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0 Sender: Please print your name, address, and ZIP+4® in this box•
NORTH ANDOVER HEALTH DEPT
120 Main Street
North Andover, MA 01845
..........
ROYA L V C P*,,,,E S T
Friday, January 20, 2017
Brian LaGrasse and Michelle Grant
Town of North Andover
Office of the Health Department
North Andover, MA 01845
RE: Order dated December 22, 2016 - 25 Royal Crest Drive, #8
This letter is to inform you that the work related to your order referenced above has been completed by our
vendors and maintenance department and is ready for inspection by the Town of North Andover Health
Department.
Concern Description
o Master Bathroom, Chronic Mold throughout the bathroom tiles are falling off the walls. Fan does
not fully work. Full remediation is necessary. Health department will inspect once all walls are
opened. Contact Health Department to discuss.
o Kitchen light over sink does not have a cover.
Work Requested
o Remediate all walls and ceiling in bathroom. Once walls removed treat all areas to eliminate mold.
Apply wood sealer to wood. Replace bathroom ceiling fan.
o Replace kitchen light fixture cover.
Action Taken:
:• Resident was placed in a hotel on Thursday, December 29d'.
❖ On Thursday, December 29d', a licensed remediation contractor (Golden Gate Services Inc. of 40 Warren
St, Charlestown, MA 02129) removed approximately 200 square feet of gypsum board material from walls
and ceiling, and all bathroom tiles surrounding tub in the Master bathroom.
❖ On Thursday, December 29`h, Smith & Wessel associates, Inc. a licensed Hazardous Building Materials and
Air Quality Specialist was present during all work performed by Golden Gate Services Inc. to observe and
monitor the removal of all materials. (Letter dated 1/3/17 attached).
❖ On Thursday, December 29`'' Royal Crest Maintenance Supervisor Miguel Campos accompanied by
Regional Property Manager Bryan Nicholas treated all wood and exposed surfaces in Master Bathroom
with X-14 cleaning product and applied HELMSMAN Spar Urethane wood sealer (MSDS sheets
attached) per Board of Health Director.
❖ Royal Crest Estates Maintenance Supervisor Miguel Campos supervised the replacement of the bathroom
ceiling fan motor to increase draw of fan and ensure proper moisture removal.
':• On Tuesday, January Yd a licensed plumber (Maccormack Plumbing of 17 Bridge St, #104, Billerica, MA
01821) inspected all plumbing fixtures in Master Bathroom and confirmed no leaks or issues were present
in bathroom. A plumbing permit was pulled with the Town of North Andover related to the replacement
of the toilet and bathroom vanity.
❖ Royal Crest Estates Maintenance installed a new cover on kitchen light fixtures.
❖ Between the dates of January 11d' and 12d' Golden Gate Services replaced walls and ceiling with moisture
resistant gypsum green board. Tile walls were replaced with High Gloss Bathtub wall kit.
We kindly request you re -inspect the apartment to verify the above referenced work has been completed, and once
confirmed send the applicable Letter of Compliance regarding the performed work.
Yours respectfull ,
Community Manager
CC: Resident File Mailed 1s1 Class
SMITH & WESSEL ASSOCIATES, INC.
HAZARDOUS BUILDING MATERIALS AND AIR QUALITY SPECIALISTS
January 3, 2017
Ms. Milissa Titus
Royal Crest Estates
50 Royal Crest Drive
North Andover, MA 01845
Ref: Asbestos abatement monitoring, Unit 25-8, Royal Crest Estates, North Andover,
Massachusetts
Dear: Ms. Titus:
Apartment Investment and Management Company (AIMCO) retained Smith and Wessel
Associates, Inc. (SWA) to monitor an asbestos abatement project in Unit 25-8 at the Royal Crest
Estates apartment complex located at 50 Royal Crest Drive in North Andover, Massachusetts.
The area abated consisted of approximately:
200 square feet of gypsum board wall & ceiling and associated joint compound from
master bathroom
SWA's Massachusetts licensed Project Monitor, Ted Sherry (License # 000 1763) was on site to
conduct pre -abatement inspections, area air sampling during abatement, and post abatement
clearance air sampling on December 29, 2016.
Golden Gates Services, Inc. (Golden Gates) of Chelsea, Massachusetts was the Massachusetts
licensed Asbestos Abatement Contractor who performed the work in accordance with all
applicable federal, state, and local regulations.
Golden Gates prepared the work area by placing two layers of 6 -mil polyethylene sheeting over
all critical barriers (i.e. windows, doors, and other openings to outside of the work area), walls
and floors adhered with duct tape and spray glue as applicable.
A three -stage decontamination facility was constructed contiguous to the work area and was
used as the only means of entrance and egress. Negative air pressure was established in the
work area relative to adjacent spaces using High Efficiency Particulate Air (TEPA) filter
equipped air filtration devices (AFDs). During abatement activities, access to the work area was
limited to authorized personnel only, who entered the containment area utilizing appropriate
personal protective equipment (PPE) and, before exiting, followed the required decontamination
procedures.
Removal of asbestos -containing materials (ACM) was performed using wet methods. This
involved spraying ACM with water or a solution of water and wetting agent that assisted in
penetrating and saturating the ACM. After all ACM were removed, complete cleaning of the
abatement area was accomplished. This included scrubbing abated surfaces with brushes or
188 GREENVILLE STREET TELEPHONE: (978) 346-4800
SPENCER, MA. 01562 FAX: (978) 346-7265
abrasive pads, wet washing all substrates and other surfaces, and wet vacuuming accumulated
debris and contaminated water. All waste was packaged into properly labeled 6 -mil
polyethylene waste disposal bags for transport to an approved landfill.
All air samples were collected onto mixed cellulose ester filters (0.8 micron pore size) in
three-piece 25 -millimeter (mm) cassettes aligned open-faced. The cassettes were tilted
downward at a 45° angle and placed between three and four feet above the floor. Air was
drawn through the cassettes via the use of high-volume sampling pumps. Immediately before
and after the sampling periods, the sampling flow rates were calibrated using a precision
rotameter.
The samples were analyzed on-site by phase contrast microscopy (PCM) in accordance with
National Institute of Occupational Safety and Health (NIOSH) 7400 Method, A counting
rules. SWA utilized the Olympus optical microscope at 400x magnification to analyze the
samples. The PCM method determines the total concentration of all fibers (not exclusively
asbestos) that exhibit a length to width ratio of three to one and that are at least five microns
in length.
SWA's Project Monitor was on site full-time during abatement activities to observe quality
control and compliance with applicable state and federal regulations. All air samples
collected were determined to be below the Massachusetts Department of Labor Standards
(MA DLS) clearance criteria of 0.01 fibers/cc following abatement.
Because successful inspection and air monitoring results were obtained, the work area was
cleared for re -occupancy by all personnel. The project should not be considered complete,
however, until AIMCO receives the Waste Shipment Records (WSR) documenting the proper
disposal of all asbestos waste.
It must be noted that even though the wall paper was removed from the bathroom walls,
asbestos -containing joint compound is still present on the wall system.
Attached, please find copies of analytical results and construction logs.
If you have any questions regarding this report, please do not hesitate to call me at your earliest
convenience.
Respectfully submitted,
SMITH & WMEL AssocL4mg, INc.
;V4��
Ted Sherry
Project Manager
Smith & Wessel Associates
SMrre & WessEL Assocu►ns, We swA 16580
1/3/17
APPENDIX A
PCM Air.Sample Results
Storni $ WESSEL. Associms, IHC SWA 16580
1/3/17
Air Monitoring Results for Total Fiber Concentration
P_ Royal Crest Estates m-
�p.North Acotrer,Massachua#s
Sample
Sampling
Volume
Result
No.
Date
Period
(liters)
Description/Location
(fibers/cc)
1.
12/28/16
8:31 a.m.
1,752
Area air sample, Unit 25-8 master
<0.003
to
bedroom, during prep and removal
12:10 p.m.
in master bathroom
2.
12/28/16
8:32 a.m.
1,752
Area air sample, Unit 25-8
<0.003
to
hallway, during prep and removal
12:11 p.m.
in master bathroom
3.
12/28/16
12:20 p.m.
1,224
Post-abatement clearance air
<0.004
to
sample, Unit 25-8 inside master
2:02 p.m
bathroom containment
4.
12/28/16
12:21 p.m.
1,224
Post-abatement clearance air
<0.004
to
sample, Unit 25-8 inside master
2:03 p.m.
bathroom containment
Note: All samples were analyzed according to NIOSH 7400 Method. Analyst: Ted Sherry
SMITH & WESSEL ASsocurTEs, IHC SWA 16580
1/3/17
APPENDIX B
Daily Construction Reports
SMITH & WESSEL Assom 7F,S, INC SWA 16580
1/3/17
Smith & Wessel
Associates, Inc.
Daily Construction Report
Page I of
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Summary of abatement work accomplished, including type and quantity of APM abated in each work area:
11Z7Le-d'1'
ROYALIUCIkEST
'Thursday, January 12; 2017
Brian J. LaGrasse, CLHT
Director of Public Health
Town of North Andover
120 Main Street
Nort 1\'IA 01845
RE: 25-008 - Re est for write up of work for exposed wood treatment (sanitation/sealant)
rian,
. This letter is to inform you that the work related to your request referenced above has been
completed by the Royal Crest Service Team per our conversation that took place on
12/29/2016.
Work Requested:
o Per the conversation on 12/29/2016 it was required that the Royal.
Crest Service Team sanitize and apply sealant to exposed wood and
video and/or pictures would be taken during the process.
Action Taken:
❖ On Thursday, December 29" Royal Crest Maintenance Supervisor .Miguel
Campos accompanied by Regional Property Manager Bryan Nicholas treated
all wood and exposed surfaces in Master Bathroom with 1-14 cleaning
product and applied HELMSMiA N Spar Urethane wood sealer NSDS sheets
attached) per Board of Health Director.
°S As directed a video as well as pictures were taken and provided via email to
Brian LaGrasse:
❖ A letter will be sena on 1/13/2017 requesting a re -inspection of the
apartment to verify) the required work has been completed and the order to
correct can be formally closed.
I kindly appreciate your help and assistance with this situation and I look forward to working
with you in closing out this matter. If you should need further detail or have any questions I
will be more than happy= to assist.
Best Reg s, ,
Milissa Titus
Community Manager
978-182-7200
� I
Material Safety Data Sheet
1 - Chemical Product and Company Identitication
Manufacturer: WD -40 Company
Chemical Name: Mixture
Address: 1061 Cudahy Place (92110)
P.O. Box 80607
Trade Name: X-14 Instant Mildew Stain
San Diego, California, USA
Remover
92138-0607
Telephone:
Product Use: Bathroom Cleaner
Emergency only: 1-888-324-7596 (PROSAR)
Information: 1-888-324-7596
MSDS Date Of Preparation: 12/16/10
Chemical Spills: 1-800-424-9300 (Chemtrec)
1-703-527-3887 (International Calls)
2 - Composition/Information on Ingredients
Ingredient CAS # Weight Percent
Sodium Hypochlorite 7681-52-9 3-6%
Sodium Carbonate 497-19-8 0.5-2%
Water 7732-18-5 90-96%
See Section 8 for Exposure Limits
3 — Hazards Identification
Emergency Overview: CAUTION!
Eye irritant. May cause skin irritation. Inhalation of vapors or mists may cause nose, throat and upper
respiratory tract irritation. Harmful if swallowed.
Symptoms of Overexposure:
Inhalation: Breathing of vapors or mists may cause irritation to the eyes, mucous membranes of the throat
and nose and upper respiratory tract. Not recommended for use per persons with heart conditions or chronic
respiratory problems.
Skin Contact: May cause irritation.
Eye Contact: Causes substantial but temporary eye injury with pain, tearing, swelling and redness.
Ingestion: May cause irritation to the mouth and gastrointestinal tract. May cause abdominal pain, nausea
and vomiting.
Chronic Effects: None currently known.
Medical Conditions Aggravated by Exposure: Pre-existing skin, heart and respiratory disorders.
Suspected Cancer Agent:
Yes No X
4 — First Aid Measures
Ingestion (Swallowed): Rinse out mouth and give sips of water. DO NOT INDUCE VOMITING. Get
immediate medical attention. Call physician, poison control center or the WD -40 Safety Hotline at 1-888-324-
7596.
Eye Contact: Flush thoroughly with water for 5 minutes then remove contact lenses if present. Continue
flushing eyes for at least 15 minutes. Then get immediate medical attention.
Skin Contact: Flush thoroughly with water. Remove any contaminated clothing and launder before reuse. If
irritation develops and persists, get medical attention.
Inhalation (Breathing): Discontinue use and move to fresh air. Get medical attention if irritation develops and
persists.
5 — Fire Fighting Measures
Flash Point: None
Page 1 of 3
Flammable Limits: Not applicable
Extinguishing Media: This product is not flammable or combustible. Use any media that is appropriate for
the surrounding fire.
Unusual Fire or Explosion Hazards: Thermal decomposition will release corrosive and toxic gases.
6 — Accidental Release Measures
Wear appropriate protective clothing (see Section 8). Avoid contact with the spilled material. Small spills can
be washed down the drain with plenty of water or collected with an absorbent material and placed in a
container for disposal. Clean the spill area with water. Large spills should be contained with an inert
absorbent material. Collect into containers for proper disposal.
7 — Handling and Storage
Handling: Avoid contact with product. Avoid breathing vapors or mists. Use with adequate ventilation. Keep
container closed when not in use. Immediately remove any contaminated clothing and launder before reuse.
Wash thoroughly after use. Keep out of the reach of children. Do not use with any other cleaning agents or
household chemicals, including ammonia, acids, toilet bowl cleaners or vinegar. Dangerous reactions may
occur.
Storage: Store in a cool, dry area, away from incompatible materials.
8 — Exposure Controls/Personal Protection
Chemical I Occupational Exposure Limits
Sodium Hypochlorite 2 mg/m3 Ceiling Al HA WEEL
Sodium Carbonate None Established
The Following Controls are Recommended for Normal Consumer Use of this Product
Engineering Controls: Use in a well ventilated area.
Personal Protection:
Eye Protection: Avoid eye contact. Always spray product away from face. Wear safety goggles/glasses
where there is a potential for eye contact.
Skin Protection: Avoid skin contact. For sensitive skin or prolonged use, wear rubber gloves.
Respiratory Protection: None required.
For Bulk Processing or Workplace Use the Following Controls are Recommended
Engineering Controls: Use with adequate general ventilation or local exhaust to maintain exposure levels
below the occupational exposure limits.
Personal Protection:
Eye Protection: Chemical safety goggles recommended.
Skin Protection: Wear rubber gloves and protective clothing as required to avoid skin contact.
Respiratory Protection: If the occupational exposure limit is exceeded, wear an approved respirator.
Selection of respiratory protection depends on the contaminant type, form and concentration. Select in
accordance with OSHA 1910.134 and good Industrial Hygiene practice.
Work/Hygiene Practices: Avoid contact with the eyes, skin and clothing. An eye wash should be available in
the work area. Wash thoroughly after use.
9 — Physical and Chemical Properties
Boiling Point:
—212°F
Evaporation Rate:
Not determined
Vapor Density air = 1):
Same as water
Vapor Pressure:
Same as water
Solubility in Water:
100%
Appearance:
Clear, yellow liquid
Specific Gravity H2O
1.03-1.15
Odor:
Chlorine
Percent Volatile (volume):
>90%
H:
11.5-12.0
10 —Stability and Reactiv
Stability: Stable
Page 2 of 3
Hazardous Polymerization: Will not occur.
Conditions to Avoid: Avoid excessive heat.
Incompatibilities: Strong acids and oxidizing agents. Do not use with any other cleaning agents or
household chemicals, , including ammonia, acids, toilet bowl cleaners or vinegar. Dangerous reactions may
occur.
Hazardous Decomposition Products: Thermal decomposition or reaction with incompatible chemicals may
release chlorine and various chlorine compounds.
11 —Toxicological Information
Sodium Hypochlorite: Oral LD50 rat 5800 mg/kg.
Sodium Carbonate: Oral LD50 rat 4090 mg/kg.
12 — Ecological Information
This product is considered to be biodegradable. Strong solutions will be harmful to aquatic organisms.
13 - Disposal Considerations
Dispose in accordance with local, state and federal regulations.
14 — Transportation Information_
US DOT Shipping Description: Consumer Commodity, ORM-D
Canadian TDG Shipping Description: Consumer Commodity (Limited Quantity)
International (Export) Shipping Description: UN1791, HYPOCHLORITE SOLUTIONS, 8, III
15 — Regulatory Information
US REGULATIONS
EPA TSCA: All ingredients for this product are listed on the TSCA inventory or exempt from notification.
SARA Title III chemicals: None
CERCLA reportable quantity: Releases of this product in excess of the reportable quantity of 2,270 pounds
must be reported to the National Response Center. Many states have more stringent reporting requirements.
Report spills and other releases as required under federal, state and local regulations.
RCRA hazardous waste no: None
16 — Other Information:
HMIS Hazard Rating:
Health — 2 (moderate hazard), Fire Hazard — 0 (minimal hazard), Physical Hazard — 0 (minimal hazard)
SIGNATURE: -43;t"
TITLE: Director,of Global Regulatory Affairs
REVISION DATE: December 2010 SUPERSEDES: November 2010
Page 3 of 3
MATERIAL SAFETY DATA SHEET
3225
1300
SECTION 1 — PRODUCT AND COMPANY IDENTIFICATION
DATE OF PREPARATION
Sep 9, 2016
PRODUCT NUMBER
3225
PRODUCT NAME
MINWAX® Indoor/Outdoor HELMSMAN® Spar Urethane (350 V.O.C. Compliant), Clear Semi -Gloss
MANUFACTURER'S NAME
MINWAX Company
10 Mountainview Road
Upper Saddle River, NJ 07458
Telephone Numbers and Websites
Product Information
(800)523-9299
www.minwax.com
Regulatory Information
(216) 566-2902
www.paintdoes.com
Medical Emergency
216 566-2917
Transportation Emergency*
800 424-9300
for Chemical Emergency ONLY (spill, leak, fire, exposure, or
accident
SECTION 2 - COMPOSITION/INFORMATION ON INGREDIENTS
% by Weight
CAS Number
Ingredient
Units
Vapor Pressure
11
64742-88-7
Med. Aliphatic Hydrocarbon Solvent
ACGIH TLV
100 PPM
1.27 mm
OSHA PEL
100 PPM
18
64741-65-7
Mineral Spirits (Odorless)
ACGIH TLV
100 PPM
1 mm
OSHA PEL
100 PPM
11
98-56-6
p-Chlorobenzotrifluoride
ACGIH TLV
Not Available
5.3 mm
OSHA PEL
Not Available
0.2
61789-51-3
Cobalt Naphthenate
ACGIH TLV
Not Available
OSHA PEL
Not Available
2
112926-00-8
Amorphous Precipitated Silica
ACGIH TLV
10 mg/m3 as Dust
OSHA PEL
6 mg/m3 as Dust
SECTION 3 — HAZARDS IDENTIFICATION
ROUTES OF EXPOSURE HMIS Codes
INHALATION of vapor or spray mist. Health 2*
EYE or SKIN contact with the product, vapor or spray mist. Flammability 2
EFFECTS OF OVEREXPOSURE Reactivity 0
EYES: Irritation.
SKIN: Prolonged or repeated exposure may cause irritation.
INHALATION: Irritation of the upper respiratory system.
May cause nervous system depression. Extreme overexposure may result in unconsciousness and possibly death.
Prolonged overexposure to hazardous ingredients in Section 2 may cause adverse chronic effects to the following organs or systems:
• the liver
• the urinary system
SIGNS AND SYMPTOMS OF OVEREXPOSURE
Headache, dizziness, nausea, and loss of coordination are indications of excessive exposure to vapors or spray mists.
Redness and itching or burning sensation may indicate eye or excessive skin exposure.
MEDICAL CONDITIONS AGGRAVATED BY EXPOSURE
None generally recognized.
page 1 of 4
3225
CANCER INFORMATION
For complete discussion of toxicology data refer to Section 11.
SECTION 4 -FIRST AID MEASURES
EYES: Flush eyes with large amounts of water for 15 minutes. Get medical attention.
SKIN: Wash affected area thoroughly with soap and water.
Remove contaminated clothing and launder before re -use.
INHALATION: If affected, remove from exposure. Restore breathing. Keep warm and quiet.
INGESTION: Do not induce vomiting. Get medical attention immediately.
SECTION 5 FIRE FIGHTING MEASURES
FLASH POINT LEL
101 °F PMCC 0.9
EXTINGUISHING MEDIA
Carbon Dioxide, Dry Chemical, Foam
UNUSUAL FIRE AND EXPLOSION HAZARDS
UEL FLAMMABILITY CLASSIFICATION
10.5 Combustible, Flash above 99 and below 200 °F
Closed containers may explode when exposed to extreme heat.
Application to hot surfaces requires special precautions.
During emergency conditions overexposure to decomposition products may cause a health hazard. Symptoms may not be immediately
apparent. Obtain medical attention.
SPECIAL FIRE FIGHTING PROCEDURES
Full protective equipment including self-contained breathing apparatus should be used.
Water spray may be ineffective. If water is used, fog nozzles are preferable. Water may be used to cool closed containers to prevent pressure
build-up and possible autoignition or explosion when exposed to extreme heat.
SECTION 6 - ACCIDENTAL RELEASE MEASURES
STEPS TO BE TAKEN IN CASE MATERIAL IS RELEASED OR SPILLED
Remove all sources of ignition. Ventilate the area.
Remove with inert absorbent.
"SECTION 7 - HANDLING AND STORAGE
STORAGE CATEGORY
DOL Storage Class II
PRECAUTIONS TO BE TAKEN IN HANDLING AND STORAGE
.Contents are COMBUSTIBLE. Keep away from heat and open flame.
Consult NFPA Code. Use approved Bonding and Grounding procedures.
Keep container closed when not in use. Transfer only to approved containers with complete and appropriate labeling. Do not take internally.
Keep out of the reach of children.
SECTION 8 - EXPOSURE CONTROLS/PERSONAL PROTECTION
PRECAUTIONS TO BE TAKEN IN USE
Use only with adequate ventilation.
Avoid contact with skin and eyes. Avoid breathing vapor and spray mist.
Wash hands after using.
This coating may contain materials classified as nuisance particulates (listed "as Dust' in Section 2) which may be present at hazardous
levels only during sanding or abrading of the dried film. If no specific dusts are listed in Section 2, the applicable limits for nuisance dusts
are ACGIH TLV 10 mg/m3 (total dust), 3 mg/m3 (respirable fraction), OSHA PEL 15 mg/m3 (total dust), 5 mg/m3 (respirable fraction).
Removal of old paint by sanding, scraping or other means may generate dust or fumes that contain lead. Exposure to lead dust or fumes may
cause brain damage or other adverse health effects, especially in children or pregnant women. Controlling exposure to lead or other
hazardous substances requires the use of proper protective equipment, such as a properly fitted respirator (NIOSH approved) and proper
containment and cleanup. For more information, call the National Lead Information Center at 1 -800 -424 -LEAD (in US) or contact your
local health authority.
VENTILATION
Local exhaust preferable. General exhaust acceptable if the exposure to materials in Section 2 is maintained below applicable exposure
limits. Refer to OSHA Standards 1910.94, 1910.107, 1910.108.
RESPIRATORY PROTECTION
If personal exposure cannot be controlled below applicable limits by ventilation, wear a properly fitted organic vapor/particulate respirator
approved by NIOSH/MSHA for protection against materials in Section 2.
When sanding or abrading the dried film, wear a dust/mist respirator approved by NIOSH/MSHA for dust which may be generated from this
product, underlying paint, or the abrasive.
PROTECTIVE GLOVES
Wear gloves which are recommended by glove supplier for protection against materials in Section 2.
page 2 of 4
+ 322
EYE PROTECTION
Wear safety spectacles with unperforated sideshields.
OTHER PRECAUTIONS
Intentional misuse by deliberately concentrating and inhaling the contents can be harmful or fatal.
SECTION 9 - PHYSICAL AND CHEMICAL PROPERTIES
PRODUCT WEIGHT
8.16 Ib/gal 977 g/I
SPECIFIC GRAVITY
0.98
BOILING POINT
282 - 412 °F 138 - 211 °C
MELTING POINT
Not Available
VOLATILE VOLUME
47%
EVAPORATION RATE
Slower than
LD50 RAT
ether
VAPOR DENSITY
Heavier than air
SOLUBILITY IN WATER
Not Available
VOLATILE ORGANIC COMPOUNDS (VOC Theoretical - As Packaged)
2.73 Ib/gal 328 g/I
Less Water and Federally Exempt Solvents
2.51 Ib/gal 301 g/I
Emitted VOC
SECTION 10 -STABILITY AND REACTIVITY
STABILITY — Stable
CONDITIONS TO AVOID
None known.
INCOMPATIBILITY
None known.
HAZARDOUS DECOMPOSITION PRODUCTS
By fire: Carbon Dioxide, Carbon Monoxide
HAZARDOUS POLYMERIZATION
Will not occur
SECTION 11 -TOXICOLOGICAL INFORMATION
CHRONIC HEALTH HAZARDS
Reports have associated repeated and prolonged overexposure to solvents with permanent brain and nervous system damage.
Cobalt and cobalt compounds are classified by IARC as possibly carcinogenic to humans (group 2B) based on experimental animal data,
however, there is inadequate evidence in humans for its carcinogenicity.
TOXICOLOGY DATA
CAS No. Ingredient Name
64742-88-7 Med. Aliphatic Hydrocarbon Solvent
LC50 RAT 4HR
Not Available
LD50 RAT
>5000 mg/kg
64741-65-7 Mineral Spirits (Odorless)
LC50 RAT 4HR
Not Available
LD50 RAT
Not Available
98-56-6 p-Chlorobenzotrifluoride
LC50 RAT 4HR Not Available
LD50 RAT Not Available
61789-51-3 Cobalt Naphthenate
LC50 RAT 4HR Not Available
LD50 RAT Not Available
112926-00-8 Amorphous Precipitated Silica
LC50 RAT 4HR Not Available
LD50 RAT Not Available
SECTION 12 -ECOLOGICAL INFORMATION
ECOTOXICOLOGICAL INFORMATION
No data available.
SECTION 13 - DISPOSAL CONSIDERATIONS
WASTE DISPOSAL METHOD
Waste from this product may be hazardous as defined under the Resource Conservation and Recovery Act (RCRA) 40 CFR 261
Waste must be tested for ignitability to determine the applicable EPA hazardous waste numbers.
page 3 of 4
3225
Incinerate in approved facility. Do not incinerate closed container. Dispose of in accordance with Federal, State/Provincial, and Local
regulations regarding pollution.
SECTION 14 - TRANSPORT INFORMATION
Multi -modal shipping descriptions are provided for informational purposes and do not consider container sizes. The presence of a shipping
description for a particular mode of transport (ocean, air, etc.), does not indicate that the product is packaged suitably for that mode of
transport. All packaging must be reviewed for suitability prior to shipment, and compliance with the applicable regulations is the sole
responsibility of the person offering the product for transport.
US Ground (DOT)
May be Classed as a Combustible Liquid for U.S. Ground.
UN1263, PAINT, 3, PG III, (ERG#128)
Bulk Containers may be Shipped as:
UN1263, PAINT, 3, PG III, (ERG#128)
Canada(TDG)
May be Classed as a Combustible Liquid for Canadian Ground.
UN1263, PAINT, 3, PG III, (ERG#128)
IMO
5 Liters (1.3 Gallons) and Less may be Shipped as Limited Quantity.
UN1263, PAINT, 3, PG III, (38 C c.c.), EmS F -E, SSE
IMO
5 Liters (1.3 Gallons) and Less may be Shipped as Limited Quantity.
UN1263, PAINT, 3, PG III, (38 C c.c.), EmS F -E, SSE
IATA/ICAO
UN1263, PAINT, 3, PG III
SECTION 15 - REGULATORY INFORMATION
SARA 313 (40 CFR 372.65C) SUPPLIER NOTIFICATION
CAS No. CHEMICAL/COMPOUND % by WT % Element
Cobalt Compound 10.2 10.01
CALIFORNIA PROPOSITION 65
WARNING: This product contains chemicals known to the State of California to cause cancer and birth defects or other reproductive harm.
TSCA CERTIFICATION
All chemicals in this product are listed, or are exempt from listing, on the TSCA Inventory.
SECTION 16 -.OTHER INFORMATION
This product has been classified in accordance with the hazard criteria of the Canadian Controlled Products Regulations (CPR) and the
MSDS contains all of the information required by the CPR.
The above information pertains to this product as currently formulated, and is based on the information available at this time. Addition of reducers or other ;
additives to this product may substantially alter the composition and hazards of the product. Since conditions of use are outside our control, we make no e
warranties, express or implied, and assume no liability in connection with any use of this information.
page 4 of 4
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North Andover Health Department
Community and Economic Development Division
NORTH ANDOVER BOARD OF HEALTH
ORDER TO CORRECT
Issued under the provisions set forth in Massachusetts General Laws Chapter 111 Section 123.
Date: December 22, 2016
To Owner of Record:
AIMCO/TTA MS235
Three Galleria Tower
13155 Noel Road, Suite 100 LB 235
Dallas, TX. 75240-5090
Re: CHRONIC DAMPNESS/MOLD
Dear AIMCO,
Property Location:
25-8 Royal Crest Drive
North Andover, MA. 01845
Parcel ID: 210/025.0-0035-0000.0; and
210/025.0-0066-0000.0
The North Andover Health Department personnel conducted an authorized inspection
of your property at the above referenced address on December 20, 2016, in response to a
complaint filed with this Department. The inspection revealed violations of the State Sanitary
Code, Chapter II as listed on the attached Violation Form.
You are hereby ORDERED to correct the violations within the time allotted on the
enclosed form. Failure to comply within the specified time period will result in a fine of up to
$500 per day' in accordance with 105 CMR 410.910 of the State Sanitary Code. The fine will
continue to accrue until the subject property is brought into compliance with this Order to
Correct. Each day or portion thereof during which the violations continue shall constitute a
separate offense.
You have the right to request a hearing before the Board of Health if you feel this Order to
Correct should be modified or withdrawn. A request for said hearing must be made in writing
and received by the Health Department within seven (7) days from receipt of this Order. At
1 Failure to comply with any order issued pursuant to the provisions of 105 CMR 410.000 shall upon conviction be
fined not less than $10.00 nor more than $500. Each day's failure to comply with an order shall constitute a
separate violation (105 CMR 410.910).
Page 1 of 2
North Andover Health Department, 120 Main Street,
North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.9542
said hearing you will be given an opportunity to be heard and to present witnesses and
documentary evidence as to why this Order should be modified or withdrawn. All affected
parties will be informed of the date, time and place of the hearing and of their right to inspect
and copy all records concerning the matter to be heard. You may be represented by an
attorney. You have a right to inspect and obtain copies of all relevant records concerning the
matter to be heard.
A re -inspection will be performed by the North Andover Health Department
subsequent to the deadlines stated in this letter. If the violations are corrected prior to the
deadline, please call the North Andover Health Department at (978) 688-9540 for an inspection.
If you have any questions, comments or concerns, please feel free to call me between the hours
of 8:00-4:30 on Monday, Wednesday and Thursday, 8:00-6:00 on Tuesday and 8:00-12:00 on
Friday. Any questions regarding this matter can be answered through the North Andover
Health Department.
Michele Grant
North Andover Public Health Inspector
CC: Board of Health
File
Sent via:
CERTIFIED MAIL # 9 ()1 q c? mW $ 140 and;
Regular First Class Mail
Page 2 of 2
North Andover Health Department, 120 Main Street,
North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.9542
North Andover Health Department
[ommunity Development Division
Date: December 22, 2016 Time: 2:00pm BOH Inspector: Michele Grant
Tenants Name: McKenzie Garlick
Location: 25
Owner: AIMCO
Address: 50
Regulation
1015 CMR
Crest Drive #8
Crest Drive
Findings
Phone Number:
Phone Number:
Violations
Deadline Corrected
410.500
Master Bathroom, Chronic Mold throughout the bathroom
Tiles are falling off the walls
Fan does not fully work
Full remediation is necessary. Health department will inspect
once all walls are opened. Contact Health Department to
discuss.
14 DAYS
410.253
Kitchen light over sink does not have a cover.
Page 1
North Andover Health Department - 120 Main Street
North Andover. MA 01845 Phone: 978.688.9540 Fax: 978.688.9542
NORTH ANDOVER HEALTH DEPARTMENT
27 Charles Street • North Andover, MA 01845
Tel. 978 688-9540 • Fax: 978 688-9542
email: healthdept@townofnorthandover.com
Complaint Investigation/Inspection Report
rd
Rev. 6/04
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Welcome Home - Main Page Page 1 of 2
Dashboard My Home My Profile
Menu
Completed
Current Service Requests
Disposal leaks Ref # 198358-1
Submitted 10/20/2016 J Completed - Details
Disposal does not work Ref # 113258-1
Submitted 2/26/2016 j Completed - Details
Other general concern Ref # 102181-1
1 Submitted 1/4/2016 Completed - Details
Category
General
Location
Bathroom - Master
Item
Other
Description
Please call before has a service dog bathroom needs adjustments towel
bar, soap dish, loss tiles in shower please check thanks
Permission to enter unit?
Anytime
My Community
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l+ftne•//nwnnorh� At1A01tp rOOin�nA nAM/1ttP11�ATY1Pt1ATHPI�iCt+PTT1�7dSlStd7St 17/711/Illi (�
Welcome Home - Main Page
Dashboard
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My Home My Profile
Open
Current Service Requests
Mold Inspection Ref # 199523-1
Submitted 12/i4/20161 In Progress - Details
Category
Inspection and make ready
Item
Mold Inspection
Description
Please inspect for mold severity. For reference, the severity levels are:
-1: 10 sq ft or less - 2: 10-30 sq ft - 3: 30-100 sq ft- 4: Over 100 sq ft-
5A:
t-5A: Under 10 sq ft in HVAC system - 5B: Over 10 sq ft in HVAC system
Please see the mold quick reference card for more details.
Permission to enter unit?
Anytime
Other - Please see comments Ref # 199287-1
Submitted 12/2/20161 In Progress • Details
Page 1 of 2
My Community
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Service Requests
If property or personal safety is at risk, please call 911 immediately. If this is a maintenance emergency,
please call us at ((978) 682-7200, and then select option 1. We respond to service requests in a first-come,
first served manner. While we attempt to accommodate requests for specific times, occasionally we are not
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Welcome Home - Main Page Page 2 of 2
` able to meet the requested schedule. If we will not be able to correct your problem during the indicated time
window, a member of our team will contact you to reschedule.
Submit a Service Request
Service Policy
By completing this online service request,; you expressly authorize the landlord (or its agent) to enter your
apartment at the time(s) you select below, Also, if you have pets in the apartment it is your responsibility to
ensure that they are appropriately secured at the time of the service call.
Privacy Policy
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Cancelled
Current Service Requests
Mold Ref # 199485-1
Submitted 12/13/2016 j Cancelled - Details
Category
Environmental Health & Safety
Item
Mold
Description
bathroom tiles are rotting out there is mold on the walls and cielings as
well.
Permission to enter unit?
Anytime
Service Requests
If property or personal safety is at risk, please call 911 immediately. If this is a maintenance emergency,
please call us at {(9713) 682-7200, and then select option 1. We respond to service requests in a first-come,
first served manner, While we attempt to accommodate requests for specific times, occasionally we are not
able to meet the requested schedule. If we will not be able to correct your problem during the indicated time
window, a member of our team will contact you to reschedule.
Submit a Service Request
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Welcome Home - Main Page Page 2 of 2
Service Policy
By completing this online service request, you expressly authorize the landlord (or its agent) to enter your
apartment at the time(s) you select below. Also, if you have pets in the apartment it is your responsibility to
ensure that they are appropriately secured at the time of the service call.
Privacy Policy
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Other detector concern Ref # 70249-1
Submitted 10/1/2015 1 Completed - Details
Interior light bulb is out Ref # 70248-1
Submitted 10/1/2015 1 Completed - Details
Other power concern Ref # 70242-1
Submitted 10/1/20151 Completed- Details
Disposal leaks Ref # 48938-1
Submitted 8/8/2015 1 Completed - Details
Other - Please see comments Ref # 17519-1
Submitted 3/19/2014 1 Completed - Details
A/C does not cool properly Ref # 13280-1
Submitted 8/5/20131 Completed - Details
Service Requests
If property or personal safety is at risk, please call 911 immediately, If this is a maintenance emergency,
please call us at ((978) 682-7200, and then select option 1. We respond to service requests in a first-come,
first served manner. While we attempt to accommodate requests for specific times, occasionally we are not
able to meet the requested schedule. If we will not be able to correct your problem during the indicated time
window, a member of our team will contact you to reschedule.
Submit a Service Request
Service Policy
By completing this online service request, you expressly authorize the landlord (or its agent) to enter your
apartment at the time(s) you select below. Also, if you have pets in the apartment it is your responsibility to
ensure that they are appropriately secured at the time of the service call.
Privacy Policy
httns://nronerty.onesitc.rcalvaize.com/welcomehome/?SiteID=2488428 12/20/2016