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17 Lead Inspection Report 2000 WL MILO] ■ ERNOR IF SV tT wr GOVERNOR M D.OVARY O ETMY C IKON,RD,KPH RLi90RFR Violations The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health Childhood Lead Poisoning Prevention Program 470 Atlantic Avenue, Second Flo Boston, MA 02210-2208 71)�--- � (617) 753-84001 800-532-9571 !! U iJ AUG 2 52000 NOTICE TO PROPERTY OWNERS AND TENANTS: TENANT'S RIGHTS AND RESPONSIBILITIES NORT NAfeiprOH BOARD OF HEgtjH -ead paint violations under the Lead Law and the state Sanitary Code have been found in the tome or apartment listed in the attached documents. These violations may be a danger to the mealth of the people living in the home or apartment. Children younger than six years old are at he most risk of being lead poisoned. Lead can damage a child's growing brain and other parts of he body. Even small amounts of lead can harm a child. the owner of this home or apartment is responsible for removing or covering the lead violations. This is called deleading.) Legal Rights and Responsibilities For these lead violations to be deleaded as quickly and safely as possible, it helps if both the rwner and the tenant cooperate with each other. It is important that tenants and owners know heir rights under state law. Because the laws are not simple,tenants may need to get legal help md/or legal advice before trying to use the rights found below. :1) Temporary Housing. (Massachusetts General Laws chapter 111, section 197) Tenants and their pets must be temporarily moved out of the home or apartment for the whole time that high-risk or moderate-risk deleading work is taking place inside the home or apartment.They cannot return until that work is done,the unit is cleaned up and a licensed lead inspector finds that the home or apartment is safe. The owner and tenants have to agree on a plan for temporary housing.If the tenants choose to move in with family or friends they do not have to pay rent to their landlord while they are out of their home. If they do not so choose,the owner finds the temporary housing and offers it to the tenant. The Law requires that owners pay any charges for the temporary housing the owner offers, and that tenants continue to pay their full normal rent during the time they live in the temporary housing.The temporary housing must be one that"does not cause undue economic or personal hardship to the tenant."If the temporary housing chosen by the owner would not cause a hardship,and the tenant still refuses to accept it, then the tenant has to find and arrange for his or her own temporary housing during deleading. In this case, the tenant doesn't have to pay rent for the days he or she is not at home,but has to pay the cost of the temporary housing he or she has chosen. In this case, the owner has to pay the tenant any amount by which the cost of the temporary housing first chosen by the owner is more than the rent for that period.No matter where the tenant stays,the owner must pay reasonable moving costs. Tenants are advised to get legal help if they can not agree with the owner on a plan. ;2) Protection from Retaliatory Rent Increase or Eviction. A property owner may not evict a tenant, or increase the rent or refuse to renew the lease of a tenant in retaliation(getting even) for the tenant reporting a suspected lead paint violation to a code enforcement agency such as the local board of health. If the rent is increased or the tenants are evicted or their lease is not renewed within six months after the tenants made the complaint, a court can automatically find that the owner took this action in retaliation unless the owner can show clear evidence that he or she had other reasons,unrelated to the tenants' complaint about violations. An eviction based on not paying the rent is not retaliatory.Property owners who are found to have threatened or taken actions against tenants for exercising rights under the Lead Law are liable for damages under M.G.L. c. 186, s. 18 and M G L c 93A. 3) A tenant who believes that he or she has been retaliated against by the owner because of lead violations may also file a complaint with the Massachusetts Commission Against Discrimination. Rent Withholding. (Massachusetts General Laws chapter 239, section 8A) Tenants have a basic obligation to pay rent for their home or apartment to the owner. But,if lead violations are not being deleaded,tenants may have a right to hold back their rent payments.Tenants may take this step only if they were up to date in their rent at the time the owner was notified of the lead paint violations, and they did not begin withholding until this point. Owners have the right to go to court to evict tenants for not paying rent.To fully protect themselves against attempted evictions, tenants withholding rent for Lead Law violations may need to place withheld rent money in an escrow (separate savings) account,or may be ordered to do so by the court. If these conditions are met, tenants may not be evicted for not paying rent or for any other violation that is not the tenants' fault. Owners have the right to enter the tenants' home or apartment, if possible by appointment,but in any case in emergencies, to inspect for lead violations and to have them repaired.Tenants have a responsibility to cooperate with owners and allow all necessary access to their home or apartment for repairs.Tenants who do not cooperate with this right of entry may be subject to eviction. If rent was withheld,the court may order that all or part of the withheld rent be paid to the owner after the violations are deleaded. 4) Abatement of Rent or Damages. Even when the rent withholding statute does not apply, tenants may be able to have their rent reduced or get back rent they have already paid, if their home or apartment has Lead Law violations. The landlord always has a duty to provide housing that meets basic housing standards. A tenant can bring a court action for breach of this"implied warranty". (5) "Rent Receivership". (Massachusetts General Laws, chapter 111, sections 127C - 127J) This law allows tenants,the state Childhood Lead Poisoning Prevention Program or the local board of health to ask the court to fmd that Lead Law violations exist, and to allow rent to be paid into court rather than to the owner, to pay for necessary repairs. People and pets have to stay out of the work area while most low-risk deleading work, structural repairs or cleaning of lead dust, is taking place. They also have to stay out of the work area when deleading work of any kind is taking place in common areas outside the home or apartment, as long as they have another regular way(not a fue escape)to go in and out of the building. In these cases,people and pets can use the area once cleanup is completed after all the work in the area is done. People and pets have to stay out of the home or apartment for the day while coverings are put over a surface with peeling, chipping or cracking lead paint or plaster, and during applying of encapsulants with an airless sprayer. They also have to stay out for the day during deleading of common areas when they do not have another regular way(not a fire escape)to go in and out of the building. When people and pets are out of their home or apartment for the day, it means they can come back to the home or apartment after cleanup at the end of the workday, and don't have to be out overnight. It is very important that people whose home or apartment is being deleaded think refully about what they will need during the time they are away from home, and take it with em. No one can return to a home or apartment while deleading that requires them to be out is 11 taking place,and has not been properly cleaned up. Property owners and residents must take leading safety rules seriously and cooperate fully to make sure everyone is protected.No one ould interfere with the work being done safely. etting ready for deleading to begin People who live in a home or apartment in which any kind of deleading work is going to taking place have to get written notice at least 10 days before the start of this work. This ,lies also to other residents of a building, if any deleading work will take place in common as. Before deleading work begins, all household possessions of every type should be removed stored in plastic bags in non-work areas. Closets and cabinets to be deleaded must be emptied. a last resort,large furniture and belongings not removed from the work area should be put in stic bags and left in the center of the room, where they will be covered with heavy plastic by :person doing the deleading. The reason for this is to protect everything in the home or u-tment from lead dust contamination. Belongings must also be protected before an owner or mt performs low-risk deleading work, or other work that may be required for interim control, t the precautions are not as extensive for this type of work. In general,it is recommended that niture and belongings be moved outside the work area, or covered with thick plastic and ded with duct tape, before low-risk deleading begins. eanup after deleading and returning home A final cleanup will be done at least two hours after all the interior high- or moderate-risk leading work is done. This delay is to make sure that fine lead dust will settle out of the air and removed in the final cleanup. People and pets who were temporarily moved to alternative using can return only after a Lead inspector or risk assessor says that the home is safe. The ;pector decides this after doing a reoccupancy reinspection, which includes an analysis of lead st levels within the home. Residents should leave a phone number where they can be reached that the inspector or risk assessor can call them and let them know when it is safe to return me. If the property owner or agent is going to be doing low-risk deleading work or other work interim control after the residents return home,they will be taking some safety steps for this, described in the CLPPP low-risk booklet. They will also be doing a cleanup when they are ne with the low-risk work. An inspector or risk assessor will return at the completion of all the uk and do a reinspection to check the owner's or agent's work. (6) Owner Liability: Compensatory and Punitive Damages. (Massachusetts General Laws chapter 111, section 199) The owner of a home or apartment built before 1978 is liable for damages to a child under age six who becomes lead poisoned as a result of the owner's failure to comply with the Lead Law and regulations. The owner of such home or apartment who is notified through an Order to Correct Violations or Order to Restore Interim Control Measures of lead violations, and who willfully fails to correct the violations, in accordance with the Lead Law and Regulations, is also subject to punitive damages,which are triple the actual damages found. The information presented above is only a summary of the law. Before you decide to withhold your rent or take any other legal action,it is advisable that you consult an attorney. If you can not afford to consult an attomey, you should contact the nearest Legal Services office. Repainting Violations of the Lead Law are also violations of the state Sanitary Code. Surfaces from which lead paint or other coatings have been removed have to be repainted under 105 CMR 410.021 of the state Sanitary Deleaded surfaces have to be sealed and made easy to clean.Deleaded surfaces can only be repainted after the surfaces have been reinspected while bare and approved by a licensed lead inspector. Tenants may want to contact the owner if the required repainting is not done.If the owner does not respond,tenants should call the local board of health. uu GBmmrq VERNOR LE SWIFT N(GOVERNOR n 0.O'L ARY .RCn.RY KOH,MO,MN USSIONER The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health Childhood Lead Poisoning Prevention Program 470 Atlantic Avenue, Second Floor Boston, MA 02210-2208 (617) 753-8400/ 800-532-9571 RESIDENTIAL DELEADING ADVISORY The process of removing or covering lead paint hazards, commonly called deleading, can dangerous if it is not done properly. That's why the Lead Law(Massachusetts General Laws Lapter 111, sections 189A through 199B),the Regulations for Lead Poisoning Prevention and Dntrol (105 Code of Massachusetts Regulations 460.000) and the Deleading Regulations(454 MR 22.00)have rules for how deleading is done in homes and apartments. These rules say who m do the work, safety steps that have to be taken while the work is done,how to clean up after e work and how the work is finally approved. These rules are enforced by the Department of Iblic Health's Childhood Lead Poisoning Prevention Program(CLPPP),the Department of tbor and Workforce Development(DLWD) and local boards of health. (ho can do deleading work Under these laws, only a licensed deleading contractor can do high-risk work, such as :raping or stripping lead paint, repairing more than a small amount of chipping or peeling lead tint so it can be repainted, and demolishing lead-painted building parts. Besides deleaders, 'operty owners and their agents who take a one-day course can do moderate-risk deleading ork, such as removing windows,woodwork,and just about any surface of a house, as well as pairing small amounts of chipping and peeling lead paint so it can be repainted. Lead-safe :novators trained and licensed by DLWD may also be hired to do moderate-risk deleading work. inally, low-risk deleading work can be done by all the people who can do high- or moderate-risk :leading work, and also owners and their agents,including contractors,who just complete the LPPP low-risk booklet (and/or encapsulant booklet). Low-risk deleading means covering ufaces, applying encapsulants,capping baseboards, removing doors, cabinet doors and shutters, ad applying exterior siding. Property owners and their agents may also do structural repairs and :ad-dust cleaning for interim control. taying out of the home or parts of the home during deleading To protect the people who live in the home or apartment being deleaded,the law also has iles about making sure they stay out of the home or apartment,or the area being worked on, in tese ways: • All people and pets have to be temporarily moved from the home or apartment for the whole time that high- or moderate-risk deleading work is taking place inside the home or apartment. The owner has to provide residents with a reasonable alternative place to live for this time. Property owners and residents should refer to the CLPPP document,"Notice to Property Owners and Tenants: Tenants' Rights, Responsibilities, and Remedies" for more information on alternative housing during deleading. Ttinporary ways to protect children from lead poisoning Children exposed to lead paint hazards are at risk of becoming lead poisoned. This disease can affect every part of a young child's developing body, and in particular, can seriously and permanently hurt the brain, kidneys and nervous system. Even at lower levels of exposure, lead can cause children to have learning and behavioral problems. The best and only permanent way to protect children from lead poisoning is deleading. But even before that process begins,there are some important steps that can be taken to protect young children from lead poisoning. Your lead inspector's or risk assessor's advice should be carefully followed because he or she knows your child's home. As part of their normal behavior,young children place things in their mouths, especially toys and their own fmgers. If there are lead paint chips and dust in your home,they may be picked up by your child's fmgers,as well as by toys, foods and pacifiers that fall on the floor, and end up in your child's mouth. It is especially important to wash your child's toys and to keep your child's hands clean,particularly before meals and at bedtime. Areas of peeling or chipping lead paint and dust should be cleaned. Wet wiping with paper towels and a general household detergent is best. Do not use your household vacuum cleaner to clean up paint chips, because this will only send fine lead dust into the air. Windows, windowsills and the floors under windows in particular are often areas from which children can get exposed to lead. Sills should be cleaned regularly if paint dust or flakes collect there. If windows are in poor condition,the best thing to do may be to keep the lower sash closed and open only the upper sash for ventilation. (This also protects your child from accidentally falling from the window.)Contact paper may be applied to areas of peeling paint on windowsills,walls or other surfaces as a temporary measure. Sometimes furniture can be moved to block children from deteriorating paint or plaster.If deteriorating paint or plaster is in the child's bedroom,use another room as the child's room, if possible. Think of those parts of the home where your child spends most of his or her time, and try to keep them as clean as you can before your home is deleaded. Lead paint can also get into soil. If the outside of your home has chipping or peeling paint,do not let your child play in the soil closest to the house.Be careful to wipe your shoes off on a mat before walking into your house, so you don't track in soil from these areas. Follow the advice of your lead inspector or risk assessor about soil on the property. For more information about how the deleading process works, and how to protect your children from lead poisoning, call the toll-free CLPPP information line,at 1(800)532-9571. 3 section Services Inc 44 Chapel St. Chicopee, MA. 01020 413.535.5002 1.808.802-LEAD Lead Inspection Report 9J►IjC[�c'90 unrr4/.e.■msa. Fr m 'am e: [Wren: Ge o-eye ‘224.44 Page / of_2/ Method Uscd: / Bliss Exp.Dote Gp CRay Flouresccnsc �� p Mudd if Smvd M..221 Zip Code Ivl / 1O1V1,r 3 /er,(s //9A. !me(if different from owner): ddress: pa c Ai bM?SO.m: P V Carts Lao FMYI�Lp�ae IT MW No Amu a >f V G ayuin I V I*w Wi.4w CO WW COV Ota-al Other Comments: Single Family Multi-Family 1 y #Units Z CondominiumD Daycare 0 • • • • • 1 :: pch . A (street sidr.) D B Floor# A(sure:sidt) eat)more than 1.2 mg/cm with x-ray fluorescence or positive with D!a=S is Dangerous. +SP.DATE I 1;2 itad H:,a,as? (Y or 1,1) a)sasor grant) D ION SERVICES INC.44 Chapel St.Chicopee,MA.01020 5355002,1,-,888.99022--LEAD Montemagni Lic#M1431 Signaturpirr(Lj%FfaZ�-.�e9�' Date 6'�/� �j �i/ n 1 Inspection / (,/� / Ate Apt /�— U LEAD TYPE OF HAZARD COMMENTS DELEAD DATE DELEAD METHOD DELEAD METHOD Tiffaanil Window Ea 99j {M9 L NM L Apron O� / L AIM L Win Casing pP F 9' 'OOP L 6M.) L GWin Header 9.9 L. WO NM L IntSlops 9.9 -Vi Y'�) N (M L NM L Win lnt Sash 076 NM L galgrarra 9.9 CI rani Part Bead Paf ii ) Blind Stop A5 (la Win Est Sash �]n P45 t EVI CL) ML Closet Door NM L Tillnilallriall Cl Casing (9 y /M L Nara CNssetJamb p9 .. (NM) L Closet Walls a 9( NM L Cl Baseboard Nq 9 FAIIIMPA— CloseMNe / NM L MA L Close1$Pell / NM L 11 .. rJ NM L ■■ (i g A IN Closet Ceiling ;22 Cal IIm- Nara Up Cab Frame o-/ NM L Cab Door OL AIM L Up Cab Walls 94 NM L ■„ sh 0 NM L II �; CF rL Lowe Cab Fram of NM L Cab Door Of ash ra Low Cab Waits 0 ciU vC eles/9 c,fr-7a 74 /oi/ 9 y 99 City Page oft. SIDE LOCATION/ SURFACE LEAD TYPE OF HAZARD COMMENTS DELEAD DATE DELEAD METHOD Window Ea 99j {M9 L Apron O� / L Win Casing pP F 9' 'OOP L GWin Header 9.9 L. WO IntSlops 9.9 -Vi Y'�) N (M L Win lnt Sash 076 Ca L Exterior Sill 9.9 CI Part Bead Paf ii ) Blind Stop A5 (la Win Est Sash �]n P45 t EVI CL) Closet Door 9 NM L Cl Casing (9 y /M L CNssetJamb p9 .. (NM) L Closet Walls a 9( NM L Cl Baseboard Nq AIM L CloseMNe / NM L Close1$Pell / NM L Cl Supports rJ NM L Closet Floor (i L Closet Ceiling (y/f L Up Cab Frame o-/ NM L Cab Door OL AIM L Up Cab Walls 94 NM L Up CabShvs 0 NM L Supports �; CF tr 79 ARM L Lowe Cab Fram of NM L Cab Door Of NM L Low Cab Waits Q AIM L Loa Cab Shlvs 3 NM L Supports 0 NM L Drawers a/ NM L EXCLUDED SURFACES:Surfaces isted in these box s an b=made intact only b a licensed deleader :ATION MEASURE:LOOSE PAINT (MORE THAN 288 50.IN.) DATE METHOD SIDE LOCATION MEASURE:LOOSE PAINT (MORE THAN 288 S0.IN.) DATE METHOD ON SERVICES INC.4-1 Chapel St. Chicopee, MA.01020 535-5002 1-888-902-LEAD Page „ l ofN montemagni LicnM1431 Signature ,; a', ��Q Dale �7,7/42 Inspection// /y .72/437-44,./ (Sr Apt d /S7 City z(e•ec--4- I/ LEAD 'TYPE OF HAZARD COMMENTS DELEAD DATE DELEAD METHOD DELEAD DATE 0 NM L Window Sill NVI NM L NM L Apron NM L NM L M L VLF(Casing NM L NM L V t Ht:ader O NM L NM L iti NM L Int Ps MI NM /p6 L ��1,,� 1 �/ ,NMMT (4) L A/t"A/cn L Etenor Si NVI L NI L Pan Bead 7? L L 9 SQL Mil L Win Ext Sash M(I I (c L Window Sill AIM L MI AIM L NM L Apron NM L NM L Casing NM L L Win wader NM L MI AIM L AIM L Int Sto WI NM L NM L Win Int Ssh Mil NM L L ry 1'�/ tWl ivy L MI L q um1 L Part Bead Mil L a L Blind Slop qcn' 529 MIL MyM L L 99 ( L Mil L h 6.17 42. L Closet Door NM LL Cl Casing NVI L�) NM L `}L/ Clo (Jamb /��(//TC��1[�6 Sh 9 L 0 • do bbtie>l 02 c...)41/_s 79 EXCLUDED SURFACES:Surtaces listed in tnese DOXE ATION MEASURE LOOSE PAINT (MORE THAN 288 S0.IN.) DELEAD DATE DELEAD METHOD COMMENTS DELEAD DATE DELEAD METHOD Window Sill NVI NM L SIDE LOCATION/ SURFACE LEAD DELEAD DATE TYPE OF HAZARD COMMENTS DELEAD DATE DELEAD METHOD Window Sill NVI NM L Apron NM L VLF(Casing NM L V t Ht:ader WI NM L Int Ps MI NM L Win Int'asll MIII NM L Etenor Si NVI L Pan Bead WI L Blind Slop Mil L Win Ext Sash M(I L Window Sill MI AIM L Apron NM L Casing NM L Win wader MI AIM L Int Sto WI NM L Win Int Ssh Mil NM L Exterior Sil MI L Part Bead Mil L Blind Slop Mil L Win Ext Sash Mil L Closet Door NM L Cl Casing NM L Clo (Jamb NM L Close( alb NM L Cl Base rd NM L Closet Pole NM L Closet Snell L NM L Cl Supports � NM L Closet Floor L Closet Ceiling L - der SIDE LOCATION MEASURE LOOSE PAINT (MORE THAN 288 SO.IN.) DELEAD DATE DELEAD METHOD ON SERVICES INC.44 Chapel St. Chicopee,MA.01020 535-5002 1888-902-LEAD Montemagni Lic#M1431 Inspection /7 L./7eil.) 4'e— Apt# /S/ Page Signature i,(,iret,Pa‘ovytl" Date 6c, City iee cr<5" sh im Iv LEAD TYPE OF HAZARD COMMENTS DELEAD DATE DELEAD METHOD Y / M L Low Cab From NM L N i NM L AMI L 2_6 Am L Gow Cab Walls NM L 6,3 AIM L LOw Cab Shlvs !n L Itila L NM L 9.o AN L fO// Drawers NM L NM L � A!9 I//en /! NM L NM L P% NM L Closet Casing NM L I• aL Closet Jamb co L t Walls w�e ,n l NM L 4C4co/ p/ NM L NM L Close Pole NM L 99 0L Closet Shell NM L Al M L Clos Supports q (cv-1 . M,) L Closet Floor 9 >>0) L - 6 N!M L L /p �r�.1 .!M �/M ry, �' e NM L NM L NM L NM L EXCLUDED SURFACES:Surfaces listed In these DOXE ATION MEASURE'LOOSE PAINT (MORE THAN 288 SO.IN.) DELEAD DATE DELEAD METHOD DELEAD DATE DELEAD METHOD Low Cab From NM L Cab Door of,1/ SIDE LOCATION/ SURFACE LEAD TYPE OF HAZARD COMMENTS DELEAD DATE DELEAD METHOD Low Cab From NM L Cab Door AMI L { Gow Cab Walls NM L LOw Cab Shlvs NM L Supports NM L Drawers NM L Closet Door NM L Closet Casing NM L Closet Jamb AIM L t Walls NM L CI seboard NM L Close Pole NM L Closet Shell NM L Clos Supports NM L Closet Floor L Closet Ceiling L Comments: s licensed deleader. SIDE LOCATION MEASURE:LOOSE PAINT MORE THAN 288 SQ.IN.) DELEAD DATE DELEAD METHOD ION SERVICES INC.44 Chapel St.Chicopee, MA.01O2O 5355002 1-888-902-LEAD Page 5- of// montemagni Lic#M14331 Signatur - ry Date 1Inspection /7 elf 7//,c/t S/- Apt# Qty /Cu°Ols W E LEAD TYPE OF HAZARD COMMENTS DELEAD DATE DELEAD METHOD DELEAD METHOD NM L WI NM L NM L AIM L EIFIlltePa Win Casing NM L AIM L Win Header NM L ////////��'� Int Stops NM L L MM L C�• i'r�/I�� L re” aM L WI L I V/ Pan Bead MI L Blind Slop Mil L NM L Win Ex(Sash WI L ig Window Sill MI NM L NM Apron NM L Tnatin M L ;;4 „ Win Casing 5 i • i L Win Header Mil NM L AI I Slops WI NM L NM L Win ISash rig L NM L Exterior Sill WI L AIM L Pan Bead MI L NM L Blind Stop ill I y MI am L Win Ext Sash MI L NM L Closet Door 0 NM NM L Cl Casing er NM WI MM L Closet Jamb 07 NM WI NM L Closet Walls Ish ,/ MI NM L Cl Baseboard ill NM MJI L Closa.Rer I NM MI L Closet Shell I NM MI L CI Supports ash NM M11 L Closet Floor EXCLUDED SURFACES:Surfaces listed In inese ooze CATION MEASURE:LOOSE PAINT MORE THAN 288 SO.IN.I DELEAD DATE DELEAD METHOD DELEAD DATE DELEAD METHOD Window Sill ] WI NM L Apron SIDE LOCATION/ SURFACE LEAD TYPE OF HAZARD COMMENTS DELEAD DATE DELEAD METHOD Window Sill ] WI NM L Apron AIM L Win Casing NM L Win Header WI NM L ////////��'� Int Stops MI NM L Win lnl Sash t5" MI NM L Exterior Sill WI L Pan Bead MI L Blind Slop Mil L Win Ex(Sash WI L Window Sill MI NM L Apron NM L Win Casing NM L Win Header Mil NM L I Slops WI NM L Win ISash MI MM L Exterior Sill WI L Pan Bead MI L Blind Stop MI L Win Ext Sash MI L Closet Door 0 NM L Cl Casing Q li NM L Closet Jamb 07 NM L Closet Walls Q- 5 NM L Cl Baseboard N%1 NM L Closa.Rer NM L Closet Shell O NM L CI Supports 0,4/ NM L Closet Floor Cf L Closet Ceiling tV%ii L s .OIP 1) SIDE 'flout..„w,,,.," ... LOCATION _..__.._____.___. MEASURE:LOOSE PAINT MORE THAN 288 SO.IN.1 DELEAD DATE DELEAD METHOD ON SERVICES INC.4i Chapel St.Chicopee, MA.01020 535-5002 1-888-902-LEAD Page 6 of/'/ Date ��y montemagni LicnM1431 Signature �l' Inspection 9 in Isl 3: / 2 //�i „!l/ i5/ Apt /,it- LEAD TYPE OF HAZARD COMMENTS DELEAD DATE DELEAD METHOD J AIM L Window Sill c.i7 WI M L NM L 04 N (M)L M L AIM L Win Casing 9 ry M L if , AIM L Win Header Q AIM L / NM L )p 9 L gWin Int Sash Cy9 NJI M Extenor Sill rill 1r0/111 I AN L MEM NI ie, ; -__ N L M � iiallaall Wind xt S Win Ext Sash �.G rn /� 4/ Window Sill NM L ( I L AM L 5 M L AIM L Win Casing �99p M L NM L Win Header 9 ONI MM L AN L Int Stops 49 L ®^�y/ L I�'i7k _ rnra Win Int Sash J'ed (� L Exlenor Sill SWIMS Mtl ('L FAIDDIPS Pan Bead / Blind Stop M2` /%)" Mtl ( L RAM Win Ext Sash 79 MJI MNPARMI t T J M/I L V9 `IL CM./ L ,135rol le - O City SIDE LOCATION/ SURFACE LEAD TYPE OF HAZARD COMMENTS DELEAD DATE DELEAD METHOD Window Sill c.i7 WI M L Apron 97 M L Win Casing 9 ry M L Win Header 9'9' ry� L Int Stops )p 9 L gWin Int Sash Cy9 NJI M Extenor Sill A /LL ® l ) Pan Bead Alf !i$ L ?1 Wind xt S Win Ext Sash �.G MB /� 4/ Window Sill 9y ( I L Apron 5 M L Win Casing �99p M L Win Header 9 ONI MM L Int Stops �9 ®^�y/ L Win Int Sash J'ed (� L Exlenor Sill 9�/r Mtl ('L Pan Bead / Blind Stop M2` /%)" Mtl ( L Win Ext Sash 79 MJI Closet Door V9 `IL CM./ L CI Casing y!o xYav L ClosetJamb 97 m L Closet Walls O3 NM L CI Baseboard 97 TM) L Clnwt POP r- NM L Closet Shell � O1 L CI Supports 99 w)) L Closet Floor 0 L Closet Ceiling NA L ACES: Surfaces listed in hese boxes can ba made i :AMR MEASURE:LOOSE PAINT MORE THAN 288 SO.IN.) DELEAD DATE DELEAD METHOD DELEAD METHOD SIDE 0.....,....,, ' CATION ..--- -- MEASURE:LOOSE PAINT (MORE THAN 288 S0.IN) DELEAD DATE DELEAD METHOD ON SERVICES INC.44 Chapel St.Chicopee,MA.01020 535-5002 1.888-902-LEAD montemagni Lic6M1431 Signatue.->4A44.4- y25i Inspection /7 �1(e37jLci we Apt# /S 1) LEAD TYPE OF HAZARD COMMENTS DELEAD DATE DELEAD METHOD DELEAD METHOD % AIM L n JJI M L NM L l'q 97 M L yJL Win Casing 9./b L NM L 99 I •��,'• L AIM L 9! 7 -"-,l,�' 0 NM L ]/ 2._ M1U �M)f L�, Lad• AIM L 26 M/I V wct v . II (L � � Yre Blind Stop �s L AIM L 99 L d CM) L Mil AIM L Apron L NM L 4r Win sing MM IIIIIS Win er GSA WC Int Stops MI NM L NM L Win Int Sash WI AIM L NM L Extenor Sill WI L 87 NM L WI L Blind Stop AIM L Mil L Win Ext Sash NM L Closet Door NM L Cl NM L NM L Closet Jam GbseWam\d�\ NM L NM L Mosel Walls NM L AIM L CI Bas NM L II to Mil +M L NM L Closet Shed \ NM L ammo NM L ibml as L Closet Ceiling L sh /NE�1111�� MEIMINI tsh MOMILMI wh 8: Date"! "/� City ,ttr/� Page -2 of 2/ SIDE LOCATION/ SURFACE LEAD TYPE OF HAZARD COMMENTS DELEAD DATE DELEAD METHOD Window Sill n JJI M L Apron l'q 97 M L Win Casing 9./b L Win Header 99 I •��,'• L Int Stops 9! 7 -"-,l,�' Win Int Sash ]/ 2._ M1U �M)f L�, Extenor Silt 26 M/I V Pan Bead 77 . II (L Blind Stop bs L Win Ext Sash 99 L Window Sill Mil AIM L Apron NM L Win sing AIM L Win er WI NM L Int Stops MI NM L Win Int Sash WI AIM L Extenor Sill WI L Pad Bead WI L Blind Stop Mil L Win Ext Sash MB L Closet Door NM L Cl NM L Closet Jam GbseWam\d�\ NM L Mosel Walls NM L CI Bas NM L Closet set Pole NM L Closet Shed \ NM L Cl Supports NM L Closet Fleur L Closet Ceiling L D SURFACES:Surfaces listed in these box s ATION MEASURE:LOOSE PAINT (MORE THAN 288 SO.IN.) DELEAD DATE DELEAD METHOD DELEAD METHOD SIDE LOCATION MEASURE'.LOOSE PAINT MORE THAN 288 S0.IN) DELEAD DATE DELEAD METHOD CTION SERVICES INC.44 Chapel St.Chicopee,MA.01020 535-5002 1.888-902-LEAD Page of 1 nes montemagni Lic#M1431 Signature ,,tapa>;•yic Date4/ ead Inspection /7 ( ?%94(J� vf7." Apt# /5/` City 4e/r t Qe 4.40 077 NON/ ACE LEAD TYPE OF HAZARD COMMENTS DELEAD DATE DELEAD METHOD ' Q W L G -Gera/� WI AIM L AIM L /SCcved'c/ Apron ands / NM L iil NM L L r / NM L MI NM L A7 NM L Int Stops WI NM /Ail NM L Win Int Sash 99 iL L Sig 99' W L MA L imb 99 (A9,) L MA L )Id — NM L Blind Stop MA L fill f/ L A Win Ext Sash ashy 0 NM 1 Ave rmb /.y NM L J (V4,61( sN i AN L NM L 99 L NM L asmg 9 L Win Header MI NM wnb L Int Stops Ad _- NM L Winlnt Sash MA AIM AIM L asing ARM L L amp Pan Bead AIM L WI L old NM L MII L esal w)coiA Win Exl Sash MA L 99 L Closet Door sing 99I^' NM L ader 97 4'� L L Closet Jamb NM L Sash 23l_Mp' N�' L NM L rSU ,4 Mn L Cl Baseboard NM ad v^,/ wl L Closet Pole 10P i A Wl L Closet Shell tsash Ai MA L L 4TS: EXCLUDED SURFACES:Surfaces sted in these box( .OCATION MEASURE:LOOSE PAINT (MORE THAN 288 SQ.IN.) DELEAD DATE DELEAD METHOD DELEAD METHOD Window Sill WI AIM L Apron SIDE LOCATION/ SURFACE LEAD TYPE Of HAZARD COMMENTS DELEAD DATE DELEAD METHOD Window Sill WI AIM L Apron AIM L Win Casing NM L Win Header MI NM L Int Stops WI NM L Win Int Sash Mil NM L Eatenor Sill MA L Pan Bead MA L Blind Stop MA L Win Ext Sash 1Wl L Window Sill Mn NM L Apron NM L Win Casing NM L Win Header MI NM L Int Stops MA AN L Winlnt Sash MA AIM L Exterior Sill MII L Pan Bead WI L Blind Slop MII L Win Exl Sash MA L Closet Door AN L CI Casing NM L Closet Jamb NM L Closet Walls NM L Cl Baseboard NM L Closet Pole NM L Closet Shell A01 L Cl Supports AIM L Closet Floor L Closet Ceiling L $ :WI ue SIDE plume wort,'sin' u LOCATION u .�-••._-__.____.. MEASURE:LOOSE PAINT MORE THAN 288 SO.IN.) DELEAD DATE DELEAD METHOD rioN SERVICES INC.44 Chapel St.Chicopee,MA.01020 535-5002 1-888-902-LEAD Page s Montemagni Lic#M1431 Signatur/� ��.�cr--d✓ j Date id Inspection / G�% °S J// Ae Apt I/ /S City e/eet-4 IN/ )E LEAD TYPE OF HAZARD COMMENTS DELEAD DATE DELEAD METHOD DELEAD METHOD O -7? AIM L MI AIM L AIM L AIM L Is 9.9 L NM L AIM L MI NM L NM L int Stops MI NM L /� AC NM L Win lnt Sash 4 NM L Extenor Sill 99 M L ig N L MI L 9 L M/I L !'l N L Win Ext Sash MI L q, N L Closet Door 9 / / 7 6 L I %7 NM L N L NM L 99 Closet W is NM L rig 97 A) (may' L CIBaseboa r 99 r� L Closet Pole 9?? LAI r✓ L qq 1DM L NM L ng 9y SM L NM L a Closet Roa( L 4 (M) L Cl Ceiling L NM L ng AM L NM L s AM L NM L NM L Closet Ja NM L ill NVI AM L Closet Walls NM L NM L Cl Baseboard 9 AM L er Mil AM L NM L MI NM L NM L h MII AM L CI Support6 NM L ill NVI L Closet Floor L WI L Cl Ceiling ■ MiI L ash MII L a P24 wa 1I O .} EXCLUDED SURFACES: Surfaces stee In tnese Doxe IATION MEASURE:LOOSE PAINT WORE THAN 288 SQ IN.) DELEAD DATE DELEAD METHOD DELEAD METHOD Window Sill MI AIM L Apron AIM L s 7 of,z/ SIOE LOCATION] SURFACE LEAD TYPE OF HAZARD COMMENTS DELEAD DATE DELEAD METHOD Window Sill MI AIM L Apron AIM L Win sing NM L Win He er MI NM L int Stops MI NM L Win lnt Sash MI NM L Extenor Sill MI L Pan Bead MI L Blind Slop M/I L Win Ext Sash MI L Closet Door NM L CI Casing NM L Closet n b NM L Closet W is NM L CIBaseboa NM L Closet Pole ARM L Closet Shelf NM L CI Supports NM L Closet Roa( L Cl Ceiling L Closet Door NM L CI C NM L Closet Ja NM L Closet Walls NM L Cl Baseboard NM L Closet Pole NM L Closet Shea NM L CI Support6 NM L Closet Floor L Cl Ceiling L Ci & a .�(rIP !�/i .13 t SIDE LOCATION MEASURE:LOOSE PAINT MORE THAN 288 SO.IN.) DELEAD DATE DELEAD METHOD ION SERVICES INC.44 Chapel St.Chicopee,MA.01020 535-5002 1-888.902-LEAD Page 7o of 1-/ s Montemagni Lic#M14331 Signatup/�L,,,,e _ , Date 6:7-2/Ss, 1 Inspection /j e, a22- % Apt# X57- Clry � Ci 74— W E LEAD TYPE OF HAZARD COMMENTS DELEAD DATE DELEAD METHOD DELEAD METHOD 0'? NM L WI NM L NM L NM L 9p' NM L NM L NM L M9 kM L / NM L Int Sto MI kM L 9 NM L Win IntS h did NM L Exlenor Sill J.Z NM L 9 n% NM L WI L OZ NM L WI L NM L Win Ent Sash WI L NM L 76 r Closet Door s G / NM L - 1 NM L A/M L NM L NM L 0.2 NM L Closet ails NM L 9 O.L NM L CI Base rd 9 • NM L Closet Po NM L in ,, L NM L f?9 L NM L 7;7 /:xl`,I L Closet Floor \ L / ��NM L Cl Ceiling C y CAL g NM L 9 L A/M L NM L ClosetJamb NM L II WI NM L Closet Walls NM L NM L CI sehoard I NM L v WI NM L NM L Mll NM L NM L sh WI NM L CI Supports\ NM L II NI L Closet Floor l L WI L GI Ceiling A WI L ssh WI L SIDE LOCATIOW SURFACE LEAD TYPE OF HAZARD COMMENTS DELEAD DATE DELEAD METHOD Window Sill WI NM L Apron NM L Casing NM L Win Bader M9 kM L Int Sto MI kM L Win IntS h Mll NM L Exlenor Sill WI L Pad Bead WI L Blind Stop WI L Win Ent Sash WI L Closet Door NM L Cl Casing A/M L C IJanmb NM L Closet ails NM L CI Base rd NM L Closet Po A/M L Closet Shell NM L CI Supports NM L Closet Floor \ L Cl Ceiling L Closet Door NM L GI Casing A/M L ClosetJamb NM L Closet Walls NM L CI sehoard NM L Cbserlt_'ale NM L Closet -II NM L CI Supports\ NM L Closet Floor l L GI Ceiling A L a/ ,c354n/ cActe f6- c2Si9 • VLV LOCATION ATION MEASURE:LOOSE PAINT MORE THAN 288 SO.IN.) DELEAD DATE DELEAD METHOD SIDE LOCATION MEASURE'.LOOSE PAINT MORE THAN 288 SQ.IN) DELEAD DATE DELEAD METHOD (ION SERVICES INC.44 Chapel St.Chicopee,MA.01020 535-5002 1-888-902-LEAD ss Montemagni Lid/1141431 Signature /7 CiIPSr/v f Afe O,Y \G1nnn it,:,M ' Id Inspection Apt# /S% Date C2(.2ico Page of N %E LEAD TYPE OF HAZARD COMMENTS DELEAD DATE DELEAD METHOD DELEAD METHOD 0,3 NM L MI NM L NM L AIM L Is Gr 1/4-/N) L NM L NM L MI NM L f NM L MI NM L O NM L MI NM L �// NM L MI L jX'y[ friM0 L 7.10 hN L 19 99 / L s MI L A Ji /, �FJM L /L:c0/H Mil L AIM"� L Closet Door NM L /1 9 L e NM L ng 6M L Closet) m NM L t yyy �NM L Closet Wal NM L L Cl Baseboard NM L 4 NM L 76 272°I AIM L ^g 99 Closet Shed NM L a Y7, L CI Supports NM L 7y Closet Floor L 97 C/6 e/ L ng i'9 S Closet Door 9.9 EM) L 99 XN,vec CICesing MA L G j4in5 W7 ClosetJamb 9 CA/9 L NM L Closet Watts rg NM L CLEAsetaard / b NM L Cb3eli'ek NM L NM L Closet Shell J' ill WI NM L Cl Supports Q NM L NM L Closet Floor QM G NM L Cl Ceiling /v/41- ' et ,VI NM L 7Rrad5 S.z rot MI NM L MSe%K rsh MI NM L ill MI L I Mil L r MI L ash MI L EXCLUDED SURFACES: Surtaces listed in tnese pox( :ATION MEASURE:LOOSE PANT MORE THAN 288 S0.IN.) DELEAD DATE DELEAD METHOD DELEAD DATE DELEAD METHOD Window Sill MI NM L Apron AIM L s SIDE LOCATION/ SURFACE LEAD TYPE OF HAZARD COMMENTS DELEAD DATE DELEAD METHOD Window Sill MI NM L Apron AIM L W Casing NM L Win eader MI NM L Int Sto MI NM L Win Int MI NM L Eaenor&II MI L Pan Bead hN L Blind Stop MI L Win Ext Sash Mil L Closet Door NM L CICas g NM L Closet) m NM L Closet Wal NM L Cl Baseboard NM L Closet Pole AIM L Closet Shed NM L CI Supports NM L Closet Floor L CI Ceiling L Closet Door 9.9 EM) L CICesing MA L ClosetJamb 9 CA/9 L Closet Watts NM L CLEAsetaard / NM L Cb3eli'ek NM L Closet Shell J' NM L Cl Supports Q NM L Closet Floor QM L Cl Ceiling /v/41- ' L 7Rrad5 S.z rot MSe%K 96 SIDE LOCATION MEASURE:LOOSE PAINT MORE THAN 288 S0.IN.) DELEAD DATE DELEAD METHOD ON SERVICES INC.44 Chapel St.Chicopee,MA.01020 535-5002 1-888-9 2-LEAD Page (� of 1 montemagni Lic#M1431 Signatur y7� Date �c0 Inspection /7 C-s/,wf st Apt# /ST City ,Ceeo& V LEAD TYPE OF HAZARD COMMENTS DELEAD DATE DELEAD METHOD DELEAD METHOD %g. 1 NM L MI NM L NM�r pron NM L �, L L C7 CasIng NM L �� MM L Win ader M9 NM L NM L Int Slop !% NM L. fig- NM L MI NM L C, S' ,L MI L 3 C 52 L Pan Bead Mil L ll„ L Blind Stop MI L NM L Win Ext Sash L NR L 7 3 l'J' L 4 NM L Cl NMI L N M L 9, 7 x 6 L 40 Rmi Closetja mb ig 99nnq M L NM L 42 MM L n/9? NM L / L CIoWPCIe / NM L L L /O A�R'� CbsstSheft — is M L � Y CI Supports 9 Al L Closet floor NM L L NM L a ( L tg NM L Newel Post 0. r NM L Railing Gap Q-i NM L III MII NM L NM L MM L oil L g NM L Lower rail 0./ NM L WI MM L Treads p h y N. MII AIM L Risers ish MA NM L III MI L NM L MI L Door NM L r MI L Door Casing ash MII L Door Jamb SIDE LOCATION/ SURFACE LEAD TYPE or HAZARD COMMENTS DELEAD DATE DELEAD METHOD Window Sill MI NM L pron NM L CasIng NM L Win ader M9 NM L Int Slop Mil AIM L Win lnt Sa MI NM L Exterior Sill MI L Pan Bead Mil L Blind Stop MI L Win Ext Sash MIy��J L Closet Door 7 3 l'J' L Cl NMI L 9, 7 x fiM%L Closetja mb Closet Walls G. NM L Cl Baseboard n/9? NM L CIoWPCIe / NM L CbsstSheft — NM L CI Supports 91./ Al L Closet floor L Closet Ceiling a ( L Newel Post 0. NM L Railing Gap Q-i NM L Handrail �. NM L Balusters oil L Lower rail 0./ NM L Treads p h y V L Risers 99. (am) L Stenger 99 NM L Door NM L Door Casing NM L Door Jamb NM L Threshold NM L •Surfaces listed in these boxes ;ATION MEASURE:LOOSE PAINT (MORE THAN 288 SO.114.) DELEAD DATE DELEAD METHOD DELEAD METHOD SIDE LOCATION MEASURE:LOOSE PAINT (MORE THAN 288 SO.IN) DELEAD DATE DELEAD METHOD PION SERVICES INC.44 Chapel St.Chicopee,MA.01020 535-5002 1.888-902-LEAD Page /7 of s montemagni Lic#M1431 Signature i . . Date � .zA, Id Inspection /7 ( /tit,/ /7o Apt# /Sr City fdeecy.)- �./.✓G//�/,S/ /-/2 er/2�'ic.0 )W %E LEAD TYPE OF HAZARD COMMENTS DELEAD DATE DELEAD METHOD DELEAD METHOD 99 L - • NM L ands 9 L p4 L kA 0 liA L NM L 9r NM L in9 /. / 6NM) L .&t4' 5,4 f b fp 'IM L ,C3otT Si,4 0 AIM L I 9 / (NM) L NM L Low Walls 9i� b/ 'l L J( or / ARM L 'Lag 9.y L m 99 Th «) i 99 NM L co4 NM L Sill Q Y L ng .9 J L Sash /^i,/ NM L /v' AIM L Sul NM L ng NM L Sash NM L NM L Sill NM L i09 AN L Sash NM L NM L Sill NM L ■iig ARM L Sash NM L NM L ‘,41A//S /3eA. eP/I //1 f- z611&Cr"_ 9 J /Dose . EXCLUDED SURFACES:Surfaces listed In Mese Doxe DCATION MEASURE:LOOSE PAINT MORE THAN 1440 SO.IN.) DELEAD DATE DELEAD METHOD DELEAD DATE DELEAD METHOD -A Support Clmns - • NM L SIDE LOCATION/ SURFACE LEAD TYPE OF HAZARD COMMENTS DELEAD DATE DELEAD METHOD -A Support Clmns - • NM L Treads 6 NM L Risers 0 AIM L Low Walls AIM L J( owT Trim 9? L Floor /7 .—API ( L Threshold .1 L co4 COMMENTS: 1 C✓/aMNJ acrd /Vie- a/oi#el ro 4 < dQ.ac4 //c'7ro//y see%-I all ue SIDE nieuc iu,aw o ut a LOCATION .. ..,....._......_"_.. MEASURE LOOSE PAINT (MORE THAN 1440 SO.IN.) DELEAD DATE DELEAD METHOD 'ECIION SERVICES INC 44 Chapel St. Chicopee, MA 01020 413-535-5002 - 1-888-902-LEAD sN-.demagni Lic# M1431 Signature -/ vag9% Date 7'7 (7",:e5,/, 4. A {57-- s IS iiTYPE rr OF HAZARD COMMENTS DELEAD DATE DELEAD METHOD DELEAD DATE DELEAD METHOD Support Chins - gm-) L L NewLpsti PM L Railing Cap 79 i(M) L rairal Es NM L AIM L - MEM Balusters riaterSIN NM L / NM L LowerRail / NM L Treads NM L NM L Risers C AIM L NM L Stenger 0 AN L NM L Ci NM L NM L Lattice 92 r NP L MIltrealll Miran LI3w3rim / L gm NM L Floor X /y,� L NM L Tpresaold I !"gs t2 L Kaman Da NM L 9r (q �NM �L i(I i1M�___ r, xrJ 3 - NM L NM L NM L n - NM L NM L E7r/?.e,oR 62P ■ Orf1r✓ 4"9 EXCLUDED SURFACES:Surfaces I stew in mese Doxe :ATION MEASURE:LOOSE PAINT MORE THAN 1440 SQ.IN.) DELEAD DATE DELEAD METHOD DELEAD DATE DELEAD METHOD Support Chins 79' gm-) L NewLpsti AP 4 /s7 f-c/” Py iy a' 2/ SIDE LOCATION/ SURFACE LEAD TYPE OF HAZARD COMMENTS DELEAD DATE DELEAD METHOD Support Chins 79' gm-) L NewLpsti NM L Railing Cap 79 i(M) L HapdaF– AIM L Balusters NM L LowerRail NM L Treads sj NM L Risers C AIM L Stenger 0 NM L Low Walls Ci NM L Lattice 92 r NP L LI3w3rim / L Floor X /y,� L Tpresaold I !"gs t2 L Ave A/ 9r (q COMMENTS'. /r� R 7s 1/4Rti� f 0T r o Y ,41>Sae,4 99 e.x/5reet s by a I deleader cuiauc SIDE nnwI..•„J LOCATION MEASURE:LOOSE PAINT (MORE THAN 1440 SO..IN.) DELEAD DATE DELEAD METHOD 'ION SERVICES INC.44 Chapel St Chicopee,MA.01020 535-5002 1-888-902-LEAD s montemagni Lic#M1431 Sign Le 0: — Date Cisv d Inspection / 2 li/les7, b' - �� Apt# /S% N/ :E LEAD TYPE OF HAZARD COMMENTS DELEAD DATE DELEAD METHOD DELEAD METHOD Support Clmns .7, Y%,/e7A L 3rdS qQ L NepioF st i M4 L i 4 Railing Cap fi 4 (kM2 L Mini ljaMrar AM L L BaWSten- �M) L ir i AIM L NM L sg ,'Clt�1i L 3.7 AIM L =an ,�h)! L Risers Q AIM L Stinger NM L AIM L Low Was NM L ■„ 4_ ng Lanire !^ L L al) L d Low Tnm p✓1 L 6% L Floor U-L L AIMS L Threshold Iill 6the L Xi/ 1 Ig W L lash NM L NM L iiII L a AIM L 0.6 AIM L o�� NM L 99 Ear a / G AM L Sill NM L g ARM L Sash NM 1 AIM 1. Z -/pg,oer ,s7de O windcW cc7f4P1 / Y — - EXCLUDED SURFACES:Surfaces listed In these ooze )CATION MEASURE:LOOSE PAINT (MORE THAN 1440 SO.IN.) DELEAD DATE DELEAD METHOD DELEAD DATE DELEAD METHOD Support Clmns .7, Y%,/e7A L NepioF st i Page 87 of 2-1 City/rPcif SIDE LOCATION/ SURFACE LEAD TYPE OF RD COMMENTS DELEAD DATE DELEAD METHOD Support Clmns .7, Y%,/e7A L NepioF st i M4 L Railing Cap fi 4 (kM2 L ljaMrar AM L BaWSten- NM L Loatl NM L Treads 3.7 AIM L Risers Q AIM L Stinger AIM L Low Was fl (rib) L pi 4_ Lanire <7.9, al) L Low Tnm p✓1 L Floor U-L L Threshold /b $ 6the L COMMENTS'. SIDE LOCATION MEASURE:LOOSE PAINT MORE THAN 1440 SO.IN.) DELEAD DATE DELEAD METHOD TION SERVICES INC.44 Chapel St.Chicopee,MA.01020 535-5002 1-888-902-LEAD s Moatemagnl Lic#M1431 Sign tHYr[. Id Inspection /7 (474r/ rS� NI GE LEAD TYPE OF HAZARD COMMENTS DELEAD DATE DELEAD METHOD DELEAD METHOD (%� L NM L artl s L A WMCasing AIM � m L L B5. A� n L NM L ne L A Wi Casing or NM L Window Sash NM L L ing AIM L 6t, L 11- AjM L A Cel Win Sash 9' 1 L NM L CeI Win Fame / NM L L nr NM L ..jPg AIM L TiM L "L j Cal in Sash sing L NM L Cel Win Frame NM L L 0 A NM L NM L NM L Cel 1n Sash NM L MM L Cel Win Frame sing L NM L A ma NM L L Id Cee Sash NM L NM L NM L MM L slat NM L A Foundation �9 P"/ mb L NM L A M NM L L Sal A (C5/ L ' NM L mg /%- 7 ett2 L A Shakers Sash di NM L A 'Sill /_ MM L L 3ilg fling Cap NM L NM L r Sash NM L NM L LS: EXCLUDED SURFACES:Surfaces listed in these doxE LOCATION MEASURE:LOOSE PAINT (MORE THAN 1440 SO.IN.) DELEAD DATE DELEAD METHOD DELEAD DATE DELEAD METHOD Window Sill NM L A WMCasing //�Yilaway� Apt it Page of it SIDE A LOCATION/ SURFACE LEAD TYPE OF HAZARD COMMENTS DELEAD DATE DELEAD METHOD Window Sill NM L A WMCasing AIM L Window Sash NM L naow Sill NM L A Wi Casing AIM L Window Sash NM L Cellar Win Sill 6t, L A Cel Win Sash 9' /NM2 L CeI Win Fame / NM L Cellar Win Sill AIM L A Cal in Sash NM L Cel Win Frame AIM L A C Iar Win Sill NM L Cel 1n Sash NM L Cel Win Frame NM L A Cal in Sill NM L Cee Sash NM L Gal Wl Fame MM L A Foundation �9 P"/ L A R,nhead AIM L A Fences NM L A Shakers NM L A Newel post AIM L fling Cap NM L H drail - NM L Balu ers NM L Lower ii AIM L Treads NM L Risers NM L Stinger NM L s :an ue SIDE A nlduc nude a,u1 vy LOCATION °°`^'•^'°°__.____.. MEASURE:LOOSE PAINT MORE THAN 1440 S0.IN.) DELEAD DATE DELEAD METHOD A A A ION SERVICES INC.44 Chapel St.Chicopee,MA.01020 535-5002 1-888902-LEAD s Montemagni Licirld1431 Signatu are aj� ]Inspection /7 K4,/ /// sr PI /JT NI LEAD TYPE OF HAZARD COMMENTS DELEAD DATE DELEAD METHOD DELEAD METHOD L NM L srds q L B Casing AIM L I L L 5• L AIM L ve 5 L B %Casing ,r L AM L Window Sash AIM L L ng AIM L p L e till L B CeI Win Sash � N • L NM L CeI Win Fame , NM L L Dr NM L NM L NM L B C&Win Sash 'hi L NM L Cel Win Frame NM NM L I Ilar Win Sill AN L NM L NM L NM L NM L CeI Win Frame NM ing NM L B ellar Win Sill kl NM NIA L I NM L L CeI Win Frame NM L NM L ling NM L Foundation 4 3U b NM L B 1Lwhead d NM NM L sin ?I9 F' L NM L mg 97 s L shiylerr NM sas h / AN L B ewel post Sill AIM NM L mg AIM L L Sash Ha grail NM L NM L S: Page y 7 of 2-% City ,/e 4S SIDE B LOCATIONI SURFACE LEAD TYPE OF HAZARD COMMENTS DELEAD DATE DELEAD METHOD Window Sill NM L B Casing AIM L h Win w Sash NM L Window Sill AIM L B %Casing NM L Window Sash N L Cellar Win Sill p L B CeI Win Sash � N • L CeI Win Fame , �JM L Cellar Win SJI NM L B C&Win Sash NM L Cel Win Frame NM L 8 Ilar Win Sill NM L CeI in Sash NM L CeI Win Frame NM L B ellar Win Sill NM L CeI 'in Sash NM L CeI Win Frame NM L B Foundation 4 3U L B 1Lwhead A NM L B FericM— NM L 8 shiylerr NM L B ewel post AIM L Ming Cap NM L Ha grail NM L Balu ers NM L Lower ail AIM L Treads NM L Risers NM L Stringer NM L EXCLUDED SURFACES: Surfaces listed In inese Doxe .OCATION MEASURE:LOOSE PAINT MORE THAN 144050.IN.) DELEAD DATE DELEAD METHOD s can be made intact only by a licensed deleader. SIDE B B B 8 LOCATION MEASURE:LOOSE PAINT MORE THAN 1440 SO.IN.) 1 DELEAD DATE DELEAD METHOD ON SERVICES INC.44 Chapel St.Chicopee,MA.01020 535.5002 1-888-902-LEAD Monlemagni LiciiM1431 Signatu re Apt# As17- City Inspection Page _1_ of ii LEAD TYPE OF HAZARD COMMENTS DELEAD DATE DELEAD METHOD DELEAD DATE II El SIM Sill NM L 7. L C Wndow asing 9yn L Window Sash NM L ndow Sill NM L 5 /t? L NM L AIM L Window Sash NM L Cellar Win Sill 9 7 M L mita C CeI Win Sash •9I ilvig ram r in Cal Win Frame rareants NM L C • NM L \Win Sash NM L AIM L CeI Win Frame NM L NM L `C C Win Sill NM L NM L \ellar C n Sash NM L NM L CeI Win Frame NM L NM L Isar Win Sill NM L NM L NM L CeI Win Frame NM L C Foundation NM L C SuWKad— NM L C Fences NM L C $hupels AN L C NepeLpost- NM L Poling-Gap- / NM L NM L HS- / NM L NM L BaUstea— — NM L ill 7 9 ir L Lower-Aar NM L g ! ' N2 L V`'_ NM L w� AA" as r.IMn 0 NM L ✓zj/J/ ill o NM L NM L NM L ash NM L EXCLUDED SURFACES:Surfaces listed in Leese Dm )CATION MEASURE:LOOSE PAINT MORE THAN 1440 50.IN.) DELEAD DATE DELEAD METHOD DELEAD DATE DELEAD METHOD Sill NM L C Wndow asing SIDE C LOCATION/ SURFACE LEAD TYPE OF HAZARD COMMENTS DELEAD DATE DELEAD METHOD Sill NM L C Wndow asing NM L Window Sash NM L ndow Sill NM L C Win asing NM L Window Sash NM L Cellar Win Sill 9 7 M L C CeI Win Sash •9I L Cal Win Frame c7 NM L C Cellar Win Sill NM L \Win Sash NM L CeI Win Frame NM L `C C Win Sill NM L \ellar C n Sash NM L CeI Win Frame NM L C Isar Win Sill NM L Cel in Sash NM L CeI Win Frame AIM L C Foundation 3 L C SuWKad— NM L C Fences Q NM L C $hupels NM L C NepeLpost- -A-- NM L Poling-Gap- / NM L HS- / NM L BaUstea— — NM L Lower-Aar NM L Treads V`'_ NM L w� AA" Risers 0 NM L ✓zj/J/ Stinger o NM L �'" s ...ape uC SIDE C „pa................... -, LOCATION -..----- - MEASURE:LOOSE PAINT MORE THAN 1440 S0.IN.) DELEAD DATE DELEAD METHOD C C C ION SERVICES INC.44 Chapel Si.Chicopee,MA.01020 535-5002 1-888-902-LEAD Monlemagni LiccaaM141431 'attire �i ate �76d 1 Inspection /2 (i2,44..e./ S� Apt# /- /,- CItY -41e'cl Page iy of 24 W E LEAD TYPE OF HAZARD COMMENTS DELEAD DATE DELEAD METHOD DELEAD METHOD ppp Window Sill AIM L uds D L AIM L L Wmdo ash NM iuL L indwe Sill g 4/4 L D Win nog m 5' y/4 L L r n NM L 0464 /Q NM L i 5 er,C M L NM L t 69" L NM L ar Win Sill NM L MJ L D CeI - Sash x l NM L Cel Win rame NM NM L D rg NM L b NM L L NM L D ellar Win Sill NM L L C in Sash NM L L IN Cel Wi rame NM L L IQ D NM L L 1 NM L NM L NM L Eywer. NM ring NM L D Slaters k L NM L D Newel post d NM NM L Railing Cap Sill /gyp L L naiad rl 9 ��j A / L L Ba stars Sash N.7 NM L Low Rail Sal NM NM L Treads ing NM NM L Risers Sash NM NM L Stinger SIDE D LOCATION/ SURFACE LEAD TYPE OF HAZARD COMMENTS DELEAD DATE DELEAD METHOD Window Sill AIM L D Wi asing AIM L Wmdo ash NM L indwe Sill AIM L D Win nog NM L Window h NM L Cellar Win Sill NM L D IWIn Sash NM L Cel • Flame NM L ar Win Sill NM L D CeI - Sash NM l Cel Win rame NM L D Cellar Win DO NM L el Win Sash NM L Ce Frame NM L D ellar Win Sill NM L C in Sash NM L Cel Wi rame NM L D Foundation L D 'k1115Iltad NM L D Eywer. NM L D Slaters NM L D Newel post NM L Railing Cap NM L naiad AIM L Ba stars NM L Low Rail NM L Treads NM L Risers NM L Stinger NM L • Surfaces listed in Nese boxes can be made intact only by a licensed deleader. MEASURE:LOOSE PAINT (MORE THAN 1440 50.IN.) ` v .OCATION V V MEASURE:LOOSE PAINT (MORE THAN 1440 SO.IN) DELEAD DATE DELEAD METHOD SIDE D D D D LOCATION DELEAD DATE DELEAD METHOD coots Services Inc 44 Chapel St. Chicopee, tr1A. 01020 413-535-5002 1-888.902-LEAD P.tc2 of 2-! (Apt/Floorr/ (Zip) t=i/05 INSPECTION FIISTORY PAGE ress: /� ./±140/ i577Ci ) f ? )N ACTIVITY .inspection ion :n ivcd ad Compliance KEY PASS OR FAIL 6.Interim Control F Pus 7.Recertification F Fail 11.Post Compliance Asscss.Detcrm. 9.Maintained Comp 10.Restored Comp 111 COMMhN 1S: Inspector Lic# Inspector Lic# Inspector Lic# (1 1 1 1 1 1 1 Inspector Lic# Inspector Lic# I 1 ] 1 1 1 Inspector l Lic# 1 1 1 1 1 1 1 Inspector Lic# EXAMPLE BOX inspection activity number pass or fail Inspector Lic# Inspector Lic# Inspector Lic# Inspector Lic# Inspector Lic# Inspector Lic# Inspector Lic# Page of /9• 1 EXPLANATION OF LEAD INSPECTION REPORT FORM COLUMNS This document is intended to provide general information needed to understand the inspection report. However,you should always speak with the inspector if you have any questions before you delead your home. ,CE OF RD IIENTS AD AD IOD iURE: IE f(IN LUDED 'ACES" Refers to A,B,C,or D side of the building or room.See the diagram on the cover sheet.The"A"side of the building or room is the side facing the street which gives the property its address(usually,it is the front of the building). Keeping your back to this street,from the"A"side move clockwise to the"B"side on your left,the"C"side opposite you,and the"D"side to the right. Refers to the building component(s) being tested.Generally,each separate component is considered one surface.Some surfaces may be made up of more than one part. For example,`Baseboard" may refer to four separate pieces of wood(one running along each wall),but is still considered one surface. The actual lead result. Each surface tested must have a result recorded in the"Lead"column. • A number shows that the surface was tested with an XRF analyzer.A number(or average number) more than 1.2 mg/cm2 is a dangerous level of lead. • A"pos" or"ueg"shows that the surface was tested with sodium sulfide."Pos" means that there is a dangerous level of lead. • "N/A"means that the inspector was not able to test the surface. Unless the owner can get a sample to test,the inspector must assume the surface contains lead and require it to be deleaded,if necessary. "Metal"means that a metal surface was not tested and only needs to be intact If the surface is a metal handrail, metal window sill,or metal railing cap,it needs to be deleaded if it is more than 1.2 mg/cm2, "pos,"or is"N/A." Not all lead paint must be deleaded.This column tells you IF and WHY a surface needs deleading. • "M/l"circled means that the surface is a moveable/impacted surface and most be deleaded in its entirety. • "A/M" circled means that the surface is"accessible mouthable"and must be deleaded to a minimum of five feet high,four inches in from the edge or corner. • "L"circled means that the surface is loose and must,at minimum,be made intact. • If more than one choice is circled,the rules for deleading may change depending upon what method of deleading you choose.Speak to the inspector for more information. • "N/A" means the inspector was unable to determine.if the surface was loose or intact.The person doing the deleading must check this surface and follow all the rules for deleading.Speak to the inspector for more information. • If nothing is circled or marked"N/A" then it is likely the surface does not need deleading.Speak to the inspector for more information. Any additional observations or test results made by the inspector that affect the inspection or deleading. The date that the lead inspector checks the surface and finds that it has been successfully deleaded and passes reinspection. The kind of deleading done to bring a surface into compliance.Refer to Deleading codes in the Key on the cover page of the inspection report. The amount of loose paint on a surface as measured by the lead inspector."N/A" means that the inspector was not able to measure the loose paint, but has determined that it is more than the cut-off. Surfaces listed here,whether with a measurement or with an"N/A"notation,can only be made intact by a licensed deleader. Note that there are still other low and moderate-risk deleading activities that may be done by someone who is not a licensed deleader. P:\C PPP-Common\Explmanonpage 2/4/00 J&II INSPECTION SERVICES INC. 44 CHAPEL STREET CHICOPEE, MA. 01020 413-535-5002 1-888-902-LEAD SUMMARRY OF LEAD PAINT INSPECTION REPORT ADDREESS OF INSPECTION- 17 CHESTNUT STREET, LEEDS, MA DATE OF INSPECTION- JUNE 21, 2000 All surfaces with a reading of 1.3 or higher or read "pos" contain dangerous levels of lead. COMPONENTS THAT HAVE DANGEROUS LEVELS OF LEAD All window sashes and window parts (blind stops, parting beads) Window sills, casings and aprons Doors, door casings, door jambs (most) Baseboards Exterior surfaces (columns, floors, siding, balusters, window trim, and basement windows) ABATEMENT OPTIONS Window sashes can be removed by a licensed deleader*, a Moderate Risk Abatetor,` or a Lead Safe Renovator and replaced with new window sashes or dipped (scraping can only be done by a licensed deleader). In most cases window replacement is more cost effective, however if there are historical considerations, scraping or dipping can be considered. Interior wood trim can be encapsulated with a liquid encapsulant by a trained owner/agent*. Removal and replacement of these components can be done by a licensed deleader, a Moderate Risk Abatetor*, or a Lead Safe Renovator*. Exterior components can be covered (coil stock aluminum on columns) by a trained owner/ agent (low risk abatement) or replaced by a licensed deleader, a Moderate Risk Abatetor, or a Lead Safe Renovator. Scrapping paint to bare substrate can only be done by a licensed deleader. 'please call CLPPP at 1-800-532-9571 for information on owner/ agent tr: fining. J&M INSPECTION SERVICES is an approved trading provider for Moderate Risk Abatement. An owner/agent who is trained and certified for this can remove and replace components including windows. Please call about upcoming classes if you are interested. PLEASE NOTE THIS SUMMARRY DOES NOT TAKE THE PLACE OF THE FULL LEAD PAINT INSPECTION REPORT. ALL ABATEMENT MUST BE DONE BASED ON THE LEAD PAINT INSPECTION REPORT.WHOM EVER DOES ABATEMENT WORK MUST PROVIDE THE INSPECTOR WITH ALL REQUIRED DOCUMENTATION AND CERTIFICATION AND LICENSED NUMBER. FSPECTION SERVICES INC. PEL STREET 'EE, MA. 01020 -5002 1-888-902-LEAD you will find a copy of the Lead Based Paint Inspection Report for your property. It has been ?d that the residential premises contain dangerous levels of lead in paint. As the owner of this you are required by M.G.L.c 111,s197 to abate and/or contain those surfaces determined to be is whenever a.child under the age of six (6) resides in the unit. The inspector is required to submit this report and various notification to the tenants of this dwelling unit, and page one to the if the State Program (CLPPP). ation of test methods may have been used to perform the inspection. An X ray Florescence (XRF) and a 6-8 % solution of Sodium Sulfide. A reading of above 1.2 on the report or a "Pos" a dangerous level of lead as defined by the Massachusetts Lead Law. Please note that no ethod is perfect, any surface indicated as "Neg" may contain some lead, and levels of 1.0 and )nsidered dangerous in some states. Therefore it is my opinion that you should never remove the n these surfaces by any method which creates dust. Again in Massachusetts only levels 2 or readings of "Pos" are considered dangerous. rnmon areas were found to contain dangerous levels of lead paint, you are required to distribute the enclosed "Notice to Tenants of Lead Paint Hazards' to all other occupants of the building. ed property owners who have completed the educational materials provided by the Childhood soning Prevention Program are permitted to perform certain low risk activities: removal of doors, loors, shutters, and capping baseboards, covering surfaces, and applying approved encapsulants. another type of abatement called moderate risk abatement. Individuals trained and certified for remove and replace components including windows. It is essential that the state's educational be completed, proper training and test taken, and the owner registered with the Childhood int Prevention Program prior to beginning any work. To receive this material call 2-9571 if you are considering using liquid encapsulants please let them know this. All other g work must be done by a licensed deleading contractor. Abatement work can only begin after a day notice has been given by the trained property owner and/or the deleading contractor to all parties. If you do low or moderate risk abatement you must give the inspector copies of all forms and documentation. Residential premises qualify for the Massachusetts Lead Paint Tax fhe amount of the credit is equal to the cost of abatement or $1,500, whichever is less. r "Letter of Full Deleading Compliance" is issued dust samples must be taken in all units lterior (including common areas) abatement work has been performed These samples are lab for testing. Due to the cost of laboratory analysis, equipment and materials, shipping and an additional charge to the property owner will be billed. Once dust samples pass, a "Letter of tement Compliance" will be issued. This letter will also include any tax credits allowed for the unit. ?rs of Compliance"will be issued upon receipt of payment in full for all services rendered. :all this office if you have any questions concerning the above information. We will assist you any can. And again Thank You for using J&M INSPECTIONS. Sincere�ly, ames Montemagni MA.M1431 CT.lic IR0001121 E J&M INSPECTION SERVICES INC. 44 CHAPEL STREET CHICOPEE, MA. 01020 413-535-5002 1-888-902-LEAD DATE- 6-264,0 CUSTOMER- George Quinn 100 Front Street Leeds, MA.01053 SERVICES- Lead Paint Inspection at: 17 Chestnut Street Leeds, MA 01053 DATE OF SERVICE- 6-21-00 CHARGES- $252.00 18 Test Areas @$14 each COURTESY DISCOUNT- $27.00 AMOUNT DUE- $225.00 THANK YOU FOR USING J&M INSPECTION SERVICES INC. PAUL CELLUCC INERNOR .NE SWIFT W41 GOVERNOR AM O.O'IFAaY ECRETNIY K KOH,MO,MPH 1MISSIONER The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health Childhood Lead Poisoning Prevention Program 470 Atlantic Avenue, Second Floor Boston, MA 02210-2208 (617) 753-8400/ 800-532-9571 NOTICE TO TENANTS OF LEAD PAINT HAZARDS Lead in violation of the Lead Law(Massachusetts General Laws, chapter 111, sections 189A-199B)and the state Department of Public Health's Regulations for Lead Poisoning Prevention and Control (105 Code of Massachusetts Regulations 460.000) have been found in apartment in this building. Children exposed to lead hazards are at risk of becoming lead poisoned. This disease can affect all parts of a young child's developing body, and in particular, can seriously and permanently hurt the brain, kidneys and nervous system. Even at lower levels of exposure, lead can cause children to have learning and behavioral problems. if you have a child under six years of age, it is important that they be regularly tested for lead poisoning, as the law requires. If your child has not been tested recently, you should ask your child's doctor or health care provider to test him or her. If you don't have a regular health care provider,you can call your local board of health, or the state Childhood Lead Poisoning Prevention Program (CLPPP),at 1-800-532-9571,to find out where you can get your child tested for lead for free. Lead poisoning can only be detected by such testing. Since lead violations have been found in an apartment in this building, it is quite possible that your unit may have lead violations too. If you have a child under six years of age,you should ask the owner of your building about having your apartment inspected for lead paint. You can call your local board of health to check for lead (ask for a lead determination),or call CLPPP at 1-800-532-9571 for further advice. h is against state law for property owners to discriminate against tenants with children because of lead paint hazards in their apartment. If deleading of apartment will also include deleading of common hallways, staircases and porches of your building,you will get a written notice 10 days before any deleading will begin. While the deleading is being done,everyone must keep out of the areas being worked on. You have to use another way to go in and out of your building during this time. If your apartment is on the same floor and is in the work area as a common area in which deleading is being done,the person or persons doing the deleading work will protect your apartment too. They will be temporarily covering your doorway with thick plastic sheeting and taping it down with masking tape,so that fine lead dust can't be blown in, around, or under your door. If they have not properly covered areas to protect them from lead dust and debris from the deleading work, tell the owner of your building or call the state Department of Labor and C:\JOANNSGENERAL\GENERAL.DOCWIT.DOC 1/2000