12 Palmer - Unit 5 - Lead CertTran Lead lnspection Services
450b Paradise Rd, #291
Swampscott MA01907
Email I info@tranleadinspection.com
Phone f 617-899-7295
Website I www.tranleadinspection.com
12 Palmer St I I C
Dear l2Palmer St LLC
This letter is
Unit 5
On that date,
were taken and found to be within acceptable limits.
Massachusetts law does not require the abatement
LETTER OF FTTLL DELEADING COMPLTANC]E
at 12 Palmer St
own
TRAN LEAD
INSPECT'ON SERVICES
License # 2006
l, Section 197, and 105 CMR 460.000:
iance with those same laws. Dust samples
106 Elm St
Wakefield,01880
conducted o, 02t 07 t09 as being in violation of Massachusetts General Laws, Chapter I I
Regulations foE;aToiso-ilng Preven]tion and Control, were determined to be in current conrpl
or containment of all residential lead paint.
tn
above onlv as as there continues to no oeclinp. chipning or kins lead paint or other leaded
Laws
reversed to lead hazards reversed and nlece.The lawremaln ln and as lons as
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 seco'd page or reverse side of this letter identifies the authorized person(s) who performed deleading on the property and a general
summary of tiri methods used to achieve compliimce with the Lead Laws. A complete Reinspection Report is attached to this letter" which
specifies how and on what date each surface was brouglrt into compliauce.
To the best of my knowledge, the cost of the legally required deleading is $ 3000.00
The CLPPP authorizetl serial number for this Letter of Full Deleading Compliance is 98704085070924'5
This number is tracked and unique to this address and unit.
DO NOT LOSE THESE DOCUMENTS. If the documents are lostn you will be required to have additional private inspector
services that may cost you significant amounts of money. This Letter of Full Deleading Conrpliance is only for the address and unit noted
above. If you change the streeiaddress, unit number or any other identifying information pertaining to the residential premises ref'ened to in
this Letter of Full Delea6ing 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 docunrent in any way. Altering tlris document is fraudulent and may endanger the health and safety of a child which may
result in significant legal consequerces. In addition to any potential civil liability which may arise as the result of the alteration of this
Letter of C-ompliance, the Massachusetts Department of Public Healtlr's Childhood Lead Poisoning Prevention program may
seek criminal prosecution of any person who alters this document after it is originally issued.
Sincerely.
Vendy Tran 4085 07 r 09 i24
Inspector (print name) License #
Questions? Call the Departmcnt of Public Health at
DO NOT LOSE THESE DOCUMENTS
Page I of 2LOFDC rtr06 l7
Date
m
07 r01 r24 re-inspected your property
in the initial
Address: 12 Palmer St Uni#: 5
Deleading HistorY
Deleading Contractor Jacques Akelian
Deleading Methods: [l S.ropi,rg Making lnract (Extcrior) E Po*". San<ling
Serial Number: 98704085070924'5
City/Town:Salem
License#:DC 500048
DS 900544
l_l Caustics
I riquia EncapsulatiouDn
IIeat Gun
Demolition
Making Intact (interior)
Replacement
tr
V
Removal
Covering
I othet
Work was done in the following rooms: Please see reinspection report for details-
Work lvas done on 0re following types of components: Please see reinspection report for details-
Srart Date: 07 I 01 124 Finish Date: 07 I 01 124 Cost: $ 3000.00
RRP w/additional Moderate Risk Training
Moderate Risk Deleader (o*nerragent)
Authorization # MR-
Expiration Date:
Authorization #
Issuance Date:
I MuHng Intact (lnterior)
fl M"Hrg Intact (Exterior)
I fiquiO Encapsulation
I ottrer
Deleading Methods:Rcplaccment
Covering
trn
I Removal
Work was donc in the follow'ing rooms:
Work was done on the followirrg types of comlxrnents:
Staft Date:Finish Date: I I Cost: $
Low Risk Deleader (owner/agent)Authorization #
Issuance Date: I
I Covering fl Liquia Encapsulatiot
I Replacement (ONLY doors, cabinet doors, shutters, shelves not affxed, drawers. n'indows on hinges)
E
AL
AE
AB
Deleading Melhods:
Work was done in the follo*"ing rooms:
Work was done on the following types of components:
Start Date:Finish Date: /
I.,OFDC .. rev t).5, l7 Pagc 2 of 2
Cost:S
Date 021 19 125
a
Va
8##ffi 30105 Beverly Road
Romulus, Ml 48174
Ph: 734429-8161,' Fa* 7314294431
Certificate of Analysis: Lead ln Dust Wipe by EPA Method 70008/NIOSH 7082*
Cllent: Tran Lead lnspection SeMc€s
450b Paradise Rd 291
Swampscott, M401907
Attn : Vendy Tran Emall : tranleadinspection@gmail.com
Phone : 617499-7295 Fax:
Client Project : 12 PALMER ST UNIT 5 SALEM
Prol.ct Location : 12 PALMER ST UNIT 5 SALEM
AAT Proioct:
Sampllng Date :
Date Received :
Date Analfzed :
Date Reported :
't044027
07t01t2024
07t03t2424
07t0312024
07to3t2024
Lab Sample lD Client Code Samplo Description
Length
(lnch)
width
(lnch)
Arca
(sc ftl
Rerults Lead
Vgtfr2'
9542028 RMlF 12 12 1.00 <5.00
9542029 2 RMlA2WS 9.5 2-11 <2.37
s542030 3 RM 1 A2 \AA^'26 3.5 0.63 <7.91
RM2F 12 12 1.00 <5.009542031
9542A32 5 RM2AlWS 32 9.5 2.11 <2.37
9542033 RM2AlWW 26 3.5 0.63 <7.916
7 BLANK N/A N/A N/A NiD9542034
Analyst Signature W
Alexis Pheeney
ND = Not D6tected, N/A = Not Avatabae. RL = Repmlir€ Limil, Andyliczr Repo.l,ng LiDit b 5 lgr'smile.Fs trE v6lG as {3) dgnfi@t fOrs.
AAT int€mal sop sms. Ths rettEd ad bakh oc e a@lattle ude$ cdtxsis stated-Em R€gda0ory Limits: l0 sq/M (Fl6s.
Carpeted4j@rpded), 100 usr'n2 Wrxfow Si3slooas), AN v}m {windil fo€hJw€lEn Coo@te Sutac6}.HtD Cf,ar{ea R€gulalryY Linits: l0
ug,ft2 (lnreriq Flm). 40 ug,t2 (Po.* FIffi). 10o ugm2 (Wodfl Sils), 'l0o ug,n2 {whd@v reghs}. nE hbcattr,optratG h a(gd ailh ls:o
1?O25 guiieliEs dtd hotCs limiled $op6 of weditation urda AIIAJ-AP dd NY $ate mf{ ELAP p.ogEms- The @lls m submitH puBafi to
AAT, LLC drent tom and cdditifis o{ sale. irduding the lffiporys *rdatd waranty and bniiatis oI Labldy p.di.im- Aldyli@l r6uJts Elate to
th6 smd6 as '@iwd by the lab. AAT $! rcl asme ily |tabilty r cspons$frty ts the tmhs in *fiich lt€ rslrts are used or intEFeied Al
Quality C6trd resrEments for the etrd6 this repqt cmtaans hae bsf, trEt. MT d(s not Hant @ned Bpo,led vdE. S:mde data apply dW to
items analyzed.Reehs ae €lcdated wi$ wiB dimensiore suplrl€d tsy dxrtt Reptodudim ol this dwl otls thffi h its ernkety is rpt authorized
by AAT. LLC. ' . ldatd modrf€d rethod. Sard6 are sbrsd b,15 6ys folorng rsport dat6.
AIHA LAP- Lab lO #100S86, NY State DOH ELAP 'Lab lD rllE64. Slalc of ot&' Lab D , 10042
Date Printed: olto3l2o24 AAT Proiect: 1u4o27
Page 1 oI 2
32
4
30105 Boverly Road
Romulus, Ml 48174
Ph: 734,629€161 ; Fax: 734J29-8431
To: Tran Lead lnspection Services
450b Paradise Rd 291
Swampscott, MA01S07
Attn : Vandy Tran Email :
Phone:
Proiecl Location : 12 PALMER ST UNIT 5 SALEM
tranleadinspection@gmail.com
617S9$.7295
Analysis Requestod
AAT Prolect : 1M4O27
Clisnt Prolect : 12 PALMER ST UNIT 5 SALEM
Dato Reported : 07|AA2O24
Completed AnalystSampleClient Code
9542028
9542029
9542030
9542031
9542032
9542033
9542034
1
2
4
5
6
7
DustWipe
Dust Wipe
Dust Wipe
Dust Wipe
DustWipe
Dust wipe
Dust Wipe
07to3t2024
a7losl2024
07to3t2024
a7to3no24
0710312024
07to3no24
07to3t2024
Alexis Pheeney
Alexis Pheeney
Alexis Pheeney
Alexis Pheeney
Ahxis Pheeney
Alexis Pheeney
Alexis Pheeney
*{jz*,#
Reviewed By Elyse Bidle
Quality Assurance Coordinator
This .epo.t is intsd€d tot use solely by the hdivk lBl d 6tlly b uhich
disdosure. lf the reader of this inbmatioo is oot lhe iotqrd Bipbd o'
of this intormatron E suictly p.ohih€d. lf lou h# t#ired lhas EtonndM fi ffi '
lt rey onilin inEElhn t]Bt ls pln lsg€d. qffdatial and oEEHise oxempt by law lrm
ils tntffd€d BiIitilL )qi ac lsewith mtified that any distr*mt'm distsihrim ff @pying
rffit€dbtst. Iha* yot ,
it is ad&essed.
a enlpbye ol
d@se noar'fy AAT
AiHA LAP- Lab lD #100986, NY State DOH ELAP -Lab lD #11864, State of ohio- Lab lD # 10()42
Date Printed: o7lo3l2o24 4'.26?M AAT Prq6d: 10/,4027
Page 2 of 2
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 ZipCode 02421 -
Address of Deleading Work l2 Palmer St Unit 5 Salem code 01970 -
I hereby attest that all deleading activities and clean up were done in accordance with the Department of t abor and Workforce
Development's Regulations. 454 Ch.{R 22.00 and the Childhood Lead Poisonitg Prevention Program's Regulations, 105 CMR 460.000.
Signature /ar4r4@ ,ediar4 Date: A1 / A1 /24
Only complete section reflecting your authorization/license status
)
Deleading Contractor Jacques Akelian
Deleading Methods: X Scraping
I Ueat Gun
License#:
fJ Demolition f] Power Sanding D Caustics
ffi Replacement ffi Covering ffi Making Intaa
X nc sooo+s gxp. Date
I os qoos++
o2t t9 t25
I Liquid Encapsulation fl other
Work was done in the following rooms: Please see reinspection report for details
Work was done on the followine types of components: Please see reDort for details.
Start Date:o7 / 0l /24 Finish Date: a7 / al /24 Cost: $3,00O-00
Authorization # MR-
RRP */additional Mqlerate Risk 'l mining
Moderate Risk Deleader lor.mer/agent)
lssuance Date:
Authorization #
Issuance Datc:
Deleading Methods:
Work was done in the following rooms:
f] Replacement
f] Covering
fl NfaHre Intact (interior)
fl tvtating Intact (exterior)
n CappingBaseboards
I t-iquid Encapsulation
Work was done on the following types of components:
Start Date: / I Finish Date:Cost:(Ilcso't Inoludc ()\eq's Labor)
Low Risk Deleader lormor/agent)Au&orization #
Issuance
OL IAL
OE []AE
OB TAB
Deleading Methods: I Covering I Liquid Encapsulation il Capping Baseboards
I Replacement (ONLY doors, cabinet doors, shutters, shelves not affixed drawers, windows on hinges)
Work was done in the following rooms:
Work was done on the following types of components:
Finish Date: I I Cost:Start Date:(f)oem't Include Oruer's l-aber)
Questions? Call the Dqrartment of Public Health at 1-8{X}-532-9571.
DO NOT LOSE THESE DOCUMENTS