HomeMy WebLinkAbout0597 MAIN STREET (HYANNIS) - Health 597 Main St. Hya
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Lead Paint Inspections
Fred Hemlr•.:ila
DPH License #12736 HRECEIVEED"
16 Quaker Roa+ V��East Sandwich, MA 02537
Telephone (508) 888-8378
FAX (508) 888-8378 oo,Toll Free—Massachusetts only ST800-286 8378 rABCEEmail: leadpaint@fredhemmila.comED001DISCLAIMER CONCERNING LEAD DETERMINATION REPONsTAeLE
HEALTH DEPT.
The information contained in this report concerning the presence of lead paint does not constitute a
comprehensive lead inspection. The surlaces tested represent only a portion of those surfaces that would
be tested to determine whether the premises are in compliance with the Massachusetts Lead Poisoning
Prevention Lbw(Massachusetts General Laws, chapter I 11, sections 189A through 199B).
Serious lead poisoning hazards are created when materials containing lead paint are disturbed, unless
proper safety guidelines are followed. Therefore, Massachusetts's law requires that:
A licensed deleader must do all high risk deleading, such as scraping or the use of caustics.
Property owners, their unlicensed agents, and licensed lead-safe renovators may do some
deleading activities without a deleader's license. Before they do so, though, owners, their agents,
and lead-safe renovators must become trained and receive authorization to perform these
activities. Owners and their agents should contact the Childhood Lead Poisoning Prevention
Program for more information on the specific activities they may perform and on how to become
trained and authorized to perform these deleading activities. Lead-safe renovators are licensed by
the Department of Labor and Workforce Development and should contact them for training and
authorization requirements. Letters of Full Compliance will be withheld if unauthorized
deleading has occurred.
i
Any renovating or rehabilitation of premises containing dangerous levels of lead paint must be
done in compliance with the procedures set forth in the Deleading Regulations issued by the
Depa tinent of Labor and Workforce Development (454 Code of Massachusetts Regulations
22.1 1), including sealing off the work area from adjacent areas, and performing a thorough clean-
tip.
Any deleading work done on the basis of this report will not qualify the property owner for a state
income tax credit, nor will the cost of such deleading he reimbursable under any state loan or grant
program. In order to qualify for such programs, the premises must first be subject to a comprehensive
lead paint inspection.
i
If a child under six resides in this dwelling. the property owner may face criminal or civil liabilities
unless all lead paint violations have been corrected. This lead report cannot assure that the property
owner has met his or her obligations under the law.
1
It is unlawful for rental property owners to use the presence of lead as the basis for discrimination against
tenants or potential tenants with young children.
Di ive??mierminatiun Discinimer-Aithout Iet(crhend.doc rev 1/01)
T ead Insnneetion Report 11
Y Y page i or -7
LEAD PAINT INSPECTIONS BY FRED IIEMMILA Method used;
Lead Inspector/Risk Assessor Uc.012736 Ne,S Exp.Date-Date-qh lo
16 Quaker Road, East Sandwich, MA 02537 ®X-Ray Flourescense
Telephone(508)888-8378 p�n
Model�-'r.'�L serial N
Address Apt.N
l /U f §
City Zip Code
Owner Name: G eel e
Owner Address. f--f 47 Q li'l�.s`1Flt` Single Family (�
�" �14,.^A_��._ Multi-Family�
Client Name(if different(tom owner): �—� 3 N units 2
Candominium[j
Client Address: Daycare
Y_, lmeeenoo Delesdinl[ Other Comments:
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NA Ha AamuibM REM AWW"d No wk i-ti-a- .J'CAA/ii✓6- �-
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Vol hard" SCR SOVW a can
VR VWyl 14glro=WN Sub.vw
WLD&W V0. Vl.yl R.gl890"M
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Floor#=J. C Floor# C
. .;. . .:. . : . .. . . . .. . . . . .: . . : ; ..
• i «. . . ., . . . . . .....: .
. D l3 D
; . . : . . ' .... ..;...:. ..
t . . . .....
. . ... ...... . . . . . .. . . . .. . . :; . . . .. .. ..... . ....
A(street side) A(street side)
Pb (lead)more than 1.2 mg/cm' with x-ray fluorescence or positive with NazS is Dangerous.
INSP.DATEI M Lead Hazwds7
(Y or N)
DI 12116111 Frederic J._Hemmila 12736 s 12736
lnspector (print) Signature Lic.N
V
• INSPECTION HISTORY PAGE P6eC?— o
Property Address:
(SL) 143 A404'11i S c�r� (City) (ApVFloor) c...(Zip) 0246
TRSPECT ACT WITY KEY V A S TURWRA-JU EXAMPLE BOX
1.Reocc.Reinspection 6.Interim Control P Pass
2.Reiaspectioa 7. Recertification 1'Fall inspection activity number
3.Dust Taken S.Post Compliance Assess.Determ. pass or fail
4.Dust received 9.Maintained Comp
S.Full Delead Compliance 10.Restored Comp
Inspector Inspector
Lic N E- Lic N
Inspector Inspector
Lic N Lic N
Inspector Inspector
71 Lic N Lic N
Inspector Inspector
Lic N Lic N
Inspector Inspector
Lic N LIc N
Inspector Inspector
Lic N Lic N
Inspector Inspector
Lic N Lic N
Page 3 of
EXPLANA11ON Off' LEAD INSPECTION REPORT [:ORM COLUMNS
'I his dociunenl is intended to provide general information needed to understand the inspection report.
I lowever,you should always speak with the inspector if you have an questions before Y p P y ) oil defend your
q Y )
home.
SIDE Refers to A,11,C,or 1)side of the Imiming or room.See (lie diagram on the cover sheet.The"A" side of the
building or room is (lie side facing the street which gives the property its address(usually,it is the front of
(be building). I(eeping, your hack to this street, from the"A"side move clockwise to the I'll" side on your
left,the"C"side opposite you,and (lie"U"side to the right.
SURFACE Refers to the building component(s) being tested. Cenerally,each separate component is considered one
surface.Some surfaces may be made up of more ( inn one earl.- or example,"liaschoard" may refer to
four separate pieces of wood (one running along each wall), but is still considered one surface.
LEAD The actual lead result. Each surface tested must have a result recorded in the"Lead"column.
C►) A number shows that the surface was tested with an XRF analyzer. A number(or average number)
more than 1.2 mg/cm2 is a dangerous level of lead.
(') A "pos"or"neg"shows (bat the surface was tested with sodium sulfide."Pos" means flint there is a
dangerous level of lead.
(�) "N/A" means that lite Inspector was not able to test the surface. Unless the owner can gel n sample to
test,the Inspector must assume the surface contains lead and require it to he delended,if necessary.
"Metal" means Mahn metal surface was not tested and only needs to be intact. If the surface is a metal
handrail, metal window sill,or metal railing cap, it needs to be defended if it is more fhnn 1.2 mg/cult,
i "pos,"or is"N/A."
I
TYPE OF No( all lead paint must be defended.This column tells you IF and WIIY a surface needs delcading.
HAZARD (1i) "M/1"circled means that the surface is a moveable/impacled surface and must be delended in its
entirely.
0? "AMI" circled means that the surface is"accessible n►onthable" and must be dcleaded to n minimum of
five feel high, four inches in from the edge or corner.
01) "L" circled means that lite surface is loose and must,at minimum, he trade Intact.
{ry If more than one choice is circled, the rules for delcading may change depending upon wlint melhod of
delcading you choose. Speak to the inspector for more information.
(►) "N/A" means the Inspector was unable to delei-saine if the surface mis loose or Intact.The person doing
the defending must ci►eck this-nrface and follow all the rules for defending. Speak to the inspector for
more information.
If nothing is circled or marked "N/A" then it is likely file surface does not need defending.Speak to file
i
inspector for more information.
COMMENTS Alny additional observations or test results made by the inspector that affect the inspection or deicading.
DELEAD Tile dale flint the lead inspector checks file surface, and finds that it has been successfully delended and
DATE passes reinspection.
DELEAD The kind of defending done to bring a surface into compliance. Refer to Deleading codes in the Key on the
METHOD . cower page of file inspection report.
MEASURE: 11ie amount of loose paint on a surface as measured by the lead inspector."N/A" means flint file inspector
LOOSE was not able to measure file loose pah►t, hilt has determined that it is more than the cut-off. Surfaces listed
PAINT�1N here, whelher with a u►casurement or will► an "N/A" notation,can only be made fill,cl hen licensed
"EXCLUDED delender. Note that there are still other low and moderate-risk delcading aclivilies flint may be done by
SURFACES" someone who is not a licensed deleader.
BOX)
n i I.�pluuiUunpa�c
2/•1/00
F.rederic l Hernmila 12736 �j Page of
Inspector(print) Lic# LA§nature Date
Address of Lead Inspection hl Al M IT Apt# City If�j�lS
EXTERIOR PhW f C tf IDS (e f a e7Y—
SIDE LOCATION/ LEAD; TYPE OF COMMENTS DREAD DREAD SIDE LOCATION/ LEAD TYPE OF COMMENTS DELEAD DELEAD]
A SURFACE HAZARD DATE METHOD A SURFACE HAZARD DATE METHOD
Sig L Window SE AIM I.
Cane(Boards QJ L A Win Casing AN L
A Lower Trim -- L Window Sash AIM L
Uppor Tea L WWU SIU AIM L
wr,above S' IV A Win Casnng AN L
Porch above S �, L Window Sash AIM L
Storm Door AN L Cellar Win Sill AIM L
Door L A Ical Win Sash AN L
A Door Casing AN L (,'' r cel win Frame AIM L
Door Jamb AIM L pS !. Callar win Sig AN L
Threshold AIM L A Cel Win Sesh AN L
a L AIM L Cel win Frame AIM L
Slam Door AN L lCallarWInSFU A1M L
Door fib VY A Cel Win sash AIM L
A Doar Casing A5 L Cel win Frame A/M L
Door Jamb AIM L Cellar Win Sill AIM L
Thresh�'W AN L A cal Win Sash AIM L
KkkpMm AN L Cal Win Frame AIM L
Door AIM L Foundation L
A Door CuN AN L A Bulkhead AIM L
DoorJemb AIM L A Fences AIM L
Threshold AN L A Shutters AIM L
Door AIM L Newel post AIM L
A DoorC" AIM L A&V Cep AIM l .
Door Jamb I AIM L Handrail AIM L
Threshold AJM L A Balusters AIM L
Window SO LowerRail AIM L
Win Casing Treads AIM L
Window Sash AN L Risers Alm L
Windowsill AIM L Stringer AIM L
A win Casing US 5 e
Window Sash Q AIM L
COMMENTS:
li
I
I
EXCLUDED SURFACES:Surfaces listed in these boxes can be made intact onlyb a licensed deleader.
SIDE LOCATION MEASURE:LOOSE PAINT DELEAD DELEAD SIDE
LOCATION MEASURE:LOOSE PAINT DELEAD DREAD
A E THAN 1440 SO.IN. DATE METHOD A MORE THAN 1440 S0.IN. DATE METH
A OD
A
A A
A JA -
A
rinunncI
_iz27 ( Page of--
Inspector(print) Lic# Si lure Date
Address of lead Inspection ;� A-//l/ S1, CET Apt# K--- City ,P�/�/,
EXTERIOR T Iq tvL
SIDE LOCATION/ LEAD TYPE OF COMMENTS DELEAD DELEAD SIDE LOCATION! LEAD Npt OF COMMENTS DELEAD DELEAD
B SURFACE HAZAR DATE METHOD B SURFACE HAZARD DATE METHOD
SklUp 0 'Window SIR
Comer Boards 6 S E: L B Win Casing AIM
B lower Trim L window sash L✓ AIM
Upper Trion L Window SIR A/M L
Win above 5' B Win casing AIM L
Porch above 5 L Window Sash AIM L
Slone Door AN L Cellar Wln SIR AIM L
Door AIM L B Cal win sash AN L
I. 0
B Door Casing AAAal Win Frame AIM L
Door Jamb ARd L Cellar Win Sip AIAI L
Threshold AN L B Cal Win Sash AIM L
Iadcplate AIM L Cal Win Frame AIM L
Storm Door AIM L Cellar Win SIR AN L
Door AN L B Cal win sash AIM L
B Door Casing AIM L Cal Wbl Frame AIM LIM L
Door Jamb A Cellar Win SIR AIM L
Threshold AIM L B Cal Win Sash AIM L
I4cicp�tA L Cal Win Frame AIM L
Door AIM L B. Foundation L
B Door Casing AN L 8 . Bulkhead AIM L
Doorjamb AIM L Fenn- AIM L
YL
Wm—hold AIAI L Shutlani AIM L
Door AN L Newel post AIM L
B Door Casing AIM L Raging Cap AIML
Door Jamb AIM L "andrallAIM L
Threshold4— AIM L B AN L
Window SIR D AIM L
B win Casing S AIM L
Window Sash S AIM AIM L
Window Sill D S LAIM L
B wh Casing D L
Window sash AIM
COMMENTS:
EXCLUDED SURFACES:Surfaces listed In these boxes can be made intact onlyb a licensed deleader.
SIDE LOCATION MEASURE:LOOSE PAINT DELEAD DELEAD SIDE
LOCATION MEASURE:LOOSE PAINT DELEAD DELEM
B MORE THAN 1440 SO.-IN.) DATE METHOD B DATE METHOD
MORE THAN 1440 SQ.IN.
B '
B B
B
rede mr�
ric I Heila 12736 /
--F- .............
- 2 Page of
'Inspector(print) Lie# ignature Dat
'Address of Lead Inspection J_C1 �1 A-1 i 4T72 — Apt# City tk S
EXTERIOR C N j PS cp fads
SIDE LOCATION LEAD TYPE OF COMMENTS DELEAD DELEAD SIDE LOCATION LEAD TYPE OF COMMENTS DELEAD DELEAD
C SURFACE HAZARD, DATE METHOD C SURFACE HAZARD DATE METHOD
Siding L Window Sol 0
COR�r�'� D C Win Casing
C Lower Trim L WlndowSash
UpperTdm f►^ Window SIN L
Win above 5' C Win Casing
Porch above 5 `, L Window Sash Cf AJM L
Storm Door AIM L CeNat Win SIN AIM L
Door AIM L C Cal Win Sash AN L
C Door Caahp AIM L Cal Win Frame AN L
Door Jamb AIM L Cellar Win Sol AIM L
Threshold AIM L C Cal Win Sash AIM L
Kid�late AIM L Cal Win Frame AIM L
Storm Door AIM L Cellar Win Sill AIM L
Door AIM L ' C Cei WIn Sash AIM L
C Dos Casing AIM L Cal Win Frame AN L
DoorJemb AIM L Cellar Win SID
AIM L
Threshold AIM
L C ICSI Wh Sash
AIM L
Kldcplale AIM L Cel Win Frame AIM L
Door AN L Foundation L
C Door Casing AIM L C Bulkhead &i U14L
Door Jamb AIM L Fences AIM L
Threshold AIM L 7r Shutters AIM L
Door AIM L Newel post AN L
C Door Casing AN L Railing Cap AIM L
Door Jamb AIM L Handrail AIM L
Threshold AIM L C Balusters AIM L
t— Window Sip L Lower Rap AIM L
C WinCashng Treads. AIM L
Window sash 6 AIM Risers Apt L
Window SIN 5 Strhnger AIM L
C Win Casing
Window Sash AIM L
COMMENTS:
EXCLUDED SURFACES:.Surfaces listed in these boxes can be made intact only b a licensed deleader.
SIDE LOCATION MEASURE:LOOSE PAINT DELEAD DELEAD L LOCATION MEASURE:LOOSE PAINT DELEAD DREAD
C MORE THAN 1440 SO.IN. DATE METHOD MORE THAN 1440 SO.IN. DATE METHOD
C C
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MEASURE.LOOSE PAINT MEASURE:LOOSE PAINT
WE THAN 1440 SO.IN.) •.
MORE T�MHAN
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