25 Notification of Deleading Work 2008 th•.r. •
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12/09/2008 TnE 9:28 FAX 4+. NorthaRPton Beard Health 1®UUZlaed
Job#08646
Notified on
12/9/08
Department of Public Health&Department of Labor
NOTIFICATION OP DELEADHgG WORK
An maim sat fora at be c. pka b elder nam*with
the..sd&sar epimb d M.G.L C.1111197,
454 CMR22.0O and 105 MR 4eab90,n east needy uerN
Comb:scat perfonanspoion Abide Inc LieeaedfCn01819 au.a.re OR/2'W
l,ed pdntimmersrJanicas Montemtpni Dn..(lnaxs. 01/03/08 LamaMR1431Erp.Dat TRA
AMMIESS OP PROJECT:
area Addren 25 Williams Street at Samar
CRy Norttlamoton MA rip ni n60
Property otter 1 17 Kab&Leticia Munoz_ Adam R29 RUMS Pith Road
Northampton, MA 01062
Telephone amber 413-566-4263
Daman MetMLa WS'D.y&apha ❑b Ca
EMemales aCada
Ulcaerbe OOtter
['bade Eanpmiaat
Repleetaan
If'"Oder miecied,pan captain
Check one Dwelling au*,ai_Sedy( 134 I er�_hnayI I ooel I I
Shit Dab 12/29/08 CompWW Dab n2/2R/n9
Wan an warn be dab AM7 Pt4,5_ (Spaty lags m de) Weelndst TA
Project Sun:.e.rNat Jerry Gray Lama DgR77(1 Exp.rate n&Ni/09
Worw•,C.mpathr.nay Member AWC7013278012008 cnrwr AIM Mutual
re anormergencwhet Frank 11111i. VP tadj 413 ) 5250F44
(CeateaeowN Rgwe,wnWe)
The mandaud►aas saes,ander the ads md psaides.tprjury,that babe bn and ad..da.bad rat Coel weal
Mamtlamte Daman Rgra.bn,454 OM 22A0,ad the Lead Main Prare.aa ad Central Regeba ns,115(MR 40100,ad
anal*hyanandn eebited h ads..arwlles bins adderrnnt ��,bat of hisiber a ateadpe and babe/.
Deft 12/9/08G[L'(��
Frank�t11i, 1 '
Conpay Neel. Abide Inc
Adams P() Roy RRR. 483 Shaker Road Fast I
Tdyhormamber 41'1-525-0644
OP Le: 4As. LL `
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�1 DEC - g 2rr2
NORTHAMPTON BOARD C:F HE. ""
12/09/2008 TUE 9:28 FAX +++ Northampton Board Health
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Page 2 of 2
he amdalee with Manaahneib Cseral Laws C.Ili{I97,454 Chat UM at 105 CHROMIC*,sake of de date aad eetbad(1)H
remand ar meet{Of pia,plater a otter=sit nakMWe sabfatg dawned barb dread is b be avoided sad net be oohed
by the Mewing agates,at imtffi(10)days pent ao the beg nbg ofMMMadq.
NOTIFICATIONS MAY BE FAXED.
I. DepamlmtdLabar,Lad Program,Dbiba dOeopadesadSafety
195adfad Street,iwplear,Baba,MA$2114 FAX 17.426-6906
2. Motor,C]Bdbod Lead Mertz Westin Program
D.partmntof Pot Health,Hmwaa That Balla&$I(tdo1p6 Serest,CS MAOM01 FAL M-7744200
3. Ocapab of dwelt{soft
4. AB Oberottwpab dihraideadal premises,Nay
3. Lem Beard dHeadegafr>maatAgency 413-587-1221
6. Mmsd,aeb Hbarlal Ceanbioa litpranbn nett a Ike State Berates of Historic
229 IL..L,y Bbd. Hans,ebb aedfndaawrtbe nit apes ratkit of at
Beta,MA$2202 Ordain CnanetViddon er at Wet 30 days pets*
FAX(617)721412$ WwSg peened addafsQ
N011F1CATJONS SHALL It COMPIZtYD IN manna ,DATED AND SIGNED-INCOb81EI8 NOTIFICATIONS PAL NUT
1213 ACCITITD AND WI L BE IMILIIMED BY THEDEPAR110241 OFLADOIllk WORKPORCLDEVTLORMINT.
ph2Hi t1YOWNAl(If toe oraKasd owner's agentwBlis pemmmg loath{dandies an ,complete he Hbomgk
Property Owls SPEW
mem Nnt Applicable
Telepboae Naabet ( )-
Icatify tint Hove complied with the Being retirmmbof the Commonwealth&Manor Lad PoisoningFmserto and Camel Regulations,109
CMR 460.173.brawadagent bwisktammt aelcatieaet I fatba certify that I or my ogee will be pebemig the Hering taw-ritaa do
(I)aw doted all km WWI
wWrigM"-
.110,L tastes Het site
rapping baseboards nation finny'abbot foes,rata
acefeg surface
1 certify Sat all der InPomimm monbed in ebb aoOBada b toe ad comedic do bat of my bewbdse=abort
Date Siped
Reseed 172007
E C E B V 5
DEC - 9 2008
n
NORTHAMPTON BOARD OF HEALTH
12/08;2008 TUE 9:28
FAX +++ Northanpton Board Bealto
abide
emdronmeotat contracting• coatings• restoration
LEAD NOTINCATION FAX COVER SHEET
DATE: J' -9 ag
ATTENTION:
[ vie Director,CLPPP(Boston)
[ ter Director,LEAD PROGRAM(Boston)
[ qv Town/Cityof�p{ pp h
(Leal Board of earth)
[ I Massachusetts Historical Commission
FROM FRANK TI LLI/ABIDE,INC_
REGARDING:
[✓I PROJECT NOTIFICATION
I I REVISED NOTIFICATION
[ I OTHER:
FAX #:
781-774-6700
6174264965
617-727-5128
IaiVVIftlt
LIE C E 0 N E
DEC - 9 2008
NORTHAMPTON BOARD OF HEALTH
NUMBER OF PAGES (including this one):
COMMENTS:
If you experience problems in recdebtg this transmission,please call 413-525-0644.
CONFIDEN71AIIIY NOTICE.The doormat amearpreriia this trfsapy --ny oaminsa6daotadpm+legd
iatoamtion from Abide,hr_Tba iafamatieas intudd r the diedria,miessea:anridoln
m 1y. Tryon in mile mtmad.¢ipimt,be awe art any dbaostnejaviag,diontpatia or
use of die m nn dais mandate aDretaimd-IFme here coded the omin¢Bioe in etnr,
pl®cnodfyn by waging(413-525M641):emeditely.Thoth ma
p.o. box 886 I east Idtgmeadoyy ma 01028 I phone 413.525.0644 1 fax 413.525.0678 1 iwn/.abfdetnc.com
Abide, Inc.is SQAIWfl certified by the Commonwealth of Massachusetts,Department at Business and Tetfvtdogl_
Ahide,br_Smnd&d TARNS AND CCtOITI0r6 cepice payment her s&ices yon presentation of hnalce,ifrOaCeS olWid after ID0AY5
are past due and abject to a FINANCE CHARGE m,yuted et a annth y me of 11/2%!ANNUAL PERCENTAGE RATE OF ta%1 of tae maxi-
mum pe aRwmi by the W.Client R rewcn ibte fm ERNI and CCNectim ants if necessary to collect past due aIWIII