HomeMy WebLinkAboutSo. Main St. #76 - 3/18/2003-06—
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Asbestos Notification Form ANF-001
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As asros Abatement DescrIption
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1. FscIINy location:
a O XA r'at 49 /Py - _ icy sf i�a, t y'%
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Uastament
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2, Is the facility occupied? Wryot 0 No
3. Asbestos Contractor;
,Air safe, Inc. _- 61 Endicott St.. Bld 32-1
AM AMW
Norwood, MA 02062 781-762-3390
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4. on•sne Project supervisor/foreman:
Jamie Amaya A5 50583
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5, Project Monilar:
Now —.� — alGN*Aawr
6, Asbestos Analytical Lab;
1. project start dale �l��enddate�'f Y- sDecnlaworkhours(Mon.-FtI.)_% Y (�l•�tn.) _ _
a. What type of projed is this? (ehdo one); awwwro+ '"""~ orw(**P*)
D. Describe the asbestos abatement procedures to be used jeirck)�7 resueNLO�A" nie derav
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10. Is the lob baing conducted eindoors O outdoors ?
1 t, lolal amount of each type of Asbsssos Containing be mMa ed, ter(icAlosed ore handled oaloldpas or duck (Onset lt.) c� or o1
suAscu (square 11.)-aar/rquan /ref
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CatupNMa bred peoerlitae iroufelbn.... ({ p/ VO"AN#)W cc ...... . ...........
laeab)preMrtoAlnm ..............
SMnY-tn OrsWaa'Mq..................... ..J_.� ►oa�WOnNd,Iw110aYd............. ._..J
Wlr (pbnada uffiO . . . ...... . .........
12, Describe the deeontaminatbn system($) to be used:
faci).ity wit
2-3 chamber decontamination with clean room end
we"s"�/dI r� room �--•--..,., ------'--__._..��----._....___..._.
Describe Iha tbnulnainlbddisDosalmathods to ctsmpy with 310 CMiI 1.15 and 453 C'MFi 6.14(2)(0)
13.
Keen ACM wet and double bay w-ith G mi), of labelccl bA s
14. For Emergency Asbestos Abslem4nt Dperattons, the DEP and DLI C91n;Ws tAAM waivated the emetgency;
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15. Do prevailing wage ralee apply ee per M.G.L. c,149. § 26, 21, or 21A • F WIN$ prolecl? Oyes (260
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