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HomeMy WebLinkAboutKingman Ave. #17 - 11/15/2002Asbestos Nnt7ficaffan Farm — ANF-801 l rsuw+nevvv umo...... ! — EXEMPT Asbestos Atlaiement 0eseripfion L _ _ _ _ _—_ r t, FacIIM focaban. 5 tom, �.� t� flu mucl ous ,bale= i. Altsme isfins hummugb¢mngle@b pllyl(f�^" �e Terri. In Order in mrildMlm th:(leparoneol df }plyr"neyn-1aYste)saa'im9 WeINa9`/wre'4ormeawr.rwn En»rormmtal Pmtegion mlilicalion a Is the rapidly occupied? Yes 90 regnimmenls of 310CMA ' 7.ta pan xettmp,pvs 3. Asbestos Contractor: fM01 rmIIl.Mapml is remlUerlPlawaAaremm; Dec -Tam Corporation 50 Concord Street Pra7aq: and the comment of labor rer +laum add maaumee North Readin MA 01864 97 8-470-2860 nmillrandnreouuemelis _ $_1,_ ot453(Mg U12 Ilan CVr/lax+ Iym0.+ lekpnpa nett nrianwfiDcarion is m;anlvn AC000035 Written 37meIrvyllPmjEcf rt+ea.'e� DLlkrm/ famael iyxlxnRi+Mnvl Inan7hreYtlimarnr spua'e rmA 4. On -(Site Projecl5upervisor/Foreman: 2. Subuui Or bond Fam 3C: IdN 71l1pM(G•aliMt cmnroaaeNm al ereelmehmelro $. Project founder Ardscarkas l2Program t4E� P.tl.O. ma/ - S,7LCj� Acrim, NAoa112- Hum pilGollllimrNn! m6 6. Asbestos Analytical Lot: a. Thlsiumrlva be Uoedlmmnearlel �t\� uStachan nnecy /+ear Do n+uqums ,�.,r� I alwbpnn anao HegiUn 2 ji7 � ++ rmaslwgmaemofgnN i. Prolectsmrtdme �� �� Dtldate.� jS d�sPocilicworlRmurs{Mon-Fri.j )Sm.Sun.y rwrovmion opemnnns GFRS roadfl), 5146 G. What typo of project is this? (circle one): nosor non man, rawe9l n v b ocn,) CFp SobpatlM7. 0. Uescribo the ashestoc a miumnom provommosto be used )mrelet' .t ewlnvly rmlrembo . neanw c+xxpeWali+w Zmnsslu+le ne+ulamraml 10, Is the job bane conducted_pdaors --- pmtlpors? 11. Total amount of each Type of Asbestos Cnnialilml Materials (ACM) to he handled on pipes or ducts llinear fL1 ISOO Brother surfaces (square h.) to be removed, enciosetl or encapsulated'. linoarlarrare And! boiler, hreadlinD.owl. map. smfacocamp'...�w��-p(—/x�--ohmoro.. x'ofinwln orseinsulaliao_.... wainueletl of laviewlener par"nsulaldr] n.... M LL'—. enrlalinDremml..... .......... — _ _ — _ _ sp/ay-nn lit¢PlCO11nA.....— ............ ..— — — _---- dams, xwvwllaerws..................... Iransle UnvU. rvdlllroard............. pan lPl'mse rlcmi@5.................... — 12. Uescrlbpthn daconlaminalion symamis) iB ho usotl p 12. Docerihoihd comalneritatlonitlispusal melhpdsio pomplywilh 3lA CMq 7.75 and 453 GMN 6.14(2)))q: Wetting material with amended water and placing in double si3 mill p0117 prelabeled bags to be transportedto anapproved landfill in as.ealed lockable container 14. For hmirarmw Asdastos Abaramat Uporadons, ihc'n and IB111CIB0was OVIIIBamtliBanmafnaliv. Ndm NYiY0061 his wuorunwl+m+m eanw, M1unw +qe+ . OgxNN.lrwwlwn n", 15. Do prevailing wage rmes apply as per M.G.L.C.14U,§2G,27, or 27A- F to this project? —yes; VINO Faciligr Ooseriptinn Current or pnor had of facllay Rpn uC\ 'ffixm -. Is lne facetfly owner -occupied residential w0n 4 units or foss? XYos No .. Facility� Owner. r\ UL_Lx0ti*j ��� \i6:aC3��'<eiU' N'al':Toe' a� �YP FACIII:Y i Ijn?fa e Nl1-316! Irlalllipel' I v� na'u NM/G6 cMnw„ zmmw dHgwOtd 5. General Contractor: 6 ZSDW xn spm Te i, Commerce & Industry WC938-55-38 12/28/02 :.,:mn. VJllal :c los sort of Lne lenniryu �pVV Isq nl IF aIINSM 13 rSS&StaS Transportation Bail Dlspasal Transposer of asbestos -containing waste material from site lotempOra sy storage site III necessary) to IIna 1 disposal site: Service Transport Inc. 58 Pvles Lane New Castle DE 19720 (877) 999-9559 ©e>'Imn aft. Tagnmv imnspotlerof asbostosconlninfnB waste material from removal/ tnmporsry WHICH) site to tidal disposal site: Same as 1 14m md� Mole: Transfer s'glwp.', iq,®, tpmam: Stations must 3. Refuse tandem 5ialion and owner fit oppimable): camply with ale Solid waste Wkion tat ula- x p IionsaMOOR 10.011 filvnnml rmc,W, MM. J. final btsposal Site: Southern Alleghenies rmr,pnemv are,„,rp RD#3 Valley View Dr. HolsOpp 1e, PA 15935 cftg/?., /0. atop.- M, cillrilfisntion The maersi0ned herebysll oludef the penantes at perjury, mat he she has read the Commonwoallh of Massacnu darts Regulations for tho Hamoval, Containment or Encapsulation of AabeShu., 453 CMH 6.00 and 310 CMF 7.15. and that Ole ineormadoo contained in this notlllratlan i3 true and MOST to Ise host of his/her mowled b and belfel. mos:Noyfilk Dec -Tam Corporation (978) 470-2860 niusf SlMll tNs nonlicatipn nmposes 50 Concord Street forth Reading, MA 01864 toe emodul (City, Town, dlenteh mmllcllp'a%l /IM1f13lnB Mitrhotlry, owner-occupled nddenual of tour units or less) SY_yos ono littler N ftmm trout o1 ton)