xI I IIa _ In nC. e _ I I II Y r: Ill n - � T h, "N'll ). J -. IIT nI'I Y .irmand Ail cme nln Illeam AN( ll sk, Ir rlela rAdt utle ILA eA �FNP ❑coNI"'lo,, I'ULICI NCNIBER IANII'I'OF LIdMI-I'II 'f\'PE(IF POId('1 1:1IIS I:XDFO Q vullCI I I KII COVLR I(,[ I iollDl N' N )1 R e'c ENIPLOA HIS LI AEILI'I I NNMNSIIIJ 6/1I2015 WC7-63G-004123-354 Inrr C Ills l(uOFLG ILA (OAIPP;VSATION. CA CO CT OE- D MI II W ooeiLll1 1 0000 KS KY LA MA.MD.MI MN. tJ0 %1 000 000.-n+-+ NG.NJ. Nl.YA,aU.Trv, n.JT, VA,w 14nl�k lnVm 11I D�xisac 000,000 HndJl Inrvn I1p'Pxa[ 000 000 (TINT P.Ii IAL AI¢aemc G F.NhIRA1.Ll Alill,ffl 6/1/2015 T82-631-004123-344 $4,000,000 0 is, sKI s(I. Pa,au,6.1 a„nrle J V lrtmliom 1F"We $4,000,000 ❑(I Alms NIAIIr r,eM1 oeaunu¢v $2 000 000 $2,000,000 RITRonplr Pcurn�nls AmrmA�,a mio Prnr�AOn.or �r VIrl'ONOItILI! N, �_eldrm snldelinv 6/1/2015 AS2-63G-004123-334 $5,000,000 1.1.\RIL1"I'1 Nil �OWNL1) oN"DIIN.I P.ieL Aaldlm.DrO¢urtaia IINN II 1-11 IL—NNlm U.mimul 011111R _ 1 L7 PGnIT10F.AL((HIPILA'18 CJ 'IriLco-mAcu¢cy ioo tlwc�mn WumnrorctiunJv'dw u,Il lrynvn.EOltl Wylyra lA¢m—I.Ad11111 cA btloN 1.1 an LluNm "I'll"IN N(YIICEVf C ANCELIAI (N III APPIJ( L415SAN1 ILR It sA1611IrR111 '. Llberly NluluN HFF(IRI III tIATlll LAPIRAIIOA DATA I I(IV I'1Nl' NIII NO[ t ASCLL 11 RLDI Cr T INSCR.wn- ArlonnrD INDFR 111I1 nnOIL POUCILSONIK ITLI."I 'Jp I AA naut�_ In,wrn—CrvUP OI'SP('H c"IM Ano?I'll.,I` INIIII11lD Town of North Andover/Office - ZS �'���� Karin Lessard of the Town Clerk : t JoyyCe A.Brad6haw,Town Clerk New York 10202 °I T IIORIII'D RI Y RI"I N11III e Ix Main Street na wesl anh 5t. North Andover MA 01845 New York NY 10035 212-391 7500 5/212014 L -11111 11l101, 111111111 I'1 Ihis cutil 1 eewul by l 1131 RI'Y NJ IIIAI. NYC'RNACL URO(I Pm p1. such in. .L.Is afl'uNW b. tllu�( rlPaniec NV177207-III LEIL On.11 I COI0211 or. _ igar NuutualIoul Dranca Cc Nat'I Ins Northeast Wausau,WI 54401 MAIL DOCUMENT C.7ntmam of Imnrvnce Del—, br a errsonlul Town of North Andover/Office Sender: Kathy Creisher of the Town Clerk Phone: 715-870-6135 Joyce A. Bradshaw,Town Clerk 120 Main Street Subject: NM 772(07n0)Cetlr t of Casualty Insurance. North Andover MA 01845 Johnson Matthey Holdings Inc. Date: 6/2/2014 No. of Pages: 2 URI, www.LibertyMutual.corn This document was issued by the Liberty Mutual Insurance Group. The attached documents)contains a Certificate of Insurance for the Insured named above. Your- company is listed as the organization requesting receipt of this documents). _ If you have any questions regarding the content of this message, please contact your local sales producer whose name and telephone number appears in the lower right hand corner of the attached Certificate. - C. lauNe E rIlllu�lNil r r. F r _ I. vnir area tr rm r re e II .r,f c e 1,lEeNrTlb,o Non ,r w r I s. elcT.rarnl roneuwl.0 i n.c �n rm nr11rtr r r�r..wsna nns�cE-I iaa-TO,movt wcwese vuNfvowa nc.,rr sarizi. 2 2002 Certificate of Insurance Dclkehed by ecertsonline`m Insurance Viisions. Inc.All rights reserved. The Comrnonwealfh of Massachusetts Department of lndiatria!Accidents Office of Investigations 600 Wavhingfun Street Boston,MA 02111 . www,mass.gov/dia Workers' Compensation Insurance davit: General Businesses Applicant Information Please Print T-4hly Business/Org}lmioation Name:..J \0 Address; �J(7 LVO/1 GLy- 1)LpV!_ +SUt"(e_la.o o--- __— I City/statelZip: (^° P� 10K"1 Phone#:_..(o 11) 9-713000 Are ou an employer?Check file appropriate box- Badness Type(required): 1. I am a employer with 150 employees(foil.end/ 5. (]Roos! orpert-time).• 6. ❑ResicnmotlBm/Eating Establishment 2.0 l am a solo proprietor or pannmahip and have no ?, ❑C Mee end/or Sales(ird.rcal Marc,Auto,ate.) employees working for me in any capacity, -S, ( Non-profit [No workers'comp.insurance req.1red] ! 3.0 We are a corporation and its ofnoers have exercised 9. ❑Enterleinment their tight ofexempllan pare. 152,§1(4),rod we have 10,V1 N.araftcluring noemployees.[Nowakers'camp.insurance required]" I; n.-]earth Core 4,❑ We meenon-profit oganimtlon,smficd by vi'Iente"" wilhnoemployem[Noworkers' comp.insurance req.] 12.[]�{�e* •Any Wilson ON ceecls bra NI mot M.fill ml Nesnlon blow showing(heir workers'wmpen:elimr pellry iafom:nlics. C ^Iflhe expmeh aFleere have enemsmif 0emvelves,his[Ne eomore:ivo his:e[ilcr employc:a,v workers'eompemedan polity is reputed wtl such en vrgmlmaon shoultl chcW bvx ql. ______ Iam mr employer film Isproviding workers'cornpensorio,n fnsuraacefi,r my employees. Eclowlsihepolicylnformadon. ! hnurenoe Company Nome:___ —_�! $U a CP l�• '�..___ i Nsmcr's Addrces: 1-155i r � City/StRA)ZIP:�b shy') 31a iration Datc: � , / L Polity b arSelf--ins.Me:tF [ /��_�_��-- ��— xP Attach a copy of the wurhers'avmpenuatlua policy decimation page shoving the poGry numtrer end expl anon date),. Fadum to secure coverage as equlied under Section 25A ofMOL c, 152 can:cad to dia imposition of eriminal penalties of a fine up to$1,500.00 Andlor one-year imprisomnent,Ar the form of c STOP WORK ORDRIt end Afire of up b 5250.00 A day against die violator. Be advised Nat o copy ofthis stannucm may be forwarded to the Office of InttsdgAdons cf the DIA far insurance covemyc vcriF,Lan. [ I do hereby call under flmpallos andpenall v afperiur,riot ire rrffarmaronprovided above tr itrue and correct SI shire phone 0, 0 Cl7 0)ylcluf use only. Donorrvrur In this aria,to be an:v'em:d Id clly w hr r I nffdat f _ 1 City or Town: _,_ — - _,_Permll'Llcar;s. 1.B a Board rity olt (diode mus)Building L Board ofHmlth 2.BulldioODopnrtmnrti CV,?"o v;n Olerh d, Li'^usLly IIooN S,Seleu4reah Office 4 6.other _._._ i Conrad Person: Phone P t AbuRerNAbuddi X ) Building Dapf. ( ) Conserve0on ( ) Zoning ( ) REQUIREMEN ori xiaem a n in rs napuunan msen me pandner, 11q w.m11.i A eer n m ......as u o ed(ei all pmpi lln If hif ra nwr nan laa 2nanv Hau he lend onny svah arel 11 v a.nan.Ne Itirl loin.me pu sprites mmg � a.ab.rma�atLiss,,arts m.pnnnm9 w.n.r.,..nah�ll�ne my , -� Sublipophappedr, MAP PARCEL Name Address 10I.0 79 JOMAT,LLC One Thompson Square,Suite 205,Chatlston,MA 02129 PROPERTYLOCATION: TO Flagship Oohs,Noi Andaveq MA 018<5 Abutters Prophetess Man Parcel Name Atltlress 107C 23 Piwco 4343 Von Karman Suite#350,Newport Beach.CA 92660 107 C 45 Delray Smith 79 Marian Dive,North Andover,MA 107 C 78 Galaxy.LLC 8 Lowell Street,Pepperell,MA01463 t OT.0 113ASB Margaret Fitzgerald 85-A Flagship Drive,North Andover MA 01845 107.0 113C Demdady 5,LLC 85-CFlagship Drive,North Andover,MA 01845 107.0 113 D TBSW LLC BSD Flagship Drive,North Andover,MA 01845 1 W.0 113E 6113 J Srull Building 22 LLC 12 Rogers Road,HaveMill,MAD1835 107.0 113F Flagship,NA.LLC 12 Partridge Lane.Wakeneld,MA01880 107 C 113 G Flagship.NA.LLC 85-G Flagship Ddl flood Andover,MA 01845 101.0 113H Mark Schield 19Wmg Road,LynMeld.MA01940 107.0 113 K KY-Court Realty 85-K Flagship Drive,North Andover,MA 01845 This certifies that the names appearing on the records of the Assesso Office as of Certified by: Date lY/ authority (City Corr Fawn Clerk). Cc not make application to department at Public Safety. � �L'arnmcirecueca�tli c�C-'/G�trrYJtcc�uiel7iy eieaix�»zem'cl � eJ�nv<Cea -. vtvl�fin rYZ`rvn[±.rirt. m C:tyorTown North Andover Cate 8/17/98 APPLICATION FOR LICENSE For the lawful use of the herein eescobed building... or other structure..... anFlication is heresy mace in ac-rcance Nin :he provisions at Chaster 148 of the General laws, for a license to use the land on wnch such duilcine.... or ether structure_.. Sere Dr— are Io be stunbc, and only to such extent as shown an plot plan winch is filed with and mace a pan Of :his application. l.xasan of lane 70 Flagship Ur. North Andover Nearest cross street Wi1.loWs St' wmr.a Cwner of land Stpirs TAC Adc:esa 70 Flagship Dr. North Andover Number of buildings or other structures to which :his acplication applies 1 Cccupancy or use of such buildings Multi. Tenant Industrial Total cacar.N of tanks ir. gallons: —Aboveground 10.00() Underground Kinc at Ilud Id de stored in !anus: —Asovegrpund �7 1 1 /('nmh sr i hl a UndemrcunC ---� - -- li;irr!�m�ru'ea�CLz c`'-/G�uit;c�c�2u1eCL�� = " re`i2x+,'nzeozCaC�%'c:� Jtxuecea — "��nc./vir�Yaranct:yCcF o�zn,i �� -M a gyp® F�\�/� C:N or Town North Andover Cate LICENSE In accorcance'uith the provisions of Chapter 148 of the Ceneral laws, a license is hereby granted to use Ire land herein ceecnbec 'cr the la+ d use of Ire bunions. - or other structure.... which ii ors/are to be s:Watec ;hereon, and as cescnced cn rue pact an 5ied with he apcticallan for this license. '_ocr ion of ane 20 Flagilhiv Dr North Andover Nearest cross street Willows Cwner of taro Stets LLCu actress 70 Flagship Dr, North Andover Number of buleings or elrer strictures to whit:-this application applies 1 - Cccaoanc, or use of such oJones Total capacty of •anks in galfans' —Atovecround 10,000 Underground Kind of fluid la oe stored In tanks'—Abeveercunc Underground P,eslncucrs-:1 any. — - �w /cN !S ✓.t�' i�/!n/ C;/im- Asr (,'�,J l f' O/ -HIS '_ICENS'c OF A PHOTOSTATfC OR CE77FED COPY THSPECF MUST BE CON SPICUOVSLY PCSTEO 1N A PFo CC EO _- z remseu'sE) PaC'c ON THE tANO FCR WHICH 17 IS CRANT=❑ -m B9 6B 8l W 63 p '�y�� 6 l!�!-� • Iil 222 Ma 3Nmn Ii 2PIA nl A P/ 8< eaAI `MA fi 42 May 90b 2a - �_ e15 — M I cexP _ n n a! n ]a " A a a4 a 11A a6 / bnnxes �4 " _ - 66 s] ]0- 9, 1 iare a6 R /T 5 xw 2 Yx et n / 'a � 6QNp v n 04 If. 10a / o �s 101 96 ¢ i s 114 106 102 20 u .4 iNA B1 fl vP !f 1] saA y 44 II 6 I'9 en 31! oll.es e 3A 1: IP �w nva_ o i / a6 0 n I. 1 to ]Aaa x � x I lea I! s x 6 Po IN M1 lif 114 uvs 65n 0 Yz.nn\// van za u,l 65 V m a 11 1. m IA - MOD 69aB" uwus - _ �„ 1�"! In ! Map 9 ,6666 _ _____��� 7 w w Iran Im]" ,�6'ea.' ._A m x a s / 3 0l " 59 b 66 m fi0 en ]2 t " A d cywro - ° „ 51A 60 coxo 60 __ o i -`TM' ixln G2 _ _ 6 831 67 vxn x "9 66 _ x 60 U x " ,:A .h9 mob m ]< , :n p 64 Inn CVxw WA 62 44 p¢aaA n � ,v +BA 9 1+ van / 71 _ / _ i 11 3A /6 4fiA S, - wI x A / 4B I n n 4r91 4] 1/ 0 - ox o m4 11 n " / 41 u A . A Mo 9tl0 )lp7. tna vsA Ma ay 2 n]8" 02 Map 25 ryon - I MAP OrVISlC-N-DA-TIr-----j .-- - Town of Nora Board of A Flscal Year 2011 Property MI Johnson Matthey Inc. 70 Flagship Drive, North Andover MA FLAMMABLE LIQUID STORAGE AS OF AMENDED LICENSE APPROVAL 2011 UNIT z &n Flammable Solvents&Reagents Average # of Normal Gallons Drums in Storage Maximum Ethyl Acetate(Class 1B) 8 10 550 n-Hcptane (Class 1B) 8 10 550 Toluene (Class lB) 4 8 440 Acetonitrile (Class 1B) 4 6 330 Ethanol (Class iB) 2 4 220 Acetone (Class iB) 4 4 220 Methanol (Class iB) 8 10 550 Tetrahydrofuran (Class 113) 3 4 220 Isopropanol (Class 1B) 4 4 220 Triethylamine (Class 1B) 1 2 110 Pyridine (Class 1B) 1 2 110 t-Butyl Methyl Ether (Class iB) 5 6 330 Butanol (Class 1B) 2 4 220 Methyl Ethyl Ketone (Class 1B) 20 24 1320 Methyl Isobutyl Ketone (Class 1B) 20 24 1320 Isopropyl Acetate (Class 111) 6 8 440 Diesel Fuel (Class 113) 26o Hazardous Waste Spent Solvents 20 28 1540 Unit 3&4 Flammables Total 120 158 8950 UNIT 2 n-Heptane(Class 1B) Acetonitrile (Class 1B) The system contains an average of 2400 gallons of any one or two of the solvents listed on the left plus an additional four to Methanol (Class iB) twenty drums of the same solvents for makeup. An additional one to five drums of Isopropanol or n-Heptane is used as Ethanol (Class 1B) hydraulic fluid. Isopropanol (Class 1B) Methyl Ethyl Ketone (Class 1B) Methyl Isobutyl Ketone (Class 113) Tank Storage 2400 Total Drums 17 27 1485 Hazardous Waste Solvents 4 8 440 Unit 2 Flammables Total 21 35 4325 Total Building Storage 141 193 13275 Last Update: 6/1/11 AC 2 i Department of Fire Services o Office of the State Fire Marshal 4 y P.0. Box I025. State Road,Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30, 2013 tCitycr'It-c) (Dete) NOTE: Complete top and bottom of form and bxezrd both--sections and fee to local Licensing Authority (City orToscn Clerk). DO NOT RE'r URN FORM TO THE DEPARTMENT OF FIRE SERVICES. In accordance with the provisions of Chapter 148, Section 13,of General Laws,the undersigned hereby certifies that: (TITLE HOLDER): STETS LLC -Phrnn)-ECO (ADDRESS): 70 Flagship Drive is the holder of the license granted(Date): 8/17/1998 for the lawful use of the building(s)or other Amended 8/22/2013 to increase the storage of flammable chemicals Goni 10,000 gallons to 15,000 gallons. structure(s) situated or to be situated at (ADDRESS): NORTH ANDOVER, MA 01845 Ictr aTow.p as related to the KEEPING, S'I ORAGE, MANUFAC CURE OR SALE OF FLAMMABLES OR EXPLOSIVES. N(ME: This certificate of registration must be signed by the holder of the license if said license was granted prior to July I,1936, Otherwise by the owner or occupant ofthe land licensed. / Received _.2013........, __..,./t✓CI .� KLf d rs •oat ) B tomdal'flde) (clerk) (Store xh her m,net.occupnm ur lwlder) (Addrerr) CrITMcllte of Insurance iM5 CERTIFICATE IS ISAIEO AS A h1A rrEll OF INfORAlAT1ON ONLY AV CONFERS NO RIGHTS Loud YOU TIT[CERTIFICATE IIOWER THIS CERPFlCAIE 15 NOT AN MSURANCE POLICY AND DOES NOT AINIFNO,EXTE:ND.OR ALTER THE CDVEMGC AFFORDED 0V TIIE I'OLICILS LISTED nF.LO1V.POLICY LIS11T5 ARE NO LESS THAN I HOSE LISTED AL'EH000II I'OLICICS MAY MCLUDF.ADDITIONAL SINLIhIIT/LIMITS NOT LISTTV nl°LOW. This is to Certlfy that JOHNSON MATTHEY HOLDINGS, INC. Liberty NAME AND "� 435 DEVON PARK DRIVE, SUITE 600 ADDRESS OF INSURED Mutual �AYNE PA 19097 J u IFe owe Jme unM1km;n emle,i—md by m p ae m e Company n^r y bdLud End o,v. The imunea u1TuNN by Ine 11e1m F^rioyl,vs1 I: exien m;m mu LOT le ,ntlwbm eea Cord,—eNIs.1 MEW byady^§u,mme^L mmmr mWiliunafun5 mmmcl urmleeA^C^mdM wun rc,neel „'NO, mmram rmYbc bme'1 EXP DATE ❑TYPE OF POLICY CDNTINUODS�U7 ENDED POLICY NDAIBEII LIMIT OE LIABILITY m POLICY Team WC7-63G-004123-352 COVEMGEAFFORDED UNDESWC EMPLOYERS LIABILITY WORKERS 6/1/2013 L\w OFTHE FOLLOWING STATES COMPENSATION CA CC,CA,IL,KY,MA,MI,MO, p.day In u,y by A¢ee.I NU,NY,PA,TN,TX,UT bodily Injury By D;mue $1000 000 . Today InCy By niece $1 000 000 COMMERCIAL 6/1/2013 T82-63G-DO4123-342 c..dml nesRF„rc GENERAL LIABILITY $4 000 000 OCCURRENCE For.."I C^mFlnru Dpervlinm Alel 4 000 000 ❑CLAIMS MADE Eueb Omu,rtnde 2 000 OQQ BUBO DATL I'nrdnul$AJvnlivins Lpury Ind Above For reeool DryAa;:a Olnd, Dlxer AUTOMOBILE 6/1/2013 AS2-63G.004123-332 ua,A°.iJem—sasle lima LIABILITY n.1.A^b r.0.rameia1l r�I BrI,Poo.^ M OWNLD 10 NONA\\'CUED EGen AaiJenl ee Oeemrtna HIRED Evdh AaiJev I,For—, OTHER $1500,000 Per Pollution Incident $2,D00,000 Aggregate OUR EnNmnmo,UH Polley 6112 31 2-61V2013 TB2-63G-004123-342 $500.000 Deductible ADDITIONAL COMNIEMS 'rdo—r—a.,innor du,N nliimau u,onoNN mrm yuu will Le nmiRN irav,emy ix mnninweJa,rOl—I bdErt lM cenilm¢apdhl .Jme Llberly M1 O-I NOTICE OF CANCEL WTION:(NO I APPLICABLE UNLESS A NDMDCR OI'BAD'51S ENTERED DELOW 1 Insurance Group BEFORE TIE STATED EDIPIMTION DATE THE COMPANY WILL NOT C(,[v'CCL OR REQUCE THE INSURANCE AFFORDED UNDER THE ADOVC POLICIES UNT IL AT LEAST dU DAYS NOTICE OF sucH CANCELLATION HAS BEEN FIAII.CO TO: Ebidence of Coverage �U� Vincent Valle �. NeW York 10202 ANHORIZED RI LANE =5 114 W.A 47th St. o= New YOM NY 10036 212-391-7500 9117/2012 LOFFICE PHONE DATE ISSUED This ocCific.l.isexccoted by LIBERTYMUTUAL INSURANCE GROUP Its rJespecLs such Buurvnce ITS is o[Torded by llmse Colnpnnies NM77207-10 101 COI 26BO96 0211 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: General Businesses Applicant Information Please Print Legibly Business/Organization Name: \,j � C Y Yu�l",Y�Y`y ���•2 s� +' A�^^� � Address: �� ;F, tv`1,� l/i)r — J �� City/State/Zip: �.�lr``t L` f7i'K`�r]V2Y �"/I� Phone#: �/7k- Ir`I'�.�L .Are you an employer? Check the appropriate box: Business Type(required): I.lj� lam acmployerwith _employees(ful l and/ 5. ❑ Retail or part-time)." 6, ❑ RestaumnUBar/Eating Establishment 2.❑ 1 am a sole proprietor or partnership and have no 7, ❑ Office author Sales (incl,real estate, auto,etc.) employees working for me in any capacity. [No workers' comp.insurance required] $ Non-profit 3.❑ We are a corporation and its officers have exercised 9. ❑ Entertainment their right of exemption per r, 152, §1(4),and we have 10.ZrManufacturing no employees. [No workers' comp. insurance required]" 11 ❑ Health Care 4.❑ We are a non-profit organisation,staffed by volunteers, with no employees.[No workers' comp. insurance req.] 1 12.❑ Other _ 'Any al llwm that checks box HI must also fill out the section below showing their workers comse uouon pohcy information. —If the reiterate ofi¢ers have exempted themselves,but the ox,mrag n haw other umploy,ms,a workers'wmpensetion policy Is requitnh and such an organirsner should check box A I. /am an employer that is providing'nworken'coIm�/pensation insurance for my employees. Below is the policy information. '. V Insurance Company Namec'rt\ r!u /r,6 Insurer's Address: l f �JP'yU✓�r/Jlk-k Dr", e Ciry/state/Zip �.�t pri rei L 16n -- Policy 4 or Self-ins. Lic. q h�C 7' ��—���✓� — ��'� Expiration Date: / ✓nfJ Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 author one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the D1A for insurance coverage verification. I to hereby cernif;p under thetuyns and penalties ofperjury that the information provided above is true and correct. �r1x d Sic t - Date'. Phone 4 Of use only. Do not write in this area, to be completed by ci(p or lawn official City or Town: Permit/License 4 - Issuing Authority(circle one): ' 1. Board of Health 2. Building Department 3. Cityrrown Clerk 4. Licensing Board 5.Selectmen's Office 6. Other _._. Contact Person: Phone#: wwo mmsgrwhim 3 ti Department of Fire Services a� Office of the State Fire Marshal ry y e. V_O.13oy 1025. Slate Road,Sto,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30, 2012 (cub.,rneen) (Dale) NOTE:Complete top ced bottom of loom and fonaard holh sections and fee to local Li,er,ivg Authori1, (Co, or l own C'Icrk). DO NOT RF' URN FORM TO THE DEPARTMENT OF FIRE SERVICES. In accordance with the provisions of Chapter 148, Section 13, oflhe General Laws, the undersigned hereby certifies that: (TITLE HOLDER): STE I S LLC - Phrani-F.CO (ADDRESS): 70 Flagship Drive is the holder of the license granted(Date): 8/17/1998 For the E111111 use of the building(s) or other Amended 8/22/2012 to increase the storage of flammable chemicals front 10,000 gallons to 15,000 gallons. structure(s)situated or to be situated at (ADDRESS): NORTH ANDOVER, MA 01845 (cite or ronm as related to the KEEPING, S FORAGE, MANUFACTURE OR SALE: OF FLAMMABI.ES OR EXPLOSIVES. NO'I E This certificate of registration must be signed by the holder of the license if sad license was gr led prior to July 1,1936. Otherwise by the owner or occupant of the land licensed. Received 4I1VX,k Jll'. .201?___... .. � . '� ..._ . By ....S,�w lZ:a'.rt.4. f<->~ �! .......... kol'Gde) (CICQ)�O (Slue„holt .mv.ei,aoeo,om l uId,) ............._... nddraw) The Commonwealth ofdfassachusetts Department oflndustrid Accidents AMr&AWSWASW _ 600 Washingron Street Boston,Mara 02111 Workers' Com enaatioa Iamrnace Allidavh-General Businesses JIB stow oboneYlo� c� — =31 sit.1.6 . ❑ I am a Wile proprietor and have no one Bndam Type: ❑Retail❑Rslammt/Bar/Eating Establishment warkmg is any eapemty. ❑Office❑Sales(including Real Estate,Antos etc.) I am (full g Part time. ❑Other I am m tmPloyQ ptvvidmg workers'ettini tio(n'for my employers working m this)ob. }tIII`V' Il\(,-i �"t � 11(AV'i1i ( '�i_Pt �} i � �li(. �'c _IS Ii� C • m �T s� .dare": Q Q t�1 ✓ 1 yl ���� nbau.Y:4� [ 6 56300 � F A,4C4u u ��tS tfgl� C I Y w� I G�3(, oO� IJJ-3S 0 i am a sole propricfm and hose hired the independent contractors listed below who have the following workers' wmpeosation polr_s: ram .ddxs• - vhove Y: ion.ravicee.. / eom n.r.e' .ddrel.: ohm,,! Dan"r la.aranee eo. P.atn b eeeme..enr.r r.goaM made 9eetbo 25A or MGI.252 e.bi b tlr irprai..Nermbl p.mdfior N.er op b 11,5011.011 •a Y+:''bprbmart r wd r dN P.sYY b W.brr N.bTOP wbitlC W3DER..d•M Na1KM.4y.plmt s I md.e.b.d that. ray./d4 abta..r m.Ph•f�rw..dd r th.Oflb Nlenrnptlr HtY MA far e..v.prrilbtba r d. Sni®;aeth t»etaer>eeabi ebl>h Aeperr�/�la7 rba<Ib e d1)ese ;rmalr. �— t— ro.a— y�' 1yn k/ fc plt®.Y `7 1— }84-5441 .ISieblur.dy do mt write to tbu arvb be e.zn,htd by cuy or bon eateW .ky or bw.: PwMWN 0 Elm ift Dep.rtme.t O1.leemme Ite.N ❑cheek Yi®edbb rnpeor o required Oselcv..o'a 0me. OZ,rh Dep..tme.t omect pens.: ph.ve.; OOtber pe...e s.pc man Af. 6'.,> eK f �Idd �e Department of Fire Services Office of the State Fire Marshal P U. It,,, 1025_Sram Road,Smw, MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30, 2011 (( It, ,, owm lam) NOTE:Complete lop and bmmni ofl'orm and fornard both sections and fee to local I.icensing Authorilp I( u, or low.Ckrk). DO NOT RETURN FORM 10'1'HE DEPARTMENT OF FIRE.SERV IC ES. o accordance with the provisions of Chapter 148, Section 13, of General Laws, the undersigned hereby certifies that I I I LF I-[OLDER): STETS LLC - Phram-ECO ADDRESS)'. 70 flagship Drive s the holder of the license granted(Date): 8/17/1998 for the lawful use of the his i ld ing(s) or other lm end ed 8/22/2011 to Ino ton se the storage of flammable chemicals front 10,000 gallons to 15,000 gallons. truclure(s)situated or to be situated at (ADDRESS): NOR--H ANDOVFR, MA 0 184 5 (Coy or'foe'n) s related to the KEEPING, S"FORAGE. MANUFACTURE OR SALI1 OI: ELAMMABLES OR EXPLOSIVES. N 01'E: This certificate of registration must be signed by the holder of the lice.se if said license was granted prior 19 Jab 1,193b, Otherwise b,the owner or o,c.pent of the land keened. n ...... (s..turn ) onfi-llldc) r'1ok) (Slmcwhcdia oawmr,eccapant cr holder) ...................................................... pp pp �}f� pp fond...) �mznuiru�eaL�ft- a� :/lLa¢a�uluJ4�o, y_ �\ 4 Department of Hire Services Office of the State Fire Marshall 0 11. O. Nos Ill°s.4t.a lioa I. Rtow, b1A nl9"1S REGISTRATION North Andover, April30, 2011 tell.of ruse. luxkt his is to certify that S'I L I S LLC - Phnarn-ECO as, in accordance with the provisions (it Chapter 149, Section 13_of the General Laws, 11tcd with one a ccrtihcatc of egistration selling forth that'. S'I'F.IS LLC - Phrani-ECU the holder of the license granted(Date) 8/1771998 )r the Iawlid ore of beilding(s)or other structure(s)situated or to be situated at'. rclalad to the KEEPING, STORAGE, MANUEACIVRE OR SALE 01: ITAMMABLES OK ILOSIVPS. It �Is,oid'--andO i—flTine) Clerk Nmc A ccrtificalc of ,,,Iur must be IiIN on or hdum April ln"of I0,rear (THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES.) EXPIRES APRIL 30,2012 v '7 r'�lr U'o"iCrriea zr+oem�/ of^ �pupr�rtile/(. GIS Coordinates Q-5 =� Lic Ilse Massachusetts General Law, Chapter 148 §13 Fa-2 �mc�unibor"_—� (Rev us-zone) ❑ New License 0 Amcnded License After notice and hearing,and in accordance with Chapter 148 of the Mass.General Laws, a license is hereby,granted to use the land herein described for the purposes described. Location of Land -a Owner of Land: Address of Land Owner: UC2/L `'Jl(r�l'.I fIvc/l ). /0 Flammable and Combustible Liquids, Flammable Gases and Solids Qvnplete bo,seniors for the slor.ge r//lurnm.hle and camb¢mihl.liquids, solid.,.nrl gsw. dll ImtAs and coil........... consider.d fen the puryuss o/'I.....sisy..... p.rmiui..g. (.111.dt.dditlo..td pages i/ ,,r....... PRODUCI'NAME CLASS MAXIMUM UN'I'I'S CONTAINER QUANT[[Y gal.,lb,, EST,AST,IBC, cubic feet drums LP-eas (Contplete llia.roll)n lot the evo.uy.it/LP-Rrm m p.opone) Maximnm quantity on gallons)of LP-gas to be stored in aboveground containers. List sizes and capacities of all aboveground containers used for storage .• Maximum quantity Lm gallons)of 1"1'-gm to be stored in underground containers. list sizes and capacities of all underground containers used for storage Total oggregate quirtruty of all LP 6•s m be stored Fireworks (C'ontplel,aa,",.mon f nt..,vo.nyr of It trot ksl J Maximum umouni (in pan..ds)ul Class 1.3G. r Maximum.m rent(lu pounds)of Clms LAG. Maximum amount (or A Class IA: Total aggregme quantity of all class..-of fireworks to be stored_ 'PHIS LICENSE OR A CLRI'IFIIA)COPY"1'llEREOF 3IUSF HE CON.SPRAOUSLY POSTED ON THE LAND FOR WHICH I IS GNAW[ED. Explosives (Complete this set lion for Ote slorngc o/eylm,es) . Maximum amount(inpounda)of Class 1.1 Number of magazines used fur storage- Maximum amoum(in pound,)of C lass 1.2 Number of magazines used for storage. Maximum amount(...pmmds)of Cluss 1.3: Number o fmagazire,used for smmge_ Maximum emount(in pmm A)o Ma, 1 A: Number of mugzzlnes used t'orsmmge Maximum amount on ponade)o f Class 1.5: Number of magazines ased for storage- Maximum amount on pounds)of C lass 1.6: Number of magazines used for storage: _ Licensine Authority Use: This license is granted upon the condition that the licensed activity will comply with all applicable laws. codes, rules and regulations, including but not limited to Massachusetts General Law, Chapter 148, and the Massachusetts fire Code (527 CMR) as amended. The license holder may not store materials in an amount exceeding the capacities herein specified unless and until any amended license has been granted. ADDITIONAL RESTRICTIONS: tOcl J71,, YK/ 511 rhi2C - THIS LICENSE OR A CERTIFIED COPY THEREOF NIUS'I BE CONSPICIOU SLY POSTED ON 'I HE LAND FOR W'HICII I IS GRANTED. HI.2(R,, 05^_009) 1',,e 2 authority (City or Town Clerk). Cc not make application to department of Public Safety. � �rimimaozc.-aa��� c�C/l/�aa%u�cfic� a_l�i aur '+ C;ry ar Sown North Andover Cate 8/17/98 APPLICATION FOR LICENSE Forthe!aw,ul use Of the herein described building... or other stmc:ure..... application is herecy mace In accorcance with he J1oV19ons of Chapter 148 at the General Laws, for a;lcense!e use :he land an w,drl such budding.... or other structure.... .Sire or it, are to be situated, and only to sucn emnt as shown on plot plan which is filed with and mace a part of this application. '_xacan of and 70 Flagship Dr. North Andover Nearest cross street Willows St. rsr,.r a numom Owner of fond gists TTk, Acdress 70 Flagship Dr. North Andover Number of buildings or other structures to which this accication applies 1 Cccupancy or use of such buildings Multi Tenant Industrial Total caoacry of tanks in gallons: —Aboveground 10 000 Underground Kind Of fluio to be cored In tanks: —Abavecround Fl ammahl e/fnmh et i hl a Underground Apprnvee = Disapprovec �.�i / //�(J iCi➢�Siir/J /�k.. � �Jfiydc-P — ----------_ li%J'J"L7YGr/J'L�CLL�IZC�✓ CiiS.:IGCIZCG;So _---_---- s E ^ ra�.cv>unum,Col�%'cr� ✓xuiee; — Gnr/air�v.e�red✓Ccxa�s�sn�cxr ,w�rre C;ry or Town North Andover Cate LICENSE In accordance eith the provisions of C.",acter 148 ai;he Central Laws, a license Is hereby granted to use the and herein cescrlcec 'cr the lawrul use of ;he buiiainc.... ar other structurei which is/are ar Is/are to be snuama thereon, and as cescrded on the:rot plan 5ied with the application for this license. '_ocaticn ai �ana 70 F1 ago yp Dr. North Andover ,Nearest ccss street Willows Cwner w arc Stets LLC ...�,..�ma.� Acdress 70 Flagship Dr. North Andover Number of bulangs or other structures to which this application applies 1 Cccicanc:aruseolsuahbuildmus Multi Tannnr Tndustrial Total Abbacy of tanks In gall,,,: —Aboveground 10,000 Underground Kina of fluid Ic be starec.n tanks'. —Abavecround Underground Fes;/ncicns :1 any. ,,zi>r- THIS LICENSE CR A PHC T CSTA—IC OR CEPTIF!EC COPY TH_9EOF MUST EE CONSPICUOUSLY POSTED IN A PROTEC'ED _,.ehsea-sal F.IAGE ON THE —AND FCR WHICH IT IS GRANTED Department of Fire Services Z D Office of the State Fire Marshal P. 0. ffor 1025, Slat,Rood,Stow. MA t11775 CERTIFICATE OF REGISTRATION North Andover April 30, 2011 r07 o,T r) Nmal NOTE: Complete top and bouont of form and fon,.,rd hmh secGom,,ad lee to local Licensing Aelhono oro or Town Clerk). DO NO'F RE']URN FORM'FO'THE DEPARTMENT OF FIRF,SERVICES. In accordance with the provisions ofChapter 148, Section 13, ofthe General Latcs, the undersigned hereby certifies that (I I FEE HOLDER): STETS LLC - Phraln-FCO (ADDRESS) 70 Flagship Drive is the holder of the license granted (Date): 8/17/1998 for the lawful use of building(s)or other structure(s) situated or to be situated at (ADDRESSE NORFII ANDOVER. MA 01845 lco, ,, m.n) as related to the KEEPING, STORAGI.. MANUFACIU RE OR SALE OF IF MAHLES OIL EXPLOSIVES. NO]E: This certificate ofregistration must be signed by the holder of the license ifsaid license was granted prior to July I,1936, �y} Otherwise by the owner or occupant of the land licensed. Received J 0II._ __. ✓✓✓ !t CC�555 7 �ZY. � _............... ........ (OII fi.c, fClerkl bt t //n ther owner ocw von nr haldu) (Add.... lop The Cam m nwealth afMassachusetts Department oflndusbiolAcridents 6aa washmgtan Stred Sostan,Maas 01111 Workm'Cosimesteolon Las cc A>6d2vft-General Bnvaeva (n vl n w P. Tr C, .da,� N35 tr n aLl t,sve. 5tj oo .�� PA r IRor -7 hm Y (o102'713000 wo.k lift IDmd lfvh eddva,• Q I u a snlegopnebr and Lave m one Bova®Type: ❑Raatr❑Rata mVBm1Faring Epahlishma! Wmtiug inWy capacity. ❑Office❑Sales(Including Real EaatS Amos etc.) kram®tm ) Witt DO em to inllk Mlime. ❑OWd I,,,In e eploywpmvldm8 workers'rdmp—sties for my employes am•1mg m a a job /n �I'oi Y-f-l'Ic�l Pha�V✓iQ/�clf't.co=-P UVI�n �vvta-1S 1�nLr dal. r�,� (�nl,7TU ✓� "ILo'aM Ieg Shoo ,l-(,lay-1T�cc�ra✓4ceLo' .��go InIG'7.= 63C� -btlylate' -.�S�D. u ram.mle Ho iemr IndLmhnd the mdepmdmt em aetem lured bdowwto Lavethe follatimgwumlms' mmpearadm poles . l..ur.vm.m ae..► - .ftr- ties.Y+. ....• . P.a.bb.amaeacnpe mq�rd mdv S.tbD2TAKAfQ.]32mIbtl b e.jb m..![ll�mtpm.ay K.pm TbSI.a..11avar vrrn•!¢g+.®mlvwpvgvapmtltmhart rmN.6NP wOA40BDHRma.m Kal..Naaq.ph.tb. Imtic.bY a.r. ' •apl.fY6.br®utm.rbh.wvdrififb Olh.Kl..ntlplbm Klh.IaAbr.s.mpa.raloY.a Ida6evay.gab+nl nr aua adpmobfer ojpm�' Mv^l^ic'inIf^ornsKi^an provfJ`d abe.euhve mdasrae ggamae G �W vV W, !� ('11'16 L( �� Pm![neme t, �-j . .m.hl D...* a.Dee.mhhw....,bm.e..ptInaydry.rbwv.msw .X!or r.m: prmtYt4m. ❑.w.cX�.a�hiePonK mrwm.a oil am.Y .e oadaDmD•.ova rna...rp.n..� Ph.D.Y. (]il..Xh➢ep..lmeW l...:eCe�.aWl ❑OWsr Certificate of Insurance THIE CFJtTIFICATE IS ISSUED AS A\fATFFR OF INFORM1IATION ONLY AND CUM.NO SO UPON YOU THE CERTIFICATE HOLDER THIS CERTIFICATF.IS NOl'AN MSt a AUP by LTHOUGHpOLD OO 6IAYNCLUDE ADDITIONAL SUBLIIMTIA1117 nTISTEDDRp\VIHEPOLICIES LISTEDRF.LO\\',rOLICYLIMnS ARLNOLESS TITAN T11056 This is to Certify that JOHNSON MATTHEY HOLDINGS, INC. WE DDR SS •-• Liberty 436 DEVON PARK DRIVE,SUITE 600 ADnxeB$ OFINSURED Mutual® LAYNE PA 19087 6. I be roue Ole of vis ani ed,insured by He Comryny-hr the FolwAies)lined betrw. The itu,—oRUNed by the IISIN polig(iu)is subject to all their le,ms,esclmioas atd Candniury uNv re,.1hered by.,rzqu.,Nr,er mehIms.runy eo oNer dwume MIll-1¢ mbi=F lFis cenifrnte muy be issued. E%P DATE TYPE OF POLICY El CONTINUOUS POLICY NUMBER LIMIT OF LIABILITY ❑EXTENDED ❑Poucy TERM WC7-63G-004123-360 COVE6dTHE F LLOWI UNDER we LMPLGI'ERS LIABILITY WORKERS 6/1l2011 CA,DE,CI FOLLOWING BY STATESA M : -- COMPENSATION CA,DE,GA,IL,IN,RY, .i MA, B W l '91',by Amidettt MI, UT, A,All NY,PA,TN, 1000000 e.n,A,.,,,,, TX,UT,VA,WI noddy lnjuryBy Discuse $1 aoo.000 , Bodily Injury BY Dicer $1 Boo oa6 COMMERCIAL 6/112011 TB2-63G-004123-34C cewrti A,u,le GENERAL LIABILITY $4 000 000 OCCUBRENCE Inducts I Completes q,cmlme AIDED, S4 000 000 ❑CLAIMS NABE Emh Oamsence 2 000 0 RLTIIO BATE 1'etsntmlFAdvmisiny Injury In Penonl0" nustion Inc]Above Omer Cher AUTOMOB WL 6/1/2011 A52-fi3G-004123-330 BRA[iidetR—sin,ht LIABILITY $6,000,000 Bd.and r.D.cambin=d aelbPer— [�O\YNm m NON.OWNED FnNAmMmlrI0r1 -e HIRED GchAmbentar Oc se. OTHER ADDITIONAL CONIN ENTS •Iole"diGrn¢cxPlimaim dntuismmin—ureneMNterm.you ,iII he nmiLd irevvrnl'f'nc—imbdor Mu'ed heroin Ne taifaele e[pimlion dole. Lffin,Mutual NOTICE OFG\NCELWTION:(NOT APPLICABLE UNLESS A NUMBER OF DAYS IS ENTERED BEWW.) he.roncc Gmup BEFORE THE STATED EXPIRATION DATE THE COMPAM POLL NOT C1I CGL OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UM'IL AT LEAST .I DAYS NOTICE OF SUCH CANCELLATION HAS BEEN NUULED TO: ��I(+�p�tz&,, Evidence of Coverage /�Q. -�. /!It/, A—Karen McLendon Roseland 0324 AULRDU2EO REPRESENTATIVE 3 Becker Faun Road Roseland NJ 07066 W3-533-6509 5/27/2010 LOFFICE PHONE DATE ISSUED This certificate is exeeuled by LIBERTY MUTUAL INSURANCE GROUP Its respects such insurance IS is af.,ddd by those C..Bpanics NM 772 PM x Johnson :A1,OIRON Pharina Scrcices May 6. '01 1 Joyce Bradshaw Mike of Ibwn Clerk 120 Main St. Korth Andover. MA 01845 RP: Renewal of Storage Tank Registration for Johnson Matiliey Inc. Dear Ms. Hradshaw. Attached please find the registration renewal form for oar facility at 70 flagship Drive. A check for $150 has been enclosed. Attached you will also find Johnson Matthcy's proof of workers compensation as required by law. The new certificate of registration can be mailed to my attention at: Johnson Matthcy 25 Patton Road Devcns, MA 01434 Should you require any additional information please do not hesitate to contact me at 979-784-5607 or via email at ggrosbcck u irousa.com. Regards Gail Grosbcck Fnvironmcntal Coordinator �5 •o• �� � N]Mt.Q(IA/UL � ✓/LLUL(LUeAWLU�/LLCL a Department of Fire Services J3 ,< a° Office of the State Fire Marshal P. 0. Ilox 1025 Stale Road Slats,MA 01795 CERTIFICATE OF REGISTRATION North Andover April 31),2010. (City(r'I atn) [Dane) NOTR: Cmnplcle top and bottom of I'onn end 1Lrward both sections and lee to local Licensing Awliooty(City orTnvn Clerk). DO NOT RETURN FORM'10 THE DEPARTMENT OF FIRE SERVICES. In accordance wish the provisions ofChapter 148, Section 13,of the General Laws, the undersigned hereb} certitics that, (TITLE. HOLDER): S I k IS LLC - Phra o-ECO (ADDRESS): 70 flagship Drive is the holder of the license granted (Date): 8/17/1998 for the lawful use of the building(a) or other structure(s) situated or to be situated at (ADDRESS) NORTII ANDOVER. MA 01845 (cite a1'1`111.1) as related to the KEEPING. STORAGE, MAN UFACI URE OR SA1,F: OF FL.A MMAHLES OR EX PLOS IV FS, NO I: This certificate of registration must be signed by the holder of the license if said license was granted prior to July 1,036. Otherwise by the owner or occupant of the land licensed. . 010_. ..... Received )� i .. , __ .. _.. ibh al'I de) (Clerk) 6t t 1 Ihu"I'le spa n or holdu) 4,� ri1 ,,s�:4., Uv . h,e_lC t,w���.- 14L1 o14.1s rnaer ya The Commonwealth of Massachusetts Department oflndnstridAccidents 00 wa/�glon street 600 Washington Sbeet Boston,Mass OUR Worken' Com ensatioa rasnraatt AlHdavk-Geoenl Hosiars�ea J� Mdt✓h� t�� S� � 'c L .n _� stntr W k1 0 1845 wink gkkm c.a u r am a saacpmprieW ad bar ne one Rumness Type: ❑R S d1❑RcAau=tfflamstmg Haublichmc0 v vSkmg in any capacity. Office❑Sales(mdadiag Red Estatcq Aalas etc.) f am an® lw "With em to - fall d: art time - Other 7ammemploywptovidmgv kas'o pmvatimf-myemployeswinkingmthisi&- . �r7Y 19 /l d�(nI il1C lc{/i cam ... t:ve A map 7 f o 9 '7 /. 3d f � ramas*jff p cwr ad have hired the independent coatracturs listed below who home the fifllowiogworkcxzo compeasaca pafi— _ v.' . tom a pNfpg _ .a nh"0iOREM . . leeeima u PYbro b erm..rmf<rmptrrAmien atete..]sA NM(S]Sa relrib We I.quYY.Nnlob.l peraf�.f�ar�ba1`.Aa.N..ihr .rye,.•ap.Y.®otrwdrehapmltY lv ebf N.6rOr ROa1 ® ri.em HS1Mx.4rapdmepa lmdmfW W.f• uy Ntbe:.blmeaf Nyb.b.le.edeahee.OmR.frmuapmm Odic VIA IA fi rcra.pmleurba tde k<r<by evafy mJ kaWaa mdpmdanaJrerJaryrkm ot<;vf rr�.p,<.led<a..<aba<aW.m,<a - sig®tme Alt �, . �1�Y02?tiS?il nm0 / /' - R;ato < .V-f�I (ac(c �ve f/ m.Ph # lolo '1713b11?- .®ebl me.tly d.mtwrlb lv erb.tr bhe e<mplemd br ellr.rbm.abbl earw b.m P��tam'°a ❑Buadi.a lkpebleN �I1®ma ev.nl eheekal®eibbrnp.m.b rc9<vM �9e4etm..•e amen EjnmmineP.rlmevt mnbct peno.. _ __ Pbom k, ❑Ottim Certificate of Insurance TNIS CEIITIFICATL ISSOLU AS A NIAITER OF INFORMATION.ONLY AND CONFERS NO RIG111'UPON IOU THE CEBUFlCATG HOLDER.THIS CERTIFICATE IS NOi AF INSURANCE POLICYAND DOES NOT AMEND,MEND,OR ALTER THE COVERAGE AFFORUEO BY TIIE POLICIES LISTED PELO W .. This is to Certify that JOHNSON MATTHEY HOLDINGS, INC. NDDRESS Liberty 10� 435 DEVON PARK DRIVE, SUITE 600 nBREss �AVNE PA 19067 OFINSUREB Mutual J f-, net n.Rt drat Rnbi.ttni6alt,inl,ma br n1t mmn�m RwIL n1=nortNiv:)hn[a utw,t. nr iRr�mn[t ortnmm q-Ih[lism rRlitynt:�is15Rhjtn m Rn Ikb mR,a,tNtIR,iRrs ona oN,uom onJ�:mlollcrtJ by any rtgmremenL lcrm ur mnJniun nfony cnnlncr nr nlLer Jnmmennvillvapallo rrM1¢M1lllu arlifmlc moy t vuctl. EST BATE ❑TYPE OF POLICY CONTINUOUS POLICY NUMBER LIMIT OF LIABILITY ❑ESrINeCU ❑POLICY TERAI WORKERS WC7-63G-004123-359 COVERAGE.AFFORDED UNDER WC EMPLOYERS LIA BILITY 6/1/2010 LAW OF THE FOLLOWING SO ATIE: COMPENSATION CA,BE,GA.IL,IN, BUJily Lllu'Y by AaiJtnl KY,LA,MA,MI.MO, V10000A F.111 A—Issl MN,NJ,NY,PA,TN,TX,UT,VA, 5W,miry Br ois-sc WI $i 000 000 Bntliy E,.ry By D-., $1000 000 . GENERAL LIABILITY 6/1/2010 T62-63G-004123-349 Grt—I APPr<emt—OUsAIhn PmlklOs l C„ told oncmllam $4 000 000 moccuBuIENCE Pmlwrl.I enmrlt.. ortmunn.nssmeolt 4 000 000 ❑CLAILIS MADE B.Jily Injury lnW PmP[rly DumoF Liability rO¢ RCTnO OAT[ Penmml miary Rrmntt Ind Above Pel Pcaan/-0miYmmmn Daft. 11- AUTOMOBILE 6/1/2010 AS2-63G-004123-339 I:alu Atltlatm—RrkIs lime rTI LIABILITY $5,000.000 L.1.Ard P.D.Comelntd L•I OWNED FaC,L—li Fray NON OWNED E.sh Aail—mOaurrtntc L•J AIRED EVN Aai ism nr TOO—, OTHER ADDITIONAL COMMENTS - the cr m csph ulc oa m�rafor J is minumrcNaildOJ mrn,,yuu Mill Fe n�nifaJ lfenvemain—.rr tI—ls—d kit—NtaUifiroa np' aon dal SP ifiwON ONOTICLOIIIO:ANTPCIISON"m '"O PTCNTT"'FRIA T OR NINIsTNO TBAT IE IS FACILITAIINE;A fRA11U AUAIN.TAN NSIIR110.WitN11T5 ANAPPLICATIONOIIFIILSACIAL\IED T lNP'GAFA COl1DICPPT1Ve5FA NlM1 LCIi(IILT1'IIFINSIIR.INCCFMM nIMUTA.NT NOTICETO FI.OR)DA MLICI'IIOLDEMI.A.0EOTIFIC.\TC IIULVEn.S:IN TIIE GVEFr 1UI111AVT ANY VUILSTIONS Olt NC[II INFORMATION AROLT T"SCEETIECAT[FORANY RL60N,PLEASE NNTALT.111R 1 E.A.SAI CS ImmocCII OTIOSE NANID ANTI TULCI'IIUNE N1T1.11I.1m mr R TIIE UNION, DILIITIIANDCORNEROF911SCERTRCATETIILAPPROI'RIAPIIX:,LSAIIiSOFF(CENIMLIY0AOD)ttSNIAYALUDf0UTAINEDBTCALLMOTIISSUNIOCR LILtFI)'AIu1001 SOLELY VF CANCELLA I'1 VN:(NOT APPLICABLE UNLESS A NUNIULR OF DAYS IS ENTERED BELOW) Insurance GOB, BEFORE THE STATED EXPIRATION DATE DIE COMPANY WILL NOT C[,NCFL OR REDUCE THE MSURANCE AFFORDED TINDER THEABOVEPOLITUFF LMIL AT I FAST Sll DAPS NOTICE OFSUCIICANCELLATION IIAS BEEN MAILEDTO: Ip�o' rEvidence Only /\Q-/� //IEv,)"' aren McLendon E : RoselRnd 0324 AUTHORrzCD RLPRE56MAl'IVG V c 3 Becker Farm Road Roseland NJ 07068 973 533-5509 6/8/2009 LOFFICE raoNR DATE ISSUED This eonficine is ckeculcd by LIBERTY MUTUAL MSURANCB GROUP as resaecD such hmml lA,as is f.Ned by Ill CmE,r ias NM 772 jm Johnson Matthex, Pharma Services December 2004 Dear Friends and Valued Customers, We would like to announce a change that has been a long time in coming. Pharm-Eco will be changing its marketing identity to Johnson Matthey Pharma Services. When Pharm-Eco was acquired by Johnson Matthey to become part of their Pharmaceutical Materials Division, the name Pharm-Eco was legally changed to Johnson Matthey Pharmaceutical Materials, Inc. (mb. This will continue to be the legal name.) For various reasons we chose to wait to change our marketing identity at that time and remained doing business publicly under the name Pharm-Eco. As the Johnson Matthey Pharmaceutical Materials Division has evolved over the past few years it became apparent that the time for the change was approaching. This change coincides with other division business unit identity changes. Cascade Biochem Ltd will become Johnson .Matthey Pharmaceutical Materials - Ireland. Macfarlan Smith will become Johnson Matthey Macfarlan Smith and Johnson Matthey USA (West Deptford, NJ) will become Johnson Matthey Pharmaceutical Materials - USA In addition, for the first time, a divisional marketing campaign has been launched which highlights the advantages of our units working together. As always, Johnson Matthey Pharma Services and its sister companies will continue to provide the best services and products for our clients. We look forward to continue to collaborate with you on your API development and production goals. Enclosed, please find the corporate divisional announcement. Sincerely, Johnson Matthey Pharma Services a. o Department of Fire Services x s Office of the State Fire Marshal xis P. O. 13ou 1035, SWIG Road,Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30, 2009. Icier or'1'mv0 (Gait NOTE: Complete top and bottom of form end forward both section,and tee to local l.ic,.m'ing Authority(City or l"own Clerk). DO Nor RETURN FORM I o ITE DEPARTMENT OF FIRE SERVICES. In accordance with the provisions of Chaper 148, Section 13,of the General Laws,the undersigned hereby certifies that: '.l II LE HOLDER): SfLI'SLLC -Phram-ECO (ADDRESS). 70 Flagship Drive Id the holder of the license granted (Dale): 8/17/1998 for the lawful use ofthe building(s)or other .tructure(s)situated or to be situated at (ADDRESS): NORTH ANDOVER, MA 01845 (city m lion) s related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMARLES Oft EXPLOSIVES. NOTE: This certificate of registration must be signed by the holder of the license if said license was granted prior to July 1,1936, Otherwise by the owner or occupant of the land licensed. o,scived ................._........2009......... ....___...._.__............. . .......................... (Signature) ly .................... ,................. ...................................................... (Offaial'ridq (Clcrb) (Slane ssbmhe7om¢r.occupant or bolder) ............................................ ......... (Address) 1111 ( c� Department of Fire Services j�/J Office of the State Fire Marshall P. O.Dos 1025. Stato Road,Slo ,MA 01775 REGISTRATION North Andover, April30,2009 (Cvy orfosn0 (Dam) I his is to certify that STETS LLC: -Phram-ECO leis, in accordance with the provisions of Chapter 148, Section 13,of the General Laws, tiled with me a certificate of registration setting forth that: STETS LLC - Phram-NCO S the holder of the license granted(Date) 8/17/1998 ]or the lawful use of the building(s)or other structure(s)situated or to be situated at: as related to the KEEPING, SfOR.4GE, MANUFAC"I IJRE OR SALF. OF F'LAMMABLES OR EXPLOSIVES. ........................................ (S"r,i ore and Off C.al Tull Clerk Note'.A aen,ficam of«glstmnon must ba oU on or bed rc,Art.]30'"nfcadi year. (THIS REGISTRATION VIES"r RE CONSPICUOUSLY POSTED ON THE PREMISES.) EXPIRES APRIL 30,2009 Johnson MattheVr IP g cl'— 3-1 s�i2R Ism-cs PHARMASERVICEs „aN� eea^k " ER 170310 25 Patton R.d DE,Lr MA 01434 DATE Avoca 04/09/09 $****7, 034 .35 3SEVEN THOUSAND THIRTY FOUR AND 35/100 _ ISM AETRR.DAIS 1. Q SIGNATUPES REQUIRED AUTHORIZED REPRESENTATIVES OF JOHNSON MATTHEV PH.W)MACEUTICA'_MATERIALSIG PAY TO THE ORDER OF TOWN OF NORTH ANDOVEA AurH.sU. PO BOX 124 NORTH ANDOVER MA 01845 AUTH.SIG. u• 170310n• i:03LL002671: 63015L5635 509,1' Amuat,,q Johnson Matthe .LUM ER 170310 b7iV' !V Check Dale - 09/51233 PHARMASE RVICES Vendor No. 51233 25 Patton 014 Stub 1 of 1 Devens,MA 01434 COMMENT • • • • NUMBER GATE 040109 040109, EENEN]AL FLAT 21,E STORAGE 150.00 'S0.00 2320-04010 040109� APEIL 09 - JDETE 09 I `. 6, 684 .35 6_884.35 ---- 4 35 7 ,0_ . 7, 034.35 l it II oAr nHErA. E ✓.rms CTf s JJ x Department of Fire Services Office of the State Fire Marshal P. O. Br, 1025.Sto1c Road Sw, MA 01775 CERTIFICATE OF REGISTRATION North Andover April30,2014 )Chy or l'mvr0 nro') NOTE: Compklc top and houon.of form and furwunl both sections and Ice to loud Licensing Authority(C'11, or l-ssn lllcrk). DO NOT IIVI URI FORM'1'01 HE DEPARTMENT OF FIRE SERVICES. In accordance with the provisions of Chapter 148,Section 13. of the General t.aws,the undersigned hereby certifies that. (1'11 LE HOLDER): STEI'S LLC -Phram-ECO (ADDRESS): 70 Flagship Drive is the holder of the license eranted (Date): 8117/1998 1br the I:nvful use of the building(s) or other Amended 8/22/2014 to increase the storage of flammable chemicals from 10,000 gallons to 15,000 gallons. structure(s)situated or to be situated at (ADDRESS): NORTH ANDOVER, MA 01845 I( i'orTo„v) as related to the KEEPING, STORAGE. MANUFACfURL OR SALE OF FLAMMABLES OR EXPLOSIVES. Not t This s certified,o1 registration Most he signed by the holder of the license if emd license was gran led prior to July 1,1936, Otherwise by the wner or occupant of the hind licensed. q _ IS en", 6s Receive .... Inc) K "k) IM I II omn _ p mot Laldu) IO.F/aS l, Z.0", . gn sa f/✓ (Add....l - The Commonweah*OfMassaehuseus DepwmewofradmiridAeddena 600 Waskinglon Sara go.,aa,Mass ourr •.re.Pvaaman*-cmeralH.a.esm EAlhdskmw aodhmmme Hsdnm 7ypc gpEAtq Anmst ❑ IsOffiol m OmQ I.. eiW mlmcidR I=m®Pb9Q w bwe cdmPm° mY®PbPca S lNl £ �(naUWlaC£cJFiGoPmL� V A . ov. cc �fC .,gib G�©o f[a.3' 358 -h 11 1s�wce. Gk � .:' :^ uac mdbrP•hird fLe iod.��EO4�°li9d ndoe.Ytio 3wef5e �� .. I®amlo - r mde&stln 3lANMdI4mIW bEebp.ewdewee�Poa1•e ea lmda+.dad• P.mn:�y����yl�blbfwa N.6l'DP WDAQOYD9tm..m+dS1NJ�.MY� eb9eQ�sdle.vtebs dtbafAKw.�P� Pj dtli.slsd e4b b. aD�K u vmral w..a - � ofpvjoP WN eie NfwemnAodld srm�° G(. I IrC t/e✓ ernes r 16 9 7 ( 301 a L .ts.W os.df as nn,..>bmem.e+abeaw�kP�f••m1°•� - Oa.um.eDa++��' Pemw>rse.� pIy®mc �.,.bNC pg.k�.y.aeey pj�kobed —p.e roq c+ ppoH nm+ i ed"°°w .oube.Pe.� ��� ✓/Laaoac�ueea �JJf 3i Ueparfineut of Fire Services o� Office of the State Fire Marshal A y P. O. Box 1035, State Road, Stow, MA 01775 CERTIFICATE OF REGISTRATION North Andover April 34), 2009. (CAN or lawn) (Dote) NOTE: Complete lop and bottom of form and forward both sections and fee to local Licensing Autheory(City or Town Clerk). BO NOT RETURN FORM TO THE DEPARTMENT OF FIRE SERVICES. i accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that IITLE HOLDER)'. STETS LLC -Phrom-F.00 �%DDRP-.SS): 70 Hagthip Drive d the holder of the license granted (Date): 8/17/1998 for the lawful use of the building(s)or other --ucture(s) situated or to be situated at (ADDRESS): NORTH ANDOV ER, MA 01845 (City or'town) related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES, NOTE: This ertifcate of registration most be signed by the holder of the license if said license was granted prior to July 1,1936, Otherwise by the owner or occupant of the land licensed. received ..............._..........2009......... ...._....._...__......................,............ ........ (si manx) iv ....................................... ...................................................... (Otrcial Tin,) (CIedJ (State wheihn owner oc.,.(or mWe) ...................................................... ��7 pp pp /yam pO (Addr... . l�nrcfnAatzffleaGlic � ✓lLadoacftuoe.�a Department of Fire Services Office of the State Fire Marshall 4rN e°� R O.Box 1025, State Road,Stow, MA 01775 REGISTRATION North Andrivers April30,2009 .. (City orIown) (Dah) 7tls is to certify that STETS LLC - Phram-ECO in accordance with the provisions of Chapter 148, Section 13,of the General Laws, filed with me a certificate of sgistration setting forth that: STETS LLC - Phrani the holder ofthe license granted(Date)8/17/1998 x the lawful rise at the building(s)or other structure(s)situated or to be situated at: s related to the KEEPING, STORAGE, MAN UFACTU RF OR SALE OF FLAMMABLES OR EXPLOSIVES. ........................................ (Sclecurreendomral Title) Clerk Note A efrtlGeare of registration must be Glut on or below April 30"of each ycm_ (THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES.) EXPIRES APRIL 30,2009 r commonwealth of Massachusetts Department of Fire Services Office of the State Fire Marshal `srq s„t2s P_O. Bon 1025. Slate Road,Swo, MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30, 2008. (City or'I'owt0 (Dwc) NOTE:Qonplete,top and hottom of form and foncard both sections and Ice to lucid Licensing Author tq(City(1r'I own Clerk) DD NOT RETURN FORM To Fnr DEPARTMENT OF FIRE SERVICES. In accordance with the provisions of Chapter 148, Section 13.of the General haws,the undersigned hereby certifies that fi- Ll.f_ — Sdk..sr.,Wr�a1-1+..7r�tns+•r••e.a.�.hr�:-/ NKwf.r-.�.F:'� (TffLE HOLDER): Sll.'FS LLC -Phram-I!CO (ADDRESS): 70 Flagship Drive yet ) is the holder of the license granted (Date): 9/17/1998 for the lawful use of the building(s)or other structure(s) situated or to be situated at (ADE RLSS): NORTH ANDOVER, MA 01845 tct,.,, "..ml as related to the KEEPING, STORAGE, MANUFACTURE OR SALE 01: FLAMMABLES OR EXPLOSIVES. NOI F: This certificate of registration must be signed by the holder of the license if said license was granted prior to July 1,1936, oUscrwise by the owner or occupant of the land licensed. Received �"k'Q ��... ......-U08... ..... t J'jaem (JLr.� G (�C By t Oaldal Tidc) (CIA) 70 .... Address) The Commonwealth of Massachusetts s T Department oflndustrialA ddents ANVIIAWAMPRW 600 Washington Sired Boston,Marx 01111 Workem' Com lerlulthul hasuneee Affidivlt-Geoenf Buslum" i a J I f WlOL44 4bldinr5 } fir✓ `f35 DUPE' Pail` ��tvv S�I+e ( Ob V11WVIe� � t P 19ok1 h b10TT300 4 1 ropneda 1 7 p�laasl t� -bl-(ye IVy �� A-vidoyel M/-4 ❑ I am a ode propnGar and haw➢o one Blrmem Type. Lj Itdad Rrdeoraa✓Ba/Eah➢a PsasLLsllm®t working in y apey Office❑Sals(including Rd Pstatc,Autos dc.) o with Other h j I m➢ an®playe�r p^mvedmg_kers'edmpensatioa for my employers warhog an this Job: ,J/1�lYlSO✓1 {MGLry) �� Id!✓n.S� -mL odd r• ace �1 t�.0 1 036.00. 'I' A 33.S..I I mn a mfe plapridour®d haw hired we uldependuet=1ractwu listed Wow who have the Mowing workers' cumpeueatirw pofi® . i le Darn fl' � cum ttr vbaoeai i x+eam p.ltar.m.rem.e.vmrurpuhd mda SretMo 2lAaf M(A.152 re k.dm eW lmpr.ima vfalmle.Ipm.lam ef.0o.�mtl3aaN.oar am Yrt•'mmr.emmer wAr Wap<mki�me6.r rmef.trlYll{WRAOBDEIId.am.ftlaaar.4T.Plme mn 2mdent.vd t6ec c.pT.ftkb.6f<mem m./h.Arw wmWeOm«.flvvrtlpWm Nlhe➢G fr eeve..pealMws 14 hereby c/ ands rhepel/n�e//gtdprn.lao ofpajary rhmYlm lnfarnr�lonprwldN above it fra+c rnd exxd silPetme___( n lLvh_ _9 4,44wI.a/1 Hate 0`11 II �oY j Itiat uame � r,11jJ. �j`k&k T✓fGttJ✓e✓ JL- f offlchl uu oey d.�ee•rlmroihb apnbe<ompfetrd lq<Iry er rowe.IPiW <Ity armwv: p.rmimkemaa Q➢aadia{vgw( .ere �IJ<emiat 8aad Q<Le<k al®.d4m rrpeme 6re9eVed Qa.iremvW.Oakv QAdtb p<p.rtm.vt I mct p<noo: OhaecR QOWer Pavm<lRa� L Certificnte of lnsurulme ITHIS NSUIIANCE CERTIFICATE OLICY ANDODES SAO AMEN4FC%TENOMORIALTERTLE COVERAGE AFFORDE CONFERS NO DGHT UPON BY THE POLLIU THE CERITFICATF.ICIES LISTED BELOW.F10LOE1C T1fI5 CENTIFICAI'E IS NOT AN This is to Certify That JOHNSON MATTHEY HOLDINGS, INC. Liberty NAME AND 435 DEVON PARK DRIVE, SUITE 600 ADDRESS OF INSURED Mutual® YNE PA 19087 L It in,issue Jule orlhu areifcme,iImmed by the Company under NE polay(les)Iil belox'.The im mance onoNcd by the listed poloNUma'I O suhjen to all(their Drum,eaelus m,n Nd CotNitiu n,Fam Iomd bymry rryuirt m,Smum mndum-fony commnm name dolmored Isid ru at so ahl,la,sts.sainfords mvy be ismed. E%P DATE TYPE OF POLICY El CONDNDOUsCxTLN'om POLICY NUMBER LIMIT OF LIABILITY ®POLICY l ERNI WC763G004123357 LAWCOVERAUEAFOLLOWI GSTA WC EMPLOYERS LIA6ILIT1' WORKERSCOMPENSATION 6'(1/26Qg CA, OFT ME FOLLOWING STATES: COMPENSATION MI 10,FL,GA, IT,IN PA.TN. A.TX Radily In{{'wy by 0.00O MI,M0,NJ,NV,NV,PA,TN,TX, 51 000 000 F.a nrtw=a UT.VA F'hly,"S-1000 ury by Oisevae $1 000 000 Amy By Dllrnsa 000 ,r TB263GO64123347 Gaoaml Aggmhm(o-0her 6—Pmdues Irarmeted OP^mpmn GENERAL WARILITY 611/2008 $4000000 OCCURIONCE Pmdu,u I Completed opentlintt.Aggrep; a 000 000 ❑CIAUMS STAVE OW ily Injury and Property Dotwge Liubiliry 12,000.000 Pe ettnrurt aBraO DAW Peom ll Injury Inc(Above rEr Patrattrelgni:al,an Other rule, TOrv1061LG Each Aeeitlem—single Lima AU 6/1/2008 AS263GO04123337 $5,000,000 IL I.And P.D.Combined LIABILITY Earh re—D M OWNED tml NONAWNED Each AaWenl o:Oamlenae LJ AIRED E^ch Maiden m Olumal mIIeR en cu $ .000,000 each ocrrce $2AD0,000 a00reOcu Iran Environmental Liability 6I1I2000 RG2-fi3G-004123-34] ADDITIONAL COMMENTS •If the amiliaus expiration dole is mminuous orepemtnl arm,youwill be notified i 'nssrs a a,UA,NAL1T US ,,umwmd m adelld trfom IIrt¢nifcan eapim ion Jute. ANE APPLICATOR Olt I1111 ACUIMCONtAININO A FPLSEOR OECPAVESATEMENT IS GVILTV OF INFADISGMNCaFlAND. AGAINSr AN IHSVPERsVnAIITS AD SHATI NOTICE I'O LLOPIUAPOLIe\'lUmmarma AND CCRTIRCATUEOLL 41N THE EVEMYOU HAVE ANY OUESIbNS DR RIVER INFOMIATUN ADULT IS CLI IRtCATE FOR ANY REASON,PLEASE CONTACr YOUR LOCALSALFS PRODUCER Otto E NAME AND TELEPHONE NUMBER AITFARS R RUD LO W EII RIGHT HAND COINED OFtII15 CEDYNAOI£l'HE APPROPRIATE LOCAL SALESOFFIOE AARIL'G ADDRESS MAY ALSO UEODTAREO DY CALLINGTHISNUMUER LIbETfy neutral NOTICE OF CANCHLLAI'ION:(NOT APPLICABLE UNLESS A NLIMBEIL OF DAYS IS ENTCRED BELOW,) Insurance Group SCPORG THE STATED EXPIRATION DATE THE COMPANY WILL NOT CANCEL OR REDUCE THE INSURANCE AFFORDED UNDER THE ABOVE POLICIES UNTIL AT LEAST 30 DAYS NOTICE OF SUCU CANCELLATION HAS BEENMNLED TO: ((// ,�// E WA Evidence Only" 7 Y( -`nn-ig— 1 �'-Ronda Buller 93 Roseland 0324 AUTHORIZED REPRESENTATIVE _ 3 Becker Farm Road Roseland NJ 07068 973-533-6509 12/7/2007 U o L OFFICP PHONE DATE ISSUED 'Ibis ccnifeGle is executed by LIBERTY MUTUAL NSURANCE GROUP as respam such insurance Its is DRorded by those Compgnies NM 772 fiR36 fifiY09 Johnson Matthey M111Z l7k,aenk,NA. S Newo_F wo PHARMA SERVICES Payaola rn�len cnasa oankus NA. numaFR .169609 25 Patton Road Devens,MA 01434 PATE aMOumT 04/10/08 $****5, 394. OS FIVE THOUSAND THREE HUNDRED NINETY FOUR AND 05/100 VOID AFTER 90 DAYS Two SIGNATURES REQUIRED 'aLiTHORIZED REPRESENTATIVES OF JOHN ON ATTHEY PIHHAARI1/.AACEEUTICAL MATERI ALS INC. PAY TO THE ORDER OF TOWN OF NORTH ANDOVER Aum.sa WT...all y( t;,TGc^A PO BOX 124 777000111 �J NORTH ANDOVER MA 01845 nuTH.slc. it- 16960911k rt0311002671: 6301515635 So911• CHECK J^ Johnson Matthey Check Date - 04/10/08 NUUara 169609 PHARMA SERVICES Vendor No. 51233 Stub 1 of 1 25 Paton Road Devens, MA 01434 NUMBER INVOICE DATE RFNEWAiL200 040808 UNDERGROUND STORAGn 1ANKS i50 . 00 150 . 00 - 5, '7.44 .00 2346 040BOB APRT_L,MAY,JUNE 2008 5, 244.05 5, 394. 05 5,394 . 05 o[rncM AND Ref ale FOR vouR RECon" J �t %,7) t �nd - Johnson Matthey Pharma Services Apri 1 33. '008 Joyce A. Bradshaw, Down Clerk Town of Not Andover Office of the Town Clerk 120 Main Street (North Andover: Massachusetts 01845 RE: Above Ground and Underground Storage License Renewal Dear Ms. Bradshaw, Attached is the completed renewal form and proof of insurance that you requested. The check enclosed also contains the 4°i quarter property tax payment. Please pass on to the appropriate puny. If you have any questions concerning this information please contact me at 978-784- 53 39. Sincereiv, -� jj Gary S. Hastings Environmental Managcr Johnson Matthey Pharmeceuticol Materials, Inc. 25 Patton Road Devens, MA 01434 Tel 978-7845030 Fax: 978 784-5500 www.]mpharmaservices.com Certificate of Insurance INSOR1F(f YOLCY AFUOORNOi AMIF EFM1IIOF Y]119D10R141IMFi HI(1IIRAGCAITINEDIOHP,1111l M IESIRILll I111 AT IFRfIl)U IIOIUL0. THlti C!Rl IIICATr IS .\Ol'AN This is to Cerlifv that JOHNSON MATTHEY HOLDINGS, INC. I Liberty NAME.AND L 435 DEVON PARK DRIVE, SUITE 600 ADDRESS OFI,NSURED Mutual® WAYNE PA 19087 J IEn uedncd1h., Ire ImJEY B'C pa^ I"'HO µtl _I '11' eM11 ,. IT Eddb I1. 'dp L:( :11. IJ nnle LLemc oaolwone OR Cgdms Art n 1Al<mnlga 'mwi,i Cords olaNyo rnredIN IIII Os +M1.n IM1, nro. oxr oe uee. EXP DATE ❑COsrmuOUs POLICY NUMBER LIMIT OF LIABILT, IY 'TYPE OF POLICY �LX IENDED ❑YO I I C I' ILAM WC7-63G-004123-358 1AMOAOIIL 1011 CIA UNDER UC gM1V0Y};RS LIABILITY WORKERS 611/2009 IAM'orTDE,FL GA IL crnrv5. COMPENSATION CA,CO,DE,FL GA,IL,IN Bodahey el A«deal KY.LA,MA,Son 1 ODD 000,11 Art. MO,MN.NHNJ,NV,NY,PA,TN,TX uoJill0,BY Di.mx UT,VA W I 1 000 000 BANR ,By Diiesae 1 000 000 TB2-63G-004123-346 carol Axsa�e"o Oln"as"PFMINC, CA.* IOPINA—I GENERAL LIABILITY 6/1/2009 14000000 000 AS OCCCRRENCE Aodv[le 1 Cumrleled OPcmlinu Apy$4, 4 DDD D❑CLAIMS MADE TIMM,IR-nod Pioplm DRORRI I Ib,1iNwl liyreyIncl Abov eel rrn nrolYaom,r llnacaOR` NrRle Curd AUTOMOBILE 6/1/2009 AS2-63G-004123-338 $5000,000 oL Sod P D.I'moMred LIABILITY DOh Pesos [�ow Nen r rE naina�mOttTO m NON-ONNEU HIRED EJOE 1¢id1le A,Oc—olt OTHER kHRITION.1L COMMI AIR •If M1e C P d dd 'llH, foob A Q 'dE rnCE FI TA INIFor unlln RAUD,YAY c1ON OR FLLS A'I AIR CO T\ NLA TALM,ORnLIAN1 rnlM-SCLFI YOINll RAIL o iMPOMIRTAR 0TARR is'a' LII1FAR flp { TY OCAL SAl1,O FL A .1CADORS IAI]UI TRTA NI Il TAN T[IS NLLNBx lurtu�n mnnk 1 IFIc Te O Rn Liberty Alulunl NOTICE OF CAN(FRI.A I ION (NOT APPI ICABLI L NI 6SS A NUMBI R OF DAYS IS EN I I RFD BIT CIA') hisurare GMu0. BEIOK1 THE SIATED EAPIRITION GAIT 1111 COMPANY N II "' (1 (IiL 0R CE THE INSII RANCE AFFORDED UNDE0. HIF ABOYLPOI N HAFNIILAI LEASr 3& FAA I hO110E !SST HAS BEEN MAILED TO. ('{7 F—T-wn of North Andover/Office .,'+ 1IJn"' �� (A Il " ' " Ronda Butler of the Town Clerk Roseland 0324 nurxoR¢w REraemsrnnvE Joyce A. BradOhaW,TOWn Clerk Beckcr Farm Road Roseland NJ 07068 973-533-6509 5/28/2008 �¢ 120 Main Street 1 OEYII-r THRONE DArr ISSUED l North Andover MA 01845 J This certificate is executed by IJ I111RI Y MUTUAL INSURANCIi GROUP us -P e,;such insu u IN is all dot by those Companies NM 772 Liberty Mutual 3 Becker Farm Road ecerts o nlin e Roseland NJ 07068 A e'Prdo-N,SySoeh Like Nn Oth,, U.S. Mail Document Sender: Jay Sanchez Town of North Andover/Office of the Town Clerk Phone: 973-533-6509 Joyce A. Bradshaw,Town Clerk Cenitic lion of InsuranGe 120 Main Street Subject: Johnson Malthey Holdings,Inc. NORTH ANDOVER MA 01845 Date: 5/28/2008 No.of Pages: 2 El www.LibertyMutual.com Prucr mmau NSA sender b-Hahinsvarrre IfI ➢Mnf This document was issued by the Liberty Mutual Insurance Group. The attached or linked document($)contains a Certificate of Insurance for the Insured named above. Your company is listed as the organization requesting receipt of this document($). If this document(s)is sent via e-mail, you must click on the link below. The linked document(s) is in a pelf format, and you must have Adobe Acrobat Reader installed on your system. To download the Adobe Reader for free, visit www.Adobe.com. If you have any questions regarding the content of this message, please contact your local sales producer whose name and telephone number appears in the lower right hand corner of the attached Certificate. Click on the following link to retrieve and print the document($). THS MESSAGE IS INTENDED we THE USE or HIS INDIVIDUAL On LN ITY l0 STICH n IF AODERANED Arv0 MAY-EN AIN INFORMATION THAT Is FHINIrGED.WMIOENNu ME Arel FROM DISCLOSURE aNOH MRLICADLE LAN IF 0.0E THE MESIGGE IS NOT ME ININTENRUD PIREILLIO ENCLOSE:EN0Y OR AGENT RLOPL DTE FOR SLEEPING THE MEHFAGE TO THE INTTNDM PELN£NT IOU ME HEREBY IHAI ANY PSSEMINATICN,DISTRIBUTOR OR COPYING OF THS COMMUVIGTgN 19 EUPHONY 19PIIT NO r YCU HAVE RECEIVED THIS CONMIMICAHON IN EHNOR,PLEASE NOTIFY US IMMNIATELY EY I ELEANORE ANDPENRNTOOWGNAMESSAGPOUSATTHEABOVE ADDROSNAREGJW2POSIALSERPCE. ».eC"HO.I....COOT JS 20041....ranee I....... I.N, -ne.iu.Mrancevision..cam Note: Complete top of form and ferward both sections and tee to local licensing auratc ty (City or Town Clerk). Do not make application to department of Public Safety. �, � �cn�uea�C�i a�C/G�al�acfic�eCGi ejdxG� nco� e7 � Mw NORTH ANDOVER APRIL 30 C. ar Town Cate APPLICATION FOR CERTIFICATE OF REGISTRATION n acccrcance with the provisions of Chacter 148. Section 12. of the Genii Laws, the undersigned hereby certifies that JOMA'TT LLC - Johnson Matthew Pharmaceutical Materials, Inc. 70 FLAGSHIP DRIVE, NORTH ANODVER, MA s 41e nelcer of license granted AUGUST 17 1998 forme lawful use of the building(s) or other structurel6l vualec or '/0 FLArcurn Dn IVE �c cis situates at as stated 1c me KEEPING. STORAGE. MANLFACTJRE CR SALE OF FLAMMAELES OR EXPLOSIVES. NORTH ANDOVER MA Ord P. Nora: -a acolication for carv6care of regtsrrdtlon must he signed by the holder of the license if said license was granted pnor,b Juiy 1. 1 g96, otherwise Cv the owner er oc, can,dl the I e licensed. Fecervec Suomitted by i KI MAY-16-2007 14:21 SM PHOPMA SEP.VICES 1FL 970 794 S600 P.03 _ The Commonwealth ofMassachase"S Department of Industrial Accidents Mwommulandw 600 washington S&eet Boston,Mau 01711 Workw, C "Satloa IRserallcc Allidavlt-General Dmisesses all 70 v c r 1"1'In ,ur .rn 0/&YS 97�79'f'~ O ,�•�mM t ❑It Ret17 rstr me BwIE;,pns PstablWiment Q a MIC pMpritaer and have no we ousi.m T"w 0 Office Q sales(including Rad alste,Auras etc.) worGa6 iR any capacity l & art time). Other IlSXX211 an 1 Ivifr N rat low Other I am an employer pro-cling wvrkcs'WHIPtaaetiw for MY ®Ployea wa<Fmg w this job iv f�h�s6 w1A tf� Ed t �13Fi i man Pavlc ��dvY Svl C, 0a , .dd +.• n 301J- , . .; :bit. : �i�f✓� ;';, . ;.: „ l am a sole Pmodor and have hired the independent eonbaefa9 listed below who hnve the fotlowmg vveekers' compaomtia policy . .. ram n •nc. _ - tio. , • et iv urern ro s• - ipiw>om e>- .� tmdr srtMv#A dMGL 13a a•Ivd Ythelmp.tty.ler♦mltul piw.ltk..f m.4b RrSso"Ndhr B.Ibp.r.a.ans.�r+•V � wtb jm.l.6rOPwORg ORDER Md.11wdSldlN.braPm.t n.. liedr..cM lMt. .�y.nn'vmc.y.a..rt r•d r e1rR�kV c.pr rrthb.t.aewR mr h.b.w.rdad b 0.1Mka.ltvrattpn.r.ltY.tnAxrr.s.p.•.dnurf.a rd,hrty�.rpdfj.µ./rrt/.epains a+rdpmwMn�1.(P rdwy that the infarmuNee prevlJd show ir bve=d rvrrtd 3gnvta• J Date vsl i----t a` - (La�t Pj® w bro 1-7 6/.; .akYlaee.b d...twrlratkY.rya bbe e.apkud 6rcttr.r bwe.ffkm <tryor nwv: psmvm au.Y ❑llvadma D.trn - ❑t.k.a.be ❑eerkuhm Nfb re+Pew.6rM"» ne_•.�••••�^••.OtRc. (]Hpkh D.Partm.:d contact p.nr: Ph.uc M, ❑Other TOWN OF NORTH ANDOVER LIST OF PARTIES OF INTEREST: PAGF OF SUDIECT PROPERTY MAP PAR tt NAME ADDRESS ABUTTERS: jilfi�W, -Ecn LA/irS %cs,'M.tii 1 > (,. BLS-- -C'=C�t,�Q�CTi�/C . 7--wl 2 /✓ m,uL-6 aar. / X7JJ 14:�lll 14 6 %Oj[_` Gf> !� cJ4r?_/_I/ �� r✓ _ Rt2,:; / 5.� . �Opjt r- l !\ /J ;✓ry<-J. 6 T 19 10 12 13 14 16 6 20 CERT. BY �-L✓c- DATE' f TOWN OF NORTH ANDOVER OFFICE OF TOWN CLERK 120 MAIN STREET NORTH ANDOVER. MASSACHOSETTS 01845 ow*H Joyce A_6radshaw o o °o Rnm('Jerk _ _��'.•� ,- Telephone (978)688-9101 FAX(978)688-9556 �y9�yy Memorandum To: Building Inspector Chief of Police Fire Chief From: J#akn An Clerk Date: September 17, 1998 Subject: Aboveground Storage Tank - 70 Flagship Drive Please review the attached application for a 10,000 gallon, above-ground storage tank from Pharm-Eco, 70 Flagship Drive, North Andover, MA . Please send your comments to me by September24, 1998. Thank you for your cooperation in this matter. attachment TOWN OF NORTH ANDOVER OFFICE OF TOWN CLERK IN MAIN STREET NORTH ANDOVER. NIASSACHUSETTS 0184] e Jovice A. Bradshaw Talephone (978)688-9501 T nm,Clerk FAX (9-8)688-9;56 Memorandum To: Building Inspector Chief of Police Fire Chief �qt // From: la et aT6n, A s ant Town Clerk Date: September 17, 1998 Subject: Aboveground Storage Tank - 70 Flagship Drive Please review the attached application for a 10,000 gallon, above-ground storage tank from Pharm-Eco, 70 Flagship Drive, North Andover, MA . Please send your comments to me by September24, 1998. Thank you for your cooperation in this matter. attachment wcte: Campiete upper anc lower Porsche of form and fcrware tarn secucns ;a boas licensing authority (City or Town C1erk). Ca not make application to department of Public Safery. �rimmrircuoa��� c�C/ oriccc�icca_C�.t C — J �- �e�r".rr.'�imeou`cG�xe, :J±r:ecz: vd "� ' Ciry or Town North Andover Cate 8/17/98 APPLICATION FOR LICENSE For the lawful use et the herein described building... or other structure...., aeciicaticn s hereby mace in acdarcaroe wiih 'he provisions of Chaoter lA8 of the Ceneral Laws, 'cr a acol to use the '.and on writ.`. such cuttcinc._. or other structure.... :care cr Iv are to be situated,anc aniv ;a swan ement as strewn on plot plan wnich is tiled win and mace a parr,et tills abdication. Location oflanc 70 Flagship Dr. North Andover Nearer:c:cssrreet Willows St. Owner of land Srptq TTC Address 70 Flagship Dr. ;North Andover Number of buildings or other structures to which Ihis acciicaticn applies 1 Ccoupancf or use of such butongs Multi Tenant Industrial Total caoacty of tanks in gallants: —Acevegrrt 10 000 Undergrri Kind offluic 'a be stared in tanks —Abovecraund Fl h1,ZC,omhu3tjh1P Underarcunc ----------------------------- --- ------------- Am Um m 2cLOCCG�Z c` - c ac a c =' � ���w,'n.rmi„�✓S%�. ✓?x+s�ca: — ���nuir�r�rcnC J w:x2nd ✓2n,c ✓';�:.r:..an i 7 C;N cr Tawn North Andover Cate LICENSE In accarcance whth the prcvil at Chador 1�8 of the Cenerah Laws, a license's hereby oral a use the land here, _es t:cec for the lawful use of the huiiane.... or the,sn:aure....which iv'are or slate ;o be situated ti arc as cescnced ec the ,at c:an filed with the adoiication for Ihie:icanse. Lacaucn of .arc 70 Flagship Dr..,,North Andover Nearest Toss street Willows Cwner of land Stets LLC Actress 70 Flagship Dr. North Andover Number or bmicincs or other structures c ,v,rn this acciicaticn booties 1 Ccc:xarcv or use of such'ouildmcs M111ri 7e,taDt - 'fol Total cacaciti of lanes In gallons: —Acavecraunb l0 000 Uncem,co nc Kind of fluid Io be stored in lanes: —Accvecrcunc Underground P.estrcticrs -:f anv: TC _ THIS LIC=^lac OF.: i9G-C STA 7 IC CFi CEr:F.E COPY Te hAU°? SE CCNSFIC'.:Cl1SLY°CSTEC IN 11C F-lo 'N'r'IC'r. 17 iS GPANTEC rrTS\PhIAMMECO\9725\9725STPLAN.dwg Fri Aug 14 15: 29: 09 1998 i i N6 00'4S' C I I I I � I No, TC 7; 6 ; Date TOWN OF NORTH ANDOVER sE RE— This c,rnhes that 4 has pad for _.. _ _... _... _. Cerntied Cepy Doo license [4i'h and Wildlife dosiness cmif-"etes One Dav Common Viewajler Non-Criminal O[her Received by 1LC�[ C(✓L� WwTe PPlicanf CANARY Oepanment PINK:Treasurer .tl Johnson Mat they Pharma Services CERTIFIED MAIL RECIEPT REQUESTED June 12, 2007 Down of North Andover Joyce A. Bradshaw, Town Clerk 120 Main Street North Andover, MA 01845-2493 RE: Flammable Storage License-70 Flagship Drive Dear Ms. Bradshaw, Enclosed is the Flammable Storage License renewal with a check for the associated fee. Also included is the completed Commonwealth of Massachusetts Worker's Compensation Insurance Affidavit General Business. I have taken the liberty to make the changes on the "application for certificate of registration' to reflect the current name of both the landlord and operator for this license, as noted in our earlier telephone conversation. If you have any further questions please contact me at 978-784-5349, Best Regards, � 7 Gary S. Hastings Environmental health and Safety Manager Johrson Mafvhey Pharmaceutical Materials, Inc. 25 Patton Road Devens, MA 01434 Tel 978-784-5000 Fax. 978-784-5500 www jmphormaser vices.ccm Nate: Complete tap of farm and forward bath sections and fee to local licensing anthorit, (City or Town Clerk). 00 not make 4pplication to department of public Satety. +� � (OGYI7/j72G/2C1122G�iZ G�C//��CGJ(1CLCiLU��(�%L '3 ;_i �efrrvrLm,N'n.Ca�C>'vre Geirou..cee — �rJ�,� a��vxe ✓,.��urm,Cco,z City a,Town NORTH ANDOVER Cate APRIL APPLICATION FOR CERTIFICATE OF REGISTRATION n acproance with the provisions of Chapter 1.ui, Sec'Jcn 13. et the Cenerm) laws, the undersigned nerecy certifies Jr.,: STETS LLC — ..--=0 _ck t11 �m� ry�l N / ♦J�(if.('CL I(Cep./ /,L-ql�/4 /1 d t e . 70 FLAGSIIIY DRIVE, NORTN A.NODVER, MA s :he nclder of license granted AUGUST 17 1998 � p for the Jamul use of the buticing(s) or other structure(s) sauatec or :c oe srT aced at 70 FLAGSHIP DRIVE S7CgACZ, 1,:ANl,'G:,CT'F1G Cr1 SAL CF uPLO51VES. NORTH ANDOVER MA Note: Tms application Jpr rem9care of regis:2➢on must De signed by the n"cer pJ the license i/sarp license was _ gramed ph."a Ju/y 1, 1935, otherwise by the owner or pcapan the land licensed. v 1 t Submfrt�tec by t'" P / �J /P� dr. /� Johnson Matthey Manx en Bank Delaware 63;i` ,56,.0; 1 1201 tar,DE 196 G q O\� PHARMA SERVICES wlmlcoa,.of lseol Nuys 164118 VVV ���III 25 ns,M 014 nER Devens,MA 01434 DATE AMOUNT 03/22/06 $******+150 .00 x 'ONE HUNDRED FIFTY AND 00/100 ********+x+xxxxxx xxxxxxxxxxx xxxx xxxxx+xxxxxxxx+xxxx• VOID AFTER SO CAvs TNo NATURES REOUIR EO AJTH D REPRESENTATIVES OF JOHNSON MA PHA/RMA/C�EUTICAL MATE El SINC. PAY TO THE ORDER OF TOWN OF NORTH ANDOVER �'/ PO BOX 124 AUTR.EIc. NORTH ANDOVER NA 01845 AUTH SIG isIr 181r 1:0 3 1 100 26 71: 6301515635 SO91" Johnson Matt hey Pharma Services CERTIFIED MAIL RECIEPT REQUESTED March 28, 2006 Town of North Andover Joyce A. Bradshaw, Town Clerk 120 Main Street North Andover, MA 01845-2493 RE: Flammable Storage License-70 Flagship Drive Dear Ms. Bradshaw, Enclosed is the Flammable Storage License renewal form with a check for the associated fee. 11 you have any further questions please contact at 978-784-5349, Best regards,,r - �7c� A I✓-f%-Y'� �1� Gary S. Iiastings Environmental Ilcelth and Safety Manager Johnson Motlhey Pharmaceuticol lMoterials, Inc. 25 Patter Road Devens, MA 01434 Tel 978-/84 5000 Fox. 978-784 5500 www.lmpharmnservices.com Nate: Complete tap of form and forward bath sections and fee to Iccaj licensing authcrity (City or Town Clerk). 00 not make application to department of Public Safety. r^ �3 �Oa�rum.�ruuea�l�C a��G�aaoccc�u�e� aemxrzCa 6 �C ��vrrA G ei>`w.ces— 2107�u�iz Cltyor Town NORTH ANDOVER pate APRIL 30,a�`(Z6j APPLICATION FOR CERTIFICATE OF REGISTRATION In acrcance with the pmvisians of Chapter 148, Se ,,n 13, at the General Laws. the undersigned herecy canifies that STETS LLC - PHRAM-ECO 70 FLAGSHTP DRIVE, NORTH ANODVER, MA w� s ;ne holcer of cense grantee AUGUST 17 1998 tar Me lawrul use of the bulicing(s) or other struciurefsl srtuatec or __ _.,_p,__ 70 FLAGSHIP DRIVE as n=lateC Ia :Pe Kc PING, STORAGE, MANUFACTURE OF SAL OF FLAMMABL=S OR EXF'-CSIVES, NORTH ANDOVER MA Nore: 'ors application for cemficare be regrsrrabon must be signed by the ho/Qer of license i granmQ pnor;p July ], 1936, ornerwrse by re owner or ccap se was neceN Submibed by ov iC_l�kf� U�,I -� — '- Y TOWN OF NORTH ,1NDOVRR OF1 R 1: OF TORN CLERK 11_011AIN SIRFFI NORTH ANDOVFR, MASSA( IIt'SHI"ISof845 ncc A. l IT,ulsh;nv O t I Icphnnc (978)688-950I / nn C7rr'A y� FAX (978)6H5 9557 y'ssn Johnson Matthcy Pharmaceuticals Materials, Inc. 25 Patton Road Dcvcns, MA 01434 March 16, 2006 To Whom It May Concern: Enclosed please find your 2006 Registration Renewal Form(s) for above ground and/or underground storage tanks listed at the address(es) on the enclosed form(s). Renewals are due April 30°i of each year. The fee for renewal is $150 per site. Please sign the lop portion of the registration form and return it with the appropriate fee, payable to the Town of North Andover, 120 Main Street, North Andover, MA 01845. The bottom portion is tours to be displayed alone with vour license. Your immediate attention in this matter is greatly appreciated. Very truly, oyce Bradshaw 'I own Clerk Enc. Note: Complete top of form and forward both sections and fee to local licensing authcrity (City or Town Clerk). 00 not make application to department of Public Safety. �e%raxGireem,C a��uv V��<� — �vutotriro a��'v.� �,.oniaxlrcm City or Town NORTH ANDOVER Cate APRIL 30, APPLICATION FOR CERTIFICATE OF REGISTRATION In accaroance with Me provisions of Chapter tab. Secoon 11, of the General !.aws. the undersigned nereby cefores Tat STETS LEG - PHRAM-ECO 70 FLAGSHIP DRIVE, NORTH ^ANODVER, MA s the hpider of license granted_ AUGUST 17 w;998 for the lawful use of the building(,) or other sth"hurelsj situates gr :o be situated at 70 FLAGSHIP DRIVE as aiated 'p :he KEEPING, STORAGE. MANUPACTJRE OR SAL OF FLAMMABL=S OF EXPLOSIVES. NORTH ANDOVER NA cw d r� ,yore: 'hs ooplica0on/o,osisfirate of regrs'na➢i must be ugneO by Me halos,o1 the license if said license was grantee prior ro July I, 19,16, lips ,oy Me owner or ob"cant of the land licensed. =ecervec u.. Supmrtted by cv w.w. cry.-.W -__ ____ ______ ______________________—__ m � �" �G'I77/J72 'UYLLL'2��/�7� G�UU�.16_CGIG �L '?5:�®�j � �e�wxLnednCe��vr< GYezrcz — C`iw%w�rouirc¢yC�/io x¢,�e C�/2n,c �,�.r�irz CIN or Town NORTH ANDOVER pate APRIL 30, REGISTRATION -',is s 'o certify that STETS LLC - PHRAM-ECO as. In acarpance wren the prolmcns of Chapter tab, Secpon 12, of the General Laws. filed with me a cemficate of reglstraren semng ,^r !not STETS LLC is the harder of the license gareo AUG11C1 17 1998 for the lawful use of the building(,) or other sr ucmrels; situated ar oe suuatec at 70 FLAGSHIP DRIVE, NORTH ANDOVER, MA a,-,,,,a Arno« as :sated io :he KEEPING. STORAGE. .MANUFACTLRE CA SAL OF F.AMMA6LES OR EXPLOSIVES. vote:A cemfi.le I fvgrsLaucn must oe file,on pr carcre Apnl tom or eol veal r115 RE_IS7RA7CN VIUST SE CCNSPICJCGSLy FCSEC ON THE FFE411SE5 Johnson Matthey Cl..aMdjM.O ,SAA.,MW¢Ie szas 11 J M PHARMA SERVICES ,N11 — O 19 161716 wllminemP oe 1900, NCEDCA U.BE 25 Patton 014 uuMRER Devens,MA 01434 GATE MOUNT 06/09/05 $*******150.00 ONE HUNDRED FIFTY AND 00/100 *********xxx**xxxxxx*+**+x*xxxxx*xxxx*++**+xxxxxx**• VOID AFTER 9n DAYS HAD SIGNATURES REQUIRED AUTHORIZED REPRESENTATIVES 01 JOHNSON MATTHEV PHARMACEUTICAL MATERIALS NO PAY TO THE ORDER OF TOWN OF NORTH ANDOVER c,�7 PO BOX 124 AUTH.SIG. NORTH ANDOVER NA 01845 AUTH.SIG. UJ1�urno� �Lnc� �.M��ecv IId L6 171611d 1:03L L002671: 630 L5L5635 50911• Johnson Matthey NUMBER 161716 PHARMA SERVICES Check Date - 06/51233 25 Panon Road Vendor No. 51233 Stub 1 O1 1 Devens,MA 01434 • • • d NUMBER DATE RFQ0531 053105 FLAMMABLE STORAGE LICENSE 150.00 150.00 150.00 150.00 of I ACH AND REraN FOH IOVE REDDENS The Commonwealth of Massachusetts - Department oflndustrial Accidents '= 600 Washington Street ----_` ✓ Boston,Mass. 01111 Workers' Compensation Insurance Affidavit-General Businesses i Johnson Huh nt- aauaa ab"a! Matefialq ]Be d/h/n I h M7 ft]hoy Pharmp �o„»oP= address: 25 Patton Road w Deve�s t t MA rio'01 434-980 3ohveoN 97R-78L-S000 wenk site locative fu address : 70 Flapshiip Drive ❑ I am a sole proprietor ana have no one Business Type: ❑Retail Restaurant/Bar/Eating Establishment working in any capacity. ❑Office❑ Salo(including Real Estate,Autos etc.) ❑ I a n an w to with em Io tali & art time. ❑Other I am m employer providing wmkers' compensation for my employes working em thisjob. e.um.rry mocal eddrear hooe el N• fnsuneee ro: ' l.ibert 'Mutual 1 _ I am a sole proprietor and have hued the independent contractors listed below who have the following workers' compensation polies: eom a eme•. eddren• ci hooe N• ivanravice eo. Ile rom n eanie• eddreaa: phone N' insurance ea If N Fadare to a«art-scan[.u re hared miler Seetion 25A of MGL 152 can lead to the ut oakien of ertmtnel pemltW arm One WU Sl,5an.ta mod/or om ynn'Imprhonment n wed m-HB pemnW b the/orm of.SLOP WORE ORDER cod•Ibe sf Stta.aa•d.y.r.imf m I undenhod tWt s cep ru,n autmevt may be far.nrded rothe 011ke of Ivoatl[atbm of the DIA tor-scent-nrNnaom I do hereby"d r t t r andp naftfes ofperjeeoy that the int/oteficeprooidedbove it hue and Da coned� te _��� _ �_ 2C, Print name Salah Zahr Phvea N978-784-5000 omcbl me only do mt write N thb via to he eompkted q'c4ry or town slfkkl any or ta. peemnu'rene p ❑Bu W,Department (]Lkcvamr Board ❑cheeks immediate rmpome b required ❑S.kctmew.Oake (]Hnith Department nnuct penom phone r; (]Other poem s.vt man Joh n so m M(Athev Pharma Services CERTIFIED MAIL RECIEPT REQUESTED June 10,2005 Town of North Andover Joyce A. Bradshaw, Town Clerk 120 Main Street Norrth Andover, MA 01845-2493 RE: Flammable Storage License Dear Ms. Bradshaw, Enclosed is the Flammable Storage License renewal with a check for the associated fee. Also included is the completed Commonwealth of Massachusetts Worker's Compensation Insurance Affidavit—General Business. I have also requested a copy of the insurance certificate from our insurance carrier be sent to your office directly. If you have any further questions please contact me at 978-784-5349. Best Regards, Gary S. Hastings Environmental Health and Safety Manager Johnson Matthcy Pharmacoutical Moterlo s, Inc_ 25 Patton Road Devens, MA OI434 Tel 978 784-5000 Fox: 978-784-5500 www.jmphanraservices.corn Nate: Complete top of farm and forward both sections and fee to [coal licensing authority (City or Town Clerk). Do not make application to department of Public Safery. m �%i'1'//YI2lYlZC/18CL�� ���CUJGaC�Cl/J2�.L a � �el+.+.vrj�r,�+7yl r/(J//Y; v�/Y1M.CP6 — �I/WdGd2 b�.V't� �fHUe71l4GJL V City or Town NORTH ANDOVER Date APAIL 30, %) APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance wrth the provisions of Chapter tab, Secnan 13, at the General Laws. the undersigned hereby cart that STETS LLC - PHRAM-ECO 70 FLAGSHIP DRIVE, NORTH^ANODVER, MA U the holder of license granted AUGUST 17, 1998 for the lawful use of the building(s) or other stmcturets) rtuatec or a.. to ce situated at 70 FLAGSHIP DRIVE as related to :he KEEPING, STORAGE. MANUFACTURE OR SAL OF FLAMMAELES OR EXPLCSIVES. NORTH ANDOVER MA Nero: "vs apodication for ce oficare of negisabDon must be signed by the.holder of the license if said license was granted pner m July I, 1998r omerwise by the owner or eccucanr of the land licensed. Fecetved Suomised by ------------------------- -------------- ----- -. c r umcncuea 151-1 �au ac/u�eG�t C,ry or-own NORTH ANDOVER Date APRIL 30,�,'�) REGISTRATION 'vs s to:ertdv that STETS LLC - PHRAM-ECO -.�. In acardance with the provisions of Chapter tab. Section 12. at the Ceneral Laws. filed 'with me a certificate of registanon saving 'crp. that STETS LLC is the holder of the license Granted AIIAIS4j 17, 1998 for:he lawful use at the building(s) or other structure(sl satiated or a,. 'a no rtuatec at 70 FLAGSHIP DRIVE, NORTH ANDOVER, NA as re!atec :a :he KE-ERINC. S7CRACE. MANUFAC 7 JR.E OF SAL OF F.AMMAEELIES CR EXP'-CSiVES. �� sn•w..�a orrb.�rse Note r A oanffiate of r Pcrrducn must Oe filM en or!,yore Apnl Sot➢cr eaev year. ,IS RECiSTRATICN MUST BE CONSPIc,1CUSLv FCSTED CN TIE PFEMISES Nole[ Complete top of form and forward bath sections and fee to local licensing authority (City or Town Clerk). Oe not make application to department of Public Safery. corumGrecuealC�i G�P/Gla aaclic�eCzy 3 .y' �efwirlmzozCa�GSLxe �r�urcra — �urxnw�z a��vxa ✓-Y✓lUP/RCtGn City or Town NORTH ANDOVER Date APRSL 30,;gCO Z APPLICATION FOR CERTIFICATE OF REGISTRATION r. aca«ance wM the pray thcrs of Chapter Ica, Search 13. at the General(Laws. the undersigned hereey cenifies that STETS LLC — PHit& —MO 70 FLAGSHIP DRIVE, NORTH ANODVER, MA re nolcer of license granted AUGUST 17, 1998 far the lawful use of the budding(s) or other strucurels; eaualec m rc as a r,aiec at 70 FLAGSHIP DRIVE as recited to me{c ?ING, STORAGF, MANUFACTURE OR SAL OF FIAMMAELES OR EXPLOSIVES. NORTH ANDOVER, MA Nore: -ha asolieation for ceniaeare of regsm;;ncn must be signed by the holder of the license it said license nas granted pnorm July 1, 1935, ofherwi3e by the owner ere licans� =e Suomltte cemec S� �h J a r. C/ (]_ `` y --- _ — ,n605 5E951510E9 :Id 92 0011 E O:l .112 02 IS I .n - -/ l yyy�� als'Hlnn ' o _ 598T0 YK 1I3A0OP31f FISIION ;.Hlnv VZT XO8 '0'd HZA0aNV HSHON d0 NNO�L J0U9G803Hi O1AVd ou Sl.131 W1V011ncriiW Hd VW r401 H- f 003'W WHd d0 S3AUVIN3S3Hd3e a3vurtHIDV - 03HIOe3e S3HfLLtlNeIS CM - 1111.11s. 0A - xxa++xaa++xaa++sea+xxa+xxxa+xa++++xa+xxx++xxa+xxaa+xsa+x OOT/00 QNv aaHON[1H 3N0 10 OOo+xx a++x$ ZO 31£a/SO ZE610 tlW 'SN3A30 GVOU NOLLVd SZ .Lo9Z(,"` HNO3 'ONI SlVi U31VW NOSN3OtlWUVHd , ^ {{.. >ta3H° lao�llS+w:w ioeim A3HlltlW NOSNHOf Bb L9 .—Im YWe w4.WeW nryo 003-INUVHd 1 Note: Complete top of to= and forward both sections and fee to local licensing authority (City or Town Clerk). Da not make application to department of Public Safety. _ � �^; IIiL'; /iZCL'2¢�C� C��G�fL'J6GLC�C012CZ1 o � �etta�LnunC cG�ure �vr uecez — '�vwvcarc a�.��'ri.� �roiuerzCecx City or Town NORTH ANDOVER Oate APRIL 30,gw� APPLICATION FOR CERTIFICATE OF REGISTRATION n ac-reznce with die provisions at C"apter 148, Section 13. at the General (Laws the undersigned hereby cerdfes :hat STETS LLC - PHRAM-ECO 70 FLAGSHIP DRIVE, NORTH ANODVER, MA s 'ne nc:der of cense granted AUGUST 17, 1998 b for the lawful use of the builcing(s) or other s:mc:uretsl s:r:a2c or 'c ce crtuatec at 70 FLAGSHIP DRIVE as re,.:ec to the {EgPING. STOFACE, MANUFACTURE OR SALE OF FLAMMA9LES OR EXP�OSIVES. NORTH ANDOVER MA 1,r .. rice, T16 walica0an for cshn,,re at registraaen must be signed by the holder of the license it said license was granted pnor td July 1, 1936, otherwise by the owner or occupanr of the land licensed. =eali"ec Submitted by or ... +eon.. _ _ _ _ _ ________ ____________ ______ _____— ___ -- �;, �crimim�caea�C�i c��/�lacCcc�teG�y ®j y �e�rairGmvneCa�sr•�e �ew.ricea — LrounadC/�ra�e�axr.7C �rn�xzm CiN or Town NORTH ANDOVER pare APRIL 30, IWA REGISTRATION c :c csnry 'hat STETS LLC - PHRAM-ECO 6. r acdomance ',ith Te provts:bns at Clair er 148. .SeClon 13, of the General laws, filed min me a certificate of regtst2tlaf, sertns ,. . :ra( STETS LLC is the holder at the license grantec AUGIIST 17 1998 for the lawful use of the buildings) or other sm.cture(s) srtuareo or D _e sauaiec of 70 FLAGSHIP DRIVE, NORTH ANDOVER, MA ss re,atec '.a Pe KEEPING. STORAGE. MANUFAC-JRE OF SAL OF r•.AMMA9LES OR EXPLOSIVES. Vim/ sww.woea.�rL No. A"'N:c's or re'vranon.nus ce file' an or Delon,Apnl Jdtn er aacl weal _HS REGIS-PATION MUST BE CONSPICJCi SLY POSED ON THE PREMISES note: Complete upper and lower portions of form and forward both sections to local licensine authority (City or Town Clerk). Da not make application to debarment of Public Safety. a :. �/�e�zaixCmem.C"al✓'v.��?vu.ces — ��w.:crin c�.:J'�.� ��v?veiicin r Cty or Town North Andover Date 8/17/98 V APPLICATION FOR LICENSE For the lawrul use of the herein sees.bea builcina... or other structure...., application s hereby made in accordance with :he provisions of Chapter t48 of the General taws, for a license to use the land on wnicn such building.... or other structure....c u are nsr are to be situated. and only to such extent as shown on plot plan wma, is tiled with and mace a part of this occultation. Location of lane 70 Flartship Dr. North Andover Nearest crass street Willows St. rm...e,1-1 Owner of and St-era 1.1f apples, 70 Flaeship Dr. North Andover Number of buildings or other structures to which this accitcation applies 1 Occupanty,or use at such buildings Multi Tenant Industrial Total capacity of tanks in gallons: —Aboveground 10 000 Underground Kind of fluid to be stored in tanks —Aboveground rl nmmahl JCu,mh cr i hl n Undergrcund `Approve^ � = Disapproved . urhafeze upper onto ewer aor, ens of arm one rcrnara occr, sec, uns :a coat : cans n_c auihorfbl ICIh/ or lawn Clerk;. Ce net make application to department et public Safeb7. w -in wrtGk�. ep Sl- f It 14Y C:rr a Tawn North elttdover ;ate 8/17/9A APPLICATION FOR LICENSE ?r the IzwiW _se :I're herein described ]Maine_.or other s:mc:ure.__ =opianuen Is hereoy mace in acccrcica wim he r p«,visions ct Chatter u5 m the Eaneral Gws, br a lrccnsa .e use the Iznc on '.vnlch such ouilctno.._ cr other smjct,e_... &ara or is are la de . Zart, are env, to tech event-,sneer on plot:Ian wl an 's I;:rc iln and mace a pert of this cFailce!on. ixauc,of 'ana 70 FIngshIp Dr, North Andover vearer.crosss:reet Idillows St. Cwnerollana_ SLas Id,t .Accress 70 Flap_ship Dr. North Andover Number el budcngs cr other srtuc!ures to ,vn,c, his sultcallon zoolles 1. Occupancy or use cl such brdldings Multi 'tenant Industrial Total caceofy^f tanks v canons_—AtavrgrofmC tO,000 _ Underground 'Rtndel OCClcbes.orea'mlanks:—Above-round 4'I -m --hlP/('- h ¢ `hie Undercr0un0 _ '-OCr v _ ;;152CCrG VE'd �. i - - — ———— — — 2\ a-�L�.Fj fir, 1 SCa . Clhr or �cwn North Andover Cale 9/28/98 LICENSE In acc:r^_ancz wtlh:he prpvimcns of C.haoler ld8 v the General Laws, a license is hereoy aranred to usa the land herein descacea tel the rawwl use of he huilaing.._ or t't tntcture ni.Ct i,,ae r_ro to sc,ot,c thereon, - M s.:eszoh.d on the:!ei--isn Ilec ,in 'ne aooliceton to, his xense_ -acarcl ant -L FTaoytrp Dr. North Andover lr,m,t ir—, tdiIIows Cw--erc! iaoa Stets Id,C � — Aca:etc /U Flagship Dr. North Andover Number of b!nlcinrs ,r;o^.er=;meu:es'a rvn!cn .his zcoficalicn ,cche, l Ccc_pancv]t isa el such hmicmcs_ Multi 1Lp11r: ELd atrial Total caczc r,e: Iarxs r.calMrs. —Aboveeround 10,000 lLncercrcurr' Fiea of Iluic tc tp_ ;:area n 'ank=--Adcvecra_-nd Lncerarcone "oh"t!cr's an, h AUI I..«L, � ,C���i ,ll+( � } (.I dI MAN,_ 1 TC ENS LNC CotLYI SS T ON T-IS L Z I'=E T:: T-'TT.n'-C __ 7'r29 I,, :-O� =TEo IN A P9r]" Lc CN ANP, F-I- -iLr ITN - ANT=- Note: Complete tJ}of form and forward both sections a',d tee to local licensing authority (City or Town Clerk). Oo not make application to department of public Safety. '3 ��arliiree�xC c��uxe �rir�ucceti — �' �,oy� e� ?/7 �'uxs �ro�ccn Cltyor Town NORTH ANDOVER Oate APRIL 30, i(pOe� APPLICATION FOR CERTIFICATE OF REGISTRATION In a=rcance with the provisions of Chapter lag, Section 13. of the General Laws, the undersigned hereby ce-lies that STETS LLC - PHRAM-ECO .w�.d 7G FLAGSHIP DRT.VE, NORTH ANODVER, MA s toe herder of lice,;,gr=slpd ADCPST L7, 1998 _forthe IaMcl use o! a.r. — he bui1dir;3 si Ir ether stn;cture(s; sauuec or e De smraed at 70 FLAGSHIP DRIVE as related to Me KEEPING, STORAGE, MANUFACTURE On SAL OF FLAMMA c ELES OF .XP' OSNES. NORTH ANDOVER NA Note' This apphcapon for cervficate o/rage"'afon must be signed by U e holder e/me ficen y g2nted pdorp July I, 1936, orhenvrse by the owner or, - " sad license was ant o/the f an ficsns ;,cone,_ /i ;,2 Submitred cY 7l -/✓/l.L /� �r ow ,.w The Commonwealth of Massachusetts Department of Industrial Accidents ANVOIAmsOMM ` 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affiidavit-General Businesses I � n � - � Illi. 1`1 �1 t. 'i iV - lla (, .I<< t e - , �.✓ . � - Aide ,cOc k 't location f&Il addreash l IY I �j I am a sole proprietor and have Do cue usiness Type: Retad Restamant/Bar/Eanng Estabhshmrnt working in my capacity. L]Office❑ Saies{including Real Estate,Antos etc.} J I am au cm to with em to I am an employer providing workers' comp®satiou for my employees worlong on this job. coon ap uame• addreea: hone q• / // )( I am a cote proprietor and have hired the iudepald®i cootracttxs listed below who have the following workers' compensation polices: coon en nemC' address• .re phone#• _ __ __ insurance eo. _ If # Y namr __.---- address• .ty phone#: insurance to. "It # FvDun b aame eovenEe as requ4ed order Sectbn 2EA of MGL 152 eQo bd b the impoaFWn of erlmfual peooltb of v erne op to El,Eoa ao aadtor ope yean'1mprYonmmtuweauelvd pemlliea tithe form ory STOP WORK ORDER.od.f ef$laa.poadgagaimf mn luadenbad tWb copy of it,Dome,my be forward the ORiee oflovetgatbm of the DMA for eovmge verineadon 1 do hereby c t� ain d pe ties ofperjury that the information provided above is true and correct Sigaatwe \ �� p- Date Print name SYdt'1..w tt L Y`'1'frl phone# roficial we Duty dot write In thu area to be compleba by ally or town omcbl eity Dr town: permiWeem<p 0nuadbg Department ❑Liummg Board ❑check d lmmed en,respon e a required O$eleetmen'e Omce (]Hnith Department (]Other e.rdaet person: phone p; (ave•A.aae aTA Od 21"2LI 15:27 JOHNSON FlA77HEv _R41 + 9197e79a5500 tJ0.U55 OC22 Certificate of Insurance H RI I,,A-E IS SE EL A MATTER OFrF04MATION DNLYAD d1EE. NO ;3hTS UFN YOU T-t C'F FCAYE IOLLR rnIS E 'T,F'.,TE IC ♦0- 11 NSAA@CF 10I_I A L SOWS NDTANI O.EXTEND CR AL.CR THE_3YE.wc A CR.rOav'n-RL J 0 L5TLLEE ^nr TTh s is to Certify that Name and �ibel S.�T JOHNSON MATTH EY HOLDINGS.INC. 495 DEVON PARK DRIVE.. SUITE 600 �— address of WAYNE PA 19097 J Insured. mutum f.a ,P d a]T:nle c^TtcB'¢ n9u'e]oymx.'uroany wa>'Ne pn¢y^s'IlsteJ c me iczn:e art N c q n r(2C oe y'I 1 ISSFIZ et al F'ns. _N..o J(9a ll sane srralrelal[IaMr¢rLNa.mer[,term orCOra•S erary Cen In .u:SE. n P -C m•n Is nF zmafo e E1rP.DATE • QCOKTINUWS TYPE OF POLICY ❑F81=r.0Ep POLICY NUMBER LIMIT OF LIABILITY D FOU_Cf TERM WORKERS 6/12004 WC2-63G-004121353 -3VcP 3EAI=:'0ED L%OER•uc EMPLOYERS LIAGILITY ,L.w CF ME F0FCUrNc TA'S5 COMPENSATION CA,GO,FL,GA.IL,IN KY, Bar10 0.0100 V Ateieere 51 000.000 RlFr .... MA,MI,MO,NJ.NV,NY,PA. , Anacenc j T14.TX.UT,VA Boul,�mrsry By Ora _ 1 li 51,000 000 eac y l luN BY Dcsece S1,000,coo GENERAL LIABILITY RG9-63G-00412&343 ion era xygre3ar--..:nor can rocLasrCJmp,e-se�pn.ao-rs(Sn j 54,000,000 i ®OGCti RRENCE e/12004 IPremcsr CnnD sped-Fera:msAS:reaae $4.000000 ❑C'1JN541ADfl 'Bcaiy m}ry o•a-n:porty Dsmre CaoG P2.000.000 0:o.ryrr¢ Pf6C'.a L'l,url p2r Gs'¢v ' P7RC GAPE INCLUDED AaOVE en:;varo Inr¢r Liner AUTOMOBILE LIABILITY, 02004 A52-63000I Eecr,Acrider'.[ 91yeUli' oI $5000.003 51 an�FD1-,rr6: LN Ol'.T(ED Each%erscr ® rJO.':-D`NNED =ecn ACEHeti or O_ru«em-a ® —Each A(c]E r:JTOcar•cn:q IOT-IER �hCLlreNal LOMM=_uu C .�I:ne�eerz.c E.c"neon asae:.n.mm�w ,ye..m ea re:+:mrtr�, gEn!r.,�.rarr,:c�<�r,ee>e r.eannru^o=::nra earx erocaac NoncE.oNiP:.rn rERsory who, 'nni rie. .. ocf avo oa rw+n.c>x+T -=i= -Elms10. :w.to�An .,N .awEa swNNTS Nnf CrC -LESe CU 'IT 00ECE ESTT" , 1L 'Y Of l F PoRTµr NOTICE 04 (QN➢PoLICYNO FNS FW"G1ENW 9W EN NHL E ; TC k C F Te .r T JnaHl n N EI9 T R OL ,.4 9 fl(D'LFFWIOGE N -E 0 E EN K4N5 N E Liberty Mllllld w cowuFn J/1N6 z. nreF fnc ssn oLRE Je T ne , Insurance Group tl`ENP c nar v L Sc eE a• eE EF oeE E RE , .. eE P o I +..I+ mnra -.IF o,, r,E Ins .Ens =Nat_ oGEa TFE.e;+E et._Es frmtn Ls sr du u+ ...j ...ne� Mary A. Taylo 8+ AU TN OR ZED REP PESEN TA ONE East Hanover, NJ (973)ee3-7400 _ OFFICE =HJNENUMEEe DATE SSOED T,s drutcawiseFe=:eOW LIBERTY MUT:A_INSURAV�6'nOUPas respeos suet lnsur¢T ce esis oPordetl WT7ese Can Gs SS'T2.4 FT' Note: Complete top orm and forward both sections an,,.,,a to local licensing authority (City or Town irk). Do not make application to department of Public Safety. V- -'?J � �7nmr,�zcaea�C�z c�p/l/�a:krac�c�eCZy `� �efe¢xlirreercCcZC�.1�'vre �ri.�iece, — �vw.uc�rz e��v.� ✓roiurireCccm Cry a,Tcwh NORTH ANDOVER pate APRIL 30,,?Q) APPLICATION FOR CERTIFICATE OF REGISTRATION In accorcance with the provisions at Chapter 148. Section 13. O the General aws. the underslgnee hereby certifies ;not STETS LLC - PHRAM-ECO 70 FLAGSHIP DRIVE, NORTH ANODVER, MA Is the haloer ar license granted AUGUST 17 1998 llor the Iawtul use of the building(s) or other s mcturels) rtuatec ar to ce sttuated at 70 FLAGSHIP DRIVE as related to the KEEPING. STORAGE. .MANUFACTURE OR SAL'OF FI-r.MMAELES OR EXRL CSfVES. NORTH ANDOVER MA Gva.m.n Note: 'Yrs acmicavon for cerrificare el regtsrrdnen must be signet sv the noiaer e/me;icense i1 sard license was granted cant"Jury I, 1936, otnenvrse dv the owner or crapant of me land liceneed. Recsivec ri>s r G. 'S- --�'C� Submitted crca.,�. - .: _��� i'7.� � •r1t "DID//�. ____ ---------------- -- ----- --------_ Note: Camplete to, farts and forward bath sections at :e to local licensing authority (City or Towr'PWerk). Oa not make application to delortment of Public Safety. �- �crr�mc�rcuaa�C�i c�C/Glalaacficr�eC"Z`y 3. � �e�me7eC cG��'v� Griiwtcel — �vwaw�rc a�i'�'vr< �r�iuenLacn City or Town NORTH ANDOVER Cate APR1L 30, E APPLICATION FOR CERTIFICATE OF REGISTRATION in a,=s,cance with the provisions of Chaoter 148, Sec:i<n 13, of the General Laws, the undersigned hereoy certifies that STETS LLC — r—uc^0 70 FLAGSHIP DRIVE, NORTH^ANDOVER, MA s :.he nrncer of license granted AUGUST 17 71998 -for the lawtuf use of the builcing(s) or other simc:ureisi si,w,, or Melee at 70 FLAGSHIP DRIVE as rented to the KEEPING. S 0RAGE, MANUFACTURE CP SAL OF FLAMMAELES OF EXPLOSIVES. NORTH ANDOVER, MA ura- Ncre: -vs acphcavon /or cerificare of regrs:rdtlon must de signed dy the holder of no:icense if said license ryas granted pner:d Jury 1, 1935, ornernse ov the owner orras--p lican tl. Sucmtttee3y 11 (� � .. 2 , hr a .�o, qNo TOWN OF NORTH ANDOVER +'.h. DAN� LONG, Town Clerk TOWN BUILDING•�/ ^O+rr°^r^ 4 NpRTH AYL O\'ER. A1Ass. 01646 Tss��RuSfa Ef.ECT10N DF3AeTMENT August 4, 1981 E. J. OIJcary & R. V. Vincunas P.O. Box 468 Holyyoke, Mass. 01041 Dear Sirs: Please be informed that you should attend the Selectlrens meeting on August 10, 1981 at 7:30 P.M. This is in regards to your application to store gasoline on your premisess on Flagship Drive. A few of the abutters have some questions they want answered. Sincerely yours, ifDani el ng U Town Clerk DL/11 nl S ' f'01111E'lE TOP AND tFE TO LOCAL 11, r::1: L,G AGI 'Il n.ttl . 'i "T< TtrA1'N t DO NOT RETURN YLR/�DITiTO DCPARIMi-NI Ulr YLIBLIU SAFETY. The V ltlltl"ltQlttLiC 21}I� of �M.ass,I61t5C}}$ Department of Public Safety—Division of FSre Prevention 1010 COMMONWEALTH AVE., BOCTON `y-:Soy CERTIFICATE OF REGISTRATION R FH_ AND0VER.. I c.11 nr T—.1 ID.41 In accordance with the provisions of Cl—il ter 119, Section 13, of the Ceneral Laws, the undersigned Mertifies that Lgary..&... .,V, Vincunas,_.,....... Address P...O._..Bcx_h69_H.a lyhake.,_.Masa..01041. I r:.m.or no1n.,or nr.e.q is the holder of the license gi anted_August 10.__1981.._.. ...... ...................19......Jor the lawful use of the building(s) or other structure(s) situated or to be situated atk.1ag.S,hip_Dr ye .......... fs,—t +,.a numtrrl as related to 11 e KF,EP79G Sr0RAt E, MANLFAC'PURE OR SALE OP 11 A�?111I3T.P:5 OI{ L:%I'LOSI VES. ...._......NOHTH.._AX00,I ER.. ...... .._....... 10,000 gals . diesal underground Pole: Thi, t-e rtlf.„Ie of .,gi.n:e ion n. .. be .i;—d br :he bolder of the b.r,..e if -id I;-- prior to Joy 1. 1936, otbr—iv br rtm o..nrr or .r-,:p„ t of the Lml II ro.ed. Received .......__ _..... ........19........ IsI.,,.,urd by .._..................—......................._..................... . ............................_............................... ......_._...__.... ..................._............................._............._....._._... Isar .can., .,..,... „.rup.m„. nmd.o (pfirlsl Tltlel _....................................._...._........._...................... .._._._.... f Ad!.oa The (nnl)itltrtzftlrzt[t[I of I`Y'T,s tchu5�}}5 f' fir, Department of Public Safety- Division of Fire Prevention �F ; IY I ' 1010 L,UMMON\i'EALTII AVE , BOSTON RF: GISTIt N N1H 1_ANDOVER.. ....._ ............... 19.... ... I l u. 10 , Ipml This is to certify thatE. J, O 'Leary & R.V. Vinc inFIS :n ,_u rd:use w-ilh the pl ocis ions of Chapter 1A8, Section ]3, of Lhc General f tea, filial a 1'h n. a err ti cir.4e. of rapist r.+Lion set- ting forth that.-9—J.....0.!.I�e9,ry8c._i7,V .Vl_AGU11A9 -_.._.....is the Lower of the license granted ....--Anrgus.t--10,•.__...-._._._.__._ ......198 L... for the I:ncful use of lbe budding(s) or other s11ro,tut-e(s) situated or to be situated at..Flagsh l.LL.RR.1.V d_. ......__ _........_. .. ................ Is .a .an N-1-0 '� rd loud to tha FEF,PING, Sil1g,AG E, '.1A11TAC'Pl 12F OR IT 1: 0I 1'1_IW IABTta OR ESI'I.O�1 VI,S. ,als diesal underground .. _........ ....... .. ...._.... _ . . ............ n'.nr: A ..nif,.tu n( si.t ne ion mo.t be Illyd on o. 1.furr April 301h of r.ch rra.. IIIIS NF:GIS'f RA'r1 O.N 11U.ST BF, CO.ASI'ICGODtiL}° POSI'F.D ON THE PRPJIItiES.) r -. TOWN OF NORTH ANDOVER Joyce A. Bradshaw, Town Clerk TOWN BUILDING (508)688-9501 120 Main Street Fax(508)688-9556 North Andover,MA 01845 March 31 , 1997 Chem-Lawn 94 Flagship Drive North Andover, MA 01845 Dear Sir: Enclosed please find your 1997 registration renewal form(s) for underground storage tanks. Renewals are due April 30th of each year. The current fee is $100 per site. Please sign the top portion of the registration form and return it with the appropriate fee payable to the Town of North Andover, 120 Main Street, North Andover, MA. The bottom portion is yours to be displayed along with your license. Your immediate attention in this matter is greatly appreciated. V ry truly, ld' �:�. Joyce A. Bradshaw, Town Clerk enc. JAB/je NOTE: COMPLETE TOP AND BOTTOM OF FORM AND FORWARD BOTH SECTIONS AND FEE TO LOCAL LICENSING AUTHORITY (CITY OR TOWN CLERK). DO NOT RETURN FORM TO DEPARTMENT OF PUBLIC SAFETY. iffhe (fanImauf ralf4 D{ �4ffMSs=1pt!aeffs Department of Public Safety—Division of Mre Prevention ro CERTIFICATE OF REGISTRATION ..NQRTII..ANDOVea........................APR.Li...30....... 19....&Z Icitr m'sn") 1➢eul In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby certifies that ..E:1.......0,'LEARY..k...R..Y......V.LNGUNAS.................. Address ._P..O. BOX 468 H9kXP.KR.,..kIA..Q.lD.4.1.................. I N.me a( hoWo a( licenael is the holder of the license granted.....A.U.GUS'I..A9..................................................19....81for the lawful use of the buildings) or other structure(s) situated or to be situated at..94..XJ AGSHIP...➢RIVE..................... (stort ma number) as related to the KEEPING, STORAGE,MANUFACTURE OR SALE OF FLAMNIABLES OR EXPLOSIVES. ..N9RxR..A.NA.QY.E&............................................................ I c,t Y e.yo.., Note: This rest i firs ieof registration must be signed by the holder of the license if mid license was,noted prior 7'July 1. 1936, otherwise by the owner or occupant of the land licensed. Received .................................................19........ .............................................................................................. i sianam.$) by .......................................................................... F:�:...O'LEARY 5 R.V. VINC N. .....- U Pli CHEM.LAWN.... .........................................................I...................... ts.o.whither ownv, zeup.nl nr mid", IOtFri.] TItIJ P.O. BOX 468t...HOLYOKEr...MA 01041 . . . .................. ............... ........ ................................ (Add....I P 'EIITIIIuuufurattlj of Assarljuaffs Department of Public Safety—Division of )are Prevention uv� REGISTRATION NORTH .ANDOVER.................APRIL,_ O ........... 19....9.7. . • tells or Totrn) inane) This is to certify that..E:J:.__0"LEARX...S...R..Y.,,...V.LLYGUNAS..r....GHEM.LA"hi s, in accordance.with the provisions of Chapter 148, Section 13, of the General Laws, filed with me a certificate of registration set- ting forth that .td.a...0.'.LEARX..&..R..V.....V.LNCDNAS..—GHE"WN........is the holder of the license granted .......AUUUST..1.0.........................................19.....el for the lawful use of the building(a) or other structure(a) situated or to be situated at..... _94„1J.,AG.$.H):P..ARIV.B...NAR'LH..ANDO.VEA,..idA..............................I.. ........... seen slid Niii i as related to the KEEPING,STORAGE.MANUFACTURE WO LF�7p�p 1bfg�L S OR EXPLOSIVES. QNd¢I'3 Trem 0<E/�ir .......................................................................................... (Eim.rv..old 0laei.1 Till.) Note: .A certificate of registration must be filed on or before April 301h of uch year. (THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES.) rm.pas TOWN OF NORTH ANDOVER OFFICE OF TOWN CLERK 120 MAIN SPREE"F NORTH ANDOVER, MASSACHUSETTS 01845 r HOPiN Joyce A. Bradshaw ox°:" ,aOo Town Clerk Telephone(978)688-9501 �yz FAX(978)688-9556 "s.cPu April 10. 1998 Chem-Lawn 94 Flagship Drive North Andover,MA 01845 Dear Sir: Enclosed please find your 1998 Registration Renewal Form(s) for underground storage tanks. Renewals are due April 30"of each vear. The current fee is$100.00 per site Please sign the top portion of the registration from and return it with the appropriate fee, payable to the Town of North Andover, 130 Main Street, North Andover, MA 01845. The bottom portion is yours to be displayed along with your license. Your immediate attention in this matter is greatly appreciated_ Very truly, auet L. Eaton, Assistant Town Clerk enc. TOWN OF NORTH ANDOVER OFFICE OF TOWN CLERK 120 MAIN STREET NORTH ANDOVER, MASSACHUSETTS 01845 nox+ry Jovice A. Bradshaw P oano.•1'='>:'o awn Clerk Telephone(978)688-9501 FAX(978)688-9556 Wyss^•usssssi March 29. 1999 Chem-Lawn 94 Flagship Drive North Andover,MA 01845 Deer Sir'. Enclosed please find your 1999 Registration Renewal Form(s) for underground storage tank(s). Renewals Eire due April 30"of each year The current fee is 5100,00 per site. Please sign the tap portion of the registration form and return it with the appropriate fee, payable to the Town of North Andover, 120 Main Street, North Andover-MA 01845. The bottom portion is yours to be displayed along with vour license_ Your immediate attention in this matter is greatly appreciated. Very'tryr' lll." /—,� Janet 1.. Eaton l'��t/i" Assistant Town Clerk one Note: Complete top of form and forward both sections and fee to local licensing authority (City or Town Clerk). Oo not make application to department of Public Safety. �, � IGC� //ZGI:oIGL�IZ G��/GLCL:kJCLCILLL:I2CZ�.1 '� �e�x¢ir(menLaG'�'J�'� �ivnlic�4 — �uwnci� a�'�'vr< ✓r�uem.Cicrc North Andover DateApril X 1999 City or Town APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with the provisions of Chapter 148. Section 12. of the General Laws, fine undersigned hereby certifies that Cited, T is the holder of license granted for the lawful use of the buiding(sl or other sruciure(s) situated or North Andover - to be situated at as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FAMMABLES OR EXPLCSiVES. Note:This application for ds,,i re at registration must be signed by the railcar of the license if said license was granted pnor ro Jufy 1. 1936, itmerwe a by the owner or occupant of the land licensed. Received Sucmitted by .i.a+.M. by r.,.. m,...,..., -------------------------------------------- tth Andover pate April 30. 1999 o —' _ City 7o REGISTRATION Chem-Lawn This is to Earthy that has. in accordance with the provisions of Chapter 1d8, Sectio n 12, of the General Laws. tiled-,,in me a certificate of reaistration setting forth that Chem-Lavin is the holder of;he license granted 8/10/91 for the lawful use of the building(sl or other structures) situated or am to be situated at as related to the KEEPING. STORAGE, MANUFACTURE CR SALE OF FLAMMABLES OR =_XPLCSiVES. ��- rj areal rn Nate A cemiipie or legistmacn musr Je flied an s,.eiore Aor190ID at saca year_ THIS REGISTRATION MUST BE CONSPIC'JCUSLY RCSTEC CN THE PREMISES -i(neii.',t NOTE : CMPlAR Tl7 .l�dI T:Cl' fIR i3FSX 101 :AND I'U::WAI;II BOTH 9E("PI0";S AND FEE TO L.O('.AI, 1dCES>I:NG AUTH Olt ITS (CITY OR TUWN C'LIif:K). DO NOT RETURN I ORM TO DISPARTNIENT OF PUBLIC SAFETY. The Tananmilucaltll of � s�rrcl�use�s Department of Public Safety--Division of byre Prevention 1010 COMMONWEALTH AVE., RORTON CERTIFICATE OF REGISTRATION NORTH. ANDOVER �u.�. .��..... 19�. In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned Mhereby certifies that E.J.O'Leary__&_.R,V, Vincunas...,....... Address P...O.....Box.1168..H.alyhoke.,...Mass...01041. , INnme of M1OIJer of lieemel is the holder of the license granted..AUgust 10,_._1981....._..........................19........for the lawful use of the building(s) or other structure(s) situated or to be situated atk.l.eg.9.hip.._pr,}Ve........................ tso-«t .,,d nums.a as rela ed to the KEEPING,STORAGE,MANUFACTURE. OR SALE OF FLAMINIABLES OR EXPLOSIVES. NORTH"ANDOVER. ' " ' 10,000 gals . diesel underground N. ,: Th ra:fir.ae-of g t lion must he signed by the holder the bocn.e.f 'cenx ru gamed prior ro0 1 U 1936, nth—i.e by the o..oer or sup m o the nd lic „ed. Received ...... G 9L'.'198L �"x ......_.....19........ _..............: .. ...... ... '. :............................. Is�m.m.el .. by ,......... _. _...... .... t.. ... ........ ... IOMv al T' , tAaaee.n ?Dm er-2, ran-5-66-%26II Ile, e, i 2 7- p Tor (n,, n wltwraI0 of Mlssar4u,1 s DEPARTMENT OF PUBLIC SAFETY—DIVISION OF FIRE PREVENTION 1010 COMMONWEALTH AVENUE. BOSTON p` 1�'1 AN DG 7c E �19 u1 rote> a. To..) .nt en.<ep APPLICATION FOR LICENSE For the lawful use of the herein dceribed building or other slrltcture_..., application is hereby made in accord- ance with the provisions of Cluipter 14S of the General Lame, fro n hrense to use the land on which such building.... or other structure... is/are or is/aro to be situated, and out, to such cst,rt as shown on plot plan which is filed with and made a part of this application. Location of load A ~ tC' D 1 1v$ _ G4 C.LkAilaj ,Yi,Y...V.WCJN�S _ Address P.:G,�y[:1e 4Er 1. ` w Si Neareet cross street r'-V _ r «. nn, out r Owner of land tla-A`CKic. NA uK:4I Number of buildings or other tnmtures to which tars application applies ClAE. Occupancy or use of such buildings I"Iil"'�H.Cs F LA N) Total capacity of tanks in galloru Aboveground Under round t Gs cC CTMCta Kind of fluid to be stored in tanks Ap wed-8isegP.avedWW/ / 19 �?"^^�•��L( r fs. .t.r. at wrntr. U 1r,Ab G.t C41 trr..a of eme verr.t ceaar..q . Note: Complete top of torn and forward both sections and fee to local licensing authority (City or Town Clerk). Do not make application to department of Public Safety. II, �, � �G'�79/I72C�'LGG�jp2LC!Z G��GCCL�tZGL6P�.l 'a �e�i2,rfinexCoZ�vr< C:J/r lecaa — �urxacc�re �.��'vrq �,+onroml.�cm City ar-own NORTH ANDOVER Cate APRLL 30, 1998 APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with the provisions of Cheater tab. Sad ion 13, of the General Laws. the undersigned heresy certifies that E..1. O'LEARY & R.V. VINCUNAS (CHEM LAWN) 94 FLAGSHIP DRIVE, NORTH ANDOVER is the holder at license granted AUGUST 10, 1981 for the lawful use of the building(s) or other stmc:ure(s) situated or to be situated at as related to the KE_PING. STORAGE. .MANUFAC-URE OR SAL OF F'',LAMMAELES OR EXPLCS;VES. NORTH ANDOVER Nor,: 7h,aealieaaon for certificate at regrs:much must se signed by the hmaer of the licanse if sad license was granted prior ro July 1, 1936 otherwise by the owner or o=canr of the and licensed. Received Suohu tec dy by mnnru HA --------_------------- --------------- --------- � �arrmecmec�a�CJi G��"¢.k:ac�ivaetty C je a, noxCmevct cZsvr: .:i�...ces — �`na.'ex��rmd�Tcoaaoze�/am/c ..� o � y CAy or-own NORTH ANDOVER nateAPRIL 30, 1998 REGISTRATION This is to certiN that E.S. O'LEARY & R.V. VINCUNAS (CHEMM LAWN has, in accordance with ;he provisions of Chatter 148. Season 13, of the General laws. tiled with me a certificate of registration setting forth that E.S. O'LEARY & R.V. VINCUNAS (CHEM—LAWN) Is the holder of the license granted AUGUST 10, 1981 for the lawful use st the duilding(s) or other statutes) atualed or to Se situated at 94 FEAGSHTP DRIVE NORTH ANDOVER as related to :he Kc PING. STORAGE. MANUFAC-'JFE OF SALE OF FvAMMA81_ES OR EXP11_2SIVES. L 61�OtiL ' T0 IZ/l OL� Oak pWw No,.A czmfiora of regrsrrnan must de file,on ar sears Aanl Xth at aecn year. 1 'HIS REGISTPATICN .MGS-EE CCNSPIC CUSLY PCS--r=u ON-HE PREMISES = ' msea li961 ------------- ,� �hP (mm�mAnWPalfl� Af �Fl6BFl[1Ett6PYf6 DEPARTMENT OF PUBLIC SAFETY—DIVISION OF FIRE PREVENTION 1010 COMMONWEALTH AVENUE. BOSTON �+ /1 a 19� y �h LICENSE (Ciw or Town) lintel In neeerdanee with the Provision, of Chapter 148 of the Cw.url Laws, a license is hereby granted to use the land herein described for the lobo use of the build",... o0 other stmeture.... which is/ace or is/are to be situated thereon, and as described on the plot plan filed wit"the npphlation for this license. /� C Location of land Fk, , , AA _I)le --Nearest cross street IA/ ° 1 Q Cfns3 o/d94 If"o, xomn .) Y/�5_Add.... /�Q._I�c Owner of land E d � 1.Pt9la^� Y C.. G I _. L Number of building or other t'uctares to which this license1 applies ���L O � /f. �I11 ilu,ti Hw.0 riA S-_5 Occupancy or bse of such bnil,bc91PF C:. .Y °`I ` t t e_' _,.{v ,Lpv Y Underground Is,' °C Total capacit}' of looks in gnllons:—Aboveground � Rind of Haid to be atc,rd fn look, �E/.✓/')"'-- _-���� ............ ............................. Restrictions—If lay:---- "- ' -"'- - /y�' ✓�. ✓-6... / ..___ (J8 I of lceve 8eut6oriV H REOF MU — C-1emir UOUSLY THIS LICENSE OR A PHOTOSTATIC OR CERTIFI O P POSTED IN A PROTECTED PLACE ON THE LAND FOR WHICH IT IS GRANTED „pATN TOWN OF NORTH ANDOVER pt„ .9H 32 e`. ° pot f A 1.= Clerk TOWN BUILDING DAN�L I NORrn r'AVPOnR. \Gsti. 01843 9S4.fCNn`+Ef ELECTIONO NC, Town CN DECARTMENT Dear Friend: It is required by law that you be notified of the following hearing as being one of the said abutters adjoining said property involved: Legal Notice TOWN OF NORTH ANDOVER MASSACHUSETTS LICENSING COMMISSION e Notice is hereby given that the Board of Selectmen, Town of North Andover,will hold a public hearing on July 27, 1981, at 7:30 p.m. on the application of Chem Lawn Care Specialist, P.O. Bon 468, Holyoke, Mass., for a license to store 10,000 gallons of unleaded gasoline underground to be located on Flagship Drive. John W.Graham R.Louis DiFu sem Thomas J.McEvdy Ralph R.Joyce Charles A.Salisbury Board of Selectmen Publish: N.A. Chinn, July 16, 1981 1.10 If you have no objection to this license being rented, it will not be necessary for you to attend the hearing. Please call upon this office at anytime we can be of any assistance to you. incgr, �y�}+�,���,rs, Daniel Long Town Clerk LEGAL NOTICE TOWN OF NORTH ANDOVER MASSACHUSETTS LICENSING COMMISSIONERS Notice is hereby given that the Board of Selectmen, Town of North Andover will hold a public hearing on July 27 . 1980 at 7: 30 P .M . on the application of Chem Lawn Care Specialist P.O . Box 468 Holyoke . Mass . for a license to store 10, 000 gallons of unleaded gasoline underground to be located on Flagship Drive. John W. Ghaham R.Louis DiFruscio Thomas J. McEvoy Ralph R. Joyce Tharles A. Salisbury Board of Selectmen Publish N.A. Citizen July 16, 1981