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21 E Archive Box (009) DDavidW Cody Chief 978-744-6990 dcody@salem.com City of Salem, Massachusetts Fire Department 48 Lafayette Street Salem, Massachusetts 01970-3695 TeL 978-744-1235 fax 978-745-4646 The Salem Fire Department has received your letter of inquiry for information concerning the possibility of flammable liquid storage or releases on the property described below. Your Request for Informationvon-61 Dearborn Street 21—E fire Prevention Bureau 978-745-7777 You should understand that the Salem Fire Department is but one of several departments within the City of Salem to which information can be obtained concerning flammable liquid storage, releases, or hazardous wastes. It is quite probable that this department would have no knowledge of the presence of hazardous wastes on any particular site since this department does not do independent hazardous waste investigations. To assist you in conducting your environmental assessment of the site, we are able to inform you as indicated by the report attached and/or enclosures. As stated above, the records of the Salem- Fire Department do not permit you to rely upon the information contained in this letter as being either definitive or complete. The information in this letter is provided to you as a courtesy in conducting your investigation, and is provided on the express condition that no liability shall attach or be asserted against the City of Salem, the Salem Fire Department, nor- it'semployees or members in connection with providing this information to you, or in the event of any inaccuracy or omission thereof. - This letter shall not be quoted in whole or in part in any hazardous waste report prepared by you, nor cited as evidence of the presence or absence of any hazardous wastes or releases on this site. • Signed, Lt. Erin Griff Fire Marshal 'FORM F.P. 292 (rev. 9/90) CAT ;;• MTg AND cJ17.e Tonottomortiltil i aul€triptwwttt Department of Public Safety Division •f Fire * revention and Regulation T, FOR REMOVAL AND T =,;?. F SPORTATOO- s TO APPROVED TANK YARD FDID# Q / z-1~0 . 24,41, City, Town or District Fee Paid:$ 25.0o C7G/ Permit # 7 (74 Date 2,,?/i9i3 C.82 S.40 M.C.L. DIG SAFE NUMBER dt/ start date In accordance with the provisions of Chapter 148, Sec. 38A, M.G.L., a 527 CMR 9.00 application is hereby made by: .-/�'- / / ?'E MS Street Address & City or Town: /i alOhyq /11/(V r i Signature of applicant: /Gf 4ivw ?j, PZfl�i Applicants name printed: d/1e(,111/7ctc / /- GwlvFA`Lf" For permission to remove and transport one a •ve• ound storage tank from. - .d.:+ n Street Address: 6/ D5454 /Oijf t Firm transporting waste: W L1 (P UL4(UI AZState !Lic. # Hazardous waste manifest Type of inert gas: r E. P.A. # Approved tank yard: / 11d26% 6//e : / 6ef/ 0( e t -9S'C # > > / g 9 Tank yard Address: 1�vf? &zr� of? (Sf". v 1 /b `l`- 711 UL tank #: �r Tank capacity: �i //t,yi Substanc last stored: Date of issue: . i9 19 13 Date of e'._ ration: Signature/Title of Officer granting permit: KEEP ORIGINAL AS APPLICATION AND ISSUE DUPLICATE AS PERMIT 1.6 Form 90V (9/90) (-' Tank DIMENSIONS Wi'ith Length 6):7 Tank 2 ----- X Tank 3 X Tank 4 X Tank 5 X (feet) (feet) 0 Tank Removtl From (no. str , (city or town) Fire Department Permit # (if applicable) Davit! IV Cody Chief 978-744-6990 dcody@salem. cam City o Salem, Massachusetts fire Department 48 Lafayette Street Salem, Massachusetts 01970-3695 Tel. 978-744-1235 fax 978-745-4646 Fire Prevention Bureau 978-745-7777 The Salem Fire Department has received your letter of inquiry for information concerning the possibility of flammable liquid storage or releases on the property described below. Your request for a 21-E site report for the address known as 110 Derby Street. A search of out our files showed no information regarding any UST's oattbhat address. You should understand that the Salem Fire Department is but one of several departments within the City of Salem to which information can be obtained concerning flammable liquid storage, releases, or hazardous wastes. It is quite probable that this department would have no knowledge of the presence of hazardous wastes on any particular site since this department does not do independent hai- rdous waste investigations. To assist you in conducting your environmental assessment of the site, we are able to inform you as indicated by the report attached and/or enclosures. As stated above, the records of the Salem Fire Department do not permit you to rely upon the information contained in this Letter as being either definitive or complete. The information in this letter is provided to you as a courtesy in conducting your investigation, and is provided on the express condition that no liability shall attach or be asserted against the City of Salem, the Salem Fire Department, nor it's employees or members in connection with providing this information to you, or in the event of any inaccuracy or omission thereof. This letter shall not be quoted in whole or in part in any report prepared by you, nor cited as evidence of the prese of any hazardous wastes or releases . on this site. Signed, r ous waste r absence Lt. Erin Griffin Fire Marshal February 6, 2012 David W Cody Chief 978- 744-6990 dcody(asa(,em.com City of Salem, Massachusetts Fire pepartment 48 Lafayette Street Satem, Massachusetts 01970-3695 Ter. 978-744-1235 Fax 978-745-4646 Tire Prevention Bu rea u 978-745-7777 The Salem Fire Department has received your letter of inquiry for information concerning the possibility of flammable liquid storage or releases on the property described below. Your 21—E site request for the property known as 91-95 Derby Street. A search of our records found no evidence of UST's or releases on that site. You should understand that the Salem Fire Department is but one of several departments within the City of Salem to which information can be obtained concerning flammable liquid storage, releases, or hazardous wastes. It is quite probable that this department would have no knowledge of the presence of hazardous wastes on any particular site since this department does not do independent hazardous waste investigations. To assist you in conducting your environmental assessment of the site, we are able to inform you as indir-'tPd by the report attached and/or enclosures. As stated above, the records of the Salem Fire Department .do not permit you to rely upon the information contained in this letter as being either definitive or complete. The information in this letter is provided to you as a courtesy in conducting your investigation, and is provided on the express condition that no liability shall attach or be asserted against the City of Salem, the Salem Fire Department, nor it'semployees or members in connection with providing this inform.attion to you, or in the event of any inaccuracy or omission thereof. This letter shall not be quoted in whole or in part in any hazardous waste report prepared by you, nor cited as evidence of the presence or absence of any hazardous wastes or releases on this site. Signed, [ �! lEr <K'Crf'fi; Lt. Erin Griff.n Fire Marshal July 25, 2011 Form 24 Dote 12-13.-82 Name V .7tnT. Location 9: Derby St Nome of Burner 3eckett Gals. St ..red 275 Locator of Tank Dasernen_t Installed by Paul J Lyons R .Dansrea'u Inspected by wer Burners N.,. of Tanks M,.:ss. Approv©I No. Kind of Heat Kind of oil C.ofC.= Date Approved 1 969 F .H .TA . #2 016038 12-13-82 to/fivinonwea,ttr& �TiUGeitxxeetA.ivui.4- vv" "Ue/ia446ne u c/Q%e CJe/wuicei — ✓3oax z ,tt xe 7)4eyvent4,o4t APPLICATION and '' ERM T Fee: S25.O0 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, application is hereby made by: 'Tank: Tank Owner Name (please print) 1 - >\ Address ! �1 U e.•(f„CA \ jStreet Rernova[ Con; Company Name ///��t +� t ` l 'r�` `v'/4 Priionr LJ Address /-b • Prier Signature (if applying for permit) /Y_ 0 IFCI Certified Other Tank Location s \J Steer Address Tank Capacity (gallons) Tank Dimensions (diameter x length) Remarks: Isposar girth at[am Firm transporting waste /./ rY t 7'<-,/ Hazardous waste manifest# / '70() 5 7 Approved tank disposal yard if f v, ry .e Type of inert gas Tank yard address ppovals; City or Town Date of issue J1Z)1141� Dig safe approval number: Signature / Title of Officer granting permit . X A (..r ✓�i City Signature tit apnrng tor permal min on; e Co. or Individual Address Signature (if applying for permit) Pnnr Print State = IFCI Certified = LSP # Other City Substance Last Stored State Lic. # /%_z/0/4.„ E.P.A. # i 2 <% 0000 / -iq Tank yard # FDID# E"yZJ 0 Permit# ✓, i'v /'✓ sz Date of expiration SA`tf %, Dig Safe Toil Free Tel. Number - 800-322-4844 (At& 74 ,6- Zia After removal(s) send copy of this Application and Permit along with updated Form FP-290 (FP 290R if all USTs are removed) with copies of tank disposal yard receipts (FP-291). Send to UST Regulatory Compliance Unit, On'b Ashburton Place, Room 1310, Bosto MA 02108-1618. ' FP•292 (revised 9/96) Fotul .490V (12/96) TANK DATA Gallons 7-57 Previous Contents Z 0 9 i--, TANK REMOVED FROM J hII/11 (No. and Street) A \Pig - Diameter Length (City or Town) Date Received Serial # (if available) Tank I.D. # (Form FP-290) Owner/Operator to mail revised copy of Notification Form (FP290, or F'P290R) to : UST Compliance, Office of the State Fire Marshal, P.O. Box 1025 State Road, Stow, MA 01775. Fire Department Permit # • 527 CMR: BOARD OF FIRE PREVENTION REGULATIONS Co. Name: l l A,. ;,i \�(Avj Address: /()), 6 -PA lorrr 4.03: continued The Commonwealth of Massachusetts Department of TU6Cu Safety 527 CMR 4.00 - Form 1 Application for Permit, Permit, and Certificate of completion for the Installation or Alteration of Fuel Oil Burning Equipment and the Storage of Fuel Oil Permit m s: 9 Elec. (City or Town) (Date) FDID#: ' 7'z,7L ' . Fee Paid: r - 11 � Owner/Occupant Name: E 1. /'' 1 Al Tel #: Installation Address: 7 ,'De\OP) Li S J Serviced Floor or Unit #: % !,r/() lil Heating Unit 0 Domestic Water Heater , 0 Power Vent 0 Other Burner. 0 New M.Existing Location: / iV S i DE: L` iA (> , 1 Sir ii✓ C- Trade Name: Mfg: • Type: S t P. Model # or Size: . Fuel Oil 0 Kerosene 0 Waste oil Storage Tank: ) New 0 Existing Location: L 7 Nozzle Size: /0 () Type: t -e `F- Capacity: gals. No. of Tanks: /7 //✓ r_ Special requirements (or additional safety devices) ❑OSV Valve pOi1 line protected ❑Sheet Rock ❑Sprinkler AFUE: Oyes Ono EF: Oyes Ono (Furnace and boilers) (Water heater) Te1# 7`7`1 "/41 S 5 City: . 60 vY, Completion Date: Combustion Test: Gross Stack Temp.: Net Stack Temp.: CO2 Test: Breech Draft: Smoke: Overfire Draft: Efficiency rating %: Zip: O!I 70 I. the undersigned certify that the installation of fact burning equipment has been made in accordance with M.G.L. c. 148 and 527 CMR 4.00 currently is effect Furthermore, this installation has been tested in accordance with such requirements. is now in proper operating condition and complete instructions as to its use and maintenance have been furnished to the person for whom the installation (or ration was made. 6 Got .� Installer: Tip A/'e cf / PrintJmne Cert of C, 4tre (no1mnp) Address: `- (c, (•tn)-'-. (-)(/i Once signed by t}seyfire depnt, this is a PERMIT for the storage and use of oil burning equipment. Approved b FORM 23 12/15/95 City: Date: application. Issue duplicate as permit. This forra may be photocopied.. 527 CMR - 45 Robert W. Turner Chief Iag IIf o SaIem, z1ar!iusefts jirr ntpartment'eahquartrra 48 3Ezthrgefir 5.trrei Salem, cirlia. 01g70 The Salem Fire Department has received your letter of inquiry for information concerning the possibility of flammable liquid storage or releases on the property described below. 300 Derby Street You should understand that the Salem Fire Department is but one of several departments within the City of Salem to which information can be obtained concerning flammable liquid storage, releases, or hazardous wastes. It is quite probable that this department would have no knowledge of the presence of hazardous wastes on any particular site since this department does not do independent hazardous waste investigations. To assist you in conducting your environmental assessment of the site, we are able to inform you as indicated by the report attached and/or enclosures. As stated above, the records of the Salem Fire Department .do not permit you to rely upon the information contained in this letter as being either definitive or complete. The information in this letter is provided to you as a courtesy in conducting your investigation, and is provided on the express condition that no liability shall attach or be asserted against the City of Salem, the Salem Fire Department, nor- it's employees or members in connection with providing this information to you, or in the event of any inaccuracy or omission thereof. This letter shall not be quoted in whole or in part in any hazardous waste report prepared by you, nor cited as evidence of the presence or absence of any hazardous wastes or releases on this site. Signed, Capt. William R. Hudson Fire Marshal c_RoLlt gu212e2 Ci [ 508-744-6990 dity of SafEm, azz E/azfrrzEn.f 48 ..Lafayette SStleet Salem, �vlassaefiusetts 01970-3695 at 50S-744-7235 'Jax 50S-745-4646 9L2E �2EVE12t1.012 Bateau 50S-745-7777 4/19/95 Dear Sir, The Salem Fire Department has no records of any problems with hazardous materials or flammable liquids at 300 Derby Street. There are no records concerning underground storage tanks either. Sincerely yours Capt. William R. Hudson Fire Marshal a 7i/g3‘k Shawmut Bank Shawmut Bank, Hartford, CT 06115 March 30, 1995 Salem Fire Prevention Office 48 Lafayette Street Salem, MA 01970 RE: 300 Derby Street, Salem, MA To whom it may concern: Shawmut Bank is interested in obtaining information contained in the Salem Fire Prevention files pertaining to the property referenced above, for the purpose of environmental due diligence investigations (21E request). Specifically, information pertaining to the storage or release of oil and hazardous materials, permits for underground or aboveground storage tanks, observations pertaining to the removal of such tanks, spill/releases, violations of applicable fire codes/regulations, and any other information on file which involves environmental risk/problems is of interest to Shawmut. Shawmut has agreed to pay the fee charged for a "21E" request ($5.00 per address). However, if the records are extensive and the fees will exceed $5.00 for any property, please call me in advance. Shawmut may then request direct access to review the files. Records may be faxed or mailed to the address below: Shawmut Bank Environmental Department, MSN 923-20 777 Main Street, PO Box 5078 Hartford, CT 06102-5078 Fax: (203) 986-3492 If you have any questions regarding the above, or prefer.to return a verbal response, please do not hesitate to call me at (203) 986-9744. Thank you for your assistance. Michael Senyk Environmental Specialist (Eitt! of o Saiern, 4Eassarhusdis C 33Fise . r iartnce:rt 4eabquartrrs 48 l afagrftr *trrrt cSairm, ia. 01.970 Robert W. Turner Chief The Salem Fire Department has received your letter of inquiry for information concerning the possibility of flammable liquid storage or releases on the property described below. 131 & 131R Derby Street You should understand that the Salem Fire Department is but one of several departments within the City of Salem to which information can be obtained concerning flammable liquid storage, releases, or hazardous wastes. It is quite probable that this department would have no knowledge of the presence of hazardous wastes on any particular site since this department does not do independent hazardous waste investigations. To assist you in conducting your environmental assessment of the site, we are able to inform you as indicated by the report attached and/or enclosures. As stated above, the records of the Salem Fire Department .do not permit you to rely upon the information contained in this letter as being either definitive or complete. The information in this letter is provided to you as a courtesy in conducting your investigation, and is provided on the express condition that no liability shall attach or be asserted against the City of Salem, the Salem Fire Department, nor it's employees or members in connection with providing this information to you, or in the event of any inaccuracy or omission thereof. This letter shall not be quoted in whole or in part in any hazardous waste report prepared by you, nor cited as evidence of the presence or absence of any hazardous wastes or releases on this site. Signed, �,�,- �/Q� � C�" Environmental Solutions for Business October 22,-2004 Fire Prevention Department 29 Fort Avenue Salem, MA 01970 RE: Request for Underground Storage Tank Information, Spills and OHM Permits Salem, MA Fire Prevention: ENSOL, Inc. is performing an Environmental Assessment on property located in Salem, MA. In order to complete this Environmental Assessment I'm requesting information regarding the existence of any underground storage tank and releases of oil and/or hazardous materials for the below -listed address. Address 131 and 131 rear Derby Street Thank you for your time. A check for $30 is attached to this letter. Please contact me at 978- 670-0755 if you have any questions regarding this request. Sincerely, ENSOL, Inc. /% 7 I Cc4/1/c-,2--0,-,, Gail I. Harrison 1 CH) Treble Cove Road, Billerica, MA 01862 (978) .; r;-,'7 55 FAX. (978) 670-076; ' SALEM FIRE DEPARTMENT FIRE PREVENTION BUREAU Location of Complaint or Hazard Complaint_by Nature of Complaint Received by COMPLAINT FORM DATE CJeZT otiA4s e•-••21! Investigated by. DATE Address ..t..A.e..uf ,e,4•42-1_, ke061,4 /9)) Action Taken Taken ..__,q7sa.01—avt.,:e.4. ok Jet.41. / 9 R5 af.j.e.;t ez 4. (q7 Other Department Notified .1421.......--.4,1&44. e.04 LTI MEA2 e M. Form #58 • } Date: 10/25/2004 Address: No. 131 Business name: Tank data: Tank size: Product: Time: 13:53:24 Record # 693 Street DERBY STREET RESIDENTIAL LARRY LEBOEUF (in gallons) 500 (G)asoline G (D)iesel fuel (F)uel oil for heating (W)aste oil (0)ther regulated substance (U)nknown substance Tank type: (S)teel (F)iberglass Date of removal: Contractor: Additional details: S 01/05/1999 H&S TANK CLEANING memo • 12 Winter Islandlioad • Salem, Mass.• 01970 June 20, 1977 Ms. Josephine Fuse City ,Clerk Cityo Salem 93 Washington Street SaleMass. 01970 •Ms. Fusoe-s-- We •hereby declare that we will no longer aJjarge e of gasoline 31 Rear Derby Street, an wish to cancel .ense to Sincerely You s, Lawrenoe L. LeBoeuf cos Lieut. David J. Coggin SALEM FIRE DEPARTMENT FIRE PREVENTION BUREAU Location of Complaint ork4esox.d R /5/ Dien8r Y7 CIei4' Complaint_by C17)i /VAX I— t1L.E/1'A5 6' Address Nature of Complaint COMPLAINT FORM DATE ®er/ / TIME M. ciys ? FEE` (2 bye- Ic7.R L,o.rT v4-A/'• 9.� s 6TR. liJ, a PPS irb/{ Received by Investigated by rivsP /? D4,4,,s-gei lr G/ Action Taken _•fit' Other Department Notified Form d5i3 ovi DATE 19 TIME M. .. J. U FIRE PREVENTION.BUREAU .n �"' a�,�'�'`: - - � - sic,.•, �,,` FIRE INSPECTION REPORT In accordance with'the requirements of the General Laws Commonwealth of Massachusetts and.The Salem. Fire Codes wl�i 1724' 9 131' terby. hsnowski Report of Inspection: . Tnstallatio.n of new burner was . proper- and permit; was lei t: _ ':h. •fit p.'{',s; .'. _ The need of new boiler room under. seat _on �l13.0 `ofstat,e_..-)Urldin is"in violation.°lease be advised this matter will have to:tjey'correpte '�. “0,:bee t� ri'rt or ?;i. ion T !1q reno S i gr a ture Fir P r vent i. nn CC: OCCUPANT FILE 3uilri.nr Tns sector Mr ''ow.:rs Form #75 As a result of an inspection this date of the premises, structure, open land area or vehicle owned, occupied or otherwise under your 7.ontrol, the following recommendations are submitted and shall serve as a notice of viol:I.:ion of fire laws. These recommendations are made in the interest of fire prevention and to correct conditions that are or may become dangerous as a fire hazard or are in vio1attor of law. IAtUreilee LeBoeuf r larry Hopkins ,,glectrV,InspeCtor " • • L'!, 1" ft • In actor R ond:T Dansreau InspeCtor, SaleM: FirePrevention Bureau -27e) .4.70 71) - 13 a• (gap of ,alettt, cifiassactiusetts .girt lrpartmrnt Ertthquarters Tames A. 36rennan Qiliief June 16, 1977 Ms. Josephine Fusco City Clerk City of Salem' 93 Washington Street Salem, Mass. 01970 Dear Ms. Fusco: The owner of land at 131 Rear Derby Street, in Salem, Mass. has notified this office of his intention to cancel the license granted for storage of gasoline at this location. Said owner Mr. LeBouf will be forwarding your office a letter to the effect that they will no longerrequire the license. Thisoffice has tested the tank and will be issuing a permit for storage of ##1 fuel oil, Class B. product after the tank has been purged. No license required for this storage. cc: Mr. LeBouf Res ectf y submi t Lieut. David J. oggi Salem Fire Marshal 83-0, • "\- W,b1 FORM 24 Date Name Location OWERBURNERS lYnit w#,*4,4,1 q7A I,PA;;!V•:' • ": • , • Larry LeBoeuf 131 Derby St Name of Burner Gals. Stored 27 Location of Tank Installed by Inspected by FORM 24 Date Name Location FT1 o n Basement Paul Greenlaw D C .Sosnowski • • No. of Tanks 1•• -•„ Kind of Heat F .H tW Kind of Oil •#2 C. of C. # Iggit 010917 . 08/07/76 Date Approved • POWER BURNERS •Unit 27 December .164976 Mr LeBoeuf 131 Derby St Name of Burner Gals. Stored 275 Location of Tank Installed by Inspected by Basement No. of Tanks •'• 1 Mass. Approval No. •16(") Kind of Heat Steam Kind of Oil #2 Paul Crreenlaw C. of C. # 011927 D .0 .Sosnonzki Date Approved 12/14/76 w v: 1`r FORM 24 ' Date WEIR- BURNER Name Larry LeBeeuf• Location R131 Derby St Name of Burner Waltham Gals. Stored Location of Tank Installed by Paul Greenlaw 275 No. of Tanks Mass. Approval No. Kind of Heat Ins ide-inclosJind of Oil Inspected by D .0 .Sosnowski FORM 24 41 C. of C. # 010917' Date Approved .07/27/76 POWER BURNERS Date October 21,1976 Name Larry LeBoauf Location R 131 Derby St No. of Tanks 1 Name of Burner Waltham Gals. Stored 275 Mass. Approval No. 252 Kind of Heat Steam Location of Tank Enclosed. in Gar . Kind of Oil#2 Installed by Paul Greenlaw C. of C. # 010917 D .0 .Sosnowski Date Approved Inspected by• 2 10/19/76 7,7777 !t - David Cody Chief 978-744-6990 dcody@salem.com City of Salem, Massachusetts - Fire Department 48 Lafayette Street Sam, Massachusetts 01970-3695 Tel: 978-744-1235 Fax 978-745-4646 The Salem Fire Department has received your letter of • inquiry for information concerning the possibility of flammable Liquid storage or releases on theproperty described below. 7 Daniels Street There are no Records of Q,hy A ; ities� 'at this Addrese Fire Prevention Bureau 978-745-77 77 You should understand that the Salem Fire Department is but one of several departments within the City of Salem to which information can be obtained concerning flammable liquid storage, releases, or hazardous wastes. It is quite probable that this department would have no knowledge of the presence of hazardous' wastes an any particular site since this department does not do independent hazardous waste investigations. To assist you in conducting pour environmental assessment of the site, we are able to inform you as indicated by the report attached and/or enclosures. As stated above, the records of the Salem Fire Department .do not permit you to rely upon the information contained in this letter as being either definitive or complete. The information in this letter is provided to you as a courtesy in conducting your investigation, and is provided on the express condition that no liability shall attach orbe asserted against the City of Salem, the Salem Fire Department, nor it's employees or members in connection with providing this information to you, or in the event of any inaccuracy or omission thereof. This Ietter shall not be quoted in whole or in part in any hazardous waste .• report prepared by you, nor cited as evidence of the presence or absence of any hazardous wastes or :pleases on this site. Signed, Fire Inspector Pima David W. Cody Chief 978-744-6990 dcody@safem.cam City of Salem, Massachusetts Fire Department 48 Lafayette Street Salem, ` assathusctts 0197 0-3695 TeL 978-744-1235 Fax 978-745-4646 The Salem Fire Department has received your letter of inquiry for information concerning the possibility of flammable liquid storage or releases on the property described below. Fire Prevention Bureau 978-745-7777 This Office Shpws No 'Records For Underground Or Above Ground Oil Tanks for 16 Dunlap St You should understand that the Salem Fire Department is but one of several departments .within the City of Salem to which information can be obtained concerning flammable liquid storage, releases, or Hazardous wastes. It is quite probable that this department would have no knowledge of the presence of hazardous wastes on any particular site since this department does not do independent h i i-dous waste investigations. To assist you in conducting your environmental assessment of the site, we are able to inform you as indicated by the report attached and/or enclosures. As stated above, the records of the Salem Fire Department do not permit you to rely upon the information contained in this letter as being either definitive or complete. The information in this letter is provided- to you as a courtesy in conducting your investigation, and is provided on the express condition that no liability shall attach or be asserted against the City of Salem, the Salem Fire Department, nor it's, employees or members in connectionwith providing this information to you, or in the event of any inaccuracy or omission thereof. This letter shall not be quoted in whole or in part in any hazardous waste report prepared by you, nor cited as evidence of the presence or absence of any hazardous wastes or releases on this site. Signed, Lt. Erin Griffin Fire Marshal ENVIRONMENTAL CONSULTANTS Esta6fished 1986 5 Middlesex Avenue • Suite 307 Somerville, MA 02145 617-623-8880 • Fax: 617-629-2920 WWW.IESINC-ENVIRONMENTAL.COM IESINCOAOL.COM June 22, 2011 Salem Fire Prevention Office 27 Fort Avenue Salem, MA 01970 To Whom it May Concern, Direct Dial Numbers David P. Borans: (617) 776-8549 Daniel G. Jaffe: (617) 776-2715 Kerry R. Asetta: (617) 776-0578 John Beck: (617) 623-9813 David Brincheiro: (617) 776-1950 Christopher D. Buchanan: (617) 623-5168 Mary Oliveira: (617) 623-8881 Melissa Randolph: (617) 776-0829 Ligia Rivera: (617) 623-8882 Kevin W. Taylor: (860) 644-1579 Re: Environmental Site Assessment 16 Dunlap Street Salem, MA This letter is to request a freedom of information review of Fire Prevention Office records relative to the above referenced address in accordance with the provisions of the General Laws, Chapter 66, Section 10, Chapter 4S, Section 7, for the purpose of preparing a professional site assessment report in regard to M.G.L. Chapter 21E. Please provide a listing of all permits issued relative to underground and above ground storage of oil or hazardous materials for 16 Dunlap Avenue in Salem (2- Family Dwelling). As requested, enclosed is a $ 50.00 check to cover the cost of the review services. Thank you for your time and attention in this matter. If you have any questions, or need further information, please contact me at 617-776-0578 Respectfull Kerry Asea 0 Connecticut: 72 Country View Drive • South Windsor, CT 06074 • (860) 644-1579 Florida: 412 Cardiff Road • Venice, FL 34293 • (941) 493-7167 Maine: 7 Camp Road • West Newfield, ME 04095 • (207) 636-2034 �i- KIMIBERLEY DRISC;OI1. MAYOR L,\RRY RAMDIN, RS/RI:I IS, CI IO, (:1'-I S I-11'.,\1.111 AGl'.N 1 June 21, 2011 Lee -Ann Lane 16 Dunlap Street Salem, MA 01970 Re: 16 Dunlap Street Salem, MA 01970 Dear Sir or Madam: CITY OF S.ALEM, MASSACHUSETTS BOARD HL\1.;1'1-1 120 WASHINGTON SrRU'r 4'" 1;1.00R TEL (978) 741-1800 FAX (978) 745-0343 . 1ramklin u,salcm.cotn In accordance with Massachusetts General Law, Chapter 111, Sections 127A and 127 B and 105 CMR: 410.000: Chapter II, State Sanitary Code, Minimum Standards of Fitness for Human Habitation, an inspection of your residence at 16 Dunlap Street permitted by occupant Lee -Ann Lane was conducted by David Greenbaum, Senior Sanitarian and Jenifer Keough, Code Enforcement Officer for the Board of Health: Based upon determinations made by the inspectors and in accordance with 105 CMR 410.831, the Board of Health determines that the danger to the life or health of occupants is so immediate, condemnation is ordered immediately to the entire dwelling and the hearing requirements of 105 CMR 410.831B and C are waived. All occupants of the apartments are' ordered to vacate the units immediately for living purposes. If any person refuses to leave the dwelling they may be forcibly removed by the Board of Health or by local police authorities.on the request of the Board of Health. The Board of Health cites 105 CMR 410.831 (D) of the State Sanitary Code, Minimum Standards of Fitness for Human Habitation. To. Whit: • There is currently no water service to the building and no working plumbing in the building. • There are numerous bottles of human urine'throughout your apartment. • There are no working smoke detectors or carbon monoxide detectors in the building. • There is cat feces littering the kitchen floor and it appear the kitchen is being used as a litter box. ' • In addition, the second floor has been gutted creating a fire hazard for the entire dwelling. In accordance with the 105 CMR: 410.000: Chapter II, State Sanitary Code, Minimum Standards of Fitness for Human Habitation and Massachusetts General Law cited the Board of Health orders condemnation of your property. No dwelling or portion thereof, which has been condemned and placarded as unfit for human habitation, shall again be used for human habitation until written approval is secured from, and the Board of Health removes such placard.. No person shall deface or remove the placard, except the Board of Health shall remove it whenever the defect or defects upon which the condemnation and placard action was based have been eliminated. Should you be aggrieved by this Order, you have the right to request a hearing before the Board of Health. A request for such a hearing must be received in writing in this office of the Board of Health within seven (7) days of receipt of this Order. At said hearing, you will be given the opportunity to be heard and to present witness and documentary evidence as to why this Order should be modified or withdrawn. You may be represented by an attorney. Please also be informed that you have the right to inspect and obtain copies of all relevant inspection or investigation reports, orders, and other documentary information in the possession of this Board, and that any adverse party has the right to be present at the hearing. Sincerely, E_ Larry Ramdin Health Agent Cc: Mayors Office Dr. Barbara Poremba, Chair Salem Board of Health Thomas St. Pierre, Building Commissioner Salem Police Department r - Salem Fire Department Alan "Byrne, Danvers Bank North Shore Elder Services Delivered in hand David 'W. Cody chief 978-744-699D dcody@safem.com City of Salem, Massachusetts Fire Department 48 Lafayette Street Salem, Massachusetts 01970-3695 Ted 978-744-1235 Fax 978-745-4646 Tire Prevention Bureau 978-745-7777 The Salem Fire Department has received your letter of inquiry for information concerning the possibility of flammable liquid storage or releases on the property described below. Your request for a 21-E site review for the property known as f245-249 and/or 275 Derlin Street. i This address was the location for a Citgo gas station, UST and release information is included. You should understand that the Salem Fire Department is but one of several departments within the City of Salem to which information can be obtained concerning flammable liquid storage, releases, or hazardous wastes. It is quite probable that this department would have no knowledge of the' presence of hazardous wastes on any particular site since this department does not do independent )uur -dous waste investigations. To assist you in conducting your environmental assessment of the site, we are able to inform you as indicated by the report attached and/or enclosures. As stated above, the records of the. Salem Fire Department . do not permit you to rely upon the information contained in this letter as being either definitive or complete. The information in this letter is provided to you as a courtesy in conducting your investigation, and is provided on the express condition that no liability shall attach or be asserted against the City of Salem, the Salem Fire Department, nor it's employees or members in connection with providing this information to you, or in the event of any inaccuracy- or omission thereof. This letter shall not be quoted ' in whole or in part in any ' - - . us waste report prepared by you, nor cited as evidence of the presen o absence of any hazardous wastes or ireleases on this site. Lt. Erin G Fire Marshhl March 5, 2007 . ` • , %----•---i . ,,..„,____„_„,•An •(,. ti O (1 SlibjeCt: J\TTACT. ' STATIC', dlY)23 or pbns to c9nnt !45 !iJ.1U3Y -fal. 1'iX2, Statibliat -( • / . )/,/7/ 1/1,9/Y I,Yrif e" ' • •(11.(111Che.k.'4113' / • /3 /Jr ( /1 /PA, p/' y • / (//44e• IrefiXiii Di%ii n of 1 Prvvention I (1. Cl 111E. STATE VIRE MARSHAL, ,C) 'UTOMATPS) ATT-TIDED SELF—SRVICE GASOLif h made application.fer 011p' qttended self-service grsol4 .110.-••••••••• These plans have boon approved as being in donformance*ithithe rectiirements of FM-4, Rule 43. Upon completion.of the installe you :are requested location to 7,scer tme you rC your el iclorscrvent to make, in if To retUrn or cause to be m4de, an inspection o is in accordance with these plans. , this form to the State Fire Marshrl revlsonr1 for witholding Same. plans 0.Y: be retained for your files. • '.0: ( ignature of Inr.poef..or The copy of the seph A. OtKeef, otate Fire NarshL1 Chiefpf Department • .%+c :.: 1.4�:`. cJ f CI 3-1111 1N31r121Vd30 ONIH33NION3 1V2l3N3O 1V0 if1 SONIMV2I0 '3321 NMVHO 31VOS1 NOIS1A3c1 ON Daniel S. Greenbaum Commissioner 935-2160 gli&VG 00a/it/neat e'S iffetP964tai 6go ton. -Aio/tIzzajti /'/' aoti/YLj Massachusetts Electric Company 170 Medford Street Malden, MA 02148 Attention: Peter R. Morgan Dear Sir: 1 December 14, 1989 _Otatection/ 01 '01 RE,: SALEM - ERB-N89-1379 REFERRAL TO SITE MANAGEMENT BRANCH The Emergency Response Branch of this Office has received and. reviewed information/data relative to contaminant conditions at Derby St. & Hawthorne Blvd in Salem, Massachusetts. Such information/data was collected subsequent to a determination that a release of cable oil had occurred at this site. This incident was investigated by personnel from the Emergency Response Branch of this Office on August 16, 1989. At that time, you were issued a Notice of Responsibility pursuant to M.G.L. c21E and 310 CMR 40.160. This letter is intended to notify you in writing that: (1) contaminant conditions at this location render the site an "LTBI" (Location To Be Investigated) pursuant to the Massachusetts Contingency Plan (MCP), 310 CMR 40.520(1); (2) a decision on the final disposition of the site will be made by the Site Management Branch of this Office after all the pertinent data and response actions have been evaluated. Pending final determination of the site disposition groundwater and subsurface soils cannot be considered "clean" as concluded in the report. Therefore, no excavation and removal of soils or pumping of groundwater from the site should occur without prior DEP notification and approval. Site Disposition The Emergency Response Branch of the Department has concluded that at this time there is no need for any further''emergency response actions at the site. However, there are still concerns that further remedial measures could be required at the site after a detailed evaluation of the long term environmental/public health impact of the contaminant conditions at the site. The case is therefore being referred to the Site Management Branch of this Office for further investigation. However, due to the existence of a large number of more pressing priorities, the DEP cannot at this time devote further staff resources to the remediation of this site. Original Printed on Recycled Paper ;achusetts Electric Co. e 2 Be advised that all further investigative and/or remedial4esponse measures at this site must conform with the provisions of 310 CMR 40.009, the Massachusetts Contingency Plan (MCP). As a first step in this process, you are advised to contract with a professional environmental consultant firm to conduct a Preliminary Assessment (40.541) and a Limited Site Investigation (40.543) as defined in the MCP,and submit the results of your findings to the Site Management Branch. Subsequent to the completion of the above site activities, no further investigative and/or remedial response actions may be initiated at this site without specific approval from the Site Management.Branch unless a "Waiver" application is filed and approved by the Department pursuant to the provisions of 310 CMR 40.537. Finally, be advised that 310 CMR 40.520 and recent statutory amendments to M.G.L. Chapter 21E compel the Department to publish the addresses of all sites and locations of confirmed or suspected releases of oil/hazardous materials to the environment. Contingent upon an, additional review of available incident/site information, this location may be included on a future list publication. If you have any further questions, please contact the Administrative Assistant for the Site Management/Technical Support Branch at the letterhead address or 935-2160. All future communications regarding this matter must reference the DEP case number 3-2898. Very truly yours, Daniel G. Ottenheimer Environmental Engineer Ricktard J. Chalpin Regional Engineer RJC/DO/ae DEP, BWSC, 1 Winter St., Boston, MA 02108, Attn: Eric Arvedon Salem Board of Health Salem Fire Dept. Civil Defense, 48 Lafayette St., Salem, MA 01970 i ; w JOSEPH A. O'KEEFE, PE OFFICE OF THE STATE, FIRE MARSHAL 1010 Commonwealth Avenue State Fite Marshal Boston, Massachusetts 022154 4 September 22, 1977 George Hammond Assistant Manager Tank Division Owens-Corning Fiberglas Corporation Toledo, Ohio 43601 Re: Approval of Owens-Corning Fiberglas Tanks, Model C Series (for underground Installation) Dear Mr. Hammonds Rule 8, Fire Prevention Regulations, (construction, location, use and maintenance of tanks and containers) copy of which is attached, requires that tanks may be constructed of materials other than standard open-hearth steel tank plate when approved by the Marshal. Such approval will specify minimum gages, lengths, diameters and materials from which said tanks are constructed. On July 18, 1968, this office communicated with a Mr. Richard L. Stafford, General, Manager, mon-Corrosive Products Division, Owens-Corning Fiberglas Corporation, copy of which is attached, indicating that the State Fire Marshal had approved Fiberglas tank Model C Series for underground installation in Massachusetts. In this communication, we indicated that every approved tank shall have securely affixed thereto some permanent tag or device certifying that said tank had been approved by the Fire Marshal. Recently, the Salem, Massachusetts, Fire Department advised us that Owens- Corning Fiberglas tanks to be installed at a gasoline service station in that city did not have the required tag or device certifying that said tanks had been approved by the Marshal. It is also our understanding that Owens-Corning Fiberglas Corporation is delivering for installation in Massachusetts Model D Series tanks for which no approval has been requested from Owens-Corning nor granted by the State Fire Marshal. Be advised that 0 further installation of Model D Series tanks can be made in Massachusetts until the minimum gages, lengths, diameters and materials from which said Model D Series tanks are constructed has been forwarded to this office and have been approved by the State Fire Marshal. We also feel that Owens-Corning mlw G94,berglat C haS-`' 3 3 at .00q.. P0TiS ".. ';` w device o all tans used ti in Na a hx,i440. i 1968, �Ah. c is a rep 1r t of Est ofr4b1ic ire Prevention. on. appreciated tarry trt 1y your Slate Pub. 4. r,TE rIR mama LVid Pow! n ire-. D parth nt rd of Fire Prev ertio RoquiatiOnb it A,,,-,.,,,,,-,„_4,,,,,..„„t-„,,._,i-..e-lie'.,-,7,J,--:•ar,,mgt,m-tii%-ti,.AWOr-V;=etle.„.S-ie-.--:;_e.44,1-,-.,:g.WA* . e _. , ..._. __._ ' ; .., "'"" " ..,.• -", . , .... . -, R V-547tT,*:. „z" ."„ AtiguSt • -1„ e 1,701q4. • 1;,• '"•„: Chief James F.--,,B, 7iii' eitittiiirli'ie I1equsrtere_: Salem, MA- 0191Q Dear ChiefI tii iiiiiii - At aitaaeetia4 -tif the - CitY -Co ' 'initil-lield" III the-COUtic"-ii- Chamber on August 18, 1917, the enclosed TAcensea were granted for the storage of additicnsal inflammables at the fop-osain4 lociati' t I-1eit=:,,,-,3 289 Derby Street - North Shore Tatitilhilatil:'gaitional 5;000 Gals. ,T Tot a' at''thitt„40.atiOIM-!.43,-- -TAIrt:'' Oilit*-1,4 -';',',.„- r -245449 Derby Street - Cities Service Oil Co. - Additional 11790 Gals. Total at thislocation 5, A deb Liutennin eirx-Rtt, • ,rt• :1St, cwisiar,NWEArtlk,„ .4).111;')'• .at? (City or Town) APPLICATION FOR LICENSE For the lawful use of the herein described building ... or other structure...., application is hereby Made in nice with the provisions of Chapter 148 of the General Laws, for a licens*to use the land on which such building.... or Othitti!.: structure.... is/are or is/are to be situated, and only to such extent as shown on plot plait which is filed with and made part of this application. Location of land '• 4 ) Nearest cross street (Stroot, 8k. Number) O/'? wner of land Address / 0tex:::.aes, _Ia. 4101 A) . Alrf Number of buildings or other structures to which this application applies 0 i1f Occupancy or use of such buildings II--; 4E- --LL -tJiCi 2 Cc # e:) edL AsAs Total capacity of tanks in gallons: —Aboveground underground -0 .0 /01_2 I I) L_ 19 77 (Signs Kind of fluid to be stored in tanks ( (7, „.., , , ) A roVed—Disapproved 61.4 / et') (Head of Fire Dept.) "91-7" 0 "N.) ROAD MASS. 0244' crease from present 18 710 gal to new total of opo IIi 11ImnmnnwiattI Ltf assatirititits DEPARTMENT OF PUBLIC SAFETY —DIVISION OF FIRE PREVE1 1010 COMMONWEALTH AVENUE. BOSTON LICENSE .1 I I: (City or Town) (Date) In accordance with the provisions of Chapter 148 of the General Laws, a license is hereby granted to use tke an herein described for the lawful use of the building or other structure.... which is/are or is/are to be situated there*, and as described on the plot plan filed with the application for this license. Location of land Nearest cross street (Street & Number) Owner of land Address Number of buildings or other Ouctures to which this license applies Occupancy or use of such buildings * * e * i Total capacity of tanks in gallons: —Aboveground Underground Kind of fluid to be stoid in tanks Restrictions —If any • (Signature of licensing authatitt) THIS LICENSE OR A PHOTOSTATIC OR CERTIFIED COPY THEREOF MUST OE totiOtet:10th9tS POSTED IN A PROTECTED PLACE ON THE LAND FOR WHICH IT IS GRANTED 245-249 Derby Street Cities Service oil Co. 7/5/77-Application for license increase presented and signed. Application taken by Mr. Almquist to City)Clerk 7/207-Plans submitted for demolition of present structures - - - and building- of new -structures. Plans approved for use of new structures as a store and convemtional-service ,station, Lt. Goggin Letter sent to Fire Marshal. Full set of plans are in Room 103 closet. 8/18/77-Li&ense-in-c-i-eaie approved by City euncil Approval received for use of Class D tanks. ---------- ----Mahh61-6§ t-6-156 added —before use. .11/16/7_7- Tanks_inetalled An_ground_ad approved, Manholes_ to be __added „ _ 11/16/77., All swing joints approved. 11/16/77- Notified that all vent pipes shall be permanantly attached • to the nearest permanant structure. _ 12/5/77-New manholes on tanks inspected. Approved covering of tanks.LtG 3/22/78-New plans for submission to State Fire Marshal, were presented - by -Mr: Almquist for approval. Plans-approvd Plans rolled and in closet. 5/3/I8-New plan samitted Tor service station operation/ Letter attached on one way operation and signs required. _ Plans approved. Lt.-11. •5/24/28-APPrQved__&_gigned Certificate_ af occupancy fOr_store. 5/26/78-Tested the Fire extinguishing system at the service station. Found water in #1 unit electrical_bax. ___system_not-approved for unit #1. Approved other units #2 & #3. Station opened. _ 5/30/78-Tested Unit #1 fire• extinguisheing system and _approved._ ° • i FLAMMABLE PERMIT RECORD ADDRESS 245-249 Derby Street Also known as 275 Derby St DATE 1/24/27 8/8/35 1/l0/57 3/22/57 9/22/66 8/18/7 7 9/19/77 11/16/77 Form 61 LICENSE ISSUED OR PERMIT NAME, TYPE and DATA BY EXPIRES License Permit License Permit License License Permit Permit Jenny MFG. 5, 000 gal. gas council ann Install 5-1,000 gal t nks FD COO incr ase byi 7:0 g . Faso ine, N1,710 1nsta 1 2-500 ,a & 1-2,000 pal tanks increase by 4, 0w a Gasp ine, eve► Increase by Gasoline,IVew t tal- Removal of all tanks. Installed three new 112,000 gal. tanks Lt. NIL Council ann F.D. 000 nurnn i 1 01)0 Cour cil ann Lt.G. 9/30/7i 9/19/77-Permit issued to remove all tanks presently on the site by Kessler Inc. to:Grant Co. Readville in Dedham. one 2,000 gal.; one 5,000 gal.; -and two 4,000 gal. at least. Lt. Goggin 9/17/77-Permit issued to install three new 12,.000 gal. fibreglass tanks per. plan. Lt.Goggin 11/16/77-Three new 12,000 gallon fibreglass tanks OK.Lt.G 1/12/80-Center (regular) tank, leaking. Caused by pump pipe piercing bottom of tank. Owens Corning to repair same. Feb. 27, 1986 All underground tanks are now removed Zecco, Inc. Contractor. Insp. LaPointe �Y / /7 LIP — v 7 L. +y 1 MINI • I TEL N 345 WEST MASTREET ZECGO. INC. NO TH ORO.IMASS CHUSETTS 01532 TEL (617) 393-2537 SERVING THE PETROLEUM INDUSTRY EQUIPMENT SALES, SERVICE. INSTALLATIONS JOB NAME ej Q P&A / /7/ 6/74/,:f.e ,r r BILL TO 17 /. • — Z 7�- A� '. JOB NO. /0: E ) 600 AMOUNT - 7/ZerY,CJ i.L (:). Date of Order Customer Order P o. I Starting Date I Lode I Job Phone DESCRIPTION of WORK :TEM COMPL /SAC v D Li / I3,5 I e(M,04-- ems- _ •'7 4s. Ga 13 r: leedN•.e 4.0e....› .3 77o,c, kJ - /6 S,9j W,Oc, 13a3 T. IFOIAI00e) t? e 1Aiiii2 .✓ AJ(J d , d ib ti ► l--fGre. .( (p/2.0pei. ��e3 7'7_ �C, c. p I w c-% -P®rHaq c, , Gvy,c1,►e,�-,� </LJ,,t t I. (er7" rae a i7G a vit , T' `l' 773 er14. -7¢.v.,.N , r. ITV. MATERIAL PRICE AMOUNT QTY. MATERIAL (SEE REVERSE SIDE FOR MATERIAL AND EQUIPMENT LIST) IPRICE AMOUNT TOTAL OTHER TOTAL EQUIPMENT TOTAL MATERIAL TAX TOTAL LABOR TOTAL Pc I: mm 111= th of Amourliusrtts Department of Public Safety=Division of Fire Prevention APPLICATION FOR PERMIT FOR REMOVAL AND TRANSPORTATION TO APOVED TANK YARD To: HEAD OF FIRE DEPARTMENT Salem Cq a Two 2/26/RFi 19 wti C. 05.40 M.G.L. /DIG SAFE NUMBER Start Date In accordance with the provisions of Chapter 148, G.L. as provided in Section 38A Application is hereby made by Z c (Name of Person,Firm or Corporation) Address For permission to remove and transport underground.} --storage tank(s) from Street aOress (city or town) /4 6, FDID# 09258 to approved Tank Yard# Millbury Solid Waste Tranfer Station State clearly type of inert gas used in steel storage tank C 0a Y Type of it5ett gas Alsed Name of Person, Firm, Corporation disposing tank 7,.(;,( Date issued - rt j ** 2/26/8619 By: Date of expiration 2/28/86 19 paid/due Signate of Applicant Mie Commont tattb of ili1atlsacbu5ettst DEPARTMENT OF PUBLIC SAFETY —DIVISION OF FIRE PREVENTION PERMIT FOR REMOVAL AND TRANSPORTATION TO APPROVED TANK YARD State clearly type of inert gas used in steel storage tank FDID#_ 0925_8_ Fee paid $ 10.00 2/26/86 19 10.1 L.82 5.40 M.G.L. DIG SAFE NUMBER In accordance with the provisions of Chapter 148,G.L.as provided in .$69_6_1323 Section 38A this permit is granted to Sor?Dot. Name: Zecco, Inc. (Citqo) Full name of person, firm or Corporation To transport underground steel storage tank(s) too" Approved tank yard# Millbury Solid Waste Transfer Station steel tank: CO2 method Name and address of contractor disposing tank Zecco, Inc. Location to which tank will be transported N/A a,'A oved tank r rd Feb. 28,986 9 �i This `permit wi11 expire 1 ff4 % ignature o o Icial granting (Head of Fire Dept.) y.✓ _i /P. 292 State clearly type of inert gas used in steel storage tank FDID# Fee paid $ (Tipp CDmmonforalth of Alassurliusrtts Department of Public Safety —Division of Fire Prevention APPLICATION FOR PERMIT FOR REMOVAL AND TRANSPORTATION TO APi4f'20VED TANK YARD f To: HEAD OF FIRE DEPARTMENT OH r Tarw 19 C. 5.40 M.G.L. bI SAFE NUMBER Start Dote In accordance with the provisions of Chapter 148, G.L. as provided in Section 38A Application is hereby made by exeKe) (Name of Person,l=irm or Corporation)o s T/. Ala)/M�6(O Address For permission to remove and transporter undergroundsteel storage tank(s) from el /Lc\ St;),_ »eth S T &C�n) c- 0r J ( -street ad Tess (city or tow FDID# to approved Tank Yard# State clearly type of inert gas used in steel storage tank O 6lyTyp of n�rtgued Name of Person, Firm, Corporation disposing tank a % c) Date issued - rejected Date of expiration 19 By: 19 paid/due ignature ot` PP ican Zbe Commontueattij of JIaggacbugettg DEPARTMENT OF PUBLIC SAFETY —DIVISION OF FIRE PREVENTION PERMIT FOR REMOVAL AND TRANSPORTATION TO APPROVED TANK YARD In accordance with the provisions of Chapter 148, G.L. as provided in Section 38A this permit is granted to Name: Full nameof person, firm or Corporation To transport underground steel storage tank(s) tc+ Approved tank yard# steel tank: method Name and address of contractor disposing tank Location to which tank will be transported o.. 19 C.82 S.40 M.G.I. DIG SAFE NUMBER — —_— SDaly --- This permit will expire 19 Approved tank yard# Signature of official granting permit(TITLE) (Head of Fire Dept.) State clearly type of inert gas used in steel storage tank FDID# Fee paid $ .. .P. 292 The (IIummmrfnzritli of ` Zssati1usetto Department of Public Safety —Division of Fire Prevention APPLICATION FOR PERMIT FOR REMOVAL AND TRANSPORTATION TO APPI OVZ b TANK YARD To: HEAD OF FIRE DEPARTMENT City « Town 19 I0.hl C.BS. M.G.L. IDI6 SAFE NUMBER Start Dote In accordance with the provisions of Chapter 148, G.L. as provided in Section 38A Application is hereby made by LC'C c (Name of Person,Firm or Corporation) 3V3 Akt,r 11.7- if7c. c,,, s_3 Address For permission to remove and transport undergroun CI6w FDID# i / 'Jyfler orage tank(s) from I)e-�rJII )/ S/. r0N' fe:5S Sil, Street address (city or town to approved Tank Yardi. /�/�j���� saw t,(�� ./C i,ptdy,�e�+ .S'�� 1ic-�. State clearly type of inert gas used in steel storage tank f 0! �� y Type of 'itrert gas used Name of Person, Firm, Corporation disposing tank .2W. y)r�l L, Date issued - rejected 19 By: l Date of expiration 19 paid/due Sigfhat rt�l pplican Commontneaitfj of Aliaggacfjugettg DEPARTMENT OF PUBLIC SAFETY —DIVISION OF FIRE PREVENTION PERMIT FOR REMOVAL AND TRANSPORTATION TO APPROVED TANK YARD In accordance with the provisions of Chapter 148,G,L,as provided in Section 38A this permit is granted to Slort Dote Name: Full name of person, firm or Corporation To transport underground steel storage tank(s) for Aprihoved tank yard# steel tank: method Name and address of contractor disposing tank Location to which tank will be transported 19 C.82 S.40 II.G.L. DIG SAFE NUMBER This permit will expire 19 Approved tank yard# Signature of official granting permit(TITLE) (Head of Fire Dept.) 2,7 rai3() I- d (7e-tio. icellesex 0 go3 ().7) )och ,bed ,-le 5 -T;541 r 14e4 /-7 ke 1 Robert'W. Turner Chief 97 8- 744-6990 City of Salem, Massachusetts �. EFire Department L 48 Lafayette Street Salem, Massachusetts 01970-3695 Ter. 978-744-1235 Fax 978-745-4646 The Salem Fire Department has received your letter of inquiry for information concerning the possibility of flammable liquid storage or releases on the property described below. _288"De;rby_Street Fire Prevention Bureau 978-745-7777 You should understand that the Salem Fire>Department is but one of several,. departments within the City of Salem to which information can be obtained concerning flammable liquid storage, releases, or hazardous wastes. It is quite probable that this department would have no knowledge of the presence of hazardous wastes on any particular site since this department does not do independent hazardous waste investigations. To assist you in conducting your environmental assessment of the . site, we are able to inform you as indicated by the report attached and/or enclosures. As stated above, the records of the Salem Fire Department do not permit you to rely upon the information contained: in this Letter as being either. definitive or complete. The information in . this letter is provided to you as a courtesy in conducting your investigation, and is provided on the express condition that no liability shall attach or be asserted against the City of Salem, the Salem Fire Department, nor it's employees or members in connection with providing this information to you, or in the event of any inaccuracy or omission thereof. This Letter shall, not be quoted in whole or in part in any hazardous waste report prepared by you, nor cited as evidence of the presence or absence of any hazardous wastes or releases on this site. Signed, Lt. Erin Griffin Acting Fire Marshal February 24, 2005 r Duplicate reissued 12/2/70 Lt.G. POWER BURNERS Name Duke +dachine Co. Address 288 herby btreet Date 6-23-50 Name of Burner ltexoi 1 230 Gals. Stored 2-275 Kind of Heat Cap. of Tank Location of Tank 1.11 plant Inside Kind of Oil Installed by Mass. Oil Co. 1784 Steam Gals. 550 Inspected 6-23-50 Approved 6-23- 1 50 FAX (o: fax T. 1 � rCrrr c' ire veparuuen[ Fire Prevention Division 29 Fort Avenue Salem, Ma 01970 tel (978, 745-7777 fax g ' 8; 745-9402 from: I 1. E 1 Lf3e�q C-3EC ?ngpector- LNi' date: I subject_ I52._- oO , tor5-111 CoN)CaQ. sS 51 pageS: .._ ems: NOTES: z Re_cock. S_ i i L.T Erin Griffin Fire Marshall I i ,s facsimile contain prnv:!egeG and confidential information intended only for the use !he individual or entity to whom It is addressed .If the reader of the facsimile is not !Wended recipient or the employee or ages! responsible for delivering it to the intended :iptent. you aie hereby notified that any communication. transmission, dissemination or )roctuctioo of this facsimile or its contents is strictly prohibited. if you have received lacLim:1e in error pease irnmerlitel, us by telephone and return the origins/ :�irntie to us at the above address via the U S. postal service Thank You. 3/4/2014 Parcel ID Prior Parcel ID Property.Owner Unofficial Property Record Card Unofficial Property Record Card - Salem, MA General Property Data 34-0169-0 12 — JUPITER TWO, LLC Mailing Address P 0 BOX 380055 City CAMBRIDGE Mailing State MA Zip 02238 ParcelZoning B Card 1 Value Building Value 584,700 Account Number 0 Property Location 105 CONGRESS STREET Property Use Apts. Ji Plus Most Recent Sale Date 8/5/2004 Legal Reference 23226-119 Grantor FRISCH ASER, Sale Price 1,500,000 Land Area 0.251 acres Current Property Assessment Xtra Features 0 Value Total Parcel Building Value 1,174,500 Xtra Features 0 Value Value Building Style Apt- Garden # of Living•Units 8 Year Built 1915 Building Grade Average Building Condition Average Finished Area (SF) 11192 Number Rooms 24 # of 3/4 Baths 0 Land Value 240,000 Land Value 240,000 Building Description Foundation Type Brick/Stone Frame Type Wood Roof Structure Flat Roof Cover Tar+Gravel Siding Brick Veneer Interior Walls Plaster # of Bedrooms 8 # of 1/2 Baths 0 Legal Description Narrative Description of Property Total Value 824,700 Total Value 1,414,500 Flooring Type Hardwood Basement Floor Concrete Heating Type Forced H/W Heating Fuel Oil Air Conditioning 0% # of Bsmt Garages 0 # of Full Baths 8 # of Other Fixtures 0 This property contains 0.251 acres of land mainly classified as Apts. 8 Plus with a(n) Apt- Garden style building, built about 1915 , having Brick Veneer exterior and Tar+Gravel roof cover. with 8 unit(s)., 24 room(s)., 8 bedrooms), 8 bath(s)., 0 half bath(s). 101. Oliar [so 'rr re Property Images Disclaimer: This information is believed to be correct but is subject to change and is not warranteed. http://salem.patriotprope'4es.Corn/RecordCard.asp • 1/1 3/4/2014 Unofficial Property Record Card Unofficial Property Record Card - Salem, MA General Property Data Parcel ID 34-0169-0 Prior Parcel ID 12 — Property Owner JUPITER TWO, LLC Mailing Address P 0 BOX 380055 City CAMBRIDGE Mailing State MA Zip 02238 ParcelZoning B Card 2 Value Building Value 589,800 Total Parcel Building Value 1,174,500 Value Building Style Apt- Garden # of Living Units 8 Year Built 1915 Building Grade Average Building Condition Average Finished Area (SF) 11192 Number Rooms 24 # of 3/4 Baths 0 Account Number 0 Property Location 105 CONGRESS STREET Property Use Apts. 8 Plus Most Recent Sale Date 8/5/2004 Legal Reference 23226-119 Grantor FRISCH ASER, Sale Price 1,500,000 Land Area 0.000 acres Current Property Assessment Xtra Features 0 Value Xtra Features 0 Value Land Value 0 Land Value 240,000 Building Description Foundation Type Brick/Stone Frame Type Wood Roof Structure Flat Roof Cover Tar+Gnv el Siding Brick Veneer Interior Walls Plaster # of Bedrooms 8 # of 1/2 Baths 0 Legal Description Narrative Description of Property Total Value 589,800 Total Value 1,414,500 Flooring Type Hardwood Basement Floor Concrete Heating Type Forced H/W Heating Fuel Oil Air Conditioning 0% # of Bsmt Garages 0 #of FullBaths8 # of Other Fixtures 0 This property contains 0.000 acres of land mainly classified as Apts. 8 Plus with a(n) Apt- Garden style building, built about 1915 , having Brick Veneer exterior and Tar+Gravel roof cover, with 8 unit(s)„ 24 room(s), 8 bedroom(s) „ 8 bath(s)., 0 half bath(s). Property Images o;r OiP OFR' Disclaimer. This information is believed to be correct but is subject to change and is not warranteed. http://salem.patriotproperties.com/RecordCard.asp 1/1 3/4/2014 Unofficial Property Record Card Parcel ID Prior Parcel ID Property Owner Mailing Address Unofficial Property Record Card - Salem, MA General Property Data 34-0211-0 12 — DOW STREET LLC STEPHEN WOLFBERG P 0 BOX 380055 City CAMBRIDGE Mailing State MA ParcelZoning R3 Zip 02238 Card 1 Value Building Value 1,322,500 Building Style Apt- Garden # of Living Units 20 Year Built 1920 Building Grade Average Building Condition Average Finished Area (SF) 23700 Number Rooms 60 # of 3/4 Baths 0 Account Number Property Location 52 60 DOW STREET Property Use Apts. 8 Plus Most Recent Sale Date 9/27/2004 Legal Reference 23428-478 Grantor FRISCH MINNIE, Sale Price 1,775,000 Land Area 0.362 acres Current Property Assessment Xtra Features 1,000 Land Value 300,000 Value Building Description Foundation Type Typical Frame Type Steel Roof Structure Flat Roof Cover Tar+Gravel Siding Brick Interior Walls Plaster # of Bedrooms 20 # of 1/2 Baths 0 Legal Description Narrative Description of Property Total Value 1,623,500 Flooring Type Hardwood Basement Floor N/A Heating Type Forced H/W Heating Fuel Oil Air Conditioning 0% # of Bsmt Garages 0 # of Full Baths 20 # of Other Fixtures 0 This property contains 0.362 acres of land mainly classified as Apts. 8 Plus with a(n) Apt- Garden style building, built about 1920 , having Brick exterior and Tar+Gravel roof cover, with 20 unit(s), 60 room(s), 20 bedroom(s), 20 bath(s), 0 half bath(s). Property Images rfirt 20 Disclaimer. This information is believed to be correct but is subject to change and is not warranteed. http://salem.patriotproperties.com/RecordCard.asp N L � E COPY Tfiie Carrunonweaft{t of Mr_ssadi*.setts Departrrurtt of Pu6Cic Safety 527 CMR 4.00 Form 1 / / /t3 rum, Applicztion for Permit, Permit, and Certificate of completion for the Installation or Alteration of Fuel Oil Burning Equipment and the Storage of Fuel Oil Salem 10/16/95 (City or Town) (Date) 780 FDID#: (7��5 �� Fee Paid: /0 — Owner/Occupant Name: Madeline Frisch -' Tel #: Installation Address: 105 Congress St Serviced Floor or Unit # All Permit #'s: FD T 70 3 Flee, C Heating Unit ❑ Domestic Water Heater ❑ Power Vent ❑ Other Burner: New 0 Existing Location: Basement Trade Name: Beckett Mfg: R. W. Beckett Type:giscrh efficiency Model # or Size: CF '1400 ta Fuel Oil 0 Kerosene ❑ Waste oil l Storage Tank: ❑ New Existing Location: Type: Steel Capacity: 500 Basement Location: Basement gals. No. of Tanks: Special requirements (or additional safety devices)' 902M Low Water Cutoff ❑ osv Valve 1 ❑ Oil line protected .❑Y Sheet Rock Sprinkler AFUE: 0 yes ❑ no Combustion Test: Nozzle Size 'Gross Stack Temp.: New Stack Temp.: CO2Test Breech Drafc Smoke: Overnre Draft: Efficiency rating %: L the undersigned certify that the installation of (uei burning equipment ttu been made in accordance with M.G.L c. 148 and 527 CMR 4XJ currently in effect Furthermore. this insullation has been tested in accordance with such requirements• is now in prover ope ..tang condition and complete instructions u to its use and maintenance have been furnished to the person for whom the uunllation (or altcaoon) was made_ Co. Name: Seacoast Petroleum Inc Address: 27 Cherry St . Installer. R NZ Z .tki i TF 7c • Print Name City: Danvers ;01923 Zip: 4a, 6-2 63 c) Signature (no Stamp) Once signed by the fire de artment, this is a PERMIT for the storage and use /of oil burning equipment. Inspected by: ., �, o. Date: 41h 3 /96 Keep Origioal as application. issue duplicate as [rrrmt_ This form may be photoceptrf_i.. Mifv' I J ( POWER BURNERS Date 4/9/6 r L1 Name =-F` Location 105 Congress st Name of Burner WALTHAM - Kind of Heat hot water Gals. Stored 1.000 Cap. of Tank Gals. Location of Tank - Yea Semen t Kind of Oil # 2 Installed by WM . J . MER OILER (13 8 6 5 ) Inspected V9/65 Approved Capt °Harringtor. Date Name Location Name of Burner Gals. Stored POWER BURNERS a 111 ) `�- 4/9 /65' . A i' L }''T,M0 Cn 105 Congress st JO-MAR Kind of Heat yin,' Cap. of Tank Gals. Location of Tank -0aserent Kind of Oil of 2 Installed by SAM GOLDBERG & ` ON Inc . (11666 ) Inspected 14/9/65 Approved Gapt.Ha.rrin.gton CITY OF SALEM FIRE DEPARTMENT - FIRE PREVENTION BURE 48 Lafayette St., Salem,Massachusetts 01970 Fee Due $10.00 Dec. 13 1984 (Date) APPLICATION FOR PERMIT To: HEAD OF FIRE DEPARTMENT " TANK REMOVAL In accordance with the provisions of Chapter 148, G. L. as provided in Sec. 10A and/or 38A application is hereby made for permission to Remove a tank from service. From: 52-Fin nnw Street Owner of tank: Madeline Frisch Tot Whitney Barrel. 256 Salem Street, Woburn, Ma Size of tank: 3000 Gal. TVpe: Steel Fluid: #2 oil Restrictions: As per Fire Prevention Ree'ulations. State clearly purpose for which permit is requested Date issued - Name: Carl Pnretta CnnstruGtinn AdrlrpRst 6 Prince Street, Salem (Glee location by street and no., or describe In such a manner as to provide adequate idenWioatlan of )oeatloo) J(Signature of applicant) l Pi-?r'c r .s74-- (Address) Dec. 13, 1984 Date of expiration _24a • 13, 1984 CITY OF SALEM This permit will expirQ January 13, 1984 Location: 52-60 Dow Street, Salem Fee Paid $10.00 FIRE DEPARTMENT - FIRE PREVENTION BUREAU Salem, Massachusetts 01970 Date December 13, 1984 PERMIT In accordance with the provisions of Chapter 148, G. L as provided ir, 10A and/or 38A this permit is granted to Name State clearly purpose for which permit is graznted Carl Pnratta Cnnctrurti nn (Full name of person, firm or corporation granted permit) f, Remove a tank from service, and transport same. From: 52-60 Dow Street To: Whitney Barrel, 256 Salem Street, Woburn, Ma • Size of Tank: 3nnn Types Steel Fluid: #2 fuel oil Restrictions As per Fire Prevention Regulations. Owner of Tank: Madeline Frisch (Give location by street and no., or describe in such manner aprovide' adequate idea cation) of location) )it A A,I:, (Signature of official grouting permit) Fire Marshal (Title) or (THIS PERMIT MUST BE CONSPICUOUSLY POSTED UPON THE PREMISES.) '» Form 90N (3/84) Citu IIf ��Iem 4SIthUfts jirr 33rparfasent �ieahquartrrn 48 3sfagrffr frrrf °Salem, l_ 131970 Robert W. Turner • Chief The Salem Fire Department has received your letter of inquiry for information concerning the possibility of flammable liquid storage or releases on the property described below. - 131 & 131R Derby Street You should understand that the Salem Fire Department is but one of several departments within the City of Salem to which information can be obtained concerning flammable liquid storage, releases, or hazardous wastes. It is quite probable that this department would have no knowledge of the presence of hazardous wastes on any particular site since this department does not do independent hazardous waste investigations. To assist you in conducting your environmental assessment of the site, we are able to inform you as' indicated by the report attached and/or enclosures. As stated above, the records of the Salem Fire Department .do not permit you to rely upon the information contained in this letter as being either definitive or complete. The information in this letter is provided to you as a courtesy in conducting your investigation, and is provided on the express condition that no liability shall attach or be asserted against the City of Salem, the Salem Fire Department, nor- it's employees or members in connection with providing this information to you, or in the event of any inaccuracy or omission thereof. This letter shall not be quoted in whole or in part in any hazardous waste report prepared by you, nor cited as evidence of the presence or absence of any hazardous wastes or releases on this site. Signed, t Environmental Solutions for Business October 22, 2004 Fire Prevention Department 29 Fort Avenue Salem, MA 01970 RE: Request for Underground Storage Tank Information, Spills and OHM Permits Salem, MA Fire Prevention: ENSOL, Inc. is performing an Environmental Assessment on property located in Salem, MA. In order to complete this Environmental Assessment I'm requesting information regarding the existence of any underground storage tank and releases of oil and/or hazardous materials for the below -listed address. Address 131 and 131 rear Derby Street Thank you for your time. A check for $30 is attached to this letter. Please contact me at 978- 670-0755 if you have any questions regarding this request. Sincerer, i SALEM FIRE DEPARTMENT FIRE PREVENTION BUREAU COMPLAINT FORM DATE Location of Complaint or Hazard Complaint_by � ��.41 Address Nature of Complaint _ ..c fa` �r� A 19 1 TI ME " M. Received by Investigated by. /l DATE BL'47- 19 TIME/' /M. Action Taken ___L"1--(L i 9R 5 ez c Uv Other Department Notified �f�i�d� K-� ./ Form #5$ 1 Date: 10/25/2004 Time: 13:53:24 Address: No. 131 Business name: Record 4 693 Street DERBY STREET RESIDENTIAL LARRY LEBOEUF Tank data: Tank size: (in gallons) 500 Product: (G)asoline G (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: 01/05/1999 Contractor: H&S TANK CLEANING Additional details: memo 4 12 Winter Island,Road Salem, Mass. 01970 June 20, 1977 Ms. Josephine Fusco City Clerk City of Salem 93 Washington Street Salm, Mass. 01970 Ms, FlAcet-- We_hereby declare that we will no longer lirmssp fftr st:7; of asoline at 31 Rear Derby Street, an wish to cancel .;g re our 1CenSe to same- cc: Lieut. David J. Goggin „,. Sincerely Yours. Lawrence L. teBoeUf SALEM FIRt DEPARTMENT FIRE PREVENTION BUREAU COMPLAINT FORM Location of Complaint or acd R /3/ 7 5,Oy F'T— i6e/f( Complaint_by !iTy J'i41L. (L.e/flee eCX Address Nature of Complaint DATE ! / ! 19 TIME M (c; //e4?),5r` /12,4 c4`7 of ,ro S ''ToP�e F k'//� /) /9,7 r at? ge7A— ✓A/,-.f - " '? C..9-57r Jai <g47. Received by rasp Investigated by, Jr DATE 19 TIME M. Action Taken _ _ (S44- ;_p, jjeg, VV Other Department Notified Form #58 FIRE PREVENTION BUREAU FIRE INSPECTION REPORT:' - In accordance with the requirements of the General Laws of The Commonwealth of Massachusetts and The Salem Fire Codes the located at Jpr PP-rrn(qc.lFr? Antg was inspected "zAtefiv LE Be 4-a f by D .0 Sosnowski Report of Inspection' Tnstallation of new burner was proper and permit was -left. The need of new boiler room un-der segti'm 1113.0 of: -state building is in violr,tion."les-ze be advised this 1%atter will have to be correcte CC 8 OCCUPANT. FILE Tnf',-)ec:tn— ( e-41; a. n t 4-1-Lr.r7 T Signattre Title Form #75 71 1 Nam 'Mr Laurence.:& Patricia LeBoeuf Address: 12 Winter Island Rd Salem Mass. s R131 Derby ;S Salem J4asq. As a result of an insPection this date of the premises. structure, open land area or vehicle owned, occupied or otherwise under your control, the follow__g recommendations are submitted and shall serve as a notice of violation of fire laws. These recommendations are made in the interest of fire prevention and to correct conditions that are or may become dangerous as a fire hazard or are in violation of law. You are hereby notified to remedy said violations named below within Days. of the above date. Such furthur action} will be taken as the law'requires, for • fail, to comply with the above requirements within the stipulated time. (References General Laws of Commonwealth of Massachusetts.. Chapter Section 30; and the Salem Fare Code Article 1.),, Tenent at R131 Derby St Mr Garry Hopkins Chestnut St Beverly is: operating a repair and body shop at above location "ands violation of numerous FPR Rules and City ordinances govoz'ni conditions hazard to lifeand property. Operation of a garage at this location is in violation ofState h„ local;: fire code. 'Request you contact this office in regards to . other violation observed while on inspection of property that may be :.;`r' 'belle to future business conducted that may be ,alloyed here. C., Mr Laurence LeBoeuf -Mr Garry Hopkins: IBuilding Inspector: Electrical Inspector In actor R mond..T Dansreau Inspector, Salem Fire Prevention Bureau 577- s 0--te-74.4 2,-ef 94- gr-4/4e< 3) Cttp of „uhhm, Alassaciiusetts 1ftrr frpartmrnt IIradi1uartrrs Tames . Xirennm QIhief June 16, 1977 Ms. Josephine Fusco City Clerk City of Salem' 93 Washington Street Salem, Mass. 01970 Dear Ms. Fusco; The owner of land at 131 Rear Derby Street, in Salem. Mass. has notified this office of his intention to cancel the license granted for storage of gasoline at this location. Said owner Mr. LeBouf will be forwarding your office a letter to the effect that they will no longer require the license. This office has tested the tank and will be issuing a permit for storage of #1 fuel oil, Class B. product after the tank has been purged. No license required for this storage. Resnectfu,lly submitt Lieut. David J. `Goggi Salem Fire Marshal ccs Mr. LeBouf , •• • !...„:\ • •••••••), .•••••4., : • .•' Mass. Approval No. 160 Kind of Heat Stearn #2 Kind of Oil C. of C. # 03_0917 12/14/76 Date Approved FORM 24 • POWER BURNERS 1?nit #1 Date c1074. Name Larry LeBoeuf Location 131 Derby St of Tanks Name of Burner Mmy?mn Gals. Stored 27 Location of Tank Basement Installed by Paul Greenlaw D .0 .Sosnowski Inspected by FORM 24 1 Mass. Approval No. 160 Kind of Heat F .H .W . Kind of Oil #2 C. of C. # 2.ggiii 010917 08/07/76 Date Approved • POWER BURNERS rnit #2• Date December 16,1976 Name Mr LeBoeuf Location 131 Derby St No. of Tanks 1 Name of Burner Gals. Stored 275 Location of Tank Basement Installed by Paul Greenlaw • Inspected by D.C.3osnolei ••• • • ''"'' • ft. •:..••••:• • '• • - • , FORM 24 Date Name POWER BURNERS., July 27,1976 Larry LeBoeuf Location R131 Derby St • No. of Tanks Name of Burner Waltham Mass. Approval No. 252 Gals. Stored 275 Kind of Heat Steam Location of Tank Inside-inclosAind of Oil #2 Installed by Paul Greenlaw C. of C. # 010917 D .0 .Sosnowski 07/27/76 Inspected by Date Approved •••': FORM 24 POWER BURNERS Date October 21,1976 Name Larry LeBoeuf Location R 131 Derby St No. of Tanks 1 Name of Burner Waltham Mass. Approval No. 252 Gals. Stored 275 Kind of Heat Steam Location of Tank Enclosed in Gar. Kind of Oil 42 Installed by Inspected by • Paul Greenlaw D.C.Sosnowski "4.,t • C. of C. # 010917 10/19/76 Date Approved • • .• •',..";;'<. 1 • •