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84-91 Project Revision Notifications o Important: When filling out forms on the computer,use only the tab key to move your cursor-do not use the return key. INSTRUCTIONS 1. This form is only available for online filing of project date 2v Enter. project decal number. 3. Validate that the project location is correct for the entered decal 4. Enter your new project dates. 5. Certify your notification. Submit date changes. Massachusetts Department of Environmental Protection Bureau of Waste Prevention —Air Quality Project Revision Notification For Asbestos Notification ANF-001 and AQ 06 U . voA _ !100184533 Decal Number L3.011: 595"J43 A. Facility Location INHA-FORSANDER APARTMENTS, BUILDING J 1.Name of Facility 84-91 HIGH STREET 2.Street Address NORTHAMPTON 3.City 6.Telephone Number MA 4.State 5.Zip Code B. Project Cancelled Check here if this project is/was cancelled. C. Project Dates 9/16/2013 1.Original Start Date(mmldd/yyyy) 3.Latest Revised Start Date(mSddlyyyy) 9/16/2013 2.Original End Date(mmlddfyvvv) 4.Latest Revised End Date(mm/dd/yyyy) D. Revised Project Dates 9/23/2013 1.Revised Start Date(mm(dd/yyyy) 9/23/2013 2.Revised End Date Date(mm/dd/yyyy) E. Other Project Revisions F. Revision History anill$p3rn.doc v •rdv.2/5/04 Massachusetts Department of Environmental Protection Bureau of Waste Prevention —Air Quality Project Revision Notification For Asbestos Notification ANF-001 and AQ 06 100184533 Decal Number G. Certification The undersigned hereby states,under the penalties of perjury,that he/she has read the Commonwealth of Massachusetts regulations for the Removal.Containment or Encapsulation of Asbestos,453 CMR 6.00 and 310 CMR 7.15,and that the information contained in this notification is true and correct to the best of his/her knowledge and belief. MARIA TILLI 1. Name PRESIDENT 2 Posidon/Trtle ABIDE INC. 4. Representing 113.0. BOX 886 6. Address Maria Tilli Authorized Signature 19/16/2013 3. D to mndddl 4135250644 5. Telephone EAST LONGMEADOW, MA 01028 7. City/Town 8. Zip Code ant06pdrn doc•rev_2/5/04 Important: When filling out forms on the computer,use only the tab key to move your cursor-do not use the return key. INSTRUCTIONS 1. This form is only available for online filing of project date 2.v Enter project decal number. 3. Validate that the project location is correct for the entered decal 4. Enter your new project dates. 5. Certify your notification. Submit date changes. Massachusetts Department of Environmental Protection Bureau of Waste Prevention —Air Quality Project Revision Notification For Asbestos Notification ANF-001 and AQ 06 100184533 Decal Number ZN*a 5943,N A. Facility Location NHA-FORSANDER APARTMENTS, BUILDING J 1.Name of Facility 84-91 HIGH STREET 2.Street Address NORTHAMPTON 3 City 6.Telephone Number MA 4 State 5 Zip Code B. Project Cancelled Check here if this project is/was cancelled. C. Project Dates 9/16/2013 1.Onginal Start Date(mm/ddNwy) 9/23/2013 3_Latest Revised Start Date(mm/dd/yyyy) 9/16/2013 2 Onginal End Dale(mm/dd/vwv) 9/23/2013 4.Latest Revised End Date(mm/dd/yyyy) D. Revised Project Dates 9/30/2013 1.Revised Start Date(mm/dd/yyyy) /30/2013 2.Revised End Date Date(mm/dd/yyyy) E. Other Project Revisions F. Revision History EDEP: 09/16/2013 08:45:07 AM anf06pdm.doc•rev.2/5/04 Massachusetts Department of Environmental Protection Bureau of Waste Prevention —Air Quality Project Revision Notification For Asbestos Notification ANF-001 and AQ 06 100184533 Decal Number G. Certification The undersigned hereby states, under the penalties of perjury,that he/she has read the Commonwealth of Massachusetts regulations for the Removal,Containment or Encapsulation of Asbestos,453 CMR 6.00 and 310 CMR 7.15, and that the information contained in this notification is true and correct to the best of his/her knowledge and belief. MARIA TILL! 1 Name PRESIDENT 2. Position/Title ABIDE,INC. 4. Representing Maria Tilli Authorized Signature 9/20/2013 3. Date(mm/dd/vYYYI 4135250644 5 Telephone P.O. BOX 886 6 Address EAST LONGMEADOW T City/Town 01028 8. Zip Code anfO6pdrn disc•rev.2/5/04 Important: When filling out forms on the computer,use only the tab key to move your cursor-do not use the return key. INSTRUCTIONS 1. This form is only available for online filing of project date revisions. 2. Enter project decal number. 3 Validate that the project location is correct for the entered decal 4. Enter your new project dates. 5. Certify your notification. Submit date changes. Massachusetts Department of Environmental Protection Bureau of Waste Prevention —Air Quality Project Revision Notification For Asbestos Notification ANF-001 and AQ 06 100184534 Decal Number 6,;44-I: 595'yu A. Facility Location NHA-FORSANDER APARTMENTS, BLDG K 1.Name of Facility 192-99 HIGH STREET 2.Street Address NORTHAMPTON 3.City 6.Telephone Number MA 4.State 5.Zip Code J B. Project Cancelled Check here if this project is/was cancelled. C. Project Dates 9/17/2013 1.Original Start Date(mmfdd/yyyv) 3.Latest Revised Start Date(mm/dd/yyyy) 9/17/2013 2 Original End Date(mm/dd/vvvyt 4.Latest Revised End Date(mm/dd/yyyy) D. Revised Project Dates 9/24/2013 9/24/2013 1.Revised Start Date(mmrddryyyy) 2.Revised End Date Date(mm/dd/yyyy) E. Other Project Revisions F. Revision History arft crrntoc•rev.2/5/04 Massachusetts Department of Environmental Protection Bureau of Waste Prevention—Air Quality Project Revision Notification For Asbestos Notification ANF-001 and AQ 06 100184534 Decal Number G. Certification The undersigned hereby states,under the penalties of perjury,that he/she has read the Commonwealth of Massachusetts regulations for the Removal,Containment or Encapsulation of Asbestos,453 CMR 6.00 and 310 CMR 7.15,and that the information contained in this notification is true and correct to the best of his/her knowledge and belief. [MARIA TILLI 1. Name PRESIDENT 2. Position/Title ABIDE INC. 4. Representing FP.O. BOX 886 6. Address Maria Tilli Authorized Signature 9/16/2013 3 Date Immred/vvrvl 4135250644 5. Telephone EAST LONGMEADOW, MA T City/Town anfo6pdrn.doc•rev.2/5/04 01028 8. Zip Code Important: When filling out forms on the computer.use only the tab key to move your cursor-do not use the return key. INSTRUCTIONS 1. This form is only available for online filing of project date revisions. 2. Enter project decal number. 3. Validate that the project location is correct for the entered decal 4. Enter your new project dates. 5. Certify your notification. Submit date changes. Massachusetts Department of Environmental Protection Bureau of Waste Prevention —Air Quality Project Revision Notification For Asbestos Notification ANF-001 and AQ 06 100184534 Decal Number ij M : 59)If2 A. Facility Location NHA-FORSANDER APARTMENTS, BLDG K 1.Name of Facility 92-99 HIGH STREET 2.Street Address I NORTHAMPTON 3.City 6 Telephone Number MA tate 5.Zip Code B. Project Cancelled Check here if this project is/was cancelled. C. Project Dates 9/17/2013 1.Ontinal Start Date mm/ddf 9/24/2013 3.Latest Revised Start Date(mm/dd/yyyy) 9/17/2013 2 Original End Date(mm/dd/yyyy) 9/24/2013 4.Latest Revised End Date(mm/ddfyyyy) D. Revised Project Dates 9/30/2013 1.Revised Start Date(mm/dd/yyyy) I 19/30/2013 2.Revised End Date Date(mMdd/yyyy) E. Other Project Revisions F. Revision History EDEP: 09/16/2013 08:45:08 AM anfO6pdm doc•rev.2)5/04 1-4 a Massachusetts Department of Environmental Protection Bureau of Waste Prevention —Air Quality Project Revision Notification For Asbestos Notification ANF-001 and AQ 06 100184534 Decal Number G. Certification The undersigned hereby states,under the penalties of perjury,that he/she has read the Commonwealth of Massachusetts regulations for the Removal, Containment or Encapsulation of Asbestos,453 CMR 6.00 and 310 CMR 7,15,and that the information contained in this notification is true and correct to the best of his/her knowledge and belief. MARIA TILLI 1. Name !PRESIDENT 2. Position/Title ABIDE, INC. 4. Representing P.O. BOX 886 6 Address !EAST LONGMEADOW 7. City/Town anfo6pdm.doe•rev.2/5/04 Maria Tilli Authorized Signature !9/1912013 3. Date(mm/dd/vvvv) 4135250644 5. Telephone I 01028 8. Zip Code Important: When filling out forms an the computer,use only the tab key to move your cursor-do not use the return key. INSTRUCTIONS I. This form is only available for online filing of project date revisions. 2. Enter project decal number. 3. Validate that the project location is correct for the entered decal. 4. Enter your new project dates. 5. Certify your notification. Submit date changes Massachusetts Department of Environmental Protection Bureau of Waste Prevention —Air Quality Project Revision Notification For Asbestos Notification ANF-001 and AO 06 1100184534 Decal Number (lev#3 59'l38Is A. Facility Location NHA-FORSANDER APARTMENTS, BLDG K 1.Name of Facility 92-99 HIGH STREET 2.Street Address NORTHAMPTON 3.City 6 Telephone Number MA 4.State 5.Zip Code B. Project Cancelled Check here if this project is/was cancelled. C. Project Dates 9/17/2013 L Original Start Date(mm/dd 9/30/2013 3 Latest Revised Start Date(mm/ddfyyyy) 9/17/2013 2.Original End Date(mm/dd/vWV) 9/30/2013 4 Latest Revised End Date(mm/dd/yyyy) D. Revised Project Dates 10/7/2013 1.Revised Start Date(mm/dd/yyyy) 10/7/2013 2.Revised End Date Date(mmfdd/yyyy) E. Other Project Revisions F. Revision History EDEP: 09/16/2013 08:45:08 AM EDEP: 09/19/2013 04:16:58 PM anfO6pdrn.doc•rev.2/5/04 *2 Massachusetts Department of Environmental Protection Bureau of Waste Prevention —Air Quality Project Revision Notification For Asbestos Notification ANF-001 and AQ 06 100184534 7 Decal Number G. Certification The undersigned hereby states, under the penalties of perjury,that he/she has read the Commonwealth of Massachusetts regulations for the Removal,Containment or Encapsulation of Asbestos,453 CMR 600 and 310 CMR 7.15,and that the information contained in this notification is true and correct to the best of his/her knowledge and belief. MARIA TILL/ 1. Name PRESIDENT 2. Position/00e ABIDE, INC. 4. Representing Maria Tilli Authorized Signature 9/20/2013 3 Date(mm/dd/WYY) 4135250644 5 Telephone P.O. BOX 886 6 Address EAST LONGMEADOW T City/Town 01028 8. Zip Code anf06pdm.doc•rev.2/5/04 Important: When filling out forms on the computer.use only the tab key to move your cursor-do not use the return key. ill Massachusetts Department of Environmental Protection Bureau of Waste Prevention—Air Quality project Revision Notification - For Asbestos Notification ANF-001 and AQ 06 INSTRUCTIONS 1. This form is only available for online filing of project date revisions. 2. Enter project decal number. 3. Validate that the project location is correct for the entered decal 4. Enter your new project dates. 5. Certify your notification. Submit dale changes. (100184535 Decal Number 1Zeu•#1. 55574$ A. Facility Location INHA-FORSANDER APARTMENT, BLDG L 1.Name of Facility 100.107 HIGH STREET 2.Street Address NORTHAMPTON i 1MA 3.City 4.State J 6.Telephone Number J 5 Zip Code B. Project Cancelled r Check here if this project is/was cancelled. C. Project Dates 19/18/2013 19/18/2013 1.Original Start Date(mMddlyvyv) 2.Original End Date(mMtldlvvvv) 3.Latest Revised Start Date(mMddlyyyy) 4.Latest Revised End Date(mnadd/yyyy) D. Revised Project Dates 19/25/2013 1 2 Revised End Date Date(mMtldlyyyy) 1.Revised Start Date(msd d /yyyy) 9/25/2013 E. Other Project Revisions F. Revision History //(}q7//j� 4/ k pdrn.doc•rev.2/5/04 Massachusetts Department of Environmental Protection Bureau of Waste Prevention —Air Quality Project Revision Notification For Asbestos Notification ANF-001 and AQ 06 (100184535 Decal Number G. Certification The undersigned hereby states,under the penalties of perjury,that he/she has read the Commonwealth of Massachusetts regulations for the Removal,Containment or Encapsulation of Asbestos,453 CMR 6.00 and 310 CMR 7.15,and that the information contained in this notification is true and correct to the best of his/her knowledge and belief. MARIA TILL( N PRESIDENT 2 Position/Title ABIDE INC. 4 Representing 'P.O. BOX 886 6 Address 'Maria Tilli Authorized Signature 9/16/2013 3 Dale(mmtdd/vWyl 14135250644 5 Telephone 'EAST LONGMEADOW, MA T City/Town anfo6pdrn coc•rev.2/5/04 101028 8 zip Code Important: When filling out forms on the computer,use only the tab key to move your cursor-do not use the return key TIM INSTRUCTIONS 1. This form is only available for online filing of project date revisions 2. Enter project decal number. 3 Validate that the project location is correct for the entered decal 4. Enter your new project dates. 5. Certify your notification. Massachusetts Department of Environmental Protection Bureau of Waste Prevention —Air Quality Project Revision Notification For Asbestos Notification ANF-001 and AQ 06 100184535 Decal Number (UN -V) : 5`11211 A. Facility Location NHA-FORSANDER APARTMENT, BLDG L 1.Name of Facility 100-107 HIGH STREET 2 Street Address !NORTHAMPTON 3.City 6.Telephone Number [MA 4 State 5.Zip Code B. Project Cancelled Check here if this project is/was cancelled. C. Project Dates 9/18/2013 1.Original Start Date(mm/ddlvY44) 9/25/2013 3.Latest Revised Stan Date(mmldd/yyyy) X9/18/2013 2.Original End Date(mm/dd/vvvvl 119/25/2013 4.Latest Revised End Date(mmlddlyyyy) D. Revised Project Dates Submit date changes. 10/7/2013 1.Revised Start Date(mm/dd/yyyy) 0/7/2013 2 Revised End Date Date(mmldd/ jyy) E. Other Project Revisions F. Revision Histo EDEP: 09/16/2013 08:45:08 AM anfo6pdrn doc rev.2/5/04 Massachusetts Department of Environmental Protection Bureau of Waste Prevention —Air Quality Project Revision Notification For Asbestos Notification ANF-001 and AQ 06 1100184535 Decal Number G. Certification The undersigned hereby states,under the penalties of perjury, that he/she has read the Commonwealth of Massachusetts regulations for the Removal,Containment or Encapsulation of Asbestos,453 CMR 6.00 and 310 CMR 7.15,and that the information contained in this notification is true and correct to the best of his/her knowledge and belief [MARIA TILL! 1. Name [PRESIDENT 2 Position/ritle BIDE, INC. 4. Representing P.O. BOX 886 6. Address EAST LONGMEADOW 7. City/Town anfo6pdm.doc•rev.215104 *aria Tilli Authorized Siqnature 9/19/2013 3. Date(mmrddlyvw) 14135250644 5. Telephone 01028 B. Zip Code Important: When filling out forms on the computer,use only the tab key to move your cursor-do not use the return key. CEA INSTRUCTIONS 1. This form is only available for online filing of project date revisions 2. Enter project decal number. 3. Validate that the project location is correct for the entered decal 4. Enter your new project dates. 5. Certify your notification. Submit date changes Massachusetts Department of Environmental Protection Bureau of Waste Prevention —Air Quality Project Revision Notification For Asbestos Notification ANF-001 and AQ 06 1100184536 Deal Number g%&u 3 5`flt°" A. Facility Location INHA-FORSANDER APARTMENTS, BLDG M 1.Name of Fadlity 1108-115 HIGH STREET 2.Street Address 'NORTHAMPTON 3.City J 6.Telephone Number IMA 4.State 5.Zip Code B. Project Cancelled Check here if this project is/was cancelled. C. Project Dates 19/19/2013 Original Start Date(mMd41/ont) 19/19/2013 2.Original End Date(mn ddtvvvvl I I 3.Latest Revised Start Date(mMddfyyyy) 4.Latest Revised End Date(mm/ddlyyyy) D. Revised Project Dates 19/26/2013 I.Revised Start Date(mMddlyyyy) [9126/2013 2.Revised End Date Date(mm/ddlyyyy) E. Other Project Revisions F. Revision History anf06 rn.oc:rev. 5f04 1ABIDE INC. 4 Representing LP.O. BOX 886 6. Address j100184536 Massachusetts Department of Environmental Protection Bureau of Waste Prevention—Air Quality Project Revision Notification For Asbestos Notification ANF-001 and AQ 06 Decal Number G. Certification The undersigned hereby states,under the penalties of perjury,that he/she has read the CMCommonwealth 6 nw and of 0 Massachusetts regulations for the Removal,Containment or Encapsulation of Asbestos,453 CMR 7.15,and that the information contained in this notification is true and correct to the best of his/her knowledge and belief. MARIA TILLI 1. Name [PRESIDENT 2 Positian&Title 1 Maria Ti10 Authorized Signature 9/16/2013 3. Date(mnadd/yvYy) 4135250644 5. Telephone 'EAST LONGMEADOW, MA 7. City/Town anto6pdrn.doc•rev.2/5/04 (- 01028 a Zip Code Important: When filling out forms on the computer.use only the tab key to move your cursor-do not use the return key. INSTRUCTIONS L This form is only available for online filing of project date revisions. 2. Enter project decal number. 3. Validate that the project location is correct for the entered decal 4. Enter your new project dates. 5 Certify your notification. Submit date changes Massachusetts Department of Environmental Protection Bureau of Waste Prevention —Air Quality Project Revision Notification For Asbestos Notification ANF-001 and AQ 06 1100184536 Decal Number 1t,��o�.cJi��[ �➢ A. Facility Location INHA-FORSANDER APARTMENTS, BLDG M 1.Name of Facility 1108-115 HIGH STREET 2.Street Address [NORTHAMPTON 3.City 6.Telephone Number MA 4.State 5.Zip Code B. Project Cancelled Check here if this project is/was cancelled. C. Project Dates 19/19/2013 1.Original Start Date(mm/dd/yyyy) 19126/2013 3-Latest Revised Start Date(mm/ddlyyyy) l 19119/2013 2.Original End Date(mmrdd/yvw) 9/26/2013 4.Latest Revised End Date(mm/ddlyyyy) D. Revised Project Dates 10/14/2013 1.Revised Start Date(mrnldd/yyyy) [ 110/14/2013 2 Revised End Date Date(mmfdd/yyyy) E. Other Project Revisions F. Revision History EDEP: 09/16/2013 09:45:12 AM anfO6pdm.doc.rev.2/5/04 Massachusetts Department of Environmental Protection Bureau of Waste Prevention —Air Quality Project Revision Notification For Asbestos Notification ANF-001 and AQ 06 100184536 Decal Number G. Certification The undersigned hereby states,under the penalties of perjury,that he/she has read the Commonwealth of Massachusetts regulations for the Removal,Containment or Encapsulation of Asbestos,453 CMR 6.00 and 310 CMR 7.15,and that the information contained in this notification is true and correct to the best of his/her knowledge and belief. iMaria VII.ARIA TILL( _J ■Authorized Signature I. Name —1 19/1912013 (PRESIDENT 3. Date lmMddNwy) 2. PpsiGpn7ritle i X4135250644 'ABIDE, INC. �5. Telephone 4 Representing 'P.O. BOX 886 6. Address 8 0102 �� 2 EAST LONGMEADOW [01028 000de 7. City/Town anf06pdm doc•rev.2/5/04 nportant: Men filling out Drms on the omputer,use (My the tab key o move your ;ursor-do not /se the return cey. Massachusetts Department of Environmental Protection Bureau of Waste Prevention —Air Quality Project Revision Notification- For Asbestos Notification ANF-001 and AQ 06 1100184537 - --� Decal Number 'Lv-v 59591-44 INSTRUCTIONS 1. This form is only available for online filing of project date revisions. 2 Enter project decal number. 3. Validate that the project location is correct for the entered decal. 4. Enter your new project dates. 5. Certify your notification. Submit date changes. A. Facility Location NHA-FORSANDER APARTMENTS,BLDG N 1.Name of Facility 1116-123 HIGH STREET 2 Street Address NORTHAMPTON 3.City 6.Telephone Number 1MA ste 5.Zip Code B. Project Cancelled n Check here if this project is/was cancelled. C. Project Dates /20/2013 0 a Start Date mm/d Latest Revised Start Date(mmddlyyyy) D. Revised Project Dates Revised Start Date(mmlddlyyyy) E. Other Project Revisions 19/20/2013 2.Original End Date(mn ddlwvv) 1 4.Latest Revised End Date(mmlddlyyyy) 19/27/2013 2.Revised End Date Date(msddlywy) F. Revision Histo / ant06pdrn.doc•rev.2(5(04 J Massachusetts Department of Environmental Protection Bureau of Waste Prevention —Air Quality Project Revision Notification For Asbestos Notification ANF-001 and AQ 06 100184537 Decal Number G. Certification The undersigned hereby states,under the penalties of perjury,that helshe has read 453 CMR 6.00 Commonwealth of 0 Massachusetts regulations for the Removal,Containment or Encapsulation of Asbestos,5 CMR 7.15,and that the information contained in this notification is two and correct to the best of his/her knowledge and belief. MARIA TILLI 1. Name PRESIDENT 2. Position/Title (ABIDE INC. 4. Representing 1P.O. BOX 886 6. Address Maria Tilli Authorized Signature 19/1612013 3. Date(mm/dNVVVVI 14135250644 5. Telephone 'EAST LONGMEADOW, MA 7. City/Town anM6pdrn doc•rev.2/5/04 101028 8. Zip Code 19/20/2013 2.Odainal End Date(mm/ddfvvvy) 19/27/2013 4.Latest Revised End Date(mm/ddfyyyy) Iportant: Ten filling out rms on the ,mputer,use hly the tab key I move your irsor-do not se the return ey fT NSTRUCTIONS This form is 'nly available for mline filing of 'reject date evistons. !. Enter project fecal number. 3. validate that the project ocation is correct for the entered decal. 4. Enter your new project dates. 5. Certify your notification. Submit date changes. Massachusetts Department of Environmental Protection Bureau of Waste Prevention —Air Quality Project Revision Notification For Asbestos Notification ANF-001 and AQ 06 1100184537 Decal Number iLtv#a 512 a A. Facility Location 1NHA-FORSANDER APARTMENTS, BLDG N I.Name of Facility 1116-123 HIGH STREET ss 2.Scree [NORTHAMPTON 3.City 6.Telephone Number !MAate 1 I5.Zip Code B. Project Cancelled Check here if this project is/was cancelled. C. Project Dates 19/20/2013 1.Original Start Date(mmiddfyyvv) 19/2712013 3.Latest Revised Start Date(mMddfyyyy) D. Revised Project Dates 2.Revised End Date Date(mMdd/yyyy) E. Other Project Revisions F. Revision History EDEP:09/16/2013 09:45:13 AM anf06pdrn.doc•rev.2/5/04 Massachusetts Department of Environmental Protection Bureau of Waste Prevention —Air Quality Project Revision Notification For Asbestos Notification ANF-001 and AQ 06 1100184537 Decal Number a Certification Co The undersigned hereby states,under the penalties of perjury,that he/she has read the C mmonwealth fi 0w and 31f 0 Massachusetts regulations for the Removal, Containment or Encapsulation of Asbestos, CMR 7.15,and that the information contained in this notification is true and correct to the best of his/her knowledge and belief. 'MARIA TILL' 1. Name !PRESIDENT 2. Position/Till !ABIDE,INC. 4. Representing (P.O. BOX 886 6 Address (EAST LONGMEADOW 7. City own anto6pdrn doe-rev.2/5/04 �- a 'Maria Tilli Authorized Signature 19/2012013 3 Date(mmiddlyvyy) (4135250644 5. Telephone (01028 8. Zip Code 19/23/2013 2.Original End Date(mm/ddfvyyv) nportantc Then filling out inns on the amputer.use my the tab key r move your ursor-do not se the return 'NORTHAMPTON ey. 3.City Massachusetts Department of Environmental Protection Bureau of Waste Prevention —Air Quality ---Project Revision Notification For Asbestos Notification ANF-001 and AQ 06 1100184538 Decal Number &4 AV. 595RZ5 A. Facility Location INHA-FORSANDER APARTMENTS, BLDG 0 1.Name of Facility 1124-131 HIGH STREET 2.Street Address NSTRUCTIONS I. This form is ynly available for Dnline tiling of nroject date evisions. 2 Enter project decal number. 3. Validate that the project location is correct for the entered decal 4. Enter your new project dates. 5. Certify your notification. Submit date changes. I 1MA 4 State 6.Telephone Number 5.Zip Code B. Project Cancelled U Check here if this project is/was cancelled. C. Project Dates 19123/2013 1.Original Start Date(mmldd/yyvy) 3.Latest Revised Start Date(mMdd/yyyy) I I 4.Latest Revised End Date(mm/ddfyyyy) D. Revised Project Dates 1.9/30/2013 1.Revised Start Date(mn ddlyyyy) /30/2013 2.Revised End Date Date(mm/ddfyyyy) E. Other Project Revisions F. Revision History anf06p m. oc•re;2/5104 Massachusetts Department of Environmental Protection Bureau of Waste Prevention —Air Quality Project Revision Notification For Asbestos Notification ANF-001 and AQ 06 100184538 Decal Number G. Certification The undersigned hereby states,under the penalties of perjury,that he/she has read 53 CMR 6 n0 Commonwealth 310 of Massachusetts regulations for the Removal,Containment or Encapsulation of Asbestos, CMR 7.15,and that the information contained in this notification is true and correct to the best of his/her knowledge and belief. MARIA TILLI 1. Name `PRESIDENT 2. Position/Title (ABIDE INC. 4. Representing P.O. BOX 886 6 Address (Maria Tilli Authorized Signature 19/1612013 3. Date mm/dd/ 4135250644 5 Tele M1one - (EAST LONGMEADOW,MA 7. City own an(06pdrn dog•rev.2/5/04 101028 B. Zip Code mportant Mien filling out forms on the computer,use only the tab key to move your cursor-do not use the return key. INSTRUCTIONS 1. This form is only available for online filing of project date revisions. 2. Enter project decal number. 3. Validate that the project location is correct for the entered decal. 4. Enter your new project dates. 5. Certify your notification. Submit date changes. Massachusetts Department of Environmental Protection Bureau of Waste Prevention —Air Quality Project Revision Notification &J r 51545y For Asbestos Notification ANF-001 and AQ 06 1100184542 Decal Number A. Facility Location 1NHA-FORSANDER APARTMENTS, BLDG P 1.Name of Facility 1132-139 HIGH STREET 2.Street Address 1NORTHAMPTON 3.City 6.Telephone Number MA 4.State L 5.Zip Code B. Project Cancelled Check here if this project is/was cancelled. C. Project Dates 19/24/2013 1.Original Start Date(mmIdd/ y) 3.Latest Revised Start Date(mntlddlyyyy) D. Revised Project Dates 19/24/2013 2.Odeinal End Date(mmlddivvv) 4.Latest Revised End Date(mMddlyyyy) 110/1/2013 1.Revised Start Date(mmlddlyyyy) ( 110/1/2013 2.Revised End Date Date(mmlddlyyyy) E. Other Project Revisions F. Revision History 1100184542 Decal Number Massachusetts Department of Environmental Protection Bureau of Waste Prevention —Air Quality Project Revision Notification For Asbestos Notification ANF-001 and AQ 06 G. Certification The undersigned hereby states,under the penalties of perjury,that he/she has read the Commonwealth of Massachusetts regulations for the Removal,Containment or Encapsulation of Asbestos,453 CMR 6.00 and 310 CMR 7.15,and that the information contained in this notification is true and correct to the best of his/her knowledge and belief. 'MARIA TILL' Name !PRESIDENT 2. PositionfTitle `ABIDE INC. 4. Representing 'P.O. BOX 886 6. Address Marla TOO Authorized Signature 19/16/2013 3 Date Imm/ddVVYYI [4135250644 5. Telephone 'EAST LONGMEADOW,MA 7. City/Town anto6pdm doc•rev.2/5104 01028 8. Zip Code 19/25/2013 2.Ortuinal End Date Immldtllvvyy) mportant Nhen filling out lorms on the mputer,use only the tab key to move your cursor-do not use the return key INSTRUCTIONS 1. This form is only available for online filing of project date revisions. 2. Enter project decal number. 3. Validate that the project location is correct for the entered decal. 4. Enter your new project dates. 5- Certify your notification. Submit date changes. Massachusetts Department of Environmental Protection Bureau of Waste Prevention —Air Quality Project-Revision Notification For Asbestos Notification ANF-001 and AQ 06 [100104544 Decal Number 1 isLO W. 595%t kv A. Facility Location INHA-FORSANDER APARTMENTS, BLDG Q Name of Facility 1140-147 HIGH STREET 2 Street Address NORTHAMPTON 3 City 6.Telephone Number State J 5.Zip Code B. Project Cancelled li Check here if this project is/was cancelled. C. Project Dates 19(25/2013 t Original Start Date(mMdd/yyyy) 3.Latest Revised Start Date(mmldd/yyyy) 0.Latest Revised End Date(mmlddlyyyy) D. Revised Project Dates 10/2/2013 l 110/2/2013 1.Revised Start Date(mm/ddtyyyy) 2.Revised End Date Date(mm/dd/yyyy) E. Other Project Revisions F. Revision History an il.tloc rev.2/5/04 Massachusetts Department of Environmental Protection Bureau of Waste Prevention —Air Quality Project Revision Notification For Asbestos Notification ANF-001 and AQ 06 1100184544 Decal Number G. Certification The undersigned hereby states,under the penalties of perjury,that he/she has read the Commonwealth of Massachusetts regulations for the Removal,Containment or Encapsulation of Asbestos,453 CMR 6.00 and 310 CMR 7.15,and that the information contained in this notification is true and correct to the best of his/her knowledge and belief. (MARIA TILL! 1. Name PRESIDENT 2. Position/Title 'ABIDE INC. 4. Representing P.O. BOX 886 6. Address (EAST LONGMEADOW, MA 7. City/Town anfO6pdm.doc•rev.2/5/04 1 'Maria Tilli Authorized Signature 19/16/2013 3. Date(mm/dd/vvvvl 1 14135250644 5. Telephone 101028 8. Zip Code 1\ Important When filling out forms on the computer.use only the tab key to move your cursor-do not use the return key. LA INSTRUCTIONS 1. This form is only available for online fling of project date revisions. 2. Enter project decal number. 3. Validate that the project location is correct for the entered decal. 4. Enter your new project dates. 5. Certify your notification. Submit date changes. Massachusetts Department of Environmental Protection Bureau of Waste Prevention—Air Quality Project Revision Notification For Asbestos Notification ANF-001 and AQ 06 [100184546 Decal Number I?11,w1 n'95813 A. Facility Location INHA-FORSANDER APARTMENTS, BLDG R 1.Name of Facility 148-155 HIGH STREET 2.Street Address NORTHAMPTON 3.City 6.Telephone Number IMA 4.State 5 5.Zip Code B. Project Cancelled Check here if this project is/was cancelled. C. Project Dates (9/26/2013 1.Original Start Date(mmldd/WW) 3.Latest Revised Start Date(mMddlyyyy) 9/26/2013 2.Original End Date Immldd/vvyv) ( 4.Latest Revised End Date(mMddlyyyy) D. Revised Project Dates 10/3/2013 1.Revised Start Date(mm/dd/yyyy) 110/3/2013 2.Revised End Date Date(mmldd/yyyy) E. Other Project Revisions F. Revision History a kd �v..2/5/04 Massachusetts Department of Environmental Protection Bureau of Waste Prevention —Air Quality Project Revision- Notification For Asbestos Notification ANF-001 and AQ 06 00184546 Decal Number G. Certification The undersigned hereby states,under the penalties of perjury,that he/she has read the Commonwealth of Massachusetts regulations for the Removal, Containment or Encapsulation of Asbestos.453 CMR 6.00 and 310 CMR 7.15,and that the information contained in this notification is true and correct to the best of his/her knowledge and belief. MARIA TILL! Name PRESIDENT 2 Position/Tile ABIDE INC. 4. Representing 'P.O. BOX 886 6. Address Lana Tilli Authorized Signature 9)1612013 3 Date(mm/ddlvvvv) 14135250644 5. Telephone EAST LONGMEADOW, MA 7. City/Town anf06pdrn Joe•rev.2/5/04 01028 8 Zip Code