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HomeMy WebLinkAboutFull Deleading Compliance - Correspondence - 94 MAIN STREET 10/17/2022 Gregg Guarnieri Lead Inspector, License #1940 P.O. Box 520, Malden, MA 02148 Tel. (978-766-4499 E-mail: Ieadfreehome*a?,yahoo.com 01 LETTER OF FULL DELEADING COMPLIANCE C� N. �Qti oOJ�QI Taesoo Ah n NOLj\A 13 Main St 0- Plaistow, NH 03865 NE Dear Taesoo Ahn This letter is to certify that on 10/07 /22 1 re-inspected your property located at 94 Main St Unit 1 Left ,and relevant interior and exterior common areas,in the city/Tow-n-of-Wo—rth Andover On that date,those surfaces cited in the initial inspection report by Gregg Guarnieri ,License#1940 conducted on 09/ 15 /22 as being in violation of Massachusetts General Laws,Chapter 111,Section 197,and 105 CMR 460.000: Regulations for Lead Poisoning Prevention and Control,were determined to be in current compliance with those same laws.Dust samples were taken and found to be within acceptable limits. Massachusetts law does not require the abatement or containment of all residential lead paint. The residential premises or dwelling unit and relevant common areas shall remain in compliance with the requirements of the Lead Laws referenced above only as long as there continues to be no peeling, chipping or flaking lead paint or other accessible leaded materials, as long as coverings and/or encapsulants forming an effective barrier over such paint or other leaded materials remain in place, and as long as surfaces reversed to correct lead hazards remain reversed and securely in place.The law grants you a 30-day maintenance period to repair deteriorated lead paint or detached coverings over such paint,and to clean up,during which time this Letter remains valid. The second page or reverse side of this letter identifies the authorized person(s)who performed deleading on the property and a general summary of the methods used to achieve compliance with the Lead Laws. A complete Reinspection Report is attached to this letter,which specifies how and on what date each surface was brought into compliance. To the best of my knowledge,the cost of the legally required deleading is$ 6,288.00 The CLPPP authorized serial number for this Letter of Full Deleading Compliance is 20261940100722-1 Left This number is tracked and unique to this address and unit. DO NOT LOSE THESE DOCUMENTS. If the documents are lost,you will be required to have additional private inspector services that may cost you significant amounts of money.This Letter of Full Deleading Compliance is only for the address and unit noted above.If you change the street address,unit number or any other identifying information pertaining to the residential premises referred to in this Letter of Full Deleading Compliance, this Compliance Letter may be considered null and void by the Department of Public Health and/or a municipal health office. Do not alter this document in any way.Altering this document is fraudulent and may endanger the health and safety of a child which may result in significant legal consequences. In addition to any potential civil liability which may arise as the result of the alteration of this Letter of Compliance, the Massachusetts Department of Public Health's Childhood Lead Poisoning Prevention program may seek criminal prosecution of any person who alters this document after it is originally issued. Sincerely, Gregg Guarnieri 1940 10/07 /22 Inspector(print name) License tk Sighature Date Questions?Call the Department of Public Health at 1-500-532-9571. DO NOT LOSE THESE DOCUMENTS LOFDC m 0&17 Page 1 of 2 Serial Number: 20261940100722-1 Left Address:94_Main_St___ Unit#: 1Left City/Town:North Andover Deleading History Deleading Contractor North East Remediation LLC License#:❑✓ DC 500052 Exp.Date 07/ 26 /23 ❑✓ DS 9000775 Deleading Methods: ✓❑ Scraping 0 Making Intact(Exterior) ❑ Power Sanding ❑ Caustics ❑ Heat Gun ❑ Making Intact(interior) ❑ Removal ❑ Liquid Encapsulation ❑ Demolition ❑ Replacement ❑ Covering ❑ Other Work was done in the following rooms: All rooms with non compliance surfaces for further information refer to the report. Work was done on the following types of components: All non compliance com on -n is,for further information refer to the report. Start Date: 10/ 05/22 Finish Date: 10/07 /22 Cost: $ 6,288.00 Authorization# MR- RRP w/additional Moderate Risk Training Expiration Date: Authorization# OM AM Moderate Risk Deleader(owner/agent) Issuance Date: Deleading Methods: ❑Replacement ❑ Making Intact(Interior) ❑ Liquid Encapsulation ❑Covering ❑ Making Intact(Exterior) ❑ Removal ❑ Other Work was done in the following rooms: Work was done on the following types of components: Start Date: / 1 Finish Date: / / Cost:$ Low Risk Deleader(owner/agent) Authorization# OL AL Issuance Date: / / OE Lj AE OB AB Deleading Methods: ❑ Covering ❑ Liquid Encapsulation ❑Replacement (ONLY doors,cabinet doors,shutters,shelves not affixed,drawers,windows on hinges) Work was done in the following rooms: Work was done on the following types of components: Start Date: / / Finish Date: ! Cost:$ LOFDC r«06 17 Page 2 of 2 DELEADING INVOICE Please completely and clearly till out appropriate information: Name(print) LI Zhang Telephone ( 855 )866 - 5323 Company: Northeast Remediation LLC Work/Cell ( 617 )893 - 1929 Address: 100 Burtt Rd,#115 Andover Zip Code 01810 Address of Deleading Work 94 Main St,N Andover Zip code 01854 I hereby attest that all deleading activities and clean up were done in accordance with the Department of Labor and Workforce Development's Regulations,454 CMR 22.00 and the Childhood Lead Poisoning Prevention Program's Regulations, 105 CMR 460.000. Signatur Date: 10/ 7 /22 Only complete section reflecting your authorization/license status Deleading Contractor Northeast Remediation LLC License#: ❑ DC 500052 Exp. Date 07/ 26 /23 ❑ DS 9000775 Deleading Methods: ® Scraping ❑ Demolition ❑ Power Sanding ❑ Caustics ❑ Heat Gun ❑ Replacement ❑ Covering ® Making Intact ❑ Liquid Encapsulation ❑ Other Work was done in the following rooms: .Room 1,2,3,4 Kitchen, Hallway Work was done on the following types of components: Door Jamb,casing,window sills,Baseboard,Railing Cap. Start Date: 10/ 05 /22 Finish Date: 10/ 07 /22 Cost: $6,288 Authorization# MR- RRP w/additional Moderate Risk Training Issuance Date: Authorization# -❑OM❑AM Moderate Risk Deleader(owner/agent) Issuance Date: Deleading Methods: ❑ Replacement ❑ Making Intact(interior) ❑ Capping Baseboards ❑ Covering ❑ Making Intact(exterior) ❑ Liquid Encapsulation Work was done in the following rooms: Work was done on the following types of components: Start Date: / / Finish Date: / / Cost: $ (Doesn't Include owner's Labor) Low Risk Deleader(owner/agent) Authorization# - ❑OL[]AL Issuance Date: / / ❑OE❑AE ❑OB ❑AB Deleading Methods: ❑ Covering ❑ Liquid Encapsulation ❑ Capping Baseboards ❑ Replacement (ONLY doors,cabinet doors,shutters,shelves not affixed,drawers,windows on hinges) Work was done in the following rooms: Work was done on the following types of components: Start Date: 1 / Finish Date: / / Cost: $ (Doesn't Include Owner's Labor) Questions?Call the Department of Public Health at 1-800-532-9571. DO NOT LOSE THESE DOCUMENTS AERObiotogy of [AbORATORY Telephone:781-936-3212 ASSOCWTES, iNCORPOIZVED Facsimile:781-932-4857 A Pace Analytical"Laboratory Email:boston@aerobiology.net Laboratory Report Contact: Gregg Guarnieri Batch#:C 312564 Client: Lead Paint inspections&Deleading Services Date received: 1017/2022 I Address: 4 King William Court Date analyzed:10/7/2022 Boxford, MA 01921 Date of report: 10/7/2022 AIHA-LAP,LLC Lab ID:102754 Project i/ NIA P.O.# N/A Project Site: 94 Main St,1 Left North Andover Lead Analysis In Wipes Using SOP Based on SW846-70006/3051 Results inpg/ft�(Using customer-supplied data) Sample Reporting Lab ID Client ID date Descri tiou Result* Limit Cammentc !I C 713943 I 10 7:22 Rnr 1 "A I"Will Sill RL, 79 C713944 2 10;7122 Rm I"Al"Will Wcll "RL. 15 C 713945 , 10!7.,22 Rm 1 Floor <RL 10 C 713946 a 10,1,22 Rm 2"I3"Will Sill <:RI- 7.9 C713947, -F a-1 10:722 Rm 2"B"Win Well <:RL 15 C 713948 6 10.7/22 Rm 2 Floor -RI. 10 C 713949 10;722 Blank <RI. 10 Slmona Peavey,Tech.M er mistry Aimee Cormier,Lab Director Page 1 of 1 Unless otherwise indicated,all samples were received in acceptable condition. 'All results apply only to the samples tested and as received and are accurate to no more than three significant figures. Unless otherwise indicated,all the quality control criteria for the method above have been met. RL-Reporting Limit(pg/fF) Blanks are reported in total micrograms: they are not used to correct sample results. The EPA 403 Final Rule(40 CFR 745.63)requires that all wipe samples of settled dust shall be collected using wipes that meet ASTM E1792. The analytical results,for wipes not meeting AST ME 1792,are outside the scope of our environmental lead accreditation. All calculations are based on wiped area measurements supplied by the client. RL-Reporting Limit:Defined as the lowest concentration the laboratory can accurately quantitate. The Report shall not be reproduced except In full without the written approval of the laboratory. Please visit our website at www.aerobiology.net for the current accreditation status. vlao-s Cal( w/d? Aerobiology Laboratory Associates, Inc. Chemistry Chain of Custody Record Rush/<6 Hours Turn Around Time Requested LABORATORYMEADQUARTERS www.aerobiolo net Same Next Da 2 Da 3 Da 5 Da s 9y ❑y ❑ y zz Cummings Park,Woburn,MA 01891 Email:Boston@aerobiology.net T:781.935.3212 F:781.932d857 Client: _ . f-Ia-5 S 9J�!E!s(`, Q NELAC analysis El.m.nt Address: Stree: E OF ANALYSIS circa Pb Cd Cr As Town slatelzip DUST PAINT SOIL t0.1 1 ) Se Ag Be Fe For Laboratory Use Prcjoct Site Line 1 e� !! T Project St 1'CLP Hg Number Alft RCRAB (15a) Otha� Inesus '''f /� 9 1F peci:rundarCamments) BATCH NUMBER Tine / c-t^ r1/(�L'(4� 1 4d" dcha98 NW, L� iI / Z-0 PM ID Other � rd_r Duct OC Ccnlact: Phone Please use a separate form for each matrix FAX AIUPepnr 13ASTM E1792 FOR LABORATORY USE ONLY Air Sampling Information iped area I ANALYSIS Dale and Time Field Sample Description/Location Stan End start End volume to glh width Area Weight IAA!ICP Lab Sa led Tim owrat Ro to (liters) (nch)I.D. Time rams iDil'n 1 Reading RESULT LD. r y I I Z n7 ( Floe f` 1 r L�J C (( Fri , Z z z ? � I Relinquished By- Date: !C�-/`2 Time: Received By: t. -' c% % Data: �� �- Time: 6. i Comments: ver S.6 PAGE OF Field blanks are required for airs and wipes per the sampling method. Aeroblology Laboratory Services reserves the right to subcontract samples to an appropriately accredited laboratory when we are unable to perform the analysis in house.