HomeMy WebLinkAbout0014 ARLINGTON STREET - Health 14 Arlington Hyanii
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'F'��� �c, �s���`s. ho)ification form— AW-001 M,
p AsJeslos Abatement Desc;i?lion ."
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ha e:IIan r-LL"cL!un 2. Is the 1261 ty oe:upied? Yes O N:
rewiena-"at 310 CUA /`
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y;ancUr�ion 3 3. As`estes Contractor
erplial alsiy a:=ar�s7
yoj.:J: ,d-A New England Surface Maintenance, LLP 850 Washington Street
I ;ad �man?at Libor AC ia
"�1ndu:tr1i Weymouth, MA 02189 781-337-2117
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wvu,d,JAMY AC 000196
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�trWee 1vxary Ota/ Cavra7tMrwsa.�o.-�
:qxe[MI. 4. On•Si.e Project SupervisorrForernarc
Z.SkLmi Cticrat Form V S\
To: 7w► Ou C.nikvar
coazoo..ilD of '
Yaaaeeas.tts S. .Project Monitor. .
lsSsrtas Pragraa - n
P.03.120Os7 1 I �_� _ _
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1411:�r-tes:eru: J 7. Proie sart-d :"R; L;ILendt:;el l���z;eeAieworkh:_;s �l, t-=ri.)' - —(SaLSanJ
Can Subort u}. 8. 'What typi of project is this? (crcz:ci)-," a�"rra," -.•. sene(:pC_i
auu.a.7..::.. :. 9. Descr^_e the asbestos abatement proce:_rs to be used (circle): Arcaiw d
'':`ii .ra rsrlm �a�my m+rria�ab) 4?�( t 0 f ClSbzStOS S1n-.rqg 5
10. Is the job being conducted 0 in-:=', outdoors?
.•.,mo.� "�.:k: 11. Total amount of each type cl Asbestos Caraining Materials(ACM);o!:e handled an pipes at ducts(linear J_grolher
surfaces(spuue tL). �y�_to Ee removed,enclosed or encapsulated:
l::ear4lwre feet
ba,w.bfWe&p.du4 VW=43afd=#;in*iwJation......
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arruFadrfSpaaFaceOWi-..:_'^...._-J i's:UWig--Tt!rr..................
3;rarandreprooLnp................. ..............
rlairs.Waves bbris.... ...._......... rwzAe boarst was Umd............._J
aaw(pleasedesonibelLi P.1Acfi...�1YS�
12. Describe the decontamination systems)to be used:
-As reQuired-
13. Describe the antaineriution/disgsal meheds to comply with 310 C M A 7.15 and 4S3 CMR 6.14(2)(c):
Two layers/labelled bags
Emergenry Asbestos A'W' unint:;era6oei;the DEP and OLl otrdals who evaluated the emergency.
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:5. 0o;revailing wave rates a:;?,as:cr 11.0 c.149.§26.27.cr 27A: - :o this project? 0 Yee Ix No
Facllity Descripflon
1. Current or prior use of faciliCl
2. Is the facility owner-occupied re:idential with 4 units or less? Yes O No
3. Facility Owner. ,Mp
/Urnr Aoam
rly/ro.n .- ro mde rJep vv -
4. Facility's Owner's On-SheManager.
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S. General Contractor.
xyne Adenas
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canwacrars warba Comp."War Poor
6. What is the size d the facility?/ (sq tt)2�(1 of floors)
13 Asbestos Transportation and Disposal
1. Transporter of asbestos-containing waste material from site to temrcmy storage site(d necessary)to rural disposal site:
NF.SM, LLP $50 Washinaton Street
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Weymouth, MA 021-89 781-337-2117
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2. Transporter of asbestos-containing waste material from tomovaU.tarnparacy storage site to final disposal site:
Waste •Management 209 Pickering Street
xartr � I Portland; CT 06480 860-342-0667
Hob:Transfer cWI— Apeode trmxxu i
Stations must comply avBh the 3. Refuse transfer station and owner(d appaabfe):
Solid Waste
Division rsgt*- 11= ,d
Horn 310 CMR ,
18.00
t7ry/fav 1y mer relepear
Al., RwDispesalsat
Valley Landfill USA Waste Services
coQ/ar rrm ao.a xan. -
Pleasant 'Valley Road
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t Irwin, PA 15642 412-744-4000
crt/rore 2foaare Tel�eor.
p Certlflcaflon
The undersigned hereby states,under the panaltiss d pujury,that helshm has read the Comm6wadf h of Massachusatts Regulations
for the Removal•Containment er Enapsulation of Asbestos,4S3 CMR 6.00 and 310 CMR 7.15,and that the irdaneadon contaked in
this notification la true and corrsctto the best of hls/hsr Ictowledge and berm!.
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P&dMAO, S(yRvr me :
Hair:Contractor
must sign this Partner NESM, LLP 781-337-2117
form for CLl ia�urovrrse irmeamip rdotir
notdcarian '
purposes 850 Washington Street Weymouth, MA 02189
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Fee exempt(City.Town•district•municipal housing authority•owner-occupied residential of four units at less)?Yyn 0 no
Slicker 1(from Ira nt oI lorml b _