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HomeMy WebLinkAbout0071 PLEASANT STREET - Health 71 PLEASA HYA A C of i TOXId 4ND HAZARDOUS MATERIALS REGISTRATION FORM 4 ' airew ��/Arroxywrtak� �� Mail To: NAME OF BUSINESS.. Board of Health MAILING ADDRE' S: 71 PLVA' Qtrf -r. RYMMY Town of Barnstable TELEPHONE NUMBER: her 77Y — ZY3: P.O. Box 534 CONTACT PERSON: �`� C��A. �-� ��� � I`0C�� Hyannis, MA 02601 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, in qua s totalling, at any time, more than 50 gallons liquid volume or 25 pounds dry weight? YES NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character tics and must be register - _ id Please put a check beside each product that you store: Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners Hydraulic fluid (including brake fluid) Disinfectants Motor oils/waste oils Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene #2 heating oil Pesticides (insecticides, herbicides, Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) (including bleach) ✓ Other products not listed which you feel may Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) /`�� Fb5' Other cleaning solvents 0--iWe",arC -VAL:r)mSh 4 oN L'a Bug and tar removers Household cleansers, oven cleaners White Copy- Health Department/ Canary Copy-Business TOXIC AND HAZARDOUS MATERIALS REGISTRATION FORM /, NAME OF BUSINESS: ��,4c!/ - ELLS Ferell-N Mail To: BUSINESS LOCATION: .S^/SI�t/e��iAi,e-i,v —5 `, � ./tit /`� y26o� Board of Health Town of Barnstable MAILING ADDRESS: P.O. Box 534 TELEPHONE NUMBER: 7 �S S�� Hyannis, MA 02601 CONTACT PERSON: /K1V0'Pj)0A)A EMERGENCY CONTACT TEL ONE NUMBER: IJI?- 7-. oS-- rn 00401 Does your firm store any of the toxic or hazardous materials listed below, either for sale or for your own use, YES _ NO This form must be returned to the Board of Health regardless of a yes or no answer. Use the enclosed envelope for your convenience. If.you answered YES above, please indicate if the materials are stored at a site other than your mailing address: ADDRESS: TELEPHONE: LIST OF TOXIC AND HAZARDOUS MATERIALS The Board of Health has determined that the following products exhibit toxic or hazardous character- istics and must be registered regardless of volume. Please estimate the quantity beside the product that you store: Quantity/Case Quantity/Case y 'G cam Antifreeze (for gasoline or coolant systems) Drain cleaners Automatic transmission fluid Toilet cleaners Engine and radiator flushes Cesspool cleaners —�8-�-� Hydraulic fluid (including brake fluid) Disinfectants Sr i Motor oils/waste oi_Is j MA- ,,Z Road Salt (Halite) Gasoline, Jet fuel Refrigerants Diesel fuel, kerosene, #2 heating oil Pesticides (insecticides, herbicides, 3o,&i _ Other petroleum products: grease, lubricants rodenticides) Degreasers for engines and metal Photochemicals (fixers and developers) Degreasers for driveways & garages Printing ink Battery acid (electrolyte) Wood preservatives (creosote) Rustproofers Swimming pool chlorine Car wash detergents Lye or caustic soda �_ Car waxes and polishes Jewelry cleaners Asphalt & roofing tar Leather dyes Paints, varnishes, stains, dyes Fertilizers (if stored outdoors) Paint & lacquer thinners PCB's Paint & varnish removers, deglossers Other chlorinated hydrocarbons, Paint brush cleaners (inc. carbon tetrachloride) Floor & furniture strippers Any other products with "Poison" labels Metal polishes (including chloroform, formaldehyde, Laundry soil & stain removers hydrochloric acid, other acids) " (including'bleach) Other products not listed which you feel may - Spot removers & cleaning fluids be toxic or hazardous (please list): (dry cleaners) Other cleaning solvents Bug and tar removers Household cleansers, oven cleaners White Copy- Health Department/ Canary Copy-Business JACK ELLIS FOREIGN AUTO REPAIR MQ 515 WEST MAIN STREET ;, HYANNIS, MA 02601 J 25 � " s w a 227 °4 sA�M�a BARNPTABLE COUNTY HEALTH AND ENVIRONMENTAL DEPARTMENT SUPERIOR COURT HOUSE 0 r' BARNSTABLE, MASSACHUSETTS 02630 J ° 31ASS ° PHONE: 362-2511 a EXT. 330 June 20 , 1991 LAB337 Paul Rothfeld CLINIC.340 Gosnold on Cape Cod P.O. Box CC Falmouth, MA 02540 ' Dear Mr. Rothfeld: On _ June_191 1991 _ all i1lsl�ecl: .ion w,-IS held at the. address >Jelow for the d.etect_ion of lead- Lased faint: . In accordance with t-lassachusetts General L.aw chapter 111 , Sec . 19U-199 , any .lead paitlt deLected i11 a r. nsidence where a child under six years of aye resides must be removed . Based on the inspection , Lhe following apply ! Lhe prentises are lead- free XX lead-based Ilai.nl was deLecLed , huwevr i- , it() c-hi. ldren wider six years of aye presenLly reside. . in Lhis dwelling lead-lased pailll: vas dr' I:f-ctL d i111(1 I`11,;,,ri it he'alLh hazard to Lite children res idilty L11131.'ei ll lead-lased painL was awl a two I l:ll hazard Lo children aLLending da} ��Ire/I�t esc haul therein inspecLiun required f. clr so If' (If 1`t f)j` 1 I }- inspecLion required for 1leumi L final itlspecLi.on viulaLiotls ituLe(I have been correcL-ed Location of Property uwller 71 Pleasant Street Dr. Gary & Ellen 'r_'ratt Hyannis, MA 02601 66 School Street f Hyannis, MA ,02601. Please collLacL Llii. s off i c.e shuulci IurLher inforlilation reyarding Lhis ma L ter . Commonwealth of Massachusetts Pg Of WwrownMentarl-De ortment CHILDHOOD LEAD POISONING METHOD USED ��- - - — iiPREVENTION PROGRAM Superior Court House 305 SOUTH ST., JAMAICA PLAIN, MA N N,a 2S Barnstia e, INSPECTION FORM Expiration date_&n_ 991 ----- - X-RAY Registration / A 130 N FLUORESCENCE Model X/': -_.. Serial NKOTIQW £ 3_n1ZCI�?�GNTt�rJ �'CN [l Address APT P L L A S NT 5 T R CIY N yAIJrJ 15 . ---_ .-... M A _..:. _.__. .._.__. LAST NAME OF CHILD ❑.° IJ.n' ------- --_... ---"-- ----__. FIRS NAME I MM DID vY Sr Parent Guardian's Last Name Parent/Guardian's First Name 1. DWELL - OWIIER OWNS TA I I I I I I I I I I I I I l 2 DAY CARE OCC 5 3 0111Fn SCHOOL H 0 OR N Ed Y OR r 1. SINGLE NO OI-RUOMS 2 4 APTS -77 INCLUDE BATHROOMS 3.5 OR MORE BUT NOT HALLS OWNER'S NAME: CjR. (, ,4F�Y T-QA tT ILEhJ S T_- OWNER'S ADDRESS: _- I rq 11 N;v,If S w A c,'. o —— ---14. 7 7 1. - 6 3�x') _y Book No. REMARKS: �{U.L' �y1dJ^ `) tti"ct�) Oo-)tILCICCCC Page Ir—'-- i Date recorded 1.VICTIM 4. REPAIR 7. OTHER INSP DAIiE_ T.PAR. REG. 5.VACANCY / -- VIOLATION 3. HIGH INC. 6.INSTITUTION dF6 I r-I`� � _ Y OR N 111 L ��Jl - NC C w tx_'E-N FLOOR ! __._ FLOOR l_._. ___ clA7pere L 2a5JOLs >r.rk 'tl f}ATHa) (?cOn1 QMn�,� I;cc•:n� ►,ITCMtaI L s 13 cc L aa-i elti+�rii� r }I M r 1 rt 7 �(� EM t- 16 I MA II 16 Z +► J er v %Tli Z t3nnF3 C s 1?m 17 A (STREET SIDE) PL-A.-;/1Nr. A (STREET SIDE) Pb MORE THAN 1.2 mg/cm 2 with x-ray fluorescence or positive with Na2S is ILLEGAL. INSP TOR REINSP.DATE t.IN COMPLIANCE. RERJSP DATE _ -- t IN CO'.9',.IANCE PEINSP DATE I IIICUrAPLIMICE 2.WORK IN PROGRESS 1 LYURY,RJ PnOf',nES> 11 I 7 WORK IN PROGRESS 3.NO WORK I —__�— 3 •JO N:ORK .�—I_ 7 N4 WORK REINSP.DATE 1.IN COMPLIANCE R_EIINNSr DATE --- —__, I It;CD"PIIANCE _ --R[IN$P DA1F-- -- t IN COMPLIANCE RJ PPOGn[S GRESS 2 5':OnK. s 3 NO WORK I I T 2 wueK IN PnnrnEss . _I 3 tJ'1 11 JRK 7 NO WOfIK 2.WORK IN PRO INSPECTOR Rb = lead cov - covered Neg = Negative scr = scraped Pos = Positive reli = replaced r• Commonwealth of Massachusetts Enyirapmenta{ DepartmentCHILDHOOD LEAD POISONING PREVENTION PROGRAM Superior Court House 305 South St., Jamaica Plain, MA 02130 Barnstable, MA 02630 "NSPEC`1ON FORM Registration r 3� l qDP9 �- of -- ADDRLSS Uh IN;PLCTION All f 7 --- F6 TORIJ, rF:s-I�L e,tY — ROOM # Comp Comp Comp Comp SIDE SOURCE Pb Loose Dote Method SIDE SOURCE Pb Loose Dete Method Upper Walls L, �L1�,� - bVindow Sill/Apron -00 -- - ---— p- Loiacec-1Alalls (Lo Window Casinq!.Header•'Stops Chi CLiaiL-raiL- l,�r) Window Sash/Mullions Ora , -}► Baseboard --- ���( Exterior Sill/Parting bead area Door t�Lool-k? N -pei- Window Sill/Apron - XN# Door Casing-Jamb 0.0 Window Casing/Header/Stops 03 Door y --- l��i Window Sash/Mullions -�- L Door Casing-Jamb -9� Exterior SilUPariing bead area rN_A A --- Door pip Exteriat r1ide Sashes O•S�f Door Casing-Jamb Closet b His Window Sill/Apron 2 0 Closet D or-Interior Window Casing/Header/Stops L L),0.. - Closet C sing Jamb- -- - - -- - Window Sash/Mullions- C.�_L Closet B seboards i ---- -- Exterior Sill/Parting bead areal Closet S relves Window Sill/Apron i„ --- A&D Floor -- -- -- �'y-v -- -- Window Casing/Header/Stops p1 'l) Ceiling �S/ Window Sash/Mullions ;j_ 4- Exterior Sill/Parting bead area 17NI, JrA6L.L: Window Sill Apron C Window Cas tg/Header/Stops L. L Window Sa l/Mullions + --- -- - --- - --- - ---- - - C. Exterior Sill/ arcing bead area ROOM A .3 Window Sill Apron _ Window Ca ing/Header/Stops /#f "':t FUpre, Walls Window S, ,!Mullions Lo.Ner-Wells- Exterior Sill'Parling bead area Chair rail-- Exterior Side Sashes Cy Baseboard - Closet-4Va115_ �t Door - Clese�t f)oor-Interior (' Deor Casing-Jamb Closct_Gasiny-Ji=b r Door - - Close.L_Baseboards - - Door Casing Jamb -- Glnset-St.teaves Door 48-r) Floor CC V Door Casinq Jamb /1 / Ceiling rJ - -- wind(w Sill/Apron—- -- -- --- PIAk. r``1ZS.- 0" Wind( v Casinq/Header/Stops Windt v Sash;Mullions Exteri r Sill!Partirtq bead area -- - -- -- -- --- -- Wind-ti•d Si!I!Apron-- ---- ------ ---- - -.--- ------- -- t:Vin_t _v Casing/Header/Stops - -- - - — -- OOM Wind w SashlMullions -— --- n _ Exteri r Sill/Parting bead area �•tx.� Upper Walls C',( Wind w Sill/Apron --- -- -- - - --- L-owei_Walls Wind ,v Casingi Header/Stops ---- V i'ldl Sash Mullions N 1-6 Baseboard _ ( 1 Fxtr•n� r sill.1'arYnq bead area Door .v S;!I Amon Door Casin Jamb Casing,Header/Stops - or -._.-- Win:!,r, Sash r Mullions Dr or Casing-Jamb FYI- rn Sill Fartinq bead area - - Dc or Exterior Si I Sir sh r,s --- Door Casing-Jamb Closet Walla -- - --- -- --- -- - ------ - - `----- Window Sill/Apron C.j C!(set Door lntrrior - --- -- Window Casing/Header/Stops O,j A clr �r"r Ca�inq Jamb A Window Sash/Mullions �.� j1 Cl(,<,,l Ila•(Iwarrl: -- Exterior Sill/Parting bead area I` j CL• et Shr tvrs �� Window Sill/Apron 0,1. C Window Casing/Header/Stops 09-4 /�r « Ce�!vq {r. C= Window Sash/Mullions 0A N Exterior Sill/Parting bead area d, �'_ _ .t_j�r_ %a.6 {._j'. ot,:1, — ---_ - Pb MORE THAN 1.2 mg/cm, with x-ray fluorescence or positive with Na1S is ILLEGAL. EMARKS N.P. No,- (.JW n Ir:..'.Vrr:tOn Ir-prrnon Dme r I 1. 17--1 - 1 1-- 1 'Barnstable� th and IIe �TO p� , ��� 'Commonwealth of Massachusetts nmenta epartm nt uperior Court House CHILDHOOD LEAD POISONING PREVENTION PROGRAM 305 South St., Jamaica Plain, MA 02130 Barrivable, Z S •INSPEC-i ION FORM Registrntlon I t'•.3� 4DP9 of AOOM!;S OF IN!;P[CIION AI.1 IF GIy ROOM # y Comp Comp-- -'-----------__.-- �--` ---- -- -.-_..----------- --Comp-- Cornp.—_ SIDE SOURCE Pb Loose Dore Method SIDE _ SOURCE Pb Loose Dote Method .J;Ipper.Walls 40cl a Window illiApron Lower Walls Window asing;Headev'Stops Chair rail Window ash/Mullions Baseboard. Q,4 Exterior ill/Parting bead area Door Window Sill/Apron Door Casing-Jamb " Windov. Casing/Header/Stops Door Windo Sash/Mullions Door Casing-Jamb Exterior Silt/Parting'bead area Door Exterior Side Sashes Door Casing-Jamb Close Walls Window Sill/Apron �Q,O Closc Door Interior - -- f� Window Casing/Header/Stops 6, Close Casing Jamb y� Window Sash/Mullions 0. Close Baseboards Exterior Sill/Parting bead area 4_ Close Shelves Window Sill/Apron f�'� 4 -�� Floor-----nit 1, Go -- �} Window Casing/Header Stops ASQ Ceiling Window Sash/Mullions ASCP SuPPOQr Cewrmrxts_ N•P �- Exterior Sill/Parting bead area ,Sj�� -N a DOOe &tq _-_ --- — Window Sill/Apron s f &4_ 0-3 - - 1) Window Casing/Header/Stop, 4 � — Window Sash/Mullions Exterior Sill/Parting bead area55 4-- ROOM # / Window Sill/ pron !� Window Casi ng/Header/Stops A U►mer-Walls Window Sast /Mullions lacrAf Lllalls Exterior•Sill/kting bead area etTS1f-TeiI Exterior Side Sashes Y {- — ABc Baseboard Closet ails Door ^J,P Closet oor-Interior g Door Casing-Jamb Closet :acing Jamb l)o - Closet aseboards D( ;r Cashrg Jamb Closet helves- ---_ Dr or -_-_.__ ----- - - - Floor CpQlt-j' D or Casing Jamb -- - -- ----sing---- - Ceiling Q• Window Sill/Apron pr,p — - -- - --- f� •a p Window Casing Header I�,Y FROOM'# \Vindow Sash/MullionsExterior SilliParting bead area YNWindowSill-'ApronWindow Casin /Header/StopsWindow Sash Mullion$' ---- ------ ---- — — -- ---- - Exterior Sill;F rung bead area A8c9 Upper Walls Window Sill,' pion Lower-Welts- Window Casi g/Iieader/Stops Ctt3trTaff JIn_low, Sas I,Wullions - — - -— ---- Baseboard PLASTIC N t Fxterim Sill irtinq bead area -- --- --- - - -- A Door Iv,p �':hn 1 ,.v Si /11rinn ,4 Door Casing-Jamb 03 1'Vindow C sing,Header/Stops Door fnM_ 14/4 - �%indovv ashlMullions Door Casing-Jamb o-3 Exterior ill Parting bead area IZ Door N P Extnrinr ide Sashes C• Door Casing-Jamb N•P C!oset 1` alls 8 Window Sill/Apron r4.P Closet L' or hitarior - - g Window Casing/Header/Stops f4.P Closet C Isinq Jamb g Window Sash/Mullions ,P Closet u'Iwarrls Exterior Sill/Parting bead area OC 4ptz Clcs,!t ,helves Windov Sill/Apron Fl cr - C A� Cot/ - - Windo Casing/Header/Stops Ceil;r,q O, Windo - Sash/Mullions Exteri Sill/Parting bead area - -- Pb MORE THAN 1.2 mg/cm2 with x-ray fluorescence or positive with Na2S is ILLEGAL. EMARKS IJ . �� " NUT- f ,l-f ry rr<p Cv V L_(-)L"I) . L_ - _�!-----_-- _ I, ursr .crop In perpon Dare Il;8&& &W6� alt and Commonwealth of Massachusetts Enviturnuenjui DepartrIllargHILDHOOD LEAD POISONING PREVENTION PROGRAM Superie, 305 South St., Jamaica Plain, MA 02130 A - •INSPECTION FORM ---larnstable,..a1t.AM _02-b r J LI I'Registration I 1,361 Pg._�_of__�-- ---- An DIII 1:S tlt INSP[CI ION - - All / I F�L LI ROOM # coy Cornp Comp Comp Cnrnp SIDE SOURCE Pb Loose care MetnOd SIDE SOURCE Pb Loose care Met I.od A Upper Walls Z.1 Window S I/Apron �•^� ^r,Ilo WindowC .sing/Header iStops C- Chair rail lNindow S sh Mullions Baseboard Rl/�('tC N - — Exterior Si I1Parting bead area Door -P Window ill/Apron Door Casing-Jamb Window' acing/Header/Stops — D or Window ash/Mullions - - — -- ---- - - - ----...—_—_ .. -- ---- —._._ .. ...... D or Casin—g-Jamb Exterior S II/Parting bead area D or Exterior S de Sashes D or Casing-Jamb Closet W Its Window Sill/Apron N,P -- Closet Dr t-Inlcrior ---- --- -- Window Casing/Header/Stops pi.P Closet Ca sing-Jamb Window Sash/Mullions N.P Closet Ba,eboards Exterior Sill/Parting bead area I'N Closet St Ives Window Sill Aron Fluor ! (.q — Window Casi g/Header/Stops A9- Ceiling — 0 0 Window Sast /Mullions Exterior Sill/ arting bead area Window Sill/6,pron Window Cas g/Header/Stops Window Sas /Mullions Exterior Sill/ arting bead area _ — ---_ ROOM # q Window Sill/ Aron Window Casng/Header/Stops �p UTTr.5rr Wall_ Window Sas /Mullions Lewe+-UL'alls, Exterior Sill/ arcing bead area G4aiLtait Exterior Sid Sashes pep Baseboard P,Astr c N ,a Closet Wall 4 Dcor i Closet Door Interior A• Door Casing-Jamb 0.2 Closet Casin t-Jamb g Door (j) N,P Closet Base oards -B Door Casing-Jamb(3) NIP — Closet Shelves C Door 1 fJ P door CAP-PUT caJ Cr Door Casing Jamb I N1P A134 Ceiling 3 A Window Sill/Apron P !} Window Casing/I leader/Stops(I N - - - -- A- Vvindow Sashi Mullions - A Exterior Sill/Parting bead area(r - D Window Sill/Apron — O Window Casing/Header/Stops(3 N.e oom a $ —p WinrlOW Sash/Mullions 3 N• Exterior-Sill/Parting bead area(-3 llppeLwalls 03 Window Si /Apron Lewes-waits Window C sing/Header/Stops C 4&K--raft- I ,.endow Sish;Mullions ----------- ------- - .Q� Baseboard kh: nc xtnrinr Sit Parting bead area -------- --------- Door N.P %'.�, +. -: S:I Alunn _..._.... .... -- -- - -- - — - - - - - - -- -- - - -- L' Door Casing-Jamb p 1`lindo : C;sing1 leader"Stops Door /uP %•Window S.sh/Mullions — -- - --- - U Door Casing-Jamb /U.P. Extrricr Sit Parting bead area DQQF - Fx!,rinr Sir,, Swdies Daasing Jan,b. Ck<<t 41-IIIs l� Window Sill/Apron N P Upr. t Dc or Irrt,!rior Window Casing/Header/Stops /,I ----- — -- Clos^t C-yinq Jamb- --I ---- --- ----- - — — - -- - ------ 6 Window Sash/Mullions• t Clos^t 13 .(!hoalds Exterior Sill/Parting bead area NAcci CI•yet SI ctves Window Sill/Apron Atio Poor C AIZPt i- co J Window asing/Header/Stops 4 Ceitinq Window ash/Mullions 46c Pojrs Exterior ill/Parting bead area Pb MORE THAN 1.2 mg/cm Z with x-ray fluorescence or positive with Na,S is ILLEGAL. EMARKS r,,�r ryfr,r, t Orr jb0NNt;9W&kqh nd Commonwealth of Massachusetts nvlronmenlal U r nent LEAD POISONING PREVENTION PROGRAM Superior Court House 305 South St., Jamaica Plain, MA 02130 arnsta le, MA 026S •INSPEC`OCIN FORM pg. _S of egistratlon.1 41,.3E:� - -- DVIIISS t11 IN:41't CI ION pr•I r 7 coy OOM # 10 Comp Con,P Corn[, Cnmp -SIDE SOURCE Pb Loose Date N1.1hod SIDE SOURCE Pb Loose Date Mett,oe Ak) Upper Walls L1� U 4nron-j Nfc jtftCD -- --- — L•ewerA<V$+Is Window C.sinq/HeaderrStops Cttxit-rai11�EA'r CL_6-:5 L. - - Window S1sh/Mullions --- --- -- --- -- -- - (iceO Baseboard ------- -- ------ ---- --- ----..----___ 0. Z Exterior Sit/Parting beat) area 4 Door (c) 3.O --- Window II/Akron -- — --.-- X Door Casing-Jan,bU •0 Window sing/Header/Stops Door 10 0 .i. - ----- Window Ish/Mullions - - - ---- Door C-psirtg- I—b(k I0.0 4- Exterior-Si I/Parting bead area C Door Q.Q _4 Exterior Si e Sashes C Door Casing-Jamb o.I — Closet Walls Window Sill/Apron (�_ v.Z t Clacd�c>erhHerior- - -- — --- 13 Window Casing/Header/Stops p o.,I Closet_Casing Jamb 1Cic1 i_ Window Sash/Mullions ,2 ,1 ( Closet Baseboards . (�. Exterior Sill/Parting bead area C �I, t-1- Closet Shelves {� Window Sill/Apron L e• A[x.0 Floor t10PE7-. LOv (� Window Casing/Header/Stops L (9 Arm Ceiling Window Sash/Mullions [, Ap FIC�T— (?b:ISrU ,A Exterior Sill/Parting bead area L Window Si•/Apron SA1I«- 'CC`_ r 5?IEt 10-0 -- Window Cz sing/Header/Stops �,-IAU. CI-V� - — Window S, h/Mullions_ _ 6 Si}tAL{ C:CdSCT_RASr_(� :J +" - Exterior Sill Par tiny bead area — --- f I aCCSUY t-[CCYZ L.L WindowRO Si /Apron 1 lL , Window C sing/Header/Stops :18 11pT,^r 4^Jail; Ct.O Window S sh/Mullions L ;ef�,tirl Exterior Sill!/Patting bead area Chnif rail Exterior Side Sashes Lirfk i0 ,o }/ Baseboard O-c Closet Walls 4 Closet Door-Interior 1610 D Door Casing-Jarnb Cx.6 Closet Casing-Jamb 0 p ,r Clr�e't�set�e�ls-• U r CasinqJarnb----- --- --- - A Closet Shelves I• - ---- D or -_- - --- -- - 4&1 Floor CAP_WT CcJ - D or Casing-Jamb -- — . Ceiling L Window Sill/Apron 1 3 ^�- CI Window CasingrHeader/Stops tC C ch r CCnWL C05i1\16�2 0'3 1•� Window Sash/Mullions c:lc�lh:`l�(Y,L£:i2o(L- /Nr" `j Exterior Sill/Partin( bead area 7Li, J. --�— Window S fli Apron -`�f —--- - — ---- 1^Jindow acing/Header/Stops ---_-_ --- --- - OOM # ' I Windowash,'Mullions _-- _- Exterior S II;Parting bead area Moll) tipper Walls 05 -- —1 Window ill_Apron--- — - — - A 9L(. L-o r—Wa'lis 1 \Vintlow acing;Headeri Stops C r r \ 'inClc:v .ash;Mullions — - -- — ----- - ik 1 Baseboard Iu.O Er.tC`rinr .itl Pawriq bead area ,a Door----- - 0.4 1Vh+c';1tiv Sill,Apron Door Casing-Jamb ) Window Casing r Header;Stops Door ' Z•3 + 1'/indv.v Sash/Mullions Door Casiny-Jamb(_ IU 10 4- Extcri(II , ill.Parting bead area ---- —--- --- _-- - - - Door ` ..r Door Casing-Jamb I�•Q Cloy_ Walls Window Sill/Apron 4 Cl Door Interior A . Window Casing/Header/Stops i0 c •-- Cloy„ facing Jamb Window Sash/Mullions l L Clesc Ba sc Iloarcls A Exterior Sill/Partin bead area - - _ �- C Shches n Window Sill/Apron — -- --- --, - --- -- — ----- ------- 5.15 4- 4- n)3U Floor c.r�l�l c r CL� Window Casing/Header/Stops IL o M1 11 Crifrly O Window Sash/Mullions ---- Exterior Sill/Parting bead area T 1Ct_" fifjLQ - Pb MORE THAN 1.2 mg/icm2 with x-ray fluorescence or positive with Na2S is ILLEGAL. EMARKS LAC;v- CO v'c rCLI) ----•— �CZ�_�<.-���'--L����' -- ItJS1�P - - hr prr.tnn r71r - tkyrudpmto and Commonwealth of Massachusetts EnvironmeflI"e�:ict+u� t CHILDHOOD LEAD POISONING PREVENTION PROGRAM Fa ior Court H�rsse 305 South St., Jamaica Plain, MA 02130 bte, MA Ulo io 'INSPECTION FORM 4 I r4/SPECTION Al ILt--t---] [ 1-IL/ 7 1 1&4��l __5' {',A7-1 r OY f�t r t 13 RANTF !CompCompomeCSOURCE Pb Loose oat' Method SIDE SOURCE Pb Loose Uere 'm: d r Walls O.3 { J) Utn+er WallsrVL rsve,-a11La1L^-rail ie) Baseboard -- 10-o --- ---- - ���� Bnsr.boarrl 3 - - --- --.. IG 0 j- p Door Door LI,.C 4- Door Casing—Jamb N n Door Casirnl Janlh (Oo. f- Door Casing-Jamb O �_ t' vsmr3-4omb _ Door - (L Window Sill/Apron (� y 4- Door Casing-Jamb (L Vvindow Casirlgilicader/Stops IOU •+- to L %Nindow Sashimullions ��j g-Jamb -L- Exterior Sill/Parting bead area 7 4- C Exterior Side Sashes g-Jamb Upper Cabinets Upp^rCaincWalls g-Jamb —_ - _ 'Upper Cab61e s Shelves -- Window Sill/Apron Lo,.tier Cabinc s Window Casing, Header/Stops Lower Cabin s Walls Window Sash/Mullions Lov,•er Cabinc is Shelves Exterior ill/Parting bead area Shaves Window ill/Apron Drar:ers -- - - - --------------- ------- --- --- - -- - - - -- - - - - Window 'asing(Heoder/Stops lom -, I LIZ CO✓ Window ash/Mullions q{3i!) Ct•illr,g L.2 Exterior ill/P C arting bead area uJ 7LL IIY) L. .j ---- - — - --3 - r -—-- Window ill/Apron —- --- - - - - Q._. CQtNt rl 'd.J __-- -- {QZ - Window asing,'Header/Stops _ — _ _(3- _--- Window ash/Mullions 1)1 ETA L.. Exterior E ill/Parting bead area _ Exterior E ide Sashes BATHROOM Upper Ca)inets Upper Ca Meets Wall A&C, Urrer Walls - Upper Ca)inets Shelves Loret-Walls Lower C. )inlets Ct4ir-rail- --- ---- Lower C binets Walls (")LASTIC QJ{) 41)Lt Baseboard - ------ - --- ----- _..--- Lower C binets Shelves Door --- — — - ---- - - ._—_. FL- Shelves .. - -- - Door Casing Jamb - -- S --- - -- -_ _ - Drawers n Door Closet ills 1) Door Casino Jamb (Z) 1,4 Closet L or Interior �) V%inrlow Sill•'A Iron ) t I) Closet sing-Jamb (� V:lmdow Casuly;Header/•Stops(2) (v /� -- -- --------- --— -- -- — -- ---= - - - -- - - --- Closet aseboanls (� Vdindow Sash r Mullions (Z� �. Closet helves Exterior Sill:Parting bead arealf cc rip Floor <<?� - CCv 1 E)o,,!ior Sid„ Sashes v Ar.l) -------- Ceiling O. I U I„•r t hotels lr __._ +! rum, . . �r„�•.7-'>�..�_ . 1<3 - 1 Lr CI (, Ibnlels Shelves SII,I es Cloc^t 1' ell; Closet D ,nr hlterir)r Clo-,t B choarrls ------ - qhO fleet III-L LC" Pb MORE THAN 1.2 mg/cm, with x-ray fluorescence or positive with Na,S is ILLEGAL. EMARKS // xz _.._ IrL.r I r,t,,n r 1f'f RSLA%5 �It and Commonwealth of Massachusetts �nvlronlnent�a�Depart ant CHILDHOOD LEAD POISONING PREVENTION PROGRAM SUParinr Court tjousa 305 South St., Jamaica Plain, MA 02130 gernStable''i MA 026 0 'INSPEC-iION FORM Registration I 11 j->6' I pg I-�- of ADDIII'!;S Or INSPI CA ION Ar'I / , cay ROOM # Iq m Co Co SIDE SOURCE Pb Loose Comp Coet Dete Mhodp SIDE SOURCE Pb Loose Ds'r,nP Methmpod Upper Walls U.0 Wing-- -"Pten Lower a41aUs VVr V� Cusmg,HeadmiStops Glaair-Fail --- V'o'irrrltsw S;rslT7ielvffic�ns ^('j Baseboard CLq5TIC E­0e+ier- dH+imrtirrg-head area C Door N 1� - Window iAlApron C Door Casing-Jamb Window C-asingIHeader(Stops Door Wtndul SmilMollions (� Door Casing-Jamb AtExterior Siif/Parting-bead area Exterior Side Sashes D sing lamb Cloaei lls- Window Sill/Apron Cioset oot-Interior (� Window Casing/Header/Stops PC ib Window Sash/Mullions Nr ElQmg- eseboards-- Exterior Sill/Parting bead area WindSW-S II/Aproon - -- Floor - - -��'jl�j - -_ AAA --..-._._ _._. _--_ C'0 r' Window-C sing!-Headcr.lStops I/� Ceiling fit, j Winde shYMlullions Exterior-Si VParting-bead area Window IN-Apwn Window- ingLHeader/Stops Winclo. astiLbAulligns Exterior ll/PauinghQad area ROOM I(� Window- ill/•Apron Window- -esingf Head er/Stops Upp^-r Walls Window ash-11VIt71Gahs t pi%Lc ,Vail& Extataor iIN-Parting-bead area Chair rail __ 1 Exterior Side Sashes (, N Das^boani .— Closet Vlalls C Door ) Closet oor-Interior R_ Door Casing-Jamb Closet asing-Jamb t-_ Closet aseboards Dcx. cu" Closet helves ---- -_-- ---- ----- - -- n Floor _ C AP PE 1_ -ICi^f- -- - ---- -�'--- Cl Ceiling - - U - Window Sill/Apron - Window Casrrrgi leader/Stops 4Vindmv Sash/Mullions ) Exterior Sill/Parting bead area de✓ `'Vi1K1t1 'St14:.Q{�iLL. __ ----_- --- - ---_- I:Yi:4e -6ar44q1ticader/Stops - --- ROOM a sa.011MU1ions _ Exterior- SAIJ.Parling bead area !� .n U11 r Walls Q L bVjr7do� Sill/Apron Le r-Walls �';indar .Casing/.Header/Stops Chan-rail \'yrinJo� S�sIr.1VIIrl4ons r " Baseboard ExtNrir.r $illiPartinA•bead area f j Door N. -� l'o;rr fo S;N-Arrorr Door Casing-Jamb N.fl —�- --- y^� c,dn -EAgi.,g-kleader/Stops- -- - --�- D F-- - -- bV4--r1 sli7 fntfions Do t'"Casiriy_Jamb area Dorr---- � '-`ofH) Ext"fint Sirlc Sashes --- ----------- — - — -- ----_ - -- ©.o r Casiitg•Jamb Closel Walls Window Sill/Apron (�/.(t _ ClcscI Door Interior 11 Window Casing/Header/Stops 1f.O Closet Casing Jamb Window Sash/Mullions /� fr — -- Closet t3aschoards-- -- -- (� Exterior Sill/Parting bead area (10/ Closet babes uVrnde'�S'lNApr°n IlJ�cl Floor- -- ----CfirC'OGT_. CUi,' - WiFd sirrg7tleader7Stops 11 Cciling �1 Windo 9s1-17Muilions Exterib'SiIIIParting bead area -------------- Pb MORE THAN 1.2 mg/cm, with x-ray fluorescence or positive with Na2S is ILLEGAL. REMARKS Nf) w, ,r /�'l /V u�f r'tC rDR In..r,rcnrn nnr. Ieac'� � 9l� � th and Commonwealth of Massachusetts tnvlronmentai Papadm ntCHILDHOOD LEAD POISONING PREVENTION PROGRAM Superior Court house 305 South St., Jamaica Plain, MA 02130 Barnstable, MA 0263 •INSPEC-PION FORM Registration r Al 3 _ P9. of AnIrHI;iS 01 INSrI CI ION City ROOM # 17 SIDE SOURCE Pb Loose osie° Me hod SIDE SOURCE Pb Loose r"° Con p Dsrs Mllhod .4 ,.. User Walls Q.J --...---- - ----------. L�wt�rbhla44s- VWZ+f4 ------ead Slops VY7777 - ----- Ikons - -- Baseboard Pt_A,3 I .P E 4+9-boad area '1 Door N P o'V 1 n C Door Casing-Jamb N P W" t}fec+deastops Door t. ---- VYindu - -ee+rtMtmlbns -- -- — — Door Casing-Jamb E>tteaes area 4Diet Exterior Side Sashes I L- Lptir I A o►-CE+sirag lamb Closet Nails AA Window Sill/Apron Closet vor-Interior Window Casing/Header/Stops 14 P Closet acing Jarnh Window Sash/Mullions N P Closet 3aseboards Exterior Sill/Parting bead area CC✓ Closet helves Window 4l4.p= I Floor --- ) CIO✓ _ Window asing/Header4Stops Ceiling Window 3ashlMullims Exterior- i1N-Pa"ing-bwd area Nindow Si"pwn -- Windew Ees4n94F4eadeUS Lops ----- Winde ashMUttlons _ Exterior 'I14-Pefti"4)ead area ROOM 19 Windo Sill/Apron Windo -Gasing-"oadeEJ_Stops Ut 1J Walls Windo htb}vllions L�war--4'Ualls - Extw-ior illfParting-bead areaExterior Side,Side Sashes VINYL- COO {j�� Baseboard CC✓ Close Walls Uoor--- - --- N P Closet Door-Interior �� Door Casing-Jamb N 4) Close Casing-Jamb4an CIoS -Baseboards 0 r-Gasi,.lg Janlb — Clos -Shelves - Floor — C nQpjS r (;6-V D sinq Jamb Ceiling ------- �� — — Window Sill/Apron--- - Id P A1j11�Lt _ 0•v Window Casing/Header/Stops N P — -- - - — — —� Window Sash/Mullions ---/\/— - - 3 Exterior Sill/Parting bead area 06t/ Window ill/Apron e/ -- \Window ising/I leader/S tops — - ROOM a J lVindo.v ash/Mullions Exterior S II/Parting bead area Q�'Z!') 1dMMs:Walls vc Window IliApron Lower-Walls \Vnldow asing,Header/Stops CJ,ai�rail I\'spin o.v ash"Mullions ---- - ,4&D Baseboard 0L0 iVI N { Frterior +ill;Partinq bead area Door ry lV ndow Sill/Almon Door Casing-Jamb (J Window CasingJleader/Stops Do r \V 11dov✓ Sash/Mullions D r'Casing-Jamb Exte•ior Sill:Parting bead area DO r Exterior Sid,! Sashes— — - -- ----- Do Dr Casing-Jamb cic•cl Walls Window Sill/Apron --- N.� -- Clrs^t Door Interior — - -- --[.Window Window Casing/Header/Stops N — _ -- _ C16rnt Casing Jamb Sash/Mullions — Closet 13asehnards Exterior Sill/Parting bead area CLIP Closet Shelves Window Sill/Apron �' FlcorWindow Casing/Header/Stops Tku CeilingWindow Sash/Mullions Exterior Sill/Parting bead area roti/ Pb MORE THAN 1.2 mg/cm 2 with x-ray fluorescence or positive with Na2S is ILLEGAL. EMARKSN. ? (Jvl INSPECTOR Inc°ect'on Dale Ir4��Al �tkal h and Commonwealth of Massachusetts eONILDHOOD LEAD POISONING PREVENTION PROGRAM Supirior Court Ham., a 305 South St., Jamaica Plain, MA 02130 _— Barnstable, MA (}1 so •INSPEC i ION FORM 1 i36 Pg. of y ADDIUSS(11 INt1141'IInN AI't / City ROOM a 2.® Conn cnn,n Conn comp SIDE SOURCE Pb Loose Dete Method SIDE SOURCE Pb Loose Dote Method ABU) Upper Walls Q, it) ow ill/Apron Lewer-Walls Wirxlow ring/Header"Stops f Flair rail 1Niri?1t3v7`S "sTi�n�lulli`oii§"' Baseboard PLASTIC rq P Exterior-Si /Parting-bead area Door Wu1Jow 6111Anrrm Door Casing-Jamb Nn Window-E ingy-Headerffitops CZo Wiraduw_ asMMul�fTS"' - Qo esirtg�amb ERte++e IirPaHing-bead area I3e - Exterior Aide Sashes V1 tlx L_ Co✓ uo6,ea-vi Clga eN, Window Sill/Apron —_- I� — CIwir-lntctier-- Window Casing/Header/Stops Clsing-Jamb 13 Window Sash/Mullions Closet- rsut7oards Exterior Sill/Parting bead area Close selves Window Si /Apron _,4&)Floor --�Ak'�L r CIV Window C.sing/Header/Stops Ceiling Window S sh/Mullions Exterior Sil/Parting bead area Window S II/Apron Window sing/Header/Stops Window ash/Mullions Exterior ill/Parting bead area ----- --.. R199M-#— Window Pill/Apron Window Casing/Header/Stops Upper Walls Window Sash/Mullions Lover Walls Exterior` ill/Parting bead area Chair rail Exterior Side Sashes. V t Ny L_ 1,N Baseboard Closet ails Dcor Closet I oor-Interior Door Casing- amb Closet asing-Jamb Door Closet seboards Door Casing Jamb Closet S selves Door Floor /r? (Y}✓� Door Casing Jamb ( Coiling. O. Winslow Sill Apron'— -- -- --- — (-4 / _S --- 6 _ --- Window Ca ing/Header/Stops - - Window Sa h/Mullions Exterior Sill Parting bead area --- Window Si I/Apron Window C sing/I leader/Stops Window S sh/Mullions ROOM. a -- --- Exterior S I/Parting bead area Upper Walls Q.,3 Window ill/Apron E•Bwer-Walls- 1.Vindow acing/Header/Stops Cheir-rail• 1,' inflow ashiMullions �. Baseboard— ♦7L(� _lam— N - - 2_xtrrior ill/Parting bead area --- (3 Door N — - - Windov. Sill/Apron - - — Door Casing-Jamb N Windo%v Casing,,Header/Stops i3e r Windov SashiMullions Do r-C-asing-Jamb Exterior Sill;Parting bead area •l10 [. -- - ---- ----- Exlerinr Sid.. Sashes-- - - --- --- ----- -- Do r-Casing-Jamb _ Closet 'ally 6 Window Sill/Apron Closet oor-InteriorT Window Casing/Header/Stops Closet asing Jamb— — Window Sash/Mullions + ) Closet Basehoards Exterior Sill/Parting bead area &V Close Shelves Winde 117Apron Floor ---'-_------- -- - — Wihdoar sing/Header/Stops — --� Ceilir —_— Window- ash/Mulli_ons ExteriO-S 117riirting bead area Pb MORE THAN 1.2 mg/Cm 2 with x-ray fluorescence or positive with Na2S is ILLEGAL. E M A R K S / n er i sr'ECTOR Ir•.pccl,nn Date UJPMI`Pb4I1,C=Wgft h a►,d Commonwealth of Massachusetts nvironn*ntQj_DeW )W,HILDHOOD LEAD POISONING PREVENTION PROGRAM SUpe10r Ct�urt ri.'.., 305 South St., Jamaica Plain, MA 02130 ��trn�teble, IoIA �0 'INSPECTION FORM legistration l i3�( Iq DDIII SS 111 INSI'tC IION Lr'1 1 -7111' I PI L I I A I [41NI' 1 1 d I I I 1 I f 1 1 1 1 1 i�yar�r�1 r ily TALL�{ HALL '42 C,,,,,p SIDE SOURCE Pb Loose unto nn,•,I,,,,r SIDE SOURCE Pb Loose It3[ b{itmr--rWalls G. / I��Walls U. Lower Walls L•nccer-W"i s Chair rail =-- Lf3 Baseboard G" 1�6cn Baseboard 1 `nit,C. N n - ------ ---- - '- - Door—(_ I L Door - U C - Door Casing-Jamb t,1 C Doo• C-Tning Janrb Door �'q�( tt! Door Q Door Casing-Jamb T ��, Door Casing Jamb N Door - P' Crl: _ r> Dour N - - -----.._ --- S Dour Casing-Jamb Dour tj Door C-esing-Jamb Dour Casing Jamb Window III/Apron VUaulavv�iN Af» Window.C singi Header/Stops \V44,Ao v-4Easinc{rHeadet/Stops j - - -' --- — -- - -- -- -- -- ----- - -- - -- _ .._. - - -- ' - -------- - - Window S sh/Mullions 4Viudnsv_Saslr�Mullions Exterior Sil Palling bead area Extra"ate-SiILP.aFNNg bead area Exterior Sic Sash Exuci�c Sec4eflash Closet Wall ffn-.>t�Lall� Closet Doo Interior Qu_%et_U4)O0nteriur Closet Casi g-Jamb Gk t E atirctq-,lamb Closet Base)oards - - GtU1e1 8aselxTards - -F =loor �� flj.Cl) Iluny� t_ .._.....-'------.eiling 0-Q �(j(> (:ed nq 7 AIRCASE -a�-- ( STAIRCASEZ `> I.4yper Walls. (�,r} Q�y 1 l}{+�o«-watts 0.Z Lower-►/dnNs , �l.e�.er•-V�;Ttts i P- Wall Casing ��qr t Ter. C) 4JtTiFPrtTtq �4tRir-rail Cilaa�r-rrtit Treads _ . _.....C��«cJ 6`L - A heads N.P ------- - Risers C c,tcJ A&P Ris,.'ls N-P to Irt�+r N p Handrlils +f/ /q r& Harn.ha Iti (V F3aftfstttr4-—--=�_" [341++4t�+ts NAWe�dStS�•='=--- I:�+w�l-�tf51 Stringer iOO -}- q�aStrnul,tr N.'P �i3S6 A�(j a „bo;lyds N'P W�ndeuu_Sill/.Apron= D iJi,„llr:v Sill.Apron rj.P Wficfow Gasiugr_HeadertStops p V-"' rlow Casing;Headev Stops .. WI�Y}L17P'�1�T5}t•�I(1111111�7IS— l - {/ '.':'�n�lrnv `�a•.IrMulhnn�; .�r� Exlerior-SiINParting bead"area E ad area Exterior-Side-Sash'- Exterior Sider Sash .Doc r p Do r Casing Jarnb J Duerr C,+sinq Jarnh N Do r Dp r.Casing-Jamb -- --- L �r 6asf+Ig Jamb Get inq — ----- ` - A-&►7 UPPrE2 taANP Qfl,L- U•6 Pb MORE THAN 1.2 mg/cm 2 with x-ray fluorescence or positive with Na;S is ILLEGAL. MARKS. A ' P_ f\ki �(� 5r cTprl �arnstable Count H It and * PECTOR/�f ` Commonwealth of Massachusetts Invironmen a upartm 3nt Hoar CHILDHOOD LEAD POISONING PREVENTION PROGRAM Suporjor Court ' 305 South St., Jamaica Plain, MA 02130 ernstablef�� 0 'INSPECTION FORM • 6 pg-1of 14 —- -- ----- - --- - - ---- -- - --- ------- Registration p 415 /3 ------------------------ -._... _.. ____ - _..._ ADO111 SS Of INSPECTION GI't I: 7 I Is[ LN1T- I h IJ�I IL�� le Ir I I I I I I I ��y�NN� � f]ly HALL # _3 HALL - c„,,,, c,,,,,,, c,,,,,P SIDE SOURCE Pb Loose mlt« nn�mn,, SIDE SOURCE Pb Loose t),,,n APfXUt)twr Walls �S!P 0.3 w upper Walls CIO J`� _ .- A- - L-P��!I--Wflll9'� ,4 Baseboard PL�$rIC A//� /�/�(� B;ISPI,oard — -<- -- I Q -� --'—-. ----- _1_ ._.__. ... --- - --. .. pp U -- -- -.. �-- Door �.)------- N"P-- --— --- ---- - u.. Door ...-- ---- --- !� cr .- -- ..--- — - A Door Casing Jamb (2 rv.P 13 Door Casing Jamb - g Door ►'►1ETA L — I.O _ ._ Door /.3 Door Casing-Jamb O-Z 4 Door Casing-Jamb 1©•U Door -- N:P —--- ` Door ----- c Door Casing-Jamb Q, - —— L Door Casing-Jamb Door (3)— — N P --- — —--- —Q Door --- - - --- ` - 0 Door Casing-Jamb (3) �� �- Door Casing Jamb Window ill/Apran window ill/Apron Window!Casing/Header/Stops Window asing,Header/Stops Window Sash/Mullions Window ash/Mullions Exterior ill/Parting bead area Exterior illiParting bead area Exterior 3ide Sash Exterior ide Sash Closet V alls Clo''.4t Ills Closet E for Interior Cl(,•;gt I) lot Interior Closet C isiog-jamb Closet C sing Jamb Closet E jseboarcls Closet B seboards Closet Spelves Closet S lelves A&V floor.....---- T_tLEJC'0QPI_=r -(10V. -- 411U) f 11,nr CACTI.t- CUV 'D Ceiling ©, '480 Ceiling o-3 4- E ,a 1 L 05 S-TA44CASUE ' u ► wins 0-1Uplvx aus ---,_-- L-i acuuaElS Lo,:er ans WBEI 6esing Wall Ca ing CJ�air rail Chair ra TrP Trls Treads P1spfs Risrrs - R81lN3Cl..(.:Ip Railing .;III Haudwils Hands S Batus"s Balust! s Newet-Rosts 'osts StLinger Slriny' - Baseboards 1gS1_1c Baseho uds Windorfl, Sill/Apron Vvindn : Sill;Apron WindrrSide'Sash sing/Header/Stops I%'dodo Casinyi Header Stops Windsh/Mullions l'Jindm.' Sash:Mullions -.._ -------- -----ExteriParting bead area Exl!riot Sill/Parting bead area Exteri Exterior Side Sash -------- ----- IV P A Door -- - - ---- --- Door A Door Casing-Jamb(I Af Door C;silly Jamb AL Door W_ Door Door Casing-Jamb (,I) Door C; ing Jamb jj&jl� Ceiling Q.(j Ce,ifinq 1t2 -------_ -0 --- Q 04,51 Nb/ A 0413 i b Q 11-ce (crNfQ) (z) /V.I' _ - ()cCk, Cn5tN6/J.41-8 (0- N.a Pb MORE THAN 1.2 mg/cm, with x-ray fluorescence or positive with Na,S is ILLEGAL. N�') COLIL�12FIJ _'i 1-az�L_ - INSPE.I OR In S,Y;L1On Dale INtr /�C ' Y�� Commonwealth of Massachusetts vlronmentuI�ILDHOOD LEAD POISONING PREVENTION PROGRAM Superior Court ri.. err 305 South St., Jamaica Plain, MA 02130 arystab4e, Iv1f{ 'INSPECTION FORM qpg_ (Z of 1� Registration / 3 b( ----- - ---- -- - - -- _ AnDRISS Or INS111:110N Al / 514-[N1;1 -1=51r1-1: 1��-- 1- Cnr KITCHEN PAW-R'ti'l7 Qr�+ SIDE SOURCE Pb Loose Seie° comp SIDE — SOURCE Pb Loose Deis° M•tl!„d A Bc ter Walls Q.,S _!dG E�V7. _ gel C�.nir-rail Baseboard A,45Yi C N/1 - ----- A.r),l:f-) Baseboard PL,1-�F IC - N --- C Door - N.P - ----- l._. Dnor 1_ r. .�. 4- G Door Casing-Jamb rl.P Dnor Casiny Jamb C_ Door(Scjej N Door Casing-Jamb /�J,P Dr�e�r-Eas_J am Q Door N•P Window Sill/Apron--- -- ,� Dool Casing-Jamb %Yindow Casing/Header/Stops C -- - - Doo Vhndow Sash/Mullions Doo Casing-Jamb Ext?,ior-Silf:;Par.ting bead area DO - - -- -- Exterior Side Sashes---- -- --- ----- ---- Do Casing Jarnb - - -- - � P Unl cr Cabinets ---- Do -- Do r Casiny-Jamb - U ._ ,eis_ elves Window Sill/Apron - - o.y - - -- - Aj3o LoA'er Cabinets - ---' -- N. L�_ - - --- --- - - Window Casing Header/Stops mo 4- Low"'r C inels Walls Window Sash/Mullions Lor:•r ( !hinets Shelvcs Exterior Sill/Parting bead area Shrlvr Window Sill Apron Drav,e -- Window Ca Header/Stops ---- A&� Ftnor �AQPeI: Window Sa h/Mullions Ct ding Exterior Sill/larting bead area ♦7 tI -_AT` Window Sill Apron Window Ca ng,'Header/Stops Window Sa /Mullions Exterior Sill/ arcing bead area yyMS _Sashes BATHROOM 2 13 � TQr cAL1 Exterior Side Upper Ca , ets -- -- _ ----- ----- ----._-- ----- Upper Cabir is Wall A6cp Upper Walls e� t/ ----- -----3— - - Upper Cabir ets Shelves _ --_ - --- Lower Cabir ets Lower Cabil ets Walls O Baseboard L s 3lite Lower Cabii ets Shelves -® Uoor P_ Shelves - �- Door Casing JamhJ_4ne_3) n}.P Drawers Door Closet Wall• Door casing J.11111> Closet Doo Interior A/ Window Sill,'Ap!on Closet Casl ty Jamb A g Vhmlow Ca;u1y/Header/',1ow4 Y, N,P _... _.._ Closet B rSr boardsg l"/ndnw S;r>h/Mulliuns�,3 /2 4.p Closet She es / Exv ric;r SiII Par tiny bead a Q.� Q --- -'- - - '- ------ -- Floor F.t"rit,f Sid(, Sashes Ceiling - Q'�_ Upt,"r Cabinets - t ' r Cafe r`ts Cali ets Shelves - -- -- - -- — --� i Shrlvnc CIosct %Nan s LJINM4)s�il/arm - Clt,s"t Dqn Interior - (:I,)sel Casi ,g Jamb P Closet Base boards CI rs^t Shrl t,s -- ------ -- _ Cellmg (7 Pb MORE THAN 1.2 mg/Cm2 with x-ray fluorescence or positive with Na,S is ILLEGAL. EMARKS N. 0T' OAtNrao _ In.r,.ban U:n•• l - InI � � � VlrOnmen taBarnstable C�nii�yrr��u th and INSF GT D' "*:t [vCY Commonwealth of Massachusetts l t3�ipr Iliirlf CHILDHOOD LEAD POISONING PREVENTION PROGRAM uperior CotJrl r1u ,c 305 South St., Jamaica Plain, MA 02130 yertl-ftbTe, (y►/�t �►� �j0 'INSPECTION FORM 1.3 of- Registration I A 13 0 - - - -qP9 --- --- Anttlll!>S 01 IN:X1 CI II,N Ar•I 1 I -7I 11 1 PI IEI-1 ISIAINITI Isl-r-I I I I I I I I I 1 .I �(yAr�Nts r�ry E XT E R I O,R GPI` Comp C.-P CoroP Comp SIDE SOURCE Pb Loose Dole Method SIDE SOURCE Pb Loose Dote Method Sitting -f3A(k .5HFD SEAT -I- AOD Skirt ✓rW_ ?CC nUN� -- o. - --- -- -- ---- Skin+ AB AN Cornerboards Q.c] --- - (� Door — - (3 Door u Z Door Casing/Jamb g Door Casing/Jamb *Z C.5 Threshold M -r —_-- _ - Threshold-ti•,L rn�T�t_ CCJ- -- _— ft Door it Door o 3 — Door Casing/Jamb 4I 0.a 3 Door Casing/Jamb rt t 0 1 Threshold y4 L rnCrAt_ �L -- -__. (� t t,reahuld er j v-0-C Window Sill z NEtZ-Scct 5. ^- Window Sill I_ SS l ) f y — — — --- ——- —g- ----- -- - --( -- -- ----- —_ A Window Casing tz) „ s.5. Window Casing(l_'I) 5� - Window Sash/Mullions(2) " r,,, 'OV Window Sash/Mullions(t-a Nr l0✓ Window Sill(,) SaI I 4- Q Window Sill u b 10.0 4- Window Casing(1) Q, — Window Casing;A.5 Window Sash/MullionsO 't O,Q — - Window Sash/Mullions*5 10 0 _4- — Window Sill(z) uLn 5ECt j 2.5 J-_ - - f� Window Sill 4f-C --- �•Z- 4•- — Window Casing(z) 1' 10.0 + Window Casing" �. -4 — -- Window Sash/Mullions(z)0 z Window Sash/Mullions "(, . 1, Fj 4 -- - ----- -------------- -- ----- A Window Sill(3) CcD S<Lr I,$ Winclow.Sill 3r•7-- 4� ----- -- - -- Window Casin '' 4 b bVfoiclow Casing '+7 4- Window. Sash/Mullion -� „ - y + ---- Window Sash/Mullions•a Ia4� 5sgRu Upper Trim T _ - ----- �� Upper Trim Ot D 5ta`T IQ. {-. Cellar Widow Units , I 4- Cellar indow Units C®omits Cellar \ indow Units CallaL_Y_indowt-Units Cr.11ar indow Units CeNer-�Lin�o+er Units Cr llar b indow Units Bti{k-head- -- -- - --- - (3dfl-heil--------- --- - -- - - - - - - --- --------- Fences - - Fuses �} ----Foundation N k+W44ation —(� - ------ - ---- -- — --- --- — ---- - — -_ - -- Ob SNJ qTF S NFLu :5cLT ('IAsr 114 - f,1 -C pp - -- --- 010._ 'A TEr2 10.0 -.1,_ -- C2QNI::jQ[l_9 0-#1-- -I_c1 4 - -- --- --- --- -_Q W-„rTxlu 5:aiN n>�ulc►�" 1.3 4- C Itt- —5-5 4"_ — — - — — (3c _ Ce112r14-1iRBOnka_!5 4- - -——--- - (V1�(k� -SASy.�► lxUSi(1L �__.. .v-�. 4 —- - �-— `�'-� '1�aA�'Q—'rJ- -�=� — -- - L— .lt��rvl�w..��c_ ..Z I.�f ^F -- -- --- C() --C-"2NEaftj()CQ '*Z--0 5 4=— ---- — - — CnSni_6�- -�17-- - - - - ---- A -1' Z L _..Lu'_„�QcS-as�1t� �►tZ- _c)..3 n _ jQ( L4 ) - -- — - ---- ------- --- — — Au ,torn 6, 4- — —�'- t'_`1 l_TA 0k -SH15-b --- -- Pb MORE THAN 1.2 mg/cm2 with x-ray fluorescence Or positive with Na2S is ILLEGAL. I REMARKS Ijv01'S E" l,JINIXx= -i2.(Ye) QI6HT• 7Z7 LErl- -- • 'Cce'Nt121�i�2115 � � NOT II rECTOR I�H"�6$i©v�lQIIFPSlVli;:r ,. Commonwealth of Massachusetts — nViMnVr iur �N�! ,ro c,ICHILDHOOD LEAD POISONING PREVENTION PROGRAM 305 South St., Jamaica Plain, MA 02130 'INSPECTION FORM Sarn abbe. �d ,.1 (/ A qDpgofj�L— Registration I A 136 Annlll St:I11 IWO-I 1'nl1N AI'I 1 -7111 1 1L_ IC- IAIS10IN1 1 Is1�. 1 I I I I I I I I 1 -lyA+vwls • r pry EXTERIOR GARAGE SIDE SOURCE Pb Loose oeie° Meth d SIDE SOURCE Pb Loose Date° Mihod - Si ng-- -- Sidi-9-- -- ---- -- Dri board Drip oard Ski Skirt Cor erboards Corr rboards Door ii 1 1.0 D Door cpp&p rnergt_ 1.0 L' Door Casing/Jamb i!1 p,0, D Door Casing/Jamb o-Q C Threshold st I MrTAL (LNG - p Threshold-- - ErA L (_Cu --- Door _Q - 1 Door LcLz)el_—_1L N-� — C:. Door Casing/Jamb Ak Z Door Casing/Jamb C Threshold_►!7 - Z 4- - Threshold- 04erAL _ Cep✓.. — Window Sill 41 `} Windo\ Sill Q Window Casing - (�,Q - Wir)(10%I Casing- - --- Window Sash/Mul1ion5K I p Windo Sash/Mullions --� Window Sill S.5 4- - -- - - -- Windo Sill -- --- - --- p Window Casing tt?-- o-5 -_ Windo -Casing--- -- - --- D Window Sash/Mullions f�Z— I.Z 4- --- -Windo v Sash/Mullions — Window Sill 40.0 Windo v Sill n Window Casing C 4- Wind')v Casing Window Sash/Mullions 4+3 �- - - Windo v Sash/Mullions -- Window Sill(4-7) VIN L COV Wind v Sill - - (� Window Casin� NLL - COV, -- --- -------- -- Wind v Casing - - ---- --- Window Sash/Mullion ± I' COS Wind v Sash/Mullions Uppei Trim - -- Upper Trim _- Cellar Wi.,dow Units Cellar Ninclow Units Cellar Window Units Cellar Window Units _ Cellar Window Units Cellar Window Units Cellar Window Units Cellar Window Units Bulkh .ad Bulkl 'ad _ Fence' Fenc s Fount anon -- - Four .lation------ - — C SIDI"C N P — ------ - -. .. !Nfk�J-UNIT -- -� ---- ---— -- - - ----- ------ -"— A&12 TOM_ v►1---- �� -- - --- --- —-- - - - — _ — }NO�Ii; 1 — - -— --- - — -- j Pb MORE THAN 1.2 mg/cm 2 with x-ray fluorescence or positive with Na,S is ILLEGAL. REMARKS J Nor- PAIIVrE.O -- ---- ---- ----- ,�7 ... IN dclon - bspcna Dare - - 0G -. 9 �