HomeMy WebLinkAbout0385 MAIN STREET (HYANNIS) - Health 385 Main Street
Hyannis
A= 327-1]6
November 24, 2009
NOTIFICATION OF ASBESTOS ABATEMENT
ATTENTION: Hyannis Health Department
367 Main Street
Hyannis, MA 02601
Northeast Remediation will be conducting an asbestos abatement project at the following
location. Please note the site and dates listed below,with the latter being.subject to changes. Do
not hesitate to contact our office for more detailed scheduling information at 617-389-9188.
BUILDING LOCATION: :Hyannis Post Office
Main Street
annis,MA 02601
START DATE: 12/21/09
END DATE: 01/08/10
Asbestos signs will be clearly posted in all areas where work is being conducted. Please take the
necessary precautions in the event you are required to enter the building during an emergency.
If you have further questions with respect to this abatement project,please do not hesitate to
contact our office at any time at(617) 389-9188. Thank you very much for your attention
regarding this matter.
Very truly yours, s a p
.„
NORTHEAST REMEDIATION
'IIV4&tl" —n
Wendy Carias
Projects.Coordinator
Corporate Headquarters New England Office
462 Getty Avenue 25 Storey Avenue#256
Clifton,NJ 07011 Newburyport,MA 01950
Tel.617-389-9188 Fax,617-389-9198
I
Commonwealth of Massachusetts ■
000098287
Decal Number
Asbestos Notification Form ANF-001
Important:When filling out A. Asbestos Abatement Description
forms on the
computer,use 1. a. Is this facility fee exempt-city,town, district, municipal housing authority,owner-occupied
only the tab key residence of four units or less? []Yes [✓ No �e
to move your _
cursor-do not b. Provide blanket decal number if applicable: Blanket Iecat' u r
use the return
key. 2. Facility Location:
HYANNIS POST OFFICE 385 MAIN STREET
a.Name of Facility b.Street Address�
1HYANNIS � MA 02601 _1
' c.City/Town d.State e.Zip Code f.Telephone Number
INSTRUCTIONS 3. Worksite Location:
1.All sections of this THROUGHTOUT BLDGY-�_T
form must be a.Building Name/Building Location b.Building# c.Wing d.Floor e.Room
completed in order
to comply with 4. Is the facility occupied? []Yes ov No
DEP notification
requirements of 310
CMR 7.15 5. Asbestos Contractor:
and the Division of Occupational NORTHEAST REMEDIATION 25 STOREY AVE
Safety(DOS) a.Name b.Address
notification NEWBURYPORT 019501 16173899188
requirements of 453
CMR 6.12 c.City/rown d.Zip Code e.Telephone Number
AC000392 e ✓ Written Verbal
f.DOS License Number 9 Contract Type: ❑ ❑
ANDRE GIRARD —� US POSTAL SERVICES REP.
h.Facility Contact Person — _ i.Contact Person's Title
6. �EDWIN ALMONTE —� JAS033135 1
a.Name of On-Site Su ervisor/Foreman b.Supervisor/Foreman DOS Certification Number
ATC ASSOCIATES —� � AA000007
7 _....................__._..._..-_......._.._....__..-_.__..._...,._.._.-_.._._._........___...___..._...-.-.---___._
a.Name of Project Monitor b.Project Monitor DOS Certification Number
YEE CONSULTING GROUP IAA000145
8. a.Name of Asbestos Analytical Lab - � b.Asbestos Analytical Lab DOS Certification Number
12/21/2009 01/08/2010
_ a.Project Start Date add/yy_y_y� b.End Date mm/dd/Yryyy) _
17AM-3PM _ N/A
c.Work hours Mon-Fri. d.Work hours Sat-Sun.
—0 10. a. What type of project is this?
o
Demolition Z Renovation ,
[1 Repair El Other, please specify: b.Describe
11. a. Check abatement procedures:
Z Glove bag ❑ Encapsulation
o ❑ Enclosure ❑ Disposal only — - --
�u ❑Cleanup F] Other, specify:
[✓] Full containment b.Describe
�m Z
_Q 12:Is the job being conducted: Z Indoors? Z Outdoors? ..
`■ anf001 ap.doc-10/02 Asbestos Notification Form•Page 1 of 3■
i
Commonwealth of Massachusetts ■
100098287
Asbestos Notification Form ANF-001 Decal Number
A. Asbestos Abatement Description (cont.)
13. Total amount of each type of Asbestos Containing Materials(ACM)to be removed, enclosed,or
enca sulated:
1000 100
a.Total pipes or ducts(linear ) b. I oral other surfaces(square ft) (�
c.Boiler,breaching,duct,tank E= l
d
surface coatings Lin.ft. n::]
.Insulating cement Lin.ft. S ft.
e.Corrugated or layered paper = f.Trowel/Sprayer coatings =
pipe insulation Lin.ft. Sq.ft. Lin.ft. Sq.ft.
g.Spray-on fireproofing Lin"-"ft. __J Sq.
h.Transite board,wall board Lin Sq.ft.
i.Cloths,woven fabrics I ! j.Other,please specify: 1000 100
Lin.ft. S .ft. Lin.ft. Sg_ft�
k.Thermal,solid core pipe I� CAULKING/PLAS
insulation Lin.ft. Sq.ft. 1.Specify
14. Describe the decontamination system(s)to be used:
2-CHAMBERED DECONTAMINATION FACILTY WITH WASH STATION.
15. Describe the containerization/disposal methods to comply with 310 CMR 7.15 and 453 CMR
6.14(2) (g):
ACM WILL BE WET(HAND TO BAG)ACM WILL BE LABELED, PACKAGED &TRANPORTED.
16. For Emergency Asbestos Operations,the DEP and DOS officials who evaluated the emergency:
N/A J
a.Name of DEP Official b.Title
__._.__. __.___w ____._.__._
c.Date(mm/dd/yyyy)of Authorization d.DEP Waiver#
e.Name of DOS Official f.DOS Official Title
�N g�mm/dd/yyyy)of Authorization hh.DOS
.=0 17. Do prevailing wage rates as per M.G.L. c. 149, §26, 27 or 27A—F apply to this project? �]✓ Yes[ No
B. Facility Description
=o 1. Current or prior use of facility: POSTAL OFFICE
�o
2. Is the facility owner-occupied residential with 4 units or less? E]Yes n✓ No
US POSTAL SERVICE j GRIFFIN ROAD NORTH
gimm�_ 3' a lity Owner Name b.Address
� 10 iIWINDSOR, CT � 06006 1860 285 1287
o c.City/Town d.Zip Code e.Telephone Number area code and extension
W�_U_ 4 JANDRE GIRARD 385 MAIN STREET
a.Name of Facility Owner's On-Site Manager b.On-Site Manager Address
Z HYANNIS, MA 02061 860 285 1287
Q - c.City/Town d.Zip Code e.Telephone Number(area code and extension)
anf001 ap.doc•10/02 , Asbestos Notification Form-Pdid
Commonwealth of Massachusetts _
100098287
Asbestos Notification Form ANF-001 Decal Number
B. Facility Description (cont.)
MILL CITY CONSTRUCTION INC. 7 OLD GREAT ROAD
5' a.Name of General Contractor _ _ b.Address
LINCOLN, RI 1 102865 1401766 3100 I
c.City/Town d.Zip Code e.Telephone Number area code and extension
f.Contractor's Worker's Comp.Insurer Q.Policv Number h.Exp.Date mm/dd/
6. What is the size of this facility?
- a.Square Feet b.Number of floors
C. Asbestos Transportation and Disposal
1. Transporter of asbestos-containing material from site to temporary storage site(if necessary):
NORTHEAST REMEDIATION 125 STOREY AVENUE#256
Note:Transfer a.Name of Transporter b.Address
Stations must INEWBURYPORT, MA 01950 (617)389-9188
comply with the c.City/Town d.Zip Code e.Telephone Number
Solid Waste
Division 2. Transporter of asbestos-containing waste material from removal/temporary site to final disposal site:
Regulations 310
CMR 19.000 ISERVICES TRSNSPORT GROUP 158 PYLES LANE
a.Name of Transporter b.Address_
,NEW CASTLE, DE 19720 (877)999-9559
c.City/Town d.Zip Code e.Telephone Number
(a.Refuse Transfer Station and Owner _ b.Address
c.City/Town _ d.Zip Code_ e.Telephone Number
4. MINERVA ENTERPRISES INC
a.Final Disposal Site Location Name b.Final Disposal Site Location Owner's Name
9000 MINERVA ROAD WAYNESBURG
c.Final Disposal Site Address d.City/Town
OFi �44688
e.State f.Zip Code g.Telephone Number
�O
D. Certification
�N The undersigned hereby states, under the. WENDY CARIAS � Vl `C rd(.;5'
—O penalties of perjury,that he/she has read the a.Name b.Authorized Signature
�O Commonwealth of Massachusetts regulations PROJECT COORDINATO 11/24/2009
for the Removal, Containment or �� � L 1
Encapsulation of Asbestos,453 CMR 6.00 and c.Position/Title d.Date mm/dd/vywl
310 CMR 7.15,and that the information (617)389-8880
contained in this notification is true and correct e.Tel hone Number f.Representing
° to the best of his/her knowledge and belief. 125 STOREY AVENUE#256 M
� O .Address
�LL NEWBURYPORT, MA�.
4 h.City/Town I.Zip Code
�z
�Q ..
anf001ap.doa•10/02 Asbestos Notification Form-Page 3 of 3
I
a 2
April 29, 2010
NOTIFICATION OF ASBESTOS ABATEMENT
ATTENTION: Hyannis Health Department
367 Main Street
Hyannis, MA 02601
Northeast Rentediation wi i be conducting an asbesios abatement project at the following
location. Please note the site and dates listed below,with the latter being subject to changes. Do
not hesitate to contact our office for more detailed scheduling information at 617-389-9188.
BUILDING LOCATION: Hyannis Post Office
385 Main Street
Hyannis,MA 02601
Throughout Bldg.
START D�T& 05/07/10
END DATE: 05/13/10
Asbestos_signs will be clearly posted in all areas where work is being conducted. Please take the
necessary precautions in the event you are required to enter the building during an emergency.
If you have further questions with respect to this abatement project,please do not hesitate to
contact our office at any time at(617) 389-9188. Thank you very much for your attention
regai'ding this pia to ...
Very truly yours,
NORTHEAST REMEDIATION
W04 6ti"
Wendy Carias '
Projects Coordinator
Corporate Headquarters New England Office
462 Getty Avenue 25 Storey Avenue#256
Clifton,NJ 07011 Newburyport,MA 01950
Tel.617-389-9188 Fax 617-389-9198
rl „
J Commonwealth of Massachusetts M
L
100104860
t, Asbestos Notification Form ANF-001 Decal Number
mpo n : A. Asbestos Abatement Descri tlon
When filling out p
forms on the
computer,use 1. a. Is this facility fee exempt-city, town, district, municipal housing authority, owner-occupied
only the tab key residence of four units or less?❑Yes ❑✓ No
to move your
cursor-do not b. Provide blanket decal number if applicable:
use the return Blanket Decal Number
key' 2. Facility Location:
HYANNIS POST OFFICE 385 MAIN STREET
a.Name of Facility b.Street Address
HYANNIS MA 1 102601 1
c.City/Town d.State e.Zip Code f.Telephone Number
INSTRUCTIONS 3. Worksite Location:
1.All sections of this THROUGHOUT BLDG. 1 1
form must be a.Building Name/Building Location b.Building# c.Wing d.Floor e.Room
completed in order
to comply with 4. Is the facility occupied? ❑Yes ❑✓ No
DEP notification
requirements of 310
CMR 7.15 5. Asbestos Contractor:
and the Division
of Occupational INORTHEAST REMEDIATION 25 STOREY AVE
Safety(DOS) a.Name b.Address
notification requirements of 453 (NEWBURYPORT 16173899188
CMR 6.12 c.City/Town d.Zip Code e.Telephone Number
AC000392
f.DOS License Number g. Contract Type: ❑✓ Written ❑Verbal
ANDRE GIRARD US POSTAL SERVICES REP.
h.Facility Contact Person L Contact Person's Title.
6' EDWIN ALMONTE I JAS033135
a.Name of On-Site Supervisor/Foreman b.Supervisor/Foreman DOS Certification Number.
7' ATC ASSOCIATES AA000007
a.Name of Project Monitor b.Project Monitor DOS Certification Number
8' YEE CONSULTING GROUP I IAA000145
a.Name of Asbestos Analytical Lab b.Asbestos Anal ical Lab DOS Certification Number
0 9. 05/07/2010 O5/14/2010
a.Project Start Date(mm/dd/yyy ). b.End Date(mm/ddl yyy)
�0 7AM-3PM N/A
N c.Work hours Mon-Fri. d.Work hours Sat-Sun.
=0 10. a. What type of project is this?
�0 ❑ Demolition ❑✓ Renovation
❑ Repair ❑ Other, please specify: b.Describe
11. a. Check abatement procedures:
o ❑✓ Glove bag ❑ Encapsulation
�o ❑ Enclosure ❑ Disposal only
�LL ❑ Cleanup ❑ Other, specify:
❑✓ Full containment b.Describe
-z
�Q 12. Is the job being conducted: F Indoors? 7 Outdoors?
anf001ap.doc•10/02 Asbestos Notification Form-Page 1 of 3.0
Commonwealth of Massachusetts
I
100104860
L
'' Decal Number
Asbestos Notification _Form ANF-001
A. Asbestos Abatement.Description-(cont.)_
13. Total amount of each type of Asbestos Containing Materials(ACM)to-be removed, enclosed, or- -
enca sulated: _
1000 100
a.Total pipes or ducts(linear ft) D. I o a� other su aces square
c.Boiler,breaching,duct,tank L� C� d.Insulating cement
surface coatings Lin.ft. Sq.ft. Lin Sq��
e.Corrugated or layered paper IC� f.Trowel/Sprayer coatings
pipe insulation Lin.ft. Sq.ft. ((Lin.ft. Sq.ft.
g.Spray-on fireproofing h.Transite board,wall board u
Lin.ft. Sq.ft. Lin.ft.
i.Cloths,woven fabrics L_____j I j Other,please specify: 1000 100
Lin.ft. S ft. Lin.ft. Sq.ft.
k.Thermal,solid core-pipe C� CALKING/PLST
insulation Lin.ft. Sq.ft. I.Specify
14. Describe the decontamination system(s)to be used:
2-CHAMBERED DECONTAMINATION FACILITY WITH WASH STATION.
15. Describe the containerization/disposal methods to comply with 310 CMR 7.15 and 453 CMR
6.14(2)(g):
ACM WILL BE WET(HAN DTO BAG)ACM WILLBE LABELED, PACKAGED &TRANSPORTED.
16. For Emergency Asbestos Operations, the DEP and DOS officials who evaluated the emergency:
N/A
a.Name of DEP Official b.Title
c.Date(mm/dd/yyyy)of Authorization d.DEP Waiver#
N/A
e.Name of DOS Official f.DOS Official Title
g.Date(mm/dd/yyyy)of Authorization h.DOS Waiver#
N
�0 17. Do prevailing wage rates as per M.G.L. c. 149, § 26, 27 or 27A—F apply to this project? ❑Yes ✓1 No
°
B. Facility Description
�N
POSTAL OFFICE
�0 1. Current or prior use of facility:
- �o El
2. Is the facility owner-occupied residential with 4 units or less? Yes No
3' US POSTAL SERVICE 6 GRIFFIN ROAD NORTH
a.Facility Owner Name b.Address
WINDSOR,CT 06006 1 1860 285 1287
O c.City/Town d.Zip Code e.Telephone Number area code and extension
�LL 4 ANDRE GIRARD 385 MAIN STREET
a.Name of FacilityOwner's On-Site Manager b.On-Site Manager Address
Z HYANNIS, MA 02061 860 285 1287
�Q c.City/Town d.Zip Code e.Telephone Number(area code and extension)
anf001ap.doc•10/02 Asbestos Notification Form•Pa e 2 of 3
Commonwealth of Massachusetts
100104860
ILAsbestos Notification Form ANF-001 Decal Number
B. Facility Description (cont.) -
5' —
MILL CITY CONSTRUCTION INC. 7 OLD GREAT ROAD-----
a.Name of General Contractor _ b.Address
LINCOLN, RI 102865 1 1401766 3100
c.Cityrrown d.Zip Code e.Telephone Number area code and extension
f.Contractor's Worker's Comp.Insurer .Policy Number h.Exp.Date mm/dd/ i
6. What is the size of this facility? a.Square Feet b.Number of floors
C. Asbestos Transportation and Disposal
1. Transporter of asbestos-containing material from site to temporary storage site(if necessary):
NORTHEAST REMEDIATION 25 STOREY AVENUE#256
Note:Transfer a.Name of Transporter b.Address
Stations must INEWBURYPORT, MA 01950 J 1(617)389-9188
comply with the c.City/Town d.Zip Code e.Telephone Number
Solid Waste
Division 2. Transporter of asbestos-containing waste material from removal/temporary site to final disposal site:
Regulations 310
CMR 19.000 SERVICES TRANSPORT GROUP 58 PYLES LANE
a.Name of Transporter b.Address
NEW CASTLE, DE 19720 1 1(877)999-9559 —71
c.Cit /Town d.ZipCode e.Telephone Number
3. N/A
�
a.Refuse Transfer Station and Owner b.Address
1 I
c.City/Town d.Zip Code e.Telephone Number
4. IMINERVA ENTERPRISES INC
a.Final Disposal Site Location Name b.Final Disposal Site Location Owner's Name
9000 MINERVA ROAD I IWAYNESBURG
c.Final Disposal Site Address _ d.City/Town
OH �� 44688
�M e.State f.Zip Code g.Telephone Number
�o
° D. Certification
N IW �1 Ce�2C� U- car)~ •
The undersigned hereby states, under the WENDY CARIAS ,�
° penalties of perjury,that he/she has read the a.Name b.Authorized Aignature
�o Commonwealth of Massachusetts regulations 1PROJECT COORDINATO r/23/2010
for the Removal,Containment or
Encapsulation of Asbestos,453 CMR 6.00 and c.Position/Title d.Date(mm/dd/vvvv)6
310 CMR 7.15,and that the information ( 1 )
7 389-9188 INER
contained in this notification is true and correct e.Telephone Number f.Representing
_° to the best of his/her knowledge and belief. 25 STOREY AVENEU#256
o q.Address
�LL INEWBURYPORT, MA 61956
Z h.City/Town i.Zip Code
�
anf001ap.doc•10/02 Asbestos Notification Form•Page 3 of 3