134 Notification of Deleading Work 2005 14:57 FAX
a,
'._ t of Labor&Workforce Development
Departs._ 4 ofPdblidBCSl kf Deput�oi
NOWICA11ON OF DELGD1NG WORK
AD steams of ha form mat W completed a minx to amply MW
the ueifatioo requirements of i-C.111* main
454 COL/22.00 mod 105 Chia 44.10).ma
Abide,Inc. (F.Ti11ijme a DC001619Esp_Ds 8/30/05
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Other
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11M``Urfsis :7-Bmiy_� Sivglo{eovY. __ Other _ I :;*^a� .N1D O,=ii'r�ALTh.
45¢. ! t7s t5 Cempieden Dato ..x.- -
7:00 5:0 tuna ea eve) Werho.dot nO
worltbe dew AbfT_ YM Randle
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Commando.Policy Number AWC f 3 : f 11 el Ceedee ATM --
Frank Ti11i, Abide,Incfa d_ 413 525-0644
'weereeme ewes(
we'sRteeseetsdeW
tn*ae hereby ta,under Me palm sad Wal'iesof pejury,that bdehe Ms reed and understood the Conmeuweelh of
454 21.10,sod ten LW Poaoaa[Pro*aS �Control HWdadom,105 Oat 460101,and
iimad atelotaadam, te the bat.1am rhawiSst aid butt
information manned is Ind saiGeadau Is teat and to
�rank Ti101i, Abide, Inc.
w,N Abide, Inc.
P.O. Box 886 (483 Shaker Rd. ) , East Lon eadow MA 01028
osc$smb f al 3
OVER•
15 FRI 14:57 FAX
C
oNente with MevaLesas Centred Laws C.1114137.454 CMII 12.9 red 195 CMR 469AN,adtce of date sad asdhod(s)of
at or aariag of paid.Waster erether aaecnibk materials v 0II sh.g dogaea levels of tad bt.be provided sap oust be received
following agencies,at dent Thli(IS)days prier to the bcgionlad ofdeladiag.
IFICATIONS MAY BE FAXED.
Page 2 of 2
Department of labor and Workforce DweMpmeay Division of Occupational Safi y
399 Washington&reel,5°Door,Beaten,MA 62198 FAX(617)727-7565
Director,C W dhocd Lead Poisoning Prevention Pagnm
Depot/seat of Public Hankie,56Hand Street,Sib 1W,Boston,MA 02129
FAX'(61i df' 3
yM--rn—(010°
Occupants of dweliiog unit
AU ether eanpats of the residential premises,Hay
Leal Bad MDahNCde F.leramat Agency (c1+,1 (E`AW rf (rip ) x(-)3)587-1211
(if premises an listed ea the Sete Register of Historic
Plana,this.atiRestia m be made era receipt era
Order,Correa VMLdn stud least 39 days pier*
initiating pnva4ee&ladies)
Massachusetts Sbtorial Commission
220 Mortis.?Blvd.
Barra,MA 02202
FAX(617)727.512S
PITICATIONS SHALL BE C Mlw®IN THFIRENIIBEIY,DA=AND SIGNED-INCOMPLETENOTwICATIONS WELL NOT
1CCEPfID AND WILL lit REIDRNPII BY THEDEPAFneif OFLIBOR&WORM=DEVELOPMENT.
REM( DWI (If owner a udicenscd owner's spot will be perfuming bw-ita dolmans wak.®platelire following).
peaty Own - AgengC71. Densmore - Abide. Inc.
bees P.O. Box 886 (483 Shaker Rd. ) , E.Longmeadow, MA 01028
.peodiNnmbtr (413). 525-0644
stif7 that I bare complied with dos eddied regdternae of ex Commaxvkh of Mamrbasds Lad Poisoning Prevention sod Codrot Regulations,105
IR 460.175,for owner/agent bw.clsk abstemat and..-J —t. I Mar ratify that I cow spat will be pahu*ig tbs 6DoxmB bwovk activities
Lave circled JR Art°pep&
applying liquid uap.aMnt copping baseboards removing denm algae(don,BMWs
applying exterior vinyl siding averlag settees
eni t that attic information anted in des notification is true and camel to the best of my kmwdedge end belief.
In
Stool
102
Jo Denamor Abide, Inc.
Authorizatio ► 04488-AL
T.a i as a
r7 is a as - -
Abide. Inc. Envimnmanroi rani-pi..~;.,,,
1.JYRii �vti'i ill it •A.i•1TTN 11 AVrnvrDen vrm .
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A 1TLr1Y'J'IUN t
l•'J Njreetore Lean PROGRAM Bostanl
144 T.......in:w:_r A .n_y. _t
I J
Jnassacbusetts Historical Commission
a aara:ui iaad.uriUUij flNL.
RFC A RT1TN'r.
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NJ ..ay..a.a.A all//a L`JI.RAJAIj�
I I REVISEDNOTWIrATrnx
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NTTMRFR ()F P erre
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COMMENTS:
T• IL>
a's_ s R•
IcY/1�— ,VY
617-727_7462
Y1S ^tia5 /"t4lrl
617-727A77S•
ii you experience problems is receiyin2 this transmiaeimnne4saaa eon a 1»cgc.nGge.
wivcuH rr iALG Y NOTICE:
31etocemrge
ayin e this 4 may mesas sal ene Imes>emmaiw - s um uit gad ofd allian ,.mt E __e L trugulg re&Pe� &m6gcp copyist cea bc r eeeoriyaep,pyorthh bpr aithis mnagssieoe mu
,piL01Enotify°M Nkgbooe(413-52506e4)umeAaey- flaSca
P.O. Box 886 East Longmeadow.MA 01028
Phone 413-525-00644 • Fax 413-525-0678 • vnvw.abidNnccom
In Gamlen,TEfMS AEG CoNWTbNS require payment ter rentpee upon preeendaoea invoice Invoices
I
CE nvoicee gaps ebb OATS ere due end entjs to computed eet a monthly mte m 1/2%!ANNUAL PERCENTAGE RATE OF 18Y)or u maximum percentage elbeeuMy the hr. Client Is mr legal mpe aoa if necssry to collect Won de amounts.