64 Notification of Deleading 2000 fi, Iv
,E„
4000
COMMONWEALTH OF MASSACHUSETTS • �-4
.'1'ONWIAMRONSOg00R.NE1pN
D partmedt of Labor G Industries and Department of Public Mea
NOTIFICATION OF DELEADING WORK
4 sections of UL torn rust be completed in order to comply
St. the notification rothti to ents ei M.G.L. c.111 S 197,
1454 ale. 22.00 and 105 Ott 460.000 as most recently amended
FILE NIMOER:
(ZGERCY USE}
Contractor g.eNom1inp projeLl
ABIDE, INC. Licensed DC001619
I
Lead Daijtt Inspictor
I
If low-r(sic delgading work is being performed,
Property owner I Agents)
_I_
Address Pt leroj4et
6uildingiNAme (4f any)
Street A�id;ess 4 C4 CHE&€N SIRCE 1
City �jiR?NAAAAf TU/J
Deleacin4 Ne thou: °Wet/Dry Scrapin Heat Gun Caustics
i
Liquid E cdpsul)nt Ctovering3 Demolition eplacemen
1 /
If "Oche " selelted, please explain*TheP\N% FeActia@. anaf=nWCALf5\O(PF-517( 1+1
1
J1M Manl'FAAAGNI
Exp.date August 31, 20
License II M I43
Date of Inspection _L2f20la11
complete the following line:
Floor 112SI
Apt. No.
Zip CACJC,O
Check. One: I 0111;ny L z. mol is-toni 11 /�
Start CM e a12o/w Completion date 3f3j10C) _
When wil Work be done: A.H. -7 3Q — P.M. 5• Or) Wee Vends?
Project upervisor's name Robert P. LaMoountain License 14 DS3605
ProprrryIO�ner A� te Rp EN enti RI-u t etPJCH
Address ! 1.�-+--�-� AvFNVE _
i )
Ciry I Lt�(Crrnts G- _ Stole AAA Zip e-we'2- -
RC - IS2
Te]ephonA 'jl3,' S '
I Frank Tilli , President
In na;:e gif omergioncy contact _______
I i
Phone: d,lv 411-525-0644 evening 413-525-0644.
{
y
„w:e (mei ly
No
((ver)
In accordance Mitt, M.t¢z c,.secrs General Laos c. 111 5 197 CTIR 22.90 an 105 CMR 460.000 notice
of the date ant methq]s lsl of removal or covering of paint, plaster or other accessible materials
Containing r♦enlie ous evels of lead is to be provided and heat be received by the following .a -
persons, at least (101 days prior to beginning of deleading.
Occopentr if the owellinq Unit ,)AA.Ie.$ ZARw1S /0640i.t Fc:Z 44,i/WnZ_ Is' Fl{ )t VeMQAAS
34Aue 3:00P4at5
All othc occvpanps of the residential premises, it am N.1 wool) Apne'ct� ail AssiM�_ ref law
11 CHp1A wt)tF
Director C`•ildfwpe] Leading Poisoning Prevention Program Fax (417) 79-0416
Departure t Of Public health, 470 Atlantic Avenue, Boston. HA 02110
Director AbbCStol I Lead Program
Depactmctt el Leber 4 Industries
Room 11016, 100 Gtmbridge Street
Beaton, '-.& P2202 ,i
j
Fax (617) 227-.0444
Te ,s t5
Local BO rJ of He.]th/Code Enforcement Agency (4c(4r ') *7— i tz1
C I77 f1E/v3eam erolt/ %oAttl CC HEA4.TH
Massachu Cis His cricol commission (If premises is listed on the State Register
220 Morr :sty Blv(1. of Historic Places, this notification most be
Boston, ]SIIhNA 2125 jI7 made upon receipt of an Order to Correct
rotations or et least 10 days prior to
a ing preventive 4Faaat6111 121-512V
Del eatng m¢trgctor
The undersflgned h reby states, under the pains and penalties of perjury, that
he/she has read a d understood the Commonwealth of Massachusetts Deleading
Regulations, 454 MR 22.00 and Leading Poisoning Prevention and Control
Regulations, 105 4MR 460.000, and that the information contained in this
notification is true and correct to the best of his/her knowledge and belief.
Date
j �f21 r,1 sLgnech_crritail Frank Tilli
f N IS
Title: President
Company: ABIDE INC.
Property Own (If owi ler o, unlicensed owner's agent will be performing low-risk del eating wnt kl
1
I Certify that I have complied with the training requirements of the
Commonweal h of Massachusetts Lead Poising Prevention and Control Regulations,
105 CMR 46 475, for owner/agent low-risk abatement and containment. I
further ce ti,fy that I or my agent will be performing
the follow nr/ low-risk activities (I have circled all that apply) :
apply nq knurl encapsolenr capping baseboards
apply op eater or vinyl siding Covering aid-faces
remov ng dos,a cabinet doors, shutters
I certify tha a I the information Contained in this notification is trot and correct to the
best of my kn wieder aj.J belief.
Date:
Ae, oe)iwd .
-* 00093
REV 10/12/95
•
DATE:
a b i d e
Abide,Inc.,Environmental Contracting
FAX COVER SHEET
2124 co
REGARQU4G: CFA-D A*' EMEArr P2o3 tCT ,cm EttA-lcAl
NUMBE!t OF PAGES (Including this one): 3
COMM
D, RPca
p“Ked,r,(Z LEAiI Q2oGR✓r' 1 (91 1 12-7 7S 6,
i ,
If there ae tiny pit blems receiving this transmission,please call 413-525-0644.
i
c Noicc.Slat+docuvuem..cwmpaaing ws ed«on tn^ssnwwa may.om=co na.ro.e w privileged
WoneMbw OW..4141 T44Nbrm.aaa bNbMtd b In for the me aft the.ddrmcd 4dMdua or awry. Ifl.ee.re
meths Need ru�p4K Out W dbtl.rme,capping.dbbnaebn or w.rut cantata ofthb trmu,d/onis
preMtlted if Sere �ved nN 4wANd.n N error,please nod&m br tdcp.o.c Ymrodbeeb.
i I P.P. Box 886 East Longmeadow, MA 01028
Phone 11 31-52510644 • Fax 413-525-0678 • E-mail ABIDE I @aoIcom
•
•
• ABioc,?,ic.
400093
HTHAMFlM7 SOARD Of WEALTH
COMMONWEALTH OF MASSACHUSETTS
talent of Labor G Industries and Department of Public Health
NOTIFICATION OF DELEADING WORK
All seetlena of Gds term °ant be caviatad in other fa aemOy
with the notification requit enter of H.6.L. c.111 S 197,
454 QEl 22.00 >M 105 Gat •60.000 as wst racantly emitted
PILE taelerai OtCENCY Oral
Contractorperiortning Nyject ABIDE, INC. License # DC001619
exp.dace August 31, 20
Lead Paint Inspector Ti.kak NYINTCMA(+N 1 License J M 1431
Dace of Inspection Y212011
If low-risk deleading work is being performed, complete the following line:
Property owner Agent(s) -
Address of Project
Building Name if any/
Street Address al{ CHERK. sTac-c Apt. No.
City yR"IHAMP TOM zip CAiaCoO
Deleading Method: Wet/Dry SCCapin Neat Gun Caustics
Floor
r(RSt
Liquid Fncapsulant CM-eringi Demolition Neplacene i� O
v@ M snRS�or -s14)4
If "Other" selected, please eAplailUYil fin\NG �c+T3 � f�N
Check QM:
Start date
wcllln .s 0 j u b/aelty� single lawn
3 %33
Completion date
When will work be done: A.M. `].(+t. " P.M. S,UC) Weekend.." NO
Project Supervisor's name Robert P. LaMountain License D053605
owner Xp-t-E (Z[1wGN and RH`1S EPP\C
30 4 saA,r11- AvrAJut- --
FLll2G- State /IAir Zap llalf2.=—
Property
Address
City
Telephone 913 - 5RG - 1521
Frank President
in case of emergency contact
Ti11i,
Phone: day 413-525-0644 evening 413-525-0644
(over)
•
ets General Laws c. 111 S all ROt 105 CMt 460.000 notice
If the0 datece with muse of paint, Platter or other accessible materials
Of the date and rousule(el of [lead i i or cbo provided `
containing least 1 4100) day 1priorsto beginning of doleaoingbr received by the fo1 a 9 -
persons. at least can { 1
2Aev'S FED By MA+\— Igt FSSK-VeAael.A5
Occupants of the dwelling unit t3Agnie (...en
ea.
RIP+t5 f
2. All other occupants of the residential premises, Sr any le lFM Mk�t�04DF \'ucinr-■ 81 MMC' _znd Feat
TeKuukS
Fax (617) 1S3-8436
). DepartmentCofldPlle Health. 410 Atlantic Avenue,Program
Bostaon, Na 02110
I�+rtsi o -- -i�.,
-756S-
Fax (617) 727-'426
Director, Asbestos 6 Lead Program
IlOom Department€ of 100 Cambridge Street
Bosco n100A,
Boston. MA 02202
(qt(4131 997' 1221
5. Local Board of Health/Code Enforcement i Agency .$oR2� Ce HEALTH
Massachusetts Historical Commission (If premodc 15 listed sdn in the State
220 one[lAe 0y Blvd. made upon receipt of an Order to Correct
Gaston. MA 02125 Violations or at least 30 days prior Co
initiating prevention de'wd6111 127-5 1213
D.leadleg Contractor
The undersigned herehy stares under the pains and penalties of perjury, that
he/she has ,read understood Leading Commonwealth
Poisoning Prevention and Control log
Regulations, this
Regulations, 105 rum 460.000, and that the information contained in
notification is true and correct to the best of his/her knowledge and belief.
_/O^�
z,21 fui s;gn.a: Cn k Fr soli Ti] 7i b14113
Date
Thiel President
company: ARIDE, INC.
Property OMnor (It owner or unlicensed owners agent will be performing low-risk deleeding work,
I certify that I have complied with the training requirements of the
commonwealth of Massachusetts Lead Poising Prevention and control Regulations,
105 CMR 460.175, for owner/agent low-risk abatement and containment. I
further certify that I or my agent will be performing
the following low-risk activities (I have circled all that apply) :
applying ligpid encapsulant capping baseboards
applying exterior. vinyl
riding Covering ssdfaces
removing doors. cabinet doors, shutters
I certify that all the information rnncained in !his nntifiratien is rive and concert to the
best of my knowledge and belief.
Oro:
AelDE)SvC.
-4 00093
Rev 10/12/95
Signed;
,/1V LVVV rna AV.'S. .
DATE:
ATTENTION:
FAX NUMBER:
FROM:
REGARDING: C.Firl) litiriCMEaT7 PRoNcT TiHCAIJQIV
NUMBER OF PAGES(Including this one): 3
a b i d e
Abide, Inc.,Environmental Contracting
FAX COVER SHEET
RogE2-c tom. l AMwNrA(A)
COMMENTS:
CRX at
D gerztt2 C,Lett
gec-crig LEA31 f .oGe/r'1
roI , 75R $43G,
G l—I -7 717S 'R"
S _NIL m. at
At-
P. a
7 22
If there are any problems receiving this transmission,please call 413-525-0644.
ConWnGrSS Nedra:Me dmanme arcanpo.pag am{loon ammonia..may cantata rrnrdentlal and pr{acrd
Infatuation revue Abide,tar_lit information Is Mended to be far the ma of Me aaanaea aeehNOat or entity.Uraum
net Me banded ceAMnt,In nano tint w diadems"copying,abaiba&a or me tithe.amp ar Na Pamnbatm Ic
proNMted-Moue Pan received ebb vueidtatoa Y emir,dim miff:m by telephone immS uty.
P.O.Box 886 East Longmeadow,MA 01028
Phone 4i 3-525-0644 • Fax 413-525-0678 • E-mail ABIDE 1 @aol.com
1/23/ZUUU 1111) 111:4v ran %La u.0 .e•.. •........
Aak
ABIDE, INC. PROJECT #
41 um •
COMMO>SWF. LTH OF MASSACHUSETT
Department of Labor L Industries and Department o
NOTIFICATION OF DELEADING WORK
L6 [ U
Health
kW23
all section. of tai. term must he completed in order to owl BOAHD OF HEALTH
m.o.:-with the notification requirement. of m.o.:- c.11l S 19i,
454 a Os 21.00 and P OA 460,000 as most recently emagQMORTNAMF'�M -°
Contractor pedonning project
/TIE mem: (ACENCr USE)
ABIDE, INC. (FfpavkTiw" License* DC001619
Exp.date August 31, 2000
License NM 1431
Lead Paint Inspector 7Lee M0eii_EdV1AGA) 1
Date of Inspection 1212.0194
If low-risk deleading work is being performed, complete the following line:
Property owner Agent(s)
Address of Project
Building Name (if any) Floor Ft2tT
Street Address (e4-1 C 4fl-"j STREET Apt. No.
City A/00..T1'IANPTON Lip O1000
Deleading Method' 11get/DD�rY Scrap '0> Heat Gun Caustics
Liquid Encapsulant tyoveringb Demolition Replacement Other
If "Other" selected, please explain
check One:
dwelling is multi-family V single family
start dote ti I18'OCO
Completion date i'1 20)00
when will work be done: A.M. •7 [00 — P.M. StOO Weekends? AA)
Project Supervisor's name Robert P. LaMountain License NDS3605
Property Owner
Address
City
C,fle Rw.+EAI Gad 2t4M„S Get%CH
3o I.ANby AvGNUE
(lac
State
AiA Gip f13S?(e_2
Telephone _4i - SR(0- 15aj
In case of emergency Contact Frank Tilli, President
Phone: day 413-525-0644
evening 413-525-0644
(Over)
In accordance with Mal v sects General Laws c. 111 5 197 Ism 22.01 6 105 OMR 460.000 notice
of the date and nethoeetaf of removal or covering of paint. plaster e or received ccaccessible bw tarists
containing dangerous levels of lead Is to be provided and must r ce t
persons, at least ten (10) day prior to beginning of dsleeding. 3T F101( T'Qfttt/t+S
3A.t6S 2.4av15 ^'y
1. Occupants of the dwelling unit 5A.+1t DJens / (.t�nk'iFttd bM A4Ai
All Other occupants of the residentdl premises. if any err" t' ooD
(,kaFlh WCLF CW44 coed lin MaiL>
Director, Childhood Leading Poisoning Prevent/On PrOOlvn Fax 16171 753-0136
Department of Public Health, 470 Atlantic Avenue. Boston, HA 02110
Zm EIoaar Ttflc4S
4. Director, Asbestos 6 Lead Program
Department of Labor 6 ltduatries
Room 11006, 100 Cambridge Street
Boston, MA 02202
Fall (61]) 727-7563
Felt EMS) Sri- 122)
Local Board of Health/Code EC=rim MOIETPAawtPIC1N B44l&D Of ImE.t41-7M
Massachusetts Ristoriol Commission (If premises Is listed On the State Ro isterbe
220 Morrissey 25M. wade upon receipt of an Order to Correct
Rococo,, a M m 02125 Violations or at least 30 days prior co
initiating preventive delead61Q) 127-512(1
p.leading rnatraatar
The undersigned hereby states, under the pains and penalties of perjury, that
he/she has read and understood the Commonwealth of Massachusetts Deleading
Regulations, 454 RIR 22.00 and Leading Poisoning Prevention and Control
Regulations, 105 0411 460.000, and that the information contained in this
notification is true and correct to the best of his/her knowledge and belief.
/ /, •
Date 3 111100 signed: 6.10Ilk I S Frank Ti 71 i
Title: President,
Col»any, ABIDE, INC.
property Owner 13( owner or unlicensed owner's agent will be performing low-risk dcle3ding wort,
I certify that I have complied with the training requirements of the
Commonwealth of Massachusetts Lead Poising Prevention and Control Regulations,
105 34R 460.175, for owner/agent low-risk abatement and containment. I
further certify that I or my agent will be performing
the following low-risk activities II have circled all that apply) :
capping baseboards
covering surfaces
applying liquid enwpsulant
applying exterior vinyl siding
reeving doors, cabinot doers. shutters
I certify that all the Information contained in this notification is true and correct to the
best of my knowledge and belie(.
Date: Slgnerh
REV 10/12/95
ABIDE, INC. PROJECT # 00093
/23/2000 Hl 1u:zM rAA rat tae vv,.
DATE:
ATTENTION:
FAX NUMBER:
FROM:
REGARDING:
a b i d e
Abide,Inc.,Environmental Contracting
FAX COVER SHEET
3t2 IOO
RoBCR-r ?. l ANlcu/viAIN
LEA Ae Rai MEAT P20JGGT ,innFI[A- lOIV
NUMBER OF PAGES(Including this one): 3
COMMENTS:
D aertrl2 G+`-Pt'�
mg:n-r,2 LEAS 2ftcGRfr^al G4`1 17.-77S 6 C
C . 1 7SR 84 3(
Qxrtb r,F NG-AUTH (ArY2mAa4Ptor)\ 'i■ 57S'7 122 I
If there are any problems receiving this transmission,please call 413-525-0644.
csasatissytaass.The annul.aomsmlbenbWaspy basatIssloa e,rdaemasetial rd•H•pl
barnaS.Pas AWe,br.Thbleformatima Waded to be Cr the v of Sc dame*bLN*W or way. area en
art the Wale*nett"be inn LLday*i.d..m-cent*S b4k &e*rim.fthe rmY-LdThS Inaardeice b
prohibited. armlet realm'deb bm.si.M6 en,bleat a.%m by t e*ba.PrdbW.
P.O. Box 886 East Longmeadow, MA 01028
Phone 413-525-0644 • Fax 413-52S-0678 • E-mall ABIDEI @aol.com
f0T ZUVU ral 14;01 ran ".o Viu -- -
ABIDE, INC. PROJECT # [1Ogj 2
COMMONWEALTH OF MASSACHUSETTS
nepartment of Labor G Industries and Department of Public Health
NOTIFICATION OF DELEADING WORK
Nrltb tthheanctiticaatS0h regel:rat.completed ceiil 121.
454 CM 22.00 and 105 C149460.000 ae most recently sanded
FITS 901®l: \ (AGENCY USE)
Contractor performing project ABIDE, INC. (2AN(C l i1-Li Jl3conse # DC0016L9
T Exp.date August 31, 2000
Lead Paint inspector J ,,M Ni oAAE M/�GN I License Y ✓� {ri .3I
)212b /99
Date of Inspection
If low-risk deleading work is being performed, complete the following line:
Property owner C,.nG ROwFN f RM45 EPP)6h Agent(s) Roa62Y P. LA M ovNT/H Al
Address of Project
Building Name (if any) e-� Floor S ECOnJ Q
Street Address G L1 C HER-2-`j .- ' . Apt. No.
City /Qn QTi-IA-M prop.J Zip C)1 OGO
Deleading Method: Wet/Dry Scraping Heat Gun Caustics
Liguid Eneapsulan Covering Demolition Replacement Other
If "Other" selected, please explain
Check One:
Start date
welling is nelti-famLLy 1/1.
single family
Completion date 9 I21 I co
When will work be done: A.N. ' -7:00 — P.M. 5 :fib Weekends? NO
4.44 1M _-
Project supervisor's name Robert P. LaMountain License 6 D53605
Property Owner CJFTE. RtvC .) and R Ns EPe \ c
Address ?,C LAUD` Ay/CAJ Ott.
City . p.JCC State MA___ _ 21p nj U%
Telephone yt3 -53-6 - I52i
In case of emergency contact Frank Ti1Ii, President
Phone: day 413-525-0644
evening 413-525-0644
(over)
4IUl/hUUU !aL !4.a n e uav
In accordance vita Mas� setts General Laws c. 111 f 197 QtB 22.00 4 105 C B 460.000 notice
of the date and ieetbad ts)eof removal or covering Ot paint, plaster or other accessible s
containing dangerous levels of lead is to be provide. and must be received by the tel loving
Persons. at leas[ tee (10) Kaye prior to beginning of deleading.
1, Occupants of the dwelling unit
2. All other occupants of the residential premises, if any
3. Director, childhood Leading Poisoning Prevention Program Fax 16171 753-0436
Department of Public Health. 470 Atlantic Avenue, Boston. MA 02110
4. Director, Asbestos f Lead Program - Fax 16171 727-7560
Department of Labor I Industries -
Room 11006. 100 Cambridge Street
Boston, MA 02202
s Local Beard or xealivrooi Enforcement Agency FQ' (1t3'j 587_ 1221
oNOR-MA'AM-ON)
eiGfrrtp OE K(=M-T19
s. Massachusetts Historical Commission 11f promises is+cea{edaon notification gisterbe the State
220 on;rli 0y Blvd. Made upon receipt of an Order to Correct
Huston; la 02125 Violations or at least 30 days prior to
initiating preventive dele ding) 127-5120
FAX
Oeleadiag Ceteeenter
The undersigned hereby states, under the pains and penalties of perjury, that
he/she has read and understood the Commonwealth of Massachusetts Deleading
Regulations, 454 QM 22.00 and Leading Poisoning Prevention and Control
Regulations, 105 Crm 460-000, and that the information contained in this
notification is true and correct to the best of his/her knowledge and belief.
Date 4 I% / i%° signed: i IAA Frank Till i
r 45
Title: President
company: ABIDE, INC.
Property Owner (If owner or unlicensed owners agent will be performing low-risk deleeding work)
I certify that I have complied with the training requirements of the
Commonwealth of Massachusetts Lead Poising Prevention and Control Regulations.
105 CIIR 460.1751 for owner/agent low-risk abatement and containment. I
further certify that I or my agent will be performing
the following low-risk activities (I have circled all that apply) :
applying ',quid encapsulant
applying exterior vinyl siding
removing doors. cabinet IXore, shutters
capping baseboards
covering ,Vrrace5
I certify that all the information contained In this notification lm we and correct to the
best of my knowledge and belief.
Date: Signr;n:
ABIDE, INC. PROJECT # 00093
REV 10/12/95
DATE:
ATTENTION:
FAX NUMBER:
FROM:
REGARDING:
A
a b i d e
Abide,Inc.,Environmental Contacting
FAX COVER SHEET
4 /7/co
'ge Low
R° (ZS- . ftMwNTAIA)
C ffrp ifs7fh'FMGA/T P2o!ECT ain FICA-110A/
NUMBER OF PAGES(Including this one): 3
COMMENTS:
_17)
cAX
► .c
CL
iret
7
�1&ec-ar, . LEA tgla ,Rm 1
GY7 %7775 6053'
-j n F H EALTN Cnn2TrAmAU.� `1 fl ¢R 122-1
If there arc any problems receiving this transmission,please tall 413-525-0644.
Ce W mrairr Nelke:The deavxas.eeoapmrhig ob tdemy Iratreoada.ray rwro wmalS ad privileged
;donnas{maAWt,the lab Yhnmtle b Seeded to be free me of the ddrved Shekel or tsar. ffrm ue
nrl the intruded ndTld.be. m e•g e4 admire.ceybb*diihtbolloo.r we Nee Sae Mhdr(rahiab
prohibited. lfr.e bare reea.dnbhredd.n M rem,pease..M a by edepboor_4+.
P.O.Box 886 East Longmeadow, MA 01028
Phone 413-525-0644 • Fax 413-525-0678 • E-mailABIDEI @aol.com