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