HomeMy WebLinkAbout0945 IYANNOUGH ROAD/RTE 28 - Health 945 IYANNOUGH RD./RT.132,HYANNIS
A= ATLANTIC C
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November 4, 1998
Hyannis Health Department
367 Main Street
Hyannis, MA 02601
RE: Atlantic Carpet
Hyannis, Massachusetts
Dear Sir/Madam:
As per your request enclosed please find Commonwealth of Massachusetts
Asbestos Notification for the above captioned job location.
If you have any questions regarding this matter please do not hesitate to contact
me at 978-683-7767.
Sincerely,
Patrick J. ennott
VP Operations
PJS/J R
Enclosure
145 Marston Street, Lawrence, MA 01841
Telephone: (978)683-7767•FAX: (978)688-9998
e-mail:sencam@netway.com
Usimonwealth of Massachusetts
Asbestos Notification Form --- ANF-001 I
LlAsbestos Abatement Description
1. Facility location:
At antic Carpet 945 Route 132
WITTRUCTIONT ALV,w
1. A➢sediom of this
lam n ist bt completed Gry own t1v mdr lWep�ar j ; .'
In adw to eanpty with s
MOepehmentol Fir�t_Tlo4rl Bathroom
Ernbonmentel rtinx r,fnr owrtrna bueon7 diromo mm�r./.wnp.rroa,loom j I.
holedion ratlticoti+m
reQv+emaras o1310 CMR
2. Is the facility occupied? O Yes Q No 1
?As (#,I Mnd*V nl)'s
IVkynofXationis 3. Asbet:os Contractor.
r :mdto _SenCarn, Incorporated I Marston SLreet
DepertmwA of labor Namr Add,m
en!catir
les
notification rowear Lawrence, MA 01841-1526 978-683-7767 .,."
punerts
014S3 CMR 6.12 (ten C //awn
ry tw m0r ,
d+)s pia nofil•�dion a TWO"
nrws-edorANr AC 000129 Written .
f Pin artrunes/ raxrxJIyw(erure4'WfWr)
lea) 4. On-Site Project Supervisor/Foreman: j
2. Submh Original Form MT Chell gl�licrin AS 30493
To Njmr OtlClRir�nonl I i
Commonwealth of
manotbaselta 5. Project Monitor:
Aebettet►ropraun
►.o.a.uoaet f
Nun
talon,b1A02112• gnet1 C nazi ronmentaal S,gryi ces Tnr
al GrCltyibn/
10087
E. Atbeslos Analytical Lab:
3. This loim maybe i
used for M Hying the - Hvgieneties Environmental Services Inc.''
US.Emormental Auras ararflrarbn/
Proi Ilion Agency Region
Iof asbestos dxnoleiorV 7. Project start date_1_1)U/2Bendda1ell/258 specific work hours.(MonJrQ7AM-4PM.(Sat_Sun) : i .
wm-ation operations
9ubied to NEDWS(40 6, What type CFR Subpart K yp of project is this? (circle one): dwwtoa, nprn nno►aeon ookr(t�raln) t
aoacwueo-� 9. Describe the asbestos abatement procedures to be used (circle)( pbKty ezbwt tu/mrtaw'y gum
rruticaeon l orr�av/yron dbposaronly oolarlexyaln) i !
acwb Dw
10. Is the job being conducted Windoors O outdoors 7
., 11. Total amount of each type of Asbestos Containing Materials(ACM)to be handled on pipes or ducts(linear ft.) orothu
surfaces(square ft.) 950 to be removed,enclosed or encapsulated:
Iinearlsquare feet
boiiW,braadrinq,duo✓Oerrt suiaoe coatings... twmal,solid two pO Insulation......
comVsted or bjand fWw OO#insulation... / hwfdkV eSemerd..................
sp+arm tintaoof4ng.............. .... /__ ►ownr(/sptyw tatino.. .....,.... ._/
tybt/a,om* erbdz........:...... ft%*boats roll d'e/ Dar
tXtw(pMasr r>Msaibe).. . V.Al ........ __
Linoleum. Backing 0 ,
12. Describe the decontamination system(s)to be used: ,
Deeen TTR4,t �;tJ�r Mai-hnAa HERA air fi 1 t-rai-i On i
13.- Describe the containerization/dispoul methods to comply with 310 CMR 7.15 And 453 CMR 6.14(2 (p);
All waste shall be adequately-wetted, double-wrapped in mil. poly,
transports an ispose or at an -approve - lanarill.
14. For Emergency Asbestos Abatement Operations,the DEP and DLI officials who evaluated the emergency:
N/A
AUnv riNPndA6y Tlfp
Dab of mtWuNim
nun does l]rLGal . Ak
DarrofAuttarirarba
PS. 1lo.pntualiinp wage rare:amply as per M.G.L. c. 149, §26,27,or 27A•F to this project? 0 Yes 3 No
s
Faclllty���1/pDcr ,
I. Current or prior game to tat7irty.
prior retail _
2. Is the facility otvner-occupied residential with 4 units or less? O Yes 13 No
3. Facility Owner.
-1pa Cot,! Mall Nominee :Trust 1 Wells Avenue f .
Addt=
New o r__MA 02459 4 '
Gry/Jorn Ito m7e.
rNapnane
4. Facility's Owner's On-She Manager.
- Tim--B.eI I /D ev.aLo..f2ment--Advisors One Wells Avenue '
Addim ..
s
—Ne wt--n-,.._-MA-0 2159-- 61 7-2 4 3-7 8 8 3
G1yi1 o+n
1>p wde :6Nphoer t. .
5. General Contractor:
Name Addrasl
Ory/rown —
code Jerp�Aone t'
Con(raclor's Workers Coma.Iniunr Pacy
6. What is the sue of the facility? (sQ ft) (t of floors) "
® Asbestos Transpollatlon and Dlsposa!
1. Transporter of asbestos-containing waste material from site to temporary storage the(h necessary)to final dispoiil the: f
SenCam, Incorporated 145 Marston Street .
— Aavnss � •
Lawrence, MA 01841-1526 978-683-7767 j
Clry vomn Ira Co*
2. transporter of asbestos-containing waste material from removal/ten r po ary storage site to final diepowl site:
Surrunit Transportation Group Inr P. O. , Box 1023
AQq=
Morrisville PA 19067 215-736-35i6
,
0( CI /Jo n tip ao0e ref ogre �. •. .
t�
Comp/y 10h dhe 3. Refuse transfer station arrd'owner (II applicable):
SoVd Was to N/A
Division reF ula-
M,mr
r�
tio..t 310 0rt1.R AoUr m
18.00 _
rimoor ---- -- Ito m0e r
mI4oAova
4. Final Disposal Site:
J)C—Ii.y Run Sanitation, Inc P. O. Box 333 ;
tower Nun Uw,rn lax - t
Ad&w ;
_ Z aa;—h�—rh' �A— 15037 _ r
C111M/CALton ,
The undersigned hereby states,underthe penaflles 61 perjury,that he/she his read the Commonwealth of Massachu:bttrReputatbnc
for the Removal,Containment or Encapsulation of Acbestoi.453 CMR 6.00 tnd.310 CMR 7.15,and that the Information contained in
this notification is true and correct to the best of hislher.knowledge ind.belief._ ....:. ....
Patrick J....Sennott 11-4-98
' �'"'N'"'r ALowr4ed s�na'un oar •
Not
e:Con
tractor must><;Dn this, Operations Manager SenCam, Incorporated 978-683-7767; .
_lwm for DLl Pomrbvr�ae. 7
i'e+a
nollfic 145 Marston Street Lawrence MA 01841-1526
purposes
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t
AM2z UrVITo»o In oaar
Fie err,1 (City,Town,district,municipal housing authority,owner-occupied residential of four units or less)?O,yes,® no
. 511is�kerP y�rtrtr iroM cfl4orrns,,r. —
530864 ,