421 Notification of Deleading Work 2007 (2) 1 nJp .. 'f1b, ... .;. .}rl .
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Abide, Inc. Job#07257
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Department of Public Health!Department of Labor&Workforce Development
NOTIFICATION OFDEI.EADDDC WORK
All seam of orb form matt be mmpined la order to amply with
the aodRedm ngatrmevb afM.CL C.111;197,
454 CMR 22.00 and 105 CMR 460 11,n emit remedy emaded
Courtesy Notification
coafrdmpeermmhgprojed Abide, Inc.(Frank Tdk) usenet a DC001619 Esp. » 08/28/2007
radPartrapwer Mark Haynes. EC%Meoflupeabn T.B.A. Lase I.B.A.Eep.Dme 7.B A.
ADDRESS OPPROJECE
Street Address VAMC-421 North Main Street Apt Mambo
City Leers-Northampton MA zip 01053
Propanyowmr Veteran Admin. Medical Building Anderm 421 North Main Street, Leeds, MA 01053
Telephone Number 413-582-3014
Deluding Method: Wet(Dry SdaprgxlooFCherniCal fnt Cm LiguidEnapsWt
Demolition - Camda Replacement
Covering Other
roams misled,please explain
Check one: Dwdiing bndi-fatly Single-family on= Medical Center
Sartawl 6/18/2007 C�edon Date 7/18/2007
Whenwm west be deem AM 7 ere 5 (Specify dorm m dtr) Wedrcad ?
Project Sopervber Name Jerry Gray (yore#08003770 gap,Dme 7/24/2007
Werher%Compassed on Poky Number WC7013278012006 carrier Aim Mutual Insurance
mean ofemergneyaaad Frank Tilli, Abs Ind. Too..9r 525_644
(Contender's Reprnaatlm)
The undersigned beraby mater,wader the pains and manias of wpm that treble has red sad admrtad the Coammwahb of
Mmnetamm Deluding Regaadons,454 OAR 2201,and dm Lead Poisoning Prevention and Control Regehtdm,105 MR 460.000,sd
that the information ceaalned r this aeddadm b inn ad erred to bat of MYher kkhowledg and earl.
Date 6/1/2007 amt �eregil C // A�(.P ' a,,,t�
Frank Thu.Abide, Irk
Company Name Abide, Inc.
Addle, P.O. Box 886, 483 Shaker Road, East Longmeadow, MA 01028 E C E I Y
TdephmtNSba 413-525-0644 ��JIS1 ym
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Abide, Inc. Job#07257 OVPR4
Notificed on:6/1/07
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NORTHAMPTON BOARD OF HEALTH
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Page 2 of 2
It*mordant with Mamdadtr General In C.III 11197,4S4 CMR2U0 and 105 461.0011,sedge of the date and!Bakal.)a
remoal or acceded of paint,plaster Or other accessible nokriab awaabag dangpes Web died is to be provided and must be received
by the rogueing agenda,at bast T$I(11)days aid.,to the beginning of ddadhag.
NOTIFICATIONS MAY BE FAXED.
1.
2.
3.
4.
5.
6.
Depart malt((Labor,Lead Progm,Division ofOccupational Safety
399 Washington Street,5th Hear,Boston,MA 02105 FAX 617-717.7568
Director,Childhood Lad P° Praredon Programs
Department of Page He1H,Donwa Health BaDdo,c 5 Radohb Street,Gana MA 112E21 FAX 161-1f44/7W)
Oaepab of dwelling snit
All other sanpenb of the residential praises,If any
load Board erialnrcede F.armer.at Agency Town of Northampton 413-587-1221
Masaehmetts Historical Comaalon
220 Morrissey Blvd.
Boston,MA 42202
FAX(617)727412*
Of promises are listed on the State Register of Historic
Places,tab nodikadon net be made apes eedpt elan
Order to Correct VWaaa sat nt34dgs pin
initiating preventive dYmibg)
NOTIFICATIONS SHALL BB COMPLLI$D IN THEI R RNIIREIY,DATED AND SIGIED-INCOMPLETE NOTIFICATIONS WILL NOT
NE ACCEPT=AND WILL EE R617IRMED BPI=DEPARTMENP OP LABOR&WORKFORCE DEVELOPMENT.
Not Applicable
mattpayman(Wnw,w or=licensed ownn'a agent will beprformeg low-risk dr}rdmg work,compye gnHbwbgj;
Property 0011111' Not Applicable
Agent(s)
Addrea
Telephone Number I )-
I certify that I have complied with the telling'equema4 oft the Commonwealth of Mamieeent led Pohon6g Pmrgmie and Quito!Regulation;i05
ChM 460.175.forowoadagerlow risk abatement sod mshbmn6 I Astcalify that I army agent wit be,...L.J.,the followiegb w-r'nkactividx
(1 have avoid all 002 apply): .
applying Wield easplant
apply baeberde
Hawing dears,aablaet doors,shads
applying exterior vinyl sk ing covens,surfaces
Imtify that all dm idor aka contained in this notification is no and earned to the bad my knowledge ad Edict
Date Signed
Gbde
Abide. Inc, Environmental Contracting
LEAD NOr1'IPICATION FAX COVER SHEET
DATE:
ATTEN O
[ Director,CLPPP(Boston)
1 Director,LEAD PR (Boston)
oston)
r M 7 Town/City of Ni 1/
(legal Board ofHealth)
.[ ] Massachusetts Historical Commission
FROM: FRANK TILLUABIDE,INC.
REGARDING:
[/PROJECT NOTIFICATION
[ ] REVISED NOTIFICATION
[ ] OTHER
NUMBER OF PAGES (including.this one):
COMMENTS:
FAX#:
781-774-6700
61 717-7568
7l3-;587/a21
6177275128
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please bairns Anklapbae(41882?'p6N)imdiyei..'n Wgea.
P.O. Bac 886 East Longmeadow,MA 01028
Phone 413-5254644 • Fax 413-525.-0678 • vmw.abldeinccom
A iNpNCE CNnROE�S AND calcinOas capen pays t b aervim upon pa.. JS.of Wan. tensions anima NW 30 DAYS am Past Ws aa6wtm
aamgwd Na pmlN I a of 11/2:%(ANNUAL PERCENTAGE RATE OF 18%)ono e..iimunt pararaaa aimed tly pa.lw. CUM is
responsilt for INtl and aoeaation omit a n.wmaey to Meet pan ma snowy