36 APT#16 Deleading Notification 2002 a
ABIDE, INC. PROJECT #
a
COMMONWEALTH OF MASSACHUSETTS
Department of Labor L Industries and Department of Publ
NOTIFICATION OF DELEADING WORK
All mention. of this fore mot be completed in order to ee,p
with the actifinatim rp9lrmmta of M.O.L. ¢.111 6 197,
454 06k 22.00 and 105 CPR 469.999 as most recently ameeded
Contactor perfomtg poled
Lead Paint Inspector
ABIDE,
tyyMryyt
IS :b Lr D V N
nith
NORTHAMPTON BOARD Of HEALTH
FILE NmeLt: (AGuler 91f)
INC. (Frank Ti11i) license # 00001619
4 IO/uz
Exp.date eptember 1D, 200G
License I 1--3%11
STEVE totsNSK1
If low-risk deleading work is being performed,
Date of Inspection
3(z)/o7
complete the following line:
Property owner Agent(s)
Address of Project
Building Name (if any) �`�
Street Address 3G etbfeAO aTERRAcE_
City AJoRTAMpmA)
neleading Method:
Liquid Encapsulant r&overing, Demolition Replacement
If "Other" selected, please explain REM OV At-
Floor //'
Apt. No. { yp
Zip OtOL,O
Heat Gun caustics
Check ape: dwelling is mcItl-(doily
Start date
7/1 /02=
When will work be done: A.M. '7 :(X)- P.H. S :00
siaglo family
Completion date
Project Supervisor's name Robert P. LaMountain
SM im CQLU.EG.E
12C v4 CST" ST-
Property Owner
Address
City No R tvi Acm era
7/4o2—
Weekends? NO
License X DS3605
State
Telephone RIr NA S) Y41/12fA1W S(,%
413-S8S-24St
Frank Till`i, President
In case of emergency contact
Phone: day 413-525-0644
MA-
Zip (IO(p3
evening 413-525-0644
(over)
!/2004 WED 12:31 FAX 413 545 Deed !DIVE .w
In a ordance with Mat husetcs General Laws c. 111 S 197 OM plaster di 105 CV 46i.000e materials
of the date end methodseel of removal or cowering I paint,oust be received by ache sible fat of lead is to be containing oatdangerous t e(SDI Sday. prier to beginning of dot eadi ng. a
persons, •
1. Occupants of the dwelling unit
All other occupants of the residential preaiaes, if any
Director, Childhood Leading Poisoning prevention Program Fax 1617) 284-8410
Department of Public Health, 470 Atlantic Avenue, Boston, MA 02110
4. Director, AabestCS 6 Load Program
Department of Labor a Industries
Room 11000, 100 Cambridge Street
Boston, NA 02202 f,
5 Local Board of Realth/Orde Enforcement Agent, N 4 TlkA,4341D f�
6. Massechueett$ Historical Commission
220 Moissey
Boston,rVA 02125vtl.
Fax (6171 727-7560
6413y S$7" 1221
(If premises is listed on the State Register
of Historic Places, this notification most be
made upon receipt of an order to Correct
Violations or at least 30 days prior to
jolt;atin, preventive deleadinnl
Fax 1617/ 222-5120
Deleading Contractor .
The undersigned hereby states, under the pains and penalties of perjury, that
he/she has read and understood the commonwealth of Massachusetts Oeleading
Regulations, 454 CMR 22.00 and Leading Poisoning Prevention and Control
Regulations, 105 1748 460.000, and that the information contained in this
notification is true and correct to the best of his/her knowledge and belief.
Date G ill_')2- signed: it/eat,I Frank TOM
'3
title: President
Company; ABIDE, INC.
Property Oder (If owner or unlicensed owner's agent will be performing low-risk deleading wore,
I certify that I have complied with the training requirements of the
Commonwealth of Massachusetts Lead Poising Prevention and control Regulations,
105 CMR 460.195, 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 encapsulate capping baseboards
applying exterior vinyl siding covering surfaces
removing doors, cabinet donor. shutters
I certify that all the information contained in this notification is true sad correct co the
best of w knowledge and belief.
Date: signed:
REV 10/12/95
ABIDE, INC. PROJECT # 0z3z8
6m n-
16>
'2002 TNG 12:49 FAX 413 525 ua/a Aomc ..�
A` �E (ZE�tl.Slc . , :.,.:..
ABIDE, INC. PROJECT # 02
COMMONWEALTH OF MASSACHUSETTS
Department of Labor L Industries and Department of Publ
NOTIFICATION OF DELEADING WORK
all eacuane at ME fare mat be completed La *tat to comp
notification wia the h
454 QI 22.00 ad 105 Om 4460.000a f a. most aocently ewe
FT= NUMMEO thalla WE)
Contractor performing project
ABIDE,
,AN 27 an
1
D
J
Y
NO THAMPTON BOARD OF HEALTH
INC. (Frank Tilli) licensed DC001614
4�(1o/fez
Exp.date eptember 10, 2002
Lead paint Inspector SCEVC DoL1 NSKt
Date of Inspection
If low-risk deleading work is being performed. complete the following line:
Property o.mer Agentis)
Address of Pro ect
Building Name (if any)
License 9 =-31'11
Street Address 3G BEDFQKO 'TCAUCia .E
City AJo&'MAMPTM)
4[et/ez Scca L
Deleeding Method: Y P Heat Gun Caustics
Liquid Encapsulanr etrirritp Demolition Replacement
If "Other" selected, please explain f.FMQU AL
Floor
t C 4nl Lh°"Rt:AS
Apt. No.
Zip _ owGaa
Chect Po- dwelling is ewlti-(ani)Y .7 single raaily
-41—T=i:--
71002-
Start date _ Completion date
7 ;W_ Weekends? _bib_
When will work be done A.N- P.M. S .oO
project Supervisor's name C Robert��P. LaMountain
TK
Property Owner SM( DLLE'GE
Address i% WEST ST,
city NDR.attkr* State
Telephone R(CNAR.D VoRtENio, $L
413-585—Z9SS
Frank President
In case of emergency contact
Till`i,
License N DS3605
MA-
Phone= day 413-525-0644
Zip GAO
evening 413:525-0644
(over)
l2 In 12:49 FAX 413 525 0878 Anum. in,
#8.4 zz.og los om o:ogo notice
setts General Laws c. 111 s 197 Goon e[ other 10S accessible w.notiiels Ink
of accordance e a with em mass. 'an ceeoval er cos f paint, plaster by the id mat
aelevel covering ; d must be received of son date ea eat _ deleatlinp.the ruing dangerous be 1(ve's(alr_i tstaabeginni g off _
persons, at leader �-
Occupants of the dwelling unit
All other occupants of the residential premises, it any
Fax (611) 284-8410
Leading Poisoning tic Avenue.Program 02110
Director, Childhood t0 Atlantic Arenve, Boston. MA Department of Public Health, t
Director, Asbestos 4 aLeadd Horn
Dep.rbeent of Libor
Mcrae w X 0 1006,01002 Cambridge Street
6
Lo I.�
Local hoard of Health/coda rntO1cement MIMIC tV
CY DMm ir,5N Register
(If premises is listed en the n :wet State Re cute be
Ydhistorice et ices,t an order to tine must
6. Boston', 25vd.cical Commis non pt tofaa 30 days pilot to
220 wo6isaey Y^eletiane es a
9oaton, 1fA 02125 preventive deteadreq)
IG a[ing P[ Fax 16111 121-5138
Fax (6111 121-1568
CAF[413 y S$7- 1 Z21
Dmlmaai [bmtraCtaa ' ur that
ed hereby states, under the pains and penaltieseofe erjury, t
The hedhasirn wealth of Na
454 CNA 22.00 and Leading Poisoning Prevention and Control
he/she has read and understood the Commonwealth
Regulations, 460.000. and that the information contained in this
Aegn latioas 105 true his/her knowledge and belief.
notification is true and �orrecf. to the best ofd/h
Cl�� �t;� signed:
{, F kT.i,� t .
cute
IS-
ft vilal 61271102- 1-S Title: Preside t
covcsnir ABIDE INC_
y meGy Mans in owner or unlicemed owner's agent will be perfdrwin9
low-risk deleading wort:
I certify that I have husetts Lead Poising Prevention a plied with the
training requirements of the
Commonwealth of Nassachueegulations,
for owner/agent low-risk abatement and containment. I
further certify 4er ngfy ify.that I or my agent will be performing
the following low-risk activities (I have circled all Chat apply):
emptying livid encapsulard
capping baseboards
applying exterior vinyl aiding covering surf Cea
CaPOVtlp doers, cabinet dtOc>, shuctell [aa
1 certify that ail the information contained in this :wtificatisn is true and cnr[ect t,
best of ray knaaledgd xd bet t4f.
Signed:
Date:
ABIDE, INC. PROJECT I 02_,:31-4E—L_
6.)N it 16>
REV 10/12/95
102 WED r13:09 FAX 413 525 0678 AUlet t.+c
•
ABIDE, INC. PROJECT # 02. 3 2%
Z
COMMONWEALTH OF MASSACHUSETTS
Department of Labor C industries and Department of Public Health
NOTIFICATION OF DELEADING WORK
All eearioea of tale fora Nat be completed le order to coaplr
with tale seti£1Gtioa --trees°N of N.6.L. c 111 $ 191,
SSA 0* 52.00 and 105 (Na 460.000 as mess recently amedea
ens Maaaa:_r---
fAta'ia.7 USE)
Contractor peAam'xg prpkCI ABIDE INC. (Frank Tilli) License APC`007_619
t�-r /- NS K-1 datee_e ember ID, 2OOe'
Lead Paint Inspector ' .- , tvE. bot' N K-1 License M 2-3 71
Date of Inspection 3i22102.-
If low-risk deleadinq work is being performed, complete the following 'line:
Agents)
Property owner
Address of Pro eat
Floor
Building Nome (if any)
3G etbcog 'C ER2AcE_
St reOt Address O
city
',deeding Method: et/ ry Scraprn
Liquid Encapsulant overinq Demolition Replacement
If "Other" selected, please explain REMOVAL-
7-
Near
EMOJAI-
Neat Gun
(pMMpa/
Apt. Ho. S 0nJ AREAS
Zip ntfef Q
Caustics
Check One welling is
multi-Daily siMlc family
7Imi0_ i —"Slat'
( i/ZZIO'i
Start date Completion date T3�
When Will work be done: A.N. ilia):
P.11. S.I%O Weekends? Idb
project Supervisor's name Robert P. LaMountain License M DS3605
property Owner SM tt CO-Lk-GE
Address %1J wf SC St .
/t�
City 1aORalkMeTON � State
Telephone R D Ko&2£Itl40J1544
l{l3^SRS-24$$Frank Till'i , President
M/s sin OS _—
In case of emergency contact
Phone. day 413-525-0644
evening 413-525-0644
(Oder)
!002 WED 13:00 FAX 413 525 0678 AblUt 1.
•
s General i_ III 4 1j97 ORR 12.00 ▪ 105 CPO 66`.000 notice
In accordance with Me ends. _u• o tt nowt e. paint. lesten( o ether a us bL material,
f the date and sous level of removal coveting f the fo lwi 9
Containing at dangerous est tee(ICI levels 1praysstoobegiprovided ing f deleadingb received by 1 of persons. .
1. Occupants of the Melling unit
All other occupants of the residential premises, If any
Director, Childhood Leading Poisoning 0 Atlantic ,vention Program HA 82110
Department of Public Health,
Fax 16171 121-7563
tax (611) 264-8410
6. DiteCCOt. Asbestos a Lead Ptegram
Department of Labor a Industries
Room 11006, 100 Cambridge Street
Boston, MA 02202
//' ray_ tra sal- (221
Local board of Health/Code Enforcement Agency JOaThA (904
6. Massachusetts Historical CeemIssion
220 Morrissey Blvd.
Boston, HA 0212S
(of Histo n
ric Places, tals notification must rbe
we de upon receipt of an Order to Correct
Violations or at leas d30 day.prior to
tai_i acing proton fax (617) 722-512e
Doloading Contractor .
The undersigned hereby states, under the pains and penalties of perjury, that
he/she has read and understood the Commonwealth of Massachusetts Deleading
Regulations, 454 041k 22.00 and Leading Poisoning Prevention and Control
Regulations, 105 Chat 460.000, and that the information contained in this
notification is true and correct to the best of hi
Date r his/her knowledge and belief.
(
�/(g got— signor: Frank
rule: _ President
colpany: ABIDE, INC.
rewlxd 4/%74,2_ -`5
rented 7/1o/oa - ieS
paePmecy oweeS It owner Or YI\11Lensld owner's
agent will be performing low-risk deleading work)
he
I certify that I have complied with the traingnrequired control thegula Lions,rements of
Commonwealth of Massachusetts Lead Poising Prevention
105 CMk 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!:
cappir baseboards
covering surfaces
applying llpuld ancapaulant
applying exterior vinyl siding
removing doors, cabinet doers, shettoes
I certify that e11 the inforwetien contained In this Ceti oration is true and correct to the
best of my knowlatga and belief.
Date:
REV 10/12/95
ABIDE, INC. PROJECT #. O2.&27
CUNT S)
/2002 1.1. 13:un FAA 41J Dcu into 2W YL
Oa.
a
a b i d e
Abide.Inc.,Environmental Contracting
] ]
LEAD NOTIFICATION FAX COVER SHEET
DATE: if)0107--
ATTENTION:
[
FAX #:
Director,CLPPP(Boston) 617-284-8410
Director,LEAD PROGRAM(Boston) 617-727-7568
Town/City of AlurXNae'.•Piv6i '41 -88-1-12 . I
(Local Board of Health)
Massachusetts Historical Commission 617-727-5128
FROM: FRANK TILLUARIDE,INC.
REGARDING:
/PROJECT NOTIFICATION
[ 4 REVISED NOTIFICATION
[ [ OTHER:
NUMBER OF PAGES (including this one): 3
COMMENTS:
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information[torn Abide.Inc. Tnis'mfwmation is intended for the ate of the nddnsscd Individual or
corky. '(you sic no.to inkmkd neipipm,be aunt to any disclosers,copying.duOitnetum,a
use of the canes of this tnmsmisdim,is prohibited. If you hint uacivcd this icansminon in snot
please notify us by telephone(413-525-0644)inuncdia<ly TINA you
P.O. Box 886 East Longmeadow, MA 01028
Phone 413-525-0644 • Fax 413-525-0678 • E-mail ABIDE I Qaol.com