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HomeMy WebLinkAboutChurch St. #20 - 3/11/2003tlrsTRUCT101is 1. All sedian M this lam mtm be tanpkred n adt+bcamD>Ywah to Dept" vm" of (erlrarBneohl Ptoietlimr ne@icolion lequraaaas of 3f0 CMn 7.15 lionwOmpergs prior no4 alma is ,psitd s/w/abMtmM 00*4: and Dopemttonl of Labor arrd haluddes rotAiutbn wgoirmwA% 014S9cawe.4 (IM days pin.rwnrxanh rwp,+aAolAHv dwmmvd rvapd Pulp' aranrlWAI'level tgrwe Aedl. 2. sk"ll WON' form To: cewwarwallh of Masreeaewlle A*IstM Progreso P.0.0.1 20M 11atea, MA 0211Z- cut? 3. this loco mayto vsad ar nDl#ftvre 0.s ErwirrameMN Pleadion Atra+cy hellion I of esbeslos demolAWN renovation openAlare subject la NESIIAPS (40 uA St6parl ivy to dualWery tiawaa e r w raw 0.w7'Apvuw�0'vdJ—" �a Commonwealth of Massachusetts Asbestos Notification Form — ANF-001 & P Asbestos Abatement Description . 5604 604 4 Q 10 1. Facility tocafiom / J / >✓ Abmr . '...--.- arraD.//n 71poNe Itwl✓lwe . wnali nr uuwnr tawarp nn.. /. M% mr+l mom .. .. .. 2. Is the facility occupied? Mae O No 3, Asbestos Contractor: Air sate, Inc. _ 61 Endicott St., Bldg. 32-1 Norwood, MA 02062 781-762-3390 cnrnaee /orar rwrwne lalta,raw/ 1 , GMrrs lrvwl,.arrsawnaq 4. on•Sda Project Suparvisor,Foreman: Jamie Amaya As 50583 5, Project Monitor: ......__�. _ --- --- -- — — - Atam p(I (ifYMllee/ 6, Asbestos Analytical Ub: ! r AWN U14"ohm", 7. Projectstaridate, ���enddatyZ,"„P?%pacdlicworkfours(Mon.•Frl.)�T.'�,�(Sat,sun.) %� �r 6, what type of project is this? (circle one): 4"" alm "'W 9. Describe the asbestos abatement procedures to be used (circle ? Mum roa wv r , VON" WWWWn AaperWy e�rP lrfal� to, is the job being conducted eindoors Ci outdoors 7 11, total amount of each type of Asbestos Containing Materials (ACM)to be hAOdted on Pipes or ducts ptaear ft.) LY Z, oroth surfaces (square 11.) -V 4 U to be ternovad, enclosed or encapsulated: finaadaauare het DDI1.M���Wwcllitp, Ad, frAl strlha DDNNps. —...� #Wmsl, 7oNdcaePpe Netdatisn.... ,. _,,,� corltlpth ofIfie dpape'POOkouhrmn..., CL%W/WetOmRM�a ....................�.� WapWAnplooft..................... _� eowelehpa)vuwro..... --1 cao11s, woven hbraa _ .... . . ...... • .... ,. ..0arose Dow4 wtl DoV4..............�—/ stror (PAWN dmr+ib ): • .✓r'�-Y....... • • .. �..J�"��u 12, Describe the decontamination system(%) to be used: 2-3 chamber decontamination faci).ity with clean room and wash'"/c3 i"c�-;ronm 13. Describe the cantainerlralioNdisposal methods to comply with 310 CMR I.15 and 45.1 CMR 6.14(2)(0)I Kee ACM wet and double bag with 6 mil. poly labeled bass 14. For Emergency Asbestos Abatement Opstaliorto, the DEP and DLI ollieials who avajuated the smergency: HMIr q pry 0A'kld ttp aa►dAaMag,rwt Ayewt nlr M,wnoA%rbn .•_ _�J--•�---,---~ wah�rl , 15. Do prevailing wage rates 40* of per M.O.L. c.1e9, § 26, 27, or 27A - F to this prolell n Yes t�No AV.582 AirSafe, Inc. FAX COVER DATE: 03/11/03 NUMBER OF PAGES (INCLUDING COVER SHEET); 10 TO: TOWN OF MANSFIELD ATTN: HEALTH DEPARTMENT FAX RECEIVING #: 508-261-7343 FAX SENDING #: 781-762-2815 61 Endicott Street, Bldg. 32.1 Norwood, MA 02062. 781.762.3390 The Experts in Asbestos Removal 78127BOBSO EHVIROTEST rHkaG 101 Inc. Airsafe lno. 61 l tsdioou street Noxwood, MA 0300 REA,sbastos Air Testing: 20 Church Street ISt Floor Mamfloki, Ma "act R :18848 To Whom This May Concern, Please find enclosed the air results taken on March 6.200. Envirotest, was oontracted to perform air sampling for airborne fibers at the address cites) above All samples collactcd, were analyzed by Envbroteat Laboratory for the determination of an airborne fiber count The analysis was performed in accordance with "Pbme Contrast Microscopy NIOSH Method 7400." Envirotest Laboratory is accredited under the Proficiency Analytical Testing Program for air analysis try Fbase Contrast Microscopy. Envirotest laboratory is also cettifled by the State of Massachusetts for analytical Services, If you have any questions concerning your results, this report or the analytical methods empioyedl, please feel free to Call me at (781) 278.0080, Si�a�lY, uc�`l N. Cohen. ustrial Hygienist Ono, cam;...... r .,..w ,' ,. � Prw,.— A-11w l r...N". r. 16MAN E3lSN;2.¢•03 15:82 78127MO90 ENV:ROTP_ST PAGE 02 d � Vti Vti © •0+ � � w IFCC�T]]� t�V P N CJ N G> � C en C e1 tJ do dd I oo eo dd as Q 03/' 0/2M 15: 02 7012780090 5NVIROTEST HAUL by r N F ...... . ..... ....... 03/10/200a 15:02 7912790090 ENVTROTEST rraut r�4 (a ENVIROTEST LABORATORY, Inc. 307 Poxd Street Wreshvood, MA 02ON 781.27&9080 1rr27s-m www.cnvireteawb. Arsafe Inc. 61 Bndieott Street Norwood, MA 02063 RE:Asbestos Air Testing, 20 Chursh street ( Basement ) Mansfield, 14 Pmject N : 18849 TO Whom This May Concern, Please find enclosed the air results taken on March 6, 2003, Envimtest, was contracted to petfomt air sampling for airbms fibers at the address cited above. All samples collected, were analyzed by Fnvirotest Laboratory for the determination of an airborne fiber count. The analysis nas peribrmed In accordance with "Phase Contrast Micromopy N10SH Method 7400,11 Envirotest laboratory is accredited udder the Proficiency Analytical Testing Program for air analysis by Phase Contrast .Microscopy. Pnvirotest Laboratory is ales certified by the State of Massachusetts for analytical Services, If you have any questions comoming your results, this report or the analytical methods employed, please feel *cc to call me at (781) 270-MSS, Sincerely, ,V(— SlinueIN. Cohen Wdustrial Hygienist me R-dram.,1 .1....r....• T, h.....w:iM U.,'I1.. 9.MI.Ax...� ♦..Y.rt:m.l T.,.in+O.nw»n 10 R,A% 03/10/2003 15:02 7$12700090 ENVIROTEST PAGE 05 ♦ w • — • ♦ M w ♦ w ♦ • . w w w ♦ ♦ n zs is ss ♦ • • w w r • ♦ � r n T 03/10/2003 M 02 781270U90 MCA I I l F:NVIROTEST co% PAGE Ob 1rZ-40� AirSafe, Inc. FAX COVER DATE: 03/11/03 NUMBER OF PAGES (INCLUDING COVER SHEET): % 4 TO: TOWN OF MANSFIELD ATTN: HEALTH DEPARTMENT .A s FAX RECEIVING #: 508-261-7343 FAX SENDING #: 781-762-2815 61 Endicott Street Bldg. 32.1 lorwood, MA 02062 > 781-762-3390 The Experts In Asbestos RemOval AAP 1 " ENVIROTEST LABORATORY, Inc. _ 307 Pond Street Westwood, MA 02090 781-278-0080 Fc278-0090 www.envirotesdab.com o � Airsafe Inc. 61 Endicott Street Norwood, MA 02063 RE:Asbestos Air Testing: 20 Church Street Mansfield, Ma Project # : 18809 To Whom This May Concern, Please find enclosed the air results taken on February 26, 2003. Envirotest, was contracted to perform air sampling for airborne fibers at the address cited above. All samples collected, were analyzed by Envirotest Laboratory for the determination of an airborne fiber count. The analysis was performed in accordance with "Phase Contrast Microscopy NIOS14 Method 7400," Envirotest Laboratory is accredited under the Proficiency Analytical Testing Program for air analysis by Phase Contrast Microscopy, Envirotest Laboratory is also certified by the State of Massachusetts for analytical Services. If you have any questions concerning your results, this report or the analytical methods employed, please feel free to call me at (781) 278 0080, Sincerely, Samuel N. Cohen 'Industrial Hygienist Ono, Envirateat labomtory la Amedited 9y The Profioienoy Analytical Tmiog Proom (AIHA) I r pp p 3 d q O O O d O O 4 .Ni eq .Ne N p �F ff-�� C] JJ55 C7 p5 O C r4 d O O O N N Pi M h M �1 m m M 4z z z az (A cz CD z O O x �a O� C7 C7 OaG t7 VO� W. U'a' ©� ro C7 v Q4 w� vWiA A A mA A tU�tg vWaA w i PQ w Rs a, a.1 1fta Qeq W W Lxr � W W W W r A � c r 1 r' 1 L\� CC�� AirSafe, Inc. DATE: 02/24/03 NUMBER OF PAGES (INCLUDING COVER SHEET): 2 TO: TOWN OF MANSFIELD ATTN: HEALTH DEPARTMENT FAX RECEIVING #, 508-261-7343 FAX SENDING #: 781-762-2815 81 Endicott Street,61dg. 32.1 Norwood, MA 02062. 781.762-3390 The Experts In Asbestos Removal