21 E Archive Box (Letter J)l
7)12 'IV Cody
Chiq_
°; S- 744 b99O
1c,-2,./t(sa�m com
Citgo 5a[em, Massachusetts
Fire Department
48 Lafayette Street
Salem, Massachusetts 01970-3695
' Tef.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.
This Is All The Information We Have On 231 Jefferson Averole
lire Prevention
Bu rea u
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 }ta?a.rdous waste investigations.
To assist you in conducting your environmental assessment of the site, we
are able to inform you as indiratpd 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
Ine:nbers 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 whale or in part in any ha7-srdous 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
4.03: continued
527 CMR: BOARD OF FIRE PREVENTION REGULATIONS
sf
The Commonwealth of Massachusetts~
Department of Pub tic Safety
527 CMR 4.00 - Form 1
Application for Permit, Permit, and Certificate of completion for the Installation
Alteration of Fuel Oil Burning Equipment and the Storage of Fuel Oil
S �a3 l /g-,/s
(City or Town) j� (Date)
Permit #'s: FD Elec. FDID#: 6 vZ S�r0 Fee Paid: . 'Fe)
Owner/Occupant Name: )1'
0/0 2e?
Tel #: 9'7 8-- '7 4 / 318-f"
Installation Address 1 ) E-FF -fL..SO e-¢ 4 4Serviced Floor or Unit #: �
[92,Heat4ng Unit ❑ Domestic Water Heater ❑ Power Vent ❑ Other
Burner. -New ❑ Existing Location: ,(3.
Mfg: iC ' -g- 1E-i % Co it-P°
Trade Name:1 U-E -7 7
Type: �u r-4 Model # or Size: A F-C Nozzle Size: /• /0)Lc19.5
Fuel Oil ❑ Kerosene ❑ Waste oil
Storage Tank: ❑ New Existing Location: 61.3 43 s +'`^- 6 i`4->T-
Type: SJE-Ii_ Capacity: j 9_5— gals. No. of Tanks: 1
Special requirements (or additional safety devices)
DOSV Valve Mil line protected ❑Sheet Rock ❑Sprinkler AFUE: Oyes Ono EF: Oyes Ono
(Furnace and boilers) (Water heater)
Co. Name:A-t t Here .a gl- i-Wel-Ga-t-.D 01-4._ CG Tel # 97 —3-2 a3'3-? 9
Address:l3 L A1LEC.o3rE O P) Q- plaCity: P - G p Zip: 01 �! 6 0
Completion Date: / 9-0 s'
Combustion Test: Gross Stack Temp.: W Net Stack Temp.: ,Sr ( 0
CO' Test: I C Breech Draft: c
Smoke: (3 Overfire Draft: C 0••- Efficiency rating %: ( y
1. the undersigned certify that the installation of fuel burning equipment has been made in accordance with M.G.L a 148 and 527 CMR 4.00
currently in effect Furthermore, this installation has been tasted in accordance with such requirements, is now in proper opening condition and
complete instructions as to its use and maintenance have been furnished to the person for whom the installation (or alteration) was made.
� t
Signature (no Slmnp)
Installer.P.,es u L ' 61.44`1 c / Co t-1 l Z
Print Name Cert of CH
Address:); title n 2 (. VA- City: P-�3 elr)�'
Once signed by the e department, this is a PERMIT for the storage and use of oil burning equipment.
Approved by: f l� .Co...�.� . Date:
Keep Original as application. Issue duplicate as permit. This form may be photocopied_
FORM 23
David TV .Cody
Chief
978- 744-6990
dca dy@salem. cam
City of Sa[em, 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. This Is The Information From Our Records
For The Property At 193 Jefferson Avenue.
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 ha?nrdous waste investigations.
To assist you in conducting your environmental assessment of the site, we
are able to inform you as indirritpd 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 Griffin
Fire Marshal
ADDRESS 193
DATE
1:A/=R
Form 60
'r f per o ft
C� e1 j �..1v vil �- �'�l Y.. e11u_p
- "NAME and DETAILS; /
Prmi i i }7e 1 o `icba.e1. 'DiLisio 7/ 26158
State= Boma :2000
W er;>'- of Petit
Date Dec. 23, 1958
Name Roger Petit
Location
POWER. BURNERS
193 Jefferson .ve.
LIC. No. - EXPIRES
Name of Burner ire tropac Kind of Heat riot Water
Gals. Stored 275 Cap. of Tank 275 Gals.
Location of Tank basement
Installed by 1'1. iiuSSO f 10068
Inspected 1.2-g3-58
Kind of Oil ff 2
Approved 12-23-58
David 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
fire Prevention
Bu rea u
973-745-77 77
The Salem Fire Department ha c received your letter of inquiry for
information concerning the possibility of flammable Liquid storage or
releases on the property described below.
102 - 108 Jackson Street Enclosed please find all material this office has
relating to fuel oil storage tanks on this property. There are no records of any
releases on this property.
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 as
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 hn' 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 bamIrdous waste
report prepared by you, nor cited as evidence of the presence or absence
of any hazardous wastes or i;eeieases on this site.
Signed,
Charles R. Holloran, Jr.
Fire Inspector
BOSTON 617 - 662-6800
TE L:1 NORTHSHORE 617 - 745-3000
ANDOVER 617 - 470-0100
1411111111111111111111
CENTRAL OFFICES AND WAREHOUSE ONE IGA WAY, ANDOVER, MASSACHUSETTS 01810
January 4, 1977
Lt. David Gougin
Salem Fire Prevention Bureau
48 Lafayette Street
Salem, Massachusetts 01970
Dear Sir,
This is to advise you that Cressey, Dockham & Co,,, Inc. is temporarily ceasing operations
at thei- " 8 Jackson Street, Salem, Massachusetts location.
Very truly yours,
CRESSY, DOCKHAM & CO., INC.
/17
ROD V. SMITH, JR.
Senior Vice President
RVS:gah
��- /9 7�' (i) s,aec, 0-. ,�
%4 /!,c"gr 4, //ie/ 45 ,?g 4-70. '�Gt 9,8,-- ,y ,b74
BOSTON
617 - 662-6800
TEL:1 NORTHSHORE 617.745-3000
ANDOVER 617 - 470-0100
CENTRAL OFFICES AND WAREHOUSE* PARADE PLACE, ANDOVER, MASSACHUSETTS 01810
March 10, 1978
Lt. David J. Coggin
Salem Fire Department
City of Salem
48 Lafayette Street
Salem, Massachusetts 01970
Dear Lt. Goggin:
Due to the severe winter and frozen ground, it would be a hardship to remove
three tanks at 108 Jackson Street, as per ;£ou` request of March 7, 1978.
We forthwith request a 30 day extension to April 1 A, 1978, to remove tanks
and backf i l l area.
Thank you for your cooperation in this matter.
Sinceat'Jy,
EY, DOCKHAM &CO., INC.
RODERICK V. SMITH
Senior Vice President`
RVS:tw
TEL:1BOSTON 617 - 662-6800
NORTHSHORE 617 - 745-3000
ANDOVER 617 - 470.0100
CENTRAL OFFICES AND WAREHOUSE ® PARADE PLACE, ANDOVER, MASSACHUSETTS 01810
April 24„ 1978
Lt. David J. Goggin
Salem Fire Marshall
City of Salem Fire Department
48 Lafayette . Street
Salem, Massachusetts 01970
Dear Lt. Goggin:
Please be• advised that John D. Hallberg & Sons, has completed the removal of tanks
at the 1 Street °Massachusetts.
08 Jackson location in Salem! ,
This work was done in accordance with your notice of March 7, 1978, and we hope
brings the matter to a satisfactory conclusion,
Sincerely,
CR ", DOCKHAM & CO., INC.
RODERICK V. SMITH, JR,
Senior Vice President
RVS : tw
SALEM FIRE DE ARTMENT
Fire Prevention Bureau
48 LAFAYETTE STREET, SALEM, MASS. 01970
/1" /
POSTED
Certificate of Completion - Installation or Alteration of Oil Burning Equipment
The undersigned hereby certifies that, t installation (or al ation)) f fuel oil burning equipment and/or storage tank and applying to the installation for
(Name of Owner) - V` t
at (Address)
Date
Floor heated /9 /1
by system
(lst,2nd.all)
has been made in accordance with provisions of the Salem Fire Prevention Code, of Chapter 148, G.L., and regulations made under authority thereof now currently in
effect and pertaining thereto. (Ref. 527CMR4.00)
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 (or persons) for whom the installation (or alterations) was made.
BURNER
Name �' ' f7
6-).1
Type Mass. Approval No.
Mfg. by
To use not heavier than fuel oil Kind of heat
Type of Tank
No. of Tanks
STORAGE TANK
Location ;o
Total Capacity
21
(D.H.W.; F. .W.; STEAM; F.H.A.)
( i//New Tana
[ Existing Tank
l i No additional storage, using same tank as another unit.
Note: New underground tank installations, require a plan and Form 81G to be filed.
Type (automatic or manual) control
Location of automatic shut-off valve
Location and type of manual shut-off valve ELECTRICAL C NTRACTPR:
Special requirements Y. Com an 47- (4;e1-
P .. :��..
By
Cert. o&Cpmp. Rec'd.:.. 1.0-19-.gar
Permit issued 24 f 6
Issued B
(writ . signature).
Address
Installer's Certificate of Competency No
DO NOT WRITE BELOW THIS LINE
r% S
t✓t9 t'
d
POWER BURNERS
Date December 14,1925
Name Cressey-Dockham
Location 102 Jackson st
Name of Burner
(Replacement)
.# # (DELCO)
Gals, Stored 275
Location of Tank Basement
Installed by
Kind of Heat
Hot water
Cap of Tarok 2!5 Gals=
Kind of Oilj ght fuel
Pickering -McFarland, Salem
Inspected !ftN.##
Approved tki -
.4-40
Date
Name
Location
Name of Burner
Gals. Stored
Location of Tank
Installed by
Inspected
POWER BU1RERS. •
De,o .1 71953
1.5ars ul ‘.°o-nr
g
so
Jackson
Kind of Heat
Cap. of Tank L°C) Gals.
...:naersrou.nd Kind of Oil
ui 1 ‘,or-o e aU 39.
Or:5 Approved
12-15-57)
Form 24
Power Burners
Date 10/12/84
Name Chi cos Resteraunt
Location 108 �lackson St - Noe of Tanks 1
Carlin 12313
Name of Burner Mass. Approval No.
Gals. Stored 275 Kind of Heat rHw
Location of Tank RasPment Kind of Oil #2
Installed by °. - Bouuffard nil C. ®f C. 019:169
I t. I atnjl inpe 6/20/86
Inspected by Date Approved
David 'W. Cody
Chief
978-744-6990
dcody@salem.cam
City of Salem, Massachusetts
Fire Department
48 Lafayette Street
Salem, 'Massachusetts 01970-3695
Ter. 978-744-1235
fax 978-745 4E46
July 16, 2010
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.
1204 Jefferson Avenue
Fire Prevention
Bureau
978-745-77 77
There are,no records on file for any UST's or any releases on this property.
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 hav 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 .dc not permit
you to rely upon the information contained in this Letter as being either
definitive or complete. The information in this letter is providedto 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,
Charles R. Holloran, Jr.
Fire Inspector
- Make application to -local Fire Department.
Fire Department retains original application and issues duplicate as permit.
(t7o11G,M eesea/// . C/G'`•(cC.JJadz zeJe//J.
0SL%[GG)(me)YG U/r2/ 1 ice i� 'icoccL'J. — Moe't (7(.V(2
sire irerrerylcu.r
/oil q
APPLICAT.ION and PERMIT _ 25.00 I
for storage tank removal andtransportation to approved tank disposal yard in accordance with the provisions
of M.G.L. Chapter 118, Section 38A, 527 CMR 9.00, application is hereby made by:
L �iil'.t•l►iil!
Tank Owner Name (please print) George Weil
Address 204 Jefferson Avenue
Staler
•Romoval: Contractor,
Company Name H &_S Tank Cleaning Inc_
Print
Address 101R Foster St. Peabody, MA 01960
pnnt
Signature (il applying for permit)
C.: IFCI Certified
Tank Information
-tank location 204 Jefferson Avenue
s/ aivae ji/ap7ying T o, imdl --
Salem
City
Contamination Aascssmont`,
Co. or Individual
Address
Signature (if applying for permit)
MA 01970
State L'p
IFCI Certified C LSP N Other —_.—.—_..
51woc Address,
faith Capacity (gallons) 275 gallon aboveground'
Salem, MA 01970
_Substance Last Stored 4t2 fuel oil
Tank Dimensions (diameter x length) _
Reraturl;s: Tank removal set for 2/5/98 - located in the basement - converted to GAS
Disposal Informatitik
Himtiaiispoitiny waste H & S Tank Cleaning Inc.
State Lic. IF
Hazardous waste naanifesul H 00658 _.___..__�___..—_E.P.A. H
Approved lank disposal yard Turner Salvage
MA326
MP9787446844
Tank yard 11 -,-. 002
MA
Type of inert gas ___-__ ____ _,__—____- Tank yard address Commercial 5t` Lynn,
Approvals.
City of Town
•
Date of issue _ Z/�-----------------•
Di1 safe approval number:((__._.
SALEM
Signature / That of (:)Ilicer granting permit
Atter removal(s) send Form FP'290A signed by Local Firu Dept. to UST Ftegutatoty Compliance Unit, One Ashburton Place.
nuwn 1310, 13ostun, MA 02108 1618.
FDIDII 01. Z-SV" Permitlt le?
-------Date of expiration ----'.-•
Dig Safe Toll Free Tel. Number - 800-322-484•t I
"j_.
1. CI1111 1Jd Lit
Gallons -A-7c
Previous Contents
Diameter Length
Date Received (- 58-
Serial # (if available)
Tank I.D. # (Form FP-290)
Wank Removed From:
( No. and Street )
( City or Town )
Fire Dept. Permit # %)-(
Owner/Operator to mail revised copy of Notification Form(FP-290, or
290R) to: UST Compliance, Office of the State Fire Marshal, 1010
Commonwealth Avenue, Boston, Ma. 02215.
Fp-
1
RECEIPT OF DISPOSAL OF UN jUrgNv',FLSVRpO.Tir1C.
NAME AND ADDRESS �J 11�
OF 225 Commercial St.
.y, , APPROVED TANK YARD ' • 4 yriri, MA O19O5
APPROVED TANK YARD NO. 002
Tank Yard Ledger 502 CMR 3.03(4) Number:
0
I certify under penalty of law I have personally examined the underground stp1 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 Provisions for Approving Underground Steel Storage Tank dismantling yards.
A valid permit was issuel 'by LOCAL Head of Fire Department MINIQ a a to transport
this to this yard.
official title of approved tank yard owner or owners authorized representative: •
9 a
SIr v TTTLE • DATE. SICNED
This signed receipt of disposal must be returned to the local head of the fire department
FDII pursuant to 502 o 3:00. (EACH TANK musr,HAVE A RECEIPT OF DISPOSAL)
FORM F.P. 291 (rev. 11/95)
(0) MASSY STATE FIRE D UAL'S OFFICE
SUBSURFACE 9EMEDIATION TECHNOLOGIES INC.
• TIMOTHY A. TOOMEY, PG/LSP
General Manager
355 Central Street
Rowley, MA 01969
(978) 948-3861
ASSESSMENT/REMEDIATION SERVICES
Make application to local Fire Department.
Fire Department retains original application and issues duplicate as Permit.
0/6/7/4144a4t6a&
_ rvceorde &tate
APPLICATION and PERMIT
01.'0
Dtq
Fee: $1
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 Owner Name (please print) Elizabeth Realty Trust of Essex County X
Address 108 Jackson Street Salem
Street City
r:la��li�hllK.l�U�:l•�i•li
Company Name H & S Tank Cleaning,_ Inc. (978) 531-6433
Print
Address P.O. Box 2 Amesbury, MA 01913
Print
Signature (if applying for permit)
❑ IFCI' Certified Other
Tank Information
Tank Location 108 Jackson Street
530
Tank Capacity (gallons) aMvgallons
Tank Dimensions (diameter x length) Oval x 5'L
Signature (if applying for permit)
Lsi•1i bI,iniblfl•1iI_t-t.�i4.t.Iu1 Jil(
Co. or Individual
Address
Signature (if applying for permit)
Print
Print
MA 01970
State Zip
❑ IFCI" Certified ❑ LSP # Other
Salem
City
ubstance Last Stored Home heating oil
Remarks: UST •A ( i7 t e ° tp 'v YZMIi- fey 66
rwofl - ceLes pc remo ctco,.ltavl e 7 -Pt/a) cLik 1.1
Disposal Information
Firm transporting waste H & S Tank Cleaning, Inc.
Hazardous waste manifest#
Approved tank disposal yard Winfield Alloy Inc
Type of inert gas N/A
Approvals
City or Town
Date of issue
Salem Fire
6 f t3IR
State Lic. # MA326
E.P.A. #
Tank yard # 014
Tank yard address 1-15 Medford St., Lawrence, MA 01841
Dig safe approval number: 20112310915
Signature / Title of Officer granting permit
FDID# Permit#
Date of expiration
bJIS4) h
L.
Dig Safe Toll Free Tel. Number - 800-322-4844
After removal(s) ("Consumptive Use" fuel oil tanks exempted) send Form FP-290R signed by Local Fire Dept. to UST Regulatory
Compliance Unit, Department of Fire Services, P.O. Box 1025, State Road, Stow, MA 01775.
*International Fire Code Institute
FP-292 (revised 4/97)
1r'
`ommont,1eaf `r. o/'T /c14..-ia(A/te/.5-e//4',1(117
1Virti{//hear/ rise % t „rr'F - (//iee ,/ /! "Y//,/P ` Ad. ^ 77, r.:1,(,1
.if
RECEIPT OF DISPOSAL OF UNDERGROUND STEEL STORAGE TANK
FORMERLY CONTAINING MOTOR FUEL
NAME AND ADDRESS OF APPROVED TANK YARD:
Approved tank yard no. CO/
4VINDFIELD ALLOY INC.
15 MEDFORD CT.
LAWRFNCE, MA G1841
Tank Yard Ledger 502 CMR 3.03(4) Number:
I certify under penalty of law I have personally examined the undergroun steel stor9ge tan delivered to
this "approved tank yard" by (firm. corporation or partnership) ¢{�' OGG.,
and accepted same in conformance with Office of the State Fire Marshal Regulations 502 CMR 3.0/
Provisions for Approving Underground Steel Storage Tank Dismantling Yards. A valid permit was issued
by the head of the LOCAL fire department FDID# OZ ? R - 34 t!e..v ,c to
to transport this tank to this yard.
Name an o ial title of ap roved tank yard owner or own
ers authorized representative:
Signature : Title . /v �-
//
TANK REMOVED FROM:
No. and Street: /a8 44,I< Scit.I. S't
Previous contents: rvv. e. �... D tc City and Town: SQ (e,,.t 1 MA
Diameter: tie
Fire Dept. Permit #:
Length: S Notes:
Gallons:
TANK DATA:
.SQa
Date Received: C, (l 3 / t r
Serial # (if available):
Tank I.D. # (Form FP-290):
EACH TANK MUST HAVE A RECEIPT OF DISPOSAL
Date signed: C.
Owner/Operator to mail revised copy of Notification Form (FP290, or FP290R) to local fire
department and:
Department of Environmental Protection
Bureau of Waste Prevention - UST Program
P.O. Box 120-0165
Boston, MA 02112-0165
This signed receipt of disposal must be returned to the head of the local fire department.
Forrn FP 291 (Rev. 11/2009)
ENSOL
Environmental- Solutions for Business
Janaury 03, 2001
Inspector Frank Preczewski
Salem Fire Prevention
29 Fort Avenue
Salem, MA 01970
RE: 21E Review
100 Jackson Street; Salem, MA
Dear Sir:
Please perform a search of your UST and flammable storage records for the property at the
above address. Attached to this request is a check in the amount of $30.00
Please contact the undersigned if you have any questions regarding this request.
Sincerely,
ENSOL, Inc.
/ 4444
Gail I. Harrison
President
iu6a5'-.`,:.'.t.:-iire:a
100 Treble Cove Road, Billerica, MA 01862 (978) 670-0755 FAX: (978) 670-0767
CITY OF SALEM FIRE DEPARTMENT
FIRE PREVENTION DIVISION
29 FORT AVENUE
SALEM, MA. 01970
FAX COVER SHEET:
TO:
FROM:
DATE:
SUBJECT:
GAIL HARRISON
INSP. FRANK PRECZEWSKI
1/9/2001
PAGES: 4
FRANK PRECZEWSKI, JR.
FIRE INSPECTOR
PHONE: 978-745-7777
FAX: 978-745-9402
21-E SITE REPORT 100 JACKSON STREET SALEM
THIS FAX CONTAINS PRIVILEGED AND CONFIDENTIAL INFORMA-
TION INTENDED ONLY FOR THE USE OF THE INDIVIDUAL OR
ENTITY TO WHOM IT IS ADDRESSED. IF THE READER OF THIS FAX
IS NOT THE INTENDED RECEIPIENT OR THE EMPLOYEE OR AGENT
RESPONSIBLE FOR DELIVERING IT TO THE INTENDED RECIPIENT
YOU ARE HEREBY NOTIFIED THAT ANY COMMUNICATION TRANS-
MISSION, DISSEMINATION OR REPRODUCTION OF THIS FAX OR
ITS CONTENTS IS STRICTLY PROHIBITED. IF YOU HAVE RECEIVED
THIS FAX IN ERROR, PLEASE IMMEDEDITELY NOTIFY ME BY PHONE
AND RETURN THE ORGINAL FAX TO ME AT THE ABOVE ADDRESS
VIA THE U.S. POSTAL SERVICE. "THANK YOU"
GROLE2t (W ¶U2,2E1
aiE1
50S-744-6990
City of SaLEm, a ae�iu�Ett�
�LZE 1�E fia'tmErzt
({b Lafal,Ettf St2£Et
d14assacfius£tts 01970-3695
J L' 5o8-744-1235
Jax 508-745-4646
997E 9-'2Eventlon
3u2Eau
508-745-7777
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 100 JACKSON STREET SALEM, OUR RECORDS SHOW NO RELEASES OR PROBLEMS
UST HAS BEEN REMOVED.
You .=:should . understand that the- Salem. Fire Department is but one of several'
,departments within the City of Salem 'towhich ,information can' be obtained " ' I" 1 '
,concerning „flammable liquid -storage,, releases;*- or -thazardous wastes. aIt 'is'''. -'""A ~° "' >•-
quite :probable..: that, .this department- would, -have no.'iknowledge' ofthe
„ : • presence ,of -hazardous ,wastes . onany particular- site- since this = department
„does.< -not -do, independent . hazardous waste tinvestigations. ,,, •
.. .
:To .,assist : you", in -conducting your environmental' assessment of the site
are able to' inform you as indicated by the °' report °.attached • and/or
enclosures.
we
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,
FRANK PRECZEWSKI
FIRE INSPECTOR
SALEM FIRE DEPARTMENT
POWER BURNERS
Name
J. DeFrancisco& Sons
1.1
•
Address100 Jaokson St•
Date
3-8-50
Name of Burner
Gals. Stored
Petro 300
I000
Outside
Location of Tank Underground
Installed by L.F. Kiley -G5482
Inspected
3=8-60
Kind of Heat Staam
Cap. of Tank Gals.
Kind of Oil #3
Approved
3-8-50
4 u •
Additional details: memo
Date: 01/0 '/2001
Address:
No. 100
Business name:
Tank data:
Tank size:
Product:
Time: 15:47:33
Record #
Street JACKSON STREET
CALIFORNIA OLIVE OIL
(in gallons)
1,000
(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
Date of removal:
Contractor:
Additional details:
Date: 01/03/2001
Address:
No. 100
Business name:
Tank data:
Tank size:
Product:
82
S
03/17/1987
R. JENDRASZEK CONSTRUCTION
memo
Time: 15:47:33
Record #
Street JACKSON STREET
CALIFORNIA OLIVE OIL
(in gallons)
1,000
(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
Date of removal:
Contractor:
Additional details:
82
S
03/17/1987
R. JENDRASZEK CONSTRUCTION
memo
Date: 01/03/2001 Time: 15:47:33
Address:
No. 100 Street JACKSON STREET
Record #
82
f 01/03/01 16:04 e9786700755 ENSOL, INC. i3001
ENSOL
Environmental Solutions for Business
Janaury 03, 2001
Inspector Frank Preczewski
Salem Fire Prevention
29 Fort Avenue
Salem, MA 01970
RE: 21E Review
100 Jackson Street, Salem, MA
Dear Sir:
Please perform a search of your UST and flammable storage records for the property at the
above address. Attached to this request is a check in the amount of $30.00
Please contact the undersigned if you have any questions regarding this request.
Sincerely,
ENSOL, Inc.
Gail I. Harrison
President
100 Treble Cove Road, Billerica, MA 01862 (978) 670-0755 FAX: (978) 670-0767
Robert tiV. Turner
Chief
978-744-6990
City of Salem, Massachusetts
Fire Department
48 Lafayette Street
Salem, :vfassachusetts 01970-3695
Tel. 978-744-1235
Fax 978-745-4646
I E174.
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.
.62 Jef,ferffp Ayenme
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 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 onthe
express condition that no liability shad 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 presenc - r absence
of any hazardous wastes or releases on this site.
Signed,
Lt. Erin G
Acting Fire Marshal
February 24, 2005
Date
Name
POWER BURNERS
February 4,1960
Logan Sinclair Repair Garage change 8/6/68 Lt. G
Location
62 Jefferson Ave.
Name of Burner
Esso #822—A
Gals. Stored 275
Location of Tank Ground Floor
Installed by
Inspected
Bursaw Oil Corp.
2-4-60 FW
Kind of Heat it 2
Cap. of Tank 275 Gals.
Kind of Oil zc 2
Approved
24-60 FW
(Mill of *Wlema, assatliusetts
FIRE DEPARTMENT - FIRE PREVENTION BUREAU
48 Lafayette Street
Salem, Massachusetts 01970
o: HEAD OF FIRE DEPARTMENT
Fee Due $10.00
Ck. # /c' i r Cash
Rec'd by
- 147
(Date)
pplication is hereby made in accordance with the provisions of Chapter 148, Mass. General Laws; and 527CMR6.00 made under
lthority thereof, by the undersigned, for permit to install Liquified Petroleum Gas storage tank or tanks, for the person or persons
id at the location named herein:
ime of Owner. JJ, 8 ('RR awl A 7.:2
ember of Tanks: /
mpany: Ho/do,�'r HIP GARS Address: �/ iyti �/�'l� 5 7
Capt. Turner
Address-
2 c)rFr"?Sc,N
ued by:
n #90L (Rev. 1/83)
Capacity of Each Tank: f G'9./
Total Storage:
Installer.
Date: //�,
DO NOT WRITE BELOW THIS LINE
/ vE-•
nfien Signature)
vate 1, assadlusetto
FIRE DEPARTMENT - FIRE PREVENTION BUREAU
48 Lafayette Street
Salem, Massachusetts 01970
IAD OF FIRE DEPARTMENT
ition is hereby made in accordance with theprovisions
Linuified Peproleuter mGas storage tank o, Mass. General `r tanks, for the pers; and son ordpersons
ty thereof, by the undersigned, for permit to q
the location named herein: _
/{E,V01/A7an) Address- R c) 4"ffP,n 5o"' fAI/E'
�
Capacity of Tank: Each / ��"t Total Storage:
�� • �
Address: yNN� S Installer:
Date: i / /1 cF 7
Fee Due $10.00
Ck. # /'' 7 fe Cash
Rec'd by:
/a4 //f7
(Date)
,f Owner 7?
of Tanks:
1y: .rJ S
Capt.
)y:
(Rev. 1 /83)
Turner
DO NOT WRITE BELOW THIS LINE
(Nri ten Signature