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0024 FORT AVENUE - Street Files (2) ` 24 Fort Ave New England Power Company r.. OF FEE DUE' " '$50.00 FIRE` PREVENTION BUREAU Rcd by. . .:.� m 48 Lafayette'Strepti. G jC Salem, Massachusetts 0.1970 APPLICATION FOA PERMIT To: .THE HEAD OF THE.FIRE DEPARTMENT In accordance with the provisions of Chapter 148, G.L-. as provided in Section-.10A,application`is hereby made for permission to use explosives in:the.Ilasting of rock or any other substance. Name _6_�L� 1L� z �� �2_� �--- /'_v_I _--- -- --------------------- LJ' (Full_ me of son,firm or corporation granted permltt at -- ------ ---- `-.l — - -�-: - - --ems-- 1��--- - -� - -- - - - ---_-- -- (Give.location-by street and=number or describe In.-such a manner as to provide adequate identification of location.) Name of Bonding Company ---- -------- Dig Safe No. -- ------ -------------- RESTRICTIONS: ONLY ONE DAY'S SUPPLY DELIVERED TO THE SITE OF OPERATIONS -AS PROVIDED BY THE DEPARTMENT OF PUBLIC-SAFETY 527CMR13.00 AS PROVIDED BY THE SALEM FIRE CODE. Date issued: g_ ----- ComPanY--YJ! � 011�rt eS LAC B =' �- ��'tqv! Date of Expiration%__,___ _. Address T i .Certificate of competency No, ___________ DATE: As an essential part of Application to the City' of. Salem, Massachusetts . for Blasting Permit to perform proposed blasting'operadons at in said Salem, it is CERTIFIED1 that in. such.` bl asti.ng the total charge., weight.per blast will NOT exceed five (5) pounds and the maximum"weight Per delay' will not exceed two (2) pounds per delay.: Signature of Technician: 1"l'�`P'__-Ii_vl_'lfl_g uw-��.���g'�-g_ ­--1,�__1'--,.,,,-- ­�_."�_',__I_­,_z�_'�-_..­-_'"-'_,__­-..-'-',-1�-'�.__-'_.-�-'__.-�.�_ -. 7 rp�'D1 ��. I : s� - `� _ -.I - d R 1 'v -y. '. �- z� c ,� 5 S®r_Q.Q.. 5-_-__';4-, '�',',___��_... .. ­l ,,-, z, Il1-1 .`..".' �'___ �� 'ss -g r q` �4LJ .b -ti'..z g r +.a , t ..r _ '� ems.. �, y:�+�' s. ^yf- -a"� �/' '?�-� .e --- . +. __', ag�y.-� c*� '�` ..t ' ¢�8 ��[p rp yr"r - �' Z - ;.- ,� .,, ' -�9fJk. ;l�- .. -�. t'rs�t w"`> zf - :.r„ - M1..� .� �+'!— D � -rr,:� ,,,�'N,,, Y ✓ .fi- - .� �x „y 7 �u. �.__ E ��iAJ .�e �i �' � a- - r x.- �.. . 4:� it �--vJn 'u4+a �nx `PY..« 3�5 .�y� v'- To 'f H f�E3 0 Fh E__ PF z : � � xl r :accordance font the: �ovr�sc�T £4 ;> sroce 1eEtaon� 3A; pp�acarfln, s#� reb _ rnatle {for'J#iegON'ors`to use x dos saes xI NAM oc o�a t er subs a e� � `� /� z' s-"�" ,w Yr-�.Y �s Jam, . ��...' �'i'��' .....a �- '� r '" , HYF } a f� ssanirrrPor cac.p�oraio�gram-d per�nyj� 5 � y J' at` "�Tt�j� j...^�' " ter il #�� T+t h +a.'�' ems. s _ �€ - --. (G1ve loratibra bystreetabd rturbararxestbe `sue#ramaanner astb prorideadequatb fdentTficatton:of(ocatCon} 0. v :./ fi .� z`L' .�3'-Y�'Y��r -fir .-r - v '" `=.;``-t 'x ' ,,.J'^`- -c. ` .'� s :: Name of Bondl g;Co . .Y" g Safe-NMo ' ` - '"s. -mac.—.�'`� -�.,r- ,.. '`^S '�s-,�.'x' 'r ,.l-r �'�' --�z .a ~� - ON�1�05�1,�D�aY � � F ��IES� O �? 'P fiS � - � ,.�:�. .S'S f "L ��R ?101 D �BY;i �iW-19,L1 P .��w; Y ��014 -3 SiD ,0. e� -.c�,� rs°.2"r`, r'-fi fir. '"�.s,� ,�*..:.'"' "' " :. s.,� ,�- '�, a ,x, �`� : r_ ' AS PAD /iDfD AY7 i i4Cif� IRMy^�� � , :. Daze Issl ed . �° x �� . �M �o1,�pa y ��_ LL --- '.2 5�`�: 3 2 '�.= -sal t' _-'^'�+- Z.. 3 --4 .x r § - - - } s -.a= '�''jtr - T �5'G- .p h :A, •t Y L 3Ii - Date of Exp(ratton � ddl-ess- �,, M e' -i / Mo. �'r � �C C ` �' aef 6 ee t o orr�petenlyy `9 rVt Y i.�­7=1' - 01 Ssi-t-1-11,A��111E, --- .�, - e h ,e. x -e .ate fps &TVIRY'� 3 h s s-- a - g � t t� -- 7T rq' .,r �' W aY'q z �-Str-eltiI ^y. r ,� �umrev�" SaEers};94acW16�r�tts7 f _ rrn z In accordance wttl� hepro;�saos of Chate i $; L as prc�rr( ri �r� Sect�on ®lA, th}sperrnit Is_grar�ted to: '�„ M - -. se-'ly� xs--^ ,e„� .t - s Yip=- y dame o :'�-��--'�7 W S�v -� �( :_ ' ertl#�cate of Com.peteney N� �Fufiyname.,-,_ rsnxy ftrm"or corpa7atTan graYttsd permits} - v y to use expifls>veskrn %ffecli�1. asfing of�foc#��c_r aRy, t#�Prs1­1(�bsfiace k 4 Q. --" Y Z l r C ,"awl no RUW Marne m#Zontitrag�ornpanyV %cr -$ Qlg Safe'No _ C RES-fRiCTIDNS K Y r x K 5' - 3 :. F �- .s'_' 7c',, " xr> x -_0 y ,emu,, ?- . Di LY OI!!� ® Y'S 17 LY I3 &$ R D fD<n 1 '- - _�% Rw'lT t ,ff SAS pFiO /1®Eb BY TH D p +#i�}fV€ #�'T 0F,-RC :iC4S, FETT2 CU'013 0 } - PROWDED 3Y _H£S NP F FBC CODS II , :A N �_ - ' � v � : " � rThe-� m� .s 6 ec ua d rtC � st ' N r e w oB b: I v ndru a .@�J Th is pe ft wl t� expa e _ v z 7 3 'Fermlt �ssr�ed by_ �_ _, - _ _ _ -_-- --- ` Y11 : (Chief of Plre DORAepartment) r T � PE Ric 'I`�I�S, �o t1.� � �35-- Z -R �a� s .- - 5 .� ............................................... ..... ................... ........... . .................... .... .. ...... ............... .. ........... .............. 00 ,4 0 o .... ................ ..........._...................... .= a EXPLOSIVES USER CERTIFICATE This is to certify that in accordance with the provisions of ChapteP(5 CMR 13.04(10). an EXPLOSIVES USER CERTIFICATE.is , ,..:....... . hereby issued to: NAES Northeast LLC Issue Date: s/24/2009 Ez.iration Date: 9/19/20 . 1240.Saratoga Road p 09 Certificate Number: EU.. 321 Ballston Spa, NY 12020 - - -. Rest ted to oo Registrationit: 360 State Fire Marshal: � •- THIS CERTIFICATE MUST ACCOMPANY EACH APPLICATION FOR PERMIT TO BLAST ....... .. ..... ...._..........:.......................:.._............................... _......... w w€ o: H o! 0 N pp 00 .. ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID AF DATE(MM/DD/YYYY) NORTH-3 03 09 09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Sykes-Mallia Associates, Inc. HOLDER.THIS CERTIFICATE DOES:NOT AMEND,EXTEND OR 160 Lafayette St. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Schenectady NY 12305 Phone: 518-393-3618 Fax:518-393-3621 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: Lexington Insurance Co. INSURER B: Nat'l Union Fire Ina Cc of PA NAES Northeast, LLC INSURER C: Co—erce and industry Ins Co 1240 Saratoga Road INSURERD: Ballston Spa NY 12020 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE.FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR- MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - LTR NSR TYPE OF INSURANCE POLICY NUMBER DATEYMMIDD�E POLICY EXPIRATION M/DDm N LIMITS GENERAL LIABILITY - - EACH OCCURRENCE $ 1000000 A X X COMMERCIAL GENERAL LIABILITY 6763309 09/19/08. f09/19/09 PREMISES(Ea occurence) $ 50000 CLAIMS MADE Fx_]OCCUR - - MED EXP(Any one person) $ X 10,000 Deductible - PERSONAL BADVINJURY $ 1000000 GENERAL AGGREGATE $2 0.0 0 0 0 0 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG -$2 O 0 0 0 0 0 POLICY X PRO- El LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT B X ANY AUTO CA7205011 03/14/09 03/14/TO (Ea accident) $ 1000000 ALL OWNED AUTOS - BODILY INJURY _ SCHEDULED AUTOS - - _ - (Per person) $ X HIRED AUTOS - - BODILY INJURY- X NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY - AUTO ONLY-EA ACCIDENT $ ANY AUTO - OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 10000000 B X OCCUR CLAIMS MADE BE612680821 - 03/14/09 ��03/14/10 AGGREGATE $ 10000000 RDEDUCTIBLE - $ X RETENTION $10000 $ WORKERS-COMPENSATION AND - X TORY LIMITS ER C EMPLOYERS'LIABILITY - WC4375714 .03/14/09 03/14/10 E.L.EACH ACCIDENT, $ 1000000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER'EXCLUDED? - • E:L.DISEASE-EA EMPLOYEE $ 1000000 If yes,describe under - -SPECIAL PROVISIONS below _ E.L.DISEASE-POLICY LIMIT $ 1000000 OTHER - - DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES/EXCLUSIONS ADDED:BY ENDORSEMENT I SPECIAL PROVISIONS Per policy at inception.' GL Per Project Aggregate Subject to Overall General Aggregate of $10,000,000. PG&E Generating and the City of Salem., MA are named as additional insured as their interest may appear as respects. general liability coverage where required by written contract. CERTIFICATE HOLDER CANCELLATION PG&E GE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED.TO THE LEFT,BUT FAILURE TO DO SO SHALL PG&E Generating IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 24 Fort Avenue Salem MA 01970 REPRESENTATIVES. " - AUTqPRIZE REMESENTATIVE lot,; ACORD 25(2001108) ©ACORD CORPORATION 1988 r— n 1 � ' T r , �" � r The Co mo,nwealth,of assachuse s �� :. F" � � TV 100 Depa meat of hle State Treasu r ,a.� OWN s y, � fps s 3�t v. �;, . s Qg „�- �� ��EXplres '19v�.» �,�� � _ Date <119 Se:p �� ;. - s _ N. r �, s.� .n.m�,�+. x L k�,s n`� R 'x� * Mow QMKI:a. can� x. � �.•`I. tiwl 1 A3,j '^5' t _ ;a a¢ ,� hereby certify that NAES�Northeast or LLC � � �, of � Ballston°Spa, NY date a '' x�. kT' ` -,s Y` r3 �r :'k.'�*rr „v .. ,� st W ° � ' ` bond�ln the penal sum of TENTYkTH*OUSAND�DOL°LARS,�($20 with accordance the provlsfons�of'chapter 148�xof�the�General Laws�as amended`'�� - t a. r; 3 � o- . 't' w i � ow a 'r<�M chapter501 of theActs of�� r a � ,,;� � �� � ,� �e � r� � � � aMot so =A`� s 7/6/2001��, =r£� � �` �, �AsslstarntaState Treasurer '- � �+ A'�� F �� � � �. �r= �- ,,�� and provides for cancellation, � ���� .�. x .�t���;�` �for�the.�State Treasurer � �r � „�, N„, � � �� �' "� uon �.� 3- *6 - � p '30 days notjce to the State , x ->.., w, rc~.r '3t a5 .f.,fi:' �' � ", k ,r . t� ���_ N '��`r.:#�rs ,.Y � a � ..c'F # � .��"r•-. � fi's - a s:�:. � ��aTreasurer from surety cornpary s WT—��"`xr.s�-a°'� "4—^.-'s��.��-�" w.�.s=; t -c-�'��, > 'G °��. ram" 'S���.,c 2,a� -t`^uy.'�> 1` PM to' 'r`z s � Woo XIMS HOW ?r � �� � 'err-' s;g �. ��t,.���"g„ >, � t`s ° �' .�*.s-7 '" q; � A 2-�--�` 4^r t f + 'F5 xx+'k K y 4 �k i at h '�r' xa �-- "t` < ,z••, o£t,r .h�r'� 4 � � "' g�g�.��. ` � t ..,:„ ,�, ..a.. ;, s•: �, `�"-.z �Z.�,'.:,;`�Srs" .x ^Y�� .�. sa,�.:.;t'. �`"h, .��rs.'�'r s f"��''.�.c �� '�.� y �,t....`:" ',�.�ns' ix.tx s"r� ''` 'S s vs..i.-�a 'JK ¢"tea"` - *.ar s � a8 .,, ;• ', 4's- e w 4 � 3` �.t p-a r � yS,a Ci�d. 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W. ;�M �' s 4 s. t� � & .�, �e S•-v t f "t it m `�' "fie s �r t ' k i _ f P � u� �y�,.� � �'s a, �. �?�3+�„u.' g...,�;�E s,�r.� � "_. ��"`�.s% �,',�a a•� "'�!�k�r�'� :4 i�;xy '�� 4a�' i ;.�' 1'�.y.t a,4 :-�,�'� a"��'c"=� ��t "��b '� �>"K��- a � ;r "f �{;3 , � � 7 - � ��` �� �r � ��yt0;��'�� �'��A � � t� -.-tYx C 6g � �1 � r`--� 'f � s - 'ids 4 >�a r" r 3 ��.cow,yt4o FEE DUE: " -$50.00 CITY OF. -SALEK ...' e Fl, PRE!lENTION BIIREAl1 Rec d r m -8 Lafayette Street Salem, Massa chusetts_01970F. - APPLICATION :FOR--PERMIT- To: .THE HEAD OF THE FIRE DEPARTMENT- In accordance with.the provisions of.Chapter 148, G L. as provided in-Section, 10A; application is hereby made for permission to use explosives in the blasting of rack or any other substance: l.owr �� � fM��re-q- Ntus,b .5Fevrccs LAC_ �v_� T�Eyl5%___ Name ---- --- ---------=---------------------------------------------------------------- --�----------------- (`Fu41 name of person firm or corporation granted perm(II — F at A ------------ (Give location by street and.number or describe"-In-such a-manner as-to provide adequate Identification of local! nj Name of Bonding Company Dig S fe o. _ ---- - ---------- --- RfSTRICTIONS: � 7� /® ONLY ONE DAY'S SUPPLY DELIVERED TO THE:SITE OF OPERATIONS AS PROVIDED BY TIME DEPARTMENT OF PUBLIC SAFETY 527CMR13.00 AS PROVIDED BY THE SALEM FIRE CODE. Date issued: __----- � _t� oKew 9 Company ry �S f--- ---- ------ ----- ------ - - --- ---- _—____--------- -- By --- ------ ------ -- - -- - ---- _ Date of Expiration:-----�5;tf---------=- --- .----- --------------------2---�—--1-3--1--U-�Address Y Certificate of Competency No. _`__76 �-w_____---__-_-� DATE: As an essential part of Application to the City of. Salem, Massachusetts for Blasting Permit :;to perform proposed blasting operations at: ., An said Salem, it is CERTIFIED that in such- blasting the total chargq.,weight .per blast will NOT exceed five ;(5) pounds and. the maximum weight per delay will not exceed two (2) pounds per delay. Signature of Technician: I -.:*I�,�..:,��..;.,­,.�.1:1__�_,�,—,:�,I*�.._i,;I..--"_�,:�'O��::�.,4�I­�-,_.­-.­._::-��-:;:­"-.;;�;z.,';_.�,".�-.',.`-��­.­,,-­--,,,,���_...',.�.-,-!!.,,.'_�.,.�,_..��..: I�_��,-_,�'N..-'l-.i,*t..:--I'_"I,.!,'­_-.11..-,�.'.l*..,...'._',.o _ __�1r_1���iO, --.�.1l- ,�_1�c,,-r 1, _�T,_,,�-�-�.��_;.,"-—.-,-.-"-g-­t'tp1­,�---,.-__­_-I.".,-- z-,.Q___r�-�,.ft-. V.�0A-�- -­".� �--M1.�,, ,-!E!1-_1M­--,,7,-.,W.,,5;,--gW-ft--�"'-..-',_­-�_t�-?_-�_-,4._:E-_7 -�+5­._�4S����.,,A-,-I O-�,T,"`�,�,- .--I,: t ."--i�_ 44 a __-O�_- �,,,..__�_-_� �t .-m�­."I�,,,I'll..Xl_­��Zgl 5�"R,�p.-,-­`�-�,�­­- # 1,1,,M— -',,". "..i',_',., ���.-�.�I.-i._. 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't JTv "Y+. � ` i - .Aq /& �i3,R f ..� `�tP, 3 4:.-t �. s- .�.�� 4�.a1sa,__Idf:G 5.�a4.` � - --.11tY+��� _ -^� 3."`' f„' -fir•s ':' �'` 'F" �" .y y..1y+y ,�..- : a To T1�E -1 E��1i3 fl� I—I4i-If £ E ',A IN1 _ j I n accordance u��t#a � rouisw�rrs o £k a �4ll, �8, G 1 as pro �tiedF�n Sec .atll�n 1 %appi�cation (s herelay :madE for permission to use expostves �n ties#ast� g ofi rciCr`asiy atae��substance Blame__ � y ��' iicx� tSar ���> S PLC ✓� rt � }S l ( u�lae of2Aelsort f�rgor coY�oratfon grantedperm �- at2�_1Fa;2 ( -- I#,- S _ (GdValocatlorbystreet3and simh2r or[iescrabe 1r+5�tchama4�ner as to prouitie adegaYe3der#1f�cation of fo:ca 1. t! n Name of Bonding Company �5 l�ig S fe or __ _ __ RESTRAC710N -- �. �� oi. 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(Foil name o'f person firm or cerporatiori granted perfn(t} to use:e iplosi ,es t tine blastiil o.rockD- a-i r nt &substance Name,of:Bonding Cowmpatiy �-� c� �l � .. .. -- - - � _ ®ig Safe IVo : f RESTRICTION, � �� W FY 3 � g NLI(; 1E pP,Y- S PF,Iv4Y=D #m� B-� TC? i'4Z Sl y OF PE:I T9CSt a4S FRi `J�I�i�D� f€ ® AR'f�Til:tr�zT OFPUP, ;1, � �- �a2 C1 1313 0� i4S PIOVIDX2 8V T SIrtUi F6 €C Gc� E T __ ; u ---- --- ---- - . (Give{ case v� +reef and numbe y * describe�l,Ms :h a manner a,1- pP�ide=ade9, . a!,.. ficatan of location `, fr r, .r -�. w.k, - ­-­"r,-.-­.�,,-',�-.--_�.-�l,�--­,­-,-;�A.��;�,'O-,�.-­,�-a,5���..-,,�y,,,'_.�..,--���:R.!-,--,��_�-�.,_IP--'-L._�.,z_,'��9.-�-,'--,V�.'-,_�'z1,,!,t,i,,�,--­-,�,­­ ThK) permit will expire 0i '� r Permit is'suetl by 1 _ z � - - - --- - ----------- r a. { lPt bf r e D a men. p� tr ry�,qq �y g+. �y q,N. yam�--� -­ � g .' -" iS 1�'�R�GT'Jtll �'1�' 6? ;i9Sfi';1R. �a�Y�; D6''� � -I� ir lR�l,l o7s4.:.. - ,. .f-i - .. . .. - ._ _ ; .::. - __.... _. - EXPLOSIVES USER CERTIFICATE This is to certify that in accordance with the provisions of Chapter 627 CMR 13.04(101 an EXPLOSIVES USER CERTIFICATE is 1 hereby issued to: i NAES Northeast LLC Issue Date: WW2009 Ftpiration Date: 6/1/2010 7 BStIStOn Sp NY 12020 Certificate Number: EU S21 Restricted to: 00 i Registration#: 361 State Fire Marshal: •--� � •�. 'THIS CERTIFICATE MUST ACCOMPANY'EACH APPLICATION FOR PERMIT TO BLAST'"" ........................ ............. ........................._........ ................................ .................................. ............ .. . . .t f i y Y .... ....... ................._........,_----...---------...-........-...................�..............,�...................._.�....,�..__.�.....�a...�.�.+,.,.+.....wn.wm.«i................�..n......._._.�...._e.w....�...rrv....w,.sw.w.www+ww.e.w��,wrnw�..,w�wuu..row,ww.u,.r�+.w.rixw� ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID AF DATE(MMIDDMWI NORTH-3 03 09 09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Sykes-Mallia Associates, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 160 Lafayette St. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Schenectady NY 12305 Phone: 518-393-3618 Fax:518-393-3621 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: Lexington Insurance Co. INSURER B: Nat'l union Fire ins co of PA NAES Northeast, LLC INSURERC: Comerce and Industry ins Cc 1240 Saratoga Road INSURERD: Ballston Spa NY 12020 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER �OATEYMMIDDIYY E POLICY (EXPIRATION LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 A X X RE COMMERCIAL GENERAL LIABILITY 6763309 09/19/08 09/19/09 PMISES Eaocourence- $50000 CLAIMS MADE x❑OCCUR MED EXP(Any one person) $ X 10,000 Deductible _ PERSONAL BADVINJURY $ 1000000 GENERAL AGGREGATE $2000000 GEN'L AGGREGATE LIMIT APPLIES PER: - PRODUCTS-COMP/OP AGG $2 0 0 0 0 0 0 POLICY X PROCT LOC JE AUTOMOBILE LIABILITY - COMBINEDSINGLELIMIT $ 1.000000 B X ANYAUTO CA7205011 03/14/09 03/14/10. (Ea accident) ALL OWNED AUTOS - BODILY INJURY SCHEDULED AUTOS (Per person) $ X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS - (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY - EACH OCCURRENCE $ 10000000 B X OCCUR CLAIMSMADE BE012680821 03/14/09 03/14/10 AGGREGATE $ 10000000 $ RDEDUCTIBLE $ X RETENTION $10000 - $ WORKERS COMPENSATION AND - X TORY LIMITS ER EMPLOYERS'LIABILITY C ANY PROPRIETOR/PARTNER/EXECUTIVE WC4375714 03/14/09 03/14/10 E.L.EACH ACCIDENT $ IOOOOOO. OFFICER/MEMBER EXCLUDED? - - _ E.L.DISEASE-EA EMPLOYEE $ 10 0 0 0 0 0 if yes,describe under - "— SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $.1000000 OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY,ENDORSEMENT 1 SPECIAL PROVISIONS Per policy at inception. GL Per Project Aggregate Subject to Overall General Aggregate of $10,000,000. PG&E Generating and the City of Salem, MA are named as additional insured as their interest may appear as respects general liability coverage where required by written contract. CERTIFICATE HOLDER CANCELLATION PG&E GE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL PG&E Generating IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE WSURER,ITS AGENTS OR 24 Fort Avenue Salem M-A 01970 REPRESENTATIVES. AUTkPRIZEVRMESENTATIVE - r'ti6/`�i ACORD 25(2001/08) ©ACORD CORPORATION 1988 Ot910885.�bt-Yt-80 ��aE�a sn-ztiso n3nssi�� ,' �. W�s - ` w00�1F�y"'�® S3A3:W X3S- �t � ��616Z��/�tJNO1S'�31f8 4 p o BLASTING CERTIFICATE OF COMPETENCY Issued To Kirk J.Lowell 17 Jacob Street Ballston Lake,NY 12019 Issu®Dafe. .5/,154008 Explratiwe Date 61/412010 Cerdffcate Number: BL 7079 T Restricted to 00 i - a city of Salem, Massachusetts Fire Department ��MrNe 48 Lafayette Street David W Cod Salem, Massachusetts 01970-3695 y dire Prevention Chief ?el. 978-744-1235 Bureau 978-744-6990 fax 978-745-4646 978-745-7777 dcody@salem.com Mr. Kevin Cornacchio, Supervisor Dominion Salem Harbor Station 24 Fort Avenue Salem, MA 01970 Kevin, I want to take this opportunity, on behalf of the Salem Fire Department, to thank you and your crew for all of your help with our landscaping at Station 6, 29 Fort Avenue. All of the employees involved have consistently been enthusiastic and conscientious in their duties. Their professionalism is always evident. Once again, please pass on our gratitude to all involved. Respectfully, Lt Erin Griffin r - Salem Fire Department Adlev"stS sees ns o x g erplant. mise '.pow By Tom DALTON said nothing could be.further STAFF WRITER from the truth. The information submitted to SALEM Environmental",the Federal Energy Regulatory activists are pointing to a filing Commission"does not mean in the owner of Salem Harbor Sta- any way that the power station is tion made with the federal gov, going to close in the near future," ernment two weeks ago as 1.a sign said JimNorvelle, a.spokesman of plansto close,the,aging power for the Virginia-based energy plant in!a.few years. giant. "They are crunching the num- The filing the company made is hers as if they are going away about economics,and not'about permanently,"said Seth Kaplan, the physical plant and its future, vice,president for climate advo- Norvelle said. cacy at,the Conservation Law This latest .controversy Foundation in Boston. was,triggered by Dominion's Jane Bright°of HealthLmk, a announcement that it'did not, grass-roots North Shore advo." plan to take part:in an energy cacy group,agreed:',. auction in October, aimed at "I think the big picture on this -ensuring.there will be sufficient whole thing is that all the indica- energy for the region three years tions are they are getting ready- from now,' to close the plant,"she said. Dominion, the plant owner, Please see PLANT,Page.2 MARK L6RENZ/Staff photo Vandals broke into the Finback,a sightseeing boat docked at.Salem Willows,stole its liquor and then cut the boat loose. WILLOWS: Summer vandals steal,"dama e ro e � p p rtY ■ Continued from Page 1 signs.warning that the park is closed are posted outside. But in damage. Gifford said the vandals are A bench dedicated to for- actually tearing down the"park mer Congressmen William and closed" signs to avoid arrest. George Bates and their wives They know if there's no sign, 'also sat.tagged with graffiti ear- police must first warn trespass- lier this week. ers before they can be arrested, "It's the worst I can remem- Gifford said. ber," said Salem Harbormaster "They need the warning, and Peter Gifford, who added that Ahe sign is the warning," he police are stepping up patrols, said. particularly-late at night,to try Ward 1 City Councilor Robert to catch the culprits. McCarthy said,he'd like to see The Willows is cleared out at least-one security camera each day around midnight, and installed at the Willows,which would transmit a live signal, back,to the police station. Simi- lar cameras are already set up at Salem Common and parts of the downtown. .,.Every other week, there's been some sort of in ' " 2' Monday,September 7,2009 THE SALEM NEWS - FROM PAGE O N E PLANT:- Owners denplant could close in a fe earsYY ■ Continued from Page-1 a In making a case for"de-list- ing" its electrical generating units—effectively withdrawing them from-the auction—Domin ion made several references to the age of its.oil boilers and generators and their remaining "useful economic life." Skipping the auction makes . good business sense, the com- pany said, but doesn't mean they won't be producing energy in 2012.It also doesn't preclude the company from taking part in ' future auctions,Norvelle said: { "The de-list bid that we filed , provides for us the greatest number of options moving for- ward,"he said: But opponents say this pro posal by Dominion is one more r` sign of trouble at Salem Harbor Station. The plant had a fatal boiler accident less than two years ago,which some blamed ' on its aging. qul e ment.In addi- tion, p Dominion:has invested significantly less money improvements in Salem,a coal MARK LORENZ/Staff photo and oil plant,than at its`much. Environmental activists believe Salem Harbor Station power plant will close in a few years. larger coal plant at Brayton Point on the SouWShore. they thought the plant was going argue,unrealistic auction.price with all.environmental regula- Kaplan,the Conservation Law to be up and running?" being set,today for three years tions and providing reliable,low- official, said he is puzzled by The capacity market is co . into the future,"Norvelle said. cost energy for the region. Dominion's filing and strategy. plex,Norvelle said,and the com- Bright,,of HealthLink,accused "We believe.we're going to be. The capacity market can be a. pant'wants to assure it does not -Dominion of trying to line its able to operate three years from separate and sizable source put itself in a bad financial posi-' pockets by this strategy. "They now through our strategy, and of income for power plants,he tion by agreeing to take part. can't resist trying to screw the part of that means we decided said. Even if it skips the auction,it can public because they are trying to not to participate in the auc- "They have said,`We are walk- still sell electricity three years game the system to increase the tion,"Norvelle said. ing away from a•right to get from now in the daily"spot" rates that they charge,"she said. Last year,a Dominion execu- money,to get capacity payments market,he said: Qn the contrary,the company tive said the company intends three years from now,"'he said. "We decided not to lock into said it is trying to be fiscally to operate Salem Harbor Station "Why would somebody do that if an uneconomic and, we would .responsible while complying "for years to come: Allison's-156= itch effort beats ,St.•John's Prep Page WWW.SALEMNEWS.COM aguers' , coaches.,,.hit , th e limelight. ometown big leaguers will doing a presentation,his secre boys have a half-day.of school, honor the Peabody West team'. onor Peabody West in a pre- tary Dianne Marchese said. which allows them,to attend the The Devils are offering all Pea- ,ame ceremony,but the team "They're trying to do just ceremony,she said. body residents and supporters s keeping mum on any other about everything they're invited, "Certainly,.we just look for- of the Little League team dis- letails of their visit to Fenway; to,"said Paula Batchelor,whose ward to congratulating the counted tickets of$11. iccording to a spokeswoman son Austin;s on the team. players and the coaches,"said Batchelor described the .eah Tobin. The baseballers,their Kimberly Halterlin,a spokes- team's World Series run and all The following day,Peabody coaches,families and support- woman for the governor. the accolades since as"a dream rill honor the city's World � ers will meet Gov.Deval Patrick The Lowell Devils Hockey, come true." eries participants in a 2:30 p.m. on Oct:8 at the Statehouse Team,the American Hockey "We're speechless,"Batchelor eremony on the main stage where they're expected-to League affiliate of the New said."The whole thing was t the International Festival. receive a citation and stay for a Jersey Devils,will host a spe- overwhelming.I think they've iayor Michael Bonfanti will be, pizza party,'Batchelor said.The cial on-ice ceremony Oct.10 to handled themselves well." akes u for summer's dismal start andals arring k 1 � r S 11 . vl�l I ky d7" t irk r. hints at power lant chapes Gov,Deval pg Patrick By Kris Olson For the local'stop,Education Secretary _ responds to a acom �� act,' question kolson@cnc.com Reveille served as opening q during a forum He came to Marblehead last week presenting a slideshow docum'entmg ,k v at Marblehead what Reveille described as "the most �� seeking a conversation on"choices and High School, profound economic challenge in a gen where he priorities" facing the state, and Gov. „ Deval Patrick got that and more, eration. ��' hinted at an including an earful about the Salem Reveille likened the event to a family upcoming sitting around the dinner table at a time , announcement power plant. of crisis,coming up with answers to dif- about Salem The forum, held before a standing- ficult questions.In the case of the state, power plant. room-only crowd in.the Marblehead Reveille said the questions were: What ' High School library, was one of 36 do we want government to do for us,in { Patrick and members of his administra- WICKED LOCAL tion planned to convene across the state. > SEE DEVAL,PAGE 9 1 PHOTO BY DAVID sDKoL Maw camps, each of the six to The Salem Gazette is E-mail addresses: We l C o11�1��e s Back YMCAs offetradigonal cat located at: for umc.salem@cnc.com experiencesunii11w venu 72 CheBeverly, Hill 915 wehsibe riwn.wickedlocalsalem.com Dr. Rosalia Ann' Gallo like the Lyn,ch/van Otterl Beverly,MA 01915 • YMCA's Children's Island D You can send mail to: The Salem Gazette is published Fridays Dr. Gallo is back in the North Shore and Camp,Ipswich Y's Camp Tal 72 Cherry Hill Drive by Community Newspaper Company, ma, Greater Beverly Y'S St Beverly,MA 01915 we are leased to have her rejoin our practice Inc:,Charles F.Goodrich,Publisher. p � Main telephone number. Newsstand price is FREE. ( 744-0110 �{OG�O'C (Connecting all departments) Member Known office of pubicatim 72 Cherry. Lj �.9�New England Press Association, Hill Drive,Revery,MA,01915.Post ��Ca'i Mass.Press Association, master:send address corrections to Z Q #1 New England Newspaper Association, — Community Newspaper Company, Q Mass.Newspaper Publishers Association, Attn.:Circulation Department,33 New W Q _ Suburban Newspapers of America. York Ave.,Framingham,MA 01701. pG _,to Cl) •Newslroom_ •Classified Adlrerrtising 2�� Bad a�^ COM UNM w Fax:..................................(978)7398501 Call:.................................18006247355 w. NEWSPAPER COMPANY To r Fax:..................................(978)762-4717 'Complete pool package Lisa Guerriero,editor..:......(978)739-1312 Deadlim Reader's Choice Awards 2007&2008 Classified display:Monday,1 p.m. #1 Choice for Dental Office in Lynn '45 nears experience in the pool Obituaries.........................(978)7391353 Our Classified Department is open from 1 p p Photo reprints....................(866)746-8603 8 a.m.to 7 p.m.Monday-Friday. Back Issues......................(508)626-3990 or the North Shore FREE how to seminars ,�. �-w�. www v�w.�w• wwwwvw w'w"www. �w� � wow www.wickedlocalsalem.com 4 a i,Gov.Deval` Patrick :- emphasizes a point M while01 speaking to a standing- room-only crowd nfr � In the z Marblehead : � it 'd .•,.' I High library. ` , a 8g&4�✓x< .k Rfr��su3.: fr 4 g 4•. .. • a9"4 frfr s fr g. S - WICKED LOCAL PHOTO BY - i DAVID SOKOL Gov. hints at powerp lant chan es DEVAL,FROM PAGE 1 ronmental Affairs Secretary Ian Bowles would Perms of services and supports?How much do we have"something good to say"in about two weeks want to'pay for those services and supports?And but needed first to have a sit-down with representa- what is the fairest and most equitable way to pay fives of Dominion,the plant's owner. for them? Noting that Abbate and others had offered alter- The current economic crisis,Reveille noted,is native uses, Patrick acknowledged, "The site is national,with all but one of the 50 states currently really quite magnificent." in recession and confronting a combined$230 bil- The next speaker, Karen from Salem, made a Yon worth of budget deficits. The tools state are pitch for a graduated income tax.Patrick noted that rising to address those deficits are not unique, implementing a graduated income tax would .Reveille explained: widespread cuts, layoffs, require a change to the state constitution, a four- �.alary freezes and furloughs, proposals for new year process,which would-not reach a conclusion levenues and a reliance on federal stimulus money. in time to address the current crisis.. The presentation's starkest slide showed a pro- "I'm not saying it's a bad or a good idea,"he jetted$3.4 billion decline in revenue over the 12- said."It's just that the platform is on fire" month period, from July 2008 to July 2009. Patrick nonetheless polled the audience as to Putting that number in perspective, Patrick inter- their support of the concept and then sought one of jetted that the overall state budget is$28.5 billion. the "no" votes to explain his or her stance. He Adding in higher-than-usual snow-removal costs called on Proposition 2 1/2 founder and Citizens and an increased reliance on safety-net,programs for Limited Taxation head Barbara Anderson, as the economy worsened created a$3.9 billion. apparently not recognizing her. budget deficit for Fiscal Year 2009, while the After Anderson passionately expressed her ,deficit for FY 2010, projected at $3.5 billion in belief Ahat the state would slowly work its way January,has risen to$5.4 billion. down,."picking off'taxpayers at lower and lower "Every branch of state government is hard at income levels, Patrick quipped, "I'm scared of work [trying to address the deficit], all in good you." faith,"Patrick said."These are not choices anyone Information about.the governor's forums, wants to make." including the complete slide show,is also available Patrick offered a coy answer to Lisa Abbate of online through a link at mass.gov/governor. :Salem,who heads up A Vision for Salem,a group Patrick promised that the site would soon feature that hopes to see,the,Salem Harbor power plant some type of forum so that residents could contin- decommissioned and the property redeveloped:- ue discussing the issues raised at the forums and :;Patrick-promisedthat he=and Energy-and Envi-., have any unanswered questions addressed. www.wicked localsalem.com N r apVtV2 CFU RN IT U RE Alllllllllll . 14 rn-dike Street Lowell, MA 01852 1 t' u.l �!S u•^ xa t -•.a;r2 i+ i.,a :Y 'M :u! nr n�l' : n ,a. nF1'.x n� � P*.. K i 9' $3,19500 $1,39500 5 PC.BEDROOM SET BY LEATHER CHAIRS ALJJ(ANDER JULIAN ASST. �.'99800 $59900 a $2,69500 SECRETARY / - DESKS $A 29500 $79500 ,. $2,79500 DINING 5 PC SETS DINING SETS $ 99Q0 $S 59$00 $1,29500 SOFA LAVE SEAT �II�COMBOOS # J 6 �0 -OFFEE DUE: � � .00 SALE' M CITY Rec'd by: F1-RE PREVENTIDN BUREAU , > = &_Lafayetti Street 7 - Salem -Massachusetts 01-970 I�PLDCATI��I - �R P�F IT To: THE HEAD OF THE FIRE DEP-AP_TIVIENT. In accordance with the provisions.oi Chapter 148, G.L. as provided m Section 10A;application is-hereby made for permission to use explosives in'_the Tasting of rock or any other substance. =- Name (Full name of person,firm or corporatflion granted permlv at__ - ___-- Qf _ �DNI �1►�© (Give location by street and number or, escribe 1n such a manner as to provide adequate:Identification of location.) Name of Bonding Company = --- ---------- ----- Dig Safe No. -----: f'Ar------ RESTRICTIONS: I_ ONLY ONE DAY'S SUPPLY DELIVERED TO THE SITE O_F OPEAATIONS AS PROVIDED BY THE DEPARTMENT OF PUBLIC SAFETY 527CMR13.00 AS PROVIDED BYTHE SALEM FIRE '0 DE. Date issued: 1 -----------------�-�--r�'-���--------------- Company �--� ---ID � --------- �_ By-�_ ----- + '`o--- =------ ---- Date of Expiration.:___, _— Q_�Q Address _-tacos -- bbb ------ ------- ------------- ---- -+ Certificate of Competency No. DATE: As an essential Part'of Application to the C�ty.of. Salem, Ma ssaehusetts for Blasting Permit 'to'. perform proposed blasti-ng`operations at: . ,'K7 'n- "s a d-Salem, it is CERTIFIED that in such blasting the. total charge;weight.per blast will NOT exceed five (5)' pounds and. the maximum'weight per delay -will not exceed MA, two (2) pounds per delay. Signature of Technician: g Lj - , '� 1 �S. d ..a{.. ,A �..�c 1� 2 -' 'F."ti�pp��jq� 1 00. I.n A :4E 1 :., ',s'��U�.V � a�ea;1-{ aasaCYt�se 9� a _ -_-r;I�:�­�'--_,i�;-::-��t,..-,�,,,�,�".n-0'V".�.._'.-._��-_-,�-,:--.�,_1�,;,"',-_,_.�__,-_-!_.�,-_'`,, 0_��7--:-.��,,��-�-_­.i,-.�—�­.-,�.� �� % , > "�, .., ;- . - , E - _ q - 'to `f H E F1 E AD i= Tf-CE 1 i EA�T�I E1T - H� s 'mot 9 .: r - tri,accordance vv)yth the provlsl4ns o Chap a 148, G L_as Frov dexl in Section 1,z appilcat)on is hereby made for perm)-_ . :to use xpiosiues Irt the ]a5tfg�of°�rock ®r arty other sut stance � � _ _ (FW;raatrie of person,�X,m or corporatio �ranied rm '- - (G ve lomtion by s rent and rturnflar ord gibe in such a�manrrer L td.p -.q!§adequate identtf�caiion of facafion) ,= Marne ofBorading Cornpar)} - _„ DaSafe Na F� #� .. R_ ESTRIC710ilIS - _ OMLY OltlE DAY'S SL#PF'LY! # 17Y0 SATE f� �PlriATtORiS , S PROUI DED BAY�1.11 fl 6�T1SRI 1�l Pi1�i ID 4 FTY 52 R?G3 0 AS FRG,/IDED BYTHE SAL li tli D. Z, I. Date Issued _ �g Cvmpary � .. '- Y - Date of Explrat)on J dtlress D � '_` � �'P- -F I ------------ y r -Ce l#Icate �f C. peteracy Nff _ ®lg Z` 0 � _ `° >FEE PAiD $SO Q:0 1 FI IAE � 11 E�4tJ -�-n`,L;-j g_��"!--��__—L10,_­�'�,-,,­7 O-�-,_-�­-@�P"-,--—­,—tl—,M'77.9 II '>s zt � t.afAette�btreet "aars: Sert1 �S53C?f� f't5 d 19� . ._•r In accordance with the provls)o­`$,--,-,­-­�_-z.'a­­�J�M,_r,�-"­'�-_,,�n ML_.�,�'M7-,L.,­7,'­� ns af_Cfiapt r f C L as �oarlded)n-Sectlon 901k, this permit Is granted to _�_ ­V.,t,*i_�-_- ,_'�L­­,,,'".�,,1'­1-_r­_�-—7��----.-��F--,&%-F,tI g,.,.-,e,,,�.�- AA�� Nacre fv _ ' frlN cate of Competency NQ _ .. (3�rJ" (Full,rrameaf_Perso�, irm-ar cor#sdrationYatstl pertnitj to use explosive's)n tt►e btast)ng o#rock anyti�Pr substarnce Name of Bonding Corn an ` Dlg Safe No p Y - - - - -- a, _ 3 x RESTR1CTt01 5 OR(LY 0111E D�,Y'S�� #�PLYt/ 1` 0 T## StTE � 1�6'f �TIOt�S AS�6tOVIDED-:BY ,MVOfPANTURN 11Tfl PljSt C AF TY 2aC1V{R13 0U ; A`:S PROVIDED'BY Tt�lf S�,1.E1 f1 - 17!>� - _ - -- --- - � _ _� _� _(Give cc= zr+re a- n k =r o� scY-IJre n such at�lanner a5,to proultl�aclaq a.iderxYf3�eatlun of..locatlon)'--_ .- -.' a _ _ .. - z This per p rn)t w)il.ex Ire , LL I. Perm)t Issued by ti _ _ _ _ _ __ __ _ Jaf o e P rtmerit) :. PHIS PER BT i IlST�E NS1� C1 Ci S1°Y: C3ST t�t# lwy , I : I: -tS S - . - x IPolME [ 00 fy ems-. „ ` 'a-��- �z- - l �_�'v�� �� :` '�- � - "4 �:Fffi,k-spy ..,� "'� a,..,. IR X A :i r =r k" »tee �" -:� 'x��"`" rtA�7C �r ggm_ `f ?y��r�'Fn .� ''�`�'' -�. -.-3r�..> y��"'�`z� Y WIM O. - ' ems= �.MA _ i kri ` 1 n actor•, ancerte�os ,� 1 � over� Sec�o a + a srs hereb made #orNRerssiu t Msrs� et � � ��sbs#_ace1 OMM ATR MWIMP�lfQOLFAH -I3�II^--fi1� AS�C!Ch'".. � t '-- "Sloe t$I,dP.11�1tdt{071 Of 76Cat10/S r a Y Name `'tug Tc ;^ wo - F-« NO -ter , - .»,x3�T. X AS, py Date tssuetlr K� ti - t � � _VA ^�Y RON 9501 A. Date o#lnExprratron � � dtlt'Mo �� y40 4IbiBfr 'MM 'Sia 'yaw- -ma`s'RE '`'...mays - . N - -+. trK'e s 'fiV`Vr Q - .�`.qX -t2 x4 - VS taRM �., Wa (91 `'GDUE �J .Fa C_ 1�J7� �,. Fn.accordance-+�+�xttproms obask A�- oa,rcwa permr#'rs granted to: p Y �. c ripeteney � (F�13 rratne of heloirar� krra ark$ - o OW to use-ex: lostves feb {�� A Iasl�ao _ri� u ice Name:of Bonding Com#sary' � xa# 1n t REST 1_CTIOUS z 07�(LY OiUlr fl9�►Y' ��' 'I � � I _ A+I�tOI t ,4S PROVIDED TS' I9IG� �� , , a t-- � . (Glue r� ttt 0 b'etx> Ia su x�aar�,neY a c aYau3sl adg Uatd,i.deRtiitcatiorrof toution') �M.+ This permit anvil! extre ' .. 4 Petmr. issued - — ---- --- Ft-ro�� T FIS PEA � 1ISo S ON mt. ESES. ': ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID AF DATE(MM/DDIYYYY) NORTH-3 09 08 08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Sykes-Mallia Associates, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 160 Lafayette St. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Schenectady NY 12305 Phone: 518-393-3618 Fax:518-393-3621 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: Lexington Insurance Co. INSURER B: National Union Fire Ins Co NAES Northeast, LLC INSURER C: Cormerce and Industry Ina Cc 1240 Saratoga Road INSURERD: Ballston Spa .NY 12020 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING _ ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE( DDIYY E POLICY MMIDD/YYON ) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 UAMA A X X COMMERCIAL GENERAL LIABILITY 6763309 09/19/08 09/19/09 PREMISES Eaoccurenoe $ 50000 CLAIMS MADE X❑OCCUR MED EXP(Any one person) $ X 10,000 Deductible PERSONAL BADVINJURY $ 1000000 GENERAL AGGREGATE $2 0 0 0 0 0 0 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2 0 0 0 0 0 0 POLICY �{ PRO- LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000000 B X ANY AUTO CA7205011 03/14/08 03/14/09 (Ea accident) ALL OWNED AUTOS BODILY INJURY - $ SCHEDULED AUTOS - (Per person) X HIRED AUTOS • BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) tGARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY - EACH OCCURRENCE $ 10000000 B X I OCCUR CLAIMSMADE BE9733955 03/14/08 03/14/09 AGGREGATE $ 10000000 RDEDUCTIBLE - - $ X RETENTION $10 0 0 0 $ - WORKERS COMPENSATION AND ' X TORY LIMITS ER C EMPLOYERIETORPART WC7208606 03/14/08 03/14/09 E.L.EACH ACCIDENT $ 1000000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 1000000 If yes,describe under - SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 1000000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Per policy at inception. GL Per Project Aggregate Subject to Overall General Aggregate of $10,000,000. PG&E Generating and the City of Salem, MA are named as additional insured as their interest may appear as respects general liability coverage where required by written contract. CERTIFICATE HOLDER CANCELLATION PG&E GE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL PG&E Generating IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 24 Fort Avenue Salem MA 01970 REPRESENTATIVES. AUTqPRIZE RERJESENTATIVE ACORD 25(2001/08) ©ACORD CORPORATION 1988 EXPLOSIVES USER CERTIFICATE This Is to certitythhat In accordance with the provisions of Chapter 527 CMR 13.04(10), an EOLOSNES USER CERTIFICATE Is hereby issued to: NAES Northeast LLC Issue Date: 9/10/2008 1.240 Saratoga Road C-9miration Date: 9I16/2009 Ballston. Spa, NY 12020 Certmawl tuber: Eu 321 Restricted to: 00 Registration#: 326 State Fire Marshal: , ( .._ "'THIS CERTIFICATE;MUST ACCOMPANY EACH APPL/CAT/ON FOR PEiRA&T To BLAST'"" f ,sc `3"^a°"'" ...ar"i.- i _ »:� :�`.`� yr= �.: i ,:t '." ! w !� .s -'; �,; - 'r � h' ° - _c 7 r £ -a - F ya a ThefsCorn'monwealth of Massachusetts # T r y s 2. '- S x ' L �Do ,V rtm,ent o.f the State Trea urer3, r z }One Ashburton Place 12thfFloor Af' 9 4 � � �rBoston MA 02108 r ;; t - e y r l { _ rl �; r x `` Expires 06 Jul 09 :,x Date-� 06 Jul 08 r j - x To Ui%h�orn ., May;Co`ncern F r ' _ L Fir r f 4 } :r+ :x Fr 5 tE'1 ''I s 1.. �. a t d 13h.ereby certify that North American IndustnalSerulces; Inc -'v r sf t u -r<''r_ '� "` r➢ r t.L k' # t ,;.y •r y t { t o'f { Ballston 'Spa, NY t has`on ill',dt thus office on this date a - bo'nd in he penal sum°of TWENTY THOIJSAND:DOL 'RS '($�0,004) :In accordance with the provisions of chapter 148 o the Genera,"L .' s as amended y �. % t t '4 Y M N� 3 f r t t �` ; a r s x rs a 3 by chapterIa of the Acts of r zx - 1946 fThe bond S.dated 1/31/1995 . ' t a Assistant State'Treasurer i p" tr r .:; .� .,r r .ef' :" ''# y. w f 7: ,� _�, f U : $ ° -_d ri t Viand;provides for cancellation ,, ,for the State,Treasure� fi F z y upon 30 tlays noticeto the State ' F t g. r ,r t ,,W t kt T easurer from the principal or z F s surety company , .. � � Y a j � h; u t £ r �C Wx - L -'� ik4 4g i"5 A„ 3 '' Y A 4 .d. .t - sky F k p" '` f:" -� +q 4 4 P yY fl t - 4 F Y p b. '' a r<'ar-. F+ z F -a� c n' t `& ?. y 'k,. # `�y -7 s-- r �,-gl r` .F k-x a s l' .�f� _ �, C a ss 7 ; :, a z '« F { y �`t _�q a k r k }c ;. t ,� `� �Y ` 3 ,y fl ¢t - 1, p �i.`� c:: f �' l" v 5 xy i I ,y.; * ,r. 1 a:�- q t pi S� `�q f s °*: gr u.*. t3.�,rJ' '' fi.i 4. ra r 2 -:`"�<p t .�' t j' { $ s ,� t „ 3 ,. s.,� hf m,� �y .aa' �� i xr x Ate* s�ys ..r r r: '�'a � ., ,, t .r' c xa s at>t r � ?�-'� h# 1rE; i5 w. :k '` tom. F ` - �,rt ,�' 'k' rr� - f - 1� #. t yi -T, 4- .:f jp 4 t F 5- F' - ?. In �i": xK x .*r e-. : >c '� e t , ,. "4➢w,^� c "3k ` re x+ '•_+. fit=, . ;�. ^` ?^X' «€-d "may, z s ems«,- q.; '?.f in ! �''�'r f ,y. c .r. G'a;• �,r � n{ "'w.r t '"` k' g . ^R4 ,W u fir.'_° y,; x < 6 ko $'D ,!=M w. 'k z ry Ar ^F-`F b + s't s'�` '" .. f3 1 x sk �, F 3 � y' f,� r0. '.. , R -y 2 err :k f �,� N A`�$ _ :'x t f i�, 1 z+s :i > '+. _ �� ""Y� r ^k: 7 �,S 4 ri fi' Ez' &t`�' i �+x � �` .-�, �T ba' ,;N e t �fi 'N 'rid fi .;! t r { �' S :r a ,r 7- 5' r i,:r. ""r3 p s 4 2+cv' r v,m '�- "`i s r_i 8 ,. , - 3 a ,�'� *,§"`� N a 3� . - its ; �` * h ..a- i... e�. : e h .,L_ �s.a F r r <� g s +, v sx , "x �.�'�, F '" A a r K r s i'~-,✓ 1 ., - ✓ v "'`€r _ :-" n 5 t d "3 -' W er r ., , # a�X .:a+. 7 -�'rr- s 5 ,� L n � '-" ,3'k y . r`' 79 3` .+ry t �s , 3 `'- a x � _ ,r �l'' i sy rx :' a k.'�' t �- g _ fit ', a l� x �t :+.G+' :'� <t _a i.' s } ,l v i k is ''r L �" x t u k1 i�' _ V y y� } ,. i' ;i A_ , { r^ t* }af?:. s ��7 �, f ax' r F e.. -£c%fr s r,. ,r 7 r a? „r � f kr� x 1'b..� ',e+" q s. rc c @ `fie F .P 'x x r- r a'" d c t t t s 's .b 3r ax * J'}+L c t! r ) {, y P -t :e�Y c -x" x ," a, x ern a. *,ram t�+ d �r .� f An a ^"� �?4 f M .V-.,r t '� '€�.. N' a 's x r - 's �: t .iro , -- c#, i a' zt half r ; arty 1 ? P �'4 {. t y *} §_r'+" # �k t,y✓i #5 , r�"Y, L b 5 d '; 3 a"t i- M 3 - r� dip :-3 .! f`'^d i"y t *.� 9 .2" r x 4 Sg k _3 %. wi �.. T K .- -t S S , Y _ a r 4 F!—s f x . 4 i d x r ? 1 Y 3 l 3.` k r --er _ £ s > ,� r - L l t r £ F art .s ,L ¢ M.F N ,"a w,.:.. s .. ....... ...<.-" .-e ....a... r...i'...x w.�...:G M.M'p md�kh� .ur< .-n... ,..a ��._ _. .x .. _.�">. ^�.,.a-»..L ...-� �. ... .x .. r.- ... _ ....r e. Dominion Energy New England,Inc. DO�,��O�o 24 Fort Avenue,Salem,MA 01970 Web Address:www.dom.com January 21,2009 Lieutenant Erin Griffin,Fire Marshall Salem Fire Department,Fire Prevention Division 29 Fort Avenue Salem,MA 01970 Re: Notification for Return To Service of Above Ground Storage Tank B3 Dear Lieutenant Griffin: Dominion Energy Salem Harbor(DESK conducted an internal inspection of above ground heavy oil storage tank B3 in December 2008.The inspection was done by RAF Services,Inc,an authorized API inspector. The report made some recommendations for minor repair of the tank floor.DENE has completed the repairs and is now preparing the tank for return to service. We expect that the tank will be in service before the end of January. If you have any questions or desire a copy of the report,please call me at 978 740 8234 or Ernest Greer,the Project Engineer,at 978 740 8287. Sincerely Michael Fitzgerald Station Director,Salem Harbor , C5/14/200 MON 14: 46 FAX 5188855041 North American Ind Svcs 0001/004 r R NORTHAMERICAN EXPLOSIVES COMPLIANCE WORLD BUSINESS HEADQUARTERS 1240 SARATOGA ROAD . BALLSTON SPA,NY 12020 518-885-1820 EXT. 108 518-885-5041 FAX EMAIL: kimblel@naisinc.com WEB SITE: WWW,NAISrNC.COM To: Permittinc Dept From: Lee Kimtlg Fan: 1.978-7459402 Date: 05-1"7 Re:CC: —Pages: 4 r C7 Urgent q For Review 0 please comment c please reply o please racycle Hello Attached you will find all requested information minus a copy of the blasters actual license. The copy of his lice would not be legible If I was to fax it.I put his license number and current expiration on the attached permit.I called to remind him to leave you a copy when he picks up the permit If you need anything else for the permit please feel free to call at your convenience. Thanks Lee F.Kimble Compliance Officer NorthAmerican Industrial Services THIS MESSAGE IS INTENDED ONLY FOR THE USE OF THE INDIVIDUAL OR ENTITY TO WHICH IT IS ADDRESSED, AND MAY CONTAIN INFORMATION THAT IS PREVILEDGED, CONFIDENTIAL AND EXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW. IF THE READER OF THIS MESSAGE IS NOT THE INTENDED RECIPIENT, OR THE EMPLOYEE OR AGENT RESPONSIBLE FOR DELIVERING THE MESSAGE TO THE INTENDED RECIPIENT, YOU ARE HERBY NOTIFIED THAT ANY DISSEMINATION, DISTRIBUTION OR COPYING OF THIS COMMUNICATION IS STRICTLY PROHIBITED,IF YOU HAVE RECEIVED THIS COMMUNICATION IN ERROR,PLEASE NOTIFY US IMMEDIATELY.THANK 005/14/2007 MON 14:47 FAX 5188855041 North Anerican Ind Svcs 0002/004 �la �C'avririeaez�rse¢�p�'r�,' fauaelta 4,�-,� a '�e�a�v,�,ata�=TrT`r�e��virea-��es o�bFa C-�Cile c�vxe���iw�laad �F M,fogs, CA& mod, MG SAFE NUMBER j Date: APPLICATION FOR PERMIT -- — C.82 SAO XG.L, STARTOATF; To:Head of Fire Department: City/Town In accordance with the-Provisions of Chapter 148,3d.G.L.as provided.in Section -- arrvlication is hereby wade bar Name: Ate/ (t aatao o g�pa,lum or arporaaoal �"�' Address: _ Job�1p -a�Cares J � r.�d' Ccr//c ,h(sreaor . . "e rOWN ForPernissionto: USe aQ1®s�' e State clearly the purpose for which the perasut is requested: s Location: �� �,� Av r- dA A, 27 --- Name o f competent operator if applieabl--ern_ - Certificate of Cempetsncy Date Issued ( } Date Rejected{ }; _ By:. tv;: , y-07 Date of Expiration: n Applicant Signature: ee Paid ( } Fee Dan{ }. amount Fire Department Number: ( App i"b.e) a,aaaaaaasacasaarraearaaraaaraaasaaeaaaaaarasaaaraaraa ago sasaaaarasaaaasuasraaaamamaaaaaasrsa Date: PER �5��+ DtcSAFEWMEEK C.82 S-40 Ni LG,L. START DATE: In accordance with the provisions of Chapter 148,M.G.L.as provided in Section this pens it is granted to: Name: (Full am of pawn.Cm,w eomranon) For Permission to: State cle21Iy the purpose for which the permit is granted: Restrictions• - '---"---------�-- Location: Fee Paid: This Permit Will Expire Can: Signature and Title of official Granting Permit: 7*{THIS PERMIT MUST BE CONSPICUOUSLY POSTED UPON THE PREM[S1ES.)C✓ /eo CZ o Salem ty f S , Massachusetts a� ire � epartment 48 Lafayette Street David Cody Salem, _Massachusetts 01970-3695 Chief Tel 978-744-1235 ire Prevention 978-744-6990 Bureau dcody@salem.com Fax 978-7 45-4646 978-745-7777 APPLICATION/PERMIT TO ERECT TENTAGE OVER 120 SQUARE FEET IN THE CITY OF SALEM ACCORDING TO THE MASSACHUSETTS FIRE PREVENTION REGULATION 527-CMR 19.00, AND THE SALEM FIRE CODE, ART. # 20 FEE $30.00 CHECK # APPLICANT: I)z)Nk[l41oi� V4,442- o(2_ ADDRESS: CITY: STATE: ZIP: 0(12o PHONE: LOCATION OF TENTAGE:__ 3o k 4 0/ tti Attu j Lz- OWNER OF PROPERTY S4�1 ADDRESS: CITY: STATE: ZIP: PHONE: INSTALLER/RENTAL CO. OF TENTAGE: ST�y, 0ccorrz:.c04S PHONE: 33 9­77 -� ADDRESS: cl jww CITY: Wc)g uAP-4. STATE: Q-- ZIP: INDICATE WITH REFERENCE TO PROPERTY LINES AND OTHER BUILDINGS THE LOCATION OF THE TENTAGE ON THE BACK OF THIS FORM: MATERIAL USED: W 'y tNy V, MANUFACTURER: SIZE OF TENTAGE: '53,0 X `{v NAME OF TESTING AGENCY: AGENCY APPROVAL NUMBER: CERTIFICATE OF FLAME RESISTANCE: CONDITIONS OF APPROVAL OTHER THAN AS PER FIRE PREVENTION REGULATION: SALEM BUILDING DEPARTMENT PERMIT NUMBER: —O� DATE OF ISSUE: �o� SITE INSPECTION DATE: EXPIRATION DATE: log APPROVED BR:� � � TITLE: FORM tDB (Rev. 8/99) 80B t c Z The Commonwealth of Massachusetts i Board of Building Regulations and Standards F413-596-2800 own of �t Massachusetts State Building Code, 780 CMR, 7'h edition lbraham Building Permit Application To Construct, Repair, Renovate Or Demolish Building One-or T►vo-Famill,Divelling xt 118 This Section For Official Use Only Building Permit Number: Date Applied: Signature: Building Commissioner/Inspector of Buildings Date SECTION 1:SITE INFORMATION 1.1 Property Address: c 1.2 Assessors Map& Parcel Numbers I.la Is this an accepted street?yes no Map Number Parcel Number .. 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yazd Side Yards _ Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private❑ Zone: — Outside Flood Zone? Check ifyes❑ Municipal❑ On site disposal system ❑ SECTION 2: PROPERTY OWNERSHIP' .1 Owner of Record: Ff,s f 1ve0cc its rnYt S 3 ►7 IU Pc Name Pn ) �us-t-on -?. �� � ( Address for Service: p Signature Telephone SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) ❑ Addition ❑ Demolition ❑ Accessory Bldg. ❑ Number of Units Other ❑ Specify: rief Description of Proposed Work 2: f V C) '4 e n - v') SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Labor and Materials Official Use Only 1. Building $ I. Building Permit Fee: $ Indicate how fee is determined: 2. Electrical $ ❑Standard.City/Town Application Fee O Total Project Cost(Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List:_ 144 5. Mechanical (Fire Su ression) $ Total All Fees:$ 6. Total Project Cost: $ 1 Check No. Check Amount: Cash Amount: l�� 60 13 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Licensed Construction Supervisor(CSL) License Number Expiration Date Name of CSL-Holder List CSL Type(see below) Type Descri tion Address U Unrestricted(up to 35,000 Cu. Ft.) R Restricted 1&2 Family Dwelling Signature M iasonry Only RC Residential Roofing Covering Telephone WS Residential Window and Siding gS Residential Solid Fuel Burnin A liance Installation Residential Demolition 5.2 Registered Home Improvement Contractor(HIC) HIC Company Name or HIC Registrant Name Registration Number Address Expiration Date Signature Telephone F SECTION 6: WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes .......... ❑ No...........0 SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, U �4 as Owner of the subject property hereby authorize to act on my behalf,in all matters relative to work authorized by this building permit application. Date Signature of Owner SECTION 7b: OWNER'.OR AUTHORIZED AGENT DECLARATION 1 as Owner or Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and behalf. Print Name Signature of Owner or Authorized Agent Date (Signed under the ains and enalties of er u NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered.contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program and Construction Supervisor Licensing(CSL)can be found in 780 CMR Regulations 110.116 and 110.115.respectively. 2. When substantial work is planned,provide the information below: Total floors area(Sq. Ft.) (including garage,finished basement/attics,decks or porch) Gross living area(Sq. Ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" r`l��'� DOCUMENT �����P�LfaI—L dl��Pr�rP O 5 Ccrt,if icatc of Emil e `-VoessitstaI c�: s SREGISTRATION ISSUED BY 2 - 5 Ej , Date of Shipment 5 APPLICATION Q CNIR- 08/03/04 5 NUMBER �,,S1IE f r EVANSVILLE, INDIANA 47725 Tent Identification 5 F121.4 ° MANUFACTURERS OF THE FINISHED 03916744 f' 5 TENT PRODUCTS DESCRIBED HEREIN S 5 This is to certify that the materials described have been flame-retardant treated S 5 (or are inherently noninflammable) and were supplied to: 5 5 5 3 5 Festive Occasions Inc 5 S 317 New Boston.Street 5 c, 5 Woburn,MA 01801 S °i 5 5 5 5 5 - 5 5 Certification is hereby made that: 5 5 The articles described on this Certificate have been treated with a flame-retardant approved 5 Schemical and that the application of said chemical was done in conformance with California 5 5 Fire Marshal Code. All fabric has been tested and passes NFPA 701-99, CPAI 84, ULC 109. 5 0 5 5 Serial # 8025300(4) Cn N 5 Description of Item certified: 5 ' 5 fV (D FIESTA EXPANDABLE MIDDLE cD 30WX10 WHiTF VINYi. CD S Flame Retardant Process Used Will Not Be Removed By 5 5 Washing And Is Effective For The Life Of The Fabric 5 5 5 JOHN DOYLE STATESVILLENC Signed: _ _ ` SPECIAL EVENTS DIVISION-ANCHOR INDUSTRIES INC. 5 �lcPrJ�rJ��rGrNfrJ?cPc!?PrJr��cf��J�lP�Pcl P�lnl�_fr��fcnf�rJ��?r1�(n�rrcncl�nr�Pnlr�rnf�l?Jar?fr�Pfr?.f?rrnf�Pf�(?n(��nfr��r? I fr�.I fp [� -. - ._ .-. -.-. -- --. N t;p RENTAL ORDER F stivb Occasions 7 New Boston St. Order Number: RO20823 Woburn, MA 01801 Order Date: 10/13/08 FESTIVE OCCASIONS Phone No.: 781-933-8777 Page: 1 Fax No.: 781-938-8549 E-Mail: info@festiveoccasions.com Bill Ship To: Ken Rothwell's Custom Catering To: Salem Harbor Power Plant Ken Rothwell Ken Rothwell 7 Franklin Street, Unit 6 24 Fort Avenue Salem, MA 01970 Salem, MA 01970 Phone-978-825-0200 Customer ID C19749 P.O. Number Ship Via Company Truck Delivery P.O. Date 10/13/08 Terms Cash Customer Salesperson Evy Gillette items RenteY Item/Description Quantity Rental Term From/Thru Unit Price Disc% Total Price Deliver equipment Thur bet 12-4 pm Pick up equipment Sat bet 8-12 del/set up tent Thur bet 8-12 pu/breakdown tent sat bet 12-5 pm Equipment use Friday Ordered by Ken Rothwell 978-360-6327 tent site visit on 10/xx/08 65.2243 1 Misc. 11/06/08 1,200.00 '1,200.00 Tent 30'X40' Frame Each 11/08/08 \ surface is asphalt-can stake into the ground Salem Power Plant is Responsible for Dig Safe 65.2362 140 Misc. 11/06/08 0.00 0.00 Tent Wall Clear Side Each 11/08/08 65.2574 1 Misc. 11/06/08 0.00 0.00 Tent Asphalt Patch Each 11M/08 65.9999 1 Misc. 11/06/08 0.00 0.00 Tent Permit Each 11/08/08 fee(s)to be determined 66.1003 100 Misc. 11/06/08 1.65 10 165.00 Chair Fold White/Chrome Each 11/08/08 66.2007 10 Misc. 11/06/08 8.40 10 84.00 Table Round 60 Each 11/08/08 66.2002 3 Misc. 11/06/08 8.40 10 25.20 Table 8' 30x96 Each 11/08/08 Continued... RENTAL ORDER Festive Occasions " 317 New Boston St. Order Number: RO20823 Woburn, MA 01801 Order Date: 10/13/08 FESTi OCCASIONS Phone No.: 781-933-8777 Page: 2 . ` Fax No.: 781-938-8549 E-Mail: info@festiveoccasions.com Bill Ship To: Ken Rothwell's Custom Catering To: Salem Harbor Power Plant Ken Rothwell Ken Rothwell 7 Franklin Street, Unit 6 24 Fort Avenue Salem, MA 01970 Salem, MA 01970 Phone-978-825-0200 Customer ID C19749 P.O. Number Ship Via Company Truck Delivery P.O. Date 10/13/08 Terms Cash Customer Salesperson Evy Gillette L items RenteU Item/Description Quantity Rental Term From/Thru Unit Price Disc% Total Price Coffee and Buffet I Items JVlV -- I - Item/Description Quantity Sale Date Unit Price Total Price SALEM 1 11/06/08 59.00 59.00 Delivery Charge Each Thank You For Your Business. Subtotal: 1,533.20 Damage Waiver 115.75 Line Discount: 27.42 Signature Date: Tax: 72.34 Total: 1,693.87 1 acknowledge that I have read and fully understand,and agree to be bound by,this rental agreement,including the Terms and Conditions of Rental,which are attached hereto and are hereby made a part hereof. I'I WYY` v 0 P 0 �nu�r frPrJ��Pu��nrJ�r�rJr i�rr�.PI-rjrIII O R 7"/4 N T D 0C U M E NTrPc_DWPr-rr2fr�L1�L1iJ�LI�rPLrr�r� [o 5 Cert>i i ente of Fla a , Res. i�t��nGe s 5 5 REGISTRATION ISSUED BY Date of Shipment 5 S APPLICATION `"`'FIICNIR p 5 5 NUMBER "- $ s 2s zoos 5 1NDUSifiIE INC. S 'r EVANSVILLE, INDIANA 47725 Tent Identification 5 5 F 121 4 MANUFACTURERS OF THE FINISHED 04078195 5 TENT PRODUCTS DESCRIBED HEREIN 5 5 This is to certify that the materials described have been flame-retardant treated 5 (or are inherently noninflammable) and were supplied to: 5 S 5 3 5 Festive Occasions Inc 5 S317 New Boston Street 5 5 Woburn, MA 01801 m 5 S 5 S 5 Certification is hereby made that: 5 SThe articles described on this Certificate have been treated with a flame-retardant approved 5 chemical and that the application of said chemical was done in conformance with California 5 5 fire Marshal Code. All fabric has been tested and passes NFPA 701-99, CPAI 84, ULC 109. 0 m 0 5 5 5 serial# sozs000 i u W 5 5 C ra CJl Description of item certified: I IV 5 hIES'1'A EXk ANDABLE FOP 301k't30 5 (D CD CD 5 Flame Retardant Process Used Will Not Be Removed By 5 5 Washing And Is Effective For The Life Of The Fabric S 5F IOHN ROYI F 'TATFSVlf I F NC' Signed: :� � : _•,.: :. —— 5 rj SPECIAL EVENTS DIVISION•ANCHOR INDUSTRIES INC. 5 O cPrJ�rJ�rJcPrJ�cPcrrJ��PrJ�cn�PcPcPUr?lr1rJr1rJ r�J�r�U��PrSrJ��Pr�cPrJ��PrJ�r J?r Pr_f?rl?r�cP�PrJ�Pr�rJr�rJ��PrJ�rJ7r�rJ�rJ�cP�Pr�rJ�c Pr1rJ�rJ�rJ�r�rl'rJ��PrJ�rJ�r�r�cl�rJ��PcP O CITY OF SALEM PUBLIC PROPRERTY DEPARTMENT ,1%W.,tt'1 Y:1N1+( -1 1 11C W,\%l1l\t:lU\S13LL•T • SAIP.M.MANNAC.III a 1 ls,,197�^ 11:I, l78"'tiHi'►5 • 1:sx 979-74C-1.446 workers' Compensation insurance :t1•fttiuvit: Builders/Contractors/Electricians/Plumbers %iliflicant Information Please Print Lecihly VillTl(:113u.u1e�yt)r;tantrtttinnf Indt�,tluaU: :1Lltiress: City'Starc:/sip: Phone kre%uu rot employer:'Check the appropriate box: •Type of project(required): 1.❑ I :un a employer with 4. ❑ I a1n a ecncral cuuttactor and I 6. ❑ New construction employees(full unlUur parL-unle).• have hired the soli-contractors 7. ❑ Remodeling ?.❑ I ;un a sole proprietor or partner- listed on the anached sheet. ship and have no employeesThese sub-contractors have S. ❑ Demolition t%orking for Inc in any capacity. workers' comp. insurance. 9. ❑ Building addition no workers'corn . insurance 5. ❑ We are a corporation and its P 10.❑ Electrical repairs or additions required.) officers hrve cxuclscd their 3.❑ 1 am it homeowner diking all work right ofexcniption per MGL l l.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152,i 1(3),and we have no 12.❑ Ruufre:pairs insurance required.j t employees. LNO workers' 13.0 Other comp. insurance required.i -\ny.,,phc4al sbdt chucks box 01 must:Ilso till out the section txluw showing thou wurkcss'cumpcnsaliott pulicy Intilrmatium 'I tomauwrwrs who subtnil this affidavit indicting they ire doing ail work slut divot hire outside conir.teron must,uhmir a new afraL7vit indicting such. d'.,ntrxturs that t heck this box mtttil attached.In additional hhuct.hawing 11e ttank of tho sub-contractors and their wurkers'camp.policy tnformannn 1 it,n fur employer that is pruvidilkg lvorkers'compensation insurance for uty employees. Below is the pulicy and job sitr iufuratutir,n. Insurance Company Name: _._-- -- ----- ---- I'ttlicv a or Sclf-ins. Lic. r: _--- _. — Expiralton Date: Job Site Address: —_-- City;State/Zip: Attach it copy of like workers'compensation policy declaration pale(showing the policy number and espiratiun date). Failure to secure co%erage as required under Sermon 25A ul'.%IGL c. 152 can lead to the imposition of criminal penalties of:1 title up al 51.51)0.00 and/or one-year impriwmrncnt, a.I well as civil penalucs in the furin of a STOP WORK ORDER and a fine Of tilt to S250.00 it day against the violator, lie advIscd that a copy of this statement lnay be fumirded to the 011ice VI In�:.u,an nu ul ale i)IA :or iosoi:u-.cc e, % .1ge seiilicat:un. l du hereby ccrtifv rjuder the puinc attd penullics ujperjury that the information provided above is true curl correct. l'lt .r.e — I)flicial lose ugly. Do,tat write itt this area, to be cuurpleted by city or town a/jicial. ' ('itv or I•own: _ -_ Nt:rmitll.iccnse 0. i 1%%uing Aulhurity (circle one): I. Iluard of 11e.111h 2. Iluildin; Department .1.(:ili.Totsu Clerk 4. Llcctrical Inspector 5. Plumbing Inspector 6. 0Sher (;antaet l'cnuu; Phone 0: Information and Instructions �la�sachusetts Gcneral Laws chapter 152 requires ill employers to provide workers' compensation for their employees. 1'unu.ut to this-salute,in emp tree 1S defined as"...every person in the service of another under.sty contract of hire, xpress or implied. oral or written." An employer 1.defined as"an individual,partnership, .association, corporation or tither legal entity,or my two or snore oI the lorcc!timb cnpayed in a joint enterprise. and including the legal representatives of a deceased employer,or the rece)►er or trubtee ut -u1 Individual,pa,tncrship,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three.apartments and who resides therein,or the occupant of:the dwvlling house of another who employs persons to do maintenance,construction or repair work on:uch dwelling house or on the-rounds or building appurtenant thereto shall not because of such employment be deemed to be in employer." .'%.IGL chapter 152. §25C(6)also states that"every state or local licensing;agency shall withhold the issuance or renewal of a license or peraaait to operate a business or to construct buildings in the commonwealth for any applicant %*ho has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, NIGL chapter 152, a25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the perfom)ance utpuhlic work until acceptable evidence ofcompliance with the insurance requirements of this chapter have been presented to the contracting authority." .-applicants Please fill out the workers' compensation affidavit completely,,b checking the boxes that apply to our situation and if P P Y Y S PP Y Y necessary, supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have cn)ployces,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial .accidents for confimtation of insurance coverage. Also be sure to sign and date the affdavit. The affidavit should he returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please he sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom tit the affidavit for you to till out in the event the Office of Investigations has to contact you regarding the applicant. 111 ase be sure to till in tihe permit/license number which will be used as a reference number. In addition,an applicant that moat submit multiple pennit,'liccnse applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town tnay be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a hone owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. it dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. 1 h,: ()111ce tit 111►e.itloatlun., %%ould the to thank)'1)u In advance fur your cooperation and should Nutt ha►c:uiy questions, please du nut hesitate to give us a call. fhe D,:partncnt's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents OMce of Investigations 600 Washington Street Boston, MA 02111 Tel. 617-727-4900 ext 406 or 1-877-MASSAFE Fax #617-727-7749 www.mass.gov/dia 196 Baker Avenue, Concord, Massachusetts 01742 CFebruary 20, 2004 MAR 16 ZUU4 Mayor Stanley J. Usovicz,Jr.Salem City Hall 93 Washington Street Salem,Massachusetts 01970 Subject: Chief Municipal Officer& Board of Health Notice under the MCP Release Tracking Number 3-20421 Prase H Corixprehensive Site Assessment and Phase III Remedial Action Plan Former Northeast Petroleum Site,Salem Harbor Station,Fort Avenue Salem,Massachusetts Telephone 978.371.4000 Dear Mayor Usovicz: Facsimile The purpose of this letter is to notify you, pursuant to the Massachusetts Contingency Plan (MCP — 310 CMR 40.000), that USGen New England, Inc. (USGenNE) has s 3 7 t 2 4 6 a completed a Phase 11 Comprehensive Site Assessment and a Phase III Remedial Action Plan for the above referenced site. A copy of each of these reports is available for review at the Northeast Regional Office of Massachusetts DEP, or a copy may be obtained by contacting Mr. Ray Kenison of USGenNE at(978)740-8402. If you should have any questions regarding this notice, please contact me at Earth Tech at(978) 371-4140. Sincerely, Earth Tech,Inc. �4 C- Brian J. Kilcoyne Semot Project Manager cc: Board of Health, City of Salem DEP,Northeast Regional Office Mr. Ray Kemson,USGen New England, Inc. L:\work\45201\PROJ\Phase IBPublic Notice.doc E A R T ll ` T E Ci H A tgCO INTERNATIONAL LTD.COMPANY Dominion Energy New England,Inc. Dominion Dominion Energy Salem Harbor 24 Fort Avenue,Salem,MA 01970 September 3,2008 Lieutenant Erin Griffin,Fire Marshall Salem Fire Department,Fire Prevention Division 29 Fort Avenue Salem,MA 01970 Re: Notification for Return To Service of Above Ground Storage Tank B4 Dear Lieutenant Griffin: Dominion Energy Salem Harbor(DESH)conducted an internal inspection of above ground heavy oil storage tank B4 in November 2007.The inspection was done by RAF Services,Inc,an authorized API inspector. The report made some recommendations for repair of the tank floor.DENE recently completed the repairs and had a final inspection by the API inspector. We have received a Suitability For Service letter from the inspector and plan to return the tank to service by mid September,2008. If you have any questions or desire a copy of the report and SFS letter, please call me at 978 740 8234 or Ernest Greer, the Project Engineer,at 978 740 8287, Sincerely Michael Fitzgerald Station Director, Salem Harbor i I D� Dominion Energy New England,Inc. Don�inion� 24 Fort Avenue,Salem,MA 01970 Web Address:www.dom.com October 8,2008 Lieutenant Erin Griffin,Fire Marshall Salem Fire Department,Fire Prevention Division 29 Fort Avenue Salem,MA 01970 Re: Notification for Remove from Service of Above Ground Storage Tank B3 Dear Lieutenant Griffin: Dominion Energy Salem Harbor(DESK has removed tank B3 from service. It has been emptied except for the heel at the bottom of the tank. The oil heel will be removed and the bottom cleaned in preparation for an internal inspection of the tank in accordance with the requirements of American Petroleum Institute(API)Standard 653 entitled Tank Inspection,Repair,Alteration, and Reconstruction The inspection will be conducted prior to the end of the year. If the tank needs repairs before returning to service,we will promptly inform you. If you have any questions,please call me at 978 740 8234 or Ernest Greer,the Project Engineer,at 978 740 8287. Sincerely Michael A.Fitzgerald Station Director,Salem Harbor t L, '" COMMONWEALTH OF MASSACHUSETTS er EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION Metropolitan'Boston—Northeast Regional Office MITT ROMNEY ELLEN ROY HERZFELDER Governor Secretary KERRY HEALEY FEB2003 LAUREN A.LISS Lieutenant Governor Commissioner Mr. Michael A. Fitzgerald RE: SALEM—Metropolitan Boston/ USGen New England, Inc. ("USGen-NE") Northeast Region Salem Harbor Station 310 CMR 7.29 (6)(h) 24 Fort Avenue t Power Plant Emission Standards Salem,MA 01970-5693 Application No.MBR-01-729-001 Transmittal No.W025160 AMENDED EMISSION CONTROL PLAN DISAPPROVAL Dear Mr.Fitzgerald: On June 7, 2002, the Department approved an Emission Control Plan ("ECP")for the Salem Harbor Station submitted by US Gen New England, Inc. ("the Company")pursuant to 310 CMR 7.29. The company has appealed the Department's Approval, and on June 14, 2002 submitted proposed amendments to the ECP pursuant to 310 CMR 7.29(6)(h). The Department issued a Proposed Amended ECP Draft Approval("Amended ECP")to you on December 13, 2002, followed by a public hearing held on January 28, 2003. The public comment period for the Amended ECP closed on January 31, 2003. By this letter, the Department hereby Disapproves the Company's application for the Amended ECP. The regulatory provision pursuant to which the Company seeks approval of its Amended ECP application, 310 CMR 7.29(6)(h), states: Modifications to an affected facility's Emission Control Plan Any person subject to 310 CMR 7.29 may propose amendments to the approved emission control plan. If the Department proposes to approve such amendments, or approve such amendments with conditions, then the Department will publish a notice of public comment on the draft approval, in accordance with M.G.L. c. 30A. . . . Where the Amended ECP will delay compliance with the emission standards in 310 CMR 7.29 beyond the compliance dates approved in the original ECP, the Department may and This information is available in alternate format.Call Aprel McCabe,ADA Coordinator at 1-617-556-1171. 205A Lowell St. Wilmington,MA 01887 • Phone(978)661-7.600 • Fax(978)661-7615 TTD#(978)661-7679 DEP on the World Wide Web: http://www.mass.gov/dep �a Printed on Recycled Paper should exercise reasonable discretion in determining whether to sanction an abandonment of the original ECP. One significant consideration for the Department in acting on proposed amendments to an ECP is whether any new information or other developments affect the feasibility of the original ECP as approved to comply with 310 CMR 7.29. If there is no new information bearing on the feasibility of the original plan, the Department may consider the fact that the company has an approved emission control plan that can feasibly meet the emissions standards of 310 CMR 7.29. The second consideration is whether overall, the Amended ECP is more environmentally protective than the original ECP. With regard to the first consideration,no evidence has been provided to the Department that the original ECP is not feasible. With regard to the second consideration, the Department compared the environmental impact of the original ECP to that of proposed Amended ECP. A principal difference between the two is that the new plan would require compliance with 310 CMR 7.02 and thus, under 310 CMR 7.29(6)(c), would give the company an additional two years to meet the emissions standards in 310 CMR 7.29(5). As.set out below,the additional two years would allow the Company's Salem harbor Station to emit up to 32,000 additional tons of S02 and NOx emissions. Therefore, part of the Department's consideration is the significant additional emissions that would result from approval of the Amended ECP during the two-year delay in compliance. Chapter 21A, Section 8, of the Massachusetts General Laws provides that the Department may consider those emissions in determining whether to approve the proposed Amended ECP: In regulating or approving any pollution prevention,control or abatement plan, strategy, or technology, through any permit, license,regulation, guideline,plan approval or other departmental action affecting or prohibiting the emission, discharge, disposal,release, or threat of release of any hazardous substance to the environment, . . .the department may consider the potential effects of such plans, strategies and technologies on public health and safety and the environment that may arise through any environmental medium or route of exposure that is regulated by the department pursuant to any statute; and said department shall act to minimize and prevent damage or threat of damage to the environment. The Department considers it appropriate to,approve the.Company's Amended ECP if there is a clear demonstration that on balance, taking into account the new plan's two-year delay in achieving compliance with the emissions standards, the Amended ECP would yield greater environmental benefits than the original ECP. The Company has not made such a demonstration. On the contrary, a review of the testimony provided during the public hearing and public comment period for the proposed Amended ECP indicates that there is a substantial public health benefit by implementing the original ECP over the Amended ECP. Specifically, an analysis of the potential' sulfur dioxide (S02) emissions from the Salem Harbor Station facility implementing the original ECP results in approximately 24,000 tons of S02 reduced with a compliance date of October 2004, rather than the Amended ECP compliance 1 As used in this document,"potential"emissions for S02 and NOx are taken from the Company's June 14,2002 application for the Amended ECP. 2 date of October 2006. The Amended ECP submitted by the Company does not provide any additional,legally enforceable reductions of S02 beyond those stipulated within 310 CMR 7.29(5)(a)2. Therefore, approximately 24,000 tons of potential S02 emissions, beyond the tonnage allowed by the original ECP approval, would be emitted under the Amended ECP with no ability to ever recoup these emissions. With respect to nitrogen oxides (NOx), a similar analysis was performed. Extending the compliance date of the original_ECP would result in the emission of approximately 8,000 tons of additional NOx. The Company has proposed additional NOx emission limitations incorporated within the Amended ECP that would be effective after 2006; these additional NOx emission reductions would be approximately 10,percent greater than those contained in the original ECP. It is difficult to assess how long it would take to recoup the NOx emissions lost by not implementing the original ECP. However,based on historic capacity utilization of Salem Harbor Station, it could take more than twenty years to recoup the quantity of NOx emitted by not implementing the original ECP. For these reasons,the Department has determined that the Amended ECP submittal should be disapproved based upon the increase in S02 and NOx emissions attributed to the delayed implementation/compliance date from October 2004 to October 2006. The Company does not contend that its original ECP is infeasible and cannot achieve compliance with the emissions standards set out in 310 CMR 7.29(5)(a) 1 and 2. However,the Company has indicated that circumstances beyond its control may interfere with its ability to meet the deadlines set out in 310 CMR 7.29(6)(c)l. Like any other permittee, the Company has the right to present evidence regarding its ability to implement the original ECP in an appropriate submission to the Department. Or it may propose an amendment that increases the air quality 'benefits over the original ECP. This Disapproval is an action of the Department. If you are aggrieved by this action, you may request an adjudicatory hearing. A request for a hearing must be made in writing and postmarked within twenty-one(21)days of the date of issuance of this Approval. Under 310 CMR 1.01(6)(b), the request must state clearly and concisely the facts which are. the grounds for the request, and the relief sought. Additionally, the request must state why.the Approval is not consistent with applicable laws and regulations. The hearing request along with a valid check payable to The Commonwealth of Massachusetts in.the amount of one hundred dollars($100.00)must be mailed to: The Commonwealth of Massachusetts Department of Environmental Protection P.O. Box 4062 Boston,MA,02211 The request will be dismissed if the filing fee is not paid, unless the appellant is exempt or granted a waiver as described below. 3 v The filing fee is not required if the appellant is a city or town (or municipal agency) county, or district of the Commonwealth of Massachusetts, or a municipal housing authority. The Department may waive the adjudicatory hearing filing fee for a person who shows that paying the fee will create an undue financial hardship. A person seeking a waiver must file, together with the hearing request as provided above, an affidavit setting forth the facts believed to support the claim of undue financial hardship. Should you have questions concerning this matter,please do not hesitate to contact Edward J. Braczyk in writing at 205A Lowell Street, Wilmington, MA 01887 or by telephone at (978) 661- 7645. Sincerely, Ed d J.Braczyk '= kegionalP .Belsky Environmental Engineer e Chief of Wast Prevention DATE: cc: Stanley J. Usovicz,Jr.,Mayor,City Hall,93 Washington Street, Salem,MA 01970 Fire Headquarters,48 Lafayette Street,Salem,MA 01970 Board of Health, 9 North Street,Salem,MA 01970 Metropolitan Area Planning Council,60 Temple Place,Boston,MA 02111 USEPA - Region 1, Air Permitting Program: Steve Rapp, One Congress Street, Suite 1100 (CAP),Boston,MA 02114-2023 Thomas Parks,DEP-NERD William Lamkin,DEP-NERO Edward Szumowski,DEP-NERD Maureen Hancock,DEP-NERD Nancy Seidman,DEP-BOSTON Diane Langley,Esq,DEP-BOSTON Yi Tian,DEP-BOSTON 4 �\ COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION Metropolitan Boston—Northeast Regional Office MITT ROMNEY ELLEN ROY HERZFELDER Governor Secretary KERRY HEALEY LAUREN A.LISS Lieutenant Governor FEB 6 - 2003 Commissioner Mr. Michael A. Fitzgerald RE: SALEM—Metropolitan Boston/ USGen New England, Inc. ("USGen-NE") Northeast Region Salem Harbor Station 310 CMR 7.29(6)(h) 24—FortAvenue— Power Plant Emission Standards Salem,MA 01970-5693 Application No. NMR-01-729-001 Transmittal No.W025160 AMENDED EMISSION CONTROL PLAN DISAPPROVAL Deaf-Mr.Fitzgerald: On June 7, 2002, the Department approved an Emission Control Plan ("ECP") for the Salem Harbor Station submitted by USGen New England, Inc. ("the Company")pursuant to 310 CMR 7.29. The company has appealed the Department's Approval, and on June 14, 2002 submitted proposed amendments to the ECP pursuant to 310 CMR 7.29(6)(h). The Department issued a Proposed Amended ECP Draft Approval ("Amended ECP")to you on December 13, 2002, followed by a public hearing held on January 28, 2003. The public comment period for the Amended ECP closed on January 31, 2003. By this letter, the Department hereby Disapproves the Company's application for the Amended ECP. The regulatory provision pursuant to which the Company seeks approval of its Amended ECP application, 310 CMR 7.29(6)(h), states: Modifications to an affected facility's Emission Control Plan Any person subject to 310 CMR 7.29 may propose amendments to the approved emission control plan. If the Department proposes to approve such amendments, or approve such - amendments with conditions, then the Department will publish a notice of public comment on the draft approval, in accordance with M.G.L. c. 30A. . . . Where the Amended ECP will delay compliance with the emission standards in 310 L CMR 7.29 beyond the compliance dates approved in the original ECP, the Department may and This information is available in alternate format.Call Aprel McCabe,ADA Coordinator at 1-617-556-1171. 205A Lowell St. Wilmington,MA 01887 • Phone(978)661-7600 Fax(978)661-7615 • TTD#(978)661-7679 DEP on the World Wide Web: http://www.mass.gov/dep ZJ Printed on Recycled Paper f S should exercise reasonable discretion in determining whether to sanction an abandonment of the original ECP. One significant consideration for the Department in acting on proposed amendments to an ECP is whether any new information or other developments affect the feasibility of the original ECP as approved to comply with 310 CMR 7.29. If there is no new information bearing on the feasibility of the original plan, the Department may consider the fact that the company has an approved emission control plan that can feasibly meet the emissions standards of 310 CMR 7.29. The second consideration is whether overall, the Amended ECP is more environmentally protective than the original ECP. With regard to the first consideration, no evidence has been provided to the Department that the original ECP is not feasible. With regard to the second consideration, the Department compared the environmental impact of the original ECP to that of proposed Amended ECP. A principal difference between the two is that the new plan would require compliance with 310 CMR 7.02 and.thus, under 310 CMR 7.29(6)(c), would give the company an additional two years to meet the emissions standards in 310 CMR 7.29(5). As.set out below, the additional two years would allow the Company's Salem Harbor Station to emit up to 32,000 additional tons of S02 and NOx emissions. Therefore, part of the Department's consideration is the significant additional emissions that would result from approval of the Amended ECP during the two-year delay in compliance. Chapter 21A, Section 8, of the Massachusetts General Laws provides that the Department may consider those emissions in determining whether to approve the proposed Amended ECP: In regulating or approving any pollution prevention,control or abatement plan, strategy, or technology, through any permit, license,regulation, guideline,plan approval or other departmental action affecting or prohibiting the emission, discharge, disposal,release, or threat of release of any hazardous substance to the environment, . . .the department may consider the potential effects of such plans, strategies and technologies on public health and safety and the environment that may arise through any environmental medium or route of exposure that is regulated by the department pursuant to any statute; and said department shall act to minimize and prevent damage or threat of damage to the environment. The Department considers it appropriate to approve the Company's Amended ECP if there is a clear demonstration that on balance, taking into account the new plan's two-year delay in achieving compliance with the emissions standards, the Amended ECP would yield greater environmental benefits than the original ECP. The Company has not made such a demonstration. On the contrary, a review of the testimony provided during the public hearing and public comment period for the proposed Amended ECP indicates that there is a substantial public health benefit by implementing the original ECP over the Amended ECP. Specifically, an analysis of the potential' sulfur dioxide (S02)emissions from the Salem Harbor Station facility implementing the original ECP results in approximately 24,000 tons of S02 reduced with a compliance date of October 2004, rather than the Amended ECP compliance 1 As used in this document,"potential"emissions for S02 and NOx are taken from the Company's June 14,2002 application for the Amended ECP. 2 date of October 2006. The Amended ECP submitted by the Company does not provide any additional, legally enforceable reductions of SO2 beyond those stipulated.within 310 CMR 7.29(5)(a)2. Therefore, approximately 24,000 tons of potential SO2 emissions, beyond the tonnage allowed by the original ECP approval, would be emitted under the Amended ECP with no ability to ever recoup these emissions. With respect to nitrogen oxides (NOx), a similar analysis was performed. Extending the compliance date of the original ECP would result in the emission of approximately 8,000 tons of additional NOx. The Company has proposed additional NOx emission limitations incorporated within the Amended ECP that would be effective after 2006; these additional NOx emission reductions would be approximately 10 percent greater than those contained in the original ECP. It is difficult to assess how long it would take to recoup the NOx emissions lost by not implementing the original ECP. However, based on historic capacity utilization of Salem Harbor Station, it could take more than twenty years to recoup the quantity of NOx emitted by not implementing the original ECP. For these reasons, the Department has determined that the Amended ECP submittal should be disapproved based upon the increase in SO2 and NOx emissions attributed to the delayed implementation/compliance date from October 2004 to October 2006. The Company does not contend that its original ECP is infeasible and cannot achieve compliance with the emissions standards set out in 310 CMR 7.29(5)(a) 1 and 2. However,the Company has indicated that circumstances beyond its control may interfere with its ability to meet the deadlines set out in 310 CMR 7.29(6)(c)l. Like any other permittee, the Company has the right to present evidence regarding its ability to implement the original ECP in an appropriate submission to the Department. Or it may propose an amendment that increases the air quality benefits over the original ECP. This Disapproval is an action of the Department. If you are aggrieved by this action, you may request an adjudicatory hearing. A request for a hearing must be made in writing and postmarked within twenty-one(21)days of the date of issuance of this Approval. Under 310 CMR 1.01(6)(b), the request must state clearly and concisely the facts which are the grounds for the request, and the relief sought. Additionally, the request must state why the Approval is not consistent with applicable laws and regulations. The hearing request along with a valid check payable to The Commonwealth of Massachusetts in the amount of one hundred dollars ($100.00)must be mailed to: The Commonwealth of Massachusetts Department of Environmental Protection P.O. Box 4062 Boston,MA 02211 .The request will be dismissed if the filing fee is not paid, unless the appellant is exempt or granted a waiver as described below. 3 The filing fee is not required if the appellant is a city or town (or municipal agency) county, or district of the Commonwealth of Massachusetts, or a municipal housing authority. The Department may waive the adjudicatory hearing filing fee for a person who shows that paying the fee will create an undue financial hardship. A person seeking'a waiver must file, together with the hearing request as provided above, an affidavit setting forth the facts believed to support the claim of undue financial hardship. Should you have questions concerning this matter,please do not hesitate to contact Edward I Braczyk in writing at 205A Lowell Street, Wilmington, MA 01887 or by telephone at (978) 661- 7645. Sincerely, Ed d J.Braczyk J es E. Belsky Environmental Engineer egional Permi Chief ureau of Was Prevention DATE: cc: Stanley J. Usovicz,Jr.,Mayor, City Hall,93 Washington Street, Salem,MA 01970 Fire Headquarters,48 Lafayette Street, Salem,MA 01970 Board of Health,9 North Street,Salem,MA 01970 Metropolitan Area Planning Council,60 Temple Place,Boston,MA 02111 USEPA - Region 1, Air Permitting Program: Steve Rapp, One Congress Street, Suite 1100 (CAP),Boston,MA 02114-2023 Thomas Parks,DEP-NERO William Lamkin,DEP-NERD Edward Szumowski,DEP-NERO Maureen Hancock,DEP-NERO Nancy Seidman,DEP-BOSTON Diane Langley,Esq,DEP-BOSTON Yi Tian,DEP-BOSTON 4 Note: Bottom condition Through bolt in cover with shown. Typical of eight 1. System is.a single interlock ❑ Manual Pull Station w/weatherproof box 1 s flat washers and nuts yp g preaction system. P both sides. Fasten after locations. � Horn/Light Unit w/weatherproof box Conveyor messenger wire is tensioned. 2.1 System is designed to cover Refer to Protectowire operate'U Belt system alone. ❑ Auxiliary device or contact as noted design guide. Site water is insufficient to EOL operate•multiple systems Protectowire circuit simultaneously. Horn light circuit and all wiring P in Breaker House to be in EOL End of Line Device 3. Density: 0.25 gpm/sf over conduit 100 lineal feet, approx. 500 sf 99 Hydraulic Reference Point three levels. 211 _ 4" Intrinsically safe detection circuit Protectowire 4. Total area protected - Pipe Hanger approx 1000 sf x three levels. • Messenger Wire P EOL EOL o,Q Lateral Sway Brace 5. . 250 gpm hose stream P FCP Control Room Alarm Stand off 15 OC allowance provided as regd Low piping air pressure and Trouble Signals Longitudinal Sway Brace Turnbuckle with eyebolt to angle 6. Flow test 3/10/97 by GNB Valve tamper switch EOL See PG&E Drawing Flow: 850 gpm, dock hyd east H-22126 pile FACP power. Provide dedicated EOL 4x4 Angle fastened Static: 69 psi, next hyd south i p Conveyor Shutdowns to building structure Fir e Alarm'rm breaker in Sub Panel y Residual: 48 psi, next hyd See PG&E Gen dwg Later See PG&E Drawing south ■ EOL Preaction Valve Activate H-64231 and H-64239 Riser Le end Protectowire Mounting 7. Sprinklers: g GEM F950, 1%2" orifice 8. Pipe: A53, sch 40, galy. 9. Fittings a. Riser,.and 8", flanged b. 4" and 6", flanged or mechanical couplings c. Less than 4", threaded n 10. Preaction valve: Viking E-1, electric trim 11. Hydraulic nameplate data: Design area: 9 upper branch n lines 217-1" ' Density: 0.25 gpm/sf Base of'riser:• 837.35 gpm at,48.2 psi 250 gpm hose stream allowance See FP1 Perpendicular 12'. System provides no buffer �. View for continuation on water supply when hose stream demand is added, due to limited site water availability. n 13. System will not provide design density when other, belt systems are operating due to limited site water availability. 4, 4„ East junction 4" with Breaker House n 4" - 4„ �. T-U Junction House West junction Breaker House William IUI . Collins 4 with Breaker House Company, Inc. MECHANICAL CONTRACTOR East corner Offset main at stair PHONE 617-268-6180 61'-9" FAX 617-268-1349 of T-U V H B T N MA. 2127 410 DORCHESTER AVE.SOUTH OS 0 0 Junction House 12'-2" 40' 40' 56 4 56 4 APPROVED West corner w�. of T-U 210-3 authority Junction House - f• �ry C i 7 y c S' A , 3 ��i'w 31D J .....Si sL�.l•��L�///.JJ_ Ste. .//�__� � �/.,�/ ' ,.. . 14 _ r rc :IIQ , rV .. . U Belt Elevation {.. .:.?«:T10N,FOR COrviF i. T 1 /8�� _ 1 �_011 An.c vnTx T4E=IRE C4Cf., Dimensions are approximate 4 7/27/04 Permitt Set 3 2/8/00 Issued for Review 2 12/13/99 Issued for Owner Review .1 9/29/99 Issued for Owner Review ❑P Locate pull station at base of stair. N0. DATE REVISION Hydraulic Area #1 Dimension is approximate y H draulic Area #2 6"x6" and 6"x8" elbows at 16 Riser Support m lu- 9LL wbottom of 6" drop for seismic a eparation assembly. LLu_ LL LL N OF t k 4 c .A . 8" U BELT 6'_1" 6 ,; PREPARED FOR J T-U Junction House '� 25 " 24 23 4 22 4n 21 4n 20 4" (j" 28 6" 27 6" 26 6" 25 6" 24 6" 23 6n 22 6" 21 6" 20 8 4 2-7 ��1 26 4 4 4 t O PG&E Generating , 6'4` 12' 12' 12' 12' 12' 12' 12' 1 12' 12' 12' 12' 12' 12' 12' --►I One Bowdoili Square, 6th FL See section views on Drawing FP2 for locationof line heat detection Z6' BoStorttl n, MA 02114-2910 f WALKWAY Tee down as required to clear structure. PROJECT Keep sprinklers above end of discharge chute. Salem Harbor Station Offset Protectowire to clear chute. Locate pull station next 17 at bottom of drop. to walkway U Belt Conveyor 2" globe valve drain with brass plug. Tee to 1" inspectors test connection Remote Area Sprinkler stem 9 Upper Branch Lines DRAWING NAME with globe valve and 1/2 sprinkler pp with link and deflector removed. Support main every 12 feet Plans' and Elevations under walkway from channels Breaker House - Elevation 55"-8" Fire alarm zone box in accessible location ■ DATE ,, FILE t U Belt View SCALE 1I8"=V-0" 7-27-04 CP-2310 SCALE DRAWN CHK Perpendicular to Belt Ko As Noted PRS 1 /8" � 1 '�O" � DRAWING NUMBER a—Jim `— Note: See section views on Drawing FP2 for branch line piping Plan North Maintain 6" clearance from coal Maintain 6" clearance from coal, Line heat detector, Maintain 6" clearance from coal, assumin 45° an assuming 45 angle of repose. typical assuming 45° angle of repose. angle of repose.' Line heat detector, Line Neat detector, Maintain 6" clearance from coal, Line heat detector, y tpical of four runs typical of four runs assuming 450 angle of repose. typical of four runs • .t • • Support at Maintain Support at pp 1" Line heat detector, 6" clearance from coal, vertical angle vertical angle typical ssumin 45° angle of repose. g Su ort at t ical of four runs g g p w/ U bolt hanger w/ U bolt hanger vertical angle 1„ Support at 2 els for 1ll g 1" vertical angle swing joint 1" • ® w/ U bolt hanger g J �� 1 2 els for w/ U bolt hanger , 2 els for • _ 2 els for ° �� swing joint Support at swing joint 1 • 1if y . 1-1/4" swing joint 1�� Sidewall head Return Belt a 2 els for vertical angle 1 1-1/4 w/ U Bolt han er '1-1/2" x 1-1/4" x 1" tee Sidewall head 1' 9 1-1/4" • 1" swing joint 1" Sidewall head Sidewall head 4 x 1-1/2" tee Hanger 1-1/2" 1110 e 1-1/2" 5 , Pitch to main Itch t 1-1/2" 1-1/4" �4A1/2 per 10 P' o main6" or 4" x 1- 72"4" x 1-1/2" tee 1/2" per 10' tee as r qd 1 Sidewall head 4 or 6" x 1-1/2" tee as regd 1-1/2" Section A-A Section B-B Section C-C Se tion D-D 1 /211 _ 1 1.011 1 /211 - 1 1_0�1 r 1 /211 1 1-011 1 /2 If /211 1 1_011 Pitch to ma n 40 1/2 per 1 6" x 1-1/2" tee Notes: 1 . Pipe sizes and, hydraulic nodes, Assume 50 feet to main typical all branch lines. 2. Hydraulic node points for branch lines only. Dt4 6" CI Existing 6" Lower E-Belt deluge system 3. Certain U-Belt structural members not Water motor gong 80 above grade shown for clarity. 4. Reference Wm. T. Donovan Co. FP2 Existing 4" Breaker Fire department connection Trade Print House deluge system 24" above grade Section E-E New 6" Preaction Valve 1 /211 _ I_ofl Rotate existing fire hose Flexible Coupling at top of riser 10'-6" cabinet. Maintain 36" clear A-A in front of cabinet doors. FP-2 O ,O Riser support at floor level -� Elevation 64'-8 3/4" El 4%_311 7' 9 Maintain 6" clearance from coal, Mount fire alarm cabinet 11 assuming 450 angle of repose. 1 -10 to end of Hose cabinet." Riser support at floor level - Elevation 55'-$ 3/4" Llne,heat detector, Overhang toward new valve typical of four runs if overhang is required. • Support at. ` vertical angle 811 f 1 w/ Bolt Hanger Maximum one coupling between supports j 23' 2. els for sing joint Longitudinal Bra Lateral Brace .1-1/4" William M . Co' I I i n s From 4" main Sidewall head Company, Inc. Riser support at floor level —► Elevation 32'4' 1" GLOBE VALVE 1-1/2 MECHANICAL CONTRACTOR Flexible Coupling at base of riser ^ b2" X 1" RED. COUP SCR. PHONE 617-268-6180 FAX 617-268-1349 r. 4 410 DORCHESTER AVE.SOUTH BOSTON MA.02127 15'-9" 2" X 1" RED. COUP SCR. o 1" GLOBE VALVE, 45 el with plug See FP2 Riser Detail for work in this area Elevation 17'-0" Breaker House Section A-A 1 /811 _ 1 1_011 Section F-F Breaker House Floor Plan . 1 _ 1 �_o�� 1 /2" = �_��� /8 Drum Drip Detail Existing 6° 4 7/27/04 Permitt Set Lower E-Belt Grinnell Fig 202 side beam bracket deluge valve To U-Belt preaction system w/ 1/2" bolt w/ lock washer 1" Pipe beamGrinnell Figr clam 9with 3 2/8/00 Issued for Review p 2 12/13/99 Issued for Owner Review Fig 96 retaining clip 1 9/29/99 Issued for Owner Review f 1" UL listed U Bolt NO. DATE REVISION Existing 4" OS&Y All thread rod A Existing 4", Up to 4 3/8' Dust tight, heated enclosure by others 6" and over - 1/2" Breaker House 12" maximum length ..lA deluge valve ® TZITo0 oo° Through wall to fire department connection ' m Grinnell Fig. 69, adjustable ring Angle U bolt as required for Fmlc 6 x 8 Increaser a d .s�aso_ d g 1/2 branch line: Weld supplementary A thread ro II New 6" reaction Valve �: han er;for,1 1- - ,._w Up to 4" - 3/8" p e Grinnell, Fig 260, clevls hanger angle If required for bracket � 9 ., 9 2'a maximund over -ms�K►� � for 4", 6" and 8" , Existing 6" OS&Y valy �o New 8 x 6 reducer , ® Grinnell Fig. 69 adjustable ring PREPARED FOR New 8 NRS gate valve with Existing angle conveyor hood support g ) e ng Existing 6 x 6 x 4 tee hanger for 1"-,1-1/2" wall post indicator and tamper switch. 9 PG&E Generating I Grinnell, Fig260, clevis hanger Core drill existing foundation wall. for 4", 6" and 8" One Bowdoin Square, 6th FL Channel Hanger Boston, MA 02114-2910 Existing8x8x4 tee facing west, to fire department connection g B o I t Support Bea m Clamp a m p New Impportant structural note: Impottant structural note: PROJECT Q o 0 o Tofco Steel Fig, 65 components were used Tofco Steel Fig. 65 components were used during structural testing and are, required during structural ,testing and are required �- Existing structural beam flange Salem Harbor Station New 6 x 6 x 8 tee --� 0 0 0 0�, to achieve the listed results. Malleable iron to achieve the listed results. Malleable iron components must never be substituted components must never be substituted, Pipe Brace Max because of this materials serious potential because of this materials serious potential U Belt Conveyor for fracture and failure. for fracture and 'failure. 4" vertical X 3.5 x 3/8 'angle, New Size Type Spcng Wt Angle ,, Size Length Quant g Existing r> ; = -- 4" Lat 50' 2175 45-59 1-1/4 9'-0" 3 FIG. 800 FIG. Boo as requried, 14' maximum length Sprinkler System Elevation 1 T0" SWAY BRACE DRAWING NAME 4" Long 80' 1740 45-59 1-1/4 9'-0" 2 ATTACHMENT TO SWAY BRACE Riser clamp STEEL I—BEAM ATTACHMENT TO � Details 6" Lat 50' 3260 45-59 1-1/4 9'-'0" 2 STEEL I-BEAM 8 riser 6" Long 80' 2610 45-59 , 1-1/4 9'-0" 1 FIG. 910 SWIVEL SWAY o FIG. 910 0 � 8" Lat 50' 4575 45-59 ; 2 ; 13'-1" 2 , BRACE FITTING � SWIVEL SWAY �° �� New 8 x 8 x 4 tee facing west BRACE FITTING 5/8 bolt (typical) 8" Long 80' 3660 45-59 , 2 . 13'-1" 2 . - DATE FILE 7' Flo#s ARE TOLco Existing structural beam flange 7-27'04 CP-231 Q FIG#s ARE TOLCO 2" Pipe Stancheon SCALE DRAWN CHK p BRACE PIPE BRACE PIPE Riser CIal11p w/ U Bolt, floor flange 4 vertical x 3.5 x 3/8 angle • • As Doted PRS KO Inserts, bolt to floor g DRAWING NUMBER Reconnect domestic water FIG. 1000 and hose cabinet supply _ �_"FAST CLAMP"® 5/8 bolt SWAY BRACE ATTACHMENT as required PPE CLAMP o I 4 x 3.5 x 3/8 angle Riser Detail FOR SWAY BRACE 8" riser 3/4" _ 11_01 1 Sway Brace Calculations Longitudinal Brace Lateral Sway Brace Riser Support e, f a' Procedure No. TFXX Revision No. 0 SALEM HARBOR STATION page No. Cover COAL PILE FIRE PREVENTION AND RESPONSE Date: 12/15/2006 Prepared by: / Kevin Cornacchio, F&H Supervisor Date Approved by: / Steven Dulong, Manager F&H O&M Date Approved by: / Michael Fitzgerald, Director F&H Station Date RECORD OF CHANGE DATE OF REQUIRED REVIEW: 12/15/2008 REVISION DATE DESCRIPTION 0 12/15/2006 Initial Issuance Coal Pile Fire Prevention and Response SFD Review Procedure No. TFXX Revision No. 0 SALEM HARBOR STATION Page No. 2 of 7 COAL PILE FIRE PREVENTION AND RESPONSE Date: 12/15/2006 TABLE OF CONTENTS Section Page 1.0 INTRODUCTION.........................................................................................................3 1.1 Purpose........................................................... ................. ...........................3 1.2 Applicability and Scope......................................................................................3 1.3 Responsibilities ..........................................:.... . ................................................3 1.4 References............................................ ...........................................................3 1.5 General Precautions...............................................................................................4 1.6 Environmental and Safety Precautions....... .....................................................4 1.6.1 Environmental........................................................................................4 1.6.2 Safety......................................................................................................4. 2.0 MONITORING THE COAL PILE FOR SIGNS OF FIRE............................................5 3.0 END OF JOB NOTES.............................. ............................ .................................6 Coal Pile Fire Prevention and Response SFD Review Procedure No. TFXX Revision No. 0 SALEM HARBOR STATION page No. 3 of 7 COAL PILE FIRE PREVENTION AND RESPONSE Date: 12/15/2006 1.0 INTRODUCTION Purpose This procedure outlines the steps and precautions required to minimize the risk of a fire on the coal pile. It also addresses managing the pile to reduce the risk of the fire spreading and responding to hotspots and fires. - This procedure has been developed in consultation with the Salem Fire Department. 1.2 Applicability and Scope This operating procedure covers the following: • Monitoring the coal pile for signs of fire • Minimizing the risk of a coal pile fire • Responding to coal pile fires 1.3 Responsibilities The Yard Supervisor is responsible for: • Assigning qualified individuals to perform this procedure. The Working Leader(Senior Crewman) is responsible for: • Acting as verification checker for all procedures • Ensuring that this procedure is implemented without exception • Exercising judgment and authority to shutdown coal-handling operations as conditions dictate The Fuel Yard Handlers are responsible for: • Reviewing and understanding this procedure in its entirety MM• Perfonming the applicable steps of this procedure as outlined in Section XX ([requires follow-up pending final version, if a checklist is required] 1.4 References TF2 Coal Pile Management TFI I Operation of Coal Dust Control System and Coal Off-Loading Procedure TF35 Docking of Coal Ship Coal Pile Fire Prevention and Response SFD Review Procedure No. TFXX Revision No. 0 SALEM HARBOR STATION page No. 4 of 7 COAL PILE FIRE PREVENTION AND RESPONSE Date: 12/15/2006 1.5 General Precautions . Minimizing the side slope of the pile will help to keep air out of the pile and will reduce the risk of combustion. A loosely packed pile is more likely to heat up. • Water is not the preferred method to fight a coal pile fire. The key to putting a coal pile fire out is to remove air from the area in question. 1.6 Environmental and Safety Precautions 1.6.1 Environmental 1. All efforts will be made to minimize the combustibility of the pile at all times. As required in the AACO, this procedure has been developed for minimizing the likelihood of a fire on the pile, and also address how to handle any fires on the pile to reduce the risk of the fire spreading. 2. Coal pile activity will be minimized during evening hours, except during coal unloading and during pre-delivery pile preparation, and under conditions where there is indication of combustion on the pile. 1.6.2 Safety 1. If necessary,the Yard Supervisor will discuss any major and significant operational changes before the start of each job that may be more protective, but not less protective, than this written procedure. 2. Unless otherwise noted,hardhat, safety glasses, and safety shoes are the minimum Personal Protective Equipment (PPE)required. Hearing protection is required in posted areas. Additional PPE should consist of leather gloves and life jackets. 3. Two-way radios should be utilized by fuel yard personnel to maintain communications during all coal yard activities. Radios should be exchanged at 8-hour intervals to ensure batteries remain charged. 4. Smoking is not allowed on the coal pile. 1.6.3. Coordination with the Salem Fire Department 1. The Fire Department is not expected to actively combat a coal pile fire, Coal Pile Fire prevention and Response SFD Review r Procedure No. TFXX Revision No. 0 SALEM HARBOR STATION page No. 5 of 7 COAL PILE FIRE PREVENTION AND RESPONSE Date: 12/15/2006 since fire response typically involves the use of heavy equipment(not water, as mentioned previously) by licensed operators. 2. If the Fire Department does come on to the site, the Watch Engineer will be notified and will inform the Yard. 2.0 MONITORING THE COAL PILE FOR SIGNS OF FIRE 1.1 Yard personnel will visually monitor the pile on a daily basis for excessive steam and/or sulfur smell. Increased focus will be placed on the areas where air can most easily penetrate into the coal(e.g. at the edges of the pile, on the bottom of the slopes, in areas exposed to the sun). Fines that trickle down the slopes provide a "loose" structure that is more likely to result in combustion. 1.2 During the off-shift the Operations department, within the normal rounds, will monitor the pile. Any coal pile issues identified by the Yard Department will be monitored by the Operations Department. 1.3 Steam vapor coming off the pile can be,but is not necessarily, an indication of combustion. The differential temperature between the coal and ambient air can cause condensation to emanate from the pile. Actual combustion on the pile is evident when the vapor has a yellowish-blue hue. Another sign of combustion is the presence of residual ash,typically white-gray in color and localized on the pile. 2.0 MINIMIZING THE RISK OF A COAL PILE FIRE 2.1 The risk of fire is reduced with the use of heavy equipment, primarily a front-end loader, to compact the coal and essentially squeeze the air out of the pile. This compaction helps eliminate oxygen from the combustion process. 3.0 RESPONDING TO COAL PILE FIRES 3.1 Once a hotspot has been identified, a front-end loader is used to expose the area in question and ensure that the bounds of the hotspot are clear. 3.2 The "hot" coal is then transported to a flat area on the pile and compressed with the use of a front-end loader. A front-end loader is an effective in compacting the hot coal, squeezing the air out and putting out the fire. Coal Pile Foe Prevention and Response SFD Review Procedure No. TFXX Revision No. 0 SALEM HARBOR STATION page No. 6 of 7 COAL PILE FIRE PREVENTION AND RESPONSE Date: 12/15/2006 3.0 END OF JOB NOTES • Safety/Environmental- Are there any special safety or environmental hazards (WARNINGS) for this job that are not identified in this procedure? Specify: • Are there any CAUTIONS or NOTES that should be added to this procedure? Specify: • During this job, did you change anything that will affect future jobs such as: equipment design, clearances, tolerances, balance, substitution of parts, materials, etc.? Specify: • Could this procedure be improved in any way to make the steps more understandable or to more accurately reflect how the activity is performed? Specify: • Could the process of completing this task be changed to reflect a more efficient or cost-effective way of doing it in the future? Specify: • Is an assessment or failure analysis necessary? Coal Pile Five Prevention and Response SFD Review Procedure No. TFXX Revision No. 0 SALEM HARBOR STATION page No. 7 of 7 COAL PILE FIRE PREVENTION AND RESPONSE Date: 12/15/2006 Specify: • Did you use any parts from another unit/plant to finish this job? Specify: • Training on this procedure is to include the following: 1. Initial"page turn"review with affected personnel 2. Documentation of training, including date, procedure number and employee signature 3. Pre job briefing with personnel prior to all related activities • Review of these procedures will occur on an annual basis and will include consultation with the Salem Fire Department. NOTE: Inform the Yard Foreman/Supervisor immediately of any upset or issue that affects safety or the environment. Coal Pile Fire Prevention and Response SFD Review Page 1 of 3, EGriffin From: Robert.R.DeRosier@dom.com Sent: Thursday, December 20, 2007 7:34 AM To: N.Malia.Griffin@dom.com Cc: David Cody; EGriffin; Steven.A.Dulong@dom.com Subject: RE: SOP for SFD (coal pile smoldering) Here is the final version. ** Note: my new email address is robert.r.derosier@dom.com Robert DeRosier Environmental Compliance Coordinator Salem Harbor Station Dominion Energy- New England 24 Fort Ave Salem MA 01970 Office phone 978-740-8402 fax 978-740-8305 cell 978-660-7112 N Malia Griffin/NonGasLDCIVANCPOWER To"David Cody'<DCody@Salem.com>,egdffin@salem.com cc Steven A Dulong/NonGasLDCNANCPOWER@VANCPOWER,Robert R 12/20/2007 07:25 AM DeRosier/NonGasLDCNANCPOWER@VANCPOWER Subject RE:SOP for SFD(coal pile smoldering)Link Wow...you're good....I didn't even realize we had one in place already! This should be the current version....thanks! P.S. Gonna see you tonight at Jimmy Albert's event at City Hall Annex? 12/20/2007 Page 2 of 3• "David Cody"<DCody@Salem.Com> To<N.Malia.Gdffin@dom.com> cc 12/20/2007 07:11 AM Subject RE:SOP for SFD(coal pile smoldering) Hi Malia, I spoke with Rob Desrosier last year (see your SOP below) is this the final version and if not could you forward a final version. I can then put it out as a written sop for our department. I had spoken with the officers last year re: this matter but did not write it as an sop. -----Original Message----- From: N.Malia.Griffin@dom.com [mailto:N.Malia.Griffin@dom.com] Sent: Thursday, December 20, 2007 6:44 AM To: David Cody; EGriffin Subject: Fw: SOP for SFD (coal pile smoldering) FYI...Please see below.... (I was hoping for a little more in-depth info...but maybe just an FYI will do the trick....) Let me know...thanks! ----- Forwarded by N Malia Griffin/NonGasLDC/VANCPOWER on 12/20/2007 06:43 AM ----- Steven A Dulong/NonGasLDC/ VANCPOWER To N Malia 12/20/2007 06:37 Griffin/NonGasLDC/VANCPOWER@VANCPOW AM ER cc Subject Re: SOP for SFD (coal pile smoldering) (Document link: N Malia Griffin) They should not use water, water causes the heat to build up faster and causes more smoldering. The proper way_to extinguish it is to pull the hot spot out of the pile and spread it out on the ground and then go over it with a dozer to compact it and get the oxygen out of it. Steven A. Dulong Dominion Energy Salem Harbor Station 24 Fort Avenue Salem, MA 01970 Phone: 978-740-8264 FAX: 978-740-8206 N Malia Griffin/NonGasLDC /VANCPOWER To Steven A 12/19/2007 05:17 Dulong/NonGasLDC/VANCPOWER@VANCPOWE PM R cc Subject SOP for SFD (coal pile smoldering) 12/20/2007 Page 3 of 3- Steve It would be helpful if we could pull together some info to submit to Salem Fire Dept as SOP re: off-shift calls to them on coal pile smoldering...ie: no water and why.....instructions for security and/or W.E....etc......would like to get it out to SFD tomorrow if possible....will only help us....thanks ----------------------------------------- CONFIDENTIALITY NOTICE: This electronic message contains information which may be legally confidential and/or privileged and does not in any case represent a firm ENERGY COMMODITY bid or offer relating thereto which binds the sender without an additional express written confirmation to that effect. The information is intended solely for the individual or entity named above and access by anyone else is unauthorized. If you are not the intended recipient, any disclosure, copying, distribution, or use of the contents of this information is prohibited and may be unlawful. If you have received this electronic transmission in error, please reply immediately to the sender that you have received the message in error, and delete it. Thank you. CONFIDENTIALITY NOTICE: This electronic message contains information which may be legally confidential and/or privileged and does not in any case represent a firm ENERGY COMMODITY bid or offer relating thereto which binds the sender without an additional express written confirmation to that effect. The information is intended solely for the individual or entity named above and access by anyone else is unauthorized. If you are not the intended recipient, any disclosure, copying, distribution, or use of the contents of this information is prohibited and may be unlawful. If you have received this electronic transmission in error, please reply immediately to the sender that you have received the message in error, and delete it. Thank you. 12/20/2007 \ _0 IbN 01A 48 rr 0 43- V�. S_242 143 - 3� z Cl Main RoadJT F N HOUSE � ! 1 I Ze 13 �� 01LERR��' 21 I =.- - _.[o �---� -- Propane railers Mobile �___' Tank REH0US J Generators , 3 CHANNEL f '; U13 NE Roo t UNI" 1 UNIT#2 UNIT#3 ONIT#4 i Propane , - EE Tanks , SC-----, obile _ JI :BEEN HOUSE WELL Generators _ +._.I........... I I.......... .......... a �n4 9 ' `�n to �� �� �� � � � \n_ Dominion Energy New England,Inc. jo Dominioh' 24 Fort Avenue,Salem,MA 01970 Web Address:www.dom.com December 4,2007 Lieutenant Erin Griffin,Fire Marshall Salem Fire Department,Fire Prevention Division 29 Fort Avenue Salem,MA 01970 Re: Layout of Temporary Boilers,Diesel Generators,Propane Heaters and Propane Tanks Dear Lieutenant Griffin: During your inspection of the temporary propane storing tanks on November 28,2007 you requested that we provide to the SFD,a site plan identifying the locations of the propane tanks,propane heaters,diesel generators as well as the temporary boilers. Such a plan is attached. If you have any questions,please call me at 978 740 8234 or Ernest Greer,the Project Engineer,at 978 740 8287. Sincerely Michael Fitzgerald Station Director,Salem Harbor OL-88LLl—H s Caln n. R Y A r STATION EOUIP.MENT i - ,i,Ns D F R.- _ - _ .i ........ ...... .. _ ......................_..............__ 5 - i J?_.. , y ,.,n`. � __:__`•- S t I e..x.um>r-�._:,s-:r>,a.,.e. tt;T.�Tn»•.n'k•:y�.ti I a^ I 3 ' E T j z r ,...e �, z. s i TAfdK 7 '�� ^�J'�,:y:. 5,�^'r "W'-''J•pf. 3 V :q urRvry V�;r r.NK I i D'- - 74.1 i r \ •yF 3.. L :~ TANK .......... .. .... ,n i�• i' .�` :,! . 13-3 ! 1_.n..J V .\\ / \^ i , I n. c� , r,�� .�\�i.� '\ i t � 'r!'�—,,--•- �_..._ : i TANK f & o .z,. / �r. 6 „J 1 it i .;>� w , I d a it'7 TT 9K la "�\ �__ �; '. I J , ='7 TnNC "r i `\ \y _ ......___.._.___— + 3 tt f. ?-y`J �� / it/.-._ :..,,�f'd. "'`t�[-�c•?�- r/ - /�.:a. r� t—t-r- z ... \' n� \\�A 3 __ '��: NR i I�� ,i ,31 \ i/j x,� J 7,A✓ -'�,,; �' - ' ,:' i •--` ,,.� - - ' `�� f �;)•.i i I-3 _ &b^ 37l 1, IJ "� st-rove �a ivy JR c,/ n aAS,N 3: yf ram•<: •e;��•-�. S1.6•".,,, _—_ .__.._— _ , Tavl; � 'r i/"� -��-`_.... ....•4 �r. y,. I _'_, j ., ,rt s`,.;�..-.., '�-s'-•�. 1'x z., V ,.: ix::.: , X``X' It v: C;l`l'. r sr­No 1 ;e �jr d \y` z.t�� .-.. ••�.r,.✓' < ! ;`J_ l'. I c...._ t _ ..._ i �� ILIc ccio�rl.-1t Propan e EAJDON-C Tank j a• ELL .,;.ICf 0 ,' s• ....._ c A:'< ..... .... ........ ... .-- 4 _... z..�Y.1..i�`�:0_ftr,�,..~v"3:1IIIEi i.L�:':IJ KSfT.:F�.6IIa�f.✓.N•{"Jl"�'�._._�..�..!..-z_9._.✓/—�6Gi�.,,.r�.t�co_,'r�LII-:`.._`o.y.':�:_.''_- 9;fG 111L il , 1' l'/.- \• M,........ r ' m � CAL OOM Mobile Boiler wARe1C ,._Trailers DI TORE NE ROOM iva2 i NfTs' i Jr I iTo1 i\ ' .-�. ` \/Fi ...`.P'.1-- .,\,g.1....h,}.,R:,J�....-•^ � t na Cxn•t II r�KrDte,w. :nNa R;!lr,a:. SN.s.v a. .?.>1.. Utr'M.M....A .9. _.t..: Mobile ...6 .............................................+ rn ; Mobile Generators Generators Propane s_ Tanks EL a 2,. w zi ............. : ......... . SECTION B-B 41W >r ... i ... . .................... . .. \f Ni;W EVCLhUD O6c{COMPANY U_lt.l_ SALEM HARBOR S{AI{ON BALE`.MCL$LT I.C.( ROAD WAY YU.'R.EL.=1;i SITE PLAN C SECT. SECTION A-A GENERAL PLAN OF YARD ITIESFU=L HANDLING FACI_ -!................- ............. ......_._... ..._............ ......... ....... ....... ? 3 H —10........... ............................................... ........... —FA ... .._..........1`..�ii,i.1— t«so-^a fn? ., I n 1 1 ,1 3 t 1( 8_1 f 38 I 48 I QC:) CD Ej EIV r) ry �f ' � r. j 1 1 .43 43 ( 42 yti �� 3 i� i - _ � Main �,,,,,�...,.� Road 1 n rr FAN HOUSE 1 4/ t (51 ) (\17j (20 _. BOILER ROOM 121 Mobile Boiler `� Propane .# I .�._�_ _�.�.«....�_ � Tank Mobile :Trailers �.«...__....ra .,. ,. R E HOUSE �1 `� Generators -�_.�...�. -E }2 i Sp3 j i s III r vRGE CHANNEL �� � � TUBI NE ROOM� El , _..,� .. :.. UNI1 #1 UNIT#2 UNIT#3 I UNIT#4 { i 1-Tj w .u..,._.„,1..,..�.....Wa.. ........-+..- � ,. ....... ,.«....�.w�w�w ....., ..,,«�..,x.a..,«.«««u..wo-.....:«......w. ..�,d..M,.:..««...w...,....«...r..«, ««i ..«w«,...«�u.,w.�.a.. r.....,v ,...,uw««�,,.«....«nuuuuaw,....«.�wn � 1 Propane Mobile N Tanks SCREESCREEN HOUSE WELL � Generators ,r' C n....._...... ............ ...�.. w.... ... ....a..... ......w...._...._.a.................. _ .......W............._.�._.w....�. w 1 Lee Kimble "^ NORTHAMERICAN Code Cooifiliance p •■■ , Northeast Explosive Services-� U S E R V;I CES GRO U P Industrial e4 Environmental Field Services Nort"erican Services Group ON-LINE AND OFF-LINE t I INDUSTRIAL CLEANING 1240 Saratoga Road I THROUGH CONTROLLED Ballston Spa;New York 12020 1 EXPLOSIVE TECHNOLOGIES TEL:518-8854820 F -7638 CELL:518-496-0497 WEB:,www.naisinc.com 24 HOUR EMERGENCY SERVI[E E-MAIL:kimblel@.aisinc.com 1 800-866-6247 Y rurrA fl-"a/l your h,/p 1"7- 1e t m e Knaw. r Cl c' Form No. 31 _F be'ALE'MDUE: .aA�DI R�C'� �y: Y O FEE ®�d E: d .00 �E f�'� ► FIRE PREVENTION BUREAU —1 fi m 48 Lafayette Street � I ���� 7f's �u •^ Salem, Massachusetts 01970 APPLICATION FOR PERMIT To: .THE HEAD OF THE FIRE DEPARTMENT In accordance with the provisions of Chapter 148, G.L. as provided in Section 10A, application is hereby made for permission to use explosives in the blasting of rock or any other substance. Name1K_-- _v_wELC ---__/Vor/LiH_— ►ti1Et2tc .v_ =�,�Jy_sn2[r4� S2��� 5____----__ ( Full name of person,firm or corporation granted permit) at---2 Y----�01e i !�} E - l�O w�i,v) tv E' _if---- -�- � - �1 L ° ---5(7R 7=! -------------- --------------------------- --------------------- - (Give location by street and number or describe In such a manner as to provide adequate Identification of location.) Name of Bonding Company _- `>E5 E12ti SV VZC-7 -/----------------------- Dig Safe No. -------------------------------------- ------------------------- RESTRICTIONS: ONLY ONE DAY'S SUPPLY DELIVERED TO THE SITE OF OPERATIONS AS PROVIDED BY THE DEPARTMENT OF PUBLIC SAFETY 527CMR13.00 AS PROVIDED BY THE SALEM FIRE CODE. Date issued: --------------- a� ---------------- Company--_/_Jo l- > --2tGA•�— .t�t��ST2tt�( &Q_v_!�C-S By----K�K--�cJjE ----------------------------------------------------- Date of Expiration:--------- o 1�j_ D ------------- Address ___ ___ � _ Certificate of Competency No. ________________SL—?s?_?_...... DATE: As an essential part of Application to the City of. Salem, Massachusetts • for Blasting Permit to perform proposed blasting operations at: . in said Salem, it is CERTIFIED that in such blasting the. total charge:,weight per blast will NOT exceed five (5) pounds and. the maximum weight per delay will not exceed two (2) pounds per delay. Signature of Technician: Form No. 31 SEE DUE: 0 450.00 y• y � FIRE PREVENTION BUREAU m 48 Lafayette Street r Salem, Massachusetts 01970 APPLICATION FOR PERMIT To: .THE HEAD OF THE FIRE DEPARTMENT 6 In accordance with the provisions of Chapter 148, G.L. as provided in Section 1OA, application is hereby made for permission to use explosives in the blasting of rock or any other substance. Name -- -1 ------ -awE[_�------ /Vac21N__d ►46P-iC44-,u L - _U tc.6S----------- ( Full name of person,firm or corporation granted permit) at---2 Y----to�eT d1 u'E_ a �,v)try t EY--- �_C9 �' �9a ---5 Imo- T-'°-^` y (Give location by street and number or describe in such a manner as to provide adequate Identification of location.) W E51 Evil. SV i2C?� Name of Bonding Company ^ ___-________________ �_ _ ___ Dig Safe No. _------------------__ RESTRICTIONS: ONLY ONE DAY'S SUPPLY DELIVERED TO THE SITE OF OPERATIONS AS PROVIDED BY THE DEPARTMENT OF PUBLIC SAFETY 527CMR13.00 AS PROVIDED BY THE SA EM FIRE CODE. z Date issued: ---------------------11_2fl --------____-- Company-_.�o_2.7__E_F_Arq ER((0 ti_2 tij�uS%R IV) 5 By---- - -------- Date of Expiration:-------- ---- Address __L-7--1°__5-�� Certificate of Competency No. _______________�L_70 CITY OF SALE11I1 FEE PAID: $50.00 FIRE PREVENTION BUREAU 48 Lafayette Street �P j Salem, Massachusetts 01970 PERMIT In accordance with the provisions of Chapter 148, G.L. as provided in Section 10A, this permit is granted to: North American Industrial Services BL7079 Name ----------.___----------------------- - ------------------ Certificate of Competency No. ___w_____-_ (Full name of person,firm or corporation granted permit) i to use explosives in the blasting of rock or any other substance. Name of BondingCompany western Surety ____ Di Safe No.____________________________ E P Y ----— -------------------------------------------------------------- g - RESTRICTIONS: i ONLY ONE DAY'S SUPPLY DELIVERED TO THE SITE OF OPERATIONS AS.PROVIDED BY THE•DEPARTMENT OF PUBLIC SAFETY 527CMR13.00 i AS.PROVIDED BY THE SALEM FIRE CODE. at ....Dominion Energy Salem Harbor Station 24 Fort Avenue -------------------------------------------------------------------------------------------------------------------------------------------------=----- (Give location by street and number or describe In such a manner as to provide adequate i ntificatlonZme tion.) ; i • i This permit will expire 10/25/07 - - ------------------------------ 1 Permitissued by----- -=-- -- ---------------- ----------------------------- - -- -- - -- -- ------------------- - - (Chief of Fire Dep THIS PERMIT MUST BE CONSPICUOUSLY POSTED UPON THE PREMISES. 09/25/2007 TUFT 8:26 FAX 5188855041 North American ind Svcs ID005/005 SERVICE, C. FOR ' .sue 1��, �. .s �-7 DrVISIO .- ��1 -------------- PPRUV 3Y:�� � �' DAB:. 09/25/2007 TUB 8:25 FAX 5188855041 North Arrerican =r:d Svcs m004/005 �9!-� '/QJ�%/V!/✓(f (/GL"[ / / 4&;i�W 4- M44eff ' EXPLOSIVES-_U. R CERTIFICATE This is to certify that in accordance with the provisions of.,Chapter 527.0MR 1.3,04(10), an EXPLOSIVES USEi hereby issued to: North American Industrial Services, IttC, issue Date: 9/20/2007 1240 Saratoga Road Expiration Date: `7/6/2008 Ballston Spa, NY 12020 Certificate Number: EU 321 "Restricted to: 00 Registration#: 297 f State Fire Marshal: -- "* THIS CERTIFICATE P✓MUST ACCC314 PANY ACM APPLICATION FOR PFPMIT TO BLAS 1_ 09/25/2007 TUB 8: 24 FAX 5/88855041 North American lnd Svcs 2003/005 • ti • F'r � • 0. p a �z LN uj ru Al d . 41 Sp � a ., IM y 09/25/2007 TUB 3: 23 FAX 5188855041 North American znd Spres Q'CO2/.005 The Commonwealth of Massachusetts ` err Department of the State'Treasurer One Ashburton Place.12th Floor Boston,MA 02108 Expires: 08-Sep-08 Date: 09-Sep-0 7 To Whom It May Concern I hereby certify.that North American Industrial Services, Inc. of Ballston Spa, NY has cn file at this office on this date a bond in the penal sum of TWENTY THOUSAND DOLLARS, ($20,000), in accordance with the provisions of chapter 148 of the General Laws as amended. by chapter 501 of the Acts of 1946. The bond is dated 1/31l1935 Assistant State Treasurer and provides for cancellation for the State Treasurer upon 30 days notice to the State Treasurer from the principal o, suety company. 05/25/2007 TUB 8:23 FAX 5188855041 North American Ird Svcs m001l005 j TO, : Fmcc Cam:. . _ ^�— 5 very ,IN4ec hr Ar � r ` -� Tflas 04233AGE is e'"IENn2e ONLY Fait rlla I198;Of THH.INDIVIDUAL OR SKTIT.Y T.o•erlfa�l�TT is ADIlRL'SS�O- A" WAY COUTAIM IN¢GAVATIQW- !81fAT IS �S+YIEYfLR.O6ED's CQ�FtO. M3Cgffi®Y FROffi pISSLOai.Ub:£QfltDMR/AWPLICAPME dAW. l.P Tif1@.'Affirm OF THIS �¢ RGE',15.Ann.. 6liT1AL, (LND TIf1E 4iIT1llpf 6 I;d Cdl$AY; @AIR Tgft& Ic19FLDYiQ$•Oft A6P"T $L9 fbAiC1$L F6I1 t1�91ifk�tAY IJQ � ss�s�.ra ulna bars lac �e1�Y�PiY�'aR�b*�'-%Id •lFiEd Y`•IV RTdFf 6 7'Mkf.WAT�At7^'0,9JIIE RING it WE OiaTBSIdIJTTOM p8 cdFa°Ed1@ OF TI/I$.¢ouynlutlleleTf'orl l f?T:1tdCv2 V FR ,tld6lTti�" IF. Receive TdlfS COMMUNICATIOk fN jRjj+S' FLEJISE,ff17�)JF7f RI IRLY PkA$ELY_ Y0.97 HAYS XDViY Yoy3 L Salem. Fire Department . Fire Prevention Division 29 Fort Avenue Salem, Ma . 01970 tel 1978 745-7777FAX - fa_x 9 is; 745-9402 . to: fax LI51&) ??-,5 -7(P-39 from: Lt. Erin Griffin Fire Marshal date: 1la subject: (�� U t' P-V-(Vctq- W ii-An 1- P—S: �. L NOTES: -�,ez< - Nay' ' ' ei " This (acs;mile conta:;,s pnv;!eyz<; and co,-,i/'rumo�„,tw./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 uilended recipient or the employee agenl.responsible for delivering it to the intended recipient. you are hereby notified that any communication. transmission, dissemination or reproduction of this facsimhe or its contents is strici/y pronibifed. if you have received th:L facLli r,,rle Ir error. p•'tease immeditely nct+-, us by telephone and return tt7?^rfg���=l facsirnbe to us at the above address via the U.S. postal service Thank You. FormRlo 31 '� - -ter , , g 1 _ € g �� RfU'ENTION BUREAU¢ Ret: Icy LafayettTi e Street f i vq ate; �A F 'm,C�i t 3 ;F i'£- a' i 'F y'^.a ci a' �,.r?F " ui; _..' t ' C Sat ern;MasachuseYts®1970 1j NIPAO C'M _ x.€ '" r a3�, yr ,., sa, ..s.sm� �' '' "� ".. TO -". '< : ^x�": c THE HE4D O.F FTNE:FIRE DEPARTMENTSow_AOT _ Ef Tl ace, W WEE ordanceawith theprovis)ons of,Chap*er 1.48, G°Las "rovl'cled . - t A r _ .. �, s� .. P : Seetron 10A,�app!)cattlan isghe,e6 made Y or perm(ss(an to use explos)ves to the blast)n �of�rockEor an � � � . .: ��. � g y�other,substance ' Name _ .Z2K r L�wC�C ✓l t �I� �� Vu .1Ag ��' 6 r� A — I C64 ..�.rvv szfN S�,Q f� t E S� `" Ea -, ` �€ - � ;.g,-. `- ,• - � - _ (Fuel,name of persort,firm or,¢orporatton granted peim t ��[/ - _ -r 3+ - tc�.'.: i '.`,�.•= ? ►T�:G �+�Ir_1Et�llk .2 A//qy4 y-^ Nz 4 (Give:location by;street and nuintrr of describe to such=a manner as:trlk o rovl -vim ` ETA ti q de adequate tdentNl ttonof Imptlon; ` r- e €3X a Name of Bond(ng Company _itvEs�4�i¢ti;��u2��'� � � � _T � ;. — Dig SafeNo _ -, u, vim; ,. FI RESTRtCT10N �` r - tg - ONLY ONE DAYS SUPPLYDELI VERED TO THE1;'CE OF{OPEiATIO.NS ," "�� . �' . ` : � . , . a AS PROVIDED Bl FTv (THE DEPARTRREI�T OF PIJBUG SAFETY 523CMR1300 � #� � AS'PROVIdED By THE SA Et�l FIRE GODS n=— ' _ Date issued• a � � .: . ' - _ � Company 'No -G2(CfAti �= C/S . ' t 2(19C�Sa��_Q(�iCC 9 j&, x > � v vK a �` yy, RJR # • �:- -_ _ -. Map, _� Date of EExp:�at)o►i: *i� � IN °� yaAW ' Andress ` 1 a �Sa4 .�`[ a ,n '.-` ." "v,. 1 Al g. P6" CITY OF SALE FEE PAID: $50.00 3T FIRE PREVENTION BUREAU AIM 4 48 Lafayette Street ( 0_1 1�3 Salem, Massachusetts 01970 PERMIT In accordance with the provisions of Chapter 148, G.L. as provided in Section IOA, this permit is granted to: i Name North American Industrial Services- ---- Certificate of Competency No. __BL7079 - (Full name of person,firm or corporation granted permit) _ to use explosives in the blasting of rock or any other substance, Name of BondingCompany Western Surety P Y ---------------------------------------------------------------------------- Dig Safe No.--------------- RESTRICTIONS: ONLY ONE DAY'S SUPPLY DELIVERED TO THE SITE OF OPERATIONS AS.PROVIDED BY THE DEPARTMENT OF PUBLIC SAFETY 527CMR13.00 f AS.PROVIDED BY THE SALEM FIRE CODE. at_____Dominion_Energy Salem Harbor Station 24 Fort Avenue - - - - -- -- --- -•------------ ------------------ Ive location by street and number or describe In such a manner as to provide adequate i ntification of to tion.) This permit will expire ___ 10/25/07 ------ 1 Permit issued b �- Y----- -=-- - - (Chief of Fire pep men THIS PERMIT MUST BE CONSPICUOUSLY POSTED UPON THE PREMISES. 145�er. d n �h e el"e , S car y tea,i�� ,C foie cep `des I Form No. 31 LO\'D7 FEE IDUE: " .$ .00 CITY OF�`� ALEM Rac'd by: FIRE PREVENTION BUREAU 46 Lafayette Street 411w-- Salem, Massachusetts 01970 UQ�'E APPLICATION FOR PERMIT To: .THE HEAD OF THE FIRE DEPARTMENT In accordance with the provisions of Chapter 148, G.L. as provided in Section 10A, application is hereby made for permission to use explosives in the blasting of rock ©r any other substance. i Name _ ------------------------=-------------------------------------------------- ( Full name of person,firm or corporation granted permltl -- -- -i_----=5 - S at s-LA-----f T ------ -------X111Q ---- - -c- - ----- V ---------- (Give location by street and number or describe In such a manner as to provide adequate Identification of location.) Name of Bonding Company -'ram--7�5�-----'54p,�4---------------------- Dig Safe No. ------------------------------------ RESTRICTIONS: ONLY ONE DAY'S SUPPLY DELIVERED TO THE SITE OF OPERATIONS AS PROVIDED BY THE DEPARTMENT OF PUBLIC SAFETY 527CMR13.00 AS PROVIDED BY THE SALEM FIRE CODE.Date issued: --------- (Lt - Com any-N^--- ---n-n--1--a-----C-4--r-__ ti Lo- ZiA:.A _ �(a1 - ------------------- ---- = Bv_ ��t1 P�- ------------ -------------------------------------- uaAt�� p `�' Address __1 its S: a�CY- --=-- ---------=----------Date ofof Expiration: ____ _ ________________________._ ------------------ --------- Certificate of Competency No. ti. DATE: '1144 ' r As an essential part of Application to the City of. Salem, Massachusetts • for Blasting Permit to perform proposed blasting operations at: , in said Salem, it is CERTIFIED that in such blasting the. total charge, weight:`per blast will NOT exceed five 5( ) pounds and. the maximum weight per delay will not exceed two (2) pounds per delay. Signature of Technician: f n3 l�Fu Form No. 3„1 FEE DUE: � � ` ,00 z SALEM FIDE PREVENTION BUREAU Rec'd by: ` F 3 - 48 Lafayette Street s � Salem, Massachusetts 01970 APPLICATION FOR PERMIT To: .THE HEAD OF THE FIRE DEPARTMENT In accordance with the provisions of Chapter 148, G.L. as provided in Section 10A, application is hereby made for permission to use explosives in the blasting of rock Dr any other substa4e. Name ---lo! A- L ::- =v�C S---------------------=-7---------------------------------------------- ( Full name of person,firm or corporation granted permit) 6 ----.`A---- T-- u`=C---------- I;v �� - _ SrCttl c n ---Vic___llN_tr< ----J ---` ------- at ------ a_ _------------------------------- (Give location by street and number or describe In such a manner as to provide adequate Identification of location.) Name of BondingCompany _! �_____— �� �—____________ p ------- Dig Safe No. ------------------------------------ RESTRICTIONS: ONLY ONE DAY'S SUPPLY DELIVERED TO THE SITE OF OPERATIONS AS PROVIDED BY THE DEPARTMENT OF PUBLIC SAFETY 527CMR13.00 AS-PROVIDED BY THE SALEM FIRE CODE. - - Date Issued: --------- ->f - - -------------- ------ Company_'\lir + +-_A►11+ C rJ Ai---------------------------------- By --------------------------------------------------- Date of Expiration:--- �--�- ------- ---- —---------- Address -- -y - - -� ----•--------------------------r- Certificate of Competency No. ,. SALEM PAID: $50.00 CITY OF �� `- FIRE PREVENTION BUREAU 48 Lafayette Street Salem, Massachusetts 01970 PERMIT 'S In accordance with the provisions of Chapter 148, G.L. as provided in Section 10A, this permit is granted to: k moz(c�,v_ N9Vsi�i>c A-Ui60 33 Name ------ - ---------- -------------- -------- - -- --------- Certificate of Competency No. -----�'i---=-�U------ --- (Full name-of-person,firm or corporation granted permit) �� I tt to use explosives in the blasting of rock or any other substance. Name of BondingCompany fN �� _________ Di Safe No.___________________ P Y -- UJ�- ---------------5-- ------- - - - ---- - - ----- g - - - RESTRICTIONS: ONLY ONE DAY'S SUPPLY DELIVERED TO THE SITE OF OPERATIONS AS.PROVIDED BY THE'DEPARTMENT OF PUBLIC SAFETY 527CMR13.00 AS.PROVIDED BY THE SALEM FIRE CODE. IG►v J 1 at--12-4------ = '� ^ *0`l I�1 C _---- -- -- - - - - �- - -- --- - -- - --- - C�'- --- ---- --fti------- (Give location by street and number or describe In such a manner as to provide;ad to iden?eirtment), f location.) This permit will expire ;i D -- ---------------------- Permit issued by --- - -- - - --- - --- --- --- (Chief of THIS PERMIT MUST BE CONSPICUOUSLY POSTED UPON THE PREMISES. f05/14/2007 MON 14e49 FAX 5188655041 North American Ird Svcs 00041004 The Commonwealth.of Massachusetts ]Department of the State.Treasurer One Ashburton Place,1-3h Floor Boston,MA 02108 Expires: 19-Sep-07 Date: 19-Sep 06 To Whom It May Concern I hereby certify-that North American industrial Services, Inc. of Ballston Spa, NY has on.file.at this.office on this date.a band in.the penal sum of TWENTY THOUSAND DOLLARS,.($20,000),.in accordance with the.provisions.-of chapter 148.of the General Laws as amended. by chapter 0i of the Acts of . 1946. The bend is dated • r� *'�'��, J���, 1/3 111 99 5 Assistant State Treasurer and provides for canoella+,?on for the State Treasurer upon 30 days notice tc the State Treasurer from the principa!or surety company. 3.". j i ..........._- ----------- ------------------- F 4 EXPLOSIVES L ��:�GERTIFIGATE � This is to certify that in accordance with the proAsion;;ot€t ���&�D���(10),an EXPLOSIVES USER CERTIFICATE is hereby issued to: � s North American Industrial Services, ���% �jµ ;Y -issue Date: 9/5/2006 : ,T s : t fE�c01ration Date: 7/6/2007 1240 Saratoga Road s ;<� t*iate Number: EU 321 w I Ballston Spa, NY 12020 Restricted to 00 p t� � fct'egistretion#: 273 i F Mete dire Marshal: a.�.. THIS CERTIFICATE MUST AC N FOR PERMIT TO BLAST 41 t o a u5 ca i ,•, t x I w 1 a z o a: r i o .. o v to o j r r . ,.v..:=..�.�=�° � �F✓CvOMPETE�C`7� 3 'TING_CERTIFICATE u l - Daniei R Lyman i it ` Issued ros 1 t4 Main Btreet _ -;Porkiaa�h ME 04106i 6t3 — IssueD � - plrabon Dam BE 7pM1,5` Cefificate Number Restnctetl a �. 0/plall cam? Gl / 102s, r ��ad, c C-/&C9/o-177s s I LI-�-7 APPLICATION F DtGSAFE NUMBER Date: OR PERMIT START DATE: 1 C.82 S.40 M.G.L. / To: Head of Fire Department: �G /e/n City/Town In accordance with the provisions of Chapter 148, I.G.L. as provided in Section application is hereby made by: Name: ��� /�Yne/7'Goyl Tn du-,Tr,6 l (Full name of person.nan or corporation) Address: 4a yC7 -;c712W 7�pe4& 1`-c—i 436/15')c1.7 S�e� i1/X l aO�O (Strew or P.O.MR (CuyiTown) (Sfatel (Zip.Code) For Permission to: Gl Se iT Xp State clearly the purpose for which the permit is requested: use 4-yAc!51--s -�v cleaH ,n j en t r n f �cuPr 1 k;wr- 6 "'/ l- Svs Te.� ay &rT iP , So%k) �ls� of 470 Location: Ave (,-a/P,>7 , Name of competent operator if applicable: Certificate of Competency T: - C�! Date Issued{ } Date Rejected { }: By: c�vz rar -07 Date of Expiration: Fee Paid{ } Fee Due { } Amount. Applicant Signature: Fire Department Number: (ff Applicable) N fv• V M.102 s,, date of776' Date: PERMIT D[G SAFE NUMBER C.82 S.40 M.G.L. START DATE: In accordance with the provisions of Chapter 148,M.G.L.as provided in Section this petmit is granted to: Name: (Full name of person.Cum or corporation) For Permission to: State clearly the purpose for which the pennit is granted: Restrictions: Location: Fee Paid: This Permit Will Expire On: Signature and Title of Official Granting Permit: (THIS PERivIIT MUST BE CONSPICUOUSLY POSTED UPON THE PREMISES.)G 91te i EXPLOSIVES USER CERTIFICATE 7,77 This is to certify that in accordance with the provisions,of Chapter;, -fpC`MF3�13 Q4(10), an EXPLOSIVES USER CERTIFICATE is hereby issued to: `z � ( F � North American Industrial Services, I�t�c , ,� .,a ; ;issue Date: sFsi2oos 1240 Saratoga Road q= Exliration Date: 7/6/2007 Certificate Number: EU 321 Ballston Spa, NY 12020 4i . � Restricted to: 00 '= "egistration#: 273 i State Fire Marshal:NE ***THIS CERTIFICATE MUST ACCOMPANY EACH�APRPLICATION FOR PERMIT TO BLAST*** r The Commonwealth of Massachusetts Department of the State Treasurer One Ashburton Place, 12th Floor Boston,MA 02108 Expires: 19-Sep-07 Date: 19-Sep-06 To Whom It May Concern hereby certify that North American Industrial Services, Inc. of Ballston Spa, NY has on file at this office on this date a. bond in the penal sum of.TWENTY THOUSAND DOLLARS, ($20,000), in accordance with the provisions of chapter 148 of the General Laws as amended. by chapter 501 of the Acts of 1946. The bond is dated ��t 1/31/1995 Assistant State Treasurer and,provides for cancellation for the State Treasurer upon 30 days notice to the State Treasurer from the principal or surety company. I i � e Dominion Energy New England,Inc. D • p 24 Fort Avenue,Salem,MA 01970 Dominion Web Address:www.dom.com August 23,2007 Lieutenant Erin Griffin,Fire Marshall Salem Fire Department,Fire Prevention Division 29 Fort Avenue Salem,MA 01970 Re: Notification for Internal Inspection of Above Ground Storage Tank B4 Dear Lieutenant Griffin: Dominion Energy Salem Harbor(DESH)will be conducting an internal inspection of above ground heavy oil storage tank B4 in October of this year. In order to conduct the internal inspection the tank needs to be emptied and cleaned. DESH plans to transfer the heel of heavy oil presently in tank B4 in to one of the other heavy oil tanks.Additionally,the tank bottoms will be cut with light oil and transferred to one of the other heavy oil tanks.Remaining residue will be removed from the tank and disposed of at a proper facility. In order to facilitate access to the tank,DENE will cut an access hole in the steel secondary containment wall.This will be repaired before the tank is loaded with oil after the inspection. If you have any questions,please call me at 978 740 8234 or Ernest Greer,the Project Engineer,at 978 740 8287. Sincerely Michael Fitzgerald Station Director,Salem Harbor man.. .- „,. F"^ § 3..,..�ti ��� -.y..,. '-:,.,•.v,..r«c. wr�n F- •„Y �`'ry _.'�"'d�.,, ,1•. : .�Zs.,J•: !�-•--,•. ....... - _-.-„--- -'. ... .. ... +-y .a .�- ,.n..:w. .w, ,,,,, „r...[ 6: ,ru•;; 'iJ,R�.'S•v, `'•�� ,.. `4 �_f;"' t .. .,.� §.. ..., •.. FI DRY PIPE VALVE TRIP TEST REPORT f EQUIPMENT INCORPORATED. - 88 HICKS AVENUE,MEDFORD,MA 02155-6319 TEL:(781).391-8050 FAX:(781)391-8835 w www.firefire.com FOR b0 Vrl.I rl J t2 f# &6 4I INSPECTION'NO. STREET pRT AUE CITY salEm STATE : CONTRACT NO. DATE OF TRIP TEST "" 2 ._-0-7 INSPECTOR AA I (AP-le-In DAY WORK NO. NOTE: BEFORE ANY DRY PIPE VALVE IS TRIP TESTED,.THE•WATER SUPPLY LINE TO 1T SHOULD BE THOROUGHLY FLUSHED THE TWO INCH DRAIN BELOW THE VALVE SHOULD BE'OPENED WIDE,AND WATER AT FULL PRESSURE SHOULD.BE DISCHARGED LONG ENOUGH TO CLEAR THE PIPE OF ANY ACCUMULATION OF SCALE OR FOREIGN MATERIAL IF THERE IS A.HYDRANT ON THE,SUPPLY LINE,THIS HYDRANT SHOULD BE FLUSHED.BEFORE THE TWO INCH DRAIN IS OPENED.THE DRIP VALVE ON THE DRY PIPE VALVE SHOULD BE CHECKED BEFORE TRIPPING THE DRY PIPE VALVE,.TO SEE.THAT IT IS IN OPERATING CONDITION. DRY PIPE VALVES SYSTEM NO.( ) SYSTEM NO. ( ) SYSTEM NO.(: ) SYSTEM NO.I ) VALVE SERIAL NUMBER. MANUFACTURER(NAME) I VALVE MODEL VALVE SIZE '"" -INCH " INCH INCH INCH (LOCATION) . L u 1 CONTROLLING SPRINKLERS (NUMBER) (APPROX) (APPROX) (APPROX) (APPROX) DATE LAST TRIP TESTED? u sr) I{.AA DATE LAST OPERATED? ; AIR 9 A4 LBS. LBS. LBS. LBS. PRESSURE BEFORE TEST 'WATER LBS. LBS. LBS. LBS. SIZE AND:LOCATION OF TEST VALVE WAS GATE VALVE BELOW DRY VALVE OPEN ! , Ij.. WIDE AT TEST? IF NOT HOW MANY TURNS? AIR PRESSURE LBS. LBS. LBS. LBS. f VALVE TRIPPED AT WATER PRESSURE T& LBS LBS. :;LBS. . r LBS. TIME MIN T SEC MIN SEC MIN SEC MIN, SEC ' IF SYSTEM FLOODED LIST TIME WATER ; REACHED TEST OPENING MIN _,SEC MIN SEC MIN SEC MIN- SEC PERFORMANCE -INTERIOR OF BODY N P.#+l3 i MOVING PARTS AI I; I` VALVE CONDITION ` SEATS >, . RESET?. s 'bIQ ALAR MS OPERATE AT TRI P TEST? " Ai - } 9 a NA ' ALL:LOW INT INS BLOWN WATER CONTROL VALVE LEFT j: OPEN.AND SEALED? ALARM CONTROL VALVE LEFT- £�P�.' 'y '. OPEN.AND SEAL ?ED . a. QUICK OPENINGDEVICES SYSTEM NO. SYSTEM NO. SYSTEM NO. SYSTEM NO. .,DEVICE SERIAL NUMBER r s ,MANUFACTURER NAME "S Y t 'TYPE AND MODEL^ w� 1 PRESSURE IN UPPER CHAMBER LBS, LBS. LBS LB QUICK OPENING DEVICE TRIPPED AT LB E , SEC LBS. PERFORMANCE �• QUICK OPENING DEVICE LEFT IN SERVICE ' AND CONTROL OPEN AND SEALED? 'h LIST ANY UNSATISFACTORY CONDITIONS: REMARKS: �11 v„3 1� t.IP fr i t IJ 1 ve P109 T S ~^R t2 c A K C I '`4 niJ �. �,..,,,��,.� [ �� � � �•� �, NATIONAL FOAM, INC. SALES ORDER NO. 0571284 EXTON, PA ENGINEERING SERVICE REPORT DATE: August 22, 1997 CUSTOMER: New England Power Company SERVICE DATE: July 21-25, 1997 Salem Harbor Station SERVICED BY: Ted Kehler 24 Fort Avenue SERVICE AUTHORIZATION: Salem, MA 01970 CUSTOMER P.O. # X011302-000-000-00 Attn. : Peter Noyes JOB LOCATION Salem, MA EQUIPMENT: One Flow Meter Indication and Two Pressure Proportioners SERVICE PERFORMED: System Inspection and Test SYSTEM STATUS Unknown No foam flow testing performed at the request of .New England Power. WARNING Inoperative to Tank B-1 until blanks are removed from solution line. SALESMAN D.R. Tremblay TERRITORY D.R. Tremblay SERVICE REPORT LONG FORM REQUIRED: YES X NO DISTRIBUTION COPY: NE Power Company, D.R. Tremblay, NF Service Department t New England Power Company 2 August 22, 1997 SCOPE This report* covers inspection and service supervision provided under Purchase Order Number X011302-000-000-00 to inspect and test one flow meter indication and two pressure proportioners . Subject work was accomplished 7/21-25/97 . Work was performed under the direction of Mr. Peter Noyes . PERSONNEL IN ATTENDANCE The following personnel were in attendance during the test and inspection work. Mr. Peter Noyes - New England Power Company Mr. Brian Birmingham - New England Power Company Mr. David McCauley - New England Power Company Mr. Ted Kehler - National Foam, Inc. PRELIMINARY SURVEY A preliminary physical survey was conducted to check the mechanical continuity of the piping system, pumps, valves, water source, etc. The following was observed: A. There are no expansion domes on the two mild steel foam concentrate tanks . B. The foam tank pressure Vacuum vents were satisfactory. C. Foam liquid pump relief valve was satisfactory. Open - 135 PSI Sustain - 142 PSI Recover - 130 PSI D. Foam liquid pump gear reducer oil level was satisfactory. E. Pressure proportioners for the fuel oil heater pumps and on elevation 51 could not be tested. Also, no foam samples could be taken due to the inability to remove the tank shell plugs . F. There were blanks (fry pans) installed in the flanges at the solution supply valves for Tank B-1 . *This report is not necessarily a chronological tabulation of events, but is intended to detail the net result of various tests performed and corrective actions taken immediately taken, as well as suggested recommendations . I New England Power Company 3 August 22, 1997 FUNCTIONAL TEST The system was set up for a dry trip test. This entailed presetting certain valves and devices to prevent flow through the system. This type of test is designed to check the functional continuity of various system components . The system was activated manually. All components functioned properly. PRELIMINARY FLOW TEST A preliminary water-only flow test was performed. This test checks operating pressures, flushes lines, and proves flow continuity. The following data was collected during the test run. Water Pump Inlet Water Pump Static Residual Discharge Flow 60 psi 40 psi 118 psi Appeared Visually Satisfactory During flow testing, several leaks were found in the field solution piping as noted below: A. At the flange, on one of the solution supply valves, for Tank D-2 . B. In the solution piping, running under the dike, supplying Tank D-2 . C. In the underground piping, beneath the roadway, between Tanks B-3, D-6 and B-4 . FOAM TEST No foam flow testing was performed at the request of New England Power. RECOMMENDATIONS The following recommended actions are proposed to correct situations previously mentioned. A. Repair leaks in the field solution piping as required. B. Repair plugs on the pressure proportioners . C. Remove blanks (fry pans) from the field solution piping for Tank B-1 . D. Maintain foam liquid tank levels full to the top . I New England Power Company 4 August 22, 1997 RECOMMENDATIONS (continued) E. Retest system annually to ensure proper operation as per NFPA 11 7-1 . NFPA-11 1994 7-1 Periodic Inspection. At least annually, all foam systems shall be thoroughly inspected and checked for proper operation. The inspection shall include performance evaluation of the foam concentrate or premix solution quality or both. Test results that deviate more than 10 percent from those recorded in acceptance testing shall be discussed immediately with the manufacturer. Regular service contracts are recommended. The goal of this inspection and testing shall be to ensure that the system is in full operating condition and that it will remain in that condition until the next inspection. The inspection report, with recommendations, shall be filed with the owner. Between the regular service contract inspections or tests, the system shall be inspected by competent personnel following an approved schedule. The foregoing report reflects the conditions and operations observed by the undersigned on the date and at the time of inspection. No guarantee or warranty, other than that contained in National Foam' s standard Terms and Conditions is intended or implied. Respectfully submitted, 'Ttd Y-� m�- Ted Kehler Service Technician PRODUCT STORAGE TANK INSPECTION SHEET CUSTOMER: New ►=�;la�� ��w� DATE: 71,x -7 ADDRESS: S INSPECTOR: 'T. i�-4,ier TANK CHAMBER DIAPHRAGM BOLTS GASKETS AIR INLET ORIFICE GENERAL NUMBER SCREENS PLATES REMARKS AND TYPE SIZE LOC. GLASS SEAL BROKEN MISSING COVER INSP. BLOCKED: I 5OK OK OI< GIc Gi k OK C MISSING: U BLOCKED: r�cs OK b K C 5 5 0 K O K 0 I� Tbic- P/A D- 4 q MISSING: BLOCKED: m N/� oK p-3 C GIe- C) K bI< (�O MISSING: Du BLOCKED: M c _ 2 C �o Ic o K t,lc c> K v l< MISSING: BLOCKED: (3 r cl NeSF C M C 61C Ic C7 IL G OK NJA J-. A,', (vb ISSING.� BLOCKED: o C mcs 0I4 �I�. �I� 6K N/f1 ok i7 iJ 5S MISSING: n .Q) BLOCKED: C MC5 0Ic VIC UIL 41C GK- MISSING: MISHET.PI.N PRODUCT STORAGE TANK INSPECTION SHEET CUSTOMER: Ne Lam: I; n tQ-nCl Pou-ce f- ADDRESS: DATE: /! — 5- /�g S<<�ew, M INSPECTOR: ?", ketilcr TANK ` CHAMBER q0k< RAGM BOLTS GASKETS AIRTNUMBERJORIFICE GENERAL AND TYPE SIZE LOC. SEAL 13R KKEN MISSING COVER INSP. SCREENSES REMARKS BLOCKED: t3- C SS G 1� 6 K 0 iG ti is b K (OK U (G MISSING: E rhC S BLOCKED: 5�1 C 1 7 b K o 0K o<< aK NIA o, o K A MISSING: fA C S BLOCKED: 1-7 v K c5!c c') K c9 t< o tc N`A MISSING: mC s BLOCKED: C d K b I< b 1� o tc dl Iv/k� OK MISSING: BLOCKED: r; su p L OK � r •G G r! � MISSING: �t BLOCKED: i V/sua- C CA rd� sl Clip OK El N l ISSING: N ns LOCKED: . I T OKON r S ' lF MIssING: - �D7 PI RMCI NO fjr �ommDniucsttfj ofasachutit DEPARTMENT. OF- PU13LIC SAFETY` lOIO COMMOrWEALTU AVENTUE BOSTON. . It I PERMIT This is to cerr_ify that a permit is hereby granted to anutruct, mountain and use-y---- -tank-- -or container ern: the premises Iocctted - - = - - ------- Two ��'.7�s' d! torgoft�lr`,t_Cu �, �_, n ___ - - --_ --- ��----_-- - TI~iis permit is granted upon condition than the tank v, of cpntainer will be.construc.ted in accordance with the approved plans and-application on.file-at this office, and maintained in accordance wsth..:the requirements of . the rulesNand regulations.of the Department governing the same. s - Commi sinner of Public Safer] j: THIS .PERMIT MAY SE REYOKED FOR CAUSE (SEE GENERAL LAWS. CHAPTER 148,: :SECTl ON 37) FURTHERMIDRE, I T IS I SSUEO SUBJECT'.YO. THE . GRANT ING OF A LICENSE kS.. PROVIOE0 IN SECTION 13 �'C.HAPTER 1489. OF THE GENERAL. LAkS. Z)-� � l - i i ;� oinr,YnnG���� of5�' c= u�Qi DEPARTMENT OF PUBLIC SAFETY 1010 COMIMOXWEALTH ANTE= i BOSTON,__J,=e-26 .......19_33 PERMIT This is to certify that a permit is hereby granted to-------------------------NW JQ1GzI"-%Z-P.0Xz!1=21 a-la *l penow.fine or ceNnr.Gen) to construct, maintain and use-One-tank --------or container_------- on the premises located 33-59 Derby Sale (City at t6.1k) This permit is granted upon condition that the tank . _ . . or container will be constructed in accordance with the approved plans and applicaticn on f ie at this office, and maintained in accordance with the requirements of the rules and regulations of the Department ggveming the same. bae (1) tank 160, dia. x 56, height, cot '^ g , ,$ oD 000 ....3.so r6 0 Cammissianer of Public Safety + THIS PERMIT MAY BE REVOKED FOR AUSE (SEE GEMC: AL LAWS, "T CHAPTER 148, SECTI NI 37) . FURTHERMORE, IT IS ISSUED SUBJECT TO THE GRANTING OF A LICENSE AS PROVIDED IN SECTION 13 , CHAPTEP, 148, OF THE GENERAL LAMS. 1 £L/8o'd 96LO £Z:S t 8o-LO 18661 S8££ 68£ SOS ..13=RJS 4 nN3 nam d3N: NO2:Id 'F •19tfj00�6/�l Zbe lContmtfttdM d 41ffusgutfju�tiig DEPARTMENT OF PUBLIC SAFETY 1010 COMMONWEALTH AVENUE'hd rI BOSTON.-----Sather 16;--19-54 �. PERMIT . ') ► This is to certify that aermir is hereby granted t (Name of paeaee,A— ,# vv r&LLl ) � C0 construr, muntain and. -tank -or Container -. _ C on the prc�rnisc�s located ------ - =.. - - _'.,- " --- ts « I., This Permit is granted upon condition that the tank . . . or:container LF : ... . till be constructed in accordance with the approved plans and'applicadon f. on file at this office,.and maintained'-In accordance with the requirements.of ` the. (rules and regulations of the Department.governing.the same. x -�. F - - Cornmissioner.of Public Safety a w. THI'S PFR141T: VAY` BE . REVOKED FOR CAUSE (SEE GENEP.AL LAWS;: ' `.C"HA.PTER. 148, S=CTIOH 371.. 'FUPTHERt10kE. IT I SS ISSUED SUBJECT TC' THE GRANT ING`. OF A LICENSE AS. PRCVIDED . IN I F. SECTION 13. CHAPTER 148.• OF THE GENERAL; LAMS. t PFAetrr No -- 1 Q�0 - MMI(mWea" Of Inag"Ougettg DEPARTMENT;OF PU6L.IC SAFETY ' IQIO COMMONWF LTH"AVEMIF eOSTON. . . 5-egz.__27 1[hv, PERMIT This is to certify that a permit i_s hc�Ehy grdTited to ___the New Ir 0Power. Cornpany: - to construct maintain and use__Pour_tank.R :_ _ -or contaLtters. _ on the pTemises locateA ._A t__ n - 21s2- -Op rb�r S tr--et--- - --- - -- - •Str..cl ----- -- Salem es Four 4 � t -s s an.b d 1 . allone each f. 12G x 35 � ..., t,o contain 0�-� 4�0 . 8 , of petroleum rod,��„s. P Thispermi t is gra nted upon condition that the tank e o con tuner - • . - will be constructedin accordance with the I a roved Tans an �d a 1 icah PP F on PP on file at t ,his of�ic and maintained ed in accordance with the requ>.rements. of. the rules.and regulations of the Department governing the same. - -- -- -- ('emimissionerof Pubiie. Safety THIS- PERMIT MAY BE PEVOKEV FOR C.A1;F { ;E[ CENEP.AL Lt,WS: CHAPTER 148, SECTION 37) . FL)RTIIERI•IORE, I T • I.:S I SSUI D SUBJECT. TO THF `GRANTING OF A LICENSE AS PF.OVIOED IN . SECTION 13, ,CHAP:TER I48t OF THE GENERAL LAWS. -. PERMIT No.---276------ , f�Eomr on# rai� o>� a��a�ij��ytt� DEPARTMENT OF PUBLIC SAFETY 1010 COXIMOMVEALTH AN-EN BOSTON.-,T=e_2-6 -----------19T3 (Date) PhKMI I This is to certify that a permit is hereby granted to............... N9f ENGLUM PUM C 2v- --- -------------------=- --------- -------------(M.me a(vet+eo.Ann et to,pemdaal to constnxt, maintain and use---mot—tank--------or container-____--- on the premises located -------_359_ Derma_____________________ ---------- �Stteecl Salem ------------------------------------------- ---------------------------------- i This permit is granted upon condition that the tank . . . . or container i . . . . will be constructed in accordance %vith the approved plans and application on file at-this office, and maintained in accordance with the requirements of the rules and regulations of the Department governing the same. One (1) t=k 20' dia. x 56' he3.&%t, oontaininc 10, 0,000 gals. , oiL I C�zmrnftnx of ru7iic I ' l THIS PERMIT MAY BE REVOKED FOR CAUSE (SEE GEHEP.AL LAPIS. -j;�- CHAPTER 148, SECTION 37) . FURTHERMORE, IT IS ISSUED SUBJECT TO THE ORANTINC OF A LICENSE AS PROVIDED IN SECTION 13 , CHAPTER 148, OF THE GENERAL LAYS. � I £T/60-d 96L# £Z:ST 80-L0`866T S8££ 68£ 80S A13AUS + f1N3 nam d3N: WOJd a 'w6_bi 44 pev_0­4 /4a- //0 Z PERMIT e 4Cotntnotti ea tb of Awatbuftiti yDEPARTMENT OF PUBLIC SAFETY ` 1010 COMMONWEALTH AVENUE BOSTON.___SEPTMMER i i PERMIT I, T ', is to cemf y that a permit is hereby granted itI to------------------------xMFKGIAAID.PniRl.Q�'KPANY.- ------------------------ � . � (Name d penes.Ana er ca,po,cpml I i i Y to consmtct; maintain and use-M'---tanker ----or container-------- on the premises located _____33.54 km sTF ____----__ T ----------------------------- SAI.EPt} M>SSACii[jSFTT�------------------- -------- This pemik is granted.upon condition that the tank ._. . or container ` will be constructed in accordance with the approved plans and application ! ; on file at-this office, and maintained in accordance with the requirements of the rules and regtilations of the Department governing the same. I TWO (2) tanks, to contain in barrels 223,800 each (1 bbl: 42 gals.) of.petrola mt products, n including gasoline. Ui.a.2001 Ht.40+. Commissioner 0:wz1 Safety THIS PERMIT MAY 8E REYOKED FOR CAUSE (SEE GENERAL LAMS, CHAPTER 148, SECTION 37) . FURTHERMORE, IT IS ISSUED SUBJECT TO THE GRANTING OF A LICENSE AS PROVIDED IN 1 ; SECTION 13, CHAPTER 146, OF THE GENERAL LAMS. ' £1/L01d 96L# ZZ:ST 80-LO`866T SS££ 682 30S Ai3dt1S + nNa nam d3N: WOdd yoo_b�sa . c PEBMiT NO._626_. alit COMMCM1211ta" at Stagg umetif DEPARTMENT OF PUBLIC SAFETY 1010 COMMONWEALTH AVENUE (Date) PE[WIT This. is:to certify that a permit is hereby granted. tQ__�ie�England P9:wer_ CnM-Pnny ------ -- ---- (Name Cd pa.em firm at vrpwnLbk W to construct; maintain and use -tank--------or container-------- on.the premises -------------- - -- _ Sale_©, Hass . _ One-tank. high ttw n in 6,oil ,4�.o gallons-oY Petroleum- Products. ThisPe permit is tcd upon condition that at the tank . . . or cunt an er . . ... wff betcons=cted in accordance with the approved plans and application on file at this office,and maintained in accordance with the requirements of the tales and.ngulations of the Department-governing L the same.. mr. A - \ / CSC=_��•�_--� -f_-- =_C ___ Commissioner o Public Sctfet�r THIS PERMIT- MAY BE REVOKED FOR CAUSE (SEE GENr.:-RAL LAWS, CHAPTF-R I48, SECTION 37) . FURTHERMORE; IT IS ISSUED SUBJECT TO. THE GRANTING OF A LICENSE AS PROVIDED IN SECTION 13. CHAPTER 148, OF THE GENERAL LAWS. I -----., -----rrr------v-. . u� p ��ruu�wriu><p�it� � • ��t1r� I DEPARTMENT OF PUBLIC SAFETY—DIVISION OF FIRE PREVENTION 1010 COMMONWEALTH AVENUE., BOSTON Salem May 1,r.1 t_19,. 50 (City or Town) - LICENSE . In accordance with the provisions of Chapter 148 of the General Laws, a license is hereby granted to use the lsnd herein described for the lawful use of the building.... or other structure...: which is/are or is/are to be situated thereon, . and as described on the plot plan filed with the application for this license. Location of land ............94....F rt Avenue ..........Nearest crass street ..........I.............. '.... — — — — .............. .t............................... ..................................... Wt Onner of land .......NAN...k+X191an'S ..15.5 �r4.r...CQ.,.........Address ......441...5.tuart...St....r...SAS ......t.onMass. Number of buildings or other structures to whick this license applies ...................SBA.em...H.a har....Station........... Occupancy or Ilse of such buildings ....................... . x'.$ �t.i .0C...Electricity.............................................. d2 Total capacity of tanks in gallons:—Abovegroun .......6000. ga 3 ....Underground ..........:..................................... C 'gals': Kind of fluid to be stored iu tanks .............. ........................................................Traia f-ormer..01-1,••&...0 1 .C-1reuit Restrictions---If any. ..............................................................................................................._.................,... `....................................... .... .. ... ......... .. ................. (Signature of licensing autbority) ' THIS LICENSE OR A PHOTOSTATIC OR CERTIFIED COPY THEREOF MUST BE CONSPICUOUSLY POSTED IN A PROTECTED PLACE ON THE LAND FOR WHICH IT IS GRANTED I . / a UfG �cc�✓SCr Kf r# � r C�nntin>anu��ttlf oftt��ttrn fn DEPARTMENT OF PUBLIC 'SAFETY--DIVISION OF FIRE PREVENTION f:k. 1010 COMMONWEALTH AVENUE. BOSTON Oct* '26 h v� ,Selerl,Ilassacfi;lsetts 4nula V, —1950 (City or Town) (Date) In :ircordance Keith the l*rovisium of C'h;i�tter, l IS of file Gener:►l Lacs, a license is hereby granted.to use the land ht rri i i c:rril,cll for the lawful a=r of the Lluilll111, or other stturtnre.... jt•hich are' or ur is/ate to be situated thereon, :111d :ice IG-:•rilwd on the plot pl:itt filed Ncith the applicatioll for this license. Location of land . ........ ..Nearest cross street ..O:rhy..$fCr .at..B406 xe.SgLare (hvilor of 1:I11d . .. ... ................. ldtlri s ...Ct f.CCt.:"sy ri?,.Saleia 9$?►Ixfi9tt4.. ►. ....... \umlovi of l,uiliiinhs or other strictures to which this license applies :....C.�:�"1.(1.1�.$.tu:rr�9..Ta��ete . ........ .I..:........ I)rrnp;lnc� iu' tt of .vch ,i111111ijlgs' tilt �•}:.�.c °v�tJle:h.r1.c�.'ua, l .. . ... ................................ I'utal l I,i i its ,il' t:iul iu Ar)il►If16 —=.111orc;rl'oiuul iPY3f1�S1f Y14tt t o31.W. e,nl ..42:.g31.1►rram 4.:.. 1� t i i 11.1,, i lu i,o.rIor('Il :11 lank F'''i"'?f'a '� `;:F� I,, r t i.. ..'� ... .. a.. di.ia ............. ......... :.. .. ............ ....... Sinnaltire of 11r'nim. authority)... 'i i{ 1 li i N T OR�A�PHOTOSTATIC_OR`CERTPFIFr) CC]PY THEREOF MUST 13E'CONSPICUOUSLY' ? POSTED IN A PROTECTLD PLACE ON THE LAND FOR WHICH IT IS.GRANTED ri f - DEPARTMENT OF PUBLIC SA��ntz�y��''B°bsw-01VI�tON OF FIRE PRkVLE Took 901® f.Ci�9dit0NvaALtm Ad1YQ ug. mios 000 . . �ialaca�. �lusfly iig� 1� �� 40147.r Tow I tDefal LicoEm.MSE In accordance with the provisions of Chapter 149 of the General Laws, a i'ec zm la hereby t maW to b" the land herein described for the lawful use of the building... or other structure .. which Is/ate or Is/are to be situated tbereon, and as described on the plot plan filed.with the applivAlon for this license. Lvation of land P of 21-29.Derby..AL...................Nearest cross street EAgbgr.!.Att, ascBt4a��a e... el. '(6t � t+ume..t Owner of land ........ .•. Addrra+ ." .ff'or$-Aver.q...Sa-leg t...U-906......... Numlwe of buildings or other structures to which this license applies ..Eleven (1j)..Storase...TAnks........ Occupancy or Ilse bf h boil ' , Stotrage.9..sale, and distribution of fuel..oils s(bcarre .. ... ... ... ... .. .. .... Total capacity of tanks in :—Alwveground. .7.7.b.o.0.00.bbls..of. � 2 erg so ch n e sou .......Moat,s........................ Kind of fltiid to be atore+l lu tultkis! . C.lr01e .pP4?iittCt�... .. pC.tw aw..ft iA�►41.y...a..l..t®S..le9 e. �an.$4tCl s� Ito"frictions—If any: ..gasoline. This license is grantetbto the�ocaj}on .. ... .. .OMpOny ...................................... �1 {#e 9w y............... s uy...... .. a .......... Incorporated, Z07 herby Stree t�for the use a�-4tI8' of thr'�tor a panted New Englain�9 Power Co. on Oct;. 26, 1950 and does" '��^ ,i >. �p::7? ?t not fncrease storage granted at that ,• , time. (i te+�.N.t. .t{flee�lhf .atDniq) T1419 LICrH9[ OR A PHOTOSTATIC OR CEIfTIrlrp Copy THERto r MUST ME CONSPICUOUSLY , POSTED IN A PROTECTED PLACE ON THE LAND POR WHICH IT 1% ORANTS2 ------- — , - tv /( � P (Q�IltlttirttlUPMItI� of M issar asett8 DEPARTMENT OF PUBLIC SAFETY--DIVISION OF FIRE PREVENTION 1010 COMMONWEALTH AVENUE. BOSTON J5alem August 8 1968 (city"Tow") (Date) r LICENSE In accordance with the provisions.of Chapter W; of the (;eneral Laws, a license iv hereby granted to use the land herein (l(?cribed for the lawful use of the building.. or other structure... which Ware or is/are-to be situated thereon, and as described on the plot plan filed with the application for this license. Location of land 33-59 Derby Nearest cross street ...... Street e,St t&Knm er) Owner of land _NOW .) ig1&>�91.. �0 r.-ComPaAY ........Address ............ 3... 42't.AVe2lue.s..S81em. Number of buildings or other structures to. which this license applies ....Four-J.4)...Oil...Tanks.................................... Occupancy or Ilse of such buildings ..storage..Df.. .�000...bb3A.::.(.@..42-gals../�?�2�...�...I�AC�......................... Total capacity of tanks in gallons:—Aboveground.............j.........-.9............ Underground 9 It50 000 each none Kind of fluid to be stored in tanks ........Petroleum Products .................................................... Restrictions—If any: ....(1)....fQar,..�nch Wa*..er main. be re) ed and,�e.placed i_ncn actin to �y.. ... ..... .. ..Y....... -connected .to the existing �- inch water main. s�n� � is be..Enstalle�' wit.i 250 feet Of each other. ,• .� ' � i _ O (tii�aature u« ini aat6ottt�) a y Clerk THIS LICENSE OR A PHOTOSTATIC OR CERTIFIED COPY T T POSTED IN A PROTECTED PLACE ON THE LAND FOR WHICH IT IS GRANTED 4 Q r (9wtm wra1t4 of Massar4nor#fg DEPARTMENT OF PUBLIC SAFETY—DIVISION OF FIRE PREVENTION 1010 COMMONWEALTH AVENUE. BOSTON Salem July 11 1974 (City or Town) (Date) 5 LICENSE. In accordance with the provisions of Chapter 148 of the General Laws, a license is hereby granted to use the land herein described for the lawful use of the building.... or other structure.... which is/are or is/are to be situated thereon, and as described on the plot plan filed with the application for this license. Location of land ..33.- ...Dexby...............................................Nearest cross street .....W.ehb...Stxeet...................................... (8t;e"V Nnmberl Owner of land ......New EnglanQ..,.,.ower l}.:.o, Address ..... 4,_Fort..Avenue,,,,Salem,.,,M..... .............. Number of buildings or other structures to which this license applies ...Three...43)....oil..tanks....................... ................. Occupancy or Ilse of such ors .structures.:...Storage..o.£..bD0,000... .............. Total capacity of tanks in gallons:—Aboveground...2:5,200,1000..........................Underground ........UQK1P,............................ Kind of fluid to be stored in tanks .....13A.0 01.et1m...mgdw.t.s..wj.t.h...J..Q...spe.p-ifl--..g1~7vity...or... �eSS Itcstrictions—If any: not including gasoline. ..�_..._........._...__ ..... .... ...... .. .. .. ..... . .. 61 :................ ..............................I...................................�................ Signature o[ Hc`ne r aathoaty)_. THIS LICENSE OR A PHOTOSTATIC OR CERTIFIED COPY THEREOF MUST BE CONSPICUOUSLY POSTED IN A PROTECTED PLACE ON THE LAND FOR WHICH IT IS GRANTED ,. L714P (ImttgiD)t111PMI* of DEPARTMENT OF PUBLIC SAFETY—DIVISION OF FIRE PREVENTION 1010 COMMONWEALTH AVENUE. BOSTON Salem January 11, 1996 (City or Town) (Date) LICENSE In accordance with the provisions of Chapter 148 of the General Laws, a license is hereby granted to use the land herein described for the lawful use of the building.... or other structure.... which is/are or is/are to be situated thereon, and as described on the plot plan filed with the application for this license. Location of land...........7-4...Fart-A.Vmum.............................Nearest cross street ........Dg.r.by...St)Ceti............................... street do Number) Owner of land .New..Eugl= ...F.axe ex...Compagy Compagy............. ...24...Fort-Axumue.,...Salew.,...MA...019.Z0....... Number of buildings or other structures to which this license applies ......one................................................................................ Occupancy or use of such buildings ......to, store hydrogen gas„and controls ............................................................................ Total capacity of tanks in gallons:Aboveground..106,.7QQ..!ggbic„feet,....11madsEgiviaiaL 1940 gal. .equlvalent) Mud of fluid to be stored in tanks hydrogen .................. ......................................................................................................................... Restrictions—If any: .............................................................................................:........................:...........................................................:. -11-50 31,900 gal. oil �Q -26-91 .440 gal. hydrogen gas equivalent h� ........... -11-96 940'-gs1'--.hydrogen gas equivalent a Ce 33,280 TOTAL THIS LICENSE OR A PHOTOSTATIC OR CERTIFIED COPY THEREOF MUST BE CONSPICUOUSLY POSTED IN A PROTECTED PLACE ON THE LAND FOR WHICH IT IS GRANTED The (jff=mvn[utzdt4 of 4Xaswx4u2;jetfs Department of Public Safety—Division of Fire Prevention V REGISTRATION Sal em Ap.. 3 0 1998 ......................... .... ............. ............. (City or Town.! !Date).. 19........ This is to certify that...,New„England„Power„Co;,,,,,,,,,,,,,,,,,,•,,,,,,,,...,.,..,.,,has, in accordance with the provisions of Chapter 148, Section 13, of the General Laws, filed with me a certificate of registration set-. ting forth that..IieW..Eng]And..Power:..f.Q..............................................is the holder of the license granted afiz5Q,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,19........ for the lawful use of the buildings) or other structures) situated or to be situated at.......R21-29 „Derby Street................................................................................. ..... . (Street and Number) as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPL/OSSIIVES. p OFFIC (Signature and Official Title) SALEM, MASS. 0197 Note: A certificate of registration must.he filed on or before April 30th of each year. (THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES.) wm trf�a. 3 3, y,SS ` E QIIIIYtMonfu= of 'V&s sEfts ej, /o/ Department of Public Safety—Division of Fire Prevention REGISTRATION .............Salem ... .. ....APR 3.0 1998 19........ .. ...... .. ........... (City or Town) (Date) This is to certify that...... N.E;,,Power,Co;,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,has, in accordance with the provisions of Chapter 148, Section 13,of the General Laws, filed with me a certificate of registration set- ting forth that.................... ............N:E. Power.Co..........,,,,,,,••,,,,,,is the holder of the license granted .Q/8j6$,.,7,(,jzz4...........................19....... for the lawful use of the buildings) or other structures) situated or to be situated at............33-59 Derby,St:...........................................................:......................... .... ..... .. (Street and Number) as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMABLES OR EXPLOSIVES. (Signaturead Official Title,"A�'C LFRK'S"OFFICE Note: A certificate of registration must.be filed on or before April 30th of each year. SALEM, MASS. 01970 (THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES.) fans f Pie (E mnumfuEaIt4 .of cf&ssurips.et#s a, loiQo.� Department of Public Safety—Division of Fire Prevention REGISTRATION . ... ..Salem APR 3 0 1998 19........ ............................ (Gift or Town) IDL) This is to certify that.........New England Power Co:„................................has, in accordance with the provisions of Chapter 148, Section 13, of the General Laws, filed with me a certificate of registration set- ting forth that.........New„England„Power„Co,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,is the holder of the license granted 11/.fi........19........ for the lawful use of the buildings) or other structures) situatedor to be situated at............24 Fort 9. ............................................................................................ • (Street and Number) as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF FLAMMAB ES„OR EXPLOSIVES. ............ . ......................................................................... (Signature and official Title)CITY CLERK'S OFFICE Note: A certificate of registration must be filed on or before April 30th of each year. SALEM, MASS. 01970 (THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES.) Fan OR-6. y-ec, 9i — Viz. .v�t�//yGrloc�w Sro�rir6/c ] U — %i2sls(/7/�.?rNcyj O•/is/f/Ur�� r/�fG'(7r�, t sE& of �ttss 4xx Department of Public Safety—Division of Fire Prevention V y REGISTRATION Salem APR 3 0 1998 19........ ................... . • ............................. (City or Town) This is to certify that.....N�1K..EQg�.all�.. QV(p.r••.CQ.,......................................has, in accordance with the provisions of Chapter 148, Section 13, of the General Laws, filed with me a certificate of registration set- ting forth that......ft..EIlglaRO--PPWXr CQ..........................................is the holder of the license granted .. 1/13(49 ............19........ for the lawful use of the buildings) or other structures) ...... ._.. ............................... situated or to be situated at.............. ..... 30 Fort AveAve. .................................................................................. ............................ (Street and Number) as related to the KEEPING,STORAGE,MANUFACTURE OR SALE OF MABLES OR EXPLOSIVES. 1A.4.................. . .......�. '.. .. .?........... (Signature and Official Title) C17Y CLERK'S OFFICE Note: A certificate of registration must he filed on or before April 30th of each year. SALEM, MASS. 01970 (THIS REGISTRATION MUST BE CONSPICUOUSLY POSTED ON THE PREMISES.) Fam ORA IVo1, fr��G'Si 'S 2c g-M41-D IsT/ /z.51ate 1 w USGen New England,Inc. 7500 Old Georgetown Road Suite 1300 Bethesda,MD 20814-6161 301.280.6800 August 28, 1998 Fax 301.280.6900 BY FEDERAL EXPRESS Winthrop Farwell, Commissioner Department of Public Safety 13d'Floor, Room 1301 1 Ashburton Place Boston, MA 02108 Re: Sale of Salem Harbor Station to USGen New England, Inc.: new owner information Dear Mr. Farwell: This is to inform you that USGen New England, Inc. ("USGenNE") is in the process of purchasing Salem Harbor Station, which is located in Salem, MA, from New England Power Company("NEP"), a subsidiary of New England Electric System ("NEES"). The mailing address for Salem Harbor Station is 24 Fort Avenue, Salem, MA, although the station also includes the properties at R21-29 Derby Street, 33-59 Derby Street, and 30 Fort Avenue. It is presently expected that the sale will be completed on September 1, 1998. As of the date that the sale is complete, all Department of Public Safety("DPS") licenses, permits and certificates of registration for the storage of combustible and flammable materials at Salem Harbor Station issued under Massachusetts General Laws Chapter 148 § 13, 520 CMR 12.00 and 527 CMR 9.00 will transfer to USGenNE. Pursuant to MGL chapter 148, section 13 and 527 CMR 9.00, a number of licenses have been issued between May 11, 1950 and January 11, 1996 authorizing the storage of combustible and flammable materials at Salem Harbor Station. These licenses are referenced in four registration certificates issued by the DPS to NEP on April 30, 1998. Additionally, the DPS has issued several licenses for aboveground storage tanks each with a capacity in excess of 10,000 gallons and storing materials other than water. For your reference, copies of each of the registration certificates, underlying licenses, and DPS permits are enclosed herewith. Pursuant to 527 CMR 9.07(M)(5)(c), USGenNE is hereby notifying you that the above- referenced licenses, registrations and permits will be transferred to USGenNE as of the date of sale of Salem Harbor Station. USGenNE presently expects that its purchase of Salem Harbor j• sit— J Winthrop Farwell, Commissioner August 28, 1998 Page 2 Station will be completed on September 1, 1998. Once the purchase is complete, the names and addresses of the new owner and operator of the facility will be as follows: Owner: USGen New England, Inc. 7500 Old Georgetown Road, Suite 1300 Bethesda, MD 20814 Contact: Valarie Gill Telephone: (301) 280-6915 Operator: USGen New England, Inc. Salem Harbor Station 24 Fort Avenue Salem, MA 01970 Contact: Robert DeHart, Jr. Telephone: (978) 740-8402 During the course of USGenNE's due diligence for the purchase of Salem Harbor Station from NEP, it came to our attention that the facility is missing DPS permits for two (2) urea tanks and two (2) lime slurry tanks. USGenNE will be preparing and submitting applications for these four tanks shortly after the purchase of the station has been completed. If you have any questions, please call me at (301) 280-6915. Very truly yours, (a,44 t Valarie J. Gill Director, Environmental Compliance Support Enclosures cc: Stephen Coan, State Fire Marshall / Robert W. Turner, Chief, Salem Fire Department`✓ A.H. Aitken, NEP M.J. Atkins, NEP R. DeHart, NEP P. Hamel, NEP R. DeHart, Jr., Salem Harbor Station M.V. Carney, USGenNE S.L Hartman, USGenNE W.B. Jacobs, Foley, Hoag& Eliot LLP, USGenNE 317833.2 --T /�li��'/LW� <� Q 1 � _._ - A. .. r. AUG-27-1998 08:22 NEPCO—ADMIN SVCS P.01 New England[ Power V A NEES 9am1MY F" To: Shiela Lynch of: Salem Fire Department Phone: Date: August 27, 1998 Fax: 745-46-46 From: Robert E. DeHart, Jr. /o Subject: Storage Tank Permits Pages�A, incl. cover sheet Shiela, Thanks for the help with these permits,i'll try to make some sense:out of this. Attached are copies of the permits and licenses that we have in our files for storage of the following materials: 1)diesel(emergency shutdown and yard)tanks 2)kerosene 3)propane 4)hydrogen On August 20, 1993 we also permitted: 1)sulfuric acid tan[: 2)caustic tank 3)2-urea tanks After discussing th permitsthe_nbw company and again reviewing the tanks we have onsite,we would like the new permits to be issued ta�JSG—a;1VewEngiY i d,Tnc and,if possible,to re-group the tanks and permits according to the type of material being stored: 1)hazardous and non-hazardous chemicals-sulfuric acid,caustic tanks,lone slurry,and urea 2)propane storage 3)hydrogen storage 4)class A flammables-kerosene and diesel storage 0 y t This is a confidential business document, and the property of.NERS companies. .(f you do nut receive all pages or if there are problems with this transmission,please call. aN :New England Power Company 14 Fort Avenue Salem,MA 01970 DE14ARTL.NEESNET_COM AUG-27-1998 08:22 NEPCO—ADMIN SVCS P.02 The area tanks are each 26,000 gallons and originally(about the time the Station was built)contained water.The use was changed with the installation of a new air emmission control system about 1994. The urea is a non-hazardous,but an other-than-water material that falls within the scope of 527 CMR 9.00.The two lime slurry tanks are each 11,655 gallons,constucted in the early 1970's as part of the Station's wastewater treatment system. If possible,,we would like to include these fow-tanks with the caustic and acid tank under one permit, eventhough they are not considered hazardous according;the the CERCLA list of chemicals. I know this is a somewhat different approach,but it would help us and the new owner with the administration of these permits. Please call me at yoir convenience at 740.8402. Thanks again, yt 49ES This is a conf&ntial business document, and the property of NF,E,S companies. - 1j"you du not receive all pages or if there are problems with this transmission,please call.. 1,,'ew England Power Company 24 Fort Avenue Salem,MA 01970 E)EHART@NE,ESNF.T.COM AUG-27-1998 08:23 NEPCO—ADMIN SVCS P.03 SALEM FIRE DEPARTMENT, FIRE PREVENTION DIVISION 29 Fort Avenue Salem Ma 01970 ANNUAL RENEWABLE PERMIT MQ"T" YEAR STORAGE OF CLASS A FLAMMABLES ' 04 99 NAMEISI OF PERMT HOLDERISI AND MH WM ADDRESS EFnCTNE DATE 04 29/98 is 4-1 k NEW ENGLAND POWER COMPANY 24 FORT AVENUE SALEM, MA 01970 i BUS WU OR JOB LOCATION 24 'FORT AVENUE FDID rTE hME TEL r•� � 09258 90C 14. 11 978 740-8200 t u9b BY: RLE NO. INSP. PRECZEWSKI 1 540 Fire Chief ;•ICT V,aLID LIIH T IL : TAMP,=WITH OFFFI{:AL IC-,NATURE S T IJAP OR ^IC Jr,Tt�R� SALEM FIRE DEPARTMENT, FIRE PREVENTION DIVISION 29 Fort Avenue Salem, Ma 01970 ANNUAL RENEWABLEPERMIT - uONTH YEAR STORAGE OF CLASS A FLAMMABLES 04 99 NAMES)OF PERMIT HOwsgsI AND MAILING ADDRESS 7ms-OATI!ME ,{era su�►c tl��k 04129198 NEW ENGLAND POWER COMPANY r�j�r (� 24 FORT AVENUE SALEM, MA 01970 SUSINEEB OR JOB LOCATION 24 FORT AVENUE FDIO npE TIME TEL 09258I C 90C 14i12 (978)740-8200 {BBiIED BY: F—go' INSP. PRECZEWSKI 541 Fire Chief :'n�i ii�T?I_ TA;,',P'D WITil OFFICI,A, -':G.ivATLIHc STAMP CI~ ,ILN�.:.'�{E SALEM FIRE DEPARTMENT, FIRE PREVENTION DIVISION 29 Fort Avenue S�le)m, Ma 01970 ANNUAL RENEWABLE PERMIT _ Mo,TH YEAR STORAGE OF CLASS A FLAMMABLES 04 99 NMWd $)OF PERMIT NOLDERIE AND MAILING ADDRESS EFFWME 0 DATE 9/9$ Yaro4 NEW ENGLAND POWER COMPANY TAIM 24 FORT AVENUE SALEM, MA 01970 BUSINES$OR J06 LOCATK — 24 FORT AVENUE FMTYPE TIME TEL 09258 C 90C 14:1fi (978)740-8200 IBSuEo av: w.E NO. INSP. PRECZEWSKTJ 542 Fire Chief AUG-27-199e oe:23 NEPCO-ADMIN SVCS P.04 CITY OF SALLM Fee Paid.. FIRE DEPARTMENT - FIRE PREVENTION BUREAU (Ta " Salem,Manschuseta 01870 Date March 3, 1988 PERMIT In accor�.ance with the provisions of Chapter 148, G.L as provided in 10A. thus permit is grit Aed to Name New England Power Company Walt name of pesos.Bros or corporation vrantd permit) to,. keep, store and use; NM J DRE THAN 165 gallons of Class A Flagnables, State c1e=1Y 140T MORE THM 500 gallons of Class B ]?L mmiables; andlor .NOT MOM THAN purpose for 1,000 gallons of Class C Flles. Or if applicable, no more than which permit is grcmted �2,000 gallons of flaMMble gas R�:striiat7s: As per Fire Prevention Repulatlons. All Flanmables shall be stored in approved oontainers and/or 'storage areas. at 24 Fort (M a ieaatin )77 eteeet and no., or derasibe In rueb wanner as provide dequate ide cat ( toemim) (stonamm of oHieAd aranv2W Formic) This permit will expire ril 19 89 Firp- Marshal Imo) �' (1MS ST BE USLY POSTED UPON THE POSES.) '9ft Form #90C (Re,.T. 10/78) I7 blF:'rr ro (_t e- no \v' t l � SALEM FIRE DEPARTI4[E�iT Fe.Paid$10.00 0.LD 00 nK PREMIT ON Rt1NEW m PERMIT 29.. �g 1 A widow- fOft OTORVAIE Of L101AF1ED PETf10LEWlf t#A6 In Opdants with Vpx4sko of Chapter 146,O.L,and HGOIRAMMA made under authority theteaf. na Name: �abNeA p IQwmrar0eaupeAd& - --_— m 2� Fnrt Avetlt _— �� Address: P EFIMFr la hsreblt Vmisd to atooa ---flgl�s of Llquifl ad pa�mleurn Chas►for use in an approved appllarm* o of SYlsm C inspect.for piping and equipment. � $�eCt to apploaal /\ 0 1941 pe �,_/J/ 3 tef n"illasiiedt .YAIl1 11Y� z Inactnr: tit► �R., ryt o]fis Oi t C CO Yti1S rcommy MUST 6E ClumsplicU0UL u POSVID UPOpi 7HE 1R[:M]SES M -ipda jWM eiil ewyprc an a cMar4e or uwanship.hvrmr or SID"Ic: ».._ .._....._». �i 1 F W z Z � W 3 00 c 3 ti LL 4=3C AUG-27-1998 Oe:24 NEPCO—APMIN SVCS P.06 DEPARTMENT OF PUBLIC SAFETY—DivisiQIV OF FIRE PREVENTION 1010 COMMONWEALTH AVIDdus. BOSTON Salem J=ua" 11, 1996 (city or Tows) (Date) LICENSE In accordance wil,h the provisions of Chapter 148 of the General Laws, %license is hereby granted to use the land herein described for t e lawful use of the building.... or other structure,„ which Ware or is/are to be situated thereon, and as described on the plot plan filed with the application for this Hoense. Location of laced ...........Z4...JE':Art..AvAmue.............................Nenaest oross street ........Dr.rby. 5.t;rent............................... Street&Number) Owner of land .New,.Jl�tgla►�t�...l'rnsiex...OrnnpaW.............. ddress ...2:4...Fort...Avenue,....Salex,...MA-0.19I0....... Number of buildings oil other structures to which this license applies ......one................................................................................ Occupancy or bse of slich buildings ......to,. tore lz�drogen..gas...ana..omit 9lp................. Total capacity of tat&; in gallons:Aboveground..10.0a.70.0..cu c..felsrm,...• 194.0—gal.,—equivalent) Kind of fluid to be storad in tanks hydrogen Restrictions—If any: .................................................................................. 5-11-50 31.900 gal. oil. 9-26-91 ,440 gal. Itydrogen gas equivalent e,... 1-11-96 940',gk1: byd,rogen gas equivalent 33,280 TOTAL T643s LICENSE 4�ff A PHOTOSTATIC OR CERTIFIED lr`K2tyY M.13KOF MUST ®E COAIStICAJOUSLY POSTED IN A PROTECTED PLACE ON THE LAND FOR W147CH IT (S GRANTED � V i L'� Nv �� C el Cam' C•�'' �" AUG-27-1998 08:25 NEPCO-ADMIN SVCS P.07 P APPLICATION FOR PERMIT To Maimatain an Esisting/New Starage Tank It"ty Regulated folder 527 CBM 9.00 To: Had a r Fire Departmaet City,town or district Yo-z-A Date -9 20 }op AppWdJm is lumbr made for permit to mm"tsis as exttttoosw am se took fm4uly W mqyftd tvY s27 cmx 9.ia Lonsdoei of F PgpW1y3 ewer Adis Ctrner of pnipolly: Al,., !rY aamuQ of or osepor� M mbwaf Tinkm 4banrsds+annd r��� �' signature of owner or authorind reprr mUtive: Fee paid: $._ /Q�(M.G.L. Chapter 14L Section IDA) (lift Deparemma espy_To ba tit wtet FP-79L Q4121) 744 PERAM To Xa sWn an Ub tig/Now Store TO&Farmly for St4 W Tanks bated under W C dR 9.00 ma ammumW!w"tim 9"Waams of 52.7 tM 9.00 ak.permlt to s3aiBatitim ®gabs tank E illtr Im rumd tom: Local"of property: Own"of prop"., ?ham"at sm my sattitx 1 0mmadwWwroued Fatfity to be atwiatai W iie ae rdaace with the irtetr#CWO dmribed btu: F®e p�1d:S if CmM Chapter 14L metbn 11%) TWA petit.rift"On //A a[9ML dFtls �Ore1A��@ AUG-27-1998 OS:zS NEPCO-ADMIN SVCS P.oe • �'�3 fob awl Af I mil UGC , ?ac t 4 °4 99 SOa � ?94td&!L AFIPUCATION FOR FED To hiaimtMa an is tbdnWWew Storage Tank Fad5ty R"lsiaW under S27 CMR 9.00 To: Head cf Pre Departmuet City,town or aistrict���"i7'7 _ _Date2 Z0 V Appawfi eo is hmm y made for permk fv=161ata ea estltiWWO store'oak fticm Is n;gvimd by aV CMS 9Ai f ocadm of iro�eetyp z T I " � lw.se wddr� Ownrof psapertr: Signature cif owner or muthorind reproesatative: `--- Fee paid:S IA. (M.G.L. Chapter 14L Sudan 10A) (Faro Dspartesaot copy_To be dh4 wilb PF-2K Peet 1) *7 e 7 � � � s -off � � �►.� PERMIT To XaimWu as E bft I Now SUMP T Fl cW9y for Storaga'Tmlw Bepated *WW W CM 9.00 In mmuft see will,the greWden of SZ7 CMR 9.00 .paruit to owdotaio m esistiag/pew Wimp tank fBCiQity t!���a LONLA w at vim. �- •�`- .aA (iwaer oP pemyarly: —d f 6--ice * Irgaty to be mziateiW in aecor&wm aitb the ruukdm do vr*zd bdatr: ale Poe vd;sA WGL t`-balm i�i8. 10A) , This permit irm moire sep��rjjorwe.//w arr�+�ao AUG-27-1998 08:26 NEPCO-ADMIN SVCS P.09 APPLICATION FOR PERMIT' To Maintain an UbdnPf New Storage Tank Fadik Rojulated under 527 CWR 9.00 Tc: 8cad itf lure Depzrtmnet City,town or district A C '`a _ — Date 001ZO10 Appilcatba is iieeeby made for permit to maintain ao aMl9hWAplw sturn$s tank tacow el"quires oar=7 CbM 9,90 L�ataen mi pr�eetl►;���?� N✓�Nv � r ,� snuesAN•s Mmberof I'Anks: _„shovegsotmd ��� Signature 13f owner or authar&W repremlative: Fee paid: S /D• (M.G.L Chapter 14&Srstion IDA) (Fire Depaesmerat cs"_To im tiled wi t FP-Z.Pace 1) tcrJ-c-, PERMIT To Watain an rzbft t*w St rW Ta nk Faality for Starap Tmb Repkted andw 527 CMR 9.00 I*=ar+d= a wltm tbs pmvid m of 527 CBS 9.40"permit to uWatsin=cLidW#ww sift IF tank beefily it snood In: Lw-i ioo of l,ropertr. , ®weer of ptrWa ty.. swim,4 rm—on geed. lVWMbW of ntnaga tsnkL pquvA wdipp 'it i&dUty to be;saintaisad in sttordaem with ttie tartrieOw dwo ribed below: lase pald:$ /G ¢Vaal.Chapter 348.*mdn 10A) nm ' This permit,,rill expi,e /f S' AUG-27-1998 Oe:26 NEPCO—ADMIN SVCS P.10 U 3 foe 7 APPLICATION FOR PERMIT To Ma inWn an Uisdn&Wew Stamp Tank Facility Reoated under S27 CBM 9.00 To. Said oultre Depauttnuet City,town or district - r _ Date Zo �►vP N It.rabr sacra Yer permit t®CURIOS*ne=11I W&W storage took t$dl6LY w mquteed by=7 CMX 9.00 Locsdop of pt ._LL /i�1- z =yvv Onosr of t. slnsrar�rrrr Pru or oreur�arat<oe ATWaber of 7 aka abOvcgeomd =derVvm d _ Signature Browner or authorized repriseststiva` Fee psid. (M.GJ.. Chapter 148.Section IDA) �lo� VOO �i9� (Fin Dgwttseet cepy„20 bed ad wim FF.2m Nrt ��Ir�,rf►frfi: Z) Pa" s -cow 4Arw .99w* ftw" PERN07 To Mnistaln as EWI ft/1%w SlorW Tattle Faelir/ for storage Tanim meted ander 97 C1MIIt 9.00 In smordsmo:with the prOW04 to of 527 C!M 9.00 OW permit to mWabisin au cdalinginm atom task r�llt�►w��t,,: l oLkloo of pimperty: aarair oy peo{�►: Number of swlw tsekK --�,,,ftMMuud ��un outad Fadit to be matiioteiared to seeardaace with the reetpied=dsuaribcd below. e4 nss peid:S 0=L(MG L Chanter Ida.weslos 19A) This penait wal w�w4-bv t76 TOTAL P.10 - = - -_ r,p0N01L` SALEM FIRE DEPARTMENT Fee Paid$10.00 6 FIRE PREVENTION BUREAU PERMIT Date: FOR STORAGE OF LIQUIFIED PETROLEUM GAS In accordance with Aprovisions of Chapter 148, L., and Regulations made under honty thereof. Name: u 'S x'.�"—� - Name: -G� (Owner or Occupant) (Installe- Address: Z 7 42.4-` — Address: PERMIT is hereby granted to store S Uy gallons of Liquified Petroleum Gas,for use in an approved appliance. Subject to approval of Palem Gas Inspector, for piping and equipment. Date Permit lasued: Z�( Inspector. - e o i epa THIS PERMIT MUST BE CONSPICUOUSLY POSTED UPON THE PREMISES Form#90L(Rev.1/83) This permit will expire on a change of ownership, burner or storage. New England Power Company New England Power Salem Harbor Station ` A New England Electric System company 24 Fort AvenueSalem,Massachusetts 01970-5693 Telephone: (5081740-8200 BYHAND-DELIVERY August 28, 1998 Chief Robert Turner Salem Fire Department 48 Lafayette Street Salem, MA 01970-3695 RE: Sale of Salem Harbor Station to USGen New England, Inc. Dear Chief Turner: 2 As you know, USGen New England, Inc. ("USGenNE") is in the process of purchasing Salem Harbor Station, which is located at 24 Fort Avenue in Salem, from New England Power Company ("NEP"), a subsidiary of New England Electric System. It is presently expected that the sale will be completed on September 1, 1998. As of the date the sale is complete, all Fire Department permits necessary pursuant to 527 CMR 9.00 and 527 CMR 14.00, for maintaining aboveground storage tanks for the storage of hazardous substances, combustible and flammable materials should be issued to USGenNE. To that end,USGenNE is hereby filing applications for permits to store regulated hazardous substances, combustible and flammable materials on-site at Salem Harbor Station. It is USGenNE's understanding that permits will be required to maintain the existing aboveground storage tanks at Salem Harbor Station as follows: 1. Storage of hazardous and non-hazardous chemicals: sulfuric acid and caustic (hazardous substances) and lime slurry and urea (non-hazardous); 2. Storage of propane in a single aboveground storage tank and portable cylinders; 3. Storage of hydrogen gas in stationary and portable cylinders; 4. Storage of kerosene and diesel in five (5) aboveground storage tanks. Chief Robert Turner August 28, 1998 Page 2 Enclosed are four(4)permit applications, a$40 check for the permit application fees and a list of the tanks covered by the four permits. The list identifies each tank's contents and capacity. It is presently expected that the sale of Salem Harbor Station to USGenNE will be completed on September 1, 1998. Therefore,NEP requests that the permits be issued to USGenNE effective as of September 1, 1998. In addition, on behalf of USGenNE, I am hereby notifying you,pursuant to 527 CMR 9.07(M)(5)(b),that USGenNE will be the new owner of Salem Harbor Station once the sale is completed. The names and addresses of the new owner and operator of the facility will be as follows: Owner:USGen New England, Inc. 7500 Old Georgetown Road, Suite 1300 Bethesda, MD 20814 Contact: Valarie Gill Telephone: (301) 280-6915 Operator: USGen New England, Inc. Salem Harbor Station 24 Fort Avenue Salem, MA 01970 Contact: Robert DeHart, Jr. Telephone: (978) 740-8402 Thank you for your anticipated cooperation in this matter. If you have any questions,please call me at(978) 740-8402. Very truly yours, Robert E. DeHart, Jr. Environmental Manager Enclosures cc: A.H. Aitken,NEP Turnermpd Chief.Robert Turner August 28, 1998 Page 3 cc: A.H. Aitken,NEP M.J. Atkins,NEP L.E. Bailey,NEP G.A. Hale,NEP P.A. Hamel,NEP T.E. Rogers,NEP T. Vojta,NEP M.A. Fitzgerald, Salem Harbor A.C. Wheelock, Salem Harbor J.D. Cannon, Salem Harbor L.M. Arak, Salem Harbor M.V. Carney, USGenNE V.J. Gill, USGenNE S.L Hartman,USGenNE W.B. Jacobs, Foley, Hoag & Eliot LLP, USGenNE Tumer.wpd New England Power New England Power Company Salem Harbor Station A New England Electric System company 24 Fort Avenue Salem,Massachusetts 01970-5693 Telephone: (508)740-8200 August 18, 1998 ltrl Commonwealth of Massachusetts Department of Fire Safety P.O.Boxl025 State Road Stowe,MA 01775 Attention:Michael Caputo,Engineering Inspector Subject:New England Power Co. Salem Harbor Station Tank B-4 Repair Closeout Report Dear Mike: In accordance with our discussion during your inspection of the repairs to Tank B-4 on July 14, 1998,the following information is forwarded for your review and files: Vacuum Box Testing Report for floor welds Radiographic Examination Report for the shell welds Hydrostatic Test Report I believe this submittal completes the required documentation for the repair of B-4 tank.Please advise as to the acceptability of this documentation and your approval to return this tank to service. Z tf illy,Gre Salem Harbor Station cc: L.Arak,NEP ,F.Preczewski, Salem Fire Department ti R.Dehart,NEP w/o attachments B. Smith,NEP w/o attachments r NEW ENGLAND POWER COMPANY SALEM HARBOR STATION TANK B-4 HYDROSTATIC TEST REPORT AUGUST 13,1998 By: Ernest Greer, PE OF Mqs yG E No. 9�a '�'p F is q6 r TANK B-4 HYDROSTATIC TEST REPORT PAGE 2 Executive Summary A hydrostatic test of the repaired tank B-4 as required by 527 CMR 9.0f(J) was conducted in accordance with API 653 guidelines during the period of July 21, 1998 to July 31, 1998. The test was successful, as there was ZERO loss of water during the required 24 hour hold period and the settlement of the tank was within the API recommended tolerance. ` TANK B-4 HYDROSTATIC TEST REPORT PAGE 3 Introduction Tank B-4 has been out of service since 1994. New England Power Company wishes to return this tank to service. In accordance with 527 CMR 9.0 this tank has been inspected by a Registered Professional Engineer qualified in tank inspections. Recommendations for repair of the tank were incorporated into a set of Plans For Repair of B-4 Tank. These Plans were duly submitted and approved by the necessary authorities2. Repairs were executed by New England Power Co. in accordance with the Plans and other quality control documentation such as welding procedures and welder qualifications submitted to the authorities. The completed tank repair was then inspected by a representative of the Department of Public Safety on July 14, 1998. Hydrostatic Test As required by 527 CMR 9.07 (J) a hydrostatic test of the tank was conducted in accordance with API 653 guidelines. The tank was filled with fresh water to a height of 37'-8 1/8"which is .986 of the safe fill height of 38'-1 3/8" for petroleum with a specific gravity of.986. The fill began on July 21, 1998 and continued until July 31, 1998. See attached fill log. The water was shut off at 10:30 AM on July 30 and the 24 hour hold period commenced. On July 31, 1998 at 1:00 PM at the end of the 24 hour hold period, the tank level was 37'-8 1/8". This indicated ZERO leakage. The hold period was extended due to approval delays on the discharge of the water and other commitments on resources. On August 10, 1998 at the commencement of the water discharge, the water level in the tank was still 37'-8 1/8 " indicating ZERO leakage. Edge Settlement In order to develop the out of plane edge settlement of the tank in the full condition, the edge settlement in the empty condition was first measured. This was accomplished using a laser level located inside the tank and distance to floor measurements were taken at 21 circumferential locations. See Figure 1 for the orientation of the locations. These measurements set the empty out of plane dimensions. In order to track the tank settlement from the outside of the tank during the fill process, the circumferential reference points were transferred to the outside of the tank and at those points, the tank bottom elevations were referenced to a fixed benchmark on the containment structure wall. 1 Robert Friess, R.A.F. Services,Inc.,Reports dated 4/94,8/97,and 1/98 '- Plans reviewed by Local Fire Dept,Local Building Inspector,Department of Public Safety,March 1998 3 Michael Caputo,Department of Public Safety TANK B-4 HYDROSTATIC TEST REPORT PAGE 4 During the fill process, relative settlement could be determined by the change in elevation of the outside circimferential reference points relative to the benchmark. Table 1 shows the initial empty condition settlement as level=0 and the differential settlement at the full condition as level=37'-8". The total settlement figures are shown as sum. The difference between the smallest settlement and the rest of the settlements is shown as net. As outlined in API 653 Appendix B, a.sine curve was fitted to the settlement data. See Figure 2. Out of plane settlements Ui and out of plane deflections Si-were calculated. The maximum out of plane deflection of 1.22"was within the API recommended maximum limit of 1.49". Therefore the settlement was acceptable. SALEM HARBOR STATION TANK B-4 HYDROSTATIC TEST REPORT TANK SETTLEMENT ORIENTATION REFERENCE i i o � Z l .3 17 � l6 S 7 9 )o ►� - �a FIGURE 1 TABLE 1 SALEM HARBOR STATION TANK B-4 HYDROTEST SETTLEMENT EVALUATION Settlement Data Sine Curve Parameters a= 1.7 b= 0.5 c= -0.65 Cir loc Ievel=0 level=37'-8" sum net settlemt sine curve U-settlemt S-settlemt 0 -0.125 -0.75 -0.875 0 -0.25 -0.1542 -0.0958 0.0405 1 -0.125 -0.625 -0.75 1 -0.125 -0.1952 0.0702 0.1673 2 -0.5 -0.5 -1 2 -0.375 -0.2766 -0.0984 -0.2666 3 -0.25 -0.5 -0.75 3 -0.125 -0.3912 0.2662 0.1760 4 -0.25 -0.625 -0.875 4 -0.25 -0.5288 0.2788 0.1196 5 -0.625 -0.625 -1.25 5 -0.625 -0.6772 0.0522 -0.3113 6 -0.5 -0.5 -1 6 -0.375 -0.8231 0.4481 0.3827 7 -1.125 -0.375 -1.5 7 -0.875 0.9537 0.0787 0.0490 8 -1.25 -0.625 -1.875 8 -1.25 -1.0573 -0.1927 -0.2944 9 -1 -0.625 -1.625 9 -1 -1.1247 0.1247 0.3961 10 -0.875 -1.25 -2.125 10 -1.5 -1.1499 -0.3501 0.2722 11 -1.25 -1.875 -3.125 11 -2.5 -1.1307 -1.3693 -1.2286 <<maximum value 12 -1.25 -0.375 -1.625 12 -1 -1.0688 0.0688 0.5811 13 -0.75 -0.5 -1.25 13 -0.625 -0.9696 0.3446 0.0767 14 -0.375 -0.625 -1 14 -0.375 -0.8421 0.4671 0.0085 15 0 -0.75 -0.75 15 -0.125 -0.6975 0.5725 0.1271 16 0 -0.75 -0.75 16 -0.125 -0.5487 0.4237 0.0580 17 0 -0.875 -0.875 17 -0.25 -0.4089 0.1589 -0.1982 18 0 -0.625 -0.625 18 0 -0.2905 0.2905 0.4215 19 -0.75 -0.5 -1.25 19 -0.625 -0.2040 -0.4210 -0.3948 20 -0.625 -0.5 -1.125 20 -0.5 -0.1572 -0.3428 -0.0844 Allowable Out of Plane Value=[S]=(L^2)*Y*11*12/(2*E*H) =(29.9^2)*30000*11*12/(2*29000000*40)= 1.49" Settlement O.K. TANK B-4 SETTLEMENT s v P P m t ,�a�.� � �.q Sad. r � •t� E�n.S�7 t :a �V� V� 1 1 1 {. �t . t � �} s e sine curve x R�a� ����r'�"AI�IIa�'Q"� �� � I� a 3 �3.�•�`�. �. � ��'�`�t '�c K"^, t A� r/ 2 .5 �t •a � a��.t �n`rc • t4°4 � � ..' �� >z F -�7� 3 Circumferential Location FIGURE 2 r TANK B-4 HYDROSTATIC TEST REPORT PAGE 5 APPENDIX Tank Fill Log Tank Settlement Data f 2-4 F i bC LoCi Q � JW mz PEG PROFS ��Z! 8 9•ou PM -3/z �j'!"/�,2t R f,L Q C,�t q Wa�C/a PSc: E Utl t✓� Gl ;,(��ft�i�/'es�. o 00 step V4LV0 AT- U �t lea,+t t l 00 5 POYL 3!3dpM '��` 1" 1�e�0rt 1A( 'tat N e S S I Rc) � d►�� i- S p� C�oJ e V,a I ve 4v �u4 v,-p zv Ps—tG/ la We 3G Iti.I-G (Owj,)av,,�S ;tvmn J .�l�/ Zi-Te 1v i 7001p � m gAjF n.v4c,� 4v C,1,u lULve ALL SF—SD CA ��p �? s� �. �ry S i �v 38 37- �'%g' S P(' 9 �LL �� 116' l-rU r a4v(<� 7�31 �8 I Z 3 37-9',�� 5 70"9: -32 2 -.T _-6 C)a -:'.".%:9-0 0 62 9:­4 1:2'9 2 67 77 . 6.8.'.4 2 9 Z-V ­2-_0,7� -_7 6 7 -4 �9'0�2:2�3 61 571 '-'%-901' 8 9". 59�69 8 6-6'�'_ 1 6 8:819 5 8'5 ­�,-2 O'S'l-,4'3 9 7- 6 9'0 119 A�84 0 9:0*-9 ��'T'3 01 65 -2 4 8 68 6-1-1 2 4'�7"'� -7 3 '6 9 , �7 `6 1 , , 1 -9 fe,311 61 1-06 7. 1 982 2" F4 A 1-3 0'6`3 1 _Q9`,5'4 5 7 8"';6 V 3 6 3,3 .5,27'�-7 2 Cr­',9f.9-2 7. 5 1 �3'1':O 98 5-6 VTO-2,95 1:4 13'V5 65 1-9,'',2 1'jq T 62 3.8 C-:•-,`2 1�`Q Qj 13 tt vl: 0:99 51 V-��,'5 3`2�3 8 923-9 3 .1-'.9 1 1 7-1.� -31 8 2' -.1211- "60 3 2 1 a4-5,.65 4 4­j0:,­,:5 -04 -1'j-2 0, 5"'Aa 11" -0 1" 13-7 6.8-:�,:. -�W9 2 8 60 V-3;­•10,� 96 4 77— 5 0,31 3`1 - W., jj�E," 5`4"T'T 0 16.. 3`3�2 6 4 3�,Jl 98 4 6-, 1 7 V6 96 9 2 1 Vv-""2 e 0.94 7 59 10�:-,:5'4,6-36 8_ -3 '9 31 V7,21 64 1,4 1 4 8 6 z 521, �T .3.7'9'2 7:4 :X'� 1 2.9'6 5 0 3 5 9 63 0,9 lf*..!D;5 51:.02 79 4'2 5 9 0 4�"' 1��. ­7 4­31 7,2'- �i," V7 2.6 4�6 '��V"-2 17.1,8 82 1 -3- A 6 4 2 8 916-,­V!,�:.5 5-5,*6,8 9m9-A�:?,L2,'­'.':' -4 3,5,"2- 1:3-3*8-98 3.6-,­2',j 7.3 O�9 8 T 3 "'42-42 t 2 j-, .9 4 0 V6 6 0 0*�Lj" ";`-+'Y6 .9 4 8 .1,91 6 6 jl:�4'63 64 99 1 71-3- 2-V2 81"6 6 7 I _§_ 6 3 7'4'0.3-3 �9 -3 9 4--% 4-,' 4 4.,�w";.5TT 1 1'5 .56-5 7 9 6' 4 Y, 1 62 2!7 7-8 TS 561 5',6.96­7 T-2 1'3'5:2..98 2f6­'t �1•7.4 5 00 5-4'"-.`:V,,'­'2-V3 T51 2 1­'S­'1' 4 2'V.' -2-1-4 J-3716 4 8,9 i.;-, 1,-.7.4.9�67 81`�" 9 -2:1,8 4 8 L8:2,12 412 '85 T5 &�9 9 1 7 5 4:3 5 0 1�4'6 ­ 7--, 3 0 2 8 X5" 4 e 8i3,6'5 91 i5­2J.1 9.*'-'-. j 676-.9 8 1:&­:�S'-A-7 5 9 CY2 _620 2 9� 5.8*8'31 5': r'TT4 8'9 '�A%34+.6 4 7:9�i�vi.JJ6,3''6.2 2:1 k 5 81 0 1!6:0'8 7 5'6 _T_ Ia. 2';o 1,75 5 8-3�' 2-,9 T 6f 3��',Ao t�'.:'_.9.8 4�5 5 8,0:'�Jc-� 1 37:6-'3A C2 ­10%,1�7 6 8�13 6 9, 24�6--5-' 8 3 74'e"�:'A 16�41:.9'8 9A2 2 j JL .:,3 8 '98- �0'6 21 7.0-.,, 1 L� 5-A T 7­71 4 8 4 A 25 1,-.3 8 5'6 4 391'-:4�'2+7zo :)1 6 9 46 69.1�',32 1. -0,87 .29 T9 18 4 2."­1 i*,':-'6:0.6:9 5 8-7e'..-: 9,9 85 4 7-2�; 4 8.8 5'4 -5 9:1-._4 3 TABLE�OF'FRAGTIO.:'6 111�:6 1 9.:.5 7,V0.0 J 21 0.3 • 2:",-1 3.9 4 9.7 9 5. 1 7 8 7.'0 2,1._,2-V7,9'5 5 0:V9 2� �'NQV­A FLICABLE'A 2� 5 1 3:. '­6'T.6'2.5 W3 ��'1`0,0 7�8 7 33e : :3 9.9 64 5 9 3 2:4(,*,,,3--,!-,!,2(V 84 Z2 2 5* 2.4 S' -89 1 �"­6 2(0,9 4 U "j 01 2,5 3 6-4 C."Al 4'0 4 3 1 2 7 9-6-4 U 51 8'8' HELO .7 f 5;: 1 8 .7,�2 2 9_5 C) 9 8' 3.0", 2.3 4. 1.6 dA", 6'2i-5'6 0 U,9,-i -9 9�5­�` .1408 9 0 1 07 7 0 7 1 s :� - a , 2 6 �.L4 jE2� .9 2'3 8 82 T 6A .-'�LB Q 51 -4 9 8 8 1- 7 1 3 5 5­7 0 2 6�52 "'2-4 �48 5,111-- U 1 2 4 2 7 ol-"1 2," 9 01-55 2 '3 1� 4 4 V_' .58 .0 1. -5 5 8 .24844.1 1 §.";k * ��q 3 0 2 T,�.-'9 �-6 4 4'2 4 '04 5P85 I-7:.:;L'9- 1'4'2 7 6 4 Y9;'� '2 2 2 A 1­8_2C%4'4 1 T 4. 9:8-.1 0 6 1�2 2 6 R J� '5'T -6--7 0:4. -7 T 9.-.'-, 4'J 9 6, 'Q4.08 4 40 '41 37;8 6'T."',' _Y%,12 5-,8 44-1 64 47 2 6�6�7 7 .fV3 &A 5 J 9'414 6 1(4L�7`1,4 3 A ',0'545 0 '6 710' T 610 9 5:'-3' 4 0 9.1" .5'o' 9.7 5.5 -�'2 L'L 5 a 3,0., -8 4`7.,A(1 .4. '.7'2';2 0 - 2_;5 0L�.3 8 6 9 8 3 o,jr 1;9 a 8. 5 '3 ­4' 7 U 6%!r- 4'i t 4476" 5­2 4;7 �4 1 7 1�'3.j '5 '&51`1 5 0' /7-_77 16 6: 0'0 7 0 6 8 1,5-3 4:-`--'-',S` A:5 6_,L)'�: s 6'C97 4 -4 U 5/16­:.t..,�--,'.� U'45 '0 7 TS 1 9-:V`,-.'- 6- V4 6'9-.6 86 U-1 f. -30 7 /a 9 9.,3 8 90,8 5 -3 0 2'. 113 8 2 48 4 8.6 6 9 2JL-_' a 7116 ...304 04 612'�,, ''6-9 5 5 1 08*7 U4 5 4z'. ;'Z 04 AJ_ - ;'� 8 7 5'8 4 jup e,-,30 817 U j': 1�808 0 V.7 46 1"A '8 3t6 3 9 8 8,0�51 3 1 10 3­1-_-3`3 8 3- 7:D'4'K3 5�4; 0 9"6`41 j 62 1 4' 3 .8 &30 1_D1 - 5/8 L ­11. *�E '2 _Ar-: .'8 8 51-8 6'14 3iF,8-02 1*7.1:�*411.:.'­7.0-9,4,9"' 2 5 2.91 5' +015 T9 &Af 8 0 2--�', 131�;�� T-T:4F� 167%. 0�.�' I T 27 1 4: 1-4 6�9-9-5 91' 8 "TT-'W4�6T)i 9475i T78- 12,7-3-3 8T;b:­'j".-.,71 34 2: -7, 415 7 2 3 8" 1 5,0 6 9 7 1.5�_­ -A 0 8 _e3 9�4 7 F 8 '-,3-3'6.6 12 8 t I V,1`9�7 8 6 9 �71-1. 6 3 f6­71�=f�B -5 5 6 15/16 7 9 4 i�;�7-47.mo 8`54 .4- ­3�4.U-3'1 41 4 7,3-2'80 0 1"T:2-44 4 9.9�-'i.4 0 34-5-97 -7.3,T4-6 1 30 5 5 2 5 3-5 0'6 3,1.1 67 Jf 4 2:1-2 11 3--3:7 7 6 1­�'- 5 2,5 63 6 8 9 1'78 9 5 2 -2811- -I'l c-'3�8:4'3 9,1 6,­ ­17.4 6 7*8 2 6'-,.-. '5 J 0,30 3 2 9 2,5`6 V; -3 5 5 A 2 2 3 5 9...9 4 Bb 1,' 7 5, 1 4 4 3*­ �53.496 9 58-l"T� :7 24 0,6-- J 6 4 60 6 5 -9 7-5 6*1 0 4 -2., 4'V7 6 5 1,-—q A�5 3 9 6 3 5 8'­-9 :'1 9 3 1 3-6 58 6-0 ; 101-` -0-76 5 0 W�tt'T5'2 4 -5.4 4�3 0 2 3 6'9 2 6 50, 10', 76 J.7j 92 3 5 �',7-6 5 5A 1:V5_7 0 9 V4 4 25 8 V STA prt0ni DA: APRIL: �TAN HEIOHT,,#', ,�GAGE'.NEI )p OX"A' 6'RT','!`4 0 t APP Ok;-'DIAMETER­.°'�066'h.' NOTY, ­wME�'AT':0 -0 f T, INNAOE TABLE BET.owll�Gt.dlija 00 5f, oiog 2'o 62 2 9 'o 8 2 8' 5 3 0 3'�6­ 94 9 9 1 9 4 6 2 7 6 0 8 2 5 8 3 j 27 2 2 4,3 �82 0�7-5 51. 2 Z2 0.8 9 "o Alco, ' o 76 412 K 9 R p CROWN'.-BOTT014"O lOtt-IiEb: ti1,!%AR' RE'L"S' 4 GAil 0- CO 11 ` OF- 2:11"� 6 vF- '4 -n; Pry �sT "�"L s -Elw�at I 4 �- 7/?I � i���QB teve o 3 3'1-8 a o s""y 4 5 y% 6�5-I z -4/4 1 s-q z sit 3 .5 I �z 6O 'lg �v io +-g8 5-2 - 111 5^� y4 �314 t 9 S -3/4 o Z 7 -�4nAS q d //8 � s trz �3/0 T ! Z �Pj 4 6 3 1 W t S S i4 �, 7 s2 /4 - 1 �4 0 ���- (\1I 5-1 �00 60 _ FESS 17- 13 s,t- %S s77/9 za �5'F8 1 y s_4 ' 9 5- 3!4 ss /z. - '% 15- sz, 4 S M /4 5 7 - ?14 16 S6 r/z s9 'l 2 4 -"7 %4 - 3/4 7 5-6 1/9 Is- 56 ` z I q 4 20 sq G 3/,6, llZ - 1!Z �u�i-io-i»o ic•r�o bNELSON CUNNHNItb 1N1... P.O1 A .R. WATSO N, VISA Watson Air Lill.Tedrnology 601 W.State Street / PO Box 739 / SedmvooW WA 98284 (600)294.5102 / (360)3560571 / rrx(360)8%.6441 3210 Beltline Road Suite 124 / Dallas.Texas 75234 (214)241-8900 ► FAx(214)241-8914 May 15, 1998 Mr. Ernest Greer New England Power Salem Harbor Station 24 Fort Avenue . Salem, MA 01970 Fax (978) 740-8358 Subject: Tank B-4 Final Elevation Dear Ernie.- Per our discussion, to follow are final elevations for Tank B-4. Elevations were taken at every welded vertical seam in the bottom course. Number of seams: 21 0 24" Man-Way Pipe Work I �i a� ...w , ...v JIVCt.7ulV .ViirnivtC.7 ir .. P.02 A.R. WATsom May 18, 1998 USA Page 2 A table of final elevation readings for Tank B-4 are as follows: POSITION MEASUREMENT O 4' 10-1/8" 1 4' 10-1/8" 2 4" 10-112" 3 4' 1 0-1/4" 4 4' 10-1/4" 5 4' 1 0-5/8" 6 4' 10-112" 7 4' 1 1-1/8" 8 4' 11-1/4" (lowest) g 4' 11" 10 4' 10-7/8" 11 4' 11-1/4" 12 4' 11-1/4" 13 4' 10-3/4" 14 4' 10-3/8" 15 4' 10" } 16 4' 10" } 17 4' 10" } (highest) 18 4' 10" } 1 g 4' 10-3/4" 20 4' 10-518" Note: Tank prior to lift was 3-5/8' out of level. Lowest Highest 11-1/4" 10" = 1-1/4" Tank is within + 5/8" If you have any questions, please contact me at(360) 507-5486. Best Regards, A. .,WATSON USA, LLC c Vince Refoy Tank Manager /kgp TOTAL P.02 NEPSCO Ocean State Testing, Inc. Quality Control 265 CONWAY AVENUE • NORTH KINGSTOWN,RI 02852-7532 Accepted Bej—d TEL:(401)294-2258 • FAX(401)885-2270 RADIOGRAPHIC INSPECTION REPORT °r CUSTOMER PO# LOCATION DATE Drawing/Rev. Film Dev. Specification U Auto ASME ❑A�271 ❑ Original Manual Other Repair ❑ R Pipe Size/Material { JT Viewing Tech - �i u1T� � — Single �t 1 Double ❑ EQUIPMENT USED SET UP PENETRAMETER/SHIM FILM X-RAY: SFD INCHES MATERIAL USED TYPE(S)USED PENET SHIM MFR IDENT SOURCE OFFSET INCHES GROUPI ❑ KODAK AA C TO MC R❑ KV MA SOURCE SIDE STA#e GROUP III ❑ ❑ GEVAERT D7 ❑ 04❑ FOCAL SPOT SIZE GROUP IV f 1 F-1. DUPONT 75 f] 65 ❑ 55 FILM SIDE STA a L 1 ISOTOPE: IR19 C060❑ OTHER e+ i GAF 200 C 400 ❑ 800 G CURIES LEAD LETTER B PENET SI 4 1!V1 �G FUJI 50 ❑ 80 ❑ 100� ��, 2T QUALITY LEVEL ❑ PHYSICAL c SHIM SIZE THICKNESS OF SCREENS SOURCE SIZE 6 J W I W �1 4T QUALITY LEVEL ❑ SLOTTED SHIM USED C FRONT • !v,tO INCH Pb EXPOSURE TIME CU LO INCH Pb BASE MATERIAL PART G REAR • 1T QUALITY LEVEL❑ OF SHIM PIPING STRUCTURAL TECHNIQUE USED STATIONS SOURCE STA# #OF A A A EXPOSED PLACEMENT PLACEMENT FILM SINGLE CONTACT SOURCE PArJO_ UP TO 1-112" 2` TO 3-1/2' WALL INSIDE RAMIC DOUBL.EWALL ❑ ❑ ❑ ❑ ❑ ❑ ❑ SOURCE PLACEMENT NUMBER OF FILM EACH CASSETTE SUPER IMPOSED CIRCLE OR ENTER STATIONS EXPOSED NORMAL ❑ ❑ ❑ REVERSE ELLIPSE I ELLIPSE 0• 90 PENT R SKIM WELD DEFECT TYPE STATION LP LF SL PO UC CR TU HL BT COMMENTS ACCEPT REJECT - 3 1 IA RADIOGRAPHER/INTERPRETER: ASNT LVL� DAQ CO Ocean State Testing, Inc. NEy Co Quality Control 265 CONWAY AVENUE • NORTH KINGSTOWN,RI 02852-7532 A...I-d TEL:(401)294-2258 • FAX(401)885-2270 RADIOGRAPHIC INSPECTION REPORT nY CUSTOMER PO# LOCATION DATE Drawing/Rev. Film Dev. Specification U ec�_ Auto ❑ ASME ❑ ,l-271 ❑ Original Manual Other Repair ❑ R Pipe Size/Material 6 i Af Viewing Tech 11 rn i Single • d✓O PLA 'mv — j Double ❑ EQUIPMENT USED SET UP PENETRAMETER/SHIM FILM X-RAY: SFD INCHES MATERIAL USED TYPE(S)USED PENET SHIM MFR IDENT SOURCE OFFSET CHES GROUP I ❑ KODAK AA C T❑ MC R O KV MA SOURCE SIDE STA 11 7 GROUP III ❑ ❑ GEVAERT D7 ❑ D4 ❑ FOCAL SPOT SIZE FILM SIDE STA# L. GROUP IV n F] DUPONT 75 C 65 ❑ 55 ❑ ISOTOPE: IR192 C060❑ / OTHER 11, GAF 200 ❑ 400 ❑ 800 G CURI Srk -jo LEAD LETTER B 1C/ PENET SI FUJI 50 C: 80 0 too �O 1 2T QUALITY LEVEL❑ w v PHYSICAL SHIM SIZE THICKNESS OF SCREENS SOURCE SIZE ()D 4T QUALITY LEVEL❑ I� SLOTTED SHIM USED ❑ FRONT�/�'J� INCH Pb EXPOSURE TIME BASE MATERIAL PART C REAR_ 0010.INCH Pb 1TQUALITY LEVEL❑ OF SHIM h 1 PIPING STRUCTURAL TECHNIQUE USED STATIONS SOURCE STA# #OF A A /\ EXPOSED PLACEMENT PLACEMENT FILM SINGLE CONTACT SOURCE PAt10- UP TO t-tit 2" TO J-1i2" WALL INSIDE RAMIC DOUBLEWALL ❑ ❑ ❑ ❑ ❑ ❑ ❑ SOUnCE PLACEMENT NUMBER OF FILM EACH CASSETTE SUPER IMPOSED CIRCLE OR ENTER STATIONS EXPOSED NORMAL ❑ ❑ ❑ R VEnSE ELLIPSE ELLIPSE � I � ELLIPSE 1 90 A NE i• �� 6*N II 2 � WELD DEFECT TYPE STATION LP LF SL PO UC CR TU HL BT COMMENTS ACCEPT REJECT eA RADIOGRAPHER/INTERPRETER: ASNT LVL' DATT NEPSCO Ocean State Testing, Inc. Quality Control 265 CONWAY AVENUE • NORTH KINGSTOWN,RI 02852-7532 Ac>c Tp-d 1Be�eQed TEL:(401)294-2258 • FAX(401)885-2270 By RADIOGRAPHIC INSPECTION REPORT CUSTOMER POp LOCATION DATE z —J e-A Cn M I — Drawing/Rev. Film Dev. Specification Used Auto ❑/ ASME C-) AR�7+ 271 ❑ Original Manual Other Repair ❑ R Pipe Size/Material I J6)T Viewing Tech �� / • a` Single Double ❑ EQUIPMENT USED SET UP PENETRAMETER/SHIM FILM X-RAY: SFD INCHES MATERIAL USED TYPE(S)USED PENET SHIM SOURCE OFFSET HES MFR IDENT GROUP I � ❑ KODAK AA C T❑ MO R❑ KV MA SOURCE SIDE STA q GROUP III ❑- ❑ GEVAERT D7 ❑ D4 ❑ FOCAL SPOT SIZE GROUP IV ❑ ❑ DUPONT 75 ❑ 65 ❑ 55 ❑ FILM SIDE STA q C ISOTOP : I8192 C0600 OTHER GAF 200 C 400 ❑ 800 ❑ CURT • SpFiAI!^n A LEAD LETTER B PENET SI j ) FUJI 50 ❑ 80 ❑ 100 I�(�—�(J 2T QUALITY LEVEL ❑ p `�' ize'5 PHYSICAL y OD� �1 SHIM SIZE THICKNESS OF SCREENS SOURCE SIZE ^ • )1`"C 4T QUALITY LEVEL ❑ SLOTTED SHIM USED ❑ FRONT • (©T INCH Pb EXPOSURE TIME l t INCH Pb 1T QUALITY LEVEL❑, BASE MATERIAL PART ❑ REAR • OF SHIM PIPING STRUCTURAL TECHNIQUE USED STATIONS SOURCE STA# #OF A A /\ EXPOSED PLACEMENT PLACEMENT FILM SINGLE CONTACT SOUR PAntO- UP TO 1-1/2- 2' TO "1-112, WALL INSIDE RAMIC DOUHI FWALL ❑ ❑ ❑ ❑ ❑ ❑ ❑ SOURCE PLACEMENT NUMBER OF FILM EACHCASSETTE SUPER IMPOSED CIRCLE OR ENTER STATIONS EXPOSED NORMAL ❑ ❑ ❑ REVERSE ELLIPSE � I / ELLIPSE p• 90 PFNE A SHIM 1 2 3 WELD DEFECT TYPE STATION LP LF SL PO UC CR TU HL BT COMMENTS ACCEPT REJECT RADIOGRAPHER/INTERPRETER: ASNT LVL-- DA�: NEPSCO Ocean State Testing, Inc. Quality Control 265 CONWAY AVENUE • NORTH KINGSTOWN,RI 02852-7532 Accepted Scjaacd TEL:(401)294.2258 • FAX(401)885-2270 ay ' RADIOGRAPHIC INSPECTION REPORT CUSTOMER PO# LOCATION z DATE S 0 •7/� - -7- ►S-g8 Drawing/Rev. Film Dev. Specification U �}�+ Auto ❑ ASME ❑/ 1'-{- 271 ❑ Original ❑�� 1 Manual Other �n Repair ;' R .— Pipe Size/Material 301kr—I Ax- Viewing Tech C l� — 1/1 SingleJ 1 Double ❑ EQUIPMENT USED SET UP PENET AMETER/SHIM FILM X-RAY: SFD INCHES MATERIAL USED TYPE(S)USED PENET SHIM MFR IDENT SOURCE OFFSET INCHES GROUP I ❑ KODAK AA C TO MO R O KV MA SOURCE SIDE STA# GROUP III ❑ ❑ GEVAERT D7❑ D4 O FOCAL SPOT SIZE GROUP IV 11 I] DUPONT 75 O 65 O 55 ❑ FILM SIDE STA# L_ ISOTOPE: IR119Q92 CO60❑ / OTHER j� GAF 200 C 400 ❑ 800 ❑ CURII ' L S I L LEAD LETTER B P/ PENET S !� FUJI 50 0 80 ❑ 100 PHYSICAL O^ . I 2T QUALITY LEVEL f7 Y / SHIM SIZE THICKNESS OF SCREENS SOURCE SIZE Oa� w IR-.e 4T QUALITY LEVEL ❑ SLOTTED SHIM USED ❑ FRONT # Q O INCH Pb EXPOSURE TIME 1T QUALITY LEVEL ❑ BASE MATERIAL PART C REAR 01 O INCH Pb t OF SHIM ro PIPING STRUCTURAL TECHNIQUE USED STATIONS SOURCE STA# #OF A A A EXPOSED PLACEMENT PLACEMENT FILM SINGLE CONTACT SOURCE PAtIO- UP TO 1-112" 2' TO 9-112' y �s O C WALL INSIDE RAMIC DOUBLEWALL ❑ ❑ ❑ ❑ ❑ ❑ ❑ SOURCE PLACEMENT NUMBER OF FILM EACH CASSETTE SUPER IMPOSED CIRCLE OR ENTER STATIONS EXPOSED NORMAL ❑ ❑ ❑ REVERSE ELLIPSE I ELLIPSE 0� 90 PFNE 6 SHIM 1 2 3 WELD DEFECT TYPE STATION LP LF SL I PO I UC CR TU HL BT COMMENTS ACCEPT REJECT RADIOGRAPHER/INTERPRETER: ASNT LVL DAT NEPSCO Ocean State Testing, Inc. Quality Control 265 CONWAY AVENUE • NORTH KINGSTOWN,RI 02852-7532 _ Accepted SK R-j d TEL:(401)294-2258 • FAX(401)885-2270 RADIOGRAPHIC INSPECTION REPORT a' CUSTOMER POri LOCATIQIrn DATE - ► -q8 Drawing/Rev. Film Dev. Specification Used Auto ❑ ASME ❑ 271 ❑ Original ❑/ Manual Other - Repair R Pipe Size/Material ,SOINT Viewing Tech �� %L4 Single �� (� v Double ❑ EQUIPMENT USED SET UP PENETRAMETER/SHIM FILM X-RAY: SFD INCHES MATERIAL USED TYPE(S)USED PENET SHIM MFR (DENT SOURCE OFFSET CHES GROUP I ❑ KODAK AA C TO M❑ R❑ KV MA SOURCE SIDE STA# GROUP III ❑ ❑ GEVAERT D7❑ D4❑ FOCAL SPOT SIZE GROUP IV ❑ ❑ DUPONT 75 ❑ 65 ❑ 55 ❑ FILM SIDE STA q ❑ ISOTO=IRI92O60C OTHER k1 GAF 200 ❑ 400 ❑ 800❑CURIEL LEAD LETTER 8 PENET [.L FUJI 50 C 80 C 100 2T QUALITY LEVEL ❑ SHIM SIZE THICKNESS OF SCREENS PHYSICAL I t O�� w 1 SOURCE SIZE 4T QUALITY LEVEL ❑ SLOTTED SHIM USED ❑ FRONT • N INCH Pb EXPOSURE TIME BASE MATERIAL PART C REAR • INCH Pb 3 . 1T QUALITY LEVEL❑ OF SHIM PIPING STRUCTURAL TECHNIQUE USED STATIONS SOURCE STA p B OF A A A EXPOSED PLACEMENT PLACEMENT FILM Oo �_s IDS oulr� UP TO 1-112' 2 TO .-vz SINGLE CONTACT SOURCE PAMIC WALL INSIDE RAMIC DOUBI.FWALL ❑ ❑ ❑ ❑ ❑ ❑ ❑ SOURCE PLACEMErJr NUMBER OF FILM EACH CASSETTE SUPER IMPOSED NOnMAL ❑ ❑ ❑ REVERSE CIRCLE OR ENTER STATIONS EXPOSED ELLIPSE I / ELLIPSE PFNF 0. 90 6 SHIM 1 2 3 WELD DEFECT TYPE STATION LP LF SL PO I UC CR TU HL BT COMMENTS ACCEPT REJECT RADIOGRAPHER/INTERPRETER: ASNT LVL- DAT�-- NEPSCO Ocean State Testing, Inc. Quality Control 265 CONWAY AVENUE • NORTH KINGSTOWN,RI 02852-7532 Acccpma L1Q gCjCXd 0 TEL:(401)294-2258 • FAX(401)885-2270 D RADIOGRAPHIC INSPECTION REPORT r CUSTOMER PO# LOCATION DATE SCE — IS; 8 Drawing/Rev. Film Dev. Specification Auto ❑ ASME ❑ 271 ❑ Original ❑/ Manua Other Repair R Pipe Size/Material Viewing Tech • 4 . aS ('c�r� S — 19 H 1 o eee ❑ EQUIPMENT USED SET UTo PENETRAMETER/SHIM FILM X-RAY: SFD INCHES MATERIAL USED TYPE(S)USED PENET SHIM MFR IDENT SOURCE OFFSET INCHES GROUPI ❑ KODAK AA C TO M❑ R❑ KV MA SOURCE SIDE STA p� GROUP III ❑ ❑ GEVAERT D7 ❑ D4 ❑ FOCAL SPOT SIZE GROUP IV f i rl DUPONT 75 P, 65 ❑ 55 ❑ FILM SIDE STA p L ISOTOP : IR1C060 C / OTHER GAF 200 C 400 ❑ 800❑ CURT • S� a J LEAD LETTER B. PENET SI FUJI 50 ❑ 800 100 N �t 2T QUALITY LEV/E�L�❑ PHYSICALS X•1 O( Cam% n SHIM SIZE THICKNESS OF SCREENS SOURCE SIZES . II„c 4T QUALITY LEVEL ❑ SLOTTED SHIM USED ❑ FRONT "d!U INCH Pb EXPOSURE TIME 1T QUALITY LEVEL El OF MATERIAL PART❑ REAR • O INCH Pb OF SHIM ` PIPING STRUCTURAL TECHNIQUE USED STATIONS SOURCE STA# A OF A A EXPOSED PLACEMENT PLACEMENT FILM �� UP TO 1-v2 2 TO .-1/2 SINGLE CONTACT SOURCE PAIJO- WALL INSIDE RAMIC DOUBLEWALL ❑ ❑ ❑ ❑ ❑ ❑ ❑ s— ti 4I I1 SOURCE PLACEMFPII NUMBER OF FILM EACH CASSETTE SUPER IMPOSED CIRCLE OR ENTER STATIONS EXPOSED NORMAL ❑ ❑ ❑ REVERSE ELLIPSE I ELLIPSE 0• 90 PEKE S SHIM 1 2 3 WELD DEFECT TYPE STATION LP LF SL PO UC CR TU HL BT COMMENTS ACCEPT REJECT RADIOGRAPHER/INTERPRETER: ASNT LVL DATE! JUL.-12-90 09: 10 PM OCEAN STATE TESTING INC_ 065 2270 P.02 07,09:'09 13:02 F-U SUS 740 9364 NEPSCO QC SH Q001 I N H 0 ,n V I IS 4"1 Ic y 1.04Z 6~ TKK. TKK- 07/12/98 20:04 TX/RX N0.0940 P.002 f ;AbUd—,17-98 10 : 19 AM OCEAN STATE TESTING INC. 885 2270 P. 01 0 S T 1 OCEAN STA1 E TESTING, INC. 7.65 CONWAY AVENUE Qf'U INVUSMIA1 PARK NORM KINGSTOWN. R.I. 02H52 iAUl l 244.22`A INSPECTIO REPORT B-4 011 , STORAGE; TAN K SALLM I IARBOR STATION SAL M, MA, INSpf7C"I'I0N BY: D. McCann R. 'fait DA.TE.- July 17, 1998 08/17/98 09:12 TX/R.X N0.0963 P.001 �UC;-17-98 10 : 19 AM OCEAN STATE TESTING INC. 885 2270 P. 02 1 01-JIPMENT VACUUM BOX-------------------------------------------LAP SEAM-OS-1 VACUUM TIOX MEDIUM------------------------------SEAMTFST CONC. i MAGNETIC PARTICLE YOKE AC MY MEDIUM---------------------------------------------MAGNAGLOW 14AM BLACK LIGHT------------------------------------------SPEC RO MOD I31I3 08/17/98 09: 12 TX/RX N0.0963 P.002 ,. AJJG-19-98 10 :41 AM OCEAN STATE TESTING INC. 885 2270 P. 01 SUMMARY INSPECTION RESULTS Magnetic Particle Results: 85.5' of tank- corner welds were inspected by the wct flourescc:nt method. No rcjectabic areas were found. (see MT report) VACUUM BOX RESULTS: Tank floor was divided into 7 segments. One leak was detected in area 7 ( sec sketch). This leak was subsequently repaired, retested and found acceptable. 08/18/98 09:35 TX/RX N0.0964 P.001 f ,• A,Ud717-98 10 :20 AM OCEAN STATE TESTING INC. 895 2270 P. 03 --------------------------------------------- --- ----____------ ---------_; OCEAN STATE TESTING 265 CONWAY AVE ; _- NORTH KINGSTOWN R .I . ; ----------------�--------- -----_-_---_____--_----__--------..____------------� 1 MAGNETIC PARTICLE� EXAMINATION REPORT 1 1 1 1 ---------.__•_--- ---_.-------------- ___-__-.-----___-__ 'CUSTOMER 'CONTRACT/PO NO � D ;NEW ENGLAND POWER CO . ; Verbal Ken Brusgilus ; JAly . 17 ,1998 ---------------------------- PROCEDURE: + ' , METHOD= :EQUIPMENT TYPE: ; OSTI-MT-01 Rev . 1 ; WET FLOURESENT( BLACK LT . );ECONO YOKE AC ' --------------------------REFERENC E ' ;MATERIAL TYPE: ; J08 NO: SALEM HARBOR STATION ; STEEL ; B-4 OST ' 1 -----------------__-___-- '--_____-- __----- -----------------------------' --- .. ' + 1 QtY . ; Item Identification/Serial/Ht No. Comments Accept ; ReJect ; -----;--_----------- ------ --------------- --- ' 85.5 ' ; B-4 OIL STORAGE TANK :( SEE SKETCH ) ; R.5 ,5 ► O' I + I 1 I 1 1 --.___ ,--__---•----------t-..._..._..,..,.._•---------...^_.----...... ---_ .---------1 1--------..._ 1 1 _ + _--_._...--------------------.....-...._........_._. . .........._...»-........-•+;+�++lI+I11+I�I�+I, --.---------_.--...--...--...--,..,.--..--.._--.-�1-/IIfII,'I+I 111{II1�1 I1II -----_-------...-.......;;f11I111I11+1j11I11I I r1I . -_-.-----_-__-.-_--...--.. _- . --- ------------------ _--. . - -.. ----------------.--"_-_-- --._. _ . _ -----------. -- .----------- ------- ------------------ _---- .. ..------_-------- - ---- ------- -- _. . --------_----_------ ---------------- -----_. . . ----------- . ----- - v- -- 11111111I1l1'11{1{,1!1 '1{! i _-- __ ---- - 4SNTLEVELIIINSPECTED 6Y :DF .McCann/R .Tait� � - .---..------------ -� - ------------------------------------ VOTES/SKETCHES: We certify Compliance with mercury contamination free clause. ; r i t 1 1 08/17/98 09: 12 TX/RX NO.0963 P.003 AUG-17-98 10 :20 AM OCEAN STATE TESTING INC. 995 2270 P. O4 1 y' E�ts'f AQCA �, 2' ARkn s z Arzc�3 ACc.f4j NoLB (�IoR�tl 3' AREA , G 7 t I hart tiG- Pbztc-Lc_ , - O1 L Sro(z.RGV t Ftl-4k _ 08/17/98 09:12 TX/R.X N0.0963 P.004 RUG-17-9$ 10 :21 AM OCEAN STATE TESTING INC. 885 2270 P. 05 •1 AV C�OOR, MKT' Q7 C 27, r�rc�.R 7 `yo qcc ass x.,)T11ax LFAK G r �c .4 6 h"A 5 Agc o 3 \ R72M � T 44 A M 08/17/98 09:12 TX/RX N0.0963 P.005 - �,j� �✓� � E%L7r'iGl2 ��yi;`'`�`l '�/7<G%'/i/7'LP/J'!�a�✓ ��� lJ L - l%• �,�,p d �i,� V�C�P V�l/I�P �%!/t!'-C!/!�1`LCGL APPLICATION FOR PERMIT To Maintain an Existing/New Storage Tank Facility Regulated under 527 CMR 9.00 ' To: Head of Fire Department City, town or district: S a /e-AA, Date: Application is hereby made for a permit to maintain an existing/new storage tank facility as required by 527 CMR 9.00: Location of property: Z `{ ✓�-�,�.�e-- Street address Owner of property: IVZ-✓ Full name of person,firm or corporation p Number of storage tanks: �Lfi aboveground under round Signature of owner or authorized representative:c Fee aid: $ r'� -' - p (M.G.L. Chapter 148, section l0A) (Fire Department's copy—To be filed with FP-290, Part 1) ------------------------------------------- ��-j IQa�I9L7;72aiJ'Gtl1P.C�Llil2 d���l�GL7/JSCLCf2Z(i1P�il }� ��e rrG•��/`ii�yG•�a �u�i%Lc CJcC � - � e d ��ie ��Ce�e'rixe G%li���uci% PERMIT To Maintain an Existing/New Storage Tank Facility for Storage Tanks Regulated under 527 CMR 9.00 In accordance with the provisions of 527 CMR 9.00 this permit to maintain an existing/new storage tank facility is granted to: Location of property: 24 FORT AVENUE SALEM, MA. 01970 Street address Owner of property: US GEN NEW ENGLAND, INC. Full name of person,firm or corporation Number of storage tanks: 4 aboveground underground Facility to be maintained in accordance with the restrictions described below: CHEMICAL TANKS SULFURIC ACID (98%) 3,150 gals. CAUSTIC (50%) 4,000gals. UREA 26,000 gals LIME SLURRY 11,665 gals. Fee paid: $ 10.00 (M.G.L. Chapter 148, section 10A) This permit will expire APRIL 30, 1999 :Z�"_e Date Signature of Head of Fire DepaWent or appointed designee (Owner's copy—To be posted at the storage facility) __n pa:t 2.revise:'. r APPLICATION FOR PERMIT To Maintain an Existing/New Storage Tank Facility Regulated under 527 CMR 9.00 To: Head of Fire Department City, town or district: Ism, Zea Date:d Application is hereby made for a permit to maintain an existing/new storage tank facility as required by 527 CMR 9.00: Location of roe rtY 2— V �o P --:'� t4 t/Qi11 t�— P _ Street address Owner of property: I dt , Ce Full n e of person,firm or corporation Number of storage tanks: aboveground underaround Signature of owner or authorized representative: Fee paid: $ r/d (M.G.L. Chapter 148, section 10A) 9+osAO"4- 460-7 d dl,¢fie (Fire Department's copy-To be filed with FP-290, Part 1) ----------------------------------------- �i2� �ail9?/n7.aiIZLUP.CZLfif2 d���l��G�i1�CZC/2:^ri/1P�il -- �eJr,<c��iy.�r�a��✓"u��ac V2��� - ���tce a��ie CJ�e�e'rixe Gi2���iar% PERMIT To Maintain an Existing/New Storage Tank Facility for Storage Tanks Regulated under 527 CMR 9.00 In accordance with the provisions of 527 CMR 9.00 this permit to maintain an existing/new storage tank facility is granted to: Location of property: 24 FORT AVENUE SALEM, MA. 01970 Street address Owner of property: US GEN NEW ENGLAND, INC. Full name of person,firm or corporation Number of storage tanks: 5 aboveground underground Facility to be maintained in accordance with the restrictions described below: CLASS A FAMMABLES 1. SHUTDOWN DIESEL 445 GALLONS 4. NEP KEROSENE #1 9,250 gal. 2. KEROSENE TANK 275 GALLONS 5. NEP KEROSENE #2 9,250 gal. 3. YARD DIESEL 2,357 GALLONS Fee paid: (M.G.L. Chapter 148, section 10 ) This permit will expire Sg /F�"q to Signature of Head of Fire DepaCAent or appointed designee (Owner's copy-To be posted at the storage facility) -"PO Part 3(revisea : --. q& 0/� g14(&V411'Cd APPLICATION FOR PERMIT To Maintain an Existing/New Storage Tank Facility Regulated under 527 CMR 9.00 To: Head of Fire Department City, town or district: Date: Application is hereby made for a permit to maintain an existing/new storage tank facility as required by 527 CMR 9.00: iLocation of property: 2 Street address Owner of property: Z-( S i Number of storage tanks: aboveground Full nam of person,firm or corporation under ro d Signature of owner or authorized representative: Fee paid: $ (M.G.L. Chapter 148, section 10A) fflJ °��yD �II 1e— (Fire Department's copy—To be filed with FP-290, Part 1) ———————————————————— - ————————————————————-- go, _(�--- �f2P �aiJ1L�;72a'lZCl1E'Cz�Gf2 a��%l/�G�i1:1Q,C���i1P�il PERMIT To Maintain an Existing/New Storage Tank Facility for Storage Tanks Regulated under 527 CMR 9.00 In accordance with the provisions of 527 CMR 9.00 this permit to maintain an existing/new storage tank facility is granted to: 24 FORT AVENUE SA.LEM, MA. 01970 Location of property: Street address Owner of property: US GEN NEW ENGLAND, INC. Full name of person,firm or corporation Number of storage tanks: aboveground underground Facility to be maintained in accordance with the restrictions described below: FLAMMABLE. GAS HYDROGEN STORAGE STATIONARY AND PORTABLE CYLINDERS 106,70.0 cubic feet Fee paid: $ (M.G.L. Chapter 148, section 10 �D This permit will expire /9S' Date Signature of Head of Fire Deroment or appointed designee (Owner's copy—To be posted at the storage facility) _ p Part 3.r evise•' APPLICATION FOR,PERMIT To Maintain an Existing/New Storage Tank Facility Regulated under 527 CMR 9.00 To: Head of Fire Department City, town or district: -Sa �►� Date: 24P-97 Application is hereby made for a permit to maintain an existing/new storage tank facility as required by 527 CMR 9.00: Location of property: Z Street address Owner of property: u S G N e^2 /.,,' � -F7" . Full name of person,firm or corporation Number of storage tanks: aboveground yndergro Signature of owner or authorized representative: S-/, Fee paid: $ /0 (M.G.L. Chapter 148, section 10A) i Sfat, `��..y ,,k T fa d fc y i�:.�`•s (Fire Department's copy-To be filed with FP-290,�Pan 1) --------- --- -------------------------------- -- �efl.<!/J�iJJZP/J'GG a�G�✓ LG(lU,c V CL��i — (%J��LCP ¢�GyLP �J t' V'�C�fZfGL [ PE11tt' ' j To Maintain an Existing/New`--Storage Tank Facility for Storage Tanks Regulate&under 527 CMR 9.00 In accordance with the provisions of 527 CMR 9.00 this permit to maintain an existing/new storage tank facility is granted to: Location of property: 24 FORT AVENUE SALEM, MA. 01970 Street address Owner of property: US GEN NEW ENGLAND, .INC. Full name of person;firm or corporation Number of storage tanks: I aboveground underground Facility to be maintained in accordance with the restrictions described below: CLASS 1A FLAMMABLES PROPANE 500gals. Fee paid: $ 10.00 (M.G.L. Chapter 148, section.1OA) This permit will expire APRIL 30, 1999 Date Signature of Head of Fire Dq6fment or appointed designee i (Owner's copy-To be posted at the storage facility) .P.290 Part 3(revises .:,...__. ..- .... .. _.._.,....,__�_.._..,,.._ .____ _..----,-..y;._,__.....��...,-_.-...,._,-._...,-.-..-., •.:� ',".-s,�i'ri{�;Q'1*z'�r.q ,9.".�-r.,- :rnr�,�.,x5'-t, -_ = List of Tanks Containing Hazardous, Combustible, and Flammable Materials Salem Harbor Station August 28, 1998 Containers Capacity Class A Flammables shut-down diesel 445 gallons kerosene tank 275 gallons yard diesel , 2,357 gallons NEPetroleum's Kerosene#1 9,250 gallons NEPetroleum's Kerosene#2 9,250 gallons Class 1A fammables propane 500 gallons Flammable Gas Hydrogen storage 106,700 cubic feet Chemical Tanks Sulfuric Acid(98%) 3,150 gallons Caustic(50%) 4,000 gallons Lime Slurry-2 tanks 11,665 gallons, each Urea-2 tanks 26,000 gallons,each 0* dj tfre Srw* 57ew X itd4 of APPLICATION FOR PERMIT To Maintain an Ezisting/New Storage Tank Facility Regulated under 527 CMR 9.00 To: Head of Fire Departmnet City,town or district Sit Date Zo Application is hereby made for permit to maintain an exittlogfoew storage tank faciUty as required by 527 CMX 9.00 Location of Property: Z `/ Street Addnaa Ownerof prop": 'Yc Zz 4'111--) /O dc-72 � FW of ortoepontlon Number of Tanks: abovegromd underground Signature of owner or authorized representative: Ie Fee aid: S/C = p (M.G.I,. Chapter 14&Section IOA) (Fire Departawat copy_To be sled wills FP-290.Part 1)lip PERMIT To Maintain an Existing/New Storage Tank Facility for Storage Tams Regulated under 527 CMR 9.00 In accordance with the provisions of 527 CMR 9.00 this permit to maintain an existinglacw storage tonic facility is granted to:Lou /don of property: �- L —,;7-:171� owner of property: ���1�let•..M...n. Number of storage tanks abovegrpnnd underground Facility to be maintained ht accordance with the r,esttittions described below: Fee paid:S G (MGL Chapter 148.section 10A) ~ This permit will expire �� altaam ol'SeolotFlnDspartesrtt ypolateddealpp Jp� Gi1 /i9rYi� a� Pu8lcc S4dtf# - O*w 4 de Shitz 57iw X4WA2& APPLICATION FOR PERMIT To Maintain an Existing/New Storage Tank Facility Regulated under 527 CMR 9.00 To: Head of Fire Departsnnet City,town or district S��e�y7 _ Datel ZO Y Appikatioa is hereby made for permit to maintain an exitting/new,storage tank fadiity as requited by 527 CMR 9.09 L mation of property: 7Z .•��t/r/c- " � stteetndar� Owner of property: _iYG z/ L .r��.g�%� �wc-�I �c�.yr/liU c/ FW naaae of or aorparatioa Number of Tanks: aboveground underground Signature of owner or authorized representative: m4w�- Fee paid: S /D. (M.G.L. Chapter 14&Section 20A) (Fire Department copy_To be died with FP-290.Part 1) VeAm"me ;1 .sdj&#-10ff *j4(es&& PERMIT To Maintain as Existing/New Storage Tank Facility for Storage Tame Regulated under 527 CMR 9.00 In accordance with the previsions of 527 CN1R 9.00 this permit to maintain as eZistinginew storage tank facility is granted to: Loudon of property: n Owner of prvyerty: �61 Number of storage tanks abowpqund undt:rgrouad Facility to be maintained in accordance with the resttietiens described below. Fee paid:S /4 (MGL Chapter 148.section 10A) This permit wriii expire Lf l` srtpsto f 8ea'e of F1e�Dspartraeat alPa dal4m U CAL APPLICATION FOR PERMff To Maintain an Existing/New Storage Tank Facility Regulated under 527 CMR 9.00 p To: Head of Fire Departrnnet City,town or district S�LcyN _ Date Zv O Applloation is hers br made for permit to maintain an ettstloginew storage tank facitity as required by=7 CM 9.09 1--cat on of property: Ny� _ sues Addis Owner of property: Fsil oipw'soa,ann or cvr�ontUon Number of Tanks: l above n=d untdergrouad �" Signature of owner or authorized representative: ,/ Fee paid: S A,, °= (M.G.L. Chapter 14&Section I0A) Ulm (Fire Department copy_To be died widr PP-29k Part 1) L/oQR"r&O j /;V40G -Tdd&# OVY� *j 4(r_ _Tta* PERMIT To Maintain an Ezistiag/Now Storage Tank Facility for Storage Tame Regulated under 527 CMR 9.00 In accordance with the provisions of 527 CMR 9.00 this permit to maintain an CdS ing/new stornge tonic facility is granted to: Location of property: ar Owner of property: Number of storage tanks: abowgtpund ttndergroutsd Facility to�be/maintained in accordancewith the restrictions described below: _-�/ !/�liGv Z•LLwGfi p�` DOG,��'� G/�t..'`'Z� c.�.�.�¢'— Fee paid:S /G•fz�(MGL Chapter 148.section 10A) This permit will expire stastaR O •eel of Me Depan%nat O damp • V 0*de di ag State vie X=4&& APPLICATION FOR PlERM' 1 ' To Maiataia an Existing/New Storage Tank Facility Regulated under 527 CMR 9.00 To: Head of Fire Departtnnet City,town or district Sp Lcc,4 Date Application is hereby made for permit to maintain ea ettttloe/new storage tank facility as required by 527 ChM 9.00 Lacstion of property: s? o zT ,,_WUL.r stmet Adam. Owner of property: via nose of jWs9qjsjtM or cvrpornuen Number of Tanks: AboMround under round Signature of owner or authorized representative: _Mlc rf.LF'_ Fee aid: S /C� ��•,Z .v / ,� P (M.G.I,. Chapter 148.Section IOA) (Fire Department copy_To be tiles!with FP-2W part 1) PERAM To Maintain as Existing/New Storage Tank Facility for Storage Tanks Regulated under 527 CMR 9.01) in mordants with the previsions of 527 CMR 9.00 this permit to mainta n sm eaistior/ncw storage tanit facility 13 granted to:Uc�dOn of property: � /7/ 744� Owner of property: Number of storage tanks: abongrgund undagmutd Facility to be maintained in accordance with the restriction described below. dzi �D Fee paid:SS Chapter 148.section 10A) This permit will expire �l�1� i� �•"�'� agp rso[$e"o[fFlesI far--rapp"'Weddcohm i NORTHEAST PETROLEUM 25 Derby Street R I I - � 50&744-3434 Fes::5081744-1839 CARG�R John Harrington n 0/&ale Y* Ti4 01jW glrl� Michael S.Dukakis, (]� William McCabe Governor e� Commissioner Charles V.Barry 9W Ax 490 Joseph A.O'Keefe,Sr.,PE Secretary 67'WX Y, " 01876 State Fire Marshal (508)859-9813. September 25, 1990 T0: Owners of Underground Storage Tanks FROM: Gregory M. Mooney ' _ UST Program Mana SUBJECT: Revised Underground Storage Tank (UST) Permit/Notification. Procedure. On May 8, 1985 Governor Michael S. Dukakis designated the Massachusetts Department of Public Safety as the agency to which owners of underground storage tanks must give notice pursuant to Section 9002 (a) of the Federal Resource Conservation and Recovery Act ("RCRA") . Underground Storage Tanks regulated by RCRA are defined on the attached forms. The Massachusetts Board of Fire Prevention Regulations 527 CMR 9.00 requires owners of new and existing underground facilities constructed for the storage of flammable liquids to undergo permit/notification on a local level as administrated by the head of the fire department. See the attached state .form F.P. 290 ,parts 1,2,3 revised October -1990. 3 FACILITY OWNER INSTRUCTION FOR PERMIT/NOTIFICATION .FILING If you -have previously filed an F.P. 290 form you .must complete .sections V, VII, VIII, IX .(4.,5,6), XI.. This form should then be signed, taken to the local fire department for certification and returned to the address at the top of the form. .. If you have not previously filed an F.P. 290 .form you must: 1) Fill out attached forms F.P. 290 parts 1,2,3 to the best of your ability. If you have any questions telephone (508) 851-9813 for assistance. 2) Obtain a plot plan to scale of the storage site and the area surrounding it, showing the location of each tank and its components i and of any building on the site, and the approximate location of any public or private well and of any body of surface water within 500 ; feet of the storage facility. The plot plan legend notes shall list the following information and any other information required by the head of the fire department: A. . Name, address, and telephone numbers (day and night) of the owner. B. Name, address, and telephone numbers (day and night) of the operator. C. The number of tanks in the facility and the capacity and contents of each tanks. D. The type of construction for each tank and its piping, together with a description of any provisions made for cathodic protection, electrical isolation, and early detection of leaks through a monitoring system. . E. The depth below ground level of the lowest and highest points of each tank. F. The date of installation of each tank. 3. The owner shall furnish evidence of the date of installation. Such evidence may include, but is, not limited to, a copy of any license . or permit issued by the local licensing authority and the head of the fire department. If no substantial evidence of the date of installation is supplied, the tank shall be presumed to have been installed 20 years prior to the effective date of of the revised 1986 edition of 527 CMR 9.00. 4. File form F.P. 290 parts 1, 2, 3 with the head of fire department having jurisdiction over the storage facility. 5. Th e head of fire department or his designee shall review and certify the notification forms.. -Part 2, the permit application and plot plan shall be retained by the fire department. ` The 'remaining certified notification form and' a permit will be returned to the facility owner. .. ,. . , ...... 6. The 'facility owner" shall post the 'permit .at the storage facility. The remaining copy, .F.P. 290 Part 1 shall be mailed by the owner to the Department "of..Public Safety. .. ' 7. Owners of abaiidone'i `nderground storage tanks must comply`.with 'the permit/notification procedure. (See '527fCMR 9=.26).' ' . �. _ ;:, ,_ ^::. , '�' •� - xis., "`. f ,�k. `. ., � �a 8. Owners of underground tanks �seoring" regulated Fchemicals`whi'ch1,doX not 4` have a flash point, as substantiated by. a technical report, must ..contact the Department"of Public Safety'"directlyat.:w(508) 851-9813 ,. for further filing instructions. NOTE: FAILURE TO FILE LOCALLY AS INDICATED -BY THE -FIRE DEPARTMENT'S CERTIFICATION ON F.P. 290 PARTS 1, 2, 3 WILL RESULT IN FORM FILING REJECTION BY THE DEPARTMENT OF PUBLIC SAFETY. (See items: 4&5 above) Permit F.P. 290 part 3 is being required in addition to a storage" license. (M.G.L.A. Chapter 148, Section 10A) Monday May 13, 1991 U. S.T. Registry Location of tanks : File # 18 Facility name NEW ENGLAND POWER COMPANY Number 24 Street FORT AVENUE City SALEM State MA Zip 01970 Telephone (508)744-5540 Record # 18 Owner: Name NEW ENGLAND POWER COMPANY Number 24 Street FORT AVENUE City SALEM State MA Zip 01970 Telephone (508)744-5540 Contact: ROBERT E. DE HART, JR. Telephone (508)744-5540 Date Application Received: 05/05/86 No. of tanks 3 Date Permit Issued : 06/20/86 Paid? (Y/N) T Expires: 04/30/87 Additional details: memo Tanks removed? F INSERT MODE - Ins (toggles) PREVIOUS/NEXT RECORD - PgUp, PgDn DELETE CHARACTER - Del DELETE RECORD - -U (toggles) DELETE FIELD - "Y DONE - ^End Monday = May 13, 1991 U. S.T. Registry Facility name NEW ENGLAND POWER COMPANY File #, 18 Address 24 FORT AVENUE No of tanks: 3 Tanks removed? (T/F) F Paid? (T/F) T Age of tanks on . premises ( in years) as of filing date: 06/20/86 (NOTE: 20 yrs. is maximum age) 1 . 15 2 . 30 3. 14 4. 0 5 . 0 6 . 0 7 . 0 8. 0 9 . 0 10. 0 11 . 0 12 . 0 13 . 0 14. 0 15 . 0 .16 0 INSERT MODE - Ins (toggles) PREVIOUS/NEXT RECORD - PgUp, PgDn DELETE CHARACTER - Del DELETE;RECORD - "U (.toggles) DELETE FIELD - "Y DONE -End � i i I i Monday May 13, 1991 U. S.T. Registry Location of tanks: File # 82 Facility name NEW ENGLAND POWER COMPANY Number 24 Street FORT AVENUE Telephone (508)744-5540 Record # 80 Owner: Name NEW ENGLAND POWER COMPANY Number 24 Street FORT AVENUE City SALEM State MA Zip 01970 Telephone (508)744-5540 Contact: JACK R. PITMAN, Telephone (508)744-5540 Date Application Received: 09/03/87 No. of tanks 3 Date Permit Issued : 09/09/87 Paid? (Y/N) T Expires: 04/30/88 Additional details: memo Tanks removed? N INSERT MODE - Ins (toggles) PREVIOUS/NEXT RECORD - PgUp, , PgDn DELETE CHARACTER - Del DELETE RECORD - "U (toggles) DELETE FIELD - "Y DONE - "End Monday — May 13 , 1991 U . S.T. Registry Facility name NEW ENGLAND POWER COMPANY File # 82 Address 24 FORT AVENUE No of tanks: 3 Tanks removed? (T/F) F Paid? (T/F) T Age of tanks on premises ( in years) as of filing date: 09/09/87 (NOTE: 20 yrs. is maximum age) 1 . 15 2 . 30 3. 14 4. 5 . 6 . 7 . 8. 9 . 10 . 11 . 12 . 13. 14. 15. 16 INSERT MODE - Ins (toggles) PREVIOUS/NEXT RECORD - PgUp, PgDn DELETE CHARACTER - Del DELETE RECORD - "U (toggles) DELETE FIELD - "Y DONE - "End 'Date: 05/13/91 Time: 08: 53: 26 Record # !143 J ( Address: No. 24 Street FORT AVENUE Business name: NEW ENGLAND POWER Tank data: Tank size: ( in gallons) 5 ,000 Product: (G)asoline 0 (D) iesel fuel ( F)uel oil for heating Waste oil (0)ther regulated substance ( U)nknown substance Tank type: (S)teel ( F) iberglass S Date tof removal : 05/18/88 Contractor: CLEAN HARBORS OF KINGSTON Additional details: memo Date: 05/13/91 Time: 08: 53: 33 Record # 1C`4_"4--? (2 / Address: No. 24 Street FORT AVENUE Business name: NEW ENGLAND POWER CO. Tank data: Tank size: ( in gallons) 5 , 000 Product: (G)asoline 0 (D) iesel fuel (F)uel oil for heating Waste oil (0)ther regulated substance (U)nknown substance Tank type: (S)teel ( F) iberglass S Date of removal : 05/18/88 Contractor: CLEAN HARBORS OF KINGSTON Additional details: memo Date: 05/13/91 Time: 08: 54:41 Record # [162 (3 Address: No. 24 Street FORT AVENUE Business name: NEW ENGLAND POWER Tank data: Tank size: -( in gallons) 3,000 Product: (G)asoline F (D) iesel fuel (F)uel oil for heating 1 Waste oil (0)ther regulated substance (U)nknown substance Tank type: (S)teel (F) iberglass S Date of removal : 10/27/88 Contractor: CLEAN HARBORS, INC. Additional details: memo Date: 05/13/91 Time: 08: 54:44 Record # Address: No. 24 Street FORT AVENUE Business name: NEW ENGLAND POWER Tank data: Tank size: ( in gallons) 1 ,000 Product: (G)asoline W (D) iesel fuel (F)uel oil for heating Waste oil (0)ther regulated substance (U)nknown substance Tank type: (S)teel ( F) iberglass S Date of removal : 10/27/88 Contractor : CLEAN HARBORS, INC. Additional details: memo Date: 05/13/91 Time: 08: 54:46 Record Address : No. 24 Street FORT AVENUE Business name: NEW ENGLAND POWER Tank data: Tank size: ( in gallons) 8,000 Product:-- (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 : 10/27/88 Contractor: CLEAN HARBORS, INC. Additional details: memo ..� s ,rr-., * 1.E' "f. T,r c,..,..r'.•ipe-e+..t^c7 xY..-t"f.�"ar^f'•gix. �'e,q.gg^�"`?m"r`a l,' Edl t,: ' COM1 24 Fort Avenue < October 25 , 1988 < One ((,1_)]3 , 000 gallon steel storage tank containing waste oil cleaned and filled with concrete slurry by Clean Harbors. Tank located under structures in front of and to the left of < the main building . Contact person at New England Rower was Jack Pitman. gal < One (( 1 , 000 gallon and one ((1�),. 8,000 l steel storage tanks v containing waste and heating oil removed by Clean Harbors and transported to Tombarello Salvage. < < May 18 , 1988 < Two (2-)� 5 ,000 gallon steel storage tanks containing insulating "'eco oil removed by Clean Harbors of Kingston to Tombarello Salvage in Lawrence. <.i Y ;I 14 Revised June 1990Pegs d P.V. Form Approved OMB No,2050-0072 ..... . . .......... . ...... ..... .. ... . .. . .. .... ... .. ... . .......... . . . . .... ........ . ....P'larns, or c.4.q caj Norm f r Perjecil eum �110. S 7 rto1 6V Tier Two Street A sr MaiAddreaa as7r)ER By -ST spit 'ev,& 0/.9P0 EMERGENCY Ci,, 3A C,,* -4=5-4--K St. zip 0197 61 AND .............................. ............. X, ........... ....... .. . ...... .. ..... .... ..................... . .. . ..... ..... ..... ... HAZARDOUS ... . .. ...... ...... ... ............. CHEMICAL SIC Code F1 D.&Eked . ..... . ..............%...... INVENTORY Number -F8 o Name 14A.1 R J A.Jr-TO A.-' Tide;�"" SPECOC ........... F4. 3--3-r- 67',"S- Infornotion by chenskai .......... C,7oW,9`190,+l Tid, (,J W 13 :74 241*.Phonet ems' sa -OC X,#NtE CIF.... . .......... ..... . ....................... ..................... ......... Important. Read all instructions before completing form Reporting PW`10d From Jwwy I to Decernbar M.19" ❑.;:submated Test ........... ........................ .. .................. ...... .......... ............. .......................... .. ............. . ..... ................ tlflrtt ....o...................... .... ...... .......... ............. ....... ...... .......... ..... ...... ......... ..... ..... ........... ...... Fire cAslolo IsIoMs M-51 Q STO-ardl-1E] A STEw" /j�/ TWO 7*A/� Sudden Plalsemes ... f—-L L Aim,& 7';V,-w CChem.Name of Pnw"m 0131 4 57:.&&1 .. . .. . ... chaa AV Q E] El"Foy Dela"d(ch-&I M rc. s.— ............. .... ToPure mix saw liquid Ciao EHS EHS Name Li *go X ® Trade 0 CAS 10 tol a I 4,rME ❑ Fies w Sudden PAimse, RABNL oP . . . ........ ' 7%fi C�4yA &4Rrk4Chen.N.A . PAO&wky k 7AAhs.:ti ...... PWO mix Sold U*m am EHS --,D—: z- ENS Mmw itAi., RA Cl_: ................. ....... .................... .............. ---------------—------ N17 Trade Fee; CAS I to Ila Is-�-3 Sudden Release ICh"n.Name � � eloesu 6V0Aj o R-c&* 7R- war E) L06j El Elo Pun mix Sow Liquid Gas 94S LA Delayed(.h�) ............... .... ....... .... ..... .......... EHS Name ,Co a, RA C-e ... ...... ................ . ..... ... .... .. .... .... ..... .............. ......... ... .......... ..... .. ..... . ......... ..... . ....... . ........ . ...... ............-,-. ............... .............. ...................X. ... ........................ ........... jp :........ ......................... .... ... ...... ..... . ........................ ... .................... ....................... ........... .................... . ................................ ...... A"O"teapw .. .............e ... ........ ................................................... ............................. ............ -10.... ............................................... ........ .......................................... ..... .... . ...... . .....I conly under pwwft ol law that I ham persOrdLk exaffined and arn farn&w vath the infortnatiot submitted in p"am 0wough_end that based MA I have attached a sae plan Oft"Y it"'irY d#1000 individuals raqpo�for obtaining do I believe that tw subinsIted w4offration is bust.accurede.and conwisle. I turve attached a fat of sea a j/y�-row coordk%Wa abbrevutiorn I have attached a dowrip(mm of Name and olr.cw this Of 0wner/oporalw OR owner/operator's authorized rawmantative r Date signed H dikes and other safeguard measures Revised June 1990 Page °2 d 3 ,yea. Form Approved OMB No.2O54OO72 .......... E>E`: ::. :. ........ ..: .. "''::' .:�YfM1ef. :.101:Np111@: �..,.,.�..y..�,........:...... �Ofk...................:-:: ::....-... :...: ' .. .::::..::.......,.�.:r:.:. : :;>::»}:>::.}}}i}?>::.}:;c:.:�??:.;;;>:;o->}:_ :::�;;:-?:}r>?:.:.>;>;;:;;::;;!.>;::c:.>:.;»:;-o>:Y:i:>;?: ' ��.ii:i:::i<:::`:<..=: t„ Nam,e iYORTitr&A-%" /�,'T�a�a'zi Namte .1/ae7.dfC4s �i'zi r+i Pre y t 7fti1 t3s��y Tier Two Sheet T Mad Address *2$-1)A ere avrx EME RGENCY , y AND � S",HAZARDOUS . ;.. -s;..?r:. ;.. :: }:: �g GL :.:u: .:: CHEMICAL - _ INVENTORY SIC Code Dun Nu red /® 7 O 3 - S O 9 Wartte �N cT RfN�Tt7Ad Td.7A1�a(.A- speciftc Plane (c t LT3s-87 7S- 24 W.Plans Information lion Chemical .,///l C9//M�1s4TlN �PAT/oNs 6�A� .......... by rta. •{:i:^��}^i:•}:{nn{.}}:•?}:v:???:r?.Hi}J}:;•}:?•:v':•}?i}:i;i:•}:;;-}:4:-}i:-}:vi:•i:-}}i:;•?:•}}:!i•T:?•}}:?n?}i}i}i}}ii:;?•}:.ii}?:?}:;?•}}}}:;:'�:: �i}::: :::::hs •< Pltorr t 648 ) 3 76- 81,5-4Y 24 W.Plane (- P - /cS o O Do*Revived ..................................................................... Important.Read all instructions before completing form Reporting Period From January I to December 31.19-2141C ................n.........rv..n-:::...::fv::w::......n...Y.v...:....... 4}iTi:%v:'^::�::::'.'::.':":' ::;r:::w:nv.�:::?•y:?::i:::n:.vn.........:.r..........:.:..:...............x:.v.:::n•.v::::vr_.:.}'::+v:n•.v:n.::::::: _ _ :n::.v:::::nit::nv'v'.y:.:::x::.,:::::.}'::..;::.::n•:::..}.,..}'?:r?n-.}':::nv.:�:n:::::::::n;:n:ni:::::::i;'.;: _- -_ .:::::::.: v:�i:�S:vS:Y:i::;;.�:;.:::;}}:;•}:'>vii"•?:y+.v::?:;:{.}}'.}';i•:r:•?:vn::: . ............ ...........:..,... ... r... n..... ............ .......... ... ..............:.........:.............:.... ... .... . titer +�.. : .. .vuw::. :v::::::--.v::::::.v`•..�.........r..............................r. ..... ........ �::�v::::::::::::::.v::. ::.v:.:v:::..:n.-................::::ii::�v.��::. ..........v.. ... ... .....v............. ... e`= .......l-l?gi. .. :... +a[�,,l!Vii�:; v:?;:%Sri;'::}!:;:;:5:}: �(y1�'�• ...•..ram..n..vr....:.:....:.. :::rev:::..::..::• ..:.:.....::::.....:::: ............r... ......... ..N............. ::::rev::•:' .•.........+..r.... .. •'MCI. .� .:...................:.... :::::.... ...................... ....+...............:...... �� __�. ..�. .......... ....... .........::..v .v:.v:: :. ..................... .v..... ....... ::. v:::::•:...v..............................�:n:::•r.•:::.v.v:::.:x:::. ........... ........... .n..............r. .. : ...... ....... u:x.n:-.......::f.'. ::::::: .... -.............v.....v.....................r. .......nrx.r....... .}.v}' ..............r......... .. .:..... ...�....x................................ ........ - � ::.:...... -: :::::.v::::vvn;w::::::v:;}:::.v.;i^}:!!}}:itvr.•.`:S:r 4:?• - .nJ...n}.:/v: ::q•:: ......v...............0..........rr. ::::.::n.::::::::::•.;.........::::! -.... ::-}v. :. :::::::::::::n: :...:::..^.:n,-i::nv.v.....::...:....... ....... ......................................r:::.v.::.r:..:v:::.v::::. v::. v:::......................... ....rr n...............:r.....r.............................................. v::: ...... .................. ....................... �Y .....u.........n..n.....::•.::r.... ................................ :::::::..-. ....... .............. .. -.. ........':. ..... t�f•.-�i:;:?i: :::cif-: - - ............ ... .......... .... ,�y ........ �:::::::.�::::::.v:.:v::.v:nv::....... ..... ..... .:::: .;o:,iJ :.�•r.'.;f�:o-i:3?: i:;�??ii?i}:.: :. v.v:.: CAS O O J o / Tf;:« Fie 1 if SIORir.� iv � -3u0 rzoiilev F,6re— G 9 Sudden ReMese _ _ R%R:': cLa�w s-9 _ } ; .;::} }; : (Y,a�s T.Aaak .�6o�es T�/Es G.Qa.xi tl. Ch,yf �r1la x y/,F.TBl0 A-12 y� �'Nu/ a Pressure i/;_;: ::;.::}:•:.y:?-}:;:>;::: t em.Narne r� -..:.:::.:;?: :r:•}c.};?,h::.:;.<: ±rf 'Zrk�z Caws T.4iiy11 rwrt In-tediw .�nc se-a iiv Dt al.a.e (ate D ❑ Li o.Iayero+tf 3....�...5 :; 1�ttanst � 7�aiks Pure mix Saw Liquid l3u ENS `. � t� ':>%>• EHS Name n<;< s i':�:h.^.''•:�n f:::;i%-}}:i•::•?•::}•r orf,.�., ::rrr`:';.:- Trade Fro Q• 2 .- � CAS 7 'f 3 6 ® s.er.t❑ ;:tit :.s,}i :: / /OR6 D !N /lo.0 �S7�eG Sudden Reba !�VTOrfibrX ,8/4a VOP rYy/►" d Pressure ^ Chem.Name :>_> r ...•ii.: •vim.;::;:::�}�:�:,;�:. ply .?; .}}},.;..,.? iM �.;.•<;ri .f:::;<:? Imifrlt�e ta""� 'i:;`�5��}%r'vSr y%+,>.'r':'•r..il S^�:?iJ{:v ri:i�f�i?.ryl YirA.vr•}.}is chwk at Pure Mix Sew Liquid Gas ENs Dililed(chronic) EHS Name z>> =>=i;#;:;: ;:<}::: <:<':_-::.: is>::::>:: ❑ '� ?��:�iniiY�ii:iS:yti;•`.•,•`•f:::+.•iris-iL:yi��ii;:;:4:i:}�'!�: :i:;�; Trade CAS .3 y OZ � Sao m❑ Fro ..C�...•.2:;: 1::i>:'.:::::::>:::�<i�=� / Sudden Release a Q /Y O R l' A/S• /s 7a C �vs cup! l M.9�t � ��4tt d Pressure Chem.Name q -�� p••..�'":�`:%:~; j3:�'L :�3:it _/�/sALr� Olv //*Alb. t�►.at.p ❑ ❑ Lai D immediate tam .r..:.,.:.:::..:..... .::;<:: AN�. Pure Mot Sow Liquid Gas f3fS Dslaysd(ehrorrie) ::,::.:::::�'?�`:`�� `::.:: :::.:•;};??:>;::-:;: EHS Name -' astitrani .................................,............... `- :.............. . .............. .:::::.>:.:.:.>:.:.»>::>::>:<: .... ......................................................-..... 1 caddy under perahy of law that 1 have Personally examined and sm fam"with the information submitted in papas ores through and that based 1 have attached a site plan on nw inquiry of Moss indiv idua ls rrewonsdtis for obwi theyinformationy.I-'beiisve that the submitted i fornation is 1".accurate.and complete. I have attached a list d sL coordinate J/'�{fZXiGt•-ti -�/1��J1+� y �.BRRJAIG�'Oh+ r� �C/z76^� abbreviations I have attacheda description a Na d wial till owner/operator OR owrwknx ratoes authorized representative - SigQ51 Date signed dikes and other safeguard measures * , -- NORTHEAST PEMOLMM s o F 3callp 4; u jj;I�U zsKv To PEAeoor SrAVE IC WATER MAIN WEBB Sr. e'aUocn 1ARY DERBY ST. yy p IISKV TO \ I -- �• iCtA1NS!IATIE 11) % D•1 \CANAL Sr \`` 1 ►- IISKVTTO + I d QRS 721000 MRRELS 19 RUEL CoTHEA T D_A i FUEL OIL 2 B-3 I L M014.� �,I �;WATER • 1 223.e00 BARRELS B-5 ( nAa eels. i cAI LONs1 • �`� (9,399,6000AllONS) ?50,000 BafMt1S D'3 .024 420GALS� HIGH SULPHUR (IO,SOQ,000 GY.IM) ,, � I UEL OILSETTLNIG BASINSS F I SURGE SNITCH LOW SULFUR (ma 3) SAM GEAR FUEL OIL 714L.4 D -4 D-6 FUEL OIL SUPPLY Nq 200,000 eaa:es PUMP BLDG. \ ASH SLUICEPq)IOU6E e,400.000 64LSJ IJ TAP s\ -- HYDRD ews— UKV 115 HIGH SSUI PIM L OILBASIN N0.2FLY ASH KV B-4 RESERVE BASIN o ra,3- r— -----� I j 2z3Aoo eels . PItF _ 1A OL $•I NQS ZT EM 'O ® O 4 1 ' (9,399,600 GALLONS) LIME TANKS X a N 2 1 1 HIGH SULPHUR BLDG. BASIN 33P,r2 PRMr. filede 11 PUAP FUEL �- HOUSE R 1-e Li - N01 FAN HOUSE UNIT NDROW COAL PM.E HOUSE �"—sTORE RUNOFF POND _ �H 0 BASIN YARD F BELT ",.. . 6 ]CCIF NO.3 r �H TRAINING CENTER-0 !! p.5 Recra.E ' 02 WAREHaUSE BOILER R Y COAL 3s eels. Pe ME - PILE 1--- DISCHARGE CANAL r ITUJINE "OOM WHARF UNIT 1 UNITI UNrT 1 uw sal EM HARBOR STATION SCREEN HOUSE GENERAL YARD !•If• '_ 0 S T I OCEAN STAT E TESTING, INC. 265 CONWAY AVENUE Qf'U(NUUSFRIAI PARK NQRIII KINGSTUWN. K.I.02H52 (4UIJ 294.22t3 INSPEC,IT1ON REPORT B-4 0I1 , STORAGE: 'PANIC SALEM I IARBOR STATION SALEM, MA, INSpf7C"PI0N BY: D. McC.4on R. 'fait July i 7, 1998 08/17/98 09: 12 TX/RX N0.0963 P.001 - - - - - --- -, r+. 02 1:01.)iPN41,-'NT VACUUM BOX-------------------------------------------LAP SEAM-OS-1 VACUUM TIOX MEDIUM------------------------------SEAMTEST CONC. MAGNEITIC PARTICLE ECON YOKE AC MT MEDIUM---------------------------------------------MAGNAGLOW IMAM QLACK LIGHT-----------------------------------------SPEC1`RO MOD 13113 08/17/98 09: 12 TX/RX N0.0963 P.002 I 1 NL. 1 IYL:. 885 2270 P. 01 SUMMARY INSPECTION RESULTS Magnetic Particle Results: 85.5' of tank corner welds were inspected by the wct flouresccnt method. No rcjcctable areas were . found. (see MT report) VACUUM BOX RESULTS: Tank floor was divided into 7 segments. One leak was detected in area 7 ( sec sketch). This leak was subsequently repaired, retested and found acceptable. 08/18/98 09:35 TX/RX N0.0964 P.001 f • — —- - — ..�., « i�o P. 0 3 OCEAN STATE TESTING INC - -"`---'-"-- 263 CONWAY AVE '' 1 ' NORTH KINGSTOWN R .I .--------------------------- ------------------------ --j ' MAGNETIC I PARTICLE EXAMINATION REPORT +' '------ ___ ___ _ _ CUSTOMER: ---;CONTRACT/PO NO: »- ------�-- ------ - ------------__� :NEW ENGLAND POWER CO . ; Vdrbal K 'DATE: , Ken Brusgilus ;July 17 , 1998 i _ I.____ PROCEDURE : ;METHOD= :EQUIPMENT----------'-'--"-`- 1 OSTI-MT-01 Rev . 1 ' , IEGUIPMENT TYPE I I WET FLOURESENT( BLACK LT . ); ECONO YOKE AC ` REFERENCE: i -------------------------=--i SALEM HARBOR STATION :MATERIAL TYPE: , JOB NO: 1 + STEEL` '8-4 OST ----------------•--------- , GtY - ; Item identification/Serial/Ht-No. I ------- ` --- ' -------- I ______-_ Comments ; Accept ; Reject ' BS.S ' i B-4 OIL STORAGE TANK -- ` --------------.•. ' __�.._----- ' ----'_--- i ( SEE SKETCH ) ; 85 .5 1 0• ------_ - + -------__.____-_-_ ----------------------------------------------- 1 t + ----------- ' 1 1 1 , -------_—_— _—,.._ 1 1 ' 1 ' _—_—____---.....—......—.— -_.;-------------i---------'----------; -.— . ------------------------------------------------ ' + 1 __— ---_------------ + 1 1 1 INSPECTED BY :D -----; as pxa-------------- .F .McCann/R .Tait� AE,NT LEVEL : II ' -----••---...__ ----.------._ --------W� -- -- JOTES/SKE TCHES --------------------------------- , 1 We certify compliance with mercury contamination free clause. ' 1 1 + 1 + I 1 1 -----------------------------------------------------.---•---•--------------------- � 08/17/98 09: 12 TX/RX NO.0963 P.003 P. 04 rN 5 P.R6A 7 AtLe=s Fie4� *: So.rril E�s7' AReA (a AR�n s , r A a2CA z ArzeA3 -- — ---- ---- —�— --- • ..__ ..—._ .._.... ..—...—.._..— W�sT Ay-CA 2 Np��,i 3� AQUA ,/fir 01 L '5ro2RG-r i 6vk 08/17/98 09: 12 TX/RX N0.0963 P.004 r` I 1 na. 1 Nu. Ei63 2270 P. 0.S ri 17" Ak,R 7 �o w 4REA 6 h",4 5 .4A Axzn'R 3 ARM T .�• T /, !yam 'i V�lCU uM ,T"�.ST Tb R 08/17/98 09:12 TX/RX N0.0963 P.005 ■ 1 u74t (9mmmmO vf s tattlo 6�U—ca DEPARTMENT OF PUBLIC SAFETY—DIVISION OF FIRE PREVENTION��U APPLICATION FOR PERMIT TO MAINTAIN AN EXISTING/NEW UNDERGROUND STORAGE FA I YT[D To: Head of Fire ,Department Salem August 26, 1987 City or Town Date Application is hereby made for a permit to maintain an existing/new underground storage facility as required by 527CMR9.00: Permits. Location of property: 24 Fort Avenue Street address Owner of property: New England Power Company Full name of person, firm or corpora t Signature of owner or authorized representative: Fee: lo.00 (MA.L.A. Chapt. 148 Sec. 10A)' (Fire Department's Copy to be Filed with F.P.290 part 2) Form F.P. 290 Part.4 •; �► �.�,,..M,;�,.-��; ,$ 2 I � •_ ,6 -*Mug 41..... DEPARTMENT OF PUBLIC SAFETY-DIVISION OF FIRE PREVENTION APPLICATION FOR PERMIT TO MAINTAIN AN EXISTING/NEW UNDERGROUND STORAGE FACILITY ` To: Head of Fire Department Salem August 26, 1987 City or Town Date Application is hereby made for a,permit to maintain an existing/new underground storage facility as required by 527CMR9.00: Permits. Location of property: 24 Fort Avenue Street address Owner of property: New England Power Company Full name of person, firm or corpora ' Signature of owner or authorized representative: Fee:,$ 10.00 (M.G.L.A. Chapt. 148 Sec. 10A) (Fire Department's Copy to be Filed with F.P.290 part 2) Form F.P. 290 Part,4 4 T4P Cat r i W=rAffiof Ausarlpwfts DEPARTMENT OF PUBLIC SAFETY-DIVISION OF FIRE PREVENTION PERMIT Sept. 9 19 87 Date r` TO MAINTAIN AN EXISTING/NEW UNDERGROUND STORAGE FACILITY In accordance with the provisions of 527CMR9.24 this permit to maintain an existing/new underground storage facility is granted to: Location of property: 24 Fort Avenue street address Owner of property: New England Power Company Full name of person, firm or corporation Restrictions: Compliance with the provisions of 527 CMR 9.00. Fee Paid:$ 10.00 (M.G.L.A. Chapt. 148 Form F.P. 290 Part This permit will expire April 3019 88 Date Signature of Head of Fire Dept. or appointed designee (Owner' s Copy to be posted at the storage facility with F.P.290 Part 3) i "AW-ification for Underground St6rage Tanks. FIRE DEPT. STAT USE ONLY CERTIFICATION I.D.Number Submit to: o5aSk � -. LOCAL FIRE DEPARTMENT Date Receiv d GENERAL INFORMATION Notification is required by Federal law for all underground tanks that have been 4. pipeline facilities (including gathering lines) regulated under the Natural Gas used to store regulated substances since January 1,1974,that are in the ground as of Pipeline Safctc Act of 1968.or the Hazardous Liquid Pipeline Salet\Act of 1979.of May 8,1986,or that are brought into useafterMay8,1986.The information requested uhichisanintia state pipeline faciliu regulated under State laws. isrequired by Section9002 ofthe Resource Conservation and Recovery Act,(RCRA), 5,surface impoundments.pits.ponds.orlagoons: as amended. 6.storm water of waste water collection systems. The primary purpose of this notification program is to locate and evaluate under- 7.flow-through process tanks: ground tanks that store or have stored petroleum or hazardous substances. It is 8.liquid traps or.associated gathet ing lines directh related to oil or gas production and expected that the information you provide will be based on reasonably available gathering operations: records.or,in the absence of such records,your knowledge,belief,or recollection. 9• storage tanks situated in an underground area (such as a basement. cellar. mineworking,drift,shaft,or tunnel)if the storage tank is situated upon or abotc the Who Must Notify? Section 9002 of RCRA,as amended, requires that, unless surface of the floor. exempted,owners of underground tanks that store regulated substances must notify designated State or local agencies of the existence of their tanks.Owner means— What Substances Are Covered? The notification requirements apply to under- (a) in the case of an underground storage tank in use on November 8. 1984.or ground storage tanks that contain regulated substances.This includes am substance brought into use after that date,any person who owns an underground storage tank defined as hazardous in section 101 (14) of the Comprehensi\c Em ironmental used for the storage,use,or dispensing of regulated substances,and Response.Compensation and Liabilitc Act of 1980(CERCLA).with the exception of (b) in the case of am underground storage tank in use before November 8. 1984. those substances regulated as hazardous waste under Subtitle C of RCRA. It also but no longer in use on that date.any person who owned such tank immediately before includes petroleum.e.g.,crude oil or any fraction thereof"hich is liquid at standard the discontinuation of its use. conditions of temperature and pressure(60 degrees Fahrenheit and 14.7 pounds per _ What Tanks Are Included? Underground storage tank is defined as any one or square inch absolute). combination of tanks that(1)is used to contain an accumulation of"regulated sub- Where To Notify? Completed notification forms should be sent to the address stances."and(2)whose volume(including connected underground piping)is 10Si or given at the top of this page. more beneath theground.Someexamples are underground tanks storing:1.gasoline, used oil.or diesel fuel,and 2.industrial solvents,pesticides,herbicides or fumigants. When To Notify? 1.0N ncrs of underground storage tanks in use or that have been What Tanks Are Excluded? Tanks removed from the ground are not subject to taken out of operation after January I. 1974,but still in the ground.must notify by Mav 8.1986.2.Owners who bring underground storage tanks into use after Mac 8. notification.Other tanks excluded from notification arc: 1.farm or residential tanks of 1.100 gallons or less capacity used for storing motor fuel 1986,must notify within?0 days of bringing the tanks into use. for noncommercial purposes: Penalties: Any owner who knowingly fails to notify or submits false information 2.tanks used for storing heating oil forconsumptne use on the premises where stored: shall be subject to'a civil penalty not to exceed$10,000 for each tank for which 3.septic tanks: notification is not given or for which false information is submitted. INSTRUCTIONS Please type or print in ink all items except"signature"insect ion V.This form must by completed for I Indicate number of each location containing underground storage tanks.If more than 5 tanks are owned at this location, continuation sheets . photocopy the reverse side,and staple continuation sheets to this form. attached OWNERSHIP •OTANK(S) Al.LOCATION OF Owner Name(Corporation,Individual,Public Agency,or Other Entity) (If same as Section 1,mark box here®) New England Power Company Facility Name or Company Site Identifier,as applicable Street Address 24 Fort Avenue County Street Address or State Road,as applicable Essex City State ZIP Code County Salem MA 01970 Area Code Phone Number City(nearest) State ZIP Code 617 744-5540 Type of Owner (Mark all that apply®) Q Current State or Local Gov't ® Private or Indicate Mark box here if tank(s) Corporate number h are located land within t ❑ ❑ Former ❑ Federal Gov't ❑ Ownership tanks at this 3 an Indian reservation or (GSA facility I.D.no. uncertain location on other Indian trust lands CONTACT •N AT TANK LOCATION Name(If same as Section I,mark box here ❑) Job Title Area Code Phone Number Jack R. Pitman Environmental Engineer 617 744-5540 TYPE • • ON ® Mark box here only if this is an amended or subsequent notification for this location. CERTIFICATIONV. I certify under penalty of law that I have personally examined and am familiar with the information submitted in this and all attached documents,and that based on my inquiry of those individuals immediately responsible for obtaining the information, I believe that the submitted information is true,accurate,and complete. Name and official title of owner or owner's authorized representative Da i e 7 D. Riley, P1 n M n Manager ��' 8 . A. Plant a a g , CONTINUEON I Form F.P. 290 Part 2 Pagel New England Power C 24 Fort Avenue 1' ' Owner Name(from Section 1)_ oL'ocation(from Section II) Page No. of Pagls VI.-IJESCRIPTIO OF -• • ornplete for each - Tank Identification No.(e.g.,ABC-123),or Tank No. Tank No. Tank No. Tank No. Tank No. Arbitrarily Assigned Sequential Number(e.g.,1,2,3...) 1 2 3 1.Status of Tank Currently in Use 0 0 (Mark all that apply®) Temporarily Out of Use Permanently Out of Use 0 0 Brought into Use after 5/8/86 [� 0 2.Estimated Age(Years) 15 30 14 3.Estimated Total Capacity(Gallons) 1000 8 000 000 4.Material of Construction Steel (Mat*one®) Concrete 0 0 0 0 0 Fiberglass Reinforced Plastic 0 0 0 Unknown 0 Other,Please Specify 5.internal Protection Cathodic Protection 0 0 0 (Mark all that apply®) Interior Lining(e.g.,epoxy resins) 0 0 None 0 0 0 0 Unknown ® ® 0 Other,Please Specify 6.External Protection Cathodic Protection (Mark all that apply®) Painted(e.g.,asphaltic) 0 0 Fiberglass Reinforced Plastic Coated 0 0 0 0 None 0 Unknown EX7 FT--1 0 0 Other,Please Specify 7.Piping Bare Steel Fx� Fx� (Mark all that apply®) Galvanized Steel 0 Fiberglass Reinforced Plastic 0 0 0 Cathodically Protected 0 0 Unknown Other,Please Specify S.Substance Currently or Last Stored a. Empty In Greatest Quantity by Volume b. Petroleum (Mark all that apply M) Diesel Kerosene 0 Gasoline(including alcohol blends) 0 0 Used Oil [� U 0 Other,Please Specify c. Hazardous Substance 0 O Please Indicate Name of Principal CERCLA Substance OR Chemical Abstract Service(CAS)No. Mark box®if tank stores a mixture of substances 0 0 d. Unknown 9.Additional Information(for tanks permanently taken out of service) a. Estimated date last used (mo/yr) / @/ 1974 b. Estimated quantity of substance remaining(gal.) 0 c. Mark box®if tank was filled with inert material (e.g.,sand,concrete) ® 0 0 0 Page 2 I 2,/ Ao 4e- 57 r � k � �i✓�//.�D/i�/ylL-7✓�L C�✓�o/ri�G-c2/� } 1 \\ ' ('n(l�ns Ayr R. 1349 y Sr. �J //J NY DUrf /�`�• J6. Lln."'7•/Ib Ta TcwNa dory V'o Cona/Jf. JJ- O f R B Y I ine�S-I.13 7a Me/roa a No.e} y / hr� i T JTRCC7 'y BE / t. New England Power Company \�� \\\� 24 Fort Avenue F ! i \ Salem, Mass. 01970 TANK m e S /� , . �..7x'�. /e.�•. Telephone: Day or Night 744-5540 i TANK �•\ D TANK D 2 B-3 TANK I.. o oRT\ TANK B•I Pe\- I� tune TANK B'S TANK D D•9 PAnhiN6 A4FA TANK TANK < C JJJb'�y�n.ra ��• /off i I I t �a -1 li D r�` - 0 0 EOA PIOE O /. ^rL �I: r "� �.b •\ / ]J CI' lAN M�USf ,I BA, ,.nJ �� U I =eor�to-L Aorw �e n-rT7tfil••n-fi"7i'T �, ru+an+s Aonr, Q•�Qh > /" .lil'rnlr�ry''' 1� sL>u... _ .-.�,�.r u. ...��� - e 'P..ry t.ne LJ: n J� ``/ pr(TTT. —� ` A •� I/rem a 9• \ . Be .n � •Le, L_-------__J Z O C ¢ 2 -� $ t UNDERGROUND STORAGE TANK INFORMATION - '�; TANK CONSTRUCTION MONITORING VOLUME DEPTH (TOP, BOTTOM) INSTALLED 1 Steel NONE 1,0.00 GAL 1 Ft. 11 Ft. 1971 $aa` 2 Steel NONE 8,000 GAL. 3 Ft. 12 Ft. 1957 NEwENGIANDPOwENSENv�cEcoKPANr oa F y 3 Steel NONE 3,000 GAL. 5 Ft. 16 Ft. 1972 NEW ENGLAND POWER COMPANY SALEM HARBOR STATION E GENERAL PLAN OF YARD Ea. F E E f EE a FUEL HANDLING FACILITIES _H-17188-.S ENTRY IMPRoVENIENT RETIREMENT TOTAL TO DATE I.A. OR R.A. WORK ORDER UNITS MATERIAL OTHER AMOUNT UNITS AMOUNT DATE UNITS _ UNIT COST TOTAL i 9 30%72 8-619 2842 1 I- --/,�9�` : - - ---- --I- 9/30/72 --1 -- i_ I DESCRIPTION Waste oil storage tank 1000 Gal, I x10 8 p .. ..................'. ... ... ... ....- .. ... .. ... _ _ _ ... __....-. - ..._._...._.—__--__—_ --_.. ct O ...._._..... .... .... __.__._. ..... .... ._. ._ ._ - ._ _ ... - __ ACCOUNT 312 PLANT LONE LOCATION eQd� 3IoZ•41.00 UNIT Tank F. P. C. — Salem Harbor #4 0148 SYSTEM 1 I 1 i 1 r/_i_we J��j�fl "ls0 i 4 I I r dwkc:•h. ._ L1O i� I `-1 ---- ----- - - — >a 11 elcc.ion; u-'c• tor'4 - • '/(f / � �.9; FO.,�.. ��LTCit�.IrblQ.�f�as�GI-4-�Iti, - � 24'+a•N ..T K.N. � � 1 ti'I r b�I �-- -Ob•,1�0•� S /`�J11'��i' y'____. - 1 CHAS.7 MAIN,INO Dete-. rfa—and Submit — ADD:oved as Corrected ` No: a•,D•oved T n I Note; Any aPD•o ai ncr:a o ,-n rni ,rr.,nge men! and dean conccl•1. ._ , ivzoenS.Ldny fu dimensions and comoaance —:,l eouo acf reGui.emetCf 1 Is not hereby.sflected. Ek Job No. 7 i 1 0.11;. 4n�- y NO. DATE DESCRIPTION BY REVISIONS N r Y04Jc Iz- U(c 6- MASS. ENGINEERING. Cb-'. NC... ..t�NO.-QUINCY 71, MASS.7&9-�� - - _ DR. BY: lA/�.7-� = DWG. - vc r 't r _:� _.'L.6_,.. __.t_a .. r.�a.!.......�..,t_:1.�_r:::. t .. _x•+• .1 �..:a _.:a:i.. y .c.:1�Frt.��. .�l„' �_..i,5.1,.5_"_.__-i x3tzi7SG!r3.= s/Va �J U�7c-7ZCo'ZUdN!]__��it/>•�aG �/�/S�i� J tic '6 n��wntacalifL �(a&.wdut►dc116 �� 299 ��i-rri<Sr��n, cl; :%arc ��ic��crt�iarZ Nlirhirl S. 1lrfkakis William W("al•e Governor r/� Commissioner 10/0 l.'onr.mon.rccaAM. Aacnrce (_'harles V. Ilarry 1&$(on, .W.-W 022>54201 Joseph A.O'Keefe,Sr.,PE Scc•retary ,n� State Fire Marshal rlrr?1G (617)566-/,00 .Tnx (617)566-6.945 ORDER OF NOTICE i August -25 19- City or. Town Salem Ma. New England Power company Tank # Tank Age Owner of Underground Storage Tank Facility 1 17 Yrs. 24 Fort Ave. 2 _ 32 Yrs. Address of Underground Storage Tank Facility 3 16 Yrs. Records at the Massachusetts Department of Public Safety Underground Storage Tank Registry indicate the above captioned underground storage innks have not been tested in accordance with 527 CMR 9. 18. Failure to test may be cause to revoke or suspend the owner's permit. Any owner or oporntor who violates 527 CMR 9. 18 shall be subject to the penalties provided under Massachusetts General Law Chapter 148 Section 16, as amended. Each day during which such violation continues shall constitute a separate offense. Upon request of the head of the local fire department/fire district , the licensing authority and the town/city co"llsel shall take legal acti.on as may be necessary to enforce the provisions of 527- CMR 9. 18. I I ORDERED You are hereby ordered to test tl-e underground storage tanks at the above mentioned facility. --- ---- — -- Per Order Of /f� JOSEPH A. 0'KC-FE, PE State Fire Marshal II .4d o Fir.e 1eparrment/Fire District Regulatory Authority: H.C.L. Chapter 148 Sections 9; 10, 10A, 28, and 37; 527 CHR 9.00 Tanks and Containers .. t T4,r r of gusalAwffs o 92 5 g DEPARTMENT OF PUBLIC SAFETY—DIVISION OF FIRE PREVENTION APPLICATION FOR PERMIT TO MAINTAIN AN EXISTING/NEW UNDERGROUND STORAGE FACILITY To: Head of Fire Department 195� Salem May 2 - City or Town Date Application is hereby made for a permit to maintain an existing/new underground storage facility as required by 527CMR9.00: Permits. Location of property: 24 Fort Avenue Street address Owner of property: flew England Power Company Full name of person. firm or(coirporat-fcn Signature of owner or authorized representative. Fee:$ 10.00 (M.G.L.A. Chapt. 148 Sec. 10A) (Fire Department's Copy to be Filed with F.P.290 part 2) Form,F.P. 290 Part.4 DEPARTMENT OF PUBLIC SAFETY—DIVISION OF FIRE PREVENTION Y APPLICATION FOR PERMIT TO MAINTAIN AN EXISTING/NEW UNDERGROUND STORAGE FACILITY To: Head of Fire Department Salem May 2 19861 City or Town Date Application is hereby made for a permit to maintain an existing/new underground storage facility as required by 527CMR9.00: Permits. Location of property: 24 Fort Avenue Street address Owner of property: New England Power Company Full name of person, firm or(forporattqn r Signature of owner or authorized representative: _ Fee:$ 10.00 (M.G.L.A. Chapt. 148 Sec. 10A) (Fire Department's Copy to be Filed with F.P.290 part 2) Form F.P. 290 Part.4 ( 4 04r Toffitw=wralffi Df Mmar4ustffs DEPARTMENT OF PUBLIC SAFETY--DIVISION OF FIRE PREVENTION ILA E I T June 20, 19 86 Date s TO MAINTAIN AN EXISTING/NEW UNDERGROUND STORAGE FACILITY In accordance with the provisions of 527CMR9.24 this permit to maintain an existing/new underground storage facility is granted to: Location of property: 24. Fort Avenue Street address Owner of property: New England Power Company - Full name of-person, firm or corporation Restrictions: Maintenance of 'underground storage tanks to hP in accordance with the provisions of 527 CMR 9.00. Fee Paid:$ 10.00 (M.G.L.A. Chapt. 148 Sec. 10A) Form F.P. 290 Part G This permit will expire April 30 19 87 - Date Signature of Head of Fire Dept. or appointed designee _ _— tr)-, --i , r-m„ +n i,o r%^c.+ori At thin ctnranp fari 1 itv with F_P 2qn Part '�l o FIRE DEPT. FIRE DEPT. deft STATE USE ONLY CERTIFICATION I.D.Number C/ Submit to: LOCAL FIRE -DEPARTMENT Dale Received MAY 5 1986 Notification is required by Federal law for all underground tanks that have been 4. pipeline facilities (including gathering lines) regulatcd undo the N:turai Gas used to store regulated substances since January 1,1974,that are in the ground as of Pipeline Solct�Act of 1908,or the Ila/mdous Liquid Pipeline Satct Act of 1974,u: May 8,1986,or that are brought into use after May 8,1986.The information requested "Inch is:u)intrastate Pipeline Iacilits regulated under Su ite la\\s; is required by Section 9002 of the Resource Conservation and Recovery Act,(RCN A). 5.surfaCC intPuundments,pits.ponds,or lagoons: as amended. 6..lot ol'water or waste waer collcclion s.%strnas: The primary purpose of this notification program is to locate and evaluate under 7.1Itm-through process tanks: 8.liquid traps orassociated gathering lines di«ctl�related to oil or gas production and ground tanks that store or have stored petroleum or hazardous substances. It is expected that the information you provide will be based on reasonably available gathering operations: records,or,in the absence of such records,your knowledge,belief.or recollection. 9• storage tanks situated in an underground area (such as a basement, cellar, mincworking,drift,shaft,or tunnel)it the storage tank is situated upon or above the Who Must Notify? Section 9002 of RCRA,as amended, requires that, unless surface of the floor. exempted.owners of underground tanks that store regulated substances must notify designated State or local:agencies of the existence of their tanks.Owner means... What Substances Are Covered? The notification requirements apply to under- (a) in the case of an underground storage tank in use on November 8. 1994.ur ground storage tanks that contain regulated substances.This includes anv substance hroupht into use after that date,am person who owns an underground storage tank defined as havardous in section Jill (14) of the Con'prehensisc 6mironmcntal used fur the storage,use.o:dispensing of regulated substances.and Rcspome.Compensation and Liahilit' Act of 1980(CL RCLA).with the exception of (b) in the case of am underground storage tank in use before Nowinber S. 1984. those substances regulated as hazardous waste under Subtitle C'of RCRA. It also but no longer in use on that date,any person who owned such tank immediately helorc inc ludcs petroleum,e.g..crude oil or anc fraction thereof which is liquid at standard the discontinuation of its usc. conditions of temperature and pressure(60 degrees Fahrenheit and 14.7 pounds per What Tanks Are Included? Underground storage tank is defined as any one or square inch absolute). combination of tanks that 11)is used to contain an accumulation of"regulated suh- Where To Notify? Completed notification forms should be sent to the address stances. and(2)whose volume(including connected underground piping)is I(lr;or given at the top of this page. more beneath the ground.Some examples are underground tanks storing:1.gasoline. When To Notify? 1.Owners of underground suarage tanks in use or that have been used oil,or diesel fuel,and 2.industrial solvents,pesticides.herbicides or fumigants. taken out of upereUon slier Januarc I. 1974,but still in the ground.must notil.v by What Tanks Are Excluded? Tanks removed from the ground are not subject to Mav 8.1986.2.Owners who bring underground storage tanks into use after May S. notification.Other tanks excluded from notification are: 1986.must notify within 10 days of bringing the tanks into use. 1.farm or residential tanks of 1.100 gallons or less capacity used for storing motor fuel for noncommercial purposes: Penalties: Any owner who knowingly fails to notify or submits false information 2.tanks used forstonng heating oil forconsumptivc use on the premises where stored: shall be subject to a civil penalty not to exceed S10,000 for each tank for which 3.septic tanks: notification is not given or for which false information is submitted. • Please type or print in ink all items except"signature"in Section V.This form must by completed for I Indicate number of each location containing underground storage tanks.If more than 5 tanks are o\%tied at this location, continuation sheets 0 -lhotocopy the reverse side.and staple continuation sheets to this form. attached • • Owner Name(Corporation,Individual.Public Agency,or Other Entity) (If same as Section 1,mark box here ©) New England Power Company Facility Name or Company Site Identifier,as applicable Street Address 24 Fort Avenue County Street Address or State Road,as applicable Essex City State ZIP Code County _Salem MA 01970 Area Code Phone Number City(nearest) State ZIP Code 617 744-5540 Type of Owner (Mark all that apply®) Private or Indicate Mark box here if tank(s) © Current ❑ State or Local Gov't ® Corporate number of �� are located on land within ❑ ❑ Former El Federal Gov't ❑ Ownership tanks at this 3 an Indian reservation or (GSA facility I.D.no. uncertain location on other Indian trust land's IIIXON TACTPERSON • • Name(If same as Section I,mark box here ❑) Job Title Area Code Phone Number Robert E . DeHart Jr. Environmental Engineer 617 7442,5540 ❑ Mark box here only if this is an amended or subsequent notification for this location. certify under penalty of law that I have personally examined and am familiar with the information submitted in this and all attached documents,and that based on my inquiry of those individuals immediately responsible for obtaining the information, I believe that the submitted information is true,accurate,and complete. Name and official title of owner or owner's authorized representative _ attire Date Signed D. A. Riley, Superintendent Pane 1 I Owner Name(from Section 1)NeW England Power CO. Location(from Section II) 24 Fort Avenue page No. 1 of, Pages • • e r e • •' Tank Identification No.(e.g.,ABC-123),or Tank No. Tank No. Tank No. Tank No. Tank No. Arbitrarily Assigned Sequential Number(e.g.,11,2,3...) 1 2 3 1.Status of Tank ' Currently in Use (Mark all that apply®) Temporarily Out of Use Permanently Out of Use Brought into Use after 5/8/86 2.Estimated Age(Years) 15 30 14 3.Estimated Total Capacity(Gallons) 1000 8000.' 3000 4.Material of Construction Steel (Mark one M) Concrete 0 0 Fiberglass Reinforced Plastic 0 0 O 0 Unknown 0 0 0 0 Other,Please Specify 5.Internal Protection O O O Cathodic Protection (Mark all that apply M) Interior Lining(e.g.,epoxy resins) 0 [� None 0 Q ® 0 Unknown Other,Please Specify 6.External Protection Cathodic Protection (Mark all that apply®) Painted(e.g.,asphaltic) ® 0 0 Fiberglass Reinforced Plastic Coated 0 0 None 0 0 0 Unknown Other,Please Specify 7.Piping Bare Steel EaD EZI 0 0 (Mark all that apply M) Galvanized Steel '] Fiberglass Reinforced Plastic 0 0 Cathodically Protected 0 0 Unknown 0 Other,Please Specify 8.Substance Currently or Last Stored a. Empty 0 In Greatest Quantity by Volume (Mark all that apply M) b. Petroleum Diesel O ® O O O Kerosene 0 0 Gasoline(including alcohol blends) 0 0 0 0 Used Oil ® 0 Other,Please Specify c. Hazardous Substance O 0 Please Indicate Name of Principal CERCLA Substance OR Chemical Abstract Service(CAS)No. Mark box®if tank stores a mixture of substances d. Unknown 9.Additional Information(for tanks permanently taken out of service) a. Estimated date last used (mo/yr) / @ /1974 b. Estimated quantity of substance remaining (gal.) 0 c. Mark box®if tank was filled with inert material (e.g.,sand,concrete) 0 ® 0 0 Page 2 lug �e a���i:,�-rc ����� - ���cce o���ie ���zt✓e � 'rr�xe C��a����. Notification for Storage 'Tams Regulated Under•527 CMR 9.00 Forward completed form, signed by local fire department, to: Mass. UST Program, ®' • Office of the State Fire Marshal, 1010 Commonwealth Ave., Boston, MA 02215 (Fire Department retains one copy of FP-290) Date Received: 6i Fire Dept. ID# x A. New Facility(see instructions,#1) ❑ B. Amended ❑ C. Renewal Fire Dept. Sig. -L ` No. of tanks at facility No. of continuation sheets attached _ INSTRUCTIONS: Form FP-290(Notification for Aboveground and Underground Storage Tanks)is to be completed for each --13MMOft location containing underground or aboveground storage tanks regulated under 527 CMR 9.00. if more than five tanks are owned at this location,photocopy the following pages and staple continuation sheets to the form. The FP-290 must be A. Facility Number completed in duplicate. Although the form may be photocopied,the facility owner or owner's representative must sign each copy separately;photocopied signatures are not sufficient. Both copies of the FP-290 are to be forwarded to the local B. Date Entered fire department,who will check all information and certify the forms. The fire department will retain one copy of the FP- 290 for its records,and the facility owner shall be responsible for forwarding the other copy to the Office of the State C. Clerk's Initials Fire Marshal at the address above. The local fire department will issue the permit portion of the FP-290;however, registration is not complete until the FP-290 is received and checked by the Office of the State Fire Marshal. All questions on D. Comments this form are to be answered.Incomplete forms will be returned. -New Facility"means a tank or tanks located at a site where tanks have not been previously located. "Facility street address"must include both a street number and a street name. Post office box numbers are not acceptable, and will cause a registration to be returned.If geographic location of facility is not provided,please indicate distance and direction from closest intersection,e.g., (facility at 199 North Street is located)400 yards southeast of Commons Road (intersection). Notification Required ExcepTton;(a)a farm or residential tank of 1,100 gallons or less capacity used for storing motor Fire Prevention Form FP-290 is to be used as Notification,Registration,and Permit for fuel for noncommercial purposes,or(b)a tank used for storing heating oil for consumptive use aboveground and underground storage tanks and tank facilities regulated under 527 on the premises where stored are not required to be registered under 527 CMR 9.00. Code of Massachusetts Regulations 9.00.No regulated aboveground or underground storage tank facility shall be installed,maintained,replaced,substantially modified or PenaltLest Any owner who knowingly fails to notify or submits false information shall be subject removed without a permit(FP-290)issued by the head of the local fire department. to a civil penalty not to exceed$25,000 for each tank for which notification is not given or for The owner of any storage facility shall within seven working days notify the head of the which false information is submitted.(MGL Chapter 148,section 38H,527 CMR 9.00) local fire department and the State Fire Marshal of any change in the name,address, Aboveground Storage Tanks or telephone number of the owner or operator of a storage facility subject to regulation 527 CMR 9.00 requires the registration of any aboveground storage tank which meets the by Chapter 148,Mass.General Law and by 527 CMR 9.00. following definition:a horizontal or vertical tank,equal to or less than 10,000 gallons Underground Storage Tanks capacity,that is intended for fixed installation without back fill above or below grade,and is Each owner of an underground tank first put into operation on or after Jan.1,1991, used for the storage of Hazardous Substances,Hazardous Wastes,or Flammable or shall,within thirty days after the tank is first put into operation,notify the Department of Combustible Liquids. Public Safety(the department)of the existence of such tank,specifying,to the extent Exception#1:Aboveground tanks of morethan 10,000 gallons capacity regulated by520CINR known,the owner of the tank,date of installation, capacity,type,location,and uses of 12.00(Requirements for the Installation of Tanks Containing Fluids Other Than Water in such tank.By no later than Jan.31,1991,each owner of an underground storage tank Excess of 10,000 Gallons)are not required to be registered under 527 CMR 9.00. that was in operation at any time after Jan.1,1974, regardless of whether or not such tank was removed from beneath the surface of the ground at any time,.shail notify the Exce lion ff2:(a)a farm or residential tank of 1,100 gallons or less capacity used for storing department of the existence of such tank,specifying,to the extent known,the owner of motor fuel for noncommercial purposes, or (b) a tank used for storing heating oil for the tank,date of installation,capacity,type,and location of the tank,and the type and consumptive use on the premises where stored are not required to be registered under 527 quantity of substances stored in such tank,or which were stored in such tank before CMR 9.00. the tank ceased being in operation if the tank was removed from beneath the surface Penalties:Anyperson who knowingly violates any rule or regulation made bythe Board of Fire of the ground prior to the submittal of such notice to the department.Such notice shall Prevention Regulations shall,except as otherwise provided,be punished by a fine of not less also specify,to the extent known,the date the tank was removed from beneath the than one hundred dollars nor more than one thousand dollars. (MGL,Chapter 148,section surface of the ground prior to the submittal of such notice to the department.The 10B,and 527 CMR 9.00) operator of any tank that has no owner or whose owner cannot be definitely ascertained,shall notify the department of the existence of such tank,specifying,to the Where to Notify?Two completed notification forms should be signed by both the tank owner extent known,any information relating to ownership of the tank,and date of and the local fire department.One copy will be retained by the fire department,and the tank installation,capacity,type,and location of the tank,and the type and quantity of owner shall send a separate copy to the address at the top of this page. substances stored in such tank,or which were stored in such tank before the tank When to Notify?1.Owners of storage tanks in use or that have been taken out of operation ceased being in operation if the tank was removed from beneath the surface of the must notify within thirty days. ground prior to the submittal of such notice to the department.If the tank was abandoned beneath the surface of the ground prior to the submittal of such notice to Owners and Operators of Regulated Storage Tank Systems must maintain records the department,such notice shall also specify,to the extent known to the owner or certifying that all leak detection,inventory control and tightness testing requirements operator,the date the tank was abandoned in the ground and all methods used to for the Regulated Storage Tank System are current These records must be readily stabilize the tank after the tank ceased being in operation. available for inspection. 1. OWNERSHIP OF TANK(S) H. L.oCAT1oN of TANK(S) Owner Name(Corporation,Individual,Public Agency,or Other Entity) If known,give the geographic location of tanks by degrees,minutes,and New England Power Company seconds. Example:Lat.42,36, 12 N Long.85,24, 17W Latitude 42-31-26 N Longitude 70-52-42 W 24 Fort Avenue 1100 ' Sir! of Derby and Fort Avenue* Street Address Distance and direction from closest intersection(see instructions#2) Salem Harbor Station of N.E.P.Co Facility Name or Company Site identifier,as applicable Salem MA 01970 24 Fort Avenue City State Zip Code Street Address(P.O.Box not acceptable-see instructions#2) Salem MA 01970 ounty State Tax Number City State Zip Code 978-740-8200 041663070 * See Attached Site Plan � Phone Number(Include Area Code) V"r3§9QMM"1@n1X County III. TYPE OF OWNER IV. INDIAN LANDS Federal Government Commercial , Tanks are located on land within an Indian Reservation or on State Government (storage and sale) other trust lands. (. Private: Local Government (storage and use) y❑ Tanks are owned b native American nation, tribe, or individual. V. TYPE OF FACILITY Select the Appropriate Facility Description: (check all that apply) Gas Station Marina Trucking/Transport Petroleum Distributor Railroad X Utiiities Airport Federal-Military Residential Aircraft Owner Industrial Farm Vehicle Dealership Contractor Other(explain) VI. CONTACT PERSON IN CHARGE OF TANKS Name: Lou. Arak Address: Phone Number(include area code): Job Title: Manager of Engineering Salem Harbor Station Home: :' Services 24 Fort Avenue Salem 17A0 978-740-8361 Business: VII. FINANCIAL RESPONSIBILITY r 1 have met the financial responsibility requirements in accordance with 527 CMR 9.00. ------------ ------------- ------ Check all that apply: ' :X Self Insurance ❑ Guarantee ❑ State Fund :3t Commercial Insurance ❑ Surety Bond ❑ Trust Fund Risk Retention Group ❑ Letter of Credit ❑ Other Method Allowed -Specify VIII. ENVIRONMENTAL SITE INFORMATION This information should be available from local health agent, conservation commission,or planning department. 1.Tank site located in wellhead protection area c Yes E, No O Unknown 2.Tank site located in surface drinking water supply protection area ❑Yes M No o Unknown 3.Tank site located within 100 feet of a wetland o Yes N No ❑ Unknown 4.Tank site located within 300 feet of a stream or water body o Yes g No c Unknown IX. DESCRIPTION OF STORAGE TANKS AND PIPING (COMPLETE FOR EACH TANK AT THIS LOCATION) Tank Identification Number Tank No. 1 Tank No. Tank No. Tank No. Tank No. 1. Tank status a. Tank mfes serial# (if known) NEW b. Currently in Use [ �� c.Temporarily Out of Use d. Permanently Out of Use e. Aboveground storage tank (AST) or 99 AST ❑ UST O AST ❑ UST LD AST ❑ UST ❑AST ❑ UST FD AST ❑ UST Underground storage tank (UST) 2. Date of Installation (mo./day/yr.) 5/98 3. Estimated Total Capacity(gallons) 3000 Z Z0 m 'A 0. ---------- uu co 0) T---F ............... SECONDARY CONTAINMENT TANKS These innovative units provide above ground fuel oil storage capacity of 275 gallons to 10,000 gallons. Special sizes or upright tanks available on special order. Designed to provide safe storage and guard against oil spills without the expense of perma- nent concrete installations,a : Secondary Containment Tank can be relocated to another site at a future date. Units are com- prised of a cylindrical tank which sits on 6" high cradles within a rectangular box container.This secondary container is designed to hold 110% of the contents of the tank. Check These Features: -' .:.L • UL Approved Tanks. - • All Welded Steel =- r^. Construction. r- N �Y a - • Six-inch High Cradles. I 4� °}, _M • Two-inch Bottom Drain. -reM Y' 1•' ,r Y'1 _ - . M.-. 7 r'rC t 1 � ` 1 SALEM HARBOR STATION DIESEL OIL STORAGE TANK INSTALLATION 3000 GALLON DIESEL OIL TANK TANK CONTAINMENT 14"X 14" CONCRETE BEAMS 12" DEEP CRUSHED ROCK BEDDING =�,P N OF Mgss9ti C �o ERNEST G� CHARLES o GREER v �14 o. 27769 o P GIs O,rF - 'Tank Identification Number(cont.) Tank No._I— Tank No. Tank No. Tank No. Tank No. 4. Substance Currently or Last Stored a. Gasoline Motor vehicle or other use ❑ MV ❑other ❑ MV ED other ❑ MV C other ❑ MV ❑ other D MV ❑other b. Diesel YES 0 :J E::� 7-7 Motor vehicle or other use J MV Gx other 0 MV ❑ other ❑ MV other ❑ MV a other ❑ MV ❑other c. Kerosene d. Fuel Oil e. Waste Oil 0 f. Other, Please specify Hazardous Substance (other than 4a thru 4e above) CERCLA name and/or CAS number ---------------- ------------ ------ ----------- Mixture of Substances Please specify 5. Material of Construction -Tank (mark.all that apply) Asphalt coated or bare steel Cathodically protected steel Epoxy coated steel Composite(steel with fiberglass) Fiberglass reinforced plastic(FRP) Concrete Other, Please specify _PAINTED STEEL 6.Type of Construction-Tank (mark all that apply) Lined interior Double walled C� 0 Single walled Polyethylene tank jacket Excavation liner Unknown Other, please specify INTEGRAL TANK AND CONTAIN ENT Has tank been repaired? ❑Yes ❑No ❑Yes ❑ No ❑Yes ❑ No ❑Yes ❑ No ❑Yes ❑ No Date Tank Identification Number(cont.) Tank No. 1 Tank No. Tank No. Tank No. Tank-No. 7. Material of Construction - Piping (mark all that apply) Bare steel F YES Galvanized steel Fiberglass reinforced plastic Flexible Copper Cathodically protected Secondary containment Unknown Other, please specify 8.Type of construction- Piping (mark all that apply) Double walled Single walled Suction: Check valve at tank only Suction:Check valve at dispenser only Pressure Gravity feed Other, please specify Has piping been repaired? O Yes ❑ No ❑Yes 0 No O Yes ❑ No ❑Yes O No ❑Yes ❑ No Date X. TANKS/PIPING OUT OF USE 1.Tank/Piping closed or removed (mark all that apply) A. Estimated date last used (mo./day/yr.) B. Estimated date of removal (mo./day/yr.) --------------------- ------------------------ C.Tank was removed from ground D.Tank was not removed from ground Tank was filled with inert material Describe: E. Piping was removed from ground F. Piping was not removed from ground G.Other, please specify Tank Identification Number(cont.) Tank No. 1 Tank No. Tank No. Tank No. Tank No. 2.Tank closed in accordance with 527 CMR 9.00 ❑Yes ❑ No ❑Yes ❑ No ❑Yes ❑ No ❑Yes a No Yes C No A. Evidence of leak detected ❑ Yes ❑ No ❑Yes ❑No ❑ Yes ❑ No Cr Yes No Yes ❑ No B.Mass. DEP notified -Yes 0 No Yes El No ❑Yes ❑ No ❑Yes - No Yes ❑ No 1. Mass. DEP tracking number 2.Agency or company performing assessment XI. CERTIFICATION OF COMPLIANCE 1. Installation A. Installer certified by tank and piping manufacturers B. Installer certified or licensed by the implementing agency C.Installation inspected by a registered engineer YES D.Installation inspected and approved by the implementing agency E.Manufacturers'installation checklists have been completed F. Another method allowed by 527 CMR 9.00. Please specify 2.Tank Leak Detection Tank Piping Tank Piping Tank Piping Tank Piping Tank Piping (mark all that apply) A. Double-wall tank- Interstitial monitoring aLi 1:1 El B.Approved in-tank monitor ❑ C.Continuous vapor monitoring in soil D.Monthly vapor monitoring in soil 1 E-1Inventory record-keeping and tank testing � —— —_ El -— � — ❑ —— F. Other method allowed by 527 CMR 9.00. SEE TANK Please specify CATALOG WT 3. Piping Leak Detection (mark all that apply) A.Pressurized � F-1 ❑ ❑ ❑ Interstitial space monitor ❑ ❑ Automatic flow restrictor' ❑ ❑ ❑ Automatic shut-off device' ❑ ❑ Continuous alarm' � a ❑ � ❑ ' Also requires annual tank tightness test or monthly vapor monitoring of soil. Tank Identification Number(cost.) Tank No.1 Tank No. Tank No._ Tank No._ Tank No._ so a ion B.Suction: ilqaok valve at tank only F Ix ❑ Interstitial space monitor (visual) 0 C.Suction: Check valve at dispenser only None required D.Tightness tested iyr. 3 yr. ❑ tyr. ❑3 yr. ❑ 1yr. ❑3 yr. tyr. ❑3 yr. 1yr. C 3 yr. --------------- ---- ----- ---- ------ ---- E.Other method allowed by 527 CMR 9.00. Please specify 4.Spill containment and overfill protection A.Spill containment device installed ❑X ❑ ❑ B.Overfill prevention device installed 5. Daily Inventory Control A. Manual gauging by stick and records reconciliation B. Mechanical tank gauge �X C. Automatic gauging system X11. CERTIFICATION (Read and sign after completing all sections) NOTE:Both the copy being sent to the State Fire Marshal's Office and the copy retained by the local fire department must be signed separately. A photo- copied signature will not be accepted on either document. I declare under penalty of perjury that I have personally examined and am familiar'with the information submitted in this and all attached documents,and that based on my inquiry of those individuals immediately responsible for obtaining the informa- tion, I believe that the submitted information is true, accurate, and complete. Name and official title of owner or owner's Signature: Date: authorized representative(Print) Ernest Greer Project Engineer 4/24/98 l FP-290(revised 6194) Page 6 4 w�,�.' New England Power Company New ErViand Power Salem Harbor Station R/J r�.J 24 Fort Avenue Salem,Massachusetts 01970-5693 July 27, 1990 Captain Robert Turner - Fire Marshal Salem Fire Department 48 Lafayette Street Salem, MA 01970 Dear Captain Turner: In accordance with regulation 527 CMR 9.00 as recently amended, please be advised that two above ground fuel oil storage tanks designated as D-4 and D-5 on the property general plan have been out of service in excess of one year. A study is presently in progress to determine if the above referenced tanks are to be dismantled or if they will be inspected, undergo ultra- sonic. tests and maintained empty as standby storage tanks. You will be advised in the near future of this decision. ncerely, 4 ; Jack R. ee Environmental Engineer el cc: T. Duffett H. Horsman File A New England Electric System company CL2�?/!!24/h ll1 DC?i d 1aC --' °' �e`iax/mzenC a� rixe,CJecea — ✓c�oa�xc�a�=�'iixexev�rrCcantr 5 ) ' APPLICATION and PERMIT Fee: . "e-e for storage tank removal and transportation to approved tank disposal yard in accordance with the provisions of M.G.L. Chapter 148, Section 38A, 527 CMR 9.00, anolifitiopis Mithrude by: f I L L-Wr I Tank Owner Name(please print) Gf �t.7/��,lj,f� X Signaturme(f -VhW9 forpermrr/ Address 27 /a4 �l �/� rJ /P!i¢ Strew city stare Lo Removal Contractor- Company Name Co. or Individual //l P.mr PMt -S 6f7?' Address `sue 1�/=s �' AAddress Signature (if ap lyin r permit) Signature (if applying for permit) I _ IFCI Certified Other = IFCI Certified = LSP # Other Tank Location Sreet aoofess city Tank Capacity (gallons) .fe0D 6'f4'Z0WF Substance Last Stored Tank Dimensions (diameter x !enath) X Remarks: Firm transporting waste �D� �PX6GLS State Lic. # A114IZ� Hazardous waste manifest; - E.P.A. # S%�'—ZZ�� - Approved tank disposal yard Tank yard Type of inert gas Tank yarn address I City or Town G ,rH FDID# Permit# 11:2 Date of issue /���/yr Date of expiration ��/�13; Dig safe approval number: Di fe Toll Free Tel. Number-800-322-4844 Signature/Title of Officer granting permit - i After removal(s) send Form FP-29OR signed by Local FG Dept. to UST Regulatory Compliance Unit, One Ashburton Place, Room 1310. Boston, MA 02108-1618. J FP-292(revisea 9/961 De�rziarat�sre�t �ure ,Senuice�`•e d/,"`'•ten `,',/" tie .State �v�e���liaQ RECEIPT OF DISPOSAL OF UNDERGROUND STEEL STORAGE TANK Form FP 291 NAME AND ADDRESS OF APPROVED TANK YARD Tu , t ;, 2,15 CoMrn a o., Inc. Lynn, MA ® . APPROVED TANK YARD NO. Tank Yard Ledger 502 CMR 3.0394umber: 00 (�3` C) 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 Provis for Approving Underground Steel Storage Tank dismantling yards. A valid permit was issued by LOCAL Head of Fire Department. FDID#y ai C s to transport this tank to this yard. Name and official title of approved tank yard owner or owners authorized representative: GNATLIRE TITLE DATE SIGNED This signed receipt of disposal must be returned to the local head of the fire department FDID# pursuant to 502 CMR 3.00. '� EACH TANK MUST HAVE A RECEIPT OF DISPOSAL TANK DATA 4! TANK REMOVED FROM Gallons �� Q— O, (No.and Street) Previous Contents T Diameter Length Say o-To n) Date Rec�ei�ved V- 11 Fire Department Permit# Serial#(if available) Tank I.D.#(Form FP-290) Owner/Operator to mail revised copy of Notification Form(FP290, or FP290R) to : UST Compliance, Office of the State Fire Marshal, P.O. Box 1025 State Road, Stow, MA 01775. i S- 8 -H IJKKDu�YLine 'I3I7.1'9sB.fS3I9 lso!lirarAva to ZbodVSt. STA4T/ON EQU/PMEw L/ne s T-N6 To 7srvhsbary Vie. Cana/Sb .......re.. �. ,Ir / Ten*s P/ Jr! D-t 710/OCb/s eeeti i.,e/o/i /f COS- Sub Station 9urldin OERe y L/ne S-H3 TeMs/rearAbs r s T t Tan* Od!D-!,)?O/O.Bhh.eoch,&w/w,Fos/al IS Janction Mouse A-0. / e REf 3 7an*a-/ /SJ100eb/s eunAar Fua/oi/. Y6 cot Slorogr.B[dy srld H/d�or)¢rEStOrogeSlob. Oil C42uipment -Sullding I7 Erea*er NOase. S I Ton*O•S JSaIO eb/s,Xerosene. /a Junction Novi* 6 SerYiee Tan*S S•/C S-t 0060SUN.eseA. /9 COO/BunAers.Aetror>.wr uw.Y�s-aaoor s. ear ///• TANK \ 7 Tonk 9-3,8-4??'J.600Bbut.BunkerFye[ Oil. t0 Punr Neuss-Foe/ Oi/. / 'D-I ts• a t/ room Rouse. r z� ��� �'-jt�• krde�er•If ' s Tonk D-6 2000008b►s001nmer iol Fuel W. 12 Meta/ era . i of �[ 7 / � � •� �•• '\���%iejy IO tJ rue/ Oil Line. fp TANK t�\\ �•� N d6'tonve or E'er eit S"r0n: A'eur. I•! Storo a Nousa. O TANK D-2 !r �i �•� /t 36'Conve er f-Ca .cif• 650Tons Neurdes tS Chan a Nouse. ey\ '� � /3 36'Conve or7r/'Co ecity 6S07ons Near. Meehlne Shop. 8-3 TANK TANK I reP:r \ t7 £nvirc n[ol monilori ¢ bldg. TANK B-5 TANK 2 I .Y la 7aNrB•5?S0000ebls.Bunx¢i foal Oi[. D-6 I ` PARKING AREA 1 - J,4 ,'` ry Channel 94 Sampling Bldg. logPN 30 Nbsle WF71p rTrvnnrp Ir £ ipment. E TANK v 11 r trskt, -\- F 3/ Loadin Rec*s u / - 4 t D-4 F \ r C •B- \• !t Loadin P/at/orn.. 0 8 ' nE eaaE sneer I�/l1 j • ,d,�•Yliae. �Sro \\, V? TANK •e •s eAEr� - C rfss� h �`- 5-4 tM111.0 plwll 11,71 ; EJJ x �'�'t• - /V �i'� eV r 6 'C .Nef - - 1 O d o•:��0 1 rors, _ ' �1; Coco 0 0 S-2 I "� W j it A ��� C Od L p t p s ti. LE __ r G - Ry -- /e ® 01LER Y �i j $ k TANK D-5 t.A4LNOnt( i - _-!y= -- J"so�t r OMAGC•n:rr _ t 'fa.r 1 Q- � u r i 3 ` 1 ART -1 -'r '? DISCHARGE CHANNEL -r� ' TuaanvE pOOK CGVC.Svt3 PAR-ma O77 0 a # iCr. 'I•tle�..,.,n...net l t t�.�l�lt trr-t. r 'p - _ ? h ` ft*. ` ' I 71141_ y I . I I SCRCEN +. .• _.-•..••� _. --.... . - . - .• roPerry w.s - _ ` 7 e I rl t rt•1.• •' 'fie `• -�. DESIGNATED WA T R FROND •>' ,� Reference Point'X- / �ro E. riu..i.[rwrr•Prrss t»e e E (Stec/Pin) : 1 Basin o a o . FACILITY AREA o 133 CFR 126J '�, fait •westesseLne.-.�/ -7-- - . Bfl M Sta. /098.76 North ' � o z• _ • f.,r / 33 Office. 52. Pnouse o - l• o,f ASO,5/nit- Pum _- c a 7t�0'= , / / CAa' a sI Gate Novae 53 I Nyerobins -- // lcatss• / net / 35 //SKY. eua Structure. $4 Fly Ash Silo E b 3 l 36 tJKY. Bus Structure. 55 Tear,% dash EL O O- tr! �.1 _ [ s7 I/60V. Bus Structure. _ - -_-- 56 F/y Ash T ns _ - Y` _ a por/Ali- Brcildin xxs t ft/I-6'S alI-6' 38 Relay House. — o Qd \ J9 A¢e clt vnFSonA Groin Siructwe. 57 s-r Pale aj l iAd Pa.nphotcse — r SECTION B-B `� P SB s«:tcho evr'r3¢ildir�• - `� fc nos': ♦o a'eit Wate> --- a _.F �/ B_fire A•loin. _ E o a 15 4l I Transformers /0.♦ to ht/rY. /7/.0'-- 43 Stot*s. . 2; i o r 9O 7 �°/ /y IS I_- , - =ram==n= _� s �![:' 4� water Meter Pit. NEW ENGUINO POWER SERVICE COMPANY t ¢ r7 -__-- ; ;;��; ; ;;;;;; o/ LSI Ar Conveyor '7' Copocit r 6J0 Tons/Moor """ sos �'"'•`�� o e•a!� f ? °'6 e•s e. s s - - __ - _ I6 Is' Conreyof 7/' C°pocdy�6f0.r nt///ow a -- £/./S.O' -- NEW ENGLAND POWER COMPANY ~ ++rR•/ _ I7 JuncYron Novae T•U .~i / w_tc=se'- fa �r r '4 Fly ?t�,_r� �. ��.w� - SALEM HARBOR STATION 7.D J4N- - -.- SLOG. y SECTION A-A eD.e... _� - �s Pump Nouse -Tiansloirnei Oi/ GENERAL PLAN OF YARD 5 0 O'[ OumpS 8 FUEL HANDLING FACILITIES ° t elil ��Ii +L .m•���rYR':'r �. Si AFS 37. :r 7 F,ram - _._. __ I .c•uo roc_ .,..R Ara .Aft INCNEE 0■O.ICLLL Q �l / 1 — 1 s ;a y OG-$8lGl H 3. _ .23KV Duct Unes 02347.2348,6 2319 • coons Ave.to Posbol*SL, STATION EQUIPMENT . Une iT-146 To Tewksbury.' Vb.Carol St s I6:,rwrs oa o3.oa rao eaa r e gnaw racr wa 0 F Une�145 To Malnme No:2 P naw�r'p - 3 B : TNu a+rAm"IA LWL apmE 0 0029TCM E KM NO wrOROGIN WORAM UAL e. S T R E E T • TAM w Tam Beu waoEe wu oL. n eOEAmO NouE '4 RUL oa SJFRr KW HOUSE w .umncw NDUSE&&#L . O ... a TANG D4 mew w1:5.MVW& 10 001 Buwlslt WAOIY-UYr w-iN TGNS 1lYI 12- .. L2 •. v. - "" "Y.T 2070 TOM ISJT/ia00D tO1LA NOCLI.PT.-1 lON 1 PoAr WrF hom. S stx+ae TANS w a w mm aua EADL- m q 7 TANG 04 B-4 ZO eats BUNmT FJIL Oa. - a FOAM NODE- A S. r TANK B. �t + °. B TAN Met"lamG.L. a 4lTAL WUff I.t. 0 TAN[W 20 om MA OOWADWA4L RWs OS. a nm Oa Lw- . - - v con FMCLDaw L Dols)00MOE Wrap"TKIGNJ . y. M'frhl r � e r commma•r CANA=so Tomsoom is em mDe roux .:,r •� a r cw&-m v aaaarr IN Tomsu m BUT STORAGE B STORAGE ON ftl 4"a , TANK .-M f mZ : .. � 7G 'D-2'S _ - v a mrxSrox•Fr t�wAalr Bm Tawsraut a eeaaraawrN wmalow n bo v r wm - N CAS R*STATKW WADING iswi Tm im OIL 11"BUNKER RQ O rq � F'Gaul E. �.F R -! ¢ _ Y. _ #... QV ` aU�TANx r O T. : m oa4N4EL wATEw tAAat&a Km AND WASTIM71A►711" - g s t F SF s TBfNK i 31 ,*� m WTTE WATTS.TrrATMW EOUV%KW.Aa1NODlm. - - TANK) ° - O -rE.eoFED TANK �':. `� D�. 8 3 - PARKWG •�h' AREA a uoAOBa a4CKs 4 V F a LOAD"RACK_MINED Tell a2 Dn+cc-AWNED - tlU'17ANK � x. UTE NatzE �. 0. �� m ma eua nwcnwE. "� 8 1'AnCC rr ,� 1 SETTLING BASINS_' SURGE uAB TO S, ar uv BW UROMPS. . 0 3 'I v V C Q —#44 I SI - TANK A aw T4Y BTTSaTSE J 1 n m w11QE wl44cS NIo CLNSr AaunuOa.AaAFoaaa m oho 62 v SewL- - 4o r on va7m 8¢ 7 64 u 0 a r FDE m" S F Q ABANDONED 8 o AAOM ae IN PLACE _ ,- g - � 5 5 w WT4A rma wr $. . O (Y� rYT1 u m o 0 0❑ ❑ 4a 4r curaaraa•r F4vAan ew TONS40M O QQ r C \ Cf S�- _ 4S 4r CDW*VM r c4N4EJn 4m TONS"OGR _ a J6 CTaN HOME Tyr L 0, UNIT r my Mm Kcroul SGBD4a J3ASf Lr/vF• � F m@ O�U �r FAN HOUSE O 41s aaorouSVTa�raG Go. Lo at Pub" - OILER RO0 =. A 71 g$ a Aw ssn law cum rA QS AM QUCE fUEtN101lEE WAREHOUSE i2 - 3 NEPSCO , IV os NroBo" W _ - NAgF B9 a FLY AMU0 vV DISCHARGE CHANNEL' p, URB NE ROOM A m TO"WASH C - $ UNRt1 UNITI2 UNRi3 UNIT/4 '� WAREHOUSE r FLYAW TMNEIOar A"MAD" C - o �F d �r E J v aw Faf aw ps lcw mm�ausa - - q§ - Reference Pdm"B' SCREEN HOUSE ELLN a vAnc mm sun" ¢ (Concrete Bound) Reference Point•A• �. {}j Sta 6+21.84 South (Steel FMI m °��Tr Kmnw Basin vuGEa srz E tw8 � a WSTOMUR TaAwxDeAnrtc wM JwXTnRnCo a 7 NaD 4c eNnmvna a roam DOCK MOTOR COwTlla CENM MAD" p EL 6tlb' 3 : c Earth DOCKroToa cONTnOL rstraa BIADNO . W p EL 72•-T t - w OMaN'lL,e //--�� EL 446.E: �. C�4SrinaT 4S TACT De PUW canna Ofl09T Buaa" 8 7 ®\ n T7 (7T) _ I BEF60CE: M NON SUM WTM ME OM BJLDaa . \�• 64000 GEMM L RNI OF WATaN NO rND A DEWY STpw WTFN ldmma BINDNB ' I�� a EL 16'-0' 7 - EL 2W-6 1N6• t - k a ww BUOF naDMa EL 14'-0•"f EL 2P-W • aL 7Ttt wrFLr srawlaE Door . p 70 0.K Oa 10"BrORAGE laal SECTION B-B EL 27051 ICl1 71 CLEAN A49MOS"k-A" 72 oum A98FdT0a Tawlaa n EL171.G' t2 EL 181.3 t •ON41D'iS1iP TRANSFERRED TO US GEN N.E.LLC ON&W U NEW ENGLAND POWER SERVICE COMPANY a B 7 7 6 Q 8 t EL.MA 3 EL t24b f ° BOSTOFa wv4N: a \ Q \ - ® n j �58} 19 61 - NEW ENGLAND POWER COMPANY °� B a B a s a EL u.a r� Y l�/ r SALEM HARBOR STATION g El is Cr SALLn I.D.FAN SITE PLANusErrS m BLDG. ROAD war w0GSECf S GENERAL PLAN OF YARD N SECTION A—A ¢t & FUEL HANDLING FACILITIES N ° - k SCALE 0 i00' DATE OGBJ957 O a e H 17188-10 , r , Dec 29 04 04: 13p GG MSG CEV MaraTech Ll 377 8151 p. l' I'�81.Ix J���� OPTIONAL FORM es -____-- , ;.'. FAX TAA ®A Ns �° y of pagge►. ITTA Ar'OR ALAPNEYSATLAW L i PJ n�Y Phoney F - 64 41 Fax)�/ 7 SN 7sg0_0t_317_7308 5099_101 - December 23, 2004 ' Wendy B.Jace, Boston 0ffi4 617-832.113. VIA FEDERAL EXPRESS Wiacabs@fofeyhoag.can Cheryl Lapointe Office of , City Clerk RECEIVE® the City Clerk 93 Washington Street Salem, MA 01970 Re: USGen New England, Inc. an e ' Salem Harbor Stati Notice of Ch on Ownershi � Dear Ms. Lapointe: I write on behalf of USGen New England Inc. (°°USGenNE„), which O�and operates Salem Harbor Station in Salem Protection under Chapter 11 of the U.S. B currently MA. USGenNE voluntarily fled for September 3, 2004,`USGenNE, several of its affiliatsand Dom de in in?on Ene003. O- New England, Inc. ("DENE") entered into an agreement pursuant to which the ownership of Salem Harbor Station would transfer from USGenNE rs Dominion Energy Salem `} Harbor, LLC ("Dominion Salem"). The bankruptcy c November 18, 2004.. It is p ourt approved the sale on resently expected that the sale will be completed January 1, 2005. on or about In the meantime, USGenNE and DENS are working together to facilitate a smooth transfer of the licenses, permits and authorizations applicable to Salem Harbor Station. These include the licenses for storage of combustible and flammable materials issued to Salem Harbor Station by the City of Salem pursuant to Massachusetts General Laws Chapter 148, § 13 and certificates of registration filed in connection with those licenses, all as listed on Attachment A to this letter. The companies believe the list of licenses and registrations on Attachment A is complete. If, however, any license or registration issued by the City of Salem has been omitted from Attachment A, such omission is not intentional. It is the intention of the companies to transfer to Dominion Salem all such licenses, and accompanying registrations, issued to Salem Harbor Station upon completion of transfer of ownership of the Station. The companies understand that the licenses and certificates of registration will transfer automatically with transfer of the ownership of Salem Harbor Station- The sale is currently expected to be completed on or about January 1, 2005; however, the sale remains FHBOSTON/7 148520.1 Seaport World Trade Center West / 155 Seaport Blvd. / Boston,MA 02210-2600 / TEL-1517.832.1000 / FAX:617.832.7000 Foley Hoag LLP BOSTON WASHINGTON,DC www.foleyhoag.cam 1 Dec 29 04 04: 13p 66 MSG CEV MaraTech 781 377 8151 p. 2 1 Cheryl LaPointe Salem City Clerk December 23, 2004 Page 2 r i - subject to certain regulatory approvals and customary closing conditions. Dominion Salem will provide written notification of the actual sale date by electronic mail or facsimile to the City on the next business day after the sale. If requested, Dominion S, t also will send a representative to the Salem City Clerk's office to change the name of i property owner on the Town's copies of the licenses and the certificates of registration, Thank you for your anticipated cooperation in this matter. If you have any questions,please call Mark Carney at USGenNE at(301)280-6899 or Robert M. Bish, at Dominion at(804) 273-3010. I Very truly yours, t { , r ,J Wendy B. Jacobs Attachment cc: Robert W. Turner, Chief, Salem Fire Department Sanford L. Hartman, Esq. Mary Jo Sheeley; Esq. Mark V. Camey Robert M. Bisha, Paula Hamel 1. Pamela F. Faggert Ralph A. Child, Esq. Wendy B. Jacobs,Esq. l l FHBOSTON/1148520.1 I Dec 29 04 04: 14p 66 MSG CEV MaraTech 781 377 8151 p. 3 ATTACE ENT A FABLE`I. UGIS:. ,: . ' TIQN and LICIENSES . . 5MLJE �HARBORSTATION.:. Document Descri AS Certificate of Registration Department of Fire Services Registration for Apri130,2004ssued Keeping,Storage,Manufacture or Sale of Flammables or Explosives at R21-29 Derby Street Certificate of Registration Department of Fire Services Registration for April 30,2004 Keeping, Storage,Manufacture or Sale of Tlammables or Ex losives at 33-59 Derb Street Certificate of Registration Department of Fire Services Registration for April 2004 Keeping, Storage,Manufacture or Sale of Flammables or Explosives at 24 Fort Avenue Certificate of Registration Department of Fire Services Registration for April 30,2004 Keeping, Storage,Manufacture or Sale of Flammables or Explosives at 30 Fort Avenue Licenses Licenses issued by Salem Fire Department for 1/13/49, 5/11/50, Storage.of Flammable Materials, including 10/26/50, 7/20/55, asoline and fuel oil. 8/8/68, 7/11/74,1/11/96 a � 1 1 4 FHBOSTON/1145421.1 `�";d" ,mil' `� ..n. ,•v.rt "�.,".: ` ..: :sS �r $;.yt-,.•.a. 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"`,. ,ti � {,:: � `� g'�� .STOWS�MA �01'775 ;� �' � „ ,�" ;�,�✓�.;, ., ;�. s,s •? ,.:t, "'t, 3 tf `�6 >� r l..y !"'"i *. s ,r , P r VestSK.. F', .�'g^a �, r•vi s t.,, 3 ,a >rn :ti. \- ,s'<�� ..\ ,>a` -:.r r ,d 'k �«� "� .t a .,s..',�� �� -:. '_ .,.';, ,..''� 2 s• a ,y, .^,• ."e, !' Fsa=,).."I ,r IF ' �,-..:. m } Yb :..r : ,,,;:': ^ �H AOLtqED,9ACKdROU1�D?`�f1PfSEgCbNTA1N8 MICgdPRINTINO . Yr 004894480��' lie L04 584ii' 1:0 5 500 2 70 71: L000 All submitted Annual Inspection Forms (as required by 502 CMR 5.00) must be submitted with the associated fee. The fee structure, in accordance with 801 CMR 4.02: Fees for Licenses, Permits and Services to be Charged by State Agencies is: All of the aboveground storage tanks (AST) mentioned below refer to those ASTs which have a total gross capacity over 10,000 gallons. a. One AST, at one location - $25 i . ' ..., .<. ._ .,�......,y!'"'-"„�yr.,auph.l, $4""ewq:WalNr-ni<r=ec,.n.m•xustnk-n.rr. .. b. T o ASTs, at one location - $20 per AST� i c.Icaj ee or more ASTs, at one location (Total aggregate city of all ASTs less than 1 million gallons) - $15 AST d. ee or more ASTs, at one location (Total aggregate city of all equal,to or greater than 1 million ns) - $25 p T ; J ergy& *Ga, ansmission. Salem Harbor Station USGen New England,Inc. 24 Fort Avenue Salem,MA 01970 December 1, 2003 978.740.8200 Fax 978.740.8305 wm.negtcom Commonwealth of Massachusetts Office of the State Fire Marshal Technical Services P.O. Box 1025 Stow, MA 01775 Attn: AST Program r Subject: Submittal of Annual Inspection Forms, AST Program US Gen New England, Inc. Salem Harbor Station Gentlemen: Pursuant to 502 CM 5.0, National Energy Gas Transmission, NEGT, acting in behalf of US Gen New England,Inc., has conducted the annual inspection of the above ground storage tanks. Attached are sixteen inspection forms for the tanks within the scope of the Regulation. Accordingly, enclosed is a check in the sum of$400.00 (16 X $25.00 per tank). Sincerely, Anthony C. Wheelock Environmental Engineer US Gen New England, Inc. cc: A. Sload R. Kenison Captain Hudson, Fire Inspector, Salem, MA Enclosures—(16) USGen New England,Inc.is an affiliate of National Energy&Gas Transmission,Inc.(NEGT)—Debtors in Possession. W"&?i? Mleaa ola6oadwaeM 02 r = �lJ����J`�P/J'L�Q��f/J� V P/J�?.�l.C'E6 �"�,"`�► ii 4 J `�°�r� �oa�O.�f, c:J�aug ���aaoac.�ivaelta 09775 - (978�5t 74,T 00 (9?aaa: (978F)567-SISS Annual Inspection Form fora tank,.in excess of 10,000 gallon gross capacity,for the aboveground storage of fluids other than water. Pursuant to Massachusetts General Laws(M.G.L.)c. 148,§37,all aboveground storage tanks,subject to the requirements of 502 C.M.R.5.00,shall be Inspected annually. Ail information_must be typed or neatly printed. All fields must be completed or the Annual Inspection Form will be returned. A separate Annual Inspection Form shall be submitted for each individual tank on or before December Is'. For tank construction or installation,use the Application for Construction and Installation. For tank maintenance,as defined in 502 CMR 5.00,use the Application for Maintenance. Business name (J5 ', 66LC- KW 'Street address:' M o R70 r Business(mailing)address; Address(or locatio ).of tank: Contact name: Title: Telephone number. q — 40_13a*0 Fax Number.:__(,�78...—74LO 11113v5 The tank is: �In-Service► ❑ Out-of.Service . O Abandoned,since(date): Description of tank: ��' Date constructed/manufactured: 1 A10 Tank serial number: rA me Massachusetts Department of Public Safety tank number,if any:. _' 9'None Office of the Massachusetts State Fire Marshal number,if any: O'� 00+1 oZ None Tank constructed/manufactured according to:A.P.I.: A.S.M.E.: U.L.: ' Other: Tank construction standard: Tank gross capacity: Tank nominal capacity: 0 Horizontal tank Diameter(feet) Length(feet): O-Vertical tank Diameter(feet): Height(feet): Fluid to be stored In tank: so o!o urr'ea ;Sb (n oAer Flash point('F): fJ J A Is this.tank located in a vault? 0 Yes C No If Yes,describe vault and associated equipment: Please continue comments on a separate page: Separate page(s)included? 0 Yes,number of pages included: K,o Compartmented tank? ❑ Yes K No If so,number of compartments•and capacities: Secondary containment tank(double wall tank)? O Yes it No Retaining basin(dike)provided?. ❑ Yes IXND Net capacity of dike: Office use only Fee Paid: - Date received: Date entered: Entered by: Annual Inapection Form;10/30/00.Pasta 1 of 4 Description of retaining basin (dike): O Metal O Clay Q Reinforced concrete El Other,describe: - Please continue comments on a separate page. separate page(s)included?'- :0 Yes,number of pages included: No The following annual tank inspection checklist can only be used for tanks constructed to-the American Petroleum Instltute(API).Standard 650,Its predecessor 12C or any steel tank constructed in accordance with a nationally recognized tank specification. For all other tanks,the Inspector must propose an alternative tank inspection checklist appropriate for the tank. The alternative checklist must be submitted and approved,by the Office of the State Fire Marshal,AST Program prior to being -utilized. The tank construction standard and the date of construction must be stated. Any annual tank Inspection documented on a non-approved tank inspection checklist will not be accepted. Has the tank been constructed to API 650 or 12C? O Yes, use the following annual tank inspection checklist. KNo;answer the following question. Is the tank a steel tank constructed in accordance with a nationally recognized tank specification? 0 Yes,use the following annual tank inspection checklist. No. The following annual tank inspection checklist can not be used. The Inspector must propose an altemative tank Inspection checklist appropriate for the tank. The alternative checklist must be submitted and approved by the.Office of the State Fire Marshal,AST Program prior to being utilized. The approved altema�.lVe checklist must be completed and attached to this Annual Inspection Form. Date of Inspection: Satisfactory Unsatisfactory Comments Foundation Check for foundation levelness. Inspect for broken concrete. Inspect for spalling. Inspect for cracks. ✓' Inspect for cavities under foundation. Inspect for vegetation around the bottom of the'tank. hl ' Inspect for settlement around the perimeter of the tank. Check water drains away from the tank. Check for signs of leakage. Check the bottom to foundation seal,if any. {.I Check for the good general condition of the foundation. Other. Other: Tank Check for proper signage. Inspect for paint failures. / Inspect for corrosion. ✓ Inspect for pitting. Inspect for dents. Inspect for gouges. Inspect for shell distortions.: v Inspect for shell deformations. Check for signs of leakage. t/ Check that the tank is properly grounded. v Check that the tank has the proper static protection, v Check for the good general condition of the tank. Other: Other: Annual Inspection Form;10/30/00.Page 2 of 4. ' Satisfactory Unsatisfactory Comments Related.Equipment(Appurtenances) Check for proper signage. -Inspect for paint failures: Inspect for corrosion. Inspect for pitting. V - Inspect for dents. Inspect for gouges. Check that the appurtenances are properly secured. t/ Check that the appurtenances are in good working condition. Check for signs of leakage. Lj Check that fire protection equipment is inspected and I maintained. Check the tank insulation,if applicable Check for the good general condition of the appurtenances. Other: Other: Dikos(secondary containment) nt Check that it is appropriately sized. N Check for any breaches. Check for any penetrations. 10 P- Inspect that any penetrations are sealed liquid tight.. 0 Inspect for corrosion. (� Inspect that the dike drains to an appropriate location. Check that a building is not located inside the dike. �} Check.for-storage inside of the dike. N la Check for vegetation Inside of the dike. Check-for.combustibles inside the dike. f} i Check-that access/egress ladders,stairs or ramps are In ood condition. �. Check for the good general condition of the dikes. (� Other: ' Other: The Office of the State Fire Marshal and the head of the local fire department must be notified at least 14 days prior to the date of the intended inspection and given the opportunity to observe or participate in the inspection process. Was the local fire dept present for the inspection? O Yes O(o Local fire dept.representative: Local fire department comments: Please continue comments on a separate page. Separate page(s)included? 11 Yes,number of pages included: %eVo Inspector's name: 1.0 IZA f i-ta"o7 Business name: Address: CJ�► 1�`L� �'C flu Telephone number, ��"8�03"d�(o5 Fax Number: Do to Annual Inspection Form Page 4 of 4. Annual Inspeclion Form;10/30/00.Page 3 of d. Check one K American Petroleum Institute (API)653 Inspector, -Number. • �.Massachusetts Registered Profession Engineer, Number: Discipline:--�►�N�1�. ❑ Other Inspector. All"Others Inspectors'must be previously approved in writing by the Office of the State Fire Marshal, AST Program. won Is there a valid license(M.G.L,c. 148§13)for this product?: O Yes ❑No KNot "required If Yes,fill out the following: Licensing authority; Expiration date: Is there a valid flammable/combustible liquids permit(M.G.L.c. 148§ 10A&23)for this.,product? ❑Yes, expiration date: O No )4Not required Has this tank been inspected in the nature and Frequency as prescribed In 502 CMR 5.05(1)? i41'es 0 No Does this tank have an accurate written record as prescribed in 502 CMR 5.05(2)? JtXes ❑No Has the person principally in charge of the tank signed each inspection record,per 502 CMR 5.05(2)?. Yes D No If any answers of the above three questions were"No",please list and describe each violation. Please continue comments on a separate page. Separate page(s)Included? ❑Yes,number of pages Included: p No Have any permits for maintenance(502 CMR 5.04(1))been issued since the last Annual Inspection Form was submittedT ❑Yes _ANo If"Yes";the date the permit was issued-by the Office of the State Fire Marshal: ti Have any permits for emergency repair(502 CMR 5.04(e))been issued since the last Annual Inspection Form was submitted? M Yes $Wo If"Yes",the date the permit was issued by the Office of the State Fire Marshal: w Sy signing below, I certify that this cility was duly inspected in accordance with 502 CMR 5.00 and to the best of my E knowledge, the tank,its installatio , related anci ary ,q ipment and secondary containment or dikes are all in good working condition and are compliantwith a pplic bMW� 4vc�standards— Inspector's signature: Date: Submittal Requirements—Please remember to include the following and mail to Office of the State F ire Marshal, Technical Services P•O. Box 1025, Stow,MA 01775,Attention:AST Progr before December 1S( am. The package must be postmarked on or 2000 and on annual basis thereafter. The original Annual Inspection Form. One tank per Annual Inspection Form. .0 If any,the original description of the vault and associated equipment. ❑ if any,the original description of the retaining basin. ❑ If any, Office of the State Fire Marshal"Other Inspector"(502 CMR 5.06(2))reference number: ❑ If any,the completed altemative'tank inspection checklist(502 CMR 5.06(3))and the Office ofthe.State Fire Marshal.approved alternate checklist number: ❑ If any,the original of the local fire department comments. (502 CMR 5.06(2)) ❑ If any,an original copy of.the list and description of each violation of 502 CMR 5.05(1)and (2). Annual Inspection Folrn;1 or3o/oo.Page 4 of 4.Eke. • �1JE�4�97���f//� V P/1GZ�hCiP,6 a low, W775 (9M)567-SS00. (Xax. (97,F)567-S,'99 Annual Inspection Form for a tank,in excess of 10,000 gallon gross capacity,for the aboveground storage of fluids other than water. Pursuant to Massachusetts General Laws(M.G.L.)c. 148,§37,all aboveground storage tanks.subject to the requirements of 502 C.M.R.5.00,shall be Inspected annually. All information must be typed or neatly printed. All fields must be completed or the Annual Inspection Form will be returned. A separate Annual Inspection Form shall be submitted for each indiv)dual tank on or before December 151. For tank construction or installation,use the Application for Construction and Installation. For tank maintenance,as defined in 502 CMR 5.00,use the Application for Maintenance. Businessname: e1�S GPm *jA) !Ind idporb�or SIQ, 'Street address: e414 [01(� Nelu Q �QQ1111n% MCI CI o 1`Q-W Business(mailing)address, � Address(or location)of tank: Contact name: UkLmwd Title: Telephone number. -q Fax Number:_478-7*0- 433o5 The tank is: In-Service ❑ Out-of-Service 0 Abandoned,since(date): Description of tank: laMt 2. Date constructed/manufactured: Tank serial number_ I Massachusetts Departrrtent.of Public Safety tank number,if any: 'I Npne Office of the Massachusetts State Fire Marshal number,if any: t ..iLF"�'j tL None Tank constructed/manufactured according to:A.P.I.: A.S.M.E.: U.L.: ' Other: Tank construction standard: Tank gross capacity:T15 Tank nominal ca aci 0 Horizontal.tank Diameter(feet): Length(feet): Vertical tank Diameter(feet): � _ Height(feet): _ Fluid to be stored In tank: 500/0 orua 5ao6 1 (n 4)O Flash point('F):. Is this.tank located in a vault? O Yes iA No _ If Yes, describe vault and.associated equipment: �["cur►1C. Io�a�.�e�► ms�d� Roil r �o - Please continue comments on a separate page. Separate page(s)included? 0 Yes,number of pages included: No Compartmented tank? ❑ Yes JIL No If so,number of compartments and capacities: Secondary containment tank(double wall tank)? ❑ Yes, No Retaining basin(dike)provided?. ❑ Yes ZLNo Net capacity of dike: 17� Office use only Fee Paid: Date received: Date entered: Entered by: Annual InsperXon Form;10/30/00.Page 1 of 4 „ 'Description of retaining basin (dike): D Metal O Clay CJ Reinforced concrete Q Other,describe:. Please continue comments on a separate page. Separate pages)included-? O Yes,number of pages included- 0 The following annual tank inspection checklist can only be used for tanks constructed to-the American Petroleum Instltute.(API)Standard 650,Its predecessor 12C or any steel tank constructed in accordance with a nationally recognized.tank'specification. For all othertanks,the Inspector must propose an alternative tank inspection checklist appropriate for the tank. The alternative checklist must be submitted and approved by the Office of the State Fire Marshal,AST Program prior to being utilized. The tank construction standard and the date of construction must be stated.Any annual,tank Inspection . documented on a non-approved tank inspection checklist will not be accepted. Has the tank been constructed to API 650 or 12C? Yes, use the following annual tank inspection checklist. No,answer the following question. Is the tank a steel tank constructed in accordance with a nationally recognized tank specification? -0 Yes;use the following annual tank inspection checklist. No. The following annual tank inspection checklist can not be used. The Inspector must IDropose an alternative tank Inspection checklist appropriate for the tank, The altemative checklist must be submitted and approved by the Office of the State Fire Marshal,AST Program prior to being utilized. The approved altemaorve checklist must be completed and attached to this Annual Inspection Form. Date of Inspection: 1`1i0010 Satisfactory Unsatisfactory Comments Foundation Check for foundation levelness. Inspect for broken concrete, t/ Inspect for spalling. V Inspect for cracks. l/ Inspect for cavities under foundation. V Inspect for vegetation around the bottom of the'tank. r1 Inspect for settlement around the perimeter of the tank. Check water drains away from the tank- _ Check for signs of leakage, (/ Check the bottom to foundation seal,if any. N Check for the good general condition of the foundation. / Other. Other: Tank Check for proper signage. A/ Inspect for paint failures. Inspect for corrosion. c/ Inspect for pitting. v Inspect for dents. ✓ Inspect for gouges. v Inspect for shell distortions. v Inspect for shell deformations.. v Check for signs of leakage. P Check that the tank is properly grounded. V Chedk that the tank has the proper static protection. Check for the good general condition of the tank. Other: Other:. Annual Inspedion Form;10/30/00.Page 2 of 4. Satisfactory Unsatisfactory Comments • Related.Equipment(Appurtenances) • Check for proper signage. .Inspect for paint failures. Inspect for corrosion. Inspect for pitting. _ Inspect for dents. Inspect for gouges. Check.that the appurtenances are.properly secured. Check that the appurtenances are in good working condition. Check for signs of leakage: Check that fire protection equipment is inspected and tj�ti maintained. �T Check the tank insulation, if applicable Check for the good general condition of the appurtenances. Other: Other: Dikes (secondary containment) Check that it is appropriately sized. Check for any breaches. N f Check for any penetrations.. f} Inspect that any penetrations are sealed liquid tight. N (� Inspect for corrosion. inspect that the dike drains to an appropriate location. Check that a building is not located inside the dike. Check for storage inside of the dike. Check for vegetation Inside of the dike.. N Check'for combustibles inside the dike. N Check:that access/egress ladders,stairs or ramps are In good condition. Check for the good general condition of the dikes. N Other: Other: The Office of the State Fire Marshal and the head of the local fire department must be notified at least 14 days prior to the date of the intended inspection and given the opportunity to observe or participate in the inspection process. Was the local fire dept,present for the inspection? O Yes No Local fire dept.representative: Local fire department comments: MIA Please continue comments on a separate page. Separate page(s)included? 13 Yes,number of pages included: it No Inspector's name: � ���� . Business name: TRIF s�� Tyr ,V ns7 Address: FF �/ r Telephone number,^ y3i� ^010(oJ! Fax Number: Go to Annual Inspection Form Page 4 of 4. Annual Inspection Form;10/30/00.Page 3 of 4: f Check one: p Q American Petroleum Institute (API)653 Inspector, Number'. <<� • ,. IICLMassachusetts Registered Profession Engineer, Number:3162A Wo Discipline: ❑ Other Inspector. All"Others Inspectors"must be previously approved in writing by the Office of the State Fire Marshal, AST Program. Is there a valid license (M.G.L, c. 148§13)for this product?: O Yes Flo )(Not required if Yes,-fill out.the following: Licensing authority: Expiration date: Is there a valid flammable/combustible liquids permit(M.G.L.c. 148§ 10A&23)for this product? ❑Yes,expiration date: ❑No KNot required Has this tank been inspected in the nature and Frequency as prescribed in 502 CMR 5,05(1)? es No Does this tank have an accurate written record as prescribed in 502 CMR 5.05(2)? Ayes, ❑No ' Has the person principally in charge of the tank signed each inspection record,per 502 CMR 5.05(2)? Yes ❑No If any answers of the above three questions were"No",please list and describe each violation. Please continue comments on a separate page. Separate page(s)Included? ©Yes,number of pages Included: ©No Have any permits for maintenance(502 CMR.5.04(1))been issued since the last Annual Inspection Form was submitted? O Yes KNo if"Yes",the date the permit was issued by the Office of the State Fire Marshal: Have any permits for emergency repair(502 CMR 5.04(e))been issued since the last Annual Inspection Form was submitted? CJ Yes 9No If"Yes",the date the permit was Issued by,the Office,of the State Fire Marshal: By signing below, I certify that this facility was duly inspected in accordance with 502 CMR 5.00 and to the best of my knowledge, the tank,its installation,its related ancillary equipment and secondary containment or dikes are all in good working condition and are compliant with the applicable regulations and standards. Inspector's signature: Date: Submittal Requirements—Please remember to include the following and mail to Office of the State Fire Marshal,. Technical Services P,0. Box 1025,Stow,MA 01775,Attendon:AST Program. The package must be postmarked on or before December 1s�2000 and on annual basis thereafter- The original Annual Inspection Form. One tank per Annual Inspection Form. [p If any,the original description of the vault and associated equipment. p - If any,the original description of the retaining basin. O If any, Office of the State Fire Marshal"Other Inspector"(502 CMR 5.06(2))reference number: ❑. If any,the completed alternative tank inspection checklist(502 CMR 5.06(3))and the Office of the State Fire Marshal approved alternate checklist number: O If any,the original of the local fire department comments. (502 CMR 5.06(2)) El If any,an original copy of the list and description of each violation of 502 CMR 5.05(1)and (2). Annual Inspection Form;1 o/moo.Page 4 of 4.Ekal. • ��� a ' r Annual:Inspection Form for a tank,in excess of 10,000 gallon gross capacity,for the aboveground storage of fluids other than water. Pursuant to Massachusetts General Laws(M.G.L.)c. 148,§37;all aboveground storage tanks,subject to the requirements of 502 C.M.R.5.00,shall be Inspected annually. All information must be typed or neatly printed. All fields must`be completed or the Annual Inspection Form will be returned. A separate Annual Inspection Form shall be submitted for each individual tank on or before December 151. For tank construction or installation,use the Application for Construction and Installation. For tank maintenance,as defined in 502 CMR 5.00,use the Application for Maintenance. Business name: V 4-1 Street address: i!J� r!Y �'� `"11T ©iq o(Q 'f Business(mailing)address: Address(or location)of tank: Contact name: w Title: Telephone number. R 12-140 Aa640 Fax Number: 7� 50S R. The tank is: 0 In-Service KOut-of-Service O Abandoned,since(date): is Description of tank: Utme 61utm LOA Date constructed/manufactured: ? Tank serial number: 1VItJ1►1'� Massachusetts Department of Public Safety tank number,if any: 1K None Office of the Massachusetts State Fire Marshal number,if any: None Tank constructed/manufactured according.to:A.P.I.: A.S.M.E.: U.L.: other: Tank construction standard: Tank gross capacity: 6 Tank nominal capacity: b Q Horizontal tank Diameter(feet): Length(feet): XVertical tank Diameter(feet): Height(feet)�:- SAG — Fluid to be stored in tank: 1 wte -Ain Eh (OAor Flash point(°F):�_. Is this.tank located in a vault?_ 0 Yes No If Yes,describe vault and associated equipment: wa Please continue comments on a separate page. Separate page(s)Included? O Yes,number of pages included: �No Compartmented tank? ❑ Yes 1@wNo If so,number of compartments and capacities: Secondary containment tank(double wall tank)? O Yes No Retaining basin(dike)provided?. ❑ Yes No Net capacity of dike: 411 Office use only. =FeePaid: Date received: Date entered: Entered by: Annual Inspection Form:10/30/00.Pane 1 of 4 Description of-retaining basin (dike); ❑ Metal ❑ Clay. `0 Reinforced concrete ❑ Other,describe: Please continue comments on a separate page. Separate pages)included? ❑Yes,nurnber of pages included: o The following annual tank inspection checklist can only be used for tanks constructed to•the American Petroleum Institute(API)Standard 650;Its predecessor 12C or any steel tank constructed in accordance with a.nationally recognized tank specification. For all other tanks,the Inspector must propose an alternative tank inspection checklist appropriate for the tank. The alternative checklist must be submitted and approved by the Office of the State Fire Marshal,AST Program prior to being -utilized. The tank construction standard and the date of construction must be stated. Any annual tank Inspection documented on a non-approved tank inspection checklist will not be accepted. Has the tank been constructed to API 650 or 12C? ❑ Yes, use the following annual tank inspection checklist. J No, answer the following question. Is the tank a steel tank constructed in accordance with a nationally recognized tank specification? 0 Yes,use the following annual tank inspection checklist. No. The following annual tank inspection checklist can not be used. The Inspector must propose an alternative tank inspection checklist appropriate for the tank. The altemative checklist must be submitted and approved by the Office of the State Fire Marshal,AST Program prior to being utilized. The approved altemaorve . checklist must be completed_and attached to this Annual Inspection Form. Date of Inspection: tt�1-1103 Satisfactory Unsatisfactory Comments Foundation Check for foundation levelness. V. Inspect for broken concrete, Inspect for spalling. N Inspect for cracks. Inspect for cavities under foundation. Inspect for vegetation around the bottom of the•tank. Inspect for settlement.around the perimeter of the tank. _ Check water drains away from the-tank. Check for signs of leakage. Check the bottom to foundation seal,if any. N (� Check for the good general condition of the foundation. Other, Other: Tank Check for proper signage. V Inspect for paint failures. Inspect for corrosion. t/ Inspect for pitting. t/ Inspect for dents. Inspect for gouges. Inspect for shell distortions. Inspect for shell deformations. Check for signs of leakage. V Check that the tank is properly grounded. V Chedk that the tank has the proper static protection. V, Checkr the good general condition of the tank. Other: Annual Inspection Fore;10/30/00.Page 2 of 4. Satisfactory Unsatisfactory Comments Related.Equipment(Appurtenances) Check for proper signage. -Inspect for paint failures. y/ Inspect for corrosion. (/ Inspect for pitting. _ _ -- Inspect for dents. Inspect for gouges. . Check that the appurtenances are properly secured. Check that the appurtenances are in good working condition. Check for signs of leakage: d Check that fire protection equipment is inspected and ..:: 01F) maintained. Check the tank insulation,if applicable Check for the good general condition of the appurtenances. Other: Other: Dikes (secondary containment) Check that it is appropriately sized.' ' Check for any breaches. Check for any penetrations. N�i!� Inspect that any penetrations are sealed liquid tight. Inspect for corrosion. N Inspect that the dike drains to an appropriate location. A- Check that a building is not located inside the dike. N Check for storage inside of the dike. A Check for vegetation Inside of the dike, N Check for combustibles inside the dike: Check that access/egress ladders,stairs or ramps are in good condition. N Check for the good general condition of the dikes. ; iv Other: The Office of the State Fire Marshal and the head of the local fire department must be notified at least 14 days prior to the date of the intended inspection and given the opportunity to observe or participate in the inspection process. Was the local fire dept present for the inspection? ❑Yes 9No. Local fire dept.representative: Local fire department comments: >N� ,4 Please continue comments on a separate pager Separate page(s)included? ❑Yes,number of pages included: No Inspectors name' tiC6.5 Business name: Address: l -Ae k i6 'rV'`n Telephone number,^ � a b 3 e Fax Number: 03 ' Go to Annual Inspection Form Page 4 of 4. Annual Inspeclion Form;10/.30/00.Page 3 of d. z _ Check one: American:Petroleum Institute(API)653 Inspector, Number. �3 Massachusetts Registered Profession Engineer, Number: to 2JO C2 Discipline: O Other Inspector. All"Others Inspectors"must be previously approved in writing by the Office of the State Fire Marshal, AST Program.Is there a valid license(M.G.L. c. 148§13)for this product?: 0 Yes 6 No Alot required If Yes,fill out the..following: Licensing authority:_ Expiration dater . Is there a valid flammable/combustible liquids Permit(M,G.L.c.148§ 10A&.23)for this product? ❑Yes,expiration date: ❑No "t required Has this tank been inspected in the nature and frequency as prescribed In 502 CMR 5.05(1)? XYes ❑No Does this tank have an accurate written record as prescribed in$02 CMR 5.05(2)? KYes ❑No Has the person principally in charge of the tank signed each inspection record,per.502 CMR 5.05(2)? J Yes ❑No If any answers of the above three questions were"No",please list and describe each violation.. • r Please continue comments on a separate page. Separate paga(s)Included? ©Yes,,number of pages included: ©No Have any permits for maintenance(502 CMR 5.04(1))been issued since the last Annual Inspection Form was submitted? ❑Yes KNo If"Yes",the date the permit was issued by the Office of the State Fire Marshal: Have any permits for emergency repair(502 CMR 5.04(e))been issued since the last Annual Inspection Form was submitted? ❑Yes �(No- If"Yes";the date the permit was issued by the Office of the State Fire Marshal: 8y signing below, I certify that this facility was duly inspected in accordance with 502 CMR 5.00 and to the best of my z knowledge,the tank,its instal 'on,Its related ncillary equipment and,secondary containment or dikes are all in good working condition and are compliant ",eaiI ab regulations and standards. lnspectoes signature: Date: Submittal Requirements—Please remember to include the following and mail to Office of the State Fire Marshal, Technical Services P;O.Box 1025,Stow,MA 01775,Attention:AST Program. The package must be postmarked on or before December 1; 2000 and on annual basis thereafter. The original Annuat Inspection Form. One tank per Annual Inspection Form. 0 If any,the original description of the vault and associated equipment. O If any,the original description of the retaining basin. O If any, Office of the State Fire Marshal"Other Inspector"(502 CMR 5.06(2))reference number: .❑ If any,the completed:alternative tank Inspection-checklist(502 CMR 5.06(3))and the Office of the State Fire. . Marshal approved alternate checklist number: O. If any,the original of the local fire department comments, (502 CMR 5.06(2)) ❑ If any,an original copy of the list and description of each violation of 502 CMR 5.05(1)and (2).. Annual inspection Form;10/30100.Page 4 of 4.Ekal. C W775 (M)567-3300 C:9?aa:•.(978)567-3999 Annual Inspection Form for a tank,in excess of 10,000 gallon gross capacity,for the aboveground storage of fluids other than water. Pursuant to Massachusetts General Laws(M.G.L.)c. 146,§37,all aboveground storage tanks,subject to the requirements of 502 C.M.R.5.00,shall be Inspected annually. All information must be typed or neatly printed,-Ail fields must be completed or the Annual Inspection Form will be returned. A separate Annual Inspection Form shall be submitted for each individual tank on or before December 151. For tank construction or installation,use the Application for Construction and Installation. For tank maintenance,as defined in 502 CMR 5.00,use the`Application for Maintenance. Business name: 6 l�'m 'lA� &,�11.�Jr�71 —saki 111i6b%L6kLk" �b,r �'u�el�u1-e �ra�nn . o tQ'Za , Street address: Business(mailing)address: Address(or location)of tank: Contact name: tJV Title: F Telephone number.. —62_40 Fax Number. __3f.-I qOw30C The tank is: 0 In-Service Out-of-Service O Abandoned,since(date): Description of tank: 1.Lw_W -6kUf(U TamW 4-Z Date constructed/manufactured: ? Tank serial number: .: .Massachusetts.Department.of Public Safety tank number,if any:- None Office of the Massachusetts State Fire Marshal number, if any: II None Tank constructed/manufactured according to:A.P.I.: A.S.M.E.: U.L:: ' Other, Tank construction standard: Tank gross capacity: �� Tank nominal capacity © Horizontal tank Diameter(fast): Length (feet): - Vertical tank Diameter(feet): (�1 Height(feet): pp,,,, � Fluid to be stored In tank: LAm1e � U�C� in til�CL'tt✓J�( . Flash point(°F): Is this-tank located in a vault? p Yes KNo If Yes,describe vault and associated equipment: Local► W A in a y.: Please continue comments on a separate page. Separate pages)Included? O Yes,number of pages included: No Compartmented tank? ❑ Yes 5XN6 If so,number of compartments and capacities: Secondary containment tank(double wall tank)? O Yes 16-No Retaining basin(dike)provided?. ❑.Yes 0 Net capacity of dike: Pt '1 Office use only. . Fee Paid: Date received: Date entered: Entered by: Annual Inspection Form;10130/00.Pasta 1 of 4 dDescription of retaining basin (dike) 0 Metal O Clay 0 Reinforced concrete O Other,describe: - Please continue comments on a separate page. Separate page(s)included? O Yes,number of pages included: No The following annual tank inspection checklist can only be used for tanks constructed to the American Petroleum Institute(API)Standard 650;'Its predecessor 12C or any steel tank constructed in accordance with a nationally recognized tank specification.- For all other tanks,the inspector must propose an altemative tank inspection checklist appropriate for the tank. The altemative checklist must be submitted and approved by the Office of the State Fire Marshal,AST Program prior to being utilized. The tank construction standard and the date of construction must be stated. Any annual tank Inspection documented on a non-approved tank inspection checklist will not be accepted. Has the tank been constructed to API 650 or 12C? O Yes, use the following annual tank inspection checklist, No, answer the following question. Is the tank a steel tank constructed in accordance with a nationally recognized tank specification? 0 Yes,use the following annual tank inspection checklist.. > No. The following annual tank inspection checklist can not be'used.. The Inspector must propose an alternative tank inspection checklist appropriate for the tank. The alternative checklist must be submitted and approved by the Office of the State Fire Marshal,AST Program prior to being utilized. The approved altema�-lVe checklist must be completed and attached to this Annual Inspection Form. Date of Inspection: airtl�l, Satisfactory Unsatisfactory Comments Foundation Check for foundation levelness., Inspect for broken concrete, tj Inspect for spalling. Inspect for cracks. Inspect for cavities under foundation.. Jnspect for vegetation around the bottom of the'tank: lV inspect for settlement around the Perimeter of the tank:. Check water.drains away from the tank. Check for signs of leakage. Check the bottom to foundation seal,if any: Check for the good general condition of the foundation. t/ Other. Other: Tank Check for proper signage. Inspect for paint failures. t/ Inspect for corrosion. Inspect for pitting. ✓. Inspect for dents. t/ Inspect for gouges. . �. inspect for shell distortions. Inspect for shell deformations. Check for signs of leakage. Check that the tank is properly grounded. t/ Check that the tank has the proper static protection. V Check for the good general condition of the tank. Other: Other. Annual Inspection Forth;10/30100.Page 2 of 4. . Satisfactory Unsatisfactory Comments ,.� elated,Equipment(Appurtenances) Check for proper signage. -Inspect for paint failures. Inspect for corrosion. ✓ Inspect for pitting. Inspect for dents. Inspect for gouges. Check that the appurtenances are properly secured. Check that the appurtenances are in good working condition. Check for signs of leakage. Check that fire protection equipment is inspected and maintained. Check the tank insulation,if applicable. N A Check for the good general condition of the appurtenances. Other: Other. Dikes (secondary containment) Check that it is appropriately sized. '. PJ A Check for any breaches. Opt Check for any penetrations. 1A Inspect that any penetrations are sealed liquid tight. Inspect for corrosion. A fC.. Inspect that the dike drains to an appropriate location. N A Check that a building is not located inside the dike. N Check for storage.inside of the dike. N ({ Check for vegetation Inside of the dike. . R Check for combustibles inside the dike. Nip Check•that access/egress ladders,stairs or ramps are in good condition. N1� Check for the good general condition of the dikes. w A Other: Other: The Office of the State Fire Marshal and the head of the local fire department must be notified at least 14 days prlor to the date of the intended inspection and given the opportunity to observe or participate in the inspection process. Was the local fire dept.present for the inspection? D Yes 04Slo Local fire dept.representative: Local fire department comments:. Please continue comments on a separate page. Separate page(s)included? ❑Yes,number of pages included: O No Inspectors name: bpw+ y 1-e!l Business name: �T r Address: it �L■ _ik W To dl m 04It 107 Telephone number, Fa Number: Go to Annual Inspection Form Page 4 of 4. Annual Inspection Form;10/30/00.Page 3 of d. Check one: �•' Akmerican Petroleum Institute (API)653 Inspector, Number.' VA8 $—Massachusetts Registered Profession Engineer, Number: Discipline: �•.yWYL'y ❑ Other Inspector. All"Others Inspectors"must be previously approved in writing by the Office of the State Fire Marshal, .AST Program. Is there a valid license (M.G.L,c. 148§13)for this product?: ❑Yes C No . ,plot required If Yes,fill out the following: Licensing authority; Expiration dater Is there a valid flammable/combustible liquids permit(M.G.L.c, 148§ 10A&23)for this product?,;. ❑Yes, expiration date: ❑No -Not required Has this tank been inspected in the nature and Frequency as prescribed In 502 CMR 5.05(1)? AVes ❑No Does this tank have an accurate written record as prescribed in 502 CMR 5.05(2)? I,Yes ❑No Has the person principally in charge of the tank signed each inspection record,per 502 CMR 5.05(2)? $fYes ❑No. If any answers of the above three questions were"No%please list and describe each violation. r Please continue comments on a separate,page. Separate page(s)Included? ©Yes,number of pages Included: Have any permits for maintenance(502 CMR 5.04(1))been issued since the last Annual Inspection Form was submitted? ❑Yes la No , if"Yes",the.date the permit was issued by the Office of the State Fire Marshal, Have any permits for emergency repair(502 CMR 5.04(e))been issued since the last Annual Inspection Form was submitted? 13 Yes Po If"Yes", the date the permit was issued by the Office of the State Fire Marshal: By signing below, I certify that th' facility was duly inspected in accordance with 502 CMR 5.00 and to the best of my knowledge, the tank,its installati n its related ancillary'81HApment and secondary containment or dikes are.all in good working - condi8an and are compliantwith a appli ble Aulallorwand standards. Inspector's signature: Date:10123 Submittal Requirements—Please remember to include the following and mail to Office of the State Fire Marshal; Technical Services P,0. Box 1025,Stow,MA 01775,Attention:AST Program. The package must be postmanked on or before December 1s, 2000 and on annual basis thereafter. The original Annual Inspection Form. One tank per Annual Inspection Form. If any,the original description of the vault and associated equipment. ❑ If any,the original description of the retaining basin. ❑ .If any, Office of the State Fire Marshal`Other Inspector"(502 CMR 5.06(2))reference number: ❑ If any,the completed alternative tank;inspectlon checklist(502 CMR 5.06(3))and the Office of.the State Fire Marshal approved alternate checklist number.: O If any,the original of the local fire department comments. (502 CMR 5.06(2)) ❑ If any,an original copy of the list and description of.each violation of 502 CMR 5.05(1)and (2). Annual inspecUon Form;10/30/00.Page 4 of 4.Ekai. mat' cce -Toz ; 61 - oM5 (978)567,3300 C 17aa:• (973)567-3999 Annual Inspection Form for a tank,in excess of 10,000 gallon gross capacity,-for the aboveground storage of fluids other than water. Pursuant to Massachusetts General Laws.(M.G.L,)c. 148,§37,all aboveground storage tanks,subject to the requirements of 502 C.M.R.5.00,shall_be Inspected annually. All information must be typed or neatly printed, All fields must be completed or the Annual Inspection Form will be returned. A separate Annual Inspection Form shall be submitted for each.individual tank on or before December Is'. For tank construction or installation,use the Application for Construction and Installation. For tank maintenance,as defined in 5022 CeM-R,^5�.00,use the Application for Maintenance. Business name: v�J�J 00 k � o� Street address: a , q0 Business(mailing)address: Address(or location)of tank: 11T 1� 'Contact name: �i W't�A W�ISLI[.l1DC.� Title: Telephone number._ ` 10 1� �2� Fax Number: b >3 The tank is: AIn-Service ❑ Out-of-Service ❑ Abandoned,since(date): Description of tank: TaM� J 1 Date constructed/manufactured: A 951 Tank serial number: Massachusetts Department of Public Safety-tank number,if any: one Office of the Massachusetts State Fire Marshal number,if any: 06F7n-00�Vll Ja None Tank constructed/manufactured according to:A.P.I.: A.S.M.E.: U.L,: ' Other: Tank construction standard: FTC, Tank gross capacity: 3 Tank nominal capacity:N S coo ❑ Horizontal tank. Diameter(feet): Length(feet): JJ1-Vertical tank Diameter(feet): A-0 Height(feet): Fluid to be stored In tank: .Z RA 0 Flash point('F): Is this-tank located in a vault? ❑ Yes JLNo If Yes,describe vault and associated-equipment: Please continue comments on a separate page. Separate page(s),Included? ❑Yes,number of pages included: ONO Compartmented tank? ❑ Yes $.No if so,number of compartments and capacities: Secondary containment tank(double wall tank)? ❑ Yes P-No Retaining basin(dike)provided?.1K Yes C]No. Net capacity of dike: 000 Office use only. . EFeeaid: Date received: Date entered: Entered by: Annual Inapecdon Form;10130/00.Pane 1 of 4 Description of retaining basin (dike): O Metal. O Clay 0 Reinforced concrete IWOther,describe: • _ � A,hw m Age beAms Please continue comments on a separate page. Separate page(s)included? p Yes,number of pages included: o . The following annual tank inspectlon checklist can only be used-for tanks constructed to.the American Petroleum 'Institute(API)Standard 650,lts.predecessor 12C or any steel tank constructed in accordance with a nationally recognized tank specification. For all other tanks,the inspector must propose an alternative tank inspection checklist appropriate-for the tank. The alternative checklist must be submitted and approved by the Office of the State Fire Marshal,AST Program prior to being .utilized. The tank construction standard and the date of construction must be stated. Any annual tank inspection documented on a non-approved tank inspection checklist will not be accepted. Has the tank been constructed to API 650 or 12C? tYes, use the following annual tank inspection checklist. No;answer the following question: Is the tank a steel tank constructed in accordance with a nationally recognized tank specification? Yes,use the following annual tank inspection checklist. IL O No. The following annual tank inspection checklist can not be used. The Inspector must propose an alternative tank inspection checklist appropriate for the tank. The alternative checklist must be submitted and approved by the Office of the State Fire Marshal,AST Program prior to being utilized. The approved altemalVe checklist must be completed and attached to this Annual Inspection Form. Date of Inspection: - Satisfactory Unsatisfactory Comments Foundation - Check for foundation levelness. Inspect for broken concrete, v- Inspect for spalling. v t Inspect for cracks. V Inspect for cavities under foundation. ✓ Inspect for vegetation around the.bottom of the'tank. Inspect for settlement around the Perimeter of the tank. Check water drains away from the tank. Check fwsigns of leakage. r✓ Check the bottom to foundation seal,if any, v Check for the good general condition of the foundation. Other. Other: Tank Check for proper signage. Inspect for paint failures. ✓ Inspect for corrosion. Inspect for pitting, ✓ . Inspect for dents. ✓ Inspect for gouges. inspect for shell distortions. v Inspect for shell deformations:. Check for signs of leakage. ✓ Check that the tank is properly grounded. ,/ . Check that the tank has the proper static protection. ✓ Check for the good general condition of the tank. Other: Other. _ Annual Inspection Forrn;.10/30100.Page 2 of 4. Satisfactory Unsatisfactory Comments Related Equipment(Appurtenances) Check for proper signage. -Inspect for paint failures. Inspect for corrosion. v Inspect for pitting.' v Inspect for dents. Inspect for gouges. 1. Check that the appurtenances are properly secured. v Check that the appurtenances are in good working condition. V Check for signs of leakage. ✓ Check that fire protection equipment is inspected and maintained. Check the tank insulation,if applicable N (� Check for the good general condition of the appurtenances. Other: Other: Dikes(secondary containment) Check that it is appropriately sized. ✓ . Check for any breaches. f Check for any penetrations. +� Inspect that any penetrations are sealed liquid tight. V Inspect,for corrosion. Inspect that the dike drains to an appropriate location. Check that a building is not located inside the dike. Check for storage inside of the dike. v Check for vegetation inside of the dike. Check for combustibles inside the dike. ✓ Check that access/egress ladders,stairs or ramps are in good condition. v _ Check for the good general condition'of the dikes. Other: Other:. The Office of the State Fire Marshal and the head of the local fire department must be notified at least 14 days prior to the date of the intended inspection and given the opportunity to observe;or participate in the inspection process. Was the local fire dept.present for the inspection? O Yes IANo Local fire dept.representative: Local fire department comments: Please continue comments on a separate page. Separate page(s)included? ❑Yes,number of pages included: ❑No Inspector's name: Business name: t;!'T� .6wou-J KA Address: �CJ����0 1 OU Q v ,Telephone number, b7 " Fax Number:_^ 117SI ' Oo to Annual Inspection Form Page 4 of 4.. Annual Inspection Form;10130/00.Page 3 of 4. r Chec one: American Petroleum Institute.(API)653 Inspector; Number. 4 Massachusetts Registered Profession Engineer, Number: & Discipline: CIA O Other Inspector.. All"Others Inspectors"must be previously approved in writing by the Office of the State Fire Marshal, AST Program. Is there a valid license(M.G.L.c. 148§13)for this product?: J&Yes C No 0 Not re qui ad If Yes,fill out the following, Licensing authority; Expiration dater- Is there a valid flammable/combustible liquids ermit(M.G.L.c, 148§ 10A&23)for this product? 1Yes,.expiration date: © O No O Not required Has this tank been inspected in the nature and frequency as prescribed In 502 CMR 5.05(1)? CYes O No Does this tank have an accurate written record as prescribed in 502 CMR 5.05(2)? *Yes ❑No Has the person principally in chargs,of the tank signed each inspection record,per 502 CMR 5.05(2)? JLYes O No If any answers of the above three questions were"No",please list and describe each violation. r Please continue comments on a separate page. Separate pages)Included? 0 Yes,number of pages Included: ©No Have any permits for maintenance(502 CMR 5.04(1))been issued since the last Annual.Inspection Form was submitted? O Yes KNo If,"Yes",the date the permit was issued by the Office of the State Fire Marshal: Have any per its for emergency repair.(602 CMR 5.04(e))been issued since the last Annual Inspection Form was submitted? C]Yes Ilo If"Yes",the date the permit was Issued by the Office of the State Fire Marshal: By signing below, I certify that this facility was duly inspected in accordance with 502 CMR 5.00 and to the best of my Y knowledge, the tank,its installs o ,its related ancillary s ipment and secondary containment or dikes are all in good working condition and are compliantwi applicable g lati and standards. Inspector's signature: / Date: 7J03 Submittal Requirements—Please remember to include the following and mail to Office of the State Fire Marshal, Technical Services P,O.Box 1025,Stow,MA 01775,Attention:AST Program.` The package rust be postmarired on or before December 15E 2000 and on annual basis thereafter. The original Annual Inspection Form. One tank per Annual Inspection Form. 0 If any,the original description of the vault and associated equipment. O If any,the original description of the retaining basin. O .If any,Office of the State Fire Marshal'Other Inspector"(502 CMR 5.06(2))reference number: ❑ If any,the completed alternative tank Inspection checklist(502 CMR 5.06(3))and the Office of.the State Fire Marshal approved alternate checklist number: O If any;the original of the local fire department comments. (502 CMR 5.06(2)) 0 If any,an original copy of the list and description of each violation of 502 CMR 5.05(1)and (2). Annual Inspection Form:10/90/00.Page 4 of 4.Ekal. , a fag ICA 4 .I Md'�' 'i V Mx 10-95; 6AUAI L�{a�w'"e4 W775 . (978)567,900 (eaa:• (9A?)56'7 399,I Annual Inspection Form for a tank,in excess of 10,000 gallon gross capacity,for the aboveground storage of fluids other than water. Pursuant to Massachusetts General Laws(M.G.L.)c. 148,§37,all aboveground storage tanks,subject to the requirements of 502 C.M.R.5.00,shall be Inspected annually. All information must be typed or neatly printed. All fields must be completed or the Annual.Inspection Form will be returned. A separate Annual Inspection Form shall be submitted for each individual tank on or before December 1". For tank construction or installation.use the Application for Construction.and Installation. For tank maintenance,as defined in 502 CMR 5.00,use the Application for Maintenance. Business name: Street address: nT Q RID .r Business(mailing)address; Address(or location)of tank: !CL Contact name:_ ,�I IQ11Jh1 Wrt ���j Title: ,9. Telephone number. Fax Number: g7Cr'740—0-0 f The,tank is: �In-Service [].Out-of-Service 0 Abandoned,since(date). Description of tank: Date constructed/manufactured: Tank serial number: Massachusetts.Department of Public Safety tank number,.if any: p None Office of the Massachusetts State Fire Marshal number, if any: O None Tank constructed/manufactured according to:A.P.I.: h A.S.M.E.: U.L.: .' Other Tank construction.standard: Ifte Tank gross capacity: ntQ Tank nominal capacity.B%3 lOGb Gl Horizontal tank Diameter(fast): Length (feet): 0,Vertical tank Diameter(feet): A'O Height(feet): Fluid to be stored In tank: .of Fly1 Ott Flash point('F): Is this-tank located in a vault? 0 Yes Plo If Yes,describe vault and associated equipment: Please continue comments on a separate paga. Separate pages)Included? O Yes,number of pages included: ONO Compartmented tank? ❑ Yes #.No If so,number of compartments and capacities: Secondary containment tank(double wall tank)? O Yes No Retaining basin(dike)provided?, 0 Yes _C]No an Net capacity of dike: � 00V offlco use only Fee Paid: Date received: Date entered: Entered by: Annual Inspecdon Form;10/30/00.Pane 9 of Description of retaining basin (dike): 0 Metal O Clay p Reinforced concrete Other,describer Please continue comments on a separate page. Separate page(s)included? O Yes,number of pages included: o The following annual tank inspection checklist can only be used for tanks constructed.to.the American Petroleum Institute(API)Standard 650,1%predecessor 12C.orany.steel tank constructed in accordance with a nationally recognized tank specification: For all other_tanks,the Inspector must propose an alternative tank inspection checklist appropriate for the tank. The alternative checklist must be submitted and approved by the Office of the State Fire Marshal,AST.Program prior to being utilized. The tank construction standard and the date of construction must be stated. Any annual tank Inspection documented on a non-approved tank inspection checklist will not be accepted. ,Has a tank been constructed to API 6W or 12C? ( Yes, use the following annual tank inspection checklist. O No,answer the following question. Is the tank a.steel tank constructed in accordance with a nationally recognized tank specification? Yes,use the following annual tank inspection checklist. O No. The following annual tank inspection checklist can not be used. The Inspector must propose an alternative tank Inspection checklist appropriate for the tank. The altemative checklist must be submitted and approved by the Office of the State Fire Marshal,AST Program prior to being utilized. The approved altema�ilVe checklist.must be completed and attached to this Annual Inspection Form. Date of Inspection: Satisfactory Unsatisfactory Comments Foundation Check for foundation levelness. Inspect for broken concrete. ✓ Inspect for spelling. Inspect for cracks. 7 Inspect for cavities under foundation. Q/ Inspect for vegetation around the bottom of the'tank. Inspect for settlement around the perimeter of the tank. Check water drains away from the tank. Check for signs of leakage, t/ Check the bottom:to foundation seal,if any. Check for the good general condition of the foundation. Other. Other: Tank Check for proper signage. Inspect for paint failures. Inspect for corrosion. Inspect for pitting. V Inspect for dents. Inspect for gouges. Inspect for shell distortions. Inspect for shell deformations. Check for signs of leakage. V Check that the tank is properly grounded. Check that the tank has the proper static protection, Check for the good general condition of the tank. Other: Other: Annual Inspection Fotm:10130100.Page z of 4.. Satisfactory Unsatisfactory Comments Related Equipment(Appurtenances) Check for proper signage. -Inspect for paint failures. t/ Inspect for corrosion. Inspect for pitting. ✓ - - - - Inspect for dents. All Inspect for gouges.-_ Check that the appurtenances:are properly secured: ✓ Check that the appurtenances are in good working condition. M Check for signs of leakage. . Check that fire protection equipment is inspected and maintained. Check the tank insulation, if applicable Check for the good general condition of the appurtenances. Other: Other: Dikes (secondary containment) Check that it is appropriately sized. , Check for any breaches. f Check for any penetrations, v Inspect that any penetrations are sealed liquid tight. ✓ _ Inspect for corrosion. , inspect that the dike drains to an appropriate location. Check that a building is not located inside the dike. v Check for storage inside of the dike. Check for vegetation inside of'the dike, v .. Check for combustibles inside the dike. ✓ Check that access/egress ladders,stairs or ramps are In good condition. Check for the good general condition of the dikes. Other: Other: The Office of the State Fire Marshal and the head of the local fire department must be notified at least 14 days prior to the date of the intended inspection and given the opportunity to observe or participate in the inspection process. Was th®local fire dept present for the inspection? O Yes I,No Local fire dept.representative: Local fire department comments: N - r Please continue comments on a separate page.. Separate page(s)included? ❑Yes,number of pages included: 0 No inspector's name- LCX'1 VJ7 Business name: Address: Telephone number, Fax Number: 63)— ay —Q0G 1 ' Go to Annual Inspection Form Page 4 of 4. Annual Inspection Form;10/30/00.Page 3 of d. Check one: kAme.rican Petroleum Institute(API)653 Inspector, Number. 11�e f 14-Massachusetts Registered Profession Engineer, Number: Discipline: O Other Inspector. All"Others Inspectors"must be previously approved in writing by the Office of the State Fire Marshal, AST Program. Is there a valid license (M.G.L.c. 148 §13)fur this product?: won C�'1Les ❑-No . 0 Not required If Yes,fill out the following: Licensing authority p 0t Expiration date: Is there a valid flammable/combustible It uids ermit(M.G.L. c.148§ 10A&23)for this product? Wes,expiration date: �.c.+<J� O No ©Not required Has this tank been inspected in the nature and Frequency as prescribed In 502 CMR 5.05(1)? kes ❑No Does this tank have an accurate written record as prescribed in 502 CMR 5.05(2)? g1Yes ❑No . Has the person principally in charge of the tank signed each inspection record,per 502 CMR 5.05(2)? 1 Yes' O No If any answers of the above three questions were"No",please list and describe each violation. Please continue comments on a separate page. Separate pages)Induded7 ©Yes,number of pages included: ©No Have any permits for maintenance(502 CMR 5.04(1))been issued since the last Annual Inspection Form was submitted? O Yes. JILNo If"Yes",the date the permit was issued by the Office of the State Fire Marshal: Have any permits for emergency repair(502 CMR 5.04(e))been issued.since the last Annual Inspection Form was submitted? E I Yes [*No If"Yes",the date the permit was Issued by the Office of the State Fire Marshal: By signing below, I certify that this facility was duly inspected in accordance with 502 CMR 5.00 and to the best of my knowledge, the tank,its install lion,Its related ancillary equipment and secondary containment or dikes are all in good working condition and are compliantw the app icabl a ul ns,and standards. Inspector's signature: /� Date P1 )7 ®j Submittal Requirements—Please remember to include the following and mail to Office of the State Fire Marshal, Technical Services P,0. Box 1025,Stow,MA 01775,Attention:AST Program. The package must be postmarked on or before December 1 s, 2000 and on annual basis thereafter. . The original Annual Inspection Form. One tank per.Annual Inspection Form. O If any,the original description of the vault and associated equipment. O If any,the original description of the retaining basin. O If any, Office of the State Fire Marshal"Other Inspector"(502 CMR 5.06(2))reference number: ❑ If any,the completed_altemative tank Inspection checklist(502 CMR 5.06(3))and.the Office of the State Fire Marshal approved alternate checklist number: O If any,the original of the local fire department comments. (502 CMR 5.06(2)) ❑ If any, an original copy of the list and description of each violation of 502 CMR 5.05(1)and (2). knnual Inspection Form;10/30/00.Page 4 01`4.EKaI. y i µ 1 C r (978)567-SSOO (5Vaz- (97,)56 019 Annual Inspection Form fora tank,in excess of 10,000 gallon gross capacity,for the aboveground storage of fluids other than water. Pursuant to Massachusetts General"Laws(M.G.L.)c. 148,§37,all aboveground storage tanks,subject to the requirements of 502 C.M.R.5.00,shall be Inspected annually. All information must be typed or neatly printed. All fields must be completed or the Annual Inspection Form will be returned. A separate Annual Inspection Form shall be submitted for each individual tank on or before December 151. For tank construction or installation,use the Application for Construction and Installation. For tank maintenance,as defined in 502 CMR 5.00,use the Application for,,Maintenance. Business name 'Street address: q Business(mailing)address; Address(or location)of tank: i9mContact name: 0W Title: Telephone number. Fax Number..TV— Tf 0 4 30 The tank is: P,In-Service ❑ Out-of-Service ❑ Abandoned,since(date): Dascripbon of tank: 7It m� - Date constructed/manufactured: Tank serial number: Massachusetts Department of Public Safety tank number,if.any: ❑ None Office of the Massachusetts State Fire Marshal number,if any: ❑ None Tank constructed/manufactured according to:A.P.I.:I_A.S.NI.E.: U.L.: ' Other: Tank construction standard: i�Q I I o�L Tank gross capacity.-3 ank nominal capacity:3#v Wo 6 0 Horizontal tank Diameter(feet) Length(feet): I&Verticat tank Diameter(feet): Height(feet): 31(11 Fluid to be stored In tank: Flash point('F): _ Is this.tank located in a vault? ❑ Yes 306 If Yes,describe vault and associated equipment: Please continue comments on a separate page. Separate pages)Included? O Yes,number of pages included: KNo Compartmented tank? ❑ Yes W.No If so,number of compartments and capacities: Secondary containment tank(double wall tank)? ❑ Yes No Retaining basin(dike)provided?, J,Yes ❑No Net capacity of dike:31 Office use only. Fee Paid: __ Date received: Date entered: Entered by: Annual Inspection Form;10130/00.Pane 9 of 4. Description of retaining basin (dike): O Metal O Clay 0 Reinforced concrete jd Other,describe: �� �t c�'uslnon� 5�cnne a�ar�irS �'nh d6 --- - Please continue comments on a separate page: Separate page(g)included? O Yes,number of pages inducted: No The following annual tank inspection checklist.can only be used for tanks constructed to-the American Petroleum institute(API)Standard 650, Its predecessor 12C or any steel tank constructed in accordance with a nationally recognized tank specification. For all other tanks,the inspector must propose an alternative tank inspection checklist appropriate for the tank. The altemative checklist must be submitted and approved by the Office of the State Fire Marshal,AST Program prior to being .utilized. The tank construction standard and the date of construction must be stated. Any annual tank Inspection documented on a non-approved tank inspection checklist will not be accepted. Has the tank been constructed to API 650 or 12C? jg---Yes, use the following annual tank inspection checklist.- 0 No,answer the following question. Is the tank a steel tank constructed in accordance with a nationally recognized tank specification? Yes,use the following annual tank inspection checklist. p No. The following annual tank inspection checklist can not be used. The Inspector must Propose an alternative tank Inspection,checklist appropriate for the tank. The alternative checklist must be submitted and approved by the Office of the State Fire Marshal,AST Program prior to being utilized. The approved.altemaol've checklist must be completed and attached to this Annual Inspection Form. Date of Inspection: II ti403 Satisfactory Unsatisfactory Comments Foundation Check for foundation levelness. s Inspect for broken concrete, c/ Inspect for spalling. v z' Inspect for cracks. Inspect for cavities.under foundation. ✓ . Inspect for vegetation around the bottom of the'tank. Inspect for settlement around the f3erimeter of the tank. t/ Check water drains away from the tank. ' Check for signs of leakage, Check the bottom to foundation seal,if any. Check for the good general condition of the foundation. Other. Other: Tank Check for proper signage. Inspect for paint failures. Inspect for corrosion. Inspect for pitting, v Inspect for dents Inspect for gouges. j Inspect for shell distortions. Inspect.for shell deformations. Check for signs of leakage. V Check that the tank is properly grounded. Check that the tank has the proper static protection. Check for the good general condition of the tank. other: Other: Annual Inspection Form;10/30/00.Page 2 of 4. Satisfactory Unsatisfactory Comments _ Related.Equipment(Appurtenances) Check for proper.signage. . -inspect for paint failures. V' Inspect for corrosion. Inspect for pitting. Inspect for dents. Inspect for gouges. Check that the appurtenances are properly secured. Check that the appurtenances are in good working r/ condition. Check for signs of leakage. Check that fire protection equipment is inspected and I maintained. Check the tank insulation,if applicable Check for the good general condition of the appurtenances. Other: Other: Dikes (secondary containment) Check that it is appropriately sized. N Check for any breaches. N Check for any penetrations. MIN Inspect that any penetrations are sealed liquid tight. Inspect.for corrosion. p tnspect that the dike drains to an appropriate location. - Cheek that a building is not located inside the dike. Check for storage inside of the dike. m Check for vegetation Inside of the dike; (� r; Check for combustibles inside the dike. t'. Check that access/egress ladders,stairs or ramps are In good condition. Check for the good general condition of the dikes. N Other: Other: The Office of the State Fire Marshal and the head of the local fire department must be notified at least 14 days prior to the date of the intended inspection and given the opportunity to observe or participate in the inspection process. Was th®local fire dept present for the inspection? CO Yes jLNo Local fire dept.representative: Local fire department comments: N l Please continue comments on a separate page. Separate page(s)included? ❑Yes,number of pages included: ❑No Inspectors name: 1 ee-o Business name; Q. Address: �+v t► l 1 V�n 1W>r �-7 a7• Telephone number, 3 63 Fax Number:„ 641""3� Go to Annual Inspection Form Page 4 of 4. Annual Inspeolion Form;10130/00.Page 3 of d. Cho one: nn 9American Petroleum Institute(API)653 Inspector, Number. 1�T5 A-Massachusetts Registered Profession Engineer, Number: 3 Discipline: ❑ Other Inspector. All"Others Inspectors"must be previously approved in writing by the Office of the State Fire Marshal, AST Program. Is there a valid license(M.G.L.c. 148§13)for this product?: D Yes O No 04pt.required If Yes,fill out the following: Licensing authority: Expiration date: Is there a valid flammable/combustible liquids permit(M,G.L: c. 148§ 10A&23)for this product?' ❑Yes,expiration date: D No jKNot required Has this tank been inspected in the nature and Frequency as prescribed in 502 CMR 5.05(1)? 4Yes ❑No Does this tank have an accurate written record as prescribed in 502 CMR 5,05(2)? t&es ❑No Has the person principally in charge of the tank signed each inspection record,per 502 CMR.5.05(2)? f 'rYes D No If any:answers of the above three questions were"No",please list and describe each violation. r Please continue comments on a separate page, Separate paga(s)Included7 ©Yes,number of pages Included: Have any permits for maintenance(502 CMR 5.04(1))been issued since the last Annual Inspection Form was submitted? ❑Yes K'Vo If"Yes",the date the permit was issued by the Office of the State Fire Marshal: t Have any permits for emergency.repair(502 CMR 5.04(e))been issued since the last Annual Inspection Form was submitted? ❑Yes O.No If"Yes",the date the permit was Issued by the Office of the State Fire Marshal: By signing below, I certify that this facility was duly inspected in accordance with 502 CMR 5.00 and to the best of my knowledge, the tank,its install n,its related an ary equipment and secondary containment or dikes are all in good working condition and are cc) a app cable r ,Al►at/Iivn__sand standards. Inspector's"signature: l�''J Date: li 1 I2)1O3 Submittal Requirements—Please remember to include the following and mail to Office of the State fire Marshal, Technical Services P,0. Box 1025,Stow,MA 01775,.Attendon:AST Program. The package must be postmarked on or before December ii�2000 and on annual basis thereafter. t The original Annual Inspection Form. One tank per Annual Inspection Form. p If any,the original description of the vault and associated equipment. ❑ If any,the original description of the retaining basin. q If any, Office of the State Fire Marshal"Other Inspector"(502 CMR 5.06(2))reference number: ❑ If any;the completed alternative tank inspection checklist(502 CMR 5.06(3))and.the Office of the State Fire . Marshal approved alternate checklist number: D If any,the original of the local fire department comments, (502"CMR 5.06(2)) ❑ If any,an original copy of the list and description of each violation of 502 CMR 5,05(1)and (2). Annual Inspection Form;10/30100.Page 4 of 4.Ekal. i r 'Taw.'( 'ice oz 1025, (:Jfbuli,',��i!aww'"N775 (978)567-3300 (.7 (978)5674 99 Annual Inspection Form for a tank,in excess of 10,000 gallon gross capacity,for the aboveground storage of fluids other than water. Pursuant to Massachusetts General Laws(M.G.L•)c. 148,§37,all aboveground storage tanks,subject to the requirgments of 502 C.M.R.5.00,shall be Inspected annually. All information must be typed or neatly printed, All fields must be completed or the Annual Inspection Form will be returned. A separate Annual Inspection Form shall be submitted for each individual tank on or before December 151, For tank construction or installation.use the Application for Construction and Installation. For tank maintenance,as defined in 5002,,C,MR"5.000,use the t1he,Application for Maintenance.' L Business name: 05 6P �K J UII�A a ffi "SQ�IQ1�11� 1 6 'SitW� 'Street address: Business(mailing)address: _ LXiAiV/ Address(or location)of.tank: Contact name: _�J��� Title: Telephone number. q1k-1 q0::2 a`f0 Fax Number:__—g-8710-1W 4305 The tank is: KlIn-Service ❑ Out-of-Service ❑ Abandoned,since(date): Description of tank: �at1"n� •V d Date constructed/manufactured: J el Tank serial number: - Massachusetts Department of Public Safety tank number-if any: ❑ None Office of the Massachusetts State Fire Marshal number,if any: -06 FM- 00 W1'1 ❑ None Tank constructed/manufactured;according to:A.P.I.:_ ` A.S.M.E.: U.L.: ' Other, Tank construction standard: ��< <�C Tank gross capacity: 1SO Tank nominal capacity: T 0 Horizontal tank Diameter(fast): Length (feet): R?I.Vertical tank Diameter(feet):,. Height(feet): _ _ - Fluid to be stored In tank: W Flash point('F): 1s this.tank located in a vault? ❑ Yes ❑ No . If Yes,describe vault and associated equipment: Please continue comments on a separate page. Separate page(s)Included? ❑Yes,number of pages included: No Compartmented tank? ❑ Yes ❑A If so,number of compartments and capacities: Secondary containment tank(double wall tank)? O Yes No Retaining basin(dike)provided?. Yes No Net capacity of dike:3 4 PC wo Office use only. Fee Paid: Date received: Date entered: Entered by: Annual Inspection Form;10130/00.Paste 1.of4 Description of retaining basin (dike): O Metal O Clay 0 Reinforced concrete 15(Other,describe: --- -- Please continue comments on a separate page. Separate pages)included? ' O Yes,number of pages included: No The following annual tank.inspection checklist.can only be used for tanks constructed to the American Petroleum Institute(API)Standard 650,Its-predecessor 12C or any.steel tank constructed in accordance with a nationally recognized tank specification. For all other tanks,the Inspector must propose an alternative tank inspection checklist appropriate for the tank. The altemative checklist must be submitted and approved by the Office of the State Fire Marshal,AST Program prior to being utilized. The tank construction standard and the date of construction must be stated. Any annual tank Inspection documented on a non-approved tank inspection checklist will not be accepted. Hast4e tank been constructed to API 650 or 12C? Yes, use the following annual tank inspection checklist. 0 No,answer the following question. Is the lank a steel tank constructed in accordance with a nationally recognized tank specification? Yes,use the following annual tank inspection checklist. O No. The following annual tank inspection checklist can not be used. The Inspector must propose an alternative tank Inspection checklist appropriate for the tank. The altemative checklist must be submitted and approved by the Office of the State Fire Marshal,AST Program prior to being utilized. The approved altemal-l4e checklist must be completed and attached to this Annual Inspection Form. Date of Inspection:, t1lilb103. Satisfactory Unsatisfactory Comments Foundation Check for foundation levelness. .k Inspect for broken concrete, Inspect for spalling. V-1 Inspect for cracks. ci Inspect for cavities under foundation. Inspect for vegetation around the bottom of the'tank. Inspect for settlement around the perimeter of the tank. Check water drains away from.the tank. Check for signs of leakage, v Check the bottom to foundation seal,if any. t/ Check for the good general condition of the foundation. L/ Other. Other: Tank Check for proper signage. Inspect for paint failures. c/ Inspect for corrosion. ci Inspect for pitting. t/ Inspect for dents. . V_ Inspect for.gouges.. Inspect.for shell distortions. v Inspect for.shell deformations. Check for signs of leakage. Check that the tank is properly grounded. Check that the tank has the proper static protection, v Check for the good general condition-of-the tank. Other: Other: Annual Inspection Form;10/30100.Page 2 or4. . Satisfactory Unsatisfactory Comments Related.Equipment(Appurtenances) Check for proper signage. -Inspect for paint failures. s/ Inspect for corrosion. Inspect for pitting: Inspect for dents. Inspect for gouges. Check that the.appurtenances are properly secured. Check that the appurtenances are in good working . condition. Check,for signs of leakage. Check that fire protection equipment is inspected and .NI maintained. Check the tank insulation,if applicable. Vy Check for the good general condition of the appurtenances. Other: Other: Dikos(secondary containment) Check that it is appropriately sized. F Check for any breaches. Check for any penetrations. 01 Pr Inspect that any penetrations are sealed liquid tight. N (� Inspect for corrosion. inspect that the dike drains to an appropriate location. N Check that a building is not located inside.the dike. y� Check:for storage inside of the dike. Check for vegetation inside of the dike. N Check.for combustibles inside the dike. . ;. Checkthat access/egress ladders,stairs or ramps are In good condition. 1 Check for the good general condition of the dikes. Other: Other. The Office of the State Fire Marshal and the head of the local fire department must be notified at least 14 days prior to the date of the intended inspection and given the opportunity to observe or participate in the inspection process. Was the local fire dept present for the inspection? O Yes ILNo Local fire dept.representative: Local fire department comments: 11� Please continue comments on a separate page. Separate page(s)included? ❑Yes,number of pages included; 0 No Inspector's name: Business name: Address: Telephone number, tX (O Fax Number: Go to Annual Inspection Form Page 4 of 4. Annual Inspection Form;10/3U/00.Page 3 of 4. ;(;heck.one: O �g American Petroleum Institute (API)653 Inspector, Number. 16—Massachusetts Registered istered Profession Engineer, N Nu mber: Discipline: O Other Inspector. All"Others Inspectors'must be previously approved in writing by the Office of the State Fim.Marshal, AST Program. Is there a valid license(M.-G.L. c. 148 §13)for this product?: O Yes ❑'•.No . 14ot required If Yes,fill`out the following: Licensing authority: Expiration date: Is there a valid flammable/combustible liquids permit(M,G.L.c. 148§ 10A&23)for this product? ❑Yes,expiration date:- ❑No ivot required Has this tank been inspected in the nature and Frequency as prescribed In 502 CMR 5.05(1)? tYes 0 No Does this tank have an accurate written record as prescribed.in 502 CMR 5.05(2)? J,Yes ❑No Has the person principally.in charge of the tank signed each inspection record,per 502 CMR 5.05(2)? JdYes O No If any answers of the above three questions were"No",please list and describe each violation. r - Please continue comments on a separate page. Separate.paga(s)Included? 0 Yes,number of pages included: C3 No Have any permits for maintenance(502 CMR 5.04(1))been issued since the last Annual Inspection.Form was submitted? O Yes Lvo if"Yes",the date the permit was issued by the Office of the State Fire Marshal: Have any permits for emergency repair(502 CMR 5.04(e))been issued since the last Annual Inspection Form was submitted? C]Yes JLNo If"Yes", the date the permit was Issued by the Office of the State Fire Marshal: By signing below, I certify that this facility was duly inspected in accordance with 502 CMR 5.00 and to the best of my knowledge, the tank,its installatio its related and s ipment and secondary containment or dikes are all in good working condidon and are compliantwith appll ble gu ti and standards. Inspector's signature: bate: �C3 Submittal Requirements—Please remember to include the following and mail to Ofrice of the State Fire Marshal, Technical Services P.O. Box 1025,Stow,MA 01775,Attention:AST Program. The package must be postmarked on or before December 15F 2000 and on annual basis thereafter. I0 The original Annual Inspection Form. One tank per Annual Inspection Forma CD If any,the original description of the vault and associated equipment. O if any,the original description of the retaining basin. O If any, Office of the State.Fire Marshal"Other Inspector".(502 CMR 5.06(2))reference number: ❑ 'if any,the completed alternative tank inspection checklist(502 CMR 5.06(3))and.the Office of the State Fire Marshal approved alternate checklist number: O If any,the original of the local fire department comments. (502 CMR 5.06(2)) O If any,an original copy of the list and description of each violation of 502 CMR 5.05(1)and (2). Annual inspection Form,10/30100.Page 4 of 4.Ekal. v� Cp � a 02 _ r :�ca '(J' 'cceoa�O,QS, aua, �i!aaacu• a 09775 (S78)567 3300 (SM)56" Jxaq Annual Inspection Form fora tank,in excess of 10,000 gallon gross capacity,for the aboveground storage of fluids other .than water. Pursuant to Massachusetts General Laws(M.G.L.)c. 148,§37,ail aboveground storage tanks:subject to the requirements of 502 C.M.R.5.00,shall be Inspected annually. Ail information must be typed or neatly printed, All fields must be completed or the Annual Inspection Form will be returned. A separate Annual Inspection Form shall be submitted for each individual tank on or before December Is'. For tank construction or installation•use the Application for Construction and Installation. For tank maintenance,as defined in 562 CMR 5.00,use the Application.for Maintenance. Business name —� Street address: f7 M 01 q?Q Business(mailing)address: Address(or location)of tank: Contact name: W Title: Telephone number. "t, ( a,-7 !!gC1`c0 Fax Number: Q-Zff"'740-8�oC The tank is: 01-In-ServiceT O Out-of-Service O Abandoned,since(date): Description of tank: Date constructed/manufactured: Tank serial number: Massachusetts Department of Public Safety tank number,if any: O None - Office of the Massachusetts State Fire Marshal number,if any: ����—co 47 O None Tank constructed/manufactured according to:A.P.I.: _A.S.M.E.: U.L.: Other: Tank construction standard: �, �a 1. Tank gross capacity: 3t� �000 Tank nominal capacity: DIV 0fX O Horizontal tank Diameter(feet): Length(feet): j�Wertical tank Diameter(feet): (2-0 Height(feet): Fluid to be stored In tank: Flash point(°F): Is this-tank located in a vault? O Yes 960 If Yes, describe vault and associated equipment: Please continue comments on a separate page. Separate page(s)Included? O Yes,number of pages included: �tJo Compartmented tank? O Yes lf.No If so, number of compartments and capacities: Secondary containment tank CC(double wall tank)? O Yes '*-No Retaining basin(dike)provided?. Yes ©No Net capacity of dike: Office use only Fee Paid: Date received: Date entered: Entered by: - Annual Inspection Form;1=0/00.Pane 1 cf4 °Description of retaining basin (dike): O Metal O Clay 0 Reinforced concrete Jjj!Other,describe: evA so - Please continue comments on a separate page. Separale page(s)included? O Yes,number of pages included: No The following annual tank inspeatlon.chocklist can 9.Llybe used for tanks.constructed to the American Petroleum institute(API) Standard 650,its predecessor 12C or any steel tank constructed in accordance with a nationally. recognized tank specification. For all other tanks,the inspector must propose an alternative tank inspection checklist appropriate for the tank. The alternative checklist must be submitted and approved by the Office of the State Fire Marshal,AST Program prior to being utilized. The tank construction standard and the date of construction must be stated. Any annual tank Inspection documented on a non-approved tank inspection checklist will not be accepted, i- Has tfx--tank been constructed to API 650 or 12C? Yes, use the following annual tank inspection checklist. O No, answer the following question. Is the ank a steel tank constructed in accordance with a nationally recognized tank specification? Yes,use the following annual tank inspection checklist. 0 No. The following annual tank inspection checklist can not be used. The Inspector must oroaose an alternative tank Inspection checklist appropriate for the tank. The alternative checklist must be submitted and approved by the Office of the State Fire Marshal,AST Program prior to being utilized. The approved altemallve checklist must be completed and attached to this Annual Inspection Form. Date of Inspection: it 19 03 Satisfactory Unsatisfactory Comments Foundation Check for foundation levelness. Inspect for broken concrete, o/ Inspect for spalling. Inspect for cracks. ' Inspect for cavities under foundation. inspect for vegetation around the bottom of the tank. Inspect for settlement around the perimeter of the tank. Check water drains away from,tha tank. Check for signs of leakage, Check the bottom to foundation seal,if any, t/ Check for the good general condition of the foundation. Other. Other: Tank Check for proper signage. U, Inspect for paint failures, l✓ Inspect for corrosion. ; v Inspect for pitting. v Inspect for dents. Inspect for gouges. Inspect for shell distortions. V Inspect.for shell deformations. Check for signs of leakage. v Check that the tank is properly grounded. t/ Check that the tank has the proper static protection, V Check for the good general condition of the tank. Other: Other: Annual Inspection Fonn;10/30/00.Page 2 or4: Satisfactory Unsatisfactory Comments Related.Equipment(Appurtenances) Check for proper signage. -Inspect for paint failures. Inspect for corrosion: t/ Inspect for pitting. - Inspect for dents. Inspect for gouges. Check that the appurtenances are properly.secured. Check that the appurtenances are in good working condition. Check for signs of leakage. Check that fire protection equipment is inspected and maintained. fil Pt Check the tank insulation,if applicable IJ Check for the good general condition of the appurtenances. Other: Other: - Dikes(secondary containment) Check that it is appropriately,sized. , Check for any breaches. PIA Check for any penetrations. �} Inspect that any penetrations are sealed liquid tight. Inspect for corrosion. Inspect that the dike drains to an appropriate location. N . Check that a building is not located inside the dike. Check for storage inside of the dike. N�Ik Check for vegetation inside of the dike. (� Check for combustibles inside the dike. �A Check that access/egress ladders,stairs or ramps are in good condition. Check for the good general condition of.the'dikes. (� Other: Other: The Office of the State Fire Marshal and the head-of the local fire department must be notified at least 14 days prior to the date of the intended inspection and given the opportunity to observe or participate in,the inspection process. Was the local fire dept.present for the inspection? D Yes 14No Local fire dept.representative: Local fire department comments: Please continue comments on a separate page. Separate pages)included? 0 Yes,number of pages included; ❑No Inspector's namenL �Yt � Business name: .1ear� T�;rn c oil a?' Address: (�� Telephone number, y// 1� o[ 3— QO w Fax Number:. Go to Annual Inspection Form Page 4 of 4. Annual Inspeclion Form;10/30/00.Page 3 of 4. Ghee one: ' X.American Petroleum Institute(API).653 Inspector, Number. Massachusetts Registered Profession Engineer, Number: SG2firw Discipline: �1 Ui ❑ Other Inspector. All"Others Inspectors"must be previously approved in writing by the Office of the State Fire Marshal, AST Program. Is there a valid license (M.G.L. c. 148§13)for this product?: ❑Yes ❑No WGlot required If Yes,fill out the following: Licensing authority; Expiration date: Is.there a valid flammable/combustible liquids permit(M.G.L:c.148§ 10A'&23)for this product? ❑Yes, expiration date: ❑No6ot required Has this tank been inspected in the nature and Frequency.as prescribed In 502 CMR 5.05(1)? ALYes. ❑No Does this tank have an accurate written record as prescribed in 502 CMR 5.05(2)? "s ❑No Has the person principally in charge of the tank signed each inspection record,,per 502 CMR 5.05(2)? Xyes ❑No If any answers of the above three questions were"No",please list and describe each violation. r Please continue comments on a separate page. Separate pages)Included? 0 Yes,number of pages Included: p No Have any permits for maintenance(502 CMR 5.04(1))been issued since the last Annual Inspection Form was submitted? ❑Yes N�No If"Yes",the-date the permit was issued by the Office of the State fire Marshal: 'Have any permits for emergency repair(502 CMR 5.04(e))been issued since the last Annual Inspection Form was submitted? CI Yes No If"Yes",the date the permit was Issued by the Office of the State Fire Marshal: !',By signing below, I certify that this lity was duly inspected in accordance with 502 CMR 5.00 and to the best of my knowledge, the tank,its installatio , related anc' equipment and secondary containment or dikes are all in good working condition and are compliant with applI abl r lions and standards. / Inspector's signature: Date: Lo,3. Submittal Requirements—Please remember to include the following and mail to Office of the State Fire Marshal, Technical Services P,O. Box 1025,Stow,MA 01775,Attention:AST Program. The package must be postmarked on or before December l$, 2000 and on annual basis thereafter. 4? The original Annual Inspection Form. One tank per Annual Inspection Form. © If any,the original description of the vault and associated equipment. ❑ If any,the original description of the retaining basin. ❑ if any, Office of the State Fire Marshal"Other Inspector"(502 CMR 5.06(2))reference number: 0 If any,the completed alternative tank Inspection checklist.(502 CMR 5.06(3)).and the Office of the,State.Fire Marshal approved alternate checklist number: ❑ If any,the original of the local fire department comments. (502 CMR 5.06(2)) ❑ If any,an original copy of the list and description of each violation of 502 CMR 5.05(1)and(2). .Annual Inspection Form;10130100.Page 4 04.Eke). .l I C Ra lly� 0aX IONS, rA W775` (978)567--SS00 C7ax- (.973)567-3999 Annual, Inspection Form for a tank,in excess of 10,000 gallon gross capacity,for the aboveground storage of fluids other than water. Pursuant to Massachusetts General Laws(M.G.L.)c. 148,§37,all aboveground storage tanks.subject to the requirements of 502 C.M.R.5.00,shall be Inspected annually. All information must be typed.or neatly printed. All fields must be completed or the Annual Inspection Form will be returned. A separate Annual Inspection Form shall be submitted for each individual tank on or before December Is'. For tank construction or installation.use the Application for Construction and Installation. For tank maintenance,as defined in 502 CMR 5.00,use the Application for Maintenance. Business name: ^ - SQQM 'Street address: pt 1 A�� 010no Business(mailing)address: m Address(or location)of tank: `iJ Contact name: Title: Telephone number. -1 4v-sa 4V Fax Number: q7ao"'-7yo-ka© The1ank is: ❑ In-Service PLOut-of-Service ❑ Abandoned,since(date): Description of tank 4- Date constructed/manufactured: • t45a'��-1 V Tank serlai number: _Massachusetts Department of Public Safety tank number,if any: ❑ None Office of the Massachusetts State Fire Marshal number, ✓✓if any: ❑ None Tank constructed/manufactured according to:A.P.L: /r A.S.M.E.: U.L.: ' Other, Tank construction standard: , G5 Tank gross capacity 1W -Tank nominal capacity:3 ❑ Horizontal tank Diameter,(feet): Length(feet): 1j(Vertical tank Diameter(feet):-�� Height(feet): Fluid to be stored in tank: 1`' . 6 �e, �11 Flash point(°F): Is this.tank.located in a vault? p Yes'. No If Yes,describe vault and associated equipment: Please continue comments on.a separate page. Separate pages)Included? O Yes,number of pages included: _ ]No Compartmented tank? ❑ Yes N No If so,number of compartments and capacities: Secondary containment tank(double wall tank)? ❑ Yes $KNo Retaining basin(dike)provided?, <Yes ©No Net capacity of dike: OWA Office use only. EFeeaid: Date received: Date entered: Entered by: Annual Inspection Form;1o=/oo.Pape 1 cf4 Description of retaining basin (dike)., 0 Metal D.Clay p Reinforced concrete IlLOther,describe; z�r�no�'c� mnr�a� �,th c�cs4� ��►� c�c�► �rmn� --- Please continue comments on a separate page. Separate pages)included? O Yes,number of pages included: No The following annual tank inspection checklist can galy be used for tanks constructed to-the American Petroleum Institute(API)Standard 650, Its predecessor 12C or any steel-tank constructed in accordance with a nationally recognized tank specification. For all other tanks,the Inspector must propose an alternative tank inspection checklist appropriate for the tank. The alternative checklist must be submitted and approved by the Office of the State Fire Marshal,AST Program prior to being -utilized. The tank construction standard and the date of construction must be stated. Any annual tank Inspection documented on a non-approved tank inspection checklist will not be accepted. Has tank been constructed to API 650 or 12C? Yes, use the following annual tank inspection checklist. No,answer the following question. Is the tank a steel tank constructed in accordance with a nationally recognized tank specification? Yes,use the following annual tank inspection checklist. p No. The following annual tank inspection checklist can not be used. The Inspector must uropose an alternative tank Inspection checklist appropriate for the tank. The alternative checklist must be submitted and approved by the Office of the State Fire Marshal,AST Program prior to being utilized. The approved altema�fve checklist must be completed and attached to this Annual Inspection Form. Date of Inspection: Satisfactory Unsatisfactory Comments Foundation Check for foundation levelness. - Inspect for broken concrete, U-1 Inspect for spalling. V" Inspect for cracks. t Inspect for cavities under foundation. V Inspect for vegetation around the bottom of the'tank. v Inspect for settlement around the Perimeter of the tank. Check water drains away from the tank. v Check for signs of leakage. Check the bottom to foundation seal,if any, v Check for the good general condition of the foundation. Other. Other: Tank gInspect proper signage. r paint failures. r corrosion. V pitting. v Inspect for dents. - Inspect for gouges. Inspect forshell distortions. Inspect for shell deformations. Check for signs of leakage. V - Check that the tank is properly grounded. Check that the tank has the proper static protection. V Check fnr the good general condition of the tank. Other: Other: Annual Inspedion Form;10/30100.Page 2 of 4. Satisfactory Unsatisfactory Comments Related Equipment(Appurtenances) - Check for proper signage. -inspect for paint failures. r/ Inspect for corrosion. Inspect for pitting. - ✓, _ Inspect for dents. Inspect for gouges. Check that the appurtenances are properly secured. Check that the appurtenances are in good working condition. Check for signs of leakage. Check that fire protection equipment is inspected and maintained.' Check the tank insulation, if applicable Check for the good general condition of the . appurtenances. Other: Other: Dikes (secondary containment) Check that it is appropriately sized. Check for any breaches. lTt1 f Check for any penetrations. Inspect that any penetrations are sealed liquid tight. �/- inspect for corrosion. ✓ inspect that the dike drains to an appropriate location. ✓ Check that a building is not located inside the dike. ✓ Check,for storage inside of the dike. V Check for vegetation Inside of the dike, V I Check for combustibles inside the dike. V Checkahat access/egress ladders,stairs or ramps are In good condition. ✓ Check for the good general condition of the dikes. I/ Other: Other: The Office of the State Fire Marshal and the head of the local fire department must be notified at least 14 days prior to the date of the intended inspection and given the opportunity to observe or participate in the inspection process. Was the local fire dept present for the inspection? 0 Yes I&No Local fire dept.representative: Local fire department comments: Please continue comments on a separate page. Separate page(s)included? ❑Yes,number of pages included: 0 No Inspector's name. OD1 Business name: Address: �:/` ��« �'� • Telephone number,_ S(""gb:;— Fax Number: 63--175 ' Go to Annual Inspection Form Page 4 of 4. Annual Inspeclion Form;10/30/00.Page 3 of 4. GheVArnerican one:" Petroleum Institute (API)653 Inspector, Number. ` 6—Massachusetts Registered Profession Engineer, Number: Discipline: clui 1 ❑ Other Inspector. All"Others Inspectors"must be previously approved in writing by the Office of the State Fire Marshal, AST Program. Is there a valid license (M.G.L.c. 148 §13)for this product?: Yes ❑"No _ 0Not required If Yes,fill out the following: Licensing;authority: ,0 <<7 Expiration date: Is there a valid flammable/combustible liquids permit(M.G.L.c. 10§ 10A&23)for this product? 'tl 6s,expiration date: `'f' p No ©Not required Has this tank been inspected in the nature and Frequency as prescribed In 502 CMR 5.05(1)? KYes" ❑No Does this tank have an accurate written record as prescribed in 502 CMR 5.05(2)? ❑No Has the person principally in charge of the tank signed each inspection record,per 502 CMR 5.05(2)? 14Yes ❑No If any answers of the above three questions were"No",please list and describe each vlolation. r Please continue comments on a separate page. Separate pages)Included? ©Yes,number of pages included: ©No .Have any permits for maintenance(502 CMR 5.04(1))been issued since the last Annual Inspection Form was'submitted? ❑Yes XNo If"Yes",the date the permit was issued by the Office of the State Fire Marshal: Have any permits for emergency,repair(502 CMR 5.04(e))been issued since the last Annual Inspection Form was submitted? C7 Yes IgNo If"Yes", the date the permit wasissued by the Office of the State Fire Marshal: By signing below, I certify that this facility was duly inspected in accordance with 502 CMR 5.00 and to the best of my knowledge, the tank,its instal lion,its related ancillary uipment and secondary containment or dikes are all in good working condition and are compliant t the ap lIcabjq r ul to ,st and standards. Inspector's signature: <� / Date: `I101 o 3 Submittal Requirements—Please remember to include the following and mail to Office of the State t/re Marshal, Technical Services P,O: Box 1025, Stow,MA 01775,Attention:AST program. The package must be postmarked on or before December 1�2000 and on annual basis thereafter. �► The original Annual Inspection Form.'One tank per Annual Inspection Forma C3 If any,the original description of the vault and associated equipment. 0 If any,the original description of the retaining basin. ❑ Jf any, Office of the State Fire Marshal"Other Inspector"(502 CMR 5.06(2))reference number: 0 If any,the completed.alternative tank Inspection checklist(502 CMR 5.06(3))and the Office of-the:State Fire Marshal approved alternate checklist number: ❑ If any,the original of the local fire department comments." (502 CMR 5.06(2)) ❑ If any,an.original copy of the list and description of each violation of"502 CMR 5.05(1)and (2). Annual Inspection Form,10/30/00.Page 4 of 4.;BaI. p 07 a C f V P/1 r Rad'(;06 Ax l0,e5, a4A&t1 vAa�crc 09775 �9T8)56�33'00 `�aa 73�56">=3999 11 .Annual Inspection Form for a tank,in excess of 10,000 gallon gross capacity,for the aboveground storage of fluids other than water. Pursuant to Massachusetts General Laws(M.G.L.)c. 148,§37,all aboveground storage tanks,subject to the requirements of 502 C.M.R.5.00,shall be Inspected annually. All information must be typed or neatly printed. All fields must be completed or the Annual Inspection Form will be retumed. A separate Annual Inspection Form shall be submitted for each individual tank on or before December 151. For tank construction or installation,use the Application for Construction and Installation. For tank maintenance-,as defined in 502 CMR 5.00,use the Application for Maintenance. Business name: , Street address: 0 1.q 1O Business(mailing)address: Address(or location)of tank: Contact name: W Title: Telephone number. 140— `FO Fax Number: _-1-73 "77V 4;o The tank is: 0 In-Service Out-of-Service ❑ Abandoned,since(date): Description of tank: �dM1C, Date constructed/manufactured:. 1�fJT -Tank serial number: Massachusetts Department of Public'Safety tank number,if any: ­0 None Office of the Massachusetts State Fire Marshal number, if any:' 0 None Tank constructed/manufactured according to:A.P.I.: A.S.M.E.: U.L.: ' Other: Tank construction standard: A k lac Tank gross capacity:t3Z5Q0 00 Tank nominal capacity: 0 Horizontal tank Diameter.(feet): Length(feet): #►Vertical tank Diameter(feet): Height(feet): 400— Fluid to be stored In tank: �p. rni6` Flash point(°F): Is this.tank located in a vault? 0.Yes 4No If Yes,describe vault and associated equipment Please continue comments on a separate page. Separate page(s)Included? - p Yes,number of pages included: No Compartmented tank? ❑ Yes (Y,-No If so,number of compartments and capacities: Secondary containment tank(double wall tank)? 0 Yes X•No Retaining basin(dike)provided?. Yes 0 No Net capacity of dike: 1 v 0 940, Office use only. EFeeaid: Date received: Dale entered: Entered by: Arinual Inspection Form:10130/00.Paste 1 of 4 Description of retaining basin (dike); K Metal O Clay 0 Reinforced concrete D Other,describe: Please continue comments on a separate page. Separate page(s)included? O Yes,number of pages included: p No The following annual tank inspection checklist can only be used for tanks constructed to-the American Petroleum Ems Institute(API)Standard 660, Its predecessor 12C or any steel tank constructed in accordance with a nationally . recognized tank specification. For all other tanks,the Inspector must propose an alternative tank inspection checklist appropriate for the tank. The alternative checklist must be submitted and approved by the Office of the State Fire Marshal,AST Program prior to being utilized. The tank construction standard and the date of construction must be stated. Any annual tank Inspection . documented on a non-approved tank inspection checklist will not be accepted. Has tank been constructed to API 650 or 12C7 _Yes, use the following annual tank inspection checklist. O No,answer the following question. Is thank a steel tank constructed in accordance"with a nationally recognized tank specification I Yes,use the following annual tank inspection checklist. O No. The following annual tank inspection checklist cannot be used. The Inspector must nroaose an alternative tank Inspection checklist appropriate for the tank. The alternative checklist must be submitted and approved by the Office of the State Fire Marshal,AST Program prior to being utilized. The approved altemorve checklist must be completed and attached to this Annual Inspection Form. Date of.lnspection: Satisfactory Unsatisfactory Comments Foundation Check for foundation-levelness. Inspect for broken concrete. Inspect for spalling. ✓' Inspect for cracks. ✓ - Inspect for cavities under foundation. ✓ Inspect-for vegetation around the bottom of the'tank. Inspect for settlement around the perimeter of the tank.. Check water drains away from tha tank: ✓ ttu Check for signs of leakage, t� Check the bottom to foundation seal,if any, v Check for the good general condition of the foundation. Other. Other: Tank Check for proper signage. Inspect for paint failures. ✓ �` LO(C t Inspect for corrosion.. Inspect for pitting. ,/ t Inspect for dents. ✓ Inspect for gouges. Inspect for shell distortions. v/ Inspect for shell deformations. v Check for signs of leakage. Check that the tank is properly grounded. ✓. V'puxi -f1 Check that the tank has the proper static protection, V Check for the good general condition of the tank. t/ 601- Other: Other: Annual Inspedion Form;10/30/00.Page 2 of 4. • I, Satisfactory Unsatisfactory Comments Related.Equipment(Appurtenances) Check for proper signage. •Inspect for paint failures. V Inspect for corrosion. Inspect for pitting. Inspect for dents. . Inspect for gouges. t% Check that the appurtenances are properly secured. i Check that the appurtenances are n good working g iti cond on. Check for.signs.of leakage. Check that fire protection equipment is inspected and maintained. V. Check the tank insulation,if applicable V Check for the good general condition of the appurtenances. ✓ Other: Other: Dikes(secondary containment) Check that it is appropriately sized. J Check for any breaches.. ✓ p �j Check for any penetrations. Inspect that any penetrations are sealed.liquid tight. Inspect.for corrosion. we Cis � trispect that the dike drains to an appropriate location. Check that a building is not located inside the dike. Check for storage inside of the dike. Check for vegetation Inside of the dike, ✓ Check for combustibles inside the dike. Check that access/egress ladders,stairs or ramps are In �/ good condition. Check for the good general condition of the dikes. Other: Other: The Office of the State Fire Marshal and the head of the local fire department must be notified at least 14 days prior to the date of the intended inspection and given the opportunity to observe or participate in the inspection process. Was th®local fire dept.present for the inspection? d Yes %No Local fire dept.representative: Local fire department comments: Please continue comments on a separate page. Separate page(s)included? ❑Yes,number of pages included: 0 No Inspectors name: 0 eo Business name: CP Address: CJ �JM 1,n) 1te 6NA9V!gM, `V .11-7g Telephone number, y7( %3— ai%—f Fax Number: — 1 ' Go to Annual Inspection Form Page 4 of 4. Annual Inspection Form;101=00.Page 3 of 4. Check one: A-American Petroleum Institute (API)653 Inspector, Number- I x1Nassachusetts Registered Profession Engineer, Number: Discipline: ❑ Other Inspector. All"Others Inspectors'must be previously approved in writing by the Office of the State Fire Marshal, AST Program. Is there a valid license (M.G.L. c. 148§13)for this product?: O'Yes ❑No . Not required If Yes,fill out the following: Licensing authority; Expiration date: Is there a.valid flammable/combustible liquids permit(M:G.L. c. 148§ 10A&23)for this product? ❑Yes,expiration date: ❑No blot required Has this tank been inspected in the nature and Frequency as prescribed In 502 CMR 5.05(1)? KYes ❑No Does this tank have an accurate written record as prescribed in 502 CMR 5.05(2)? des ❑No Has the person principally in charge of the tank signed each inspection record,per 502 CMR 5.05(2)? (CYes ❑No If any answers of the above three questions were"No",please list and describe each violation. - r Please continue comments on a separate page. Separate paga(s)Included? ❑Yes,number of pages Included: ©No Have any permits for maintenance (602 CMR 5.04(1))-been issued since the last Annual Inspection Form was submitted? ❑Yes ��lo If"Yes",the date the permit was issued by the Office of the State Fire Marshal: Have any perm's for emergency repair(502 CMR 5.04(e))been issued since the last Annual Inspection Form was submitted? ❑Yes No If"Yes", the date the permit was issued by the Office of the State Fire Marshal: Py,,signing below, I certify that this facility was duly inspected in accordance with 502 CMR 5.00 and to the best of my knowledge, the tank,its installation,its related ancilla equipment and secondary containment or dikes are all in good working condition and are compliant wi the applicable g ions and standards. Inspector's signature`. bate: '14'1 03 Submittal Requirements—Please remember to include the following and mail to Office of the State Fire Marshal, Technical Services P,0. Box 1025,Stow,MA 01775,Attention:AST Program. The package must be postmarked on or before December 13,2000 and on annual basis thereafter. �! The original Annual Inspection Form.'One tank per Annual Inspection Form. © If any,the original description of the vault and associated equipment. ❑ if any,the original description of the retaining basln. ❑ If any, Office'of the State Fire Marshal"Other Inspector"(502 CMR 5.06(2)).reference.numbec ❑ If any,the completed.alternative tank Inspection checklist(502 CMR 5.06(3))and.the Office of_the.Siate Fire Marshal approved.alternate checklist number: 0 If any,the original of the local fire department comments. (502 CMR 5.06(2)) ❑ If any,an original copy of the list and description of each violation.of 502 CMR 5.05(1)and (2). Annual Inspection Form;10/30100.Page 4 of 4.Ekal. r 4 J W-M :'we'( '�cce occ 90� , acu, L�i!aa-xw 09775. . (,�7�)56r��oo: r as (97�Y�567=3,99 Annual Inspection Form for a tank,in excess of 10,000 gallon gross capacity,for the aboveground storage of fluids other than water. Pursuant to Massachusetts General Laws(M.G.L.)c, 148,§37,all aboveground storage, auks,subject to the requirements of 502 C.M.R.5.00,shall be Inspected annually. All information must be typed or neatly printed. All fields must be completed or the Annual Inspection Form will be returned. A separate Annual Inspection Form shall be submitted for each individual tank on or before December 151. For tank construction or installation.use the Application for Construction and Installation. For tank maintenance,as defined in 502 CMR 5.00,use the Application for Maintenance. Business name•' VA Street address: a Q jq7Dr Business(mailing)address: Address(or location)of tank: Contact name: Title: Q 2 Telephone number. �' 4 Fax Number: ��-1 O J0� .; The tank is: P�4n-Service / 0Out-of-Service O Abandoned,since(date): Description of tank 1�rn1L b Date constructed/manufactured: �q, Tank serial number: Massachusetts Department of Public Safety tank,number,if any 0 None. Office of the Massachusetts State Fire Marshal number,if any: 00F 1"eo o 475 0 None . Tank constructed/manufacture edd jaecording to:A.P.I.: k A.S.M.E.: U.L.: ' Other: iTT Tank construction standard: 1 (050 Tank gross capacity:g Tank nominal capacity: a r coO fX� 0 Horizontal tank Diameter(feet): Length(feet): vertical tank Diameter(feet): _ Height(feet): _ Fluid to be stored In tank: � �` CA Flash point('F): Is this.tank located in a vault? 0 Yes 14..N0 If Yes,describe vault and associated equipment:. Please continue comments on a separate page. Separate pages)Included? 0 Yes,number of pages-included: VNo Compartmented tank? 0 Yes II.No If so,number of compartments and capacities: Secondary containmenftank(double wall tank)? 0 Yes 9 No Retaining basin(dike)provided?.10 Yes C No Net capacity of dike: 10,OCC Office use only Fee Paid: Date received: Date entered: Entered by: Annual Inspection Form;10130/00.Pape 1 of 4 Description of retaining basin (dike): ,Metal O Clay 0 Reinforced concrete 0 Other,describe: - Please continue comments on a separate page. Separale page(s)included? 'O Yes,number of pages included: 4(No The following annual tank inspection checklist.can only be used for tanks constructed to the American Petroleum Institute(API) Standard.650, Its predecessor 12C or any steel tank constructed in accordance with a nationally recognized tank specification. -For all other tanks,the Inspector must propose an altemative tank inspection checklist appropriate for the tank. The alternative checklist must be submitted and approved by the Office of the State Fire Marshal,AST Program prior to being utilized. The tank construction standard and the date of construction must be stated. Any annual tank inspection documented on anon-app roved tank inspection checklist will not be accepted. Has tank been constructed to API 650 or 12C? Yes, use the following annual tank inspection checklist. 0 No,answer the following question. Is the ank a steel tank constructed in accordance with a nationally recognized tank specification? Yes,use the following annual tank inspection checklist. 0 No. The following annual tank inspection checklist can not be used. The Inspector must Propose an alternative tank Inspection checklist appropriate for the tank. The alternative checklist must be submitted and approved by the Office of the State Fire Marshal,AST Program prior to being utilized. The approved altemg)-lVe checklist must be completed and attached to this Annual Inspection Form. Date of Inspection: Satisfactory Unsatisfactory Comments Foundation Check for foundation levelness. Inspect for broken concrete. Inspect for spalling. Inspect for cracks. t/ Inspect for cavities under foundation. Inspect for vegetation around the bottom of the'tank. v Inspect for settlement around the perimeter of the tank. Check water drains away from the tank: Check for signs of leakage. Check the bottom to foundation seal,if any. Check for the good general condition of the foundation. Other. Other: Tank - Check for proper signage. Inspect for paint failures, ✓ ctL tJC mns ntlr Irl Ir � Inspectfor corrosion. L/ exx cvs 6A mrem t � Inspect for pitting. Inspect for dents. IX �1 Inspect for.gouges. r - c/ Inspect for shell distortions. I Inspect for shell deformations. I Check for signs of leakage. ✓ I Check that the s tank is properly grounded. Check that the tank has the proper static protection. Check for the good general condition of the tank. I Other: Other: Annual Inspection Form;10/30/00.Page 2 of 4. Satisfactory Unsatisfactory Comments 'Related.Equipment(Appurtenances) • Check for, proper signage. -inspect for paint failures. r/ inspect for corrosion. Inspect for pitting. Inspect for dents. - J Inspect for gouges. Check that the appurtenances are properly secured. Check that the appurtenances are in good working. condition. t/ Check for signs of leakage. Check that fire protection equipment is inspected and maintained, Check the tank insulation,if applicable 5`c cn F'M1951 Check for the good general condition of the appurtenances. Other: Other: Dikes (secondary containment) Check that it is appropriately sized. , Check for any breaches. �/ f Check for any penetrations. Inspect that any penetrations are sealed liquid tight., Inspect for corm§ion. Inspect that the dike drains to an appropriate location. C-MAK Check that a building is not located inside the dike. Check for storage inside of the dike. Check for vegetation Inside of the dike. v Check for combustibles inside the dike. . Check that access/egress ladders,stairs or ramps are In good condition. Check for the good general condition of the dikes. Other: Other: The Office of the.State Fire Marshal and the head of the local fire department must be notified at least 14 days prior to the date of the intended inspection and given the opportunity to observe or participate in the inspection process. Was the local fire dept present for the inspection? O Yes 9(No Local fire dept.representative: Local fire department comments: (1't Please continue comments on a separate page. Separate page(s)included? ❑Yes,number of pages included; d No Inspector's name: 1 T� � Business name: Address: WM TV n K) l 1 71 Telephone number, V02 04LIV�,1 Fax Number: Oo to Annual Inspection Form Page 4 of 4. Annual Inepoclion Form;10/30/00.Page 3 of 4.. chaq one: 2%American.Petroleum Institute (API)653 Inspector, Number" 12? . V" Massachusetts ,Registered Profession Engineer, Number: 9 3 b� Discipline: ❑ Other Inspector. All"Others Inspectors'must be previously approved in writing by the Office of the State Fire Marshal, AST Program. Is there a valid license (M.G.L. c. 148 §13)for this product?: ' man Yes ❑No O Not req fired If Yes,fill out the following: Licensing authority; PUL _ Expiration date:. <<•C.fJ Is there a valid flammable/combustible liquids permit(M.G.L.c.148§ 10A i 23)for this product? tyes,expiration date: O No 0 Not required Has this tank been inspected in the nature and fr6quency as prescribed In 502 CMR 5.05(1)? 1QYes ❑No Does this tank have an accurate written record as prescribed in 502 CMR 5.05(2)? VPYes ❑No Has the person principally in charge of the tank signed each inspection record,per 502 CMR 5.05(2)? W.Yes ❑No If any answers of the above three questions were"No",please list and describe each violation. Please continue comments on a separate page. Separate paga(s)Included? 0 Yes,number-of pages included: p No Have any permits for maintenance(502 CMR 5.04(1))been issued since the last Annual Inspection Form was submitted? CJ Yes WNo If"Yes the date the permit was issued'by the Office of the State Fire Marshal: Have any permits for emergency repair(502 CMR 5.04(e))been issued since the last Annual Inspection.Form was submitted? C]Yes )6o . If"Yes",the date the permit was Issued by the Office of the State Fire Marshal: By signing below, I certify that this facility was duly inspected in accordance with 502 CMR 5.00 and to the best of my knowledge, the tank, its installation,its related ancllla ry eq dpment and secondary containment or dikes are all in good working condition and are compliantwi a applicableVL/�gul io nd standards. Inspector's signature: F Date' Submittal Requirements—Please remember to include the following and mail to Office of the State Lire Marshal, Technical Services P,0. Box 1025,Stow,MA Of775,.Attention:AST program. The package must be postmarked on or before December 13, 2000 and on annual basis thereafter. The original Annual Inspection Form. One tank per Annual Inspection Form. Cp If any,the original description of the vault and associated equipment. ❑ if any;the original description of the retaining basin. ❑ If any, Office of the State Fire Marshal"Other Inspector"(502 CMR 5.06(2))reference number: ❑ If any,the completed alternative tank Inspection checklist(502 CMR 5.06(3))and the.Office of-the State Fire Marshal approved.altempte checklist number: O If any,the original of.the local fire department comments. (502 CMR 5.06(2)) ❑ If any,an original copy of the list and description of each violation of 502 CMR 5.05(1)and (2). Annual inspection Form:10f30100.Page 4 04.Ekal. 02 a Oi5� Nee 1025 616, 09775 (978)567-3300 .(.97aa:• (97c4)5674939 Annual Inspection Form for a tank,in excess of 10,000 gallon gross capacity,for the aboveground storage of fluids other than water. Pursuant to Massachusetts General Laws(M.G.L.)c. 148,§37,all aboveground storage tanks,subject to the requirements of 502 C.M.R.5.00,shall be inspected annually. All information must be typed or neatly printed. All fields must be completed or the Annual Inspection Form will be returned. A separate Annual Inspection Form shall be submitted for each.individual tank on or before December Is1. For tank construction or installation,use the Application for Construction and Installation. For tank maintenance,as defined in 502 CMR 5.00,use the Application for Maintenance. Business name: it Street address: � O Business(mailing)address: Address(or location)of tank: Contact name:_L�11 `1(]ti1Ll Wr� �, Title: Telephone number. "1��"��'�'O^ O �TV Fax Number:370'110-230 The tank is: 0 In-Servica $Out-of-Service O Abandoned,since(date): Description of tank: Date constructed/manufactured: 051 Tank serial.number: Massachusetts Department of Public Safe tytank number,if any: p None . Office of the Massachusetts State Fire Marshal number,if any: 0 None Tank constructed/manufactured according to:A.P.I.: A.S.M.E.: U.L.: ' Other. Tank construction standard: �Q,_ Tank gross capacity: 6n Tank nominal capacity: �.l Horizontal tank Diameter(feet): Length(feet): - V-Vertical tank Diameter(feet): lion Height(feet):_ Fluid to be stoned In tank: -tio Flash point(°F) 1s this-tank located in a vault? O Yes JLNo If Yes,describe vault and associated equipment: Please continue comments on a separate page: Separate pages)included? p Yes,number of pages included: 4 No Compartmented tank? .❑ Yes No If so, number of compartments and capacities: .Secondary containment tank(double wall tank)? 0 Yes 14 No Retaining basin(dike)provided?, Yes ©No Net capacity of dike: COD Office use only FFee Paid: Date received: pate entered: Entered by: Annual Inspection Form:10130/00.Pane 1 of 4 Description of retaining basin (dike): ❑ Metal O Clay O Reinforced concrete Other,describe: T &AAfA pca� cy Please continue comments on a separate page. Separale page(s)included? O Yes,number of pages included: 01.o . The following annual tank inspection checklist can gLly be used for tanks constructed to*the American Petroleum Institute(API)Standard 650, Its predecessor 12C or any steal tank constructed in.accordance with a nationally recognized tank specification. For all other tanks,the Inspector must propose an altemative tank inspection checklist appropriate for the tank. The alternative checklist must be submitted and approved by the Office of the State Fire Marshal,AST Program prior to being -utilized. The tank construction standard and the date of construction must be stated. Any annual tank Inspection documented on a non-approved tank inspection.checklist will not be accepted. Has a tank been constructed to API 650 or 12C? Yes, use the following annual tank inspection checklist. No,answer the following question. Is the tank a steel tank constructed in accordance with a nationally recognized tank specification?. Yes,use the following annual tank inspection checklist. ❑ No. The following annual tank inspection checklist can not be used. The Inspector must nrQpose an alternative tank inspection checklist appropriate for the tank. The alternative checklist must be submitted and approved by the Office of the State Fire Marshal,AST Program prior to being utllized. The approved altema�rve' checklist must be completed and attached to this Annual Inspection Form. Date of Inspection: lei d-� Satisfactory Unsatisfactory Comments Foundation Check for foundation levelness. Inspect for broken concrete, Inspect for spelling, Inspect for cracks: r/ eV 5 Inspect for cavities under foundation. ✓ Uc 11tS Inspect for vegetation around the bottom of the'tank. ✓. Inspect for settlement around the perimeter of the tank. Check water drains away from the tank: ' Check for signs of leakage, Check the bottom to foundation seal,if any. Check for the good general condition of the foundation.. Poa Other. Other: Tank Check for proper signage. Inspect for paint failures. V co ��tw�1 t-�m Inspect for corrosion. Inspect for pitting. t/ Inspect for dents. Inspect for gouges. Inspect for shell.distortions. ,r Inspect for shell deformations. Check for signs of leakage. Check that the tank is properly grounded. Check that the tank has the proper static protection, Check for the good general condition of the tank. 0C Other:. Other: Annual Inspection Form,10/30100.Page 2 of 4. Satisfactory Unsatisfactory Comments Related.Equipment(Appurtenances) Check for proper signage. -Inspect for paint failures. Inspect for corrosion. Inspect for pitting.. -- Inspect for dents. Inspect for gouges._ ..: Check that the appurtenances are properly secured.. ✓ Check that the appurtenances are in good working condition. Check for signs of leakage. Check that fire protection equipment is inspected and maintained. ✓ Gi Sc �e e1�A Check the tank insulation,if applicable tJ Pr Check for the good general condition of the appurtenances. ✓ Other: Other: Dikes (secondary containment) Check that k is appropriately sized. Check For any breaches. �L� Check for any penetrations. ,i Inspect that any penetrations are sealed liquid tight. V Inspect for corrosion. . Inspect that the dike drains to an appropriate location. Check that a building is not located inside the dike. Check for storage inside of the dike. • Check for vegetation Inside of the dike. v Check for combustibles inside the dike. v k? Check that access/egress ladders,stairs or ramps are In good condition. U-1 Check for the good general condition of the dikes. Other: Other: The Office of the State Fire Marshal and the head of the local fire department must be notified at least 14 days prior to the date of the intended inspection and given the opportunity to observe or participate in the inspection process. Was the local fire dept present for the inspection? D Yes Oo Local fire dept.representative: Local fire department comments: I Please continue comments on a separate page. Separate page(s)included? 0 Yes,number of pages included: El No Inspector's name: -Business name: 1 � Address,_ -Ae/-' V Telephone number, Ie7�I— d 63—«0 w Fax Number Go to Annual Inspection Form Page 4 of 4. Annual Inspection Form;10/39/00.Page 3 of 4. t,h9 k one: t t American Petroleum Institute(API)653 Inspector, Number. 1-Massachusetts Registered Profession Engineer, Number: Fj fn 2 Wa Discipline: �l7 O Other Inspector. All"Others Inspectors'must be previously approved in writing by the Office of the State Fire Marshal, AST Program. Is there a valid license (M.G.L.c.148 §13)fnr this product?: O Yes ❑:No ":Slot required If Yes,fill out the following Licensing authority: =Expiration date: Is there a valid flammable/combustible liquids permit(M•G.L. c. 148§.10A.&23)for this product? O Yes,expiration date: O No Not required Has this tank been inspected in the nature and Frequency as prescribed In 502 CMR 5.05(1)? Oyes ❑No Does this tank have an accurate written record as prescribed in 502.CMR 5.05(2)? oLYes ❑No Has the person principally in charge of the tank signed,each inspection record,per 502 CMR 5.05(2)? Yes O No If any answers of the above three questions were"No",please list and describe each violation. Please continue comments on a separate page. Separate pages)Included? 0 Yes,number of pages included: KNo Have any permits for maintenance(502 CMR 5.04(1))been issued since the last Annual Inspection Form was submitted? Oyes KNo If"Yes",the date the permit was issued,by the Office of the State Fire Marshal: Have any permits for emergency repair(502 CMR 5.04(e))been issued since the last Annual Inspection Form was submitted? M Yes #No_. if"Yes",the date the permit was Issued by the Office of the State Fire Marshal: 5. By signing below, I certify that this facility was duly inspected in accordance with 502 CMR 5.00 and to the best of my. { knowledge, the tank,its instalia' n,its related ancillary equipment and secondary containment or dikes are all in good working condition and are compliantwi a applicable r gul s and standards. Inspector's signature: Date: 11 gh 3 Submittal Requirements-Please remember to include the following and mail to Office of the State Fire Marshal, Technical Services P,O.Box 1025,Stow,MA 01775,Attention:AST Program. The package must be postmarked on or before December 1', 2000 and on annual basis thereatter. The original Annual Inspection.Form. One tank per Annual Inspection Form. © If any,the original description of the vault and associated equipment. O If any,the original description of the retaining basin. ❑ If any, Office of the State Fire Marshal"Other Inspector"(502 CMR 5:06(2))reference number: O If any,the completed alternative tank Inspection checklist(502 CMR 5.06(3))and the Office of the State Fire Marshal approved alternate checklist number: O If any,the original of the local fire department comments, (502 CMR 5.06(2)) ❑ If any,an original copy of the.list and description of each violation of 502 CMR 5.05(1)and (2). Annual inspection Form;10/30/00.Page 4 of 4.EKaI: W775 (9T8)567-3300 C:r��a:• (97�YJ 56"!3'99 Annual Inspection Form for a tank,in excess of 10,000 gallon gross capacity,for the aboveground storage of fluids other than water. Pursuant to Massachusetts General Laws(M.G.L.)c. 148,§37,all aboveground storage tanks.subject to the requirements of 502 C.M.R.5.00,shall be Inspected annually. Alfinformation must be typed or neatly printed. All fields must be completed or the Annual Inspection Form will be returned. A separate Annual Inspection Form shall be submitted for each individual tank on or before December Tst. For tank construction or installation,use the Application for Construction and Installation. For tank maintenance,as defined in 502 CMR 5.00,use the Application for Maintenance. Business name: Street address: oiq l Business(mailing)address; - Address(or location)of taniC: L� Contact name: W 1 Ttle: Telephone number. "1 ea1+0 Fax Number: q7���ifo SoV0 The tank is: OLIn-Service 0 Out-of-Service ❑ Abandoned,since(date): r Doscription of tank: Date constructed/manufactured: • 1�1(a Tank serial number: Massachusetts Department of Public Safety tank number,if any: ❑ None Office of the Massachusetts State Fire Marshal number,if any: 0Jm- 06 Wf ❑ None Tank constructed/manufactured according to:A.P.I.: _A.S.M.E.: U.L.: ' Other; Tank construction standard: 1 _✓D Tank gross capacity: Tank nominal capacity. ❑ Horizontal tank Diameter(feet): Length (feet): 4-Vertical tank Diameter(feet): Height(fast):400. Fluid to be stoned In tank: AO. (0 IWJI✓1 0 1 Flash point(°F): 1s this.tank located in a vault? ❑ Yes ❑ No If Yes,describe vault and associated equipment: Please continue comments on a separate page. Separate page(s)Included? ❑Yes,number of pages included: II(No Compartmented tank? ❑ Yes �.No If so,number of compartments and capacities: Secondary containment tank(double wall tank)? O Yes $J-No Retaining basin(dike)provided?. WYes ©No Net capacity of dike: II Office use only. EFeeaid: Date received: pate entered: Entered by., Annual Inspection Form;10130/00.Pasie 1 of 4 j Description of retaining basin (dike): ❑ Metal ❑ Clay ❑ Reinforced concrete iiij Other,describe: toca TI &WA96 flow Please continue comments on a separate page: separate page(s)included? p Yes,number of pages included: No The following annual tank inspection checklist can only be used for tanks constructed to the American Petroleum institute(API).Standard 650, Its Predecessor 12C or any steel tank constructsd'in accordance with a nationally recognized tank specification. For all other tanks,the Inspector must propose an alternative tank inspection checklist appropriate for the tank. The alternative checklist must be submitted and approved by the Office of the State Fire Marshal,AST Program prior to being utilized. The tank construction standard and the date of construction must be stated. Any annual tank Inspection documented on a non-approved:tank inspection checklist will not be accepted. _ Has a tank been constructed to API 650 or 12C? ., Yes, use the following annual tank inspection checklist. ❑ No,answer the following question. Is th nk a steel tank constructed in accordance with a nationally recognized tank specification? Yes,use the following annual tank inspection checklist. ❑ No. The following annual tank inspection checklist can not be used. The Inspector must propose an alternative tank.Inspection checklist appropriate for the"tank. The alternative checklist must be submitted and approved by the Office of the State Fire Marshal,AST Program prior to being utilized. The approved alternove checklist must be completed and attached to this Annual Inspection Form. Date of Inspection: Satisfactory Unsatisfactory Comments Foundation Check for foundation levelness. Inspect for broken concrete, Inspect for spalling. Inspect for cracks. ✓ Inspect for cavities under foundation. Jnspect for vegetation around the bottom of the•tank. Inspect for-settlement around the Perimeter of the tank. Check water drains away from the tank. Check.for signs of leakage. Check the bottom to foundation seal,if any. V Check for the good general condition of the foundation. Other. Other: Tank Check for proper signage. Inspect for paint failures. ✓ �c Inspect for corrosion. Inspect for pitting. Inspect for dents. t/ tt _ Inspect for gouges. Inspect for shell distortions. Inspect for shell deformations. t/ of Check for signs of leakage. �t Check that the tank is properly grounded. iIt Check that the tank has the proper static protection. v tt Check for the good general condition of the tank. t Other: Other: Annual Inspedion Form;10130100.Page 2 d4. Satisfactory Unsatisfactory Comments Related.Equipment(Appurtenances) Check for proper signage. -inspect for paint failures. Inspect for corrosion. ✓ . Inspect for pitting. ✓ Inspect for dents. Inspect for gouges.. Check that the appurtenances are properly secured. Check that the appurtenances are in good working condition. V Check for signs of leakage. Check that fire protection equipment is inspected and maintained. ✓ YIr2 f) "M C O-ez, l��► Check the tank insulation,if applicable Check for the good general condition of.the appurtenances. Other: Other: Dikes (secondary containment) Check that it is appropriately sized. ✓ Check for any breaches. Check for any penetrations. / Inspect that any penetrations are sealed liquid tight. Inspect for corrosion. v . inspect that the dike drains to an appropriate location. Check that a building is not located inside the dike. Check for storage inside of the dike. Check for vegetation inside of the dike. V c Check for combustibles inside the dike. Check that access/egress ladders,stairs or ramps are in good condition. Check for the good general condition of the dikes. ; Other: Other: The Office of the State Fire Marshal and the head of the local fire department must be notified at least 14 days prior to the date of the intended inspection and given the opportunity to observe or participate in the inspection process. Was the local fire dept present for the inspection? O Yes 0944o Local fire dept.representative: Local fire department comments: ff Please continue comments on a separate page. Separate page(s)included? ❑Yes,number of pages included; lo Inspector's name, 0 � <<-�!Z t3usiness name: Address: ell se k 'wr t Telephone number, E �/` Fax Number: Go to Annual Inspection Form Page 4 of 4. Annual inspection Fora;10130/00.Page 3 of 4. c Ghec-one:17-,American Petroleum Institute(API)653 Inspector, Numbar. MIR 6-Massachusetts Registered Profession Engineer, Number:30.662 Discipline: 0 0 Other Inspector. Ali"Others Inspectors'must be Previously approved in writing by the Office of the State Fire Marshal, AST Program. Is there a valid license(M.G.L.c:148 §13)for this product?: V.Yes 0 No 0 Not required QQ� If Yes,fill out the following: Licensing authority: O �V� Expiration.date: . Is there a valid flammable/combustible liquid permit(M.G.L.c. 148§ 1 OA&23)for this product? '&Yes,expiration date: O No 0 Not required Has this tank been inspected in the nature.and frequency as prescribed In 502 CMR 5.05(1)? i.Yes ❑No Does this tank have an accurate written record as prescribed in 502 CMR 5.05(2)? ICYes O No Has the person principally in charge of the tank signed each inspection record,per 502 CMR 5.05(2)? Yes 0No If any answers of the above three questions were"No",please list and describe each violation. r Please continue comments on a separate page. Separate pages)Included? 0 Yes,number of pages Included: p No Have any permits for maintenance(502 CMR 5.04(1))been issued since'the Iasi Annual Inspection Form was submitted? 0 Yes gNo If"Yes",the date the permit was issued by the Office of the State Fire Marshal: Have any permits for emergency repair(502 CMR 5.04(e))been issued since the last Annual Inspection Form was submitted? O Yes Po if"Yes".the date the permit was Issued by the Office of the State Fire Marshal: By signing below, I certify that this fa "'ty was duly inspected in accordance with 502 CMR 5.00 and to the best of my knowledge, the tank,its installation, fated ancilla quipment and.secondary containment or dikes are all in good working condition and are compliant with the a Ilcabl � gul io s and standards. Inspector's signature: Date: tl (� j Submittal Requirements—Please remember to include the following and mail to Office of the State Fire Marshal, Technical Services P,0. Box 1025,Stow,MA 01775,Attention:AST Program. The package must be postmarked on or, before December 1�2000 and on annual basis thereafter. The original Annual Inspection Form. One tank per Annual Inspection Form. Cp If any,the original description of the vault and associated equipment. O If any,the original description of the retaining basin. 0 If any, Office of the State Fire Marshal"Other Inspector"(502 CMR 5.06(2))reference number: p If.any,the completed alternative tank Inspection checklist(502 CMR 5.06(3))and.the Office of the State Fire Marshal approved alternate checklist number: O If any,the original of the local fire department comments. (502 CMR 5.06(2)) ❑ If any,an original copy of the list and description of each violation of 502 CMR 5.05(1)and (2). Annual Inspection Form;10/30100.Page 4 of 4.Ek21. w 1�00alxi�old�� ae4cv� MM7 Y 4f Tag i (-V 'Toa/025, 6cu, �L�i!�ccc-�uaelta W775 (9T8)5G7-3300 G Kax. (973)567449,9 Annual Inspection Form for a tank,in excess'of 10,000 gallon gross capacity,for the aboveground storage of fluids other than water. Pursuant to Massachusetts General Laws(M.G.L.)c. 148,§37,all aboveground storage tanks:subject to the requirements of 502 C.M.R.5.00,shall be Inspected annually. All information must be typed or neatly printed. All fields must be completed or the Annual Inspection Form will be returned. A separate Annual Inspection Form shall be submitted for each individual tank on or before December Ts'. For tank construction or.installation,use the Application for Construction and Installation. For tank maintenance,.as defined in 502 CMR 5.00,use the Application for Maintenance. OA Business name: Street address: Business(mailing)address: :�AYJ1,W Address(or location)of tank: 11��lJt! Contact name: Title: Telephone number. 7 4Q1W a Fax Number: 9119-7yo4ft 0alfo The tank is: I$,In-Service �/ 0 Out-of-Service O Abandoned,.since(date): T Description of tank: WI%4 Date constructed/manufactured: �q g Tank serial number: Massachusetts,Department of Public Safety tank number,if any: t r O None Office of the Massachusetts State Fire Marshal number,if any: ,06 ®�`tl') O None Tank constructed/manufactured according to:A.P.I.: V A.S.M.E.: U.L.: ' Other, Tank construction standard: (V 5D Tank gross capacity: Tank nominal capacity: Q Horizontal tank Diameter(feet): •.�� Length (feet): V.Vertical tank Diameter(feet): Height(feet): Fluid to be stored In tank: V.I0. 1� f�e� oil Flash point(°F): Is this-tank located in a vault? O Yes §(No If Yes, describe vault and associated equipment: Please continue comments on a separate page. Separate page(s)included? O Yes,number of pages included: fiilo'y Compartmented tank? O Yes [*No If so,number of compartments and capacities: Secondary containment tank(double wall tank)? O Yes VNo Retaining basin(dike)provided?, J.Yes O No Net capacity of dike: %ti 1001900 Office use only ` [Fee Paid: Date received: Date entered: Entered by: Annual Inspection Form;10/m/00.Pasta 1 of 4 Description of retaining basin (dike): O Metal O Clay D Reinforced concrete K Other,describe: Please continue comments on a separate page. Separate Page(s)included? 0-Yes,number of pages included: No The following annual tank inspection checklist can g l be used for tanks constructed to the American Petroleum Institute°(API)Standard 650, Its predecessor-12C or any.steel tank constructed in accordance with a nationally recognized tank specification. For all other tanks,the Inspector must propose an,alternative tank inspection checklist appropriate for the tank. The alternative checklist must be submitted and approved-by the Office of the State Fire Marshal,AST Program prior to being utilized. The tank construction standard and the date of construction must be stated. Any annual tank Inspection . documented on a non-approved tank inspection checklist will not be accepted. Has tank been constructed to API.650 or 12C? Yes, use the following annual tank inspection checklist. F.No,answer-the following question. Is theank a steel tank constructed in accordance with a nationally recognized tank specification? Yes,use the following annual tank inspection checklist. . 0 No. The following annual tank inspection checklist can not be used. The Inspector must propose an alternative tank Inspection checklist appropriate for the tank. The alternative checklist must be-submitted and approved by the Office of the State Fire Marshal,AST Program prior to being utilized. The approved altema�-l4e checklist must be completed and attached to this Annual Inspection Form. Date of Inspection: -AV112,103 Satisfactory Unsatisfactory Comments Foundation. Check for foundation levelness.: Inspect for broken concrete, Inspect for spalling. V Inspect for cracks. A Inspect for cavities under foundation. Inspect for vegetation around the bottom of the'tank.. Inspect for settlement around the derimeter of the tank. Check water drains away from the tank. Check for signs of leakage. Check the bottom to foundation seal,if any. Check for the good general condition of the foundation. Other. Other: Tank Check for proper signage. Inspect for paint failures. Inspect for corrosion. a-t f Inspect for pitting. Inspect for dents. t/ ,t Inspect for gouges: Inspect for shell distortions: Inspect for shell deformations. u� Check for signs of leakage. Check that the tank is properly grounded. Check that the tank has the proper static protection, ✓ t t Check for the good general condition of the tank. l Other: Other: Annual Inspection Forrn;10/30100.Page 2 of 4. Satisfactory Unsatisfactory Comments -' Related Equipment(Appurtenances) Check for proper signage. -Inspect for paint failures. Inspect for corrosion. Inspect for pitting. . ✓ ---- Inspect for dents. ✓ Inspect for.gouges. Check that the appurtenances are properly secured. v Check that-the appurtenances are in good.working. condition. Check for signs of leakage. v . Check that fire protection equipment is inspected and maintained, t/ Check the tank insulation,if applicable Check for the good general condition of the appurtenances. t/ Other: Other: Dikes(secondary containment) Check that it is appropriately sized. t/" Check for any breaches. f Check for any penetrations. inspect that any penetrations are sealed liquid tight. Inspect for corrosion. Inspect that the dike.drains to an appropriate location. v Check that a building is not located inside the dike. v Check for storage inside of the dike.. L/ Check for vegetation inside of the dike, v Check for combustibles inside the dike. Check that access/egress ladders,stairs or ramps are In ood condition. v Check for the good general condition of the dikes. Other: ' Other: The Office of the State Fire Marshal and the head of the local fire department must be notified at least 14 days prior to the date of the intended inspection and given the opportunity to observe or participate in the inspection process. Was the local fire dept present for the inspection? O Yes. 0o Local fire dept.representative: Local fire department comments: Please continue comments on a separate page. Separate page(s)included? ❑Yes,number of pages included: ❑No Inspector's name:. Business name: V Address: Telephone number, 3 ^ v ^ 6 Fax Number:, 3( Oo to Annual Inspection Form Page 4 of 4. Annual lnspeclion Form;10/30/00.Page 3 of 4. Check one: �� Aq American Petroleum Institute.(API)653 Inspector, Number. JLMassachusetts Registered Profession Engineer, Number.3624�Cp Discipline: C'lV1 ❑ Other Inspector. All"Others Inspector;'must be previously approved in writing by the Office of the State Fire Marshal, AST Program. Is there a valid license (M.G.L. c. 148§13)for this product?: 1 yes Q No ❑Not required If Yes,fill out the following: Licensing authority: TVb l=xpiration date: Is there a valid flammable/combustible liquids permit(M,G.L.c. 148§ 10A&23)for this product? ,Yes,expiration date: 7MLf ❑No ❑Not required Has this tank been inspected in the nature and Frequency as prescribed In 502 CMR 5.05(1)? tYes ❑No Does this tank have an accurate written record as prescribed in 502 CMR 5.05(2)? KYes p No Has the person principally in chargeV the tank signed each inspection record,per 502 CMR 5.05(2)7 (�'►�'es D No If any answers of the above three questions were"No",please list and describe each violation. Please continue comments on a separate page..Separate pages)Included? 0 Yes,number of pages included: ©No Have any permits for maintenance(502 CMR 5.04(1))been issued since the last Annual Inspection Form was.submitted? ❑Yes WINO If'Yes%the date the permit was issued.by the Office of the State Fire Marshal: Have any permits for emergency repair(502 CMR 5.04(e))been issued since the last Annual Inspection Form was submitted? ❑Yes No If"Yes",the date the permit was Issued by the Office of the State Fire Marshal: „r By signing below, I certify that this facility was duly inspected in accordance with 502 CMR 5.00 and to the best of my r knowledge, the tank,its installation related ancillary a uipment and secondary containment or dikes are all in good working condition and are compliantwith pplic bie gul and standards. Inspector's signature: �. Dater !/ b Submittal Requirements—please remember to include the following and mail to Office of the State Fire Marshal, Technical Services P,0. Box 1025, Stow,MA 01775,Attention:AST program. The package must be postmarked on or before December 1T, 2000 and on annual basis thereafer. The original Annual Inspection Form. One tank per Annual Inspection Form. . ❑ If any,the original description of the vault and associated equipment: ❑ If any,the original description of the retaining basin. ❑ If any, Office of the State Fire Marshal"Other Inspector"(502 CMR 5.06(2))reference number: p If any,the completed alternative tank Inspection checklist(502 CMR 5.06(3))and the Office of the,State Fire Marshal.approved alternate checklist number: O If any,the original of the local fire department comments. (502 CMR 5.06(2)) ❑ If any,an original copy of the list and description of each violation of 502 CMR 5.05(1)and (2). Annual inspection Form;10/30100.Page 4 of 4.E".. • ��� tQG'�77r�72Q�lZ�J'�%czZ�f2 r a `( ' cce az lOQS," acu, *��i!aaJcu�iu W.775 (978)567 990o C.e7aa:• (73F)567,3'9,9 (Annual Inspection Form for a tank,in excess of 10,000 gallon gross capacity,for the aboveground storage of fluids other than water. Pursuant to Massachusetts General Laws(M.G.L.)c. 148,§ 37,ail aboveground storage tanks,subject to the requirements of 502 C.M.R.5.00,shall be Inspected annually. All information must be typed or neatly printed..All fields must be completed or the Annual Inspection Form will be returned. A separate Annual Inspection Form shall be submitted for each individual tank on or before December 1s`. For tank construction or installation,use the Application for Construction and Installation. For tank maintenance,as defined in 502 CMR 5.00,use the Application for Maintenance. Business name: 'Street address: M R d 1 q -76 Business(mailing)address: Address(or location)of tank: Ay PM Contact name: a Title: Telephone number. 1 "' Fax Number._ The tank is: ❑ In-Service OIJut-of-Service ❑ Abandoned,since(date): s Description of tank: XWit 6 Date constructed/manufactured: 62 S Tank serial number: .: Massachusetts Department of PublicSafety tank number,.if any: ❑ None Office of the Massachusetts State Fire.Marshal number, if any: ❑ None Tank constructed/manufactured according to:A.P.I.: A.S.M.E.: U.L.: ' Other: Tank construction standard:__TI)"OrV (a Tank gross capacity: 91)OL Tank nominal capacity: ❑ Horizontal tank Diameter(feet): length(feet): *Vertical tank Diameter(feet): ISin Height(feet): Fluid to be stored In tank: , ®l� Flash point(°F): Is this.tank located in.a vault? ❑ Yes 100 If Yes, describe vault and associated equipment: Please continue comments on a separate page. Separate page(s)Included? ❑Yes,number of pages included: ko Compartmented tank? ❑ Yes F�tNo if so,number of compartments and capacities: Secondary containment tank(double wall tank)? ❑ Yes �(,No Retaining basin(dike)provided?,A"s ©No Net capacity of dike: 000 Office use only Fee Paid: Date received: Date entered: Entered by: Annual Inspection Form;1=0/00.Paste 1 of 4 Description of retaining basin (dike); Metal O Clay E3 Reinforced concrete 0 Other,describe: - --- Please continue comments on a separate page. Separate page(s)included? p Yes,number of pages included: No The following annual tank inspection checklist can only be.used for tanks constructed to the American Petroleum Institute(API)Standard 660, Its.predecessor 12C.or any steel.tank constructed in accordance with a nationally recognized tank specification.. For all other tanks,the Inspector must propose an alternative tank inspection checklist appropriate for the tank. The alternative checklist must be submitted and approved by the Office of the State Fire.Marshal,AST Program prior to being -utilized. The tank construction standard and the date of construction must be stated. Any annual tank Inspection documented on a non-approved tank inspection checklist will not'be accepted. Hasktank been constructed to API 650 or 12C7 Yes, use the following annual tank inspection checklist. O No,answer the following question. Is the lank a steel tank constructed in accordance with a nationally recognized tank specification? IL Yes,use the following annual tank inspection checklist. O No. The following annual tank inspection.checklist can not be used. The inspector must Propose an alternative tank Inspection checklist appropriate for the tank. The altemative checklist must be submitted and approved by the Office of the State Fire Marshal,AST Program priorto being utilized. The approved altenn e checklist must be completed and attached to this Annual Inspection Form. aA Date of Inspection: Satisfactory Unsatisfactory. Comments Foundation Check for foundation levelness. (pllO f Inspect for broken concrete, Inspect for spalling. Inspect for cracks. Inspect for cavities under foundation. Jnspect for vegetation around the bottom of the'tank. V. Inspect for settlement around the perimeter of the tank. r 1 Lo Check.water drains away frorn the tank. Check for signs of leakage, Check the bottom to foundation seal,if.any. Check for the good general condition of the foundation. L/ Other. Other: Tank Check for proper signage: Inspect for paint failures. v �� Inspect for corrosion. Inspect for pitting, V, Inspect for dents. Inspect for gouges. t/ Inspect.for shell distortions. v Inspect for shell deformations. t/' Check for signs of leakage. v Check that the tank is properly grounded. Check that the tank has the proper static protection, t/ Check for the good general condition of the tank. Other: Other: Annual Inspection Form;10/30100.Page 2 of 4. Satisfactory Unsatisfactory Comments Related,Equipment(Appurtenances) Check for proper signage. Inspect for paint failures. inspect for corrosion. Inspect for pitting. Inspect for dents. Inspect for gouges. Check that the,appurtenances are properly secured. ✓ Check that the appurtenances are in good,working.. J condition. - Check for signs of leakage. d Check that fire protection equipment is inspected and maintained. Check the tank insulation,if applicable P� Check for the good general condition of the y appurtenances. Other: Other: Dikes(secondary containment) Check that k is appropriately sized. f Check for any breaches. Check for any penetrations. Inspect that any penetrations are sealed liquid tight. Inspect for corrosion. inspect that the dike drains to an appropriate location. Check that a building is not located inside the dike. . Check for storage inside of the dike. ✓ . Check for vegetation inside of the dike. Check for combustibles inside the dike. Check.that access/egress ladders,stairs or ramps are In ood condition. Check for the good general condition ofthe dikes. Other. - Other: The Office of the State Fire Marshal and the head of the local fire-department must be notified at least 14 days prior to the date of the intended inspection and given the opportunity to observe or participate in the inspection process. Was the local fire dept present for the inspection? O Yes %tNo Local fire dept.representative: Local fire department comments: Please continue comments on a separate page. Separate page(s)included? 0 Yes,number of pages included; ❑No Inspectors name: O Business name: Address: tI �1Le 1 v -31 VOW Telephone number-; _y .° 3146 0-"6 Fax Number: Go to Annual Inspection Form Page 4 of 4. Annual Inspection Form;to/ao/00.Page 3 of 4. Check one: I American Petroleum Institute(API)653 Inspector, Number.' � Massachusetts Registered Profession En inset Number:' 9 � _a6r"_Discipline: ❑ Other Inspector. All"Others Inspectors'must be previously approved in writing by the Office of the State Fire Marshal; AST Program. Is there a valid license (M.G.L. c. 148§13)for this product?: O Yes ❑�No ScNot:required If Yes,fill out the following: Licensing authority; Expiration date: Is there a valid flammable/combustible liquids.pennit(M.G.L..c. 146§ 10A&23)for this product? ❑Yes,expiration date: ❑No guot required Has this tank been inspected in the nature and frequency as prescribed In 502 CMR 5.05(1)? , Yes ❑No Does this tank have an accurate written record as prescribed in 502 CMR 5.05(2)? WS:es ❑No Has the person principally in charge of the tank signed each inspection.record,per 502 CMR 5.05(2)? a'Yes ❑No If any answers of the above three questions were"No",please list and describe each violation. r Please continue comments on a separate page. Separate pages)Included? 0 Yes,number of pages Included: p No Have any permits for maintenance.(502 CMR 5.04(1))been issued since the last Annual Inspection Form was submitted? O Yes X�o If"Yes%the date the permit was issued-by the Office of the State Fire Marshal: Have any permits for emergency repair(502 CMR 5.04(e))been issued since the last Annual Inspection Form was submitted? ❑Yes y�No If"Yes",the date the permit was Issued by the Office of the State Fire Marshal: By signing bellow, I certify that this facility was duly inspected in accordance with 502 CMR 5.00 and to the best of my knowledge, the tank ',its installs ,its related an 'll quipment and secondary containment or dikes are all in good working condition and are compliant wi thappli bie r ns and standards..Inspector's signature: Date: #11143101 Submittal Requirements—Please remember to include the.following and mail to Office of the State Fire Marshal, Technical Services P,0. Box 1025,Stow,MA 01775,Attention:AST Program: The package must be postmarked on or before December 1�2000 and on annual basis thereafter. The original Annual Inspection Form. One tank per Annual Inspection Form. © If any,the original description of the vault and associated equipment. O if any,the original description of the retaining basin. O If any,Office of the State Fire Marshal"Other Inspector"(502,CMR 5.06(2))reference number: ❑ If any,the completed alternative tank inspection checklist(502 CMR 5.06(3))and the Office of-the State Fire Marshal approved alternate checklist number: O If any,the original of the local fire department comments. (502 CMR 5.06(2)) ❑ If any,an original copy of the list and description of each violation of 502 CMR 5.05(1)and (2). Annual inspection Fonn;10/30100.Page 4 of 4.Ego). �I m c (front Office of *aCem Citp Council �a[em, $�l� 01970 Lt. Charles Latulippe Fire Prevention s ' Citp of 6alpm, A.assarbusetts Office of the Citp Council . . Citp fall COUNCILLORS-AT-LARGE REGINA R. FLYNN WARD COUNCILLORS PRESIDENT 2002 2002 LAURA A DeTOMA DEBORAH E. BURKINSHAW CLAUDIA CHUBER THOMAS H.FUREY CITY CLERK REGINA R. FLYNN KEVIN R. HARVEY JOAN B.LOVELY ARTHUR C. SARGENT III LEONARD F'O'LEARY KIMBERLEY L. DRISCOLL MICHAEL A.BENCAL JOSEPH A. O'KEEFE,SR. November 20, 2002 Lt. Charles Latulippe Fire Prevention Fire Department City of Salem Salem, MA 01970 Dear Lt. Latulippe: You are respectfully requested to attend a meeting of the City Council Committee on Public Health, Safety and Environment, to be held in the Council Chamber on Monday, December 2, 2002 at 6:00 P.M. for the purpose of discussing the enclosed. Very truly yours, Id B&RHT BUR INSH`� /'4Z CITY OLFR _ Enclosure �.537 � DITq�Q! CITY OF SALEM l\ p ��C�MIryED��P In City Council, September 12. 2002 Ordered: That the Committee on Public Health, Safety and Environment meet with a representative of PG& E to discuss enclosing the coal pile. And be it further Ordered: that the removal of steel.storage tanks be discussed per Y Chapter 148,RMGL In City Council September 12, 2002 Adopted as amended ATTEST: DEBORAH E. BURKINSHAW CITY CLERK PG&E Generating. Salem Harbor Station 24 Fort Avenue Salem, MA 01970 Owner: USGen New England,Inc. 978.740.8200 Fax: 978.740.8305 Internet: www.gen.pge.com November 7,2000 ltr20 Salem Fire Department 29 Fort Avenue Salem,MA 01970 Attention: Mr.Frank Preczewski,Jr.,Fire Inspector Subject: Notice to Conduct External AST Inspection Salem Harbor Station Dear Mr. Preczewski: Pursuant to 502 CMR 5.0, PG&E Generating intends to conduct an external inspection of the Aboveground Storage Tanks(not used for water)that are presently in service. These are tanks: B-3 B-4 D-6 S-1 r- , The inspection will take place on November 20 and 21,2000. The results will be reported to you.You are invited to attend the inspection. Please advise if you wish to attend. The other Aboveground Storage Tanks at the Station have the following status: B-1 Out of Service&Cleaned no immediate plans to return to service B-5 Out of Service&Cleaned,in the process of being repaired D-1 Out of Service&Cleaned will be used for the temporary storage of industrial waste water D-2 Out of Service&Cleaned,will be used for the temporary storage of industrial waste water D-3 Out of Service&Cleaned,will be used for the temporary storage of industrial waste water D-4 Out of Service&Cleaned,will be returned to service in future D-5 Out of Service&Cleaned,no immediate plans to return to service S-2 Out of Service&Cleaned,no immediate plans to return to service Since; � r est Greer alem Harbor Sta ' n PG&E Generating cc A: Sload,R.-Kenison,A.Wheelock .i PG&E Generating (PG&E Gen) and any other company referenced herein that uses the PG&E name or logo are not the same company as Pacific Gas and Electric Company, the regulated California utility. Neither PG&E Gen nor these other referenced companies are regulated by the California Public Utilities Commission. Customers of Pacific Gas and Electric Company do not have to buy products from these companies in order to continue to receive quality regulated services from the utility. z Z F.1 00 IN 011 V 1-4 Y� LU 0--c ti O TT PG&E Generating. Salem Harbor Station 24 Fort Avenue Salem, MA 01970 Owner: USGen New England,Inc. 978.740.8200 Fax: 978.740.8305 Internet: www.gen.pge.com August 8, 2000 Salem Fire Department 1tr18 29 Fort Avenue Salem, MA 01970 Attention: Mr. Frank Preczewski, Jr., Fire Inspector Subject: Notice to Remove from Service AST Designated D1,D2 &D4 Dear Mr. Preczewski: AST's designated Dl, D2 & D4 were removed from service in April and May 2000. All remaining product was removed. The tanks was cleaned and certified gas free. The gas free certificates were previously sent to your office. It is our intention to have an internal inspection conducted on tanks D1 &D2 as they were last inspected in 1990. Copies of the inspection reports will be sent to your office. No inspection is planned for D4 as it was recently refurbished and there are no immediate plans for this tank. AST designated D3 was inspected in 1994 and has remained out of service. This tank will also be reinspected along with D1 & D2. The tanks will be repaired if so indicated by the inspection report. All liquid touched surfaces will be epoxy, coated. Please be advised that it is our intent to temporarily use D1, D2, &D3 to impound, store, and treat plant drain water before releasing the water into Salem Harbor in accordance with our National Pollution Discharge Elimination System (NPDES)permit. Sin S st er Salem Harbo tation PG&E Generating Cc A. Sload, M. Chrisos, A. Wheelock PG&E Generating (PG&E Gen) and any other company referenced herein that uses the PG&E name or logo are not the same company as Pacific Gas and Electric Company, the regulated California utility. Neither PG&E Gen nor these other referenced companies are regulated by the California Public Utilities Commission. Customers of Pacific Gas and Electric Company do not have to buy products from these companies in order to continue to receive quality regulated services from the utility. PG&E Generating. Salem Harbor Station 24 Fort Avenue Salem, MA 01970 Owner: USGen New England,Inc. 978.740.8200 Fax: 978.740.8305 Internet: www.gen.pge.com November 27, 2000 ltr22 Commonwealth of Massachusetts Office of the State Fire Marshal Technical Services P.O. Box 1025 Stow, MA 01775 Attention: AST Program Subject: Submittal of Annual Inspection Forms,AST Program US Gen New England,Inc. Salem Harbor Station Gentlemen: Pursuant to 502 CMR 5.0, PG&E Generating, acting in behave of US Gen New England, Inc., has conducted the annual inspection of the Above Ground Storage Tanks.Attached are sixteen inspection forms for the tanks within the scope of the Regulation. Accordingly,enclosed are checks for the sum of$400.00 (16 X$25.00 per tank). Sin ly, rnest Gree Salem Harbor Station PG&E Generating Cc (no enclosures) A. Sload,R.Kenison,A. Wheelock Frank Preczewski,Jr.,Fire Inspection, Salem,MA PG&E Generating (PG&E Gen) and any other company ref.erenced 'herein that uses the PG&E name or logo are not the. same company as Pacific Gas .and Electric Company, the regulated California utility. Neither PG&E Gen nor these other referenced companies are regulated by the California Public Utilities Commission. Customers of Pacific Gas and Electric Company do not have to buy products from these companies in order to continue to receive quality regulated services from the utility. THE COMMONWEALTH OF MASSACHUSETTS MASSACHUSETTS GENERAL LAWS, CHAPTER 148 WILLIAM FRANCIS GALVIN, SECRETARY OF THE COMMONWEALTH CHAP. 148 - continued contrary to the provisions of this chapter or of any rule or regulation made thereunder. Whoever violates this section shall be punished by a fine of not more than one thousand dollars,or by imprisonment for not more than two and one half years,or both, and any bomb or explosive found in his session or under his control on such violation shall be forfeited to.the commonwealth. Any officer qualified to serve criminal process may arrest without a warrant any person violating this section. 148:36., Notice of seizure of bomb or explosive sent to marshal; delivery to marshal; disposition. Section 36. Notice of the seizure of any bomb or explosive found in the possession or under the control of any person in violation of the preceding section shall immediately.be sent to the marshal by the officer making the seizure, and, upon final conviction of such person, such bomb' or explosive shall be adjudged forfeited to the commonwealth and delivered to the marshal or his authorized representative and disposed of at his discretion. 148:37. Tanks for storage of fluids; permits; violation of statute or regulation; annual inspection; fees. Section 37. No person shall construct, maintain or use any tank or container of more than ten thousand gallons' capacity, for the storage of any,fluid other than water, unless the same is located underground,without first securing a permit therefor from the marshal. The marshal may,after notice and hearing,revoke any such permit for cause. Whoever violates this section or a rule or regulation made under the following section shall be punished by a fine of not less than fifty nor more than one thousand dollars. The marshal shall cause such tanks to be inspected annually. The annual inspection fee shall be determined annually by the commissioner of administration under the provision of section three B of chapter seven. The owner or user of the tank and the local fire department shall be notified of the date of the intended inspection not less than fourteen days prior to the inspection date. Inspections may be made of the premises, tanks, dikes and related equipment at any time during regular business hours. 148:37A. Grant program for removal,replacement and testing of fuel storage tanks; conditions; effect of section on responsibilities or liabilities; regulations. Section 37A. As used in this section, the term "fuel storage tank" shall mean an underground tank used or designed to be used for the storage of gasoline, oil, or other fuel, or other flammable liquids; provided, that such tank does not have an acceptable form of leak detection and does not have a spill containment manhole and an overfill prevention device. The underground storage tank petroleum cleanup fund administrative review board, established pursuant to section eight of chapter twenty-one J, herein referred to as:"the board", shall establish and administer a program to provide grants to cities, towns, districts, 31 5= C,M. BOARD OF FIRE PItE�E`TION REGL1pTI0NS + 9,07 i continued 4 which has LL �s, „ e ' (5) The owner of every aboveground tankvefmon hs and5whintends 27 teOto(restore the tank been out of service for more than 24 cow the owners to service must first notify the head of the fire depart menu fialieduregisteredtprofessional expense, an examination of the tank conducted by q engineer not Permanently employed by the owner or operator of the tank. The examinatioan n of the tank will include a visual inspection of the tank welds, walls, foundation and with t late thickness• A copy of the engineers report must be filed th ultrasonic test of the floor p ment• The tank must also be inspected by the Department of the head of the fire depart Public Safety's Division of Inspectional Services before the tank can be restored h osin intends (6) The owner of every aboveground tank referred to in 527 CMR 9.07(n( ), ownees to restore to service arty such tank that has been out of service for more than 60 consecutive months must_first notify, the head of the fire department and must have.at ae qualified inspection and hydrostatic test of the tank conducted by q expense a physical the owner or operator of the registered professional engineer not permanently employed by tank. The physical ocamina6on shall include the same requirements as 2 hMd of the fire The person conducting such tests and examinations shall notify tl i the tank department prior to the tests and examinations. This person shall promp y supply d copies of all tank tests owner(oi operator)and the head of the fire de ppartment rstore to with certifi it must also be examined by and examinations. Prior to the tank being the Department of Public Safety's Division of Inspectional Services. 7 which has i (7) If an aboveground tank subject to the requirements of 5pe CMR u .pr d cts, has,been been used for the keeping or storage of gasoline of other petroleum p head of the fire abandoned, 00, in accordance o o requirementsfor of the tank to dismut9 and dispose of the tanks dip. menushall Qrder the own Pad. eieept where the Division of Inspectional Services of the Department of Public Safety determines that the irate 'ty of said tank complies with the a construction intent of 527 CMR 9.06,and the head of the fire department concurs. (K) Ta& °val' to (I) pray person granted a per mit by the Marshal or the head of the fire department 9.00, shall within 72 remove a tank under the provisions of M.G.L.withreceipt for delivery of said tank to the site tut �ority with a receipt hours provide the permit.gran g designated on the permit• • rm (2) Before any person is granted.a Pe of by the Marshal or the head of the fire deaprtme is nt to remove a tank under the provisions oftank ard,.the person eq�uesting she pehni s and said hall not being transported to an a pro ry with written approval for the designated site of provide the pe�t-granting disposition. (Reference: 502 CMR 3.00 for tank removal la a disunlc �he head of the fire dis Underground piping shall not be abandoned in P topublic safety.If the head department believes that the removal would constitute a danger of the fire department believes that removal of safe asspecifiedground peed by he head of the to public safety the piping shall be cleaned and rendered fire department. ing (4) Within 24 hours after he removal ofundce�f a release of d/o hazardous ma erials to ownerground pipi edoperator shall measure for the p the environment where contamination is most likely to be present on the site. If contamination is found the owner/operator shall immediately notify the head of the fire t of Environmental Protection department as well as the Departmen Bureau of Waste Site Cleanup. (L) t f^ ==LMdAAnosals provision of 527 CMR 9.00 shall be subject (1) Any owner or operator who violates any p which to the penalties provided under M.G.L. c 14 offense.Upon request of he head of the such violation continues shall constitute a separate P fire department,the licensing authority and the town city counsel'shall.take any legal action necessary to enforce the provisions of 527 CMR 9.00- 527 CMR- 113 10/6/95 5_7 C\IR. BOARD OF FIRE PREvE`NON R-GULATIONS' 9.07. continued ~ e diameter and no more than two holes within a one-foot radius. (d) It must meet all standards of the lining manufacturer for structural soundness. (3) If the head of the fire department permits the relining of any tank,he shall require that the tank and its piping be tested at the owners expense and in accordance with the provisions of 527 CIvIR 9.05(F)(8)and(9)at two-year intervals for ten years and annually thereafter. (4) Any repair of a tank or replacement or repair of its components shall be by an approved tank relining company, performed by qualified technicians, following the manufacturer's directions, and in the case of relining of a steel tank, following the recommendations of American'Petroleum'Institute Publication No. 1631 First Edition 1983 or any subsequent editions as they may appear. (5) If the head of the fire department determines that a tank and its components shall be removed,the owner shall first obtain a permit from him pursuant to M.G.L. c. 148, §38A. Any removal shall be completed within 90 days after the head of the fire department has notified the owner of his decision. (6) The owner and/or operator shall maintain records of each repair or relining for the remaining operating life of the underground storage tank system. (n Tankc Abandoned or Temporarily Out of Service. (1) If the owner decides to abandon a tank which is either located under a building and cannot be.removed from the ground without first removing the building or which is so located that it cannot be removed from the ground without endangering the structural integrity of another tank, the owner shall notify the head of the fire department of this condition. After verification that such condition so exists,the owner shall have all product removed from the tank,by hand pump if necessary,under the direction of the.head of the fire department, and shall have the tank filled with a concrete slurry mix or any other inert material approved by the Marshal for-this purpose.Before permanent closure in place of an underground tank and/or underground piping is completed,the owner/operator shall measure for the presence of a release of oil or hazardous material,where contamination is most likely to be present on the site. If contamination is found, the owner/operator shall immediately notify the head of the fire department and also notify the Department of Environmental Protection,Bureau of Waste Site Cleanup per requirements as set forth in 310 CMR 40.0000. The Massachusetts Contingency Plan. �) Except as provided in 527 CMR 9.07(Jxl),no tank may be abandoned in place. Any owner of a tank who has decided to,abandon it and any owner of a tank which has been out of service for a period of time constituting abandonment as defined in 527 CMR 9.02,shall i immediately obtain a permit from the head of the fire department pursuant to M.G.L.c. 148, § 38A, and, subject to the directions of the head of the fire department, shall have any product removed from the tank,all openings properly secured,and the tank removed from the ground. The product and tank shall be disposed of in accordance with 310 CMR 30.00: Hazardous Waste, at the owners expense, as directed by the head of the fire department. (3) The owner of every underground storage tank licensed under MG.L.c. 148,which the owner has decided to take out of service for a period of less than six months, shall promptly notify the head of the fire department of the decision,shall have all product removed from the tank and disposed of in accordance with 310 CMR 30.00:Hazardous Waste,as directed by the head of the fire department,and shall have all openings properly secured and the tank rendered inert. During any period a tank is temporarily out of service the owner must continue operation and maintenance of corrosion protection in accordance with 527 CMR 9.05(E)(2). Before any such tank may be restored to service, the owner of the tank shall notify the head of the fire department,who may require that the owner have the tank and its piping tested, at the owner's expense, in accordance with the provisions of 527 CMR �y 9.05(F)(8), (9), and(10). EXCEPTION: Double walled tanks may be taken out of service for a period not to exceed 24 months provided,the provisions of 527 CMR 9.07(J)(3)are'met.,_ (4� ) The owner gf:every aboveground tank of,more than_1,0,000 gallons capacity for.the e of any fluid other than water,required to-have a permit'from the commissioner un storag der the,provisions of M.G.L. c. 148, § 37 which has been out of service for more than 12 ��"•�� consecutive months shall promptly notify the head of the fire department and shall have all ` ('"product removed from the tank and the tank cleaned properly. 10/6/95 527 CMR- 112 x COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION Metropolitan Boston-Northeast Regional Office JANE SWIFT BOB DURAND Governor Secretary q+ n 9 LAUREN A LISS J A N 1 q '-D Z000 Commissioner USGen New England, Inc. RE: SALEM 24 Fort Avenue Former Northeast Petroleum Salem, MA 01970 24 Fort Avenue RTN # 3-20421 Attention: A. Rayner:.Kenison,, Environmental Manager . Immediate Response Action Plan Denial & Interim Deadline; M.Z.L. c. 21E & 310 CMR 40.0000 Dear Mr. Kenison: On December .20, ,2001, the Department received an Immediate Response Action (IRA) Status Report including a Revised IRA Plan from you for approval pursuant to 310 CMR 40. 0420 of_ the Massachusetts Contingency Plan . .(.the.' MCP) . The. purpose of this letter is to .deny this IRA Plan and set an Interim Deadline for you to submit an appropriate modification of your IRA Plan to the DEP. The revised IRA plan was developed b,y 'your LSP, Joseph P. Vitale of Earth Tech, Inc. in Concord, Massachusetts as a continuation :of the cleanup process for a release at this site which was reported to the Department on February 22, 2001. Your IRA plan as submitted, is denied because .the submittal .is deficient. The Notice of Responsibility (NOR) issued to you on March 20, 2001, required that: "...you must submit an IRA Completion Statement or a Modified IRA Plan/IRA Status Report addressing proposed remedial IRA actions to be undertaken at the site no later than 10 months after the notification date. " Upon review of your submittal, the DEP has determined that it does not constitute an IRA Completion Statement per ..310 CMR 40 . 0427, and the revised IRA Plan. component does not propose specific remedial This information is available in alternate format by calling our ADA Coordinator at(617)574-6872. 205A Lowell St. Wilmington,MA 01887 Phone(978)661-7600 Fax(978)661-7615 TTD#(978)661-7679 Web Site:http://www.Mass.Gov/DEP �,� Printed on Recycled Paper * rr r " USGen New .England Page -2- IRA to be undertaken within a specified timeframe. Your IRA Plan is therefore unacceptable as submitted, and has been denied. INTERIM DEADLINES) FOR COMPLIANCE WITH. THE MCP Section 310 CMR 40. 0167 of the MCP allows the Department to establish and enforce reasonable Interim Deadlines consistent with M.G.L. c. 21E in order to establish timeframes for responsible parties to furnish information to the Department. In light of this, you are hereby notified that, within 14 days of the date of this Notice, you must. submit. to the Department a revised IRA Plan which proposes a specific remedial IRA as well as its schedule of implementation, developed in accordance with the provisions of 310 CMR 40.0424 and other"information required by the 2/22/01 NOR. If you fail to voluntarily submit the above revised IRA Plan within the Interim Deadline established herein, or if the resubmitted IRA Plan is found to be incomplete or deficient, the Department may perform the required Immediate Response Actions at the subject site and- seek to recover the Department ' s costs for such actions and/or may initiate other appropriate enforcement actions to ensure that such ,response. actions are conducted. The Department' s decision to establish one or more Interim Deadlines in accordance with 310 CMR 40. 0167 is not subject to M..G.L. c. 30A or any other law governing adjudicatory proceedings. Be . advised that Immediate Response Actions that have been previously approved by the Department either orally or in writing are to continue at the subject site. Furthermore, you are reminded that you will be required to submit a completed Tier Classification in accordance with, all the provisions outlined at 310 CMR 40. 0500. If you have any questions relative to this matter, you should contact Roger Chu at the letterhead address or (978) 661-7600 . All future communications regarding this. release .should reference the Release Tracking Number (RTN # 3-20421) contained in the subject block of this letter. Very trul yours Kin s y Ndi Notification & Emergency Response Chief Bureau of Waste Site Cleanup . cc: Salem Board of Health Salem Fire Department Joseph P. Vitale, LSP, Earth Tech, 196 Baker' Ave, Concord, MA Data Entry/File The'Salem Evening News Online Page 1 of 2 T he Salem EveningNews Online Edition Saturday-Sunday, March 18-19, 2000 NEWS Northeast to close Salem oil BROWSER i Honk terminal 0 Page One 0 North Shore By TOM DALTON a Sports 0 Record News staff 1(,� 0 Opinion Features f 0 Money SALEM--Northeast Petroleum Corp. is 0 Health shutting down its oil terminal on the waterfront. 6 At Home 0 Weekender Northeast did not renew its lease for the Derby 0 Family 0 Classified Street facility with neighboring PG&E Generating Co., which owns the tanks and Other pages on our property. Web Site Navigate "The lease expires at the end of April, and they ....................... have chosen not to renew it," said Mike Fitzgerald, general manager of PG&E's Salem Harbor station. Business Information A spokesman at Northeast Petroleum said he updated 24 hours a couldn't comment on the oil wholesaler closing 3 � Click Here. its doors. rV Email a News Tip "I can't confirm or deny anything," said Alan Holbert, spokesman for Minneapolis-based Cargill Energy, parent company of Northeast. Reached late yesterday, Holbert said he didn't IV have any information on why Northeast didn't renew its lease. During the height of the heating oil shortage last month, the wholesaler ran out of oil twice, " forcing local retailers to scramble to fill their 3 v customers' orders. \�X At the time, a Northeast spokesman blamed the outage on equipment failures at several oil refineries that supply the company. http://www.ecnnews.com/cgi-bin/s/thestory.pl?slug-NEAST 03/19/2000 The-Salem Evening News Online Page-2 of 2 Northeast has been operating a heating oil facility on Salem Harbor for more than 30 years. The company leases four huge storage tanks from PG&E, and uses them to store heating oil. The oil arrives on tankers, is stored in the tanks, and then pumped through pipes into retail oil delivery trucks from firms around the North Shore. The long-term lease expired in late summer and was extended by PG&E while negotiations continued, according to a source familiar with the talks. PG&E's plans for the terminal are unclear at this point. "We're not too sure right now," said Fitzgerald. "It's not our main line of business." News staff writer Noelle Dinant contributed to this report. NEWS Home-Page One - North Shore - Sports -For The Record - Opinion - BROWSER Money -Health - At Home - Weekender-Family- Classified Email a News Tip - Contact Webmaster - Advertising - Circulation - Editor Jill http://www.ecnnews.com/cgi-bin/s/thestory.pl?slug-NEAST 03/19/2000 502 CMR: OFFICE OF THE STATE FIRE MARSHAL 502 CMR 5.00: PERMIT REQUIREMENTS AND ANNUAL INSPECTION OF ABOVE GROUND STORAGE TANKS OR CONTAINERS OF MORE THAN TEN THOUSAND " GALLONS'CAPACITY Section 5.01: Scope and Purpose 5.07: Applicability 5.03: Definitions 5.04: Permit Requirements 5.05: Self-Inspection and Related Record Keeping Requirements 5.06: Annual Inspection and Use Permit Requirements 5.07: Entry Upon the Premises 5.08: Compliance with Law and Regulation 5.09: Revocation,Suspension or Denial of a Permit 5.01: 'Scope and Purpose 502 CMR 5.00 is adopted by the State Fire Marshal pursuant to M.G.L. c. 148, § 37 to provide uniform requirements and procedures for the construction,maintenance and use of above ground storage tanks or containers and related permit, inspection and record keeping requirements. 5.02: Applicability 502 CMR 5.00 shall apply to any above ground storage tank or,.container with atcapacity.of_ more than 10,000 gallons used for the storage of any fluid other than.water c 5.03: Definitions For the purpose of 502 CMR 5.00,the following terms shall have the meanings-respectively assigned to them: q Above eround storaee tank or container. Any tank or container where over.90%of.the tank,_ volume is located above the.ground surface. API. The American Petroleum Institute. API Standard 653. The American Petroleum Institute Standard 653,Second Edition including Addendum 1,December 1996 and Addendum 2,December 1997. ASME. The American Society of Mechanical Engineers. Maintenance. The installation,removal,replacement or penetration of any shell plate,annular plate ring material,tank bottom,roof or weld joint which involves the repair,replacement or installation of any material with a dimension of greater than 12"or the jacking or movement of any tank. It does not include the routine painting or cleaning or the removal of superficial oxidation incidental to such painting or cleaning or the dismantling of a tank pursuant to a valid permit issued by the head of the fire department. Marshal. The State Fire Marshal or said Marshal's designee. 5.04: Permit Requirements (1) In General. Pursuant to M.G.L.c. 148,§37,no person shall construct,maintain or use any above ground storage tank or container of more than ten thousand gallons' capacity, for the storage of any fluid other than water,without first securing a permit therefore from the Marshal. Application Process for Construction.Maintenance or Use Permits.The applicant shall complete and submit to the Department of Fire Services,Office of the State Fire Marshal the prescribed permit application form and permit fee,together with the following documents in duplicate: 12/24/99 502 CMR- 15 502 CMR: OFFICE OF THE STATE FIRE MARSHAL 5.04: continued " (a) A Riot plan certified by a certified land engineer or surveyor. Said plot plan must clearly indicate the following: 1. the existence of any nearby bodies of water or watercourses within 500 yards of the structure; 2. proximity to any and all utility lines,cables or pipes within 100 yards of the structure, whether above or below ground level and whether active or inactive, 3. the existence of any public or private ways within 500 yards of the structure;and 4. topography benchmarks and elevations must be indicated. (b) A foundation plan indicating: 1. results of borings taken; 2. elevations; 3. pile schedule and test of pile loading,pre-loading if applicable;and 4. calculations of safe load on soil, pad, ring or pile according to 502 CMR _ 5.04(2)(c)(4)- (c) Dike plan(which may be included in the foundation plan)shall include: 1. calculations showing volume of area; 2. slope and height; 3. top width; 4. floor and drainage; 5. distance from other tanks both within the dike and within-adjacent diked areas including those of abutters;and 6. the total combined gallon capacity. (d) Mechanical drawings of the proposed tank indicating: L ,plate,,thickness for each ring,bottom and top; ... 2. calculations:for thickness of each ring,floor and roof; r 3. welding details and procedures including electrode specificatibni`usddl radiography technique,and other nondestructive testing planned to be conducted;and t 4. grade of materials to be used identified by section 11 of the ASME Code or API (e) All foundation,mechanical and dike plans shall be stamped and signed by a professional ,. t� engineer duly registered in the Commonwealth. (f) The Marshal may waive the production of a requested document-dr may require the - > production of supplemerital documentation as a condition to issuing.a-periiut` (3) Issuance of Permit to Construct or Maintain. A permit to construct or perform maintenance " on a tank or container may be issued by the Marshal only after the application and any other supporting documents have been submitted,reviewed and approved. The permit may be issued with certain conditions or contingencies. (a) Permit Expiration. The subject tank or container work shall commence within six months from the date the permit was issued•and must be completed within one year of commencement.If the work has not started or is not completed during the stated time periods a permit shall be deemed expired and a new permit shall be required unless a written extension is granted by the Marshal.Such an extension may be granted only if the applicant can demonstrate that such a delay was not deliberate and that such delay will not present harm to the general public or the environment. (b) Notification and approval of changes or alterations. Prior to completion,the Marshal shall be notified, forthwith and in writing regarding-any modifications to any details contained in the original application submission. Any modifications shall be approved by the Marshal. (c) Conference and communications with the Marshal. A conference may be scheduled with the Marshal prior to the commencement of any construction or maintenance. The owner, construction or maintenance principals or their designees and any other involved persons requested by Marshal shall be made available for said conference. Specific work phases requiring stopping points and possible inspection may be required at the conference. The construction principals shall give reasonable and advanced notification to the Marshal's Code Compliance Division of the specified phases of the work progress as they are completed. No work shall continue on the next phase unless the Marshal has approved the previously completed phase. 12/24/99 502 CMR- 16 l 502 CMR: OFFICE OF THE STATE FIRE MARSHAL 5.04: continued (d) Issuance of the use permit. Upon completion of the tank or container it shall be tested by filling with water or other acceptable fluid to the maximum design liquid level. Tanks containing fluids of a cryogenic nature or fluids that are lighter than water and have foundations designed for less than a water test may be tested by an alternative means acceptable to the Marshal. Upon final satisfactory review,inspection and test results, the - Marshal may issue a use permit. Unless otherwise specified,the use permit shall expire one year from the date of issuance. (e) Emergency repair. Maintenance on an emergency basis as a result of an unexpected tank or component failure may be conducted prior to the issuance of a permit if necessary to avoid harm to persons,property or the environment. In such an emergency,the Office of the State Fire Marshal shall be notified as soon as reasonably possible of such emergency maintenance. A permit shall be submitted in accordance with 502 CMR 5.00 within two business days after such an emergency. 5.05: Self-Inspection and Related Record Keeping Requirements The requirements of 502 CMR 5.05(1)and(2)shall be effective on December 1,2000. (1) Self-Inspections. As a condition to continued use of any tank or container under a valid use permit issued by the Marshal,every owner or operator shall conduct self-inspection of every tank or container on a regularly scheduled basis to determine and assure continued safe function. The nature and frequency of said inspections shall be equivalent to or greater-than the standards established.in API standard 653 or as otherwise prescribed by the Marshal (2)..Written Records...An accurate:written record.for each tank:orcontainershall be maintained. in such-form�at,Ieast equivalent to or greater.than the standards established to API standard 653 ,. or as otherwise prescribed b the Marshal. Such record shall contain a history of all ins oections, P Y rY P .,. .. � .� . dricluding'the condition of all parts inspected,and a-record of all examinations and tests.::Such: . >; ;record shall also.include all data accumulated on each tank,including a history of any repairs"' alterations,replacements and service. The person principally in charge'of the tank or container r facility shall sign each inspection record.The records shall be kept at the storage facility or at {4.<, another location readily available for inspection by the Marshal. .-Stich records shall'be maintained for a period of five years beyond the demolition of the tank: The records shall be subject to the inspection of the Marshal during regular business hours. . (3) The requirements of 502 CMR 5.05(1)and(2)shall be effective on December 1,2000. 5.06: Annual Inspection and Use Permit Requirements (1) Pursuant to M.G.L.c. 148,§37,all above ground storage tanks and containers subject to the requirements of 502 CMR 5.00 shall be inspected annually.Inspections shall be made of the premises,tanks,dikes and related equipment. P(2) A`professional engineer who is registered in the Commonwealth or a person who has been certified according to API Standard 653 Appendix D,or a person who otherwise meets the minimum qualifications established by the Marshal,shall conduct the annual inspection.At least 14 days prior to the date of the intended inspection,the owner,operator or inspector of said tank or container shall notify the Marshal and the head of the local fire department of the date and time of the intended inspection. The Marshal shall be given the opportunity to observe or participate in the inspection process. (3) Upon inspection, the owner or operator of a tank or container shall submit an annual inspection report on a form provided or approved by the Marshal.The report shall contain an affirmation by the qualified inspector that the facility was duly inspected,date of said inspection and a statement that the premises, tanks pr containers, related equipment and dikes are in compliance with all applicable regulations.A separate report form shall be submitted for each individual tank or container on or before December 1,2000 and on an annual basis thereafter. 12/24/99 _ 502 CMR- 17 502 CMR: OFFICE OF THE STATE FIRE MARSHAL 5.06: continued (4) The Marshal may rely on the affirmations in the annual inspection report and,when satisfied as to accuracy of the report and safety of the subject tank or container,may issue the annual use permit. Said permit shall expire one year from the date of issuance,unless otherwise extended by the Marshal. (5) Third parry inspections conducted under 502 CMR 5.06 shall not waive the authority of the Marshal to conduct an independent inspection for the purpose of determining tank or container safety or compliance with 502 CMR 5.00. 5.07: Entry Upon Premises Any applicant for or holder of any permit issued under the provisions of 502 CMR 5.00 shall be deemed to have consented to the entry of the Marshal upon the premises during regular hours of operation for the purposes of determining whether the permit applicant or holder is complying with the provisions of M.G.L.c. 148,502 CMR 5.00,527 CMR 9.00 or any other related law or regulation. 5.08: Compliance with Law and Regulation Compliance with all federal and state laws and associated regulations, including but not . limited to,the provisions of M.G.L.c. 148, §§ 9, 13,37,502 CMR 5.00 and 527 CMR 9.00, .. regarding the design,construction,use'and maintenance"of all aboveground storage tanks or. -containers subject to 502 CMR 5.00,is a condition to the issuance and,continued effect of any. : permi or certification issued pursuant to 502 CMR 5.00. . =5.09'' Revocation Sus ension•=orDenial of a Permit �'(F) The Marshal-may suspend,revoke,or`in the case'of anew applicant deiiy.any_perinirissued _. - .un`"d`ei 502(NMS:OO fnr.any viol.a_r;on pf oi:nnn cnrriplicce with 50?CMR.:S:00,327 rMR'Q:OO 'or any,other related law, regulation, written term, condition or p-licyre'lated thereto and applicable to the permit holder. Any holder of or applicant for a permit whichhas been denied, suspended or'revoked hereunder,may request a hearing. Such.requestshall'be made in writing to the Marshal within 14 days of receipt of notice of denial,suspension,or revocation. (2) If the Marshal reasonably believes that a tank,or facility constitutes an immediate threat to public health,safety or welfare or to the environment,the Marshal may immediately,without a prior hearing, order such action necessary to reduce said threat, including the immediate suspension of the right to use a tank or facility. Any person suspended under this section may request a hearing in writing but must do so within 14 days of receipt of the notice of suspension. REGULATORY AUTHORITY 502 CMR 5.00: M.G.L.c. 148,§37. 12/24/99 502 CMR- 18 \ o..�rn• ..w.• •. •• r,��v .. o.n., •.. 9TA'rl ON EO I P WST D � •rn. N—rN ear jr .. .... •ram � � F ° o � o� 2 . _ J �• \\ g y� O ..:"'• ' to 0 0 o a 'T dii 6 6 a• I FAN Np USC g c I 5 :DO I LC ROOT.d 0 i 1 I i I TUR I NEROOM • � SECTION B—g � ,..,y c� ., —• - :�_ .w ..... ... ....•.. I �. S �— •7 •• r.c■•.r.r•.oc rlr q SALM HAULM STT.170CN o I . LLYJ iYIW N 'G�IF 0 I°ry O _ pATF �P4 as -_ or,■ 1 2 �- 4 6 DAM r:S-jcr eVyT.23 DATEr S-JOn-% 0923 r i a r �� .i _ ,y _r_ � w � ��' Form No. 31 FEE DUE: " -$50.00 d FIRE PREVENTION BUREAU Ric by. 48 Lafayette Street Salern, Massachusetts 01070 d9V6 , T APPLICA ION FOR PERMIT To: .THE HEAD OF THE FIRE DEPARTMENT In accordance with the provisions of Chapter 148, G.L. as provided in Section 10A, application is hereby made for permission to use explosives in the blasting of rock or any other substance. Name ----- __ _ _ James (--McAlinden _North American Industrial Services ------ ---------------------------------------------------)----------------------------------------- (Full name of person,firm or corporation granted perm4V at-----------------------------------24__Fort_Ave �pominionaleut_JX7252xt<,�t 7.11�L�--------------------------------------------------- (Give location by street and number or describe in such a manner as to provide adequate Identification of location.) Name of Bonding Company --__Lexington Insurance Co___________________ Dig Safe No. -__N,A_________________-____________ RESTRICTIONS: ONLY ONE DAY'S SUPPLY DELIVERED TO THE SITE OF OPERATIONS AS PROVIDED BY THE DEPARTMENT OF PUBLIC SAFETY 527CMR13.00 AS PROVIDED BY THE SALEM FIRE CODE. Date issued: ---------0-7J121Q5-------------------------------- Company-Ro-rth._Amaziaan__Tndijstxial_gerxites----------- By----------James_&A-linden------------------------------------------------ Date of Expiration:__Q8.1121D5------_____________________ Address ____?40_Saratoga_Road_Ballston_Spa.N:Y_12020 Certificate of Competency No. RR$$---HL_-OS.8--------------- .. DATE: As an essential part of Application to the City of. Salem, Massachusetts for Blasting Permit to perform proposed blasting operations at: . in said Salem, it is CERTIFIED that in such blasting the. total charg�,,weight .per blast will NOT exceed five (5) pounds and. the maximum weight peridelay will not exceed two (2) pounds per delay. Signature of Technician: r t Form No. 31 �TY OF SALEM FEE DUE: " �$50.00 4� FIRE PREVENTION BUREAU Rec by: s m 48 Lafayette Street � 7'' •.u���, Salem, Massachusetts 01970 i APPLICATION FOR PERMIT To: .THE HEAD OF THE FIRE DEPARTMENT t In accordance with the provisions of Chapter 148, G.L. as provided in Section 10A, application is hereby made for permission to use explosives in the Tasting of rock or any other substance. Name ---------------- James-McAlinden North American Industrial Services - - - - - - - -- - ------------------------------------ - - -- - -----�---- ------------------------------------ i ( Full name of person,firm or corporation granted permit) I at-------------------- -------------24Fort_Ave-_l;Dominion__Salem --------------------------------------------------- (Give location by street and number or describe In such a manner as to provide adequate Identification of location.) Name of Bonding Company ____ ___________________ Dig Safe No. ___N A______________________________ RESTRICTIONS: ONLY ONE DAY'S SUPPLY DELIVERED TO THE SITE OF OPERATIONS AS PROVIDED BY THE DEPARTMENT OF PUBLIC SAFETY 527CMR13.00 1 AS PROVIDED BY THE SALEM FIRE CODE. i Date issued: ---------Q11121D.5-------------------------------- Company _Roxth__Amaxica.n_Inchi tria1__Sersir_es----------- } • BY--------- d ------------------------------------------------ i Date of Expiration:__Q8_112 .05____-_______________ _____ Address ____240__Saratoga_Road:Ballston_S�a__N_Y_12020 Certificate of Competency No. JUX25$---HL-4_OBB-------------- NVI CITY OF SALEM FEE PAID: $50.00 FIRE PREVENTION BUREAU s � 48 Lafayette Street �ru Salem, Massachusetts 01.970 P IT , In accordance with the provisions of Chapter 148, G.L. as provided in Section 10A, this permit is granted to: 1 BL-4088 _ Ii Name ------James_McAlinden------------------------------------------- Certificate of Competency No. -- ----- ----- - (Full name of person,firm or corporation granted permit) § to use explosives in the blasting of rock or any other substance. Name of Bonding Company Lexington Insurance Co. ___________________ Dig Safe No._N-A_____:________________ RESTRICTIONS: , ONLY.ONE DAY'S SUPPLY DELIVERED TO THE SITE OF OPERATIONS AS.PROVIDED BY TH&DEPARTMENT OF PUBLIC SAFETY 527CMR13.00 AS.PROVIDED BY THE SALEM FIRE CODE. :i at______________ 24 Fort Ave (Dominion Salem Habor Stationj_ i - ----------- - - ----------------------------------------------------------- { (Give location by street and number or describe In such a manner as to provide ade uate ide 'fication f location.) This permit will expire _08/12�05__________________ ! Permit issued b X=- - - ------ - ------------------------------------ y-- - ----------------------- -- - -- - - - (Chief of Fire Department) THIS PERMIT MUST BE CONSPICUOUSLY POSTED UPON THE PREMISES. Effective Date: July 6, 2001 Form F.P. 54. t,9 THE COMMONWEALTH F V1,AS�-,��°I U8r8 T :F PUBLIC SAFETY .� BOND NO. 69193233 ' DIVISION OF FIRE PREVENTION 1011b 1 Wasting BLANKET BOND Covering Permits Issued in More Than One City or Town (General ]Laws, Chapter.148, section 20A.) section 20A, of Chapter 148 of the General Laws provides "If the applicant for a permit to use an explosive.in-the blasting of rock or any other substance desires to conduct blast- ing operations in more than.one city or town in the commonwealth he may, instead of filing a bond with the clerk of each city or town% in which such operations.are to be conducted, file a bond with the state treasurer in the penal sum,of twenty thousand dollars,. running -to the commonwealth, with sureties approved by the state treasurer,_and for such additional penal, sum.as the marshal shall determine to be necessary to cover the losses; damages or injuries that might ensue to per- sons or property by reason thereof. The provisions of sections nineteen and twenty shall apply to said bond and actions"thereon so far as applicable"; and whereas' , Name North American Industrial Services, Inc. Print name of person firm, or corporation Address 1240 Saratoga Rd. , Ballston Spa, NY. 12020 o. street) City' or Town Sta e p Code) na . ffAlen ��p rl�l�i� l � That we, said ................:............................... North American In du ri 1 Ser ices, Inc. .......................................WESTERN. SURETY COMPANY........................................................................................ as'principal, and ................................................................:.................................:...:....... . ...................................................................................................................................................,........................... as suretY............are held and firmly bound unto the Commonwealth of Massachusetts....................... in the sum of . Twenty.thousand and no/100 ($20,000.00) ................................................ ..... . .............. . ............... ....... ..... ....... .. dollars, to Ve paid said Commonwealth of Massachusetts for which payment well and truly to be made, we bind ourselves, our- heirs, executors, administrators, successors or assigns, jointly and severally, firmly by these presents. !fie Tanbition of t4is hpatiaU is such that ,if the above-bounden I........ P.rerican,Industrial ?:oasr..j??g:.............. ..and his—their—heirs, executors, administrators, successors or assigns, shall pay any and all loss, damage or injury resulting to persons or property by reason of the use of an explosive in the blasting of rock or any other substance or of the keeping of said explosive while operating under said permits, then this obligation shall become and be null and void; otherwise it shall remain in full force and virtue. ICYhatib mughit terminateb in respect to further permits by the principal or surety serving notice to that effect on the State Treasurer with whom the bond is filed, specify- ing a date not earlier than 30 days after the giving of such notice. After such date no further per- m.it shall be issued under this bond, but it will be held by the state Treasurer for the protection of pens'ns damaged by the operations of the principal under permits issued while this bond was in force, we hereunto set our hands and seals on this:.............:............. ................:....................:......................14th.......:..:... stay of ...............August.................:...... ...........in the year2001....................................................:......... ..... ......................... princgpa� 111 ..................::............... awls kI. 7:X..CQ�?P1X.... .... . ...:. surety. . ..�c.... ... . ...�.:C:Benda,Assistant�....Fe al.]. Signed and sealed in the r�e of Amount of.bond approved. ....................................... .............._. .............. ......Date approved i ($trite Fire Marshal) Suret approved. .......................................................................... date.approved Treasurer of the Commonwealth of Massaehueetta f 07/11/2005 14:29 5186858289 NAIS EXP PAGE 03 L'XPLOSIVES USER.CERTIFICATE This is to certify that in accordance vvith the Provisions of Chapter S27.CMR 13:04(10),an EXPLOSIVES USER CERTIFICATE is hereby issued to: North American Industrial Services, Inc. Issue Date: 6/29/2006 1240 Saratoga Road Ewration Date: 9/19/2005 9 = .CgMficate Number: EU 321 Ballston Spa, NY 12020 Restricted to: 00 ftegistration4: 240 State Fire Marshal: -��a �•.. '•'THIS CERTIFICATE MUST ACCOMPANY EACH APPLICATION FOR PERMIT TO BLAST... A ORD CERTIFICATE OF LIABILITY INSURANCE CSR xE DATE(MM/DDIYYYY) NORTH-3 03/14/05 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Sykes-Mallia Associates, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 16 0 Lafayette St. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Schenectady NY 12305 Phone: 518-393-3618 Fax:518-393-3621 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Lexington Insurance Co. INSURERB: American Home Assurance I Nortli American Industrial INSURERC: Illinois National Ins Co Services, Inc. --------- 1240 Saratoga Road INSURERD: Commerce and Industry Ballston Spa NY 12020 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN 'jLTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MWD DATE MMPOLICY EFFECTIVE POLICY IDD/YY IRATION LIMITS GENERAL LIABILITY EACH OCCURRENCE $1000000 - - A X X COMMERCIAL GENERAL LIABILITY 0743513 09/19/04 09/19/05 PRE MISES(Faoccurence) $50000 - CLAIMS MADE ®OCCUR MED EXP(Any one person) $ • PERSONAL&ADV INJURY 11000000 GENERAL AGGREGATE js2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $10 0 0 0 0 0 Y POLICY PRO-JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident)' $1000000 B X ANY AUTO CA7205011 03/14/05 03/14/06 ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY (Per accident) $ X NON-OWNED AUTOS E$25,000 Liability PROPERTY DAMAGE $ Retention (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ _ - AUTO ONLY: AGG $ EXCESS/UMBRELLALIABILITY EACH OCCURRENCE $ 6000000 C X OCCUR CLAIMS MADE BE 4952762 03/14/05 03/14/06 AGGREGATE Is 6000000 $ ODEDUCTIBLE $ x RETENTION $10000 $ WORKERS COMPENSATION AND X I TORY LIMITS ER EMPLOYERS'LIABILITY D oPC7208606 03/14/05 03/14/06 E.L.EACH ACCIDENT $ 1000000 ANY PROPRIETOR/PARTNER/EXECUTIVE ------- B OFFICER/MEMBEREXCLUDED? WC7208607 (CALIFORNIA) 03/14/05 03/14/06 E.L.DISEASE-EA EMPLOYEE $1000000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 1000000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Per policy at inception. PG&E Generating and the City of Salem, MA are named as additional 'insured as their interest may appear as respects general liability coverage where required by written contract. CERTIFICATE HOLDER CANCELLATION PG&E GE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO' DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL PG&E Generating IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 24 Fort Avenue Salem MA 01970 REPRESENTATIVES. AUT ORIZEp RE�EpS�E�N�TATIVE f,llwi�i/�R ACORD 25(2001/08) ©ACORD CORPORATION 198, =_a 62 01 1!4- W) ��UN- EXPLOSIVES USES CERTIFICATE This is to certify that in accordance with the provisions of`Chapter 527'.CMR:1-3.04(10), an EXPLOSIVES USER CERTIFICATE is hereby issued to: North American Industrial Services, lnc Issue Date: 6/29/2005 1240 Saratoga Road Expiration Date: 9/19/2005 Spa, NY 12020 Certificate Number: EU 321 Ballston S p Restricted to: 00 Registration#: 240 State Fire Marshal: ,.. ***THIS CERTIFICATE MUST ACCOMPAIIIY EACH APPLICATION FOR PERMIT TO BLAST"** F The Commonwealth of Massachusetts Department of the State Treasurer One Ashburton Place, 12th Floor Boston,MA 02108 Expires: 19-Sep-05 Date: 19-Sep-04 To Whom It May Concern I hereby certify that North American Industrial Services, Inc. of Ballston Spa, NY has on file at this office on this date a the penal sum of TWENTY THOUSAND DOLLARS, ($20,000), in accordance with the provisions of chapter 148 of the General Laws as amended by chapter 501 of the Acts of 1 1946. The bond Is dated 1/31/95 Assis nt S T as and provides for cancellation for th Stat Tre sure upon 30 days notice to the State Treasurer from the principal or surety company. s iamr uuveo, cJvtella ..: RAW FAWN- ON - A 6 . Forltrdo. FEE ®lltE:, " -$ , ,00 FIRE PREVENTION BUREAU Ric°d by: 1 48 Lafayette Street Check #-( s Salem, Massachusetts 01970 / 'CeQome�`' APPLICATION FOR PERMIT To: THE HEAD OF THE FIDE DEPARTMENT i In accordance with the provisions of Chapter 148, G.L. as provided in Section 10A, application is hereby made for permission to use explosives in the blasting of rock or any other substance. Tames McAlinden (North American Industrial Services ----------------------------------------------------------- Name -----------------------------------=--------------------------•-------------SeryL�.t.�)-------- Full name of person,firm or corporation granted permW 24 Fort Avenue (Dominion Salem Harbor Station) at-------------------------------------------------------- ------------------------------------- ----------------------------------------------------------------------- (Give location by street and number or describe In such a manner as to provide adequate Identification of location.) Name of Bonding Company ---Lexington--Insurance --- -------------------- on an----•----- Dig Safe No. -----NIA____________________________ RESTRICTIONS: ONLY ONE DAY'S SUPPLY DELIVERED TO THE SITE OF OPERATIONS AS PROVIDED BY THE DEPARTMENT OF PUBLIC SAFETY 527CMR13.00 AS PROVIDED BY THE SALEM FIRE CODE. Date issued: ----5-L2V-_-Qfz-------------------------------------- Company------N.Qr-th..Amarican_-Indust_r-ia1_Ser_vires..... By-James McAlinden Date of Expiration:__ 6J29/06 ------ ---- Address 240__saratoga-Road,_ Ballston $ga,__I�:Y___ �920 - --------------- ------------------- Certificate of Competency No. .___.-�-409&----------------------- DATE: As an essential part of Application to the City of. Salem, Massachusetts for Blasting Permit to perform proposed blasting operations at: in said Salem, it is CERTIFIED that in such blasting the. total charg�,,weight .per blast will NOT exceed five (5) pounds and. the maximum weight per delay will not exceed. two (2) pounds per delay. Signature of Technician: Form No. 31 + ,cov,yt4o _ A FEE ®IIE:) $50,00 FIRE PREVENTION BUREAU RWc°d by: � 48 Lafayette Street Check # rLA Salem, Massachusetts 01970 APPLICATION FOR PERMIT To: .THE HEAD OF THE FIRE DEPARTMENT In accordance with the provisions of Chapter 148, G.L. as provided in Section 10A, application is hereby made for permission to use explosives in the blasting of rock or any other substance. James McAlinden North American Industrial Services ---------------------- ----------------------------------------------------------- Name ---------------------------------------------------------=-----�---------- � (Full name of person,firm or corporation granted perm 24 Fort Avenue (Dominion Salem Harbor Station) at---------------------------------------------------------------------------------------------------------------------------------------------------- ---------- (Give location by street and number or describe In such a manner as to provide adequate identification of location.) Name of Bonding Company ---Lexin ton__Insurance-Company____--__-- Dig Safe No. -----KJA------------------_------_- ' RESTRICTIONS: ONLY ONE DAY'S SUPPLY DELIVERED TO THE SITE OF OPERATIONS AS PROVIDED BY THE DEPARTMENT OF PUBLIC SAFETY 527CMR13.00 AS PROVIDED BY THE SALEM FIRE CODE. Date issued: ----5—/2.21_Qfi------------------------------------- Company------Rar-th_Ameri_can-andusr_r_ia1_Services--___ i By-James McAlinden ---- - ----------------------------------------------------------------- I Date of Expiration:__6f29/06 Address 240_saratoga-Road,__Ballston_$pa1__ =Y_t__�2SZ20 Certificate of Competency No. ------1l-_40gg-_•-------------------- CIS' OF BALED FEE PAID: $50.00 3� FIRE PREVENTION BUREAU Check,# •T, 48 Lafayette Street , Salem, Massachusetts 01970 PERINWIT . 1 In accordance with the provisions of Chapter 148, G.L. as provided in Section 10A, this permit is granted to: Name ...James McAlinden Certificate of Competency No. _ BL_4088 - ------------------------------=------------------------------ ------------------- (Full name of person,firm or corporation granted permit) to use explosives in the blasting of rock or any other substance. , Name of Bonding Company Lexington Insurance Company _ Dig Safe No..__N/A •---a,------ - ---- ------ ------ - ------------------------- —------- RESTRICTIONS: ONLY ONE DAY'S SUPPLY DELIVERED TO THE SITE OF OPERATIONS AS.PROVIDED BY THE DEPARTMENT OF PUBLIC SAFETY 527CMR13.00 AS.PROVIDED BY THE SALEM FIRE CODE. at_--_-__ _4__Fort_Av_enue_ �D� inion Salem Harbor Stations - - ------ -----:---------------------------------------------------- (Glve location by street/an number or describe In such a manner as to provide adequat dentificatiokrtme This permit will ex ire 6..2 Q�_:.____________________ Permitissued by - �- -- - - - - ------ . ------------ ---------------- ---------------------- (Chlef of Flre De THIS PERMIT' MUST BE CONSPICUOUSLY POSTED UPON THE PREMISES. C , EXPLOSIVES USER CERTIFICATE This is tocertify that in accordance with the provisions of Qhapter is hereby issued to: 527 CMR 13 04(10), an EXPLOSIVES USER CERTIFICATE is .r, y� North American Industrial Services"',p Inc 1240 Saratoga Road I"ssue Date: 9/1 212 0 0 5 1 . Expiration Date: 7/6/2006 Ballston Spa, NY 12020 t Certificate Number: EU 321 Restricted to: 00 r Registration#: 242 State Fire Marshal: ***THIS CERTIFICATE MUST ACCOMPANY EACH APPLICATION FOR PERMIT TO BLAST**' Form 32 CITY 0F SAFE ��d y: , FIRE PREVENTION BUREAU , 48 Lafayette Street Cash C Salem, Massachusetts 01970 ti APPLICATION FOR PERMIT .L-1.!?............ ......... .. To: THE HEAD OF THE FIRE DEPARTMENT (Date) In accordance with the provisions of Chapter 148, G.L. as provided in Section 10A, and Regulations established under the Salem Fire Prevention Code, application is hereby made for permission to cut and/or weld in the City of Salem. A SEPARATE PERMIT IS REQUIRED FOR EACH TYPE OF OPERATION. C3 Type of Permit: Cam.• ( ) Shop in the City of Salem, approved per regulations . . . . vjiV locatlon by street and number) ( ) Mobile Shop: Current Mass. Reg. # . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (K) Portable Unit(list type) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Restrictions: Notify the Salem Fire Prevention Bureau in advance, on all jobs outside an approved shop location. At least one approved extinguisher and an approved flame retardant blanket on each job location. Name. . . 8(. /IcP-l'r N ulSrM-1 . . . .�14,y`^e�! . . . . . . . .�'!I�. . . . . . . . . . . . (Full name of persbn,firm or 9orporatlon) Date Issued . . . . . . . . . (7�(Yq/. ,yam . . . . . . . . . . . . . . . . . . . . . . . ( n�atuure"of Applicant) V Date of Expiration: April 30, W —00 .3� (Address) (Do Not Write Below This Line.) 1�s Form 32 CITY OF SALEM R.Ed :DUE °�" FIRE PREVENTION BUREAU Y 48 Lafayette Street ash Ck Salem, Massachusetts 01970 APPLICATION FOR PERMIT . To: THE HEAD OF THE FIRE DEPARTMENT (Da.te) ( """""'""" "" In accordance with the provisions of Chapter 148, G.L. as provided in Sectfon 10A, and Regulations established under the Salem Fire Prevention Code, application is hereby made for permission to cut and/or weld in the City of Salem. A SEPARATE PERMIT IS REQUIRED FOR EACH TYPE OF OPERATION. Type of Permit: ( ) Shop in the City of Salem, approved per regulations . . . . num . . . . . �� (Give locatlon by street and ber) ( ) Mobile Shop: Current Mass. Reg. _ (K) Portable Unit(list type) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Restrictions: Notify the Salem Fire Prevention Bureau in advance, on all jobs outside an approved lj shop location. At least one approved extinguisher and an approved flame retardant blanket on each job location. Name. . . w�. . . .... Jiro-mac, . -X!I . . . . . . . . . . . . (Full name of perSbn,firm or orporatlon) Date Issued . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( n1atuure"of Applicant) Date of Expiration: April 30, filil>IL! �M— . .c-; ,�Cz � (Address) (Do Not Write Below This Line.) `°.D'� CITY OF SALEM FEE PAID: �$ FIRE PREVENTION BUREAU 48 Lafayette Street �rue„r Salem, Massachusetts 01970 PERMIT C In accordance with Chapter 148, G.L. as provided in Section 10A, and of the Salem Fire Prevention Code, this permit if granted to cut and/or weld in the City of Salem, per regulations. Pa® Name . . . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Full name of person,firm or corporation granted permit) Type of permit: I ( 1 Shop in the City of Salem . . . '' M ( ) Mobile Shop: Current Mass. Reg. # . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( �'} Portable Unit (list type) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Restrictions: Notify Fir revention Bureau in advance, on all jobs outside an approved shop location At least n approved extinguisher and an approved flame retardant blanket on each job locatio This Permit will pare: it 30, �00 Permit Issued by.LZ . . . . . . . . . . . . . . . . . . . . . . . . . ( • e o rt THIS PE MIT MUS BE CONSPICUOUSLY POSTED UPON THE R SES. v � L t V � Y FIRE EQUIPMENT � FNCOR P.ORATED Scott. Doneg.hy i 88 Hicks Avenue, Medford, MA 02155-6319 Tel: 888 296.1381 ext. 308 Fax: 888 296.1384 Cell: 617 719.1249 Email: sdoneghy@firefire.com a Web: www.firefire.com : wo MaMARM MUM gocam am umogam Fee Due QOoW City of Salem, Massachusetts Ck.# 9 FIRE DEPARTMENT-FIRE PREVENTION BUREAU Rec'd b y 29 Fort Avenue Salem, Massachusetts 01970-5232 ate) APPLICATION FOR PERMIT To:HEAD OF FIRE DEPARTMENT In accordance with the provisions of the Mass.General Laws and/or the Salem Fire Code,application is hereby made for a perm tt-to install approved fire m4WcJ7&pg61Z f �b/WE� Location: JS(7�,Y1 /A)(c>1 J L N6ZJG �I f'l)a7 �T Owner 5 11 Ltd , wt Installer: �IR L Gt {>VV)k �� ./ NC- Tell 70/" bs6 Installer's Address: r7 Ice!; AO -) MA Zip: �2 t S� License* SC 11 Type of Occupancy: C A Z�L(c. S IPP.t4"6/PJ G- (-10qV L:) 5 CAN I T s l -LIST TYPE AND LOCATIONS OF DEVICES ON REVERSE SIDE,OR PROVIDE PLANS.- Installation subject to final inspection and filling of Certificate of Completion,by installer.Inplalier mu be went Date of approval: '4 (Signature of Appl' Date of expiration: _ f Ic LS /�YLJ tb (Address)Form*81 F(Rev.04/92) DO NOT WRITE BELOW THIS LINE J Fee Due$20-dC ` City of Salem, Massachusetts Ck.# - FIRE DEPARTMENT-FIR_ E PREVENTION BUREAU Rec'd by: 3 29 Fort Avenue '4 Salem, Massachusetts 01970-5232 (bate) APPLICATION FOR PERMIT To:HEAD OF FIRE DEPARTMENT In accordance with the provisions of the Mass.General Laws and/or the Salem Fire Code,application is hereby made for a permit to install approved fire_W de vi �d W f VZ 3Tit 77 d A)_ `� � Location: M/N t d)J CNer� a(� tl R`T �T vk Owner. /!V(�A� /67Z(5- 5 ) _ Installer �I R E E �G( P k OT� ./ Ne- Tel# ��/' �/- �6 Sz3 l ctS AUE., `(ri t-Dr4RD is'1?� 0Z I SS License* SC 11 D f el Installer's Address: � ZP= , I Type of Occupancy. -LIST TYPE AND LOCATIONS OF DEVICES ON REVERSE SIDE,OR PROVIDE PLANS.- Installation subject to final inspection and filling of Certificate of Completion,by installer.loaller m be esent Date of approval: 111 (sigrahNe of Date of expiration: (Address) Farm*81 F(Rev.04/92) - DO NOT WRITE BELOW THIS LINE Fee Due$20.00 City of Salem Massachusetts Ck-# FIRE DEPARTMENT-FIRE PREVENTION BUREAU Rec'd by: - 29 Fort Avenue Q..,� Salem, Massachusetts 01970-5232 (978) 745-7777 V 22, Office Hours:(8-9 A.M.)and(1-2 P.M.) (Da ) PERMIT TO INSTALL• FIRE ALARM DEVICES Permit is hereby granted to install approved fin:alarm devices.All equipment and wiring are subject to approval of Salem Electrical Dept Location: r'�$c,� P2�� <��- W L)� Omer �n�(ram Installer: !�-� �-•v License# 1 1 Installer shall note special equipment required,as listed on reverse side. UPON CO O E INSTALLER SHALL REQUEST AN APPOINTMENT AT LEAST ONE WEEK PRIOR TO TEST,BE PRESENT FOR THE T ,A CERTIFICATE OF COMPLETION. f . " z F' Orrrcial) Date of expiration: (THIS PERMIT MUST BE CONSPICUOUSLY POSTED UPON THE PREMISES) Form*81F(Rev.04/92) (OVER) COMMONWEALTH OF MASSACHUSETT ISSUES Thl$LICENSE TO . F#fit t40 lPNtNT ING RUgULL W ( Ukf-HY Ft M f CKS AVE . H H bF�RC� MA 09 M-6319 7� C 07i 41/67 180934 i I FAX: (781) 391-8835 TEL: (781) 391-8050 (800) 451-5015 M FIRE EQUIPMENT F. y I N C O R P O R A T E 13 88 HICKS AVENUE, MEDFORD, MA 02155-6319 CONSULTANTS ENGINEERS CONTRACTORS DISTRIBUTORS OF •FIKE PROTECTION SYSTEMS ARMTEC •ANSUL FIRE PROTECTION SPECTRONICS •VISION SYSTEMS DETECTOR ELECTRONICS •CHEMETRON AMEREX •SECURIPLEX LARSON *BADGER ` PRODUCTS •LOW AND HIGH PRESSURE CARBON DIOXIDE FIRE SUPPRESSION SYSTEMS •CLEAN AGENT INERGEN AND FM-200 FIRE SUPPRESSION SYSTEMS •LOW AND HIGH EXPANSION FOAM FIRE SUPPRESSION SYSTEMS •BULK SUPPLY OF DRY CHEMICAL AND FOAM AGENTS •PORTABLE FIRE EXTINGUISHERS AND WHEELED UNITS •FIRE EXTINGUISHER CABINETS AND ACCESSORIES •RESTAURANT HOOD FIRE SUPPRESSION SYSTEMS •DRY CHEMICAL FIRE SUPPRESSION SYSTEMS •VERY EARLY SMOKE DETECTION SYSTEMS •WATER MIST FIRE SUPPRESSION SYSTEM •WET BENCH FIRE SUPPRESSION SYSTEMS •SMOKE AND HEAT DETECTION SYSTEMS •FIRE HOSE, NOZZLES AND BRASS GOODS •OPTICAL FIRE DETECTION SYSTEMS •WATER DETECTION SYSTEMS SERVICES, •FIRE EXTINGUISHER INSPECTIONS, SURVEYS, TRAINING, TESTING AND RECHARGING •FIXED SYSTEMS INSPECTIONS, SURVEYS, TRAINING AND RECHARGING •FIRE PROTECTION SYSTEM DESIGN, ENGINEERING& SPECIFICATIONS •BULK HALON 1301 AND CARBON DIOXIDE RECHARGING •FALSE DISCHARGE GAS REPLACEMENT CONTRACTS ` •MULTI-STATE LICENSED SERVICE TECHNICIANS •DOT CERTIFIED HYDROSTATIC TESTING •LIABILITY INSURANCE OF$2,000,000.00 •COMPLETE INSTALLATION CAPABILITY •BULK DRY CHEMICAL RECHARGING •MASTER CARD& VISA ACCEPTED •24 HOUR EMERGENCY SERVICE ,r •ROOM INTEGRITY FAN TESTING •NICET LEVEL IV CERTIFIED MEMBERS •NATIONAL ASSOCIATION OF FIRE EQUIPMENT DISTRIBUTORS;(NAFED) •FIRE SUPPRESSION SYSTEMS ASSOCIATION(FSSA) •SOCIETY OF FIRE PROTECTION ENGINEERS(SFPE) •NATIONAL FIRE PROTECTION ASSOCIATION(NFPA) FIRE "SERVING INDUSTRY FOR OVER 60 YEARS" oP. ♦ ' ` SUPPRESSION © SYSTEMS ASSOCIATION - a °G'DMeNr °�SSP`0J Y 1^ ASPIRE for Windows System"Report 10/16/2006 Project DOMINION ENERGY-SALEM STATION Street 24 FORT AVENUE City SALEM Region MA Contact Zone CABLE SPREADING VAULTS Floor DWG.Ref D-1006043-1 Date 16-October-2006 Installer CUSTOMER Calculated By FEI File 1006043A.ASP Comments P OF M'�S o WPS " FI E ROTECTION N0.39850 �9�,o9FCISTEA�Q`O �sSIOMAL Head Type: LaserSCANNER Temperature 68 OF Filter Type VLP Filter Cartridge Absolute Pressure 1.01325 Bar FIRE Threshold 01.0299§99 %/ft Aspirator Setting 3900 RPM No of Pipes 4 System flowrate 86.2961 I/m ASPIRE v 3.09.11 - Page 1/6 U System Summary Project DOMINION ENERGY-SALEM STATION Date 10/16/2006 File 1006043A.ASP Sector 1 2 3 4 5 6 7 8 Pipe length(ft) 47 55 66 82 First position(ft) 12 24 37 48 No of Holes 12 11 7 8 Hole Spacing(ft) -3.182 -3.1 �4.833 -4.857 Pipe Int.Dia. (in) 0.87 0.87 0.87 0.87 Tube Int. Dia.(in) 0.375 0.375 0.375 0.375 Hole Int. Dia.(in) 0.079 0.079 0.079 0.079 End Vent Dia.(in) 0.079 0.079 0.079 0.079 Hole%Balance 98 98 99 99 Hole%Share 92 91 86 88 Maximum Time 31 28 41 47 Ambient Press 0 0 0 0 Sector Press 189 189 189 189 Sector Flow(I/m) 27.4 24.9 16.1 18.1 Sector%Share 31.7 28.8 18.7 20.9 Total Pipe Length: 250ft Total Number of Bends: 24 Total Number of Capillaries: 45 Total Capillary Length: . 156ft ASPIRE v 3.09.11 - Page 2/6 Project DOMINION ENERGY-SALEM STATION Date 10/16/2006 File 1006043A.ASP Pipe number 1 Flowrate 27.37 I/m Tube diameter 0.375 in No of Holes 12 Length 47 ft Vent diameter 0.079 in Balance(%): 98 Share(%): 92 Bends radius 0.88 in Pos No of Press Flow Flow Pipe Tube Number hole Sens Time Bend I/m % Diameter Length Holes Diameter 1 12 2 116 2.3 8.5 0.87 3 1 0.079 1.106 5.2 2 17 1 171 2.3 8.4 0.87 4 1 0.079 1.124 6.6 3 18 0 . 171 2.3 8.4 .0.87 3 1 0.079 1.123 6.6 4 21 0 169 2.3 8.4 0.87 4 1 0.079 1.131 7.7 5 23 0 169 2.3 8A 0.87 3 1 0.079 1.13 8.1 6 24 0 168 2.3 8.3 0:87 4 1 0.079 1.135 8.7 7 27 0 167 2.3 8.3 0.87 4 1 0.079 1.138 10 8 29 0 167 2.3 8.3 0.87 3 1 0.079 1.136 10.7 9 40 2 164 2.2 8.2 0.87 4 1 0.079 1.151 17.4 10 41 0 163 2.3 8.2 0.87 3 1 0.079 1.148 18 11 42 0 163 2.2 8.2 .0.87 4 1 0.079 1.152 19.7 EC. 47 0 . 163 2.3 8.2 0.81 3 1 0.079 1.149 30.9 ASPIRE v.3.09.11 - Page 3/6 r Project DOMINION ENERGY-SALEM STATION Date 10/16/2006 File 1006043A.ASP Pipe number 2 Flowrate 24.869 I/m Tube diameter 0.375 in No of Holes 11 Length 55 ft . Vent diameter 0.079 in Balance(%): 98 Share(%); 91 Bends radius 0.88 in Pos No of Press Flow Flow Pipe Tube Number hole Sens Time Bend I/m % Diameter Length Holes Diameter 1 24 2 172 2.3 9.3 0.87 3 1 0.079 1.12 7.7 2 29 1 168 2.3 9.2 0.87 3 1 0.079 1.132 8.8 3 30 0 167 2.3 9.1 0.87 4 1 0.079 1.138 9.4 4 31 0 167 2.3 9.1 0.87 4 1 0.079 1.14 9.8 5 34 0 166 2.3 9.1 0.87 4 1 0. 079 1.143 10.9 6 35 0 166 2.3 9.1 0.87 3 1" 0.079 1.14 11 7 41 0 164 2.3 9.1 0.87 3 1 0.079 1.145 13.8 8 49 2 161 2.2 9 0.87 3 1 0.079 1.155 18.6 9 52 0 161 2.2 9 0.87 4 1 0.079 1.16 21.4 10 53 0 161 2.2 8.9 0.87 6 1 0.079 1.168 23.4 EC 55 0 161 2.2 9 0.87 3 1 0.079 1.157 27.7 ASPIRE v 3.09.11 - Page 4/6 Project DOMINION ENERGY-SALEM STATION Date 10/16/2006 File 1006043A.ASP Pipe number 3 Flowrate 16.106 I/m Tube diameter 0.375 in No of Holes 7 Length 66 ft Vent diameter 0.079 in Balance N: 99 Share(%): 86 Bends radius 0.88 in Pos No of Press Flow Flow Pipe Tube Number hole Sens Time Bend I/m % Diameter Length Holes Diameter 1 37 3 173 2.3 14.4 0.81 3 1 0.079 1.114 14 2 41 0 172 2.3 14.4 0.87 3 1 0.079 1.117 15.6 3 47 0 171 2.3 14.3 0.87 3 1 0.079 1.121 18.3 4 53 0 170 2.3 14.3 0.87 3 1 0.079 1.125 21.6 5 59 2 168 2.3 14.2 0.87 4 1 0.079 1.135 26.8 6 60 0 168 2.3 14.2 0.87 3 1 0.079 1.132 27.8 EC 66 0 168 2.3 14.2 0.87 3 1 0.079 1.132 41.2 ASPIRE v 3.09.11 - Page 5/6 Project DOMINION ENERGY-SALEM STATION Date 10/.16/2006 File 1006043A.ASP Pipe number 4 Flowrate 18.054 I/m Tube diameter 0.375 in No of Holes 8 Length 82 ft Vent diameter 0.079 in Balance(%): 99 Share(%): 88 Bends radius 0.88 in Pos No of Press Flow Flow Pipe Tube Number hole Sene Time Bend Um % Diameter Length Holes, Diameter 1 48 3 167 2.3 12.6 0.87 3 1 0.079 1.134 15.6 2 52 0 166 2.3 12.6 0.87 3 1 0.079 1.138 17 3 57 0 165: 2.3 12.5 0.87 4 1 0.079 1.146 19.2 4 58 0 165 2.3 12.5 0.87 3 1 0.079 1.143 19.4 5 64 0 164 . 2.3. 12.5 0.87 3 1 0.079 1.147 22.9 6 74 2 161 2.2 12.4 0.87 4 1 0.079 1.159 31 7 76 0 161 2.2 12.4 0.87 3 1 0.079 1.156 33.3 EC 82 0 161 2.2 12.4 0.87 3 1 0.079 1.157 46.9 ASPIRE v 3.09.11 - Page 6/6 I, EQUIPMENT LIST 3/4"CPVC PIPE g SOLID ENDCAP.DO NOT to ANUF. NO. �)ES+�^RFr 1T$ ins T` . AIR',i`P v. DRILL.SEE VESDA PIPING DETAIL'S.TYP.OF 4. 1 1 VES�}A LASERSCANNEI�Wt DISPLAY 1 VLS-204 i 2 REMOTE SCANNER DISPLAY,NO RELAYS 1 VRT-700 EC EC EC EC 4"_8" SLAB CEILING 3 POWER SUPPLY, 120 VAC 1 VPS-100US VISION 4 12 AH BATTERY,12 VDC 2 VBT-012 3/4 I .. E ,I. 6 MRLE CONNECTOR SYBT :!S 5 MINI SAMPLING POINT 14 E7 -SP 2.9 2.10 i i .� -' SEE VESDA PIPING I , .. i i ... .� SEALED Et"v€3�..A# . 6 GL3Nl4�CTOR f�IT 14 E7u0CAPKT i ' DETAIL B.TYP. OF 24. " " DO NOT DRILL. 1i2 OD X 3/8 ID POLYETHYLENE 7 l " TUBING AS REQUIRED. 7 FLEXIBLE TUBING, 1/2"Q.D.X 3/8 I.D.. A/R E7QQTUBE 1.11 UNION ENDCAP TOP OF CABINETA 8 - VPT TEE,3)4"X3/4"Xi/2"NPT_ 14 VP TEE-FPT 4.7 3.6 2.8 -- 1.14► 6 FEMALE CONNECTOR 4.6 3.6 #.9 i i i i i i \� ilk - i .11. i .� i i �f - i ii ii i Y.. i i .+i ii i i i - SAMPLING 1 n� 1 _. i l.. i ... ... ..� .. i _ i DRILL POINT H,,..E IN 3/4 BOTTOM OF CPVC ENDCAP AND ATTACH 5 SAMPLING POINT LABEL:SEE PLAN VIEW FOR HOLE LOCATION AND SAMPLE HOLE CHART FOR HOLE SIZE, DRILL HOLE IN BOTTOM OF SAMPLING POINT.SEE 4.5 3.4 2.7 1.13 PLAN VIEW FOR HOLE LOCATION AND SAMPLE HOLE CHART FOR HOLE SIZE, VESDA PIPIT! DETAIL S 1.7 NO SCALE VESDA PIPING DETAIL A i ® - .. i .® .r i - - - - - _. �, .. - �. - - d - - - -- - - - - ii ® ilia. ® ..., - ii ® - .� - ® .� ® ® i ® .,. - - - - NO SCALE 4.4 8.3 2.6 1.6 1.5 4.$ 2.5 .. �. i i w i i /� i-- - i - - - - - SEE VESDA PIPING 2.4 ,/°2.3 5 6 " DETAIL A.TYP. OF 14 4.2 3.2 2.2 TYPICAL SEQUENCE OF OPERATIONS 1.2 INTO AN ALERT CONDITION ILL 7 I.ACTIVATION OF THE VESDA UNIT I d L T CO !ON W CAUSE THE io FOLLOWING TO OCCUR. 02 - :. .. 4.1 3.1 2.1 WNET A e FIRE 1.THE VESDA UNIT WILL ILLUMINATE AN ALERT CONDITION ON THE LED BAR GRAPH. O7 r �,Q 2:THE REMOTED DISPLAY WILL ILLUMINATE AN ALERT CONDITION ON THE LED BAR`GRAPH. AN ALERT SIGNAL WILL BE SENT TO UNIT 1-2 CONTROL ROOM. B D. S. ER S G O O saselily , acn©N 4 O V E n!1 N .i J! E s tirnzka�a II.ACTIVATION OF VESDA U���T INTO AN ACTION CONDITION 1Rl�.L CAUSE THE " / 2 zonoNuln�ae FOLLOWING TO OCCUR. 3/4 CPVC PIPE.TYP. rt ,.. OALFa=?T 'POWER or " ATE TO IT i.THE VESDA UNIT WILL ILLUMINATE AN ACTION CONDITION ON THE LED BAR GRAPH. 6W _ IN ® � 2 !�CONTROL OOM 2.THE REMOTED DISPLAY WILL ILLUMINATE AN ACTION CONDITION ON THE LED BAR GRAPH. FFOVlER FAULTS I> tJ 3,AN ACTION SIGNAL'WILL BE SE;dT TO UNIT 1-2 CONTROL ROOM. OUT D System I> Power I> Alroow VESDA PIPING at WIRING LAYOUT zone D Network C Fitter DISPLAY SERIAL#XXXXX _-.-- _-- - SW VERSION XXXXX #tt_ACTIVATION OF THE VESDA UNIT INTO A FIRE 1 CONDITION WILL CAUSE THE SCALE:`1/4"=V-0" VESDA L erSCANNER FOLLOWING TO OCCUR. 4 - 3 1 2 LOCATE TO SUIT i to stl�°o R��z a i.THE VESDA UNIT WILL ILLUMINATEAFIRE iCONDITION ON THE LED BAR GRAPH. IN CONTROL ROOM 2.THE REMOTED DISPLAY WILL ILLUMINATE A FIRE 1 CONDITION ON THE LED BAR GRAPH. aoQa SAMPLE HOLE CHART 3.A FIRE 1 SIGNAL WILL BE SENT TO UNIT 1 2 CONTROL ROOM. IV.ACTIVATION OF THE VESDA`UNIT INTO A FIRE 2 CONDITION d hLL CAUSE THE PIPE NO.. LOCATION HOLES HOLE FOLLOWING TO OCCUR. "SIZ� 1.THE VESDA UNIT WILL ILLUMINATE A FIRE 2 CONDITION ON THE LED BAR RAP . 2W TWISTED, 3';!#ELDED .- r � .. GRAPH. i t� - 1tZ R 1-+ Vi, I! AIr- a, t=t !� .I<! TlO !" THE Fn R.A !!� l CEILING .E ,,., . ? - 2,.TH__ ..v .T I7 T1.R t,A! 11J,I1,1..,14" .1 TF A MCI 2 0 ;'!I. �.�('.. 1 ., I �? P., E.. . �ElLI!`!.a 1.1 _C 5/6F .._. f PAlR(BELDEN CT41}T'�P. R.._m_. . . ..a._. . . 2W FOR ACTION SIGNAL TO - . 3.A rII�E 2 Sl�allsgL ttliil.L BE SENT TO UNIT 1-2 GC?�ITR�':1t:F€ M. � PIPE#2 CEILING 21-EC 5/64" UNIT;1-2 CONTROL ROOM r (BY OTHERS) NOTE: 2W FOR TROUBLE SIGN ,L TO 2W F FIRE SIGNAL" _. OR i G O PIPE#3 CEILING 3.1 EC 5 64 IF A DETECTOR OR AIR FLOW FAILURE O R UNIT 1 2 CONTROL ROrt., I _ CCU S,OR'IFTHE DETECTOR IS _-- UNIT 1 2 CONTROL ROOM BY OTHERS SWITCHED TO THE ISOLATEITE ST MODE,OR IF THERE IS A LOSS OF AC POWER. ( ) BY OTHERS ( ? " � " THE FAULT LED ON THE OF THE VESDA UNIT WILL ILLUMINATE AND A PIPE#4 CEILING 4.1-EC 5/64 3/4 CPVC PIPE 2W FOR ALERT SIGNA_TO 24'� FOR FIRE 2 SIGNAL TO TROUBLE G ' - UNIT ' UNIT 1-2 CONTROL ROOM U E SIGNAL it.iLL BE SENT TO 1-2 CQNTROi,ROOM UNIT 1-2 CONTROL ROOM NOTE:DO NOT GLUE (BY OTHERS) (BY OTHERS) PIPE ADAPTORS TO VESDA UNIT a 0 10 0 3 All ALL V NET A AAM ACTIONF1.0 K9 i€i " " + r 0 s seneltivNy t7ACT/0N „�/ \ /48 -54 AFF MOUNTED -y'NET B SPARE FIRE 1 4 _ _ ,� s Smoke Letel DIET SERIAL#XXXXX K2" Ka Zoo Nwftw QAl ERT SW VERSION XXXXX FVNERl 3tATE _ IN MINOR a FIRE 2 0 OK � DISPLAY SERIALI#iiX3CXx URGENT ALL t= Isolated SW VERSION XXXXX FAULT D Urgent POWER K8§��E GEN K6 D $yam © Power D A6Acar ' PURP D Zone D Network D Fitter SPARE INPUT+ VESDA LsesSCANNER KL Teel 1=_! �A°de Silsnoe Reset isolate VESDA SYSTEM INSTALLATION NOTES VESDA SETT @N ga 1.- ALL PIPE AND FITTINGS SHALL BE 3/4"SCHEDULE 40 CPVC, MANUFACTURED B VISION SYSTEMS, INC. HIGH URGENT FLOW FAULT '140% 2.- ANY CHANGES IN EQUIPMENT LOCATION OR REROUTING OF PIPE REQUIRES PPROVA._FROM HIGH MINOR FLOW FAULT 130% FIRE EQUIPMENT, INC. PRIOR TO BEING MADE. 3.- PRE-DRILL THE SAMPLING HOLES AT THE INTERVALS SHOWN ON THE ENGINE RED SYSTEEA LOW URGENT FLOW FAULT 70% DRAWINGS. FOR CONVENIENCE AND SAFETY,THIS SHOULD BE DONE AT FLOOR LEVEL. LOW MINOR FLOW FAULT 60% DELAY 10 SEC t t 4.- DE-BURR EACH SAMPLING HOLE AND ENSURE THAT EACH SECTION OF PIPE i FREE FROM FIRE 2 .1000%OBSJFT _ OBSTRUCTIONS. INSPECT THE INTERNAL`SURFACES OF THE PIPE FOR ANY IR EGULARITIES FIRE 1 .0300°,�OBSlET 4 � • - __ /' WHICH MAY HAVE OCCURRED DURING MANUFACTURE. REPLACE ANY DAMAGED PIPE SECTIONS. j - ACTION .0210%OB&FT ��H OF M(SS = 5.- ATTACH SAMPLING POINT LABELS TO THE SAMPLING HOLE SO THAT IT IS CENTERED OVER THE HOLE. ALERT .0126%OB&+7 t 24wM v C' OUTPUT 2 N 6.- PIPE SHALL BE SECURED EVERY FIVE(5) FEET WITH THE APPROPRIATE HANGts R. O 3 f 24 v[� PIPE INSTALLATION AT THE RETURN AIR GRILLS SEETHE R/A GRILL DETAI ON THE DRAWING . OUTRJT IR PROTE ION 7.- ON P I " 'N0.39850 FOR LOCATION OF THE CPVC'.SAMPLING PIPE.MOUNT THE PIPE 6 OFF THE SURFACE OF THE GRILL. 24 W4 DO NOT MOUNT THE PIPE'UNTILTHE FIRE EQUIPMENT, INC.TECHNICIAN HAS SET THE ANGLE OF _ OUTPUT 9 9F �o ��• DETECTION FOR THE SAMPLING HOLES. orNAL • FAULT �SSIONAL��t9 8.- FIT SEALED END CAPS ON THE R/A GRILL SAMPLING PIPE. DO NOT DRILL HOLES IN THE END CAPS. OUTPUT SEE ENGINEERED SYSTEM DRAWINGS FOR PROPER SIZE SAMPLING HOLE TO BE DRILLED. RELAY 24 t+l� c A c C 1 9.- ALL WIRING SHALL BE IN ACCORDANCE WITH THE NATIONAL ELECTRIC CODE(NFPA 70) VESDA l.ASEP�SCAI�NE�R SATTE�Y ARTICLE TOO. BATTERY CALCULA`IONS MAiNSSWITCHMODE .t f A� /y /�s� POWER SUPPLY MAINS N SHEET 1 OF 1 JOB NO. 1006043 10. ALL WIRING SHALL BE RUN IN THIN WALL STEEL TUBING USING METALLIC CABLE WHERE FLEXIBLE SWATCH RUNS ARE REQUIRED. SENT DRAB! G CONSULTANTS ENGINEERING - CONTRACTORS _ ITEM _ _ -_ - 1 i.- UNLESS OTHERWISE SPECIFIED MINIMUM WIRE SIZES SHALL BE AS FOLLOWS: STANDBY ALARM _ _ _ _ __ __ _ _ _ _______ __ _ _ _ APPROVED: ° 3W TO 120 VAC 60 HZ POWER SOURCE NICET CERTIFIED ENGINEERING TECHNICIAN LEVEL N . 16 GAUGE FOR DETECTION CIRCUITS. DETECTOR 280 mA 330 mA SEE VESDA INSTALLATION NOTES#11-#14. FIRE` No. 16 GAUGE FOR RELEASE AND ALARM CIRCUITS INTEGRAL DISPLAY 60 mA 80 mA CERTIFICATE NO. EQUIPMENT N°, i 2 GAUGE FOR A.C. POWER AND GROUND. - REMOTE DISPLAY 90 mA 110 mA 1 t �. R P Ik TU D 12.- THE A.C. POWER CIRCUIT FOR THE VESDA SMOKE DETECTION SYSTEM SHALL BE A SEPARATE AUTOMATIC VESDA SMOKE DETECTION SYSTEM 430 mA 520 mA TYPICAL VESDA IIII�O DIAGRAM DEDICATED CIRCUIT FOR THE CONTROL PANEL ONLY. DO NOT CONNECT THIS CIRCUIT TO A SHUNT SS`111eks Avenue TRIP OPERATED'BREAKER PANEL,OR USE IT TO POWER OTHER EQUIPMENT. 24 HOURS STANDBY X 430 MA= 10320 mAH NO SCALE Medford, MA. 02155 FOR THE CABLE SPREADING VAULTS AT 13.- A.0 POWER WIRING SHALL NOT BE RUN IN THE SAME CONDUIT AS DC WIRING UNLESS SHIELDED 083 HOURS ALARM X 520 MA= +43 mAH MA C R # 000075 FROM EACH OTHER.THIS INCLUDES LOW VOLTAGE A.C. (HVAC CONTROLS)AND SHUNT TRIP DOMINION ENERGY CIRCUITS. 10363 mAH ( 9 -130'i Tel. ��� � BATTERY DERATING FACTOR X 1.115 SALEM HARBOR TAT 24 F RT A Fax. (888) 286 1384 . 14. NO POWER, INCLUDING EMERGENCY BATTERIES,SHALL BE APPLIED TO THE VESDA UNIT UNTIL. BO STATION, O AVE SALEM, MA 11918 mAH REQUIRED 3 J THE FIRE EQUIPMENT INC.TECHNICIAN IS ON THE JOB SITE,AND HAS CHECKED OUT THE WIRING Email: ENGINEERINGGflrefire.com 12 mAH SUPPLIED OQO SU I THIS DRAWING, AND DATA E SYSTEM. IF UPON ARRIVAL,THE FIRE EQUIPMENT INC.TECHNICIAN THE VESIDA-UNIT A3 NOTED TO THE YS L, � 2 SCALE: DATE ' POWERED UP FIRE EQUIPMENT INC.WILL ASSUME NO LIABILITY FOR THE SYSTEM. `" ' ONTAINED THEREIN IS THE www.f i ref i re.CO M ' , EXCLUSIVE PROPERTY OF FIRE 1 EQUIPMENT, DRAWN: J.BLOUNT 16-0CT-06 EQ { ENT,INL'.AND IS NOT TO 1 15.- 1F THERE ARE ANY QUESTIONS IN REGARDS TO THE INSTALLATION OF THIS SYSTEM,`CALL FIRE BE Dls RIB SIZE DRAWING NUMBER REV.NO. T UTED TO OR USED BY EQUIPMENT INC.AT 781-391-8050 PRIOR TO MAKING ANY CHANGES. 0 ISSUED FOR APPROVAL 17-OCT-08 J.BLOUNT THERE WITHOUT THE EXPRESSE ENGINEERED: J-BLOUNT 16-OCT-06 WRITTEN CONSENT OF FIRE r� D 0060 REV. DESCRIPTION DATE CY EQUIPMENT INC. �HECKED: 07 I I A S P I R A T I N G S M 0 K E D E T E C T 1 0o N -W- ( -------------- ------ io Air, gV710, Dike urn ff 14 df Aw ap V, 19 � 0 14 0 0 v v 4 16 q A 14 VESDA Aspirating Smoke Detection It's critical. A fire detection system that offers the earliest possible warning of a potential fire. ' A system that will ensure business continuity m and freedom from nuisance alarms. Ass (STAGE, (sTacEsj (STAGES) (STAGE l Y VISIBLE = LAMING NTEN INCIPIENTSTAGE SMOKE FIRE HEAT tem that can adapt to the 'unique' charac- N,' given environment. c teristics of an } 4m Y 9 w. Y � One that delivers high performance o m through its high quality design and its N � dedicated global sales and distribution II Conwntlonel,, VESDA p VESDA VESDA„, Detectore channels. �° �,. air �, .T ALERT ACTION FIRE 1 a T .r With over 50,000 units installed world „VESDA FIRE 2 � - (Fire Suppresalon Used) ; wide, the VESDA name has become Synonymous with high performance very This diagram shows the progression of fire growth over time. Note that the incipient stage of a fire early warning smoke detection. .It is the provides the widest window of opportunity to detect and control the spread of fire.VESDA can be product chosen when reliable performance configured to generate multiple alarms within the incipient stage.VESDA can also be configured to generate an additional alarm (Fire 2) in the advanced stages of a fire. This feature is unique to is crucial. VESDA and takes advantage of its'very wide sensitivity range; thus allowing one detector to mon- VESDA... When Performance Counts. itor the entire progression of fire growth. i I How VESDA Works VESDA works by continually drawing air into the pipe network via a high efficiency aspirator. A sample of this air is then passed through a dual stage filter ? The first stage removes dust and dirt from the air sample before it allows the sample to enter the laser detection chamber for smoke detection. The second, A (ultra fine) stage, has the unique feature of providing 6.. 'r , an additional clean air supply to keep the optical ,° •surfaces within the detector clear from contamination ° and to ensure the stable calibration and long life of the detector. T ,9 From the filter, the air sample is passed through to . the calibrated detection chamber where it is exposed ;• z . haw .*� ,. ,,i ° to a stable controlled laser light source. When smoke is present, light is scattered within the detection chamber and is instantly identified by the highly sensitive receiver system. The signal is then processed and presented via a bar graph display, alarm threshold , indicators and/or graphic display. The VESDA detectors are able to communicate this information to a fire alarm control panel, a software management system or a building management system via relays or a High Level Interface (HLI). Laser Scanner LaserPLUS LaserCOMPACT(VNj LaserCOMPACT(RO) ro a +8' . `#Jill S a _ VLP tVLC" 4 VLC WarldwideAp royals U.L ULC UL268A in duct a 11catigr FM NY MEA 'CSFM Vds- SSL LPC' Hazardous Area Approval (Class 1,Div 2,Groups A,B C D.)rNo, • YES __ __. YES ` YES ` __ a SensitivityRange> � -- - of 0.0015 to 6%obs./ft.* (0.005 to 20%obs./y!) t a� I YES 6 4ES 0 4 YES (YES' Two Stage Filter & _.1-yff-6 r YES LYESTI " YES Area Coverage(Maximum) r 120,000sq!fto20,000 sq?ft. 5,000 sq!W(500 sq.m)v W 15,000 sq.ft.(500 9 1(5.000 s .ft./sector 2 000 s ym Individual Pipe Addressibility YES NO FNO5 Z XW, , k � NO Number of Alarm Thresholds 32 8 3� 3 ° Rela Outputs(Programmable)_ =7 or•12 relays, ,x=• 7 3 3 On-board memory((Events) vl8,QQQ l8 000 12 000t2 000 Flow Fault,Threshold 1a - II (per,unit) 16 Vis, 16 4' }" 4 'Flaw-Sinsor Circuit . V, 74 : (ppp"_i ep inletj 4 U, AutoLearn(Automatically ` . try :1 adjusts system.to environment) Yes Yes Yes :v w <. Yes 9 Se`Mupported by ASPIRE podelling Software Yes Yes As Yes Maximum No.of holes 100 100 25 25 Bar Graph/Indicator LED Local or Remote Local(5 on-board LEDs) 4ocal,(5 on-board, Or # m - 4 r. (20 segment bargraph display) Remote(20 segment bargraph LED's) e f. 7 q ' dis to l Programming Tools Yes Yes Yes m Programmed via =VSM y � x� & ASfG 4 RS232 direct -On=board'Programming module 'x` o' ` connection -`Portable Programm 26 (e,er 4 to PC using -`PC Software(VConfig,WindowST j based) ' ¢ z VConfig Via VESDAnet(when the,detectors area ^' connected on the VESDA`network)x 4 IL ff-j Max:No:of devices per_loop, 6-1250,r 4 1b 411 A 250 t 250'" - W A N/A Distance between Devices 4 0 4 000 ft: 0 4.000 ft 4.000 ft2 N/A Computer_Based Management 4, VSM3(Dial;in/Dial out) VSM3(Dial in/Dial out) VSM3(Dial in/Dial out) No 5 Remote Relay Modules 'i(Part No.) 9 xf 6 b 010 W IV 49 d9 0 40 W W sr `} ],relayversions & IVRT-500 a o o VA. VRT7500 VRT-500 N/A' " 12 relay version VRT-900 N/A N/A N/A ' ` Compatible Remote 0 At 1 - ` Bargraph Displays at ` Display,:]relays mr ,VRT,400 o VRT-200 VRT-J00 1p Av 11 N/A s. Dis la „12 relays VRT,800 N/A •N/A p. i,• At 0 0 4 N/A Display,no relays w r VRT-700_— - VRT-600 VRT-K00i� r s • N/A -- ,q• .� Vision Fire & Security is the world's leading manufacturer of VESDA is backed by a highly experienced and dedicated very early warning aspirating smoke detection systems. VESDA is support network. committed to providing high quality products.and unsurpassed service Vision Fire&Security has offices in The Americas,Australia,China; .0 through ongoing research into new technology based solutions and Europe,France,Germany,Korea and Taiwan.Vision Fire&Security is a customer needs. member of the worldwide Vision Systems group. ' i l �i d The Americas Australia and Asia Europe and the Middle East - .................................................................................. Vision Fire&Security Vision Fire&Security Vision Fire&Security Pond Park Road, 495 Blackburn Road,Private Bag 21 S Vision House,Focus 31 Mark Road Hi t y $ • . s Hingham,MA 02043,USA Mount Waverly,VIC,3149,Australia Hemel Hempstead Ph 781 740 2223 Ph+61 3 921 1 7200 Heas HP2 7BW UK Toll Free 800 229 4434 Fax+61 3 921 1 7201 Ph+44 1442 242 330 r Vision Systems Fax 781 740 4433 Freecall 1 800 700 203 Fax+44 1442 249 327 02000 Vision Fire&Security.All Rights Reserved.In accordance with its policy of continuing product and system improvement,Vision Products reserves the right to change designs or specifications with , &: out obligation and without further notice.VESDA is a registered trademark of Vision Products Pty.Ltd,VESDA InfOWORKS,ASPIRE,LaserPLUS,LaserSCANNER,LasecOMPACT,AutoLearn,VSM and VESDAnet are trademarks of Vision Products Pry.Ltd. 10 Form No.:18695 Printed:May 2001 6 VES® product Range LaserPLUS'" A. The LaserPLUS detector is the core product in the VESDA product range Like all the VESDA products it detects fire at the earliest possible stage and reliably measures verylow ' to extremely high concentrations of smoke. It has the worlds widest sensitivity range of i 0.00 15 to 6% obs/ft (0.005 to 20% obs/meter). The LaserPLUS display supports four configurable alarms (Alert, Action, Fire 1 & Fire 2) and protects areas up to 20,000 sq.ft (2000 sq.m LaserSCANNERT The LaserSCANNER locates the origin of smoke by identifying the first sector(pipe) with the highest level of smoke and then continues to sample from all sectors to moni- tor fire growth. The LaserSCANNER also provides four alarm levels for each individual pipe(Alert,Action, Fire 1 and Fire 2) and provides individual pipe addressability and indi- vidual pipe settings. It protects areas up to 20,000 sq ft/5000 sq ft per sector (2000 sq m/500 sq m per sector). LaserCOMPACTT The LaserCOMPACf offers a simple, cost effective solution for the protection of single V 01a ^ and smaller environments that occupy less than 5000 sq.ft(500 sq.m). It offers the same y wide sensitivity range as the LaserPLUS and LaserSCANNER-0.00 15 to 6% obs/ft (0.005 ` to 20% obs/m). The LaserCOMPACT supports three configurable alarm levels(Alert, Pre- Alarm, Fire) and comes in two versions. One version interfaces via relays only (RO), and /& the other across either relays or VESDAnet(VN). ry A( i REMOTE DISPLAYS AND PROGRAMMERS The VESDA display module monitors and reports the status of a detector. It gives visu- ,r al representation of smoke levels along with all alarm and.ault conditions. For monitor- — — ing convenience, multiple displays can be associated with a single detector. The VESDA programmer is menu driven and allows the user to conveniently config- ure, commission and maintain their VESDA.system, as well-as program each individual _ detector. Only one programmer is needed to support the entire network. Display and programmer modules can be mounted in a detector unit, separately (connected via VESDAnet) in a single remote mounting box, or in a 19" sub rack. A hinged, glass-front sub rack enclosure is also available for mounting up to three sub racks. A VESDA Solutions For Every Environment In environments where down time - must be eliminated or minimized: Telecommunications. Computer Rooms Hospitals - Clean Rooms In environments where smoke is difficult to detect: ti Warehouses Atria ' Aircraft Hangars e Cold and Frozen Storage 9 M -0 Function Rooms Indoor Stadiums ! ' VESDA Features `! In harsher environments: Power Stations The Latest in Laser Technology Mines • Patented High Efficiency Aspirator Public Transport • Worlds Widest Sensitivity Range Automotive Operations • Lowest Detectable Smoke Paper and Lumber Mills Concentration is 0.00023% `I IV Manufacturing Operations �1��11ii .1 obscuration lft. Ir - • Up to 4 Levels of Alarm In environments where appearance . VESDAneC" Communication - linking ` is important: detectors and ancillary devices - Modern Offices • VESDA Software-to help design, Heritage Buildings configure and manage the system 14_. Cathedrals • Dual Stage Dust Filtration Museums Low Lifecycle Costs. Archives • AutoLearn'" Art Galleries • Referencing • Air Flow Monitoring • Programmable Relays • Built in Event Logger • Optional Remote Displays • Versatile Mounting Options • Intelligent Interfacing to Major. Fire Alarm Panels • Worldwide Listings and Approvals i VESDA Pipelm One of the key elements in the performance of a VESDA aspirating detection system I is the network of sampling pipes that actively transport air from a protected area to vEsoA �o�.Kta :v Tux rb°rro ots,us the detector. This is why VESDA offers a CPVC,Aspirating Pipe and Fittings package that (" i ' Q ICI✓ TT�' „� w is UL1887 listed for use in Plenum rated areas. VESDA Pipe will simplify pipe selection i and ensure that a quality system is installed every time. �„7 Kr• e i� i� REMOTE VESDA DISPLAY LaserCOMPACT VESDA LaserSCANNER VESDA Laser PLUS VESDAnetf' "Sol, VESDAnet is a comprehensive fault tolerant I "closed" 2-wire communications loop. It links the LISTED detectors, displays, programmers and remote units " " J° U CONTROL PANEL : i a ; Reception ) S 1 } 1 w=} I t r e ' a ro rx Area 1 on a daisy chained loop in a configuration that r -.- -o . l.r I Computer Room meets customer requirements. VESDAnet allows for a number of units to be programmed together eleco mu le on from one or more locations and automaticallyC office•, P���77 tt gg oom� LEGEND � AIf3 HAND�iN�. ..�.""' �� wit' s � Sampling Pipe� I detects communication failures. - _ ' =•6ontrol o •.. :_ -- Sampling Pip) It also allows for easy interfacing with systems (Under�Floo `I a II VESDAnetT""_. l external to the network such as, intelligent fire alarm panels and building management systems. VESDAnefl - VESDA LaserSCANNER SOCKET VESDA LaserCOMPACT VESDA Laser PLUS . . VESDA Software VSMT" ,. The VESDA System Management software package allows the user to monitor, con- figure and control a VESDA system from a central location via a VESDAnet communica- tion loop. Real time and historical events for a single detector, an area, or the entire facil- ity can be collected, processed and presented in either report or graphical format. VConfig'"° VConfig is a configuration tool specifically designed to simplify the setup of any VESDA system during commissioning and installation. It is available via a PC Link HLI )High Level Interface) into VESDAnet or directly to a LaserCOMPACT using VESDAIink. ASPIRE'"" ASPIRE is a computer software tool for designing and evaluating aspirated pipe system layouts. By simply entering parameters such as pipe length, the number of pipes in use, air temperature, pressure and the type of detector(s) used, the software can calculate a pipe sampling model that will predict the performance of the proposed pipe network. L;• •..tir'rri. .rY FIRE EQUIPMENT, INC 5E NICK$ AVENUE • ME®IrORD, MA 021155 PHONE 781.351.6050 • EMAIL s®rvice@fir@fir®.eor SPECIAL HAZARD SYSTEM • CERTIFICATE OF INSPECTION DATE:_ 9 J / Pa a No. NAME OF CUSTOMER APPROVING AGENCY STREET&NUMBER TYPE OF SYSTEMCITY STATE ZIP HAZARD ATTENTION KEY NUMBERS �q�y 6o�J DETECTIONI OR ACTUAT[NO SYSTEM MFG.:'��A HAD SMOKE MANUAL LINK.QTy THERMAL L TEMP. SETTING RANGE--- REMOtR14S-j�"J��a°lF ' 6-5 _.m - AUXILIARY EQUIPMENT ' i, REMOTE ACTUATOR "� 8. BATT DATE �J� Q"_'�--� 15. SUPERVISORY LIGHTS_ 2. SOLENOID RELEASE 9. EXTERNAL RELAYS- � 16. M/R SELECTOR 3. DISCH: PLUG 10.CROSS ZONE OR Pptl }7; TIME DELAY /V�/ ' 4. AUTOMAN 11. CONTROL PANEL Vj.�_ 18_ CARTRIDGES 5. ACTUATION HOSES 12. GR APh" ANN,;.r C!vTr/g� 9g MANUAL PULL 6. PRESSURE GAUGES 13. ABORT SWITCH 20 7. EMERGENCY POW01, Ef 14: REMOTE ELEC.­ ., zr. 22. OTHER 23. PRESSURE SWITCHES 24.PNEUMATIC RELEASES 25.MAGNETIC RELEASES( �- HVAC SHUTDOWN ®YES tC�NO PROCESS:EQUIPMENT SHUTDOWN J YES ENO FIRST ALARM n SECOND ALARM O FIRST..ALARM.!>.SECOND ALARM Q Ow �N EQU�M cJet � RE-P'AIRS O MADE CYLINDERS �� (- )M - I R HYDROSTATIC TEST M LOCAL ALARM ONLY t. YES Ll NO RECOMMENDATIONS REMARKS �iJj• OWNERS REPR TATIVE -r='- RVICE INSPECTOR \ (1 INSPFCI DON,TESTING,AND MADNrENANCE 72-101 } INSP1=CTION AND TESTING FORM DATE:_ /2. -7 ®G TIME: too �baSerT ° �•� .. SERVICE ORGANIZATION Name: 1T •�-1 PROPERTY NAME(USER)� � U t�lY����' ,���✓ y�Name• . _ „ Address: .4 U a 'Address: Representative: Owner Contact: LW License No.: q Tbiephone: t — 17 9 Telephone: MONiTOkING ENTITY 1 .�... APPRMNG AGENCY Contact—��YJ t i.. '� Tp't iQ.e Telephone: Contact: �NV�" �llslephone: d Monitoring Account Ref:No.OM s,.saasv r_n TYPETRANSMISSION �f~ 0 Mc0ulloh SERVICE... 0 Multiplex U W��Y ® monthly D Digital Q rterly O Reverse Priority O RF �"$eminnnuaIIy O Annually Wither(Specify) &"I es i W"71M 8b\( Other(Specify) Control Unit A2anufecture �s�•4/Os[0� S�S� S Model No:: ��►s. Circuit Styles. Number of Circuits: N S/" " . g se O's Xe Mer 6 Sp4t Software Rev.: - 2 Co 2,-Z, Last Date System ee Pe armed: 77 b ti7eeP� /J) y i Last Date that Any Software of Configuration"W,re Revised.. ALARM-INITIATING UEV10E&IN CIWU1T INFOF 1AT1ON Quantity Circuit Style Manual Mre Alarm Boxes Ion Detectors Photo Detectors �— Duct Detectors Heat Detectors Waterfiow Switches (Supervisory Switches t/Othes(Specify): A tom- -%*PmA#rk1Pj&- Swy o�� t7G�T� Alarm verification feature is disabled enabled (NFPA lnspecflon and TesthV,1 01 d) RTGURE 10.6.2.3 Example of an Emnw.ction and 37&s S Form. 2002 Edloon 72-102' NATIONAL F'IRF ALARM CO13€ ALARM NOTIFICATION APPLIANCES AND CIRCUIT INFORMATION Quantity Circuit style Bells 5try s �' SpeAmme Other(Speci(;y): No.of alarm notification appliance circuits: Are circuits monitored for integrity? O yes m No SUPERVISORY SIGNAL-INITIATING DEVICES AND CIRCUIT INFORMATION Quantity Circuit Style Building Temp. Site Water Temp. Site Water Lewes Fire Pump Power Fire Pump Running I Pu p Au osition 14P mp oe :m ntroller Trouble F' umL-00, 79W nat Genera r In uto Position Generator or Controller Trouble Switch Transfer Generator Engine Running Other: SIGNALING LINE CIRCUITS Quantity and sty i�� a eptq ,rt�m(nee NFPri'2,7' Gl � Quantity (,��j Style(s) �i� �1S lot- 4 SYSTEM POWER SUPPLIES (a)Primary(Main): Nominal Volta Z a - Amps f Overcurrent Protection: Type D � Location(of Primary Supply panelboard): �. Disconnecting Means Location: S #4 it (b) � (,Stan�bY): ���)�� Storage Bgtt :AadP-Fir-ltatiag��'�� � ' 2— .�iff-41 Calculated capacity to perate tem;ar horse; t . so fu�t Location of fuel storage; � Engine-driden generator dedicated to fire alarm rrygtem: TYPE BATTERY "ry Cell. O N,ickel-Cadmium, O Sealed Dread-Acid O Dread-Acid O Other(Specify): W Emergency or standby system used as a backup to Primary power supply,instead of using.&secondary Power.supply: Emergency system described is NFPA 70,Article 700 Lek'aUy required standbydescribed in NFPA 70,Article 741 Optional standby system described in NFPA 70,Article 702,which also meets the performance requirements of Article 700 or 701, - (NFPA Inspection and TeStmg,2 of®) FIGURE 10.6.2.3 Continued 2D02 Editlon l INSPECTION.TESTING,AND MAINTENANCE PRIOR TO ANY TESTING NOTIFICATIONS ARE MADE Xes/ V D Monitoring Entity C p�7J.o j_ I NO 91/Ito Time Building Occupants O :01 Building Management !a Other(Specify) O AHJ Noticed,of Any Impeirntenta ❑ �— SYSTEM TFcSTS AND INSPECTIONS TYPE Viau Control Unit y Functiolpal Comments Interface Equipment �� Lampsll,EDS Fuses � P*imary Power Supply Trouble Signals Disconnect.Switches Ground-Fault Monitoring SECONDARY POWER TYPE Battery Condition Visual_ Functional Comments � Load Voltago _J Discharge',llest Charger Test Specific Gravity TRANSIENT SUPPRESSORS REMOTE ANNUNCIATORS NOTIFICATION APPLIANCES o �Y Audible J y Visible Speakers. jV £id Voice Clarity O INITIATING AND SUPERVISORY DEVICE TESTS AND INSPECTIONS Device Visual Y+�roctional �l ..y�Loc.&��S/W� Device �eC t >teteey Measured )tlSi� Iir _S. ()S 10�+�� �L�1 {�KI� Setting Setting&��®s ® pn Fait ass 3't"i �1 ►A1 V A'----- a �. n cr Comments: (NFPA Inspection and Tasting,3 of A) t?GUItE LO.6.2.1 Contirru d 72-104• NATIONAL FIRE ALARM CODE EMERGENCY COMMUNICAT EQUIPMENT visual Functional Comments Phone Set [] 0 Phone Jacks O 0 Off Hook Indicator Q Amplifier(s) Tone Generator(s) ❑ O Call-in Signal. O ❑ System Performance O Device Simulated INTERFACE EDUIPMENTk Visual OPer onOperation (Specify) 4- d (Specify) ❑ (Specify) O O u SPECIAL HAZARD SYSTEMS (Specify) O O (Specify) rJ O O (Specify) ❑ O O Special.Procedures: Comments: SUPERVISING STATION MONITORING Yes, No Time Comments Alarm Signal Q/ O Alarm Restoration P/ O Trouble Signal O Supervisory Signal --� Svpervisory Restoration ❑ NOTIFICATIONS THAT TESTING IS COMPLETE Ye® No Who Time q�� Monitoring Agency gen+ent t3�A�4� �.S Monitoriag?,geney [i ❑ Building OeeupR,nts 00 O Other.(Specify) 01, ❑ - The following did not operate correctly: System restored to normal operation: Deter0 Time: THIS TESTING WAS PERFORMED IN AC ORD�ANCE I TH APPLICABLE NFPA STANDARDS. Name of Inspector: R� Date: �� �Qg_ Signature: Time: �•v� "`r` Name of Own or Representative, 17' Date: + ' Time: 1: S Signature; — (NFPA inspection and TbSling.4 of 4) FIGURE 10.6.2.3 conth"Wd 2002 Edition [8�. ,Annunciator(s) to65%DJN �.� � mbrr:�__ TYDe: fS_ Location:�Di �1 ft` — „f�Vv\ L � /S +L S8 77 E `/?� PJ G4�17,�Dea �i f AAlarm Notification Appliances and Circuits d iYFPA 72,Chapber 6—Emergency Vnice/A►rrri Service Quantity orvoicp/o)orm channt:h: _ Single: Multiple: Quantity o(Apeakera installed: QIi sty urapeaker zon"! Quantity of telephones or telephone jacks in. ded in syste T QUAMAy and the claps of Soli atio applioncc circ ennn"ted t BY term fare NFLPA72,766te G.?h Qquntity: Y Types and qunntitice of aotificatinn,applis ee installed: (a)Haile In Visible (b)Spenkrrs ith Visible,, (c)Horns_„ With Visible (d)Chimeo _. With Visible (e)Other: With Visible (n traible Appliances without n,idiblc- ~� P[.iiii N f S,System Fower Supplies 4VDC- (a)Fire Alarm Control Panel: Nominal volt���e:•�_�� � �d Grata,rating: bvernrrrentprnte�tion: e: "f/tf d traR\!�'(a� Current sting: a 2-AVAP� Location: � � �70 �1��u1Ly (b)Secondary(ataudby). Storagebattery:�� AarpthouerAtin4: A� � a Calru)4ted ce.pacity to drive system,io hours: 10,5 Engiac-driven generator dedieAtoa�eo f rc alarm syatern r . N Pr t.ncation of fuel 9torsge._ nil4 (c)Emergency syet�m uecd as backup to primary pgwer supply: �- �t Emergency system destribod in MFFlt7B Article 700- . �� �'�• 10.Comments F joncyof routine teSta in�e er.tione,if other than in accordance with the referenced NFPA standard(s): System ddei iations from the rrfrrPnccd NFFA eta ndard(s1 Ara:, (•grand)for Sal tan eonna r/9 (tNIB� )pair) sr ed)[at alarmm somcii ecmD I51gnr0)for eenual ctaiion (tiUn{ /T /,g a €r fin- t(J Gd�17� a U�M Upon completion of the gy;.temfs)aatiafactnry t.;afai witnessedd(if required by the he su hnri y aving.tatrisdirainh):�Pem (signed)repraseniallve at Mo avihoriry having)unsrwinn (iUle{ (date► (NFPA 72,4 of 4) FiCURE4.5.Z.1 Continued 2tMJ2£�ilinn - S.Alarm-Initialing Devices and Circuits Quantity And cIa °of initiating device circuits(sec NFPA 72.Tahie 6.5): �� _q�I-coP�y��-� D Quantity: Slyte: _. -. _ Clesa.: —ll�r� j-LY4 MANUAL � 3► f�' (a)Hai nuall.tatio coded f C� Coded AddreasDbly�J 4✓ lbl Combinetio +r aler nd rd a tour coded ntatinntr - A(R'OMATIC i/1C�C (I*44,7 Par4iD1� � •� — Covrrage: Complete l� - selective_. a� Nonrequired — (e)Smokedetectoce , Ion Photo. Addret9able_, �q $tg�1 61 Duct detectora,0 _ Ion ,— Photo Addrea4ablc (.)Hest d"t"tors W/ — IT RR FT/RR RC__ Addreaaable (d)Sprinkler watsrflow indicators: Tlranamittera _ Ngncnde — Coded Addre4nabha (e)The alarm verification lecture ip d►aab(e�d+® �seor enabled changed ram� �.eecondD to /t�_��a�eccoondda. (!)Other(list):_�� �1� e��r r 7 —I&) L Cs SV s,Supervisory Sign al.Initiating Devices.and Circuits(us®blAnkS to indicate quantity of devices) GUAR 'S TO Ie) a eta (t{ ompulao ard's tour nyslem comprised of__trnnymitter stations and intermediate ottatia" Note:Combination devices nre recorded under 5(b),r4aoual.And 6(a).Guard'a Thor. SPRINKLER STEM Che k if pea(el V tau vc tau switch (h) llding tsrmperature points (r) Site ter temperature polnta (4) 4. Site we r supply level pants 6lcctn re pu p: ` (c) 4kump power (() Q i P pu running , fg) ale reversal Engine-driven 8 pump: (hJ Se in auto position /u En no or antral pane!trouble / Fi a pump n►nning ENGINE-DR N C 6ItATOR: lo) Setrctn uta position (lr)—.Control t tro+•l+le. Ir.) TYsnsf_,Bw(tc 8 (d) Engiae running �I✓aL� t Other aupervianry function(a)(specif �y): E A—,L /A J eve -- (NFPA 7Z,3 of al F'If.,URE 4.5.2.1 Continued 2002 Fdllinn Means of i.ransrnisa;on-nf signals.fram Llte protect-id(�rem;PCP.to the.c��8trgt Ptatinn: McCulloh Multiplex One-way radio Digital alarm communicator T-a-way radio Others C�-�A,LL ��! Meunv of transmiaoian of alarms to the public fire service Commnication9 center: 5e f.5 1,000. 9 stem Incation: VE A /S iN e A * �! RVe7 5 M ZZMT"(,ttODUA 147, T A*S ZAx( I t� ear v NFPA 72,Ch-Ater 9—Auziltary e�, Indicate type of connection: Local energy Slianl Parallel telephone J Location or telephone number for receipt of signals: — 2.Record of System Insiallation (Fill out Arr installation is complete and wiring to checked for opens,ahorta,ground faults,and insprnper branching, butprior to conducting operational acceptance/sots.) 1P2-0M hoe been i stalled i�-aec rdanee with the NFPA standard&ea ehnwn nw wnv inspected by e �v6*#nLP'N e+ 7 00, on�L includes the devicca shnwn in;and Ii,and has been in service since �. --NFPA 72,Chapters 1 2 3 040 6 7 ( 9 011 (circle all that apply) o e + NFPA 70,National Electrical Cede.Article 760 Mannfacttfrer'a instrn�tioruv a �`) s• �Other(speci(y): !XZ E )� �jy � ZeStbN ��'• ��"a�� 5;fined: _ Date: 2-~ 1 -0 Orpniaati 3.Record of System Operation- YE S D�w.umentation in accordance with Inspection Testing Forrn,Fig ira 10 6.2.3;Is attach -�- --- Alloperatinnal features and Nrictione.of this system wore'testedby ��awl i" N dale_L7=7�0 end foynd to he operating properly in dccordPnee with.the requirements of-, /NFFA 72,Chep(:ara 1 2 3 f> 7 l S 1(1 11, (circle Dal that apply)- NFPA 70,National Clectricaf Cnde,Article 760 Manufacturers,instructions i Other(specify): Signed: _ 4.Signaling Una Circuits Quantity and class of oignnling line circuits conneetod to system(see NFPA 12,TWi 6:6.1): Qnoatity: 7— Style: ^ Clasn: �- T IN Cfs h Aoz),AA, r) /s- y eb �f��®"�'�f� 1 NFPA 72..2 of ) FICURF4.5.2.1 Ce"itinurd 7N)2 Edition E �E ALARM SYSTEM R€COR® OF COMPLETION 1l Nome of protect d ptODP I I A�f A] 64r; 6- ® S41-CM Addr,��sn: f�c?d�lr� EANJt;. L E Wl _ any' 1-7 .- 12r r - .p Cacntntive of protected propertp(natitrl nnc: . Authpril.y having jurtsdiction: L / EPT Addrenn/teiephone number: r ofgon{Patio�y[�n-Oamr//phoned Rep�racnlofiucn�mr/y�nnq ae Tmtallr;r Supplier 9crvirg orgeaitatioa_ _ Location of record fits-built)drawings: A 419 IQ Lpmr.ionof operation and mat�t� ,,,� Location of feet reports: �r+r1 '� �.o Acontract far twat And innpec "an in nccardance with NFPA at.entlotdle) f nntrncl NO(BI: a Efrective dnte:VPD Exq�r_ W4WJWn1T9.fALllY1f B21y Syrtem Software (slOperptingsystam(eaetotivelpoftwore revision levA (b)4ito-6pecific software revision date 7�®� (OFavision completed by: � lJ (n•rne) (grml t.Type(s)of System or Servie® NPPA 72,Chnptrr 6—Lncnl If alarm is transmitted to Ineationfsl olrpremises,licit where received: NFPA 72.Chapter 8—Itemote Station Telephono nutnher`e of the organization receiving alarm: Alarm: Supervisory: Trouble: If alarms are retranstni►toA to public fir#aervien commitoieationet csntrra yr others,indicate lecnGop nob t.olcphone� numbers of the organization receiving alarm: r Indicate how alarm is retransmiticd: k u p,� NPPA 72.Chapter B—Proprietary V �' � ST S� G��L� ME v` 00 r t Telephone numbers of th ar aniaat' n siring - - Alarm-S.91-ferA V.71 Supervisory: Trouble: qS �� _ �. D1'Ut d �i� ff alarms are cetranemitted to publie fire service communications ce ters or others,�^-lieata locatio an le 7 nuu+ rs oCt. rga itinn ree 'zing al ST d _ 1 vt s � F&3Lt4 rwaiid q7 Ir V. —I Indicate how alarm is t ansmit.t : G OR AfertVV �$p�it tN C D�%t trl.irr 3 _t'T'S- - — �. NF1rA 72, Chapter 8—Central Station �'+� L•0�1+D R t &V �44 Priors cnntractnr.— • Central station locatiow (NFPA 7Z, 1 of d) FIfDURE 4.5.2.1 Record nr Cnmpledon. /r•�°�4 Apr//� 1< 2rM Edo., PROC.NO.: Hot Work SALEM HARBOR STATION REV.NO.: 2 nomme Now PAGE: 1 HOT WORK SAFETY PROCEDURE DATE: 11/8/05 Prepared by: / Peter M.Noyes, Sr. Safety Specialist Date Approved by: Steven A. Dulong, Manager F&H O&M (Ops) Date Approved by: / Theodore D. Witman, Manager F&H O&M (Maint) Date Approved by: / Allen W. Sload, Supervisor F&H Technical Support Date Approved by: / Michael A. Fitzgerald, Director F&H Station III Date RECORD OF CHANGES REVISION DATE DESCRIPTION 0 09/28/2004 Initial Issuance 1 10/25/2004 Responsibility Changes at 3.4(a, b, f), 5.2 and 5.6, Watch Engineer to.Supervisor 2 11/7/2005 Responsibility Changes: Add 3.3 Control Room Engineers Change 3.3to3.4, 3.4to3.5, 3.5to3.6, 3.6to3.7, 3.7to3.8 Delete 3.2(c & d) Change Watch Engineer to Control Room Engineer at 3.40), 3.5(h), 3.6(c), 5.2, 5.6, 5.8, 5.9 and signature block on Permit Add responsibility changes to 5.0, General Procedures PROC.NO.: Hot Work SALEM HARBOR STATION ® REV.NO.: 2 PAGE: 2 HOT WORK SAFETY PROCEDURE DATE: 11/8/05 1.0 PURPOSE The purpose of this policy is to provide safety guidelines for employees engaged in the process of hot work, such as welding, cutting, brazing and grinding. Individual departments and supervisors shall implement this procedure to support this safety policy, and assure all employees complete hot work in a safe manner. This is intended to comply with: OSHA 29 CFR 1910.252, General Requirements(Subpart Q—Welding, Cutting and Brazing) • OSHA 29 CFR 1910.253, Oxygen-Fuel Gas Welding and Cutting 2.0 SCOPE This procedure applies to all Salem Harbor Station(SHS)personnel, contractors and vendors performing any form of hot work while on the premises of SHS. This procedure is intended to address the fire prevention aspects of hotwork as well as protection of personnel, health protection and ventilation. Other safety and health concerns related to hotwork are in Sections 7, 8, and 11. 3.0 RESPONSIBILITIES Implementation of this procedure is the responsibility of the Station Director,Dept. Managers, Watch Engineers, Control Room Engineers and Supervisors. Compliance with these guidelines is the responsibility of designated personnel conducting hotwork. 3.1 Management a. Ensures these procedures are fully implemented and followed. b. Establishes areas designated specifically for hot work, and establish procedures for cutting and welding in areas where hot work permits are required. c. Designates personnel responsible for authorizing cutting and welding operations in areas not specifically designed for such processes. d. Ensures SHS employees and contractors are trained in the operation and use of fire protection equipment. e. Ensures that cutters,welders and their supervisors are suitably trained in the safe operation of their equipment and safe use of applicable processes. f. Ensure copies of all Hot Work.Permits are retained at the Safety Representative's office for the period of one(1)year. 3.2 Watch Engineer(or his/her Designee) a. Responsible for administering this program. b. Approves all hot work and specifies the conditions to be maintained for that work. c. Remains cognizant of impact on plant operations. d. Provide verification of operational status of fire protection systems. 3.3 Control Room Engineers (CRE) a. Issues Hot Work Permits for their respective units in accordance with this procedure. Units 1 &2 CRE—U1 &U2 equipment Unit 3 CRE—U3 equipment Unit 4 CRE—U4 equipment and Unit Common equipment b. Sign and date the Hot Work Permit PROC.NO.: Hot Work SALEM HARBOR STATION REV.NO.: 2 PACE: 3 HOT WORK SAFETY PROCEDURE DATE: 11/8/05 c. Maintains"original"Permits until task has been completed. d. When the job is completed the"original'Hot Work Permit with field copies will be routed to the Safety Representative and retained for one year. 3.4 Supervisors(M/M,I/C,E/M,Fuel,Engineers,and Gen. Services) a. Review the work area for combustible materials and hazardous materials present or likely to be present at the work location. b. Advises all contractors and employees of flammable materials or hazardous conditions, which they may not be aware. c. Ensures that combustibles are protected from ignition by moving work, moving or. adequately protecting/covering combustibles, or seeing that cutting or welding is so scheduled that operations,which might expose combustibles to ignition, are not started during cutting or welding. d. Ensures proper ventilation measures,respiratory protection and fire protection/extinguishing equipment are in place. e. Ensures safe handling and use of cutting or welding equipment. f. Ensures the compliance of SHS Hot Work Safety Procedures. g. Secures authorization for the cutting or welding operations from the Watch Engineer. h. Ensures cutters or welders secure verification of safe conditions before proceeding. i. Provides fire watches as required. Where a fire watch is not required, a final check-up shall be made by the supervisor one hour after the completion of hot work operations to detect and extinguish possible smoldering fires. j. The Supervisor and the employee are responsible for completing the required Hot Work Permit forms and submitting them to the Control Room Engineer for approval. k. Sign and Date the Hot Work Permit. 1. Select contractors to perform hot work operations who employ suitably trained personnel and who have an awareness of the magnitude of the risks involved. m. Sign and date the"original'Hot Work Permit when the task has been completed. 3.5 Individuals (i.e.,Welder,Cutter)Requesting a Permit a. Accompany the Supervisor during the onsite job inspection. b. Review the hazards relating to the job with the Supervisor and use appropriate personal protective equipment(PPE),welding screens, fire blankets, etc. c. Ensure all personnel, including others in affected areas,understand the hazards associated with the task and the conditions required by the Hot Work Permit. d. Sign and date the Hot Work Permit. e. Ensure that fire protection and fire extinguishers are properly located and a fire watch is available. f. Report any changes in conditions or scope of work to the Supervisor, immediately stopping all work. g. Retain a copy of the Hot Work Permit at the job site until the work is completed. h. Return all paperwork to the Control Room Engineer when the work is completed. i. Ensure welding screens are in place prior to initiating hot work. j. Visually inspect welding/cutting equipment prior to each use. k. Ensure all oxy/fuel gas cutting equipment have flashback arrestors. 1. Sign and date the"original'Hot Work Permit when the task has been completed. 3.6 Employees/Contractors PROC.NO.: Hot Work r s�A SALEM HARBOR STATION REV.NO.: 2 PAGE: 4 _T HOT WORK SAFETY PROCEDURE HATE: uisios. a. All employees and contractors who engage in hot work operations are responsible for complying with the requirements of this procedure. b. Complete appropriate training as outlined in this policy. c. Request or initiate a Hot Work Permit and submit it to the Control Room Engineer for approval. d. Verify the absence or concentration of any flammables as required by this procedure. e. Ensure fire extinguishers are available. f. Receive authorization before proceeding with any hot work operations. 3.7 Fire Watches a. Have fire-extinguishing equipment readily available and be trained in its use. b. Be familiar with facilities for sounding an alarm in the event of a fire. c. Remain for at least one-half hour after hot work operations have ceased(including breaks, lunch, etc.)to detect and extinguish possible smoldering fires. d. Sign and date the"Fire Watch Completed" section of the"original"Hot Work Permit after the area has been monitored for one-half hour. 3.8 Safety& Health Department a. Provide technical support for interpretation and implementation of the Hot Work Safety Procedure. b. Assist the station in review and audit of this procedure. 4.0 DEFINITIONS Fuel Handling Any coal handling area(bunker room, conveyors,buildings and tunnel). All Area areas beyond the gate, south of the Bradford Breaker House, including the oil tank farm and dock. Hot Work Any work involving open flame, spark or heat producing device. The processes of joining together two pieces of metal(welding,brazing, pipe soldering),the breaking apart of metal into pieces(cutting)by means of extreme heat, or the use of extreme heat to weld a part. Hot work also includes the use of a grinder. Welder Any operator of electric or gas welding and cutting equipment. 5.0 GENERAL PROCEDURES 5.1 Hot work performed within welding or maintenance shops or within boiler furnaces and boiler ductwork(during outages)does not require a hot work permit. 5.2 The Hot Work Permit must be filled out by the Maintenance Supervisor(or designee) and the employee performing the hot work task. This includes inspecting the area prior to beginning work and submitting the permit to the Control Room Engineer for approval. Hot work performed in permitted areas may require a fire watch. The Supervisor will determine the necessity of a fire watch. 5.3 Hot work tasks performed in fuel handling areas require an additional approval by a Fuel Handling Supervisor or his/her designee. Hot work in these areas also requires a call to the Salem Fire Prevention Bureau(978-745-7777)prior to and immediately after hot work operations, each day. The responsible Supervisor is required to make these calls. 5.4 Extended hot work permits are permissible provided the conditions under which the permit was granted are maintained. 5.5 The extended hot work permit will normally be for the duration of the job. Station operating conditions may require permits to be terminated by the Watch Engineer. It will be the PROC.NO.: Hot Work °- SALEM HARBOR STATION ® ® REV.NO.: 2 PAGE: 5 HOT WORK SAFETY PROCEDURE DATE: 11/8/05 responsibility of the Supervisor and welders/cutters to verify safe conditions are still in place prior to starting hot work on each new shift and that these conditions remain in place while hot work proceeds. If conditions have changed since the permit has been issued,the permit shall be terminated. A new permit shall not be issued until such time as all safe conditions have been met. 5.6 The Supervisor will inspect and approve the work area where hot work will be performed and sign the approval section of the hot work permit. The Supervisor will make a copy of the original hot work permit and bring both copies to the appropriate Control Room. The Control Room Engineer will sign the approval sections of both the original and copy of the hot work permit. The original will be kept in the Control Room and the welder will post the copy at the work site. 5.7 At the completion of the job all maintenance equipment will be stored, area cleaned, and condition returned to normal. 5.8 When the job is complete,the welder shall return to the Control Room and sign and date the welder's section of the original permit. 5.9 If a fire watch is deemed necessary,the fire watch shall remain at the work site, including all breaks and lunch periods for one-half hour after completion of hot work. The fire watch is also required to make periodic inspections after the completion of work and a final inspection of the area after a sufficient period of time to.ensure that no possibility of fire exists. Then return to the Control Room where he/she will complete the fire watch section by signing and dating the original permit. 5.10 When the job has been completed and the welder and fire watch have signed off of the permit,the Supervisor will return to the Control Room and sign and date the "work completed" section of the original permit. 5.11 When the job is completed and all necessary signatures are on the original hot work permit, the original and field copies will be routed to the Safety Representative and retained for one year. 5.12 The Safety&Health Department will periodically inspect and review the process. 6.0 FIRE PREVENTION AND PROTECTION 6.1 Fire watches are required whenever hot work activities are performed in locations where any of the following conditions exist: •Noticeable combustible material(in building construction or contents) is closer than 35 feet to the point of the hot work task. •Noticeable combustibles are more than 35 feet away but are easily ignited by sparks. • Wall or floor openings within a 35-foot radius expose combustible material in adjacent areas including concealed spaces in walls and floors. • Combustible materials are adjacent to the opposite side of metal partitions,walls, ceilings, or.roofs and are likely to be ignited by conduction or radiation. 6.2 A 35-foot safety zone should surround the job. Research shows that this is the minimum safe distance between the hot work activity and anything that could ignite in the surrounding area. If it is not practical to maintain the 35-foot safety zone other precautions may have to be considered. 6.3 Shield combustible flooring with wet sand, fire retardant blankets/pads or sheet metal. Sweep the floor clean of trash and remove any oily deposits. Combustible floors should be wetted down. 6.4 Lock out and purge flammable liquids and vapors from containers and piping systems in the area, and properly cover storage containers or other combustibles that cannot be moved out. 6.5 Test the environment for LEL below 20% (10% in confined spaces) PROC.NO.: Hot Work ..: SALEM HARBOR STATION REV.NO.: 2 PAGE: 6 HOT WORK SAFETY PROCEDURE DATE: 11i8i05 6.6 If the object to be welded cannot readily be moved, all moveable fire hazards shall be taken to a safe distance or location. 6.7 Protect or seal openings in floors,walls and ceilings, and block off duct openings. Ductwork provides an easy path for sparks to travel or to ignite dust deposits inside. 6.8 Remove combustibles from the opposite side of walls being worked on, and place fire retardant coverings under hot work jobs that are raised or on open grating or scaffolding. 6.9 Close all doors and fire doors; ensure that there are no significant gaps under doors or along the door's sides. Sparks hug the floor and can roll under closed doors igniting outside the hot work area. 6.10 Verify through the Watch Engineer that the fire suppression system is operational. 6.11 Suitable fire extinguishing equipment shall be readily available for immediate use whenever hot work is to be performed. 6.12 Fire watches shall be required when any of the following conditions exist: a. There are large amounts of combustible material; either in building contents or construction that may ignite. b. There are wall, floor or ceiling openings within a 35-foot radius,,where combustible materials may ignite in adjacent areas. c. Combustible materials are adjacent to the opposite side of metal partitions and may ignite by conduction or radiation. 7.0 CONFINED SPACES 7.1 Positive ventilation shall be required at all times when performing hot work in a confined or enclosed space. 7.2 Oxygen shall never be used to ventilate a confined space. 7.3 Compressed gas cylinders shall be left on the outside when performing hot work in a confined space. 7.4 Torches used in confined spaces shall be removed from the space whenever the space will be left unattended. The torch valves shall be closed and the oxy-fuel supply to the torch positively shut off. 7.5 When arc welding is to be suspended and equipment left unattended for any period of time, all electrodes shall be removed from the holders,the holders shall be carefully located so that accidental contact cannot occur, and the machine shall be disconnected from the power source. 7.6 For additional requirements concerning confined spaces, contact your Supervisor or Watch Engineer and see the Salem Harbor Station Confined Space Entry Procedure. 8.0 VENTILATION AND RESPIRATORY MEASURES Due to the evolution of hazardous air contaminants that occur as a result of welding processes, all welding, cutting and brazing(hot work)operations shall be conducted in such a manner as to provide adequate respiratory protection to welders and those in the vicinity of hot work operations. The primary means of protection is to remove air contaminants from the hot work vicinity through forced ventilation. 8.1 Local exhaust or general ventilation systems shall be provided and arranged to keep the amount of toxic fumes, gases,or dusts below the maximum allowable concentrations specified on the MSDS's for the materials being welded on, including any coatings(paint, etc.). 8.2 Mechanical ventilation shall be provided for all welding or cutting operations: •In spaces of less than 10,000 cubic feet per welder. 9 In rooms having a ceiling height of less than 16 feet. PROC.NO.: Hot Work :Z �- SALEM HARBOR STATION REV.NO.: 2 t PAGE: 7 HOT WORK SAFETY PROCEDURE DATE: 11/8/05 • In confined spaces or where the welding space contains partitions,balconies, or other structural barriers that significantly obstruct cross ventilation. Mechanical local exhaust ventilation may be by means of either hood or fixed enclosures. 9.0 COAL HANDLING AREAS Principal coal dust producing mechanisms are crushers,magnetic separators, coal samplers, pulverizers and transporting or handling devices as conveyors, scales, feeders and storage bunkers. The following shall be strictly followed in all coal handling areas of the system: 9.1 Before any cutting,welding or brazing is performed on machinery or equipment that is directly operated by the Fuel Handling Department,permission from a Fuel Handling Supervisor must be given. 9.2 All machinery or dust producing equipment from which dust may reach the area or within range of welding or cutting sparks must be shut down and locked out/tagged out prior to the start of any welding, cutting or brazing work and remain out of service until the job has been completed and a final inspection is made. 9.3 Floors and surroundings are to be swept clean and wet down within 35 feet of the work area, including(if necessary)the floor immediately below, before any welding, cutting or brazing is started. However, shall the supervisor find this measure not possible or practical,he/she must take appropriate steps to see that the work area is as safe as possible. 9.4 Inspection and Completion of Job: Flying sparks from welding, cutting or brazing can be thrown or fall into places where coal dust can smolder for hours.before bursting into flame. A careful inspection of all areas near the job site shall be made when the job is finished, and such areas shall be patrolled for a period long enough to make certain no smoldering fires have developed. This period of time shall be a minimum duration of one-half hour. 10.0 LOCK OUT-TAG OUT When systems must be shut down to accomplish hot work,the shutdown and isolation shall be performed in accordance with all Salem Harbor Station lockout/tag out procedures. 11.0 WELDING OR CUTTING OF CONTAINERS AND PIPING 11.1 No hot work shall be performed on used drums,barrels,tanks or other containers until it is absolutely certain(properly cleaned and neutralized)that there are no flammable materials present or other materials which when subjected to heat, might produce flammable or toxic vapors. In all cases,the container shall be adequately vented to the atmosphere to prevent explosion by the expansion of trapped air. When the container does contain flammable or toxic materials,the following precautions shall be taken: a. Pipelines to the containers shall be isolated, disconnected or banked off and properly ventilated. b. The container shall be purged with an inert gas(i.e. nitrogen, carbon dioxide.) c. Oxygen shall never be used for ventilation or purging. 11.2 After purging is completed, sample the air in the container to ensure a safe atmosphere for hot work. 11.3 If the above conditions cannot be complied with,the container shall be completely filled with water before the hot work is performed. PROC.NO.: Hot Work SALEM HARBOR STATION REV.NO.: 2 PAGE: 8 HOT WORK SAFETY PROCEDURE TDATE: 11/8/05 12.0 PROHIBITED AREAS -Welding,Cutting,Brazing,Soldering NOT Allowed. 12.1 Where ever positive ventilation cannot be maintained in accordance with ventilation requirements in a confined space. 12.2 Other instances where ventilation may be required on a case-by-case basis. Examples may be: a. In oxygen or flammable gas enriched atmospheres. . b. Presence of volatile solvents. 12.3 Where natural ventilation seems to be inadequate, or there are other unusual circumstances, the supervisor shall contact the Safety&Health Department. 12.4 In sprinklered buildings where protection is impaired. 12.5 In the presence of explosive atmospheres(mixture of flammable gases,vapors, liquids, or dusts, and coal dust with air), or when explosive atmospheres may develop inside uncleared or improperly prepared tanks or equipment having previously contained flammable materials, or when explosive atmospheres may develop due to an accumulation of combustible dusts. 12.6 In areas near the storage of large quantities of exposed,readily combustible materials. 12.7 At fuel handling dock area during unloading(coal or oil)operations. 13. 0 PROTECTION OF EMPLOYEES 13.1 Welding cable and other equipment shall be placed clear of passageways, ladders and stairways. 13.2 Special precautions, in accordance with material data safety sheet, shall be taken to protect employees against inhalation of toxic fumes when performing hot work on/with brass, bronze, cadmium, zinc,beryllium,chromium,mercury,galvanized or lead coated/contained materials. 13.3 Eye protection is required for hot work operations and shall be in compliance with "American National Standards Institute(ANSI)A87.1-1989 Practice for Occupational and Education Eye and Face Protection." See the site Personal Protective Equipment Procedure for additional information. 13.4 Proper protective clothing, hoods and gloves shall be required for hot work operations. 13.5 In some cases, respirator protection may be needed. Respirators shall be acquired and used in compliance with the site respiratory program. 13.6 Whenever possible,fire resistant screens or curtains should be used around welding areas to protect passing personnel from flying sparks and glare. 13.7 After hot work operations are completed, any hot materials that could be contacted by personnel, shall be marked with a standard symbol or marking indicating it's hot. 14.0 GAS WELDING AND CUTTING 14.1 Mixtures of fuel-gases and air or oxygen may be explosive.No device or attachment permitting these mixtures prior to consumption except at the burner or in a cutting torch shall be allowed. 14.2 Only equipment listed or approved by a nationally recognized testing laboratory such as Factory Mutual Engineering Corp.,or Underwriters' Laboratories,Inc. shall be used. 14.3 Compressed gas cylinders shall be legibly marked with the trade name or chemical name, for the purpose of identifying the gas content. 15.4 There are a number of requirements for the safe storage and handling of compressed gas cylinders. b. Cylinders shall be kept away from radiators and other sources of heat. PROC.NO.: Hot Work U_ SALEM HARBOR STATION REV.NO.: 2 PAGE: 9 HOT WORK SAFETY PROCEDURE 7DATE.: 11/8/05 c. Valve protection caps,where the cylinder is designed to accept a cap, shall always be in place,except when the cylinder is in use. d. Cylinder valves shall be closed before moving the cylinder. e. Empty cylinders shall have their valves closed. f. Oxygen and fuel-gas cylinders shall never be stored together, as per OSHA 29 CFR 1910. All oxygen bottles must be stored at least 20 feet from any combustible material or fuel. g. Cylinder valves,couplings,regulators,hose and apparatus shall be kept free from oily or greasy substances.This is especially important with oxygen.Oxygen contact with oil or grease may cause an explosion. h. Cylinders shall not be dropped or allowed to strike each other violently. i. Cylinders shall never be used as rollers or supports, whether full or empty. j. Cylinders shall always be stored in an upright position and shall be secured to prevent accidental falling. k. Cylinders shall not be tampered with nor shall any attempt be made to repair them. 1. Regulators shall only be used for the types of gases they were designed for. They shall not be interchanged. in. Before connecting a regulator to a cylinder valve,the valve.shall be opened slightly and closed immediately. This will blow out any dirt or debris that may have settled in the valve. n. Always stand to the side of the outlet,never in front of it. o. Fuel-gas shall never be used from cylinders through torches or other devices equipped with shut off valves without first reducing the pressure through a suitable regulator. p. A fuel-gas cylinder valve shall never be opened near sparks, flame, or other sources of ignition. q. An acetylene cylinder valve shall not be opened more than one a one-half turns of the spindle and preferably no more than three-fourths of a turn. r. Where a special wrench is required,the wrench shall be left in place to allow easy shut off in an emergency situation. S. Before a regulator is removed from a cylinder valve,the valve shall first be closed and the gas released from the regulator. t. If cylinders are found to have leaky valves or fittings,which cannot be stopped by closing the valve,the cylinders shall be taken outdoors, away from sources of ignition and slowly emptied. Contact the Safety Representative. u. Oxygen regulators shall be marked"USE NO OIL". v. Hoses showing leaks,burns worn places or other defects shall be repaired or replaced. w. Hoses shall not be repaired with tape. x. Approved flash arresters shall be installed between each cylinder and regular. y. Compressed gas cylinder valve protection caps shall not be used for lifting cylinders. 15.0 ARC WELDING AND CUTTING 15.1 Before starting operations, all connections to the machine shall be checked to ensure proper connection. 15.2 The ground lead shall be firmly attached to the work when working on rotating equipment. PROC.NO.: Hot Work SALEM HARBOR STATION REV.NO.: 2 PAGE: 10 HOT WORK SAFETY PROCEDURE TDAIE: 11/8/05 15.3 Contact surfaces on ground clamps shall be free from metal splatter particles,which prevent adequate contact. 15.4 There shall be no leaks of cooling water, shielding gas or engine fuel from the welding machine. 15.5 Proper switching equipment for shutting down the machine shall be provided. 15.6 Printed rules and instructions covering operation of equipment supplied by the manufacturer shall be strictly followed. 15.7 Electrode holders,when not in use, shall be placed so that they will not make electrical contact with persons, conducting objects, fuel or compressed gas tanks. 15.8 Cables with splices within 10 feet of the electrode holder shall not'be used. 15.9 A welder shall not coil or loop welding electrode cable around parts of his body. 15.10 A welder, unless working behind a screen, shall not strike an arc with an electrode until persons who are exposed to the arc have been given ample warning. 15.11 Operators shall report any equipment defect or safety hazard to his supervisor. Use of the equipment shall be discontinued until the hazard has been reported. Use of the equipment shall be discontinued until its safety has been assured. Only qualified personnel shall make repairs. 15.12 Machines that have become wet shall be thoroughly dried and tested before being used. 15.13 Work and electrode lead cables should be frequently inspected for wear and damage. Cable with damaged insulation or exposed bare conductors shall be replaced. 15.14 Joining lengths of cable shall be done by connection means specifically intended for that purpose. The connection means shall have insulation adequate for the service conditions. PROC.NO.: Hot Work SALEM HARBOR STATION ® ® REV.NO.: 2 PAGE: 1 1 HOT WORK SAFETY PROCEDURE DATE: 11/8/05 WORKER NAME START DATE: DURATION: WORK DESCRIPTION WORK LOCATION MWR No.: HAZARDOUS AREAS UNDER GENERATOR FUEL STORAGE OR HANDLING AREA NEAR HYDROGEN LINE "' COAL HANDLING AREA NEAR LUBE OIL TANK OR LINE AREA OF NATURAL GAS OR FUELS FIRE SYSTEM IN SERVICE COMBUSTIBLE MATERIAL CLEARED CONFINED SPACE PERMIT OTHER SPECIFY SAFEGUARDS PROTECTIVE EQUIPMENT FIRE RETARDANT BLANKETS ` N;, HARD HAT X FIRE EXTINGUISHERS SAFETY GLASSES X FIRE CURTAIN/SCREEN FACE SHIELD FIRE WATCH �' WELDING SHIELD AREA PROTECTION SHADED LENS LOTO GOGGLES PURGING/DEPRESSURIZING RESPIRATOR SPECIAL TRAINING ;, WELDING GLOVES VENTILATION GLOVES RADIO LEATHERS OTHER y COVERALLS SPARK SHIELDS SAFETY HARNESS Additional approval required Approvals *** Supervisor approval to start work Date Welder/Cutter(work completed) Date/Time Control Room Engineer approval to start Date Supervisor: (work completed) Date/Time work * Fuel Yard Supv. approval to start work Date 4,,o Fire watch: (completed) Date/Time (Coal Bunker Room,Conveyers,Tunnel,Tank :. Farm,Dock) (If needed) *** I certify that the above work areas have been initially examined by me; and the cutting,brazing,or welding work will be a safe operation,performed in accordance with Salem Harbor Station Hot Work Safety procedures. NOTES: - This authorization is only given for the current work shift unless otherwise indicated for above duration. - When work is completed return original completed permit to the Safety Representative. Procedure No. TFXX Revision No. 0 SALEM HARBOR STATION page No. Cover COAL PILE FIRE PREVENTION AND RESPONSE Date: 12/15/2006 .01 o - Prepared by: / Kevin Cornacchio, F&H Supervisor Date Approved by: / Steven Dulong, Manager F&H O&M Date Approved by: / Michael Fitzgerald, Director F&H Station Date i RECORD OF CHANGE DATE OF REQUIRED REVIEW: 12/15/2008 REVISION DATE DESCRIPTION 0 12/15/2006 Initial Issuance Coal file Fire Prevention and Response SFD Review.doc Procedure No. TFXX Revision No. 0 SALEM HARBOR STATION Page No. 2 of 2 COAL PILE FIRE PREVENTION AND RESPONSE Date: 12/15/2006 TABLE OF CONTENTS Section Page 1.0 INTRODUCTION......................................................................................................... 3 1.1 Purpose.............................................................................................................. 3 1.2 Applicability and Scope...................................................................................... 3 1.3 Responsibilities ...................;...............................................................................3 1.4 References........................................................................................................... 3 1.5 General Precautions................................................................................................4 1.6 Environmental and Safety Precautions................................................................4 1.6.1 Environmental...................................................::...................................4 1.6.2 Safety............................................................... ...........4 RE.................................2.0 MONITORING THE COAL PILE FOR SIGNS OF FI ........... 5 3.0 END OF JOB NOTES................................................................................................... 6 i Coal He Fire Prevention and Response SFD Review.doc t Procedure No. TFXX Revision No. 0 SALEM HARBOR STATION Page No. 3 of 3 COAL PILE FIRE PREVENTION AND RESPONSE. Date 12/15/2006 1.0 INTRODUCTION Purpose This procedure outlines the steps and precautions required to minimize the risk of a fire on the coal pile. It also addresses managing the pile to reduce the risk of the fire spreading and responding to hotspots and fires. This procedure has been developed in consultation with the Salem Fire Department. 1.2 ApplicabilAy and Scope This operating procedure covers the following: • Monitoring the coal pile for signs of fire • Minimizing the risk of a coal-pile fire • Responding to coal pile fires 1.3 Responsibilities The Yard Supervisor is responsible for: • Assigning qualified individuals to perform this procedure. The Working Leader(Senior Crewman) is responsible for: • Acting as verification checker for all procedures • Ensuring that this procedure is implemented without exception • Exercising judgment and authority to shutdown coal-handling operations as conditions dictate The Fuel Yard Handlers are responsible for: • Reviewing and understanding this procedure in its entirety • Performing the applicable steps of this procedure as outlined in Section XX [requires follow-up pending final version, if a checklist is required] 1.4 References TF2 Coal Pile Management TF 11 Operation of Coal Dust Control System and Coal Off-Loading Procedure I TF35 Docking of Coal Ship Coal Pile Fire Prevention and Response SFD Review.dm t S �rJ Procedure No. TFXX Revision No. 0 SALEM HARBOR STATION page No. 4 of 4 COAL PILE FIRE PREVENTION AND RESPONSE Date: 12/15/2006 1.5 General Precautions • Minimizing the side slope of the pile will help to keep air out of the pile and will reduce the risk of combustion. A loosely packed pile is more likely to heat up. • Water is not the preferred method to fight a coal pile fire. The key to putting a coal pile fire out is to remove air from the area in question. 1.6 Environmental and Safety Precautions 1.6.1 Environmental 1. All efforts will be made to minimize the combustibility of the pile at all times. As required in the AACO, this procedure has been developed for minimizing the likelihood of a fire on the pile, and also address how to handle any fires on the pile to reduce the risk of the fire spreading. 2. Coal pile activity will be minimized during evening hours, except during coal unloading and during pre-delivery pile preparation, and under conditions where there is indication of combustion on the pile. 1.6.2 Safety 1. If necessary, the Yard Supervisor will discuss any major and significant operational changes before the start of each job that may be more protective, but not less protective, than this written procedure. 2. Unless otherwise noted, hardhat, safety glasses, and safety shoes are the minimum Personal Protective Equipment (PPE) required. Hearing protection is required in posted areas. Additional PPE should consist of leather gloves and life jackets. 3. Two-way radios should be utilized by fuel yard personnel to maintain communications during all coal yard activities. Radios should be exchanged at 8-hour intervals to ensure batteries remain charged. 4. Smoking is not allowed on the coal pile. 1.6.3. Coordination with the Salem Fire Department 1. The Fire Department is not expected to actively combat a coal pile fire, Coal Pile Fire Prevention and Response SFD Review.doc hl Procedure No. TFXX Revision No. 0 SALEM HARBOR STATION Page No. 5 of 5 COAL PILE FIRE PREVENTION AND RESPONSE Date: 12/15/2006 since fire response typically involves the use of heavy equipment (not water, as mentioned previously)by licensed operators. 2. If the Fire Department does come on to the site, the Watch Engineer will be notified and will inform the Yard. 2.0 MONITORING THE COAL PILE FOR SIGNS OF FIRE 1.1 Yard personnel will visually monitor the pile on a daily basis for excessive steam and/or sulfur smell. Increased focus will be placed on the areas where air can most easily penetrate into the coal (e.g. at the edges of the pile, on the bottom of the slopes, in areas exposed to the sun). Fines that trickle down the slopes provide a "loose" structure that is more likely to result in combustion. 1.2 During the off-shift the Operations department, within the normal rounds, will monitor the pile. Any coal pile issues identified by the Yard Department will be monitored by the Operations Department. . 1.3 Steam vapor coming off the pile can be, but is not necessarily, an indication of combustion. The differential temperature between the coal and ambient air can cause condensation to emanate from the pile. Actual combustion on the pile is evident when the vapor has a yellowish-blue hue. Another sign of combustion is the presence of residual ash, typically white-gray in color and localized on the pile. 2.0 MWIMMING THE RISK OF A COAL PILE FIRE 2.1 The risk of fire is reduced with the use of heavy equipment, primarily a front-end loader, to compact the coal and essentially squeeze the air out of the pile. This compaction helps eliminate oxygen from the combustion process. 3.0 RESPONDING TO COAL PILE FIRES 3.1 Once a hotspot has been identified, a front-end loader is used to expose the area in question and ensure that the bounds of the hotspot are clear. 3.2 The"hot" coal is then transported to a flat area on the pile and compressed with the use of a front-end loader. A front-end loader is an effective in compacting the hot coal, squeezing the air out and putting out the fire. Coal Pile Fire Prevention and Response SFD Review.doe Procedure No. TFXX Revision No. 0 SALEM HARBOR STATION page No. 6 of 6 COAL PILE FIRE PREVENTION AND RESPONSE Date: 12/15/2006 3.0 END OF JOB NOTES • Safety/Environinental -Are there any special safety or environmental hazards (WARNINGS)for this job that are not identified in this procedure? Specify: • Are there any CAUTIONS or NOTES that should be added to this procedure? Specify: • During this job, did you change anything that will affect future jobs such as: equipment design, clearances, tolerances, balance, substitution of parts, materials, etc.? Specify: • Could this procedure be improved in any way to make the steps more understandable or to more accurately reflect how the activity is performed? Specify: • Could the process of completing this task be changed to reflect a more efficient or cost-effective way of doing it in the future? Specify: • Is an assessment or failure analysis necessary? Coal He Fire Prevention and Response SFD Review.doc Procedure No. TFXX Revision No. 0 SALEM HARBOR STATION Page No. 7 of 7 COAL PILE FIRE PREVENTION AND RESPONSE Date: 12/15/2006 Specify: • Did you use any parts from another unit/plant to finish this job? Specify: • Training on this procedure is to include the following: 1. Initial"page turn" review with affected personnel 2. Documentation of training, including date, procedure number and employee signature 3. Pre job briefing with personnel prior to all related activities • Review of these procedures will occur on an annual basis and will include consultation with the Salem Fire Department. NOTE: Inform the Yard Foreman/Supervisor immediately of any upset or issue that affects safety or the environment. Coal Pile Fire Prevention and Response SFD Review.doc r FI RE EQUIPMENT N C O R P O R A T E 13 j6el Corneliusen, P.E. 88 Hicks Avenue, Medford, MA 02155-6319 Tel: 781 391.8050 Ext. 321 Cell: 617 438.1753 Email: jcorneliusen@firefire.com Web.: www.firefire.co r r i .j 6 m xj yt;�,y�}cB:.N ,���� .®+C� �� � `d� � •�fzn wz^n *gym aM�,•R�"�a �� � 470� a•� w a'r+ea 7 t ' v c aTM • \ r�''n-+� avp` a + yat ^R " 1 i �.dtl" '. yW%�' ,.- k9Y�^ rs81 ¢ t'$r z. �EN• . s 4� '� 4a'L•. r+g�' �.�• ,a n x •; vr,�rr$ � �hw,�:.gc, MINT i FIRE EQUIPMENT INCORPORATED 88 Hicks Avenue March 18, 2007 Medford,MA Inspectional Services Division Salem Fire Department. 02155-6319 Salem, Mass 01970 Tel: (781) 391-8050 Fax: (781) Subject: Water Spray Fixed System Impairment. 391-8835 Email:sales@firefire.com Dear Inspector; Web:www.firefire.com Fire Equipment Inc has been retained by Salem Harbor Station to aid in the construction and changes to the Bradford Breaker House (i.e. Coal Crusher Building). It has been determined that during the construction process parts of the Water Spray Fixed System and Pneumatic Detection Piping System protecting the coal handling equipment within the building need to be relocated and modified. The following is a list of the impairments to the system. • Water.Spray System- At the 32' elevation the branch line along with the 6 sprinklers will be removed and capped. • Detection- The heat detector at the 32' elevation will be removed and the pneumatic detection pipe will be re-routed. The impairments listed will not affect the rest of the system. After completion,the remaining Water.Spray System and Pneumatic Detection System will remain in service. As part of the impairment procedure.Salem harbor will have a fire watch during construction and during all hours of operation. In addition temporary fire hoses will be provided on the 32' elevation in case of emergency. As part of the current design there is a manual pull station at the ground floor that will activate the deluge system, opening all of the remaining sprinkler heads and provide an alarm signal to plant personal. Fire Equipment is currently working on the updated design of the Water Spray System and Pneumatic Detection System for the Bradford Break NEW ENGLAND'S LEADER IN LIFE SAFETY TECHNOLOGY. SERVICE AND TRAINING FIRE EQUIPMENT INCORPORATED House. The design will reflect the changes listed above and bring the existing system up to current code requirements. The new design will be 88 Hicks Avenue submitted to the Inspectional Services in Salem for approval. Should you have any further questions regarding this matter please contact Fire Medford,MA Equipment. 02155-6319 Tel: (781) 391-8050 Fax: (781) 391-8835 d �' ' Email:sales@firefire.com oel Cornellusen P.E. 781-391-8050021 Web:www.firefire.com NEW ENGLAND'S LEADER IN LIFE SAFETY TECHNOLOGY. SERVICE AND TRAINING i ------------- WATER SUPPLY & DEMAND GRAPH 11tt 100 HYDRANT #1 - 95 COAL CRUSHER BUILDING COAL STATIC: 85 PSI 90 CALL FILE: 2.WXF CRUSHER RESIDUAL: 61 PSI _ BUILDING FLOW: 1061 GPM 85 HYDRAULIC DATA: 80 BASIS OF DESIGN: NFPA 15 DENSITY ACTUAL AREA"OF COVERAGE HYDRANT #2- �s STATIC: 85 PSI 70 .25 GPM 110 (SQ FT) PER HEAD RESIDUAL: 61 PSI g TOTAL SPRINKLER FLOW: 1061 GPM ss _ QTY. ORIFICE 60 SPRINKLERS 8 5.6K 55 OCCUPANCY: N/A _ x SYSTEM DEMAND: j=!J I 5o '- 6 PRESSURE:67 PSI ----- ----- 45 1 �,,� WATER (GPM): 269 GPM (NOT INCLUDING HOSE STREAM) --Bf4 I 2 y HOSE STREAM: 250 GPM 40 ( � 35 = HYDRANT J 30 25 f 20 <, v ! 15 / f0 - CO/ / pp / 200 400 600 800 f000 1200 1400 1600 1800 2000 1 ! HYDRANT #2 ! f GALLONS PER M/NUTE ! WATER SUPPLY CURVE WATER DEMAND UNDERGROUND PIPING LAYOUT NOT TO SCALE: M J O CORNEL IUSEN N ' FIRE PROTECTION N0. 46678 .09 9FGISTEP�� DFFSS SHEET 2 OF 2 JOB NO 0207006 7 06 CONSULTANTS ENGINEERING - CONTRACTORS APPROVED: .r NICET CERTIFIED ENGINEERING TECHNICIAN LEVELIPT CERTIFICATE NO. I N C n R P 0 R A T E 1) AUTOMATIC DELUGE SPRINKLER SYSTEM 88 Hicks Avenue FOR THE COAL CRUSHER BUILDING AT Medford, MA. 02155 MA CR # 000075 DOMINION ENERGY-SALEM HARBOR Tel. 888 � ) 296-1 381 3 Fax. (888) 296-1384 24 FORT AVE SALEM,MASS 2 IS DRAWING. DESIGN, AND DATA AS NOTED Email: ENGINEERING@fireflre.com JE NTAINED THEREIN IS THE SCALE : DATE WWW.firefire.com CLUSIVE PROPERTY OF FIRE DRAWN :CORNELIUSEN 13 MARCH 07 UIPMENT, INC. AND IS NOT TO SIZE DRAWING NUMBER REV. NO. 0 ISSUED FOR APPROVAL 13 LARCH Ol UC DISTRIBUTED TO OR USED BYENGIIEED:CORNELIUSEN 13 MARCH 01 HERS WITHOUT THE EXPRESSEITTEN CONSENT OF FIRE REV. DESCRIPTION DATE BY CHECKED : D D-0207006-2 0 UIPMENT INC. I J r 'f/f DOWN UP f J rJ//�/!r 'DOWN i. ,: ,UP., / /'r - :'' i / ,/ %•.' / j''/,/ r! J ` / f�� /f, .r j/tJ,./, `. r' / ,'f,f ,.�' r �/ ft - r / `/ f ,' ,.' , i '//.r r/ •iJ � //' i rf f�'%,r //./,/f/ f� r`r/ ! t ,f,/, '., OPEN f `f rf '!/'/ / f' OPEN �f /''%r �// OPEN r F /� ' it (�/ f ` r 'f / /j✓ /J '/J, /� �r f ff / , i' !; r f.•`r /:!�,�'j/f ! •f f.,r,f../,f /� � t" r' r !/ `%• SPRINKLER PIPING AND HEADS TO BE ;r j' ff //ri;% PIPE AND REMOVED. / ` fir/ , ,/ EQUIPMENT SPRINKLERS TO BE REMOVED ABANDONED. ABOVE % . '�J✓,` %` f '; !J/`i f:' ,�f r' ABANDONED ,/ r /� r frf EQUIPMENT. PEN — � rJ ` rJl'r/ f ''' !ifl+ /r^•!f'!f' f'`t` _..—..._._____�....—._ ._..._.._.._�� _�_., _ /!J HEAT DETECTOR VIKING SPRINKLER MODEL 8 TYDEN PN: PIPING AND so2ss, (TYP of ALL) . . . . . . . . . . . . . . . /t,' ,fr✓,, ® . . . . . . . . . , ; . . . . . . . " PNEUMATIC '"%' % r /;„ .f I" PNEUMATIC r % ! , 2 2„ PNEUMATIC HEADS TO BE DETECTION PIPE /!r . ', ,` „:; / ;!/, f /.: DETECTION PIPE DETECTION PIPE REMOVED. I ' r t % UP TO 47' t , UP TO 5 NEW COAL ELEVATION NEW COAL / �,�! f ' ELEVATION UP EXISTING HANDLING \_2"RISER HANDLING ` ' ''� '/ 2"RISER _: EQUIPMENT EQUIPMENT 'f 2„RISER SPRINKLER . . . . . . . HEAT UP / ✓ .� DETECTORS ,. r / f f HEAD ,, , / ,%, J r 'Jr` f I NEW COAL RELOCATED F /r :/// ,/ // f ; HANDLING TO REMAIN. , .. NEW COAL EXISTING PIPING I EQUIPMENT , ,` NEW PIPING HANDLING i EQUIPMENT UP F ' AND HEADS. ' 4"RISER _ _ , ,. //DOWN,, _ . _ � NEW PIPING AND 1' 1 1 2' N i J , ` SPRINKLERS PROTECTING NEW 2" : 2„ EQUIPMENT. 6"UNDERGROUND FEEL }" PNEUMATIC I' PNEUMATIC DETECTION PIPE DET ECTIOIV PIKE 3 F "RIS_R UP TO 32' FDC I UP FROM 17' ELEVATION -- -- ELEVATION ELEVATION 171_011 ELEVATION 321_911 ELEVATION 471_019 ELEVATION 551_8„ SCALE: 3/16"= V-0" SCALE:3/16"= 1'-0" SCALE: 3/16"= 1'-0" SCALE: 3/16"= V-0" PIPING NOTES TYCO D-3 1) APPLICATION: DELUGE SPRINKLER SYSTEM PIPING. $ DIRECTIONAL SPRAY NOZZELS 6 -0 1" NEW PIPING AND 2) ALL PIPE TO BE ASTM A795 OR A53 SCHD 40 GALVANIZED. „ „ 2" 12 —10 SPRINKLER 3) ALL FITTINGS TO BE M.I. CLASS 150 GALVANIZED THREADED: XX PENDENT 1 /2 x 1 /2 NPT K=5.6 2—o " , HEADS. 4) ALL HANGERS TO BE GALVANIZED STEEL 1 , 2 0 BRASS 77 2 —o—o • 2" r' '6 PROJECT SCOPE 2 ELEVATION 55'-8"'�'^ 1) PROJECT SCOPE: REVISION TO AN EXISTING WATER SPRAY SYSTEM TO 2—o" 2" M 1" .. PROTECT NEW EQUIPMENT INSTALLATION. 2 —0 I 0 4-0 GENERAL SPRINKLER NOTES. �• s 9 1" EXISTING PIPING �6+ s 5— AND SPRINKLER —, MqS, ' 1 ALL FIRE PROTECTION WORK SHALL BE DONE IN ACCORDANCE WITH THE ?� HEADS TO BE _ �Z 'q ) EDITION OF THE STATE BUILDING CODE LOCAL AMENDMENTS AND THE 9; " REMOVED. ' -- LATEST .-% 2 LEGEND - REFERENCED NATIONAL FIRE PROTECTION CODES INCLUDING NFPA 13 2002 s —o - 0 o io NEW PIPING AND GORNELI'�iSeN cn EDITION. I I �, _ / = N SPRINKLER O DELUGE SPRAY SPRINKLER. v N^ N •0 ?• HEADS. s _ ` `-;J FIRE PROTECTION �- 2) ALL FIRE PROTECTION SYSTEMS, EQUIPMENT PIPING AND VALVES SHALL BE " a e 9 ,' NO. 46373 INSTALLED AND TESTED BY A SPRINKLER CONTRACTOR LICENSED BY THE ,� 9 �. 0 xx HYDRAULIC REFERENCE NODE - FSPRINKLER Y T MS. 5 �a 9oF ... '0 RFGISTE��o STATE AND EXPERIENCED IN THE INSTALLATION 0 SSE O ? Q SSIONAL SPRINKLER PIPING—EXISTING !: 3) ALL PIPING, HANGERS AND EQUIPMENT IS SHOWN DIAGRAMMTICALLY THE ACTUAL ROUTING OF PIPING AND EXACT LOCATIONS OF HANGERS AND �' `" SPRINKLER PIPING—DEMO =c�vG• _ EQUIPMENT SHALL BE DETERMINED IN THE FIELD AND INSTALLED IN �0 ? N ACCORDANCE WITH ALL THE APPLICABLE- CODES. 6 '?:p, SPRINKLER PIPING—NEW • ELEVATION 47'-0" 13 ..'.,-' .,.. �.,., SHEET 1 OF 2 JOB NO. 0207006 4) THE CONTRACTOR SHALL PRODUCE A COMPLETE SET OF WORKING PLANS r?� s, �� y • • • 1/4" PNEUMATIC DETECTION PIPE—EXISTING IN ACCORDANCE WITH NAPA 13 CHAPTER 14. ALL PLANS SHALL BE " °° moo• `�.` CONSULTANTS ENGINEERING — CONTRACTORS APPROVED: SUBMITTED TO THE LOCAL AUTHORITY FOR APPROVAL. M'.`-' 3�02 4 0 ~' .. 1 ® HEAT DETECTOR—EXISTING I RE = N 1 1'2" l ` EQUIPMENT 6� . 1 . S gyp., p+ r�.— � 5) PROVIDE ACCESS TO ALL EQUIPMENT REQUIRING PERIODICAL SERVICE AND 3—I NICET CERTIFIED ENGINEERING TECHNICIAN LEVEL MAINTENANCE '' Is °.moo p, �'� �� CERTIFICATE N0. 1 N is O R P 0 RATE 0 6) PITCH ALL PIPING TO DRAIN. PROVIDE AN AUXILIARY DRAIN AT ALL LOW ELEVATION 32'-9" 1 ,�0 � AUTOMATIC DELUGE SPRINKLER SYSTEM EXISPOINTS AS REQUIRED PER NFPA 13. " 5 16 ING PIPING 88 Hicks Avenue ANDTS SPRINKLER FO 7) ALL PIPE AND HANGERS SHALL MEET NFPA 13 _ � - � R THE COAL CRUSHER BUILDING AT MedfOprCl, MA. 02155 HEADS TO•r.- °' REMOVED. BE MA CR 8 ALL PIPING SHALL BE SCHEDULE 40 GALVY WITH THREADED GALVY I # 000075 To `�`� DOMINION ENERGY-SALEM HARBOR Tel. (888) 296-1381 FITTINGS. DELUGE NEW PIPING AND VALVE ELEVATION 17'-0" SPRINKLER t FOX. 888 296-1 384 9) INSTALLING CONTRACTOR MUST COMPLETE "CONTRACTORS MATERIAL & TEST TO HEADS. 3 24 FORT AVE SALEM,MASS ( ) DELUGE r HIS DRAWING, DESIGN, AND DATA Email: ENGINEERING®firefire.com CERTIFICATE FOR ABOVE GROUND PIPING" FORM AND "CONTRACTORS MATERIAL VALVE 2 I SCALE : AS NOTED DATE & TEST CERTIFICATE FOR UNDERGROUND PIPING XCLUSIONTAINED THEREIN Is THE WWW.f irefire.com PIPING ISOMETRIC-EXISTING PIPING ISOMETRIC- FUTURE o�P�MENT.INC.PAND IS NOT TO DRAWN :CORNELIUSEN 13 tiIARCH 07 ✓ E DISTRIBUTED TO OR USED BY SIZE DRAWING NUMBER REV. N0. 10 HYDROSTATIC TEST ALL WORK PER NFPA 13. 13 LARCH O7 JC THERS WITHOUT THE EXPRESSE MNEERED :CORN ELIUSEN 13 LARCH 07 ISSUED FOR APPROVAL NOT TO SCALE NOT TO SCALE RITTEN CONSENT OF FIRE REV. DESCRIPTION DATE BY QUIPMENT INC. CHECKED : D D'0207006'1 O I I DIRECTIONAL SPRA Y NOZZLES, OPEN TYPE D3 PROTECTOSPRAYO - 1/2" NPT DEFLECTOR (44.5 m m) PIN 0 2-IL2". SPUTTER (63.5 mm) (52.4 mm). FRAME Ij D3 I/2"NOT 7/I6"(tl.lmm) SPRAY ANGLE (INCLUDED ANGLE. OF DISCHARGE) MAKE-IN AND ORIFICE SIZE STAMPED ON OPPOSITE SIDE FIGURE A TYPE D3 PROTECTOSPRAY NOZZLES Model F460 Primac Valve or by a and maintained in compliance with GENERAL DESCRIPTIONModel F461 Primac-Multimatic Valve.. this document, as well as with the The Type D3 Protectospray Nozzles I applicable standards of the National nformation on 1/2 inch NPT Type WS Fire Protection Association, in addi- are open (non-automatic) directional Nozzles with individual strainers and tiori to the standards of any other au- spray nozzles and they are designed K-factors of 1.1 to 2.8(15.8 to 40.3)is thorities having jurisdiction. Failure for use in water spray fixed systems for given in Technical Data Sheet to do so may impair the integrity of fire protection applications. The 1/2 TD620C. ' these devices. inch NPT Type D3 Nozzles are exter- nal deflector type nozzles that dis- Refer to Technical Data Sheet TD620B The design of individual water spray charge a uniformly filled cone of me.- for information on 1 inch NPT Type D3 fixed systems can vary considerably, dium velocity water droplets. Large Capacity Protectospray Nozzles depending on the characteristics and with K-factors of 10.7 to 18.1 (154.1 to nature of the hazard, the basic pur- They are especially effective in cover- 260.6) and Technical Data Sheet pose of the spraying system, the con- ing exposed vertical, horizontal, TD610A for information on automatic figuration of the hazard, and curved,and irregular shaped surfaces Type EA-1 Protectospray Nozzles. wind/draft conditions. Because of in a cooling spray to prevent excessive these variations as well as the wide absorbtion of heat from an external fire range of available nozzle spray char- and to prevent possible structural acteristics, the design of water spray damage or spread of fire to the pro- APPROVALS AND STANDARDS fixed systems for fire protection must tected equipment. In some applica- only be performed by experienced de- lions,depending on water design den- The natural finish, chrome plated, signers who thoroughly understand sity requirements, they may also be nickel plated,and lead coated bronze, the limitations as well as capabilities used for fire control and extinguish- as well as the stainless steel Type D3 of such systems. ment. Protectospray Nozzles are listed by Underwriters Laboratories Inc. and The owner is responsible for main- The Type D3 Nozzles are available in Underwriters'Laboratories of Canada. taining their fire protection system a wide variety of orifice sizes and spray In addition, they are approved by the and devices in proper operating con- angles (included angles of discharge) Factory Mutual Research Corporation dition. The installing contractor or to provide versatility in system design. and the Scientific Services Laboratory manufacturer should be contacted rel Dust Plugs, as.described in Technical (Australia). alive to any questions. Data Sheet TD850, are available for use in applications where protection is The Type D3 Protectospray Nozzles required against insect infestation or are also approved by the New York the accumulation of debris within the City Board of Standards and Appeals TECHNICAL DATA nozzles. Rupture Disc Assemblies, as under Calendar Number 334-79-SA. described in Technical Data Sheet The Type D3 Protectospray Nozzles j TD871, may be used to retain priming WARNINGS are rated for use at a maximum service water in ultra high speed,primed water The Type D3 Protectospray Nozzles pressure of 175 psi (12.1 bar). They spray deluge systems controlled by a described herein must be installed are available in natural finish bronze, Printed in U.S.A. 11-92 TD00A � i RADIAL DISTANCE FROM NOZZLE CENTERLINE,FEET 0 0 1 2 3 4- 5 6 7 8 AXIAL DISTANCE NOZZLE SPRAY 2 PROFILE--+ 3 180 ,>' PLANE-OF-PROTECTION ~ a i � RADIAL DISTANCE LL 5 160' 6 140' FIXED ANGLj LE (ORIENTATION) O GRAVITY z 7 125' M a NOTES: LL - - z s 110, 1. Design data obtained from tests in still air. 10 2. Design data applies to a residual (flowing)pressure range at the wa t t 95. nozzle inlet of 20 to 60 psi(1.4 to 4.1 bar).For pressures up to 175 psi(12.1 bar)consult the Technical Data Department. . 12 Refer to the authority having jurisdiction for their minimum required 13 80' residual pressure. 14 3.The shapes of the Design Spray Profiles remain essentially un- i5 65• changed.over the maximum Axial Distances shown on Pages 3 and 4: 16 _ 0 1 2 3 4 5 6 7 a 4. For axial distances.of 2 feet(0.6 metres)and less and for nozzle RADIAL DISTANCE spray angles of 65'to 140%the Design Spray Profile is the same FROM NOZZLE CENTERLINE,FEET. as the nominal spray angle. Design Spray Profiles 5.The maximum Axial Distances shown on Pages 3 and 4 are based -Feet and Inches- on exposure protection. FIGURE B . . RADIAL DISTAN E WATER DISTRIBUTION DESIGN DATA FROM NOZZLE CENTERLINE,METRES 0 0.5 1.0 1.5 2.6 2.5 0 0.5 Orifice Minimum K-Factor Size Diameter NFPA ISO/SI 1.0 (GPM+ (psi) (LPM+ bar) N 180':. No. 16 0.203 (5.16mm) 1.2 17.3 .1.5 tso' No. 18 0.250" (6.35mm) 1.8 25.9. Ld tao No.2i 0.281" (7.14mm) 2.3 33.1 0 2.0 No. 24 0.328" (8.33mm) 3.0 43.2 Z No. 28 0.375" (9.53mm) 4.1 59.0 2.5 125' No. 32 0.438" (11.13mm) 5.6 80.6 w No.34 0.500" (12.70mm) 7.2 103.7 z 3.0 110' ►Q- TABLE A o SELECTION OF ORIFICE SIZES 3.5 95; X 4.0 80i. 65' 125' a.5 65' 80' 140' 0 0.5 1.0 1.5 2.0 2.5 95' 160' RADIAL DISTANCE 110' 180' FROM NOZZLE CENTERLINE,METRES TABLE B Design Spray Profiles SELECTION OF SPRAY ANGLES -Metres- -2- f MAXIMUM AXIAL DISTANCE FOR 65'SPRAY ANGLE MAXIMUM AXIAL DISTANCE FOR 125'SPRAY ANGLE IN FEET AND INCHES IN FEET AND INCHES FIXED ORIFICE SIZE FIXED ORIFICE SIZE ANGLE 16 .18 21 24 28 32 .34 ANGLE 16 18 21 24 28 32 34 0' 10-6 12-6 13-0 13-3 14-6 -15-0 15-6 0' 4-6 1 5-0 6-6 7-9 10-0 10-3 10-6 30- 8-3 10-9 10-9 11-9 12-6 13-6 13-9 30' 3-9 3-9 6-3 6-9 8-6 8-6 8-9 45' 7-3 10-0 1 10-0 11-3 11-6 12-6 12-9 45' 3-0 3-6 6-9 6-0 7-9 7-6 8-3 60' 6-6 9-3 976 10-9 11-0 11-9 12-6 60' 2-6 3-0 7.3 7.9 5 6 5-9 73 90' 6-0 8-6 .9-0 10-3 10-6 .10-9 11-6. 90' 2 0 2 9 4-9 5-0 7-3 6-0 6-6 120' 5-9 7-6 7 6 7-6 8 3 9-0 9-6 120' 1-9 2-3 3-3 3-3 3-9 3-9 4-6 135' 5-6 6-0. 6-3 6-6 7-0 8-0 8-6 135' 1-6 1-9 2-6 2-6 3-3 3-3 3 9 150- 5-3 5-6 5-6 5-9 6-3 7-3 7-6 150' 1-6 1-6 2-0 2-3 2-6 2-9 .3-6 180' 5-0 5-0 5-0 1 5-6 1 5-9 6-6 .7-0 180' 1-3 1-3- 1-9 2-0 24. 2-6 3-3 MAXIMUM AXIAL DISTANCE FOR 80'SPRAY ANGLE MAXIMUM AXIAL DISTANCE FOR 140'SPRAY ANGLE IN FEET AND INCHES IN FEET AND INCHES FIXED ORIFICE SIZE FIXED ORIFICE SIZE ANGLE 16 18 21 24 28 32 34 ANGLE 16 18 21 24 28 32 34 0' 9-0 10-6 11-0 12-0 1 13-0 14-0 14-0 0' 4-0 4.6 6-0 6 6 8 0 8 0 8 0 30' 7-3 8-3 8-9 10-6 11-6 12-3 12-3 30' 3-3 3 6 5-6 5-6. 6r3 7-0 7 0 45' 6-3 7-6 8-0 10-3 10-6 11-3 11-3 457 2-9 2-9 5-0. 5-0 5-6 6-6 6-6 60'. 5-6 7-0. 7-6 10-0 10-3 10.9 10-9 60'. . 2 3 2-6 4-6 4-6 5-3 5-6 5-9 96" 5-0 6-0 7-0 9-3 9-6 9.9. 1 0-0 90' 1-9 2-3 4-0 4-0 4-6 .4-6 5-.0 120' 4-6 4.9 5-9 6-6 7-3 7-0 8-0 120* 1-6 1-9 _ 2-3. 2-6.. 2-6. 3 0 3 6 135' 4 3 4-6. 5 0 5-6 6 0 . 6 3 6 9 135- . . 1-3 1-6 1=6 .1-9 . 2-0 2-6 2-9 150` 4-0 4-0 4-6.. 5-0 5-6 .5-6 6-0 150': 1.3 1-3. .1-6 1-6 1-9 2-3 2.6 1807. &9 3 9 . 4-0 4 6 4-9 5-3 5 6 180' 1-0 1-0 1.3 1.3 1-6 2 0 2 3 MAXIMUM AXIAL DISTANCE FOR 95'SPRAY ANGLE MAXIMUM AXIAL DISTANCE FOR 160'SPRAY ANGLE IN FEET AND.INCHES IN FEET AND INCHES FIXED. ORIFICE SIZE, FIXED ORIFICE SIZE ANGLE 16 18 21 24 28 32 34 ANGLE . 16 18 21 24 28 32 34 0' . .7-0 7-9 9-6 104 11-0 12-0 12-6 0' 3-6 3-9 4-9 560 6-0 6-9 7.0 .30* 5-9 6-6 7-9- 9-9 10-6 10-9 11-0. 30' 2-9 . 3 0 4-3 4-6 5-0 5-9 6 3 45'.. 5-3 6-3 7-0 4-6 .9-9 10-3 1 0-3 45- 2-3 2-6 3-9 4-0 4-6 .5-3 5-6 60' 4-6 6 0 6 9 9-3 9-6 9-9 9 9 60' 1-9 2.3 .3-6 . 3-9 4-3 4-9 5-3 90' 4-0 5-0 6-6 8-3 8-6 8-9 8'9 90' 1.3 1-9 3 0 3 3 3 6 3.9 4-3 120' 3-6 3-9 5-0 5-3 6-3 6-0 6-6 120' 1 0 1-3 .1 6 2 0. 2-0 2-3 2.6 135' . 3-3 3-6 .4-0 4-6 5-3 5-3 5-6 135' 1-0 1-0 .1-3 1-3 1-6 1-9 2-0 .150' 3 0 3 0 3 6 4-0 4-6 4-6 4-9 . 150' . . 0 9 0.9 1-0 1 0 1 6 1.6 1-9 180'.' 3-0 3 0 3 3 3-9 4-0 4-3 4-6 180' 0 9 0 9 0 9 0-9 1-3: 1 6 1-6 MAXIMUM AXIAL DISTANCE FOR 110'SPRAY ANGLE MAXIMUM AXIAL DISTANCE FOR 180'SPRAY ANGLE IN FEET AND INCHES IN FEETAND INCHES FIXED ORIFICE SIZE FIXED ORIFICE SIZE ANGLE 16 . 18 21 24 28 32 34 ANGLE 16 1 18 f 21 24 28 32. 34 0' 6-0 7=0 9-0. 9-8 11-0 11-3 11-6 0' 2-9 3-0 3-6 3-6 4-0 6-0 6-0 30' 5-3 6-3 7-3 8-9 9-6 9-9 10-0 30' 2-3 2-3 3-6 3-6 3-9 5-0 5-0 45' -9 5-9 6-6 8-6 .9-0. 9-0 9-3 45' 1-9 2 0 3-3 3-3 3 6 4 3 4 3 60' 4-3 5-6 6-3 873 8-6 8-6 8-9 60' 1-6 1-9 2-9 2-9 . 3-3 3-9 3-9 3-6 4-6 5-9 7-6 7-6 7-6 7-9. .90' 1-0. 1.6 2-0 2.0 2-6 3-0 .3-0 120' 2-9 .3-3 4-6 4-6 5-6 5-6 5-6 120' 0-9 1-0 1-0 1.-0 1-6 1-6 1-6 135' 2 6 2 9 3 6 3-6 4.6 4.6 4 9 135' 0 6 0 9 0 9 0 9 1-3 1-3 1 3 150' 2.3 2-6 3-0 3-3 3-6 3-9 4-3 0-6_ 0.6 0-6 0.6 150', 1 0 1-0 1-0 180' 2-3. 2-3 2-9 3-0 3-3 3-6 3-9 180' F 076 0-6 0-6 0-6 0-9 0-9 0-9 TABLE C MAXIMUM AXIAL DISTANCE BETWEEN NOZZLE TIP AND PLANE-OF-PROTECTION FOR EXPOSURE PROTECTION -FEET AND INCHES- -3- MAXIMUM AXIAL DISTANCE FOR 65'SPRAY ANGLE MAXIMUM AXIAL DISTANCE FOR 125'SPRAY ANGLE IN METRES IN METRES FIXED ORIFICE SIZE FIXED ORIFICE SIZE ANGLE 16 . . 18 21 24 28 32 34 ANGLE 16 18 21 24 2 87 32 34 0' 3.2 3.8 4.0 4.0 4.4 4.6 4.7 0' 1.4 1.5 2.0 2.4 3.0 3.1 3.2 30' 2.6 3.3 3.3 3.6 3.8 . 4.1 4.2 30' 1.1 1.1 1.9 2.1 2.6 2.6 2.7 45' 2.2 3.0 3.0 3.4 3.5 3.8 3.9 45' 0.9 1.1 1.8 1.8 2.4 2.3 2.5 60' 2.0 2.8 2.9 3.3 3.4 3.6 3.8 60' 0.8 0.9 1.7 1.8. 2.2 2.2 2.4 90' 1.8 2.6 2.7 3.1 3.2 3.3 3.5 90', 0.6 0.8 1.4 1.5 1.8 1.6 2.0 120 1.8 2.3 2.3 2.3 2.5 2.7 0.9 120' 6.5 0.7 1.0. 1.0. 1.1 1.1 1.4 135* 1.7 1.8 1.9 2.0 2.1 2.4 2.6 135' 0.5 0.5 0.8 0.8 1.0 1.0 1.1 150' 1.6 1.7 1.7 1.9 1.9 2.2 2.3 150' 0.5 0.5 0.6 0.7 0.8 0.8. 1.1 . 180' 1.5 1.5 1.5 1.7 1.8 2.0 2.1 180' 0.4 0.4 0.5 0.6 0.7 0.8 1.0 MAXIMUM AXIAL DISTANCE FOR 80'SPRAY ANGLE MAXIMUM AXIAL DISTANCE FOR 140'SPRAY ANGLE IN METRES. IN METRES FIXED ORIFICE SIZE FIXED ORIFICE SIZE ANGLE 16 18 21 24 28 32 34 ANGLE 16 18 21 24 28 32 34 0' 2.7 3.2 3.4 1 3.7 4.0 4.3 4.3 0' 1.2 1.4 1.8 2.6 2.4 2.4 2.4 .30* 2.2 2.6 2.7. 3.2 3.5 3.7 3.7 30' . 1:0 1.1 1.7 1.7 1.9 2.1 2.1 45' .. 1.9 2.3 2.4 3.1 3.2 3.4 3.4 45' 0.8 0.8 1.5 1.5 1.7. 2.0 2.0 60' 1.7 2.1 Z3 3.0 3.1 3.3 3.3 60' 0.7 0.8 1.4 1.4 1.6 1.7 1.6 90' 1.5 1.8. 2.1 2..8 2.0 3.0 3.0 90' 0:5 0.7 1.2 1.2Lo. 1.4 . 1.5 120' 1.4 1.4 1.8 . 2.0 2.2 2.1 2.4 120' 0.5 0.5 0.7 0.8 0.9 1.1. 135' 1.3 1.4 1.$ 1.7 1.8 1.9. 2.1 135' 0.4 0.5 0.5 0.5 0.8 0.8 150' 1.2 1.2. 1.4 1.5 1.7 1.7 1.8 150' 0.4 0.4 0.5 0.5 0.7 0.8 180'.. 1.1 1.1 1.2 1.4 1.4 1.6 .1.7 180' 0.3. 0 3 0.4 0.4 0.6 .0.7 MAXIMUM AXIAL DISTANCE FOR 95'SPRAY ANGLE MAXIMUM AXIAL DISTANCE FOR 160'SPRAY ANGLE IN METRES IN METRES FIXED ORIFICE SIZE FIXED. ORIFICE SIZE ANGLE i 6 18 21 24 28 32 34 ANGLE 16 18 21 24 28 32 34 0' 2.1 2.4 2.9 3.2 3.4 3.7. 3.8 0' 1.1 1.1 1.4 1.5 1.8 2.1 2.1 30' 1.8 2.0 2.4 3.0 3.2 3.3 3.4 30' 0.8 0.9 1.3 1.4 1.5 1,8 1.9 45' 1.6 1.9 2.1 2.9 3.0 3.1 3.1 45' 0.7 0.8 1.1 1:2 1.4 .1.6 1.7 60' 1.4 1.8 2.1 .2.6 2.9 3.0 11) 60'.: 0.5 0.7 1.1 1.1 1.3. 1.4 1.6 90' 1.2 .1.5 2 00 2.5 2.6 .2.7 2.7 90' 0.4 0.5 0.9 /.0 1.1 1.1 1.3 ., 120' 1.1 1.1 1.5 1.6 1.9 1.8 2.0 120' :_ 0.3 0.4.. 0.5 0.6 0.6 0.7 0.8 1.0 1.1. 1.2 1.4 1.6 1.6 1.7 135' 0.3 0.3 0.4 0.4 0.5 0.5. .0:6 150' 0.9 0.9 1.1. 1.2 1.4 1.4. 1.4 .150' 0.2 0.2 0.3 0.3 0.5 0.5 0.5 1 80'. 1 6.9 0-91 1.1 1.1 1.2 1.3 1.14 180' 0.2 0.2 0.2 0.2 0.4 0.5. 0.5 MAXIMUM AXIAL DISTANCE FOR 110'SPRAY ANGLE MAXIMUM AXIAL DISTANCE FOR 180'SPRAY ANGLE IN METRES IN METRES FIXED ORIFICE SIZE FIXED ORIFICE SIZE ANGLE 16 18 .21 24 28. 32 34. ANGLE 16 18 21 24 28 32 34 0' 1.8 2.1, 1 2.7 2.9 3.4 3.4 3.5 0', 0.8. 0.9 1.1 1.1 . 1.2 1.8 1.8 30' 1.6 1.9 2.2 2.7. 2.9 3.0 3.6 30' 0.7. 0.7 1.1 1.1 1.1 1.5 1.5 45' 1.4 1.8 2.0 2.6 2.7 2.7 2.8 45' 0.5 0.6 1.0 1.0 1.1, 1.3 1.3 60' 1.3. 1.7 1.9 2.5 2.6 2.6 2.7 60' 0.5 0.5 0.8 0.8 1.0 1.1. 1.1 00' 1.1 1.4 1.8 2.3 23 2.3 2.4 90' 0.3 0.5 0.6 0.6 0.8 0.9 . 0.9 120' 0.8 1.0 1.4 1.4 1.7 1.7 1.7 120' . . 0.2 0.3 . 0.3 0.3 0.5 0.5 0.5 135' 0.8 0.8 1.1 ., 1.1 1.4 1.4 . 1.4 135' 0.2. 0.2 0.2 0.2 0.4 0.4 0.4 150' 0.7 0.8 0.9 1.0 1.1 1.1 1.3 150'. 0.2 0.2 0.2 0.2 0.3 0.3 0.3 186' 0.7 0.7 0.8 77T0.9 1.0 1.1 1.1 180' 02-1 0.2 0.2 0.2 0.2 02 0.2 TABLE D MAXIMUM AXIAL DISTANCE BETWEEN NOZZLE TIP AND PLANE-OF-PROTECTION FOR EXPOSURE PROTECTION -METRES- -4- .l rsilliiliiiiiilil,iliiiiiiiiil C//� /liillll/liillil/ililion Manimull//I/��/ll/ill/- //iiaiiialll/ra//lli /l///ll�illl/an 111//liiI� 11 al rmil�/ari/iiiil/lillilillll/il/ li it al r1e\i /il/ii i'Iiiiiiiiiiirliiliiiiiiii/Il ii it reli mil Iilii i 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Route ill Windham N.H. USA 03087 naier supply uurve (C:) FIRE EQUIPMENT INC Page 1 COAL CRUSHER BUILDING-DOMINION SALEM HARBOR Date City Water Supply: Demand: . C1 -Static Pressure 85 D1 -Elevation 24.145 C2- Residual Pressure: 61 D2-System Flow 266.009 C2-Residual Flow 1061 D2-System Pressure 66.394 Hose(Adj City) Hose( Demand) 250 D3-System Demand 516.009 Safety Margin 12.281 150 140 130 p 120 R 110 E10 0 S 90 S 80 U 70 C2 R 60 D3 . E 50 40 30 20 10 200 400 600 800 1000 1200 1400 1600 1800 - FLOW( N^ 1:85 ) . Computer Programs by Hydratec Inc. Route 111 Windham N.H. USA 03087 rlmngs usea summary FIRE EQUIPMENT INC Page 2 COAL CRUSHER BUILDING-DOMINION SALEM HARBOR Date Fitting Legend Abbrev. Name '/2 % 1 1%. 1'/ 2 2'/ 3 3'/. 4 .5 6 8 10 12 14 16 18 20 24 A Generic Alarm Valve 0 0 0 0 0 0 7.7 21.5 0 . 17 .17 27 29 0 0 0 0 0 0 0 E 90'Standard Elbow 2 2 2. 3 4 5 6 7 8 10 12 14 18 22 27 35 40 45 50 61 G Generic Gate Valve 0 0 .0 0 0 1 1 1 1 2 2 3 4 5 6 7 8 10 11 13 T 90'Flow thru Tee 3 4 5 6 8 10 12 15 17 20 25 30 35 50 60 71 81 91 101 121 Computer Programs by Hydratec Inc. Route 111 Windham N.H. USA 03087 f Nressure/ Flow Summary- STANDARD FIRE EQUIPMENT INC Page 3 COAL CRUSHER BUILDING-DOMINION SALEM HARBOR Date Node Elevation K-Fact Pt Pn Flow Density Area Press No. Actual Actual Reg. 1 55.75 5.6 24.12 na 27.5 0.25 110 20.0 3 55.75 5.6 25.64 na. 28.35 0.25 110 . 20.0 2 55.75 27.12 na 5 47.0 5.6 29.97 na 30.66 0.25 110 26.0 7 47.0 5.6 30.25 na 30.8 0.25 110 20.0 6 47.0 31.41 na 4 47.0 32.32 na 9 32.75 5.6 38.79 na 34.88 0.25 110 20.0. 10 32.75 43.34 na 12 32.75 5.6 40.79 na 11 32.75 43.65 na 35.76 0.25 110 20.0 8. 29.0 13 17.0 46.05 na 55 .4 na 14 17.0 : 5.6 47.52 na 38.61 0.25 110 20.0. 16 17.0 5.6 49.63. na 39.45 0.25 110 20.0 15 0.0 59.28 na 17. 0.0 63.29 na BR 0.0 65.5 na 250.0 SR1 0.0 66.09 na SOUR 0.0 66.39 na The maximum velocity is 17.97 and it occurs in the pipe.between nodes 8 and 13 Computer Programs by Hydratec Inc. Route 111 Windham N.H. USA 03087 Final Calculations - Hazen-Williams 'FIRE EQUIPMENT INC Page 4 COAL CRUSHER BUILDING-DOMINION SALEM HARBOR Date Hyd. Qa Dia. Fitting Pipe Pt Pt Ref. "C" or Ftng's 'Pe: Pv ******* Notes ****** Point Qt Pf/Ft Eqv. Ln. Total Pf Pn 1 27.50 1.049 0.0 12.830 24.115 K Factor=5.60 to 120 0.0 0.0 0.0 2 . .27.5 0.2345 0.0 12.830 3.009 Vel= 10.21 0.0 27.50 27.124 K Factor= 5.28 3 28.35 1.049 0.0 6.000 25.635 K Factor= 5.60 to 120 0.0 0.0 0.0 2 , 28.35 0.2482 0.0. 6.000 1.489 Vel= 10.52 2 27.50 2.067 2E 10.0 24.000 27.124 to 120 1 T 10.0 20.000 3.790 4 55.85 0.0320 0.0 44.000 1.408 Vel= 5.34 0.0 55.85 32.322 . K Factor= 9.82 5 30.66 1.049 0.0 5.000 29.971 K Factor= 5.60 to 120 0.0 0.0 0.0 6 30.66 0.2868 0.0 5.000 1.434 Vel= 11 M 0.0 30.66 31.405 K Factor= 5.47 7 30.80 1.049 0.0 4.000 30.248 K Factor=5.60 to 120 0.0 0.0 0.0 6 30.8 0.2892 0.0 4.000 1.157 Vel 11.43 6 30.66 2.067 1 T 10.0 9.000 31.405 to 120 1 E 5.0 15.000 0.0 4 61.46 0.0382 . 0.0 24.000 0.917 Vel= 5.88 4 55.85 2.067. 3E 15.0 22.000 32.322 to 120 1 T 10.0 25.000 7.796 .8 . 117.31 0.1262 0.0 47.000 5.933 Vel= 11.22 0.0 117.31 46.051 K Factor= 17.29 9 34.88 1.049 0.0 12.500 38.790 K Factor= 5.60 to 120. 0.0. 0.0 0.0 10 34.88 0.3641. 0.0 12.500 4.551 Vel= 12.95 10 0.0 2.067 1 E 5.0 8.000 43.341 to 120 1 T 10.0 15.000 0.0 ..11 34.88 0.0134 0.0 23.000 0.308 Vel= 3.33 0.0 34.88 43.649 K Factor= 5.28 12 35.76 1.049 0.0 7.500 40.788 K Factor= 5.60 to 120 0.0 0.0 0.0 11 35.76 0.3815 0.0 7.500 2.861 Vel = 13.28 11 34.88 2.067 1 T 10.0 5.750 43.649 to 120 0.0 10.000 1.624 8 70.64 0.0494 0.0 15.750 0.778 Vel 6.75 8 117.31 2.067 1 T 10.0 3.750 46.051 to 120 0.0 10.000 5.197 13 187.95 0.3020 0.0 13.750 4.152 Vel= 17.97 13 0.0 3.068 0.0 12.000 55.400 to 120 0.0 0.0 7.363 17 187.95 0.0441 0.0 12.000 0.529 Vel = 8.16 Computer Programs by Hydratec Inc. Route 111 Windham N.H. USA 03087 Final Calculations Standard • . FIRE EQUIPMENT INC Page 5 COAL CRUSHER BUILDING-DOMINION SALEM HARBOR Date Hyd. Qa Dia. Fitting Pipe Pt Pt Ref. „C�� or Ftng's Pe Pv ***** * Notes *.*,. Point Qt Pf/Ft Eqv. Ln. Total Pf Pn 0.0 187.95 63.292 K Factor= 23.62 14 38.61 1.049 1 E 2.0 8.000 47.524 K Factor= 5.60 to 120 0.0 2.000 7.363 15 38.61 0.4393 0.0. 10.000 .4.393. Vel= 14.33 0.0 38.61 59.280 K.Factor= 5.01 16 39.45 1.049 0.0 5.600 49.631 K Factor= 5.60 to 120 . 0.0 0.0 7.363 15 39.45 0.4572 0.0 5.000. 2.286 Vel= 14.64 . 15 . 38.61 1.61 IT 8.0 8.000 59.280 to 120 1 E 4.0 12.000 0.0 17 78.06 0.2006. 0.0 20.000 4.012 Vel= 12.30 0.0 78.06 63.292 K Factor= , 9.81 17 . 266.01 4.026 4E . 40.0 20.000 63.292 to 120 IT 20.0 79.000 0.0 BR 266.01 0.0223 10 2.0 99.000 2.211 Vel= 6.70 1A 11.0 BR 250.00. 6.065 1 E 14.0 40.000 65.503. Qa=250 to 120 1 G 3.0 17.000 `. 0.0 SR1 516.01 0.0104 0.0 ..57.000 . 0.590 . Vel= 5.73 SR1 0.0 7.981 1T 35.0 40.000 66.093 to 120 2E 36.0 71.000 0.0 SOUR 516.01 0.0027 0.0 111.000 0.301 Vel= 3.31 0.0 516.01 66.394 K Factor= 63.33 Computer Programs by Hydratec Inc. Route 111 Windham N.H. USA 03081 1 FIRE EQUIPMENT INCORPORATED Salem Fire Prevention Salem, Ma 01970 88 Hicks Avenue Attention: Inspector Medford,MA Subject: Bradford Breaker House, Dominion Salem Harbor, 24 Fort Ave, Salem Mass 01970. 02155-6319 Dear Inspector, Tel: (781) 391-8050 The following is a narrative in accordance with the 6ih edition of the Fax: (781) 391-8835 Massachusetts State Building Code, Section 903: Email:sales@firefire.com la) We have designed a Water Spray Deluge System for the coal handling Web:www.firefire.com equipment in the Bradford Breakers House (Coal Crusher Building). The system is design in accordance with NFPA 13, 15 &25 and the State and local codes. lb) Should a fire start, the following will occur:' 1) The heat detectors on the pneumatic detection line will trip. 2) The Water Spray Deluge system will activate. 3) An alarm will be sent to the plant building fire alarm system. 1 c) The system will be tested in accordance with NFPA 13, 15 and NFPA 25. 2)The building is located on 24 Fort Ave in Salem Mass. Access to the plant site is through the main gate. The building is surrounded on all side by pavement and has 2 entrances on the ground floor. 3) Location of fire hydrants tested and the water supply information can be seen on drawing 0207006-2. 4)The system is a Water Spray Deluge System. The system consists of 2 spray nozzles on the 17ft, 32ft, 47, and 55 ft elevations for a total of 8 sprinkler heads. 5) The sprinkler system main is located at the ground floor and to the left as you enter the building. 6) A standpipe;system is N/A to us. 7) A standpipe system is N/A to us. NEW ENGLAND'S LEADER IN LIFE SAFETY TECHNOLOGY. SERVICE AND TRAINING FIRE EQUIPMENT N C O R P O R A T E D 8)Two- 2 1/2" siamese connections are located on the outside wall near the main entrance. 88 Hicks Avenue 9)The fire protection signaling system is N/A to us. Medford,MA 10) The Fire Protective signaling system control equipment and remote annunciators is N/A to us. 02155-6319 11) The smoke control or exhaust system(s) is N/A tows. Tel: (781) 391-8050 12) The smoke control or exhaust systems(s) control equipment locations Fax: (781) 391-8835 is N/A to us. Email:sales@firefire.com 13) The building life safety system features that are required to be Web:www.firefire.com integrated as part of the fire protective signaling systems is N/A to us. 14) The type/description of the fire extinguishing systems is N/A to us. 15) The control equipment for the fire extinguishing equipment is N/A to US. 16) The fire protection system(s) equipment room locations is N/A to us. 17) The fire protection system(s) equipment identification and operations signs is N/A to us. 18) The fire protection systems(s) alarm/supervisory signal transmission method and location is.N/A to us. I hope the information contained in this narrative and the engineered drawings supplied provide you with a complete picture of the system. Should you have any questions please feel free to contact me at your convenience at 781-391-8050 x321. Respectively; Joel Corneliusen P.E. Fire Protection Engineer. Fire Equipment Inc 2z 88 Hicks Ave Medford, Mass 02155 NEW ENGLAND'S LEADER IN LIFE SAFETY TECHNOLOGY. SERVICE AND T.RAINING OF ` IT 1 SALEM ree uue s5u.uu Z Rec'dby: 3 2 ✓v 3 t FIRE DEPARTMENT-FIRE PREVENTION BUREAU 29 Fort Avenue Ck.# lie. 3 Salem, Massachusetts 01970-5232 3,22- 0 7 (978) 745-7777 (Date) APPLICATION FOR APPROVAL OF PLANS: To: HEAD OF FIRE DEPARTMENT Form #81E: Sprinkler and/or Standpipe System In accordance with the provisions of the Massachusetts State Building Code and the Salem Fire Code, application is hereby made for approval of plans for the installation of Fire ^Protection .devices. A/ LOCATION: C5 *4L&�'Vl 1/./'Q/6dfr` PdW t"" cST A-1 I b 2 AT v , S'�'t,Ewl �,� - 7� 7q 6 OWNER OR OCCUPANT: ,D6VY11"I b- J c�Ci26y N e46Ug�vt�r ,. # INSTALLER: 4 l4 t�tJt P �� �'N �- License#SC 1Io t'? INSTALLER'S ADDRESS: 915 tYt XS: AV VYI R�� �'/ ��e#s �7f�������`� Plans are approved solely for identification of type and location of devices. Installation subject to final inspection and filing of Certificate of Completion. Date approved: A7 j Z nelure of eW Date of expiration: Ck,S A chy Z'p Do not write below this tine a Ilk, OF SALEM t Rec'd by: 3.. 22 v 3 FIRE DEPARTMENT-FIRE PREVENTION BUREAU 29 Fort Avenue Ck.# lt 3 Salem, Massachusetts 01970-5232 3• 2-2- O'7 (978) 745-7777 (Date) F,. APPLICATION FOR APPROVAL.OF PLANS: To: HEAD OF FIRE DEPARTMENT Form #81E: Sprinkler and/or Standpipe System In accordance with the provisions of the Massachusetts State Building Code and the Salem Fire Code, application is hereby made for approval of plans for the' ` installation of Fire Protection devices. LOCATION: M1 A!D/V (S A LC�'V 1 c/ �rV�C Pd w t fp cS I Ar 1 1 b A/ 2 -4T v , S A-UaW a vv�. OWNER OR OCCUPANT: ,Z�L)M t Nl 1)•t.1 c:IZ6�/ N � �- �r q. # ? V a '820 a INSTALLER:f" !Q -t4?UiP 1,y)4C"T,? Z' G License#SC !loll I NSTALLER'S ADDRESS: 915 N 1 G�q�-S AVE- bF rlb� m1� 0Z�0S 7 3? P6L Plans are approved solely for identification of type and location of devices. Installation subject to final inspection and filing of Certificate of Completion. Date approved: 3 Z - ndure or gad Date of expiration: . Cky / / Qd/ Stela IW 0��r Do not write below this line CITY OF SALEM ��..� FIRE DEPARTMENT-FIRE PREVENTION BUREAU :> 29 Fort Avenue Salem, Massachusetts 01970-5232 °oQ4 (978) 745-7777 PERMIT TO INSTALL: Date Sprinkler and/or Standpipe System l J / Owner's:Name: 17l)1M 1 1C)1�J C�0 �'t(/ �W L�1-4A6 -7W C Installer's Name: ��E _L`'lr Ul40m t� Permit is hereby granted based on approved plans, to install the system designated above. All plans are approved solely for identification of type and location of fire protection devices. All plans are subject to approval of any other authority having jurisdiction and issuance of a permit by said authority. Upon completion, the Installer shall request a test And filea Cert"Ificate of Completion or Inspection. a2)949 "� BF &k 1*4) 4— t Location:'���IAXd�-5�4 � 14�k Adwtl2 ST�td,cJd�.l (Gtre locallon by street and no.,or describe In such manner as to provide edeq}�ala iderd bh ton) NOTICE: CONTRACTOR TO REQUEST FINAL INSPECTION. d/ (Sig r 9renling permA) r This Permit will expire 0 T ("'el (T IS PERM11T MUST BE CONSPICUOUSLY POSTED UPON THE PREMISES.) Form MBtE(Rev.9Ar) TOTAL HRS. �nl NORTHAMERICAN REPORT OF EXPLOSIVE OPERATIONS BINARY GE TOTAL wJ INDUSTRIAL SERVICES Page / of/Pages NON CAPS NON EL CAPS :U� � f \ DET CORD cIox�' Customer ;—)m;A, -✓ ,/ t C, feM 1 P.O. # Date 5-IY-07 Address r)y Weather r Job Number Z/2/-- L37`7- Type Init. �'�� ctL�r C Temp Z Wind Speed .!�- Dir Gt:/ Job Description: Location 0/1 r f Type Material Blasted S g Name of Blaster ✓ L\hLA g,n License EXPLOSIVE MATERIALS: MATERIALS USED: Binary (OUT)_ (IN) Ac (USED) Alum Poleso i Det Cord (OUT) 000 (IN) (USED) �1 Broomsticks / Elec Caps (OUT) 02 (IN) (USED) 3 Duct Tape Non El Caps (OUT) '7y (IN) !;'41 (USED) �2 Elec Tape IN OUT Tyvek Blasting Crew: Supv. 1 Hepa Filters Mbr. al e���� / Shotgun Shells / ,� �•�/C Filter Bags STANBY PLANT STANDBY MOTEL Shot# Time Oty HE/Lot# #Caps/Lot# Location &Description of Shot / � a' l/'3 0,!E o� 0 r l J,+AJ- I Ir a C t f !! r / �A/ 0/ All/0 / / W-/ o Signed by NAIS Accepted by Client i