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70 Deleading Notification 2000 OOO WED 15'.31 FAX 413 525 0678 ABIDE INC ,I\ weA ABIDE, INC. PROJECT # COMMONWEA1all OF MASSACHUSETTS Department of Labor ° Industries and Department of Public Health NOTIFXCATXON OF DELEADINO WORE M1 sestion• of this fors moat b coaplatod an ocaas tc o°Rly mith the notification canalaamonts of N.G�L. c.111 $ 197. 454 adt 22.00 and 105 CHR 400.000 as west otcontly wended SILL 91IMACt:—�—�- Contractor performing proied, Lead Paint Inspect° ABIDE INC. (Fran MtA) (wick USE) License it D 9 tool Exp.date Seantember 11, ROt License NM 1226 Date of inspection If low-tisk deleading work is being performed, complete the following line: Agent(5) Property owner ACt Building Name Street Address City Deleading Method: Liquid Encapsulant If "other" selected, (if any) 70 NN I OE DA' CFloor �NI '{(ZEE Apt. No. ?tool-Paa �o1SE s rD Zip Heat Gun Ca U5t1 CS Re lacement Covering Demolition P please explain MAhk-C PANTO. Check die Completion date Stare date \2.( 1 . _ P.N. When will work be done: A.M. —7 ',OU 31.'414 fa Project supervisor's name owner Wa LLE Property Adtlre55 1:��a"-LC' Cr State�� MPTO J Robert P It t 1 l 00 Weekends? Y LaMDuntnin License % D53605r \ E • c- S 2 sm Kantmlil`dSIC- City Telephone Y113 Frank President In case of emergency contact Till`i , Phone day 413413 evening 4144 (overt 2000 BED 15:31 FAX 713 525 0678 ABIDE INC '^` It' CM; 22.00 ..�o 105 tF� IaO.000 notice covering. _o1 5 It' p ° .O0 • oticela laser o that accessible mat In accordance dangerous with Massachusetts ll f eaGeneral to be provided d must be received by a Pr of the date 1pleveuoottleaiac to beginning of dcleading.and containing np Pot et least un (Sol da s r 1 Occupants of the dwelling unit 2. All other occupants at the residential premises, if any 170 Atlantic Prevention Boston, 7W 02110 Director,prme trof1 Public Health,Poisoning tic Avenue P5oS°a' Department of — [. Director, AsDaet65 s Lead Program Rupee of Ca u Cambridge Street Boston, MA 02202 5. Local Board of Health/Code Enforcement Agency pogt2,b ac- l.LEHCTHCSTi cFN02,'P7AfAProN 6. Massachusetts Historical Commission 220 Morrissey Blvd. DC tpn, Igo 02125 Fax LOP) 284-8410 Fax (617) 727-7566 Frew 6(d)Str If premise) is listed on the on notification Ragiscar f Historic ets,f aft Order to Correct be wade upon totce ip•t< o Ter to Violations or as days least 30 p< to a.: c.ng preventive tlFax 0111 7 7.5120 Fax 16151 2 oe ainv Contractor eI nry, that under the pains and penalties of P ] the Commonwealth of Massachusetts neleading The undersigned hereby states, 22.00 and Leading Poisoning Prevention and Control GMR Regulations,has read 05a CNR understood 6 . , and that the information contained in this notification 105 MR and correct his/her knowledge and belief. Aequlaiions, notification is true and corcece to the best of Fr n T signed: Title. President Company; ABIDE. INC. r'oPe lif owner of unlicenepd owner's agent will be performing 10W-riek deleadin9 workl requirements of the Prevention and Control Regulations, L certify that I have complied with the training end containment. I commonwealth 5 GAP of Mfora owner/as ntad Poising 105 her cer ify, for owner/agent towillsb abatement erfolming further certify that 1 or my agent will be P the following low-risk activities (I have circled all that app Y capping baseboards covering surfaces Pate I\ 2 t�s k applying liquid encapsuant applying exterior vinyl siding removing doors, cabinet doors, shutie[e Correct - e ha i certify the( all the information contained in this t�gaifieation is true and c best of my knowledge and ballet. Dace: ABIDE, INC. PROJECT # �S3 REV 10/12/95 /29/2000 WED 15:30 FAX 413 525 0678 AB1UC J.Y. anbp a b i d e Abide,Inc..Environmental Contracting LEAD NOTIFICATION FAX COVER SHEET DATE: 11 )29 I OD ATTENTION; I Q\CN kn8.2EM)o 3K) (m■-04 Co I-4fc G£1 irector,CLPPP(Boston) /Director, LEAD PROGRAM(Boston) Ili Town/City of NOILIVIAM ETC t° (Local Board of Health) I Massachusetts Historical Commission FROM: FRANK TILIA/ABIDE,INC. REGARDING: PROJECT NOTIFICATION I I REVISED NOTIFICATION I OTHER: NUMBER OF PAGES (including this one): 3 COMMENTS: FAX #: tilg— ssS-21.11-0-/ 617-284-8410 617-727-7568 11e5-56'7-122—I 617-727-5128 If you experience problems in receiving this transmission,please tall 413-525-0644. CONFIDFNTIAUTY NOTICE. The docummu xnmpe nyin$shf lclecopy transmission may contain confidential and privileged information from Abide.lac. Ibis information is intended for the use of the addressed distribution, of entity. If you me na the intended recipient.be aware that any disclosure,copying, ux at the this ved mttmsmu+oa incrm pleme na"fy us by telephone(413-525-1)644)immediately. Thank P.O. Box 886 East Longmeadow, MA 01028 Phone 413-525-0644 • Fax 413-525-0678 • E-mail ABIDE I @aoi.com