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36 Deleading Notification 2003 I3 WED 15:17 FAX 413 525 0678 ABIDE floc ABIDE, INC. PROJECT # 0311 COMMONWEALTH OF MASSACHUSETTS artment of Labor f Industries and Department of Public Bealth Ir r ' RR NOTIFICATION OF DELEADIN6 WORK— L� r^ uL s cttoa. of tare for rest be °emplo ed in order re oeeplr pte of M.C.L. e.1I1 S 197,' If/�p 454 4T the aoc9find 105 Oat 160 nnn as most racaatly amended 179' — 6 2003 . ._ --_mptoN BOARD OF HEALTH Contractor performing project Lead Paint Inspect° PILE WCMalsr ABIDE, INC. (Frank Tilli) licenseW DC001619 Exp.date ' 03 License M S-31 -7 Date of Inspection 312/_r_312./.• /Oa if low-risk deleading work is being performed, complete the following line: Agent(s) Property owner Address of Project Building Name (if an/y__) J,�,,.� Street Address -%LY a Ttfe- city Deleading Method: Heat Gun Caustics Covering Liquid Encapsulant 9 Demolition Replacement If "Ocher" selected, please explain Floor Apt. No Zip D101 3 y i m lti-fami IY I/ single Umi ly 3 sneer one:: �pduel LLD a Start date ' o / ! 2) Completion date I t� O When will work.be done: A.M. %01) P.M. 12 .00 Weekends? _j_./A__ Project Supervisor's name Property Owner_ ,3M 1 . b /_44 A Address d2(o I,U13 S • --- 'F `� �TJ state Zip Ot.o City iJ l �y') SAS- 71 ALA I6L2 nor Tcl ePhon Frank Tilli President In case of emergency contact , Robert P. LaMountain License ii DS3605 Phone: day _ 413-525-0644 evening 413;525_0644 (over) 0 WED 15117 FA% 413 525 0878 ABIDE 1AL 22,111\11 105 CHF 460.000 notice n o tre oval[or covering of paint,OD( plaster ther aeceaeinle teuale In tainingnde gero Ma� u or b. the following a of the date and mat MC- .'I of removal o[o�be provided anti must be received oY s leVCla of lead a of deleading. Containing dangerous l�w oe9i nning persons. at least I. Occupants of the dwelling unit 2. All other occupants of the residential premises, it any R. Department of Childh PublliicLHealth,P 110 Atlantic VAvenue,Pooston, MA 02110 1. Dlraetor. Asbestos i Lead Program Room 11006 0100 industrieu Room 11006, A Boston, Eva 02202 5. Local Heard of Health/Code Enforcement Agency uNfF s"-e+O N 11f premises is listed on the Slate Register 6, of ei upon) eceiptsoft n an OrderftoaCor st be made uon rect Vialationaror at L<aet ]0 tlays prior to initiating preventive deleadinl t21-512e 617, 284-R410 Fax (61]) ,2,-1562 603) 5e-7- 122 Massachusetts N19406041 CoIm i54inn 220 Morrlasey Blvd. Boston. MA 02125 1 ai lontractor The undersigned hereby states, under the pains and penalties of per)ury, that Prevention and Control he/she has , 454a and understood 22.00tand Leading Poisoning of Massachusetts ontrolr ng Regulations, is Regulations, 105 CMR 460.000, and that the information contained innthislief. notification is true and correct to the hes[ ohis/her knowledge Date r 3IS(o3 Signed Tine, Presiden Company; ABIDE INC Frank T' II Property Omar (If owner or unlicensed owner's agent will be performing los-else deleadir9 work) y w training requirements of tRegulations, Z certify that I have complied with the 9 105 Q4Re40h of Massachusetts abatement and containment.g I fu5 her 460.175,r performing further certify that I or my agent will be p the following low-risk activities II have circled all that apply) : capping baseboards covering surfaces applying liquid en<apsulant applying exterior vinyl siding removing doors, cabinet doors. shutters that 411 the informa this ion contained in notification is true and correct bast b certify f mY knowledge and belief_ Signed: Date: ABIDE, INC. PROJECT # ° Ng IZV 10/12/95 he 3 WED 15'. 17 FAX 413 525 0678 ABIDE 1i'& 1 ■ -4‘ a Abide, Inc., Environmental Contracting LEAD NOTIFICATION FAX COVER-SHEET DATE: -3 s lb ATTENTION: 11/61i—rector,CLPPP(Boston) IvrDircctor,LEAD PROGRAM(Boston) 11/1"--Town/CityoT Nog-HMV p (Local Board of Health) [ ] Massachusetts Historical Commission FROM: FRANK TILLHABIDE,INC. REGARDING: PROJECT NOTIFICATION I ] REVISED NOTIFICATION I I OTHER: NUMBER OF PAGES (including this one): COMMENTS: FAX #: 617-284-8410 617-727-7568 'i13-5a7_-J 22/ a)5 617-727-5128 IT you experience problems in receiving this transmission,please can 413-525-0644. CONFIDENTIALITY NOTICE The documents uwmpnyingthStekeopy transmission may contain mn(dentiel and privileged information from Abide.Inc This iMSmaion is'Molded for the use of the addressed distribution,indiv orr entity. If you are not the intended recipient,be aware that any disclosure,copying use of the cadent,ofthissmsmiasba is prohibited. Ifyoo have remind this ttmami,.ion in nrop please notify us by telephone(411-525-0644)immediately. Thank you P.O. Box 886 East Longmeadow, MA 01028 Phone 413-525-0644 • Fax 413-525-0678 • www.abideinc.com 2 WED 12:39 FAX 413 525 0678 ABIDE int ABIDE, INC. PROJECT 9 OZ.GS5 COMMONWEALTH OF MASSACHUSETTS Department of Labor G Industries and Department of Publ. NOTIFICATION OF DELEADING WORK Alt soetiona of thin Lame meat bo completed in order m eospl reneate of N.G.L. c.111 6 197. 454h tae 22.00 notification 0 OM 4 454 Uet x2.00 are toy 09m 460-e00 as .eat eerosClY amended Contractor pe[to mwt9 project IN ""'HAMPTON BOARD OF HEALTH yHQKY ins) FILE MEMBER: ABIDE INC. (Frank Tilli) Ucensa DC001639 Rap.date - 63 c�C m License 11.1- 1� t Lead Paint Inspector 2 Date of Inspection 21 - b e If Low-risk deleading work is being performed, complete the following line: Agent(s) property owner Address of Pro]eet Floor Bonding Name (if any) a a A 1 '10 Zip __algae) Street Address City Deleading Method: et/Dty Srtapin Neat Gun Caustics Liquid Encapsulant Covering Demolition Replacement If -Other" selected, please explain Reema..e1 Apt. NO. [heck one: a,<1li[q IS multi-family ✓ single [?milt' `� .•rwe Completion date Start tlare iJ' When will work be done: A.M. 7100- P.M. S'00 weekends? NO Robert P. LaMountain License 6053605 Project Supervisor's name Property Owner Address _______1 5$5 Z_4S City Telephone State_/ fl g (g:thw4 KeC3tiiot+4c) President Frank Tim In case of emergency contact 413-525-0644 evening -- 413-525-0644 (over) Phone: day Zip .lJJ k9N-r- 12 WED 12:39 FAX 413 525 0678 ABIDt Iist • Oak ^• al am 22.00 .n105 OMt 460.000 notice t covering t paint, plaster or other accessible materials In accordance with s levels of l lead General Law ide 4 l the following x of the date and me<Tpfa lal of [mauve o of tlaleudi M� parsons,natd`oast bh1fd0/adsf _la earn beginning of and must be received OY parsons, Occupants of the dwelling unit All other occupants of the reeldential premisos, If any Director, Childhood Leading Poisoning 0 nanPreventionr Program GJ` 02110 on tm neparanf of Public Health, I. Director, Asbestos & Lead aduProggram Department of Tabor Boom 11006, 100 Cambridge Street Boston, Fax (41t( 284-8410 Fax (6t11 127-1560 6m 02202 1�1t) feat(41:7)5F7-12.2 I S. Local Board of Health/Coda Enforcement Agency (COI o4 rklp4+f, iit pre.' is listed on the State Aegintes Massachusetts Historical Commission of Historic places, this notification host be 220 on', MA 0Y Blvd. mad* upon receipt or an order to correct Boston. MA 02125 ietations or at least 30 days prier to initiating preventive daleadin ) 127-5130 Fax (61/) Mleadlee tcatraetes ¢d hereby states, under the pains and penalties of perjury, that The undersigned of Massachusetts Deleading Regulations,has read and understood the Commonwealth Poisoning Prevention and Control 454 04R 460.0 and Leading P i 9 this pegula[ionsr and that the information contained in Regulations, 105 rue and.cor, notification is true and correct to the best of his/her knowledge and belief. I '��/ signed: T L j Frank Ti ' Date I) s/aD42 -� uric President ffvl '"I company: ABIDE INC. ty QVaes (If owner or unlicensed owner's agent will be performing low-risk deleading Work) that I have complied with the training requirements of the L certify revention and Control Regulations, Commonwealth 75 Massachusetts Lead w-risk/ P 105 5 CMR CMR 460.175, for owner/agent low-risk a perform the containment. I further certify that I or my avant will be p the following low-risk activities (I have circled all that apply) : capping basebOa toe covering aurfaces applying liquid encapaulant applying extecior vinyl siding removing doors, cabinet doors, shutters I cettrty that all the information contained In this notification is Clue and rotten to the best of my knowledge and belief. Dater ABIDE, INC. PROJECT # X12 REV 10117/95 2 WED 12:30 FAX 413 525 0678 ABIDE INC ag► p i d e �de, Inc.,Environmental Contracting LEAD NOTIFICATION FAX COVER SHEET DATE: 10/ 3 6/0.-- ATTENTION: ( 4' Director,CLPPP(Boston) It/Director,LEAD PROGRAM(Boston) (A Town/City of " I-- i✓M (Legal Board of Health) ( Massachusetts Historical Commission FROM: FRANK TILLI/ABIDE,INC. REGARDING: ( jr PROJECT NOTIFICATION 14 REVISED NOTIFICATION ( OTHER: FAX#: 617-284-8410 617-727-7568 413` r /2.2/ 617-727-5128 NUMBER OF PAGES(including this one): __ COMMENTS: If you experience problems in receiving this transmission,please call 413.525-0644. this Watnlnkaicn any cm ei ew,lienlel and Prvik{N CONFIDENTIALITY NOTICE. lIndocvom¢azAid inc. nd tidivliaa infatuation porn are lace This iat:Sac be snort do any anciosr4aenlTng, d udivtin, or entity.of Ie cooeanos tie Wended n pr Mad. Iffon havemaived this trarsou.wn la error. ple servo if us by teNi,Il a(113.M If prohibited. please notify US by lclepinre(4n-525-0W)innadkelY 111.W you. P.O. Box 886 East Longmeadow,MA 01028 Phone 413-525-0644 • Fax 413-525-0678 • E-mail ABIDE I abaci' corn - ‘,,,itivitstaMealt )(a 1 " 102 THU 09:27 FAX 413 525 0678 ABIDE inc /ac ABIDE, INC. PROJECT # 0265 COMMONWEALTH OF MASSACHUSETTS Department of Labor L Industries and Department of NOTIFICATION OF DELEADING WORK all sections of this rant mast he completed tt order to aeeply with tM netifteatiot revenants of N.O.L. c.111 5 197, 454 Clef 22.00 sod 105 001 460.000 am moat recently asnded FILL;Meat _._— Contractor PeNOmin9 Mid ABIDE INC. (Frank Tilli) License# D0001619 Exp.date ' 03 5{ to ns Kit _ License 1 S-3)71 Lead Paint Inspector Date of Inspection 1/21 -3/246.12 If low-risk deleading work is being performed, complete the following line: Agent(s) ii) t I V � t flit NORTNmemillommum N (nntlCY Dg) Property owner_ Address Floor Building Na nre (if any) Street Address 3G .3eA%id )fUY0.t .c Apt. No. (_ Zip Qu �C7 City A6 rkN4 '"y1 e t/Dr S etapin Heat Gun Caustics Delaeding Method: Y Liquid ps id Enca Mani Covering Demolition Replacement If "Other" selected, please explain fiewtneej Check We] start date CoMpletion date When will work be done: A.M. i .IIJ-- P.M. I>: (X) Weekends? Mg Project Supervisor's n� 71amee Robert P. LaMountain License # DS3605 Property Owner -- 21-a Property Address state,_MA' °welting as nN 11i•[awilY single tamely City Telephone � 77mt1.stfe.wNct4 KentfboNQK'\ Frank Tilri, President In cant of emergency contact Phone: day 413-525-0644 evening (over) 413_525=0644 IliGUV4 ant V0.4 rtIA 144 440 VQ o nm*UG S L Aft In accordance with naesachusetts General LGWG G. 111 4 19/ C!p 22.00 and 105 Om 460.000 notice of the date and methods(51 of reamaal or covering of paingplaster or other accessible materials containing dangerous levels of lead is to be provides and must be received by the following Persons, at least tea (10) days prior to beginning of acleading. 1. Occupants of the dwelling unit 2. All other occupants of the residential premises, if any 3. Director, Childhood Leading Poisoning PNVentien Program Department of Public Health, 410 Atlantic Avenue, Boston, tlh 02110 4. Director, Asbestos 6 Lead Pto9raa Department of Labor 6 Industtaes Roe. 11006, 100 Cambridge Street Boston. 14A 02202 Fax M7) 2844410 Fax (6171 727-7568 5. Local Board of Heslth/Code E f cement Agency (N1 of Awrktar+p}> B (1f premises is listed on the State Register at Historic Places, this notification oust be made upon receipt of an Order to Correct violations or at least 30 days prior to initiating preventive O s Pea 1W) 727-5128 FHA Oisi)587-/22 Massachusetts Historical Commission 220 Morriesty Blvd. Boston, MA 0222$ Deleasrtg coatesetar The undersigned hereby states, under the pains and penalties of perjury, that he/she has read and understood the Commonwealth of Massachusetts peleading Regulations, 454 04R 22.00 and Leading Poisoning Prevention and control Regulations, 105 OIR 460.000, and that the information contained in this notification is true and correct to the best of his/her knowledge and belief. er signed: *_ elk / ..S Title: President Comoaer, ABIDE, INC. Data r Frank Till; Property ewa.t (It owner or unlicensed owner's agent will be performing low-rise deluding wort/ I certify that I have complied with the training requirements of the commonwealth of Massachuaetta Lead Poising Prevention and Control Regulations, 105 CMR 460.175, for owner/agent low-risk abatement and containment. I further certify that I or my agent will be performing the following low-risk activities (I have circled all that apply) : applying liquid encapsulant capping baseboards applying exterior vinyl siding - covering surfaces receiving doors. cabinet doors, shutters I certify that all the information contained in this notification is true and correct to the best of my knowledge and belle(. Date: Sigob,l'. REV 10/12/95 ABIDE, INC. PROJECT # 62G `S