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Home My WebLink About1874 SOUTH COUNTY ROAD - Health 1874 SOUTH-COUNTY A=098-008-001 - - - - Gk r sTa-r S ky l j L L.S li I .N*AY/04/2007/FRI 13: 41 COMM FIRE DEPARTMENT FAX No, 5087902385 P. 001 5 CENTERVILLE—OSTERVILLE-MARSTONS MILLS FIRE DISTRICT DEPARTMENT OF FIRE-RESCUE & EMERGENCY SERVICES 1875 Falmouth Road, Rte.28 Emergency Number: Centerville, MA 02632-3117 9-1-1 Business: (508) 790-2375 John M. Farrington Facsimile: (508)790-2385 Fire Prevention/Administration Chief of Department Facsimile: (508)957-8239 Dispatch Center FAX COMMUNICATION MESSAGE DATE: � 'G TO: PHONE: ` �O- tonbi ATTN- Q FROM: F Y W r N WE ARE SENDING O PAGES, INCLUDING THIS COVER SHEET. PLEASE CALL(508)790-2375 IF YOU DO NOT RECEIVE THE TOTAL NUMBER OF PAGES. CONFIDENTIALITY NOTICE: This fax transmission may contain confidential information belonging to the sender and such information is legally privileged and Is Intended only for the use of the individual or entity named above. Any copying, disclosure, distribution or dissemination of this information or the taking of any action based on the contents of this communication is strictly prohibited. .If you have received this transmission In error, please notify us Immediately by telephone and return the original transmission to us by mail or delivery at our address above. We shall cover the cost of return mail. Thank youl MAY/04/2007/FP,I 13: 41 COMM FIRE DEPARTMENT FAX No, 5087902385 P, 002 --- -- �eae« NszRs -1 (01920 f U 05 2 7 �� (07-000'1232 ( 000 ❑Change Basic FDID * state* Incident Date Station Incident Number * Exposure * ❑No Activity th.tk thlm box to Indicate that the address for this inoldent is provided on the Wildland Fire Census Tract ;. I I f� Loeaton* ❑godula fn a.etien B"Alternative Location epeciflCatlun". One only for Wildland Fires. ®street address I 1874 ; (SOUTH COUNTY RD []Intersection 1 Number/Milepost Prefix Street or Highway Street Type Suffix ❑In front of I IMARSTONS MILLS ( IMAL 1 102648 (-1 ❑Rear of Apt./Suite/Room City state zip code ❑Adjacent to []Directions cross street or directions as applicable c' Incident Typ® * E1 Date & Times Midnight is 0000 �2 Shift & Alarms 14',21_J (Oil or other Combustible liquid( Check boxes if Month Day Year Er Min Sec Local option dates are the Incident Type same as Alarm ALARM always required 14 I COM32 e' Aid Given or Received* DaCe. Alarm 10-91 1 031 1 2 0071 (13:12:28 I enif[ or Alarms District Platoon ARRIVAL xeguired, unless Canceled or did not arrive :L []blutual aid received lu ❑ p=rival * 1OJS 1 031 I 2007I 113:20.55 ( Er3 :2 (]Autamatia aid recv. Their SDID TAair ,3 []Mutual aid given State CONTROLLED Optional, Except for wildland fires Special Studies 4 []AutoaDatic aid given I I ❑Controlled U " 1 11 ( Local Option S []Other aid given Their LAST UNIT CLEARED, required except for wildland fires I I I I Incident Number Last Unit special Special LQ I]None El Cleared (_J 1 031 ( 2007(I13:33:40 ( Study ID$ stogy vgluo .E' Actions Taken * G1 Resources* G2 Estimated Dollar Losses 6 Values ❑ check this box and skip this LOSSES: Required for all fires if known. Optional section if an Apparatus or for non fires_ 43 JHazardoua materials I kersonnel form pips used. None Apparatus Personnel property $1 1 , 1 000 0001 ❑ Primary Action Taken (1) Suppression Contents $1 r 000 r1 000 ❑. B2 (Notify other agencies. JI I Additional Action Taken (2) ENS �� I� PRE-INCIDENT VALUE: optional ( other I 0002 1 . 0004 Property $1 r I 000 1 000 ❑ Additional Action Iaken (3) ❑ [pock box if resource counts I f include axe nacelved resources. Contenta $l-J , 000 , 000 ❑ campleted Modules III*Casualties❑None H3 Hazardous Materials Release I Mixed Use Property (]1Fire-2 Deaths Injuries N ❑None NN Not Mixed Fire 10 Assembly use I ,13tzuctur®-3 I' II II II 1 []1Qatural Gae: ale.leak, ae waua63en es noses!.serene 20 Education use I ]Civil Fire Cas.-4 service I� I� 2 ❑Propane gas: <31 lb. at (..I.tam,axe e=s11I 33 Medical use (]:sire serv. sae_-5 C1v11ianL____J 11 3 ❑Gasoline: e.Al.1.1-2,e.ye.ap.rt.nl...nt.sn.r 40 Residential use 51 Row of stores (�IPMS-6 Q ❑1�erOBBne: fuel burning eentlpnent ex poeneble alee.g¢ Detector 53 Enclosed mall ��]iazMat-7 5 Diesel fuel/fuel oil:.,ebivlm fuel t nk er a.eeable I [Gd Required for Confined Fires. JrS Bus. 6 Residential (]lQildland Fire-8 1❑Dateetor alerted occupants 6 ❑Household Solvent$: nos./orrl— pLLI, el—up only 59 Office use (2]:kpparatus-9 7 ❑Motor Oil; rx .pyap.aR po:toni......za,x 60 Industrial use 2❑Datactor did not alert them 8 ❑paint: faom a.iee m.a. b.bnlioe<as wall... 65 Militra= u a ary use (_1AX8on—II jj❑ o„n 0 ❑Other' sy.ela n.ue.t.sham scq i—d.r spill a 95v.1_ 00 other mixed use . DS.a.. i.e,sh.».riot farm Property User Structures 341❑Clini.c,clinic type infirmary 539 ❑Household goods,sales,repairs 342❑Doctor/dentist office 579 ❑Motor vehicle/boat sales/repair !13:1❑Church, place of worship 361❑Prison or jail, not juvenile 571 ❑Gas or service station 161❑Restaurant or cafeteria 419 M 1-or 2-family dwelling 599 ❑ Business office ),&? ❑Bar/Tavern or nightclub 429❑Multi-family dwelling 615 ❑Electric generating plant 21.3 ❑$lemsatasy school or kindergarten 439❑Rooming/boarding house 629 ❑Laboratory/science lab .i!.L!5 ®High school or junior high 449❑Commercial hotel or motel 700 ❑Manufacturing plant ,241 ❑College, adult education 459❑Residential, board and care 819 ❑Livestock/poultry storage(barn) All ❑Case facility for the aged 464❑Dormitory/barracks 882 ❑Non-residential parking garage 331 ❑Hospital 519❑rood and beverage sales 891 ❑Warehouse Outside 936❑vacant lot 981 ❑Construction Bite 124 ❑Playground or park 938 ❑Graded/care for plot of land 984 ❑ industrial plant yard 1>.5.'5 ❑Crops or orchard 946 []Lake, river, stream Lookup and enter a Property Usa coda only if 1569 ❑Foreet (timberland) 951 ❑Railroad right of way you have NOT checked a Property Use box: 11107 ❑outdoor storage area 960 ❑other street Property Use 419 !):1!) ❑Dump or sanitary landfill 961 ❑Highway/divided highway 93:1 []Open land or field 962 DResidential. street/driveway 11 or 2 family dwelling J NFIRS-1 Revision 03 11 99 :0,,12-S Fire Department 01920 05/03% 07 07-0001232 N.AY/04/2007/FRI 13: 41 COMM FIRE DEPARTMENT FAX No, 5087902385 P, 003 01920 MA 5 3 2007 1 07-0001232 000 11 °¢1°`° xfl ae - 7 't I I l__1 I_l U L—� �� I I L � � FDID , state Incident Date station Incident Number AdZ�at * .* .* * Exposure * Haz No* ❑Change E�-HazMat ID chemical * Diesel fuel 1202 J L_ 000 I Name ON Number DOT Hazard CAs R¢gistration Number Classification �- E Physical State -.1 Container Type C2 Estimated container Capacity D1 Estimated Amountl Released When Released 111 21 1 ❑Solid capacityz by volume or weight Amount released., Ay volume or welgnt 2 ®Liquid j Container type 3 ❑Gas iC3 Units: Capacity check one box D2 Units: Released Check one box U ❑Undetermined VOLUME WEIGHT i VOLUME WEIGHT -. 11 ❑ounces 21 []Ounces 11 [:]ounces 21 ❑ounces E2 Released Into more hazardous 12 ❑Gallons 22 ❑pounds 12 S Gallons 22 ❑Pounds Materials? Use 13 ❑Barrels: 42 gal. 23 ❑Gram 13 [:]Barrels: 42 gal. 23 El Grams ,, additional sheets. 14 ❑Liters 2d ❑Kilograms 14 ❑Liters 24 ❑Kilograms I 4 1 15 ❑cubia feet 15 ❑Cubic :Feet Released into 16 ❑Cubio meters 16 Cubic meters F'2 Population Density G2 Area Evacuated❑ None H HazMat Actions Taken Complete uda ramaindar Enter up to three actions taken of this forty only for C2 a iirat hazardous material 1 urban 1 ❑ square Feet involved in tbia incident, 2 ® suburban 2 ❑ Blocks Enter primary Action Taken (11 Rural Measurement -- 3 ❑ 3 Square miles )?'l Released Srom: G3 Estimated Number of Additional Action Taken (�) G1 Area Affected People Evacuated �:nec.k all applicable borea ' I I I I ❑Below grade 1 ® Square. Peet U ��J &dditional Action Taken (3) 2 ❑Blocks G Estimated Number of I if fire or explosion. is involved with a -1. 3 ❑ square miles Buildings Evacuated. I�Inside/on etruoture release, which occurred first? 1-�story of 1 [3 Sgaition U ❑vndetszminsd Release .2 140uteide of st u ructur , 10 , ❑None 2 ❑Release _ Enter M¢asurem¢nt j Cause Of Release * K Factors Contributing to Release L Factors Affecting Mitigation Enter up to three contributing factors Enter up to three factors or imp¢dtments that 1 ❑rut®rational effected the mitigation of the incident 2 I]tsnintentional xeleaae I I d Container/ I� ❑ Factor Contributing To Release (1) Sector or impediment (1) containment failure 4, ❑Act of nature 5 INCaus• under investigation Factor Contributing To Raleasa (2) Factor or impediment (2) 'G( I-jCause undetermined after f 11 1 1 1 investigation L1 Factor contributing To Release (3) Factor or impediment (3) Q BazMat Disposition* Rquipment Involved In Release N Mobile Property involved ❑None In Release 1 ❑Completed by fire service only (�None II II 2 Completed w/ firs service II I l� I I present �J Mobile property type 3 ®Released to local agency "lQuipment involved in xaleasa I—� I I 4 ❑Released to county agency Mobile property make 5 CReleased to state agency 3;.and 1 6 [-]Released to federal agency I 17 ❑Released to a private agency �nflel 1 ( Moaila property modal rear 8 Released to property owner II I or manaa2r 3rasial 1 Lic¢na¢ Elate Number state O HazMat Civilian Casualties 9 vrbe:r Bear I I I Deaths InJuries DOT Number/ ICC Number I �� ofwr Uln.lf Fire Department 01920 05/03f2007 07-0001232 IV:AY/04/2007/FRI 13: 42 COMM FIRE DEPARTMENT FAX No. 5087902385 P. 005 Person/Enmity Involved ' Local option Business name (if applicable) Area Coda Phone Kumbar U1 1 " I Iu rr Check This Box if �.,Hs Mrs- First Name MI Last Kama suffix LJ same address as Incident location. Then ekig tDo throe du lieste address "umber r Prefix Btreet or H19DVay street Type surriX lines. Post office Box I Apt./Suite/Room city u I i-1 _ 1 state sip code y ®More peoplm involved? Cheak this box and attach 8upp)Lohencal Forms (NFIRS-1S) as necessary J'C2 same, as person involved? Owner _ ' Then check this box and skip The rest of this section. Le�ca1 Option Huslnass ham¢ (it Applicable) Area code Phone Number I :'Rack this box if Hr. re,. I lrst Nam¢ MI Last Nema I 5u ffix IJ same address,as Lncloent location_ Then ekip trio thraa Number I Prefix Street or Bignway Street Type suffix ! dvalicate address - lines. I I ) I I t u Poet Office BOX Apr../suite/Room City state Yip cove olr Remarks Local Option r Culler Name CHRISTOPHER FISH Caller Phone : 508-428-5237 C'IC : ROGERS 'Fats. : 0 tgoodearl 2007/05/03 13:20:55 - 321 AT EVENT MANNING IS 1 tgoodearl 2007/05/03 13:21:38 - 306 AT EVENT MANNING IS 4 tgoodearl 2007/05/03 13:14:49 POSSIBLE OIL SPILL tgoodearl ; 2007/05/03 13:17:33 :REPORTING PARTY BELIEVES THAT HOME HEATING OIL WAS SPILLED IN THE SAND OFF THE SIDE OF THE ;R.OAD. REPORTED AS 10X8 FEET. tgoodearl ; 2007/05/03 13:23:01 SMALL PUDDLE FOUND. 306 TO USE OIL OFF WATER PADS. AVAILABLE ON LOCATION tgoodearl ; 2007/05/03 13:32:46 ',NOTIFIED HEALTH DEPARTMENT PER CAPTAIN ROGERS Ca.pt. 321 dispatched w/ E-306 to a reported oil spill. Upon arrival I found a diesel spill off the road into a puddle and around the immediate area. Oil of water pads - approx. 6 -placed into the water to stop spread by vehicles passing through. TOB Board of Helath :notified as well as the DEP. Spoke to Donald Desmaris from the Baord of Health who asked us to place cones to stop vehi es assing by and we did. Mr. Desmaris took contaminated pads Authorization 18390 R GE S RADX ICAPT 11321 1 1 J 1 031 1 2007 Officer In charge LD Si nator Position or rank Assignmenr Month Day Year i Ox,® 18390 � R G S/ D. BRADY �CAPT � �321 f 051 u 1 2007 , ane Position or xank Assignment Month Day Year I.,eO£fieer Member making report ID sign ure :.n charge. t.oMM airs Department 01920 05/03/2007 01-0001232 Y:AY/04/2007/FRI 13: 42 COMM FIRE DEPARTMENT FAX No, 5087902385 P. 004 Complete 01920 ' U L� U 2007 u 07-0001232 1 1 000 xa==stive ?DID * $Cate* Incident Date * statlOD zncidenC Diunmer * E=poaure tid(rrative Caller Name CHRISTOPHER FISH Caller Phone 508-428-5237 OIC : ROGERS Pa.ts- . 0 tc•oodearl 2007/05/03 13:20:55 - 321 AT EVENT MANNING IS 1 t:e•oodearl 2007/05/03 13:21:38 - 306 AT EVENT MANNING IS 4 to-oodearl ; 2007/05/03 13:14.49 POSSIBLE OIL SPILL t:goodearl ; 2007/05/03 13.17:33 REPORTING PARTY BELIEVES THAT HOME BEATING OIL WAS SPILLED IN THE SAND OFF THE SIDE OF THE RC.AD. REPORTED AS 10X8 FEET. t:goodearl ; 2007/05/03 13:23:01 SNALL PUDDLE FOUND. 306 TO USE OIL OFF WATER PADS. AVAILABLE ON LOCATION t.goodearl ; 2007/05/03 13:32:46 NICTIFIED HEALTH DEPARTMENT PER CAPTAIN ROGERS C'apt. 321 dispatched w/ F-306 to a reported oil spill. Upon arrival I found a diesel spill off the road into a puddle and around the immediate area. oil of water pads - approx. 6 - placed into the water to stop spread by vehicles passing through. TOB Board of Helath n.ctified as Well as the DEP. Spoke to Donald Desmaris from the Baord of Health who asked us to place cones to stop vehicles passing by and we did. Mr. Desmaris took contaminated pads and hazardous waste back with him_ i I � :Mr. Richard Packard came into headquarters and asked us to leave conesin place until private contractor arrived to the contaminated soil and spill. He would have Enviro-Safe return traffic cones on their arrival. Message will be relayed to on coming Shift Commander at 0800 cn same. 05/03/2007 20:45:57 dbrogers 1=:r. kUMy Eire Department 01920 05/03/2007 07-0001232 -,: TOWN OF BARNSTABLE UNDERGROUND FUEL AND CHEMICAL STORAGE SYSTEMS ASSESSORS MAP NO. PARCEL NO. ADDRESS; fzj) VILLAGE 6psfnfys / /1,6s NAME!_ ( , cL � V CONTACT PERSON � P�� J 7 �I/► C1I{KJIoPHONE NUMBER I LOCATION OF TANKS: CAPACITY: TYPE OF FUEL. AGE: TYPE: LEAK OR CHEMICAL: DETECTION SYSTEM' /6 - DATE OF PURCHASE OF. EACH: 1. 2. 3. 4. 5. DATE O?: FIRE DEPARTMENT PERMIT: TESTING CERTIFICATION SUBMITTED: PASSED DID NOT PASS PLEASE PROVIDE A SKETCH SHOWING THE LOCATION OF TANKS ON THE BACK OF THIS CARD. F.P. 292 � Z4E ( rimmm f taft4 of ` zsour4unfs Department of Public Safety—Division of lire Prevention APPLICATION FOR PERMIT FOR REMOVAL AND TRANSPORTATION TO APPROVED TANK YARD 1 >4'� J,�Jll a.. 19 f�1� C.82 S.40 M.G.L. To: HEAD OF FIREDE A TME,N / DIG SAFE NUMBER ' .n\ CUM e. _MAiw., _ nI Start Dote 'v In accordance with the provisions of Chapter 148, G.L. as pr• ided in- Section 38A Application is hereby made by fi}�j -� �„t pM SRC�,c"��'✓� Name erson ji rm or orpora ion) - 1G' Address s t� A � ' D �L For permission to remove and transport underground steel storage tank(s) from r�//��4✓�� ml � 'Street address c ty or town FDID#0 1 9 2 0 to approved Tank Yardll DY/1 State clearly type of inert gas used in CO2 (Y� steel storage tank lype of inert gas used j6)( tl �. 9'�• Name of Person, Firm, Corporation disposing tank 1 G1/✓� +ar �� , �`�t�ta�'�� Date issued - xe;�eizted 3/1 19 88 By: Date of expiration 19 paid/d'6 i nature ot AppricanL � ,e m — - - - - - - - — — — — — — — — — — — — — — — �� ff No... .:7_1 6 Fims.........Zf- THE COMMONWEALTH OF MASSACHUSETTS BOARD FVE .-----.. .-.f :.!��'.. .. .- .....OF. . .... _f.......-_ ...... AVV ira ilan for Diipnaal luorkii Tonotrur#iun Vamit Application is hereby made for a Permit to Construct ( ) or Repair (V) an Individual Sewage Disposal System at Nor Lot o Q��, ,. el-no.....--- .._�Rr &zoa s V o�fx � . Owner Address W ......................•-•-•._.......__....::._..------•--......._ . .......................................................................................... a Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion Attic ( ) Garbage Grinder ( ) Other—Type e of Building _______________ No. of ersons._____.__._.___._____._.._._ Showers — Cafeteria pa yP g P ( ) ( ) 0L4 Other xt r W Design Flow_._.._._____! ___ gallons per person per day. Total dail ow_.__.__..__`�__ _�______________gallons. WSeptic Tank—Liquid capacity/&44041--gallons Length_____._ Width_._._CA....... Diameter________________ Depth...,._-- x Disposal Trench—No_ ____________________ Width.................... Total Length.................... Total leaching area_____:..............Sq. ft. Seepage Pit No-----------I......... Diameter..........(.__ Depth below inlet.......4p.._._._. Total leaching area..................sq. ft. z Other Distribution box &) Dosing tank ( ) Percolation Test Results Performed by........................................................................... Date........................................ aTest Pit No. 1________________minutes per inch Depth of Test Pit.................... Depth to ground water_...._.._._______.__.-_. (% Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a ............ - •----- -------------------------- -- ---- --- •-------•............. O Description of Soil---.--.----- _ _ �- -- x c, W --........................................................-•---------------•--------------------------•-----------------•-•-----•••-----•-••---••----•------------•--•-••------••---•••--••••--•---•---- U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ------------------------------------------•---------------------•------------------------•------••----••-•--•----•----•••------••-------•-----•-------•-•--••-•-=•-....••-•--•--•-----.._.__....------ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Sanitary Code—.The undersigned further agre not to place the system in operation until a Certificate of Compliance h n issued by e d ofyealth- Signed - ----•• Application Approved By----- •• -••-----•- Ve ----- Application Disapproved for t he following reasons:...............................................-----------•----•---------------------------------------------- -' ff •----•-•__________________________•----________-----------------___---___----------------------•------•--•Date_--___-----__QQ'�Permit No.. C.?._. -•------------- Issued_....................................................... Date PWPP' THE COMMONWEALTH OF MASSACHUSETTS FEz........... "AR E L i�.. ......OF..D".%s� .41..VI.,?�) r . e Appliration for Disposal Works Tonstrurtion Prrmit Application is hereby made for a Permit to Construct or Repair an Individual Sewage Disposal System at: .............................................................................................. ................................................................................................. Location-Address or Lot No. .............................................................................................. - ----------—------7-------------------------- Owner X�ir_e's's......*...............*....... .................................................................... . .................................................................................................. Installer Address Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms............................................Expansion.Attic Garbage Grinder ( Other—Type of Building ............................ No. of persons................_........... Showers Cafeteria ( P4 Other fixtures ..................................................................................................... -----------------*..........--------------- Design Flow............................................gallons per person per day. Total daily flow............................................gallons. Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter.........._..... Depth................ Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area...................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.............._..._. Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ b4 Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water............_._......... ............................................................................................................................................................. 0 Description of Soil....................................................................................................................................................................... ------------"------*-----------------........ --------------------------*.......*'*"*.................--------------------*---------------------""-------- -------------- ........................................................................................................................................................................................................ U Nature of Repairs or Alterations—Answer when applicable............................................................................................... ....................................................................................................................................................................................................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal Systemin accordance with the provisions of TITLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has been issued by the board of health. Signed, -------- --- --- -- --------- ...... . Application Approved By...... ... Application Disapproved for the following reasons:.......................................................................................................... ...................................................................................................................................................................................................... Date Permit No.. - •....::n�............... Issued.............---...Date.--....._..............._...... te.............................. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF KrIEALTH .......... ....OF... ........... Ternifirate of Toutplinurr THIS4S TO CERTLF*, That the I * idual Sewage Disposal System constructed or Repaired by........... .............. .... ....................................................... Install''''--, ......... ... ... . .......()......Z::;Vi54.......................................................................... W has been installed in accordancewith the l Vevisions of TIT e Sanitary Cod �s te application for Disposal Works Construction Permit No........��.:TfA.4'_S�t. dated......... 'P....... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY. DATE................................................................................ - Inspector.................................................................................... THE COMMONWEALTH OF MASSACHUSETTS E10ARD O� HEALTH .............................. OW OF .... . ................... ............. No. .. ..........�3 Fim.....Z ...... Permissioni P hereby granted-... .................................................................................................................... . ( �An Indinview to Construct -ap I ep �posal System. at No.......... _0 A Ae ......0�7 . ..... ........ M.. . ............._ Street as shown on the application for Disposal Works Construction Ferinit No. ......... .......... . .. ................— ................................ B r 0 1. r of Health DATE........... ... ... .. ...................................................... FORM 1255 A. M. SULKIN, INC., BOSTON