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HomeMy WebLinkAbout60 WILLOW STREET (2) F3e)s-'f.!..v�� V4'L¢ �.Q/rifitQlrA�EC2-(L!L ary. ✓/L[l4OCLC/7dI9fMa- a to Department of Fire Services Office of the State Fire Marshal h..Y P.O.Box 1025,State Road,Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30,2015 (City or Town) (Dese) 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): Rohm and Haas Company (ADDRESS): 60 Willow Street is the holder of the license granted(Date): 6/20/2001 for the lawful use of the building(s)or other Amended 06/22/2010 to Store Class 1, 115,000 Gallons Pyrophoric and Mixed Solvents Flammable Liquids and 1000 LBS Flammable Solids. structure(s)situated or to be situated at (ADDRESS): 60 Willow Street NORTH ANDOVER,MA 01845 (cityor 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 said license was granted prior to July 1,1936, �nOtherwise by the owner or occupant of the land licensed. J,!��, Receive . rt r�d.'�.!3w� . 2015......... ...... ! .. .signmure).............................. By AiK!. ...4.f!.U' ..... l� . .. ................................ ..... (Of.:iel Title) (Clerk) (State whether owner,occupant or holder) Vt4 Nps (Addrcuj ' DI��S I The Commonwealth of Massachusetts Department oflndrsstrialAecidents Oyytce of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dla Workers' Compensation Insurance Affidavit: General Businesses Applicant Information Please Priut Legibly J f1 6Ue (i fi'l.d-AY,4u �h.11y nae 1-4 Business/Organization Name: AhAtin. < eprl/r �� I su,b0�dr5ry / Address: b),UAIJ City/Stateaip:—'/VDg-1-H Ay 119 Phone#: 6q)S Are you an employer?Check the appropriate box: Business Type(required): 1.N I am a employer with_ employees(full and/ 5. Retail or pan-time). 6, ❑Restaurant/Bar/Eating Establishment 2.❑ I am a sole proprietor or partnership and have no 7. E]Office and/or Sales(incl."al estate,auto,etc.) employees working for me in any capacity. .g E]Non-profit [No workers' comp.iasurance required] 3.❑ We are a corporation and its officers have exercised 9. ❑Enterteinment their right of exemption per c.152,§1(4),and we have 10.®Menufechuing no=Ploy=-[No workers'comp.insurance require d]e 11 ❑Health Care 4.❑ We are a non-profit orgammtion,staffed by volunteers, 12j]Other with no employees.[No workers' camp.insurance req.] "Am Vpliomt dintd.rc boxal mmtsaofdl outthesecdonbelowshawlnethe".iox,compcmaion policy in � +slfthe yrporek oiaan h.,..ptd lhamclva,but the expodionhu other cm aaarken ' on ii on a required and such an orgm'aation should check box II I am an employer drat is providin )Porkers,icompmsa ian insurance for my employees. Below Is the policy Information. Insurance Company Nunn: I ,y'� )4^c/L/(�CAA7 IA) Si{n� —f / X41104 V Insurer's Address: `I J� A-Ven OL ri'I-' .�Ef"ti'[trLIP� City/Sancaip: kC Policy#m Self-ins.Lic:# Expiration Date• Attach a copy of the workers'compensation policy declaration page(showing the policy:umber d explratioa date). Failure to secure coverage as required under Section 25A of MOL 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 ofup m$250.0o a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of investigations;of the DLA for insurance coverage verification. I do barely cert,under rhe s peuahles afpeyury first the Information provided above Is true and correct 1 store2 Dam' ay/�O /27IL� ne If, QOicial ase only. Do nor write In this area,to be completed by city or town ofllcial City or Town: Permit/License# leasing Authority(circle one): 1.Board of Health t Building Department 3.City/town Ckrk 4.Lkmsi:g Board 5.Selectmen's Office 6.Other Contact Person: Phone#: www.mm.gov/die cAot Y/� 1s W 2zormony SEND COMPLETED FORM TO: NORTH AMERICAN Purchasing NA Business Process Services Center VOUCHER REQUEST FORM 2511 E.Patrick 2A—Specialty Team For businesses and organizations served by MIDLAND,MICHIGAN 48674 the NA Business Process Services Center `FAX TO THE FOLLOWING IF TIME CRITICAL: Attn: SPECIALTIES (989)633-5736 Questions? Please send e-mail to FMDSPEC@dow.com. CLIENT COMPANY VENDOR CODE OTTE 9.7.1. Vi LI%5 FEDERA-10 OR SOC NL REQUEST NArnE Town of North Andover seCMNm"B..N. PAYMENT AODREss 120 Main Street TO ADOREss A cm North Andover sraremRov. MA CODE 01845 MESSADE oN CHECK nUIVATTENTION 10: Rohm and Haas/Dow Storage Tank License Fee REASONMURPOSE OF PAYMENT Storage tank license fee renewal ACCOUNT DISTRIBUTION AMOUNT COST ELEMENT&EDGER P. TYPE COST OBJEBTICOST CENTER ALLOCATION 150 00 640000 A018 101438 150 00 TOTAL PECIAL INSTRUCTIONS TO PAYABLES: CURRENCY USD METHOD OF PAYMENT(INDICATE ONE) DUE DATE OR TERMS(Cheek ONE or SPECIFY) ATTACHMENTS(Check ONE) ❑Check El Wire Transfer ❑� NETCASH ❑NLT 30 ❑� Yes E]NO Due Data: 422/2015 WIRE INFORMATION BANK NAME/ADDRESS ACCOUNT NUMBER REQUISITIONER Michele Davison EMPLOYEE NO. U528036 AUTIORPED SIGNARIRE Julie Thyme EMPLOYEE NO. U36I IOI OEPAm.ENTPHONE ryO. Organizational/Content Owner: NA BPSC/SpNeMWI RESTRICTED-For internal use only Last update: 02/05/2013 PAGE t ,s,'-"a(� Cllt¢ l.(l//N//.WLfLP.QYNL OL ✓/LL10.d.[LC{Zll4PMq. 3 Department of Fire Services Office of the State Fire Marshal P.O.Box 1025,State Road,Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover April30,2014 (City or Town) (Dam) 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): Rohm and Haas Company (ADDRESS): 60 Willow Street is the holder of the license granted(Date): 6110/2001 for the lawful use of the building(s)or other Amended 06/22/2010 to Store Class 1,115,000 Gallons Pyrophoric and Mixed Solvents Flammable Liquids and 1000 LBS Flammable Solids. structure(s)situated or to be situated at (ADDRESS): 60 Willow Street NORTH ANDOVER,MA 01845 (Cityor 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 said license was granted prior to July 1,1936, Otherwise by the owner or occupant of the land licensed. Received . ... ..�...... 14......... ............ . ...'4...!./.'.:.`�............................ ... (Signeave) By ..��ruxr. (...... (Omcid Title) (Clerk) Stam whether own occu rholdc 4ow...l.;t ..:.144!9o!?6ot- tit 4 (Address) O f The Commonwealth of Massachusetts Deparhnent of lndustrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: General Businesses _ Applicant Informationpp Please Print Le¢ibiv BusinesslOrganization Name�A 4t' and de-GS El/[5�✓nrlL�A�'22/MS LC-� Address: 5-FL 0 City/State/zip: 4l2rN Ailz7no hone 0: Are you an employer?Check thea proprBusiness Type(required): I.W Iam a employer wifh�cm5. ❑Retail or part-time)." 6. ❑RestaurantBai/Eeting Establishment 2.❑ I an a sole proprietor or partnership ?, ❑OtEce and/or Sales(incl.real estate,auto,etc) employees working for me in any cag. ❑Non-profit ]No workers'comp.insurance requir 3.❑ We arc a corporation and its officers have exercised 9. ❑Entertainment then right of exemption per a 152,§3(4),andwehave 10.0 Manufacturing no employees.INo workers'comp.insurance requ'ved]' I l ❑Health Cera 4,❑ We are a non-profit organinthm,staffed by volume ts, 12.❑Other with no employees.Mo worlrers'comp.insurance req.] •Any eppliomtma eLeeku box aI rave dso fJl out Ne section below showing ibekwoskers'aampemuion polity inkrmaion. •"Ifshe mrpmnse officm have exangetl tlivnsclvev,�istshe mamnnon hm oNeremplvyeea,ewohen'compensation policy hsegcvetl end suchm osgen'vedon should check box gl. f am an employer that is providing worke/rrr'compensation insurance for my employees. Below Is the policy information. Laurance Company Name:_y� ` � Insurer's Address: to city/statrlLip: .SC"^AlS — S Policy#lir Self-ins.Lica# I. . oui Expirntion Dare: / ZSI 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 MOL c, 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisomnem,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 7=Z hereby cnafy,under thepenalties ofperlury that the mJormahort pronded above u rue and correct. Sistir �/ n' P� Date• D Y/ f_.2 P hone 7k only. Do not write In this area, to be completed by city or town offmiat Town: PermitUmnse#Authority(circle one): rd of Health 2.Building Department 3.City/Town Clerk 4.Licensing Board 5.Selectmen's Office er Contact Person: Phone#: www.mass.gov/die J `fw amfrfaa'u� of pzuda� a wi 4 Department of Fire Services °a .,.... Office of the State Fire Marshal P.O.Box 1025,State Road,Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30,2013 (City or Town) (Dace) 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): Rohm and Haas Company (ADDRESS): 60 Willow Street is the holder of the license grained(Date): 620/2001 for the lawful use of the building(s)or other Amended 0622/2010 to Store Class I,115,000 Gallons Pyrophoric and Mixed Solvents Flammable Liquids and 1000 LBS Flammable Solids. structure(s)situated or to be situated at (ADDRESS): 60 Willow Street + 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 said license was granted prior to July 1,1936s otherwise ���/Ilby the owner or occupant of the land licensed. (��t, BBeceived4A.-I ...,r201 .. /)`"-.. ... .... ....................... ( �J l/ ... v Title) (Clerk) (Stsewhadwrowner,occupant orholder) (Address) The Commomvealth of Massachusetts Department of Industrial Accidents Ogee of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: General Businesses Applicant Information �J / Please Print Legibly Business/Organization Name: /(Okr"Iy / Oc La Address: toe City/State/Zip: 0rzjV Ago/,0a, one#: ? Are you an employer?Check the appropriate box: Business Type(required): 1.[N I am a employer with /0 D employees(full and/ 5. ❑ Retail or part-time),' 6. ❑Restaurant(Bar/Eating 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. g, ❑Non-profit [No workers' comp.insurance required) 3.❑ We are a corporation and its officers have exercised 9. ❑Entertainment thea right of exemption per c. 152, §1(4),and we have 10.1j]Manufacturing no employees. [No workers'comp. insurance required]• 11 ❑Health Care 4.E] We are a non-profit organization,staffed by volunteers, _ with no employees. [No workers' comp. insurance req.] 12.0 Other *Any applicant thu clucks box g I mun shin fill out the section below showing their workerscompensa ion polity information. '9f the comorate off..have exempted Them eN.,but the corporation has other emphoyces,a workerseempemaaon pohiry is ranuimd sand such an organisation should check box al. I am an employer that is providing workers'compensation Insurance for my employees. Below is the policy information. Insurance Company Name: Insurer's Address: Qd faN/ qq City/State/zip: k `I"' �t4 /7 /.C507S—dsd,d Policy#or Self-ins.Lic.#Q/ _YL' /a79n Expiration Date: N302- - 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 aia=se_ 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. Ido hereby cerd ,under the pair{q and pemdries of perjury that the information provided above is true and correct. S m mr P1 !'/J�.J(`/— Date, 5—a—j r#: —�nly. Do not write in this area,to be completed by city or town official: Permit/License# ority(circle one): 1. Board of Health 2. Building Department 3.Citylfown Clerk 4.Licensing Board 5.Selectmen's Office 6. Other Contact Person: Phone#: www.mass.gov/die �a Cafnr t�fl of O&dd� Department of Fire Services _ Office of the State Fire Marshal ' P.O.Box 1025,State Roel,Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30,2012 (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): Rohm and Haas Company (ADDRESS): 60 Willow Street is the holder of the license granted(Date): 6/20/2001 for the lawful use of the building(s)or other Amended 06/22/2010 to Store Class 1, 115,000 Gallons Pyrophoric and Mixed Solvents Flammable Liquids and 1000 LBS Flammable Solids. structure(s)situated or to be situated at (ADDD ESS): 60 Willow MA Ol g45 Street NORTH (City or Town) as related to the KEEPING, STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. NOTE: This certificate 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 2012......... ........�Rt'..'A.." ^'... •.......................... B, ....................................... (O�cial Tine) (Clark) (Stmt whether owner,occupant m holder) 6� i.4WTl APrll 0, (Addressrens)) The commonwealth ofMassachusetts Department of Industrial Accidents - am W=hinurorr• 600 Washigton Street Boston,Mass 01111 Workero' Com ensatioa hsanrance Atfid2Yt-General Business" n t /j QS F�Pl�ROAII e ty4TE2ll4�CS ��' JrDN /3/C15ToL Lt9 t t ZA l S�✓2 T (9 689-150 AliA . M AopigL6� MA at Pits ah . 1B 7 S E A—boJL Y ll trot and have name Budn"s•1Y'PG ❑ROW❑R"unn"n a/Hating Pstablishmtad ❑ I am a a omde ptt¢i ❑ Office❑ sales(including Real Estate, Avow cc.) �kin8 in my capacity. em to finll art time. Other 1 Met V& 7 am av tm l with I mn m employsr provtdmg w km' cumPmsaum//far my®Playeea wvrloag an this jvb'. t� /y h' l: E�p `2 �dk R ALS �l�l li l51D'l .d'F' AP&O. OlP N11C.QL-) ra t vddireu• 2 r� .. bout». tz r t la/r1ia� m• l wave-even •. I am a salt popnetm and have hired the independent wotracta5listed below who have the following workers' wmPcv tion Poli—• rom .v vvvrr• eddrevv iemravee e.• .. . .. tom m v.aiei tr Pelbn a i.em.e.renp r r. �r � 25A f M.1 o h.aY lb lErd.f�o `1rtPmdtr a vwi /mtlenavd lbl e er�m•apMvmmtrwdrelrapembL Ylbf Nv6TOP wppttaapl�l.vavam Nf]KNvpay•p�vi rept rf lhb ramvmt mpb ar+vrdd a tb Onlr.f Lnrvr.vvm Nlb DIA fw e.rvvpr.ra4+ava I d.bcrebr ranl'v�°r tFepJfvdl °fP�lml the Mre infernrNiov prnfdrJ abort it true aJ cerred s�otma T.I. , _rnNxd' e/A°Ylmcvvy d.net wrla a dm vrr a by Mopbow by eat or Y .v W P�a �avlldaa thpervmm dry ar tewv: �IJremar Iknrd (]seleelmev.Orbe (]ehsekal®edva reryovve 6 regvlred (]Amnh ihp.rnmvt Po.p; �ofbr e.ntvet pervav: (Rv:.e sy.ID®1 \ C-�i�e �a�m7imao+.usea�lJe yec�/lladdfruaead GIS Coordinates License — Massachusetts General La , Chapter 148 §13 �� FP-2 (Rev.05-2009) ❑ New License Amended 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: �Q `IAW L ei Owner of Land: Address of Land Owner: 0�r /"/'/z/"' ft IYYOI Flammable and Combustible Liquids Flammable Gases and Solids Complete this section for the storage afftammame and combustible bqutds,solids,and gases.All tanks and containers are considered full for the purposes of licensing and permitting. (Attach additional pages if necessary.) PRODUCT NAME CLASS MAXIMUM UNITS CONTAINER QUANTITY gal.,lbs, UST,AST,IBC, cubic feet drums ItZe LP-,as (Complete this section for the storage ofLftw or propane) sr Maximum quantity(in gallons)of LP-gas to be smmd in aboveground containers: List sizes and capacities of all aboveground containers used for storage r 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-ges to be stared: Fireworks (Complete this section for the storage uffirewarks) ♦N Maximum amount(in pounds)of Class L7G: _ J* Maximum amount(in pounds)of Class 1AG: _ r Maximum area=[(in pounds)of Class IA: ••Total aggregate quantity of all classes of fireworks to be stored: THIS LICENSE OR A CERTIFIED COPY THEREOF MUST BE CONSPICIOUSLY POSTED ON THE LAND FOR WHICH IT IS GRANTED. • Explosives (Complete this section for the storage ofesplorives) •i 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 13: _ Number of magazines used for storage: _ r Maximum amount(in pounds)of Class IA: _ Number of magazines used for storage: Maximum amount(in pounds)of Class L5: Number of magazines used for storage: _ 4 Maximum amount(in pounds)of Class 1.6: _ Number of magazines used for storage: Licensima 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: �izcJ IZE ®unrco m e m ry Tiae THIS LICENSE OR A CERTIFIED COPY THEREOF MUST BE CONSPICIOUSLY POSTED ON THE LAND FOR WHICH 1T IS GRANTED. FP-2(Rev.05/2009) Page 2 1.anLfYlaaot eaX of ✓/Ln4Q� �c 7Department of Fire Services Office of the State Fire Marshal P.O.Box 1025,Stare Road,Stow,MA 01775 CERTIFICATE OF REGISTRATION North Andover April 30,2011 (City or Town) (Desk) 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): Rohm and Haas Company (ADDRESS): 60 Willow Street is the holder of the license granted(Date): 6/202001 for the lawful use of the building(s)or other Amended 0622/2010 to Store Class 1, H 5,000 Gallons Pyrophoric and Mixed Solvents Flammable Liquids and 1000 LBS Flammable Solids. structure(s)situated or to be situated at (ADDRESS): 60 Willow Street 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 said license was granted prior to July 1,1936, oth/eerwise by the owner or occupant of the land licensed. Received �JK.Il....r .9......2011......... .......�.. ... . . .. ....;.............................. /7 r� ®amre) By .... Q. 4I4 ............................. ficial Title) (clerk) (SM whelhef owner,occapmn or holder) �a..... ..-rtkw.3�:.:lhn. V✓L4.rF � �pp (Address) (dfrffrfo"ea.GLft OZ on4Ch.[LdQLL'a a3�^ars ✓✓ 'u Department of Fire Services Office of the State Fire Marshall P.0.Box 1025,State Road,Stow,MA 01775 REGISTRATION North Andover, Apri130,2011 (City or Town) (Date) This is to certify that Rubin and Haas Company has,in accordance with the provisions of Chapter 148,Section 13,of the General Laws,filed with me a certificate of registration setting forth that: Robin and Haas Company is the holder of the license granted(Daze)6/20/2001 for the lawful use of the building(s)or other structure(s)situated or to be situated at: 60 Willow Street as related to the KEEPING, STORAGE,MANUFACTURE OR SALE OF FLAMMABLE/S^/OR EXPLOSIVES. and Official Tide) Clerk Note: mm A [ificaofregisuation most be filed on or before April 301°ofeach year. (THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES.) EXPIRES APRIL 30,2012 RM1m wd Haas C1 pP 1p01MepenEence Fal West %66*hie,PA 191W2N9 ROHM tHRRS© PAGE OF CHECK NUMBER: 050DOBM OIOON001 REOJ "AM noem oleo DATE. 0B/=11 III ...IRIIII LJ111RIRL111 LI 1LddIL1.1d1111.....I'll VENDORCODE: 009=760 TOWN OF NORTH ANDOVER 120 MAIN ST NORTH ANDOVER MA 01845-2420 VENDORREFERENCE MVOICE REFERENCE GROSS INSCOUNi NETAMO DATE DATE 051671 I 08/302011 150.00 0.00 150.00 TOTAL: Isom 0.00 150.00 c x ¢ DETACH AND RETAIN THIS STUB FOR YOUR RECORDS CHECK#0500088506 ATTACHED BELOW ICI80 WILLOWLGAL NOTICE Town of Nam Andover ypendn C9 �olNoltica e Pudk Nw Jolica is hereby given that under deaseD Ilse tts Generel laws, GM1ePdt I n,'Sedkn%L 9,13, lict and 16,me Nonh 4dover Llg Commiesl0nere will M1oltl a public M1eennq on Monday,June 21,2010,et]:00 p.m In the Board pt MainBVeel,2ntl FloorR,NOM1I11Antlovd� MA,on the applicet,.n receivatl trpm d0 Wllbw GveeL NamnAlMwer,MA,1oi e license to wire Class I.11 0.of Bele PYrophoric entl Mivsd Solvents Flammab el Sd Esultls An atl 1000 lbs Riched A.Neel Cheirman - GOeneingCommieskrere A0e12271ll NAC 081112010 LIGI00 WILL0sN ST LEGAL NOTICE TOwn�otf No rM Antlover Llp blic C 9NMiaere Nonce le he1eOY given that del Masse l ssVs General Laws,Chaplet tab.S%IkN 1 v .B.13,e�16.Ns NOnh Ando er Lken.inq CommlMo aatj^le nolo a 0 dlc hean�In ma BOa�e of 21, 20 0. et 7:00 iioom. 120 oVaRear q Selectmen's Meet ng Ma10 Blre,L 2ntl FIoo4 'IS NOM1M1.APd MA, on ma epP0w0Materlds LLG, Rohm end Hess Elecdom BO WNlow Street,Nonh AI>dover,MA,is license�etme Clan I,II 6000 Bale pyrophoric and end 1000 d SOlvenls FlemmafiIs Ll0uld¢ eenIba Flammabb Solks. Rkhad A.NSMalla GhNmlen ueansln0,e,,Tnl AO%122]1860 NAG 011010 _� — Uv � �j�ee tp°m�vnt°nur'P'a, a�C�?�a'dd¢crtar7a GIS Coordinates fOrG��G�iam o� f�pYCTN NI\nv License Massachusetts General Law, Chapter 148 §13 FP-2 ¢rnr (Rev.052009) ❑ New License 0 Amended License After notice and hearing,and in accordance with Chapter 148 of the Mass.General Lawn, a license is hereby granted to use the land herein described for the purposes described. Location of Land: LD dP'—e to Owner of Land: Address of Land Owner: Flammable and Combustible Liquids. Flammable Gases and Solids Complete this section for the storage ojflammable and combustible liquids.solids,and gases.Al(tanks and containers are considered full for the purposes officensing and permining. (Attach additional pages if necessary.) PRODUCT NAME CLASS MAXIMUM UNITS CONTAINER QUANTITY gal.,lbs, UST,AST,IBC, cubic feet drums !24cAsS T 1800 &ALLONC I'L AH KA ALF - aLIh C .100 LU LP-gas (Complete this section for the storage of LP-gas or propane) 0 Maximum quantity(in gallons)of LP-gas to be stored in aboveground containers: List sizes and capacities of all aboveground containers used for storage 0 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 aggregme quantity of all LP-gas to be stored: Fireworks (Complete this secdcajor the storage offireworks) 0 Maximum amount(in pounds)of Class 1.3G: t• Maximum amount(in pounds)of Class IAG: _ t• Maximum amount(in pounds)of Class IA: Total aggregate quantity of all classes of fireworks to be stored. THIS LICENSE OR A CERTIFIED COPY THEREOF MUST BE CONSPICIOUSLY POSTED ON THE LAND FOR WHICH IT IS GRANTED. Explosives (Complete this section for the storage ofexplosiver) 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: Maximum amount(in pounds)of Class IA: Number of magazines used for storage: Maximum amount(in 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: 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: Si,-=e of Lice sing Au miry Tile OYe THIS LICENSE OR A CERTIFIED COPY THEREOF MUST BE CONSPICIOUSLY POSTED ON THE LAND FOR WHICH IT IS GRANTED. FP-2(Rev.05/2009) Paget ROHM AND HAAS ELECTRONIC MATERIALS ROHM AND HAAS ELECTRONIC MATERIALS LLC ROHM 60 WILLOW STREET, NORTH ANDOVER, MA 01845 USA TELEPHONE (978)557-1700 FAX(8713) 557-1701 4HRRS March 12, 2010 Board of Selectman C/O Town Clerk's Office 120 Main Street N. Andover, MA 01845 Attn: Joyce Bradshaw Town Clerk The Rohm and Haas Facility located at 60 Willow Street N. Andover, MA, would like to amend the original storage license issued on June 18, 2001 (copy attached), due to production needs. We have reviewed the on-site storage requirements with the N. Andover Fire Department and have agreed the need for additional capacity for flammable and combustible materials. Please include us on the next Public Agenda in April so we can present application and need for this request. Any questions, please contact me directly at the number below. Reg _ and oyett' e� Manager, Environmental Health & Safety Robin and Haas Company 60 Willow Street N. Andover, MA 01845 978-689-1507 cc: N. Andover Fire Chief Martineau �ccmmr/rcu=eal��C c�^-/l/laducc�iu:seG�i �e`iaixlmenCc��cxe'vlev.treies - �ifdaw�eoxd�Ccra�s Junk �xa�rz�n Clryor Town NORTH ANDOVER Date JUNE 18.2001 LICENSE In accsGance with the provisions of Chapter t as of the General Laws, a license M hereby granted to use the land herein cescdbed for(fie lawful use of the auribing....or other structure....'wnich Ware or Ware to be situalea thereon. and as described on the plot plan tiled with the!appticabon for Nu license. Locadon of land 60 WILLOW STREET Nearest cross street ROUTE 114 tsor1. . Owner of land ROHM AND HAAS COMPANY Address 100 INDEPENDENCE WAV.PHILADELPHTA.PA Number of buildings or Other stiuc ores to which this application applies ONE BUILDING OcapancY Of use Of such buildings BUILDING USE GROUP A CLASS I 1800 GALLONS Total capaciY oIW%aa in gado,,:—Aboveground FLAMMABLE SOLIDS 200L.R¢ Undotground___ PYROFHORIC MATERIALS IGH of fluid 10 be stored in fanlo:—Aboveground MIXED SOLVENTS _Underground Fesmc Iona-If any TO BE RENEWED ANNUALLY rsacgeewer � �--�- THIS LICENSE OR A PHOTOSTATIC OF CERTIFIED COPY THitREOF MUST BE CONSPICUOUSLY ROSTED IN A PROTECTED PP.a(nwW Pall PLACE ON THE LAND FOR WHICH IT IS GRANTED TOWN OF NORTH ANDOVER OFFICE OF LICENSING COMMISSION 120 MAIN STREET NORTH ANDOVER,MASSACHUSETTS 01845 Richard A.Nardella,Chairman 1' William F.Gordon P ' Telephone(978) -955600 Daniel P.Lanen -4-s� •- FAX(978)688-9556 Rosemary C.Smedile •.y'-C,_,.'-"' Tracy M. Watson ^'++cxuze"^�• Jane 3,2010 North Andover Citizen North Andover, MA 01845 Please publish the following legal ad in the North Andover Citizen on Friday, June 11, 2010 Town of North Andover Licensing Commissioners Public Hearing Notice Notice is hereby given that under Massachusetts General Laws, Chapter 148, Sections 1, 9, 13, and 14, the North Andover Licensing Commissioners will hold a public hearing on Monday, June 21, 2010, at 7:00 P.M. in the Board of Selectmen's Meeting Room, 120 Rear Main Street, 2"^ Floor, North Andover, MA, on the application received from Robin and Hass electronic Materials LLC, 60 Willow Street, North Andover, MA, for a license to store Class I, II 5,000 gals Pyrophoric and Mixed Solvents Flammable Liquids and 1000 lbs Flammable Solids. Richard A. Nardella, Chairman Licensing Commissioners NAC 06/11/2010 Very truly yours, Janet L. Baton, Administrative Assistant /jle Bill to: Randall Goyette Rohm 6 Haas Electric Materials 60 Willow Street North Andover, MA 01845 Telephone: (978) 689-1507 page 2 Of 2 PARCEL ID OWNER AODRE55 CITY STATE ZIPCODE 21 W098 D-0050.00330 LINDA SCHRADER )W TURNPIKE STREET NORTH ANDOVER 210/0980-050-003,0 7995J TURNPIKE STREET RT 276 RALEIGH TAVERN LANE NORTH ANDOVER MA 01845 21CM96 D-00500.0035.0 7995)TURNPIKE STREET RT 276 RALEIGH TAVERN LANE NORTH ANODVER MA 01845 210/098 D-0050-00360 7995J TURNPIKE STREET Ri - 2]g RALEIGH TAVERN LANE - MA 01845 21OM98 D-0050.003).0 LANDMARK REALTY TRUST 25 LANDMARK DRIVE -NORTH ANDOVER MA 01045 210108.0.005.M._- _ LANDMARK REALTY TR UST -- - - - METHUEN M4 _ 01844 210/096.DU. _0039.0- LANDMARK REALTY TRUST 25 LANDMARK DRIVE METHUEN AM -01844 21WO980005O-0040.0 LANDMARK REALTY TRUST 29 LANDMARK DRIVE METHUEN M4 01044 2IDN98 D-00$0-0041 0 LEONARD 8 GANCOY REALTY,LLC 25 LANDMARK DRIVE - METHUEN LN 01840 210/098 0-060-0045 0 LENTINI REALTY,INC )97 TURNPIKE STREET NORTH ANDOVER -MA 184$ 2101098.09050.0049.0 - _ SB NECK ROAD BRADFORD LENTINI REALTY,INC - _ MA 01835 21NN.,-W50 W470. - 56 NECK ROAD BRADFORD - _ _ _. LENTINI REALTY,INC M4 01a35 3101098.00050 56 NECK ROAD - 048.0 -LENTINI REALTY INC - - BRADFORD MA 01835 21 W098 D-0050-00490- MAUREEN MEEHAN 56 NECK ROAD BRADFORD MA 01835 2101098.M050- - ]990101 TURNPIKE STREET NORTHANDOVER MA - 01645 0051.8 LEONARDBGANGOYREALTY.LLC 15 PRIDE CIRCLE 210/0980.0050-00580 PASOUIN REAL ESTATE,LLC ANDOVER MA 01810 2IDN88 D - 799 TURNPIKE ST,2ND FLOOR -NORTH ANDOVER_ MA 01845 050.0054.01 PASOUIN REAL ESTATE,LLC - 799 TURNPIKE ST,2ND FLOOR NORTH ANDOVER MA - 01845 210/098 D 050-00550 LENTINI REALTY,INC _ - 210/OBBD0050-0050.0 LENTINI REALTY;INC 56 NECK ROAD HAVERHILL- MA 01635 2101098.0-005010$10 WILLOW GREEN REALTY,LLC �5 NECK ROAD BRADFORD MA _ 01835 210100800050-0058.0 _ 100 HICKORY HILL ROAD NORTHAN)OVER -- -MA '- 01805 WILLOW GREEN REALTY.LLC 100 HICKORY HILL ROAD- NORTHANDOVER - 21OM98 XW0-WSO-058.0 WILLOW GREEN ftFgLTV,LLC 100 HICKORY HILL ROAD _ MA 01845 210/080.050-0060.0 WILLOW GREEN REALTY,LLC NORTH gNOOVERi. MA 01845 2101098.)4)050.0610 100 HICKORY HILL ROAD NORTH ANDOVER MA 01645 WILLOW GREEN REALTY,LLC 10 HICKORY HILL ROAD NORTHANDOVER-- 210/08.0-0050-0020 WILLOW GREEN REALTY,LLC - MA DIMS 2t01098.D00500010 WILLOW GREEN REALTY,LLC 100 HICKORY HILL ROAD NORTH ANDOVER -MA - 01945 210/0980-0050-0040 100 HICKORY HILL ROAD NORTHANDOVER-- MA - 01845 WILLOW GREEN REALTY LLC 100 HICKORY HILL ROAD NORTH ANDOVER ` 21010900.0050.0065.07 WILLOW GREEN REALTY,LLC 100 HICKORY HILL ROAD NORTHANDOVER MA 01845 210098 D 0500086.0 WILLOW GREEN REALTY,LLC 160 HICKORY HILL ROAD- - _ 01845 2101098 D-0050008).0 WILLOWGREEN REALTY,LLC - 100 HICKORY HILL ROAD NORTH ANDOVER MA - 01845 2101098000500068.6 WILLOW GRE EN REALTY,LLC - NORTH ANDOVER _ MA - 01845 21OM98 D-0050-0_090 WILLOW GREEN REALTY,LLC 100 HICKORY HILL ROAD NORTH ANDOVER -MA 01845 _ 210/0980050- - - 100 HICKORY HILL ROAD -NORTHANDOVER - M4 - 01845 21010980.0050.00]1.0 WILLOW GREENR�LTV,LLC 100 HICKORYHILLROAD NORTH ANDOVER_ MA 01845 00_0.0 i, WILLOW GREEN REALTY. _. REALTY LLC 100 HICKORY HILL ROAD NORTHANDOVERM4 01845 21 W08D 0050 W72 WILLOW GREEN REALTY,LLC 100 HICKORY HILL ROAD 21OM98 D-0050,0073 a' WILLOW GREEN REALTY,LLC NORTH ANDOVER MA - 01845 210/0960050-004.0 WILLOW GREEN REALTY,LLC 100 HICKORY HILL ROAD NORTHANDOVEW MA - 01845 210098 D.0050- - 10 HICKORY HILL ROAD -NORTH ANDOVER_ MA 01845 00750 WILLOW GREEN REALTY,LLC 100 HICKORY HILL ROAD NORTHANDOVER - - ' 210/0980005000790. 011100 GREEN REALTY,LIC 100 HICKORY HILL ROAD NORTH ANDOVER MA MA 018,15 1-0108 D-0050.00]).0 WILLOW GREEN REALTY,LLC - 100 HICKORY HILL ROAD -NORTH ANDOVER 01845 210/0980M50-079 0 WILLOW GREEN REALTY 0050000.0 WILLOW GREEN REALTY LLC 100 HICKORY HILL ROAD NORTHANDOVER, MA 018,5 210/098D- ,LLC t 00 HICKORY HILL ROAD NORTHANDOVER MA 01845 210110TC-W21-0_01.0 DANIELCALLARgN - - - MA Ot645 210/107 C0]P. - e]3 TURNPIKE STREET NORTH ANDOVER MA - 01845 0002.0 THIflTY ONE MORGAN 5T REALTY 813/0102 TURNPIKE STREET NORTHANDOVER - MA 01845 210/10]00]21-06050 JOHN POLI-ANO 0)1#105 TURNPIKE STREET NORTH ANDOVER_ MA 3101107 C-07210013.01 KENRICK INVESTMENT CORP 800#300 TURNPIKE STREET NORTHANDOVER 01845 21W1076-0721-009.0,' KK B R REALTY TRUST 868/0108 TURNPIKE STREET NORTH ANDOVER 01845 2101107 C-0]21-00100- _RICHARD ABELSON 138/0104 HAVERHILL STREET - MA 01845 21011070072100130 ELIZABETH CURTIS - ANDOVER MA 01810 210/107 C-0]21-0014.0- JOHNSON RFALTV TRDST 5FORD HILL ROAD GLOUCESTER - MA 01930 2101107 C-0)210016.0 681 TURNPIKE STREET NORTHANDOVER MA 01845 WAYNE CROWE 59 WEST STREET - WILMINGTON MA - 01887 2101107C 72100220r SOUTH SRERAREERTYTRU-C 6 BLUEBERRY HILL ROAD -ANDOVER 210/107 C 072100220 $1070 SAYPROPERTIES.TRUST LLC _ 1389104 HAVERHILL STREET M4 01810 2101107 CO21-0_025.0 1040 REALTY TRUST CORP. ANDOVER MA - 01810 2101107 C-0721- - 861 TURNPIKE STREET NORTHANDOVER MA OURS 0226.0 - 1040 REALTY TRUST CORP. 9#101 TURNPIKE STREET NORTH ANDOVER MA 210/tWC07210029.0 THE MINE GROUP,LLC )99 0101 TURNPIKE STREET NORTHANDOVER- 01845 210/107 C-0]21-00300 LA MIRAGE REALTY TRUST 855 TURNPIKE STREET NORTH ANDOVER MA 01845 21WI07 C 07210033 a SANDRA HERRICK - N14 OtB45 210/107 D-0721-0034.01 J3 PASONAGE LONE TOPSFIELD MA 01983 DAVID HE STA, 80 t30TURNPIKE STREET NORTH ANDOVER MA 01849 21010]00]21-0].04) RICHARDORPORJR 8559137 TURNPIKE STREET NORTHANDOVER 210/10).0-0721-00410 PEA REALTY CORPORTATION 955 TURNPIKE STREET NORTH ANDOVER MA 01045 210/107.0-0]21-0041.0 PEK REV CABLE T UST 855 TURNPIKE STREET MA 01845 210/107 C-072200420- QUINNOUI-ADIM REALTY RUST - - NORTHANDOVER MA 01845 21011070-0)22$001 0. - ifi GOLDEN MEADOW ROAD HAMPSTEAD NH 03841 TURNPIKEASSYTRUST 3#202 TURNPIKE STREET NORTHANDOVER MA 01045 210/107 C-0]220002.0 _ 873TU871 TU ASSOCIATES,LLC - 871 A202 TURNPIKE STREET NORTH ANDOVER MA DIM5 21W10]GOR2-0025.0 RICHARD MALLLC 6]i#225 TURNPIKE STREET NORTHANDOVER. - 21W107 .C-0]22.0006.0 - RICHARD MALLEN - - - MA 01845 2ID/10]0 02200080 - 869 V09 TURNPIKE STREET NORTH ANDOVER - MA 01845 THE REALTY TRUST INC - 86869 TURURNPIKTRETSTREET NORTHANDOVER MA 2101107 C 0]22-00100- KMK REALTYTRUST 01845 21 0/10]00]2200130 669 TURNPIKE STREET NORTHANDOVER MA 01845 R 6M REALTY 138 RIVER ROAD ANDOVER MA 01810 310/iW C-0]22-OpppZ'.0i' pAGO REALTY TRUST 867 TURNPIKE STREET 210/107C0122� BRODEC.LLC NORTH ANDOVER MA _ - 01845 885 TURNPIKE STREET ,NORTH ANDOVER !4A 01845 This Certifies that the names appearing on the records Of the As ssorsffice as of erti led Date TOWN OF NORTH ANDOVER OFFICE OF TOWN CLERK 120 MAIN STREET NORTH ANDOVER,MASSACHUSETTS 01845 d Hp11TN.40 3+ •} ' Telephone(978)688-9501 Joyce A. Bradshaw,CMMC P , o FAX(978)688-9556 Town Clerk, i �'TtACNVSf March 16,2010 Mr. Randall Goyette Rohm and Haas Electronic Materials 60 Willow Street North Andover,MA 01845 Dear Mr. Goyette: ation for License" and an"Application for Certificate of Enclosed please find an"Applic Registration" to increase the storage of flammable and combustible materials at 60 Willow Street Also enclosed is a ve ound have any questions, lease do not hck ies tat tost for call m at he above Tanks. If you should number. I look forward to working with you. Very truly, f iet L. Eaton, Assistant Town Clerk Enc. BankoI tnerica "�3j to API£3{sv OAvs Personal Mover Order K°' 2003303 °am My zA, EDL6 were AeDDeu Illt,�' Par TO The oraeeor-.---TLI�TOw,-i 4- - r gUVe,r a r ro •`OR wwRID DOLLAeA W 00 oust, 00.00** NotYand Over 51000 Brpr ofAmern-a� Viable for los[or.... vlocev Order.R—vv aB st los �q _ 'Sn andm0600s e Mi A.lo,`r« A. 0000fi 0082112 00200370330 3 anon�vass ble. g - an.am¢zq 1 � IHE ONJGR¢.4L °• 2003303"• 0 1 140000 191: OO i64 i005362n• 1NXUMENI'll Ir[ClI\F WA'fllM KOry-THE BA('R THE ORIGIRA£DBC°M THAS REFLECTNE W'47£RMAR ON THE,BACK f. CHECK LIST FOR UNDERGROUND/ABOVE-GROUND STORAGE TANKS Departments: Fire Building Police Planning—possible site plan review Town Clerk's Office—application for license(for the Board of Selectmen) TOWN CLERK'S OFFICE (FOR THE BOARD OF SELECTMEN) 1. Applicant fills out Application for License and Application for Registration forms 2. Site Plan showing location of plans must be submitted 3. List of abutters to the proposed site—from the Assessors Office 4. License fee$150.00—renewable yearly by April 30th 5. Application fee $100.00—one time fee 6. Copy of Worker's Compensation Insurance and signed affidavit form Upon submission of an application: 1. Application submits the above requirements 2. A letter will go to the above departments for recommendations 3. A public hearing will be scheduled 4. Notice of such hearing will be place in a local paper 5. Applicant will be billed by the newspaper for such ad 6. A copies of said notice will be give to applicant to send out to abutters 7. Notices sent to abutters by applicant, by certified mail 8. Copies of the mail certifications to be submitted to Town Clerk's Office 9. Applicant must attend the public hearing UPON APPROVAL: 1. The Fire Chief or designee will sign the license 2. The Town Clerk or designee will sign the registration Regulation 527 CMR 14.03 section (2), requires a permit for the storage of any flammable fluid, solid or gas. This permit is to be obtained from the head of the fire department' as provided by M.G.L. c.148, 5.10A and 23. The head of the fire department may restrict the quantities to be stored under the permit. Mat this means is that a permit In addition to a license a permit is required from the head of the fire department for the storage of flammable and combustible fluids. The head of the fire department may reduce the quantity of product allowed by permit but may not increase the quantity beyond that allowed by the regulation. Exceptions to the permit process are granted to certain persons for the storage and use of and use of limited quantities of flammables, combustible. These exemptions may be found in the relevant sections of 527 CMR governing the articles to be stored, Important Points • A license for the storage of flammable or combustible fluids in quantities in excess of those allowed by regulation is granted by the local licensing authority after approval or disapproval by the head of the fire department and after a public hearing. A permit is granted by the head of the fire department. • A license is not owned by an individual as a personal privilege. A license once exercised is a grant which runs with the land. The permanent record of a license is to be recorded and maintained by the city or town clerk. • A permit from the head of the fire department is required in addition to a license for the storage of materials regulated under 527 CMR 14.00 (Flammable or Combustible Liquids, Flammable Solids or Flammable Gases. • A certificate of registration is annually filed by the holder or occupant of licensed land to inform the city or town clerk to record (register)the license as still active and being exercised. • A city or town may develop its own form for the actual license and registration. The form of the license and registration must contain, as a minimum, that information contained in Department of Fire Services Fire Prevention Forms, FP-2, License and FP-5, Registration respectively. • A license, when exercised, is a grant running with the land. A parcel of land may only have one license for the storage of flammable or combustible fluids. • If the conditions, capacities or restrictions authorized by a license are changed, an amended license must be obtained. A new application must be submitted to the local licensing authority, the head of the local fire department must approve or disapprove, and a public hearing must be held. If granted, the amended license supersedes and replaces the old license, and will show the aggregate total capacities allowed under the grant. The terms and conditions of the new license now prevail. The license must be plainly posted on the premises. • A certificate of registration is the vehicle used by the license holder or occupant of licensed land to notify the city or town town clerk annually, before April thirtieth,that a license is in use and currently being exercised. If a registration is not applied for and issued, after three weeks, it may be viewed as cessation and cause for review of the license. A registration must be plainly posted on the premises. 527 CMR 14.02 'Massachusetts General Law,Chapter 148§ 13,Paragraph 3 Massachusetts General Law,Chapter 148 § 13,Sentence 2 °Massachusetts General Law,Chapter 148§ 13,Paragraph 3 '527 CMR 9.02 6 527 CMR 9.02 'Massachusetts General Law,Chapter 148§ 13,Paragraph 6 'Massachusetts General Law,Chapter 148§9 A certificate of registration must be filed annually on or before April thirtieth by the owner/occupant of the land who holds (exercises) the license. This informs the licensing authority that the license is still being exercised, and the name of the person or entity exercising the license. The Board of Fire Prevention Regulations has been granted the authority to exempt certain quantities of the articles (flammables, combustibles, and explosives), articulated in section 9 of Chapter 148, from licensing, and registration. These exemptions may be found in the relevant sections of 527 CMR governing the articles to be stored. Every license granted,and every certificate of registration fled under Section 13, is deemed to be granted or filed upon condition that if the land described in the license ceases to be used for the aforementioned uses,the holder of the license shall within three weeks after such cessation eliminate, in accordance with rules and regulations of the board,all hazardous conditions incident to cessation 4 Massachusetts Code of Regulations 527 CMR 9.00, Tanks and Containers, uses the definitions "abandoned' and 'out of service',to further categorize storage containers subject to cessation of use.As defined: "Abandoned, in the case of underground storage tanks, shall mean out of service for a continuous period in excess of six months where a license from the licensing authority is required under the provisions of M.G.L. c.148, s. 13, and for a period in excess of 24 months in the case of any other underground storage facility or an aboveground tank of 10,000 gallons capacity or less; and in the case of aboveground storage of any fluid other than water, where a permit is required from the Marshal under provisions of M.G.L. c. 148, S. 37, it shall mean out of service for a continuous period in excess of 80 months and it has been deemed to be unsafe and a threat to the public safety by the head of the fire department and by the Department of Fire Services." 'Out of service, not in use in that no filling or withdrawal is occurring.'e Once the tank is abandoned or out of service it must be removed. (With the exception of certain double wall underground storage tanks) If it is determined that a fire or explosion hazard exists or is likely to exist as the result of the continued exercise of a license, the local fire chief may issue a cease and desist order. The fire chief shall order reasonable measures to protect the safety of the public from the hazards of a fire or explosion. Any measures so ordered are at the expense of the license holder. "When a fire or explosion hazard exists or is liable to exist due to the exercise of such license, the marshal or head of the fire department, shall issue an order to the licensee to cease and desist in the exercise of such license and said marshal or said head of the fire department shall direct that reasonable measures to insure safety to the public be undertaken at the expense of the holder of such license. " The first paragraph of section 13, Chapter 148, speaks of certain articles named in section 9 of Chapter 148, that are subject to regulation. Section 9, names the articles subject to regulation by license or permit. "The board shall make rules and regulations for the keeping, storing, use, manufacture, sale, handling, transportation or other disposition of gunpowder, dynamite, crude petroleum or any of Its products, or explosive or inflammable fluids or compounds, tablets, torpedoes or any explosives of a like nature, or any other explosives, fireworks, firecrackers, or any substance having such properties that it may spontaneously, or acting under the influence of any contiguous substance, or of any chemical or physical agency, ignite, or inflame or generate inflammable or explosive vapors or gases to a dangerous extent, and may prescribe the location, materials and construction of buildings to be used for any of the said purposes. Such rules and regulations shall require persons keeping, storing, using, selling, manufacturing, handling or transporting dynamite or other high explosives to make reports to the department in such particulars and in such detail that the quantity and location thereof will always be a matter of authentic record in the department...'s The first paragraph of section 9 of Chapter 148, states that the Board of Fire Prevention Regulations shall make rules and regulations for the keeping, storing, use, manufacture, sale, handling,transportation or other disposition of the articles name. The Board has made these Rules and Regulations with the Code of Massachusetts Regulations (CMR) 527 CMR 2.00(Fireworks), 527 CMR 4.00(Oil Burning Equipment) 527 CMR 8.00 (LP-gas), 527 CMR 9.00, (Tanks and Containers), 527 CMR 13.00 (Explosives) and 527 CMR 14.00, (Flammable Fluids, Solids, or Gases). These regulations allow the storage of certain quantities of materials to stored without a license, but subject to permit issued by the head of the fire department. A STORAGUGEIDEOF FOR FLAMMAMUNICIPAL OFFICIALS ON LICENSING THE BLES,COMBUSTIBLE and EXPLOSIVES Licenses, Registrations and Permits The purpose of this document is to Provide guidance to fire departments, local licensing authorities, and municipal clerks on licenses, registrations and permits for the storage of flammable, combustible, or explosive materials in accordance with Massachusetts General Law (MGL) Chapter 148 and the Board of Fire Prevention Regulations, Code of Massachusetts Regulation (CMR), 527 CMR 2.00, 527 CMR 8.00, 527 CMR 9.00, 527 CMR 13.00, 527 CMR 14.00. • A license is the permission by competent authority to do an act which, without such permission, would be unlawful, a trespass, or a tort. A storage license is applied for and granted by the local licensing authority. The license is granted to the land and not to an individual. Only one license may be issued to a parcel of land. This license may be amended to reflect changes inuantity. restrictions. The license may be revoked or suspended for cause by the issuing authority. Information pertaining to the license and the license shall be maintained by the city or town clerk, conditions or • A registration is the acknowledgement by competent authority of the act of recording a formal or official record. A storage registration is filed annually with the local city or town clerk. The registration serves solely to notify the community of the present license holders name and address. Only one registration may be granted for each license. Records of registration shall be maintained by the city,or town clerk. • A permit is a written authority or warrant, issued by a person in authority, empowering a person act not forbidden by law but not allowable without such grant of authority. The law allows do small quantities of flammable and combustibles to be kept or stored on the land without alienseobut with a permit granted by the head of the fire department. 527 CMR 14 r certain the license. squires a permit in addition to The following are definitions related to the tens"flammable or combustible°. ' Combustible liquid Any liquid having a flash point at or above 100-F shall be known as a Class II or Class III Liquid. Combustible liquids shall be divided into the following classifications: Class II: Liquids his Class A ng flash points at or above 100°and below 140°F : Liquitls having a flash point at or above 140°F and below 200°F. III Class IIIB: Liquids having a flash point at or above 200°F. ammable ing a flash nt ex/eeding 40 Liquids.is at 100 F liquid Flammable liquids shall be knownow las Class Iand liquids and shall be divided into the following classifications. having Por pressure hot Class 113 Class IA: Liquids having flash points below 73°F and having a boiling point below 100°F. Class IC: Liquids uitls having flesh Points flash points at oow 73-F and having a r above 73 F and below'10p°.int at or abov1100 F The authority for the keeping and storage of flammables, combustibles, and explosives, is section 13, of Chapter 148, M.G.L. This General Law is rather lengthy; this document references only the relevant sections. In order to apply for a new license or to change the contlitions or restrictions of an existing license, the applicant must apply for d-appova ha application hen ext step is a pubticlhearing on the appllC fiotnerNoelessthan seven days prior to a public hearing it must be advertised in a newspaper published in the English language. At the applicants expenses all abutters and owners of real estate must be notifietl by registered mail not less than seven days prior to the hearing at which the licensing authority acts on the license application. A licensing authority may prescribe conditions or restrictions to a license. Any such license granted hereunder shall be subject to such conditions and restrictions as may be Prescribed in the license by the local licensing authority, which may include a condition that the license be exercised to such extent and within such Period as may be fixed by such authority. ' Note; Complete top of form and forward both sections and lee to local licensing authority (City or Town Clerk). 00 not make application to department of Pubfic Safety. ` �U'/YUh7,4�12t/1Qt2L(� M��CZdQCGC/�QQ�`,y `3' �e�wn+LnumCo��'ure V�xvicat — �riuraarc _O�'vrrs .lKeventcan Oly or Town NORTH ANDOVER Date APRIL 30, APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with the provisions as of Chapter 1Aa, Season 13, at me General Laws. the undersigned hereby cenffiee that ROHN AND HAAS 60 WILLOW STREET, NORTH ANDOVER, MA a the holder of license granted JUNE 20 2001 for the lawful use of the building(s)or other structures)situatep ar to be situated at 60 WILLOW STREET as related to me Kc RING, STORAGE, MANUFACTURE OR SAL OF FLAMMABL_S OR ! EXP OSIVES. NORTH ANDOVER, MA Nora: Tis applicadan for certflimle of regisoadon muse be signed by the holder of me adanse if card'idem.was 9ranted pnor to July % 1936, otherwise by me owner or occupant of Me land/icansed. Received Submitted by _-------- •m.0 ,- _ �: �comvrre�rccueczlllz c�-� ilaaaGacLcuaeG�• '_aim, 3• �eJepirGyrsenCp�."j vxe�ez+lcces —�'�n�x�,at�ndVCanaSe�am� �wx�xoine City or Town NORTH ANDOVER Date APRIL 30, REGISTRATION his a TO ciliary that ROHM AND HAAS has. in accardance with the provisions at Chapter 148, Section 13, of the General Laws, filed with me a certificate of regumation semng ,arm mat ROHM AND HAAS JUNE 20, 2001 a the holder of me license granted for the lawful use Of the butlding(s)or other sduchurets) situated or ;c ae sttuarec at 60 WILLOW STREET, NORTH ANDOVER, MA as related to the KEEPING. STORAGc.MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. sww•w oars.ra. Note:A cartiflnra at M,siradon must ab sten an Or be/are Apal join at een year. THIS RE-ZISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PFEMISFS = rawsea'961 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. KIYUI�Soea/i2 '} Jef+a'"MenCo� vie Vvwuicea — ow.ocyrc o��'vrs ;JTireve an Cltyor Town NORTH ANDOVER Date APRIL 30, APPLICATION FOR CERTIFICATE OF REGISTRATION In accorcance with the previsions of Chapter tA8, Section 13. at the General Laws, the undersigned hereby certifies that ROHM AND HAAS 60 WILLOW STREET, NORTH ANDOVER, MA �a *the holder of license granted JUNE 20 2001 top the lawful use of Me building(s) or other vw ure(s)sduatec or mo be situated al 60 WILLOW STREET so.w,re -- as r mated to the KEEPING, STORAGE, MANUFACTURE OF SAL OF FLAMMAaLSS OR EXPLOSIVES. NORTH ANDOVER, MA Note: This application for cerdficste of pegispaaon must be signed by the holder of the license if said license was granted prior;o July 1, 106, otherwise by the Owner or occupant of Me land licensed. Received Submitted by dy w ________—________________________ _- cL �co�mirnarzcueczLCli �c�Gl �� ®jam� �` enlo��vAe F1ewuecc —'� w�� Lndax�«rnd- r�.� -c��� ✓fin �y City or Town NORTH ANDOVERpate APRIL 30, REGISTRATION his u to certify that ROHM AND HAAS pas. in accanlame with the previsions of Chapter tea, Section 13,of the General Laws, filed with me a certificate of regihipation setting !arm that ROHM AND HAAS is the holder of the license granted JUNE 20,x2001 for the lawful use of the building(s)or other structures) situated or :o oe situated at 60 WILLOW STREET, NORTH ANDOVER, MA as related to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMASLES OR EXPLOSIVES. • synu..acmro,r Nate:A cerehapa of Mg,..-mutt be filal an w before April 30th at asci year. THIS REGISTRATION ,MUST BE CONSPICJOUSLY POSTED ON THE PREMISES .'nvpea'S61 TOWN OF NORTH ANDOVER OFFICE OF LICENSING COMMISSION 120 MAIN STREET NORTH ANDOVER,MASSACHUSETTS 01845 e Donald B.Stewart,Chairman William B.Duffy,Jr. Telephone(978)688-9500 Rosemary C. Smedile FAX(978)688-9556 James M Xenalds May 31, 2001 Biaoka Legal Advertinsing Dept. North Andover Citizen Please publish the following legal notice in the North Andover Citizen on Friday, June 80 2001 Town of North Andover Licensing Ccamnieaiouers Public Hearing Notice Notice is hereby given that a public hearing will be held by the North Andover Licensing Commissioners on Monday evening, June 18, 2001 at 7:30 p.m. in the Stevens Memorial Library Conference Room, 345 Main Street, North Andover, MA on an application from Rohn and Hass Co., 60 Willow Street Street, North Andover, MA, for a Fuel Storage License, (Class x 1,800 gallon Flammable Solids 200 lbs., mined solvents, above-ground storage tank) at 60 Willow Street, North Andover, MA Donald B. Stewart, Chairman Licensing Commissioners NAC 6/16/01 Very truly, dmin�net L• Eatox 6� ive Assistant Bill: Rohn and Haas 60 Will.. Street over. MA 01845 LICCO WILLOW Si LEGAL NOTICE Hass Co_. 60 Willow Slreel Tone ml Nonh grgp¢e MA,IOraFUM Storage Li cense,(plasaIII lnlcee, I,= 'I gallon Flemmable 1y2 bs Nolica a,wm,R� come aMve-grouM sI mired sob ba fwd by the Noah Aoe,,,r Lbcens nr Com. Sheet NOMhA age mnk)m bD Wall. 9 will rmovea MA. l75 sera on III yc'ere .June18, Donald n,"w"ar,,Chairman al],aD Fm. In the Slovens MemIn ibmLlcensi COMxerrp Roo,.345 Main Srreel,Nonll An- A Comm6sbrara duvet Mq on an applkalion nom Rohn ',and 06595 N.Andover 619/01 Note: Complete upper and lower porton at tans and forward both sections to local licensing authority(City or Town Clark). Do not make application to depa/ronent of Public Safety. 1GlYYl7/riL4'ILCUBCLr/C/L G�C—%l�GdddCGCiLGLdEt�.h _.7 _ 6 �e�ta�GnunCa���xe Va>evctm — �v�rica�n p�Gfvrre ✓�'rsuenGaw • City or Town M. Andover Oate April 13, 2001 APPLICATION FOR LICENSE For the lawful use of the herein described building... or other structure...., application is hereby made in accordance with the provisions of Chapter 148 of the General laws, far a Ilcense to use the land an which such building.... or other structure awe or ial are to be situated, and any to such extent as shown on plot plan wh2h is filed with and made a part of this application. 60 willow Street Rt 114 Location of find Newest cross Street 13n,w,1wwevr Rohm And Haas Co, 100 Independence way, Phil, PA Owner of lana Address. Number of buildings or other structures to which this application applies one building C=upancy or use of such buildings Building Use Group B Class I 800 Gal ons TOW=pacdyaftanksingaliom:—Aboveground Flammable solids 200 lherderground Kind of fluid to be stored in tan W:—Aboveground mixed solvents Underground $ Approved — Disapproved _, ism� �'camvm�reu�ecc`C� c��ltxaacic�zuaeG�"i �`e`awwf,x.ntdj'��we'.��rrtricas — 2C,���,rr�d�>'tar�e;Jd;�rk C,ry Or Town NORTH ANDOVER Oats .IllNE 18.2001 LICENSE ° In accordance with the provisions of Chapter 148 of the General Laws.a license is hereby granted to use the two herein cesc:ibeo for the lawful use of the building.... or other structure....which Ware or iware to be situated thereon. and as described an the plot plan flied with Meapoicadon for Nis Ikarue. Locadan of iand 60 WILLOW STREET ,Nearest cross spR.eel Rn11T114 r e.w�.wna«i Owner of two ROHM AND HAAS COMPANY Address 100 INDEPENDENCE WAY.PHIL D . .PHIA.PA Number of buildings or other structures to which this application applies ONE BUILDING Occupancy Or use of such buildings BUILDING USE GROUP A CLASS I 1800 GALLONS Total Capacity,of tanks in yawns:—Aboveground FLAMMABLE SOLIDS 2001.11S Underground PYROFHORIC MATERIALS IGnd of fluid to be stored in tanks:—Aboveground MIXED SOLVENTS Underground Resu/icdons•If any. 10 BE RENEWED ANNUALLY t\ 1ld�i r �/. rrwey.e.w L THIS LICENSE OR A PHOTOSTATIC OR CERTIFIED COPY THi�RIEOF MUST BE CONSPICUOUSLY POSTED IN A PROTECTED ppq(rwbed rye PLACE ON THE LAND FOR WHICH IT IS GRANTED Notal Complete upper and lower pordona of farm and forward boat sacadru to label licensing' auamrlty(City or�jTawn Cterli Do not/make applldtlaa to depa/rmwffl of Public Safety. �L'(YYYr/mOiIZCllCCLGCiL G�Ut ��CEd6CGCILIUl2G�el �_ ..�fjNLRGIneIICO�v/"LX4CJCPUfCM — �VWdfdn O�V"LX9 �M9T/e4LCLdIL City or iown NN. Andover pate April 13, 2001 APPLICATION FOR LICENSE nor the lawiul use of the herein downed building...or other structure..... application u hereby mace in accordance with the oravusions of Chanter 148 of the General laws, for a license to use the land an which such building._.or other structure....ware or iv are to be situatedl and only to such extent as shown on plat plan which is filed with and made a part of this application. 60 Willow Street Rt 114 Location of land Nearest cross;street Isv.r".. 100 Independence Way, Phil, PA owner of land Rohm And Haas CO. Acclesi Number of buildings or other structures to which this application applies one building Cc.:jpar pr use of such buildings Building Ose Group e Class I 800 Gallons Total caoacty of tanks in gallons Abovegmund Flammable solids 200 llylkieergrounc <;no of fluid to be stored in tanks:—Aboveground mixed solvents Underground Approved = Oisapprovec --------------------------------------------- � amrmr/ruuea �fa`eaixrnxenCc��Lxs:Js�rpecas — -LCisdez<�r/xLna�yCexa9e Jami .�xo�xama C;ryor Town NORTH ANDOVER pate JUNE 18, 2001 LICENSE In accordance wan the provisions of Chapter 148 of:he General Laws, a license is hereby granted to use the land herein cescnbed lor the al use at the building.... or other structure....'ench islare or isiare to be situaled thereon. and as aescrbea an the plot plan Hied with the-application for thus license. Location at lano 60 WILLOW STREET Nearest cross street ROUTE 114 sr.e�.w+evi Cwner of land ROHM AND HAAS COMPANY Address 100 INDEPENDENCE WAY PHILADELPHIA,PA Number of buildings or other structures,to which this application applies ONE BUILDING Occupancy or use of such buildings RUTT.DTNr TTSF CROUP B CLASS I 1800 GALLONS Total capacty of tanks in gaeons—Aboveground FLAMMABLE SOLIDS 200LBSlndergmund IOnd of fluid to be stored in tankr.—Aboveground MIXED SOLVENTS Underground Resttraccocon,-If arty: ///� // / // ///•{J / // 11.N/iYH® / //•i AA �f - k rA++dbs�pw�s,I i THIS LICENSE OR A PHOTOSTATIC OR CERTIFlED COPY THiPPEOF MUST BE CONSPICUOUSLY POSTED IN A PROTECTED =Items lye PLACE ON THE LAND FOR WHICH IT IS GRANTED Nota: Coaylkte neper and lower partlona df farm and forward hodl 341=0l to local licupf" , atnharMy(City dr Tdwn CYark� Do not maks appliratlon td dapaMernt of Public Safety, ,, � �cn�mimaruuea`C�i, G�G/I%laaaczcicuaetGi �e�iw�G�rse�nGc`��re�FJ�ezrurias — �vwatan o�'Gtors ✓",+quenGarc City or Town NN. Andover Cate April 13, 2001 APPLICATION FOR LICENSE Far the lawful use of Ne herein desadbed budding... or Omer structure...., application is hereby made in acamance wah Ine provisions of Chapter 148 of me General Laws, for a license to use the land on which such building._. or other structure....mare Or V are ta be situated.and only M such extent as shown on plot plan which is riled with and made a part at this application. Location of land 60 Willow Street Rt 114 Nearest cross street r a.w.c,n Owner of lana Rohm And Haas Co. Andress 100 Independence Way, Phil, PA .Number or buildings or other structures to which Ihis apptication applies one building Occupancyoruseolsuchbuildings Building Use Group B Class I 1800 Gallons Totalcapacity,of tanks ingallons:—Aboveground Flammable solids 200 lbihdergrounc Kind of fluid to be stared in tanks:—Aboveground mixed solvents Underground = Approved = Disapproved n•••• ,ayu.v.d mwa - ----------------------------- -------------- - .C\- � — amrmr/recuea`Gl2 c�,/l/laa-.ucc`ivaeCZJ �n � h � �ft�ianrcnwn6cj�cxs :/savyccas - -G�nrlen�r/xcndyCcrvs�5�zn/c ✓'xx�xzna C:ty dr Town NORTH ANDOVER Cate JUNE 18, 2001 LICENSE In accordance With the provisions of Chapter 148 of Ine General Laws, a license is hereoy granted Io use the land herein cescnhed for the lawiul we 01 00 building....or other structure....which istare or iware to be situated thereon, and as aescnbea on the plot plan Hied with me-application for mis license. Location of iand 60 WILLOW STREET Nearest cross street ROUTE 114 wa.w+en Owner of land ROHM AND HAAS COMPANY Address 100 INDEPENDENCE WAY PHILADELPHIA,PA Number at buildings or other spucmres to which this application applies ONE RNTL12INR Occupancy Of use of such budNngs RITTr.DTNC IMF. CIRnIT R CLASS I 1800 GALLONS Total capach Ot Wikn d gallons:—Aboveground FLAMMABLE SOLIDS 200LBSJnderground ford Of fluid O be stwed in tanks:—Aboveground MIXED SOLVENTS Underground Fesuhcbons - It arty: THIS LICENSE ORA PHOTOSTATIC ON CERTIFIED COPY TH'SRIEOF MUST BE CONSPICUOUSLY POSTED INA PROTECTED Fns perbea heel PLACE ON THE LAND FOR WHICH IT IS GRANTED The Commonwealth of Massachusetts Department of Industrial Accidents AMOSIANWAIPAW _ 600 Washington Street Boston,Masa 02111 Werken'C LsmaaceAmdarR-Geaeral Btnlaesra �n4 " rrnc/ 11C&S Co.a+?O!4Y �0 6W1101Ll SI-, d/ /1-ycloy2r .oke ,1'hf� OB�Is',n�.r p 6,H-lSopl ta.b..td..r4 ❑ I m a rete prWde or and have m One Bwaaess Type: ❑Raud❑RestammUBm/Eatmg Estahhshmem v—kinf v�ry ssp"--�'-;'- (7 na:c:❑Sst]�tSs,mda3jng Rea! Aatcs-1c.) gi�m ten with em time . a C�kemYC' /IJRA�14 m tmpinya pmvdning ewrkeW edopmodke for my employaes working m this jolk y1T d 44 Attf AWS Lo , add N /jrc�ovar /yI9 ©SYS' aha...a 72k-G Fi -7So� dt13 -.dUVT5'.7 .- x-07 [am a sole paoprietar and have hrced the independent canuacem Msted hdow who hese the hUawiogwarkas' compensatia polices: _ rom .v oam- .ddm,,: eazvvf - P.WnM1.mmac...e.Omraetdrd mem 9.e Wo 35A a MM IM eu W Y tb Isp. efcros Irnir N.nr n0 b 11,410" W� .mY�'bPy�r r Wien N9 pmbw b H.fmm N.erOr woalc OADER..d.M Nf1tMM.dp.pwt s i mdaMaad tbad o ny.I thb abt�aga.t.gMbrwrdd M1t�.JbQU.O�f/MmNlmneptYaaNtYMfwe vav-rWh /d.klabya. /m�f, f and //�' �Ikd�f NfMlf�fORP/IVt�L�l61Y/t/f/M/I.�CIIIeQ Siwtatm. _, �0� Date r?Lz�C77 Prmtn.me ��GMrFOL� (�OyfL— Phmrr g —�85 "/-�U7 [E3,—k ebl...iy M wt_!ft am M1 be mmpkt by coy w am emebt m t w.: PamWaaere a ❑B.ndiq Deprm.r (]Idcemht IM.rd a I®.dbb nava—b re "ad (]aebetm.'.Omee CJAahhDep.rttrPa .. Phom*, I]OthmN P IDdl TOWN OF NORTH ANDOVER OFFICE OF TOWN CLERK 120 MAIN STREET NORTH ANDOVER MASSACHUSETTS 01845 e to a A.Bradshaw Town Clerk Telephone 8)68 -9557 1 FAX(978)668-9557 E-mail: ibradshaw@townofnorthandover.com Rohm&Haas 60 Willow Street North Andover, MA 01845 Attn: Randall Goyette 2007 Renewal Registration for Above Ground/Underground Storage Tanks Fee: $150.00 Due Date: Apri130,2007 Please mail check along with signed registration and Worker's Compensation paperwork to above address. Note: Complete top of fcnn and forward both sections and fee to local licensing authority (City or Town Clerk), Do not make application to department of Public Safety. ijvtv ie`caxriinze�xCa��'uxe CJe�wecm — vueaom. o� iirs ✓�',.nvartCwn City or Town NORTH ANDOVER Date APRIL 30, 447 APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with the provisions of Chapter 148, Section 13, of the General Laws, the undersigned hereby ceralies that ROHM AND HAAS 60 WILLOW STREET, NORTH ANDOVER, MA xa.,. a the holder of license granted JUNE 20P 2001 for Me lawful use of the biniding(s) or other stNQure(s) nhiated or M. situate.at 60 WILLOW STREET s...,..w.�w. as related to the KEEPING, STORAGE, MANUFACTURE OR SAL OF FLAMMASLES OR EXPLOSIVES. NORTH ANDOVER, MA Nora: i hrs application for cemRcare of mgisaagon must be signed by the holder of Melicanse it rd lican was granted prior to July 1, 1936, otherwise by me owner or ocupanr of Me land I Reawec Suomia I dv C 4 W 6o wrlloL&Z sr�,v./%zvg/, /00 <rPYs New Under-ground/Above-ground Storage License Application Plan— Showing area of storage Abutters list—From the Assessors Office Legal Notice— Prepared in Town Clerk Office— Sent to abutters by applicant certified mail Legal Notice has to be in the paper at least 7 days prior to Public Hearing before the Board of Selectmen Recommendations from the Fire Department and Building Inspector are required.. Fee: $100.00—Payable: Town of North Andover TOWN OF NORTH ANDOVER OFFICE OF THE TOWN CLERK 120 MAIN STREET NORTH ANDOVER,MASSACHUSETTS 01845 Joyce A.Bradshaw,CMh1C - Telephone(976)688-9501 Town Clerk Fax (978)688-9557 E-mail lbradshsw(altownofnorthandover.com FACSIMILE TRANSMITTAL FORM DATE: A,(( d 'S,�J o 6-7 ADDRESSEE: c _ NAME: ( Vl H(2 FIRM: hYb-�.{7()1 /7aa STREET: CITY: FAX NUM: -157 70 1 FROM: NAME: JOYCE A.BRADSHAW,CMMC DEPT.: TOWN CLERK 120 MAIN STREET NORTH ANDOVER,MA 01845 TELEPHONE: (978) 688-9501 FAX NUMBER: (978) 688-9557 TOTAL NUMBER OF PAGES, INCLUDING COVER LETTER: ADDITIONAL COMMENTS: iTOWNOF NORTRANDOVER OFFICE OF TOWN CLERK 120 MAIN STREET NORTH ANDOVER,MASSACHUSETTS 01845 Nonrh Joyce A.Bradshaw Town Clerk @ - y Telephone(978)688-9501 FAX(978)688-9557 aaaws�a _ ROHM&HAAS 60 Willow Street North Andover,MA 01845 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"of each year. The fee for renewal is $150 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 01845. The bottom portion is yours to be displayed alone with your license Your immediate attention in this matter is greatly appreciated. Very truly,- (�, O. � Joyce Bradshaw Town Clerk Enc. Nate: Complete top of form and forward bath sections and fee to local licensing >s dray (City or Town Clerk). Do not make Hpplication to department of Public Safery. . //7t IDc7�ma�uuea`C� a�C��aaaczclucae�y Je�w�rrGmenCa��—'uta FJviwruea — �rieoim¢ o�c�rirrs �rsvenlon City or Town NORTH ANDOVER Data APRIL 30, APPLICATION,FOR CERTIFICATE OF REGISTRATION In accomance with the ptavisiom of Chapter 148, Section 13. of the General Laws, the undersigned hereby certifies that ROHM AND HAAS 60 WILLOW STREET, NORTH ANDOVER, MA .eea. is the holder of license granted JUNE 20 2001 for the lawful use of the building(s)or other struaure)s)situated or to oe situated at 60 WILLOW STREET svww1...o. as related to the KEEPING, STORAGE. MANUFACTURE OF SALE OF FLAMMASLSS OR EXP!!OSIVES. NORTH ANDOVER, MA Note: Tis applica0on for cahorloate of regoonalion must as signed by the na/der of the Ilcense if said license was granted pncr is Jury 1, 1936, otherwise by Ne owner of occupant of me lana licensed. pecsived Submitted by oY orae.,rw +w.ar _--- ------------------------------------------ � �c'tYrrrrrrzarculea�`c c��/laaaacLuaetG _ kv ®3 � �efraixlirsersCo��vvo Clszvecc -lG.zdc�r d�j'" d� �rwurn C°"'w�e _ xor�iwyrx. Clty or Town NORTH ANDOVER Date AERIL 30, REGISTRATION Tnu u to certify that ROHM AND HAAS �vamr las, in acamarxe with the provisions of Chapter 148. Section 13, of the General Laws, filed with me a certificate of registration serving form Nat ROHM AND HAAS is the holder of the license granted e JUNE 20, 2001 for the lawful use of the butlaing(s) or other structures)situated or :o oe situated a1 60 WILLOW STREET, NORTH ANDOVER, MA suw.. as mimed to the KEEPING, STORAGE. MANUFACTURE OR SAL OF FLAMMABLES OR EXPLOSIVES. Note:A cerbfiars of ra9svabon must be hien On or before April 30th of eac,year. THIS RE31S7RA7ION MUS'BE CONSPICJOUSLY POSED ON THE PREMISES --'- 'maaN]9fii rc /ci-k- s7<2qeo ROHM AND HAAS ELECTRONIC MATERIALS MICROELECTRONIC TECHNOLOGIES TOWN,E ERK S OFFICE ROHM AND HAA2005 DEC 13 AM 7: 55 ELECTRONIC MATERIALS, LLC ROHM 60 WILLOW STREET, NORTH ANDOVER, MA 01845 USA TQ!iIi♦ Ur TELEPHONE[978) 557-1700 FAX [978)557-1701 4 NORTH Ail"^�.`:-" :RBBB MASSAC'dU?` December 6, 2005 Ms. Joyce A Bradshaw Town Clerk Town of N.Andover 120 main Street North Andover, MA 01845 Dear Ms Bradshaw; Please be advised, the Robin and Haas Company North Andover site is preparing a registration application for a third party certification under the Responsible Care® 14001 Management System. This certification will provide recognition that our site subscribes to these management principals. In compliance with this standard, the North Andover location will communicate this information from time to time to all stakeholders that includes Town Government, and Emergency Planning Groups We have attached the Company Policy for RC14001 for your review. Should you have any questions with regard to the above,please contact me at(978) 689-1507. SRSn aIIG d y Manager,Environmental Health& Safety 1 1HRRS� Rohm and Haas North Andover, MA Health, Safety, and Environment Policy October 1, 2005 We are committed to making our worldwide operations and products free from significant risks to the health and safety of our employees, customers, contractors, the general public, and to the environment. Management Commitment We commit to provide safe and secure workplaces Training and Awareness and to protect employee health and the environment.and are provided with the information and training needed to protect themselves, their co-workers, This commitment is communicated to employees and the community. North Andover management and the environment from potential hazards associated commits resources in order to: with company operations. All other stakeholders, such as contractors, suppliers, • Comply with all applicable health, safety, and customers, etc., are provided training when necessary. environmental regulations, as well as all internal policies, procedures and with other Management of Change New or changed processes, products, and their requirements to which we subscribe. intended applications are reviewed for safety, health, • Manage our business in accordance with the and environmental risks, prior to introduction or Responsible Care®Guiding Principles. implementation. • Pursue continual improvement in our EHS Operating Hazards programs. We assess the hazards associated with our operations • Pursue pollution prevention programs that and identify potential risks by analyzing hazards. We make sound economic and environmental modify operations to reduce significant risks taking into sense. account technical and economic factors. Measurement Employee Health We maintain systems to measure and evaluate We provide programs to assist employees in safety, health, and environmental performance and to maintaining good health. identify areas for continual improvement in all of these Stakeholder Involvement areas. We annually set objectives and targets that We will be responsive to the concerns of our support our business and operational strategies and stakeholders and share information on the potential demonstrate continual EHS improvement. We hazards of our operations. conduct audits to assist management in assessing Pollution Prevention and Sustainable Development compliance with the safety, health, and environmental We will strive to prevent or reduce pollution from regulations, policies and procedures applicable to the emissions, discharges, and wastes and will promote company's operations, and products. resource conservation throughout the life Employee Participation and Accountabilitycycle of our nability We provide opportunities for employees to articipate considerations into our business proincorporate cesses. in the process of improving the safety, health, and Product Safety and Stewardship environmental performance of company operations. We assess, manage, and provide information on the Each employee is responsible for maintaining a safe potential health, safety, and environmental impact of our and healthful workplace and for protecting the products. and take steps to continuously improve and environment in accordance with his or her job duties. protect the environment and stakeholders(e.g., Each employee is held accountable for adherence to employees, customers). We make Responsible Care®, all applicable procedures. health, safety, and environmental protection an integral part of our product lifecycle management. All North Andover employees and contractors are responsible for being aware of the policy statement and incorporating it into the conduct of their jobs. Randall Goyette Joseph Reiser EHS Manager General Manager ROHM AND HAAS ELECTRONIC MATERIALS MICROELECTRONIC TECHNOLOGIES ROHM AND HAAS ELECTRONIC MATERIALS LLC ROHM 60 WILLOW STREET, NORTH ANDOVER, MA 01845 USA TELEPHONE(978) 557-1700 FAX(978) 557-1701 'HAAS May 25, 2005 Town of North Andover North Andover Town Hall 120 Main Street North Andover, MA 01845 Attn: Town Clerk To whom it may concern: Attached please find replacement page for the"Rohm And Haas Company" (formerly Shipley Company), 60 Willow Street,N. Andover, MA, Contingency Plan. Changes were made to the emergency call list and Alternate Emergency Coordinator. This plan is distributed in accordance with Code of Massachusetts Regulation 310. CMR 30.520, and 30.523. Please insert the pages to update your copy of this plan. Any questions,please contact me at(978)689-1707. Regar R dall' ZG%- Manager,,Environmental, Health& Safety NORTH ANDOVER FACILITY EMERGENCY CALL LIST RrAW 491/05 FACILITY EMERGENCY PAGE SYSTEM: 59-80 IN CASE OF ANY EMERGENCY (Call in order listed) Randy Guyette(North Andover EHS Manager) Home:(978)5354667 Cell Phone(978)793-0731 James Felton(North Andover Facility Manager) Home:(603)598-1329 Cell Phone:(978)815-5025 Rob Buehler(Metalorganics Manufacturing Manager) Home: (508)845-3087 Cell Phone:(508)2594323 Craig Nelson(Metalorganics Production Supervisor) Home:(978)474-5073 Cell Phone:(978)815-5024 Chas McKenna(Metalorganics Production Planner) Home:(978)9214869 Paul Golden(Metalorganics Warehouse Supervisor) Home:(603)424-0714 Cell Phone:(978)314-1822 IN CASE OF MEDICAL EMERGENCY NORTH ANDOVER AMBULANCE: 911 HOSPITALS:(Lawrence General Hospital Emergency Room) (978)683-4000 Ext.2500 (Holy Family Hospital Emergency Room) (978)687-0156 Dial 0 OCCUPATIONAL DOCTOR:(Quadran(Medical) (978)532-2428 OSHA OFFICE: Normal hours:(617)565-8110 After hounitholidays:(800)321-OSHA IN CASE OF FIRE EMERGENCY NORTH ANDOVER FIRE DEPARTMENT: 911 SECURITY TEAM:(Fire Alarm System Repairs) (978)465-5000 "CENTRAL STATION,Manchester,NH":(Fire Alami System Monitoring) (800)639-2066 IN CASE OF CHEMICAL SPILL OR RELEASE TRANSPORTATION EMERGENCY:(CHEMTREC) (800)424-9300 MAJOR SPILL EMERGENCY:(National Response Center) (800)424.8802 DEPARTMENT OF ENVIRONMENTAL PROTECTION: 9am-5pm:(978)682-0416 After hours:(888)304-1133 CLEAN HARBORS:(Spill Response) (800)645-8625 GREATER LAWRENCE SANITARY DISTRICT:(WWT) (978)685-1612 BAY STATE GAS:(Leaks) (800)525-8222 LEPC CHAIR:(Fire Chief Dolan) (978)688-9590 IN CASE OF SECURITY EMERGENCY NORTH ANDOVER POLICE: 911 or (978)683-3168 MAX SYSTEMS:(Security Alarm System Repair) (508)2324106 "CENTRAL STATION":(Security Alarm System Monitoring) (800)8484842 IntercityAlarms BUREAU OF ATF:(Bomb Threats) (888)283-2662 IN CASE OF OTHER EMERGENCIES FACILITY SERVICES:(James Felton) Home:(603)598-1329 Cell Phone:(978)815-5025 MASSACHUSETTS ELECTRIC:(Power Outage) (800)465-1212 LOCAL BOARD OF HEALTH: (978)688-9. Note; Complete top of forth and forward both sections and fee to local licensing authority(City or Town Clerk). Do not make application to department of Public Safety. p 0 �'(r' /j'� �U'I77/i�3LL(Y4O2U�1jQLL�� OZ/Jt��/���yC �y �/E�L2.'�i/IEP92l6�t�l•!/X< C-./a9W(CB3�/J' ' wwao'x o��vws �revan{apx City or TownNORTHAANDOVER Date APRIL 3� 0, APPLICATION FOR CERTIFICATE OF REGISTRATION in acarcance wim me Provgions Ot Ch ter 1a6, /Zo tim a+A HanS Er<ctnn.Y SeCion 13, of ma General Laws, he undersigned hereby carafes that nTer-ro,IS"'��}T� , LLC - SUBSIDIARY OF ROHN & HAAS CO. 60 WILLOW STREET, NORTH ANDOVER, MA .was.. a :he molder of license granted JUNE 20 2001 for me lawful use of the building(s)or other structures) sauaiec or ;O ae sauatea at 60 WILLOW STREET as rested to the KEEPING, STORAGE, MANUFACTURE OR SA S L OF FLAMMAELES OR EXPLOSIVES. NORTH ANDOVER, MA Note: AB applicadon/or comficare or reg/stranon must be signeo by the Molder o/the Lica granred pnorto Jufy 1, 1936, otherwise by me owner or oc_upanr of the lam It$a license was Fecmvec Submiheo b �y pp+wM , — GCCa/Ot✓� .w m --6o 4-i116W 3T /t1 Andoi-per i„ O1R'ic-' o n o � a n goy n a° o z _ a= ❑ z ❑ D ❑ opo r AaE n y z 03 z; _ o owo' n P N rd'm :a C, 94 ~ w g o 4 ` (City or lop f g c r rOw^Cfe d�aPd f .q r'k1, po no P�•ard bot n q m m S ma h s T •i 4e aPo/i�Uo'sPPs and 1 ^3 o 5, 3 n f° °eParfine°roCi/lice Ing L O �� nr°r lic Sa+ey �o 6.n an,[yact lee fryr � eht crtn!nar R°F'a°+4ry5 LG'�.�1`/�C/y r,�ry ryaP�er I� e�4c, 0OBS rz e9 ,!fQAlTH gyUOV 'e aruarac ar JUNS ?0. 1 4T LLQ�d �� of the `"w,�80yN & O0% q pBIL �'erarc;•ro 60 WI SUBS 0eoera/� "RS CO. n ye KB�,IN STRB IOI9Rp0 V#tl ws' fBed l'dl/ GLC 'Ac LL G Fq BT NOBT8.9f✓Op yr�e/aN'hpuse BO�8�, 3 XgAme a"amcare rMI _Jg NF OgSq`cpn��e beilpy'9'(�s9)p °seAe r �c7ar° rniQiY92n ecs ROHM AND HAAS ELECTRONIC MATERIALS MICROELECTRONIC TECHNOLOGIES ROHM AND HAAS ELECTRONIC MATERIALS LLC ROHM 60 WILLOW STREET, NORTH ANDOVER, MA 01845 USA TELEPHONE(978) 557-1700 FAX(978) 557-1701 MARS May 19 2005 Joyce A. Bradshaw, Town Clerk Town of North Andover Office Of Town Clerk 120 Main Street North Andover, MA 01845 Re: License Renewals—Proof of Worker's Compensation Dear Ms. Bradshaw; In response to your letter dated April 01, 2005, Robin And Haas Company located at 60 Willows Street,N. Andover, MA has completed the attached"Workers' Compensation Insurance Affidavit—General Business"application as proof that our insurance for Workers Compensation is active and current. A copy of the current insurance certificate is attached with this form. Additionally, the Application for Certificate of Registration for the storage of flammable materials is attached, with$150.00 check payable to the Town of North Andover.The attached Registration Certificate should be changed to reflect the current name(Rohm And Haas Electronic Materials,LLC)that is on the Certificate. If there are any questions,please do not hesitate to call me at(978)689-1507. Since y, 11oyettG e Manager, Environmental Health& Safety R d xo•n,••� •Li TOWN OF NORTH ANDOVER OFFICE OF THE TOWN CLERK 120 MAIN STREET NORTH ANDOVER,MASSACHUSETTS 01845 Joyce A.Bradshaw,CMMC Telephone(978)688-9501 Town Clerk Fax (978)688-9556 E-mail jbradshaw(wtownofnorthandover.c m TO: All License Holders—Proof of Workers' Compensation Included in this yew's license renewals is the attached form which must be completed in order to have your license renewed. The renewal of the Underground Storage Tank Certificate of Registration was previously mailed to you. The Office of the Town Clerk's acts as agent for the Board of Selectmen in their capacity as Licensing Commissioners. In that capacity,we are requesting that you fill out the enclosed form from the Commonwealth of Massachusetts, Department of Industrial Accidents. Massachusetts General Law Chapter 152 Section 25A requires that all employers conducting business in the Commonwealth of Massachusetts must carry a valid workers' compensation policy at all times. Proof of this coverage will be verified with the insurance carrier directly or the Department of Industrial Accidents (DIA), Office of Insurance at 800-323-3249. The Office of the Town Clerk will retain a copy of the enclosed Workers' Compensation Affidavit. If you have any changes in your insurance carrier or have any questions please contact our office at(978)688-9501. Please return the completed form with your license renewal. We appreciate your assistance and cooperation. /�Sincerely, TJl*e AgradA0w4CIerk The Commonwealth of Massachusetts _ - Department of Industrial Accidents ' --- MpolMSOptlll7 -- 600 Washington Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit-General Businesses y i�H� aia// //,l//�.d,�� ri�� �i ..iiaoio..,,..,,,//,ad ����L�����0/�Y•����D���,. , ,y nae ,�('JNM AR.r />14G1 �fCL>`/dArc /�CLsTdn wf/' addtesa GO GV///a St tv At-Ai ds✓or state: " ,l , 01960 b a $78-485-/sol work site locafica ffall addreas)� ❑ I am a sole proprietor and have no one Business Type: ❑Retail❑Reslammt/Bar/Eating Pstablishment wmkiog in my capacity. ❑Oflice tS Autos etc.) [tj i am.an® 1 w with �toyeN(ffnJl&^art time. 16ffia C'�t•><��� Naw�u/rc I am m empooya proviSOPRERELding workers'compensation for my employee working on this job. e: a1uh+9+ �/!� llrla65' adarcae- ,:(p0 Gvjllpe.��SF'• nr N/ • IyI#' O/Op LZS phone#: � 7F- /o8$—iSa7. inaurav«ea- - //e ?G`f'Vt�Z rj' r[as r C �,m o;ri"Cs It a7/2Su13:-sat I am a sole propriaor and have htred the indeyeod®t contractors listed below who have the following workers' compensation police: eom anvname- address• Phone a: imuravee ao. Its # company name: addass• e'M phene#• insurance co. slim,# P.awe io enure coverage os requited under Sntbu i5A ofMGL 152 nn Wd to the 1mpo.Mon of ertmlml peo.IHa or•Iive ep to rIS0a.00.nd/or enc ynn'imprho.m<a v wee as ehD pemHin m the form of v STOP WORK ORDER.od.f of 5100.00.ivy vg.lmt urn I uvdemm�d the. espy o(thi+etat®e.tm.ybefarmrdM is the 011ke eflweHgaHom of the DlA for eevenge vedlk.tbn Ida hereby certify mde/err thheepsins andpenddes(perjury that the information provided above is hue and emrro< e Sivatm �% =�'—�� � � Date Privtname 1100 all Phone# 97f— & f5 -/s7n7 amour me pray do not wrtta m thb ores to bee.mpbted by dty or tawn.mew dry or town: permlWeeme g nautldtog Deportment OLkemmg Board ❑cheek fir motue response b required Osaoetmeu'.Omee Oneehh De rune.t on[eet person: phem a; pother awe e.µami H SHIPLEY December 21, 1003 Ms. Joyce A Bradshaw Town Clerk Town of N. Andover 120 main Street North Andover,MA 01845 Re: Notice of Name Change for: Shipley Company LLC, Metalorganics Division,60 Willow Street , North Andover, MA 01845 Dear Ms. Bradshaw: Please be advised that effective February 2, 2004, Shipley Company, LLC located at 60 Willow Street, North Andover, MA 01845 will begin to transact business under a new name that of Rohm and Haas Electronic Materials. The change of business will not result in any transfer of assets or tax identification numbers. Therefore, any notifications should be changed as follows: LISTED NAME ON PERMIT NEW NAME ON PERMIT Shipley Company,LLC. Rohm and Haas Electronic Materials CL C- 60 Willow Street 60 Willow Street N.Andover,MA 01845 N.Andover,MA 01845 LISTED OWNER NEW NAME(same owner) Shipley Company, LLC. Rohm and Haas Electronic Materials, GG C. 455 Forest Street 455 Forest Street Marlborough,MA 01752 Marlborough,MA 01752 SNOW Conpany. L.L.G. 60 Wilbw Sasat, NorM Mooser, MA 01845 Tel:978/557-1700 Fax: 978/557-1701 r Please note that Mr. Joseph Reiser, General Manager, will remain the facility contact and is an authorized representative of the new user. Should you have any questions with regard to the above, please contact me. Sirn�r�ely> Randall o e e Manager, Environmental Health& Safety NOTICE NOTICE TO TO EMPLOYEES EMPLOYEES O� p,M Spey The Commonwealth of Massachusetts DEPARTMENT OF INDUSTRIAL ACCIDENTS 600 Washington Street, Boston, Massachusetts 02111 617-7274900 — http://www.mass.gov/dia As required by Massachusetts General Law,Chapter 152,Sections 21,22&30,this will give you notice that I (we) have provided for payment to our inured employees under the above mentioned chapter by insuring with: THE TRAVELERS INSURANCE COMPANIES NAME OF INSURANCE COMPANY ONE TOWER SOUARE HARTFORD, CT 06183 ADDRESS OF INSURANCE COMPANY (TRJUB-224T977-8-05) 03-01-05 TO m-Ot-O6 POLICY NUMBER EFFECTIVE DATES ABD INS & FIN SERVICES 305 WALNUT ST REDWOOD CITY CA 94063 NAME OF INSURANCE AGENT ADDRESS PHONE# ROHM AND HAAS COMPANY 60 WILLOW STREET AS PER SCHEDULE(S) NORTH ANDOVER MA 01845 EMPLOYER ADDRESS EMPLOYER'S WORKERS COMPENSATION OFFICER(IF ANY) DATE MEDICAL TREATMENT The above named insurer is required in cases of personal injuries arising out of and in the course of employment to furnish adequate and reasonable hospital and medical services in accordance with the provisions of the Workers' Compensation Act. A copy of the First Report of Injury most be given to the injured employee. The employee may select his or her own physician. The reasonable cost of the services provided by the treating physician will be paid by the insurer, if the treatment is necessary and reasonably connected to the work related injury. In cases requiring hospital attention, employees are hereby notified that the insurer has arranged for such attention at the IYUQArOF1C �eatf4 QU, - d79 &AkA1--J D6yt, PeAudh PA 00&0 NAME OF HOSPITAL ADDRESS ON252 MOM= TO BE POSTED BY EMPLOYER ROHM AND HAAS ELECTRONIC MATERIALS MICROELECTRONIC TECHNOLOGIES 91 ROHM AND HAAS ELECTRONIC MATERIALS, LLC ROHM 60 WILLOW STREET, NORTH ANDOVER, MA 01645 USA aHRRS TELEPHONE(9781557-1700 FAX 19781 557-1701 Q April 15, 2005 Town of North Andover North Andover Town Hall 120 Main Street North Andover, MA 01845 Attn: Town Clerk To Whom it may concern: Attached please find replacement pages for the"Rohm And Haas Company" (formerly Shipley Company), 60 Willow Street,N. Andover, MA, Contingency Plan. Changes were made to the emergency call list and Alternate Emergency Coordinator. This plan is distributed in accordance with Code of Massachusetts Regulation 310. CMR 30.520,and 30.523. Please insert the pages to update your copy of this plan. Any questions,please contact me at(978)689-1707. RId GoA'�� Manager, Environmental,Health& Safety NORTH ANDOVER FACILITY EMERGENCY CALL LIST R,Au 4/0Iro5 FACILITY EMERGENCY PAGE SYSTEM: 59-80 IN CASE OF ANY EMERGENCY (Call in order listed) Randy Guyette(North Andover EHS Manager) Home:(978)535-4667 Cell Phone(978)793-0731 James Felton(North Andover Facility Manager) Home:(603)598-1329 Cell Phone:(978)815-5025 Rob Burbler(Metalorganics Manufacturing Manager) Home: (508)845-3087 Cell Phone:(508)2594323 Craig Nelson(Metalorganics Production Supervisor) Home:(978)474-5073 Cell Phone:(978)815-5024 Chas McKenna(Metalorganics Production Planner) Home:(978)921-4869 Paul Golden(Metalorganics Warehouse Supervisor) Home:(603)424-0714 Cell Phone:(978)314-1822 IN CASE OF MEDICAL EMERGENCY NORTH ANDOVER AMBULANCE: 911 HOSPITALS:(Lawrence General Hospital Emergency Room) (978)683-4000 Ext.2500 (Holy Family Hospital Emergency Room) (978)687-0156 Dial 0 OCCUPATIONAL DOCTOR:(Quadrant Medical) (978)532-2428 OSHA OFFICE: Normal hours:(617)565-8110 After hours/holidays:(800)321-OSHA IN CASE OF FIRE EMERGENCY NORTH ANDOVER FIRE DEPARTMENT: 1911 SECURITY TEAM:(Fire Alarm System Repairs) 1 (978)465-5000 "CENTRAL STATION,Manchester,NH":(Fire Alar System Momwring) 1 (800)639-2066 IN CASE OF CHEMICAL SPILL OR RELEASE TRANSPORTATION EMERGENCY:(CHEMTREC) (800)424-9300 MAJOR SPILL EMERGENCY:(National Response Center) (800)424-8802 DEPARTMENT OF ENVIRONMENTAL PROTECTION: 9am-5pm:(978)682-0416 After hours:(888)304-1133 CLEAN HARBORS:(Spill Response) (800)645-8625 GREATER LAWRENCE SANITARY DISTRICT:(WWT) (978)685-1612 BAY STATE GAS: (Leaks) (800)525-8222 LEPC CHAIR:(Fire Chief Dolan) (978)688-9590 IN CASE OF SECURITY EMERGENCY NORTH ANDOVER POLICE: 911 or (978)683.3168 MAX SYSTEMS:(Security Alarm System Repair) (508)2324106 "CENTRAL STATION":(Security Alarm System Monitoring) (800)848 4842 Intercity Alarms BUREAU OF ATF:(Bomb Threats) (888)283-2662 IN CASE OF OTHER EMERGENCIES FACILITY SERVICES: (lames Felton) Home: (603)598-1329 Cell Phone:(978)815-5025 MASSACHUSETTS ELECTRIC:(Power Outage) (800)465-1212 LOCAL BOARD OF HEALTH: (978)682-6483 Nate: Complete top of form and forward both sections and fee to local licanaing authority (City or Town Clerk). Do not make application to department of Public Safety. Vln° rOe7xma�ruuea,`L�z o�c/G�aaaczo�Cuaetty JefaaxGmeneCa��'vxe FJrwucies — / vuiswoes, o� rixe ✓�', ielcon CltyDr Town NORTH ANDOVER Date APRIL 30,aW5 APPLICATION FOR CERTIFICATE OF REGISTRATION r. accordance-In the provisions of Chapter 146, Section 13,of the General Laws. the undersigned hereby cerdfies that SHIPLEY COMPANY, LLC — SUBSIDIARY OF ROHN & HAAS CO. m.ado. 60 WILLOW STREET, NORTH ANDOVER, MA s :ne holder of license granted JUNE 20 2001 for the lawful use of the building(s)or other strucurelsl s:tuatec or :c oe amazed at 60 WILLOW STREET 5uwrwonuur as reared to me K—c_PING. STORAGE, MANUFACTURE OF SAL OF FLAMMASLES OR EXPLOSIVES. NORTH ANDOVER, MA Nora: Tu appfkadon tar caMA=te of re9isrndon must be signed by the holder of me lksnse d said license was 912hnao pnor to July 1, 1936, omen w re by me owner or occupant of the two licensed. .ecerveo Submitted by ov deb.,r ------------------------------------- ---- --- City -- --_—_—_--_ City or Town NORTH ANDOVER Data APRIL 30,C—CL6 REGISTRATION -ne s to can*mat SHIPLEY COMPANY, LLC — SUBSIDARY OF ROHN & HAAS CO. 4CCOMOnCe with the Wowisidns of Chapter 148, Section 13, of the General Laws, filed with me a certificate of registanon sehmg cne mat SHIPLEY COMPANY LLC — SUBSIDIARY OF ROHN & HAASLy"hofderof the license grantee JUNE 20, 2001 for the lawful use of the buliding(s) or other sbucurst s) situated or .c ce situated at 60 WILLOW STREET, NORTH ANDOVER, MA mwno. u retatec to the KEEPING. S-ORAGF MANUFACTURE OR SAL OF FLAMMA�BBLEE4S�ORR EXPLOSIVES. • so,.w..,w dub.,r Note:A cerdeone of rmysa nOn must ee AIM on or Debre ApM 3Om of eson yw. THIS REGISTRATION MUST BE CONSPICJOUSLY POSTED ON THE PREMISES Note: Complete top of form and forward bath sections and fee to lopl licansing I authority (city or Town Clerk). 00 not make application to department of Public Safety. �U'IYUYI7.O�Zd(l6CLLL�2 si _�.�.le�ion�inee7xCa��'vxe Vrxexces — vutuavc o� rirsi,s-uentian City or Town NORTH ANDOVER_Date APRIL 30, 2004 APPLICATION FOR CERTIFICATE OF REGISTRATION In acar(lance with the provisions of Chapter 146, Section 11 of the General Laws, the undersigned hereby certifies that ROHM AND HAAS ELECTRONIC MATERIALS, LLC run.wmwarow 60 WILLOW STREET, NORTH ANDOVER, MA is the holder of license granted JUNE 20, 2001 far Ne lawful use of the building(s)or other structures)situated or to be situated at fi0 WILLOW STREET as related to me KEEPING,STORAGE, MANUFACTURE OR SAL OF FLAMMABLES OF EXP!OSIVES. NORTH ANDOVER Note: iris application for certificate Of registration muss be signed by the holder of the license if said license was granted odor to July I, 1936, otherwise by me owner or 0=17sm of the land licensed. Racewee Submitted by by w w.. aecw nr, ---- — ---------------- � — — � rct7murn�uleaLC`c c��/lcrQoaclivaeG� 9 _ �3ereteCo� vwe Gex+xCes —��in�arau�x�tCara�.a C—�om� ror�zamc City or Town NORTH ANDOVER Date APRIL 30, 2004 REGISTRATION 'his of to certify that ROHM AND HAAS ELECTRONIC MATERIALS, LLC las. In accordance with the provisions of Chapter 148, Section 13,of the Generat laws, filed with me a certificate of registration seting lone Nat ROHM AND HAAS ELECTRONIC MATERIALS, LLC is the bottler of the license granted JUNE 20, di for the lawful use Of.Ihe building(s)or other structure(s)situated or .r. to be situated at 60 WILLOW STREET NORTH ANDOVER MA as related to the KEEPING, STORAGE MANUFACTURE ON SALE OF FLAMMABLES OR EXPLOSIVES.• Nora:A al dbou of ntgmtrdaon muttbe bledon w before AMI aOM of eee'r yaec THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES Note: Complete top of form and forward both sections and fee to local licensing authartty (City or Town Clerk), 00 not make application to department of Public Safety. � �e�i2xGneemCo��rrirs Vvevices— �in�ueo,/y a��rrirn �rgve�r6ean Clty or Town NORTH ANDOVER _Date APRIL 30, 2004 APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with the provisions of Chapter tab, Section 13, of the General Laws, the undersigned hereby certifies that ROHM AND HAAS ELECTRONIC MATERIALS, LLC n.m.umeruyam 60 WILLOW STREET, NORTH ANDOVER, MA is the holder of license granted JUNE 20, 2001 for Ne lawful use of the buildin s 91 )or other structures)sltuarea or zo be sauaiec at 60'WILLOW STREET as related to the KEEPING, STORAGE, MANUFACTURE OR SAL OF FLAMMASL_S OR EXP!OSiVES. NORTH ANDOVER ure.ra.. Nora.'"ho application tar cartifirate of regisrradon must be signed by the holder at the licanseit aid7ka se was n_ granted prior to Jury 1, 1936, otherwise by the owner or occupant of Ne land lice sed. Received Submitted b 5 0cJritlE]2 -^ ASt�GKT.��'N/C _ aw4. Cie . N f�N eytY2r /L/� wnw. Note: Complete top of form and forward both sedans and fee to laml licensing authorRy (CItY or Town Clerk). Do not make applimfian to department of Public Safety. �rirrumoru�ea` �� fu�aeCcy '- ��oirLixrreCo�-Furs Vvxuecm — �r�pr�" .ry ��'vwa �rmusntcan a City or Town NORTH ANDOVER Oate APRIL 30, a= APPLICATION FOR CERTIFICATE OF REGISTRATION In accarcance with the provisions of Chapter lag, Season 13, of the General Laws. the undersigned hereey certifies That RONM AND HAAS 60 WILLOW STREET, NORTH ANDOVER, NA .od..r ,s :he holder of license granted JUNE 20 2001 lot the lawful use of the building(s)or other simaure(s)s,tualed or :C De situated at 60 WILLOW STREET as related to me KEEPING, STORAGE, MANUFACTURE OR SAL OF FLAMMA13LES OR EXPLOSIVES. NORTH ANDOVER, MA Now The;application for cant(care or registra➢on'uv ba signed by the bolder of me license it said license was granred pnor tp July I, lg36, otherwise by the owner ar ocupanr of the two licensed. PeC?IVea „ Submitted by aquvn anr+,r.w nua,r - ----------------------- I— _ � �O'1)7/rl2�U^'YL[1J2r7GL/L G�VI� �(,7il ®! 3' ��Cp��uxe t�'ewuiccs —'�'�ixdex�aoum�G%Car¢r�et✓%zrr/c ✓rx�nt City or Town NORTH ANDOVER Data APRIL 30, o'(OOo1 REGISTRATION '"M u to cardfy that ROMA AND HAAS las, in accordance with the provisions of Chapter tag, Section 13, of the General Laws, filed with me a certificate of regiarration seeing 'cite that ROHM AND HAAS JUNE 20, 2001 is the holder of the license gmhtea for the lawful use of the buiiding(s) or other strumm(s) situated or Ce situated at 60 WILLOW STREET, NORTH ANDOVER, MA as:elated To the KEEPING, STORAGE, MANUFACTURE OR SAL OF FLAM(MMA/1BLES OR EXPLOSIVES. �w.w omw,r NOW A ashaficro of mgrststion must be fled on Of deter,Aphl Coln of lead year. THIS REGISTRATION MUST BE CONSPICJOUSLY POS—,.0 ON THE PREMISES ROHM AND HAAS ELECTRONIC MATERIALS MICROELECTRONIC TECHNOLOGIES ROHM AND HAAS ELECTRONIC MATERIALS, LLC ROHM 60 WILLOW STREET, NORTH ANDOVER, MA 01845 USA TELEPHONE(978)557-1700 FAX(978)557-1701 €HRRS April 27,2004 Joyce A. Bradshaw, Town Clerk Town of North Andover Office Of Town Clerk 120 Main Street North Andover, MA 01845 Re: License Renewals—Proof of Worker's Compensation Dear Ms. Bradshaw; In response to your letter dated September 25, 2003, Rohm And Haas Company located at 60 Willows Street, N. Andover, MA has completed the attached "Workers' Compensation Insurance Affidavit—General Business"application as proof that our insurance for Workers Compensation is active and current. A copy of the current insurance certificate is attached with this form. Additionally, the Application for Certificate of Registration for the storage of flammable materials will be submitted, with $150.00 payment under separate letter from our Corporate office. d The attacche Registration Certificate should be changed to reflect the current name that ed the Certificate. If there are any questions,please do not hesitate to call me at (978)689-1507. Sincerely, in��� oyee Manager, Environmental Health & Safety \ . PaIncia P Knowski Travelers Po)icY Services Representative National Accounts 8MN f i ( 0) 4- 12 (8186 95 0)854-383813(/ax) One Tower Square Hartford CT 06183-4033 March 11, 2004 Attn: Randall Goyette Manager Environmental Health &Safety Rohm and Haas Company 60 Willow Street North Andover MA 01845 Re: Rohm and Haas Company TRJ-UB-224T977-8-04 Enclosed are 6 MA Posting Notices, 3 for each location. The Posting Notices must be displayed in a conspicuous place on your premises to insure that payment for Compensation to employees has been secured in accordance with the State Act. Please contact me if you need anything further or have any questions. Sincerely, Pat Krawski Tel#(860)277-7252 Fax#(860) 954-3813 Enclosure(s) NOTICE _ NOTICE TO 0 TO p EMPLOYEES EMPLOYEES , p,M Spey The Commonwealth of Massachusetts DEPARTMENT OF INDUSTRIAL ACCIDENTS 600 Washington Street, Boston, Massachusetts 02111 617-7274900 — http://www.mass.gov/dia As required by Massachusetts General Law,Chapter 152,Sections 21,22&30, this will give you notice that I (we) have provided for payment to our injured employees under the above mentioned chapter by insuring with: THE TRAVELERS INSURANCE COMPANIES NAME OF INSURANCE COMPANY ONE TOWER SQUARE HARTFORD CT 06183 ADDRESS OF INSURANCE COMPANY TRO-UB-224T977-8-04 03-01-04 TO 03-01-05 POLICY NUMBER EFFECTIVE DATES ABD INS & FIN SERVICES 305 WALNUT ST REDWOOD CITY CA 94063 NAME OF INSURANCE AGENT ADDRESS PHONE# ROHM AND HAAS ELECTRONIC MATERIALS LLC 455 FOREST STREET MARLBOROUGH MA 01752 EMPLOYER ADDRESS EMPLOYER'S WORKERS COMPENSATION OFFICER(IF ANY) DATE MEDICAL TREATMENT The above named insurer is required in cases of personal injuries arising out of and in the course of employment to furnish adequate and reasonable hospital and medical services in accordance with the provisions of the Workers' Compensation Act. A copy of the First Report of Injury must be given to the injured employee. The employee may select his or her own physician. The reasonable cost of the services provided by the treating physician will be paid by the insurer, if the treatment is necessary and reasonably connected to the work related injury. In cases requiring hospital attention, employees are hereby notified that the insurer has arranged for such attention at the NAME OF HOSPITAL ADDRESS W"P1G02 - TO BE POSTED BY EMPLOYER �'MOeiN,Q TOWN OF NORTH ANDOVER OFFICE OF THE TOWN CLERK 120 MAIN STREET NORTH ANDOVER,MASSACHUSETTS 01845 Joyce A.Bradshaw,CMMC Telephone(978)688-9501_ Town Clerk Fax (978)688-9556 E-mail lbradshaw@townofnorthandover co TO: All License Holders—Proof of Workers' Compensation Included in this year's license renewals is the attached form which must be completed in order to have your storage tank license renewed for 2004. We are requesting that you fill out the enclosed form from the Commonwealth of Massachusetts,Department of Industrial Accidents. Massachusetts General Law Chapter 152 Section 25A requires that all employers conducting business in the Commonwealth of Massachusetts must cant'a valid workers' compensation policy at all times. Proof of this coverage will be verified with the insurance carrier directly or the Department of Industrial Accidents (DIA), Office of Insurance at 800-323-3249. The Office of the Town Clerk will retain a copy of the enclosed Workers' Compensation Affidavit. If you have any changes in your insurance carrier or have any questions please contact our office at(978)688-9501. Please return the completed form with your license renewal. We appreciate your assistance and cooperation. Sincerely, JoABradshaw,Town Clerk The Commonwealth of Massachusetts Department of Industrial Accidents 600 Washington Street Boston, Massachusetts 02111 MITT ROMNEY JANE C.EDMONDS Governor Director of Labor and Workforce Developme, KERRY HEALEY ANGELO R.HLONOPANE Lieutenant Governor, - Commissioner Town Clerk ' Town of North Andover _ 120 Main Street North Andover, MA 01845 September 25,2003 RE: Requirement of all parties seeking pennits and licenses under M.G.L. c. 152 Dear Sir or Madam, Pursuant to M.G.L. c: 152, §25A, all employers conducting business in the Commonwealth of Massachusetts most carry a valid workers' compensation policy at all times. Please be advised that no business or organization may be issued a license and/or permit, as required by local by-law or ordinance, without providing proof of workers' compensation coverage. Proof of coverage should be verified by contacting the - insurance carrier directly or the Department of Industrial Accidents (DIA) , Office of Insurance at 800-323-3249. Should any party seekinga permitdeclare that they are not required to carry workers' compensation insurance, theymust sign a swom affidavit that no such coverage is required per the above mentioned statute. Attached please find a copy of the DIA Workers' Compensation Insurance Affidavit A copy of the signed affidavit must be sent to the DIA at the above address. We request that you disseminated this letter to all offices,boards and commissions within your municipality that have the authority to issue any licenses or permits. Sincerely, Gregory J.White Chief Legal Counsel x,658 Y�MOIpM, j 4o O' TOWN OF NORTH ANDOVER OFFICE OF THE TOWN CLERK 120 MAIN STREET NORTH ANDOVER,MASSACHUSETTS 01845 Joyce A.Bradshaw,CMMC Telephone(978)688-9501 Tnwn Clerk Fax (978)688-9556 E-mail ibradshaw@towoofnorthandovercom To All Above Ground and Underground Storage Tank License Holders: Your registration renewal is enclosed which is valid until April 30, 2005. Please have the appropriate party sign the top part of the Registration and return to my office in the enclosed envelope. You will retain the lower portion to post in your facility. The fee per site for 2004-2005 is $150. Please make your check payable to the Town of North Andover. If you have any changes to the information please contact us. Also included this year is the requirement to provide an affidavit showing proof of Workmen's Compensation Insurance. We will maintain this affidavit on file and you will not need to provide it again unless there are changes. I want to thank you for your continued m,peration again this year. Do not hesitate to contact me at (978) 688-9501 if you have any questions or need additional assistance. Sincerely, Joyce A. Bradshaw,Town Clerk �_- The Commonwealth of, Massachusetts Department ofIndustrial Accidents O 600 Washington Street Ly. Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit-.»�General Businesses FIR � ' •emrox.....i namn and 11445 r1tc1r00tc /hu{eri<& address- 60 ld/7llo,,ci St• city Al - 4,tdlfvtl- state: IPA in, OIFriS=nhane N Y2F- G r'S-1.m7 m-k site lomtitn(Poll eddevasT qr/At as ACrh/L ❑ I am a sole proprietor and have no one Business Type: ❑Retail❑Reemn**ant/Bar/Eating Establishment working in my capacity. [IOffice❑Sales(including Real Estate,Aute::etc,) MI am an an to a with i// can to (full art time. EJ Other , % ��� /�,9O/ L�(I' I am an ,ploys providing worker ' .compensation for my employees working on thisjob. r� t !J / ynemet �O ml-..p,S' Q 1.�.. /fd^M. 4KC Acs d57kcbNrseT /AZWA-Lj . da ALO rAt lAi/>Z�JW iSJI"- A Irv- &L ' insurance emI�Alit P. Tq $wlcriCi i4'i ' li N' I am a sole proprietor and have hued the indep®deet wntractors listed below who Lave the following worker's' compensatim polices: adcl eaa• dy- insurevm ew lie N Y ame• addreaa p.- vhove Nt ivaureuea co. lit N Faure to same e.renga as cagalrW under ic,in tion e f of MGL O W Ind to the R and a 11 oe crtmin.l 0 a ffiesd.y.of five . to denta 00 and/or one yon'Impreevmot u well as chin pemltio m the form ofv STOP WORK ORDER avd.five.(g1a6.00 a dry egaimt sm I uMenmvd tba. Dopy of thu sbhmmt m.Y be fennrdW is the Omee of Imnfiganom oRhe DIA for eovenge rernkaioa rdoherebycatify thepains ofperjurytbatrkeinformationprovidedaboveisAhueandcncrect Sigvanne Date Y27.1ooS' ann,name �arAe/a!� �y PhoneN 9�F- GF9-isa7 official mc.* de nor writem th4 erev to be eompletW by dty or sewn ofaelal city or town: perntlWcccn a OEuildiog mp.rtment OLicemmg Board O chock alnmediate repo cte N requ red OSclectmen's Office CMM.Department contact person: ph...a; OOtM1er f«W+e s.p moll Note: Complete top Of form and forward both sections and fee to local licsnsing authority (City or Town Clerk), Do not make application to department of Public Safety. pp - � U'I7�/yYG(YO�IZL(iQ % ��aaaaclivaeCdt Ott City Vv�uicm — i�prua�a o� iirswwanCcan City or Town NORTH ANDOVER Date APRIL APPLICATION FOR CERTIFICATE OF REGISTRATION �D�(�� Jr a/==rce wim the provim ns al Chapter 146• Secicn 13, of the General Laws. me undersigned hereby ceroties ;hm /l06 an A&S EIe fNM'Z.I M�m4"1"' , LLC - SUBSIDIARY OF ROQry 5 _ HN� HAAS CO. arayaaa,., 60 WILLOW STREET, NORTH ANDOVER, MA �W 4 ;he holder of license grante2JUNE 20. 2001 lot me:awtul we nt the building(s)or other struCuretsl situated or :c oe snuama at 60 WILLOW STREET as hhaled to me KEEPING, STORAGE. MANUFACTURE OR SAL OF FLAMMAHLES OR EXPLOSIVES. NORTH ANDOVER, MA Note: i his appfr30on tar cani(Qte Of mpst2aon must per signed by the Ddtler Of the IICBOse it sad license was granted prior to July I, 1936, otherwas oy Ne owner or=,ld,,(of he two licensed. PeCerved Suomitted by ov .+qui.. - _ _ --____-----_--_--_ �- � �c'tyrrunzrir�crseal�z r�C/�liraeaclzuaet'�.�r• -------- y �rnl CityorTown NORTH ANDOVER Date A°RII. 10„IL02� Ro/in onafryor2S E/ec/roh2//ra/� S REGISTRATION L-�. m s m rrdy mat �Y , LLC - SUBSIDARY OF ROHd d HAAS CO. a=mshce with me provisions of Chapter 148, Secdon 13,of me General Lawsfiled with me a mroficate of regismnon semng mac Sidi"'al' IRpApy LLC - SUBSIDIARY OF RO rh SUNS 20, 2001 AN 5 HAA S 400.holder of the license grantec ya for the lawful use of the building(s) or other saucturets)situated or c oe situated at 60 WILLOW STREET, NORTH ANDOVER, MA as relate:to the KEEPING. STORAGE. MANUFACTURE OR SAL OF FLAMMABLES OR EXPLCSIVES, Note.'A camfiore of nr¢saaom must os filed on or Wore Apnl 30th of eaei yea, THIS REGIS7RA i ION MUST BE CONSPICJOUSLY POSTED ON THE PREMISEES SHIPLEY December 21, 1003 Ms. Joyce A Bradshaw Town Clerk Town of N. Andover 120 main Street North Andover,MA 01845 Re: Notice of Name Change for: Shipley Company LLC, Metalorganics Division, 60 Willow Street , North Andover, MA 01845 Dear Ms. Bradshaw: Please be advised that effective February 2, 2004, Shipley Company, LLC located at 60 Willow Street, North Andover, MA 01845 will begin to transact business under a new name that of Rohm and Haas Electronic Materials. The change of business will not result in any transfer of assets or tax identification numbers. Therefore, any notifications should be changed as follows: LISTED NAME ON PERMIT NEW NAME ON PERMIT Shipley Company,LLC. Rohm and Haas Electronic Materials 60 Willow Street 60 Willow Street N.Andover,MA 01845 N. Andover,MA 01845 LISTED OWNER NEW NAME(same ) Shipley Company,LLC. Rohm and Haas Electronic Materials 455 Forest Street 455 Forest Street Marlborough,MA 01752 Marlborough, MA 01752 Shipley Company, L.L.C., 60 Willow Street, North Andover, MA 01645 Tel: 976/557-1700 Far:976/557-1701 Please note that Mr. Joseph Reiser, General Manager, will remain the facility contact and is an authorized representative of the new user. Should you have any questions with regard to the above, please contact me. St%G1 , Randall o e e Manager, Environmental Health& Safety DEC-29-2003 10:41 FRON:NORTH ANDOVER FIRE 9786889594 TO:89786889556 P:2,2 ;j SHIPLEY Dcccmbcr 22„ 2003 Chief William V, Dolan North Andover Fire Department 124 Main Street North Andover, MA 01845 Dear Chief lklan, Please be advised that effective February 2, 2004. Shipley Company, LLC located at 60 Willow Street, North Andover, MA 01845 will begin to transact business under a new name that of Rohm and Haas Electronic Materials. if there are any licenseVpermits under our former name,please update appropriately. Please note that Mr. Joe Reiser,General Manager, will remain the facility contact and authori7sd representative for Rohm and Haas Electronic Materials, at 60 Willow Street,N. Andover. Should you have any questions with regard to the above, please contact me. Randaly lt�k� e RI IS Manager cc: J. Reiser B. McCrellish Hoard of l lealth. 'Town Building, N. Andover, MA 01845 ShOeY Coiroany L.L.C., 80 VVNDw Sb . North Mdb .. W 01845 rd:9 78/55 74 70 0 Fan 978/557-1701 0500028952 Rohm and Haas EM,LLC PAGE 1 OF 1 455 Forest Street Marlborough MA 01752 DATE 05/05/04 VENDOR ID 20015386 Return Service Requested TOWN OF NORTH ANDOVER 566 MAIN ST NORTH ANDOVER MA 01845-4099 Date Invoice Gross Discount Number Voucher No. Amd�mt AOwunt Met Amount 04/QT/W LICENSE RENEWAL 1900021085 $150.00 $150.00 $150.00 $ .00 $150.00 f 0 1�3� 3i O TOWN OF NORTH ANDOVER OFFICE OF THE TOWN CLERK 120 MAIN STREET NORTH ANDOVER,MASSACHUSETTS 01845 Telephone(978)688-9501 Te Joyce A.Bradshaw,CMMC Town Clerk Fax (978)698-9556 E-mail Ib adshaw@townotnorthandover,com To All Above Ground and Underground Storage Tank License Holders: your registration renewal is enclosed which is valid until April 30, 2005. Please have the appropriate party sign the top part of the Registration and return to my office in the enclosed envelope. you will retain the lower portion to post in your facility. The fee per site for 2004-2005 is $150. Please make your check payable to the Town of North Andover. If you have any changes to the information please contact us. Also included this year is the requirement to provide an affidavit showing proof of Workmen's Compensation Insurance. We will maintain this affidavit on file and you will not need to provide it again unless there are changes. again this year. Do not I want to thank you for your continued cooperation ions or need additional hesitate to contact me at (978) 688-9501 if you have any q °A assistance. Sincerely, Joyce A.Bradshaw,Town Clerk of form and forward both Note. Complete top sections and tee to local licensing authority (City or Town Clerk). Da not make application to department of Public Safety. /!-X �aGrrunza7uuea,�� a��i�aooac�cuae�t,,� - cz � :, Je6mrrlCo��'y�.Ve'.ew.cm — wrncar� o��'uro ✓-',yvettCicn Clry or Town NORTH ANDOVER Dare ARIL 30, APPLICATION FOR CERTIFICATE OF REGISTRATION '.r. a=rcane with pre provisions Of Chapter 148. SecJon 13, of me General Laws, me undersigned hereby CeMlies Mal SHIPLEY COMRANY, LLC — SUBSIDIARY OFROHN d �aHAAS CO. 60 WILL STREET, NORTH ANDOVER, MA a he holder of license granted JUNE 20 2001 :c e srtuafec at 60 WILLOW STREET for the Jamul use of me buildings) Cr other stn,Cure(s) zfuafec or o as reiateo to me KEEPING. STORAGE- MANUFAOTURE OR SALE OF FLAMMAMABLES OR NORTH ANDOVER, MA EYgLO51VE5. NOW his application/or camfirare of re9i5r.3i on must be si n granted pnor;p,luy 1, 1936, omermaa by me ownad of rhe holder o/the license if sad license was oCapenr of(he land lfcansed. Submitted by �J�St .m.�.. Note; Complete top of loan and lorward both sections and fee to local licensing authority, (City or Town Clerk). Dc not make application to department of Public Safety. �-x VJf%IYUITGO�JLG(CJy2r�L� G�V(� �rG,�.l _ � JefianrGment p�C�'�re Vnw«as — �vwoeom. o��inrs ✓-revenCron City or Town NORTH ANDOVER Dare APRIL 30,,?00x APPLICATION FOR CERTIFICATE OF REGISTRATION r, a=rcane with the provisions of Chapter 146, Section 13, of the General Laws. the undersigned heredy cenvies Ilial SHIPLEY COMPANY, LLC — SUBSIDIARY OF ROHN d HAAS CO. 60 WILLOW STREET, NORTH ANDOVER, MA a :ne noim of license granted JUNE 20 2001 for the lawful use of the building(s)or Omer si=uretsl snualec v oe srtuateO at 60 WILLOW STREET as noted to me KEEPING. STORAGE. MANUFACTURE OR SAL OF FLAMMASLES OR EXPLOSIVES. NORTH ANDOVER, KA Noce. iris application lar cemfic afe at reglsmition muv be signed by the raider of the license if said license was granted prior tC July 1, 1936, ofrehAss by me owner or occupanr of the land licensed. Fecene�o7 -- 1 0?(,J, a7000 Submitted by .m.0 SHADED AREA MUST GRADUALLY CHANGE FROM BLUE AT TOP TO GREEN AT BOTTOM ' ,•-.'-!3i`.-.a—'NF1-T'.�.�_'_T—__ ____--_.____.. ' SHIPLEY 0600012311 Shipley Forest Street LLC s:-22313 Mar Forest Street Marlborough MA 01752 DATE NET AMOUNT PAY EXACTLY ss100• DOLLARS AND v00+ CENTS 04/16/03 TO THE TOWN OF. NORTH ANDOVER ST+'100.00 ORDER S56 MAIN ST OF NORTH ANOOVER MA 01845-4099 Wachovia Banc, N.A. I 1110500012672f1e 1:03 & 1002251: 207995003r. 39911- �ecK w�� .�ivoy /YIFG.v/�S 2E an SHIPLEY NAmE 01fA11/6E- June 28, 2002 Ms. Joyce A. Bradshaw Town Clerk Town of North Andover 120 Main Street North Andover, MA 01845 Dear Ms Bradshaw Please be advised that effective July 1, 2002, the assets of the Metalorganics Division of Morton International Inc., located at 60 Willow Street, North Andover, MA 01845 will be sold to Shipley Company, LLC, a Delaware limited liability company. Both Morton International and Shipley Company, LLC are subsidiaries of Rohm and Haas Company, a Delaware Corporation. If there are any licenses/permits under our former name,please update appropriately. Please note that Mr. Joe Reiser, General Manager, will remain the facility contact and authorized representative for Shipley Company, LLC, at 60 Willow Street,N. Andover. Should you have any questions with regard to the above,please contact me. Sincerely, X Randal] oyette - EHS Manager cc: Paul Cohen J. Reiser B. McCrellish Board of Health.Town Building,N. Andover,MA 01845 Building Inspector,Town Building, N. Andover, MA 01845 Sh,pley Company. LLC., 60 Milo.Seeet, North Mda , MA 01845 TBI: 978/557-1700 Far:978/557-1729 Note Complete top of form and forward both sections and tee to local licensing authority (City or Town Clerk). 00 not make application to department of Public Safety. � //� �cnvma�cu�jea�t� a��/�rzQaczc�Cuae�lL,�ll a U Jefc2xGirtxnCa�F1r'vw Vviwicea— �vuwimc o��fiws ✓"reve�an _ City or Town NORTH ANDOVER Data APRIL 30, APPLICATION FOR CERTIFICATE OF REGISTRATION In accordance with me provisions of Chapter 148. Section 13, of me General Laws. the undersigned hereby certifies that nmamo.a�o. 60 WILLOW STREET, NORTH ANDOVER, MA ..a7, a the holder of license granted JUNE 20 2001 for the lawful use of the buildings)or Omer structures)sauated or to as situated at 60 WILLOW STREET as related to me KEEPING, STORAGE, MANUFACTURE OR SAL OF FLAMMABLSS OR EXP!OSIVES. NORTH ANDOVER, MA Nate: Tis application farcerafirate of registravan must be signed by the holder of the license if said license was granted pncr m July 1, 1936, Otherwise by Ne owner or Occupant of ma land licensed.. Received Submitted by by Ow—rs. .am... ---------------------------------------------- _- � �carrurrerirculealC`c c��/`aaaaclivaeG� tdCS'tap��sr/57—/0 nam J City or Town NORTH ANDOVER Data APRIL 30, REGISTRATION 'ha is to cenity,mat rias. In acardance with the provisions of Chapter 148, Section 13,of the General Laws, filed with me a certificate of registration setting am mat is the haltler of the license granted JUNE 20, 2001 for the lawful use of the bwlding(s)or other sm ctin e(s)situated or ow :c ce situated at 60 WILLOW STREET, NORTH ANDOVER, MA so.wam..�a.r as retatec to the KEEPING, STORAGE, MANUFACTURE OR SALE OF FLAMMAELES OR EXPLOSIVES. s.jnrvn uw arbu M. Nora:A carobete at regrysmson must be Nen on or before April 30m of seen year. I HIS REGSTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES 7161 F p'Mp11iry, (�' hp V e+ 1 TOWN OF NORTH ANDOVER OFFICE OF THE TOWN CLERK 120 MAIN STREET NORTH ANDOVER,MASSACHUSETTS 01845 Joyce A.Bradshaw,CMMC Telephone(978)688-9501 Town Clerk Fax (978)688-9556 E-mail ibradshaw@townofnorthandover.com To All Above Ground and Underground Storage Tank License Holders: Your registration renewal is enclosed which is valid until April 30, 2005. Please have the appropriate party sign the top part of the Registration and return to my office in the enclosed envelope. You will retain the lower portion to post in your facility. The fee per site for 2004-2005 is $150. Please make your check payable to the Town of North Andover. If you have any changes to the information please contact us. Also included this year is the requirement to provide an affidavit showing proof of Workmen's Compensation Insurance. We will maintain this affidavit on file and you will not need to provide it again unless there are changes. 1 want to thank you for your continued cooperation again this year. Do not hesitate to contact me at (978) 688-9501 if you have any questions or need additional assistance. Sincerely, Joyce A. Bradshaw,Town Clerk Nate: Complete top of form and forward both sections and fee to local licensing I authority (City or Town Clerk), Do not make application to department of Public Safety. (/7( �O(YI7�/172[L4�IZlI(J�2r2GLi2 0 efi°.rGnrx rt n/V'i/Is Cl e'1WCGeb— Jay yAtdry tY� U/4 �'A4rt/6Ie�On Cltyar Town NORTH/ANDOVER Cate APRIL 30,A, APPLICATION FOR CERTIFICATE OF REGISTRATION In a=hruirce with the provisions of Chapter lea, Section 13, of the General laws, the undersigned hereby ceraties :hal M rfWL ry /�j ok/�L G.�tl//roS -'7/&TrUw,2� SH�PL-E'F�BH�N7, LLC - SUBSIDIARY OF ROHt} & HAAS CO. wm.wmvet.... 60 WILLOW STREET, NORTH ANDOVER, MA wr.., m:he Molder of Ikensa granted JUNE 20, 2001 for me lawful use of the building(s)or other struauretsl vitiated m :c oe smiatea at 60 WILLOW STREET as retatec to me KEEPING, STORAGE, MANUFACTURE OR SAL OF FLAMMABLSS OR EXPLOSIVES. NORTH ANDOVER, MA Note: This application for cersficare of regisrraaon must be signed by the holder of the bcense it said license was granted Prior to July 1, 1936, otherwise by Me owner or ocupa it of fie land licensed. Aecswec Submitted by y w ov - - ----------- ------------------------------- m.. - � �coarurrz�zusea`C�i r.�� i`�aaac`u�aeCTit f �<�I1tB�CCp�V'r/H c-`'Ye�.�. — zlG°d «�dc�/"t�ec/`�� ✓,��,t City or Town NORTH ANDOVER Date APRIL 30, X01 REGISTRATION �lo/�w an L-��CMM ,n a to carriry, mat SNIPE Y �• .LLC - SUBSIDARY OF ROHM d HAAS CO. a�romance with Ine provisions of Chapter tab, Section 13, of the General Laws, filed wan me a certificate of registration semng mat S&FP11flY-2blrl"NT LLC - SUBSIDIARY OF ROHN 6 HAASW(N6holder of the license g,mnlec JUNE 20, 2001 for the lawful use of the building(s)or other snuaureis)situated or ow. d de sauatec at 60 WILLOW STREET, NORTH ANDOVER, MA Slrwrwm,ne.r as:e:are:to the KEEPING, STORAGE. MANUFACTURE OR SAL OF FLAMMA8L£S OR EXPLCSIVES. Note:A cenlficare or ng6Pa0on Mr sr Oe glen on or peter,April 30M or eeC'1 year. THIS REGISTRATION MUST 8E CONSPICUOUSLY POSTED ON THE PF EMI SE3 JUN.13.2861 8:39AM MORTON BIOCIDES PLASTICS NO.235 P. 4tJ U.S. Postal F CERTINED MAIL RECEIPT s 0 o Fwnw E� m() 4 PR 0 'PlmcIN�OQVIdO) c $ uses r nrw PoFm9ef Fae9 r eyes e�40��QndOUP/l, ����S� r 0 0 a m PRemae s SON Service CERTIFIED MAIL RECEIPT [� cenmee ree q�(i PamWa 4 D Re:un Fewpl Z Y�aN a ienawcemm�naoreal Feeenee �Nery oe =e m � �EnedwlHm Rmuketll M1 TNelp, a&Feee $ 4•sP8 II � t —r, :weOetl F. pI i A somm Ne N1.01 Fee V e+ o ................._..........._..........................�.....,.. Qnoonemam Feueael �l m m sueec Rnc a wPo Bw g O jf1 - \ SBBbIE1M C&NBf1 GM $ s.mm �uS:tPSs I'arK fie¢/fj o shesi.aoi Nw:PFdoew'i+o. p e e � W' E'79II1 tont Ql,Q�"7 c y o , a FovRipe s 1011 M,q\ � unnee Fw � •yj�e* O A tFMmB1�A W� pFere a � IEnaanemem Fwul� GBPS t• nne:FbefW.aFex I $ smm PjionChN fZe...lty . -'t'rvsJ�...... o smer.IPi rn.;wPa �O GCq Town of North Andover e Office of the Building DepartmentCommunity Development and Services Division William J.Scott, Division Director27 Charles Street North Andover,Massachusetts 01845 Telephone(978)688-9545 D.Robert Nicetta Fax(978)688-9542 Building Commissioner MEMORANDUM To: Janet Eaton,Assistant Town Clerk From Robert Nicetta,Building Commissioner co Date: June 13, 2001 Re: Memorandum of June 7,2001 Rohm and Haas 60 Willow Street North Andover This is to inform you that the applicant has provided the Building Department with proper documentation that all fire separation assemblies and proper equipment is in place for the storage of Flammable Solids as described in the application. The Building Department does not object to the granting of the license. Attachments: Application for Incense Dated: April 13, 2001 Memorandum of Building Commissioner Dated: June 7, 2001 BOARDOFMPE 5688-9541 BMDMG688-9545 CONSERVATION688-9530 H TH688-9540 PL NING688-9535 Town of North Andover d hwrA� Office of the Zoning Board of Appeals Community Development and Services Division William J.Scott,Division Director 27 Charles Street D. Robert Nicene, North Andover,Massachusetts 01845 Telephone(978)688.9541 Building Commissioner Fax(978)688.9542 MEMORANDUM To: Janet Eaton,Administrative Assistant From: Robert Nicetta,Building Commissic,40 Date trine 7, 2001 Re: Rohm and I-laes 60 Willow Street North Andover It is olio g ed that the applicant provide documentation to the building department that an fire separation assemblies and proper equipment is in place prior to the storage ofthe Flammable Solids as described in the application. The building department would*en not object to the granting of the license. 9OARDOF APPEALS 688-9541 aJILERN6689-9545 CONSEaVAT1ORMS-9$30 NEALTN688-9540 PLANNWG68&9535 uuuz� TOWN OF NORTH ANDOVER OFFICE OF THE TOWN CLERK 120 MAIN STREET NORTH ANDOVER, MASSACHUSETTS 01845 Joyce A.Bradshaw,CMMC Telephone(978) 688-9501 Town Clerk Fas (978)688-9556 E-mail ibra h we town fnogh ndov com MEMORANDUM TO: North Andover Licensing Commissioners Mark H.Rees,Town Manager FROM: Joyce A.Bradshaw, CMMC,Town Clerk SUBJECT: Rohm and Haas Flammable Storage License DATE: June 13, 2001 The application for a Storage License for Class I 1,200 gallons — Flammable Solids 200 lbs is scheduled for a Public Hearing on Monday June 18, 2001. Lt. Melnikas will be present to answer any questions or needed information. Coordination to satisfy the requirements from the Building Commissioner will be done through Lt. Melnikas and Commissioner Nicena.. Enclosed are copies of submitted documents. Nate: Complete upper and lower portions of fence and forward born aactiena to local licensing authority(City or Tawn Clark), 0o not make application to department of Public Safety. � �cc7zmancuea�CLc a�C/�aaaac�cuaet�i :Ge�+aaGmenCol�tir�G7irvrca — �awec'a�� a��iw ✓�'wvexlian � City or Town NN. Andover Cate April 13, 2001 APPLICATION FOR LICENSE For Ne lawful use of the herein dexnbod building...or other structure..... application at hereby made in accordance with the provations of Chapter 148 of the General Laws, for a license to use the land an which such building._.or other structure....ware or iv are to be actuated.and only to such extent as shown on plot plan which is Hied with and made a pan of this application. 60 Willow Street Rt 114 Location of land Nearest cross street t �• Rohm And fees Co. Owner of lana Adaress100 Independence Way, Phil, PA. Number of buildings or other structures to which this application applies one building Cccupancyoruseol such buildings Building Use Group e Class I 800 Gal Ons Total capacity of tanks in gallons:—Aboveground Flammable solids 200 lbptderground Kind of fluid to be stored in tanks:—Aboveground mixed solvents Underground Appr� Disapproved --—— ————— — --------------------------- � -- cGamm�recvea`C�z e�'.:i�Gaa�ucclzuaeG�i �frr�+cvxCnwnCc��cw�.nriicas — �i+diw�r«cnd<7C�.xa9a Ja:n/c ,''lxaSza�n City or Town NORTH ANDOVER Care JUNE 18.2001 LICENSE In accordance•min the prowiory of Chapter 148 of the General Laws. a license is hereby granted to use the land herein cescvbed for the lawful use of the building.... or other structure....'enian l34(e Or lain to be situated thereon, and as described on the plot plan filed with lhaapplkauan for that license. Location of iand 60 WILLOW STREET Nearest cross street RnIT E 114 r.wnw., Owner of fano NORM AND HAAS COMPANY Address 100 INDEPENDENCE WAY.PH .AnFT,PH A.PA Number at buildings or orl am= has to which this application applies ONE BUILDING Occupancy or use of such buildings BUILDING USE GROUP S CLASS I 1800 GALLONS Total capacity of tanks in gegen:—Aboveground FLAMMABLE SOLIDS 200LBS Underground lend of fluid to be stated in tanks:—Aboveground MIXED SOLVENTS Underground Restrictions- If any TO BE RENEWED ANNUALLY mei •••w ' .tro/j�-�efttZia.oee� THIS LICENSE OR A PHOTOSTATIC OR CERTIFIED COPY TH'SPIEOF MUST BE CONSPICUOUSLY POSTED IN A PROTECTED cP 2( ind7flel PLACE ON THE LAND FOR WHICH IT IS GRANTED Note: Complete top of form and forward both sections and fee to local licensing authanty (City or Town Clerk). Do not make application to departmxtt of Public Safety. � � //� �U'13'U/12002L�(lyEGGLiL O�C%/�GCLOO �/C,��b > 1/e�wirrrinccmCa��rt re Vrwuices — rirsrecatc a,�'iire ✓",ruaxtcan City or Town Date APPLICATION FOR CERTIFICATE OF REGISTRATION In acamance with Ne provisions at Chanter 146. Secoan 13, at Ne General Laws. the undersigned hereby carries that .Wn,.b/w.'vdbw is the holder of license granted far the lawful use of the building(s) or other structures)situated or to be situated at as related to the KEEPING, STORAGE MANUFACTURE OR SAL OF FLAMMA13LES OR EXPLOSIVES. Nate. This application for certificate of registration must be signed by the holder of me license if said license was granted prior m July 1, 1936, otherwise by me owner or occupant of Ne land licensed.. Received Submitted by seo.w. by aemr ---- - ----------------------------------------- City --- - ---------------------- -------------------City or Town Date REGISTRATION This a to certify that rr�.vmar has, in accordance with the provisions of Chapter 1 a3, Section 13, of the General Laws, filed with me a certificate of registration setting forth that is the holder of the license granted for the lawful use of the buifding(s)or other structures)situated or aw, to be situated at ' sv..w A..o.. as related to the KEEPING, STORAGE, MANUFACTURE OR SAL OF FLAMMASLES OR EXPLOSIVES. syw..w cum.r Nate:A certiilare of reparation must be all an or before Apel 3011 of eac'r year. THIS REGISPATION MUST BE CONSPICJOUSLY POSED ON THE PREMISES -a.i(reveea hall Ali5ov\ mi+-�IgeAk te)-t- t55 � - 5L7'�-,q 2'4 133 /97x2 — Nate: Complete upper and lower portions of fans and larward bath sections to local licensing authority (City,or Tallinn Clsrk� 00 not/make application to department at Public Safety. �L'�/YYy/IYLdIGlU2CLGL/G G�C���LLQQCLC/Z/��C�il S /Zit tafrr<. �enwetes — �vwuaro o��2ws ;l-� City or Town N. Andover Cate April 13, 2001 /q✓/V.�1.`/dnnn°Vp� TION FOR LICENSE =ar the la Jing... or other structure.....aoplipuan is heresy made in au..rdan<e with the provisions at r a license to use the land an wNah such buill or other structure....ware ar is/ are to be situ in on plot plan which is tiled with and made a part at this apoticatian. Rt 114 Location of la._ Nearest cross street 100 Independence way, Phil, PA Owner at lana Rohm And Haas Co. Address Number of buildings or other structures to which this application applies one building Occupancy or use of such buildings Hui lding Use Group H Class I 1800 Gallons Total capardty,of tanks in gallons: —Aboveground Flammable solids 200 1hRdergrouno Kind of fluid to be stored in tanks:—Aboveground mixed solvents Underground = Approved = Gisapprovec �a ---------------�i-----------�—,-----/ ------------ >-Gf/IniJYGlYI2�CGLGi2 C�::%/�GLZQeKGCiGll:12� �/'efimrfnxentcl=�or.��erucces — �L.rt�r�r�toxd:yCax�x�e�mn/c ✓yarn City or Town Oate LICENSE In accordance wdh the prdvisians at Chapter tall of the Cenral Laws, a license is hereby granted to use the land herein cescnbed lot the lawful use of the building....or other structure.._which is/are or istare to be situated thereon. and as desc^bed on the plot plan filed with Ne application far this license. Location at land Nearest cross street swea.+i.*w,r Owner of land Address Number of buildings or other stmcmres to which this application applies Occupancy or use of such buildings Total capacity of tanks in gallons:—Aboveground Underground Kind of fluid to be stored in tanks:—Aboveground Underground Restrictions-If any: sq....wr�eweew i THIS LICENSE OR A PHOTOSTATIC OR CERTIFIED COPY TH'gREOF MUST BE CONSPICUOUSLY POSTED IN A PROTECTED R-2(rewea 7M) PLACE ON THE LAND FOR WHICH 1T IS GRANTED Note:Cdelpb0e Ispper ated lower portions of farm and forward batt sections to kcal licensing' 7ttlWrity(City wTown darks Da nct//ma/ke appllpton to department of Public Safety. �L'Gm/1JLQ/YdlI18Q.GL/G G�U7 �C7QtSCG��Lll62?rC,��iS Eyq �e�+an�GrnenCa� yrs(Vowt ices — _0/.vuia o��'vxe ✓".+evenG,o�c aif City or Town dN. Andover Cate April 13, 2001 APPLICATION FOR LICENSE For the lawful use of the herein described building...or other structure.....applicatlan is hereby maiden accordance with the provisions of Chapter 148 of the Cenral laws,tar a license to use the land an which such building.... or ocher structure....ware oris/ are to be situated,and any to such extent as shown on plot plan which is filed with and made a part of this application. 60 Willow Street Rt 114 Location of land Nearest cross stteet 100 Independence way, Phil, PA Owner of two Rohm And Haas Co. Address. Number of buildings or other structures to which this application applies one building Occupancycruse of such buildings Building Use Group B Class I 1800 --- Total capacity of tanks in gallons:—Abovegmund Flammable solids 200 ltyfhderground Kind of fluid to be stored h tanks: —Aboveground mixed solvents Underground = Approved = Disapprovec iw.rain ars; > ®nn cal ---------------�i----------------------------- � rc�nvm�rewecL`C�i c��l/lczaauclivaeC�t �e`iaixGmmre6c��cne:rlsmrficat — LCi�c�a'arand yCcrzf'S�arn,�i ✓-xa�xa�m Cary or Town Cate LICENSE In accordance vdth the provisions of Chapter 148 of the General Laws. a license is hereby granted to use the land herein ceunbed for the lawful use of the building.... or other structure....wnich store or aware to be situated thereon, and as aescdbe l on the plot plan filed with the:application for this license. Location of land Neal cross street :sw a.w+eor Owner of land Address Number of buildings at other stnxtures to which this application applies Occupancy or use of such buildings Total capacity of tanks in gallons: —Aboveground Underground Kind of fluid to be stored in tanks:—Aboveground Underground Restrictions-If any: .r sa...wwsanq wc+r i THIS LICENSE OR A PHOTOSTATIC OR CERTIFIED COPY TH2�IIEOF MUST BE CONSPICUOUSLY POSTED IN A PROTECTED Al n Mal PLACE ON THE LAND FOR WHICH IT IS GRANTED Note: Complete upper and lower porbara at fano and forward batt sections to local licensing aullfarity.(City or Talent Ctel Do not make application to department of Public Safety. r � �rimmzaozcuea�i a�C-YI%laaauciccu�ell"i 6 :GejimrrGnrenL`c���xe FJ�r+wrca — 771vwaau-n o�Cifvxe ✓�"rnvenGarc City or Town UN. Andover Cate April 13, 2001 APPLICATION FOR LICENSE For the lawful use of the heron described building... or other structure..... application is hereby made in accordance with the provisions of Chapter 148 of the General Laws, for a license to use the land on wnfch such building._.or other structure....were oris, are to be situated, and only to such extent as shown on plot plan wnich is flied with and made a part of this acip cation. 60 Willow Street Rt 114 Location al land Nearest crass street ;_sora wnurr Owner of Iwo Rohm And Haas Co. Address 100 Independence way, Phil, PA Number of buildings or other sirucdures to which this application applies one building Occupancy or use of such buildings Building Use Group B Class I 1800 Gallons Total capaCi,of tanks in gallons:—Aboveground Flammable solids 200 1h9hdergrouna 'roti of fluitl to be stared in tanks:—Aboveground mixed solvents Underground Apprcvec = Cisapprovec � - -------- �crirrimr/reu-eaLCli c��/G`crrsaccc�zuaeCl`.t aa`iwxE xentc� brs Jerucces — 2lr drH,d Ccxa�e Dank .7,.T — City or Town Date LICENSE In accordance with the provisions of Chapter 148 of the Ceneral taws. a license is hereby granted t0 use the Iwo herein cesc:ibed for the lawful use of the building....or other structure.... nmch Ware or ware to be situated thereon. anc as aesc-bea on the plot plan filed with theapplicalfon for this license. Location of land Nearest cross street sura.w.e.n Owner of land Address Number of buldinga or other structures to which this application applies OCCUPetoY or use of such buildings Total wpadly of tanks in gallons:—Aboveground Underground Kind of fluid to be stated in tanks:—Aboveground Underground Restrictions-It arty: �+rracc..wr ,a THIS LICENSE OR A PHOTOSTATIC OR CERTIFlED COPY 7H'4FlEOF MUST BE CONSPICUOUSLY POSTED IN A PROTECTED Fal issera Tim PLACE CN THE LAND FOR WHICH IT IS GRANTED i ;F PARTIES OF INTEREST PAGE OF CONCORI) PRINTING C INC. - I r(fir /)nome MA 6/$/o _ ndv"Qc vN C o3obo „n a ,c, G ,na o/sao CCq�r /L&tOJ ���r i rr n+o a BHs G� 86 Essex Street Haverhill, MA 01832 (978) 373-1788 D!b Fax 521-1380 Of n ove I www.concordprinting.com JUN.13.2001 8:40RM MORTON BIOCIDES PLASTICS NO.285 P.3 101 �G / U.S, Postal Service CERTIFIED MAIL RECEIPT c q NLR'fH AtmVER. MA 018 mm Pw,ep. a 0.97 R KIT ID: 0049 m t` cGq". 1.90 P-- H.H. gwmaeo Damm P=• 1P�k: KCKSC � �ENueemem gewirca nW PeeKBe\Gee: $ 4.07 08/01 dYP h4//PS sr.q _.. o 'simcspcxelgrleP.rC.", ,h„c...y 1S-eSrl;e/ LQ ds q v G r GN Sea Ylb.n ..----------------------------- Ip- Nv.� andave�e YS � rr`` G f�� N m ^ ql J q =cnap• 3 U.S, Postal Service CERTIFIED MAIL RECEIPT m r cegmee k. o Raurn R=ce�ree m A Iemenemm�Pn��re31 /f J` C7 •a'�' a U n cPePaeooaw>nfe: 2001 (Fnealeemem RWwn,Jl r YOW Pmtl0e6Pos $ f `SPS A Se�ni�fi7 �yy��jj p ''7'� CD s o .. G Pe51BgB i G rc=Pnroe=eel roqGq �IErnoeWeP�ieeqeelm�=mMa=�ePe,gPetv.awapuf�iem�r�.ea.eei,L $ A Barcfi �/ eProt npt :FFVPO- ---qq--- ((-- �`Yk QndOuP4 /710... 0t&y,� SUM.13.2881 8:40AM MORTON BIOCIDES PLASTICS NO.235 P.4 U.&Postal Se"Ire CERTIFIED MAIL RECEIPT 0 r a � vasnga s qGN y � N ow"Fee p nervm gw.q,Poe liw o\ emPeRu�lwl � �I c Pomaee o.lrxry veF L.l j °' � IFnaenemam gacoMal Tetai veewp.a FF.s $ V9P6 sa o D. .... -U ;cfY.-.. .r acro Bu na p M1 -`L'iy.Yreie'Lv N�.y-(.� I'V`/✓OIICIY ��45 L /f JJe KaI14y C� yel7le —U.S. postal SerVlGe CERTIFIED MAIL RECEIPT m c a ^� Pwtege a Ou AI � ceNfke Fee S p R�}Jm BewlPl Fw 8 � IEmonenmtPequlrvEl A Resxlnee oaaeN Foo n 1t m � IEceareanwn Rwulwal Teter voew.SFeee $ Qua TOWN OF NORTH ANDOVER OFFICE OF LICENSING COMMISSION 120 MAIN STREET NORTH ANDOVER,MASSACHUSETTS 01845 ae wo OTM,� , Donald B. Stewart,Chairman _ ° 3� ` Telephone(978) -9556 0 William B.Duffy,Jr. � `� i Rosemary C. Smedile ^.e r, FAX(978)668-9556 James M.Xenakis 't�',.- 'y95a9CHH9e�4� May 31, 2001 Bianka Legal Advertinsing Dept. North Andover Citizen Please publish the fallowing legal notice in the North Andover Citizen on Friday, June 8'h 2001 Town of North Andover Lie...Lug Couseniseioners Public Hearing Notice Notice is hereby given that a public hearing will be held by the North Andover Licensing Commissioners on Monday evening, June 18, 2001 at 7:30 P.M. in the Stevens Memorial Library Conference Room, 345 Main Street, North Andover, MA an an application fro. Rohn and Hass Co., 60 Willa. Street Street, North Andover, MA, for a Fuel Storage License, (Class I 1,800 gallon Flammable Solids 200 lbs., mixed solvents, above-ground storage tank) at 60 Willow Street, North Andover, MA Donald B. Stewart, Chairman Licensing Commissioners ' NAC 6/18/01 Very truly, �,yJ �dmi�nis Y 6N"/v iva Assistant Bill: Rohn and Haas low Street LEGAL NO-1 ICES LCi60 WILLONI Si Hass Co. 60 Willow Street, Npnh Antlover, y LEGAL NOTICE M ".,C.Fuel Storage License,(Clasal l,BOp w To a1�a�r gallon Flammable Softls ID lbx,used ml- L=HwwINNo ma vents,abwagcund stmye lank)m 60 Wilbw, PW NC Ieerat Npllx Notice w hereby gNen Mate public hearing will Street,With PjMwa,MA. be held by Ne NUM Andover Lundy Cpm, Coneltl B.Stewart,Chairman bl mimem on Abrday wnrins,Jure 18,M, tlemsing Commbsbrie. at 7:30 p.m.in re Siwas mwo, l Library CoMereim Bpem,315 Mein Sheet,Nodh An ADp00e388 doer, MA on an asJusbn hem not,end N.Avomer MI or xoxix,k r TOWN OF NORTH ANDOVER OFFICE OF THE TOWN CLERK 120 MAIN STREET NORTH ANDOVER, MASSACHUSETTS 01845 Joyce A.Bradshaw,CMMC Telephone(978)688-9501 Town Clerk Fax (978)688-9556 E-mail ibradshaw@townofnorthandcver com MEMORANDUM TO: North Andover Licensing Commissioners Mark H.Rees,Town Manager (� FROM: Joyce A.Bradshaw, CMMC,Town Clerk SUBJECT: Rohm and Haas Flammable Storage License DATE: June 13,2001 The application for a Storage License for Class I 1,200 gallons — Flammable Solids 200 lbs is scheduled for a Public Hearing on Monday June 18, 2001. Lt. Melnikas will be present to answer any questions or needed information. Coordination to satisfy the requirements from the Building Commissioner will be done through Lt. Melnikas and Commissioner Nicetta.. Enclosed are copies of submitted documents. TOWN OF NORTH ANDOVER OFFICE OF TOWN CLERK 120 MAIN STREET NORTH ANDOVER,MASSACHUSETTS 01845 o pOlbry, Joyce A.Bradshaw rz ,•'., 4a Town Clerk : a Telephone(978)688-9501 r :y,� FAX(978)688-9556 °x�cwusa FACSIMILE TRANSMITTAL FORM DATE: ADDRESSEE: NAME: IC"LL FIRM: STREET: CITY: FAX NUM: FROM: NAME:JOYCE A. BRADSHAW DEPT.: TOWN CLERK 120 MAIN STREET NORTH ANDOVER,MA 01845 TELEPHONE: (978)688-9501 FAX NUMBER:(978)688-9556 TOTAL NUMBER OF PAGES,INCLUDING COVER LETTER: L ADDITIONAL COMMENTS: .F )F PARTIES OF INTEREST PAGE OF -CT PROPERTY 9F P accFess iPAFCE: '.NAME ; TTERS PAFCE_ OaoI[ Or. 940An naB d/$/O Oe �u4�o✓� ��'s ivc�P ' er i An��rnf �.nA o/Eys P 9— 'P� « pork R�lrk� Y�, _r ; -x �7� lu'I�+•- ray o/$B7 '12 r R 4 � fZe l[ -r c7 7 OAnRu�N RV N Jl+u� nLH ) 03ub0 •••+P Or A i >L 7fe " I R a tns7 GS Gr4rS�.iP .1/ nd iMA in ? /u'>C v7�/ f'{2. Oafne ITe !h� Ti ly-N74 ./ w/' Qld'//.f c FS ° Chc c en TNJ /c r DO O/ r n ove i i Town of North Andover e Office of the Building Department Community Development and Services Division William J.Scott, Division Director27 Charles Sheet. North Andover,Massachusetts 01845 Telephone(978)688-9545 D. Robert Nicetta Fax(978)688-9542 Building Commissioner MEMORANDUM To: Janet Eaton,Assistant Town Clerk From: Robert Niceua,Building Commissioner Date: June 13, 2001 Re: Memorandum of June 7,2001 Rohm and Haas 60 Willow Street North Andover This is to inform you that the applicant has provided the Building Department with proper documentation that all fire separation assemblies and proper equipment is in place for the storage of Flammable Solids as described in the application. The Building Department does not object to the granting of the&cense. Attachments: Application for License Dated: April 13,2001 Memorandum of Building Commissioner Dated: June 7, 2001 BOARDOPAPPEA65688-9541 BURDING688-9545 CONSERVATION 688-9530 HEALTH688-9540 PLANNING688-9535 Town of North Andover Nasrq Office of the Zoning Board of Appeals e Community Development and Services Division • . ' William J.Scott Division Director 27 Charles Street D. Robert Nicetta North Andover,Massachusetts 01895 Telephone(978)688-9591 Building Commissioner Fax(978)688-9542 MEMORANDUM To: Janet Eaton,Administrative Assistant From Robert Nicetta,Building Commissioner Date Ame 7, 2001 Re: Rohm and Haas 60 Willow Street North Andover R is requested that the applicant provide documentation to the building depafiment that all fire separation assemblies and proper equipment is in place prior to the storage of the Flammable Solids as described in the application. The building department would then not object to the granting of the license. 30ABD01`APPEALS68&9541 BMI)ING688-9545 C0NSEaVATI0N68&9530 HEALTH68&9540 PLANNING688-9535 JUM.13.2061 8:39RM MORTON BIOCIDES PLRSTICS NO.235 P.z el 2,0 U.S. Postal Service CERTIFIED MAIL RECEIPT M�d Only;NoS m 0 m fNreBe E I tpN Mq Le r C[XPetl FN y G /' o gNum geoaar fae O .p 11[ A /�1f,JY�7 4 .� reneerwmer.gewlF. A p IE Nwi�emam�gaeulrea I' I o C usp5 t` ThwPostog.i F.N $ ewr ro —y •w.�o / ue D . . .... .. ...._.Alias.F../.r.-.-�..K....... a srw[➢Nock Gin (OrPR /nY� a �yS M1 U-S. Postal Service P, CERTIFIED MAIL RECEIPT 0 D tic[.rmN FN Pis M'4 [ p RopmlgefBlar F[e re IEnewsemom geymaa � H A ••� ,.•• p F.v.W Dghary Fe[ `� O IEetlwNnnm FNulretl) � c1�1 � o FeenD. s 6SO °0�e h TNalfonagee F.N $ �BPg Caefi.tl Foo '.JI� r.cp .6..=.m...m........N....d.U;l. -...._.... vsT snbJ.,wOBa.Aro --GJ 7 ----..._ . :. ......... ""'"".. @nowgroNwmnemRegcee4aur efeeeel $ L'.H'U� x.r. tlp ��aa.e q'so;eat �rLA CL OlS �d 8P Toblfe+rsa.ahre 'ro �uSiitF .5 OQ/K e4/ 7 rvo. 1C.-... r,�� _ ' W116111 W' m n testi Oen& 7 o _ r sdgme � o Fe>m xMeIN M 8xen m ra (Enmrewm'e geaan.el w � q.gnaar oeoeery f.. L'JOI � 0 �EM.n.mrnl q[emrva p u8P9 r TetM FNMBe AFex ' �Q o y II U/yy 11 Z.._..-_-....�D._..{._......__0 0.p_...._.. JUN.13.2001 8:40AM MORTON BIOCIDES PLASTICS N0.235 P.3 U.S, Postal Service CERTIFIED MAIL RECEIPT rn c NCKTH ANWVER, M4 41845 N Po„�, s 0.97 NIT IN 0949 0 m �.. canines Fee 1.96 ReW{IBIN v Rehm aenm{FN 1.46 XefB �Eneenanem aacYe.m o gnmmee oeiwey cze IeFk: BCBZBC (eNuennem Rawk•N rnm PaFreeo s F..• $ 4.37 68/01 a sem'° /(�.���✓�M fPklhA fir. o "sEezn/.pc Ab;aFV tlOYM. Sah.....�Y ..... t�- vdY” Gha -----s__Sh.......-_.._.._............._.........._.—__. � GM Sieia rlbie .. ••• ti�� 6CAda ve eCERTIFIED MAIL RECEIPT rx� «ys U.S, Postal Service 106pnegtic Mail Only.No InSu�"C6 rcertAlatl'n• . v �gtlnu•k j O R9Nrn PeeeialFa b a (Eneonemen{PepYiree{ //�� " o' G Pesnereo oawory Fez L�Vl (Fneerwmem R yun.ai rrow Pmreae aFfa $ z bSPS pp —7 ra semen .J 4.1.. Ji {'S� �uK sfab .l 3r/ p._ rJ�.—................. NO GI d ,VQ MGV O [£r 5- . . - o e. N mRoaeaF s ,SON M,} r ceailietl Fee =anla�{I� o rr [Enoa e"�"mengi n`°m{F.e V P,}, m .we.ai O RFBRICeee OeliwryFee � m IEneereemem flaaweai � � 201 O r` tura RwlegesFn. �' $ �/SP9 s���sh; ......... .._ , ....... oM1 cM"s'x vw Of-'f'h. Q/!L{OUPR /I10�. 0l5-SfS JUN.13.2001 8:40AM MORTON BIOCIDES PLASTICS NO.235 P.4 46^ � O r 0 L, S. postal Service CERTIFIED MAIL REGFIP I o vmW+ ° SGS �K m celtinea Fm r�' pq. N r � D\I a IlervmPecelPtPo. s q, � I�tlertemem PcqulM) A c FgMa[ea oellwn ree LLI m G leaaenemem PegWrePl r ge1N paeus.a Fw. $ U9 P 6 - ..... ... ..... ._.._ L-e*6 C� ye1�e U.S. Postal Service CERTIFIED MAIL RECEIPT 0 open193e s N M m c.2Me Fae S� � p Peum flecelPt Fee � tp � �.pP�een�m[Pegalml A [] geegcl.a PBINery Fov �1 � o IFl,ee�eemem Pwmml 11 mal vq.mo.�F++o $ USPs - ... Kos-• .... .... .. OIX SeY�IIFM• Q`� r /inda�rR Y11 Town of North Andover Office of the Zoning Board of Appeals ,' •+���r� Community Development and Services Division William J. Scott, Division Director 27 Charles Street '4a°+•.. +"l• D. Robert Nicetta North Andover, Massachusetts 01845 +Acsu�6i Budding Commissioner Telephone(978)688.9541 Fax(978)688-9542 MEMORANDUM To: Janet Eaton, Administrative Assistant From: Robert Nicetta,Building Commissioner Date June 7, 2001 Re: Robin and Haas 60 Willow Street North Andover It is requested that the applicant provide documentation to the building department that all fire separation assemblies and proper equipment is in place prior to the storage of the Flammable Solids as described in the application. The building department would then not object to the granting of the license. OARDOFAPPEALS688-9541 BUILDING688-9505 CONSERVATION 688-953D HEALTH688-9560 PLANNING68&9535 \II TOWN OF NORTH ANDOVER OFFICE OF BOARD OF SELECTMEN 120 MAIN STREET NORTH ANDOVER, MASSACHUSETTS 01845 James M.Xenakis, Chairman Telephone 978 688-9510 Rosemary Connelly Smedile. Clerk OC 110R1M,��o FAX (978)688-9556 William B. Duffy, Jr. Donald B. Stewart B p �R'rNCNJS� To: Building Inspector Fire Chief From: net Date: May , 2001 Subject: Rohm and Haas 60 Willow Street Above-ground Storage Please review the attached application for an Above-ground Storage Tank at 60 Willow Street. Please respond by June 8, 2001 Thank you for your cooperation. 60 WILLOW STREET, NORTH ANDUAR, NIA 01 84 5-5 91 7 USA TELEPHONE(9781 557-1700 FAX 19781 557-1719 METIGARGaaaCa ROHM April 13, 2001 MARS Lt. Andy Melnikas North Andover Fire Department 124 Main Street North Andover. MA 01845 This letter is in response to a request for a License Application to store Flammable Liquids at the Rohm And Haas Company location. 60 Willow Street.North Andover, MA, 01845, pursuant to the Massachusetts General Laws Chapter 148. SECTION 13. Attached, is an application for License to store flammable materials in approved storage units (rooms) within the property location(see attached plan). The application for Flammable Liquid License is in accordance with The Board of Fire Prevention Regulation. 527 CMR 14.03 'Storage". In a recent conversation we discussed the need to increase flammable liquid storage at Rohm And Haas. The increase is due to expanded production capacity and the need to maintain adequate inventories that will support customer needs and Company goals. The storage and handling of flammables materials will be done in accordance with Massachusetts Regulation 527 CMR 14.00,NFPA 30. Flammable Liquid Code. and Rohm And Haas Corporate Policy. Listed below, is the material inventory representing flammable materials to be stored/used on site at the Rohm And Haas facility at 60 Willow Street,N. Andover, MA. The list represents material use for Research and the McWorganics Department. Class Quantity Class I fluids 1800 Gallons Class It fluids 192 Gallons Class IIIA fluids 25 Gallons Class IIIB fluids 180 Gallons Flammable Gases 70 Cu Ft plus two 5-gallon cylinders propane Flammable Solids 200 Pounds We continue to receive our Raw Materials in relatively small unit sizes. The only materials that we purchase in 55 gallon drums are a few of the Class ll and Class III chemicals. The quantities shown are what we feel will support our production needs for current expansion. If you have any questions, please contact me at(978)689-1507. Sincerely, Randy Goye e EHS Mamgcr