12 Palmer - Unit 3 - Lead CertTran Lead lnspection Services
450b Paradise Rd, #291
Swampscott MA 01907
Emai I I info@tranleadinspection.com
Phone | 617-899-7295
Website I www.tranleadinspection.com
TRAN LEAD
INSPECTION SERVICES
LETTER OF FULL DELEADING COMPLIANCE
12Palmer St LLC
106 Elm St
Wakefield. M401880
Dear 12 Palmer St LLC
197, arrd 105 CMR 460.000:
those same laws. Dust samples
were taken and found to be within acceptable limits.
Massaclrusetts law does not require the abatement or containment of all residential lead paint. The residential oremises or
dwelling unit and relevant common areas shall remain in comDliance wiJh the requirements of the [,ead Laws referenced
above ontv as long as there continues to be no Deeling. chiDping or flaking lead paint or other accessible leaded
materials. as long as coverings and/or encapsulants forminq an effective barrier over such paint or other leaded materials
remain in olace. and as long as surfaces reversed to lead hazards remain reversed and securelv in place. The law
grants you a 30-day maintenance period to repair deteriorated lead paint or detached coverings over such paint, and to clean up, during
which time this Letter remains valid.
The second page or reverse side of this letter identifies the authorized person(s) who performed deleading on the property and a general
summary of the methods used to achieve compliance with the Lead Laws. A conrplete Reinspection Report is attached to this letter, which
specifies how and on what date each surface was brouglrt into compliance.
To the best of my knowledge, the cost of the legally required deleading is $3000.00
The CLPPP authorized serial number for this Letter of Full Deleading Compliance it 987040850709243
This number is tracked and unique to this address and unit.
DO NOT LOSE THESE DOCUMENTS. If the documents are lost, you will be required to have additional private inspector
services that may cost you significant amounts of money. This Letter of Full Deleading Compliance is only for the address and unit noted
above. If you change the street address, unit number or any other identiffing information pertaining to the residential premises referred to in
this Letter of Full Deleading Compliance, this Compliance Letter may be considered null and void by the Department of Public
Health and/or a municipal health office.
Do not alter this document in any way. Altering this document is fraudulent and may endanger the health and safety of a child which may
result irr signihcant legal consequences. In addition to any potential civil liability which may arise as the result of the alteration of this
Letter of Compliance, the Massachusetts Department of Public Health's Childhood Lead Poisoning Prevention program may
seek criminal prosecution of any person \ iho alters this document after it is originally issued.
Sincerely.
Vendy Tran 4085 07 r 09 r24
Inspector (print name)License #
Questhns? Call the Departnrcnt of Public Health at
DO NOT LOSE THESE DOCUMENTS
LOFI)C rcv O6 l7 Page I of 2
Date
This 07 r01 r24
fi
Address: 12 Palmer St Uni#: 3
Serial Number:98704085070924-3
City/Town:Salem
Deleading Historv
Deleading Contractor Jacques Akelian ag DS 900544
License#:DC 500048 Date 021 19 125
I-l caustics
I fiquiA Encapsulation
Deleading Methods Scraping
I{eat Gun
Demolition
Vtrtr
[l U*ing Intact (Extcrior) E po*", Sanding
[l Na"king Intact (inrerior]
[l Reptacement
na
Rernoval
Covering
I oth".
Work nas done in the tbllowing rooms: Please See reinspection report for details.
Work was done on thc following types of cornponents: Please see feinspec
Start Date: 07 I 01 i24 Finish Date: 07 / 01 /24 Cost: $ 3000.00
Authoriiration # MR-
RRP w/additional Moderate Risk Training
Moderate Risk Deleader (ownerlagent)
I Removal
Work was done in thc following rooms:
Deleading Methods: [-l Replacement
! Couering
! Uunng Intact (Interior)
I N4uting Intact (Exterior)
I fiquia Encapsulation
Expiration Date:
Authorization #
Issuancc Date:
troMtrAM
fl other
Work was done on the following types of components:
Start Date:Finish Datc; I I Cost: $
Low Risk Deleader (owner/agent)Authorization #
Issuance Date: I I
Deleading Methods: ! Covering fl Liquid Encapsulation
I Replacemeut (ONLY doors, cabinet doors, shutters, shelves not afhxed, drawers, n indows on hinges)
Work was done in the following moms:
E
AL
AE
Au
Work rvas done on the following types of components:
Stafl Date Finish Date: I /
l{)t'DC - re! 0f, l ?Pago 2 of 2
Cost:S
30105 Beverly Road
Romulus, Ml 48174
Ph: 734$294161 ; Fax: 734{29#il1
Certificate of Analysis: Lead ln Dust Wipe by EPA Method 70008/NIOSH 7082"
Client:
Attn :
Phone
Client Project :
Project Location :
Tran Lead lnspection Services
450b Paradise Rd 291
Swampscotl, M401907
Vendy Tran Email
617{99-7295 Far;
tranleadinspection@gmail.mm
AAf Proiect: 1044031
Sampling Date : O7lA1l2O24
Dat" Rec€ived : o7fi3f2124
Oate Analyred : 07 1fi312024
Oate Reported : O7|0U2A24
12 PALMER ST UNIT 3 SALEM
12 PALMER ST UNIT 3 SALEM
Lab Szmpla lD Client Code Sample Oescription
Length
(anch)
n idth
(inch)
Area
(sc ft)
Results Lead
lrdr|2'
9y2035 KIT F 12 1.00 <5.00
9s42037 KITDl WW 0.64 16.5
9s42039 5 RM2A2WS 32 9.5 2.11 <2.37
9542041 BLANK N/A NiA N/A N/D
Analyst Signature W
Alexis Pheeney
ND = Not Detected, NiA = Not AvailaHe. RL = RegxtiflS Lifi]t' Aodyricd Reporl,fig Llnh lE 5 .rg/mCe. For f€ vdG affi (3) r*jnin6* fg@s.
AAT inlemal SOP 3205. The reltsd ard bakh QC {e a@ta}re unhs dts$,is stated^ EPA Reouldo.y LimiE: 10 l,g/n2 {Fbors.
C6rpeted/Uf,€rpeted), 100 ug/ft2 {w.rdow Sfl/S!ool6}, 400 r${2 tl,l,kds lrcughl,\d/Er Corete Sqrfa6r- Ht D gsr*€ R€Aul3tsy L,sils: 10
Witi2 (lnteitr Floqs). 40 og,t2 (PorcI Fl,oo8), 100 ug/n2 {VYiff ory SSs}, l0O r8m2 $trdolr T6jgtE}. TlE labffitory o0e€e6 in accdd wi& 60
17025 guidelires and hokls limited $opes of aweditation unds AIIIALAP ryld NY State OOI{ EtAo progEms. The rrults are submilted pu6€nt lo
AAT, LLC drefit t6ms and @ditiqs od sale. i.iduding fE imFrl/s standa.d weanty and Bniiatrs ot liabilty p.oyisirc. Analylicd r6!Xs elate to
the $mpl6 as rreived by the lab. AAI *ill not assume aoy liabi$ry ry Bsponsililit! lor liE ronns in $*rilh lhe resrrts ae use{, or interp.eted. Al
Quality Cfftrd requiEments tor the sr{rs thls repdt ffiins halB been rEt. AAT d@s fiot blanl @recl eponed vdus. Sffide data apply sly !o
itens aoalyzed. Resuhs are Blculated with wib dimen$ions epptied by diert. Reprodudbn of lhis dffil ottEr lhan h its errticty is rFl asthsized
by AAT. LLC. ' . VaEdated modifEd m€ihod. Sardos aE stored tor 1 5 days toilwing rsporl dat€.
AIHA LAP- Lab lD #100986, l.lY State DOH ELAP -Lab lO I11664, Slalc cf Onb- lab lD f 10M2
Date Printed: OilOZIZOZ4 AAT Proiect: 1044031
Page 1 of2
1
9542036 I KITDl WS 30 9.5 1.98 <2.53
3 26.5 3.5
9S2038 RM2F 12 12 1.00 <5.00
9s2040 6 RM 2 A2 W\^J 26.5 3.5 0.64 <7.76
7
&ffiffi 30105 Beverly Road
Romulus, ?il 48174
Ph: 73&6294161; Fax: 73t1429-8431
To: Tran L€ad lnspection Services
450b Paradise Rd 291
Swampscott, M401907
Attn : Vendy Tran Email :
Phon€:
Project Location : 12 PALMER ST UNIT 3 SALEM
Sample Client Code
tranleadinspeclion@ gmail.com
617-89$7295
Analysis Requested
AAT Project : 1044031
Cliont Project: 12 PALMER ST UNIT 3 SALEM
Date Reported : Oll03l2o24
Completed Analyst
9542035
9542036
9542037
9542038
9542039
9542040
9il2041
1
2
3
4
5
6
7
DustWipe
Dust Wipe
DustWip€
DustWipe
DustWipe
Dust Wipe
Dust Wipe
0710312024
a7fi312024
071o3t2024
o7tou2024
47n3t2024
0710'312024
07n3t2024
Alexis Pheeney
Alexis Pheeney
Alexis Pheeney
Alexis Pheeney
Alexis Pheeney
Alexis Pheeney
Alexis Pheeney
Reviewed By Elyse Bidle
Qualily Assurance Coordinator
This roport is intended for use sobly by tlts irxh/hu!, q mW b wtlich it b ddessgd, lt my 6tain n orHliq that is Fhdogsd, stfidsti, ard ottswiss sxempt by law ,rffi
disdosure. lf the reads c, this intffmat*m is not ttE intryded @,rri6rt d a erpby6 o{ As lrtldded Bi*rL tqr are lsewilh mlifi€d $ar aoy dis*rstjon, distibutim d @pyiog
ol lhis iitormtjs is stic{y protnlt tsd. lf }ou hm l?@ived this nhrvrsoi n €ffi. dee not'ry AAT rdh€d6t€ty. Tha* yot-
AIHA LAP- Lab lD #100986, NY State DOH ELAP -Lab lD #11864, State of Ohio- Lab lD # 10042
DatePrinted: o7lo3l2o24 4:36PM AATPTT{ect: 1044031
Page 2 of 2
&#*"-*-/e
DELEADING INVOICE
Please completely and clearly fill out appropriate information
Name (print)Jacques Akelian Telephone
Company:Work/Cell ( 617) 372. 2222
Address: 487 Waltham St Lexington Zip Code 02421
Address of Deleading Work l2 Palmer St Unit 3 Salem code 01970 -
I hereby attest that all deleading activities and clean up were done in accordance with the Department of tabor and Workforce
Development's Regulations, 454 CIUR 22.00 and the Childhood Lead Poisoning Prevention Program's Regulations, 105 CMR 460.000
Signature ldrgaet l%eliata Date: O7 I 0l /24
Only complete section reflecting your authorization/license status
()
Deleading Contractor Jacques Akelian License#:x oc sooo+g exp. Date
X os qoos++
02t 19 t25
Deleading Methods: ffi Scraping
fI ueat Gun
I Demolition D Power Sandinc I Caustics
ffi Replacement ffi Covering ffi tvtaking Intact
I t-iquid Encapsulation D ottrer
Work was done in the following rooms: Please see reinspection report for details.
Work was done on the following types of components:Please see reinspection report for details
Start Date:Cost: 53-000 00
RRP */additional Mcxlerate Risk Training
Moderate Risk Deleader (o$ncr/agont )
Deleading Methods:
Work was done in the following rooms:
E tvtating Intact (interior)
fl tvtating Intact (exterior)
Authorization # MR-
lssuance Date: / I
Authoriiration # - IOMEAM
Issuance Date: / I
f] Capping Baseboards
[] Uquid Encapsulation
I Replacement
f, Covering
Work was done on the following types of components:
Start Date: I I Finish Date:Cost:(Docsn ! Inc!!tj!!itqwE!r!1!'!rD
Low Risk Deleader (orncr/agent)Authoriiation #I or-EelIeeIneIssuancc
Deleading Methods: I Covering f] Liquid Encapsulation n Capping Baseboards
fl Replacement (ONLY doors, cabinet doors, shutters, shelves not affixd drawers, windows on hinges)
Work was done in the following rooms:
Work was done on the following types of components:
ou,", I 7-! oE
----LloB
Finish Date: I /Cost:Start Date:(f)oes'l lnchde O\\ns's l-abor)
Questions? Call the Department of Public Health Bt 1-800-532-9571.
DO NOTLOSE THESE DOCUMENTS
07 I 0l 124 Finish Date: 07 / Ol /24