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21 E for 17 Bentley St.David WW. Cody Chief 978-744-6990 dcody@saleni.com City of 5a[eni, Massachusetts Fire (Department 48 Lafayette Street , c115° ?‘1 Safern, ?(Massachusetts 01970-3695 rlef. 978-744-1235 FaX 978-745-4646 Tire Prevention Bureau 973-745-7777 January 9, 2008 The Salem Fire Department has received your letter of inquiry for information concerning the possibility of flammable liquid storage or releases on the property described below. 17 Bentley Street There are no records on file for any UST'S or releases, on the property. You should understand that the Salem Fire Department is but one of several departments within the City of Salem to which information can be obtained concerning flammable liquid storage, releases, or hazardous wastes. It is quite probable that this department would have no knowledge, of the presence of hazardous" wastes. on any particular site since this department does not do independent hazardous waste investigations. To assist you in conducting your environmental assessment of the site, we are able to inform you as indicated by the report attached and/or enclosures. As stated above, the records of the. Salem Fire Department .do not permit ., you to rely upon the information contained in this letter as being either definitive or complete. The information in this Letter is provided to you as a courtesy in conducting your investigation, and is provided on the express condition that no liability shall attach or be asserted against the City of Salem, the Salem Fire Department, nor it's employees or members in connection with providing this information to you, or in the event of any inaccuracy or omission thereof. This letter shall not be quoted in whole or in part in any hazardous waste report prepared by you, nor cited as evidence of the presence or absence of any hazardous wastes or iTeleases on this site. Signed, Charles R. Hollora Fire Inspector • r,enlit-Iss4ed . • ' - SALEM FIRE DEPARTMENT Fire Prevention Bureau 48 LAFAYETTE STREET, SALEM, MASS. 01970 Date F,3 i Certificate of Completion - Installation or Alteration of Oil Burning Equipment The undersigned hereby certifies that the installation (or alteration) of fuel oil burning equipment andlor storage tank and applying to the installation for (Name of Owner) a—//- /1) e T Pe keit/ /,5 Floor heated / , 456,4 . -...,......w/ at (Address) /2 8.e/1/T7: Y e/ S by system (lst,2nd,all) has been made in accordance with provisions of the Salem Fire Prevention Code, of Chapter 148, G.L., and regulations made under authority thereof now currently in effect and pertaining thereto. (Ref. 527CMR4.00) Furthermore, this installation has been tested in accordance with such requirements, is now in proper operating condition and complete instructions as to its use and maintenance have been furnished to the person (or persons) for whom the installation (or alterations) was made. BURNER Name 8 Mfg. by R. W . )9 e c A1 e 77— Co - TYPe Mass. Approval No. 96 A— fuel oil " Kind of heat ...) c / e..4- A.3-1 (D.H.W.; F.H.W.; STEAM; F.H.A.) e <I Ai To use not heavier than STORAGE TANK [ ] New Tank No. of Tanks ........ 6 .44 :e.-- Total Capacity a.2 5--- pq Existing Tank Location C e 4 4 4. P [ ] No additional storage, using same tank as another unit. Note: New underground tank installations, require a plan and Form 81G to be filed. Type (automatic or manual) control ....... 4 41. / 6. ii A: .%.1.C., Location of automatic shut-off valve r/k/Vie 4 Pe/ .D.ale 4/ 1-.4 iv Ai -r Location and type of manual shut-off valve. r ( Rom ki 7 < 13 u. a z iva a , ELE CTRICAL CONTRACTOR: Type of Tank Special requirements ./.4.-A 4 .... S' 6-Teri ... ORR ).(e.s...... Compa .11o. AW .e./i/ ... ... / By .. / (written signature) Cert. ofiComp. Reek . y../ . ,Y.. ...-.3 ........ 9/. 44/.-4/(. 4 in ' CL 16 Issued By A.,4. Installer's Certificate of Competency No. // g er Permit issued.. . . ... Address FrmNQ.KeV.i /641 DO NOT WRITE BELOW THIS LINE - •-••••- „ , „ Form 24 Power Burners Date SPnteffibPr A. 19133 Name Janet Dekenis Location 17 Bentley Street Name of Burner RerkPtt Gals. Stored 275 Location of Tank Cellar Installed by Wn1 rian nil rn No. of Tanks Mass. Approval No. Kind of Heat Steam Kind of Oil #2 C. of C. # 1 1 1RFi 1 969 Inspected by D.C. Goggin Date Approved 8/24/84 I NTERSTATE INSURANCE GROUP Commercial Lines Policy Common Declarations Coverage Is provided by: Interstate Fire and Casualty Company 55 E. Monroe Street Chicago, IL 60603 1-800-628-8574 Named-Insured_and_Mailing Address: G NLIMITED REMOVAL & DEMOLITION—INC. P.O. BOX 1378 MARBLEHEAD Policy Period: From 03/01/2004 to 03/01/2005 MA 01945 CLP6253693 Policy Number CLP6232729 Renewal Number Policyholder Service Office 9800 S. Meridian Blvd. P.O. Box 6624 Englewood, CO 80155-6624 1-800-456-8458 at 12:01 AM. Standard Time at your mailing address shown above. Business Description: 0 Individual ❑ Partnership © Corporation 0 Other ABOVE GROUND OIL TANK REMOVAL -INCLUDING WELDING & REMOVAL In return for the payment of the premium, and subject to all the terms of this policy, we agree with you to provide the insurance as stated in this policy. This policy consists of the following coverage parts for which a premium is Indicated. This premium may be subject to adjustment. Commercial Auto Coverage Part Commercial Garage Coverage Part Commercial Crime Coverage Part Commercial Property Coverage Part Commercial General Liability Coverage Part Commercial Inland Marine Coverage Part Terrorism Risk Insurance Act - Certified Acts Coverage - NOT COVERED MINIMUM AND DEPOSIT Subtotal Total Other Charges Total Form(s) and Endorsement(s) made a part of this policy at time of issue*: SEE FORM 00-GE 3059 (4-00) *Omit applicable Forms and Endorsements if shown in specific Coverage Part/Coverage Form Declarations. Producer Name and Address: INSURANCE INNOVATORS AGENCY OF NEW ENGLAND INC. 30B CAPITAL DRIVE, PO BOX 680 WEST SPRINGFIELD, MA 01090 (da Producer Number: 272101 o Countersigned by thorized Representative Premium 2.035.00 -o- 2,035.00 2.035.00 AO/e62,0ate 04/01/2004 These Declarations together with the Common Policy Conditions, Coverage Part Declarations, Coverage Part Coverage Form(s) and Forms and Endorsement, if any, issued to form a part thereof, complete the above numbered policy. Edit: COM1 80 Boston Street 11/22/76 License granted to John Flynn & Sons for 9,800 gallons of Class B solvent.e Tank age'not known leaked and was filled with sand approximately 1977. 6/21/77 New 6,000 gallon steel tank installed. To be used for storage of degreasing solvent at #19 Goodhue Street 2/5/79 Duplicate permit issued for the storage of.6,000 gallons of Class B Duplicate permit issued for -the storage of 20,000 gallons of #4-6 and for the storage of 10,000 gallons of #4-6. Heating fuel for heating units. See also 19 Goodhue Street Edit: COM1,,._. 9 Goodhue Street ee all card.t•80 .Boston_ St . 6/21/77 Installed (1) 6,000 gal., steel tank to be used for storage of degreasing solvent. Tank underground at 19 ' Goodhue Street. Edit: COM1 80 Boston Street 11/22/76 < License granted to John Flynn & Sons for 9,800 gallons of Class B solvent. < Tank age not known leaked and was filled with sand approximately 1977. < 6/21/77 < New 6,000 gallon steel tank installed. To be used for storage of degreasing solvent at #19 Goodhue Street < 2/5/79 < Duplicate permit issued for the storage of 6,000 gallons of Class B < Duplicate permit issued for the storage of 20,000 gallons of < #4-6 and for the storage of 10,000 gallons of #4-6. < Heating fuel for heating units. < See also 19 Goodhue Street Edit: COM1 19 Goodhue Street See all cards at 80 Boston St. 6/21/77 < Installed (1) 6,000 gal., steel tank to be used for storage of degreasing solvent. Tank underground at 19 Goodhue Street. 1977. 6/21/77 New 6,000 gallon steel tank installed. To be used for storage of degreasing solvent at #19 Goodhue Street 2/5/79 Duplicate permit issued for the storage of 6,000 gallons of Class B Duplicate permit issued for the storage of 20,000 gallons of #4-6 and for the storage of 10,000 gallons of #4-6. Heating fuel for heating units. See also 19 Goodhue Street Edit: COM1 80 Boston Street 11/22/76 License granted to John Flynn & Sons for 9,800 gallons of Class B solvent. Tank age not known leaked and was filled with sand approximately 1977. 6/21/77 New 6,000 gallon steel tank installed. To be used for storage of degreasing solvent at #19 Goodhue Street 2/5/79 Duplicate permit issued for the storage of 6,000 gallons of Class B Duplicate permit issued for the storage of 20,000 gallons of #4-6 and for the storage of 10,000 gallons of #4-6. Heating fuel for heating units. See also 19 Goodhue Street ktk" 0// Edit: COM1 80 Boston Street R('' 11/22/76 License granted to John Flynn & Sons for 9,800 gallons of Class B solvent. Tank age not known leaked and was filled with sand approximately 1977. 6/21/77 New 6,000 gallon steel tank installed. To be used for storage of degreasing solvent at #19 Goodhue Street 2/5/79 Duplicate permit issued for the storage of 6,000 gallons of Class FAX Salem Fire Department Fire Prevention Division 29 Fort Avenue Salem, Ma 01970 tel (508) 745-7777 fax (508) 745-9402 to: I k-' 64 ®�*�c�e�� fax #: i z from: date: I 3/Z/4 subject: I .3, ,l. £ pages: I NOTES: FRANK PRECZEWSKI FIRE INSPECTOR PAGER (508) 489-8233 This facsimile contains privileged and confidential information intended only for the use of the individual or entity to whom it is addressed. If the reader of the facsimile is not the intended recipient or the employee or agent responsible for delivering it to the intended recipient, you are hereby notified that any communication, transmission, dissemination or reproduction of this facsimile or its contents is strictly prohibited. If you have received this facsimile in error, please immeditely notify us by telephone and return the original facsimile to us at the above address via the U.S. postal service. Thank You. ‹z RECEIPT OF DISPOSAL OF UNDERGROUND STELL.STORAGE,TANK , NAME AND ADDRESS '1il' %YJ'. ;. �o ' a �2 G G c .o # nw. C OF APPROVED TANK YARD APPROVED TANK YARD NO. 0 C) a/ Tank Yard Ledger 502 CMR 3.03(4) Number: q -7 O 0 t 1 5 I certify under penalty of law 1 have personally examined the underground steel storage tank delivered to this "approved tank yard" by firm, corporation or partnership _ry1p N CYELLO CtOa t and accepted same in conformance with Massachusetts Fire Prevention Regulation 502 CMR 3.00 Provisions for Approving Underground Steel Storage Tank dismantling yards. A valid permit was issued by LOCAL Head of Fire Department FDID* _5� 5,5__ to transport this tank to this yard. Name and official title of approved tank yard owner or owners authorized representative: \ (� O) Ll� -U G-97 �/ SIGNA'1URE fiITI.E DATE SIGNED This signed receipt of disposal oust be returned to the local head of the fire department FDII • 5 g _ pursuant to 502 CMR 3:00. (EACH TANK MIST HAVE A RECEIPT OF DISPOSAL) FORM F.P. 291 (rev. 11/95) (OVER) RECEIPT OF DISPOSAL OF UNDE ROUND ST STORAGE TANK NAME AND ADDRESS OF APPROVED TANK YARD APPROVED TANK YARD NO. a 0 9 Tank Yard Ledger 502 CMR 3.03(4) Number: MASSACHUSETTS STATE FIRE MARSHAL'S OFFICE I certify under penalty of law I have personally exanined the underground steel storage tank delivered to this "approved tank yard" by firm, corporation or partnership POOR ;IW LO CorrS{' and accepted same in conformance with Massachusetts Fire Prevention Regulation 502 CMR 3.00 Provisions for Approving Undergr,ud Steel Storage Tank dismantling yards. A valid permit was issued by LOCAL Head of Fire Department MIDI Q 5 dam$' y� to transport this tank to this yard. Name and official title of approved tank yard owner or owners authorized representative: SIGIAIURE cpki I E DATE SIGNED This signed receipt of disposal must be returned to the local head of the fire department FDIDO 9 J Sy, _ pursuant to 502 CMR 3:00. (EACH TANK MIST HAVE A RECEIPT CF DISPOSAL) FORM F.P. 291 (rev. 11/95) (OVER) RECEIPT OF DISPOSAL NAME AND ADDRESS OF APPROVED TANK YARD APPROVED TANK YARD Tank Yard Ledger 502 CMR 3.03(4) Number: 0 0 ( 8 4- I certify under penalty of law I have personally exanined the underground steel storage tar delivered to this "approved tank yard" by firm, corporation or partnership-ft1OnCfe1lu Cclat and accepted same in oonfonnnance with Massachusetts Fire Prevention Regulation 502 CMR 3.00 Provisions for Approving Underground Steel Storage Tank dismantling yards. A valid permit was issued by LOCAL Head of Fire Department FDID* j 2. S 8to transport this tank to this yard. Name and official title of approved tank yard owner or owners authorized representative: SIQ ANRE POSSACIRLSETTS STATE FIRE MARSHAL'S OFFICE Ilk a I.,,i il+.6 ., „IYa. �i IyWW-: lit,lo,_++IAiW�y. •1 ', ,� . o.w il.. „11..,.111.i_,,.��'.,. nine n.11 l l ' (rI�9lh�lt�i 11u1 5ii n � Yl d frlifJuf �i fYi Y OF UNDERGROUND ST},�6Te TANK JOHN C. TO is ;ri1 v, ^r':3. L'e gi NO. kz TITLE DATE SIGNED This signed receipt of disposal must be returned to the local head of the fire department MEDI D 1 5 pursuant to 502 CMR 3:00. (EACH TANK MIST' HAVE A RECEIPT OF DISPOSAL) FORM F.P. 291 (rev. 11/95) (OVER) AViSSACHUSETTS STATE FIRE MARSHAL'S OFFICE Gallons U oo Previous Contents G41-&°i 'r`A ' Diameter (o 4 `' Length ► 2' ►" Date Received 3 •(A 4 7 Serial # (if available) Tank I.D. # (Form FP-290) ?D(lcic St• f a, o iJ. R4..n lYw? ( No. and Street ) Sct,eww, . ( City or Town ) Fire Dept. Permit # 4 227 Owner/Operator to mail revised copy of Notification Form(FP-290, or Fp- 290R) to: UST Compliance, Office of the State Fire Marshal, 1010 Commonwealth Avenue, Boston, Ma. 02215. Tank Data Tank Removed From: &zcge. S(• 'Gt.i4_. R2uQ;Gji uoi- ( No. and Street ) 4d ( City or Town ) Gallons 4 o o 0 Previous Contents C{i a tau_ Diameter_ 4± _Length a1' ► t 1 Date Received 3-06 g? Serial # (if available) Tank I.D. # (Form FP-290)_ Owner/Operator to mail revised copy 290R) to: UST Compliance, Office of Commonwealth Avenue, Boston, Ma. Tank Data Gallons 80CC Previous Contents ra'oL'te- Diameter Length 2► s�. Date Received 3 RA-7 Serial # (if available) Fire Dept. Permit # 4 225 of Notification Form(FP-290, or Fp- the State Fire Marshal, 1010 02215. Tank Removed From: 3 2nitacte.. j l - C/t iA4 R eo,t,ty 12w l- ( No. and Street ) ( City or Town ) Fire Dept. Permit # 422-f Tank I.D. # (Form FP-290) Owner/Operator to mail revised copy of Notification Form(FP-290, or 290R) to: UST Compliance, Office of the State Fire Marshal, 1010 Commonwealth Avenue, Boston, Ma. 02215. Fp- RECEIPT OF DISPOSAL OF UNDERGROUND STEEL STORAGE TANK NAME AND ADDRESS OF JOHN C. TOIMAHt APPROVED TANK YARD 07 MARSH .: i APPROVED TANK YARD NO. _ r,:r Tank Yard Ledger 502 CMR 3.03(4) Number: 4 -7 _11 0 I E) s I certify under penalty of law I have personally examined the underground steel storage tank delivered to this "approved tank yard" by fine, corporation or partnership rY)() Girt,la ()DNSI and accepted same in conformance with Massachusetts Fire Prevention Regulation 502 CMR 3.00 Provisions for Approving Underground Steel Storage Tank dismantling yards. A valid permit was issued by LOCAL Head of Fire Department FDID4 to transport this tank to this yard. Name and official title of approved tank yard owner or owners authorized representative: SI TITLE ,a) -iZ.Q7 DATE SIQND This signed receipt of disposal must be returned to the local head of the fire department FDID$ r y a. 5 pursuant to 502 CMR 3:00. (EACH TANK MUST HAVE A RECEIPT OF DISPOSAL) FORM F.P. 291 (rev. 11/95) RECEIPT OF DISPOSAL NAME AND ADDRESS OF APPROVED TANK YARD APPROVED TANK YARD NO. Tank Yard Ledger 502 CMR 3.03(4) Number: (n 6; ,- I certify under penalty of law I have personally examined the underground steel storage tank delivered to this "approved tank yard" by firm, corporation or partnership and accepted same in conformance with Massachusetts Fire Prevention Regulation 502 CMR 3.00 Provisions for Approving Underground Steel Storage Tank 0,ismantling yards. A valid permit was issued by LOCAL Head of Fire Department FDID# 0 . Z to transport tank to this yard. off' ial re of approved tank yard owner or owners authorized representative: (OVER) MASSACiUSEMS STATE FIRE MAR41AL' S OFFIC OF UNDERGROUND STEEL STORAGE TANK Turner Trucking & Savages Co , 995 r'Ommercia-St. L:mm,491A-01-9C; SCQ le S-4-9 7 SIGNATURE TITLE DATE SIGNED This signed receipt of disposal rust be returned to the local head of the fire departrent FDID1 pursuant to 502 CMR 3:00. (EACH TANK MUST HAVE A RECEIPT OF DISPOSAL) FORM F.P. 291 (rev. 11/95) (OVER) MASSAOLZWITS STATE FIRE MARSHAL' S OFFICT Gallons i000 srv.) Previous Contents Gaao ( L . Diameter G " Length c,115 Date Received 3 - / 2- t Serial # (if available) Tank I.D. # (Form FP-290) Tank Removed From: enc1QC s • l,ufie i4eagz grunt- ( No. and Street ) ( City or Town ) Fire Dept. Permit # Owner/Operator to mail revised copy of Notification Form(FP-290, or 290R) to: UST Compliance, Office of the State Fire Marshal, 1010 Commonwealth Avenue, Boston, Ma. 02215. Tank Data Gallons300 U Previous Contents Gq 5 Diameter Length Date Received E`S`�7 Serial # (if available) Tank I.D. # (Form FP-290) Owner/Operator to mail revised copy 290R) to: UST Compliance, Office of Commonwealth Avenue, Boston, Ma Tank Removed From: ( No. and Street ) SQ /PHI ( City or Town ) Fp- Fire Dept. Permit # t 2 Z6o of Notification Form(FP-290, or Fp- the State Fire Marshal, 1010 . 02215. Weston & Sampson ENGINEERS, I N C, TO: Salem Fire Prevention FROM: May Kourtz, Weston & Sampson Engineers, Inc. DATE: September 24, 2007 SUBJECT: 21E File Review — 234 Bridge Street, Salem To Whom It May Concern: Weston & Sampson Five Centennial Drive Peabody, Massachusetts 01960-7985 www.westonandsamoson.com Tel: (978) 532-1900 Fax: (978) 977-0100 Innovative Solutions since 1899 Project # 2070551 On behalf of the Massachusetts Highway Department, Weston & Sampson is conducting a site assessment of the parcel of land located at <234`Bridge Street in Salem,i'Massachusetts. We are writing this letter to request a review of the files for this Site tor any information pertaining to USTs/ASTs, hazardous materials storage/permits, or fire incident records. A check in the amount of $30.00 made out to the City of Salem is enclosed. If any information is available could you please fax it back to me at (978) 573-4090, or mail it to my attention at the following address: Weston & Sampson 5 Centennial Drive Peabody, MA 01960 Thank you very much for your time. Sincerely, 7117 May Kourtz Geologist O:\MassHighway\Contract #45877\Salem\FD Memo.doc Date: 07/09/2003 Time: 10:54:49 Record # 395 Address: No: 5 Business name: Tank data: Tank size: Product: Street rBBARTON SQUARE SALEM HOUSING AUTHORITY (in gallons) 1,000 (G)asoline F (D)iesel fuel (F)uel oil for heating (W)aste oil (0)ther regulated substance (U)nknown substance Tank type: (S)teel (F)iberglass S Date of removal: Contractor: Additional details: 05/06/1994 SUBURBAN OIL CO. memo ,Naine-Of Stainer. :. Dyliirp4e --; 'WEN275 LiaCittion:Of Tank .Baseinettt Kind of Heat. Cap. of Tank Kind of Oil Installed by n : al* k. Gal ager & if2926 .inspected ...." ,ted d 1161948., Gals.