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The undersigned twat&yp.s.under lnt/strain of perjuy.tw Was Ins lead Inc Co!�gnn wean el Memenu.yl.gynyleru
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this noMeevm i.um end roan is Int best d hiuler knowledge and belief_
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Astos Notification Form— ANF•001 T. EXEMPT '
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ano.me AC000299 t».r.mr..,,.,,,,,, Written
OnsShe Pro{en SupenisoeForeman:
Michael Moore AS�lZ}J�
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Project Monitor: -
4Nina Inchardl RA -4-..2-‘74 .k
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6. Asbestos Analytical tab:
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Project ter;daldl/A/_le M meet 21. 1 cpecnie week Mum(Mon:pd)1 T •+`.73 (Sat Sun) A3
e. What rpe of voted it thie7 (amit one (maim )
9 Describe the atbe tloe abe lament procedufee to be used (citcle1 veer me now. ua..`. obese
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10. Is the lob being conducted yap n400et f)outdoors 1
II. Tout amount at each type at Aabslm Containing Materials(ACM} be handled on pion or ducts(lulus II Ic7 of otitis
turrees(soya,111 t, to bee urnoreA enclosed oe encapsulated:
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11. Dexmbe the decontamination sytlem(t)to b used
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15. DI stribe tA wnunervatio 4jspoul methods to comply milk 110 CMR 7.15 and 151 GAR 611(2)(0'
Amended _Water; 2 6mil bags!•_ Covered Vehic •le
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15. Doc +angagt rates apply at pm M.G.L.c.119.126.22.or VA-PbG INS aeltdt 0 Tn Elk
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