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1039 MAIN ST./RTE 6A(W.BARN.) - Health
1039 ROUTE 6A WEST BARNSTABLE � � C i +j i No. 4210 1/3 BLU ESSE TE ,10% a e o TOWN OF BARNSTABLE -AR� •i LOCATION M / ` ' S SEWAGE # 25 / ' A - VILLAGE l) k L ASSESSOR'S MAP&LOT INSTALLER'S NAME&PHONE NO. �.�1.��- ��a� Y � 612 SEPTIC TANK CAPACITY LEACHING FACILITY: (type) (size) NO.OF BEDROOMS BUILDER OR OWNER ; I 3 J PERMITDATE: COMPLIANCE DATE: ` Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) f 7 t✓ Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility , Feet Furnished by I.✓�1-' I I r -ter, 4114- 3-5 73 Town of Barnstable Department of Health, Safety, and Environmental Services 'H"S& 1639. Public Health Division �� a 367 Main Street, Hyannis MA 02601 Office: 508-790-6265 Thomas A.McKean,RS,CHO FAX: 508-790-6304 Director of Public Health September 12, 1997 John G. Doriss 34 Amy Lane Yarmouthport, MA 02675 A lead paint determination was made of the property owned by you at 1039 Main Street, W. Barnstable by Donna Miorandi. of the Barnstable Health Department on September 8, 1997. This determination revealed the presence of lead paint in violation of Massachusetts General Laws, Chapter 111, section 197. ,a Please contact Donna Miorandi at 790-6265 between 8:00-9:30 a.m. or Tuesday 1:00- 4:30 p.m. to discuss your responsibilities in this case, and the material enclosed. k y�. Massachusetts Lead Poisoning Prevention Regulations require that you provide to this office, within 60 (sixty) days of your receipt of this letter, a written contract with a licensed deleader to abate all lead violations existing in the dwelling unit, including interior and exterior common areas. You must provide the deleading contractor with a complete inspection report from a licensed lead paint inspector. The deleading contract must be signed by the contractor and by you; it must specify that all violations on the interior of the unit and the interior common areas will be deleaded `. within 90 (ninety) days of your receipt of this letter, and that all exterior violations and/or window replacement will be complete within 120 (one hundred and twenty) days. This Department is required by law to file a case against you in court if it has not received .a.co of the deleading contract b the sia first da or if the above timelines for interior PY .: g Y k rtY Y, � andlextenor deleading�comphance-are.;,not adhered to fas,documented,,by a,private.;lead -4 paint inspector. 'Ina criminal case, you may be fined by the court up to $500 for each day of non-compliance. 1715729997 10 34��"---5083942298 LEAD PAINT REMOVAL HAUL et Vinyl windows&tiding-alurninum trlm-door toplacarntnt-docks-roofs-rot r+Pair-Conorol oarpRptry OC 000616 MA ildr. Lie. 048448 508-394.2298 fax ALTARA CONSTRUCTION WS-394.5495 A LEAD PAINT REMOVAL SYSTEMS P.O. BOX 1228 DENNISPORT, MA .02639 November 1, 1997 STEVE BA1tNATT Dr. John Doriss 34 Amy lane Yarmouthport, MA 02675 Re: Agreement, lead paint abatement at 1039 Route 6A, West Barnstable, MA. I hereby agree to furnish the labor and materials necessary for the completion of deleading at'1039 Route 6A to include: -Remove and replace seven pair of affected double hung window sash with new wooden sash of same style and grid configuration (212 vertical). Cover affected window well/trough areas and blind stops with white aluminum trim. -Scrape and finish sand affected interior window sills, aprons, casings and stops as required on seven windows. -Scrape and finish sand all affected interior doors, door casings and door jambs as required. Where feasible, door casings will be removed and replaced with new pine of same dimensions. -Scrape and spot prime one interior radiator. -Cover one horizontal exposed framing member in rear entry room with pine trim. -Cap accessible affected base board with three quarter inch quarter round molding. -Cap accessible chair rail molding with new pine of same dimensions. -Scrape all affected exterior loose and flaking paint to a point where paint is intact. -Scrape exterior cellar window frames as needed. -Scrape all affected exterior loose and flaking paint on garage as needed. -Remove and replace garage overhead door casings and jambs with new pine of same dimensions. -Remove garage overhead door. i ` :34 5083942298 LEAD PAINT REMOVAL PAGE 02 r ^. it rl' -Strip all affected exterior white cedar shingles and replace with new grade B or better white cedar shingles. -Remove all generated debris from property. -Perform required TSP washes and HEPA vacuuming, Ail work is guaranteed to pass a compliance inspection and lead dust wipe sampling as performed by inspector Fred Hemmila. All work Is guaranteed to be completed in a timely and workmanlike manner in accordance with current industry standards for the sum of $7,715- with payments as 'follows: $3,857.50 deposit due 12-22-97 (all materials ordered upon receipt) 42,000.00 due on day work begins. -$1,857.50 due upon completion/reinspection by lead inspector. Work is scheduled to begin on Monday January 12,1998 with completion by Friday January 23, 1998. Results of mandatory wipe tests performed by Fred Hemmila may extend reoccupancy by up to 5 days. The apartment may NOT be occupied at any time during the deleading process. Apartment should be void of all tenant possessions. It is the property owner's responsibility to ensure that the property is vacant and available for contractor to begin work on the agreed dates. Please sign and return one copy of this agreement immediately and return in the enclosed envelope. A cancellation fee of 2010/a of total contract amount will be due if owner cancels this contract after 12-22-97. Respectfully submitted, Steve Barnatt John Doriss Deleading Contractor Owner f � ' PRIVATE INSPECTION FOLLOWING CODE DETERMINATION i #1'�273 6 Name of Private Inspector License Number /0 3 9 MAW 5lr42- Address of Property Inspected City/Town Z Date of fnspecti6n �. sae ss ,Tort--A) � Owner's Name 5 n / ��D�2o�✓ Tenant's Name Name of CodA Enforcem nt Inspector/Agency Return this form Within 3 days of. inspection to: CLPPP 305 South street Jamaica Plain, MA. 02130 Lead. Inspection/ Risk Assessment F � orm LEAD PAINT INSPECTIONS BY FRED 11EMMILA Leed Inspector LIc.N 12736 Prrtx or Risk Assessor LIc.N R2736 Method used: 16 Quaker Road, Best Sandwich MA 02537 ❑ Nns cxlriration date 1% X-Rrry 1'luo sccncc Telephone/FAX(308)888-8378 Model wa ScduI#S5a-L Toll I'mo 1-800-286-8378 Address LAll(.N City 3 S T C �- 6 , . F Child's Nome(Lust,First,hilt.) Uirlhdule(M/D/Y) Sex l•areoW Guardiun's Lust Name Parent/Guurdlun's first Name Single family O owner's notte: RHA) Multi-ramily FA �i-M N Owners Address: Number of Units 2 D2G — i KEY: CAP eapped Remarks/Calibration: CCDIP diov vered r C err�capp4rulaled made cess1 rrotaccaaalbbs n�re0ellv�e� REM iertaved �,BN. Bt.� G266� REP replacement REV reversed SCR scraped 1V bare substrate BFa aalepusro In place Moor N floor IN Lw• _ J_ Jt'J _ J _ 1 _ L - L _L -L • 1 1 1 1 1 1 1 •) 1 1 1 1 1 1 1 I 1 1 t .1 1 -r -N -I-. - - - -1- 1 - -r' -r - - -t- -1- -I- -1- -1- -1- -1 - -1 - 7 - t - t - 1- -1-' -r - _1_ 7F- -1- -1- - --1-,-/- -1- -h- - - -r -I- -I- -1- -1- -1- i- 1.- f - t - t - 1- -h -h- - _1__I_ I_ _ `��1 �! t �'(•`f•i �•I _I _1_ _ 1 1 1. I 1 1 . 1 1 1 _ 1 1 1 1 1 ' 1 I �1• 1> i �l ! 1 1 -j - -,",- -1- I- - 1 _ I - ' -1 _ _ i _ }.._ -l- -H - -t- -1- -I- -1- -1- -1- -t - i - i - + - f - ► - H -/- - -1 I I �•,1 f l I � I t 1 1 1 I 1 I 1 1 1 "1 1 1 1 1 I 1 ,- D e� -� -1- -I- -1- �- � - � - � - � - � - � - � -1; - �__4_ - -I- -1- -I- -t- 4- 4 - D 1 / <'a 1 1 ! 1 1 I 1 ET - 1� - - - - --t- -I- J- -t- 1 - l��}rI — L_1 I 1 I 1 -r -r--,- -,--!- 1- 1- - T - T - r -r- - - -r- -,- -,- -,- -i- -1- 1- -1 - T - r - - -I- -I- -I- - J- J� J_ _ -I- -I- -I- -1- J- -I- J - J - 1 - 1 - - :�+ 1 A(street side) A(street side) Pb (lead) more than .1.2 mg/cln2.with x-ray fluorescence or positive with Ng2S is Dangerous. i RISK ASSESS.DATE U gent Lead Interim Control Dale Ha:erd•1 (YwNI Risk Assessor/Inspector Risk Assessor :I.NSP.DATE Lead ar.rd•1 Receliilicalion Dale _ Isk Asse r/Inspector Isk`'- - P Ass!assor HEINSP.DATE I.Ineoarpn•nn Llneanpllmq I 1.Walk Inp'•ar••• AEINSP.DATE :,,,,,,�, ,.•, Full Compliance Dale 7.rsaccup*Mf �.taY•d �.r•oeeup•rcr 4.1•p•dJT Did you complctc n surface assessmcul for cncopsuinion? Y or� Inspector r ks., Risk Assessor EXPLANATION OF LEAD INSPECTIONIRISK ASSESSMENT REPORT FORM COLUMNS ` Refers to A 8 C or D side of dwelling unit. Refer to diagram on cover sheet. cAnaN�:<= ` hi« Refers t o architectural element(s)being tested. It two locations/surfaces are listed In this column,subsequent .SURFACE columns will be subdivided to provide specific Information corresponding to each surface. "11AIJ2"' The actual lead result. A numerical reading indicates that the surface was tested with an XRF analyzer and a reading or average reading) realer than f.2 m Icm' indicates a dangerous level of lead. A' s' or'ne 9 l 9 9) 9 9 9 Po 9 notation Indicates that the surface was tested with sodium sulfide and a' s'notation Indicates a dangerous level ;, : `.> ...;:.......,...., of lead. Each location tested must have an Individual result recorded in the'Lead'column. ii'Y::i+4iji?j�i:+:�::i:i•��>.i:;:4::i.i^}•: The (loose)column Indicates the condition of the painted surface(s)tested. A check mark(J)or'yes no la on in this column means one or both of the surface(s)tested is not intact. it this column'is left blank or has a'no' notation,It means that the surface(s)in question is Intact. Some leaded surfaces are in violation regardless of their condition;others are In violation only it the paint is not Intact. Loose leaded surfaces constitute an urgent } lead hazard. Leaded window sills that are loose must be fully deleaded for Interim control compliance. } b�IR ABt 4 The'owr abt'(owner deleading)column denotes whether or not a surface In violation can be corrected by a trained homeowner/agent wnerl who is no a deleader. A' es'In this column means that he trained ownerla n a elect eo agent I y n t ge t may ; to delead this surface by performing one of the specified low-risk deleading activities. A*now in this column means that only a licensed deleader is permitted,to delead this surface. M Y (0(R,:SRF:pREP! '.' >> The'dir srf prep'(deleader surface preparation)column denotes whether or not a deleader is required to.prepare I a surface!^advance of it being deleaded by a trained homeowner/agent performing certain tow-risk deleading 1 activities. Ayes'in this column means that a licensed deleader must be used to perform surface preparation it x<:': ::.<::::>::>::::><:::>:>:::::::::<:>:>::'�::i the low-risk activity selected is encapsulation or covering a ldctionfimpacl surface with loose lead paint. ! ,:4Wj� pAMAGE'>>' ` Ayes'in the agreater than 25%damage'column indicabs that the surface in question(except for walls,ceilings and floors)must be fully deleaded for Interim control compliance. A no in this column means that the surface need only be made Intact by a licensed deleader for interim control compliance. i>�9AFEGUARDS ' ''r> The 'safeguards' column lists those window conditions which constitute urgent lead hazards and must be corrected for Interim control compliance. i yICBATE a '>>' a>` The'interim control date'column Indicates the dale that the surface was determined to be in compliance with Interim controls. . IC.METHOp...... ....:..... The'inlerim control method'column Indicates the method by which each surface was brought into interim control compliance. Refer to the ekeyo on the cover page for method codes. C>WERTpATE ` > The'recertification date'Indicates the date that the surfaces were recertified for interim control compliance. £:pEl;tAp DATt: <<< € The delead datea column Indicates the dale that the surface was determined to be in full compliance with the Lead ' Law. bEtEAD;MET�IODh>+ The'delead method'column indicates the method by which each surface was deleaded to full compliance with he a Law. Refer o t Lead L e er to the key on the cover page for method codes pROBLE�I, x The'problem'column provides a description of those structural defects whch constitute urgent lead hazards and t ,t must be corrected for interim control compliance. ,. ItEPAlR:DATE t The arepalr date'column Indicates the date that the structural defect was determined to be repaired in compliance' { with interim controls. REf AIR METHOD #f The'repair method'column Indicates how_each structural detect was repaired to a condition of interim control compliance. r+wrcniFm�nnvnnnc�i n►ra;i LEAD PAINT 16 QuAct Road. FAd Sandwich MA 02337 i. Toll Free ii .. : MRMMIN AIM MAIM Ml MAIM AIM Alm moo® l Ml0o AIM Ml AIMEO ROWN1101111000111000 me M MlM M RUMSa�® � "�0 Ml—��M . r�MRAIWAN111 AIM c�mm _� M . UNoO���� �®�i Ml NUNIV0=11001 111001111100 MMl mn��mossm ANN11 ®.M Mlm Mon ME 'AL"irm-m-mmomm MAIM M �rWVs�i Mr®Mlm M .. �r►�I�� MlM MWlMN um 10110 NON AIM M MlMl r i 'LEAD PAINT INSPECTIONS BY MD IIEMMILA 16 Qwikcr Road, FsA Sandwich MA 025371 IN ,. is ► • Toll Free ii II , DUN • ����� ! 1 1 1 1 1 .. .. [bum© MOM NEW 1.. ► 6 __ COME I C .. .. rom .�©..�.. �.....�. MIN p C rus �o � e■ r■■i .. EMMS _.. MINE ....�..� rimmolmINI i Em ri MECr►���� M=rurn F.oNIN M��o MIN ON . WAIMN .. ■.010 IN ..... . ...�...C... ... WAMMIN MIN C '�Da "' :1111IME ..W:.. C .... WE IMMIAFAMN ON 11100 MIN ME MIN mm HOME....IIMM�.:®: r : mom MEN �®WIN =001111100011 EDISON 01111100 0.111MMINMI �mom�1 o� WE i LEAWPAINT BY " 1 IIEMMILA 16 Quaker Road, PAW Sandwich1 1 TcicphondFAX r. Toll Free 11 i 11 • , ����� ! 1 1 1 1 1 i I 1 ! � •1 �� � �1 1.. :MEN m.. .■C"" m■ .... ..■... 1.. 1 ©-■■_ _�= 1.. , , r. ■■■■■n ■�■i■■ ■■� mmim . fins ■■ ■■... =MIME= WAMN ■■■ m .. ■" +^ " +■ I■■ a_■■IrAmmom NNE� ■■■■■■■t■■�i V . .:. .: ■MCA■..■"�® �:. . . ■m ■■ �.■■■■■.■ ■ ::CC.■■■■....■. LEAD PAINT INSPECTIONS I 16 Quakef Road, W Sandwich MA 02537 1 1 1. 1 ' Toll Free 11 i ' 11 ® , , ®� 1 1 r iiYiri 11 tiiYli� '1 W MEN , 00111M IMMMORIM111101 MIAMI rc�a ci■�ii oe�■i ■�ii■�s 1.. -,-100101M _� - .-�.... Ml.■C.. rMmlm Ml ■■o�■■i�r■c.� micN11MMRMX=boffillow AIM INFATRIII'M Mmomms MIAMI ■■■i r_ "M M3 rM is10■_Ml MIAMI MMime AIM ■.� AIM 10111M IMM1■.11M MIAMI v IMMINION AIM■. MIAMI MIAMI �AIM WIAMINION AIM MIAMI M NIM =110E MASON! =�.■... NM ...... .. ■�.� � . 'rm, RM0 am rrrr�s�� ®�_ MIAMI:ME M �,, Arr--�v .• .. ,,, . it LEAD PAINT INSPECTIONS 1 1 TclephondFAX I. 1 Toll Free 10 11 ■■..■C..� ...■..■ ■►.■■■■■■■ ■■■■s■�i r�■■■■i■�■i■■■ ■■■■■■ Im UTTAM■II■■EMS■���■ ...■■■MM=mom= MOWAIMM ■.■. ■■■■■ ■.0 r■m■■■■■■■ ■■■■■�ii �■�i■ .�, ..■■■■■■■■ ..■.� .■W.■■� .■..■�■■� mmm �.■■■®.. IMF tom■■■ ■■ ■■■■■■■■ LEAD PAINT INSPECTIONS BY FRED IIEMMILA 1 16 Quaker Road. East Sandwlch MA 02337 I: Toll Free II ® • •SURFACE ' 1cm® •' 1 1 1 ' * ' •1 •'� =mom ■�o �ao�r� Mom N Fix MOM ©mm MEN=mom ��������� mom a���e�■ii WAMOMo� mm pis ��®®m -LEAD PAINT*INSPE IONS 16 1 andwich MA 1 1 �: 1 1 Toll Free 11 ` I Emma■EMM ...■...■ ■■MM Mom■ .. ■■■■■C ■■�■�■■. MU � MM ■■■■■■ s■■■��■■�ei■■■■ WAMMMMM MI.■■■■■■■■■■ ■■■■MM " ■■■��■� ■■■■ ■■■■■■■■■■ ■■ra■ ■■■■■■■ ■■■■■■■■■■■ ®�.■�■.■. ■■■■®■MMMMM ■■ ■s■■�■ M■■■■■■■■ e■■■■■■== ■■■�■,■■®® ■■■■■■■■■■■■■ ■r■■■■■■■ ■■■■■■■■■■M ■■■■® ■■ MMMMMM ■■■■MMM ■■■■■■■■■■■ ■■■■■■■■ ■■■■■■■■■■■ ■■■■■■■■■■�■ 1ip ,�T LEAD PAINT INSPECTIONS BY 1 HEIVIMILA 16 Quakef R04 East SandwichI2337 1 1 is I, 8378 1 Toll Fin I II frm INN ■C1100111000 LINENIm ��■ mm C..■. I �■ .... ■�■ ■�e�■■ ■■■■■■■■■■ ■■■nm �■ ■�ii ■■s■ee■■ . .r�ra��� �■ ■■psi■■■■■ ■�..■ �■■■ Mum=■■ ■■■■■■■■■■ ems..■....r■ ■■®mm I - - LEAD PAINT INSPECTIONS BY FRED IIEMMILA Lead hupcclor LIc.8 12736 Risk Assessor LIc.N R2736 LEAD INSPECTION/ Page of=1 16 Quakes Road, Gast Sandwich MA 02337 RISK ASSESSMENT FORM TclepilolwRAX(308)888-8378 Toll Fmc 1-800-286-8178 A"oss of Risk Assessment: lmkioJ i-rd=r Apt N H#Ioi city IIALLWAY S r r 7D ST it 5 SIDE LOCAIK" LEAD L OWR DLR SRF >25% SAFEGUARD$ (C IC RECERT IDELEAD OELEAD SURFACE A817 PREP? DAMAGE DAIE MEM00 DALE OAIE MEII100 Up walskow wags O RaseboardXbak sal 0 0 Ooa Cw a Dosin hot 6 �« f-etplUa 0 d �, a a OosiVJamb 00 IOU Dow Does a Do DoskVJamb Door 41— Dow askg►Jaid oes ow a mb D Dskvja Door Does ask4jan* WYsdorr av Win ask4APon Win headw51q s J Win sastmusions Ext APO bead Alk Exl side sash Windom sit Win askVApron Win headedSlops Win sasm&lions i Exl%&Pad bead Exl side sas 1Yndow sJ Win ask*Apon Win headedSlops Win sa3tmwWO Exl sW ad Exl sMe� Cloael wagsClkderior CI askVJamb (� CI basebomdf 1= CI sheiusw wis Closel waAs a ink"dow CI aak4Jamb ClbaseboardURm CI Swu&vpods ' Ra6alw 0.0 fba/ltualald � '` ccikoq losel ceiGN -� SEP. 2 Ucense#12736 I R2736 'bate f � 1 t 11 f I � �: ♦ � G 1 , II• �I / 1 • • 1 • 1 C 1' 1 1 1 1 �EM® 1 t ® •1 ®� •1 �jbwm WAAMOM MMEM L'MMKIN1M� me mmMOO mom -_s"A "niwmm�m m �_� no MrZlmomm�m .1 mmml� m�e� r moamm� �OS�� LEAD PAINT INSPECTIOM By 1 ' IIEMMILA 16 Quket Road. Bad Sendwich MA I 1 ' 1 Toll Ftw 11 ` 1 i En goo KNIN MINE! MIlM Owl" w1' ������ ��■■i�s�� LEAD PAINT IN Bi FILED IIEMMILA Lead Inspector Lie.#12736 - Rhk A&muw LIc.N R2736 LEAD INSPECTIotII ,• pa0u I3 0'fit/ 16 Quaker Rood, Ball Sandwich MA.02S37 RISK ASSESSMENT FORM TelephoneJFAX(308)888-8378 Toll Free 1.800-286.8378 Addles of Risk Aasessmenl: �3 /P S7/2C��� t fI Cf 1�1�ST(jam/t1sT' • EXTE1110I1 13Lu e 0 d Sc IN SIDE LOCAlIOW lEAO L OWR DLR SRF >25% SAFEGUARDS Ic IC RECERI DRUB DREAD SURFACE A011 PREP? DAMAGE DAIE ME11100 DAIS DALE MEIII00 Om't jnL 0 Door catigUamb Q.C) N Widow ti �Q� • Window sling V Wit tativlAUT"n 09 G Widow Ii l21" 0� Widow atilt 60 Win tasimuA'iont O Window Ii Rfjw Window C*34 VINy� Win IuKiuAior i 00 Widow tJ 0.0 L, Widow atilt 00 (/ Win uAVvvrom to AX r W'ndoM 18�, 'N M� •Z _ ' (�f� Widow caring o. �11 Wn#atMduG'iam �j . ^ Widow Iil !�fi}�2. (� Widow catig Wn IulvMurw3 /0 IL( P Window 18"fit Xn Window airg 61 L Win IaINMurnm UG C Window to lvm f9p7- widow caski 0. Wit IuIvMumoro 0.3 Widow ti . �Z whdv+t atilt L f Wln IeIhIMiAiom 0.0 pock MIA O D 13At1-0 aI •u 0 i �+at 0; ' Widow tit EE J widow caskg Win sojIAW Kxu . . ....................... �.� 0.� 1997 �� License 012736!R2736 hale SEP. 2 LEAD PAINT INSPECTIONS i. ii o I _N-IMMI_ _MEN MOMMOSSIMMON LINES MON 3011MINSOM FIRMS MEN UM-MMOM FIRMS MINIM vI 00010111111010 MINIM 110001001 MEN LIMON 00101 .. AMA.®ire .��.■n��ii a�FIRMS��� ONE� MIAMI MONS MINIONclim MEN cam. � ��.��■s� �����e rim FA ISO LIMON 11100 m�.■. o... . - . ®®.. . um 0001.... ........... 0, 0 �� � r rzMINNIN 111111011 1111011111 MIN� 1101 rMMo1N MINIM 1100111011 MON� TWOFROMM ����1�esma � MINION�N �� 11100 ®s C 111111MNI 111101011 ���®® � 0��a M11111��®� ®01111r