1-3 East Collins Street demo supporting documents and B Pest Control SERVICE REPORT#122431
271 Western Ave.Suite 115
Lynn, MA 01904 ACCOUNT# 1470
P:781-599-4317 PO#
info@bbpest.com
www.bbpest.com Fast Control DATE 03/29/2021
START 10:45 am
END 11:15 am
Billing Address Service Address
Rick Mahoney 1-3 East Collins Street
23 Ravenwood Rd 1-3 East Collins Street
Peabody, MA 01960 Salem, MA 01970
Service Date Service Report Date Due Date Billing Terms A
March 29,2021 March 29,2021 March 29,2021 On Completion
DESCRIPTIONOTY PRICE LINETOTAL,
Rodent Demolition Service 1.0 $225.00 $225.00
Payment/Credit Applied $225.00
(Check)(-)
Please Payl$0.00
TECHNICIAN NOTES
Baited around the property with evo stations.No burrows at time of visit
MATERIAL EPA# QTY DIL MTHD DEVICE
Contrac All Weather Bait Blox-Exterior EVO 12455-79 32.0 units None Bait EVO Rodent Bait Station Exterior
Target Pests: Rat,Rodent(S)
Areas used:Exsterior perimiter
CUSTOMER SIGNATURE TECHNICIAN:Gary Stevens License#50313
. op,
V •
0
P.O. Box 875
Salem, Ma 01970
978-293-5770
March 30, 2021
The dust control method we will use for dust control at 1-3 Collins St, Salem, Ma. 01970 will be
a 800 PSI water gun.The "Vactor Style"truck holds 1500 Gallons on water,which is estimated
to be 3 times more than we will require.To alleviate dust generation we will spray demolition
material prior to, during dismantling and during loading. No city hydrant will be used.
Peter Holland
President
Spencer Contracting Corp.
MEL BLACKMAN
MASTER LEAD PAINT INSPECTOR
P.O. BOX 358--STONEHAM, MA. 02180
OFFICE: PHONE 781-665 —3806— CELL: 781 - 820--8611
E-MAIL: melblackman@gmail.com
RENOVATION REPAIR AND PAINTING ASSESSMENT REPORT FORM Page 1 OCT
This RRP Assessment Report is being generated for renovation,repair and painting work only. DO NOT DELEAD
BASED ON THIS REPORT.A licensed lead inspector must do a full inspection in order for you to delead your property
and qualify for a Compliance Letter.Deleading of lead hazards must be performed by appropriately authorized persons,
including a licensed deleading contractor,a licensed lead-safe renovator with an additional 4-hour deleading training,or
an authorized owner/agent who is trained to perform specific work as required under the Lead Law. Contact the
Childhood Lead Poisoning Prevention Program for additional information regarding deleading and training call toll free:
500-532-9571 or visit the web:www.mass.gov/dph/Clppp.
St.# Street Name Street Type Unit/Common Area
11-3 COLLINS �' ST ----------
city Zip Code
ALEM ?ra1970 — — —
Date of Assessment: 01 / 14 /20
Inspector's Name: {L BLACKMAN License# M-1377
Signature:
Testing Method Used
❑ Sodium Sulfide Expiration Date:
® X-Ray Fluorescence Model: Pb200i Serial#: 2136
Description of Properties C
® Single Family
❑ Condominium -::_:: :: .:':
❑ Multi-Family #Units .. . .... .. .. ...... ":: ::i:::�.
_ i.:..r.
❑ Child Occ:Facility/Daycare - ��:...:.
Description of the Area Assessed:
® Interior of Unit
D
❑ Common Halls 1 Stairs
® Exterior :::
❑ ® : : : : :
Is The Unit Occupied? Yes No � ' '... :• `"` '
...:..:...:...........:...:..:.... .........:......:...:...:...:...:...:.....
Property Owner: MARK CLIFFORD . �.'.. ..... .'.......`
. . . . . . . . ...:..:...:.
Owner's Address: 14 DEACON DRIVE .............._....-. . . .._.i_.i. � .: :: ::: :
. . . . . . . . .
MIDDLETON,MA 01949 s A(street Side)
RICK MAHONEY Floor# �_ (interior or unit work only)
Owner's Telephone: 617-240-6254
An X-ray fluorescence reading equal to or greater than 1.0 mglcm2 or a positive reaction with sodium sulfide indicates a dangerous
level of lead.
Were Dangerous Levels of Lead found Yes. ❑ No Q"
,Hill The planned RRP work disturb more than 02 per Interior Room? Yes ❑ No [v Or 2D ft2 per Exterior Yes ❑ No [ '
Date of Passing RRP Visual Re-inspection / / Inspector Name: License#:
Signature:
RRP rev 09/14
Page 2 of 7
EXPLANATION OF RENOVATION REPAIR AND PAINTING(RRP)
Renovation is different from deleading activities.The purpose of renovation work is to update a property and the purpose of repair
work is to fix or maintain the property.The purpose of deleading work is to remove or cover lead hazards.While some of the activities
for renovation may be the same as deleading,like window replacement and vinyl siding,the purpose and intent of the work for deleading
well as the rules about how the work is done and who can do the work is different.Confusing RRP rules with deleading requirements
will jeopardize a property owner's ability to get a compliance document,protection from liability,and a$1,500.00 state income tax credit.
It is up to an owner along with the owner's contractor(Certified Firm)to inform the inspector which surfaces will be disturbed by the
planned Renovation,Repair or Painting work and therefore need to be tested.The RRP Assessment Report forms are designed to
accommodate two situations:
• The first 25-30 components listed in the left hand box provide a"snapshot"of a room or an exterior/outbuilding.In those
instances where an entire room(or exterior area)will be renovated,this"snapshot"will guide testing to find the most Ilk-Fly
leaded components.If a component does not require testing because it-will not be disturbed or the component does not exist in
the area being tested,then the inspector will cross off the box.Once the inspector has completed the"snapshot,"a decision can
be made as to whether further testing is needed.If any of these components were found to contain a dangerous level of lead(see
definitions below),then it can be safely assumed that components of the same type in the work area also contain lead and
therefore the RRP rules must be followed.
• If the"snapshot"of the area does not identify a dangerous level of lead,then the only way to rule out RRP requirements is to test
all of the individual components that will be disturbed in the work area until either a dangerous level of lead is found or all of the
components are tested and found to be below the definition of a dangerous level of lead.This additional testing will be recorded
in the blank spaces below the first 25-30 components as well as in the right hand box.For large rooms/exteriors that do not
contain many leaded surfaces,additional RRP pages may need to be added.
LOCATION Refers to the room,common area,or exterior location of the surface being assessed.See the diagram on the cover page.
SIDE Refers to A,B,C,or D side of the building or-room.See the diagram on the cover sheet.The"A"side of the building or
room is the side facing the street that gives the property its address(usually,it is the front of the building).Keeping
your back to this street,from the"A"side move clockwise to the"B"side on your left,the"C"side opposite you,and
the"D"side to the right.
TRFACE Refers to the building component(s)being tested.Some surfaces may be made up of more than one part.For example,
"Baseboard"may refer to four separate pieces of wood(one on each wall),but is still considered one surface. It is up to the
owner along with the contractor to let the inspector know which surfaces will be disturbed by the planned renovation work.
LEAD The test results either from sodium sulfide or an X-ray fluorescence instrument(XRF).
DANGEROUS An XRF reading equal to or greater than 1.0 mg/cm2 or a positive reaction with sodium sulfide indicates a dangerous
LEAD LEVEL level of lead.When the"Y"is circled then the RRP Rules will apply if the work will disturb more than 6 ft 2 per room
interior or 20 ft 2 per exterior,or the planned work includes window replacement or surface demolition.
DUST TAKEN An owner,along with a Certified contractor(or rental property with a licensing waiver)may choose to have dust wipes
taken to ensure that the area is clean.If wipes are taken,then deleading clearance Ievels must be achieved.These
levels are as follows: Floor<40 ug/fe;Window Sill<250 ug/fe;Window Well<than 400 ug/fL2
Some other quick information for RRP Rules VS Deleadin :
RRP Rule Deleading Rules
Inspection Requirements Assume Lead;Lead Check;or RRP Assessment by lic.inspector Comprehensive Initial Inspection by lic.inspector
Training/Lieensing Contractor and Rental Property Owners must be Certified Firm, Licensed Deleader,Licensed Lead-Safe Renovator with
Requirements with employees as Certified Individuals or Trained Workers additional 4-hr training,Authorized Owner orAgent(moderate
risk, low risk, encapsulation,or combination)
Notification Requirements EPA Renovate Right Brochure with Signatures ownersloccupants 10-Day Deleading Notification
Occupancy Restrictions Out of the Work Area(generally room(s)where work is High or moderate risk work including window replacement
occurring) requires occupants to be relocated until passing reinspection
j Reinspections Cleaning Verification procedure with option ofReinspection and Reinspection and dust wipes are mandatory
Renovation Repair and Painting Assessment Form(Interior)
LZ etLCw *-t311 / / --�.►-- �'t�—i't,I � f.� Page Of7
Inspectorr(print) Lie# Signature Date
t.�► 11V• s Apt.#. City_SIU�M
Location: Room # 4 Kitchen Pantry Bath # Hall # Stair#
DANGEROUS DUST DAiVGEROUS DUST
SIDE SURFACE LEAD LEAD LEVEL COMMENTS TAKEN S1DE SURFACE LEAD LEAD LEVEL CQMMENTS TAKEN
A B Up Wags (?.'� ( Y 'Windowsill d Y Y
A B Low Wags 19 .1 Y B Win Apron Y
A s Baseboards (42� Y C Win Casing r}.L Y
A Chair Rail 0.0 Y D Header Siop rjlj, Y
A Radiator 8 Y Int Slops Y
MFloor 01 Y Y 1 Win Int Sash Y
Ceiiing IN&A6� Y 2 Exterior Si! Y Y
Door 09 Y 3 Part Bead Y
,CDoorCasing 0). Y 4 BW St* Y
12 DoorJamb d'L Y WrnExtSash Y
34 Threshold Y A Wuxfowsin Y Y
A B Door Y B Wm Apron Y
C D Door Casing I Y C +Aryn Caging Y
12 DoorJarnb Al.. Y D Header Stop Y
34 Threshold Y Int Stops Y
A B Door Y 1 Win Int Sash Y
C D DoorCasing Y 2 Exterior sill Y Y
oorJamb Y 3 Part Bead Y
areshoid Y 4 Blind shop Y
A B Door Y Win Ext Sash Y
C D Door Casing Y A l Window Stll Y Y
12 DoorJamb Y B Wm Apron Y
34 Threshold Y C Win Casing Y
A Closet Door Y D Header Stop Y
B Cl Casing Y Int Stops Y
C ClosetJamb Y 1 Wm Int Sash Y
D Closet Walls Y 2 Exterior Sll Y Y
Cl Baseboard Y 3 Part Bead Y
1 Closet Pole Y 4 Blind Stop- Y
2 Closet Shelf Y Win Ed Sash Y
3 G Supports Y B Fireplace Y
4 Closet Floor Y Y G D Mantle Y
Closet Gating Y n Win Above 5 Y
(A WN_Wul Y CeMng Molding Y
Y Y
LA NY4 Y Y
d Y Y
nrk Area was visually clean on !._1_for RRP Visual Reinspection
Ape in adjacent work area taken on floor in Room .Start Date of RRP work. ! End Date 1 !_
of CerCfied Lead Safe Renovator on Site Cert#
Brief Description of the Renovation,Repair,or Painting Work that Took Place in the Work Area
Renovation Repair and Painting Assessment Form(Interior)
Inspectorr(print) —►'�-[ E! Page Of
Lic# Signature Date
> 3 Cc'+t..L1 N- — - Apt#. City
Location: Room #W Kitchen- Pantry Bath # Hall # Stair#
DANGEROUS
SIDE SURFACE - DANGEROUS
LEAD COMMENTS DUST DUST
MEiVTS TAKEN SIDE SURFACE LEAD COMMENTSa s Up wags tom— a � y LEAD LEVEL TAKEN
A
A B �v walls L y Window Sll Q Y Y
B Win Apron 6.C? y
A 8 Baseboards fA. Y
Win Casing 0� Y
a B Chair Ral tad Y D header Stop d4. Y
A ;radiator Y
Int Stops Y
Floor 0'4 Y Y 1 Win lint Sash
Celire 0� W� Y Y
2 Exterior Sill %M Y Y
r t Y 3 Part Bead Y
C D r Casing Q Y 4 Blind stop Y
2 DoorJamb n y
3 4 Threshold Win Ext sash Y
y A A window,sll Y Y
B Door
Y B 4vin Apron Y
C D poor asing Y C vVin Casing Y
12 D=Jamb Y D HeazterStop y
34 Threshold Y Int Stops
Y
A B Door Y 1 Win Int Sash - Y
C D_ Door Casing Y 2 Exterior Sill
nor Jamb 14lY 3 Part Bead Y Y
Y
jlueshold Y 4 Bind Stop Y
A B Door Y Win Ext Salt Y
C D Door Casing Y A YYuadow all
12 Door Jamb Y Y Y
34 Threshold B Win Apron Y
Y C Wm Casing y
A ClosatDoor Y
B CI C D Header Stop Y
asing Y Int Slop y
C Closet Jamb -+ Y 1 Wm Int Sash Y
D Closet wags Y Z Exterior Sll Y
CI Baseboard y Y
3 Part Bead
1 Closd t Pole Y
Y 4 md_%P. Y
2 Coset Shelf Y E ::wia Ext Sash Y
3 Ci 5upparts Y B Fireplace Y
4 Closet Floor Y Y C D Mange y
Closet Ce rng Y AB
co Wht Above 8 Y
C� Y Curling Molding Y
60 Y
D3 Y Y
Y
Y
±—Y
Work Area was visually clean-on 1 1 for RRP Visual Rdnspectlon
Lipe in adjacent work area taken on floor in Room .Start Date of RRP work 1 1 End date
!'of Cetlified lead Safe Renovator on Site Cert#
Brief Description of the Renovation,Repair,or Painting Work that Took Place in the Work Area
Renovation Repair and Painting Assessment Form(Interior) r 7.iLZ f3ia4cic ,aw *-t31'9 c����--�� of—�t�.l � Et Page-5-
age J of
Inspectorr(Print) LiC# Signature — Date
— Apt#. City
Location: Room # Kitchen Pantry Bath #CV Hall # Stair#_
QANGEROUS COMMENTS TAKEN SJDE SURFACE LEADCOM�IEMS DUST
SIDE SURFACE LEAD LEAD�� �=�S
TAKEN
A B Up Walls �.0 Y A Eft&wSifl (}s y YAaLowWaIs i�i d^J YB y
A 8 Baseboards y
C Win Casing Y
A 8 Chair Rail Y Header Slop Y
A B Radiator Y tat Stops �,f Y
Floor S-1 Q Y Y 1 Win Int Sash Y
Ceiling lag Y
2 Exlerior5•�f Y Y
A(,Door Y
3 Part bead y
C D D=Casing alk Y
12 DoorJamb 0 4 t3fsndStop Y
Y Win Ext Sash y
3 4 Threshold Y A Window sm Y Y
A B Door y
$ Win Apron Y
C D Dow Casing Y
C Win Casing Y
12 paorJamb Y D He@derStop Y
34 Threshold Y 1 lnt Stops Y
A B 10oor Y 1 Win Int Sash Y
C D Door Casing Y 2 Exterior Sill Y Y
wr Jamb y
3 Part Bead y
:F-r i"hreshold Y 4 Blind Stop Y
A B Door LY Wm Ext Sash Y
C D DoorCasarg Y A Window Sill Y Y
12 Door Jamb YE $ An Apron Y
34 Threshold Y C Win Casing Y
A Closet Door Y D Header Stop Y
B CI Casing Y Intsbops Y
C ClosellJamb Y 1 WinlntSash Y
D Closet Walls Y 2 Exterior SM Y Y
Cl Baseboard Y 3 Part Bead Y
1 Closet Pole Y 4 Bled Stop• Y
2 Gfesei Shelf Y Win Ext Sash Y
3 CV.Supports Y A 3 F- lace y
4 Closet Floor Y Y C D Manila Y
Closet C®Tsrg Y A 8
C o Wm Above 5' Y
Y CeiBng MOWN Y
,ems b 3 Y Y
Y Y
Y
Y
Work Area was visually clean on_!___J_for RRP Visual Reinspecction
Lipe in adjacent work area taken on floor in Room .Start Date of RRP work 1! End Date 1
v- of Certified Lead Safe Renovator on Site Cert#
Brief Description of the Renovation,Repair,or Painting Work that Took Place in the Work Area
Renovation Repair and Painting Assessment Form(Interior)
ZX0 Page of
Inspector(print) Lic# Signature ` Date
Apt
Location: Room # Kitchen Pantry Bath a Hal( # Stair#_
SIDE SURFACE LEAD DANLEAD LEVEL COMMENTS DEN SIDE SURFACE LEAD DANGEROUS COMMENTS DUST
LEAD LEVEL LEAD LEVEL
A B Up Walls 0.4. Y TAkEN
A Window silt y
A a tow Walls Y B win Apron Y Y
A 8 Baseboards Y C Win Casing y
A $ Chair Rai y
A e D Header Smp Y
Radiator y
Int Stops y
Floor Q Y Y 1 Win Int Sash y
Ceiling OG Y
2 Exterior Shc y
A t7avr 02, Y - Y
3 Part Bead Y
C D Door Casing Y 4 Blind Stop y
12 Door Jamb Y Win Ext Sash Y
3 4 Threshold Y A window sai Y Y
A B Door y
B V;nApron y
C D Door Casing E
C 'win Castog Y
12 Door Jam 3 4
Threshold y j D yeaderStop y
A B 000r + Int Slops Y
Y 7 Utrm Ird Sash y
CD D"Casing Y 2 Exterior Sig y
Y
0orJamb Y 3 Part Bead Y
�,• rreshold Y 11
4 Blind Stop Y
AB Door Y Win Ext Sash y ~
C D Doorcasina y
A window sill Y Y
12 DoorJamb Y B Win Apron Y
34 Threshold Y C Win Casing Y
A Closet Door Y D Header Stop y
B Cl Casing Y Int Stops y
C Closet Jamb Y 1 Win Int Sash Y
D cbsetwails Y 2 Exterior Sill y Y
CI Baseboard Y 3 Part Bead y
1 Closet Pole ' Y 4 BGrrd Stop• Y
2 cwetShe Supports
Ywin EA Sash Y
3 CI pports Y S Fireptm Y
4 ClosetFloor Y Y CD htanue y
Closet Ceding Y A e
7 C Q win Above S Y
1r 1 Y"� D.� Y CetTutg A3olding �. Y
0fl Y Y
Y Y
Y
Y
Wnrk Area was visually dean on for RRP Visual Reinspection
ipe in adjacent work area taken on floor in Room _Start Date of RRP work—1 ! End Date�1�
Y e of Certifsed Lead Safe Renovator on Site Cert#
Brief Description of the Renovation,Repair,or Painting Work that Took Place in the Work Area
Renovation Repair and Painting Assessment Form(Exterior}
He'L lh,*CV.1° W H--n-77 u.1-1q—)-0 .Page?of�
inspec Corr(print) Lie# Date
Address 1—3 I Cot.L WIS Y Apt.# City SA L-61A1
)cation: Porch Exterior A B C D Gara a Outbuilding
SIDE SURFACE LEAD DANGEROUS COMMENTS SIDE SURFACE SAD DANGEROUS COMMENTS
LEAD LEVEL LEAD LEVEL
un )Siding C.. q�) Y Storm Door Y
Comer Boards Y Door Y
Lower Trim Y Door Casino Y
Upper Trim Y Door Jamb Y
Foundation Y Threshold Y
Storm Door Y Kick late Y
Doori° Y Storm Door Y
Door Casing of Y Door Y
Door Jamb d. Y Door Casing Y
Threshold Y Door Jamb Y
Kickplate A Y Threshold Y
Window Sill o I.) Y Kckplate Y
Win Casing O:Z Y Window Sill Y
Window Sash Y Will Casing Y
Cellar Win Sill Y Window Sash Y
Cel Win Sash Y Window Sill Y
CeI Win Frame Y Win Casinq Y
LScreen Frame Y Window Sash Y
7 Newel post Y Window Sill Y
Railing Cap Y Win Casing Y
Handrail Y Window Sash Y
Balusters Y Cellar Win Sill Y
Treads Y Cel Win Sash Y
Misers Y Cel Win Frame Y
Stri22er Y Screen Frame Y
Floor Y Cellar Win Sill Y
Bulkhead Cel Win Sash Y
Fences Y Cel Win Frame Y
Shutters Y Screen Frame Y
Lattice Y Cellar Win Sill Y
a Y Cel Win Sash Y
Y Cel Win Frame Y
Y Screen Frame Y
Y Drain Pipes Y
Y Elec Conduit Y
Y 1 Oil Fill Pie Y
Y Overhang Trim Y
Y Y
Y Y
rTheWork Area was Visually Clean on I I for Visual Reinspection.Start Date of RRP Work 1 1 and End bate_l_I
e of Certified Lead Safe Renovator on Site:_ : Cert#
if Description of the Renovation,Repair or PaintingWork that Took Place in the Work Area:
Methuen MA r
r. . ..
SAFETY
tt"RONMENTAL CONSULTANTS
August 22,2019
Mr.Robinson De La Rosa
Safe Clean Environmental
29 South Canal St.
Lawrence,Ma 02062.
Reference:
Asbestos Abatement
Commercial Building
1-3 East Collins St,
Salem,MA
Dear Mr.De La Rosa:
Thank you for providing to Safety Environmental Consultants to serve your asbestos
consulting needs.
Asbestos containing materials were removed from the above referenced location.
Contractor removed mastic(780 SF)from the bar and the room in front of the back entrance.
The final visual inspection was approved,and the job completed on August 21,2019.
The final clearance air sample collected inside the containment indicates the airborne fiber
concentration was less than 0.010 Fibers/Cubic Centimeter as required by the Environmental
Protection Agency.
The air sample was collected and analyzed using Phase Contrast Microscopy in accordance
with NIOSH Method 7400.
The air samples were collected by a Massachusetts licensed Project Monitor.
Please call me directly with any questions at 1-978-590-3956.
Very truly yours,
Johnnie M. Lituma
Services Manager,
www.safetyenvironmentalconsultants.com
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