70 Lead Paint 1997 MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH
Childhood Lead Poisoning Prevention ProOram
906 South Street, Boston 02190
4
Date Posted:
Owner:
Address:
This dwelling contains
DANGEROUS
Lead Paint which is
Hazardous to the health
of small Children .
This notice may not be
removed until all premises
have been found to comply
with General Laws
c . 111 s . 197 .
DATE 19___ Per Order
Areas where there are peeling, chipping, or flaking lead paint and dust should be cleaned.
Wet sponging and mopping with detergents containing phosphate, like tri-sodium phosphate,
are best for this type of cleaning. Windows sills are often a major source of lead exposure.
They should be periodically cleaned if paint dust or flakes collect there. If they 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. Contact paper may be applied to areas of peeling paint on window sills,
walls, or other surfaces as a temporary measure. We do not recommend that you use your vacuum
cleaner to clean up paint chips because it will disperse fine particulate into the air. Sometimes
furniture can be moved to form a child-protective barrier to cover 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 spend most of his or her time,
and try to keep them as clean as you can before deleading.
Lead paint can contaminate soil. If the exterior surfaces of your home have chipping, peeling
or flaking lead paint, do not allow your child to play in the soil around the house and be careful
not to track soil from these areas into the house. Follow the advice of your code enforcement
inspector about soil on your property.
07-30-91
William F.Weld
Governor
David P. Forsberg
Secretary
David Fl. Mulligan
Commissioner
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617-522.3700, Fax 617.522.8735
RESIDENTIAL LEAD ABATEMENT ADVISORY
• Childhood Lead
Poisoning
Prevention Program
800-582-9571
The process of abating lead paint is very dangerous. For this reason, the Department of
Labor and Industries' Deleading Regulations, 454 CMR 22.00, require that only a certified or
licensed deleading contractor can remove or cover lead paint, or replace a fixture or surface
coated with lead paint. Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000,
have additional requirements to make sure that occupants of a dwelling unit are not exposed
to lead hazards. The most important requirement is that the dwelling unit not be occupied
while the unit is being deleaded. It is very important that occupants think carefully about what
their daily needs will be during the time they are away from home, and take along all that they
will need No one should return to a dwelling unit undergoing deleading. Both property owners
and tenants must take their responsibilities seriously and cooperate fully to assure the protection
of all concerned Tenants, property owners or other residents should not interfere with the
work being completed safely.
Tenants of the unit to be deleaded and other residents must receive written notification
at least five days prior to the beginning of any lead paint removal/abatement. All furnishings
and possessions of every type should be removed or stored in plastic bags in non-work areas.
This includes all children's clothing, toys, stuffed animals, bedding, etc. Everything should be
removed and closets must be emptied Possessions not removed from the work area should
be put in plastic bags and left in the center of the room, only as a last resort. The reasons for
this extensive precautionary measure is to protect every household article from lead dust
contamination. Very fine dust is extremely hazardous and especially difficult to remove.
A very thorough final clean-up will be conducted by the deleader no sooner than 24 hours
after the completion of active deleading. This is to ensure that fine airborne particulate will
settle out and be removed in the final clean-up. Occupants can return only after a lead inspector
determines that a residential premises or dwelling unit is safe for occupants to return to through
the reoccupancy reinspection. Occupants should leave a
so that the inspector can notify them when it is safe to return home.
where they can be reached
While there is no substitute for deleading and thorough clean-up to protect child-en from
lead exposure, there are some important steps that can be taken even before deleading occurs.
Your public lead inspector's advice and counsel should be carefully followed because of their
personal knowledge of your child's home environment.
As part of their normal behavior, young child-en place things in their mouths, especially
toys, and their own fingers. If there are paint chips and dust in your home, they may end up
in your child's mouth. Children's toys pick up lead dust, as will food and candy that falls on
the floor and most of all, their fingers. It is especially important to wash your child's toys,
and to try to keep your child's hands clean, particularly at meal time.
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02202
Lead Removal Program
Division of Industrial Safety
Boston
New Bedford
Douglas Dear, Manager
George Cannella, Inspector
Paul Petrovski, Inspector
Peter Smith, Inspector
Brian Wong, Inspector
Michael DiPietro, Supervisor
Gary Gaspar, Inspector
Don Linhares, Inspector
Lawrence Robert Iamarre, Supervisor
Worcester Stuart ring, Supervisor
Teresa Dominguez, Inspector
Michael Ward, inspector
Steven Troiano, Inspector
Springfield &b land Predette, Supervisor
Gregory Kamer, Inspector
William Lambert, Inspector
Pittsfield Raymond Whalen, Supervisor
Jon Lifvgren, Inspector
Richard Walsh, Inspector
617-727-6155
617-727-1933
617-727-4990
617-727-0611
508-792-7635
413-734-1421
413-445-4214
William F. Weld
Governor
David P. Forsberg
Secretary
David H. Mulligan
Commissioner
execatape, ("ce, Yetrivatb c9 ,t
*2 gedaZo tle
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305 .1au!/aGeeL, ianratha. oiie, 612130
NOTICE TO TENANTS OF LEAD PAINT HAZARDS
Dangerous levels of lead in violation of the Lead Law (M.G.L. C. 111, ss. 190-199A) and
the Regulations for Lead Poisoning Prevention and Control (105 CMR 460.000) have been found
in apartment no. in this building. Children exposed to lead paint hazards are at risk
of contracting lead poisoning. This disease affects the normal behavioral and intellectual
development of children, especially children under the age of 6 years.
If you have children under six years of age, it is important that they be screened for lead
poisoning on a periodic basis. If your child has not been screened recently, you should request
your child's doctor or health care provider to perform the screening. Screening is the only
way lead poisoning can be detected.
Since lead paint has been found in a unit in this building, it is quite possible that your unit
may have lead paint too. If you have children under six years of age, you are advised to speak
to your landlord about baring your apartment inspected for lead paint. You can call your local
board of health for a lead inspection or call 1-800-532-9571 for further advice. It is against
Massachusetts law for landlords to discriminate against tenants because of lead paint hazards
in their apartment, or to threaten or take reprisals against tenants.
You will receive a notice five days in advance of the date on which deleading will begin
in the unit stated above. While the deleading is being conducted, keep your children out of
the areas being worked on. Common hallways, staircases and porches may be deleaded. Use
an alternative staircase during this process. If your unit is on the same floor on which deleading
work is being done, be sure that your doorway is temporarily sealed with masking tape or similar
material so that fine lead dust cannot be blown in. around or under the door. If you do not
have an alternative means of exit from your apartment, speak to your landlord or the deleading
contractor, to coordinate the work. Check window sills and doorways for visible dust after
deleading. Lead dust can be cleaned-up with a high phosphate detergent, like tri-sodium phos-
phate. If you notice lead dust from deleading in your apartment, notify the deleading contractor.
Properly conducted, deleading work should not result in lead dust contamination of your
building. If lead paint dust or paint debris is not properly cleaned up at the end of the workday,
or if work areas are not properly contained to prevent dust and debris from being dispersed,
notify your landlord or call the Department of Labor and Industries at the numbers on the
reverse side of this notice.
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BOARD OF HE bpy
CITY HALL
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BOARD OF HEALTH
MEMBERS
JOHN T.JOYCE,Chairman
ANNE BURES,M.D.
CYNTHIA DOURMASHKIN,R.N.
PETER J.McERLAIN,Health Agent
(413)586-6950 Ext.213
FAX(413)586-3726
MEMO
CITY OF NORTHAMPTON
MASSACHUSETTS 01060
OFFICE OF THE
BOARD OF HEALTH
To: Mass. Lead Lab, Attn: Bennie Edge
From: Peter J. McErlain, Health Agent
Date: March 21, 1997
Re: Request for Lead Determination Kits
210 MAIN STREET
NORTHAMPTON,MA 01060
On behalf of the Northampton Board of Health I am here with requesting that three(3)Lead Determination Test Kits be sent to
our office at the following address:
Northampton Board of Health
City Hall,210 Main Street
Northampton MA 01060
The Kits would be used when possible paint problems are encountered during housing code inspections.
Any positive lead findings would result in the property owner being ordered hire a licensed Lead Inspector to conduct a
systematic lead inspection throughout the dwelling.
I am a Massachusetts Registered Sanitarian,#650, and have been conducting housing codeAead inspections for over twenty
five years.
Please submit any bills for materials and shipping to the Board of Health at the above address.
Thank you.
03/24/97 15:34
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START TIME 03/24 15:34
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PAGES 2
RESLLT OK
The contractor must provide written notification to the Department
of Labor and Industries, all residential occupants, the Board of
Health, and the state Childhood Lead Poisoning Prevention Program
(CLPPP) at least five days before any deleading work begins. It is
your responsibility, as the owner of the premises, to make sure
that the contractor sends the completed forms to all parties.
All occupants and pets must be out of the dwelling unit for the
entire time that interior deleading work is in progress. They may
not return until a licensed private inspector approves reoccupancy
by conducting an on-site reinspection of the unit; this will be
done after the final deleading clean-up. Deleaded surfaces are not
to be repainted until after the inspector gives approval.
All work is to be done in a workmanlike manner, and the dwelling
must be returned to a cqndition that meets the requirements of
Chapter II of the State Sanitary Code. Scraped surfaces must be
feathered and made smooth by the deleader prior to repainting.
(Repaint only after reinspection) . Deleaded windows and doors must
have all panes of glass intact and must be weathertight.
You are required to provide written notice of the presence of lead
paint to all other occupants of the building. "Notice to Tenants of
Lead Paint Hazards" is enclosed for that purpose.
You are also required to send a copy of the inspection report and
the enclosed order to all mortgagees and lienholders of record.
Questions regarding Department of Labor and Industries regulations
should be addressed to the DLI office (617-727-1932) . Questions
regarding the Department of Public Health regulations should be
addressed to the CLPPP central office (800-532-9571) or this
Department ( ) ,
Inspector
Peter J. McErlain, Agent
Northampton Board of Health
Certified Mail # P 061 775 844
Director
Date: April 4, 1997
Ms. Josephine Guiel
70 Market Street
Northampton, NA 01060
Dear Ms. Guiel
A lead paint determination was made of the property owned by you at
70 Market Street, 2nd floor left by Peter J. McErlain of
the Northampton Board of Health HtlablithilifilleatOQINNIMPROMME on
April 3, 1997 This determination revealed the presence
of lead paint in violation of Massachusetts General Laws, Chapter
111, section 197.
(413) 586-6950
Please contact this office at Extension 213 as soon as possible
to discuss your responsibilities in this case, and the material
enclosed.
Massachusetts Lead Poisoning Prevention Regulations require that
you provide to this office, within 60 (sixty) days of your receipt
of this letter, a written contract with a licensed deleader to
abate all lead violations existing in the dwelling unit, including
interior and exterior common areas. You must provide the deleading
contractor with a complete inspection report from a licensed lead
paint inspector.
The deleading contract must be signed by the contractor and by you;
it must specify that all violations on the interior of the unit and
the interior common areas 'will be deleaded within 90 (ninety) days
of your receipt of this letter, and that all exterior violations
and/or window replacement will be complete within 120 (one hundred
and twenty) days.
This Department is required by law to file a case against you in
court if it has not received a copy of the deleading contract by
the sixty-first day, or if the above timelines for interior and
exterior deleading compliance are not adhered to as documented by
a. private lead paint inspector. In a criminal case, you may be
fined by the court up to $500 for each day of non-compliance.
Only contractors licensed by the Department of Labor and Industries
as deleading contractors may engage in the removal, covering, or
replacement of lead hazards. Neither you nor anyone in your employ
nor the occupants of this unit may remove or cover any' lead paint
unless that person is a licensed deleading contractor.
ORDER
You are hereby ordered to remedy all violations of M.G. L. C. 111,
s. 197 and 105 CMR 460. 000 as identified by a licensed private lead
inspector.You must contract in writing with a licensed deleader and
a signed and dated copy of the contract must be received by this
agency within 60 (sixty) days of your receipt of this Order. Said
contract must specify that all violations on the interior of the
residential premises or dwelling unit and interior common areas
will be abated within 90 (ninety) days of receipt of this Order. In
addition, the contract must specify that all violations on the
exterior of the residential premises and exterior common areas will
be abated within 120 (one hundred and twenty) days of receipt of
this Order. If windows are to be replaced and you can demonstrate
that an order had been placed for the windows within 60 (sixty)
days of receipt of this Order, you will have 120 (one hundred and
twenty) days from receipt of this Order to install the new windows.
You must comply with all applicable sections of 105 CMR 460. 000.
Compliance will be determined by this agency's receipt of the
appropriate documentation within the specified deadline, including:
a copy of a signed and dated deleading contract within 60 days of
receipt of this Order; a Letter of Lead Paint Reoccupancy
Reinspection Certification issued by a licensed private lead
inspector within 90 days of receipt of this Order; and a Letter of
Lead Abatement Compliance issued by a licensed private lead
inspector within 120 days of receipt of this Order. In addition, a
copy of the deleading notification must be received by this agency
at least five days prior to any commencement of deleading.
PENALTIES
Failure to comply with this order will result in criminal
prosecution. The law provides penalties of up to $500 for each day
of non-compliance. In addition, you may become liable for civil
punitive damages equal to three times any actual damages for
failure to comply with this order if a child becomes poisoned.
CORRECTION OF VIOLATION BY CODE ENFORCEMENT AGENCY
If the dangerous levels of lead are not abated within the time
periods stipulated above, this agency may contract with a licensed
deleader to correct the violation and bill the owner, or initiate
court action to reimburse itself.
o
Spector
Peter 7. McErlain, Agent
Northampton Board of Health
Certified Mail a P 061 775 844.
Director
April 4, 1997
ORDER TO CORRECT VIOLATION
Ms. Josephine Guiel
70 Market Street
Northampton, MA 01060
Owner or agent of the property located at
70 Market Street
•
•
Be advised that an agent of the Board of Health has determined
certain portions of the aforementioned residential property to be
in. violation of the State Sanitary Code Chapter II, "Minimum
Standards of Fitness for Human Habitation, " 105 CMR 410.750 (J) .
This violation also constitutes a violation of the Regulations for
Lead Poisoning Prevention and Control, 105 CMR 460.000, and
Massachusetts General Laws, Chapter 111, section 197.
Conditions exist in this residence which may endanger and/or
materially impair the health of the occupants of these premises.
DECLARATION OF EMERGENCY
The Director of the Childhood Lead Poisoning Prevention Program and
the Board of Health declare that the presence of the aforementioned
violation presents an immediate danger of lead poisoning to one or
more occupants of the premises and that this constitutes an
emergency pursuant to Massachusetts General Laws (MGL) , Chapter
111, section 198, within the meaning of the Sanitary Code, Chapter
1, Section 400.200(3) .
ABATEMENT OF LEAD VIOLATIONS
M.G.L. C.111, ss.190-199A and the Department of Labor and
Industries Deleading Regulations, 454 CMR 22. 00, as well as the
Regulations for Lead Poisoning Prevention and Control require that
only licensed deleading contractors conduct residential lead
abatement. This means that you cannot conduct lead abatement
yourself or hire anyone other than a licensed deleading contractor.
Violations of this requirement shall be punished by a fine of not
less than five hundred nor more than 1500 dollars for each offense.
Wilam F.Weld
Governor
Charles D.Baker
Secretary
David H.Mulligan
Commiaaloner
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305 JoudoJo-cc4 Os llt 02130-3597
617-522-3700, Tat 617-522-8735
LEAD DETERMINATIONS REPORT FORM
Date of Determination: April 3, 1997
Childhood Lead Poisoning
Prevention Program
800432.9571
Inspector: Peter J. McErlain
License Number: Mass. R.S. #650
Method Used:
xx sodium Sulfide Expiration date: 05-27-97
x-Ray Fluorescence Model:
Serial Number:
Property Address:
70 Market Street
Northampton, MA 01060
Apt. #: 2nd Fl Left
Description of Property:
Single family
xx multi-family # units 3
xx Garage
Fence
Other structures
Age of Property: xx Pre-1978
Post-1978
Qccupant: Sue fi Benjamine Paille
Occupants under six years of age:
child
Occupant's Telephone: (413 ) 586-8631
DOB:
DOB:
DOB:
DOB:
Property Owner(s) : Josephine Guiel
Owner's Address:
January 1997
70 Market Street
Northampton, MA 01060
Owner's Telephone: (413 ) 584-7649
An X-ray fluorescence reading greater than 1.2 mg/cm2 or a gray or
black reaction to sodium sulfide indicates an illegal level of lead
and constitutes a positive determination.
Any removal, replacement, or covering of lead paint as a result of
this report or subsequent inspection must be performed only by a
deleading contractor licensed by the Department of Labor and
Industries.
LOCATION
SOURCE
Pb
_.
Child ' s bedroom
Window parting
bead/exterior sill area
.lV J
?OS
2 .
Child ' s bedroom
Window sill
I p0S
3 .
Living room
Window parting
bead/exterior sill area
(e) .5 -
4 .
Kitchen
Window parting
bead/exterior sill area
nVc�
T
., .
Interior s
2091
Fla}:i ng paint
-
�A✓
/4)4
6 .
rlari,g
nnan,^,
p int
C K d�6-� 08-,
7 .
— eye-
_ ,:
e. Pdy awr „
8 .
Exterior
Window sills below 5 '
9 .
Exterior
Main entry door cr door
casing
10.
interior
Outside corner of baseboard
11.
Kitchen or Bat^_oor
Chair rail
12 .
Bathroom
Window sill
13 .
Exterior
Threshhold
14 .
Interior hallway
(common area)
Stair tread or stringer
15.
Interior hallway
(common area)
Balusters
16 .
I nterior hallway
(common area)
Door casing
17 . Porch
Stair tread or riser
2_6. I Porch
Railing cap
19 .
Porch
Balusters
20 .
Porch
Support columns
(<6" diameter or square)
21.
Porch
Staircase stringer
22 .
Exterior
Bulkhead
23 .
Garage/Outbuilding
Door casing or jam-'
EXHIBIT A
Disclaimer Concerning Lead Determination Report
The information contained in this report concerning the
presence or absence of lead paint does not constitute a
comprehensive lead paint inspection. The surfaces tested
represent only a portion of those surfaces which would be
tested to determine whether the premises are in compliance
with the Massachusetts Lead Poisoning Prevention Law
(Massachusetts General Laws, chapter 111, sections
190-199A.)
Serious lead poisoning hazards are created when materials
containing lead paint are disturbed, unless proper safety
guidelines are followed. Therefore, Massachusetts law
reg•i.res that:
Any deleading work done on the premises must be done
by a certified or licensed deleader. Letters of
Compliance will be withheld if unauthorized deleading
has occurred.
Any renovating or rehabilitation of premises
containing dangerous levels of lead paint must be done
in compliance with the procedures set forth in the
regulations issued by the Department of Labor and
Industries (454 CMR 22.11) , including sealing off the
work area from adjacent areas, and using a tiEPA vacuum
and TSP for final clean-up.
Any deleading work done on the basis of this report will
not qualify the owner or occupant for a state tax credit,
nor will the cost of such deleading be reimbursable under
any state loan or grant programs. In order to qualify for
such programs the premises must first be subject to a
comprehensive lead paint inspection.
If a child under six resides in this dwelling, the owner
may face criminal or civil liabilities unless all lead
paint violations have been corrected. This lead report
cannot assure that the property owner has met his or her
obligations under the law.
It is unlawful for rental property owners to use the
presence of lead as the basis for discrimination against
tenants or potential tenants with young children.
Ma
..9;tchaexies
Zeisar
Lead Removal Program
Division of Industrial Safety
Boston
New Bedford
Douglas Dewar, Manager
George Gonnella, Inspector
Paul Petroveki, Inspector
Peter Smith, Inspector
Brian Wang, Inspector
Michael DiPietro, Supervisor
Gary Gaspar, Inspector
Don Linhares, Inspector
Lawrence Robert Lamarre, Supervisor
Worcester Stuart King, Supervisor
Teresa Lkmtinguez, Inspector
Michael Bard, Inspector
Steven Trojan, Inspector
Springfield Edmund Predette, Supervisor
Gregory Bonier, Inspector
William Lambert, Inspector
Pittsfield Raymund Whalen, Supervisor
Jen Lifvgren, Inspector
Richard Walsh, Inspector
617-727-6155
617-727-1933
617-727-4990
617-727-0611
508-792-7635
413-734-142I
413-445-4214
William F. Weld
Governor
David P. Forsberg
Secretary
David H. Mulligan
Commissioner
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NOTICE TO TENANTS OF LEAD PAINT HAZARDS
Dangerous levels of lead in violation of the Lead Law (M.G.L. C. Ill, ss. 190-199A) and
the Regulations for Lead Poisoning Prevention and Control (105 CMR 460.000) have been found
in apartment no in this building. Children exposed to lead paint hazards are at risk
of contracting lead poisoning. This disease affects the normal behavioral and intellectual
development of children, especially children under the age of 6 years.
if you have children under six years of age, it is important that they be screened for lead
poisoning on a periodic basis. If your child has not been screened recently, you should request
your child's doctor or health care provider to perform the screening. Screening is the only
way lead poisoning can be detected.
Since lead paint has been found In a emit in this building, It is quite possible that your unit
may have lead paint too If you have children under six years of age, you are advised to speak
to your landlord about having your apartment inspected for lead paint. You can call your local
board of health for a lead inspection, or call 1-800-532-9571 for further advice. It is against
Massachusetts law for landlords to discriminate against tenants because of lead paint hazards
in their apartment, or to threaten or take reprisals against tenants.
You will receive a notice five days In advance of the date on which deleading will begin
in the unit stated above. While the deleading is being conducted, keep your children out of
the areas being worked on. Common hallways, staircases and porches may be deleaded. Use
an alternative staircase during this process. If your unit is on the same floor on which deleading
work is being done, be sure that your doorway is temporarily sealed with masking tape or similar
material so that fine lead dust cannot be blown in, around or under the door. If you do not
have an alternative means of exit from your apartment, speak to your landlord or the deleading
contractor, to coordinate the work. Check window sills and doorways for visible dust after
deleading. Lead dust can be cleaned-up with a high phosphate detergent, like tri-sodium phos-
phate. If you notice lead dust from deleading in your apartment, notify the deleading contractor.
Properly conducted, deleading work should not result in lead dust contamination of your
building. If lead paint dust or paint debris is not properly cleaned up at the end of the workday,
or if work areas are not properly contained to prevent dust and debris from being dispersed,
notify your landlord or call the Department of Labor and Industries at the numbers on the
reverse side of this notice.
Areas where there are peeling, chipping, or flaking lead paint and dust should be cleaned.
Wet sponging and mopping with detergents containing phosphate, like tri-sodium
phosphate,
are best for this type of cleaning. Windows sills are often a major source of lead exposure.
They should be periodically cleaned if paint dust or flakes collect there. If they 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. Contact paper may be applied to areas of peeling paint on window sills,
walls, or other surfaces as a temporary measure. We do not recommend that you use your vacuum
cleaner to clean up paint chips because it will disperse fine particulate into the air. Sometimes
furniture can be moved to form a child-protective barrier to cover deteriorating paint or plaster.
If deteriorating paint or plaster is in the child's be&Yoom, use another room as the child's room,
if possible. Think of those parts of the home where your child spend most of his or her time,
and try to keep them as clean as you can before deleading.
Lead paint can contaminate soil If the exterior surfaces of your home have chipping, peeling
or flaking lead paint, do not allow your child to play in the soil around the house and be careful
not to track soil from these areas into the house. Follow the advice of your code enforcement
inspector about soil on your property.
07-30-91
William F.Welt,
Governor
Davie P.Forsberg
Secretary
David H.Mulligan
Commissioner
glz 6, ,
dzzczaiiie, rz c andr
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305 tfout/tit ee Ott £6 02130-3597
617-522-3700, Fax 617-522-8735
RESIDENTIAL LEAD ABATEMENT ADVISORY
• Childhood Lard
Poisoning
Prevention Program
800532.8571
The process of abating lead paint is very dangerous. For this reason, the Department of
Labor and Industries' Deleading Regulations, 454 CMR 22.00, require that only a certified or
licensed deleading contractor can remove or cover lead paint, or replace a fixture or surface
coated with lead paint. Regulations for Lead Poisoning Prevention and Control, 105 CMR 460.000,
have additional requirements to make sure that occupants of a dwelling unit are not exposed
to lead hazards. The most important requirement is that the dwelling unit not be occupied
while the unit is being deleaded. It is very important that occupants think carefully about what
their daily needs will be during the time they are away from home, and take along all that they
will need. No one should return to a dwelling unit undergoing deleading. Both property owners
and tenants must take their responsibilities seriously and cooperate fully to assure the protection
of all concerned. Tenants, property owners or other residents should not interfere with the
work being completed safely.
Tenants of the unit to be deleaded and other residents must receive written notification
at least five days prior to the beginning of any lead paint removal/abatement. All furnishings
and possessions of every type should be removed or stored in plastic bags in non-work areas.
This includes all child-en's clothing, toys, stuffed animals, bedding, etc. Everything should be
removed and closets must be emptied. Possessions not removed from the work area should
be put in plastic bags and left in the center of the room, only as a last resort. The reasons for
this extensive precautionary measure is to protect every household article from lead dust
contamination. Very fine dust is extremely hazardous and especially difficult to remove.
A very thorough final clean-up will be conducted by the deleader no sooner than 24 hours
after the completion of active deleading. This is to ensure that fine airborne particulate will
settle out and be removed in the final clean-up. Occupants an return only after a lead inspector
determines that a residential premises or dwelling unit is safe for occupants to return to through
the reoccupancy reinspection. Occupants should leave a phone number where they can be reached
so that the inspector can notify them when it is safe to return home.
While there is no substitute for deleading and thorough clean-up to protect child-en from
lead exposure, there are some important steps that can be taken even before deleading occurs.
Your public lead inspector's advice and counsel should be carefully followed because of their
personal knowledge of your child's home environment.
As part of their normal behavior, young child-en place things in their mouths, especially
toys, and their own fingers. If there are paint chips and dust in your home, they may end up
in your child's mouth. Children's toys pick up lead dust, as will food and candy that falls on
the floor and most of all, their fingers. It is especially important to wash your child's toys,
and to try to keep your child's hands clean, particularly at meal time.
William F.Weld
Governor
Charles D.Baker
Secretary
David H.Mulligan
Commissioner
9t
c& , realti.and.5ratnam fe
0
fnbaeloiatJiiili
305 rfoathfaeu gl�oeton a
02130-3597
617-522-3700, Fac, 617-522-8735
Childhood Lead Poisoning
Prevention Program
000-532-9571
NOTICE TO OWNER AND TENANTS' RIGHTS AND REMEDIES
VIOLATION
It has been determined that the residential premises or dwelling unit and common areas at the address
cited on the accompanying order contain dangerous levels of lead in paint or other coating in violation
of M.G.L.C. 111, ss. 196 and 197 and 105 CMR 460.000, Regulations for Lead Poisoning Prevention and
Control. The owner of the residential premises is required by M.G.L. C.111, S. 197 to abate lead
violations whenever a child under 6 years of age resides on the property or in special cases when directed
by local or state authorities.
This violation endangers or materially impairs the health, safety or well-being of persons occupying the
premises. The violation was not caused by the occupants of the premises nor by any person(s) acting
under the control of the occupants.
TENANTS' RIGHTS AND REMEDIES
The presence of the above violation entitles the occupants of the premises to the following statutory rights
and remedies. These remedies are somewhat complex and occupants are advised to obtain legal assistance
and/or legal advice before using any of them.
(1) Alternative Housing. M.G.L. C. s.197 and 105 CMR 460 160(A) require that a dwelling unit
or residential premises shall not be occupied while deleading is being conducted. The residential
premises or dwelling unit cannot be reoccupied until deleading is completed, it is cleaned up ac-
cording to procedures specified in 105 CMR 460.160 (D), and it meets the conditions of a reoccu-
pancy reinspection specified in 105 CMR 460.760(A). It is the responsibility of the landlord and
tenant to work out an acceptable plan for alternative housing and any costs associated with alter-
native housing and/or rent abatement. Tenants under lease and tenants at will have legal rights
applicable to this circumstance and are advised to seek legal assistance in those circumstances
in which a satisfactory arrangement cannot be reached.
(2) Protection From Retaliatory Rent Increase Dr Eviction. The landlord may not increase rent or
evict occupants in reprisal for their having reported a violation or suspected violation of the
Lead Law. Landlords'who threaten or take reprisals against a tenant for exercising his/her
rights under M.G.L. C. 111, ss. 190-199A are liable for damages under M.G.L. C. 186, s. 18
and M.G.L. C. 93a.
(3) Rent Withholding. (M.G.L.C. 239, s. SA) After the landlord has been notified of the lead paint
violations,the occupants may withhold rent as long as lead paint violations remain uncorrected,
provided that they are up to date in rent when they start rent withholding. To fully protect
themselves against attempted evictions, occupants may need to place withheld monies in an
escrow (separated savings) account. If these conditions are met, occupants may not be evicted
for non-payment of rent or for any other cause which is not the fault of the occupants.However,
However, as soon as the violation is certified as having been corrected, all withheld monies may
have to paid to the owner.
(4) "Rent Receivership". M.G.L. C. 111, ss. 127C to 127.1). The occupants and/or the Childhood
Lead Poisoning Prevention Program may petition the court to allow rent to be paid into court
rather than to the owner, provided that the occupant is up to date in rent. The court may then
appoint a "receiver" who may spend as much of the rent money as is needed to correct the viola-
tion.
(5) Abatement Q Rent. May be awarded through a court action under decisions of the Massa-
chusetts Supreme Court Judicial Court case, Boston Housing. Authority vs. Hemingway, 293
NE3d 831, 363 Mass. 184 (1973). In such an action, the court determines the value of the
premises with violations and reduces the amount of rent due.
(6) Landlord Liability - Compensatory and Punitive Damages. Pursuant to M.G.L. C. 111, s. 199,
the owner of any residential premises is financially liable for all damages associated with a case
of childhood lead poisoning arising from his/her failure to abate lead paint, plaster or other lead
hazards when a child under six years of age will reside or resides in the premises. The owner
of any dwelling unit or residential premises, who is notified of a dangerous level of lead in paint,
plaster or other material present upon his or her premises, and who does not satisfactorily cor-
rect or remove the dangerous conditions,shall in addition to actual damages, be subject to puni-
tive damages, which are three times the actual damages found.
REPAINTING
Violations of the Lead Law constitute violations of the State Sanitary Code. Although repainting of
surfaces from which lead paint or other coatings have been removed is not required for compliance with
the Regulations for Lead Poisoning Prevention and Control,repainting of such surfaces is required under
the State Sanitary Code, 105 CMR 410.021. It is important that deleaded surfaces be sealed and can be
easily cleaned. Repainting of deleaded surfaces may not occur until after the surfaces have been
reinspected while bare and approved for repainting by a licensed lead inspector.
Repainting of deleaded surfaces on the interior of the dwelling unit and interior common areas must be
completed within thirty days of the reoccupancy reinspection. Exterior surfaces must be repainted within
thirty days of the compliance reinspection.
This requirement does not apply to surfaces where lead paint has been covered or a new fixture or
surface installed to replace a leaded one.
Tenants are advised to call their local board of health if the required repainting is not completed as
stipulated above.
Revised
05/03/93
Date:
NOTICE TO PROCEED
7277
(Vick f --
o2L
c
^1!^ am
icCitilk
a3
This sent as a NOTICE to PROCEED for the lead abatement contract between CONTRACTOR and OWNER. THE
CONTRACTOR SHALL VERIFY TO THE OWNER AND TO HAP IN WRITING NO LATER THAN 30 DAYS
FROM THE DATE LISTED ABOVE THAT HE CAN MEET THE PROPOSED SCHEDULE BELOW.
FAILURE TO VERIFY THE SCHEDULE OR TO NEGOCIATE A NEW SCHEDULE WITHIN THE TEN DAY
PERIOD MAY BE GROUNDS TO TERMINATE THE CONTRACT.
Event
Contract Executed
Notice to proceed verified by contractor
Windows ordered(if applicable)
Notice to Tenants,DLI,CLPPP sent
Abatement schedule to start
Letter of Compliance due by
Final punch list to be completed by
First unit:
tenant relocation starts at 6.00pm
abatement begins(7:00am)
re-occupancy inspection&dust wipes schedule
tenant re-occupancy scheduled(5:00pm)
Second unit: (if applicable)
tenant relocations starts at 6:00pm
abatement begins(7:00am)
re-occupancy inspection&dust wipes scheduled
tenant re-occupancy scheduled(5:00pm)
8
Schedule Date
bird unit:(if applicable):
tenant relocation starts at 6:00pm
abatement begins(7:00am)
re-occupancy inspection&dust wipes scheduled
tenant re-occupancy scheduled(5:00pm)
?AYMENT SCHEDULE:
Payment HI DATE: 97
AMT$ 12,000
Released upon receipt of copy of certificate of re-occupancy from first unit abated and may include cost of windows ordered
and delivered for the full abatement job if contractor provides invoice and evidence of payment to supplier.
Payment 42 DATE: 7/11/97
AMT$8,000
Released upon receipt of copy of the Letter of Compliance for entire job and waste manifest
DATE: AMMT:$
Release upon successful uncld�items)provided Letter of Compliance is previously
Release upon successful completion of all work(including p
receinith
•****** •*** 4*****4***4********* **
CONTRACTOR AFFIRMATION OF SCHEDULE:
I VERIFY THAT I WILL MEET THE AB�VE LISTED ABATEMENT SCHEDULE I UNDERSTAND.ITHhAT THERE
MAY BE PENALTIES SHOULD I F TO PE AM PER THE ABOVE SCHEDULE.
i
Date:
Contractor Title/Si
9
LEAD PAINT ABATEMENT CONTRACT
This Agreement is made this 6th day of June, 1997, by and between AAA Environmental &General
Contractor,of Wilbraham,MA,having a principal place of business located at,PO Box 759 Wilbraham,
MA(referred to as the"CONTRACTOR"),and,Josephine Guiel and Joseph Lamanna,Jr.(referred to
here as the"OWNER").
The Owner desires to abate lead paint from the premises at 70 Market St.,Northampton,MA and certain
units therein,more specifically identified in the WORK WRITE-UP(PART I SPECIFICATIONS),which
is attached and incorporated into this agreement;
The CONTRACTOR and the OWNER, for the consideration named below,mutually agree as follows:
1. The CONTRACTOR shall provide all labor,materials and equipment to perform the work
described in and in accordance with the WORK WRITE-UP for the proper lead paint abatement.
The CONTRACTOR'S BID FORM dated_5/9/97_(copies of which are attached and
incorporated by reference),the SPECIFICATIONS FOR DELEADING CONTRACTS,the
WORK WRITE-UP(Part I Specification)dated 5/9/97,and the general conditions contained in this
contract,and the Lead Inspection Report,dated 4/18/97 are incorporated herein and form a part of
this CONTRACT.
2. THE OWNER shall pay to the CONTRACTOR as full compensation for and in consideration of
the performance of the work under this CONTRACT the sum of$Twenty-three thousand,six
hundre dollars and no cents.($20,000 LSN; $2,500 MLAP GFII; $1,100 owner contribution).
The CONTRACTOR shall be paid by check, payable to the OWNER and CONTRACTOR jointly. The
OWNER may withhold his/her approval for payment if the k is not
the CONTRACTOR ancew with in this
CONTRACT. In this event,the OWNER shall notify HAP,Inc.
writing,stating the specific reasons for the complaint Funds will not be released until the OWNER and
CON 1RACTOR have resolved all matters pursuant to the contract and an authorization for the
disbursement of funds is provided in writing by the OWNER.
The CONTRACTOR shall complete the interior abatement work of each unit within seven calendar days,
so that dust clearance testing can be completed,test results received, and reoccupancy of the unit
authorized so that the TENANT is not relocated for more than 9 days(216 consecutive hours). Upon
notification that the unit has not passed reoccupancy,the CONTRACTOR shall immediately arrange to
address the issue causing failure. If a Letter of Re-occupancy or Compliance is not issued due to the
failure of the CONTRACTOR to perform any work covered by this contract per the schedule outlined in
the Notice to Proceed,or clearance dust wipes are above standards(200ug/sq ft, 500 ug/sq ft, 800 ug/sq
ft)then the CONTRACTOR shall pay for any additional costs m result thercertified providedab,above.
These costs may include,but are not limited to recleaning,
dust wipe testing and relocation expenses.
Payments will be processed upon the receipt of a certificate of re-occupancy issued by the Lead Paint
Inspector and according to the payment schedule outlined in the Notice to Proceed. Payment for disposal of
manifested waste will be processed once waste manifests have been submitted to the program,by the
CONTRACTOR. The Program will pay the total amount on a manifisted waste receipt with the property
owners name and address clearly stated. A 10%retainage will be held for 30 days after issuance of the
Letter of Compliance and will be released upon certification from the OWNER that all punchlist items have
been completed to the satisfaction of the OWNER.
3. The CONTRACTOR will secure and pay for all necessary licenses, permits and insurance
certificates.
q. The CONTRACTOR will prepare to start work in line with the schedule outlined in the Notice to
Proceed from the OWNER. The CONTRACTOR will review and verify his ability to complete
the work on the schedule outlined in the Notice to Proceed within 10 calendar days of receipt of the
Notice to Proceed. The OWNER retains the right to terminate this CONTRACT if the schedule is
not verified within the 10 days of the Notice to Proceed.
The CONTRACTOR will diligently complete the work and satisfactory complete all work necessary to
achieve a Letter of Compliance in line with the agreed schedule and in no event later than 7/31//97,Bess
extended in writing by mutual agreement. If the OWNER, after consultation with HAP staff,
that weather does not permit exterior work,the OWNER shall extend the time permitted to complete the
work agreed to in this contract. The OWNER shall act reasonably in making this determination. It is
agreed that time is of the essence to each and every portion of the CONTRACT. It is agreed that the times
for completion of the work are reasonable. If the Letter of Compliance is not received by 5:00 PM of the
last calendar day as specified above,the CONTRACTOR shall forfeit$100.00 per day from the contract
price.
5, This CONTRACT may only be amended or modified by an instrument in writing,signed by the
parties and with consent of HAP,Inc.
(. If the OWNER becomes liable for any claim or if the PROPERTY or the OWNER becomes
subject to any o lian arising payment o the CONTRACTOR an amount ufficientttto shall have pay or discharge,
to retain out of any paym
or indemnify OWNER completely against such claim or lien.
Upon completion,and prior to any progress payments,the CONTRACTOR shall provide the OWNER
with satisfactory releases of any and all items or claims for liens by subcontractors,laborers,or other in
connection with the work performed.
7. The CONTRACTOR warrants that all work shall be performed in a good and workmanlike
manner. The CONTRACTOR shall enforce strict discipline and good order among employees,
and shall not permit employment of unfit persons or persons not skilled and trained in tasks
assigned to them.
8. CONTRACTOR perform
orders conformance ylv
building and zoning laws and code ,and all andd r regulations of angoernmental body or
official or insurer.
2
9. The CONTRACTOR shall keep the premises clean and orderly during the course of the work and
shall remove from the site all debris and waste materials resulting from the work in accordance
with the WORK WRITE-UP and applicable Massachusetts General Laws,Rules and Regulations.
10. The CONTRACTOR shall adequately protect the work,the OWNER'S property
to y and e p sbiic,
and the CONTRACTOR shall be responsible for any damage
acts or negligence.
11. The CONTRACTOR,his/her agents, servants,employees, successors and assigns shall hold the
OWNER,HAP,Inc.,and the City of Springfield harmless from,defend,and indemnify them
against any and all suits, actions, and claims for property damage and/or personal injury including
death arising directly or indirectly from the work under this CONTRACT.
The CONTRACTOR must provide to HAP insurance policies as stated below at the expense of the
CONTRACTOR. The Insurance Certificate must be written in the name of the City of Northampton,and
HAP, Inc. as an Additional Named Insiders in order to protect the interest of the Cities and HAP from any
claims which might be made against them as the result of any operation,any acts or omissions of the
Contractor,its subcontractors and their servants,agents or employees.
The insurance required shall be written for not less than any limits of liability required by law or the
following limits,whichever are greater.
All policies shall include an indemnification,defend and hold harmless clause for the benefit of the Cities
and HAP,Inc.
Certificates of such insurance must be presented to HAP at the time this Agreement is signed by the
Contractor.
The CONTRACTOR and all subcontractors,their servants,agents or employees waive subrogation rights
against the City of Northampton, and HAP,Inc. for all losses.
EACH POLICY SHALL CONTAIN A 30-DAY NOTICE OF CANCELLATION, CHANGE OR NON-
RENEWAL.
NOTICE OF OCCURRENCE is to be given both the Northampton Office of Community Development,
City Hall.,Northampton, MA and HAP, Inc. 322 Main Street,Northampton,MA.
INSURANCE POLICIES MUST COVER
THE ENTIRE CONTRACT PERIOD AND ANY
I.) Commercial General Liability(CGL)
General Aggregate
Each Occurrence
3
$1,000,000
$1,000,000
$1,000,000
2.) Workers Compensation
Coverage A STATUTORY $100,000
Coverage B Accident $500,000
Disease Policy Limit $100,000
Disease Each Employee
3.) Professional Automobile-for owned,
non-owned,hired and leased vehicles: 000,000
Each Occurrence Combined Single Limit $1,
OR $1,000,000
Bodily Injury-each person $1,000,000
-each accident $1,000,000
Property damage-each occurrence
4.) Lead Paint Liability
-each occurrence $ 500,000
-aggregate $ 500,000
12 The CONTRACTOR shall not,without the consent of the OWNER in writing, assign all or any
part of this CONTRACT or any monies due or become due to him hereunder.
13. The OWNER shall permit the CONTRACTOR to use, at no cost,existing utilities such as lights,
heat, power and water necessary to carry out and complete the work. The OWNER shall
cooperate with the CONTRACTOR to facilitate the performance of the work.
14. ROLE OF THE CITY OF NORTHAMPTON,AND HAP, Inc.
The United States Government,though its Department of Housing and Urban Development("HUD"),
allocates and provides funds to allow property owners to receive financial assistance to perform lead paint
abatement of units occupied or to be occupied by lower income households. HUD disburses some of these
funds directly to the City of Northampton. The City f Northampton
to make hha has engaged HAP, to reduce act ase cost
Local Administering Agency("LAA").
of the lead paint abatement.
As an LAA, or in its own behalf,neither the City of Northampton,nor HAP,Inc. are acting as an agent or
principal for either the owner or contractor as those terms are defined herein or elsewhere.
It is expressly understood and agreed that there is no contractual relationship between the Owner and the
Cities or i It is understood
ag that reed is no contractual
relationship between the ntractor and the or the Contractor anHAP Inc.
The Cities' and HAP's sole interest in this matter is protecting the financial investment of HUE),and
It is further understood and agreed that the City of Northampton and HAP,Inc. are subject to audit to
account for its management of the aforementioned funds, and
4
To further this objective,the Cities and HAP,Inc. desire to assure that only qualified owners utilize the
funds and that all work be performed in a complete,good and workmanlike manner and in accordance with
all applicable laws, rules, ordinances and regulations therefore.
15. OWNER and CONTRACTOR shall furnish to HAP copies of all submissions required herein,
including,but not limited to lien waivers,releases,notices and warranties.
16. Any and all requested changes in work must be approved by HAP, Inc. prior to the commencement
of any work. The performance by the CONTRACTOR of any work not described in the WORK
WRITE-UP shall be deemed sufficient grounds for termination of the agreement.
17. Representatives of HUD,HAP and the City of Northampton shall be provided access at any time
during normal working hours to examine and inspect work. Representatives of HUD,HAP and the
City of Northampton shall,upon the giving of twenty-four(24)hours written notice,have the right
to inspect the CONTRACTORS books,records,correspondence,construction drawings,receipts,
vouchers,payrolls, and any other document which may relate to the CONTRACT, the date of final
CON TRACTOR shall preserve all such records for a period of two(2)years
payment hereunder.
18. The CONTRACTOR shall abide by all Federal, State and Local regulations pertaining to equal
employment and other labor standards.
19. The OWNER shall hold harmless,defend and indemnify the City of Northampton
injury,and HAincluding, c.
against any and all suits,actions and claims for property damage personal
arising directly or indirectly from the work under this CONTRACT.
5
20 THE UNDERSIGNED SHALL HAVE NO CLAIM AGAINST HUD,THE CITY OF
NORTHAMPTON ,AND HAP,INC. OR OF ANY PERSON ACTING ON BEHALF OF
THEM, FOR ANY ACTION TAKEN,BUT NOTHING HEREIN SHALL AFFECT THE
CI
CONTRACT OR OTHERWISE IN AA CORDANCEE¢WIITH LEAD POINT ABATEMENT.
21. Both the OWNER and the CONTRACTOR warrant that no officer or employee of the City of
Northampton,or HAP,Inc.who exercises any functions or responsibilities in connection with the
carrying out of the project to which this contract pertains has any private interest,direct or indirect,
in the CONTRACT or in the prorerds of the financial assistance provided by HUD for the work
hereunder.
22. IMPORTANT INFORMATION ABOUT THE MASSACHUSETTS HOME
IMPROVEMENT CONTRACTOR LAW
A ALL RESIDENTIAL CONTRACTORS AND SUBCONTRACTORS ARE
REQUIRED TO BE REGISTERED WITH THE MA BOARD OF BUILDING
REGULATIONS AND REGISTRATION. INQUIRIES CONCERNING UNLESS I CONCNG REG STTRATION SHOULD BE FROM
DIRECTED TO: DIRECTOR,HOME IMPROVEMENT CONTRACTOR
REGISTRATION, 1 ASHBURTON PLACE,RM 1301, BOSTON, MA 02018 (617)
727-8598.
B. ANY DEPOSIT REQUIRED UNDER THIS AGREEMENT TO BE PAID IN
ADVANCE
OF ONE-THIRD COMMENCEMENT
TOTAL EXCEED
AL CONTRACT PRICE OR THE
ACTUAL COST OF ANY MATERIAL OR EQUIPMENT WHICH HAS TO BE
SPECIAL ORDERED OR CUSTOM MADE,WHICH MUST BE ORDERED IN
ADVANCE OF THE COMMENCEMENT OF THE WORK IN ORDER TO ASSURE
DEMAND D UNTIL THE AGREEMENTS COMPLETED TO PAYMENT ENT MAY BE
SATISFACTION OF BOTH OF US.
6
WITNESS the execution hereof as of the day and year first above written.
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES
CONTRACTOR FIRM NAME/ADDRESS: AAA Environmental and General Contractor
CONTRACTOR TELEPHONE: -413-54-9_617 j
-/
CONTITOR SIGNAT
Witness:,=ot 7' r.
HoAdmprove ent Registration Number:_
Federal ID#: G � ."' % ' "5:2C
(or social security)
ice /
DATE:
DATE ( / � /
DLI License#: ,2�4(3/c('7
/
DATE: C/ i�7
DATE: ,� ///l/7
DATE: {/ */�/
DATE j
O
WNER:J
it}tess: a z'
/Z^
vv_tc�.c_ A / l l l
7
PHONE NO. :
Jun. 06 1997 12:23PM P1
U.[' ac1J NC;v:0RS.
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4nodtiezuctt re_uiremCats
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risk Ocleadiu' work.complete to[bac
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ty Owner
A5ctaP.3y
dace Number
v that have cexourl wan. <[rifling requirements aCth<Cmnncnwea[h onvitu,et s.ette Ledell?oisaninioraventacc and Con
:ions. :0' C2iRL�0..7i, [or awn / g '.o i :gat,<mn[ane conumneet :Furth rocttify:het[e
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cappin3'bseboard:
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Ging cavanas s.arfacas
P„r_,ail.tt..' icrm n.m-,6mcd-(rt this ro,ilsnco is trde n3 correct to tne',xst of my a,.owicage and betel.
Signed
O ors.ace:net 0006,Shrtc�
a'f 55 OF YFOJEI_
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PHONE NO. :
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Jun. 06 1997 12:24PM P2
nns
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to..141-Ha tY1 ua MassaChuse2 Geaerd r C 1 54 CY2.22100 and Ion C:nR 63 00,seen,of the here_ad noa( 7 c[:cmovat
.nng o,taint.4124-"a orce-ac-aial ' S( .Sceravain;daagr,oos tevas oclend is.c bc pro "aca ash:suer he snssostany the toLowtna
se, sr Zest TEN days ends:o me a3-Hung cidcinotn3 NOTIFICATIONS MAY BE F-1XED.
OcnatffiCZL th Lagos& iaouur !v's:o-i AsbastosiL L _t swg RIC E_fore rnca
100 Crenoncse Sreet. Bone t t0c,Boson.MT.02202 F 4X MI 727-7568
D rec:0r,Childhood Lad Pesoa:ng Prevention Pro3.ac
Deo.r eo:of?untie Etalm.170 A:t_nes.:Owe.'Boston_:(A 021!1 F X (617)753-84436
Occupants of owetling:uric
All oCrr occupants oldie rest tnnai pwmis_'s. dmy -.
_oca!Board or7.4.ealdutocc E:dorccmcm Agency
Aassachtschn Elistatical C3mmssiou
220 Stonssey Blvd.
Bostnn, YLa,02202
5:]X(617) 727-5123
r)(cruses are lls;e::on the Since Regis:::of[Estonc
?teed.this not:iicet:on Ends:he made Linn, rece:rc or 2n
Oree :0 Co—Cr t1101at1oas or e<leas. i0 cays'onar to
catEnZZ pravcnUve dci"°.adrZ)
'LAB LNG CONTRACTOR
inclessiiwed 6erebv traces,Ender the path-sr .nr , nd,es or rca.-ry, -b
._ytscrrs vdcadiag Reg a latiav,4.54 CMIv,^270.eno:he C - .ir
JD a.a chat d:e'monnthicn noncru.c:in this TN:h n:ur i5:rd d
sha has rend tnd=ness:ore me Commocw.caith of
Lead ro s r v "1 f and tr Rcr'lal. rs 5 C>itR
e [Sc i"mar- r CONkr,ZW.0 an rleief.
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es
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.1k2CATIONS 2}-L- LL BE COMPLETED [?s"T.T7M-EN E-ETY, DATED �n'D SIGN!T'.D - u'COtM.(PLETE
.as:CATIONS MTLE.,NOT BE ACCEPTED .AND WELL BE .PrETUA's-ED 9l'D.L.I.
ocanoovpc--2/14194