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21 E Archive Box (015) L
1 1 David'W. Cody Chief 978-744-6990 dcody@safem.com City of Salem, Massachusetts Fire Department 48 Lafayette Street Salem, 7v(assacfiusetts 01970-3695 Tel: 978-744-1235 Fax 978-745-4646 Fire Prevention Bureau 973-745-77 77 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. i 2 d z f 5-74j /f,rX L v ef/4e_ .1-z _a / -C74 You should understand that the Salem Fire Department is but one of several departments within the City of Salem to which information cart 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 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 assertedagainst 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 orreleases on this site. Signed, GOLDBERG ENERGY MANAGEMENT, INC. 7 RANTOUL STREET BEVERLY, MASSACHUSETTS 01915 (508) 922-8900 PROJECT: TANK REMOVAL S, ycvolotftlakebt?ory 135 Lafayette Street Salem, MA 01970 TO: Head of Fire Prevention Salem Fire Department 48 Lafayette Street Salem, MA 01970 WE TRANSMIT: FOR THE TRANSMITTAL LETTER NO. 1 DATE: 11-17-92 File Name: SJRSTL02 If enclosures are not as noted, please inform us immediately. If checked below, please: [ ] Acknowledge receipt of enclosure [ ] Return enclosure to us. [X] Herewith [ ] Under separate cover [ ] In accordance with your request. YOUR: via [ ] Approval [ ] Distribution to Parties [ ] Review & Comment [X] Record FOLLOWING: [ ] Drawings [ ] Specifications [ ] Change Order Information Use [ ] Shop Drawing Prints [ ] Samples [ ] Shop Drawing Repros. [ ] Product Lit. [X] Items Listed Below COPIES DATE REV NO. DESCRIPTION 1 11-17-92 9203194 Original - Tank Disposal Receipt from John C. Tombarello & Sons 1 11-17-92 9203194 Xerox Copy - Tank Cash Receipt from John C. Tombarello & Sons 1 11-16-92 #756942 Xerox Copy - Tank Removal Permit from Salem Fire Dept. 1 11-17-92 MA G128920 Xerox Copy - Hazardous Waste Manifest 1 11-17-92 SJRSTL03 Xerox Copy - Transmittal Letter to Massachusetts DEP ACTION CODE A. A. B. B. B. TRANSMITTAL LETTER ST. JOSEPH'S RECTORY, SALEM, MA PAGE.2 ACTION CODE A. Action indicated on item transmitted B. No action required C. For signature and return to this office D. For signature and forwarding noted below under REMARKS E. See REMARKS below REMARKS: COPIES TO: GEM JOB FOLDER FILE [X] ST. JOSEPH'S RECTORY [X] [] [ [ ] GOLDBERG ENERGY MANAGEMENT, INC. Rogert Goldberg President • v‘i JOHN C TOMBARELLO & SONS, Inc. 207 MARSTON STREET • LAWRENCE. MASS. 01841 TEL (508) 682-5226 • (508) 682-5227 BUYERS AND PROCESSORS OF FERROUS AND NON—FERROUS METALS PRECIOUS METALS AND ELECTRONIC SCRAP WE ALSO SELL NEW AND USED STRUCTURA STEEL SOLD TO (1k(t. 1( BOUGHT FROM ADDRESS WAN. 1() sa cf282,134 0 ifrt--"gr ARTICLES --1030.1.1)) 14 SI %tot f0 71r DATE BRADY BUSINESS FORMS. INC- 1133707-BK Noy17 1992 , RATE PRICE `() t1,Y1(? . RECE DISPOSALbi¢ NAME AND ADDRESS JO N C.TOMSARELW & SONS -- Tf►N•ST. OF • - hirt. MASS. WW1 APPROVED TANK•YARD APPROVED TANK YARD NO. 1 4 9 01 Tank Yard Ledger 502 CMR 3.03(4) Number: q 2 Q 3 8 4- I certify wxler penalty of law I have personally exanined the L, .1:.,_...md steel storage delivered to this 'approve tank yard" by • firm, .+. I.... ion or �+nersh+p�otdbe tank Y11Qnainnuz4 and accepted same in with Massadn:setts Fire Prevention - Regulation 502 Q R 3.00 Provisions for Approving Underground Steel Storage Tank dismantling yards. A valid permit was issued by LOCAL Head of Fire Department Fflm# 0 7L 1. to import this tank to this yard. Name and official title of approved tank yard owner ar owners authorized representative: 4162614tiak m":1611& TITLE DATE SIMED This signed receipt of disposal Host be returned to the local head of the fire department maw Ls 3a► .S " pursuant to 502 CMR 3:00. (Mai TANK M.'P HAVE A RECELPr OF DISPOSAL).. FORM F.P. 291 (rev. 9/88) DIMENSIONS Width Length Tank 1 - `- X 1 n " (2,a-trb Tank 2 ----- X Tank 3 X Tank 4 X Tank 5 X (feet) (feet) (OVER) 1411SSICHUSETIS ROWE FIRE l91RSSAL' S OFFICE • Tank Removed From 135 LAFAYCrr-E ss . (no. street) (city or town) Fire Department Permit # 57- ZWIEPA epuv— ?S(p 42 (if applicable) FORM FP. 292.. (rev. 9/90) . , , - • UiI;P (RoiitrtiitittoiOLIII of i;aosarlyitortto Department of. Public Safety Division of, Fire Prevention and Regulation APPLIPATION FOR PERMIT, AND PERMIT, FOR REMOVAL AND TRANSPORTATION TO APPROVED TANK YA FDID# O92, S i Permit # % r-G cl.y L .. r .c t.rw< City, Town or District Fee Paid : S� otc,k*jscaz Date (1'l F, 19 Rz. C.82 S.40 M.G.L. DIG SAFE NUMBER a2A Qcrl2 5J start date M31g2 In accordance with the provisions of Chapter 148, Sec. 38A, M.G.L., 527 CMR 9.00 application is hereby made by: G ovoaC r ..rp Vt ,44,&€w„r Street Address & City or Town: "-i Signature of applicant: Applicants name printed: 0041 For permission to remove and transport one unte`'ig ound storage from. Owner: Street Address: 13 L A B,-ram Sr Firm transporting waste: (nS; G IL State Lic. # 5 Z Hazardous waste manifest # A-G 1289Z0 • • E. P.A. # PIP Sd&' Approved tank yard: Qb C `Iv vests +�u c c.o # t 4 qD 1 Tank yard Address: Type of inert gas: • Cc►-7 Tank capacity: Date of issue: oo Signature/Title of Officer granting permit: VI AreA;NIA 6vcc UL tank If: Substance last stored: Z otit s-.)19 Date of expiration: fa, /#% 19'' /41,46--j ScIr KEEP ORIGINAL AS APPLICATION AND ISSUE DUPLICATE AS Prran►r N O co N O O co m c Iv U m f/) C 0 0. to m CC m 0 4- co 2 of .0 co U co 76 a) E E a ' O 0 C a) a) a) a) 4- 0 call) co 0 c --.--.-. tvitioot1ti1'IU0C 1 lb DEPARTMENT OF ENVIRONMENTAL PROTECTION DIVISION OF HAZARDOUS WASTE One Winter Street Boston, Massachusetts 02108 Please print or type. (Form designed for use on elite (12-pitch) typewriter.) G E N E R A T 0 R T R A N $ P 0 R T E R F A 1 1 T Y 5. Transport1 Copany Name je_ Q& a,L ,r 7. Transporter 2 Company Name 1 9.3esigia`ed Facility Name and Site Address 111Iii1l11iUe4 VICe.�-f-S� IUNIFORM HAZARDOUS 1, Generator US EPA ID No. Manifest 1 A WASTE MANIFEST L5 0 1/ i�j�IbyL��, l° ° e` nil, 3. Generator's Name and Mailing Address r /, [ !� (_ NL T-• 4. Generator's Phone (] ) � ' 0095 <, i-4 0 i ¶ %ll• EPA ID Number 8. US EPA ID Number 1 1 1 1 1 1 1 1 1 1 1 1 10. US EPA ID Number 2. Page 1, Information in the shaded areas of (/ is not required by Federal law. :A,,Siiii Meiiifest Dbcurilen(*n rTrenspoite''a EE: State,Trans: l0 F.fretti sporterg Phone t Gf, sCafe:citity's 1D d Not gtiired • P tI ( /LI 11. US DOT Description (Including Proper Shipping Name, Hazard Class, and ID Number) b. c. d. J. Additlonal.Descriptions for Materials Listed Above (include physical state and hazard code.) d. 15. Special Handling instructions and Additional Information 12. Conto ners 13. 14. I. Total Unit .WasteNo. No. Type Quantity WtNol f 1-i _u aQf ( r 1.: I I I I I 1 . 1 1 1 1 1 1 •I 1':.I K. Handling,Codes for Wastes Listed Above c. I 16. GENERATOR'S CERTIFICATION)reby declare that the contents of this consignment are fully and accurately described above by proper shipping name and are classified, packed, marked, and labeled, and are in afl respects in proper condition for transport by highway according to applicable international and national government regulations. If I am a large quantity generator, I certify that I have a program in place to reduce the volume and toxicity of waste generated to the degree 1 have determined to be economically practicable and that I have selected the practicable method of treatment, storage, or disposal currently available to me which minimizes the present and f uture threat to human health and the environ- ment; OR, if 1 am a small quantity generator, I have made a good faith effort to minimize my waste generation and select the best waste management method that is available to me and that I can afford. Pdnted/Typed Name 7. Trans'porter 1 Acknowledgem jnt of Receipt of Materials rnoed/TypedNa e/ 18. Transported 2 Acknowledgement of Receipt of —Materials Printed/Typed Name 19. Discrepancy Indication Space ISignaturel gnature Signature 9, 20. Facility Owner or Operator: Certification of receipt of hazardous materials covered by this manifest except as noted in Item 19. Printed/TypedName Form -\op o,eo OMB No 2050-0039 E. ,res 9-30-92 EPA Form 8700-22 (Rev. 9-881 Previous editions are obsolete. . rAOv-.I • rr►IrD•TA0 M ATI r` TA Tr-C. TT\t•TT w•, Signature 1 Date Month Day Year 11 / 111'1 Date Month Day Yearzi /1/I/ 1r')I51 Date Month Day Year 1111111 Date 1 Month Day Year 111111 • GOLDBERG ENERGY MANAGEMENT, INC. 7 RANTOUL STREET BEVERLY, MASSACHUSETTS 01915 (508) 922-8900 PROJECT: TANK REMOVAL St. Joseph's Rectory 135 Lafayette Street Salem, MA 01915 TRANSMITTAL LETTER NO. 1 DATE: 11-17-92 File Name: SJRSTL03 If enclosures are not as noted, please inform us immediately. If checked below, please: [ ] Acknowledge receipt of enclosure [ ] Return enclosure to us. TO: Commonwealth of Massachusetts Dept. of Environmental Protection Division of Hazardous Waste One Winter Street Boston, MA 02108 WE TRANSMIT: [X] Herewith [ ] Under separate cover [ ] In accordance with your request FOR YOUR: [ ] Approval [ ] Review & Comment THE FOLLOWING: [ ] Drawings [ ] Specifications [ ] Change Order COPIES DATE REV NO. 1 11-17-92 MA G218920 1 11-17-92 MA G218920 [ ] Distribution [X] Record via to Parties .[ ] ] Use Information [ ] Shop Drawing Prints [ ] Samples [ ] Shop Drawing Repros. [ ] Product Lit. [X] Items Listed Below ACTION DESCRIPTION CODE Copy 6 -'Hazardous Waste Manifest A. Copy 7 - Hazardous Waste Manifest A. ACTION CODE A. Action indicated on item transmitted B. No action required C. For signature and return to this office D. For signature and forwarding noted below under REMARKS E. See REMARKS below REMARKS: i COPIES TO: GEM JOB FOLDER FILE ST. JOSEPH'S RECTORY GOLDBERG ENERGY MANAGEMENT, INC. [X] [X] [ [ ] Robert Goldberg, President make application to local i-ire uepartment. Fire Department retains original application and issues duplicate as Permit. (Oo491491,o%ncoecd h 6irzc -uc eo, C'as'ry re/z424 menea� isle d elevi :Lcea — -Mocaleci/o/C Lee ✓;sreverY eio,Y. APPLICATION and PERMIT 'Fee:s-lomtIL 1 for storage tank removal and transportation to approved tank dispbsal 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, Tank Owner 's A Name (pleaseprint) e Address '( ST emova ontractor Company•Name EA) pf2 0 Address /� /414Akek OA, Signaturelit applying for permit) /(744 biill 0 IFCI Certified Tank Information : ff Tank Location �°k Led sree address Jar Skeet Sar-_4 Lao Lp G I Print 1,4420.rli nkj-- ( e(ti. 1- elm 600 I es ���� coy Co. or Individual. .. / tf /i e r Pnnt / I Tank Capacity (gallons) - 1 S Tank Dfrnensibns (diameter x length) Remarks: .3 0 isT Jk'C isposal Information Firm transporting waste Signature (u ap!l ying for Deane) Address Signature (if applying tor permit) r_ IFCI Certified LSPc5j# City Substance Last Stored K t( Hazardous waste manilest# • C/v (. c 509 3 02 Approved tank disposal yard �.t/'l1-L" Type of inert gas.L )i Approvats` City or Town Date of issue 312.2//a Dig safe approval number: Tank yard address Print Print State LIc. .a& State Other E.P.A. # /'r' r" . q eo & ? o o c ( /',Tank yard # t)0 W W1. ie'kiV..tee. c : c7 1T / Lid/ Pt 1- Signature / Title of Officer granting permit C;)2 ic.....__.ZG-ae-sa-/;% P After removal(s) send Form FP-290R signed by Local Fire Dept. to UST Regulatory Compliance Unit, One Ashburton Place, Room 1310, Boston, MA 02108-1618. FDID# %.ZS`rr % P # ermit Date of expiration 313/a `Dig Safe Toll Free Tel. Number - 800-322-4844 I Y2 (O9 Zip FP•292 (revised 9/96) ct J Ns r .30 SALEM FIRE DEPARTMENT Fire Prevention Bureau 48 LAFAYETTE STREET, SALEM, MASS. 01970 Date Certificate of Completion - Installation or Alteration of Oil Burning Equipment The undersigned hereby +certifies � at the installation (or ration) of fuel oil burning equipment and/or storage tank and applying to the installation for (Name of Owner)>„t. • . • (S ✓. "0. / e� � ` r rC 770 if 7 Floor heated by system at (Address) tar A /. ��. �.�✓. �....... . (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 CIhel//4 Type 6V/✓. To use not heavier than. fuel oil Type of Tank No. of Tanks .c9-, Total Capacity Location ��3/�s r . Mfg. by C4te//;2' Mass. Approval No Kind of heat STORAGE TANK c1'/7-c/ (D.H.W.; F.H.W.; STEAM; F.H.AJ [ New Tank [ ) Existing Tank [ J 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 h�T.�i.�'-./. ! 4 .12-/ �/%/Veq Location of automatic shutoff valve //52/"74- ,* A-'c W'/iv>' Location and type of manual shutoff valve../ /4. 4.e-, kwe!!!/ .. ELECTRICAL CONTRACTOR: Special requirements Oil / /' " /.r 141(. (. Company Cert. o&Cpmp. Rec'd , /.1/46 . J Permit issued..,,4 Issued By.. By (Written a Address /77 ,�.f f ` Installer's Certificate of Competency No. 0/6 ! 747 DO NOT WRITE BELOW THIS LINE are 1 SALEM FIRE DEPARTMENT Fire Prevention Bureau 48 LAFAYETTE STREET, SALEM, MASS. 01970 --,Nu-0 31311&� Date .. /O/.X9 ... . / & ... ►130 Certificate of Completion - Installation or Alteration of Oil Burning Equipment The undersigned hereby certifies that the installation (or alteration) of fuel oil burning equipment and/or storage tank and applying to the installation for (Name of Owner) S/ .J e iefi' S Ca,/ .' e-' % at (Address) Floor heated ._--- 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 Type To use not heavier than G` fuel oil Type of Tank Mfg. by Mass. Approval No. Kind of heat STORAGE TANK No. of Tanks 3 Total Capacity L Location L�A?tT 1E Note: New underground tank installations, require a plan and Form 81G to be filed. Type (automatic or manual) control `.Z.. / 3 (D.H.W.; F.H.W.; STEAM; F.H.A.) ( ( New Tank )X( Existing Tank )() No additional storage, using same tank as another unit. Location of automatic shut-off valve /Q/ �!/•'qsz Location and type of manual shut-off valve Special requirements Cert. otCpmp. Rec'd 3 1 --% r. Permit issued Issued By 14ti ? .... ?. R t ELECTRICAL CONTRACTOR: G 49,7,,s 1 Company.... a2, 1/' G /e'? L-.7, e-S!' By ritten signature) Address .....l.... �rAlliFsv G....,/fo Installer's Certificate of Competency No... DO NOT WRITE BELOW THIS LINE SALEM FIRE DEPARTMENT Fire Prevention Bureau 48 LAFAYETTE STREET, SALEM, MASS. 01970 Date /7/ /9s frPa $6'34s6 Certificate of Completion - Installation or Alteration of Oil Burning Equipment The undersigned hereby certifies that the installation or alteration) of fuel oil burning equipment and/or storage tank and applying to the installation for (Name of Owner) • S ' N. 1 --�I • �5 S p'c se F(o it C at (Address) J35 Ly FE-?c 57. Floor heated � i by system f (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 for persons) for whom the installation for alterations) was made. BURNER Name T> e -7,1,4/, a _)// Mfg. by Mass. Approval No. To use not heavier than fuel oil Kind of heat ^� ,pp STORAGE TANK Type of Tank.. — 3 3 0 (/p No. of Tanks.... .,?J otal Capacity (D.H.W.; F.H.W.; STEAM; F.H.A.) 1 New Tank 60. • •9• . f �(' �.5.... [ ) Existing Tank Location ( [ No additional storage, using same tank as another unit. Note: New underground tank installations, require a plan nd Form 81 G to be filed. Type (automatic or manual) control r�'e - 0 -mgt. C Location of automatic shut-off valve... !.!!!? ..09 /3 r/n i 1 Location and type of manual shut-off valve... pf 4.. (/�o%. �(T /9.tt`..,t . LECTRICAL CONTRACTOR: Special requirements Company .. .. 4 -Pl, ...c! .. ... /./ / '. )1. � .... °✓ 4/� By (written signature) Cart. o?Cpmp. Rec'd OD MS.— , Permit lamed 2 /.I / 9 S Address � %(l 4� 5e/t'. 5% • �rur??ieed �'l� :. lrr, .. %fr74 belied try Capt. Hudson Installer's Certificate of Competency No.....az `� 5 ta.4)- DO NOT WRITE BELOW THIS LINE r FORM 24 POWER BURNERS Date December 7,1976 Name St Joseph High School Location ;.a rh or St No. of Tanks Name of Burner Gals. Stored Location of Tank U.S.Carlin. 4,500 Underground Tunne 1 Installed by Finley u Chisholm I) .0 .Sosnowski Inspected by Form 24 Mass. Approval No. 121 3B Kind of Heat.' t e ar Kind of Oil C. of C. # 16024 Date Approved 12/0n/76 Power Burners Date April 4, 1988 Nome St. Joseph's Convent Location 18 Harbor Street Name of Burner Carlin Gags. Stored 825 Location of Tank Ftaaarrmnt lnstalled by No. of Tanks Mass. Approval] No. 1213 Kind of Heat DHW Kind of OH #2 Parker & Talbot C. of C. # 16950 inspected by Paul Phillips Dote Approved 3/ 31/88 Form 24 Date 2/1/95 Power Burners Name St. Joseph's School Location 13.5 Lafayette Street Name of Burner Gals. Stored 660 Location of Tank Rear of Building Installed by Petroleum Mgt. Ser. Inspected by Capt. Hudson No. of Tanks 2 Mass. Approval No. Kind of Heat Kind of Oil #2 c. of C. # 029562 Date Approved 2/1/95 FORM 24 POWER BURNERS Date January 17 ,1974 Name St Joseph Rectory Location 135 Lafayette St. No. of Tanks 2 Name of Burner Gun Mass. Approval No. �52 Gals. Stored .5 5� 0 Kind of Heat Hot Water Location of Tank Basement Kind of Oil #2' Installed by Stanley H Bettger C. of C. # 16024 Inspected. by Debuty Sosnowski Date Approved 1/30/74 FORM 24 POWER BURNERS Nrote November 23,1977 Name St .Incapth_Churrh Location /35'Lafayette St No. of Tanks 3 Name of Burner Waltham Mass. Approval No. 252 Gals. Stored 4rnn Kind of Heat 41 Location of Tank Basement UndergroundKind of Oil #2 Installed by Inspected by Finley N Chisholm D.C.Sosnowski Form 24 Dote 2/1/95 Name St. Joseph's Church Location 135 Lafayette Street Name of Burner Gals. Stored 990 Location of Tank Basement Installed by Inspected by 4' Petroleum Mgt. Ser. Capt. Hudson C. of C. # Date Approved Power Burners 16024 .11-22-77 No. of Tanks 3 Mass. Approval No. Kind of Heat Kind of Oil #2 C. of C. # 029562 Dote Approved 2/1/95 Fee: Check #: Salem Fire Department 21E Request $50 Date Requested: 14312.410 Address: lout- i0‘4 wfir, 54 I5-Il 1-kvir.srs 3") Lw 3)P (etc6„1) S't• 52 r�c��� . S'%-' Building Type: (check one) Residential: )(Commercial:, Information Requested:. (check all that apply) Underground Tank Information: K Hazardous Material: Oil Burner Install/removal: Contamination/Spill Info.: Fires: (Requires Additional.time,2001 - Present Available) Contact Person: Company Name: rn i k,r,e r Address: 33 Qe) \-- Ce,.4 • SA- r , Telephone #: (5 to,,) (S 3- 8 O01 )S- Email: I C4rJ5/5 on- CINIA Fax #: CogCs3'3191 Revised 6/14 21E Request I rrw1nei15 t 1eC%r5 FORM 24 POWER BURNERS Date 3-19-70 Name Pauline Taondreault Location 15 Harbor St. No. of Tanks 1 Name of Burner Carlin Mass. Approval No. 12138 Gals. Stored 275 Kind of Heat D H W Location of Tank Basement Kind of Oil #2 Installed by Paul Lyons C. of C. # 16038 Inspected by DC B Date Approved 3 -19 -70 Form 24 Power Burners Date 8.27.85 Name Pauline Tondreau l (The Male Image) Location 15 Harbor Street No. of Tanks 1 Name of Burner Carlin Mass. Approval No. 1213 Gals. Stored 275 Kind of Heat DHW Location of Tank Basement Kind of Oil #2 Installed by Oil Burner Service, Inc.C. of C. # 020071 Inspected by D.C. Goggin Date Approved 8.27.85 SALEM FIRE DEPARTMENT Fire Prevention Bureau 48 LAFAYETTE STREET, SALEM, MASS. 01970 9-7 -9v ( - 2 i-19 Date Certificate of Completion - Installation or Alteration of Oil Burning Equipment The undersigned hereby certifies that the installation (or alteration) of fuel oil burning equipment and/or storage tank and applying to the installation for ry (Name of Owner) 4.ae . ... . at (Address) /O y 441( Floor heated ctjj 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. 527CMR.4.00) 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 ikijLdt*- Type To use not heavier than fuel oil Mfg. by Mass. Approval No. ! E Y Kind of heat e+ -(DH.W.; F.H.W.; STEAM; F.H.A.) STORAGE TANK Type of Tank �-^ [ l New Tank No. of Tanks Total Capacity J [Existing Tank Location [ 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 O Location of automatic shut-off valve ��.s��Q Cidtlev'L Location and type of manual shut-off valve.. 4�a —4�...... , ELE Special requirements Company By Cert. o&Cpmp. Rec'd Permit issued Issued By RICAL CJNTRACTOR: (written signature) Address...,OPk'•444 Installer's Certificate of Competency No. %%1. 7.g DO NOT WRITE BELOW THIS LINE re extinguishing Does thi's occupancy'have',.a. 'standpi.ne ;system? re1-:a1l:f... ressure_ s ,satisf, ' .�" �p.r.,,,. � aCaory• ;��Are standpiperhose; irovided?.: Ise a','gauge,provided at top ,of:, sy..stemt?�; '' .: Does. th:is.:.occupancy "have ,°a<'s.prinkle>r system?' :,, .Are .all pressure ,gauges_ showing ' satisfactor'y re;adin. .Are all O.S. &Y. va1ves6open 'ari;d.p'ad]:ocked?`' • Is.. -:'•provided .at °the topq o.f:: _the •systellr? this' a "WET',' or. "DRY" '<7 1 DIMENSIONS Width Length Tank I *a X --> Tank 2 ----- X Tank 3 X Tank 4 X Tank 5 X (feet) (feet) City. Town or District Tank Removed From Icy - (no. street) (city or town) Fire Department Permit # a5 o (if applicable) C.82 5.40 N.G.L. `BOO-iSg DIG SAFE NUMBER Fee Paid: S 25.00 start date In accordance with the provisions of Chapter 148, Sec. 38A, M.G.L., 3n YAF r9 q 527 CMR 9.00 application is hereby made by:Ri» Lo rIQ 01 /.- 1 Street Address & City or Town: ` i-1 Co r-t 0:R s S Signature of applicant:- Applicants name printed: Pa L- D For permission to remove and transport one storage tank from. Owner: (Oc, Street Address: /04—I Lei Firm transporting waste: J ) ►�H.��o �_ �a-,-, _State Lic.# Hazardous waste manifest # E.P.A.# Approved tank yard:l R)-ct-2 A -A # 1 1) 9 Tank yard Address: 033? .b3 c_ S J 1- y,,0 s-c - r-) Type of inert gast UL tank #: Tank capacity: 9°7 S Substance last stored: No a F4dE-4- 01 Date of issue: g/29 19' Date of expiration: 6//30 19 24 Signature%Title of Officer granting permit: _�� �, zi L- A - KEEP ORIGINAL AS APPLICATION AND ISSUE DUPLICATE AS PERMIT Fbrm 90V (9/90) • DIMENSIONS Width Length Tank 1 X Tank 2 ----- X Tank 3 X Tank 4 X Tank 5 X (feet) (feet) Tank Removed From (no. street) (city or town) Fire Department Permit # (if applicable) city. Town or Distrlet C.82 8.40 M. G. L. DIG SAFENUMBER 11jA start date In accordance with the provisions of Chapter 148, Sec. 38A, M.G.L., Fee Paid:S 25.00 3r K` )9. • 527 CMR 9.00 application is hereby made by : 1`-r ic.�a.42) Street Address & City or Town: eo r-! OR. r S 5 Signature of applicant: Applicants name printed: PA L t- 1 For permission to remove and transport one dgagiUwk S iT S storage tank frc Owner: C !vacee-7r ✓?i L/3LT7 Street Address: /O4—ids S Firm transporting waste: 1Y) lc'', Lic.# Hazardous waste manifest # E.P.A.# Approved tank yard: 1.-0 # 1 1) q 9 Tank yard Address: c2-3 Type of inert gas:, UL tank #: Tank capacity: ta`7 .-;-- Substance last stored: No Date of issue: ilf27.9 19 glf Date of expiration: ?/3o 19 • Signature/Title of Officer granting permit: 4/ - IUA Br KEEP ORIGINAL AS APPLICATION AND ISSUE DUPUCATE AS PERMIT r Pb= 90V (9/90) Form 24 Date 3/29/93 Power Burners Name Ouellette Realty Corp. Location 104 Lafayette St. No. of Tanks 2 Name of Burner Carlin Mass. Approval No. 1213B Gals. Stored S50 Kind of Heat FHw Location of Tank Basement Kind of Oil #2 Installed by Seacoast Petroleum C. of C. # 25630 Inspected by Lt. Hudson Date Approved 3/29/93 Form 24 Date 2/1/95 Power Burners Name Ouellette Realty Location 104-106 Lafayette Street Name of Burner Existing Gals. Stored 550 Location of Tank Rear of Building Installed by Michaud & Raymond Inspected by Capt. Hudson No. of Tanks 2 Mass. Approval No. Kind of Heat Kind of Oil 12 C. of C. # 016412 Date Approved 2/1/95 , r • DATA GaUons 72 c Previous Contents -07 -Diameter Date Received tepitt,h, • . : Tank , ID # rin,FP 29a ___ • • ` '7 C',41:, -• ea on witerlOgerittortottailmense o , • A02-- tate:4 Cia 1Ce, of theStatellire..„-,,M_ ars a Box •TANKREMOVED-FROM • 7 ' 1•,-1 • • Fire Department Permit # , !, • .7 „, . 4t! bitte (ityoiTo*n) • _ •,. - .29,0, or, FP290R) UST Compliance, to 01775: -ThFROM,• • IrepePa entPermlt # ;' • ,1/4\.. • ; • om sa4 POWER BURNERS Date February 20,1969 Name Randall Associates Location 52 Peabody Street Name of Burner ABC Gals. Stored 2_275 Location of Tank Basement Installed by The J C 0 i 1 Co Inspected 2/20/69 4. Kind of Heat Cap. of Tank 2_275 Gals. Kind of Oil #2 Approved Lt Goggin I Adores •-" ui intnl retains original application and Issues duplicate as Permit. • 1T)nw n a-uvecda o/C wad& C e,' de'`/C ?c APPLICATION and PERMIT IFee: :t.ad �r s!crage tank removal and transportation to approved tank disposal yard In accordance with the provisions 01 M.G.L. Chapter 148, Section 38A, 527 CMR 9.00, application le hereby made by: Tank Owner 'ink Owner Name (please print) %,Cdre65 37 fivuet130 )1� J / Sind l�s gol(a/.1 sue' Company NameAU 5S I R I\�S , CJ I L i . AWSNtA.K! 13oS;Er,,) PAN Signature (II apply tor p 0 IF Ctj Certified Tank Location Gtiko'D S � S 6171'4°v" Tank Capacity (gallons) .*� Tank Dimensions (diameter x length) -' L(6X b( Remarks: QiSposal Information Firm Irancporting wa610 Hazardous watts ment1es1ii ' Approved tank disposal Deig of Issue Dig vale approval number:. S•cnatura t Tilts of Otttcor 9canttn9 permit Tank yard address 3pu,�n 1K 1179fr1Q ar Pm*+rJ Contamination Assessment Co. or Individual Address Signature (If applying tor permit) PAN /14 Su.. 0 IFCI' Cer tiled 0 LSP r Other Substance Last Stored cP<.1 c L— Slate Lic, M y 5 0 6 M Aq p, MAD 8 Ll m ) E.P.A. r V (7 I� 13- Tank yard 0 O0 lv a $ CoMrN vc c p L s1 -/i" ^J FDIDW 6 %i-f`, Permllr >� ? /0 G Date of expiration /f 3 /AS C IDig Sale Toll Free Tel. Number • 800.322.4e. 4 Pac2r Aher rernoval(c) (-Consumptive Li ' fuel oil tanks exempted) sand Form FP,2AOR signed Py Local Firs Dept, to UST Regulatory Compliance Unit, Department of Fire Services, P.O. Box 1025, Slate Road, Stow, MA 01775. 'Inlomalionol Flrc Code Inslituiv . J..7,(v..c.no 4'9J) FORM 24 POWER BURNERS Date 4-14-71 Name Laurien R. Litalien Location 37 Ward St . Salem Name of Burner Lynn Gals. Stored 550 Location of Tank Basement No. of Tanks 1 Mass. Approval No. #690 Kind of Heat Circ . Hot Water Kind of Oil #2 Installed by James Laun sb y (J J. C .0 i I. of C. # 9100 Inspected by Do puty Chief Crowley Date Approved 5-3-71 FORM 24 Date Name Location POWER BURNERS 5/2/75 Laurien R L'Italien 37 Ward St Name of Burner Texac o Gals. Stored 550 Location of Tank Basement Installed by James Lawnsby Inspected by D•C.Sosnowski 4. No. of Tanks Mass. Approval No. Kind of Heat D•H•W. Kind of Oil #2 C. of C. # 9100 1605 Date Approved 4/30/75 • L I h-C.k SALEM FIRE DEPARTMENT Fire Prevention Bureau 48 LAFAYETTE STREET, SALEM, MASS. 01970 Date. Apx.il.. 8, 1990 Certificate of Completion - Installation or Alteration of Oil Burning Equipment The undersigned hereby certifies that the installation (or alteration) (Name of Owner) Ouellette Realty Corp at(Address) 104 Lafay.e.t.t.e..Str.eet has been made in accordance with provisions of the Salem Fire Prevention effect and pertaining thereto. (Ref. 527CMR4.00) ' Furthermore. this installation has been tested in accordance with such and maintenance have been furnished to the person (or persons) for whom Name Carlin Burner . Type....F.lame..Re.t.enti.on To use not heavier than # 2 fuel oil of fuel oil burning equipment and/or storage tank and applying to the installation for Floor heated A 1 1 by system (lst,2nd,all) Code, of Chapter 148, G.L., and regulations made under authority thereof now currently in requirements, is now in proper operating condition and complete instructions as to its use the installation (or alterations) was made. BURNER • Mfg. by U.S.Carlin Mass. Approval No. 1 2 1 3 B Kind of heat F.H.W. STORAGE TANK (D.H.W.; F.H.W.; STEAM; F.H.A.) Type of Tank.. Ex i s.t.i.n.g.. S te.e l [ ) New Tank No. of Tanks 2 Total Capacity . 5 S 0 [XI Existing Tank X Location $aslll eent [ J No additional storage, using same tank as another unit. Note: New underground tank installations, require a plan and Form 81 G to be filed. Type (automatic or manual) control ......a•n u a 1. L o. W a t e r...C.u.t o f f M& M .. #. 9.0.2 M Location of automatic shutoff valve ..M.a n u a l• •H i• Limit. H o n e y w• e •11 • L 4 0 0-6 E Location and type of manual shut-off valveH. i Limit.. v./R. # 8.9.1.6c • ELECTRICAL CONTRACTOR: Special requirements None Cert. o/Gpmp. Rec'd...1..7 .'.%y.r . .f) ........ . Permit iesued c /da / q3 L� th Issued By Company.... aca s.t. et .ol sum .Inc. By (written signature) Address.....2.7.. Che.r.ry.: St.. .D.anver.s.,Mas s . Installer's Certificate of Competency No..... ,, .2 5 6 to DO NOT WRITE BELOW THIS LINE f- SALEM FIRE DEPARTMENT Fire Prevention Bureau 48 LAFAYETTE STREET, SALEM, MASS. 01970 Date 9- 1-9-9 Certificate of Completion - Installation or Alteration of Oil Burning Equipment The undersigned hereby certifies that the installation (or alteration) of fuela0 burning equipment an4lor storage tank and applying to the ineti (Name of Owner) ift •0:J9 P7144-154; )— at (Address) 4— 10 L.- o4F.a-7, • hai been made in accordance with provisions of the Salem Fire Prevention Code, of Chapter 148, G.L., and regulations made under authority thereof now 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 Inetnactlonai and maintenance have been furnished to the parson (or parsons) for whom the installation for alterations) was made. BURNER Name • Mfg. by Floor heated by system .13- L L- (lat,2nd,all) Type A4--(gS 1-4L Mass. Approval No. To use not heavier than fuel oil Kind of heat Type of Tank S. No. of Tanks STORAGE TANK Total Capacity. Location Note: New underground tank installations, require a plan and Form 81G to be filed Type (automatic or manual) control. c1/41."-"- 71 4- .;:,14.(0 1"3-rgi.i-t t J. Location of automatic shut-off valve'. 7-7*-4-4 bz- "a-4,710 (13 C" J 4-- Location and type of manual shut-off valve T.144414. -13 "-tP (f3 t-/P-4-4rie'ALECTRICAL CONTRACTOR: lrementy F C- • company.'ci- yitcrNo. 0 .... By. .'(writtans Cert. ttihOomp. Reed Permit issued 2/1/95 Addrese Co s)--/ s 5 571—' ,Y; ../- lesued By Capt. Hudson Installer's Certificate of Compstency No 2 / 2-- ID.H.W.; F.H.W.; STEAM; F.H.A.) piNew Tank f I Existing Tank f I No additional storage, using same tank as Al DO NOT WRITE BELOW THIS LINE Contact Information (617) 623-8880 : X208 .. WWW.IESINC-ENVIRONMENTAL.COM siorio iesinc-environmental.corn 7 Kimball Lane, Building A Lynnfieid, MA 01940. (617) 623-8880 FAX: (617)629r2920 1ES, rive:.: ENVIRONMENTAL CONSULTANTS.. `�'slnh!ishtd i986 . Steven lorio Project Manager Connecticut::72:Country View Drive • South Windsor, CT 06074 • (860) 644-1579: . Florida: 412 Cardiff Road • Venice, FL 34293 • (941) 496-8036 Maine: 7 Camp Road • West Newfield, ME 04095 • (207) 636-2034 (6 C=i C'Cawac�ucaeia D 90ce S - ice o6 de State Sure 1/tanalsae R�4IPT OF DISPOSAL OF UNDERGROUND STEEL STORAGE TANK Form FP 291 NAME AND ADDRESS OF APPROVED TANK YARD APPROVED TANK YARD NO. k•JOB James G. Grant Co.. Inc. 28 Wolcott St. Readville, MA 02137 Tank Yard Ledger 502 CMR 3.03 (4) Number: 61C 3 'BCD 73 re l I certify under oenaltXr�H ofiw I have personally examined the underground steel storage tank delivered to this "approved tank yard" by firm, corporation or �and accepted same in conformance with Massachusetts Fire Prevention Regulation 502 partnership CMR 3.00 Provisions for Apprn oovi gtlnderground Steel Storage Tank dismantling yards. A valid permit was issued by LOCAL Head of Fire Department. FDID# (j 9 A v 5 to transport this tank to this yard. Name a. d . 1 t1 of approved tank yard owner or owners authorized representative: !, 1n1 03 (,/ SI f4'ATURE TITLE a� D TCE�SIGNED This signed receipt of disposal must be returned to the local head of the fire department FDID# O / pursuant to 502 CMR 3.00. EACH TANK MUST HAVE A RECEIPT OF DISPOSAL TANK DATA TANK REMOVED FROM Gallons 30, 020 Previous Contents G Diameter /0 Length S0 Date Received 9424 3 Serial # (if available) 7/ Lotri'& Avi_ (No. and Street) SS«M (City or Town) Fire Department Permit # N�q Tank I.D. # (Form FP-290) Owner/Operator to mail revised copy of Notification Form (FP290, or FP290R) to : UST Compliance, Office of the State Fire Marshal, P.O. Box 1025 State Road, Stow, MA 01775. r ` a/rnrma/ncuecdd orCii,co4ackiza8, -- e` czicent-en C a/ axe — ✓v aaaccio/Q ee ✓ J4rueynte;an APPLICATION and PERMIT Fe / / /'—/ /6V 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: ank Owner:; Tank Owner Name (please print ` s Address 7, ,RemovalContractor:; .J,1,ry .�,/ �►.� r Company Name /I. / �ia 1�p1 aj/ Prm c `c_ Address tj Signature (if applying for permit) z l / - IFCI Certified Tank Location Tank Capaci n Tank Dimensions (diameter x length) J� X3 Cf Remarks: "RECEIPT OF DISPOSAL FROM APPROVED TANK YARD WITHIN ONE WEEK Prrnr / Signature (st aptlying for permd) Contamination Assessment Co. or Individual Address Signature (if applying for permit) IFCI Certified _ LSP # Print Print (gallons) 2 isposl Information: Firm transporting waste Hazardous waste manifest- - Approved tank disposal yard Type of inert gas provals City or Town , k nx 0,-;--1 Date of issue >/7/41---E5 Dig safe approval number: Tank yard address Signature / Title of Officer granting permit_ Substance Last Stored 2 O� Sate Lic. # E.P.A. # Tank yard # State Other NEEDED." FDID# F Permit# Date of expiration 5AC7 Dig Safe Toll o ree Tel. Number - 800-322-4844 After removal(s) send Form FP-290R signed by Local Fire Dept. to UST Regulatory Compliance Unit, One Ashburton Place, Room 1310, Boston, MA 02108-1618. FORM #90V 3/99 zip c_ FP•292 (revised 9/961 Joseph F. Sullivan Chief eitu of lent, seilassachusPits Vire Peparirruntea�qusrtcrs 48 ' C.afagcftc trcct a[Pm, tea_ 01970 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. 71 Loring Avenue, Salem, Massachusetts 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. IrTo 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, Robert W. Turner, Fire Marshal v PRODUC.H Fire 30 a;:rrirch St , • Sale-!,ny Massat,111, Attn.: Lt Apt Gent:Llemen : aacloserl the .,5torage I with; Lt. GogE,:. !I stat--:::Lon was GI, flanaraibles arij pose,3_ instaU1 4 I would I, March 11 , 1 nt .3 01970 for the Underground one copy of the ins gallons of ethyl : ;-; month the permit storage of 7000 -ould like to apply As at, • • should you hmo, .iate your comments prC'' the -writer. questions please dr*-;.. Enclosure 0 ONE OF' THE Very truly Ronald B. C Industrial - TELEPHONE & ELECTRONIC 4 z.f14-440- Joseph F. Sullivan Chief OItg of alert, '' ass d1usctts cl7ive pepartmsrrt getthquarters 48 ' uzf cttr trrrt Salem, cilia. 01970 May 31, 1990 Goldberg-Zoino & Associates, Inc. Ms. Marlene L. Jordan Airpark Business Center 380 Harvey Road Manchester, New Hampshire 03103 Dear Ms. Jordan: With respect to your request for information relative to properties on or adjacent to #71 Loring Avenue, the following represents a limited amount of data found in our files: 1. On December 12, 1987, one (1) 2,000 gallon steel storage tank containing #2 fuel oil was removed by Thomas mackey & Sons. 2. On September 16, 1970, a permit was granted to install one (1) 2,020 gallon tank for the storage of Ethyl Alcohol on the property at #71 Loring Avenue. In a letter attached to the file on this tank (copy attached) Mr. Ronald B. Croaken from the Industrial Engineering Department referred to a permit from the old gas station for the storage of 7,000 gallons of Class "A" flammables. It appears that the alcohol storage tank was located at the south side of the start of warehouse #1, just beyond the main (original) building, for use at the (base) cement room adjacent to the bottled gas receiving dock.. 3. On a sketch (plan) dated November 10, 1977, a 2,000 gallon fuel oil tank was shown as installed by Thomas Mackey & Sons behind the second warehouse. 4. On another plan dated September 28, 1971, tanks are shown ,as follows: (a) One (1) 30,000 gallon #6 fuel oil tank adjacent to the second wing on the original building (the first parking lot near the cafeteria), and one (1) 20,000 gallon tank adjacent to the first. (b) One (1) 10,000 gallon #6 fuel oil tank and one (1) 2,000 gallon #2 fuel oil tank located adjacent to the warehouse at a point also adjacent to the corner of the former Equipment -2- Development building. (c) One 91) 10,000 gallon #6 fuel tank and one (1) 2,000 gallon #2 fuel oil tank located on the far corner (southmost) of the far warehouse. 5. Enclosed also are various copies from the file; data pertaining to other tanks on property will have to be obtained from other sources. I hope the limited information will be helpful. Robert W. Turner, Fire Marshal NO.1 NO.2 0 0 0 MANUFACTUR (2 floors J_JV` fence GTE PRODUCTS CORP. 71 LORING AVE. Salem, MA 01970 777-1900 (Days) 744-8040 (Nights) iN O . 3 T a n fen c e UFACTURING (single floor only) NO.5 121 LORING AVE. NO.7 Tank #1 = 2000 Gals. of mixture of Ethyl Alcohol (840), Methyl Alcohol (5%) Ethyl Acetate (5%) Steel tank and piping. No internal or external protection. FINISHED GOODS WAREHOUSE NO.8 TRUCK DOCK A B C D 1 2 3 4 SCALE 1' =150' Top of tank is 3' below ground. Bottom of tank is 8'4" below ground Tank installed 1970. 1 Name OF r CTiratmmtitwaitij nf fitTaggaripluito DEPARTMENT OF PUBLIC SAFETY — DIVISION OF FIRE PREVENTION 1010 COMMONWEALTH AVENUE, BOSTON Salem, October 20, 19 69 (City or Town) (Date) PERMIT 1RMIT In accordance with the provisions of Chapter 148, G. L. as provided i t this permit is granted to Sylvania Electric Products, Inc. (Full name of person, firm or corporation granted permit) tr,, install one 2,020 gallon tank underground State clearly purpose for which permit is yiul.ted at 1 nA for storage of Ethyl Alcohol, for use on the premises. Installation per plans submitted to Fire Prevention Bureau, with changes as recommended on letter dated Oct. 20e 1969. Restrictions: As per Rerzulations . 71 Loring Ave. Salem, Mass. (Give location by street and no., or describe in such Fee Paid S nil This permit will expire UPON ANY VIOLATION OR CHANGE OF LESS • 19 manner Mr- (THIS PERMIT MUST BE CONSPICUOUSL as provide adequate rideatillya)) ti ,n of loitioa) 91gnara as,olflaav�fir(pZid - (i -"- Cef, j,'ETfu.) )yj OSTED UPON THE PREMISES) . 11,. i.'.4 fi. Yn : Submit to: LOCAL FIRE DEPARTMENT Notification is required by Federal law for all underground tanks that have been used to store regulated substances since January 1, 1974, that are in the ground as of May 8, 1986, or that are brought into use after May 8, 1986. The information requested is required by Section 9002 of the Resource Conservation and Recovery Act, (RCRA), as amended. The primary purpose of this notification program is to locate and evaluate under- ground tanks that store or has stored petroleum or ha,ardous substances. It is expected that the information You provide will be based on reasonably available records. or. in the absence of such records. your knowledge. belief. or recollection. Who Must Notify? Section 9002 of RCRA. as amended, requires that. unless exempted. owners of underground tanks that store regulated substances must notify designated State or local agencies of the existence of their tanks. Owner means — (a) in the case of an underground storage tank in use on November 8. 1984. or brought into use after that date. any person µho owns an underground storage tank used for the storage, use. or dispensing of regulated substances. and (b) in the case of any underground storage tank in use before Nos ember 8. 1984. but no longer in use on that date. any person ttho owned such tank immediately before the discontinuation of its use. What Tanks Are Included? Underground storage tank is defined as any one or combination of tanks that (I) is used to contain an accumulation of "regulated sub- stances," and (2) whose solume (including connected underground piping) is I0ei or more beneath the ground. Some examples are underground tanks storing: 1. gasoline. used oil. or diesel fuel. and 2. industrial solsents. pesticides. herbicides or fumigants. What Tanks Are Excluded? Tanks removed from the ground are not subject to notification. Other tanks excluded from notification arc: 1. farm or residential tanks of 1.100 gallons or less capacity used for storing motor fuel for noncommercial purposes: 2. tanks used for storing heatingoil for consumptive use on the premises µhere stored: 3. septic tanks: FIRE DEPT. 1 r) Number Date Received STAT USE ONL cIRE DILATION (SAY 71986 Sze �;..eran; 4. pipeline lacilitics (including gathering lines) regulated under the Natural G.I. Pipeline Strict). Act of 1968. or the Ha/at-dot!. Liquid Pipeline Soler Act ol 1979, ur µlynch is an Intrastate pipeline facility regulated under State lasts. 5. surface impoundments, pits, ponds. or lagoons: 6. storm Valet or waste water collection systems: 7.Iloµ-through process tanks: 8.liquid traps or associated gather ing lines directly related to oil or gas production and gathering operations: 9. storage tanks situated in an underground area (such as a basement. cellar. mineworking. drill, shaft. or tunnel) it the storage tank is situated upon or ahusc the surface of the floor. What Substances Are Covered? The notification requirements apply to under- ground storage tanks that contain regulated substances. This includes am substance defined as haiardous in section 101 (14) of the Comprchensise EnsironmentaI Response. Compensation and1.iahilit Act of 1980(CERCI.A),ttillytheexception of those substances regulated as haiardous Haste under Subtitle C of RCRA. It also includes petroleum. e.g.. crude oil or any fraction thercol µ hich is liquid al standard conditions ol temperature and pressure (60 degrees Fahrenheit and 14.7 pounds per square inch absolute). Where To Notify? Completed notification forms should he sent to the address given at the top of this page. When To Notify? 1. Ov.ners of underground storage'tanks in use or that hase been taken out of operation alter January I. 1974. but still in the ground. must notils by May 8. 1986. 2. Owners ssho bring underground storage tanks into use after May 8. 1986. must notify within 30 days of bringing the tanks into use. Penalties: Any owner who knowingly fails to notify or submits false information shall be subject to a civil penalty not to exceed 510,000 for each tank for which notification is not given or for which false information is submitted. Please type or print in ink all items except "signature" in Section V. This form must by completed for each location containing underground storage tanks. I more than 5 tanks are owned at this location, photocopy the reverse side. and staple continuation sheets to this form. NNERSHIP OFiANK(S Owner Name (Corporation, Individual, Public Agency, or Other Entity) GTE PRODUCTS CORPORATION Street Address 71 LORING AVENUE County City Area Code 617 ESSEX SALEM Phone Number 777-1900 State MA Type of Owner (Mark all that apply®) ❑ State or Local Gov't ❑ Federal Gov't (GSA facility I.D. no. �j Current ❑ Former Z I P6icl5.70 ❑Private or Corporate ❑ Ownership uncertain Indicate number of continuation sheets attached c iloN41 IN S' (If same as Section 1, mark box here J Facility Name or Company Site Identifier, as applicable Street Address or State Road, as applicable County City (nearest) State Indicate number of tanks at this location )'Mc PER, SQ ,A. TANK VCATIi Name (If same as Section I, mark box here ❑ ) Job Title R. C. CRAIG SR. INDUSTRIAL ENGINEER OTlFICATION' 1 ZIP Code Mark box here if tank(s) ' are located on land within an Indian reservation or on other Indian trust lands Area Code Phone Number 617-777-1900 x3701 Mark box here only if this is an amended or subsequent notification for this location. ERTIRICATION{Raed iNyt pn,eftetr cgmpl Ul g Sec NN I certify under penalty of law that I have personally examined and am familiar with the information submitted in this and all attached documents, and that based on my inquiry of those individuals immediately responsible for obtaining the information, I believe that the submitted information is true, accurate, and complete. Name and official title of owner or owner's authorized representative Signal re C. C. Kokinos Plant Manage NEfIE SEISIDE-. ' Owner Name (from Section I) GTE CORP. I; ONt Location (from Section II) SALEM Page No i of P oaes Tank Identification No. (e.g.; ABC-123), or Arbitrarily Assigned Sequential Number (e.g., 1,2,3...) 1. Status of Tank (Mark all that apply IA ) Currently in Use Temporarily Out of Use Permanently Out of Use Brought into Use after 5/8/86 2. Estimated Age (Years) 3. Estimated Total Capacity (Gallons) 4. Material of Construction (Mark one ri ) Steel Concrete Fiberglass Reinforced Plastic Unknown Other, Please Specify 5. Internal Protection (Mark all That apply®) Cathodic Protection Interior Lining (e.g., epoxy resins) None Unknown Other, Please Specify 6. External Protection Cathodic Protection (Mark all that apply x+) Painted (e.g., asphaltic) Fiberglass Reinforced Plastic Coated None Unknown 7. Piping (Mark all that apply ).� ) Other, Please Specify Bare Steel Galvanized Steel Fiberglass Reinforced Plastic Cathodically Protected Unknown Other, Please Specify 8. Substance Currently or Last Stored in Greatest Quantity by Volume a. Empty (Mark all that apply 1.1) b. Petroleum Diesel Kerosene Gasoline (including alcohol blends) Used Oil Other, Please Specify c. Hazardous Substance Please Indicate Name of Principal CERCLA Substance OR Chemical Abstract Service (CAS) No. Mark box El if tank stores a mixture of substances d. Unknown 9. Additional Information (for tanks permanently taken out of service) a. Estimated date last used (mo/yr) b. Estimated quantity of substance remaining (gal.) c. Mark box ® if tank was filled with inert material (e.g., sand, concrete) Tank No. 1 x lb LuUU x 1 L x X x METHANOL 67561 x L-I Tank No. 1 Tank No. 1 ( Tank No. Tank No. 1-1 Paoe 2 1 i'r d / 7J i; /'i S7 - ;;?-1 gffll JOHN R. DI MENTO Plant Engineer Li 1 p 1d j; S (y l Vez i �'c Q • 1/ . ��a"1.,14,141 Lighting Products Group 71 Loring Avenue • Salem, Mass. 01970 • 617 777-1900 B• Nat) eO ..3 MS7rtzfe /Joy. 1 97 SI ,4 -.D 6,y/)bz.&br. faUSiVad9r ear 7 °/ /, i - / e/.44. ay 7: 0epci 0 4/9 alifie.1:714S1643 < I 6P. /e �` N -7-xor is 6;1"/..np.441.x -/Ac, ou /441i %;d4'r JJ.JJVr11VJ/1 LlVJit ki'V ♦♦���♦�vviU Ems• ,li...�<� SYLVANIA ELECTRIC PRODUCTS INC. March 1 1 , 1 969 Salem Fire Department 30 Church Street Salem, Massachusetts 01970 LAMP DIVISION Incandescent Lamp Plant 71. Loring Avenue Salem, Niass. 01970 Attn: Lt. Goggin Subject: Approval for the Underground Bulk Storage of Ethyl Alcohol. Gentlemen: Enclosed find one copy of the installation drawing for the storage of 2000 gallons of ethyl alcohol. As I discussed with Lt. Goggin last month the permit in force at the old gas station was for the storage of 7000 gallons of class "A" flammibles and we would like to apply this permit to this pro- posed installation. I would appreciate your comments on this proposal and should you have any questions please don't hesitate to contact the writer. Very truly yours,- / 1 //.�j f Ronald B. Croaken Industrial Engineering Department Enclosure o ONE OF THE GENERAL TELEPHONE & ELECTRONICS FAMILY OF COMPANIES ° (its Fire Department iea quartere Lirftltinn December 20, 1973 Mr. J. R. DiMonto Sylvania Corporation 71 Loring Avenue Salem, ?Massachusetts 01970 Dear Mr. DiiMento: Your request to store a. quantity of No. 4 fuel oil on your property at 71 Loring Avenue has been received and reviewed by this office. Because of the unusual conditions existing today due to the energy crises and the "domino" effect on the economy if your fuel supply should be exhausted, unusual solutions have to be sought. In view of the proceeding you are hereby permitted to store the amount requested under the following conditions: 1. Tanks be at least 450 feet from the nearest dwelling. 2. Area be lighted and/or protected by 24-hour watchman service. Area to be protected by a substantial fence to prevent access by unauthorized persons. 4. Tanks to be protected by substantial barriers to prevent injury from vehicles. 5. If such storage, at any time, presents a hazard to life or property such permission shall be revoked immediately. The.permission to store in this manner is merely,what appears to be,a practical short-term solution and is not to be considered a permanent installation. The conditions of this approval will be reviewed on a monthly basis. With -kindest personal regards, I remain JFB:rq cc Very truly yours, .62 James F. Brennan, ChS.c.�f. Salem Fire Department / ' INCORPORATED Chief Brennan Salem Fire Department Lafayette Street Salem, Mass. 01970 Dear Chief Brennan, Lighting Products Group Incandescent Lamp Plant 71 Loring Avenue Salem, Mass. 01970 617 777-1900 December 17, 1973 Confirming our meeting on Friday, December 14, 1973, GTE Sylvania located at 71 Loring Avenue proposes to purchase and store on their property two 4,000 gallon, one 5,500 gallon and one 4,300 gallon oil storage tanks, These tanks totalling 17,800 gallons, will be stored at the far end of the property within a security fence and will be filled with No. 4 fuel oil. The location of the tanks will be more than 500 feet from the nearest dwelling. This will be temporary storage until we are able to install a 40,000 gallon tank, hopefully in July, 1974. Prior to that time, we will jointly review our permit status and seek approval for a new level of flammable storage. At this time, we are requesting approval for storage of the four tanks totalling 17,800 gallons. We propose to place a barrier around these tanks to prevent damage from other vehicles. Thank you for meeting with us on such short notice and we're hopeful of your favorable reply to this request. Yours truly, ---)b.41, J. R. DiMento Plant Engineer cc: Messrs.: C. R. Ganong K. R. Church Co R. Pillsbury B. T. Woodrow A part of General Telephone & Electronics �lt Ljt7s titre J_ LnoitteU (fifty (Tlicrit 3 nutus 1 :tna 3 Tat! -f;rll ifg cif at , u5eft iD ffice. i f ±L i iiiii Tfah 19 June 17, 1975 Chief James F. Brennan Salem Fire Department 48 Lafayette Street Salem, Massachusetts Dear Chief Brennan: At a regular meeting of the City Council held in the Council Chamber on Thursday, June 12, 1975, permission was granted to GTE Sylvania, Inc. to store an additional 50,000 gallons of #6 Heavy Fuel Oil _at 71 Loring Avenue, Salem, Mass. HMC/j rf Very truly yours, / HELEN M. COUGHLIN, Acting City Clerk Form 24 Power Burners Date 1 -1, _ 8) t Name Francis Welsh(Solarterreeum) Location 145 Loring Ave. Name of Burner Beckett Gals. Stored 1,000 Location of Tank Underground Installed by John W.Scullin Inspected g--- No. of Tanks 1 Mass. Approval No. 969 Kind of Heat F .H .W Kind of Oil #2 C. of C. # 017893 R.Dansreau 12-28-83 Dote Approved OASIS DEVELOPMENT ENTERPRISES, INC. _ _ 140 Union•Street, Suite 204 Lynn, MA 01901 (781) 592-6411 • (781) 592-6281 info@oasis-ode.com March 23, 1999 Inspector Frank Preczewski 29 Fort Ave. Salem, MA. 01970 Dear Inspector Preczewski: Please let me know if there is or ever has been an underground oil storage tank at,l Lillian Road in Salem, MA. I have made an offer on this house, and would appreciate this information as soon as possible. Thank you. Work phone: 781-477-2359 Work fax: 781-477-2351 Home phone: 978-352-7931 Home address: 30 East Main Street, Apt. 6, Georgetown, MA. 01833 Enclosed is $5.00 for this report. Sincerely, FAX City of Salem, Massachusetts Fire Department FIRE PREVENTION DIVISION 29 FORT AVENUE SALEM, MA. 01970 tO: fax T: from: date: subject: I pages: NOTES: FRANK PRECZEWSKI, JR. Fire Inspector PHONE: 9q8-745-7777 PAGER: 978-489-8233 FAX: 978-745-9402 W. / a „"Ge.€4, e et, r7S This facsimile contains privileged and confidential information intended only for the use of the individual or entity to whom it is addressed. If the reader of the facsimile is not the intended recipient or the employee or agent responsible for delivering it to the intended recipient you are hereby notified that any communication. transmission, dissemination or reproduction of this facsimlie or its contents is strictly nrohibited.' If you have received this facsirr;ile in error. please immeditely notify us by telephone end return the originl facsimlie to us at the above address via the J.S. postal service.- Thank You. 1 GJ?o&v t ' 1N. gutne4 508-744-6990 eify of cSaLEm, ai.iaefiu"sEtti. Cazz E. zazEmEnt 4s .afayette cSheet _J4assac%usetts 01970-3695 508-744-,235 lax 508-745-4646 9• � ,� L4e J-'2ecnntion .3u:eau 508 -745-7777 MARCH 24, 1999 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 PROPERTY LISTED AS 1 LILLIAN ROAD SALEM, MA. MY RECORDS SHOW NO RECORDS OF UNDERGROUND STORAGE TANK OR ANY RELEASES, PROPERTY IS CLEAN. 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, F' PRECZEWSKI FIRE INSPECTOR SALEM FIRE DEPARTMENT tv ake app1ICdti0) 10 lOOdi r11 C vcf.iva ... ,... Fire Department retains original application and issues duplicate as Permit. Check # 0 1616 gelia4, d o r,2te veo,ucced. — .ger).,encan `777 Cet�'72/ii2f'znal>°QiGf/'L o' C,/&/ii/Jac 6se'Z;,. Type of inert gas AJ (k rovatw City or Town Date of issue APPLICATION and PERMIT ! ,Fee:__LM=0=1711 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: Jwner.-; Tank Owner Name (please print) t kz( (c_2 I y ,c_ X Address '1 St Street n ovate( ontrap Company Name (j(j`een.t.lcrc; PL C;wS✓�- Address Signature (if applying for permit) 0 IFCI Certified Inforrna Tank Location Tank Capacity (gallons) Print v -t)- Pnnt Other S�rv�. City Signature Or apttying for perme) Con n ssessme..�. "n Ft- d/2d State Zip Co. or Individual Kcdc((t Se /� Print Address /`y #,JL' St S��w. iivi /k o/ j7v Pnnt Signature ( IFCI Certified P # 75 Other Feet Address City Substance Last Stored S / V c / (• Tank Dimensions (diameter x length) q `i7 X ' (c . 5 r t-f f / )- L Remarks: Shall measure for presence of contaminants_ All documentation shall be forwarded to this office, i.e. any copies of remediation. osatantormatlow Firm transporting waste State Lic. # 1 v nvie k.".%cs� Hazardous waste manifest# • E.P.A. a bcE.P.A. 5t7Y 5'Z� Approved tank disposal yard j J(y‘ az,c S (1 Tank yard address / 07J Tank yard # 0 J Z n CYtIli SALEM ® FDtD# 09258 Permit# Date of expiration Dig safe approval number: NA T c,AA _ Dig Safe Toll Free Tel. Number - 800-322-4844 Signature / Title of Officer granting permit /) Q iTr-t n J B c� _ /�%/cam -..r7,6-1" (nr After removal(s) send Form FP-290R signed by Local Fire Dept. to UST Regulatory Compliance Unit, One Ashburton Place, Room 1310, Boston, MA 02108-1618. .�.e' / ?'/i)7 Limassacnusetts uepartment OT tnvironmental rrotecuon Underground Storage Tank Program Form UST FP-290R Notification for Removal or Closure of In Place Underground Storage Tanks Regulated Under 527 CMR 9.00 Forward completed form to: MassDEP Bureau of Waste Prevention UST Program P.O. Box 120-0165 Boston, MA 02112-0165 Forward one copy of FP-290R to local fire department. Contact: MassDEP Bureau of Waste Prevention UST Program 617-556-1035 ext. 2 If a storage facility has UST's which are to remain in use, an entire amended FP-290 (long form) must be filed. Note: "Facility street address" must include both a street number and a street name. Post office box numbers are not acceptable and will cause a registration to be re- turned. If geographic location of facility is not provided, please indicate distance and direction from closest intersection, e.g., (facility at 199 North Street is located) 400 yards southeast of Commons Road (intersection). I. OWNERSHIP OF TANK(S) Owner Name (Corporation, Individual, Public Agency, or Other Entity) Street Address Mailing Address (if different from street address) City County Phone Number (Include Area Code) gica- sq'..).3 Tank Number ,T State Zip code State Use Only A. Facility Number B. Date Entered C. Clerk's Initials D. Comments ��. LOCATION OF TANK(S) Give the geographic location of tanks by degrees, minutes, and seconds. Example: Lat. 42, 36, 12 N Long. 85, 24, 17W Latitude t92 30 _ Longitude -C3 94. /Oo 5c a fQ,�...,1 S ,4- Distance and direction from losest intersection (see note above) g4 s•s- Facility Name or Company Site identifier, as applicable 4 Street Address (P.O. Box noteptable - see note above) S �� c w► VVV n'1 ✓�— O / 4 0-0 City State Zip Code �^ Owner's Employer Federal ID # County 111. TANKS/PIPING REMOVED OR FILLED IN PLACE Tank No. / Tank No. Tank No. Tank No. 1. Tank/Piping removed or filled in place (mark all that apply) A. Substance last stored 10.Z Fes. ,16I,) I I I I I B. Tank capacity gallons C. Estimated date last used (mo./day/yr.) tAA, F\ Tank No. D. Estimated date of removal (mo./day/yr.) /9- / -// E. Tank was removed from ground F. Tank was not removed from ground Tank was filled with inert material Describe material used: G. Piping was removed from ground H. Piping was not removed from ground 1. Other, please specify FP-290R (revised 07/09) Tank Number (cont.) 2. Tank closed in accordance with 527 CMR 9.00 A. Evidence of leak detected B. Mass. DEP notified 1. Mass. DEP tracking number 2. Agency or company performing contamination assessment * Tank No. I (i?'Ces ❑ No Tank No. Tank No. Tank No. Tank No. ❑Yes No ❑Yes ❑No ❑Yes ❑No ❑Yes ❑No ❑Yes 14.fro ❑Yes ❑No ❑Yes ❑No ❑Yes ❑No ❑Yes No ❑ Yes 4144❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No I declare under penalty of perjury that I have personally examined and am familiar with the information submitted in this and all attached documents, and that based on my inquiry of those individuals'immediately responsible for obtaining the informa- tion, I believe that the submitted information is true, accurate, and complete. Name and official title of owner or owner's Signature: authorized representative (Print) zu. Date: 144/u Oief j. 4 c.e. 6 ��, �.� -^ `e er S ' 1.�.-s ! �/ v L �� rv�:ar/ S 1% U U fJ FP-290R (revised 07/09) CITY OF SALEM FIRE DEPARTMENT FIRE PREVENTION BUREAU 29 FORT AVENUE SALEM, MA. 01970 FAX COVER SHEET: TO: FROM: BRUCE POOLE INSP. FRANK PRECZEWSKI FRANK PRECZEWSKI FIRE INSPECTOR PHONE: 978-745.7777 CELL: 978-375-5262 FAX: 978.745-9402 DATE: 2/12/2002 S1-7/ I.f+FR/ T1 Sr sAtkm A.mQ"Jat ry SUBJECT: �` `"'° - 21-E SITE REPORT a...... rr- .. y'___,, PAGES: 2 THIS FAX CONTAINS PRIVILEGED AND CONFIDENTIAL INFORMATION 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 RECEIPIENT, YOU ARE HEREBY NOTIFIED THAT ANY COMMUNICATION TRANSMISSION, DISSEMINATION OR REPRODUCTION OF THIS FAX OR ITS CONTENTS IS STRICTLY PROHIBITED. J obETt (//+W guT/2ET iff 508-744-6990 City of c5aLEm, SNailaefiulEtfi 91.1E rEj2ceitrnEnt 48 .LafayEttE cStTEEt Sa�Em, J14assac%usetts O1970-3695 DEL' 5oS-'744-7235 �ax 50S-745-4646 ��CTEnnLAwEntLUR 17a.Eau 508- 745 - 7777 January 12, 2002 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 307-330 DERBY STREET SALEM, OUR FILES SHOW NOTHING FOR THIS 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 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, RANK PRECZEWSKI FIRE INSPECTOR SALEM FIRE DEPARTMENT FORM 24 POWER BURNERS Date ilovetrber 25,1977 Name Salem Laundry Location 71 Lafayette St No. of Tanks Name of Burner Waltham Mass. Approval No. Gals. Stored �75 Kind of Heat Steam Location of Tank Basement Kind of 0i1 # 2 Installed by Inspected by Name Address Date Finley H Chisholm C. of C. # 16021. D.C.Sosnowski 252 Date Approved 11-23-77 POWER BURNERS 6aier,1 Laundry 69 Lafayette St I0/ Ii/49 Name of Burner U. Kind of Heat Gals. Stored 275 Cap. of Tank Gals. Location of Tank Cellar Kind of Oil Installed by Gal. kickering Co. ##520 Inspected IU/I1/49 Approved Iv/I1/49 Date Name Location POWER BURNERS April 20, 1961 Salem Laundry Co. 71 Lafayette St. Name of Burner Gals. Stored Location of Tank Installed by Inspected Sun Ray #988 Kind of Heat 500 Tank installed -9-55 Kinduf Oil Basement Cap. of Tank Paul H. Moore Cu-19 - 500 Gals. 4-20-61 EH Approved 4-20-61 EH 1 I ,jai& Mil 113 M hal- I ►'tt BOSTON ENVIRONMENTAL www.bostonenvcorp.com Mark Cellini Project Manager 338 Howard Street Brockton, MA 02302 t 508.897.8045 c 508.294.7251 f 508.897.8545 email: mcellini@bostonenvcorp.com lication to local Fire Department. iginal application and issues duplicate as Permit. — o Mile &late mire CV/la.r al c qL TION and PERMIT IFee: t;'s..v- to approved tank disposal yard in accordance wits: the provisions of M.G.L. Chapter 148, Section 38A, 527 CMR 9.00, application is hereby made by: Tank Owner Tank Owner Name (please pant) C-;LtDU ete 'T`I�S x Address Pq ESCf St'. L`AN . OM" MOD, Street ' City Removal Contractor:. Company Name,! Sib— fl lv)f t4WeLT lll- Prnt �( Address � t - $(?� bC lti 4 0330 Print Signature (if applying for perm_ IFCI' Certified Other Signature Of applying to permit) Contamination Assessment State Zw Co. or Individual INODAAtaiS C4 Print Address t0A5Nto d6iD4 ST-- t iA014 vt $44 oak Pnnt Signature (if applying for permit) G IFCI' Certified 0 LSP # Tank Information Tank Location `rA�J (--Icl r A-i i 11E ST- SiA2-6,04 .IAA 14 Sneer Address, Tank Capacity (gallons) e OW 1 j_ 4 r-I Tank Dimensions (diameter x length) ( L Remarks: eakLair. .‘3P-t.' E7 iri-U I4- t0Ines- Criy Substance Last Stored 1-0E L CAL_ Ai Other S irE o-A may. 14-A0 5 bc,U le) 64,,,h.` 1 6 �na� (,aOIE'rii L� bar ' . � d-i.Q.t�itm �v � ice✓ ��w �-�1G- . �, � VIti �i c�.2.. `� �' Disposal information &Amw t Firm transporting waste Er 1 i �'lllt✓ . Hazardous waste manifest# 004i3558 /'7 Type of inert gas M I V-1 State Lic. # i/144 Lt3r1 E.P.A. # 30000 0C1 Approved tank disposal yardl 12M . Tek'aI46 t SI -i ,46 e Tank yard # Tank yard address�� `J 6s9(M t.tiLif Ct ✓t Z 51, L'�f ih4 i� 4 C7t qc Approvals City or Town L r`� i� t 5.ffi.44. Dig safe approval number. aol0''1 O " Signature / Title of Officer granting permit Date of issue FDID# 3 a- t i O Permit# J044 - 1 U r 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 /1 Date of expiration 4 311 I.a 5f 1 Dig Safe Toll Free Tel. Number - 800-322-48441 FP-292 (revised 4/97) David Cody Chief 978-744-6990 dcody@satem.com City of Salem, �Vfassachusetts�ILE COPY dire Department 48 Lafayette Street Sam, Massachusetts 01970-3695 Tel. 978-744-1235 FaX 978-745-4646 Fire Prevention Bureau 973-745- 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 fora 21—E site report for 51 Lafayette Street. We have the former property listed as Salem Laundry Building. Our records do not show any presence of UST's for the addracc T havP el -winged the rarnrrjs that wP fnim�l_ You should understand that the Salem Fire Department is but one of sever-31 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 investigatgons. 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 thin 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 attar.h or be asserted against the City of Salem, the Salem Fire Department, nor- it's employees or members in connection with providing this infonmatfon 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 ors absence of any hazardous wastes or ;;releases on th L' site. Signed, ff� . Lt. EZin Griffin .Fire Marshal September 23, 2009 Form 24 Power Burners Date May 29,1991 Name Salem Laundry Location 1 Lafayette Street Name of Burner Beckett Gals. Stored 500 Location of Tank basement Installed by Seacoast Petroleum Corp. Inspected by Lt.Kevin M. Koen Form 24 No. of Tanks 1 Mass. Approval No. Kind of Heat steam Kind of Oil #2 C. of C. # 9315 Date Approved 5/29/91 Power Burners Date 4/11/95 Name Salem Laundry Location 1 Lafayette Street Name of Burner Existing Gals. Stored 275 Location of Tank Basement Installed by Bergeron Plumbing Inspected by Capt. Hudson 969 No. of Tanks 1 Mass. Approval No. Kind of Heat Kind of Oil #2 C. of C. # 016038 Date Approved 4/11/95 FORM 24 Date Name POWER BURNERS 'ovember 25,1977 Salem Laundry Location 71 Lafayette St Name of Burner Waltham Gals. Stored 275 Location of Tank Basement No. of Tanks i Mass. Approval No. 252 Kind of Heat Steam Kind of Oil Installed by Finley H Chisholm C. of C. # 16024 Inspected by D,C .Sosnowski Date Name Location Date Approved 11-2 3 -7 7 POWER BURNERS April 20, 1961 Salem Laundry Co. 71 Lafayette St. Name of Burner Kind of Heat Sun Ray 988 Gals. Stored 500 Cap. of Tank 500 Tank installed ] i 9d-o f5®il Location of Tank Basement2 Installed by Inspected l Paul 11. Moore CL -19 4-20-61 EH Gals. Approved 4-20-61 EH Name Address Date Salem Laundry 69 Lafayette St 10/11/49 Name of Burner 0 lei Kind of Heat Gals. Stored 275 Cap. of Tank Location of Tank Cellar Kind of Oil Gals. _ Installedby kickering Co. #52C. Inspected 10/1.L/49 Approved 10/11/49 FORM FP-6. 40 10-71-050515 oult M6 al* assa6.W tto DEPARTMENT OF PUBLIC SAFETY -- DIVISION OF FIRE PREVENTION 1010 COMMONWEALTH AVENUE. BOSTON July 19, 19 77 (Date) APPLICATION FOR PERMIT To: HEAD OF FIRE DEPARTMENT Salem City or Town In accordance with the provisions of Chapter 148, G.L. as provided in Sec. application is hereby made State clearly purpose for which permit is requested for permission to Restrictions: 1 OA remove one 1,000 gallon gasoline tank to -Whitney Barrel, Woburn As per FPR #8 at 71 Lafayette St/ Salem at to Whit ey Barrel, Wnhur» (Give location by street and no., or describe fn such a manner as to provide a•'e'• a identIEioaJion of location) Date issued —rejecteel Date of expiration 19 By E✓ (Signature of applicant) 58 Broadway, Salem (Address) 19 Fee $ Paid —Due Zamzs . 'arenrtxn Qriiief Name: Address: 1itg a tti'zn, Alnesattiusdis Lire Beiartnteni lieubquartrrs Date July 13, 1977 Mr. John Hooper Salem Laundry Res .Gasoline leakage & 71 Lafayette Street, Salem, Mass. related matters'. 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 following 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 violation8 named below within------v three days of the above date. Such further action will be taken as the law requires, for failure' to comply with the above requirements within the stipulated time. (Reference: General Laws of Commonwealth of Massachusetts, Chapter 148 Section 30; and the Salem Fire Code Article 1.) -- 1. As a result of investigation by Deputy Chief Francis Bates, it has been determined that the apparent cause of fumes from flammable liquids accumulating in the South River are caused by a leaking gasoline tank located in your structure. Said tank shall under provisions of Fire Prevention Regulation 0, be removed and properly disposed of at a tank storage depot. A permit is required for the removal of this tank. 2. It has been determined that you have been operating a garage`:;:= within your building and for some unknown reason no permit for operation of same has ever been issued for this location. This is an annual permit, with a Fee of $2.00. Blank appli- cation is enclooed0 and shall be filed forthwith. Lt. David J. Gog in, Salem Fire Marshal Inspector, Salem Fire Prevention Bureau cc: Mr. Richard Lutz file 1 building or structure required to install automatic sprinklers as a result of a violation of this paragraph shall do so within 1 year of being cited for such violation, and shall be responsible for the full costs of installation. Notwithstanding any general or special law to the contrary, any business owner cited for violating the maximum capacity for his place of business shall be subject to a $10,000 fine for a first or second offense. A third such offense shall result in the business owner losing his license to operate in the commonwealth, and all food, entertainment and other licenses associated with his business. This paragraph shall be enforced by a duly recognized inspector. of buildings, building commissioner or local inspector of a city, town or district or other duly recognized inspector as provided. in chapter 143, or any state official with concurrent jurisdiction. This section shall not apply to a place of assembly within a building, structure or portions thereof used principally as a house of worship, restaurant, lecture hall, auditorium, state or local government building, educational function facility, or other similar place of assembly. Temporary use of such a building or structure or portions thereof as a nightclub, dance hall, discotheque, bar or for similar entertainment purposes, may be allowed if a permit is issued for such use by the head of the fire department in consultation with the local building inspector who may set the terms and conditions to protect against fire and preserve public safety. Whoever is aggrieved by an interpretation, order, requirement or direction of the head of the fire department under this section, or, whoever is aggrieved by a failure of the head of the fire department to take action under this section, may, within 45 days after the service of notice of such interpretation, order, requirement or direction, or after 45 days of such failure to act, appeal from such interpretation, order, requirement, direction or failure to act to the automatic sprinkler appeals board as provided in section 201 of chapter 6. The cost of installing an adequate system of automatic sprinklers pursuant to this section shall be borne in its entirety by the owner of the building or structure. Except as provided in the third paragraph, the head of the fire department shall enforce this section. Section 26H. Lodging or Boarding Houses; Automatic Sprinkler Systems. In any city or town which accepts the provisions of this section, every lodging house or boarding house shall be protected throughout with an adequate system of automatic sprinklers in accordance with the provisions of the state building code: No such sprinkler system shall be required unless sufficient water and water pressure exists. In such buildings or in certain areas of such buildings, where the discharge of water would be an actual danger in the event of a fire, the head of the fire department shall permit the installation of such other fire suppressant systems as are prescribed by the state building code in lieu of automatic sprinklers. The head of the fire department shall enforce the provisions of this section. 31 David TV Cody Chief 978-744-6990 dcody@2sa(em.com City of Salem, Massachusetts Fire Department 48 Lafayette Street Salem, Massachusetts 01970-3695 TeL 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 passibility- of flammable liquid storage or releases on the property described below. Your request for a 21—E site report for the property known as 71 Leach St., we found no records of releases or UST's 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-ited 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 an 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 report prepared by you, nor cited as evidence of the presence of any hazardous wastes or releases on this site. Signed, Lt.. Erin Grif in Fire Marshal August 2, 2011 s waste absence POWER BURNERS Name Leach Street varage Address 67 Le aith St • Date 4-9-49 L. Name of Burner Weatherall 216 Gals. Stored Kind of Heat Steam 500 Cap. of Tank Gals. Location of Tank Encased 1st Floor Kind of Oil #2 Installed by George Lre Dcvc Inspected 4.-9-49 1096 Approved 4949 Foriti 24 Power Burners Date 12/29/92 Name Albert Levesaue Location 77 Leach St. Name of Burner Beckett Gals. Stored 275 Location of Tank Basal nt Installed by Jeff's Heating Inspected by Lt. Hudson Form 24 2nd Floor No. of Tanks 1 Mass. Approval No. 1192 Kind of Heat F.H.W. Kind of Oil #2 C. of C. # 22355 Date Approved 12/29/92 Power Burners Date 12/29/92 Name Albert LPvPS!}„P Location 77 Leach St. Name of Burner Beckett Gals. Stored 275 Location of Tank RpSPmPnt Installed by Jeff's Heating Inspected by Lt. Hudson No. of Tanks 1st Floor 1 Mass. Approval No. 1192 Kind of Heat F.H.W. Kind of Oil #2 C. of C. # 22355 Date Approved 12/29/92 David Cody Chief 978-744-6990 dcody@salem. corn City of Sa[em, Massachusetts Fire Department 48 Lafayette Street Salem, :Massachusetts 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. 14 Leavitt 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 harp -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'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 Date .. Name Location POWER BURNERS 11-4-54 FARRELL, William J. 14 Leavitt Street Name of Burner Gals. Stored Timken #320 275 Location of Tank Basement Installed by Inspected Kind of Heat Cap. of Tank Kind of Oil #2 Booma-Breed Inc., Lynn #2710 11-2-54 Approved ditto Warr Air 2fj`als. David Cody Chief 978-744-6990 dcody@salem.com City of Salem, vfassachuew 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 fora 21—E site report for 51 Lafayette Street. We have the former property listed as Salem Laundry Building. Our records do not show any presence of UST's for the adarPga T havp PnrinSpd the rPonrds that wP fond. 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 havit-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- its employees or members in connection with providing this information to you, or in the event of any inaccurac-y or omission thereof,. This letter shall not be quoted in whole or in part in any hwr-.irdous waste report prepared by you, nor cited as evidence of the presence gr absence of any hazardous wastes or :;releases on this site. Signed, . LE. E/in .Fire Marsha' Griffin September 23, 2009 FORM FP-6. 40 10-71-050515 010 t `; ,11 tali* of ass motto DEPARTMENT OF PUBLIC SAFETY ® IVISION OF FIRE PREVENTION 1010 COMMONWEALTH AVENUE, BOSTON, July 19, (Date) APPLICATION FOR PE ► `4:IT To: HEAD OF FIRE DEPARTMENT Salem City or Town In accordance with the provisions of Chapter 148, G. L. as provided in Ser application is hereby made State clearly purpose for which permit is requested for permission tr Restrictions: 10A remove one 1,000 gallon gasoline tank to Whitney Barrel, Woburn As per FPR #8 19 77 71 Lafayette St/ Salem (It to Whitey Barrel. Wnhnrn (Give location by street and no., or describe bit such a manner as to provide a e ideatthca lan of location) Date issued rejected 19 By E ° 3^�'�" v (Signature of applicanty Date of expiration 19 Fee paid —Due 58 Broadway, S a l em (Address) Zani . 'Prrnnun Q�ihief 4 Name: Q1 t ui rn, AinesuctiusdAs girt Erparimen1 Lleacbqunrtern Mr. John Hooper Salem Laundry Date July 13, 1977 Res .Gasoline leakage & Address: 71 Lafayette Street, Salem, Mass. related matters. 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 following 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 vio1ationg named below within --- - three days of the above date. Such further action will be taken as the law requires, for failure to comply with the above requirements within the stipulated time. (Reference: General Laws of Commonwealth of Massachusetts, Chapter 148 Section 30; and the Salem Fire Code Article 1.) 1. As a result of investigation by Deputy Chief Francis Bates, it has been determined that the apparent cause of fumes from flammable liquids accumulating in the South River are caused by a leaking gasoline tank located in your structure. Said tank shall under provisions of Fire Prevention Regulation`,: #4, be removed and properly disposed of at a tank storage depot. A permit is required for the removal of this tank. 2. It has been determined that you have been operating a garage within your building and for some unknown reason no permit for operation of same has ever been issued for this location. This is an annual permit, with a Fee of $2.00. Blank appli- cation is enclose;c0 and shall be . filed forthwith. Lt. David J. Goggi_n, Salem Fire Marshal Inspector, Salem Fire Prevention Bureau. cc: Mr. Richard Lutz file POWER BURNE, Name Salem Laundry Address 69 Lafayette St Date 10/11/49 Name of Burner Gals. Stored Location of Tank , Installed by Inspected Cellar Kind of Heat Cap. of Tank Kind of Oil G.W. .eickering CO. #52C. 1U/1i/49 Approved Gals. 10/11/49 Form 24 Power Burners Date May 29,1991 Name Salem Laundry Location 1 Lafayette Street Name of Burner Beckett Gals. Stored 500 Location of Tank basement No. of Tanks 1 Mass. Approval No. Kind of Heat steam Kind of Oil 1?2 Installed by Seacoast Petroleum Corp. C. of`C. # 9315 969 Inspected by Lt.Kevin M. Koen Date Approved 5/29/91 Form 24 Power Burners Dote 4/11/95 Name Salem Laundry Location 1 Lafayette Street Name of Burner Existing Gals. Stored 275 Location of Tank Basement Installed by Bergeron Plumbing Inspected by Capt. Hudson No. of Tanks 1 Mass. Approval No. Kind of Heat Kind of Oil #2 C. of C. # 016038 Date Approved 4/11/95 FORM 24 Date Name Location POWER BURNERS "ovember 25,1977 Salem Laundry 71 Lafayette St Name of Burner Waltham Gals. Stored 275 Location of Tank Basement Installed by Finley H Chisholm Inspected by D .0 .Sosnowski Date Name Location No. of Tanks Mass. Approval No. 252 Kind of Heat Kind of Oil C. of C. # 16024 Date Approved 11-23-77 POWER BURNERS April 20, 1961 Salem Laundry Co. 71 Lafayette St. Name of Burner Gals. Stored Location of Tank Installed by Inspected Sun Ray #988 Kind of Heat Cap. of Tank 500 500 Tank installed ]ind o 5oi1 Basement #2 Paul H. Moore CC-19 4-20-61 Eli Steam 2 Gals. Approved 4-20-61 EH David TV. Cody Chief 978-744-6990 dcody@salem.com City of Sa[em, Massachusetts Fire Department 48 Lafayette Street Sa[em, 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. Your 21-E site report for the address known as 352 Lafayette 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 hag•'rdous waste investigations. To assist you in conducting your environmental assessment of the site, we are able to inform you as indir:ited 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 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, Lt. Erin Griffin Fire Marshal March 17, 2009 R AJS ENVIRONMENTAL, INC. ENVIRONMENTAL CONSULTANTS 25 February 2003 Mayor's Office City Hall 93 Washington Street Salem, MA 01970 %Pm' MAR 2 2003 C ITY;}F MAYORS OFFICE RE: RAO Report for Release located at 352 Lafayette Street, Salem, MA. MA-DEP RTN. # 3-22352 AJS Ref. No.: 228-02 To Whom it May Concern; This letter is to inform you of remedial activities completed in asso ;iation with the above referenced release as conducted by AJS Environmental, Inc., (AJS). The Response Action Outcome report is on file with the appropriate MA-DEP regional office. This letter is required by 310 CMR 40.0000, the Massachusetts Continger ;y Plan to meet the public notification requirements. Please file accordingly and thank you for attention to this matter. Sincerely, AJS Enviro al, Inc Andrew Seaman PG Principal Cc Board of Health 9 North Street Salem, MA 01970 3 NILES STRFFT • Wrpr`GCTCD AA A ni 1.nA _ Tri rni Commonwealth of Massachusetts Executive Office of Environmental Affairs Department of Environmental Protection Metro Boston/Northeast Regional Office William F. Weld Govemor Trudy S. Coxe Secretary, EOEA Thomas B. Powers Acting Commissioner Salem State College 352 LaFayette Street Salem, MA 01970-4589 APR 20 1995 RE: BWP - SALEM NONCOMPLIANCE with M.G.L. c. 21C, 310 CMR 30.00 MAD 079524 104 AQCR 119 Plant ID #259 B-minor SQG-Hazardous Waste VSQG-Waste Oil FMF Facility #131091 NON-NE-95-9012-2E Attention: Nancy D. Harrington, President Dear Ms. Harrington: Department personnel have observed that on February 6, 1995, activity occurred at Salem State College, 352 Lafayette Street, Salem, Massachusetts in noncompliance with one or more laws, regulations, orders, licenses, permits, or approvals enforced by the Department. Attached is a written description of (1) the activity referred to above, (2) the requirements violated, (3) the action the Department now wants you to take to correct the unresolved environmental compliance matters. Notwithstanding this letter, the Department reserves the right to exercise the full extent of its legal authority in conjunction with Executive Order 350 in order to obtain full compliance with all applicable requirements. Moreover, tracking annual usage of toxic substance and other inputs, if you are not already doing to, may lead to identification of additional source reduction opportunities. For further information on source reduction.of toxic and other waste you may contact: 10 Commerce Way • Woburn, Massachusetts 01801 • FAX (617) 932-7615 • Telephone (617) 932-7600 ' Salem State College Page -2- * the Office of Technical Assistance (617) -727-3260) for free, confidential technical assistance including on -site assessments, financial evaluations, and other resources. * DEP's Toxic Use Reduction Implementation Team (617)-292- 5870) for guidance material on TUR planning. * the Toxic Use Reduction Institute (508-934-3262) for courses for certified Toxic Use Reduction Planners. Should you have any questions relative to this matter, contact Kenneth Atkinson or David LaBrode of this office at the letterhead address or by calling (617) 932-7600. Very truly yours, Edward J. Pawlowski Chief, Compliance and Enforcement Bureau of Waste Prevention EJP/KA/DLB/bc Certified Mail Receipt cc: Fire Dept., 48 LaFayette Street, Salem, MA 01970 Board of Health, 9 North Street, Salem, MA 01970 One Winter Street, Boston, MA 02108 ATTN: Chris Ayers\Office of Enforcement ATTN: Willa Kuh, Operations OTA, 100 Cambridge St., Suite 1904, Boston, MA 02108 ATTN: Kenneth J. Soltys NERO - Pawlowski, Hurlbut, Keating, LaBrode, Atkinson, Felix Salem State College', 352 Lafayette St., Salem, MA 01970 ATTN: Joseph Mulligan, Director of Facilities Salem State College. NONCOMPLIANCE SUMMARY NAME OF ENTITY: Salem State College LOCATION WHERE ACTIVITY OCCURRED OR WAS OBSERVED: 352 LaFayette Street, Salem, Massachusetts DATE WHEN ACTIVITY WAS OBSERVED: February 6, 1995 DESCRIPTION OF UNRESOLVED ENVIRONMENTAL COMPLIANCE MATTERS AND OF THE REQUIREMENTS NOT COMPLIED WITH: Personnel from the Department• conducted a compliance inspection at Salem State College. The following are the observed unresolved environmental compliance matters: HAZARDOUS WASTE (1) 310 CMR 30.253(5)(c), (refers to 30.353(6)(g)), (refers to 30.682)): On the inspection date, several five -gallon plastic. containers used for the accumulation of waste oil stored in the back room of the Power Plant were observed to be unlabelled. The regulation requires that...throughout the period of storage, the side of each container of waste oil shall be clearly labelled and marked in a manner which identifies, in words, the hazardous waste(s) being stored in the container (e.g., acetone. toluene), and the hazard(s) associated with the waste (e.g., ignitable, toxic, dangerous when wet): Each container shall also be marked with the words "Hazardous Waste". (2) 310 CMR 30.253(5) (c), (refers to 30.353(6)(g)), (refers to 30.685(1)): On the inspection date, several five -gallon plastic containers used for the accumulation of waste oil stored in the back room of the Power Plant were observed to be open. The, regulation requires that...a container holding hazardous waste shall always be closed during storage, except when waste is being added or removed. In the event that Federal, State or local law or regulation requires a container to be vented, the container shall be vented in a manner that does not present a threat to public health, safety or welfare, or the environment. (3) 310 CMR 30.253 (5) (c) , (refers to 30.353 (6) (h)) , (refers to 30.340(1)(f)): On the inspection date, several five -gallon containers of waste oil located in the back room of the Power Plant 'were observed being accumulated on a surface which is not impervious (sand floor). The regulation requires...underlying all containers and all above -ground tanks in which hazardous waste is accumulated shall be a surface that is designed and at all times 4 U.. CO) .0 Salem State College Page -2- operated so that it is free of cracks and gaps and is sufficiently impervious to contain leaks, spills, and accumulated precipitation until the collected material is detected and removed. All above- ground tanks Salem State College shall be placed so that all the surface beneath each such tank can be inspected for spills and structural integrity. (4) 310 CMR 30.253 (5) (c) , (refers to 30.353 (6) (h)) , (refers to 30.340 (1)(j)): A sign with the words "Hazardous Waste" was not posted in the waste oil accumulation area. The regulation requires that...all areas where wastes are accumulated shall have posted at all times a sign with the words "HAZARDOUS WASTE", in capital letters at least one inch high. (5) 310 CMR 30.253(5)(c), (refers to 30.353(6)(h)),'(refers to 30.340(1) (k)) : On the inspection date, it was observed that the waste oil accumulation area was not marked and clearly distinguishable from the generation area. The regulation requires... All area(s) where wastes are accumulated for the purposes of complying with 310 CMR 30.000 generally shall be clearly marked (e.g., by a clearly visible line or piece of tape on the floor, or by a gate or fence, or by a sign at the boundary of a clearly distinguishable area) so that they are clearly distinguishable at all times from all specific points of generation where wastes are initially accumulated solely for the purposes of 310 CMR 30.340(4), and from all areas at the site of generation where wastes are not accumulated. (6) 310 CMR 30.302: On the inspection date, it was noted that the Power Plant was storing several containers of unknown contents in its back room. The regulation requires...Any person who generates a waste shall determine if that waste is a hazardous, waste, as identified or otherwise described in 310 CMR 30.100, as follows: (1) First, determine whether his waste is excluded from regulation pursuant to 310 CMR 30.104. (2) Next, determine if the waste is listed as a hazardous waste in 310 CMR 30.130 through 30.136. (3) If the waste is not listed as a hazardous waste in 310 CMR 30.130 through 30.136, determine whether the waste is hazardous waste pursuant to 310 CMR 30.120 through 30.125 by doing either of the following: (a) Testing the waste according to the methods set forth in 310 CMR 30.151 through 30.156 or according to an equivalent method approved by 'the Administrator of EPA pursuant to 40 CFR Section 260.21 and by the Department. Salem State College Page -3- (b) Applying knowledge of the hazardous characteristics of the waste in light of the materials or the process used. (7) 310 CMR 30.313(2) (b) and (3) (b) : On the inspection date, it was noted that Salem State College failed to mail Copy 7 and Copy 6 of several hazardous waste manifests, manifest document numbers on file, to the state(s) in which the waste was generated, and to the destination state(s) identified on the hazardous waste manifest (s) : The regulation requires that: (a) Copy 7 shall be transmitted by the generator to the Department within ten (10) days of the date the shipment begins. (313(2) (b)) (b) Copy 6 shall, within ten (10) days of the date the shipment begins, be transmitted by the generator to the appropriate agency of the Stat.e in which the facility is located. If the facility is located in Massachusetts, the generator shall transmit this copy to the Department. (313(3) (b)) (8) 310 CMR 30.314(1)(a): On the inspection date, it was noted that Salem State College had made several shipments of hazardous waste using .manifests with inaccurate information. Specifically, they used EPA ID Number MAD079524014 on several manifests when their actual EPA ID Number is MAD079524104. The regulation requires...The generator shall do the following: (a) Ensure that all required information has been provided in a complete. and accurate manner; (9) 310 CMR 30.351 (4) (e) , (refers to 30.340(1) (f)) : On the inspection date, the containers used for the satellite accumulation of hazardous waste in the Chemistry and Biology Laboratories were stored on a surface which is not impervious. The regulation requires... Underlying all containers and all above -ground tanks in which hazardous waste i•s accumulated shall be a surface that is designed and at all times operated so that it is free of cracks and gaps and is sufficiently impervious to contain leaks, spills, and 'accumulated precipitation until the collected material is collected and removed. All above -ground tanks shall be placed so that all the surface beneath each such tank can be inspected for spills and structural integrity. (10) 310 CMR 30.351(4)(e), (refers to 30.682): - On the inspection date, the containers used for the satellite accumulation of laboratory waste streams in the Chemistry and Biology Salem State College Page -4- laboratories were observed to be improperly labelled. The regulation requires...Throughout the period of storage, the side of each container of hazardous waste shall be clearly labelled and marked in a manner which identifies, in words, the hazardous waste(s) being stored in the container (e.g., acetone. toluene), and the hazard(s) associated with the waste (e.g., ignitable, toxic, dangerous when wet). Each container shall also be marked with the words "Hazardous Waste". (11) 310 CMR 30.351(4)(e), (refers to 30.686): The satellite accumulation areas were not being inspected weekly. The regulation requires that...at least weekly, the owner or operator shall inspect areas where containers are stored, looking for leaking and for deterioration, caused by corrosion or other factors, of containers and the containment system. (12) 310 CMR 30.351 (8) (a) , (refers to 30.340(1) (a) l.d.) , (refers to 30.686) : On the inspection date, it was noted that Salem State College is not performing the required weekly inspections of the hazardous waste accumulation area. The regulation requires...At least weekly, the owner or operator shall inspect areas where containers are stored, looking for leaking and for deterioration, caused by corrosion or other factors, of containers and the containment system. (13) 310 CMR 30.351 (8) (a) , (refers to 30.340 (1) (b)) : Photography Department: One 55-gallon container of waste silver photography solution was not marked with the required information. Power Plant: Several containers of expired chemicals stored in the back room were unlabelled. The regulation requires that...Each tank or container in which hazardous waste is being accumulated, and each outside container into which smaller containers are packed shall be clearly marked and labelled throughout the period of accumulation with the following: (1) The words "Hazardous Waste"; (2) The hazardous waste(s) identified in words (e.g., acetone, toluene); (3) The type of hazard(s) associated with the waste(s) indicated in words (e.g., ignitable, toxic, dangerous when wet); (4) The date upon which each period of accumulation begins, marked on each tank or container at the time accumulation begins in that tank or container. For underground tanks, marks and labels shall be made on the aboveground portion of the tanks, or in close.proximity to the tank. 1 �s. i `' Salem State College Page -5- Marks and labels shall be placed on the sides of each tank or container in such a manner that they are clearly visible for inspection. (14) 310 CMR 30.351 (8) (b) , (refers to 30.340 (1) (f)) : On the inspection date, the containers of hazardous waste stored in the back room of the Power Plant were accumulated on a surface which is not impervious (dirt and sand floor). The regulation requires... Underlying all containers and all above -ground tanks in which hazardous waste is accumulated shall be a surface that is designed and at all times operated so that it is free of cracks and gaps and is sufficiently impervious to contain leaks, spills, and accumulated precipitation until the collected material is collected and removed. All above -ground tanks shall be placed so that all the surface beneath each such tank can be inspected for spills and structural integrity. (15) 310 CMR 30.351(8) (b) , (refers to 30.340 (1) (j)) : On the inspection date, the following hazardous waste accumulation areas (Photography Department and the Power Plant back room did not have a hazardous waste sign posted). A sign with the words "Hazardous Waste" was not posted in the hazardous waste accumulation area. The regulation requires that...all areas where wastes are accumulated shall have posted at all times a sign with the words "HAZARDOUS WASTE", in capital letters at least one inch high. (16) 310 CMR 30.351 (8) (b) , (refers to 30.340(1) (k)) On the inspection date, the following hazardous waste accumulation areas (Photography Department and Power Plant back room) were not, properly marked and clearly distinguishable from generation areas. The regulation requires that...all area(s) where wastes are accumulated for the purposes of complying with 310 CMR 30.000 generally shall be clearly marked (e.g., by a clearly visible line or piece of tape on the floor, or by a gate or fence, or by a sign at the boundary of a clearly distinguishable area) so that they are clearly distinguishable at all times from allspecific points of generation where wastes are initially accumulated solely for the purposes of 310 CMR 30.340(4), and from all areas at the site of generation where wastes are not accumulated. (17) 310 CMR 30.351(9)(c)6.: On the inspection date, the Photography Department and the Power Plant back room accumulation areas did not have an up-to-date written list of emergency information posted near the telephone. at the site of accumulation. The regulation requires that...a generator must have posted, a list with the following information: Salem State College Page -6- a. The name(s) and telephone number(s) of the emergency coordinator(s) . b. The location(s) of the fire extinguisher(s) and spill control materials, and, if present, the fire alarms. c. The telephone number of the fire department, or, if there is a direct alarm system, instructions on how to activate it, or both. d. Evacuation routes, where applicable. (18) 310 CMR 30.353(3): On the inspection date, Departmental review of several hazardous waste manifests has resulted in the determination that Salem State College generates hazardous waste in quantities greater than that initially reported to the Department. Salem State College's actual hazardous waste generation rate is that of a small quantity.generator of hazardous waste rather than a very small quantity generator. The regulation requires...In order to have the ,status of a very small quantity generator, the generator shall comply with the requirements set forth or referred to in 310 CMR 30.353, and need not comply with any other requirements of 310 CMR 30.000. A person who is not in compliance with the requirements set forth referred to in 310 CMR 30.353 shall have the status of a small quantity generator, a large quantity generator, or the owner or operator of a facility, as the case may be, and shall comply with all requirements in 310 CMR 30.000 applicable to the status he has at the time. ACTION THAT SHOULD BE TAKEN TO CORRECT THE UNRESOLVED ENVIRONMENTAL COMPLIANCE MATTERS: HAZARDOUS WASTE (1) Mark the above referenced containers of waste oil with the required information. (2) Close all containers accumulating waste oil, and continue to keep them closed except when waste is being added or removed. (3) Modify the waste oil accumulation area to come into compliance with the above referenced regulation. (4) Post a sign with the words "HAZARDOUS WASTE", in accordance with the above referenced regulation. (5) Clearly distinguish waste accumulation areas from areas where wastes are not accumulated. (6) Determine if the waste in question is a hazardous waste, and make arrangements for -its proper disposal. Salem State College Page -7- (7) Mail in Copy 6 and Copy 7 of your hazardous waste manifests, in accordance with the regulation stated above. (8) Take steps necessary to ensure that all information on hazardous waste manifests is complete and .accurate. (9) Modify the satellite accumulation area to come into compliance with the above referenced regulation. (10) Mark all tanks and containers, accumulating hazardous waste, in accordance with the above referenced regulation. (11) and (12) Begin performing the required weekly inspections. (13) Mark all tanks and containers accumulating hazardous waste, in accordance with the above referenced regulation. (14) Modify the hazardous waste accumulation area to come into compliance with the above referenced regulation. (15) Post a sign with the words "HAZARDOUS WASTE", in accordance with the above referenced regulation.' (16) Clearly distinguish waste accumulation areas from areas where wastes are not accumulated. (17) Post an up-to-date written list, in accordance with the referenced regulation. (18) Notify the Department of your change of status to a small quantity generator of hazardous waste. This may be accomplished by filling out and submitting the enclosed Change of Status form, as instructed. (19) Please notify this office, in writing, within thirty (30) days of your receipt of this letter as to the time schedule your facility will meet to comply with the above stated requirements. Failure to respond and/or initiate corrective actions may cause the Department to issue a formal Notice of Noncompliance to your facility. Please note that the Department recommends that the Salem State College Page -8- facility resolve these matters through the Executive Order 350 process by reporting the steps taken (or to be taken) to correct these matters in its next quarterly Clean State Program report. DATE: MMDOCS\SLMCOLLE.NON COkve- 4k /4-' Edward.J. Paw owski V Chief, Compliance and Enforcement Bureau of Waste Prevention David LaBrode Environmental Analyst 2,406ife O&iL4 ., Kenneth Atkinson Environmental Analyst is7 * ADDRESS FLAMMABLE PERMIT RECORD 352 Iiiifayette Street LICENSE DATE OR PERMIT NAME. TYPE and DATA 1661JED r.iEXPtRES .4/25/62 Permit Issued to keec,store, & use 275 gals gasoline, location-akdergrour 275 gals gasoline in enA_osed rood "In old coal bunker" 6/23/67 Issued to store 20 gals aasolLne in acgroved safety cans, 5 gals nixed gasoline & oil for lawn mower:4. stored in_Nentillating room. Form 61 ADbREss 10 12.2/3 :4/6? _ - s .17 EXPER Date Name Location POWER BURNERS January .20,1960 Salem State Teachers Gol lege 352 Lafayette St. Name of Burnee Tyrrell #1232 Gals. Stored 20,000 Location of Tan1S Installed by Inspected Kind of Heat 2 Cap. of Tankk0000 Gals. Outside Underground of Oil #6 Packer Commercial Combustion Co. 0C-1147 1-18-60 fw Approved 1-18-60 FW - — These burners are used=1to start large burners with #6 oil. POWER BURNERS Date Name Salem State Teachers College 352 Lafayette St`. Name of Burner S Tyrrell #1232 Kind of Heat Gals. Stored 500 Cap. of Tank 500 Gals. Location of Tank Outside Underground Kind of Oil #2 Installed by Packer Commercial Combustion Co. CC*-1147 Inspected 1-18-60 FW Approved 1-18-60 FW Location January 20,1960 Date Name POWER BURNERS June 1,1964 Salem Teachers college (arts&science bldg.) Location3S-7-. Lafayette s t . Name of Burner Gals. Stored Diesel oil generatdofHeat For emergency use 500 Cap. of Tank Gals. Location of Tank 51 ft.from emerg.gen-;rDony:Hi Installed by Inspected 6/1/64 R .E .BETTENCOURT (2355) Approved Capt .Harrington oP Form,24 Power Burners Date Jan. 17, 1973 Name Salem State College Location 3�2 Lafayette Street No. of Tanks at�10,000 ga Name of Burner Cleaver Brooks Mass. Approval No. 789 Gals. Stored 209000 Location of Tank jnderground Frank Rounds Uo Installed by Lester Philbrick • Kind of Heat Kind of Oil 6 Newton, C. of C. # 13850 Steam Lt. noggin 1/17/73 Inspected by Date Approved FORM 24 Date Name Location POWER BURNERS 1/17/73 Salem State College 352 Lafayette St Name of Burner Cleaver Brooks 20,000 Gals. Stored No. of Tanks 2 Mass. Approval No. 789 Steam. Electric Kind of Heat Location of Tank Underground Kind of Oil #6 Installed by Lester Philbrook C. of C. # 13850 No Inspection Inspected by Date Approved gun 6u3 )v;u221/7402g4u3 • ssivoz,U • WM /77Tb uonv;Jnsuo7 uonvkazf G, . uomnL;suod • su6rsaz • suonvn)va) • sgaorf a� ,t-7024.4 1 Sri 0:2fir?' Zaz,.' -2937 70e, _3.LIU. )r- 7 h'�S 39V ' ..z 7/ p A4ii7 frdbj • 7 f10 D 2 D '0 qrv() oa 9c�'3Q (VO rI. 3 Y Q3g.0c1 oad b' -/i (V b' 7' ' < Q3S07D (V ..ry_wy_3741,35 OL/fj 3k2f (Y791criltv33103,7 roilcyaLtH Qb 6/O tc7Z 6 foe= #3,@bi•va-P.Q-- ho2g6nple CV, 4J-v37y� _LD0I4/121GEl. 3d,!..2€ )r37r� O1£51E9 (L19) 7 L5 '64610 s3779777074, 'pzrazywhve 'anzranbo %va3vyvo f frg SL•I33 NI0 N3 A' auG sa3vlaoyzeo 0 1 1 W N H 0 f i /—L:3—O:s_; 8:54AM;SALEM STATE COLLEGE ;S78 542.7700 # 2/ 2 MITT ROMNEY Governor KERRY HEALEY Lieutenant Governor June 23, 2003 COMMONWEALTH OF MASSACHtJ E S EXECUTIVE OFFICE OF ENVIRONWE AL AFFAIRS DEPARTMENT OF ENVIRONMENTAL lii.OTECTION ONE WINTER STREET, BOSTON, MA 02108 617- 92-5500 CERTIFIED MAIL # 7099 3400 0016 6(82 297 Ms. Debra G. Mizia, Senior Project Manager Salem State College 352 Lafayette Street Salem, MA 01970 Dear Ms. Mizia: EI.LEN ROY HERLF ISL.DER Secretary EDWARD P. KUNCE Acting Commissioner The Department hereby issues a temporary treatment license to Salem State College, pursuant to 310 CMR 30.861 effective June 18, 2003, for a period of 30 days, for the one time on -site treatment of 2 (two) containers of potentially unstable compounds This written approval follows the Department's prior verbal approval. The College has contracted Triumvirate Environmental, Inc. (TEI) to perform this project. The treatment procedure shall be performed by TEI specialists, as set forth is the documentation submitted with the license application and in compliance with the . requirements of 310 CMR 30.00 at Salem State College in Salem, MA. The Department finds that its action is necessary to prevent an imminent and substantial endangerment to public health, safety or welfare or the environment. Sincerely, Anna Stern, Permit Engineer Waste Branch Business Compliance Division Cc: Sharon Leitch, US EPA Region I Denise Abell, DEP-NERO Salem Fire Department This information is available In alternate format Call Apre1 McCabe, ADA Coordinator at 1-617-156-1171. TDD Service - 1-800-298-2207. DEP on the World Wide Web: httpJlwww.rnass.govidep 0 Printed on Recycled Paper t4 t 0 0 a ;978 542 7700 ADMINISTRATION AND FINANCE Salem �i STATIEICOLLEGE Nanny D. Harrington, President July 23, 2003 Captain Hudson Fire Prevention City of Salem Fire Department 29 Fort Avenue Salem, MA 01970 RE: Temporary Hazardous Waste Treatment License Dear Captain Hudson: Please be advised that Salem State College has received a Facility Temporary License for the Treatment of Hazardous W Environmental Protection has issued the temporary license for two containers of 2,4 Dinitrophenyl hydrazine totaling 100 gr The college has scheduled this removal and treatment proced I :00 PM. The college has contracted Triumvirate Environme removal, treatment, and disposal of the chemical. dour Waste Management e. The Department of e on -site treatment of s. for Friday, July 25, at al, Inc. to perform the Please contact our Facilities Department at (978) 542-6004 if you have any questions. S': cerely, d/ G. ATzia Health and Safety Coordinator cc: Brian Pray, Director, Public Safety William Anglin, Lieutenant, Public Safety MS ENVIRONMENTAL INC. ENVIRONMENTAL CONSULTANTS March 24, 2004 Mayor's Office City Hall 93 Washington Street Salem, MA 01970 RE: 0049' ggaVilf? M4R 2 5 2004 I fT1I' MaiI4A694M RAO Report for Release located at 352 Lafayette Street, Salem, MA. MA-DEP RTN. # 3-23496 AJS Ref. No.: 303-04 To Whom it May Concern; This letter is to inform you of remedial activities completed in association with the above referenced release as conducted by AJS Environmental, Inc., (A.'S). The Response Action Outcome report is on file with the appropriate MA-DEP regional office. This letter is required by 310 CMR 40.0000, the Massachusetts Coni ingeacy Plan to meet the public notification requirements. Please file accordingly and thank you for attention to this matter. Sincerely, AJS Environmental, Inc Andrew Seaman PG Principal Cc Board of Health 9 North Street Salem, MA 01970 1200 MILLBURY STREET ..SUITE 7L WORCESTER. MA 01607 TELEPHONE (P0R' 755-6012 FAX (5ns) 757-a9di David W. Cody Chief 978-744-6990 dcody(asaCem.com City of Salem, Massachusetts Fire Department 48 Lafayette Street Sateen, Massac/iusetts 01970-3695 let. 978-744-1235 fac 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. 14 Leavitt Street s.. 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 h 7nrdous 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, CO, /c.LA/Le-JZ.,-sLJL_ Lt. Erin_Griffin Fire Marshal Date Name Location POWER BURNERS 11-4-54 FARRELL, William J. 14 Leavitt Street Name of Burner Timken #320 Gals. Stored 275 Location of Tank Basement Installed by Inspected Kind of Heat Cap. of Tank Kind of Oil :2 Booma-Breed Inc., Lynn #2710 11-2-54 Approved di tt o Warr Air 2 fes• Chief 978- 744- 6990 City of 5a[em, Massachusetts Fire Vepartment 48 Lafayette Street Salem, :Liassar usetts 01970-3695 let 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 97 3-745-7777 You should understand that the Salem Fire Department is but one of several departments within the City of Saleax 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 providedto you as a courtesy in conducting your investigation, and is provided on the express condition that no liability shag 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 7Fire Marshal ///rr, •r'rr/ l�aJ.Jcrr•�r/Jef/.J%-'y�/-c/r�r /�firrr•///fir r�' �`I���r�r�r•.J /� i'J// rrr, (r/ .J//r�(!C• &/ / - )/,%J J 1��je(I (/ (/�fr /r 7! (f'c'm//4Cr/r(y ,l r/rr/ rf Notification for Removal or Closure of In Place Storage Tanks Regulated Under 527 CMR9.06 Forward completed form, signed by Local fire department, to: Mass. UST Compliance Unit, Dept. of Fire Services, P.O. Box 1025 - State Road, Stow, MA 01775 Telephone (978) 567-3710 (Fire Department retains one copy of FP-290R) This form is to be used for notification for removal of Underground Storage Tanks/ Piping. If a storage facility has UST's which are to remain in use, an entire amended FP-290 (long form) must be filed. Note: "Facility street address" must include both a street number and a street name. Post office box numbers are not acceptable, and will cause a registration to be returned. If geographic location of facility is not provided, please indicate distance and direction from closest intersection, e.g., (facility at 199 North Street is located) 400 yards southeast of Commons Road (intersection). I. OWNERSHIP OF TANK(S) Owner Name (Corporation, Individual, Public Agency, or Other Entity) Fire Dept ;Use Date Received: Fire Dept. ID# Fire Dept. Sig. a e Ise A. Facility Number B. Date Entered C. Clerk's Initials D. Comments in Cal101 a?-5X H. LOCATION OF TANK(S) If known, give the geographic location of tanks by degrees, minutes, and seconds. Example: Lat. 42, 36, 12 N Long. 85, 24, 17W Latitude Longitude Street Address Distance and direction from closest intersection (see note above) 4 Lerr, or' C- LL(4- S0.1e rn City Es5v County rna„.55 0tg10 Slate Zip Code Facility Name Company Site iidentifier, s applicable 4- L_OiJ I. IL_0 L,Lr le Street Address (P.O. Box not acceptable - see note above) vSri) e rr) fY) City State q7$' $ 5-R.3 05SeY- Phone Number (include Area Code) Owner's Employer Federal ID* Courtly M. TANKS/PIPING REMOVED OR FILLED IN PLACE Tank Number Tank No. I Tank No. Tank No. 1. Tank/Piping removed or filled in place (mark all that apply) A. Substance last stored 11102 Fuel1 I I I oft B. Tank capacity gallons Soo 3a-! C. Estimated date last used (mo./day/yr.) i q D. Estimated date of removal (mo./day/yr.) 0I4'70 Zip Code Tank No. Tank No. AiJ+3Jo(, E. Tank was removed from ground F. Tank Was•not removed from ground Tank was filled with inert material Describe material used: I eS 1 G. Piping was removed from ground H. Piping was not removed from ground I. Other, please specify FP-290R (revised 5/98) I.4eS I I OVER Tank Number (cont.) Tank No. Tank No. Tank No. Tank No. Tank No. 2. Tank closed in accordance with 527 CMR 9.00 Yes No --I i Yes No ' Yes i No ' Yes , ! No Yes No A. Evidence of leak detected , : ' Yes CNo) : Yes ' No ' ' Yes ! No ' : Yes No Yes No B. Mass. DEP notified Yes No) ' Yes No Yes ' No Yes No : Yes No 1. Mass. DEP tracking number 2. Agency or company performing contamination assessment *527 CMR 9.07 (J), see "Commonwealth of Massachusetts, Underground Storage Tank Closure Assessment Manual" April 9, 1996 DEP Policy #WSC-402-96 I declare under penalty of perjury that I have personally examined and am familiar with the information submitted in this and all attached documents, and that based on my inquiry of those individuals immediately responsible for obtaining the informa- tion, I believe that the submitted information is true, accurate, and complete. Name and official title of owner or owner's Signature: Date: authorized representative (Print) =',. Li./5 Dta 2 Pro t e c+ mai? ag-er , �� E f ;� �'%�%..O FP-290R (revised 5/98) ,/Jn,,,or'rr/// llrrJJrrr/i/JFY..1 - r/'t/i a/,/Jr7,,'„/ r/ 7.t7 C ey/J,c(-'j ..f „i,,,, l//Icr' (/'.JSiigt- / / - J�/� % ;:)/i'ea„lair,,,,, Vic:,,/,/:;r '1 4/(7 Notification for Removal or Closure of In Place Storage Tanks Regulated Under 527 CMR 9.0 Forward completed form, signed by local fire department, to: Mass. UST Compliance Unit, Dept. of Fire Services, P.Q. Box 1025 - State Road, Stow, MA 01775 Telephone (978) 567-3710 (Fire Department retains one copy of FP-290R) This form is to be used for notification for removal of Underground Storage Tanks/ Piping. If a storage facility has UST's which are to remain in use, an entire amended FP-290 (Fong form) must be filed. Note: "Facility street address" must include both a street number and a street name. Post office box numbers are not acceptable, and will cause a registration to be returned. If geographic location of facility is not provided, please indicate distance and direction from closest intersection, e.g., (facility at 199 North Street is located) 400 yards southeast of Commons Road (intersection). I. OWNERSHIP OF TANK(S) Owner Name (Corporation, Individual, Public Agency, or Other Entity) b b►e. Cis ke. Street Address Sale_rn City County q/8-sa5=htc1.3 4 Lemon £IOLU 1- ma,S5 0 I q'7(> State Zip Code Phone Number (include Area Code) Owner's Employer Federal ID # =ire Dept. Use Date Received: 5.11 I 0 t, Fire Dept. ID# 0',A5r51 Fire Dept. Sig. t4 a e.:- se ® n it A. Facility Number B. Date Entered C. Clerk's Initials D. Comments H. LOCATION OF TANK(S) If known, give the geographic location of tanks by degrees, minutes, and seconds. Example: Lat. 42, 36, 12 N Long. 85, 24. 17W Latitude Longitude Distance and direction from closest intersection (see note above) Facility Name or Company Site identifier. as applicable // 4- LAP r 1:0,) t 5. ctLA- (4— Street Address (P.O. Box not acceptable - see note above) \51 err) %Y) CC -5.S City �5SeX. County III. TANKS/PIPING REMOVED OR FILLED IN PLACE Tank Number 1. Tank/Piping removed or filled in place (mark all that apply) A. Substance last stored B. Tank capacity gallons C. Estimated date last used (mo./day/yr.) Tank No. ( Tank No. I' a Pod oil Soo q?I State Tank No. Tank No. 0►470 Zip Code Tank No. D. Estimated date of removal (mo./day/yr.) 1 Ids E. Tank was removed from ground I 1 eS F. Tank was not removed from ground I -- Tank was filled with inert material T _ Describe material used: G. Piping was removed from ground I eS H. Piping was not removed from ground I. Other, please specify FP-290R (revised 5/98) OVER Tank Number (cont.) Tank No. Tank No. Tank No. 2. Tank closed in accordance with 527 CMR 9.00 Yes No A. Evidence of leak detected Yes (LNo) B. Mass. DEP notified Yes No 1. Mass. DEP tracking number 2. Agency or company performing contamination assessment `527 CMR 9.07 (J), see "Commonwealth of Massachusetts, Underground Storage Tank Closure Assessment Manual" April 9, 1996 DEP Policy #WSC-402-96 Tank No. Yes : No Yes No 'Yes No ' Yes No 'Yes :!No ''Yes No 'Yes No Yes ' No Yes No Tank No. '• Yes Yes Yes No No No I declare under penalty of perjury that I have personally examined and am familiar with the information submitted in this and all attached documents, and that based on my inquiry of those individuals immediately responsible for obtaining the informa- tion, I believe that the submitted information is true, accurate, and complete. Name and official title of owner or owner's Signature: authorized representative (Print) (LC-/S Diu S ProtecI- mc.I7a-ge/' Date: FP-290R (revised 5/98) rim mr,ir'T-HreJ.Jacktiet7i - /c�rrlp/m.,ii7(/r---A.y-e CV('/,/lice ir:tref./ U% (J//1f r�,J/rr�l(r (Ycril -i7 - J// �)�jc'C/Clt/rr/iry�r� (!,c-m //7(UUNre 74/(.1-'' <r Notification for Removal or Closure of In Place Storage Tanks Regulated Under 527 CMR9 Forward completed form, signed by local fire department, to: Mass. UST Compliance Unit, Dept. of Fire Services, P.O. Box 1025 - State Road, Stow, MA 01775 Telephone (978) 567-3710 (Fire Department retains one copy of FP-290R) This form is to be used for notification for removal of Underground Storage Tanks/ Piping. If a storage facility has UST's which are to remain in use, an entire amended FP-290 (long form) must be filed. Note: "Facility street address" must include both a street number and a street name. Post office box numbers are not acceptable, and will cause a registration to be returned. If geographic location of facility is not provided, please indicate distance and direction from closest intersection, e.g., (facility at 199 North Street is located) 400 yards southeast of Commons Road (intersection). L OWNERSHIP OF TANK(S) H. LOCATION OF TANK(S) Owner Name (Corporation, Individual, Public Agency, or Other Entity) If known, give the geographic location of tanks by degrees, minutes, and seconds. Example: Lat. 42, 36, 12 N Long. 85, 24, 17W Date Received: 91 I I b Fire Dept. ID# 0 ?-5X Fire Dept. Sig. t�Qbb►e CI(L,rke.- Street Address 11� Cow' 4 Lemon 54-rQe4 ow' S0.1ern j' a s3 0(ci`/0 City E�o�Se- GIl8- ga5= 611G3 State Zip Code Phone Number (Include Area Code) Owner's Employer Federal ID # A. Facility Number B. Date Entered C. Clerk's Initials D. Comments Latitude Longitude Distance and direction from closest intersection (see note above) F cility Name or Company Site identifier, s applicable J Street AddFesSIPtt-Box-not-acceptable„_s.ee note above) / err-) M0-5 0►4`7© City �sspx. County III. TANKS/PIPING REMOVED OR FILLED IN PLACE Tank Number 1. Tank/Piping removed or filled in place (mark all that apply) A. Substance last stored B. Tank capacity gallons C. Estimated date last used (mo./day/yr.) D. Estimated date of removal (mo./day/yr.) Tank No. ( Tank No. Tank No. State Zip Code Tank No. Tank No. N/i3lo(I E. Tank was removed from ground F. Tank was not removed from ground Tank was filled with inert material Describe material used: 1es T J G. Piping was removed from ground H. Piping was not removed from ground 1. Other, please specify FP-290R (revised 5/98) nVFR Tank Number (cmnt.) 2. Tank closed in accordance Tank No. Tank No. Tank No. Tank No. Tank No. ~ /wo /voo No von No 'vo, No A. Evidence cfleak detected �:Yes QN" Yes No Yen !wo Yes No B. Mass. DEPnohUed Yes Yes No Yes No Yes No 1.Mass. DEPtracking number 2. Agency orcompany performing contamination assessment ° �27QwR8/mW.see "Commonwealth of Massachusetts, Underground Storage Tank Closure Assessment Manual" April o. 1996 oEpPolicy #wGC'4ou'os | declare under penalty cfperjury that / have personally examined and amfamiliar with the information submitted inthis and all attached documents, and that based on my inquiry of those individuals immediately responsible for obtaining the informa- tion, / believe that the submitted information is true, accurate, and complete. Name and official title ofowner orowner's authorized representative (Phnd Signature: Date: FAX tax Salem Fire Department Fire Prevention Division 29 Fort Avenue Salem, Ma 01970 tel (508) 745-7777 fax (508) 745-9402 to: from: date: subject: NOTES: T— I 74/ /, 7 "71, art FRANK PRECZEWSKI FIRE INSPECTOR PAGER (508) 489-8233 This facsimile contains privileged and confidential information intended only for the use of the individual or entity to whom it is addressed. If the reader of the facsimile is not the intended recipient or the employee or agent responsible for delivering it to the intended recipient. you are hereby notified that any communication. transmission, dissemination or reproduction of this facsimile or its contents is strictly prohibited. If you have received th.s ?facsimile in error. please rmmeditel, notify us by telephone and return the original facsimile to us at the above address via the J.S. postal service. Thank You. �(I iIP Woutnuinturtturi III 11MMBBBUAJUBPIIB Department of Public Safety Division of Fire Prevention and Regulation APPLICATION FOR PERMIT, AND PERMIT, FOR REMOVAL AND TRANSPORTATION TO APPROVED TANK YARD FDID# Sa�e r City, Town or District �30`;;`/() Fee Paid: $ 25.00 Permit # Date 5ira Y 19 9 C.82 S.40 N.C.L. DIG SAFE NUMBER ??%0627/ start date In accordance with the provisions of Chapter 148, Sec. 38A, /M�.G.L., f 527 CMR 9.00 application is hereby madeby: j e-�t aP/' 1 P Cirkc „ Street Address & City or Town?) k.y 71 Signature of applicant:1 67\44- 1 Applicants name printed H/t/ V! J J M /4-C (Of 1/ For permission to remove and transport one uncle ground storage tank from. Owner:C.2 Street Address: f-fi'c'. S' w ) Firm transporting waste: ! 1 / 41 State Lic.# E.P.A.# Approved tank yard: c, tva 4 p # Tank yard Address: Type of inert gas: ).Pv 7C - UL tank • : Tank capacity:�'�-C Substance last stored:1 L , Date of issue: c1 /,-/ / 19 i "\ Date of expiration: 9/30 19 �r3 Signature/Title of Officer granting permit: a+� /��`�- aler KEEP ORIGINAL AS APPLICATION AND ISSUE DUPLICATE AS PERMIT Hazardous waste manifest # Tank F' X LC Tank 2 ---- X Tank 3 X Tank 4 X Tank 5 X (feet) (feet) Tank 1 DIMENSIONS Width X Tank 2 ----- X Tank 3 X Tank 4 Y Tank 5 X (feet) (feet) DIMENSIONS Width Length Tank 1 Tank 2 ---- X Tank 3 X Tank 4 X Tank 5 X (feet) (feet) (city or town) Fire Department Permit # (if applicable) Tank vr F om� (no. street) (city or town) Fire Department Permit # (if applicable) Tank,. RR'e"movtx From !,� ioi (no. street) (city or town) Fire Department Permit # (if applicable) Department of Public Safety Division of Fire Prevention and Regulation APPLICATION FOR PERMIT, AND PERMIT, FOR REMOVAL AND TRANSPORTATION TO APPROVED TANK YAF FDID# a I Z Sc?' City, Town or District Fee Pai S 25.00 64, C1A4-k Permit f_D4 Date /a 1(5- 19 7 0 C.32 S.40 N.C.L. DIG SAFE NUMBER 9Q7 -(56 start date gal/-5/sa In accordance with the provisions of Chapter 148, Sec. 38A, M.G.L., 527 CMR 9.00 application is hereby made by: (LC1 r/1 Street Address & City or Tow : so ,�r f u -k €S y , 1tcv, Signature of applicant: //, pR A licants name printed:��11�-I/, For permission to remove and transport one d'"en=otnd storage tank from. Owner: r cc- £ Street Address: 1) t raj 1k. S4 4 Firm transporting waste: (' r 3 v7 M6 State Lic. $ /4,q (7 Hazardous waste manifest # ss 8 9 r E.P.A. A 111a,?0,2-7 Approved tank yard: �C//Ylei ��C l-t I0 5 4 frig • 1 1 / .. / r J Tank yard Address: m )24,-cr�, I T-�5rav7 Type of inert gas: 'C L capacity: p Y• • i Cif /, v � � � I Ili 5 Substance last stored: (SIG SC) K' Ii Date of issue: / Z. / j l 19 5 Li Date of exp ration: ?� /i 19�1 L. Signature/Title of Officer granting permit: 4i r �7 •a91 UL tank #: KEEP ORIGINAL AS APPLICATION AM ISSUE DUPLICATE AS PERMIT Fort 90V (9/90) APPROVED TANK YARD .rein; APPROVED TANK YARD NO. L1. ,� /i JJ i35 Tank Yard Ledger 502 CMR 3.03(4)'1-fire-r: Q APPROVED TANK YARD NO. Q �( Tank Yard Ledger 502 CMR 3.03 1fi umber: O V / Q 9 (J- I certify under penalty of law I have personally ex pined the underground steel storage tank delivered to this "approved tank yard" by firm, corporation or partnership and accepted same in oonfoanance with Massachusetts Fire Prevention 1 tion 502 CMR 3.00 Provisions for Approving Underground Steel Store tling yards. 1 permit was issued by LOCAL Head of Fire Department FDID# Q to transport rrrrrrkkk������srir 5 yard. ???"' official title of approved y or owners authorized representative: sIQ J TITLE DATE SI This signed receipt of disposal must be returned to the local head of the fire department FDIE4 pursuant to 502 CMR 3:00. ( MUST HAVE A RECEIPT OF DISPOSAL) FORM F.P. 291 (rev. 9/88) ... •iy�iLip•_1: "�aa:�.a•:aC_"7a :-••YCY�'9t?Nd°,_ , (OVER) VASSACHUSEITS STATE FIRE MARSHAL'S ClETIC NAME AND ADDRESS ��� OF 'WRIER i nuwunli !!t bild-Wilit JIJ. APPROVED TANK YARD 235 Commercial a. APPROVED TANK YARD NO. 44111144A,0 � Tank Yard Ledger 502 CMR 3.03(4) NuuInbeii5 .. 0() I t I certify under penaltyof law have examined the steel storage I .a a personally � 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 p rmit was, issued by LOCAL Head of Fire Depart nt FDIDN to transport this to s yard-1 Name ;• % of c e of approved tank owner or owners authorized representa 've: SIGIATURE TITLE DATE SIGNED Thus si rv� ? disposal must be returned to the local head of the fire department FDIDt �( suant to 502 O 3:00. (EACH TANK MUST HAVE A RECEIPT OF DISPOSAL) FORM F.P. 291 (rev. 9/88) 2- f_ (OVER) tOSSACHUSETTS STATE FIRE MARSHAL'S OFF: RECEIPT OF DISPOSAL OF UNDERGROUND_STEE7t_STORAGE..TANK NAME AND ADDRESS ��^�-� �''�`'- til , PRII OF +tttt �a . f L q__21 I certify under penalty of law I have personally exanined the un1erground steel storage tank delivered to this "approved tank yard" by firm, corporation or partnership and accepted same in conformance with Massachusetts Fire Prevention Regulation 502 CMR 3.00 Provisions for Approving Underground Steel Storage Tank dismantling yards. A valid permit was //issued by LOCAL Head of Fire Department FDID# to transport this tank - s X'ard. Name title of approved tank yard or owners authorized representative: Mr DATE SIGNED / This si,.. re�ei. cl_ disposa1 must be returned to the local head of the fire department FD i. _, pursuant to 502 CMR 3:00. (EACH TANK MUST HAVE A RECEIPT OF DISPOSAL) FORM F.P. 291 (rev. 9/88) (OVER) MASSACHUSETIS STATE FIRE MARSHAL'S QFF: ?QCyii2�7i'L'd1��2U1E?t ,/,a�%}O///i.i ,a4a ,c%f 4elel, - /�1Q�/,�E,/,a4 entente (1 J UXe lJ 9&i&utce / . ` IgreeLGtf/1le glee G/% ✓ GG�GG &ar- �� VQ9 2 .��i�1 eG��f�:G rte47 Woly 4 02 Notification for Removal or Closure of In Place Storage Tanks Regulated Under 527 CMR 9.00 Forward completed form, signed by local fire department, to: Mass. UST Compliance Unit, Dept. of Fire Services, One Ashburton Place - Room 1310, Boston, MA 02108-1618 Telephone (617) 727-8500 (Fire Department retains one copy of FP-290R) This form is to be used for notification for removal of Underground Storea T 1a ks/ Piping. If a storage facility has UST's which are to remain in use, an entire amended R-29g? (long form) must be filed. 6' Note: "Facility street address" must include both a street number and a street name. Post office box numbers are not acceptable, and will cause a registration to be returned. If geographic location of facility is not provided, please indicate distance and direction from closest intersection, e.g.; (facility at 199 North Street is located) 400 yards southeast of Commons Road (intersection). I. OWNERSHIP OF TANK(S) Owner Name (Corporation, Individual, Public Agency, or Other Entity) CITY OF SALEM FIRE DEPARTMENT 48 LAFAYETTE STREET Street Address SALEM MA 01970 RE TANK AT STATION 4 415 ESSEX STREET City State Zip Code ESSEX County Phone Number (Include Area Code) (508) 744-1236 046001413 Owner's Employer Federal ID M Fire Dept. Use Only Date Received: 2/4/97 Fire Dept. ID# n 092 a. Fire Dept. Sig. v State Use Only A. Facility Number B. Date Entered C. Clerk's Initials D. Comments II. LOCATION OF TANK(S) If known, give the geographic location of tanks by degrees, minutes, and seconds. Example: Lat. 42, 36, 12 N Long. 85, 24, 17W Latitude Longitude Distance and direction from closest intersection (see note above] Facility Name or Company Site identifier, asApplicable Street Address (P.O. Box not acceptable • see note above) City County State Zip Code III. TANKS/PIPING REMOVED OR FILLED IN PLACE Talk Number Tank No. Tank No. Tank No. Tank No. Tank No. I9ank/Piping removed or filled in.place (mark all that apply) A. Substance last stored t.z B. Tank capacity gallons C. Estimated date last used (mo./day/yr.) D. Estimated date of removal (mo./day/yr.) 9/j 0/9.g ank was removed from ground F. Tank was not removed from ground Tank was filled with inert material Describe material used: I 1 1 I 1 I 1 I 1 1 1 1 G. Piping was removed from ground H. Piping was not removed from ground I. Other, please specify FP-290R (revised 11/96) 1 I OVER er (cont. Tank No. Tank No. Tank No. Tank No. Tank No. 2. Tank closed in accordance with 527 CMR 9.00 A. Evidence of leak detected B. Mass. DEP notified 1. Mass. DEP tracking number 2. Agency or company performing contamination assessment * "527 CMR 9.07 (J), see "Commonwealth of Massachusetts, Underground Storage Tank Closure Assessment Manual" April 9, 1996 DEP Policy #WSC-402-96 = Yes No = Yes E. No E Yes No E. Yes 73 No Yes 7 Yes = No = Yes = No Yes No = Yes No = Yes = No = Yes = No 7 Yes = No Yes = No = Yes = No Yes = No I declare under penalty of perjury that I have personally examined and am familiar with the information submitted in this and all attached documents, and that based on my inquiry of those individuals immediately responsible for obtaining the informa- tion, I believe that the submitted information is true, accurate, and complete. Name and official title of owner or owner's Signature: Date: authorized representative (Print) FP-290R (revised 11/96i Date,: 02/04/97 Time: 16:11:02 Record # 560 Address: No. 415 Business name: Tank data: Tank size: Product: Street ESSEX STREET STATION 4 SALEM FIRE DEPT (in gallons) 1,000 (G)asoline D (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 09/30/93 THOMAS MACKEY & SONS memo Date: 02/04/97 Time: 16:21:48 Record # 560 Address: No . 48 Business name: Tank data: Tank size: Product: Street LAFAYETTE STREET STATION I SALEM FIRE DEPT (in gallons) 1,000 (G)asoline G (D)iesel fuel (F)uel oil for heating Waste oil (0)ther regulated substance (U)nknown substance Tank type: (S)teel (F)iberglass Date of removal: Contractor: Additional details: S 12/15/92 CLEAN HARBORS memo Date: 02/04/97 Time:.13:56:58 Record # .365 Address: • •Pso. 48 Business name: Tank data: • Tank size: Product: Street LAFAYETTE STREET SALEM FIRE DEPT. (in gallons) 5,000 (G) asoline D (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 07/30/93 THOMAS MACKEY & SONS memo Date: 02/04/97 Time: 13:51:33 Record # 364 Address: No. 48 Business name: Tank data: Tank size: Product: Street LAFAYETTE STREET SALEM FIRE DEPT. (in gallons) 500 (G)asoline W (D)iesel fuel (F)uel oil for heating (Waste oil (0)ther regulated substance (U)nknown substance Tank type: (S)teel (F)iberglass Date of removal: Contractor: Additional details: S 07/30/93 THOMAS MACKEY & SONS memo °A.<1 Qnec aw ulilp & lnlegrilp March 10, 2009 David W. Cody Fire Chief, Salem Fire Department 48 Lafayette -Street Salem, MA 01970 Reference: 21E Search Dear Mr. Cody: Please conduct a 21E Search for the following address: Salem State College 352 Lafayette Street Salem, Massachusetts The Wannalancit Mills 175 Cabot Street, Suite 415 Lowell, MA 01854 (978) 275-9730 (978) 275-9489 FAX 9'28/--,2-259r89 If you have any questions, please contact me at (978) 275-9730.x 206. Sincerely, Melanie Littman Staff Consultant Enclosed: $50.00 Check ATLANTA • BOSTON • CHICAGO • DALLAS • DENVER • NEW YORK • OVERLAND PARK • PHILADELPHIA • SACRAMENTO • SAN FRANCISCO • SEATTLE • WASHINGTON, DC CITY OF SALEM FIRE DEPARTMENT FIRE PREVENTION DIVISION 29 FORT AVENUE SALEM, MASS. 01970 FAX COVER SHEET TO: FAX # FROM: DATE: SUBJECT: PAGES: MR. MARK LIVERMORE LESLEY MANAGEMENT GROUP 2 INSP. FRANK PRECZEWSKI FRANK PRECZEWSKI, JR. FIRE INSPECTOR PHONE; 978-745-7777 FAX 978-745-9402 10/13/2000 REMOVAL OF TANK AT '18:LEAVITT- STREET--SALEM 4 THIS FACSIMILE CONTAINS PRIVILEGED AND CONFIDENTIAL INFORMATION INTENDED ONLY FOR THE USE OF THE INDIVIDUAL OR ENTITY TO WHOM IT IS ADDRESSED. 6F THE READER OF THE FACSIMILE 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 TRANSMISSION , DISSEMINATION OR REPRODUCTION OF THIS FACSIMILE OR ITS CONTENTS IS STRICTLY PROHIBITED. IF YOU HAVE RECEIVEED THIS FACSIMILE IN ERROR PLEASE IMMEDEDITELY NOTIFY US BY TELEPHONE AND RETURN THE ORIGINAL FACSIMILE TO US AT THE ABOVE ADDRESS VIA THE U.S. POSTAL SERVICE. THANK YOU Robert W. Turner Chief 978-744-6990 City of Salem, Massachusetts Fire Department 48 Lafayette Street Salem, Massachusetts 01970-3695 Fire Prevention Te. 978-744-1235 Bureau Fax 978-745-4646 978-745-7777 Mr. Mark Livermore Property Manager Lesley Management Group P.O. Box 946 Marblehead, Ma. 01945 Mr. Livermore: October 13, 2000 RE: Aboveground Tank 18 Leavitt Street Salem, Ma. 01970 As per our telephone conversation on October the 12th, I am enclosing copies of 527CMR 4 and 527CMR9, pertaining to the removal of the unused oil tank at the above mentioned property. Salem Fire does not allow such tanks to be left in place after being taken out of service. Please forward to me as soon as possible a letter of in - intent on which this will be removed. Thank you in advance for your anticipated cooperation in this matter: espectifully Submitted Frank Preczewski, Jr. Fire Inspector Salem, Ma. 01970 527 CMR: BOARD OF d ==.. PREVENTION REGULATIONS 4.03: continued (2) Fuel Oil. The grade of fuel oil used for any fuel oil burner shall be one which tests ind experience have been shown to be suitable for use with that burner, but in no case shall the grade of fuel oil be heavier than that for which the burner has been designed or adjusted. (3) Gravity Feed to Burners. Gravity feed shall be used only with a burner arranged to prevent abnormal discharge of oil at the burner by automatic means specifically approved for the burner in which it is used. (4) Fuel Oil Delivery. (a) Fuel oil shall not be delivered to any storage tank unless the deliverer has knowledge that a permit has been obtained in accordance with 527 CMR 4.03(1)(b) and that such a permit is in effect at the time of delivery. Such knowledge may be considered to consist of any of the following: 1. Verification by the head of the fire department that such a permit is in effect. 2. Written verification from the owner or customer that the permit is either in his possession or is posted on the premises. 3. Observation that such a permit is in the possession of the owner or customer, or is posted on the premises. (b) Fuel oil shall not be delivered to a storage tank by means of a pump or under pressure in any case where a tight connection is made between the discharge line and the tank inlet, unless' such storage tank is designed to withstand the additional stress to which it may be subjected or unless the vent pipe for such tank is of sufficient size to relieve the tank of any undo pressure in excess of five psi.. The delivery truck operator shall remain at the fill -point during the entire operation. "•It)_`Fuel oil -equal to the maximumcapacity:of the -storage 'tankmay. be delivered without such a permit being in effect whenever an. oil burner installation is:first made provided that an application has been made in accordance with-527 CMR 4.03(1)(d). _(5) Tanks - General . . . .. . . (a) A tank for the keeping of fuel oil shall not be buried nor otherwise concealed inside or outside of any building or other structure until it has been inspected. and approved.6y the --- head of the fire department. (b) A supply tank larger than ten gallons (38 L) but not larger than 660 gallons (2500 L) shall meet the construction provisions of Standard UL 80 or be of a secondary containment type tank meeting the following standards: 1. The primary tank shall meet the German Institute for Construction Technology (DIBt) Standard PA-VI-321. Requirements and Test Methods for Thermoplastic Tanks Made From Blow Molded Polyethylene, Rotationally Molded Polyethylene and Anionic Polymerization of Polyamide-6. or an equivalent standard. 2. The secondary containment shall be provided by a liquid tight outer jacket of galvanized steel or stainless steel with a minimum 18 gauge nominal thickness. 3. A means of detecting a leak from the primary tank into the secondary tank shall be provided. (c) Supply tanks larger than 660 gallon capacity shall meet the provisions of Standard UL 142. (d) A supply tank shall be of such size and shape that it can be installed in and removed from the building as a unit. Any person removing a fuel oil tank from inside a building for a purpose other than replacement or repair, shall remove all fill and vent pipes previously connected to said tank. (e) A shutoff valve as described in 527 CMR 4.04(2)(i) shall be provided immediately adjacent to the burner supply connection at the bottom of a supply tank. (f) A supply tank larger than ten-gallon capacity shall be provided with an open -vent pipe having a minimum 11/4 inches diameter and a fill pipe not larger than the diameter of the vent, both terminating outside the building. (See Table 4.03 1.) 527 CMR - 46 527 C`IR: BOARD OF FIRE PREVENTION REGLLATIONS 9.07 continued (5) The owner of every aboveground tank referred to in 527 CMR 9.07(1)(4) which has been out of service for more than 24 consecutive months and who intends to restore the tank to service must first notify the head of the fire department and must have, at the owners expense, an examination of the tank conducted by a qualified registered professional engineer not permanently employed by the owner or operator of the tank. The examination of the tank will include a visual inspection of the tank welds, walls, foundation and an ultrasonic test of the floor plate thickness. A copy of the engineers report must be filed with the head of the fire department. The tank must also be inspected by the Department of Public Safety's Division of Inspectional Services before the tank can be restored to service. (6) The owner of every aboveground tank, referred to in 527 CMR 9.07(J)(4), who intends to restore to service any such tank that has been out of service for more than 60 consecutive months must first notify the head of the fire department and must have at the owner's expense a physical inspection and hydrostatic test of the tank conducted by a qualified registered professional engineer not permanently employed by the owner or operator of the tank. The physical examination shall include the same requirements as 527 CMR 9.07(3)(5). The person conducting such tests and examinations shall notify the head of the fire department prior to the tests and examinations. This person shall promptly supply the lank owner (or operator) and the head of the fire department with certified copies of all tank tests and examinations. Prior to the tank being restored to service it must also be examined by the Department of Public Safety's Division of Inspectional Services. 171 If an aboveground tank subject to the requirements of 527 CMR 9.07(1)(7) which has been used for the keeping or storage of gasoline of other petroleum products, has been abandoned, in, accordance with the„requirements of 527 CMR 9.00, the head of the fire department shall order the owner or operator of the tank to dismantle and dispose of the tank except where the Division of Inspectional Services of the Department of Public Safety " determines that the integnty of said tank complies with the construction intent of 527 CM . - 9.00, and the head of the fire department concurs. (K) Tank Removal. (1) • Any- person granted a 'permit by the Marshal or the head of the fire department to remove a tank under the provisions of M.G.L. c. 148, or 527 CMR 9.00, shall within 72 hours provide the permit -granting authority.with a receipt for delivery of said tank to the site designated on the permit. (2) Before any person is granted a permit by the Marshal or the head of the fire deaprtment to remove a tank under the provisions of M.G.L. c. 148, or 527 CMR 9.00, and said tank is not being transported to an approved tank yard, the person requesting the permit shall provide the permit -granting authority with written approval for the designated site of disposition. (Reference: 502CMR 3.00 for tank removal and disposal procedure) (3) Underground piping shall not be abandoned in place unless the head of the fire department believes that the removal would constitute a danger to public safety. If the head of the fire department believes that removal of the underground piping constitutes a danger to public safety the piping shall be cleaned and rendered safe as specified by the head of the fire department. (4) Within 24 hours after the removal of underground tanks and/or underground piping the owner/operator shall measure for the presence of a release of oil or hazardous materials to the environment where contamination is most likely to be present on the site. If contamination is found the owner/operator shall immediately notify the head of the fire department as well as the Department of Environmental Protection Bureau of Waste Site Cleanup. (L) Enforcement and Appeals. (1) Any owner or operator who violates any provision of 527 CMR 9.00 shall be subject to the penalties provided under M.G.L. c. 148, § 38H, as amended. Each day during which such violation continues shall constitute a separate offense. Upon request of the head of the fire department, the licensing authority and the town/city counsel shall take any legal action necessary to enforce the provisions of 527 CMR 9.00. 10/6/95 527 CMR - 113 City David W Cody Chief 978- 744-699D dcodj@satem.com Salem, .Massachusetts fire Department 48 Lafayette Street Salem, Massachusetts 0197 0-3695 'ref. 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. 278 Lafayette 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 ha r rdous waste investigations. To assist you in conducting pour environmental assessment of the site, we are able to inform you as indir-ited 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 Fire Marshal BRUCE:JENTHAM Francine Small . 27&Lafayette.St J Salem, MA Shivik A%ocia les August 21, 2008 Subject: Structural Inspection in Way of Proposed UST Removal REPORT Background At the request of the owners, the undersigned engineer inspected the above site to evaluate the structural integrity of two residences at the above address in way of the intended removal of (3) underground fuel oil storage tanks located adjacent to the building foundations. The removal process had been started and the tank tops were exposed at the time of inspection. Finding The tanks were installed closer to the building foundations than is recommended under code requirements and sound engineering practice; therefore, it is my professional opinion that the excavation work and removal could result in damage to the foundation walls and affect the structural integrity of the buildings. Discussion There are three tanks in the ground as shown on the attached Sketch -A. The capacities are reported to be (2) x 500 gallons and (1) x 1,000 gallons. The burial depth of the top of tanks (TOT) varies from 36" to 42" below grade with the bottom of the tanks (BOT) at an estimated depth of 1-2 feet below the adjacent foundation/footings. The tanks are set parallel to the foundation walls at a distance of 2 feet. It is recommended practice to install tanks with minimum setback dimensions as shown in the attached Sketch-B. The actual position of the tanks violates these dimensions and it is probable that loads carried by the foundation may have been transferred to the tanks WALTER F. SHIVIK, RE. over time. Also, there was no select backfill seen around the tanks which could have resulted in voids at the time of installation and affected the settlement of the tanks or distribution of subsoil loading. The above factors lead to the conclusion that removal of the tanks from the ground could result in the disturbance of the static soil loads around and under the foundations and cause significant movement/damage to the structure of the buildings. Supervising Engineer /oseph M. Mahoney IV, OF ' MAHO.t:EY # 12761 ,off fs Field Engineer Walter F. Shivik rf T.O.T. @ 3.5' ± BelowGrade B.O.T. @ 7.5' ± Below Grade Foundation Estimated depth below grade = 6' Lafayette St. Main Residence Granite Foundation Estimated depth below grade = 5' T.O.T. @ 3' ± BelowGrade Carriage House B.O.T. @ 7' ± Below Grade SKETCH --A Not to Scole 27R L nfavette St. Salem, MA SmalfSA - pg. 4 SKETCH -B •a Cellar Recommended Clearances From .Existing Structures Fire Department retains origirpal application and issues duplicate as Permit. (pa�n�n ce) cda of /1(cuylac%c6:le , `" /� �eficr4u%�nem,G'a��i�re eo�Gs�cce� — Qa�� d cope P)re/1e?'LCGQiI'G Check # ?ILO $4 6O-- rO for storage tank removal and transportation to 4pproved tank disposal yard in accordance with the provisions of M.G.L. Chapter 148, Section 38A, 527 CMR 9.00, application is hereby made by:., r APPLICATION and PERMIT Tank Owner Tank Owner Name (please print) rUitvit [ tavo V1,ip)1 Address taut•171l.%11 ri t.1 &I'i Company Name Address Signature (if applying for permit) C IFCI Certified Tank Information Tank Location IC WSr f Io s f i, Street City Print Print Other Leer .address Tank Capacity (gallons) Tank Dimensions (diameter x length) Remarks: Shall measure for presence of contaminants. forwarded to this office, i.e. , & AA Disposal Information Arm transporting waste any ccpies of remediation. Pt Cc i 4 �'��'v'' eilee7+r;% State Lic. # Fee: Signature (of aptlyng for pent) A(910 Co. or Individual Address Signature (if applying for permit) IFCI Certified E LSP # Caulk City Substance Last Stored Print Print State Other All documentation shall be jj �Y61Ltr 5ti Hazardous waste manifest# • E.P.A. # Approved tank disposal yard 4,41L rer_,<-G Tank yard # Ce4 Type of inert gas Approvals City or Town Date of issue Dig safe approval number: Zip Tank yard addrass /vZ � `�/�C.ar��J Y� iI aaer SALEM 1,19I1A Rct$ 3 3 Q& '4 Signature / Title of Officer granting permit FDID# 09258 Permit# Date of expiration Dig Safe Toll Free Tel. Number - 800-322-4844 After removal(s) send Form FP-290R signed by Local FirelDept. toRegulatory Compliance Unit, One Ashburton Place, Room 1310, Boston, MA 02108-1618. FP-292 (revised 9/96) Fire Department retains origiral application and issues duplicate as Permit. Lead/ 0lQd(Cizkia / mJeG .l ge//a46 %22e/nd'o/ axe -` ea�s�ced• = ✓c�aaoaoC cote PireiiientLoyc APPLICATION and PERMIT Check # d414,0 iKOV Fee: $4114irelr for storage tank removal and transportation to approved tank disposal yard in accord ' tC witth tf roc/1'0ms of M.G.L. Chapter 148, Section 38A, 527 CMR 3.00, application is hereby made by: ' Tank Owner Tank Owner Name (please print) ! "]12i // Address J3 1 /r% c Streer ';t4ilit•Villi«!•Iiia:!•4•11 Company Name , 6 �/ O•/�/ c- eS , Address " °Ade x • c;46 Signature (if applying for per E-EFCI Certified Tank Information Print f71 t9y� Other Tank Location ? 7 ? ,` G, L F? ye/ City Tank Capacity (gallons) i''� I Substance Last Stored Tank Dimensions (diameter x length) J Signature (i/ apllying for p'Yrmit) es)e./ .w/9 6/f7a City State 6. Co. or Individual Address Signature (if applying for permit) IFCI Certified LSP # fig;;' X 97 Remarks: Shall measure for presence forwarded to this -11 Disposal nformation Firm transporting waste of contaminants. Print Print S,/L'1'! Vid Other All documentation shall be office, i.e. any copies of remed' tion. 51 A,k-I �� LETFel Hazardous waste manifest# • Approved tank disposal yard Type of inert gas Approvals City or Town n SALEM Date of issue Dig safe approval number: 1/40//4State Lic. # E.P.A. # Z.Jf /S Se."-r4 1-. -s ,j'+. Tank yard # Tank yard address -®to3 011 Signature / Title of Officer granting permit After removal(s) send Form FP-290R signed by Local Fir Room 1310, Boston, MA 02108-1618. 4, M Se,-zi�e-J FDID# 09258 Date of expiration Permit# Zip Dig Safe Toll Free Tel. Number - 800-322-4844 Dept. to SST Regulatory Compliance Unit, One Ashburton Place, FP-292 (revised 9/96) -Q/firoi2 to ald c1I CYild ci g/lt�cl/.klad t6,e i, r reAanu%me'nda/ a2ce evniece6 — actica/ �e :J"iwveae(co-n, APPLICAT1 N n � and PERMIT for storage tank removal and transportation to 4pproved tank disposal yard in accordance of M.G.L. Chapter 148, Section 38A, 527 CMR I9.00, application is hereby made by: Tank Owner" Tank Owner Name (please print) /OVA,/ Address1J/ ne t Street p;?'4 ,t.77,W4,74tIll Company Name Address SeL4'",Je. Signature (if applying for permit) E IFCI Certified Tank Information _. Tank Location Tank Capacity (gallons) • Print Print Other ./4 Boil rl x s 27 /��g� 5/ Steel Address 0 ";) rl""` Substance Last Stored Tank Dimensions (diameter x length) Remarks: Shall measure for presence of contaminants. forwarded to this office, i.e. any copies Firm transporting waste Hazardous waste manifest# • Approved tank disposal yard 4 tt3 S° 1-449°ee Type of inert gas Approvals City or Town i Date of issue Dig safe approval number: Tank yard address City Check # ?L-(SD Fee: 4 1 f3 helmroeis s � 7 CC:!-(3) /Signature (it aptlying for perrnd) y City ..late Lp Co. or Individual Address Signature (if applying for permit) IFCI Certified =; LSP #. zniA- Print Print Other /e, s, .1 y vi C Z All documentation of remediation. - ; t to Lic. # shall be Apiii(41113 E.P.A. # 41::1f, Tank yard # £" 6 C• %? 1/ 1// G /P ,f awke' SALEM __rp9' 20os33o Signature / Title of Officer granting permit FDID# 09258 Permit# Date of expiration Dig Safe Toll Free Tel. Number - 800-322-4844 After removal(s) send Form FP-290R signed by Local Fire(iDept. to UST Regulatory Compliance Unit, One Ashburton Place, Room 1310, Boston,• MA 02108-1618. FP-292 (revised 9/96) BRUCE BENTHAM UST DECOMMISSIONING din INIfRNAt:9NAI CODE COUNCIL The individual named hereon is CERTIFIED in the category shown, having been so certified pursuant to successful completion of the prescribed written examinations. Expiration date: FipP 15, 2010 No. 1096684-U2 Not valid unless signed by icate holder. ICC certification attests to competent knowledge of codes and standards HOISTING ENGINEER LICENSE Number: HE 089442 Expires: 12/10/2009 Tr. no: 10347 Zestricted: 2A BRUCE BENTHAM 3 STROUD LN BARRINGTON, NH 03825 ./9/. Commissioner DI 1°11t r ?L./J-- 1904-- e Form 24 Date March 28, 1988 Name Marie Plamondon Power Burners Location 278 Lafayette St. No. of Tanks 2 Name of Burner Beckett Mass. Approval No. CItia Gals. Stored �� Kind of Pleat am Location of Tank Basement Kind of Oil #0 Installed by Clark Bros. C. of C. t 0.7 7 i Inspected by Paul Phillips Date Approved 3/18/88 Form 24 Date March 28, 1988 Power Burner's Name Marie Plamondon Location 278 Lafayette Street No. of Tanks Name of Burner c'Arlin Mass. Approval No. 1213-B Gals. Stored 550 Kind of Heat FHW Location of Tank p,GP,,,Pr,t Kind of Oil #2 Installed by Clark Bros. Inc. C. of C. 00371 Inspected by insp. Phillips Date Approved 3/18/88 Fo. ra 24 Power Burners Date Name June 17, 1983 Bridal Gallerie (Plamondon) No additional Location Rear 278 Lafayette St. No. of Tanks See Unit #1 Name of Burner Carlin Mass. Approval No. 12�3 Gals. Stored No additional Kind of Heat D.H.W. See Unit }1 Location of Tank no additional Kind of Oil #2 Installed by Michael Talbot C. of C. # 16950 Inspected by Fofrn 24 Capt. Goggin Date Approved Power Burners UNIT #1 Date June 17, 1983 6/17/83 Bridal Gallerie Name (Plamondon) First floor Location Rear 278 Lafayette St, No. of yanks one Name of Burner Williamson Mass. Approval No. 969 Gals. Stored 500 Kind of Heat F. H. A. Underground Location of Tank Right side of Bldegind of Oil #2 Michael Talbot C. of C. # . 16950 Installed by Hamilton. Mass. Inspected by Capt. Goggin Date Approved 6/17/83 Date Name POWER BURNERS September)2521933 Gove, Mrs.A.C, Location 260 Lafayette St. Timken S.A. Name of Burner Timken Hot water Gals. Stored 275 Location of Tank Basement Installed by Inspected 1 °/4/ 33 Kind of Heat steam Cap. of Tank 275 Gals. Kind of Oil • , • lien-c fuel Approved 10/4/33 POWER BURNERS " Date September 1,1925 Name Doty, L. Location 260 Lafayette st. Name of Burner Gals, Stored Bullard 1000 Kind of Heat Hot water Cap. of Tank 1000 Gals. Location of Tank Ins 1 deFireproofed Kind of Oil Li 11.'S ruel Installed by Ballaru oil Burning 2quip.Oo, Boston Lassa Inspected 9/1/2b Approved 9/1/25 David. W. Cody Chief 978-744-6990 dcody@safem.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. 1 Linden Street 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 h - '-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 hazardous waste report prepared by you, nor cited as evidence of the presence or absence of any hazardous wastes or =FeIeases on this site. Signed, Form 24 Date 9.19.85 Name Cecil Weinstein .A1 Power Burners Location 1 Linden Street No. of Tanks 1 Name of Burner Carlin Mass. Approval -No. 1213 Gals. Stored 275 Kind of Heat Steam Location of Tank Basel -rent Kind of Oil #2 Installed by Gibbs 0il Co. C. of C. # 013635 Inspected by D.C. Goggin Date Approved 9.19.85 David 'IV Cody Chief 978-744-6990 dcody@salem.com City of Salem, Massachusetts Fire Department 48 Lafayette Street Salem, ?Massachusetts 01970-3695 Tet. 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. 16 Linden Street Tire 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 Ls 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 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 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'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 Form 24 Power Burners Date R/19192 Name Antone Aquino Location 16 Linden Street Name of Burner. Racket Gals. Stored 275 Location of Tank Racatpant Installed by Robert Millard Inspected by LT. Hudson No. of Tanks 1 Mass. Approval No. 969 Kind of Heat FHW Kind of Oil #2 C. of C. # 022307 Date Approved 8/19/92 -3-2005 12:46A FROM: TO:19727459402 P.1/1 • 4 • \ i W�IV aJ� f 1 f f . Vrtf .♦ rro t y, oto,,,nofi0lr7gj1cnit�L• r1(MINAeld -„rep/ n&- P yrps r /AIuvMJ �/MRrLIrt•r�A ' "/arse r/.ry ilMtt �R - rZ[JLeetftla��l yfon„i%a.ti. Notification for Rernevat of WNW* of in Mao Storage Tanks illosalsted Veeter Sal ChM f).00 Forward completed forth signed by local art} dsDefinant, to: laps. Uff Compliener Usk Devi of atervtcas, PAX arse 1029 • stogy Reed, tow MA earn Telephone (a'1E 387.3710 (Fire Department retain one 60p]r of FP-29DR) This form ra to be used for notification for romaval of Underground Storage Tanks/ Piping. it e storm facility has usrs which are to remain in use, an entire amended FP-290 (lone term) must be died. Note: "Fariii , street afddresa^ mutt ineludi both a Watt number end a street name. Post offlee box numbers ere not acceptable, and will saute* registration to be returnttd. It geogratt►mia feel Or of te0pity is not provided, please Indicate distance and direction from closest Intersection. e.g., (capably at 190 North Street is located) ggi nc astot_C ,pgg Road (intertio t rt). Date Received: Fire Oept. ION ire Crept. Sig. 3. C. t? FacitiNumbet Date Entered _ CI.k'e Infants Comments I. Owsoansim. or 'Tamp') II. LOCATION OF TANNIN) Owrwr NO (St roomful. tnt9We eI, VYG}t'C Aipic0. or Mlle Engtil /dry &sus /Pp/0 4W u�— ohms wren teuw+Aro G.d.l Oe.sr's esr%4sa Ferrer a a wool tt Wan, glue the geographic omen or is eke by lapses. Manes, and Laeonda. £ • Lat 42, tie. 17 PI Lams. es, 2a, 47W cetttirtaia trorrgkude flN L . ins arum ow...0 cite nits stow PUNY pweer cameo is illdrNlu, t rrce.eu Stow edam (CM eft 00 osatMMd •.r nabs WWI e..ry III. TAtafcsPfP*NO atIl moVRD ON If IU.*a 1M % ACP Tank Number 1. Tank/Piping reinen►ed or need in dime (mark all that apply) A. Substance last stored 13. Tank capacity sellers C, fieldnstt0 data last used (mo fdaylyr.) 0, Estimated date of removal (mo,/dfiylyr.) Tank No. f Tent No. '. Tune No_ Tank Nu_ Tech No, 1 N07- ► I /V.0! 3o00 3007 E. Tank was rcmOred from grevfel F. Tank was not removed Nom ground Tank was filled wall inert materiel Describe material used: //3I7P t i 1 1. 1 I Ix 11 I 1 k l $ f edcalar- O. Piping was removed trpm ground H. Peiping was not removed from ground 1 1. Other. please epaelly P11.290a (revised 962) t0 'Mad HalttdST. 3d2 WTI* n d I X zottagtala 't5:4t NeUe1w/i,P a 1NY Qt:9 000 Ito ya1�W 'f ep�n4J. 8601fG'9L826 All*A �S f ;R-3-2006 12:48P FRIJM: TO:19787459402 P.1/1 Tank Nurnbsr (cont.) p. Yank cloud in agenrdenc,e 'nth 92? GMA 9.00 A. Evidali00 of leak d tamed 8. Masaa DEP notified 1. Maass. DEP tracking ttar'nber 2. Agency or company performing •etr MO0.or(4,az*^cvkrvkkammankoa niaaact.saet,. Undsrgkoand Mew ty& Closure Ae$s6ersestlr stausTArid g,19). — votrcy ValeiC4414110 Tank tcc., T>anat r90-2 va ,iNG Vero $.Nn )(Yea r k NA ;i"'' Yea XNe 'Yee !No ' !Yee XNa Fnww &tdrimiro let Tandk No.e TSntk NM_.. Tent No. r t Yea • I Na r Yvf • No Via No ' Yea a I No 'Yea k i Na . u Yes • No WOO ' Wu , Y/s No r ' ,Pao I daciato under panafy of perjury that t have petsot+aeity examined and am faDanitlar with the in1ar:halm emitted in skis and ail sultahsd d0CWntdnllt, and that based oh my ifta; city eat theNN individuate imme;dtetety responsible lot or.ivning the informs, don, i iteNave that tri6 submitted information Is tilde. acuirate, and complcto. NSme and official fitie of owner or WWI Signature: Date: aural 1 repaeaaintad+re (Print) FP.*N p,maell tee! £0 Mtrd 2.22'd cod ND1tsd6IQ 3b14 IONS 1360TE888L61 k01 960 i,E9Z8L6'Ua?1 'S'r 21p46, Z906504946 TS:41 990ZFET/Z0 =141DPii U92 :80 9002_ T -&44 WV 9Z:6 000Z 'ZO yalkaW 'Aeps.m4.L David W Cody Chief 978-744-6990 dcody@salem.com City of Salem, Massachusetts Fire Department 48 Lafayette Street Salem, Massachusetts 01970-3695 'ZeC. 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. 16 Linden Street Tire 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 tin i-dous waste investigations. To assist you in conducting your environmental assessment of the site, we are able to inform you as indirMPd 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 Form 24 Power Burners Date 5/19/92 Nome Antone Aquino Location 16 Linden Street Name of Burner. BPrkPr No. of Tanks 1 Mass. Approval No. 969 Gals. Stored 275 Kind of Heat FHW Location of Tank B s meet Kind of Oil #2 Installed by Robert Millard C. of C. # 022307 -Inspected by LT. Hudson Date Approved 8/19/92 ,'oGE2t eq 508-744-6990 City of SSatEm, 4aslaefiui tt �12E 1�Ef2a"Em.Enf 48.afay£tt£ StaEEt .Sa/Em, d4assacfiusEtts 01970-3695 Jd' 505-744-1235 9az 508-745-4646 911E 9"4EVEnt1J72 . U•EQu 50S- 745-7777 January 16, 2001 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 1000 LORING AVENUE SALEM, MA., OUR RECORDS SHOW THEIR ARE NO PROBLEMS AT THIS PROPERTY IN OUR COMPUTER, NO UST'S RELEASES ETC. You should understand- than 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, r'or '.hazardous:' wastes. • - It> is,; ;.,,a quite: <probable ..'that this .department • wouldhave .'=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 FRANK PRECZEWSKI FIRE INSPECTOR SALEM FIRE DEPARTMENT October 19, 2007 Fire Prevention Office 29 Fort Ave. Salem, MA 01970 Attn: Record Department Re: Insured: Claimant: Date of Loss: Time: Location: Our File #: Insurance Adjustment Service, Inc. 139 Billerica Road Unit Al Chelmsford, MA 01824 (978) 256-3334 Ext. 105 Fax (978) 256-3354 ltomaszczuk@insadjserv.com Witch Dungeon Museum Mary Rule 5/5/2007 1 IL4 gnd S.tr,.. 44225 LT Dear Record Department: Please be advised that we are working on behalf of Providence Mutual Insurance Company to assist in the investigation` arid handling of the above referenced claim. We understand that your Department responded to the above incident and provided ambulatory transportation to the Claimant as a result of this matter. Would you kindly furnish a copy of any reports generated as a result of this matter at your earliest possible convenience? Any fees incurred will be honored promptly. Should you have any questions or wish to discuss, please feel free to contact the undersigned. Thank you for your assistance and cooperation. Very truly yours, Lisa Tomaszczuk Casualty :Adjiister`" 978-256-3334 txt. 1.05` A B MM DD yyyy I09258 I IMA 1 1 05 1 1 051 1 2007 1 11 1 107-0002262 .tDID * State * Incident Date * Station Incident Number * Location* ® Street address ❑ Intersection ❑ In front of ❑ Rear of ❑ Adjacent to ❑ Directions ❑Check this box to indicate that the address for this incident Module In Section B "Alternative Location Specification". Use 1 1611 1ILvnde Street Number/Milepost Prefix Street or Highway I (Salem Apt./Suite/Room City Cross street or directions. as annlicable C Incident Type * 1321 11EMS call, excluding vehicle Incident Tvpe D Aid Given or Received* 1 ❑ Mutual aid received 2 ❑Automatic aid recv. 3 ❑ Mutual aid given 4 ❑ Automatic aid given 5 ❑ Other aid given N ® None 11 I Their FDID Their State Their Incident Number F Actions Taken * 131 11Provide first aid & Primary Action Taken (1) 11 I Additional Action Taken (2) 1 11 Additional Action Taken (3) ❑ Delete I 1 000 1 ❑ Change Exposure * ❑ No Activity NFIRS -1 Basic is provided on the wildland Fire. Tract 12044 1-100 only for Wildland fires. Census Ei Date & Times Check boxes if Month Day dates are the same as Alarm ALARM always required Date. Alarm * ARRIVAL 1 (MA 1 101970 State Zip Code 11 I U Street Type Suffix 1—I E2 Shift & Alarms - Local Option 12 1 1 011 1STA l I Shift or Alarms District Platoon required, unless canceled or did not arrive Midnight is 0000 1 051 1 051 1 Year Hr Min Sec 20071113:05:00 1 g] Arrival * 1 051 1 051 1 20071113:07:00 1 E3 CONTROLLED Optional, Except for wildland fires ❑ Controlled LAST UNIT CLEARED, required except for wildland fires Last Unit ® Cleared I 05I I 051 1 L—I U 1 11 1 Special Studies Local Option 11 20071113: 19: 00 1 study ID# Sttudyal Value Resources* G2 Estimated Dollar Losses & Values Check this box and skip this section if an Apparatus or Personnel form is used. Apparatus Personnel Property Suppression EMS I Other 1 11 ❑Check box if resource counts include aid received resources. Completed Modules Hi*Casualties❑None ❑Fire-2 Deaths 0Structure-3 ❑ Civil Fire Cas.-4 ❑ Fire Serv. Cas.-5 ❑ EMS-6 ❑ HazMat-7 ❑Wildland Fire-8 ® Apparatus-9 ❑ Personnel-10 Ei Arson-11 Fire I Service Injuries 11 Civilian) II H2 Detector Required for Confined Fires. 1 ❑Detector alerted occupants 2 ❑Detector did not alert them U ❑ ihilmown J Property Use* Structures 131 ❑Church, place of worship 161 ['Restaurant or cafeteria 162 ❑Bar/Tavern or nightclub 213 ❑ Elementary school or kindergarten 215 ❑ High school or junior high 241 ❑ College, adult education 311 ❑Care facility for the aged 331 ['Hospital Outside 124 El Playground or park 655 ❑Crops or orchard 669 ❑Forest (timberland) 807 ❑ Outdoor storage area gig ❑Dump or sanitary landfill 931 ❑Open land or field IContents LOSSES: Required for all fires for non fires. $1 1 , 1 cool,' $1 1,1 0001, if known. Optional None- 0001 ❑ 0001 ❑ I PRE -INCIDENT VALUE: optional I Property $1 1 , 000 ,1 0001 ❑ contents $1 1 , 1 0001,1 0001 0 H3 Hazardous Materials Release N ❑ None 1 ❑Natural Gas: slow leak, no eoauation or aa0,at actions 2 ['Propane gas: i lb. tank (as in home HBO grill) 3 ['Gasoline: vehicle fuel tank or portable container 4 ❑ Kerosene : fuel burning equipment or portable storage 5 ❑Diesel fuel/fuel oil:vehicle fuel tank or portable 6 ❑Household solvents: ham/office spill, cleanup only 7 ❑Motor Oil: from engine or portable container 8 ['Paint: from paint cans totaling < 55 gallons O 0 Other : Special aaz0at actions required or spill > 55ga1. , Please complete the xazfat form 341 ❑ Clinic,clinic type infirmary 342 ❑ Doctor/dentist office 3 61 ❑Prison or jail, not juvenile 4190 1-or 2-family dwelling 429 (Multi -family dwelling 439 ❑ Rooming/boarding house 449 ❑ Commercial hotel or motel 459 ❑ Residential, board and care 464 ❑ Dormitory/barracks 519 ❑ Food and beverage sales 936 ❑ Vacant lot 938 ❑Graded/care for plot of land 946 ['Lake, river, stream 951 ❑Railroad right of way 960 ❑ Other street 961 ❑ Highway/divided highway 962 ❑Residential street/driveway I Mixed Use Property NN Not Mixed 10 20 33 40 51 53 58 59 60 63 65 00 Assembly use Education use Medical use Residential use Row of stores Enclosed mall Bus. & Residential Office use s Industrial use - Military use - Farm use nOther mixed use 539 0 Household goods, sales, repairs 579 ❑ Motor vehicle/boat sales/repair 671 ❑ Gas or service station 599 0 Business office 615 ❑ Electric generating plant 629 0 Laboratory/science lab 700 ❑ Manufacturing plant 819 ❑Livestock/poultry storage (barn) 882 ❑Non-residential parking garage 891 ❑ Warehouse 981 ❑ Construction site 984 ❑ Industrial plant yard Lookup and enter a Property Use code only if you have NOT checked a Property Use box: Property Use 1429M 1 (Multifamily dwelling 1 NFIRS-1 Revision 03/11/99 Salem Fire Department 09258 05/05/2007 07-0002262 K1 Person/Entity Involved Local Option Business name (if applicable) Area Code Phone Number Check This Box if same address as incident location. Then skip the three duplicate address lines. I Mr.,Ms., Mrs. First Name Number Post Office Box I UI Prefix Street or Highway MI Last Name Apt./Suite/Room City II Street Type J L___J Suffix Suffix State Zip Code ❑ More people involved? Check this box and attach Supplemental Forms (NFIRS-1S) as necessary K2 OWner El Same as person involved? Then check this box and skip I1 1 I- I I I I The rest of this section. Local Option Business name (if Applicable) Area Code Phone Number ❑ Check this box if same address as incident location. Then skip the three duplicate address lines. Mr.,Ms., Mrs. First Name Number Post Office Box I Prefix State Zip Code L Remarks Local Option Fall transported by NSA. 'L Authorization MI Last Name Street or Highway I � I Apt./Suite/Room City 103062 I IGiunta, Capt. John G ICPE Officer in charge ID Signature Position or rank Assignment Check Box if 108343 SWIM as Officer Member making report ID in charge. I IBeaudet, Deputy,Glen P IPDC I Signature Position or rank Assignment I 1 Suffix I I I LJ Street Type Suffix 1 I 051 1 07I 1 20071 Month Day Year I I 051 1 071 1 20071 Month Day Year Salem Fire Department 09258 05/05/2007 07-0002262 October 22, 2007 Fire Prevention Office 29 Fort Ave. Salem, MA 01970 Attn: Lieutenant Griffin Re: Insured: Claimant: Date of Loss: Time: Location: Our File #: Insurance Adjustment Service, Inc. 139 Billerica Road Unit Al Chelmsford, MA 01824 (978) 256-3334 Ext. 105 Fax (978) 256-3354 ltomaszcza@insadjserv.com Witch Dungeon Museum Mary Rule 5/5/2007 1:00 PM 16 Lynde Street 44225 LT Dear Lieutenant Griffin: Please be advised that we are working on behalf of Providence Mutual Insurance Company to assist in the investigation and handling of the above referenced claim. Thank you for your response to our formal request for your report concerning the above captioned matter. As requested, please find our fee of $5.00 enclosed. Would you kindly fax a copy of your report to 978-256-3354. Should you have any questions or wish to discuss, please feel free to contact me Thank you for your assistance and cooperation. Very truly c rs, Lisa Tomaszczuk Casualty Adjuster: . .1 978-256-3334 Ext. 105 Yip :l e: `R• .'i:, :i: Enclosed: Check, $5.00 A MM DD YYYY r� (09258 1 IMA 1 1 05 1 1 051 1 2007 1 FDID * State * Incident Date * $ Location* Street address ❑ Intersection ❑ In front of ❑ Rear of ❑ Adjacent to ❑ Directions 11 Station 107-0002262 Incident Number * ❑ Check this box to Indicate that the address for this incident Module In Section B "Alternative Location Specification.. Use 1611 11Lynde Street Number/Milepost Prefix Street or Highway 1 'Salem Apt./Suite/Room City Cross street or dire:tions as anolicable C Incident Type * 1321 1 'EMS call, excluding vehicle Incident Type D Aid Given or Received* 1 ❑ Mutual aid received 2 ❑Automatic aid recv. 3 ❑ Mutual aid given 4 ❑ Automatic aid given 5 ❑ Other aid given N ®None F Actions Taken* 11 I Their FDID Their State Their Incident Number 131 1'Provide first aid & Primary Action Taken (1) I II Additional Action Taken (2) Additional Action Taken (3) Completed Modules ❑Fire-2 ['Structure-3 ❑Civil Fire Cas.-4 ❑ Fire Serv. Cas.-5 ❑EMS-6 ❑ HazMat-7 ❑Wildland Fire-8 ® Apparatus-9 ❑ Personnel-10 El Arson-11 J Property Use* NFIRs -1 Change Basic Exposure * ❑ No Activity is provided on the Wildland FirEensns Tract only for Wildland fires. 1. 12044 I- 0 0 Ei Date & Times Check boxes if Month Day dates are the same as Alarm ALARM always required I 051 L2:1 1 Date. Alarm * ❑ Delete I 000 ❑ Street Type Suffix 1 IMA 1 101970 State Zip Code Midnight is 0000 Year Hr Min Sec 20071113:05:00 1 ARRIVAL required, unless canceled or did not arrive X❑ Arrival * 1 051 1 051 1 20071113:07:00 1 CONTROLLED Optional, Except for wildland fires ❑ Controlled L_I L_1 I 11 LAST UNIT CLEARED, required except for wildland 1 Last Unit 1v�l Cleared G1 fires 1 051 1 051 1 20071 113 :19 : 00 1 Resources * Check this box and skip this section if an Apparatus or Personnel form is used. 12 I Shift or Platoon E2 Shift & Alarms Local Option 1 011 ISTA 11 Alarms District E3 Special Studies Local Option Special Special Study ID# Study Value G2 Estimated Dollar Losses & Values - LOSSES: Required for all for non fires. Apparatus Personnel Property $1 1,1 0001,1 Suppression 1 EMS' Other 1 H1* Casualties❑None Deaths Injuries Fire I Service N ❑None I I I ], ❑Natural 2 ['Propane II 00011 1 I I Contents $1 1 , 1 0001,1 fires if known. Optional None 0001 ❑ 0001 0 I PRE -INCIDENT VALUE: optional 'Property $1 1 , 1 0001,1 0001 ❑ Check box if resource counts , include aid received resources. Contents $I 1 , 000 ,1 0001 ❑ H3 Hazardous Materials Release I Mixed Use Property lei Not Mixed 10 20 33 40 51 53 58 59 60 63 65 00 Gas : slow leak, no evauation or Hazffat actions gas: <21 ib. tank (as in home BBQ grill) Civilian' I I I 3 ❑Gasoline: vehicle fuel tank or portable container 4 ❑ Kerosene: fuel burning equipment or portable storage Detector Required for Confined Fires. 5 ❑Diesel fuel/fuel oil :vahiele fuel tank or portable 10Detector alerted occupants 6 ['Household 7 ❑Motor oil: 20 Detector did not alert them 8 ❑ Paint : U ❑ Unknown 0 0 Other: Structures 131 ❑ Church, place of worship 161 0 Restaurant or cafeteria 162 ❑Bar/Tavern or nightclub 213 ❑Elementary school or kindergarten 215 ❑ High school or junior high 241 ❑ College, adult education 311 ❑Care facility for the aged 331 ❑Hospital Outside 124 ❑ Playground or park 655 ❑crops or orchard 669 ❑Forest (timberland) 807 0 Outdoor storage area 919 ❑Dump or sanitary landfill 931 ❑Open land or field solvents: home/office spill, cleanup only from engine or portable container from paint cane totaling < 55 gallons Special BazMat actions required or spill > 55ga1., Please complete the aazMat form 341 ❑ Clinic,clinic type infirmary 342 ❑ Doctor/dentist office 361❑Prison or jail, not juvenile 419 ❑ 1-or 2-family dwelling 429 ❑X Multi -family dwelling 43 9 ❑Rooming/boarding house 449 ❑ Commercial hotel or motel 459 ❑ Residential, board and care 464 ❑ Dormitory/barracks 519 ❑ Food and beverage sales 936 ['Vacant lot 938 ❑Graded/care for plot of land 946 ❑Lake, river, stream 951 ❑Railroad right of way 960 0 Other street 961 ❑ Bighway/divided highway 962 ❑Residential street/driveway Assembly use Education use Medical use Residential use Row of stores Enclosed mall Bus. & Residential Office use =a Industrial use Military use Farm use Other mixed use 539 0 Household goods, sales,repairs 57 9 ❑ Motor vehicle/boat sales/repair 571 0 Gas or service station 599 0 Business office 615 0 Electric generating plant 629 0 Laboratory/science lab 700 ❑ Manufacturing plant 819 ❑Livestock/poultry storage (barn) 882 ❑Non-residential parking garage 891 ❑ Warehouse 981 0 Construction site 984 ❑ Industrial plant yard Lookup and enter a Property Use code only if you have NOT checked a Property Use box: Property Use I42 9M 1 'Multifamily dwelling 1 NFIRS-1 Revision 03/11/99 Salem Fire Department 09258 05/05/2007 07-0002262 K1 Person/Entity Involved 1 I I 1-I I I Loc41 Option Business name (if applicable) Area Code Phone Number ❑Check This Box if u I I u 1 I U same address as Mr -,Ms.. Mrs• First Name MI Last Name Suffix incident location. I I 1_J I J I I u Then skip the three duplicate address Number Prefix Street or Highway Street Type Suffix lines. I I I I I Post Office Box Apt./Suite/Room City State Zip Code More people involved? Check this box and attach Supplemental Forms (NFIRS-1S) as necessary K2 Owner 111 Same as person involved? Then check this box and skip I 1 1 I - I I -I I The rest of this section. Local Option Business name (if Applicable) Area Code Phone Number I I I I U I I U a Check this box if Mr.,Ms., Mrs. First Name MI Last Name Suffix same address as incident location. I I 1 11 I I I ''IJ!I Then skip the three �J duplicate address Number Prefix Street or Highway Street Type Suffix lines. I 1 1 I I I Post Office Box Apt./Suite/Room City I I I I-1 I State Zip, Code L Remarks Local Option Fall transported by NSA. L Authorization 103062 1 IGiunta, Capt. John G Officer in charge ID Signature Check Box if u 1 08343 same as Officer Member making report ID in charge. 1 I CPE Position or rank II Assignment 1 IBeaudet, Deputy,Glen P 11DC I I Signature Position or rank Assignment I I 051 10711 20071 Month Day Year 105I 1 0711 20071 Month Day Year Salem Fire Department 09258 05/05/2007 07-0002262 - .k FAX Salem Fire Department Fire Prevention Division 29 Fort Avenue Salem, Ma 01970 tel t 978t 745-7777 fax 0,8, 745-9402 to: sa Torhsts3c3 u. k fax : I 4 1� from: I date: 1 ,ZCto�Lf Lt. Erin Griffin Fire Marshal to subject_ I� NOTES: 6 i i i i This facsimile contains privileged and confidential information intended only for the use of the individual or entity to whom it is addressed..lf the,reader of the facsimile is not the untended recipient or the employee wi agent responsible for delivering it to the intended recipient. you are hereby notified that any communication. transmission, dissemination or reproduction of this facsimile or Its contents is strictly prohibited. if you have received (h:s facsirnrle in error please irn,meditel;• i • us by telephone and return the crigin_t fac5Irnlie to us at the above address via the U.S. postal service. Thank You.• Chef 978- 744-6990 City of Sa[ein, Massachusetts Fire Department / r 48 Lafayette Street •.., Salem, `_Massachusetts 01970-3695 'Tel 978-744-1235 Fax 978-745-4646 _Tire Prevention 'Bureau 978-745-77 77 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 PROPERTY LISTED AT21'LINDEN STREET; (HERE ARE NO. RECORDS ON FILE OF ANY USTs, OR ANY RELEASES IN OR AROUND THE 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 hm7Ardous 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 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, Lt. En Griffin Fire Marshal August 7, 2006 47-3 74 Date Name Location Name of Burner Gals. Stored Location of Tank Installed by POWER BURNERS April 23, 1946 Barton, Walter F. 21 Linden St. Williams Kind of Heat Steam 275 Cap. of Tank 275 Gals. Basement Kind of Oil # 2 fuel John F.Cabeen,81 North St. Salem. Inspected 4-24-46 ) Approved 4-24-46 •. David TV Cody Chief 978-744-6990 dcody@salem.com • City ® Salem, Massachusetts ft Fire Department 48 Lafayette Street Salem, Massachusetts 01970-3695 TeL 978-744-1235 FaX 978-745-4646 P'4 Fire Preventwn Bureau 978- 745- 7777 The Salem Fire Department ha 4 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 148 Loring Avenue. Our records do not show any files for releases or UST's on that 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 hnTau-dous waste ignvestigat ons. To assist you in conducting your environmental assessment of the site, we are able to inform you as indir,ted 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 better as being either definitive or complete. The information in thic 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 : = djus waste report prepared by you, nor cited as evidence of the presen e o absence of any hazardous wastes or releases on site. Signed Lt. Erin Grkffin Fire Marsh November 9, 2011 Form 24 Power urners Date 8/17/93 Name Helen Spearin Location 148 Loring Ave. Name of Burner No. of Ti: nks 1 TANK ONLY Mass. Approval No. Gals. Stored 275 Kind of Heat Locations of Tank Garage Installed by Inspected by Form 24 Date • Flame Steve's Burner Service Lt. Hudson Hal can Sppari n Kind of il #2 C. of C. 4 016436 ®,•te Approved 8/17/93 Power Burners Location 148 Loring Avenue No. of Tanks 1 Name of warner Beckett Gals. Stored Location of Tank Basement Greg Bellieview Installed by Steve' s Oil Burner Inspected by April Mass. Approval No. Kind of Heat FHA 969 Kind of ail #2 C. of C• # 020626 Date Approved 10/17/87 FORM F.P. 292 (rev. 9/90) ORi6INAL (usiintuittuvattII n liuuarlitiupffu Department of Public Safety Division of Fire Prevention and Regulation APPLICATION FOR PERMIT, AND PERMIT, FOR REMOVAL AND TRANSPORTATION TO APPROVED TANK YARD FDID# 090ISS Permit # 103 Date girl 19 13 Salem, MA City, Town or District C . 8 2 S . 4 0 PO . G . ! . DIG SAFE NUMBER Fee Paid: S 25.00 9332-6685 s.tart date 8/11/93 In accordance with the provisions of Chapter 148, Sec. 38A, M.G.L., 527 CMR 9.00 application is hereby made by: H & S Tank Cleaning Inc. Street Address & City or Town:' 101R Foster Street Peabody, MA 01960 Signature of applicant: 7.2. ( 9,4/41 Applicants name printed: Ann Bash For permission to remove and transport one u-naegValstid storage tank from. Owner: Helen Spearin Street Address: 148 Loring Avenue Salem, MA Firm transporting waste: H & S Tank Cleaning Hazardous waste manifest # NH G n003690 Approved tank yard: Tank yard Address: Turner Salvage Lynn, MA State Lic.# MA326 E . P . A . # MP5087452237 11149 Type of inert gas: N/A UL tank #: N/A Tank capacity: 275 gallon Substance last stored: fuel oil Date of issue: 7/3 19 93 Date of expiration: .?/ 30 19 i3 Signature/Title of Officer granting permit: )J t,,-% 6--- i jL J . Mr KEEP ORIGINAL AS APPLICATION AND ISSUE DUPLICATE AS PERMIT 'la Form 90V (9/90) tit of 6atfl, Tr' atisaitusetts FIRE DEPARTMENT - FIRE PREVENTION BUREAU 48 Lafayette Street Salem, Massachusetts 01970 To: HEAD OF FIRE DEPARTMENT Fee Due $10.00 Ck. # :rd, Cash, Rec'd by: (Date) Application is hereby made in accordance with the provisions of Chapter 148, Mass. General Laws; and 527CMR6.00 made under authority thereof, by the undersigned, for permit to install Liquified Petroleum Gas storage tank or tanks, for the person or persons and at the location named herein: Name of Owner: Nnr / Y / (if 5 ,eh' Address: fueljue- Number of Tanks: 1 Capacity of Each Tank: 49 Total Storage- g Company: ?L-64f ,l �,b�✓3 Address: /- 3./ % / !e ,� ✓� //G°i`I nstaller: ✓� i� • (wntten Signature) Issued by: e Date: 021,9 6 " ' / Form #90L (Rev. 1/83) DO NOT WRITE BELOW THIS LINE Dav414. Cody chief 978-744-6990 dcody@satem com City of Salem, Massachusetts fFr Department 48 Lafayette Street Satem, Massachusetts 01970-3695 Tel: 978-744-1235 FaX 978-745-4646 The Salem Fire •Department h.as received your letter of inquiry' for information concerning the possibility- of flammable liquid storage releases on the property described below. jt re ?relief -it -I 011reau 978-74C-77; Your request for a 21—E site report for the property known as 25 Liberty Hill Avenue. This °Hide does not show any records of the presence of UST's or other related tjvjt You should understand that the Salem Fire Department is but one of sev-e,-- departments within the City of Salem to which inforrmthart crin be obtained concerning flammable liquid storage, releases, or hazartious wastes. It is quite probable that this department would have no knowledge of the presence of bA7nrdou.s" wastes on any particPlar site mince this dePartmen.t does not do independent 11,1-_ardous waste iiivestigatibms., To assist you in conducting your environmental assessment of the site, are able to 'inform you as indicatRci by the report attached and/or enclosures,. w e As stated above, the re. cords of the Salem Fire Department .dc not per-mif- you to rely upon the informiatkm. cont---xined in this Letti-::-r 4.s being either definitive or complete. The in.formation in this letter is provided. to you as a courtesy in conducting your investigation, Find is provided on the ex-preq-s condition that ac liabi1t7 wJ1 ah cTr. be FL5--1.—te.d against the City of Salem, the Sqlem Fire Llevezent,, EIDE— its erapioycL-.',s ar members in connection with providing this informadon bo you, or in the event of any inaccuracy or ornision thereof. This letter shall riot be quoted in whole or in part in any )1,47nrdous waste report prepared by you, nor cited as evidence of the presence or absence of any hazardous wastes or itelps.es on this site. Signed, 7 Charia: R, H.D1Loran, Fire Inspector Chief 978- 744-6990 City of Sa[etn, Massachusetts Fire Department 48 Lafayette Street Salem, :Massachusetts 01970-3695 'Tel. 978-744-1235 Fax 978-745-4646 Fire Prevention Bu rea u 97 8-745- 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 PROPERTY LISTED AT221 LINDEN STREET, THERE ARE NO RECORDS ON FILE OF ANY USTs, OR ANY RELEASES IN OR AROUND THE PROPERTY. You should understand that the Salem Fire Department is but one of several departments within the City of Salem to whih 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 hwnrdous 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. En Griffin Fire Marshal August 7, 2006 Date Name Location POWER BURNERS :April 23, 1946 Barton, Walter F. 21 Linden St. Name of Burner W 1.11iams Kind of Heat Qi1-0-Mr�t is Gals. Stored 275 Location of Tank Basement • Steam Cap. of Tank /7 Gals. )1, 275 5 • f y l Kind of Oil #!- 2 fuel Installed by •John F.Cabeen,81 North St. Sa,,l?m Inspected 4-24-46 Approved " 4-24-46 �) • FAX to: f M. Fire Prevention Division 2.9 Fort Avenue Salem, Ma 01970 • td t 9781 745-7777 ( fax OM', 745-9402 fax -r: &Li from: I Lt. Erin Griffin_ date` I subject: 1:?..1, VOTLS:�-- \100 Fire Marshal I i n oz.d t-77-1 1 - "up- Cz) %-tfro-- 7;5 tacsrmile conta:^s'pnvi!e- 'e d and confidential information intended only for the use !he .,ndrvidual or entity to whom it is addressed. .If the reader of the facsimile is not e intendeed recipient or the employee if agent responsible for delivering it to the intended ciprent you are hereby notified that any communication. transmission, dissemination or production of this facsimile or its contents is strictly prohibited. If you have received lac srrn:Ie in error pease irnmeditely nc:t: y us by telephone and return the origin! c.::,rnire to us at the above address via the U S. postal service Thank You. Direct Dial Numbers David P. Borans: Daniel G. Jaffe: (617)776-8549 (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) 776-4405 Melissa Randolph: Kevin G. Schwabe: Kevin W. Taylor: Re:iUST File Review 40 Leggs Hill Road aMA and above ground tell as for nearby zatdous materials ;;spills in the ggs Hill Road. . The site is ou or, any member of esitate to call "ENVIRONMENTAL CONSULTANTS 5 Middlesex Avenue • Suite 307 Somerville, MA 02145 617-623-8880 • - Fax: 617-629-2920 W W W.IESINC-ENVI RONMENTAL.COM IESINC©AOL.COM July.15, 2009 Lt. Griffin Salem Fire Department 48 Lafayette Street Salem, MA 01970 We would `storage of o rl an; properties: incidents on address ran The subj eci However, tlie: owned by the Enclosed i~sa c your staffshou_ us at our office: J' Respectfully Submitte IES, Inc. Kerry Asa Senior Geologist Connecticut: 72 Country View Drive • South Windsor, CT 06074.> (860) 724-1020 Florida: 433 Cerromar Lane • Venice, FL 34293 • (941) 493-7167 Maine: 7 Camp Road • West Newfield, ME 04095 • (207) 636-2034 (617)776-0829 (860) 724-4420 (860) 724-3117 David W. Cody Chief 978-744-6990 dcody@salem.com City ® 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 property known as 40 Leggs Hill Road, the property also known as the former Mackey Property any presence of UJST's or releases on the 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 ha' dour waste investigations. To assist you in conducting your environmental assessment of the site, we are able to inform you as Indic--;t'd 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 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 Departtsntt nor- it's. employees or members in connection with providing this information to you, or in the event of any inaccuracy or omission thereof. ning This letter shall not be quoted in whole or in part in any hRai.�rdous waste report prepared by you, nor cited as evidence of the presence or h bsence of any hazardous wastes or releases an this site. Signed, Lt. Erin Griff Fire Marshal July 23, 2009 ADDRESS DATE 1/7/63 Leggs Hill Road Mackey Property NAME and DETAILS Permit n u e d jete..e d fl am e Mas s . li Levesque-tech LIC. No. EXPIRES irn T,Pv.rn;�;Tnn_ I 01ngn 1 /2l/6a cloa!)uim- A. Carl; }n—firPn'i_ .T an R_ j*# 108. ,'a?Q _ ( )C P ,PCt:P T4nnr3 1/21/63 Extension granted 10/21/63 Permit issues to I.evcan, Jean R. T State :pond. 2/28/67 Permit issued to 0irone Equipment Co: Ir ;nchester tech.. <:z20.)0Q State bona. Form 60 '5/4/63 Inc. #108 11/4/63 e, ve..� Q 1 • e. - t e. C', h . �� Bros. y146 7 5/14/6 r ,Mass, a.ss. Donald J . Flynn- , ES, INC. ENVIRONMENTAL CONSULTANTS 5 Middlesex Avenue • Suite 307 Somerville, MA 02145 617-623-8880 • Fax: 617-629-2920 WWW.IESINC-ENVIRONMENTAL.COM July 15, 2009IESINC@AOL.COM Lt. Griffin Salem Fire Department 48 Lafayette Street Salem, MA 01970 Direct Dial Numbers David P. Borans: Daniel G. Jaffe: (617) 776-8549 (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) 776-4405 Melissa Randolph: (617) 776-0829 Kevin G. Schwabe: (860) 724-4420 Kevin W. Taylor: (860) 724-3117 �T R - \ File evie 40 Leggs Hill'Road Salem, -MA / - - f 1 1 r \t` \ Dear Lt. Griffin, / `\\\ We would like a listing of allfpermits issued relative to underground and above ground storage of oil and hazardous materials, for,the'above referenced site,* well as for nearby properties. We are also interested in any records'pertaining to oil and 'hazardous materials incidents on these properties, as well' as any records you may have regarding' spills in the address ranges provided. • , ' ' /' The subject property is occupied by the "YMCA" which is located at 40 Leggs Hill Road. However, the Salem Assessor's Dept. -lists the site as 30' Leggs Hi11' Road. The site is owned by the YMCA of the North Shore. -. ' , ; :\\`7 ' /,/ "/- - Enclosed is a check for $50.00 to`cover the cost of the review. If you or any'member of • your staff should`have any questions regarding this matter; please do�no ''-hesitate to call us at our office. '' _ • �� . �! ,/' - Respectfully Submitted, IES, Inc. ij Kerry Asada Senior Geologist Connecticut: 72 Country View Drive • South Windsor, CT 06074 • (860) 724-1020 Florida: 433 Cerromar Lane • Venice, FL 34293 • (941) 493-7167 Maine: 7 Camp Road • West Newfield, ME 04095 • (207) 636-2034 David W Cody Chief 978- 744-6990 dcody@safem.com City of Salem, Massachusetts Fire Department 48 Lafayette Street Salem, Massachusetts 01970-3695 TeL. 978-744-1235 fF 978-745-4646 yire 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 property known as 40 Leggs Hill Road; the property also known as the former Mackey Property Nr any presence of UST's or releases on the 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 hn?ATdous 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 .bsence of any - hazardous wastes or releases on this site. Signed, rprnrAg Napr_rfnun.d rnnrerning Lt. Erin Griff Fire Marshal July 23, 2009 ADDRESS_ -,.. .. ,..Leg :s:. Hi 11 Road'. Narkeg..I o,uerty NA'IVIE'and DETAILS? ::.> LIC. No. EXPIRES Perrrii:i;:.rssu'e - to 1, r`r,`a,nT"nr 1:11g412___1 N:ee.dham-.Nas - -Joa::ia:. A _ -(;aria prh .T an Ft .e ve s.o:t e:=-t b11-4108 A9 d = A.-+ P Rn n i 1/21/6=-xtet.iehan.te 5/4/63 10:/21/63 ._ Permit ia.sued to. Leveap.Inc_. '- 4108 11/4/63 Jen. R.. Tr(-Ii.--t;pc!n . A20, 000 State and. 2/28/6T. :Perr.it: i slued to Clrone. Bros. 1 67 3/14/67 Co .: Wi =cheater. A 4as j.:.. Donald J. F) v:nn- tech:; 2:0a000 State bond Form 60 .:r August 14, 2009 Salem Fire Department 29 Fort Avenue Salem, MA 01970 Fire Prevention Dear Lieutenant Griffin, 'r.�. �}.F •` s We spoke by phone last week, and you generously agreed to do a search on Monday, the 17th, to determine whether the Salem Fire Department has any record of an oil tank being on the premises of the house at Enclosed find, as per your instructions, a check for $ 50. Made out to the City of Salem, MA. Thanks. Please send results to Alice LoCicero Alice.lociceroaamail. com Or Alice LoCicero 63 Lovett St. Beverly, MA 01915 r 7 .6? fr(, (oc erc David 'PI/ Cody Chief 978- 744-6990 dcody@saiem.com City ® Salem, Massachusetts Fire Department 48 Lafayette Street Satem, Massachusetts 0197 0-3695 Tec. 978-744-1235 Fax 978-745-4646 The Salem Fire Department hae received your letter of inquiry for information concerning the possibility of flammable liquid .storage or releases on the property described below. For Property Located at Lemon Street Fire Prevention Oureau 978-745-7777 You should understand that the Salem Fire Department is but one of several departments within the City of Salem tea 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 lap liability shall attach yr be asserted against the City of Salem, the Salem Fire Department, nor- its 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, 0___ �Z Lt. Erin Griffin Fire Marshal Name Address Date POWER BURNERS Edward i . Cooney 92 Lemon St. 10-27-50 Name of Burner DDelco 416 Gals. Stored 275 Location of Tank glasement Installed by Kind of Heat Cap. of Tank Gals. Kind of Oil 82 Briggs Coal. Co,57I Inspected I0-27-O Approved IO-27 -5 0 Address Mr. 13 s r 7 Lemon St. I0-26-48 ame of Burner Weatherall#216 -BIIR Gals. Stored Location of Tank installed by Inspected 275 cellar V . f TT-anr,3a s I0-26-48 Kind of Heat Cap. of Tank Kind of Oil Warm -Air Gals. #2 Approved . I0-26-48 POWER BURNERS Date 8-24-63 Name Francis Arsenault Location Name of Burner Gals. Stored 11 Lemon St. Richmond Kindofleat Fcd. warm air 225 Cap. of Tank 225 Gals. Location of Tank approved by Deputy Kind of Oil #2 Installed by Meaney Oil Co. cC4592 Inspected 8-24-63 Approved Act Dep Ch II.. 1 POWER BURNERS Date December 30,1958 Name reran RPrknwi t9 Location 11 Lemon St. Name of Burner Delco Gals. Stored 225 Kind of Heat Warm Air Cap. of Tank 225 Location of Tank Basement Kind of Oil 2 Installed by George W. Pickering Co. C .0 . 520 Inspected 12-30-58 Date Name Fred Berkowitz Location Approved POWER:` BURNERS. �u:gust 96,1954 11. Lemon 5 t . Name of Burner Gals. Stored Location of Tank Delco 225 Basement Gals. 12-30-58 it Kind of Heat warm u i r Cap. of Tank 225 Gals. Kind of Oil Installed by George .W W. Pickering CO. C.C. 520 Inspected 8 2c 54 Approved -26 54 lit , avoid (4 Cody Chief 978-744-6990 dcody@safem. com 1 0/30/ 14 Keller Williams Attn: Laura Sawulski 500 Cummings Center Suite 1550 Beverly,'MA 01915 Dear Ms. Sawulski, City of Salem, Wlassachusetts Fire Department 48 Lafayette Street Sa(eni, Massachusetts 01970-3695 rTer 978-744-12.35 Ia.( 978-745-4646 Eire (Prevention. <Bureau 978-745-7777 I received your inquiry of the possibility of underground storage tanks at 12 Lynn Street here in Salem, Massachusetts. Our records show that a tank was removed on 3/9/01. 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 waste. It is quite possible 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 enclosed. 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 not its 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 release on this site. Respectful Iy, • Lt. Peter Schaeublin Fire Marshal City of Salem David W Cody Chief 978-744-6990 rdcody@salem.com City of Sateni, Massachusetts lire Department 48 Lafayette Street Sa(.em,Massacfiusetts 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. These Are The Records For 255,257 &259 Lafayette 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 haT.ardous :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 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's employees or members in connection with providing thin 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 ha rdous 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 Type of inert gas Approvals Make application to local Fire Department. Fire Department retains original application and issues duplicate as Permit. • APPLICATION and PERMIT ►=.00 for storage tank removal and transportation to approved tank disposal yard in accordance with the provision: of M.G.L. Chapter 148, Section 38A, 527 CMR 9.00, app:i.c ation is hereby made by: Tank,Ovuner Tank Owner Name (please print) Lafayette Court Condominiums • c/o Matt Slowick Addra=Q 255 Lafayette Street &mar emoval Contractor ory X swrmrore wootlUw rarpsmup Salem, -MA 01970 swig C'antamination Assessment Gempan, H & S Tank Cleaning, Inc. Pent Address 101 Foster Street, Peabody, MA'01960 PH: (97g) 531-6433 '7' Signature (if [a�'ppllyingforpermit)) G'"twf t 0 IFCI Certified Other Tank Location 255 LAFAYETTE STREET Tank Capacity (gallons) (1) 2 , 000 underground Tank Dimensions (diameter x length) Remarks: (2) Underground tanks to' be removed on Disposal Information Firm transporting waste [1 & S Tank • Cleaning , Inc . Hazardous waste manifest# NH110064481 Approved tank disposal yard N/A City or Town • -Salem Turner Salvage Tank yard address Date of issue Dig safe approval number: 2004-4502318 Signature / Title. of Officer granting permit Co. or Individual Andress - Signature (if applying for permit) 2 iFCI Certified 0 LSP # - Pm" Prim , ,::..SALEM, MA 01970 cw • Substance: Last Stored #2 fuel • oil alto04 State tic. # MA326 E.P.A. # MP7815940449 Tank yard # 225 Commercial Street 002 FDID# 09258 Other Lynn, MA 01905 Permit# /00 V. i Date of expiration /d ! / ..... I Dig Safe:roll Free Tel. Number _ 800-322-4844I / �vla,^ After removat(s) send Form FP-290R signed by Local Fire Dept. to UST Regulatory Compliance Unit, One Ashburton Place, • Room 1310, Boston, MA 02108-1618. Make application to local Fire Department. Fire Department retains original application and issues duplicate as Permit. gomemtp/iteolviv, eepuice6 714nionet APPLICATION and PERMIT Fee: for storage tank removal and transportation to approved tank disposal yard in accordance with the provision:: of M.G.L. Chapter 148, Section 38A, 527 CMR 9.00, appcation is hereby made by: Tank Oininer Tank Owner Name (please print) Lafayette Court Condominiums c/o Matt Siowick Address 255 Lafayette Street mme ernoval ontracto Companyrne H & S Tank Cleaning , Inc . PiirJ N,I Address 101 Foster Street, Peabody, MA01961. mdress PH: (97?) 531-6433 P6.° Signature (if applying for permit) .-Signature (if applying for permit) Cif? X SInsago 4 091009 tar Mara' Salem, MA 01970 :contamination Assessment 0 IFCI Certified Other Tank Location 25.5 LAFAYETTE STREET Type of inert gas Approvals Co. or !nciividual emi Stat9 0 iPCI Certified 0 LSP# Other • SALEM; MA 01970 c41, Tank Capacity (gallons) (1) 2,000 underground . : Substance Last Stored Tank Dimensicni(diameter x length) Remarks: (2) Underground tanks to be remover on Disposal Information Firm transporting waste H & S Tank Cleaning, Inc . Hazardous waste manifest# NHH0064481 Approved tank disposal yard N/A Turner Salvage Tank yard address #2 fuel oi State Ltc. # MA326 E.P.A. # .MP7815940449 Tank yard # 002 225 Commercial Street Lynn, MA 01905 City or Town . Salem ....,.FDID# 09258 Perrnit# ic.70 Date of Issue „ Date of expiration I Dig safe approval number: 2004-4502318 1 I Dig Safe Toll Free Tel Number - 800-322-4844 I -f6i iin-1-'7-& 1 .Signature / Title of Officer granting permit 4L.4•4 X' After removal(s) send Form FP-290R signed by Local Fire Dept. to UST Regulatory Compliance Unit, One Ashburton Place, Room 1310, Boston, MA 02108-1618. P.C. NUMBER H&SCIe 10: Ft)s �r Street Box 3.355 (7 )531 _6433 TERMS 1TE CODE _ . 2 Tank Removal 2 Per-niI REP t;n , GTN SHIP 11 /9/2004 DESCRIPTION VIA SHIP TO 255 - 25.9 Lafayette Street ;m, M4;\ 01970 ing and removal•of•(2) 2,000-gallon underground storage i*tnks, including backfilling to grade Fare Prevention Bureau t'0>tornmr agrve S to pay all costs of collection including reasonable attorney's feee in the evert this account is turned Over to an cetturnee• for collection. s t~-Q en e tc Akki Interest sha11 accrue: at the rzetc of 1.5%per month on all amou paid.in 30 days. F.O.B. I I /9/2004 nvoice DATE INVOICE # 04-346 PROJECT PRICE EACH AMOUNT 2.190.00 4.380.0i1 100.00 ' 200.00 Total Lafayette L•ourt Ltonoominium i rust 1193 St Joseph C.U. nk Cleanin2. Inc. Inv# 04-346 Cleaning and rernoval of underground tanks (1 • Lafayette Court Condominium Trust H&S Tank Cleaning, -Inc. St Joseph U. • ,• • • • -•---- -• •• 1114 04- 46 Cleaning and removal of undergroutxl tanks (1 12/6/2004 12/16/2004 3,831.16 3,831.16 1198 3;83t 16 3831 16' REW Environmental Consultants, Inc. 01923 Ciz 2r. Addr-s: City: Phone: Fax #: Work Period Trust See'; v.assarretts 01970: Invoice No. 04-1549 IIVVOICE Date: Purchase Order if REIN. Contact: Client Contact Ske EValuatien Underground Storage Tank ,Coutt Condominhun Trust 255-259 Lafayette Street, Salem, Massachusetts Undergound 7,7=k 12.fayerre Gnat Trast, 255-259 rAfilyette Street, Salem, Ma.ssachusetti •• .Subtotal: :TOTAL November 30, 2004 Dick Warren Matt Slowick TOTAL $1,200.00 $1,200.00 $1,200.00 l',ITAL CONSULTANTS 29, 2:424. 37,-;2; 7,-,:f-,7mirrn'-aiirrri Trust 255-255 1970 RE: S Tk 1R,Lmoval and Soil Conditions 25542,53 5;igti-± Street Dear ML , :! • ..7ped copy of our field notes documenting the soil conditions marie tanks forrnerly in. use at _the. subject property:. Based.on visual T,4Lst:ics of soil including jar headspace screening efforts, soil. quality. 7T7,2 acceptable limits and industry practices. OW Environmental is oancluding with no further action. ycz r.27-7;17.,7. please call me at978-777-2055. - REW EaTirJ, / Dick 7 CP tan FloEncbre Se Tank Closure Field Notes 5apie.Street, Danvers, Massachusetts 01923 97,2777-:2055 (Fax) 978-77776363 Kensington, New Hampshire 03833 (Tel) 603-778-0503 e-maiI:Irewenv@msn.com UNDERGROUND STORAGE TANK (UST) FIELD NOTES GEE LN'FO '4 ATION REW Personnel: Date: Contractor(s): PAGE 1 OF 6 Tank Removal ' ' 255-259 Lafayette Street, Salem, Massachusetts Daniel Blanchette, Environmental Analyst November 10 and 12, 2004 H & S Tank Cleaning Services (H&S) Peabody, Massachusetts Weather/Comments: Clear,'50° F SITE LOCATION Name:.. Lafayette Court Condominium Trust Address: - 255-259 Lafayette Street City: Salem State: Massachusetts Dig Safe:. Not Available Si'1E OWNER Name: Lafayette Court Condominium Trust Address: 255-259 Lafayette Street Town: Salem State: Massachusetts Zip: • 01970 Phone: 781-594-0449. FIRE PREVENTION Fire Department notified: Yes: x No: Fire Department: Salem Fire Department, Telephone: 978-745-7777 Fire Prevention Officer(s): Captain William Hudson Fire Prevention Permit to Transport (UST) No.: 1004 (UST#1) and 1005 (UST#2) PAGE 2 OF 6 SAFETY Health and Safety Plan at the Site: X No: . Safety Officer: Gary Nlgorski, H &.S Tank Cleaning Services UST(S) INFORMATION Number of USTs: Two (2) UST 1: (Capacity) 2,000 gallon Diameter: 64 Inch Length: 145 Inch UST Construction: Steel: X Fiberglass: Concrete: Tank Conditions: The tank exhibited minor signs of corrosion and pitting; however, there were no observable cracks or holes through the shell Of the tank: Previous Tightness Test Results: :None Depth to UST: 30 inches Groundwater Depth: Estimated to be below 9 feet based on the depth of test pitting: by H &S Tank Cleaning Services. UST 2: (Capacity) 1,500 gallon Diameter: 55 Inch Length: 136 Inch UST Construction: Steel: -x Fiberglass: Concrete: Tank Conditions: The tank exhibited minor.. signs of corrosion and pitting; however, there were no observable cracks Or holes through the shell' of the tank, Previous Tightness Test Results: None Depth to UST: 36 inches Groundwater Depth: Estimated to be below 9 feet based on the depth of test pitting by H & S Tank Cleadmg Services. SKETCH OF SITE Attached are sketches of the work location that include oncsite structures and other site attributes considered relevant to this report. PAGE 5 OF 6 SITE/UST HISTORY INFORMATION None available; however, the tanks were in use for heating purposes and are believed to be at least 20 years of age. PRELIMINARY FIELD SCREENING/SAMPLE COLLECTION Collection Methodology: Borings: Test Pits: X Soil Gas: X Hand Implements: X Backhoe: X Field Screening: Yes X No Conducted By: REW Environmental Consultants, Inc. Daniel Blanchette, Environmental Analyst Type of Instrument(s) Used: Portable Photoionization Detector (PID) HNu Meter (Model HW-101) Background Reading: Meter Indicated No Response (NR) Responses: REW Environmental Consultants, Inc., (REW) collected soil samples .from the sidewalls andbase of both tank graves. Our objective for collecting the soil ,samples was 'prlmarily 'screening for the presence of volatile manic compounds using a PIDinstrnment. The methodology which REW Environmental Consultants, Inc., employed for headspace analysis followed standard industry practices of placing soil samples into glass jars sealed with screw -on covers, warming the samples to ambient temperature or better, agitating the samples to disturb volatile gases within the soil pore space, -then allowing the sample to equilibrate. REW recorded relative PID responses from the headspace of the sample using a IINu Meter (Model HW-101) equipped with a 10.2 electron volt (eV) lamp, by inserting the HNu Meter probe beneath the cover. The HNu Meter measures the total concentration of hydrocarbon gases in parts per million (ppm) in- the sample headspace relative to an isobutylene standard calibration gas. The recorded concentrations are actual instrument responses and are isobutylene equivalents. The HNu does PAGE 4 OF 6 not discriminate among specific compounds and the results merely indicate the presence of hydrocarbon gases not specific contemn' ants. There were no PID responses for the :12 soil samples: collected from the sidevvalls'and bases of the tank graves. The surrounding soil Consisted Of brown, dry; Medium sand and silt. • • According to the MCP, specifically 310 CMR 40.0313: Releases Which Require Notification Within 72 Hours must notify the. Department of Environmental Protection not more than 72 hours • after obtaining knowledge of a headspace measurement of equal to or greater than 100 parts -per - million (Ppm) by volume (v) in soil or groundWater within ten feet of the exterior wall of an underground storage tank The. FED measurements do not exceed this threshold and therefore do not initiate a reporting obligation. Following is a tabulation of the headspace responses: Sample Depth (feet) Response ppm/v UST Tank # 1 North Sidewall 4-6 NR South Sidewall East Sirkwall NR. WestSidevvall NR Base East ' 7.5-8 NR Base West 7.54 NR UST Tank # 2 North Sidewall 4-6 NR South Sidewall 4 NR East Sidewall 4 NR West Sidewall 4 NR Base East 7.5-8 NR Base West 7.5-8 NR Groundwater was: mot encountered. Given the PID responses, soil samples were not collected for analysis. PAGE 5 OF 6 NOTIFICATION/SCREENING Contamination: Yes No x Media Impacted: Soil Groundwater Other Explanation: There was no evidence of:a release or contamination following removal of the tanks. • MCP Reporting Threshold Triggered: Yes No x Local Fire Department Notified: Yes No x Explanation: Since PID responses are below 100 ppm/v there is no reporting obligation. SAMPLE ANALYSES - SAMPLES WERE NOT COLLECTED Laboratory: Address: Town: Type of Samples: Water Sample(s): State: Zip: Soil Sample(s): NOTIFICATION/ANALYSES Contamination:: Yes . No x Media Impacted: Soil Groundwater Other Explanation: None. MCP Reporting Threshold Triggered: Yes No X DEP Notification: Yes No X Local Fire Department Notified: Yes, X No Explanation: Given the PID responses, soil samples were not collected for analysis. METHOD OF REMOVAL ' Describe: H&S exposedthe tanks and transferred fuel to a truck -mounted vacuum tank. H&S proceeded to remove the tanks after cleaning. UST 1 was cleaned and removed on November 10n2004, and UST 2 was cleaned and removed on November 12th ,2004. PAGE 6 OF 6 DISPOSAL Total Gallons: 270 gallons (120-gallons tank from UST 1 and ISO -gallons from UST 2) Transporter of Waste Materials: Transporter of Tank Materials: - Recipient of Tank Materials: Recipient of Liquid Materials: POST -CLOSURE H&S Tank Cleaning Services Peabody, Massachusetts "H&S Tank Cleaning Services Peabody, Massachusetts Turner Salvage Lynn, Massachusetts United Oil Recovery • Newington, NH Notification to DPS: Yes No X Backfill of Void: Yes X No Pavement Restored: - Yes " No - X Further Assessment: Explanation: Meter indicated no response to the headspace of 12 soil samples. There Yes No X. was no observable evidence of a release. L A F SITE STRUCTURE A —4\ X ' T J T Fill and Vent Pipes E •2000-Gallon Underground Fuel Oil • Tank -Grave (see inset) S T it` E E SITE STRUCTURE North Indicator West Sidewall For Inset Q. North Indicator No Scale. For Illustrative Use Only INSET' North Sidewall Q Base 0 South Sidewall EXHIBIT A SITE MAP UST* 1 255 LAFAYE i 11 STREET SALEM,MASSACHUSETTS 0 East Sidewall. GARAGE' Prepared by: REW Environmental Consultants, Inc.. Danvers, Massachusetts A F A Y. E T T E S T R E E 1,500-Gallon Underground Fuel Gil • Tank Grave' (st:e inset) North Indicator For Inset Fill and Vent Pipes North Indicator No Scale For:Illustrative Use<Only West Sidewall 0 SITE STRUCTURE. SITE STRUCTURE INSET North Sidewall 0 0 South Sidewall EXHIBIT B SITE MAP UST # 2 255 LAFAYETTE STREET SALEM, MASSACHUSETTS GARAGE East.Sidewall 0 Prepared by: REW Environmental'Consuttants, Inc. Danvers, Massachusetts REW Environmental Consultants, Inc. 5001V1ap1e Street Danvers, Massachusetts 01923 Office: 978-777-2055 Fax: 978-777-6363 • Name: Address: City: Phone: Fax#: Work Period Customer Lafayette Court Condominium Trust 255-259 Lafayette Street Salem, Massachusetts 01970 Invoice No. 04-1549 INVOICE Date: Purchase:Order # REW Contact: Client Contact: Site Evaluation - Underground Storage Tank Lafayette Court Condominium Trust, 255-259.Lafayette Street, Salem, Massachusetts Underground Storage Tank Lafayette Court Condominium Trust, '255-259.Lafayette Street, Salem, Massachusetts Subtotal: TOTAL November 30, 2004 Dick Warren Matt Sbb*ick TOTAL, $1,200.00 $1,200.00 $1,200.00 Lafayette Court Condominium Trust REW Environmental Consultants; Inc. St Joseph C.U. Inv# 04-1549 Underground Storage Tank Lafayette Court Condominium Trust 12/13/2004 REW Etivironinental Consultants, Inc. 12/13/2004 1191 1,200.00 1,200.00 1191 1,200.00 St Joseph C.U, Inv# 04-1549 Undeigroiind-Storage Tank. 1,200.00 Subtotal: TOTAL. $1,200.00 $1,200.00 0 0 } h'fiR -31'-200 02:43 AM H&S_TANK_GLEANING 9.785325625 P.02 CLEANING, INC. ENVIRONMENTAL SERVICE March 30. 2005 Tache Realty 208 Derby Street Salem, MA 01970 Subject; Underground Storage Tank iU.S.T.) Investigation at 255-259 Lafayette Street in Salem, Massachusetts. The purpose of this letter report is to document our inspection performed just prior to the U.S.T. Removal completed in November of 2004 at the above -mentioned property for the presence of en underground storage tank in the rear of the property in front of the garage. ' INVESTIGATION: I. An inspection with the use of the electromagnometer was performed, A visual inspection was performed in the suspected area in front of the garage and there was not detection of en U.S.T. in that area . II;. A visual inspection of the area in front of the garage was performed. There wet a cap found in the ground in that area, the cap was removed and it appeared to be Rill of soil. With the findings under the cap, there is no evidence of sit U.S.T. tank located in the suspected area, SUMMARY: Rased upon the above investigation and our experience in ttiis area, it is our considered opinion that due to our • findings, H & S Tank Cleaning, Inc. feels as though there is not an U.S.T. buried in the rear of the property in front of the garage at 255-257 Lafayette Street in -Salem. Massachusetts. LIMITATIONS: This report has been prepared for the exclusive use:of the owner of the subject pmperty. The conclusions provided by H & 5 Tank Cleaning, inc. are based solely on the scope et' work referenced herein. Any additional information that becomes available concerning this site should be provided to.14 8c S Tank Cleaning so that the - conclusions contained herein may be modified accordingly. The above work was undertaken in accordance with generally accepted consulting engineering practices and no warranty. We agree that this report may be made available to other parties associated with the proximate conveyance of the property. If you have any questions in this regard,.pleasc do not hesitate to call.. Sincerely, Gary T.Nicgorsk Vice President, H & S Tank Cleaning, Inc: ' t'.O:tiox 3333 • Mt 1 st r St. • PL'abndv:MA 010(I. 97£g-1;.8t_64V hteW nAMrnene eJeF'AKIovum' irr Limy iimurcMtNlmg. JenvacAt‘ WASTE MANAGEMENT DIVISION Health and Human Services Building 6 Hazen Drive, Concord, NH 03301-6509 603.271.2621 Please print or type.. (Form designed -tor use on elite (12-p)tch) typewriter.) • A m r. N n a Q 0 i E N �m E fir` R Z A T Cm 0 0 R `L u.t of ua 11. cmo0 cNON CM C • Z coo cn Q0 C.� z �* 0 c. in A om Z h- < w M•- Z 0,7 z ww �w 1 tr) tL w0 =p- w� zT 17. Transporter 1 Acknowledgement of Receipt of Materials R i - W A Printed/Typed Name 0 U o 18. Trarispertef tckndwiedgemenf offteceiptl of Materials U d R Printed/Typed Name R h U, urri .. UNIFORM -HAZARDOUS I 1. Generator's US EPA -ID No:. WASTE MANIFEST S.9. 4 .114. 3. Generator's Name and Mailing Address 40:41113:tte .Y t coopiatastos •2 yt$%3 Stroot ::$.144n,.A t 1.973. 4. Generator's Phone( 7 ) 5 ktt . 1+93 )" 5. Transporter 1 Company Name 6. US EPA ID Number C, StaieTransporters ID S Tat& Cleitting, // D 1 .t 6 1 6' Y D.' TraNearte/s Phone 7. Transporter 2 Company Name 8. US EPA ID. Number.; .. E StateTrer:epoder's ID FOR STATE USE ONLY Form Approved OMB No. 2050-0039 9. Designated Facility Name and Site Address . Ettd Oil. Retoverry Th, 142 River tosd 11. US DOT Description (Including Proper Shipping Name, Hazard Class, a. Ni1993, tir b. 0. d. '..,. ,Y.;�?fi'dditl0:4(Descripii6ri.foc �IlaYeraia i,i�tgd;Abov 15. Special Handling Instructions and Additional Information 14 stss` aka Manifest Do ment,,pp1Jo., 2. Page 1 Information in the shaded areas of is not required by Federal law but may be required by State Law. an . F' Transporters Phone 'DbbAum+ h Nytn 10. US EPA ID Number . a State Facility's ID {Not 0 052.1843. s< and ID Number) 3 mixtatib 12. Containers 13.14. Total .t No. Type Quantity WtNol EPA Non STATE I.. Waste No. EPA STATE. EPA;' ":. STATE EPA STATE atidling'Dodes. fo".r eWastei 441.6544 nt4rirrt_." 16. GENERATOR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name and are classified, packed, marked, and labeled, and are in respects in proper condition for transport by highway according to applicable international and national government regulations. • • If I am a large quantity generator; I certify that I have a program in place to reduce the volume and toxicity of waste,generated to the degree I have determined to be economically practicable -and that I have selected the practicable method of treatment, storage, or disposal currently available to me which minimizes the present and future threat to human health and the environment; OR, it t am a small quantity generator, I have made a' good faith effort to minimize my. waste generation and select the best waste management method, hat is available to me and that t can afford. Printed/Typed Name Signature Q �. �.�.F Cr 0: A. 0 7_ C !z w U - -- - -- - - F.?¢t 20. Facility Owner or Operator: Certification of::receipt 'of hazardous materials covered by this. manifest except as noted in: item 19. . Printed/Typed Name Signature 19. DiscrepancyIndication Space Signature Signature EPA Form 8700-22 (Rev. 9-88) Previous Editions are Obsolete Morith : Day j..I. Month Day Year t -.: Month Day Year Month'. Day Year I I 1 • ' CD 0) Year 0 (;UPY 8: 6' RATOR COPY Make application to local Fire Department. Fire Department retains original application and issues duplicate as Permit. c67 a-i gOaxtmentr 'lam — —Maned6/7 t 9 APPLICATIO and PERMIT IFee: $100.00 for storage tank removal and transportation to approved tank disposal yard in accordance with the provision°:, of M.C.L. Chapter 148, Section 38A, 527 CMR 9.00, apt=:Nation is hereby made by: Tankt3wher 5y Tack Owner Name (please print) Lafayette Court Condominiums cjo Matt• Slowick Address 255 Lafayette Street Str9at Removal Contractor ,Company y Name H & S Tank Cleaning , Inc. Print Address 101 Foster 'Street, Peabody, MA, 0196( PH: (97e-) 531-6433 Prat Signature (if eppiyingfor permit) /ii -, 0 IFCF Certified. Other nfo r ration Tank Location _:.___-'255 LAFAYETTE STREET' Tank Capacity (gallons) (1) 2,000 underground Tank D mensions (diameter x length) Remarks: (2) Underground tanks, to be removed an Disposal informatiori,i Firm transporting waste H & S Tank Cleaning, Inc. Hazardous waste manifest# Approved tank disposal yard .. Type of inert gas N/A City or Town Date of issue Salem. - Dig safe approval nurnber: Signature / Title of. Officer granting permit NHH0064481 Turner. Salvage Tank yard address 2004-4502318 State Lie. it E.P.A. # • Srgnature (A spaying tar permit, Salem, MA 01970 ntamination Assessment co. or lydtviduat Address - Signature (if applying for permit) iFCI Certified ❑ LSP # Print Print, SALEM, MA 01970 sty Substance Last Stored #2 fuel oil MA326 MP7815940449 &ate Zia Other Tank yard # .. 002 225 Commercial Street Lynn, MA 01905 FDID# 09258 Permit#. ��U Date of expiration Dig Safe Toll Free Tel. Number - 800-322-4844 i. / esJ / e.,(" / 1/ After removal(s) send Form FP-290R signed by Local Fire r Dept. to UST Regulatory Compliance Unit, One Ashburton Place, Room 1310, Boston, MA 021'08.16.18. ej t l NEET 4 2/02/0I New England Environmental Technologies Corporation Fire Prevention Bureau 49 Fort Avenue Salem, MA 0I970 Attn: Mr. Frank Preczewski Dear Mr. Preczewski, I am writing to request that a 2IE file search be conducted for the property located at 7 3`' 'Lafayette Stzeet in Salem. This property may be listed under Sumner Paints, a previous occupant. The owner of the property to be researched is Salem Lafayette LLC. Please include any and all information pertaining to aboveground storage tankage (AST), underground storage tankage (UST) and oil burner installation information. I can tell you that at least two underground storage tanks were located on the property. I do not know the age or actual contents of the tanks, however, they most likely contained fuel oil and waste oil. I appreciate your prompt attention to this file search. Please find the enclosed check for $30.00 made payable to the City of Salem for the file search fee. Please forward the results of the search to: New England Environmental Technologies, Attn: Erin Pinkham, 3I0 Main Street, Groveland, MA 0I834, or fax to (978) 52I-1760. Sincerely, Erin Pinkham Project Manager Endosure 310 Main Street, Groveland, MA 01834 Telephone (978) 521-1111 Facsimile (978) 521-1760 J?oL t (W. JUZ22E1 aiEf 50s-744.699e City of eSaLEm, cMaisaefiui.Etti. TE L�E,2a'ztmEnt �` pp 481QfayppEtti cStZE£t cSaEm, ci4a achuidtti oi970-3695 �EL' 508-'744-1235 'Jax 508-745-4646 MARCH 12, 2001 \J(Z£ .PZEVE22tLU22 Bu4EQu 5°8-745- /77 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 73 LAFAYETTE STREET, OUR RECORDS SHOW NO RELEASES, AND UST'S HAVE BEEN REMOVED. I AM SORRY THIS IS LATE, I JUST RETURNED FROM AN OPERATION. 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. Its is -- quite probable that this department-wouldhave 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 reportattached 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, NK PRECZEWSKI FIRE INSPECTOR SALEM FIRE DEPARTMENT Edit: COM1 73 Lafayette Street 3/2/17 Permit - C.E. Whitten; Amount - 310; Capacity - 310; Size of Tanks - 1-310; Product - gasoline. 10/29/42 Remove leaky 310 tank and replace with new 300. 3/23/48 5 gallon amount; 5 gal. capacity; 2nd floor portion set apart for that purpose. Thinner Class A flammable. Edit: COM1 73 Lafayette Street 3/2/17 Permit - C.E. Whitten; Amount - 310; Capacity - 310; Size of Tanks - 1-310; Product - gasoline. 10/29/42 Remove leaky 310 tank and replace with new 300. 3/23/48 5 gallon amount; 5 gal. capacity; 2nd floor portion set apart for that purpose. Thinner Class A flammable. (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: 03/12/2001 Address: No. 73 Business name: Tank data: Tank size: Product: S 05/31/1996 S.P. ENGINEERING memo Time: 08:57:11 Record # Street LAFAYETTE STREET STATE STREET BANK (in gallons) 275 (G)asoline W (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: 03/12/2001 Address: No. 73 Business name: Tank data: Tank size: Product: S 05/31/1996 S.P. ENGINEERING memo Time: 08:57:11 Record # Street LAFAYETTE STREET STATE STREET BANK (in gallons) 275 (G)asoline W (D)iesel fuel (F)uel oil for heating (W)aste oil (0)ther regulated substance (U)nknown substance Tank type: (S)teel (F)iberglass 478 478 Address: No. 73 Business name: • Street LAFAYETTE STREET STATE STREET BANK Tank data: Tank size: (in gallons) 2,000 Product: (G)asoline F (D)iesel fuel (F)uel oil for heating (W)aste oil (0)ther regulated substance (U)nknown substance Tank type: (S)teel (F)iberglass S Date of removal: 05/31/1996 Contractor: S.P. ENGINEERING Additional details: memo Date: 03/12/2001 Time: 08:57:28 Record # 479 Address: No. 73 Business name: Street LAFAYETTE STREET STATE STREET BANK Tank data: Tank size: (in gallons) 2,000 Product: (G)asoline F (D)iesel fuel (F)uel oil for heating (W)aste oil (0)ther regulated substance (U)nknown substance Tank type: (S)teel (F) iberglass S Date of removal: 05/31/1996 Contractor: S.P. ENGINEERING Additional details: memo Date: 03/12/2001 Time: 08:57:28 Address: No. 73 Business name: Record # 479 Street LAFAYETTE STREET STATE STREET BANK Tank data: Tank size: (in gallons) 2,000 CITY OF SALEM FIRE DEPARTMENT FIRE PREVENTION DIVISION 29 FORT AVENUE SALEM, MA. 01970 FAX COVER SHEET: TO: ERIN PINKHAM FROM: INSP. FRANK PRECZEWSKI DATE: 1/3/2001 SUBJECT: 21-E SITE REPORT PAGES: FRANK PRECZEWSKI, JR. FIRE INSPECTOR PHONE: 978-745-7777 FAX: 978-745-9402 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 1S 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" I/03/0I Fire Prevention Bureau 8.9 Fort Avenue Salem, MA 0I970 Attn: Mr. Frank Preczewski Dear Mr. Preczewski, I am writing to request that a 2IE file search be conducted for the property located at 85-87 Lafayette Road in Salem. This property may be listed under Early TV & Radio. The owner of the property to be researched is Mr. Wayner Early. Please include any and all information pertaining to aboveground storage tankage (AST), underground storage tankage (UST) and oil bumer installation information. I can tell you that at least one underground storage tank is located on the property. I do not know the age or actual contents of the tank, however, it is most likely containing fuel oil. I appreciate your prompt attention to this file search. Please find the endosed check for $30.00 made payable to the City of Salem for the file search fee. Please forward the results of the search to: New England Environmental Technologies, Attn: Erin Pinkham, 3I0 Main Street, Groveland, MA 0I834, or fax to (978) 52I-1760. Sincerely, '??ntt¢u� Erin Pinkham Project Manager Enclosure 3I0 Main Street Groveland, MA 0I834 (978)52I-IIII (978)52I-1760 Fax S?0/ t (W Juan£z 508-744-699c C'&fy of SSaLEmn, 9i2E El2a¢tmEnt 4S lafay£tt£ Sa�£m, d4assac�ius£tts 0I970-3695 '£L' 5os-744-1235 Sax 508-745-4646 JANUARY 3, 2001 gLZ£ 9'4£V£ntlon au"c£au 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 85-87 LAFAYETTE STREET SALEM, OUR RECORDS SHOW NO RELEASES OR ANY OTHER PROBLEMS AT THIS SITE. You -should'-understand that the. Salem Fire' -Department -is • but one of several departments '.within the City of Salem tto'==whichAnformation can- be -obtained"-;',,- concerning Alammable>.diquid storage; >";releases; ""`or = hazard'ous: °wastes. ° It <15; = • ' `' ~< :quite~probable: that-:.th-is department} would' have` ao: knowledge: -of _ the j y =s`Y�>• presence . of ;hazardous wasteson'- any particular site `since this' department, -does:.not,-;do independent hazardous -waste =investigations : • To assist. you in :conducting your :environmental'assessment 'of :'the site, -w 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, RANK PRECZEWSKI FIRE INSPECTOR SALEM FIRE DEPARTMENT Edit: COM1 81-87 LAFAYETTE STREET--SALEM GARAGE < 4/16/21 < Permit - amount 1,000; capacity 1,000; size of tanks < 1-1,000; product gasoline. < 5/22/52 < Remove 3 gasoline tanks to Collier & Mizioch, 63 Flint Street, Bursaw Oil Co. < 1 Edit: COM1 81-87 LAFAYETTE STREET--SALEM GARAGE < 4/16/21 < Permit - amount 1,000; capacity 1,000; size of tanks < 1-1,000; product gasoline. < 5/22/52 < Remove 3 gasoline tanks to Collier & Mizioch, 63 Flint Street, Bursaw Oil Co. < Edit: COM1 81-87 LAFAYETTE STREET--SALEM GARAGE < Form 24 Date Name Power Burners January 14,1981 Earley Radio Q. Television Co. . Location 83 Lafayette St No. of Tanks 1 Name of Burner Beckett Mass. Approval No. Gals. Stored• 275 Location of Tank Basement Installed by Thomas J Cote Inspected byD .0 .Sosnowski. Kind of Heat Steam.; Kind of Oil C. of C. # #2 017857 969 Date Approved 12-24-80. THEIR IS ONE UNDERGROUND TANK FOR HEATING LOCATED AT THIS PROPERTY, I DO NOT HAVE THE SIZE LISTED IN MY FILES. Chief 978- 744-6990 [—&.l 1-3 n D CI of Salem, Massachusetts Fire Department 48 Lafayette Street Salem, Massachusetts 01970-3695 T"el. 978-744-1235 Fax 978-745-4646 FILE CO 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. (1 Laurent..Road; Megalopolis Realty Trust, 4/29/91 2,000 gal ust:removed by Michaud & Raymond. C C # 16412. entwr! au 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 h v 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 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, Lt. Erin Griffin Fire Marshal 6/28/05 Chief 978- 7 44-6990 City of Salem, Massachusetts Fire Department 48 Lafayette Street Sa[em, 51,fassachusetts 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.. <L—Laurent _Roadd,AMr. Talbot, 10/19/93 1,000 gal ust removed by Michaud & Raymond. C. C. # 16412. 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 haTrdous 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-ab-ove, the records of the Sale/atFire:=-Department do not permit ,you to rely` upon the information- contained, in this letter as being either definitive or complete. The information in thus 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 Qiembers 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 G iff Fire Mars al '6128/05 FORM 24 Date POWER BURNERS September 13, 1973 Name Megalppolis Realty Trust Location, 2 La r_ent_RoadJ Name of Burner No. of Tanks American StandarNlass. Approval No. 1 'k[F,R Gals. Stored i 1000 Location of Tank Underground Installed by J.A . Mercier, Inc. Inspected by Dep. Sosnowski Form 24 Date 1/12/94 Kind of Heat j Kind of Oil C. of C. # Date Approved Dec. 13, 73 Power Burners Name Megalopolis Realty Trust Location 2 Laurent—RoadNo. of Tanks 1 Name of Burner -Existing, { Moss. Approval No. Gals. Stored Kind of Heat Location of Tank Outside in Shed / Kind of Oil 12 Michaud & Raymond Installed by Inspected by Lt. Hudson C. of C. z 016412 Date Approved 1/12/94 Chief 978- 744-6990 City of Salem, Massachusetts Fire 'Department 48 Lafayette Street Salem, %v assachusetts 01970-3695 TeL 978-744-1235 JaX 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 Bu rea u 978-745=7777 c3=1;aur_ent xoaa,lmr. Talbot, 10/20/93 2,000 gal ust removed by Michaud & Raymond. C. C. # 16412. You should understand that the. Salem Fire Department is but one of several departments within the City of Salem to which information can beobtained 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 ha7nrdous waste investigations. r To assist you in conducting your efi ronmentai assessment of the site, we are able to inform you as indicated- by sthe report attached and/or' enclosures. As stated -"above, the records of the Salem=:Fire Depar tent ..do: not permit .. you to>re'ly upon the information contained.. in this letter as being either, definitive or complete. The information- in this letter is providedtoyou. 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 an this site. Signed, Lt. Erin Griffin Fire Marshal 6/28/05 Form 24 Date 1/12/94 Power Burners Name Megalopolis Realty Trust LocationrLaurent_Road�____1 No. of Tanks 1 Name of Burner Existing Mass. Approval No. Gals. Stored _330� Kind of Heat _--- Location of Tank outside in Shed % Kind of Oil ##2 Installed by Inspected by Michaud & Raymond Lt. Hudson C. of C. » 016412 Date Approved 1/12/94 POWER BURNERS Date November 23, 1971 Name Megalopolis Realty Trust Locati n 3 Laurent Road / Name of Burner American StandardKind of HeatF. Hot water Gals. Stored 1 200C 1 Cap. of Tank Gals. Location of Tank Underground 17 Kind of Oil 3V2 Installed by J. A. Mercier. Inc. Inspected Deputy Chief Bates Approved August 7, 1972