50 Deleading Notification 2004 4 rue 15'.25 FAX _P ...__v..a»a.fn nartml9t ofl�'4&WocldorcellevdoPment
NOTIFICATION OF DELEADING WORK
All section of this fmm most heanpW,d in order to tempo with
the o•rfx.Yoe re4dnman ofM.G.L C.1114117,
454 CMII 2110 ad 115 CMR 461406,as man non91 arcade
Abide,Inc. (F.Ti11iaressed D0001619 Ev.Dak 09/08/04
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P 0. Box 886 (483 Shaker Rd.) , East Lo eado
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In accoidaace with Massachusetts General Laws C.111§197,454 C10t 22,10 and 1115 CO11t 4611010,sa'ce H be date and meabel(s)of
removal or covering Hpink planer or other aeteni ie materials contenting dangerous bevels Hind Is le be provided sad most be received
by Mc Idbwingageuie,me but]$(()b)days prior to the beginning of bleed eg.
NOTIFICATIONS MAY TIE FAXED.
Department of labor aM Workforce Develepmtat,Division of Oe mpleul Safety
399 Washington Street,5-Thor,Base.,MA 02110 FAX(617)727-7568
2 Director,Childhood Lead Poisoning Prevention Program _v="r+I�p
Department HPalic Rcaltb,56 Rebind Street,Suite lop,Bents,MA 02129 FAX
781— 7744--10`700
Oampaats of!Maim mmit
AB o bermemapants of We residential premises,if lay
5.
Local Beard Hneak11Cmde EafereemetAgeoey C 14 dF Nartn011ieht
6. Massuhude Historical Commission Crpremees are Bred ea the Slab Register Miliaria
220 Massey Hied. Pecea ebb meirs den mom be made apes receipt Ham
Doseam,MA 02202 Order to Corset Menke,oc H INS A days prior Is
FAX(617)7275120 'rtiating merman ddJbeg)
4,5 -5-8"7-121
N014ICATIONS SHALL BE COMPLETED IN THEIR e(176LIY,DATED AND SIGND-INCOMFLEIE NOTIFICATIONS WILL NOT
BE ACCEPTE D AND WHLEE RETURNED BY THE DEPARTMENT OF LABOR&WOR1CFORCEDEVELOThWarf.
MEgtillepa(Downer or tokens/id owner's egad swll be performing bwruli dips work,cambia de lobe/Ink
Property Owner Agegs) Jo Densmore - Abide. Inc.
Adams P.O. Box 886 (483 Shaker Rd. ) , B.Longmeadow, MA 01028
Tebphorc Nab„ (413)_ 525-0694
l certify that l have complied with the M1amgregi:aomts of ibc Commonwealth of MmwsMstb Lead Pamiwg Hevmtm sod Cmnot RegiSk .105
Chin 460175,frooaedagm low-risk ahmmm admmlmoant I hero certify that I ant niy agent will belathnoig the fawninglowabk sadvap
(I have tinfoil all tan"SA:
app4bg egafd eaeponbm epptag bombards removing doer,cabinet den,'Sacra
applyrng esterier vinyl masers covering sorbets
I entry theta the hibernation contained landsnodfirdm is toe aid natant tithe best army knowledge ad belief
Date Signed
Jo Densmore - Abide, Inc.
Authorization I 04488-AL
02102
abide
Abide, Inc.. Environmental Contracting
LEAD NO1'IId'ICATION FAX COVER SHEET
DATE:
ATTENTION:
[ 1
1 1
11
[ 1
FAX It:
Director,CLPPP(Boston) - . 781774-6700
Director,LEAD PROGRAM(Boston) 617-727-7568
Town/Cdtyof J✓VSJII h- - !3-687•09-1
(Local Baud et Health)
Massachusetts Historical Commission. 617-7275128.
FROM: FRANK TH.LUAMDE,INC.
REGARDING:
[V{ PROJECT NOTIFICATION
[ 1 REVISED NOTIFICATION -
[ ] OTHER:'
NUMBER OF PAGES (Including this one):
COMMENTS:
If yell experience problems in reatving this transmission,please call 413-525-0644:' -...
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P.O.Bac 886 East Longmeadow,MA 01028
Phone 413-525-0644 • Fax 413-525-0578 • wwwabldeinc.com
ode,atY ab,dwd TERNS ANA CONOnpNS mein power.a moons roan pteeNMaaon a snwcw Invokes unpaid air 30 DAYS mt past due and wNem 14
,FRANCE CHARGE computed at mN,mdy rma of 112%(ANNUAL PERCENTAGE RATE OF 10%)or are maximum perceeteateemeee in The law. Client/2
espNmtle for legal and cegecgon wets 2 necessary b ceded pea due amounts.- -
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