HomeMy WebLinkAbout0225 SOUTH STREET - Health 225 SOUTH STRE I
A ASS.NATIO N.
96-030
F NOTIFICATION OF DEMOLITION AND RENOVATION
.OPERATOR PROJECT # POSTMARK DATE RECEIVED ' NOTIFICATION' ##
I . TYPE OF NOTIFICATION: ORIGINAL WPR Notice?
II . FACILITY INFORMATION (IDENTIFY OWNER,REMOVAL CONTR AND OTHER OPERATOR)
OWNER NAME: D.C.P.O.
ADDRESS : ONE ASHBURTON PLACE
CITY: BOSTON STATE: MA ZIP: 02108
CONTACT: STEVE O'CONNOR TEL: 617 727-4030
REMOVAL CONTRACTOR: COASTAL ENERGY, INC.
ADDRESS : 12 BURTON STREET
CITY: WORCESTER STATE: MA ZIP: 01607
CONTACT: YOUNG, ALLAN N.JR. TEL: (508) 798-3888
OTHER OPERATOR: N/A
ADDRESS : .
CITY STATE:" ZIP:
CONTACT TEL
III . TYPE OF OPERATION: RENOVATION
IV. IS ASBESTOS PRESENT (YES\NO) : YES
V. FACILITY DESCRIPTION(BUTLDING-NAMI�,NUMBER AND FLOOR OR ROOM NUMBER)
BLDG NAME :MASS NATIONAL GUARD_ARMRY
ADDRESS: 225 SOUTH STREET +•
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CITY: HYANN I S_,�' - -STATE-:-MA-- COUNTY:
SITE LOCATION THROUGHOUT {
BLDG SIZE: 20000 SF NUM OF FLOORS : 2 AGE IN YEARS :. 40+
PRESENT USE: ARMORY PRIOR USE: ARMORY
VI . PROCEDURE, INCLUDING ANALYTICAL METHOD; IF APPROPRIATE, USED TO DETECT
THE PRESENCE OF ASBESTOS MATERIAL:
VISUAL INSPECTION
VII . APPROXIAMTE AMOUNT OF NONFRIABLE INDICATE UNIT
ASBESTOS, INCLUDING: ASBESTOS OF MEASUREMENT
MATERIAL NOT BELOW
1 .REGULATED ACM TO BE REMOVED RACM TO BE REMOVED
2 .CATEGORY I ACM NOT REMOVED TO BE
3 .CATEGORY II ACM NOT REMOVED REMOVED CAT I CAT II UNIT
PIPES 1200 LNFT: LN M:
SURFACE AREA 360 SQFT: SQ M:
VOL RACM OFF FACILITY COMPONENT CUFT: CU M:
VIII . SCHEDULED DATES ASBESTOS REMOVAL ; START: 5/21/96 COMPLETE: 5/31/96
IX. SCHEDULED DATES DEMO RENOVATION :_ START.: -.5/21/96 •COMPLETE: 5/31/96
Continued on page two
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X.DESCRIPTION OF PLANED DEMOLITION OR RENOVATION WORK,AND METHODS TO BE USED:
ASBESTOS SHALL BE REMOVED IN A WETTED STATE UNDER NEGATIVE AIR PRESSURE .
SUITS AND RESPIRATORS SHALL BE WORN.
XI .DESCRIPTION OF WORK PRACTICE AND ENGINEERING CONTROLS TO BE USED TO
PREVENT EMISSIONS OF ASBESTOS AT THE DEMOLITION & RENOVATION SITE :
SAME AS # X
XII . WASTE TRANSPORTER ##1
NAME: LOGANO TRUCKING CO.
ADDRESS : P. 0. BOX 144
CITY: PORTLAND, CT 06480
CONTACT: DON PERROTTI TEL: (617) 963-2737
WASTE TRANSPORTER #2
NAME:
ADDRESS :
CITY:
CONTACT. TEL:
XIII . WASTE DISPOSAL SITE
NAME: MEADOWFILL LANDFILL
LOCATION:
CITY: BRIDGEPORT, WV
TEL:
XIV. IF DEMOLITION ORDERED BY GOVERNMENT AGENCY, PLEASE IDENTIFY THE AGENCY:
NAME: TITLE:
AUTHORITY:
DATE OF ORDER (MM/DD/YY) : DATE ORDERED TO BEGIN:
XV. FOR EMERGENCY RENOVATIONS
DATE AND HOUR OF EMERGENCY (MM/DD/YY) :
DESCRIPTION OF THE SUDDEN, UNEXPECTED EVENT:
EXPLANATION OF HOW THE EVENT CAUSED UNSAFE CONDITIONS OR WOULD CAUSE
EQUIPMENT DAMAGE OR AN UNREASONABLE FINANCIAL BURDEN:
XVI . DESCRIPTION OF PROCEDURES TO BE FOLLOWED IN THE EVENT THAT UNEXPECTED
ASBESTOS IS FOUND OR PREVIOUSLY NONFRIABLE ASBESTOS MATERIAL BECOMES
CRUMBLED, PULVERIZED, OR REDUCED TO POWDER:
SAME AS # X
XVII . I CERTIFY THAT AN INDIVIDUAL TRAINED IN THE PROVISIONS OF THIS
REGULATION (40 CFR PART 61, SUBPART M) WILL BE ON-SITE DURING THE
DEMOLITION OR RENOVATION AND EVIDENCE THAT THE REQUIRED TRAINING HAS
BEEN ACCOMPLISHED BY THIS PERSON WILL BE AVAILABLE FOR INSPECTION
DURING NORMAL BUSINESS HOURS (REQUIRED 1 YEAR AFTER PROMULGATION) .
_ J ____ ______________
(SIGNATURE 0 WNER/OPERATOR) " (DATE)
XVIII . I CERTIFY THAT THE ABOVE INFO TION S CAR T.
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(SIGNATURE OF ER/OPERATOR) (DATE)