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HomeMy WebLinkAboutLetter of Full Deleading Compliance - Correspondence - 94 MAIN STREET 1 10/7/2022 h2l Gregg Guarnieri 4ALLead Inspector, License #1940 P.O. Boat 520, Malden, MA 02148 Tel. (978-766-4499 E-mail: leatifzeeho me{e)yahoo-com LETTER OF FULL DELEADING COMPLIANCE Taesoo Ahn 13 Main St Plaistow, NH 03865 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/Town�of6rth Andover On that date,those surfaces cited in the initial inspection report by Greqq Guarnierl ,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# Sighature Date Questions?Call the Department of Public Health at 1-800-532-9571. DO NOT LOSE THESE DOCUMENTS LOFDC rev06117 Page I oft 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 Z DS 9000775 Deleading Methods: ❑✓ Scraping Q 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 components,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: / / Finish Date: / / Cost:$ Low Risk Deleader(owner/agent) Authorization# OL AL Issuance Date: / / OE 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 m 06.17 Page 2 of 2 t DELEADING INVOICE Please completely and clearly fill 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/Iicense 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 Jam b,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: / 1 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: / / 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 AEROb)OlOgy A� LAbORAYOfty Telephone:781-935-3212 ASSOCIATES, > . INCORPORMTED Facsimile:781-932-4857 A Pace Analytical Laboratory Email: boston@aerobiology.net Laboratory Report Contact: Gregg Guarnieri Batch#:C 312564 Client: Lead Paint Inspections S Deleading Services Date received: 10/7/2022 Address: 4 King William Court Date analyzed:10/7/2022 Boxford, MA 01921 Date of report: IOf7/2022 AIHA-LAP,LLC Lab ID:102754 Project# NIA P.O.# NIA Project Site: 94 Main St,1 Left North Andover Lead Analysis In Wipes Using SOP Based on SW846-700OB13051 Results inug/ft2(Using customor-supplied data) Sample Repurting Lab ID Client ID date Description Result" Limit Comments C113943 l 10'722 Rm 1 "A I"Win Sill _ <RL 7.9 C713944 2 1 10.722 Itm I "Al"Win Well <RL. 15 C 713945 3 I0!V22 Rm 1 Floor <KL I D C 713946 4 10%7122 Rm 2"B"W in Sill <Ttl.. 7.9 C 713947 5 10.7122 Rm 2"B"Win Well C 713948 6 10 7122 Rm 2 Floor <111. 10 C 713949 10/7 22 Blank )t!. 10 Simona 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/ft°) 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 ASTM E1792,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 ofthe laboratory. Please visit our website at www.aerobiology.net for the current accreditation status. a l( c,S l rat � TS Aerobiology Laboratory Associates, Inc. Chemistry Chain of Custody Record Rush/<6 Hours Tum Around Time Requested 2 Cummings TORYIHEADQUARTERS l:bostan@aerobiology.net @ae ogy.net Same Next Day y 3❑Day F— Days 2z Cummings Park,Woburn,MA 01801 Email:Boston@aerobiology.net � L�J L_. � T:781.935.3212 F:781-932-0857 Client: NELAC analysis Element Address: Street PRE ANALYSIS circle Pb Cd Cr As Town Slate/zip DUST PAINT SOIL (01 ) 1 ) So Ag Be Fe For Laboratory Use Project Site Line 1 R/ �,y. Project AIR RCRAB TCLP Hg ! Number (15eg) Whw(pleas.spo0y under Cammenls) BATCH NUMBER Une r— ! t �� 2 0 chase N�� � ✓o�� r �" rder Duct Pfd1D Other Ceniact: Phone Please use a separate farm for each matrix OC FAX A7ttPagar 13ASTM E1792 FOR LABORATORY USE ONLY Air Samplinq Information III ipedares I ANALYSIS Date and Time Field Sample Description/Location start End Stnrt End volume length width Area weight AN ICP Lab Sampled I.D. Time Time- Flowrate F:owrate (liters) inch (inch) 's in rams 61—n i Readin RESULT LD. I I 7-?2 3M ( rradF` t l 2- l Z � t r _7_2, 5� P./iL' 2._ " t t � Relinquished By Date: -2 Z _ Time: Received By: L'5&:G % Date: 171 Time: 6, i Comments: ver5,5 PAGE OF Field blanks are required for airs and wipes per the sampling method. Aerobiology Laboratory Services reserves the right to subcontract samples to an appropriately accredited laboratory when we are unable to perform the analysis in house. 9/21/22,9:30 AM Town of North Andover Mail-Fwd:Taesoo Ahn-Lead Paint,94 Main St. North Andover NORTH AN DOVE R Massachus�#$ Stephen Casey<scasey@northandoverma.gov> Fwd: Taesoo Ahn - Lead Paint, 94 Main St. North Andover 1 message Taesoo Ahn <dlook0012@hotmail.com> Mon, Sep 19, 2022 at 4:27 PM To: Stephen Casey <scasey@northandoverma.gov> FYI - Lead Paint Inspection Report 94 Main St 1Left North Andover. INITIAL.pdf 934K https://mail.google.com/mail/u/0/?ik=fb8Oa9478f&view=pt&search=all&permthid=thread-f%3Al744431197542295936&simpl=msg-f%3A174443119754... 1/1 I Page 1 of I i Gregg Guarnieri 1011aLead Inspector, License #1.940 P.U. Bode 520, Malden* MA 02148 Tel. (978-7 6-4499 E-m®3L- leadfreehome(lyahoo.com Lead Inspection I Risk Assessment St.# 94 Street Name Main _ Street Type St unit 1 Left City North Andover _Zip Code 01854 Number of Rooms in Unit: Owner Name: Taesoo Ahn Property Type: Owner Address: 13 Main St Plaistow NH 03865 ❑ Single Family Contact Information: _408-649-9364 d1ook0012CcDhtmail.Com ❑✓ Multi Family #of Units: 5 Client Name(if different from owner): ❑ Condominium #of Units: Client Address: ❑ Day Care ❑ Other: Kee• Lead Column Kev Delead/IC Method Column Key Delead/IC Method Column Laundry in Basement? ❑Yes ❑✓ No COV Covered COV Covered REM Removed Finished Space in Basement?❑Yes ✓❑No DC Drop Ceiling DIP Dipped REP Replaced MET Metal ENC Encapsulated SCR Scraped Possible Pb Water Service Line MR Metal Rep.Window INT Intact SFR Storm Frame Removed ❑Yes Ej No ❑✓ Not Tested NA Not Accessible MI Made Intact SLD Sealed Testing Method Used NC No Coating PRE Prepared for Enc. STP Stripped Na,S Expiration Date: / Tile Tile(testing suggested) Component Does Not Exist VR/MR Vinyl/Metal Rep Window X-Ray Fluorescence V Vinyl Baseboard VR Vinyl Rep.Window Model: LPA-1 Serial# 2770 Comments/Notes: ❑ Demarcation Lines ❑ Submitted for Compliance Evaluation Property Diagram/Unit Labels Floor# 1 St (level within building of unit being inspected) Floor# C �, C ^� 94 \`• . . B --- -- Zj---:--;-- ; L D B — _ 2._.�--�---�--- --=-------e---�--:---;---• -� __�_--�--t--- Left 2Right _ , --- 1 Left 1 t A(Street Side) tart Here A(Street Side) Start Here A(Street Side) Pb(lead)equal to or greater than 1.0 mg/cm'with x-ray fluorescence or positive with Na.,S is Dangerous. XRF Calibration Recorded in Log Book ❑✓ ✓-Check off when complete Address Verified through USPS ❑✓ ✓-Check offwhen complete Research on Lead Related History for Address ✓❑ ✓-Check off when complete www.state.ma.usidph%cll>pp or 800-532-9571 Gregg Guarnieri 1940 09/ 15 /22 Inspector's Name(print) License# Signature Date LIRA-revised 06/17 Address: 94 Main St _ Apt# 1Left City North Andover Page 2 of23 INSPECTION HISTORY INTERIM CONTROL Determination Visual B Signature Inspector Name:__ _-__-_,Lic#__ R.A.Name: ,Lic# Risk Assessment jv - Signature----- Urgent Pb. Lead Hazards? Hazards? MN Comprehensive Dust Taken or initial Ins ection Y Inspector Name:Gre Guamieri Lic#1 - Risk Assessment FYI R.A.Name: ,Lic# 0 911151212 Signature N Signature _ N Lead Hazards? Urgent Pb.Hazards. Visual Portion of R.A.Name: Lic#Comp Initial Reinspection for P - w/Partial PCAD 8 Inspector Name: Lic#_ — Interim Control F Signature —--- Lead Signature_____-_ _ Lead Hazards? Addendum(add-on Dust Taken for Risk P R.A.Name:_ Lic#_ to Initial Ins coon) Inspector Name: Lic# Assessment Reins . F Signature xSignature______ Lead Hazards? Visual Portion of Reinspection for R.A.Name: Lic# Addendum as Full Interim Control P Inspection Inspector Name: Lic# F Signature------- N Signature____- Lead Hazards? Dust Taken for Risk R.A.Name: ._ Lid Assessment Reins . Walk Through for Inspector Name:- _ Lic# F Signature----- - -- -- Ed/Consultation Signature Risk Assessment Recertification Y R.A.Name: _ _ Lic#-___ _ REINSPECTION HISTORY I I FT N Signature Visual Portion of P Inspector Name: Lic# - - Reocc.Reinspection Urgent Pb.Hazards? F Signature -- Dust Taken for P R.A.Name: Lic# RA Recertification Visual Portion of Inspector Name:.._ Lic#_ Reocc.Reins ction F Signature P8 Signature POST COMPLIANCE ASSESSMENT DETERMINATIONS Dust Taken for P Inspector Name:_ __ Lic#_-- Reocc.Reins ection F Si nature PCAD 9 B Inspector Name: -- .Lic# N Signature_____ Dust Taken for � Inspector Name;_-__ __ Lic# ., - -- -- Reocc.Reins ction P - Lead Hazards. F Signature___- - Full Inspection Acting as PCAD Blnspector Name:___- Visual Portion of Inspector Name:_,___ Lic# Final Reinspection - —' N Signature_ F Signature_-____ Lead Hazards? Visual Portion of Inspector Name: Visual Portion of 8 Inspector Name: Lic# PCAD Reins ection P Final Reinspection F Signature_ F Signature -- ---- - Dust Taken for Inspector Name: _--_--- Lic#__ Dust Taken for Final 8 Inspector Name:_____ _ Lic# PCAD Reins ection ]FSignature_ Reins . No Reocc) --- - - Signature -__-- Dust Taken for Finat �F] Dust Taken for Inspector Name: Lic# Inspector Name:_ Lic#----- Reins No Reocc PCAD Reinspection F Signature Signature_ - - - -- - History rcv 6/17 Address:94 Main St Apt# 1 Left City North Andover Page 3 of 23 REOCCUPANCY CERTIFICATE HISTORY COMPLIANCE HISTORY(CONT.) Certificate of Certificate of Reoccupancy Maintained Inspector Name: Litt Inspector Name:_ Lic# Compliance Only after Signature Signature High/Mod Risk No Work=No Dust i #moms rule Work=7 Dust Certificate of Certificate of Reoccupancy Restored Inspector Name:_____ Lic# Com liance Inspector Name: ,Lic#-- Only after Signature I I I I T Signature High/Mod Risk Dust wipes and auth. (#rooms rule) people Certificate of Certificate of Reoccu anc Inspector Name: ,Lic# Maintained Inspector Name: Com liance p --------- Lic#_ Only after Signature__ Signature High/Mod Risk No Work=No Dust #moms rule) Work=7 Dust COMPLIANCE HISTORY Certificate of Letter of Full Initial Restored Inspector Name: _ — Lic#____ Com liance Inspector Name: Lic# Compliance Signature Signature No prior history/ g Dust wipes and auth. No signs of UD people Letter of Interim OTHER HISTORY:WAIVERS/UD Control Inspector Name: Lic# Approved CLPPP Waiver Inspector Name:__ Lic# No prior Comp. Signature_ Expires in 1 yr. Attach to Comp Signature Docs Recertification of Interim Control Inspector Name: Lim Approved CLPPP Waiver Inspector Name: Lic# Expires 3 yrs from Signature_ ­71Signature original Interim Attach to Comp Control Docs Letter of Full Deleading Inspector Name: Lic# UD/DES Visual Com liance - Reins ection p Inspector Name: Lic# Signature- _ _ I F Signature_ Dust wipes if No No LOC Issued Reocc. Certificate of UD/DES Dust Maintained Taken Inspector Name: Litt Com liance Inspector Name:__ ____ ,Lic# _ F Signature._______ Signature _. No LOC Issued No Work=No Dust Work=7 Dust UD/DES Dust Taken p Inspector Name: Lic# Certificate of Restored IFSignature Inspector Name: Lic# Signature------ Com liance — --- No LOC Issued Signature — — UD!DES Final Dust wipes and auth. people Reins ection P Inspector Name:_ _ Lic# F Signature---- No LOC Issued History rcv 6/17 Page 4 of EXPLANATION OF LEAD INSPECTION/RISK ASSESSMENT REPORT FORM COLUMNS This page provides general information needed to understand the lead inspection/risk assessment report.However,you should speak with the inspector/risk assessor before you start to do any work on your home. SIDE Refers to A,B,C,or D side of the building or room.See the diagram on the cover sheet.The"A"side of the building or room is the side facing the street that gives the property its address(usually,it is the front of the building).Keeping your back to this street,from the"A"side move clockwise to the"B"side on your left,the"C" side opposite you,and the"D"side to the right. Numbering is from left to right. LOCATION/ Refers to the building component(s)being tested.Some surfaces may be made up of more than one part.For SURFACE example,"Baseboard"may refer to four separate pieces of wood(one on each wall),but is still considered one surface. LEAD The actual lead result.Each surface tested must have a result recorded in the"Lead"column. • A number shows that the surface was tested with an XRF analyzer.A number equal to or greater than 1.0 mg/Cm'- is a dangerous level of lead. • A"pos'or"neg"shows that the surface was tested with sodium sulfide."Pos"means that there is a dangerous level of lead. • "N/A"means that the inspector was not able to test the surface.The inspector must assume the surface contains lead and require it to be deleaded.Speak to the inspector about possible alternative testing options. • "MET"or"MR"means that a metal surface was not tested.Metal handrails,metal window sills,and metal railing caps need.to be deleaded if they test equal to or greater than 1.0 mg/cm2,or are marked"MET"or "N/A".All other metal surfaces must be intact. • For key to abbreviations like"COV","VB","VR"or"MR","NC","Tile","DC",see the cover page. TYPE OF Not all lead paint must be deleaded.This column tells you IF and WHY a surface needs deleading.The deleading HAZARD standards below may not apply for Interim Controls.Speak to your risk assessor for more information. • "M/I"circled means that the surface is a moveable/impacted part of a window and must be deleaded in its entirety. • "SF"circled indicates that there is a storm frame present which requires the blind stop and exterior sill be deleaded as interior moveable/impacted surfaces. • "A/M"circled means that the surface is"accessible mouthable"and must be deleaded to a minimum of five feet high,four inches in from the edge or corner. • "F"circled means that the surface is a"friction"surface and must be deleaded at all points of potential friction. • "L"circled means that the surface is loose and must,at a minimum,be made intact.Loose leaded floors must be sealed with paint or similar coating and pass a dust wipe. • If more than one choice is circled,the rules for deleading may change depending upon what method of deleading you choose.Speak to the inspector for more information. • "N/A"means the inspector was unable to determine if the surface was a lead hazard.The person doing the deleading must check this surface and follow all the rules for deleading.Speak to the inspector for more information. • If nothing is circled in the column,then it is likely the surface does not need deleading.Speak to the inspector for more information. Remember,this does not mean the entire surface is lead free,it just does not require deleading in its current condition. URG HAZ? This column is completed during a risk assessment,which is an evaluation of a home's suitability for Interim Control. Only a licensed risk assessor can do a risk assessment. If"Y"is circled,then this surface is considered an"Urgent Lead Hazard"and deleading is required to qualify for Interim Control. IC DATE The date the licensed risk assessor determines the surface meets the standards for Interim Control. IC METH The deleading method or structural repair done to qualify the surface for Interim Control.Refer to the deleading codes key on the cover page. DELEAD DATE The date that the lead inspector reinspects the surface and finds that it is in compliance. DELEAD METH The method used to bring a surface into full compliance. Refer to codes in the Key on the report's cover page. EXCLUDED The amount of loose paint on a surface as measured by the lead inspector."N/A"means that the inspector was not SURFACES able to measure the loose paint,but has determined it is more than the cut-off for moderate risk making intact. RULED OUT Encapsulants only work well if the paint is in good condition.If the inspector sees that there BOX are adhesion problems with eligible surfaces in a room,he/she will rule out encapsulation as a deleading method. LIRA Exp.2017 Gregg Guarnieri 1940 09 15 22 Pag�_of Inspector(print) Lic# Signature Date Risk Assessor(print) Lic# Signature Date Address of Property: 94 Main St Apt.# 1 City: North Andover ROOM# SIDE LOCATION/ LEAD TYPE OF URG IC IC DELEAD DELEAD SIDE LOCATION/ LEAD TYPE OF URG IC IC DELEAD DELEAD SURFACE HAZARD HAZ7 DATE METH DATE METH SURFACE HAZARD HAZ7 DATE METH DATE METH 76 ABaseboards L N/A Y A Window Sill MII L NIA Y A B L NIA Y B Win Apron L N/A Y A B L NIA Y C Win Casing f. L N/A Y A B L NIA Y D Header Slop M/I L NIA Y AB Radiator L N/A Y Int Stops M/I L N/A Y Floor L[](dust) N/A Y Win Int Sash /I L N/A Y Ceiling L N/A Y 2 Exterior Sill /I SF L N/A Y A B Door L NIA Y 3 Part Bead PlIll L N/A Y Ell Door Edge F L N/A Y 4 Blind Stop 1.1 M/I SF L N/A Y UP Door Casing L N/A Y Win Ext Sash /1 L NIA Y 3 4 Door Jamb F L N/A Y Window Sill M/I AI L N/A Y Threshold L N/A Y B Win Apron L N/A Y A B Door L NIA Y C Win Casing L NIA Y D Door Edge F L N/A Y D Header Stop M/I L N/A Y Door Casing Z.. L NIA Y Int Stops MII L NIA Y 3 4 Door Jamb L N/A Y Win Int Sash V P/I L N/A Y Threshold L N/A Y 2 Exterior Sill M/I SF L N/A Y A B Door L N/A Y 3 Part Bead /I L N/A Y C D Door Edge F L N/A Y 4 Blind Stop M/I SF L N/A Y 112 Door Casing L N/A Y Win Ext Sash 01 L N/A Y 3 4 Door Jamb F L N/A Y A Window Sill MII A/M L N/A Y Threshold L N/A Y B Win Apron L N/A Y Closet Door L N/A Y C Win Casing L NIA Y A CI Door Edge F L N/A Y D Header Stop MIA L NIA Y B Cl Casing L N/A Y Int Stops M/I L N/A Y aCloset Jamb F L NIA Y 1 Win Int Sash M/I L N/A Y D Closet Walls L NIA Y 2 Exterior Sill M/I SF L N/A Y Cl Baseboard L N/A Y 3 Part Bead M/I L N/A Y 1 Closet Pole L NIA Y 4 Blind Stop M/I SF L N/A Y 2 Closet Shelf L N/A Y Win Ext Sash MII L N/A Y 3 CI Supports L N/A Y A B Fireplace L N/A Y 4 Closet Floor L❑(dust) NIA Y C D Manfle L N/A Y AB Closet Ceiling L NIA Y CD Win Above 5' L N/A Y COMMENTS I STRUCTURAL DEFECTS: Ceiling Moldin L N/All F M/1 AIM L NIA Y F M/I AIM L N/A Y EXCLUDED SURFACES:Surfaces listed in these boxes can only be made intact F Mll AIM L N/A Y by a Deleader(MORE THAN 288 SQ.IN.) F M/I AIM L N/A Y SIDE LOCATION MEASURE:LOOSE PAINT C C F M/I A/M L NIA Y DATE METHOD F M/I AN L N/A Y Check the box if this ROOM is RULED OUT for encapsulation because there are 3 or more A/M surfaces with adhesion problems LIRA Rep 2017 Room Gregg Guarnieri 1940 09 15 22 Page 6Of Inspector(print) Lic# Signature Date Risk Assessor(print) Lic# Signature Date Address of Property: 94 Main St Apt.# C�'�7 City: North Andover ROOM# SIDE LOCATION/ LEAD TYPE OF URG IC IC DELEAD DELEAD SIDE LOCATION/ LEAD TYPE OF URG IC IC DELEAD DELEAD SURFACE HAZARD HAZ. DATE METH DATE METH SURFACE RD HAZ? DATE METH DATE METH A B Up Walls 1 L NIA Y A Window Sill Mll L N;A Y A B Low Walls L NIA Y B Win Apron �tt. L NIA Y A B Baseboards Gto L NIA Y C Win Casing j. L NIA I Y A B Chair Rail I L N/A Y D Header Stop M/I L NIA Y A B Radiator L N/A Y Int Stops M/1 L NiA Y Floor L (dust) NIA Y 1 Win Int Sash 11 L N/A Y Ceiling L N/A Y 2 Exterior Sill M/I SF L N/A Y A B Door L N/A Y 3 Part Bead L N/A Y D Door Edge F L N/A Y 4 Blind Stop M/1 SF L NIA Y 13)2 Door Casing Q L NIA Y Win Ext Sash /1 L N/A Y 34 Door Jamb F L N/A Y A Window Sill M/I A/M N/A Y Threshold L N/A Y in Apron L NIA Y A B Door L NIA Y C Win Casing L NIA Y D Door Edge 00 F L N/A Y D Header Stop M/1 L NIA Y 1 Door Casing d L N/A Y Int Stops M/I L N/A Y 3 Door Jamb F L N/A Y 1 Win Int Sash M/1 L NiA Y Threshold L N/A Y 2 Exterior Sill VIL M/I SF L N/A Y A B Door L NIA Y 3 Part Bead L NIA Y C D Door Edge F L N/A Y 4 Blind Stop M/I SF L N/A Y 12 Door Casing L N/A Y Win Ext Sash ll L NIA Y 34 Door Jamb F L NIA Y A Window Sill M/I A/M L NIA Y Threshold IL L NIA Y B Win Apron L NiA Y Closet Door L N/A Y C Win Casing L NIA Y A Cl Door Edge F L N/A Y D Header Stop M/I L NIA Y B Cl Casing L N/A Y Int Stops M/I L NIA Y ©Closet Jamb F L N/A Y 1 Win Int Sash M/I L NIA Y D Closet Walls L N/A Y 2 Exterior Sill M/I SF L NIA Y Cl Baseboard L N/A Y 3 Part Bead M/I L NIA Y 1 Closet Pole L NIA Y 4 Blind Stop M/I SF L N/A Y 2 Closet Shelf Q. L NIA Y Win Ext Sash M/I L NIA Y 3 Cl Supports L N/A Y AB Fireplace L NIA Y 4 Closet Floor L❑(dust) NIA Y C D Mantle L NIA Y AB Closet Ceiling L NIA Y c o Win Above 5' L NIA Y COMMENTS/STRUCTURAL DEFECTS Ceiling Moldin L NIA Y F M/I A(M L N/A Y F M/I A/M L N/A Y EXCLUDED SURFACES:Surfaces listed in these boxes can only be made intact F M/I AN L NIA Y by a Deleader(MORE THAN 288 SO.IN.) F M/1 AIM L N/A Y SIDE LOCATION MEASURE.LOOSE PAINT IC C F M/I AIM L N/A Y DATE METHOD F M/I AIM L NIA Y Check the box if this ROOM is RULED OUT for encapsulation because there are 3 or more AIM surfaces with adhesion problems LURA Rcp 2017 Room Gregg Guarnieri 1940 09 15 22 Page 7Ofglop) Inspector(print) Lic# Signature Date Risk Assessor(print) Lic# Signature Date Address of Property: 94 Main St Apt.# f L-,—F✓ City: North Andover ROOM# SIDE LOCATIONI LEAD TYPE OF URG IC IC DELEAD DELEAD SIDEJ LOCATION/ LEAD TYPE OF URG IC I IC DELEAD DELEAD SURFACE HAZARD HAZ? DATE METH DATE METH SURFACE HAZARD HAZ? DATE METH DATE METH A B Up Walls L NIA Y A Window Sill MA NIA Y A B Low Walls L NIA Y Win Apron L NIA Y A B Baseboards N/A Y C Win Casing L IA Y A B Chair Is L N/A Y D Header Stop �. Mil L N/A Y AB Radiator Q L N/A Y Int Stops M/I N/A Y Floor d L❑(dust) N/A Y 1 Win Int Sash M/1 L N/A Y Ceiling L NIA Y 2 Ext rior Sill ll SF L NIA Y Door L N/A Y 3 Part ad L N/A Y C D Door Edge 0Z F L N/A Y 4 Blind Stop MA SF L N/A Y 12 Door Casi L N/A Y Win Ext Sash L NIA Y 34 Door Jamb F L N/A Y A Window Sill M/I A/ L N/A Y Threshold op L N/A Y B Win Apron L N/A Y A B Door L N/A Y G Win Casing 6N/A Y Cc Door Edge F L NIA Y D Header Stop M/I L N/A Y 12 Door Casing /A Y Int Stops M/I 19N/A Y 34 Door Jamb F /A Y 1 Win Int Sash /1 L N/A Y Threshold L NIA Y 2 Exterior Sill 41/I SF L N/A Y A B Door L N/A Y 3 Part Bead ll L N/A Y C D Door Edge F L N/A Y 4 Blind Stop M/1 SF L N/A Y 12 Door Casing L N/A Y Win Ext Sash /I L N/A Y 34 Door Jamb F L NIA Y A Window Sill M/I A/M L N/A Y Threshold L N/A Y B Win Apron L N/A Y Closet Door L N/A Y C Win Casing L N/A Y A CI Door Edge F L N/A Y D Header Stop M/I L N/A Y B Cl Casing L N/A Y Int Stops M/I L N/A Y C Closet Jamb F L N/A Y 1 Win Int Sash M/I L N/A Y D Closet Walls L N/A Y 2 Exterior Sill Mil SF L N/A Y CI Baseboard L N/A Y 3 Part Bead M/I L NIA Y 1 Closet Pole L N/A Y 4 Blind Stop M/1 SF L N/A Y 2 Closet Shelf L N/A Y Win Ext Sash MII L N/A Y 3 Cl SupportsVLDEFECTS: Y AB Fireplace L N/A Y 4 Closet Floor Y CD Mantle L N/A Y AB Closet Ceiling Y c p Win Above 5' L N/A Y COMMENTS/STRUCT Ceiling Moldin L N/A Y F MII A/M L NIA Y F M/I A/M L NIA Y EXCLUDED SURFACES:Surfaces listed in these boxes can only be made intact F M/I A/M L NIA Y by a Deleader(MORE THAN 288 SQ.IN.) F M/I A/M L N/A Y SIDE LOCATION MEASURE:LOOSE PAINT C IC F MII AIM L N/A Y DATE METHOD F M/I A/M L N/A Y Check the box if this ROOM is RULED OUT for encapsulation because there are 3 or more A/M surfaces with adhesion problems LURA Rcp 2017 Room GreggGuarnieri 1940 09/ 15/ 22 Page?of Inspector(print) Lic# Signature Date Risk Assessor(print) Lic# Signature Date Address of Property: 94 Main St Apt.# �(' �r City: North Andover KITCHEN SIDE LOCATIONI LEAD TYPE OF URG IC IC DELEAD DELEAD SIDEJ LOCATIONI I LEAD TYPE OF URG IC IC DELEAD DELEAD SURFACE HAZARD HAZ? DATE METH DATE METH SURFACE HAZARD HAZ? DATE METH DATE METH A B Up Walls L N/A Y A Window Sill d.0 M/I AIM L NIA Y A 8 Low Walls �,n N/A Y B Win Apron L WA Y A B Baseboards N/A Y C Win Casing L NIA Y A a Chair Rail L NIA Y D Header Stop d M/I L NIA Y AB c o Radiator L N/A Y Int Stops M/I L NIA Y Floor �y L❑(dust) N/A Y 1 Win Int Sash M/I L NIA Y Ceiling L NIA Y 2 Exterior Sill II SF L NIA Y B Door L N/A Y 3 Part Bead 11 L NIA Y C D Door Edge F L NIA Y 4 Blind Stop M/I SF L NIA Y 1 2 Door Casing IA Y Win Ext Sash I L N!A Y 3 4 Door Jamb F /A Y A Window Sill M/I AIM L N/A Y Threshold L N/A Y B Win Apron L NIA Y PQj oor L NIA Y C Win Casing L NIA Y C D Door Edge F L N/A Y D Header Stop M/I L NIA Y 12 Door Casing L N/A Y Int Stops Mil L NIA Y 3 4 Door Jamb F L N/A Y 1 Win Int Sash M/I L NIA Y Threshold L N/A Y 2 Exterior Sill M/I SF L NIA Y A B Door L N/A Y 3 Part Bead M/I L NIA Y D Door Edge F L N/A Y 4 Blind Stop Mil SF L N,!A Y 2 Door Casing Y IA Y Win Ext Sash M/I L NIA Y 3 4 Door Jamb F N/A Y A B Up Cab Frame L NIA Y Threshold L NIA Y C D Up Cab Door L NIA Y Door L N/A Y Up Cab Walls L NIA Y A Door Edge F L NIA Y 1 2 Up Cab Shly L NIA Y B Casing L N/A Y 34 Supports L NIA Y C _ _'Jamb F L N/A Y Low Cab FraRt L NIA Y D L NIA Y A B Low Cab Door L NIA Y L N/A Y C D Low Cab Wa L NIA Y 1 L N/A Y Low Cab Shka NIA Y 2 L N/A Y 1 2 Supports L NIA Y 3 L N/A Y 3 4 Drawers L NIA Y AB 4 L❑(dust) N/A 11 Y co Win Above 5' L NIA Y L NIA I Y Ceiling Moldin L N,iA Y COMMENTS I STRUCT L DEFECTS: F M/I AIM L N/A Y F M/I A/M L NIA Y F M/I AIM L N/A Y F M/I AIM L N/A Y EXCLUDED SURFACES:Surfaces listed in these boxes can only be made intact F M I AIM L N/A Y by a Deleader(MORE THAN 288 SQ.IN.) F 1,4/1 AIM L N/A Y IC C F M/1 AIM L N/A Y SIDE LOCATION MEASURE:LOOSE PAINT DATE METHOD F M/I AIM L NIA Y Check the box if this ROOM is RULED OUT for encapsulation because there are 3 or more AIM surfaces with adhesion problems LI/RA Rcp 2017 Kitchcn Gregg Guarnieri 1940 �/ 09 /15 /22 Page_10f! 3 Inspector(print) Lic# Signature Date Risk Assessor(print) Lic# Signature G Date Address ofProperty: 94 Main St Apt.# city: North Andover CONTINUATION OF ROOM( f< ( t JL►- ) SIDE LOCATIONI LEAD TYPE OF 1 URG IC IC DELEAD DELEAD SIDEJ LOCATION/ LEAD TYPE OF URG IC IC DELEAD DELEAD SURFACE HAZARD HAZ? DATE METH DATE METH SURFACE HAZARD HAZ? DATE METH DATE METH A B Door cg L N/A Y Low Cab Fram L NIA Y CID or Edge F L NIA Y AB Low Cab Door L NIA Y or Casing L NIA Y C D Low Cab Walls L NIA Y 3 4 Door Jamb F L N/A Y # Low Cab Shty L N/A Y Threshold L N/A Y Supports L N/A Y A B Door L NIA Y Drawers L N/A Y C oor Edge F L NIA Y A Window Sill M/I A/M L N/A Y oor Casing 250 L NIA Y B Win Apron L N/A Y 34 Door Jamb F L NIA Y C Win Casing L N/A Y Threshold L N/A Y D Header Stop M/I L N/A Y A B Door L NIA Y Int Stops M/I L N/A Y C D Door Edge F L N/A Y # Win Int Sash Mil L N/A Y 1 2 Door Casing L N/A Y Exterior Sill M/I SF L NIA Y 34 Door Jamb F L NIA Y Part Bead M/I L N/A Y Threshold L NIA Y Blind Stop M/I SF L N/A Y Closet Door L N/A Y Wm Ext Sash M/I L N/A Y A Cl Door Edge F L NIA Y A Window Sill M/I A/M L N/A Y B Cl Casing L N/A Y B Win Apron L N/A Y C Closet Jamb F L N/A Y C Win Casing L N/A Y C Closet Walls L N/A Y D Header Stop MA L N/A Y D CI Baseboard L N/A Y Int Stops M/I L N/A Y Closet Pole L N/Al Y # Win Int Sash M/I L N/A Y # Closet Shelf L N/A Y Exterior Sill M/I SF L NIA Y Cl Supports L N/A Y jPart Bead M/I L N/A Y Cl Drawers L N/A Y I Blind Stop M/I SF L N/A Y Cl Dr Frame L N/A Y lWin Ext Sash M/I L N/A Y Closet Floor L❑(dust)NIA Y A B Fireplace L N/A Y Closet Ceiling L N/A Y C D Mantel L N/A Y A8 C o Shlvs Above 5' L NIA Y A B Sidelight(L) L N/A Y AS c o Cab Above 5' L N/A Y C D Sidelight(R) L N/A Y As AS c o Cab Above 5' L N/A Y c o Win Above 5' L NIA Y AS C D Up Cab Door L N/A Y c o Win Above 5' L NIA Y Up Cab Walls L NIA Y F M/1 AIM L N/A # Up Cab Shlvs L N/A Y F M/1 AIM L NIA Supports L NIA Y F M/I AIM L N/A F MA A/M L N/A F MII A/M L N/A F MII AIM L NIA F W AIM L NIA EXCLUDED SURF CES:Surfaces listed in these boxes can only be made intact COMMENTS/STRUCTURAL DEFECTS: y a Deleader(MORE THAN 288 SQ.IN.) IC IC SIDE LOCATIO MEASURE:LOOSE PAINT DATE METHOD Check the box if this ROOM is RULED OUT for encapsulation because there are 3 or more A/M surfaces with adhesion problems LURA Rep 2017 Room contd. GreggGuarnieri 1940 09 15 22 Page C q_?3 Inspector(print) Lic# Signature Date Risk Assessor(print) Lic# Signature Date Address of Pro ert : 94 Main St Apt.# < Q-Fr— City: North Andover ROOM# SIDEJLOCATIONI I LEAD TYPE OF URG IC IC DELEAD DELEAD SIDE LOCATION/ LEAD TYPE OF URG IC IC DELEAD DELEAD SURFACE HAZARD HAZ. DATE METH DATE METH SURFACE HAZARD HAZ? DATE METH DATE METH A a Up Walls L N/A Y A Window Sill M/I A/M L N/A Y A 8 Low Walls L N/A Y ® Win Apron L NIA Y A e Baseboards L N/A Y C Win Casing L N/A Y A B Chair Rail L NIA Y D Header Stop M/1 L NIA Y A B Radiator L NIA Y Int Stops /1 L NIA Y Floor L❑(dust) N/A Y 1 Win Int Sash M/I L NIA Y Ceiling L NIA Y Exterior Sill /I SF L NIA Y Sy Door L NIA Y 3 Part Bead L N/A Y C D Door Edge F L N/A Y 4 Blind Stop MII SF L NIA Y 1 2 Door Casing L N/A Y Win Ext Sash I L NIA Y ,34 Door Jamb ON/A Y A Window Sill Nil AIM L N/A Y Threshold L N/A Y Win Apron L N/A Y A B Door L NIA Y C Win Casing L NIA Y C D Door Edge F L NIA Y D Header Stop M/I L N/A Y 1 2 Door Casing L NIA Y Int Stops M/I L NIA Y 34 Door Jamb L N/A Y 1 Win Int Sash M,Mli L N/A Y Threshold L N/A Y Exterior Sill /I SF L N/A Y A B Door L N/A Y 3 Part Bead L NIA Y Od oor Edge F L NIA Y 4 Blind Stop M/I SF L NIA Y 12 Door Casing L NIA Y Win Ext Sash L N/A Y 34 Door Jamb F L NIA Y A Window Sill M/I AIM L NIA Y Threshold L NIA Y B Win Apron L N/A Y Closet Door L NIA Y C Win Casing L N/A Y A Cl Door Edge F L NIA Y D Header Stop M/I L N/A Y B Cl Casing L NIA Y Int Stops Mil L N/A Y C Closet Jamb F L NIA Y 1 Win Int Sash M/I L NIA Y D Closet Walls L NIA Y 2 Exterior Sill MA SF L N/A Y Cl Baseboard L NIA Y 3 Part Bead M/I L N/A Y 1 Closet Pole L NIA Y 4 Blind Stop M/I SF L N/A Y 2 Closet Shelf L NIA Y Win Ext Sash MA L N/A Y 3 Cl Supports L NIA Y AB Fireplace L NIA Y 4 Closet Floor L❑(dust) NIA Y C D Mantle L N/A Y AB Closet Ceiling L NIA Y CD Win Above 5' L N/A Y COMMENTS/STRUCT RAL DEFECTS. ICeiling Moldi nq L N/A Y F M/I AIM L N/A Y F M/I A/M L NIA Y EXCLUDED SURFACES:Surfaces listed in these boxes can only be made intact F Mil A/M L N/A Y by a Deleader(MORE THAN 288 SO.IN.) F Mil A/M L NIA Y C IC F M/I A/M L N/A Y SIDE LOCATION MEASURE LOOSE PAINT DATE METHOD `M/I A/M L N/A Y Check the box if this ROOM is RULED OUT for encapsulation E El because there are 3 or more A/M surfaces with adhesion problems LIRA Rep 2017 Room Page�/Of 2,3 Gre Guarnieri 1940 - pate Inspector(print) Lic I" ,gna,,ure r Signature Date Risk Assessor (print) Lic;r Signa j� cPi n� �+dA:):. V !� Address or Prooerly L 7 /��'� BATHROOM SIDE LOCATION/ LEAD TYPE OF JURGI IC !C [DEL EAD DELEAD SIDE LOCATION/ LEAD HAZARD HARD DATE METH DDA E DME METH SURFACE HAZARD HAZ? DAE ME H. DA E METH. SURFAC_ L NIA ,3 Up Cab Frame L NA A s Up Wails Y — °' a Low Walls L NIA Y C D Up Cab Door L NIA Y A a L NIA Y Uo Cab Walls L NIA Y Baseboards A a Chair Rail L NIA Y 12 Up Cab Shlvs L NIA Y As 34 Supports L N!A Y Radiator c o L NIA Y Low Cab Fram L NIA Y Floor ❑(dust) N/A Y Low Cab Door L NIA Y Ceiling dr L NIA Y A B Door L NIA Y C D '_ow Cab Wail L NIA Y Low Cab Shlv L NIA Y oor Ed F L NIA Y Edge L NIA Y 1 2 SupSupportsL NIA Y 12 Door Casing L NIA Y 34 Door Jamb F L NIA Y i 3 4 Drawers A `/fmdow Sill Mil AIM L NIA Y Threshold L NIA Y A B Door L N/A Y Win Apron L NIA Y C Wn Casing L NIA Y C D Door Edge F L NIA Y L NIA Y D Header Stop M'I L NIA Y 1 2 Door Casing MII L NIA Y 34 Door Jamb F L NiA Y int Stops i WnlntSash Mil L NIA Y Threshold L NIA Y Y A B Door L NIA Y 2 Exterior Si:: M 5F L NIA 'art Bead h L NIA Y C D Door Edge F L NIA Y —j�--- 3 MJI SF L NiA Y L NIA Y 4 Biind Stop 1 2 DoorCasng VMj L NIA Y 34 Door Jamb F L NIA Y Win Ext Sash AB Win Above L NA Y Threshold L NIA Y C D Closet Door L NIA Y Ceiling Moldin L NAI Y A CI Door Edge F NIA Y Medidne Cab L NA Y FW AM LWA Y B C!Casing L NIA Y F MA AIM L WA Y C Closet Jamb F L NIA Y D Closet Walls L NIA Y F W AIM L NiA Y CI Baseboard L N;A Y F W AM L NIA Y F W AM L NIA Y 1 Closet Pole L NIA Y t 2 Closet Shelf L NIA Y F NUI AM L NIA Y 3 Cl Supports L NIA Y F MA AIM L NIA Y 4 Closet Floor L❑(dust) NIA F Mll AM L NIA Y Y _ F MA AN L NIA Y Closet Ceiling I L N/.A " i • F M,1 AM L NIA I Y F W AM L N(A Y F MI AM L NIA Y F W A/M L NIA Y EXCLUDED SURFACES:Surfaces listed in these boxes can only be made In�act COMMENTS!STRUCTURAL.DEFECTS: by a Deleader(MORE THAN 288 S0.IN.) IG C SIDE LOCATION MEASURE:_005E PAINT DATE H-i'OD Check the box if this ROOM is RULED OU for encapsulation ubecause there are 3 or more A1M surfaces with adhesion problems LIRA Rcp 2017 Bath Gregg Guarnieri 1940 ( f 7 ` Page Inspector(pnnt) Lic# Signature Date Risk Assessor(print) 9 '/ Lic# Signature Date�/ Address of Property: ` 7 ,V7!4n,h - S Aot ��� City !SUS N�d�f HALLWAY:Interior # or Common Hallway: Front Rear Floor#_ SIDE LOCATIONI LEAD TYPE OF I URG IC !C JDELEAD DELEAD SIDEJ LOCATIONI LEAD TYPE OF URG IC IC DELEAD DELEAD SURFACE HAZARD HAZ. DATE METH DATE METH SURFACE HAZARD HAZ. DATE METH DATE METH A B UpWa!Is L NIA Y C146etDoor L NIA Y A B Low Walls L NIA Y A Cl door Edge F L NIA Y A B Baseboards �j L NIA Y B CI Casing L NIA Y A B Chair Rail L NIA Y C Closet Jamb F L WA Y A B Radiator L NIA Y D Close:Walls L NIA Y D Floor _[](dust) N/A Y Cl Baseboard L NIA Y L NIA I Y 1 Closet Pole L WAY Ceiling Door L NIA Y 2 Closet Shelf L NIA Y C D Door Edge L NIA Y 3 CI Supports L NIA Y 1 2 Door Casing L NIA Y 4 Closet Floor L (dust) WA Y 34 Door Jamb F L NIA Y Closet Ce ling L WA Y Threshold L NIA Y A Window Sill M/l AIM L NIA Y MbF NIA Y B Win Apron L NIA Y L NIA Y CWin Casing L NIA Y L NIA Y D Header Stop L NIA Y L NIA Y Int Stops MA L NIA Y L NIA Y 1 Win Int Sash MUl L WA Y fA B Door L N/A Y 2 Exterior Sill M/I SF L NIA Y Door Edge F L NIA Y 3 Part Bead Mf L NIA Y 1 2 Door Casing L N/A Y 4 Blind Stop M/I SF L NIA Y 3 4 Door Jamb L NIAJ Y Win Ext Sash IWI L NIA Y W)11; # Threshold L NIA Y A Window Sill NN A M L NIA Y A B IDoor L N/Al Y I B Win Apron L NIA Y C D Door Edge F L NIA Y C Win Casing L NIA Y 12 Door Casing L N/Al Y I D Header stop Mil L WA Y 34 Door Jamb L NIA Y Int Stops M/I L WA Y Closet Door L NIA Y 1 Win In;Sash Mll L NIA Y A CI Door Edge F L NIA Y 2 Exterior Sill MA SF L N/A Y B Cl Casing L N/A Y 3 Par!Bead Mn L N/A Y 6 Closet Jamb F L NIA Y 4 Blind Stop . MI! SF L NIA Y D Closet Walls L N/A Y Win Ext Sash Mil L NIA Y AB CI Baseboard L N/A Y c D Win Above 5' L NIA Y 1 Closet Pole L NIA Y _ Ceiling Mold'm L NIA Y 2 Closet She L NIA Y F hUl AIM L NIA Y 3 Cl Supports L NIA Y F M/l A M L WA Y 4 Closet Floor L❑(dust) NIA Y F Mn AJM L WA Y Closet Ceiling L N/A Y I COMMENTS i STRUCTURAL DEFECTS: EXCLUDED SURFACES:Surfaces listed in these boxes can only be made intact by a Deleader(MORE THAN 288 SQ.IN.) SIDE LOCATION M EASURE:LOOSE PAINT ic1) :CMErioo a Check the box if this ROOM is RULED OUT for encapsulation because there are 3 or more AIM surfaces with adhesion problems LIRA Rep 2017 Hall GreggGuarnieri 1940 Page 3of inspector(print) Llc# Signature Date 1 / Risk Assessor(pant) Lic# Signatures Ci Date Address of Pro F4/ 0,44�.. S� A 1.# ' HALLWAY:Interior or Common Hallway: Front Rear Floor i#_ SIDE LOCATION( LEAD TYPE OF URG C iC DELEADJ DELEAD SIDEJ LOCATION LEAD TYPE OF URG IC IC DELEAD DELEAD SURFACE HAZARD HAZ. DATE METH DATE METH SURFACE HAZARD 1HAZI DATE METH DATE METH A a L NIA Y Closet Door L NIA Y Up Walls A i3 Low Walls L NIA Y A C;Door Edge F L NIA Y A B Baseboards L NIA Y I I B C!Casing L N/A Y A B Chair Rail L N/A Y C Closet Jamb F L NIA Y A D Radiator L NIA Y I L D Closet Walls L NIA Y Floor L❑(dust) NIA Y CI Baseboard L NIA Y Ceiling L NIA Y 1 Closet Pole L N/A Y B Door L NIA Y 2 NIA Y Closet Shelf L C D NIA Y Door Edge F NIA Y 3 CI Suppo u L 1 2 Door Casing IA Y 4 Closet Floor L Q(dust) WA Y 3 4 Door Jamb (f F -LAIA Y Closet Ceiling L WA Y Threshold L NIA Y A Window Sill MA AIM L NIA Y A B Door L N!A Y B Wm Apron L NIA I Y Door Edge F L NIA Y C Win Casing L NIA Y 1 2 Door Casing L NIA Y D Header Stop M/l L NIA Y 3 4 Door Jamb F L NIA Y Int Stops MA L NIA Y Threshold L NIA Y 1 Win Int Sash Mn L WA Y AB Door L NIA Y 2 Exterior Sill MA SF L NIA Y CD Door Edge F L NIA Y 1 3 Part Bead M/l L NIA Y 1 2 Door casing L NIA Y 1 4 Blind Stop I IW1 SF L NIA Y 34 Door Jamb F L NIA Y I t Win Ext Sash Mil L NIA Y Threshold L NIA Y I A WndowSill MA AIM L NIA Y A B IDoor IL NIA I Y I I B Win Apron L NIA Y C D Door Edge F L N/Al Y I I C Win Casing L NIA Y 1 2 Door Cas rig L N/A Y D Header Stop Mll L NIA Y 3 4 Door Jamb F L NIA Y Int Stops M l L NIA Y Closet Door Ir. L NIA Y 1 Win Int Sash Mil L WA Y A Cl Door Edge F L NIA Y 2 Ex enor Sill M11 SF L NIA Y B Cl Casing L NIA Y 3 Part Bead MA L NIA Y C Closet Jamb F L N/A Y 4 Blind Stop Mll SF L WA Y D Closet Walls L WA Y As Win ExtSash WI L N/A Y Cl Baseboard L N/A Y CD Win Above 5' L NIA Y 1 Closet Pole L NIA Y ,_;Ceiling Moldin L WA Y 2 Closet Shelf L WA Y F MA AIM L N/A Y 3 CI Supports L NIA Y F M/l AIM L WA Y 4 Close:Floor L❑(du5) N A Y F W AIM L NIA Y Closet Ceiling L NIA Y COMMENTS 1 STRUCTURAL DEFECTS: EXCLUDED SURFA ES:Surfaces listed in these boxes can only be made intact b a Deleader(MORE THAN 288 SQ.IN.) SIDE LOCATION MEASURE:LOOSE PAINT COAT= .0 McrFiW Check the box if this ROOM is RULED OUT for encapsulation because there are 3 or more AIM surfaces with adhesion problems LL/RA Rep 2017 Hall Gregg Guarnieri 1940 l /t S / 2 Page Of Inspector(print) Lc# Signature Date Risk Assessor(print) o Lic;# C Signature J {� Date Address of Pro f �ry�~' Jy Citv: �4�^/ L ✓�`�' HALLWAY:Interior # or Common Hallway: Front Rear Floor#_ SIDE LOCATION/ LEAD TYPE OF I URG IC IC DELEAD DELEAD SIDEJ LOCATION/ LEAD TYPE OF URG tG IC DELEAD DELEAD SURFACE HAZARD HAZ. DATE METH DATE METH, SURFACE HAZARD 1HAZJ DATE I METH DATE METH A B Up Walls L NIA Y Closet Door L N/A Y A aJ�j Y A CI Door Edge F L N!A Y Low Walls L NIA A B Baseboards L NIA Y B Cl Casing L NIA Y A 6 Chair Rail L NIA Y C Closet Jamb F L NIA Y A O Radiator #L, D Gbset Walls L N/A Y Floor ❑(d CI Baseboard L WA Y ?« 1 Closet Pole L NIA Y 'Ceiling Door L NIAMY 2 Closet Shelf L NIA Y C D Door Edge F L NI 3 CI Supports L NIA Y 1 2 Door Casing L NI 4 Closet Floor L Q(dust) WA Y34 Door Jamb F L N/ Closet Ceiling L N/A Y Threshold L N A Window Sill MA A/M L N/A Y Door qFL Y B Win Apron L WA Y C D Door Edge Y C Win Casing L NIA Y 1 2 Door Casing Y D Header Stop MA L NIA Y 34 Door Jamb Y Int Stops MA L NIA Y Threshoid L N1A Y 1 Wn Int Sash DNI L NIA Y A B Door L N/A Y 2 Exterior Sill M/l SF L NIA Y CY Door Edge F L NIA v 3 Part Bead JW L NIA Y 1 2 Door casing /A v 4 Blind Stop 1Mn SF L N/A Y 34 Door Jamb 0 NIA Y Win Ext Sash I IWI L NIA Y Threshold L NIA Y A JWndow Sill 1W AIM L NIA Y A B Door L NIA Y B Wn Apron L N/A Y C D Door Edge F L NIA Y C Win Casing L NIA Y 1 2 Door Casing L NIA v D Header Stop 1W L WA Y 34 Doorjamb F L NIA Y Int Stops MII L N/A Y Closet Door L NIA Y 1 Win Int Sash M11 L N/A Y CI Door Edge F L N/A Y 2 Ex e or S01 MA SF L NIA Y B CI Casing L NIA Y 3 Part Bead Mil L NIA Y C Closet Jamb F L NIA Y 4 Blind Stop M/l SF L NIA Y D Closet Walls L NIA Y W n Ext Sash MA L NIA Y AB Cl Baseboard L NIA Y C G Wn Above 5' L NIA Y 1 Closet Pole L N/A Y ,: Ceiling Moldin L WA Y 2 Closet Shelf L N/A Y F MA A M L NIA Y 3 Cl Supports L N/A Y F WI AIM L N/A Y 4 Closet Floor L❑(dust) NIA Y F Mn AIM L WA Y Closet Ceiling L NIA Y COMMENTS I STRUCTURAL DEFECTS: EXCLUDED SURFACES:Surfaces listed in these boxes Can only be made intact by a Deleader(MORE THAN 288 SQ.IN.) SIDEJ LOCATION MEASURE:LOOSE PAINT c OATS ,C M-HoC Check the box if this ROOM is RULED OUT for encapsulation because there are 3 or more A/M surfaces with adhesion problems LLIRA Rep 2017 Hall Gregg Guarnieri 1940 � 09 / 15 /22 Page Inspector(print) Lic# Signature Date Risk Assessor (print) Lic# Signature Date Address of Pro ert : 94 Main St A t.# Cit : North Andover BATHROOM# SIDE LOCATION/ LEAD TYPE OF URG C IC DELEAD DELEAD SIDEJ LOCATION/ LEAD TYPE OF URG IC IC DELEAD DELEAD SURFACE HAZARD HAZ7 DATE METH DATE METH SURFACE HAZARD HAZ7 DATE METH DATE METH A B Up Walls L NIA Y A B Up Cab Frame L N/A Y A B Low Walls L NIA Y C D Up Cab Door L N/A Y A B Baseboards L NIA Y Up Cab Walls L N/A Y A B Chair Rail L NIA Y 12 Up Cab Shlvs L N/A Y AS cc Radiator L N/A Y 34 Supports L N/A Y Floor ❑(dust) N/A Y Low Cab Fram L N/A Y Ceiling L N/A Y AB Low Cab Door GlIq L N/A Y Nor L N/A Y Low Cab Wall L N/A Y C D Door Edge F L N/A Y Low Cab Shly L N/A Y 1 2 Door Casing L N/A Y 1 2 Supports4 L N/A Y 34 Door Jamb F L N/A Y 34 jDrawers L N/A Y Threshold L N/A Y A Window Sill I M/I A/M L N/A Y A B Door L NIA Y B Win Apron L N/A Y C D Door Edge F L N/A Y C Win Casing L N/A Y 12 Door Casing L NIA Y D Header Stop M/1 L N/A Y 3 4 Door Jamb F L N/A Y Int Stops M/I L N/A Y Threshold L N/A Y 1 Win Int Sash M/I L N/A Y A B Door L N/A Y 2 Exterior Sill M/I SF L N/A Y C D Door Edge F L N/Al Y 3 Part Bead M/I L NIA Y 1 2 Door Casing L N/A Y 4 Blind Stop M/I SF L N/A Y 3 4 Door Jamb F L N/A Y Win Ext Sash M/I L N/A Y AS Threshold L NIA Y CD Win Above 5' L NA Y Closet Door L N/A Y Ceiling Moldinc L NA Y A Cl Door Edge F L N/Al Y AS CD Medicine T01 L NA Y B Cl Casing L N/A Y F M/1 AIM L N/A Y C Closet Jamb F L N/A Y F M/1 AIM L N/A Y D Closet Walls L N/A Y F M/I AIM L N/A Y CI Baseboard L N/A Y I F MA A/M L N/A Y 1 Closet Pole L N/A Y F M/1 AIM L NIA Y 2 Closet Shelf L N/A Y F M/I A/M L N/A Y 3 CI Supports L N/A Y F M/1 AIM L N/A Y 4 Closet Floor L❑(dust) NIA Y F M/1 AIM L N/A Y Closet Ceiling L N/A Y F M/1 AIM L N/A Y F MA A/M L N/A Y F M/I A/M L N/A Y F M/1 A/M L N/Ar Y F M/I A/M L N/A Y EXCLUDED SURF CES:Surfaces listed in these boxes can only be made intact COMMENTS/STRUCTURAL DEFECTS: y a Deleader(MORE THAN 288 SQ.IN.) SIDE LOCATIO MEASURE:LOOSE PAINT C IC DATE METHOD Check the box if this ROOM is RULED OUT for encapsulation because there are 3 or more A/M surfaces with adhesion problems LI/RA Rep 2017 Bath Gregg Guarnieri 1940 09 / 15 / 22 Paget'Wt 2T� Inspector(print) Lic# Signature Date Risk Assessor(print) Lic# Signature Date Address of Property: 94 Main St Apt.# �.F� city: North Andover HALLWAY:Interior # or Common Hallway: Front Rea Floo # S SIDE LOCATION/ LEAD TYPE OF URG IC IC DELEAD DELEAD SIDE LOCATION/ LEAD TYPE OF URG IC IC DELEAD DELEAD SURFACE HAZARD HAZ? DATE METH DATE METH SURFACE HAZARD HAZ7 DATE METH DATE METH A B Up Walls L NIA Y Closet Door L NIA Y A B Low Walls L NIA Y A Cl Door Edge F L NIA Y A B Baseboards L NIA Y B Cl Casing L NIA Y A B Chair Rail L NIA Y C Closet Jamb F L NIA Y c D Radiator L NIA Y D Closet Walls L NIA Y Floor ❑(dust) N/A Y Cl Baseboard L N/A Y lCas L NIA Y 1 Closet Pole L N/A Y B L NA Y 2 Closet Shelf L N/A Y C D F L NIA Y 3 Cl Supports L N/A Y L NA Y 4 Closet Floor L❑(dust) NIA Y 3 4 F L NIA Y Closet Ceiling L N/A Y Threshold L NIA Y A Window Sill M/I AIM L N/A Y B Door L NIA Y B Win Apron L N/A Y C D Door Edge F L N/A Y C Win Casing L N/A Y Door Casing L N/A Y D Header Stop M/I L N/A Y 34 Door Jamb F L NIA Y Int Stops M/I L N/A Y Threshold L NA Y 1 Win Int Sash M/I L N/A Y Door L NiAl Y 2 Exterior Sill M/I SF L NIA Y C D Door Edge F L NIA Y 3 Part Bead Mil L NIA Y 12 Door Casing L N/A Y 4 Blind Stop M/I SF L N/A Y 34 Door Jamb F L N/A Y Win Ext Sash M/I L N/A Y Threshold L N/A Y A Window Sill M/I A/M L N/A Y A B Door L N/A Y B Wm Apron L N/A Y C407oorEdge F L N/A Y C Win Casing L N/A Y 1 2 Door Casing CO L N/A Y D Header Stop M/I L N/A Y 34 Door Jamb F L NIA Y Int Stops M/I L NIA Y Closet Door L NIA Y 1 Win Int Sash M/I L N/A Y A Cl Door Edge F L N/A Y 2 Exterior Sill M/I SF L N/A Y B Cl Casing L N/A Y 3 Part Bead M/I L NIA Y C Closet Jamb F L NIA Y 4 Blind Stop M/I SF L N/A Y D Closet Walls L NIA Y Win Ext Sash M/1 L N/A Y AB Cl Baseboard L NIA Y CID Win Above 5 L N/A Y 1 Closet Pole L N/A Y Ceiling Moldin L N/A Y 2 Closet Shelf L N/A Y F M11 A/M L N/A Y 3 Cl Supports L N/A Y F M/I A/M L N/A Y 4 Closet Floor L❑(dust) NIA Y F M/1 A/M L N/A Y Closet Ceiling L N/A Y COMMENTS/STRUCTURAL DEFECTS: EXCLUDED SURF CES:Surfaces listed in these boxes can only be made intact y a Deleader(MORE THAN 288 SO.IN.) SIDE LOCATION MEASURE LOOSE PAINT ;C DATE I IC METHOD Check the box if this ROOM is RULED OUT for encapsulation because there are 3 or more A/M surfaces with adhesion problems Ll/RA Rep 2017 Hall Gregg Guarnieri 1940 09 / 15 /22 Page� 2 Inspector(print) Lic# Signature Date Risk Assessor(print) Lic# Signature Date Address of Property: 94 Main St Apt.# L Tr ci : North Andover STAIRCASE# r SIDEESURFACE LEAD TYPE OF URG IC IC DELEAD DELEAD SIDE LOCATION/ LEAD TYPE OF URG IC IC DELEAD DELEAD HAZARD HAZ? DATE METH DATE METH SURFACE HAZARD HAZ? DATE METH DATE METH A B QU L N/A Y A Window Sill M/I AIM L NIA Y A B L NIA Y B Win Apron L NIA Y A B Baseboards L NIA Y C Win Casing L N/A Y A B Chair Rail L N/A Y D Header Stop M/I L N/A Y AB cp Radiator L NIA Y IntStops Mil L NIA Y Floor L❑(dust) N/A Y 1 Win Int Sash MII L N/A Y Ceiling 4— L NIA Y 2 Exterior Sill M/I SF L NIA Y B Door L NIA Y 3 Part Bead M/I L NIA Y CD Door Edge 0 F L N/A Y 4 Blind Stop M/I SF L N/A Y 12 Door Casing,.- L N/A Y Win Ext Sash M/1 L N/A Y 3 4 Door Jamb F L N/A Y A Window Sill M/I A/M L N/A Y Threshold'— L NIA Y B Win Apron L NIA Y A B Door L NIA Y C Win Casing L NIA Y D Door Edge F L N/A Y D Header Stop Mll L NIA Y 12 Door Casing L N/A Y Int Stops M/1 L NIA Y 34 Door Jamb F L N/A Y 1 Win Int Sash M/I L NIA Y Threshold L NIA Y 2 Exterior Sill Mll SF L NIA Y A B Door P L N/A Y 3 Part Bead M/I L NIA Y C D Door Edge F L NIA Y 4 Blind Stop M/I SF L N/A Y 12 Door Casing L NIA Y Win Ext Sash Mil L NIA Y 34 Door Jamb F L NIA Y Newel Post L NIA Y Threshold J, L NIA Y Railing Cap N/A Y A B Door L N/A Y Handrail A/M L N/A Y C D Door Edge F L N/A Y Balusters L N/A Y 12 Door Casing L N/A Y Lower rail L N/A Y 34 Door Jamb F L N/A Y 'reads F L N/A Y Closet Door L NIA Y Risers L N/A Y A Cl Door Edge F L NIA Y Stringer L N/A Y B Cl Casing L N/A Y Tread edge>5 L NIA Y C Closet Jamb F L NIA Y Landing floor L ❑(dust) NIA Y D Closet Walls L N/A Y Floor Edge L N/A Y Cl Baseboard L N/A Y Floor Casing L N/A Y 1 Closet Pole L N/A Y F M/1 AIM L NIA Y 2 Closet Shelf L N/A Y F M/I A/M L N/A Y 3 Cl Supports L N/A Y F M/I AIM L N/A Y 4 Closet Floor L❑(dust) N/A Y F M/I A/M L NIA Y Closet Ceiling L N/A Y F Mll A/M L NIA Y EXCLUDED SURF ES:Surfaces listed in these boxes can only be made intact COMMENTS/STRUCTURAL DEFECTS: y a Deleader(MORE THAN 288 SQ.IN.) C C SIDE LOCATIO MEASURE:LOOSE PAINT DATE METHOD Check the box if this ROOM is RULED OUT for encapsulation because there are 3 or more A/M surfaces with adhesion problems LIRA Rep 2017 Stair -GreggGuarnieri 1940 Z2 09 / 15 /22 Page 90f Inspector(print) Lic# Signature Date Risk Assessor (print) Lic# Signature Date Address of Property:94 Main St Apt.# ��F� City: North Andover EXTERIOR A Side SIDE LOCATIONI LEA TYPE OF URG IC IC DELEAD DELEAD SIDE LOCATIONI LEAD TYPE OF URG IC IC DELEAD DELEAD A SURFACE HAZARD HAZ? DATE METH DATE METH A SURFACE HAZARD HAZ? DATE METH DATE METH Siding L N/A Y Window Sill AIM L NIA Y Comer Board L N/A Y A Win Casing L N/A Y A Lower Trim L NIA Y # Window Sash L N/A Y Upper Trim L N/A Y Cellar Win Silf M L NIA Y Win Above 5' L N/A Y A CeI Win Fram L N/A Y Porch Above 5' L N/A Y # CeI Win Sash L N/A Y Storm Door L NIA Y Screen Frame L NIA Y Stnn Door Edg F L NIA Y Cellar Win Sill AIM L NIA Y A Door L N/A Y A CeI Win Fram L N/A Y 1 2 Door Edge F L N/A Y # Cei Win Sash L N/A Y 3 4 Door Casing L N/A Y Screen Frame L N/A Y Door Jamb F L N/A Y Cellar Win Sill AIM L N/A Y Threshold L N/A Y A Cel Win Fram L N/A Y Kickplate L N/A Y # Cel Win Sash L N/A Y Storm Door L N/A Y Screen Frame L N/A Y Strm Door Edge F L N/A Y Foundation L NIA Y A Door L N/A Y A Bulkhead L N/A Y 1 2 Door Edge F L NIA Y Fences L N/A Y 3 4 Door Casing L N/A Y Shutters L NIA Y Door Jamb F L NIA Y Newel post L N/A Y Threshold L N/A Y Railing Cap L NIA Y Kickplate L N/A Y Handrail A M L N/A Y Door L NIA Y A Balusters All, 1 L N/A Y A Door Edge F L NIA Y Lower Rail 7.1� L N/A Y 1 2 Door Casing L N/A Y Treads F L NIA Y 3 4 Door Jamb F L NIA Y Risers UL L N/A Y Threshold L N/A Y Tread edge L N/A Y Kickplate L NIA I Y Landing floor —11 L N/A Y Window Sill I fat. %J M L NIA Y Stringer L N/A Y A AWindowSash L N/A Y Lattice L N/A Y # L N/A Y Drain Pipes L N/A Y M L N/A Y A Elec Conduit L N/A Y L N/A Y Oil Fill Pipe L N/A Y # L N/A Y Overhang Trim L N/A Y COMMENTS/STRUCTURAL DEFECTS: A Lamp Post L N/A Y A F M/I AW L N/A Y A F M/I A/M L N/A Y EXCLUDED SURFACES:Surfaces listed in these boxes can only be made Soil Test Results(Must be less than 400 ppm for play area 11200 ppm for bare soil) intact by a Deleader(MORE THAN 2880 SO.IN.) LOCATION AREA MEASUREMENT RESULT REMED REMED SIDE LOCATION MEASURE:LOOSE PAINT IC DATE iC METHOD (Square Feet) (PPM) DATE METH A Play Area A Bare Soil A Comments A LI/RA Rep 2017 Ext A GreggGuarnieri 1940 09 / 15 /22 Page 40f� Inspector(print) Lic# Signature Date Risk Assessor (print) Lic# Signature Date Address of Property: 94 Main St Aot.# 1 Le-F City: North Andover EXTERIOR A Side SIDE LOCATION/ EAC TYPE OF URG IC IC DELEAD DELEAD SIDE LOCATION/ LEAD TYPE OF URG IC IC DELEAD DELEAD A SURFACE HAZARD HAZ? DATE METH DATE METH A SURFACE HAZARD HAZ? DATE METH DATE METH Siding L N/A Y Window Sill M L NIA Y Comer Boards L N/A Y Win Casing L N/A Y A Lower Trim L NIA Y # Window Sash L N/A Y Upper Trim L N/A Y Cellar Win Sill AIM L N/A Y Win Above 5' L N/A Y A Cel Win Frame L NIA Y Porch Above 5' L N/A Y # Cel Win Sash L N/A Y Storm Door L N/A Y Screen Frame L N/A Y Strrn Door Edge F L N/A Y Cellar Win Sill AIM L N/A Y A Door L N/A Y A Cel Win Frame L N/A Y 1 2 Door Edge F L N/A Y # Cel Win Sash L N/A Y 3 4 Door Casing L N/A Y Screen Frame L N/A Y Door Jamb F L N/A Y Cellar Win Sill AIM L N/A Y Threshold L N/A Y A Cel Win Frame L N/A Y Kickplate L N/A Y # Cel Win Sash L N/A Y Storm Door L N/A Y Screen Frame L N/A Y Strm Door Edge F L N/A Y Foundation L N/A Y A Door L NIA Y A Bulkhead L N/A Y 1 2 Door Edge F L N/A Y Fences L N/A Y 3 4 Door Casing L N/A Y Shutters L N/A Y Door Jamb F L NIA Y Newel post L N/A Y Threshold L N/A Y Railing Cap A/M L N/A Y Kickplate L NIA Y Handrail AIM L N/A Y Door L N/A Y A Balusters L NIA Y A Door Edge F L NIA Y Lower Rail L N/A Y 1 2 Door Casing L N/A Y Treads F L NIA Y 3 4 Door Jamb F L N/A Y Risers L N/A Y Threshold L N/A Y Tread edge L N/A Y Kickplate I L N/A Y Landing floor L N/A Y Window Sill A/M L N/A Y Stringer L N/A Y A Win Casing L N/A Y Lattice L N/A Y Window Sash L N/A Y Drain Pipes L N/A Y Window Sill M L N/A Y A Elec Conduit L N/A Y A Casing L N/A Y Oil Fill Pipe L N/A Y # Window Sash L NIA Y Overhang Trim L NIA Y COMMENTS/STRUCTURAL DEFECTS: A Lamp Post L N/A Y A F M/I AN L NIA Y A F MA A/M L NIA Y EXCLUDED SURFACES:Surfaces listed in these boxes can only be made Soil Test Results(Must be less than 400 ppm for play area/1200 ppm for bare soil) intact by a Deleader(MORE THAN 2880 SQ.IN.) LOCATION AREA MEASUREMENT RESULT REMED REMED SIDE LOCATION MEASURE:LOOSE PAINT IC DATE I IC METHOD (Square Feet) (PPM) DATE METH A Play Area A Bare Soil A Comments: A LIRA Rcp 2017 Ext A GreggGuarnieri 1940 09/ 15/ 22 Pagt�Of Inspector(print) Lic# Signature Date Risk Assessor (print) Lic# Signature y Date Address of Property: 94 Main St Apt.# _ l L�`'/ City: North Andover EXTERIOR B Side SIDE LOCATION/ LEA TYPE OF URG IC C DELEAD DELEAD SIDE LOCATION/ LEAD TYPE OF URG IC IC DELEAD DELEAD B SURFACE HAZARD HAZ? DATE METH DATE METH B SURFACE HAZARD HAZ? DATE METH DATE METH Siding L N/A Y Window Sill M L NIA Y Comer Boards L NIA Y B Win Casing L N)A Y B Lower Trim L NIA Y # Window Sash L NIA Y Upper Trim L NIA Y Geller Win Sill M L NIA Y Win Above 5' L NIA Y B Geh'Win Fram L N/A Y Porch Above 5' L NIA Y # MWin Sash V L N/A Y Storm Door L NIA Y Sereen�rerne L NIA Y Strm Door Edge F L N/A Y Cellar Wm Sill A/M IA Y B Door L NIA Y B Cal Win Fram p MA Y 1 2 Door Edge F L NIA Y # f Cel Win Sash L N/A Y 3 4 Door Casing L N/A Y Screen Frame L N/A Y Door Jamb F L NIA Y Cellar Win Sill A/M G>/A Y Threshold L NIA Y B CeI Win Frame &/A Y Kickplate L NIA Y # Cel Win Sash L N/A Y Storm Door L N/A Y Screen Frame L N/A Y Strm Door Edge F L N/A Y Foundation L N/A Y B Door L N/A Y B Bulkhead L N/A Y 1 2 Door Edge F L NIA Y Fences L N/A Y 3 4 Door Casing L NIA Y Shutters L N/A Y Door Jamb F L NSA Y Newel post L NIA Y Threshold L N/A Y Railing Cap 4 AIM L N!A Y Kickplate L N/A Y Handrail A/M L NIA Y Door L N/A Y B Balusters L NIA Y B Door Edge F L NIA Y Lower Rail L NIA Y 1 2 Door Casing L NIA Y Treads F L N/A Y 3 4 Door Jamb F L NIA Y Risers L NIA Y Threshold L NIA Y Tread edge L NIA Y Kickplate L NIA Y Landing Boor L NIA Y Window Sill AIM L NIA Y Stringer L NIA Y B Win Casing L N/A Y Lattice L NIA Y #If Window Sash V L NIA Y Drain Pipes L NIA Y Window Sill M L NIA Y B Elec Conduit L NIA Y B Win Casing L N/A Y Oil Fill Pipe L NIA Y # Window Sash L N/A Y Overhang Trim L NIA Y COMMENTS�/SST`R"UCTURAL DEFECTS: B Support Clmns L NIA Y F M/1 AIM L N/A Y B F M/1 AIM L N/A Y EXCLUDED SURFACES:Surfaces listed in these boxes can only be made Soil Test Results(Must be less than 400 ppm for play area 11200 ppm for bare soil) intact by a Deleader(MORE THAN 2880 SO.IN.) LOCATION AREA MEASUREMENT RESUL REMED REMED SIDE LOCATION MEASURE:LOOSE PAINT IC DATE IC METHOD (Square Feet) (PPM) DATE METH B Play Area B Bare Soil B Comments: B LI/RA Rcp 2017 Ext B Gregg Guarnieri 1940 /�� 09/ 15 / 22 Page/ ofZ-)o Inspector(print) Lic# Signature Date Risk Assessor (print) Lic# Signature Date Address of Property: 94 Main St Apt.# _ t L � City: North Andover EXTERIOR C Side SIDE LOCATIONI LEA TYPE OF URG IC IC DELEAD DELEAD SIDE LOCATION/ LEAD TYPE OF URG IC IC DELEAD DELEAD C SURFACE HAZARD HAZ7 DATE METH DATE METH C SURFACE HAZARD HAZ. DATE METH DATE METH Siding L NIA Y Window Sill j NM L N/A Y Comer Boards L NIA Y C Win Casing L NiA Y C Lower Trim 0e, L NIA Y # Window Sash L NIA Y Upper Trim L NIA Y Cellar Win Sill IA Y Win Above 5' L N/A Y C CeI Win Frame /A Y Porch Above 5'cro L NIA Y # Gel Win Sash L N/A Y Storm Door L NiA Y Screen Frame L N/A Y Strm Door Edge F L NIA Y Cellar Win Sill A/M L N/A Y C Door L NIA Y C CeI Win Frame L N/A Y 2 Door Edg F L NIA Y # Cel Win Sash L N/A Y 3 4 Door Casing L N/A Y Screen Frame L NIA Y Door Jamb F L NIA Y Cellar Win Sill A/M L N/A Y Threshold L N/A Y C CeI Win Frame L N/A Y Kickplate L N/A Y # CeI Win Sash L N/A Y Storm Door L N/A Y Screen Frame L NIA Y Strm Door Edge F L NIA Y Foundation L N/A Y C Door L N/A Y C Bulkhead L N/A Y 1 oor Edge F L N/A Y Fences L NIA Y 3 4 Door Casing L NIA Y Shutters L NIA Y Door Jamb F L NIA Y Newel post L N/A Y Threshold L N/A Y Railing Cap 67 L NIA Y Kickplate L N/A Y Handrail A/M L N/A Y Door L NIA Y C Balusters L N/A Y C Door Edge F L N/A Y Lower Rail L N/A Y 1 2 Door Casing L N/A Y Treads F L N/A Y 3 4 Door Jamb F L NIA Y Risers L N/A Y Threshold L N/A Y Tread edge NY= L N/A Y Kickplate L N/A Y Landing Floor AX L N/A Y Window Sill M L N/A Y Stringer L N/A Y C Win Casing L NIA Y Lattice L N/A Y # Window Sash L N/A Y Drain Pipes L NIA Y Window Sill / A/M L N/A Y C Elec Conduit L N/A Y C Win Casing L NIA Y pit Fill Pipe L N/A Y # Window Sash L NIA Y Overhang Trim 4o L NIA Y COMMENTS I STRUCtURAL DEFECTS: C Support Clmns L NIA Y �C Mrs. I P-0-1 ��� C I F M/1 AIM L N/A Y C F MA A/M L N/A Y EXCLUDED SURFACES:Surfaces listed in these boxes can only be made Soil Test Results(Must be less than 400 ppm for play area 11200 ppm for bare soil) intact by a Deleader(MORE THAN 2880 SQ.IN.) LOCATION AREA MEASUREMENT RESULT REMED REMED SIDE LOCATION MEASURE:LOOSE PAINT IC DATE IC METHOD (Square Feet) (PPM) DATE METH C Play Area C Bare Soil C Comments C . I j LI/RA Rep 2017 Ext C i� Pa��f Greg Guarnieri 1940 Date Inspector(print) Lic# Signat Lic# Signature Dave FZsk Assessor (print) Address of Pro,ee ty, f 7 1"4" S A"+ # EXTERIOR C Side Lec`,-frw4 SIDE LOCATION! TYPE OF URG IC IC DELEAD DELEAD SIDE LOCATION! LEAD TYPE OF JURGI IC IC DELEAD DELEAD C SURFACE HAZARDIiHAZ-elDATE %lETH DATE %.ETH C SURFACE HAZARD HAZ? DATE i,1ETFi DATE METH W&,ding . L NIA Y Window Sill AIM L NIA Y L WA Y C rrVm Casing L NIA Y C L NIA Y 1PAndowSash L NIA 'Y L NIA Y Celar Win Sill v L wk Y L N/A Y C Cal Win Frame L N!A Y Porch Above 5 L NiA Y - Cat Win Sash L ',;A Y Storm Door L N:A Y Screen Frame L WA Y Strm Door Edge F L N/A Y Cellar Win Sill Am1 L WA Y C Door L NIA Y C Cal Win Frame L N/A Y 1 2 Door Edge F L N/A Y Cal Win Sash L NIA Y 3 4 Door Casino L NIP. Y Screen Frame L N!A Y Door Jamb F L N!A Y Cellar Win Sill V. L NIA Y Threshold L NiA Y C Cel'rYin Frame L NIA Y C ckplate L N!A Y Cal Win Sash L NIA Y Storm Door L NIA Y Screen Frame L NIA Y Strm Door Edge F L NIA Y Foundation L NIA Y C Door L N!A Y C Bulkhead L N/A Y 1 2 Door Edge F L N!A Y Fences L N(A Y 3 4 Door Casing L NIA Y Shutters L NIA Y Door Jamb F L NIA Y lNewelpost L WA Y Threshold L NIA Y Railing Cap A!M L N!A Y Kckplate L WA Y Handrail AIM L WA Y Door L WA Y C Balusters L N/A Y C Door Edge F L N/A Y Lower Rail L NIA Y 1 2 Door Casing L N!A Y Treads F L NIA Y 3 4 Door Jamb F L N/A Y Risers L N/A Y Threshod L NiA Y' Tread edge L NiA Y Kickplate L WA Y Landing floor L NiA Y W ndow Sill AIM L N/A Y Istringer L NIA Y C Win Casing L NIA Y Lattice L N/A Y # Window Sash L N/A Y Drain Pipes L N/A Y Window Sill AIM L NIA Y C Elec Conduit L NIP. Y C Win Casing L N/A Y Oil Fill Pipe L NIA Y # Window Sash L NiA Y Overhang Trim L NIA Y COMMENTS/STRUCTLPAL DEFECTS: C Support Clmns L NiA Y C F W AIM L WA Y C F Wl AIM L WA Y EXCLUDED SURFACES:Surfaces listed in these boxes can only be made Soil Test Results(Must be less than 400 ppm for play area 1200 ppm for bare soil) intact by a Deleader(MORE THAN 2880 SO,IN.) LOCATION AREA NIF.ASURE�TENT RIESULI REMED REMED SIDE LOCATION MEASURE:LOOSE PAINT IC DATE IC METHOD (Square Feet (PPM) DATE METH C May Area C Bare Soil C Comments: C LIRA Rep 2017 Ext C GreggGuarnieri 1940 09 / 15 /22 Pag?�bt Z� Inspector(print) Lic# Signature Date Risk Assessor (pent) Lic» Signature Date Address of Property:94 Main St Apt.# �� City: North Andover EXTERIOR D Side SIDE LOCATION/ LEA TYPE OF URG IC IC DELEAD DELEAD SIDE LOCATIONI LEAD TYPE OF URG IC IC DELEAD DELEAD D SURFACE HAZARD HAZ? DATE METH DATE METH D SURFACE HAZARD HAZ? DATE METIi DATE METH jS,d,nL NIA Y Window Sill AIM L NIA Y L NIA Y D Win Casing L NIA Y D L NIA Y Window Sash L N/A Y L MA Y Cellar Win Sill A'M IA Y L NIA Y D Cel Win Frame IA Y L NIA Y #/ Cel Win Sash L NIA Y Storm Door L N/A Y ` Screen Frame L NIA Y St.Door Edge F L N/A Y Cellar Win Sill A' NIA Y D Door L NIA Y D Cel Win Frame N/A Y 1 2 Door Edge F L N/A Y # Cel Win Sash L N/A Y 3 4 Door Casin L MA Y Saeen Frame L N/A Y Door Jamb F L NIA Y Cellar Win Sill A!M L N/A Y Threshold L N/A Y D Cel Win Frame L N/A Y Kickplate L N/A Y # Cal Win Sash L N/A Y Storm Door L N/A Y Screen Frame L NIA Y Strm Door Edge F L N/A Y Foundation L NIA Y D Door L N/A Y D/Z• Bulkhead L NIA Y 1 2 Door Edge F L N/A Y Fences L NIA Y 3 4 Door Casing L MA Y Shutters L N/A Y Door Jamb F L N/A Y Newel post L N/A Y Threshold L N/A Y Railing Cap A'M L N/A Y Kickplate L N/A Y Handrail A/M L N/A Y Door L N/A Y D Balusters L N/A Y D Door Edge F L N/A Y Lower Rail L N/A Y 1 2 Door Casing L N/A Y Treads F L N/A Y 3 4 Door Jamb F L N/A Y Risers L N/A Y Threshold L N/A Y Tread edge L N/A Y Kickplate L N/A Y Landing floor L N/A Y Window Sill M L N/A Y Stringer L N/A Y D Casing L NIA Y Lattice L N/A Y Window Sash L MA Y Drain Pipes L N/A Y Window Sill AIM L MA Y D Elec Conduit L N/A Y D Win Casing L N/A Y Oil Fill Pipe L N/A Y # Window Sash L N/A Y Overhang Trim L N/A Y COMMENTSS I �TU'�R�i L DEFECTS: D Support Clmns L NIA Y �c h4,, L •y � f r1.G�I D F MA NM L N/A Y w8fl, Sf O rw D F MA AIM L N/A I Y EXCLUDED SURFACES:Surfaces listed in these boxes can only be made Soil Test Results(Must be less than 400 ppm for play area 11200 ppm for bare soil) intact by a Deleader(MORE THAN 2880 SQ.IN.) LOCATION AREA MEASUREMENT RESULT REMED REMED SIDE LOCATION MEASURE:LOOSE PAINT IC DATE I IC METHOD (Square Feet) (PPM) DATE METH D Play Area D Bare Soil D Comments: D LURA Rep 2017 Ext D