HomeMy WebLinkAboutPratt St. #81- 5/22/2003d,.`tiv;�m; r;+ �^ tell uf. kiassac n use f Is r
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lc s=_s Hotiricalion Fora ANF-007 i N4 767515
AESesIos Abatement Des:f-,;tion
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1,
Nna :f r. rov)t'd:ov h4Yr9 r., 1. w ; a..1n
2. Is the Ia:ilny =vPied7 Pat O N:
3. Asbestos CcnUactor- 4G�
_Mew England Surface Maintenance, LLP 850 Washington Street
Weymouth, MA 02189 _ 781-337-2117
AC...._0001_.9-6.............. ... .........._.
¢, a r..'r / ro+vr I
4, on -site Prajecl supenisorrroremar
771
u�eSu.Ca
s. . Projec: Mcnito,:
lnrf,u0057 a
i _Ua, lU C112-
l.:.a ft/Cus:.tea: /
6. Asbestos A;aty;iey�,,t lzb: -
_ e�w v.•w:1I
tin � IYICY._•.'zm./
:•rs:�,A'cy :eglan
Z e� '
Praje_�saf,da!ey I /—.nL.asi l� —Spec.iie work.`:._ :;bl_et—ri.) .—(S.a_n 1.
7.
:Y: f.JC11 C:C�fClS
•=va to NES,.Vs(40
8. Vhat ry;a of projecw is Ibis? (dre< test: m,eesm.. '... .•.-_ (, eLvosm Dour/s:)
Az:;iprt M1.
t
�.rasv..
9. D asc''Oe the asbe stos ablentent s:ors to be us a (circle): pox wmsmnsa ewsp
ao �i aq
10. Is the job being conducted -- s ^— outdoors ?
11. T eL+l ameert of euStipe a(kbes::s CJ-.:ininq Materials (AVA) :o he -_.filed an pipes or ducts (GneJ ".)�3y areLh'u
sndacm (s;usss It.) to be removed, enclosed or encapsulated: ,
'imr,'s,;an fear
6aib, liea7frp, ctC Yt./.+... eati-G...J r, md.. s.:rL>e:a iae/Yvn......
G'JNpI:>1biYerdWA-7pv-=Yiep.... iew1unq a- . ..................
JJarU' 1 seo'o.ery..................... r.Vv a)ar �x-,a.............. J
_....— .........Car3Ee pewd. r%:!ae.............
acw (Doge dzcibe) .................... J
12. Describe the deeonI=im!ian systems) to be used:
-As reguired-
13. Descibe the e,ntain<riuliaNCis;esal methods to comply with 31 D CMn 7.15 and 453 CMR 6.14(2)(q):
Two layers/label led hagG _
......... ......... . -
14. For Sner9enay Asbestos A:ate.:ant C;enOans, the DEP and D! ! of—.c�zlz who w2lualad the emergenep
............................................—.-.........__................. ......____._._.._.._—__...._....... .... .... —_._—_—.____.__.___.
wuu. NCeI abl fan
............._....._................,.._...._....._.._...._..._-.._......__.............._.._............. _... _—>_........ ............
- wre�_1 J:ur run
•
6eY4Ce-.'su 'NY4//
:5, Co ;re•131tin7 wage,atev ae>i 11 ::r 11 :,:, e. 149, 5 25, 27. sr _7A P :o this pmiem? 0 Yes Q�%J
Faciiity Description
I. Current or pdo( use of fzclity
2. Is the facility owner -occupied reC:L:U mith 4 units or le X Yes G No
3. Facility Owner.
ae:a+ .eA1e¢
CY/ro.n
4, Facility's Owners On -Sae Manage.
rdvl.
Cy/fc„n Ae mf. rleo'ue
S. Gen Contractor.
Xcne bencr
cyAa.e Ib aae
Caeba7arr Wa/ba Caro. p ' Peeryr fasnea
G. ` mzt is the size of the fuq'dyt' i (sq it) ,(/ of 11ccum)
Asbestos 7tansportatian and Ofsposal
1. Transporterof uheslas<anlai.q'XaCe maledal tram sae to lem:arery Stange site (d necessary) to final dispow sac
NESM, LLP 850 Washington St.
� bra
._.W-e.3jmou4- 1,, vlA----._.—. f171R9 7Rt-177-9117
abirca do ode - flWsr
2.' 7ransoorter al azbestos..rontzir3y wage matervl lrom removal/;..:.porary stonga sildto Mildisgosal site:
Waste Manaaeement 209 Pickering St.
Nacre baea
_P_O,rj-.land C..T ___ OF480 860- -0667
.. .zipmdi
Nab: Transfer
crr/ro Jed1°"
Slaeans must
comply Wdh the
3. Refuse tnnsfer station and owrer(t tnt able):
SaGd Waste
"
OWlan repute- .
ame ,em.a
flans 310 CNR
fa.00
cy/Taw $cam tram. '
4. Final Disposal Site:
Turnkey Landfill Waste Management of NH
tmsaeXae ho.awa
07 RnnhP4t-PY NPrk Rd
bay
Rorhesher. NH 03839 U3-330-2165
cryrra apace, tram.
e Certlticatlan
The undersigned hereby Males, unduu'e podies at perjury, that heists has read the Ccmmaimeaah at Musuhusetts Requbtions
for the Removal. Containment at Enaacdstion al Asbestos, 453 CMR 6-00 and 310 CMR 7.15, and that the Information contained in
this his/herfaawledge and beaet.
i -7
RNHam SQtsn Oe
�`
Nets: Canrrctor
must sign this
a_rtner NESM, LLP_ 781-337-2117
IormtorOU
_P
Poolkwne ee>estiM rap
notdCalion
purport:
850 Washington St. Weymouth, MA 02189
,axe cane.. ----- roaw ,
Fee exempt (City. Town, dlMricC �nun`jkipalhousing authority. ow tr- ccupied residential of four units at less) yet p no
I Irani IarmC ! 6 7 t oJ
...... _ ......
Slicker (from of ,5