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21 E archive (002)r David 'W. Cody Chief 978-744-6990 dcody@salem.com City of Saran, vfassachusetts 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 F For 9New Derby St & 191-_211 Washington St Fire Prevention Bureau 978-745-77 77 You should understand that the Salem Fire Department is but one of several departments within the City of Salem to which information can be obtained concerning flammable liquid storage, releases, or hazardous wastes. It is quite probable that this department would have no knowledge of the presence of hazardous' wastes an any particular site since this department does not do independent h-,Tdous 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 Departtnent 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, 1 Name CITY OF SALEM FIRE DEPARTMENT • FIRIPREVENTION BUREAU 48 Lafayette St., Salem, Massachusetts 01970 buc, cks gsat- t 5 i Fee Due 10.00 l i0J (tat.) APPLICATION FOR PERMIT To: HEAD OF FIRE DEPARTMENT TANK REMOVAL 19 5 In accordance with the provisions of Chapter 148, G. L. as provided in Se'- ,10A and/or 38A application is hereby made for permission tc Remove a tank from service. T . From: E. side of Bldg. 29 New Derby St. Owner of tank: M noan Realty Tn: To: ilnivprRal Wrprking CD., Bridge S _rat. Salem Size of tank: 1000 gal. Type: steel Fluid: #2 Fuel Oil Restrictions: As per Fire Prevention Regulatinns. State clearly purpose for which permit is requested 1,Name: Minoan Realty Trust Address, 222 Essex St., Salem, MA 01970 (Glv. location by street cold no.. a describe to such a wanner as to provide ad.q . tdeatliloatioc ot location). Date issued Date of expiration Nondas T.gonakis (Signatu" o '`ant) 299 Essex Strut, S1pm. MA 01970 (Address) CITY OF SALEM FIRE DEPARTMENT - FIRE PREVENTION BUREAU Salem, Massachusetts 01970 PERMIT Date Fee Paid 10. 00 June 5, 1985 In accordance with the provisions of Chapter 148, G. L. as provided in 10A this permit is granted to Minoan Realty Trust (Full name of person, firm or corporation granted permit) tom, Remove a tank from service, and transport same. From: E. side of Bldg. at 29 New Derby Street Tot Universal Wrecking Co., Bridge St., Salem Size of Tank: 1000 Gal. TyPe i steel Fluid i #2 Fuel Oil RestricEons: As per Fire Prevention Re-ulations. State clearly purpose for which permit is granted and/or 38A Owner of ,dank i Minoan Realty Trust motion i 222 E s x St .„ era, 01970 (Give location by street and no., or describe in such manner /`o provide od.quatif l 4 too)( 1 !J, C! ,C-e; �(Signature oittcLY`� Qttmting permit) j This perrnit`wil expire_June 7,1985 . �.. ?�E Mile) � Der (THIS PERMIT MUST BE CONSPICUOUSLY POSTED UPON THE PREMISES.) -eve Date issued• Date of expiratio' CITY OF SALEM FIRE DEPARTMENT - FIRE PREVENTION BUREAU 48 Lafayette St., Salem, Massachusetts 01970 Fee D 02-01-83 (Date) APPLICATION FOR PERMIT To: HEAD OF FIRE DEPARTMENT In accordance with the provisions of Chapter 148, G. L. as provided in -Se'• application is hereby made 10A 610 0(i 19 for permission tr, Store on a temporary basis one steel 275 gal tank Tank allowed in 1st floor storage room,while replacement off State clearly leaking underground tank is performed. purpose for which permit is requested Restrictions: As per Fire Prevention Regulations. Name: Mr Gro rst Addresse77New Derby St (Give location by street and no., or describe in such a manner as to provide adequate identUloat1cn of location) 02-01-83 c of-3 (Signature of applicant) (Address) Date Name 'POWER ' BU JANUARY 22,1958 occupant William Chisholm owner-Eatonfs Drug OppAip Location 193 Washington St. Name of Burner Gould Gals. Stored 2-275, 550 Kind of Heat Cap. of Tanle 5 50 Gals. Location of TankS Basement Kind of Oil #2 Installed by Inspected Unity Service Co. CC-3022 1-21-58 FW Approved POWER BURNERS Date September 22,1931 Name Chamber of Commerce Building Location 193 Washington St Name of Burner Gals. Stored Gilbert & Barker 275 Location of Tank Basement Installed by Inspected 1-21-58 FW Kind of Heat Hot Wat e r Cap. of Tank 275 Gals. Kind of Oil G.W.Piokering Coal Co 10/21/31 Approved # 3 10/21/31 POWER BURNERS Date Name Location AUGUST 5, 1966 HAWTHORNE BUILDING ASSOCIATES 35 NFW nTRRY R T _ (EA TON' S DRUG STORE BLDG . ) Name of Burner Gals. Stored Location of Tank WALTHAM Kind of Heat STEAM 550 Cap. of Tank 2..275 Gals. BASEMENT Kind of Oil #2 Installed by UNITY SERVICE CO . (H OWARD SMITH) C . C . #10 50lt. ACT. DEPUTY Inspected 8/5/66 Approved HARRINGTON FORM 24 Date Name POWER BURNERS March 23,1978 First NRtinnRl Stnraw_ Location 29 New Derby St Name of Burner Waltham Gals. Stored 1.000 (®yew v G Location of Tank Underarou.nd Installed by Alvin G Boudrow D .0 .Sosnowski Inspected by June 5,.1985 1000 gallon tank (east side of bui by MacKey & Sons. Lawrence, MA No. of Tanks 1 Mass. Approval No. 252 Kind of Heat Steam Kind of Oil C. of C. # #2 018203 Date Approved 03-15-78 removed from this location lding in the street) Taken to Tombarello in Insp. LaPointe 23avid'W. Cody Chief 978- 744-6990 dcody@satem.com City of Salem, .g/[assac/iusetts Fire Department 48 Lafajette Street ,Salem, ?Massachusetts 01970-3695 Ter 978-744-1235 Fax 978-745-4646 FirePrevention Bureau 978-745-77 7i 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. The Progerty Known as Hotel Hawthorne With Addreses_pf 18 Washington Sq West, 2-18 Washington Sq West, 32-36 Washington So south. and 100-118 Essex Street You should understand that the 5a.iem r-ire ueparxent: Ib du4 one or seversi departments within the City of Salem to which information can be obtained concerning flammable liquid storage, releases, or hazardous wastes. It is quite probable that this department would have no knowledge. of the presence of hazardous` wastes. an any particular site since this department does not do independent ha?a*-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 ;Feleases on this site. . Signed, Fire Inspector Form 24 Date 2/22/88 Name Hathorne Inn Power Burners Location 18 Washington Sq. West No. of Tanks 1 Name of Burner Gals. Store.. Location of Tank Oertli 5,000 In -ground Installed by Clark Bros. Inc. Inspected by Mass. Approval No. Kind of Heat DHW Kind of Oil #2 C. of C. # 22354 Dep. Chief Coggin Date Approved 988 7/18/55 Date: 08/03/2000 Time: 13:43:34 Address: No. 18 Business name: Tank data: Tank size: Product: Street HAWTHORNE BLVD. HOTEL HAWTHORNE (in gallons) 5,000 Record # 735 (G)asoline F (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 12/17/1999 H & S TANK CLEANING memo r IES,INC. ENVIRONMENTAL CONSULTANTS Esradrished 1986 5 Middlesex Avenue • Suite 307 Somerville, MA 02145 617-623-8880 • Fax: 617-629-2920 W W WJESINC-ENVIRONMENTAL.COM IESINCOAOL.COM May 10, 2011 Salem Fire Dept. 29 Fort Avenue Salem, MA 01970 Dear Lt. Griffin, Direct Dial Numbers David P. Borans: (617) 776-8549 Daniel G. Jaffe: (617) 776-2715 Kerry R. Asetta: (617) 776-0578 John Beck: (617) 623-9813 David Brincheiro: (617) 776-1950 Christopher D. Buchanan: (617) 623-5168 Mary Oliveira: (617) 623-8881 Melissa Randolph: (617) 776-0829 Ligia Rivera: (617) 623-8882 Kevin W. Taylor: (860) 644-1579 Re: Environmental Site Assessment 18 Washington Square Salem, MA Can you please provide a listing of all permits issued relative to underground and_above ground storage of oil or hazardous materials for 18-Washington Square"(Hawthorne - Hotel). I -have included a check for $50.00 to cover the cost of this review. Please forward findings via fax to : 617.629.2920 (Attn. Kerry Asetta) Thank you for your time and attention in this matter. If you have any questions, or need further information, please contact me at 617-776-0578. Respectfu Kerry Ase a t/ica 1 1dent Connecticut: 72 Country View Drive • South Windsor, CT 06074 • (860) 644-1579 Florida: 412 Cardiff Road • Venice, FL 34293 • (941) 493-7167 Maine: 7 Camp Road • West Newfield, ME 04095 • (207) 636-2034 o. fax from: I atem tire liepartrneur Fire Prevention Division 29 Fort-Averaue 3.1erri, Ma 01970 • tel 97/ 745-7777 faA 08, 745-9402 4-71N Piery y"selt4' lf7-7-iq - Lt.. Erin Griffin date: f11 subjeci: 1 i L2'4 p s : NOTES: cove,r) / Fire Marshal • Th,s,rac5,mlie"conta;r7s privifeoed and confidenia; informatiOn intended only for the use 7:f the ,ndividual o( entity to whom it is addressed. If thereader of the facsimile is not . ,i;fendt•d recipient c the employee g agent responsible for delivering it to the intended ecipieni you ate hereby notified that any cornmunication. transmission, di.semination or s'prcoucoon of this facsimile or its-conients is,stricriv prohibited. if you have received - ;Lease ir-r,me,drfely r;,-;:`,.P..„' us by telephone and return the origin-st • c:imlie to us at !he above address via the U S. postal service Thank You David. Cody Chief 978- 744-699D cfcody@satem.com City of Salem, Massachusetts Fire Department 48 Lafayette Street Sam, ?Massachusetts 01970-3695 `Ier. 978-744-1235 Fax 978-745-4646 E COPY 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. The Property Known as Hotel Hawthorne Wh Addreses.of. 18 Washington Sq West, 2-18 Washington Sq West, 32-36 Washington Sq south. and 100-118 Essex Street You should understand that the Salem Fire uepartment 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 hasal-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. J-irePrevention Bureau 978-745-77 77 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 :pleases on this site. Signed, Fire Inspector Form 24 Power Burners Date 2/22/88 Name Hathorne Inn Location 18 Washington Sq. West No. of Tanks 1 Nome of Burner Gals. Storey Location of Tank Installed by clack Inspected by Oertli 5,000 In -ground Bros. Inc. Mass. Approval No. 988 - Kind of Heat DHW Kind of Oil C. of C. # 22354 Dep. chief cbggin Date Approved 7/18/55 Date: 08/03/2000 Time: 13:43:34 Record # 735 Address: No. 18 Business name: Tank data: Tank size: Product: Street HAWTHORNE BLVD. HOTEL HAWTHORNE (in gallons) 5,000 (G)asoline F (D)iesel fuel (F)uel oil for heating (W)aste oil (0)ther regulated substance (U)nknown substance Tank type: (S)teel (F)iberglass Date of removal: Contractor: Additional details: S 12/17/1999 H & S TANK CLEANING memo Salem Fire Prevention Office 29 Fort Ave Salem, MA 01970 To whom it may concern, SAGE ENVIRONMENTAL July 25, 2000 Our company is performing an environmental site assessment and I am requesting information concerning the property designated a 18 Washington Square West, Hawthorne Hotel. The property is on assessors map 35, lot 412. I am also interested in abutting properties if that is possible. Enclosed is a check for thirty dollars. If you could fax the results to my attention as soon as possible that would be greatly appreciated. Thank you very much. Sincerely, 2 Rick Lederer 172 Armistice Blvd. Pawtucket, Rhode Island 02860 401-723-9900ev1-112. FAX 401-723-9973 sage@sageenvironmental.net CITY OF SALEM FIRE DEPARTMENT FIRE PREVENTION DIVISION 29 FORT AVENUE , SALEM, MASS. 01970 FAX COVER SHEET TO: RICK LEDERER FAX # 1 FROM: INSP. PRECZEWSKI DATE: 8/3/2000 SUBJECT: 21-E SITE REPORT PAGES: 4 FRANK PRECZEWSKI, JR. FIRE INSPECTOR PHONE; 978-745-7777 FAX 978-745-9402 THIS FACSIMILE CONTAINS PRIVILEGED AND CONFIDENTIAL INFORMATION INTENDED ONLY FOR THE USE OF THE INDIVIDUAL OR ENTITY TO WHOM IT IS ADDRESSED. IMF TH'E READER OF THE FACSIMILE IS NOT THE INTENDED RECEIPIENT OR THE EMPLOYEE OR AGENT RESPONSIBLE FOR DELIVEFIING 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 C�hlft 5,1 - 744 - 0090 eLty of aL'Em, aiiaefiulEtti azz �Ef2azttrzErzt 4s JafayfttE JtTEEt �a(em, _'liassachusfttl O1910-3695 Jcl' 508-744-1235 9uc 508-745-4646 AUGUST 3, 2000 aTE _AevEntio t DuTEau 5L'1'.-745-'/777 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 18 WASHINGTON SQ. WEST, THE PROPERTY IS CLEAN AND THE ONLY UST HAS BEEN REMOVED, NO REPORTS OF RELEASES OR ANYTHING. AROUND THE AREA 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. FRANK PRECZEWSKI FIRE INSPECTOR SALEM FIRE DEPARTMENT Date: 08/03/2000 Time: 13:43:34 Record # 735 Address: No. 18 Business name: Tank data: Tank size:. Product: Street HAWTHORNE BLVD. HOTEL HAWTHORNE (in gallons) 5,000 (G)asoline F (D)iesel fuel (F)uel oil for heating (W)aste oil (0)ther regulated substance (U) nknown substance Tank type: (S)teel (F) iberglass Date of removal: Contractor: Additional details: S 12/17/1999 H & S TANK CLEANING memo Form 24 Date 2/22/88 Name Hathorne Inn Power Burners Location 18 Washington Sq. West No. of Tanks 1 Name of Burner Oertli Gals. Storey . 5,000 Location of Tank In -ground Installed by Clark Bros. Inc. Inspected by Moss. Approval No. Kind of Heat DHW Kind of Oil 42 C. of C. # 22354 Dep. Chief Coggin Date Approved 988 :. 7/18/55 NVIRON MENTAL, LLC 4 Aug 2015 RE: Asbestos Work Notification Salem, MA Health Dept/Police Dept/Fire Department Proiect Locations: Staples Store 17 Paradise Road Salem, MA 01970 Work Dates 08/04/2015 to 08/27/2015 Work Hours 7am-5pm Please be aware that One Source Environmental, LLC., is in the process of starting an asbestos abatement project at the above property. The scope`"of work will include the removal of asbestos materials from the building. All work areas will be under "Containment" and respiratory protection and protective suits will be needed to enter the work area. Fire exits will be identified with evacuation routes and all work areas will be posted with proper signage. All work will be completed according to state and federal regulations and will pose no danger to the community or workers on the premises. Proper notification has been sent to state and federal agencies. Workers are all properly trained. Please contact me at 888-989-6637 if I can be of any assistance. Please notify any other departments that may be interested in this work. Thank You, One Source Environmental, LLC. Philip Trachier 112 Range Rd Windham, NH 03079 Phone 1-888-989-6637 E: Phil@OnesourceNE.com Fax 1-603-952-4212 W: www.OneSourceNE.com Page 1 City David W. Cody Chief 978-744-6990 dcody@salem.com Salem, Massachusetts Fire Department 48 Lafayette Street ,Salem, .l (assachusetts 0197 0-3695 Tef. 978-744-1235 fax 978-745-4646 The Salem Fire De partment 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 0iir office Has For 10 White Streit Fire Prevention Bureau 978-745-7777 You should understand that the Salem Fire Department is but one of several departments wi. the City of Salem to which information can be obtained concerning flamma 1e liquid storage, releases, or hazardous wastes. It is quite probable the this department would have no knowledge of the presence of hazar ous wastes on any particular site since this department does not do indep ndent hlazmrdous 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 connecrion with providing this information to you, or in the event of any inacc•iracy or: omission thereof. This letter shall net 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- Signe Lt. Erin Griffin Fire Marshal ilfest: # Sa3..e,m. Fire, Degartmeazt Firs t::*,raveritic rz Burc3au_ 48 *..ia_Eaysttea Street S l m. Ma- 01970 C ,17) 745--7777 APPLICATIION FOR PERMIT FOR TANK REMOVAL AND TRANSPOIR'ATION TO AN APPROVED TANK YARD FDID # 09258 Date: // - 5�- v? In accordance with tl,e provisions of Chapter 148, Section 38A, M.G.L., application is hereby made by the undersigned to remove end transport one underground steel storage tnk from the property listed below to an approved tank yard. (Name of person, firer, or corporation performing the work) mat�cjie, mA G es�7 ((1'?) 7:/ Y,77 (City) ' (State) (Zip) (Telephone) ©' \UGH T( Sr-. , Salem Ma 01970 (Address of tank location) 1)1\0kt/ L. A1^4 91 NL. /99A/aI Nll- O % ..- // 4// (Name of owner of tank) (Dig Safe #) LivcC GAL. Oil - (Size of tank in gallons) (Substance last stored in tank) Tombarello Salvage, 209 Marston Street, Lawrence, Ma (Tank yard to which tank is{being transported) I C (Type of inert gas used in Steel storage tank) 14901 (Tank yard #) �ic, i, i ? 6:4ur /t2. In accordance with this provisions of Chapter 148, Section 38A, M.G.L., this permit is granted to Name: New Enaland Industrial Waste (Full flame of ;person, firm, or corporation) 'to transport one' underground. steel storage tank to the approved tank yard listed above. rhis permit will expire: November 8, 198 Pee: $25.00 Form 90V (11/86) Vie'"_" (Name of official granting permit Fire Marshal <Title) i- a ;? n C . l 4/lc r a to/7 Sake* Fix Depar-t.mcant F,at re E's'srrention 8eiar-+�ssts 48 Lafayette Street al+Bsn, Mrs - 01970 C G;17) 745-7777 APt=LICATI IN.FOR PERMIT FOR TANK REMOVAL AND '.TRANSPORTATION TO AN APPROVED TANK YARD FDID # 09258 Date: %/' S_ > F In accordance with the provisions of Chapter 148, Section 38A, application is hereby made tby the undersigned to remove end transport one underground steel storage tank from the property listed below to an approved tank yard. 1Vfw 1.-LiGLAivd - - t,o,j.57k/4l - W4(sTes (Name of person, firm, or corporation performing the work) /72/ L /60RV Mi9 46a7 ( 6/>') 77/ - 7 7 7 (City) (St'ate) (Zip) (Telephone) 10 (Address of tank location) DA-t24y L.f4wo/•v6 1z; • i 'i 4 (Name of owner of ten',c) Salem Ma 01970 S ?YS //'/ (Dig Safe#) yooa 6:9L 6,76,kt (Size of tank in gallons) (Substance last stored in tank) Tombarello Salvage, 209 Majrston Street, Lawrence, Ma 14901 :Tank yard to which tank is ''being transported) (Tank yard #) :Type of inert gas used in steel storage tank) RII t lr :n accordance with the provisions of Chapter 148, Section 38A, M.G.L., ,his permit is granted to : Name: New ;England Industrial Waste . (Full name ofl'person, firm, or corporation) .0 transport one underground! steel storage tank to the approved tank yard isted above. 'his permit will expire: ee: 25.00 (Name of Nate-1387 '11 (ILA.vbe li ;s; rc, ((A-) (7 K-----) icial granting permit orm 90V (11/86) `-kik )1/i.C..41'`c,- (Title) (Type of !anifest # • P.A. # alem! Firms Departmarnt. Fi'ra Pir-@vontiori Bureau_ 48 L faystticat St.z-teuat. Ma - 01970 CE..7) 74S--7777 APPLICATION, FOR PERMIT FOR TANK REMOVAL FIL AND TIRANSPORtI1ATION TO AN APPROVED TANK YAR L FDID #' 09258 Dote: //- En accordance with the provisions of Chapter 148, Section 38A, M.G.L., application is hereby made by; the undersigned to remove end transport one inderground steel storage tank from the property listed below to an approved tank yard. (Name of person, firm', or corporation performing the work) M/ur$v.cafs27 •(ln) - 99Y (City) (StOte) (Zip) (Telephone) /lJ w,q'r' 5• (Address of tank location) , Salem Ma 01970 t>01RQ y Gnwdvu 6 L ,'%J'/Nr4 YSii Y1 (Name of owner of tank) (Dig Safe #) yo° G.1°rur (Size of tank in gallons) (Substance last stored in tank) Tombarello Salvage,, 209 Marston Street. Lawrence, Ma 14901 (Tank yard to which tank is being transported) (Tank yard #) i /)?/ /Ct inert gas used in stteel storage tank) En accordance with the provisions of Chapter 148, Section 38A, M.G.L., his permit is granted to : New England Industrial Waste (Full name of!person, firm, or corporation) Name: to transport one undez-ground',steel storage tank to the approved tank yard Listed above. This permit will expiire: 7 , f Fee: $25.00 November 8, 1987 �_ f I (Name of official granting permit Form 90V (11/86) Fire Marshal (Title) 1 • - E.P.A.-. • Sa3_iek ; Fire Dlet par-tsntar zit xrs Firsys=tiora Bureau 48 31..iaStreet Sabena,. Ni - 01970 C 6;2 7 ) 74S-7777 APPLICATIbN FOR PERMIT FOR TANK REMOVAL ANDiTRANSPORTATION TO AN APPROVED TANK YARD FDID # 09258 Date: In accordance with the prov!..sions of Chapter 148, Section 38A, M.G.L., application is ,hereby made }?y the undersigned to remove end transport one underground steel.stcrage tank from the property listed below to an approved tank yard. j (Name of person, firm, or corporation performing the work) rPet6sAvey hi '100.5- (City) (State) W k ; z C- (Address of tank location) l=“Q2-y (Name of owner of tank) VLW (Size of LANOV IT1/1-21 ifft C4L< tank in gallons) (,n) '7ri _ 9 7? (Zip) (Telephone) Salem Ma 01970 77`fs/(1/ (Dig Safe #) j /escJI r'- e 1 (Substance last stored in tank) Tombarello Salvage,, 209 Marston__ Street, Lawrence; Me (Tank yard to which tank is;leing transported) by rct (Type of inert gas used in Steel storage tank) c 4/Ti) ? G ryitx ]P E FZ PI x r En accordance with the proviisions :his permit is granted to Name: :o . transport one .isted above. 'his permit will expire: /, L 'ee: s25.00 'orm 90V (11/86) 14901 (Tank yard #) of Chapter 148, Section 38A, M.G.L., ,N2w England Industrial Waste (Full name of'!person, firm, or corporation) underground steel storage tank to the approved tank yard November 8, 1987 Q Lh 1 lAt A A A-S-"N. (Name official granting permit Fire Marshal (Title) FLAMMABLE PERMIT RECORD 'ADDRESO:fillito .- LICENSE DPITE OR PERMIT NAME, TYPE and DATA 5/26 32 Permit haymod Heffernan, jfl More Petroleurr, Co. Amt. 200,000 Ca-oa. 8,()00 Prod. Gasoline 11.t. 230,000 Luel oil mt. 5,000 size: un,1,2r mund uel oil .-t. 5,06 sL-e: JGid 4oiine 5/7/f4 Permit All above ground sturag tank, have been removed but cutting with torch for scrap. ' Lt.Goggin ISSUED BY EXPIRES Form6. Dat,e: 01/14/93 Time: 14:54:34 Record # 338 1 Address: No. 10 Business name: Tank data: Street WHITE STREET HAWTHORNE COVE MARINA 1 Tank size: (in gallOns) 5,000 Product: (G)asolitue (D)iesel1fuel (f)uel for heating Maste Oil (0)ther r1egulated substance (U)nknown substance Tank type: .%)teel (F)ibergilass Date of remoNal: 11/20/92 • Contractor: TRIUMVIRNLE ENVIROMENTAL INC. Additional details: memo Lace: 01/14/93 Address: No. 10 Business name: pme: 14:53:30 Record # 337 Strut WHITE STREET HAWTHORNE COVE MARINA Tank data: Tank size: ;iin.gallons) 5;000 Product: Ci)asol ne G (D)ieseJ fuel i F' )uel coil for heating ii 4)aste oil !(J)ther'regulated substance M nknovfm substance Tank type: '( S) teel !(. ) iber4lass S Date of removal: 11/18/92 Contractor: TRIUMUIRATE ENVIROMENTAL INC. Additional details a memo CITY OF SALEM FIRE DEPARTMENT FIRE PREVENTION DIVISION 29 FORT AVENUE SALEM, MA. 01970 FAX. COV ER7S.H EET: TO: HUGH F. MULLIGAN FROM: INSP. PRECZEWSKI DATE: SUBJUCT: PAGES: FRANK PRECZEWSKI FIRE INSPECTOR PHONE: 978-745-7777 FAX: 978-745-9402 10/11/2001 21-E SITE REPORT 60'WASHINGTON STREET-SALEM 3 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 RECIPIENT, YOU ARE HEREBY NOTIFIED THAT ANY COMMUNICATION TRANSMISSION, DISSEMINATION OR RE- PRODUCTION OF THIS FAX OR ITS CONTENTS IS STRICTLY PROHIBITED. ✓\oL t (W 7112rzf4 50b•-744-6990 City of cSafEm, SMaidaefiul.Etts J12E rE/2altmEnt 4S lafay£tt£ ,Stafet cSafErrz, ._i14assacfiusetts 01970-3695 .7e1' 50S-744-i235 Jax 50S-745-4646 October 11, 2001 nnJ'' u£lztion 17u•L£au 50S•- 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 60 Washington Street Salem, our records show a 2000 gallon Underground Tank. We have no record of its removal. You should understand ...that the Salem Fire Department As, but . one of several departmentswithin..the:raCity' 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. hazardouswastes =on. ,any==particular site since' thisdepartment does .=not :. do independent: hazardous waste investigations. To assist you in conducting your environmental assessment t of the site, 'we are able to inform you asindicated 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 11 L. G, U_I.. :00 u ,/• ..L/ POWER BURNERS Date Name December 8,1967 Sertech Labs Inc. Owner 3/21/80 08De11 Block „r • Location 60-66 Washington Street Name of Burner Wra1 tham Kind of Heat Steam Gals. Stored 2000 Cap. of Tank 2000 Gals. Location of Tank Underground Kind of Oil #2 Installed by G.W.Plckering Co. (Ernest Skelton) 10489 Inspected 12/8/67 Approved 12/8/67 ppucatton to local hire uepartment. original application and issues duplicate as Permit. ?.CoeaC,4h a a ct:klf. ciiiG,l.em C�� e•iwcce6, — c c/C=�c>ire Ae',re.cfcrn: AT1ON and PERMIT 67 BOS T ON ENVIRONMENTAL ASSESSMENT & REMEDIATION, INC. Jeffrey S. Kelly Environmental Compliance Consulting Oil & Hazardous Material Spill Response Soil Water & Air Testing Licensed Site Professional "LSP" Services DEP MCP 21E UST AST ETC 9 Harrison Avenue Gloucester. MA 01930 Office978-741-8105 Fax 978-283-1098 beark@shore.net )n to approved tank disposal yard in accordance with the provisions CMR 9.00, application is hereby made by: Tank Owner Name (please print) Judith Doering 31 Washington Square North street Company Name Address City Check 1/ D y�. Fee:�r� S,gnature (it ep iyog for perm,) -1(S1 _ c S, - Uniimtt .d Removal & Demolition Pnnt PO Box 1 376 • Marblehead,' MA 01945 Prrnt Signature (if applying for permit) C IFCI Certified ank hfor" 11 Other Tank Location 31 Washington Sauare North Sleet Address Tank Capacity (gallons) 275 gal/UST Tank Dimensions (diameter x length) Remarks' Shall measure for presence Stare LID Co. or Individual t oxel\;'r �ft-7 n�,, Pnnt -P Address ))r S M� I 1 f Signature (if applying for permit) IFCI Certified Pont LSP # 5 i a 3 Other City Substance Last Stored _ of contaminants. All documentation shall be forwarded to this office, i.e. any copies of remediation. osai infotmato Firm transporting waste Ho I rnri RPTnval &• Deno Hazardous waste manifestt# • Approved tank disposal yard Second Street Iron Type of inert gas ovals: - City or Town SALEM i Date of issue to Dig safe approval number. t 0 7-c Tank yard address State Lic. E.P.A. # MV7816319594• • Tank yard 285 Second Street Everett, NLS Signature / Title of Officer granting permit FDID# 09258 Date of expiration Dig Safe Toll Free Tel. Number - H00-322 4844 1 Permit# Alter removal(s) send Form FP-290R signed by Local Fire Dept. to UST Regulatory Compliance Unit, One Ashourton Place, Roam 1310, Boston, MA 02108-1618. --- ;.92 ,tev,sed 9/961 t Mona y, March 15, 2010 3:37 PM 978 2831098 p,01 Attention: Lt. Griffin Company: Salem Fire Prevention Fax Number: 1-978-745-9402 Voice Number: From: Company: Boston Environmental Fax Number: 978 283 1098 Voice Number: Subject: 31 Washington Square North Comments: Date: 3/15/2010 Number of Pages: 3 ,Hello Lt. Griffin - The completed FP29OR we discussed this morning is attached. Please let me know If you need any additional Information. 1Thank you- 1Jeff Kelly 'Boston Environmental 1617-429-0501 0-, Mdinday, March 15, 2010 3:37 PM 978 283 1098 p.02 Massachusetts Department of Environmental Protection Underground Storage Tank Program _ Form UST FP-290R Notifieerien To Remover or CloSUre or fn Mace uneerground Storage Tanks Regulated Under 627 CAM 9.00 Forward completed forto! MessDEP Bureau of Waste Prevention UST Program P.O, Box 1e0-0165 Boston, MA 02112-0195 Forward one copy of FP-2901i to local fife department. If a storage facility has UST's which are to remain in WA an entire amended FP-290 [Ione form) must be filed. Note: "Facility street address must include both a street number arid a street name. Past office box numbers are not acceptable and will cause a registration to be re- turned, if geographic location cif facility iS net provided, please indicate distance and direction from closest intersection, e.g„ (facility at 199 North Street is located) 430 yards southeast of Commons Road (intersection). Contact: MassDEP Bureau of Waste Prevention UST Program 617-556-1035 ext, 2 s Number IL OWNERSHIP OF Tt 11. LOCATION OF TANK(S) F01.; ae.ecqt„ Of :;A:kr: Washington Square North Trust Laii,ida42..31 18 Mount Vernon St #1 29 eoneitude-70 53 2 Boston L,, 4 I; SQL 21 .575— --,— Suffolk 954462-5341_ x Z6 Z.-- Qio -77 71; dence -Vashington Square North MA 1111. TANKS/PIPING REMOVED OR FILLED IN PLACE Tank Number 1. Tanx/Piping removed or filled in place (mark all that tipple) A. Substance last stored a Tank capacity gallons C. Estimated date last used (moldayfyr.) 0193a _ Tank No. 1 Tank No._ Tank No..__ Tank No.. _ Tank No. I Gasoline 1 300 D. Estimated date cif removal. (nloiclaylyr.) 1/4/201Q Tank was removed from ground F. Tank was not remnved from ground Tank was filled with inert materiel Describe material used. G. Piping was removed from ground H, Piping was riot removed from ground Other. please specify 1 Mt iday, March 15, 2010 3:37 PM 978 2831098 p.03 r I j an Numb a (cant.) Tarot No, 1 I 'NEW Nu... ___ 1)I [V ik Nn.- , T.tnV: No. Tank No., _. ! -, sa nk c[C&cd 1n accordance rAras 1 N;r L Yos J No L 'Ms [ No ve. N [ Yes . J rrr With 527 OMR'?.00 A Evideme. of [yak datectad a iti1� N. DEP rictifieJ + Mfast;. DEP tracking number 2. Acranoy or company perforrrJna contamination aSwssrrieflt' IXYto.1No r t.. Yes J Na 3-28999_ Boston nvj.Cirtrrrer[t8l LYas _No L Yes No LYe: JNa L Yes Jiia Yoa No L Yos J Pra L Yrs _i iNo declare unuer penalty of perjury that i ha. e parScnally ex3n'iin d arid aat farnhar [tit tf[0 Irit0PiTlati:x1 Sut7S7ritt i irl'tfiis and call an:Lc:hod documents, and drat based on illy inquiry of those indiviclua.lo Immediately r?aponsibi rc r cb atnin r irTrcrm- tior1: { believe fit at iha submitted information is true, ercurate, and cornplete- Name and official title of owner or oisner's Signature: tuirlorized reprrzentative (Paint) Raiphr H. Doering, Jr. Manager X rr-edon (rf-MEt. iCTh3 ) Date: .51J0/10 David TV Cody Cf.ie f 978- 744-6990 dcody@safem.com City ® Salem, Massachusetts Fire Department 48 Lafayette Street Satem, :Massachusetts 01970-3695 Tel. 978-744-1235 Fax 978-745-4646 Jire 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 31 Washington Square North. Our records show some UST activity on the site. The file is enclosed. 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 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 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 May 18, 2010 Immediate Response Action Plan and Class A-1 Response Action Outcome Statement Release Tracking Number 3-28981 31 Washington Square North Salem, MA 01970 - Prepared for: The Washington Square North Trust 18 Mount Vernon Street Number 1 Boston, MA 02108 Prepared by: Boston Environmental Assessment and Remediation, Inc. 9 Harrison Avenue Gloucester. MA 01930 April 2010 TALE OF CONTENTS 1.0 INTRODUCTION 1 2.0 DESCRIPTION OF SUBJECT PROPERTY 1 3.0 UST REMOVAL 2 4.0 IMMEDIATE RESPONSE ACTION PLAN 3 5.0 IMMEDIATE RESPONSE ACTIONS 3 6.0 SUMMARY CONCLUSIONS & RAO ' 7 FIGURES 1 USGS Topographic Map 2 Salem Assessor' Map 3 GIS Priority Resources Map 4 UST Location 5 Soil Sample Locations 6 Monitoring Well Location 7 Disposal Site and Area Subject to RAO TABLES • 1 Headspace TOV Soil Samples 2 Residual Petroleum Constituents in Soil Samples APPENDICES A BWSC Transmittal Forms B Limitations C Analytical Laboratory Reports D Bill of Lading E Municipal Notifications 1.0 INTRODUCTION This submission by Boston Environmental Assessment and Remediation (Boston Environmental) is being made on behalf of: The Washington Square North Trust 18 Mount Vernon Street, Number 1 Boston, MA 02108, and is intended to fulfill the requirements of an Immediate Response Action (IRA) Plan (pursuant to 310 CMR 40.0420(7)(a) and 310 CMR 40.0424) and a Response Action Outcome ,(RAO) Statement (pursuant to 310 CMR 40.1056) for the Disposal Site located at 31 Washington Square North in Salem Massachusetts (hereinafter referred to as the "Subject Property"). The Release Tracking Number (RTN) is 3- 28981. A Site Locus is presented as Figure 1 in this report. Copies of IRA and RAO Transmittal Form (BWSC-104 and BWSC-105) are included in Appendix A. This submittal is subject to the Limitations included in Appendix B. 2.0 DESCRIPTION OF THE SUBJECT PROPERTY The Subject Property is depicted as Lot 35 on Salem Assessor's Map Number 109 (Figure 2). The Subject Property is a 0.486 acre lot improved with a three-family residential dwelling and a carriage house. The response actions documented in this report were performed adjacent to the northwest side of the carriage house. The Subject Property is currently supplied with municipal water and sewage systems. Abutters are generally residential except to the west is the Bertram Home for Aged Men and to the south is Salem Common. A DEP Priority Resource Map was obtained from the Massachusetts Geographic Information System (GIS). According to the Priority Resource Map (Figure 3), the Subject Property is not mapped within the boundaries of a Potential or Non Potential Drinking Water Source Area, Zone II Area, Interim Wellhead Protection Area (IWPA), Zone A Area, or Medium or High Yield Potentially Productive Aquifers. IRAP and RAO 1 31 Washington Square North Salem, MA RTN 3-28981 Currently, there is no groundwater consumption on site. According to the 21E Map, the Subject Property is located greater than 500 ft from areas designated as Areas of Critical Environmental Concern (ACEC) and Species of Special Concern, and Threatened or Endangered Species Habitats. The Subject Property is located greater than 100 ft from areas designated as Certified Vernal Pools, Outstanding Resource Waters, salt marsh or wetlands. The closest Protected Open Space is Salem Common situated within 100 feet on the opposite side of Washington Square North.. There is no evidence at this time based on current conditions that indicates impacts to groundwater have occurred at this Site. However, to comply with the provisions of 310 CMR 40.0444, identification of groundwater cleanup categories are identified herein. Per 310 CMR 40.0932 (2) all groundwater shall be categorized as GW-3 at a minimum. Based on the receptor information presented above, groundwater beneath the Site is not classified as MCP GW-1. Because groundwater at the Subject Property has been encountered at Tess than 15 feet below grade, groundwater is also classified as GW-2 per 310 CMR 40.0932 (6). Based on the residential nature of the Site and surrounding properties, human receptors likely to be present at the Site or the surrounding environment include adult and child residents at the Site and/or surrounding properties as well as utility or construction workers potentially present at the Site. Because petroleum impacted soil is located beneath the footprint of a building/permanent structure, soil at the Site is classified as MCP S-3 Soil Category. However, given that the Site is located at a - residence and in order to fully evaluate potential future use, residual fuel oil contaminant concentrations detected in post -excavation soil samples will also be compared to S-1 clean-up standards in soil. Based on the completed analysis, S- 1/GW-2/GW-3 cleanup standards in soil were utilized for this response action 3.0 UNDERGROUND STORAGE TANK REMOVAL On January 4, 2010, Unlimited Removal, Inc. (Unlimited) of Marblehead, Massachusetts removed an abandoned underground gasoline storage tank (UST) from the northwest side of the carriage house at the Subject Property (Figure 4). The UST measured 36 inches in diameter by 70 inches in length. These dimensions IRAP and RAO 2 - 31 Washington Square North Salem, MA RTN 3-28981 indicate the volume of the UST was approximately 300 gallons. The UST was moderately corroded but with no through -holes noted. The UST was dry inside and there was no sludge present. One soil sample was collected by personnel of Boston Environmental from the floor of the UST excavation. This sample was screened for the presence of headspace total organic volatiles (TOV) using an Hnu Systems Model PI-101 portable photoionization detector (PID) fitted with a 10.6 eV lamp and calibrated to a benzene standard using 100 ppm isobutylene. The TOV reading obtained from this sample was 122 ppmv. Pursuant to 310 CMR 40.000, the Massachusetts Contingency Plan (MCP), the measurement of greater than 100 ppm TOV in soil samples collected deeper than 2 feet within 10 feet of the outside walls of a UST during removal or closure of a UST triggers a 72-hour notification threshold with the Massachusetts Department of Environmental Protection (DEP). At 11:20 pm on January 4, 2010, Jeffrey S. Kelly of Boston Environmental notified the DEP and Release Tracking Number (RTN) 3- 28981 was issued for the release. 4.0 IMMEDIATE RESPONSE ACTION PLAN Mr. Andrew Clark of the DEP provided oral approval for an Immediate Response Action (IRA) to Mr. Jeffrey Kelly of Boston Environmental. The IRA approval included the excavation of up to 50 cubic yards of petroleum -impacted soil as an Immediate Response Action while requiring the proper management of all remediation waste. 5.0 IMMEDIATE RESPONSE ACTIONS On January 5, 2010 Boston Environmental collected one composite soil sample, designated SP 101, as representative of soil that would be excavated from the UST vicinity. The collected sample was properly preserved and kept on ice or refrigerated to 4° C until it was delivered to Contest Analytical Laboratories of East Longmeadow, MA (ConTest). The sample was submitted for laboratory analysis to IRAP and RAO 31 Washington Square North Salem, MA RTN 3-28981 3 determine suitability for soil recycling into asphalt pursuant to DEP Policy WSC-94- 400. The laboratory report indicated that the soil was suitable for recycling into asphalt pursuant to DEP Policy WSC-94-400. Full laboratory reports and chain of custody documentation are included in Appendix C. Between January 4 and January 15, 2010, 22.42 tons (approximately 15 cubic yards) of petroleum -impacted soil was removed from the vicinity of the former UST. Excavated soil was stockpiled on and covered with 6-mil poly ethylene sheeting. The extent of excavation was initially determined by a variety of factors including staining, odors and headspace screening for TOV as previously described. The results of headspace TOV screening on soil samples collected subsequent to soil removal are presented in Table 1. The approximate locations of soil samples are depicted in Figure 5. Table 1 Headspace Total Organic Volatiles (TOV) in Post -Excavation Soil Samples Sample TOV (ppm as benzene) 101 0.2 102 <0.2 103 <0.2 104 <0.2 105 0.4 All of the soil samples were placed in laboratory -prepared glassware, properly preserved, and kept on ice or refrigerated to 4°C until they were delivered to Contest Analytical Laboratories of East Longmeadow, MA (ConTest) and analyzed for Volatile Petroleum Hydrocarbons (VPH) with target compounds and total lead. The sample with the highest TOV (105) was also analyzed for Ethylene Dibromide (EDB) content. The results of these analyses are included in Table 2 (full laboratory reports and chain of custody documentation are included in Appendix C). The final depth of the excavation was approximately 6 feet below grade. IRAP and RAO 31 Washington Square North Salem, MA RTN 3-28981 4 101 102 Table 2 Residual Petroleum Constituents in Soil Samples from UST Area (mg/kg) 31 Washington Square North in Salem, MA Excavation 103 104 105 MCP Risk Categories S-1 S-2 S-3 GW1/GW2/GW3 GW1/GW2/GW3 GW1/GW2/GW3 TOV 0.2 0 0.0 0.0 0.4 NS NS NS Total lead • 4.0 3.9 11 9.4 20 300/300/300 300/300/300 300/300/300 Ethylene Dibromide NA NA NA NA <0.00053 0.1/0.1/0.7 0.1/0.1/4.0 0.1/0.1/30 C5-C8 Aliphatics <18 <19 <19 <20 <19 40/100/100 500/500/500 500/500/500 C9-C12 Aliphatics <12 <13 <12 <13 <13 1000/1000/1000 3000/3000/3000 5000/5000/5000 C9-C10 Aromatics <12 <13 <12 <13 <13 100/100/100 300/500/500 300/500/500 Benzene <0.061 <0.064 <0.062 <0.066 <0.064 2/30/30 2/200/200 2/700/900 Ethylbenzene <0.061 <0.064 <0.062 <0.066 <0.064 40/500/500 40/1000/1000 40/1000/3000 MTBE <0.061 <0.064 <0.062 <0.066 <0.064 0.1/100/100 0.1/100/500 0.1/100/500 Naphthalene <0.61 <0.64 <0.62 <0.66 <0.64 4/40/500 4/40/1000 4/40/3000 Toluene <0.061 <0.064 <0.062 <0.066 <0.064 30/500/500 30/1000/1000 30/2000/3000 Total Xylenes <0.18 <0.19 <0.18 <0.20 <0.19 400/300/500 400/300/1000 400/300/3000 NS = No Standard • NA = Not Analyzed The data presented in Table 2 indicated that the extent of petroleum -impacted soil removal from the location of the former UST was adequate to reduce concentrations of residual petroleum in post -excavation soil samples to below detectable concentrations. At the completion of soil removal activities, the UST excavation was backfilled with clean suitable fill material. On January 12, 2010 one soil boring was advanced adjacent to the western end of the excavation using hand -driven direct push tooling and a groundwater monitoring well was installed in accordance with DEP Policy WSC 310-91 "Small Diameter Driven Well Supplement" dated March 10, 1999. -The approximate monitoring well location is depicted in Figure 6. This groundwater monitoring well consisted of one -inch diameter 0.010-slotted schedule 40 PVC screen 5 feet long with 6 feet of solid PVC riser extending to the ground surface. The annulus of the boring was filled with silica sand to approximately one foot above the screen. Following installation, the monitoring well was screened for the presence of light non -aqueous phase liquid (LNAPL) petroleum using an electronic oil/water interface probe. LNAPL was not detected in the monitoring well. Depth to water was measured at 9.92 feet below grade indicating that the well screen intersected the groundwater interface. The well was developed by removing a minimum of 5 standing volumes of water using a peristaltic pump and dedicated vinyl tubing. A groundwater sample was then collected from the well using the same pump and tubing. The groundwater sample was placed into laboratory prepared containers, properly preserved, and kept on ice until it was delivered to ConTest for analysis of VPH content including appropriate target compounds. The laboratory reported that no VPH petroleum fractions and no VPH target compounds were detected in the groundwater sample. In no case did the detection limit for any analyte exceed any applicable cleanup standard. On April 9, 2010 a total of 22.42 tons of petroleum -impacted soil excavated during response actions were transported under a Licensed Site Professional (LSP)-approved bill of lading (BOL) from the Subject Property to Aggregate Industries of Stoughton, MA for recycling into asphalt. A copy of this BOL is included in Appendix D. IRAP and RAO 31 Washington Square North Salem, MA RTN 3-28981 6 6.0 SUMMARY, CONCLUSIONS & RESPONSE ACTION OUTCOME On January 4, 2010 Unlimited Removal, Inc. (Unlimited) of Marblehead, Massachusetts removed an abandoned 300-gallon underground gasoline storage tank (UST) from the west'side of carriage house at the Subject Property. Headspace TOV of a soil sample collected from under the UST excavation exceeded 100 ppmv. Therefore a 72-hr reportable condition existed at the Subject Property. The DEP was notified and they issued release tracking number (RTN) 3-28981 for the release. DEP provided oral approval for the excavation of up to 50 cubic yards of petroleum - impacted soil as an Immediate Response Action while requiring the proper management of all remediation waste. On April 9, 2010 a total of 22.42 tons of petroleum -impacted soil excavated during response actions were transported under a Licensed Site Professional (LSP)- approved bill of lading (BOL) from the Subject Property to Aggregate Industries of Stoughton, MA for recycling into asphalt At the completion of soil excavation activities, five (5) soil samples were collected from the walls and floor of the excavation and submitted for laboratory analysis of VPH and target analytes. All analyzed fractions and target analytes were detected at concentrations below detectable levels. Total lead was detected at a maximum concentration of 20 mg/kg, which is below the S-1 standard of 300 parts per million (ppm). Pursuant to the Background Levels of Polycyclic Aromatic Hydrocarbons and Metals in Soil Technical Update to DEP Policy WSC/ORS #95-141, lead concentrations of less than 100 mg/kg are considered to be background conditions in natural soil. One groundwater sample collected from within the source area of the Disposal Site was reported by the laboratory to contain petroleum constituents at concentrations below detectable levels. Because residual petroleum concentrations in soil and groundwater following soil removal were below detectable levels indoor air in the Subject Property buildings is not expected to have been impacted by the release. IRAP and RAO 31 Washington Square North Salem, MA RTN 3-28981 7 The current and expected future use of the Subject Property is residential. In the absence of site specific data to the contrary, background conditions at the Subject Property are considered to be below detectable levels. Petroleum constituent concentrations in soil and groundwater samples collected subsequent to soil removal were reported to be below detectable levels. These data indicate that response actions have reduced contaminants to background concentrations in the release area. Pursuant to 310 CMR 40.1020(2) "A level of No Significant Risk shall be deemed to exist or to have been achieved at all disposal sites where the concentrations of oil and/or hazardous materials in the environment have been reduced to background levels". Based on the results of the collected data and the analysis presented hereon, the Immediate Response Action performed for RTN 3-28981 is considered complete. Based on available information, it is the opinion of Boston Environmental that a Condition of No Significant Risk exists at the Disposal Site under current conditions. Background conditions have been achieved and an Activity and Use Limitation is not required to maintain this condition of no significant risk in the future therefore, it is the opinion of Boston Environmental and James B. Matz, the LSP-of-Record (license # 5323) that the requirements of a Class A-1 Response Action Outcome (RAO) have been met for the historical release of gasoline that occurred at the Subject Property. The Area of the RAO and therefore the Disposal Site boundary for RTN 3-28981 is considered to encompass the 840 square foot portion of the Subject Property depicted in Figure 7. The present RAO applies to the entire Disposal Site. The LSP of Record for this response action is James B. Matz (license # 5323). His seal and signature are affixed to the electronic submittal which was made to eDEP. Copies of IRA and RAO Transmittal Form (BWSC-104 and BWSC-105) are included in Appendix A. Copies of municipal notification letters are included in Appendix E. This submittal is subject to the Limitations included in Appendix B. IRAP and RAO 31 Washington Square North Salem, MA RTN 3-28981 8 City of Sa(em1 Massachusetts Fire Department 48 Lafayette Street Sateen, Massachusetts 01970-3695 Ter 978-744-1235 yak 978-745-4646 '1 rre Prr ven f ion Bureau 978- 7 4 5- 777 i July 16, 2010 The Salem Fire Department has received your letter of inquiry for i..nf ormation concerning the possibility of flammable liquid storage or releases on the property described below. f 34 Walter Street' There are no records on file for any UST's or any releases on this property. You should understand that the Salem Fire Department is but one of several departments within the City of Salem to which information can be obtained concerning flammable liquid storage, releases, or hazardous wastes. It is quite probable that this department would have no knowledge of the presence of ha7-srdous wastes on any particular site since this department dces not do independent hazardous waste investigations. o assist- you in conducting your environmental assessment of the site, we are able to inform you as indicated by the report attached and/or _'nciosures. s stated above, the records of the Salem Fire Department do not permit ycu to rely upon the in orm.ation 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 inwhole or in part in any hnzrirdous waste report prepared by you, nor cited as evidence of the presence or absence o; piny hazardous wastes or releases on this site. Signed, Charles R. Holloran, Jr. Fire Inspector Date: 04/26/2004 Time: 08:28:01 Record # 673 Address: No. 0 Business name: Street WINTER ISLAND ROAD CITY OF SALEM`fOL-D--CGNAS )I 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 Date of removal: Contractor: Additional details: Date: 04/26/2004 Address: No. 0 Business name: Tank data: Tank size: Product: S 12/18/1998 T. MACKEY & SONS memo Time: 08:28:20 Record # Street WINTER ISLAND ROAD CITY OF SALEM (OLD CGNAS) (in gallons) 500 (G)asoline G (D)iesel fuel (F)uel oil for heating (W)aste oil (0)ther regulated substance (U)nknown substance Tank type: (S)teel (F)iberglass Date of removal: Contractor: Additional details: S 12/18/1998 T. MACKEY & SONS memo 674 a Date: 04/26/2004 Address: No. 0 Business name: Tank data: Tank size: Product: Time: 08:28:48 Record # 675 Street WINTER ISLAND ROAD CITY OF SALEM (OLD CGNAS) (in gallons) 500 (G)asoline G (D)iesel fuel (F)uel oil for heating (W)aste oil (0)ther regulated substance (U)nknown substance Tank type: (S)teel (F)iberglass Date of removal: Contractor: Additional details: Date: 04/26/2004 Address: No. 0 Business name: Tank data: Tank size: Product: S 12/18/1998 T. MACKEY & SONS memo Time: 08:29:35 Record # Street WINTER ISLAND ROAD CITY OF SALEM (OLD CGNAS) (in gallons) 500 (G)asoline F (D)iesel fuel (F)uel oil for heating (W)aste oil (0)ther regulated substance (U)nknown substance Tank type: (S)teel (F)iberglass Date of removal: Contractor: Additional details: S 12/18/1998 T. MACKEY & SONS memo 676 Date: 04/26/2004 Address: No. 0 Business name: Time: 08:31:03 Record # 704 Street WINTER ISLAND ROAD CITY OF SALEM (OLD CGNAS) Tank data: Tank size: (in gallons) 5,000 Product: (G)asoline G (D)iesel fuel (F)uel oil for heating (W)aste oil (0)ther regulated substance (U)nknown substance Tank type: (S)teel (F)iberglass Date of removal: Contractor: Additional details: Date: 04/26/2004 Address: No. 0 Business name: Tank data: Tank size: Product: S 01/25/1999 THOMAS MACKEY & SONS memo Time: 08:31:46 Record # Street WINTER ISLAND ROAD CITY OF SALEM (OLD CGNAS) (in gallons) 275 (G)asoline F •(D)iesel fuel (F)uel oil for heating (W)aste oil (0)ther regulated substance (U)nknown substance Tank type: (S)teel (F)iberglass Date of removal: Contractor: Additional details: S . 01/25/1999 THOMAS MACKEY & SONS memo 705 Date: 04/26/2004 Address: No. 0 Business name: Time: 08:29:49 Record # 678 Street WINTER ISLAND ROAD CITY OF SALEM (OLD CGNAS) '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 Date of removal: Contractor: Additional details: Date: 04/26/2004 Address: No. 0 Business name: Tank data: Tank size: Product: S 12/29/1998 T MACKEY & SONS memo Time: 08:30:38 Record # Street WINTER ISLAND ROAD CITY OF SALEM (OLD CGNAS) (in gallons) 5,000 (G)asoline G (D)iesel fuel (F)uel oil for heating (W)aste oil (0)ther regulated substance (U)nknown substance Tank type: (S)teel (F)iberglass. Date of removal: Contractor: Additional details: S 01/25/1999 THOMAS MACKEY & SONS memo 703 Date: 04/26/2004 Address: No. 0 Business name: Tank data: Tank size: Product: Time: 08:32:18 Record # 706 Street WINTER ISLAND ROAD CITY OF SALEM (OLD CGNAS) (in gallons) 85 (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: Date: 04/26/2004 Address: No. 0 Business name: Tank data: Tank size: Product: S 01/25/1999 THOMAS MACKEY & SONS memo Time: 08:33:38 Record # Street WINTER ISLAND ROAD CITY OF SALEM (OLD CGNAS) (in gallons) 2,000 (G)asoline G (D)iesel fuel (F)uel oil for heating (W)aste oil (0)ther regulated substance (U)nknown substance Tank type: (S)teel (F)iberglass Date of removal: Contractor: Additional details: S 02/17/1999 T MACKEY & SONS memo 709 Date: 04/26/2004 Time: 08:34:02 Address: No. 0 Business name: Tank data: Tank size: Product: Record # 710 Street WINTER ISLAND ROAD CITY OF SALEM (OLD CGNAS) (in gallons) 4,000 (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: Date: 04/26/2004 Address: No. 0 Business name: Tank data: Tank size:, Product: S 02/19/1999 T MACKEY & SONS memo Time: 08:34:42 Record # Street WINTER ISLAND ROAD CITY OF SALEM (OLD CGNAS) (in gallons) 4,000 (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 02/19/1999 T MACKEY & SONS memo 711 �rJ Date: 04/26/2004 Address: No. 0 Business name: Tank data: Tank size: Product: Time: 08:35:06 Record # 712 Street WINTER ISLAND ROAD CITY OF SALEM (OLD CGNAS) (in gallons) 125 (G)asoline G (D)iesel fuel (F)uel oil for heating (W)aste oil (0)ther regulated substance (U)nknown substance Tank type: (S)teel (F)iberglass Date of removal: Contractor: Additional details: Date: 04/26/2004 Address: No. 0 Business name: Tank data: Tank size: Product: S 02/19/1999 T MACKEY & SONS memo Time: 08:35:57 Record # Street WINTER ISLAND ROAD CITY OF SALEM (OLD CGNAS) (in gallons) 125 (G)asoline G (D)iesel fuel (F)uel oil for heating (W)aste oil (0)ther regulated substance (U)nknown substance Tank type: (S)teel (F)iberglass Date of removal: Contractor: Additional details: S 02/19/1999 T MACKEY & SONS memo 713 Date: 04/26/2004 Time: 08:36:14 Address: No. 0 Business name: Tank data: Tank size: Product: Record # 714 Street WINTER ISLAND ROAD CITY OF SALEM (OLD CGNAS) (in gallons) 4,000 (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: Date: 04/26/2004 Address: No. 0 Business name: Tank data: Tank size: Product: S 02/19/1999 T MACKEY & SONS memo Time: 08:37:10 Record # Street WINTER ISLAND ROAD CITY OF SALEM (OLD CGNAS) (in gallons) 4,000 (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 02/19/1999 T MACKEY & SONS memo 715 Davui'W Cady Chief 978-744-6990 dcody@salem.cam City of 5a[eMassachusetts Fire Department 43 Lafayette Street Salem, : assail usetts 01970-3695 Tel 978-744-1235 Fax_ 978-745-4696 The Salem Fire Department has received your letter of inquiry for information concerning the possibility of f?_.a.nazziable liquid storage ©r releases on the property described ew, Tire Pre ve n t Bureau 97 3-745-7 7 . Your request for a 21—E site report for the property known as 96 Washington Square East This offide does not show any records of the presence of UST's or other related -ativit You should understand that the Salem Fire Department is but one of seveY--,ss departments within the City of Salem to which ii for t n can be obtained concerning flammable liquid storage, relPik es, or l rdo s 'wastes. It is quite probable that this department would have no knowledge of the presence of hazardous" wastes on any vlarticIllnir site since this department does not do independent 8-1.7R--dour wax ve�ti.ga� To assist you in conducting your environmental assessment of the site, we are able to inform you as indirMMpd 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 c nt ed 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 them Inn be c'sz '-tie d 34.A2 ">'st the City of Salem, the Salem. Fire r tme .or- employees or members in connection with proving this .J oy ,ratan. to you, or an the event of ally inaccuracy or omission thereof. This letter shall not be quoted in whole or in part in any h 7M dens waste report prepared by you, .nor cited as evidence of the presence or absence of any hazardous wastes or creien qes on this thtea Signed, Fire Inspector ENSOL Environmental- Solutions for Business May 9, 2003 Fire Prevention Department 29 Fort Avenue Salem, MA.01970 RE: Request for Underground Storage Tank Information, Spills and OHM Permits Salem, MA Fire Prevention: ENSOL, Inc. is performing an Environmental Assessment on property located in Salem, MA. In order to complete this Environmental Assessment I'm requesting information regarding the existence of any underground storage tank and releases of oil and/or hazardous materials for the below -listed address. Address c7Miriter_Street1 cz, &buil-Ks—) Thank you for your time. A check for $30 is attached to this letter. Please contact me at 978- 670-0755 if you have any questions regarding this request. Sincerely, ENSOL, Inc. Gail I. Harrison President 100 Treble Cove Road, Billerica, MA 01862 (978) 670-0755 FAX: (978) 670-0767 Robert W. Turner Chief May 12, 2003 Eitg of aInt, 4[sariTuse±±s $ire Departu=at 3ieztquartrrs 48 iafnIIrttr o trrrt ° airnt, 4a. Q137C 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. 7 Winter Street (We do not have any records of hazardous incidents at this address.) You should understand that the Salem Fire Department is but one of several departments within the City of Salem to which information can be obtained concerning flammable liquid storage, releases, or hazardous wastes. It is quite probable that this department would have no knowledge of the presence of hazardous wastes on any particular site since this department does not do independent hazardous waste investigations. To assist you in conducting your environmental assessment of the site, we are able to inform you as indicated by the report attached and/or enclosures. As stated above, the records of the Salem Fire Department .do not permit you to rely upon the information contained in this letter as being either definitive or complete. The information in this letter is provided to you as a courtesy in conducting your investigation, and is provided on the express condition that no liability shall attach or be asserted against the City of Salem, the Salem Fire Department, nor it's employees or members in connection with providing this information to you, or in the event of any inaccuracy or omission thereof. This letter shall not be quoted in whole or in part in any hazardous waste report prepared by you, nor cited as evidence of the presence or absence of any hazardous wastes or releases on this site. Signed, Capt. William R. Hudson 4/.0 /1 Fire Marshal Name Location POWER BURNERS September 19,1928 J.G. 7 vinter St. Name of Burner Oi1-O--Matic Gals. Stored 275 Location of Tank Basement Installed by Inspected /1.(d/28 Kind of Heat steam Cap. of Tank 275 Gals. Kind of Oil Li ght fuel Approved 9/19/28 • - • Fire Prevention Division to: fax T. I from: 1 date I subject: pages: NOTES: 29 Fort Avenue Salem, Ma 01970 tel (97!1 745-7777 fax • 4 8:. 745-9402 Annette McLean DEP 603-880-61111 Capt. William R. Hudson 4/26/2004 LFort_P_ickering J 9 Total This facsimile conta;ns priv:!eged 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 or agent responsible for delivering it'to the intended recipient. you are hereby notified that any communication. transmission, dissemination or reproduction of this facsrmlie or its contents is strictly Prohibited. If you have received th.S facsimmle it error. p! ase immeditely -cti y us by telephone and return the origii_I ' facsirnlie to us at the above address via the U S. postal service. Thank You. • Capt. William R. Hudson_ Fire Marshal Date: 04/26/2004 Address: No. 0 Business name: Tank data: Tank size: Product: Time: 08:36:14 Record # 714 Street WINTER ISLAND ROAD CITY OF SALEM (OLD CGNAS) (in gallons) 4,000 (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: Date: 04/26/2004 Address: No. 0 Business name: Tank data: Tank size: Product: S 02/19/1999 T MACKEY & SONS memo Time: 08:37:10 Record # Street WINTER ISLAND ROAD CITY OF SALEM (OLD CGNAS) (in gallons) 4,000 (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 02/19/1999 T MACKEY & SONS memo 715 Date: 04/26/2004 Address: No. 0 Business name: Tank data: Tank size: Product: Time: 08:35:06 Record # Street WINTER ISLAND ROAD CITY OF SALEM (OLD CGNAS) (in gallons) 125 (G)asoline G (D)iesel fuel (F)uel oil for heating (W)aste oil (0)ther regulated substance (U)nknown substance Tank type: (S)teel (F)iberglass Date of removal: Contractor: Additional details: S 02/19/1999 T MACKEY & SONS memo Date: 04/26/2004 Time: 08:35:57 Address: No. 0 Business name: Record # Street WINTER ISLAND ROAD CITY OF SALEM (OLD CGNAS) Tank data: Tank size: (in gallons) 125 Product: (G)asoline G (D)iesel fuel (F)uel oil for heating (W)aste oil (0)ther regulated substance (U)nknown substance Tank type: (S)teel (F)iberglass Date of removal: Contractor: Additional details: S 02/19/1999 T MACKEY & SONS memo 712 713 Date: 04/26/2004 Time: 08:32:18 Address: N o . 0 Business name: Tank data: Tank size: Product: Record = 706 Street WINTER ISLAND ROAD CITY OF SALEM (OLD CGNAS) (in gallons) 85 (G)asoline D (D)iesel fuel (F)uel oil for heating (W)ast.e oil (0)t.her regulated substance (U)nknown substance Tank type: (S)teel (F)iberglass Date of removal: Contractor: Additional details: Date: 04/26/2004 Address: No. 0 Business name: Tank data: Tank size: Product: S 01/25/1999 THOMAS MACKEY Sc SONS memo Time: 08:33:38 Record Street WINTER ISLAND ROAD CITY OF SALEM (OLD CGNAS) (in gallons) 2,000 (G)asoline ` G (D)iesel fuel (F)uel oil for heating (W)aste oil (0)t.her regulated substance (U,)nknown substance Tank type: (S)teel (F) iberg1as:=: Date of removal: Contractor: Additional details: S 02/17/1999 T MACKEY & SONS memo 709 Date: 04/26/2004 Time: 08:34:02 Record. # '710 Address: No. 0 Business name: Tank data: Tank size: Product.: Street WINTER ISLAND ROAD CITY OF SALEM (OLD CGNAS) (in gallons) 4,000 (G)asoline (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: 04/2C/2004 Address: No, 0 Business name: 02/19/1999 T MACKEY & SONS memo Time: 08:34:42 Record ; Street WINTER ISLAND ROAD CITY OF SALEM (OLD CGNAS) Tank data: Tank size: (in gallons) 4,000 Product: (G)asoline (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: • 02/19/1999 T MACKEY &. SONS memo 711 14-1 Date: 04/26/2004 Time: 08:31:03 Re-cor•d - 704 Address: No. 0 Business name: Street WINTER ISLAND ROAD CITY OF SALEM (OLD CGNAS) Tank data: Tank size: (in gallons) 5,000 Product: (G)asoline G (D)iesel fuel (F)uel oil for heating (W)aste oil (0)ther regulated substance (U)nknown substance Tank type: (S)teel (F)iberglass Date of removal: Contractor: Additional details: Date: 04/26/2004 Address: No. 0 Business name: Tank data: Tank size: Product: S 01/25/1999 THOMAS MACKEY & SONS memo Time: 03:31:46 Record Street WINTER ISLAND ROAD CITY OF SALEM (OLD CGNAS) (in gallons) 275 (G)asoline F (D)iesel fuel (F)uel oil for heating (W)aste oil (0)ther regulated substance (U)nknown substance Tank type: (S)teel (F)iberglass Date of removal: Contractor: Additional details: S . 01/25/1999 THOMAS MACKEY & SONS memo 705 Date: 04/26/2004 Address: No. 0 Business name: Tank data: Tank size: Product: Time: 08:29:49 Record 678 Street WINTER ISLAND ROAD CITY OF SALEM (OLD CGNAS) (in gallons) 2,000 (G)asoline F (D)iesel fuel (F)uel oil for heating (W)aste oil (0)ther regulated substance (U)nknown substance Tank type: (S)teel (F)iberglass Date of removal: Contractor: Additional details: Date: 04/26/2004 Address: N o . 0 Business name: Tank data: Tank size: Product: S 12/29/1998 T MACKEY & SONS memo Time: 08:30:38 Record Street. WINTER ISLAND ROAD CITY OF SALEM (OLD CGNAS) (in gallons) ,000 (G)asoline G (D) iesel fuel (F)uel oil for heating ,, (. �G � a. s t o O 1 1 (C))t.her regulated substance (U) nknown substance Tank type: (S)teel (F)iberglass Date of removal: Contractor: Additional detail 01/ 25/1999 THOMAS MACKEY &. SONS memo 703 Date: 04/26/2004 Time: 03: 28:48 Address: No. 0 Business name: Record 675 Street WINTER ISLAND ROAD CITY OF SALEM (OLD CGNAS) Tank data: Tank size: (in gallons) 500 Product: (G)asoline G (D)iesel fuel (F)uel oil for heating (W)aste oil (0)ther regulated substance (U)nknown substance' Tani; type: (S) teel (F)iberglass S. Date of removal: 12/18/1998 Contractor: T. MACKEY & SONS .Additional details: memo Date: 04/26/2004 Time: 08:29:35 Address: No. 0 Business name: Record n 676 Street WINTER ISLAND ROAD CITY OF SALEM. (OLD CGNAS) Tank data: Tank size: (in gallons) • 500 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)ibergglass S Date of removal: 12/18/1998 Contractor: T. MACKEY & SONS Additional details: memo . Yy Date: 04/26/2004 Time: 08:28:01 Address: No. 0 Business name: Record # 673 Street WINTER ISLAND ROAD CITY OF SALEM (OLD CGNAS) 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: 12/18/1998 Contractor: T. MACKEY & SONS Additional details: memo • Date: 04/26/2004 Time: 08:28:20 Address: No. 0 Business name: Record # 674 Street WINTER ISLAND ROAD CITY OF SALEM (OLD CGNAS) Tank data: Tank size: (in gallons) 500 Product: (G)asoline G (D)iesel fuel (F)uel oil for heating (W)aste oil (0)ther regulated substance (U)nknown substance Tank type: (S)teel (F)iberglass S Date of removal: 12/18/1998 Contractor: T. MACKEY & SONS Additional details: memo 4 CITY OF SALEM FIRE DEPARTMENT FIRE PREVENTION DIVISION 29 FORT AVENUE SALEM, MASS. 01970 FAX COVER SHEET TO: MS. NORA KLEIN FAX # 9,999,999 FROM: INSP. PRECEEWSKI DATE: 5/16/2000 SUBJECT:WEBB=STREET UST' PAGES: 4 FRANK PRECZEWSKI, JR. FIRE INSPECTOR PHONE; 978-745-7777 FAX 978-745-9402 THIS FACSIMILE CONTAINS PRIVILEGED AND CONFIDENTIAL INFORMATION INTENDED ONLY FOR THE USE OF THE INDIVIDUAL OR ENTITY TO WHOM IT IS ADDRESSED. ,F 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 Edit: COIL 9 Wel-M Street < Richard Leather < < 09/27/56 < License granted by the City Council for the, storage of 3,000 gallons < of Stoddard Solvent by Richard Leather. < 05/07/86 < Records filed with underground tank registry forms indicate the following: < One (1) 10,000 gallon steel tank, approximately 17 years old was located in the rear of the building adjacent to the loading door on the Cousins Street side. The tank contained #4 fuel oil for heating the building. This tank was removed in 1988 by Brad < Tanzer and replaced by a new 8,000 gallon tank on 09/13/88. < One (1) 3,000 gallon steel storage tank is located at the corner of < the building on the Cousins Street side, containing mineral spirits. The tank was installed in 1985. < 09/13/88 < Permit granted for the installation of one (1) 8,000 gallon Edit :.fCOM1 9 Webb Street < Richard Leather < 09/27/56 < License granted by the City Council for the storage of 3,000 gallons < of Stoddard Solvent by Richard Leather. < 05/07/86 < Records filed with underground tank registry forms indicate the following: < One (1) 10,000 gallon steel tank, approximately 17 years old was located in the rear of the building adjacent to the loading door on the Cousins Street side. The tank contained #4 fuel oil for heating the building. This tank was removed in 1988 by Brad < Tanzer and replaced by a new 8,000 gallon tank on 09/13/88. < < One (1) 3,000 gallon steel storage tank is located at the corner of < the building on the Cousins Street side, containing mineral spirits. The tank was installed in 1985. < 09/13/88 < Permit granted for the installation of one (1) 8,000 gallon 4 Pate: 05/16/2000 Time: 10:32:20 Record # 67 Address: No. 9 Business name: Tank data: Tank size: Product: Street WEBB STREET RICHARD TANNING (in gallons) 10,000 (G)asoline F (D)iesel fuel (F)uel oil for heating (W) aste oil (0)ther regulated substance (U) nknown substance Tank type: (S)teel (F)iberglass Date of removal: Contractor: Additional details: S 07/13/1988 KENNEDY CONSTRUCTION CO. memo FAX to: fax 4: I City of o Salem, Massachusetts Fire Department Fire Prevention Division 29 FORT AVENUE, SALEM, MA 01970 FRANK PRECZEWSKI, JR. Fire Inspector from: J date: I /°k-1, 7 subject:I 7 az. Fa�es: 3 . NOTES: Fire Prevention Bureau 978-745-7777 PAGER: 978-489-8233 FAX: 978-745-9402 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 prohibited. if you have received this facsimile in error please immeditely motif; us by telephone and return the original facsimlie to us at the above address via the J.S. postal service. Thank You. e..RO t , 4. 7WUL CHIEF 508-744-6990 City o f eSaLEn, �C2E Elzazfmzrzf 48 .LafayLttz SttEEt •SaL'Em, assacIusztts 01g70-3695 at 508-744-1235 Sax 50b-744-39325' OCTOBER 15, 1997 cau •tLv£ntion 17u4Eau 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 5-7 WEBSTER STREET THIS CITY, THEIR IS NOTHING ON RECORD OF ANY RELEASES ETC. JUST THE TWO OLD STORAGE PERMITS FROM 1971. 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, Frank Preczewski, Jr. Fire Inspector Salem Fire Dept. Installed by Inspected by FORM 24 POWER BURNERS Date 6/9/71 j/Qre6 Coo4s Name -1 a r•'- --- Location 7 Webster St Unit #1 Name of Burner Gilbert & Barker Gals. Stored No. of Tanks 1 Mass. Approval No. 822A �75 Kind of Heat W.A. Location of Tank Outside Of Buildirlend of Oil #2 Installed by William J Burns JrC. of C. # Inspected by No Inspection FORM 24 Date Name Location 139 Date Approved POWER BURNERS 7 Webster St Name of Burner Lenox Gals. Stored 6/9/71 Unit #2 17(fit C o yCiv_A-s 300 Location of Tank William J Bursaw No Tn9rention No. of Tanks 1 Mass. Approval No. 725A Kind of Heat /K}tijl,of Oil C. of C. # W.A. #2 139 Date Approved David 'W. Cody Chief 978-744-6990 dcody@salem.cam City of 5atTem, Massachusetts Fire Department 48 Lafayette Street Sam, :Massachusetts 01970-3695 Ter. 978-744-1235 Fax 978-745-4646 Fire 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 known as 231-251_Washington Street_.] You should understand that the Saleia 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 bTat-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 Depa.rtrn nt .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 ,)absence of any hazardous wastes or ';releases on this site. / Signed, Lt. Erin Griffin Fire Marshal January 24, 2008 FORM 24 POWER BURNERS Date May 12 1975 Name Dexter Furriers Location 231 Washington St Name of Burner Becket No. of Tanks 1 Mass. Approval No. 9699 Gals. Stored 275 Kind of Heat Steam Location of Tank Basement Kind of Oil #2 Installed by Edgard O'Brien C. of C. # 11012 Inspected by D.C.Sosnows ki Date Approved 519/75 POWER BURNERS NAME je Mr. Proctor (Gold Seal PET Shop) j DATE October 7t1955 Location 225 Washington St. Name of Burner Kind of Heat Steam Delco 416 Gals. Stored 275 Cap. of Tank 275 Gals. i Location of Tank Kind of Oil Cellar #2 Installed by Sam Goldberg Bev, CC-811 Inspected 10-7-55 FW Approved 10-7-55 FW PROUDLY CELEBRATING 2Over YEARS '4.. Of Outstanding Service Established 1985 CORPORATE ENVIRONMENTAL ADVISORS, INC. Via Delivery Confirmation January 11, 2008 Salem Fire Department 29 Fort Avenue Salem, MA 01970 RE: Environmental Assessment January 2008 231-251 Washington Street Salem, Massachusetts CEA Ref. File #: 6604-07 To Whom It May Concern: Corporate Environmental Advisors (CEA) requests a 21 E file search for the property located at 231-251 Washington Street in Salem, Massachusetts. Please fax the results to Dean Bebis at (508) 835-8812. If you have any questions regarding this letter, contact the undersigned at (508) 835-8822. Sincerely, Corporate Environmental Advisors, Inc. Dean Bebis Environmental Scientist I Enclosed:.. ... _..Payment_and Property Card E www.cea-inc.com CORPORATE HEADQUARTERS: HARTWELL BUSINESS PARK • 127 HARTWELL STREET • WEST BOYLSTON, MA 01583 • PH Solutions Since 1985 OFFICES IN MASSACHUSETTS, CONNECTICUT, RHODE ISLAND & NEW HAMPSHIRE X: 508-835-8812 http://salem.patriotproperties.com/summary-bottom.asp Location 231 251 WASHINGTON STREET Owner NOT AVAILABLE Address Sale Date 6/4/1997 Sale Price 0 Year 2008 Property Account Number Current Property Mailing Address City State Zip Zoning B5 Parcel ID 34-0406-0 ---------_...-------- Old Parcel ID -- Current Property Sales Information Legal Reference 14145-320 Grantor(Seller) DEIULIS PROPERTIES, LLC, Land Area 0.477 acres Current Property Assessment Card 1 Value Building Value 152,200 Xtra Features Value 8,000 Land Value 317,400 Total Value 477,600 Narrative Description This property contains 0.477 acres of land mainly classified as Store with a(n) Store style building, built about 1950 , having StuccoBlk exterior and Tar+Gravel roof cover, with 5 unit(s), 0 total room(s), 0 total bedroom(s), 0 total bath(s), 0 total half bath(s), 0 total 3/4 bath(s). 13- 40 FFL (8839) 90 79 39 Legal Description Click Property Images to Enlarge 41 19 1 of 1 1/10/2008 4:54 PM Date Name Location POWER BURNERS. _August 26,1937 BrunetT;e Hand Laundry 221 washington st Name of Burner Kind of Heat steam Lase() Gals. Stored 138 Cap. of Tank 138 Gals. Location of Tank Ba s eme nt Kind of Oil # 2 Fuel Installed by powell ginchest er Mass 8/26/37 Inspected Approved 8/26/37 Form 24 Power Burners. Date 6/11/R7 Name George Christy Christy Cleaners 217 Washington Street Location No. of Tanks 1 Name of Burner 1,1y,19 Mass. Approval No. 117 7 Gals. Stored 275 Kind of Mow .D.ii.w Location of Tank Basement Kind of Oil #2 Installed by Millard & Sons Inc 022307 C. of C. # Inspected by Insp. LaPointe Date Approved 6/5/87 Name Danvers Savings Bank (Powers Block) Location 144 Washington st Name of Burner Kleen.—Heat Kind of Heat ,S t ea.m Gals. Stored 1 000 Cap. of Tank 1, 000 Gals. Location of Tank Outside Underground light of Oil Ulight Fuel Installed by Leader Filling Station 129 Water st Danvers Inspected 6/3/3.7 Form 24 Date 5-17-83 Approved 6/3/37 Power Burners Unit 1 Name Delulis Bros. (S.H.lk.) ,R 1)40 Washington LocationNo. of Tanks 1 Name of Burner Sun -Ray Mass. Approval No. 988 000 Gals. Stored 2,Kind of Heat 7 •14-•W • Location of Tank Underground Kind of Oil ,2 Installed by William 7 Chapadilairt. of C. 20061 5-- R.Dansreau Inspected by Date Approved 1783 CORPORATE ENVIRONMENTAL ADVISORS, INC. EMAIL dbebis@cea-inc.com ADDRESS Hartwell Business Park 127 Hartwell Street West Boylston, MA 01583 CELL 508.844.7679 TEL 508.835.8822 x237 FAX 508.835.8812 WEB www.Cea-inc.com 2/7OSr1 /r4 Sobs t sottvvi. Dean S. Bebis Geologist I Cans ants I Engineers I Contractors David Cody Chief 978-744-6990 dcody@salem.com City of Salem, Massachusetts - Fire Department 48 Lafayette Street Salem, Massachusetts 01970-3695 Tel. 978-744-1235 Fax 978-745-4646 Tire Prevention Bureau 978-745-7777 The Salem Fire Department has received your letter of inquiry for information concerning the possibility of flammable liquid storage or releases on the property described below. Your request for a 21—E site report for the propertyknown as f219 Washington Street. You should understand that the Salem Fire Department is but one of several departments within the City of Salem to which information can be obtained concerning flammable liquid storage, releases, or hazardous wastes. It is quite probable that this department would have no knowledge of the presence of hazardous wastes on any particular site since this department does not do independent hazardous waste investigations. To assist you in conducting your environmental assessment of the site, we are able to inform you as indicated by the report attached and/or enclosures. As stated above, the records of the Salem Fire Department .do not permit you to rely upon the information contained in this letter as being either definitive or complete. The information in this letter is provided to you as a courtesy in conducting your investigation, and is provided on the express condition that no liability shall attach or be asserted against the City of Salem, the Salem Fire Department, nor it's employees or members in connection with providing this information to you, or in the event of any inaccuracy or omission thereof.. This letter shall not be quoted in whole or in part in any hazardous waste report prepared by you, nor cited as evidence of the presence orb absence of any hazardous wastes or ,.releases on this site. Signed, Lt. Erin Griffin Fire Marshal January 24, 2008 POWER BURNERS Date Au .Mist 26,1937 Name Brunette Hand Laundry • Location i_22.1.„Washington St Name of Burner Lase() Kind of Heat steam Gals. Stored 138 Cap. of Tank 138 Gals. Location of Tank Basement Installed by Kind of Oil # 2 Fuel Powell 'Winchester Mass Inspected 8/2.6/37 Form 24 Date 6/11/R7 Approved Power Burners 8/26/37 Name George Christy Christy Cleaners 2 7 Washington Street et 1 Location No. of Tanks Name of Burner i,i,,„q Mass. Approval No. 117 z Gals. Stored 275 Kind of WWII. D.H.W. Location of Tank Basement Kind of Oil #2 Installed by Millard & Sons Inc C. of C. 022307 Inspected by Insp. LaPointe Date Approved 6/5/87 0405 0 Lot Suffix Commercial TOTAL ASSESSED: 380,200 ! 10522! 34 Map 1 of 1 CARD PROPERTY LOCATION___ ___ __ IN PROCESS APPRAISAL SUMMARY I No 7 Alt No 1 Direction/Street/City I I -Use Code B_uildina Value Yard Items I--LandSize Land Value Total Value I 219i IWASHINGTON STREET, SALEM J 325 198,400 1,500 0.090 180,300 380,200 OWNERSHIP Owner 1: 1 I Owner 2: I Owner 3: Street 1:135 PLEASANT STREET Street 2:1 Twn/City: SALEM St/Prov: MA Cntryl Postal: 01970 PREVIOUS OWNER Owner 1: MILL HILL TRUST - Owner 2: LAPPIN ROBERT I ET AL TRS - D ALESSANDRO DEBORAH Street 1: P 0 BOX 986 Twn/City: SALEM 1 St/Prov: MA I Postal:01970 Cntryl Own Occ:I Type: NARRATIVE DESCRIPTION This Parcel contains .09 Acres of land mainly classified as Store with a(n) Store Building Built about 1940, Having Primarily Brick Exterior and Tar+Gravel Roof Cover, with 2 Units, 0 Baths, 2 HalfBaths, 0 3/4 Baths, 0 Rooms, and 0 Bdrms. OTHER ASSESSMENTS Code Descrip/No Amount Com. Int PR.OPPFRTY EA.CIORR Item Code Descip I % I Item I Code Descrip Z B5 CENT DEV 100 I U I o Iti n III II Census: I Exmpt Flood Haz: I D I Topo I s I Street I t I I I Traffic I I lAN _SECTION__(Eirst 7 Iiness only) Use Code Description Fact No of Units PDeeU its Unit Type Land Type 325 Store 3920 Sq. Ft. Site Salem Total,Card !; .; 198,400 Total Parcel:, 198,400 Source:IMarket Adj Cost I 'REVIOUS ASSESSMENT Tax Yr Use 2007 325 2006 325 2005 2004 2003 2003 2002 2002 325 325 325 325 325 325 Cat FV FV FV FV CV FV FV TB Bldg Value 198,400 178,100 178,100 171,300 171,300 160,500 151,700 151,700 SALES INFORMATION Grantor Legal Ref MILL HILL TRUST 22301-169 6312-754 BUILDING PERMITS I Date Number Descrip I I LT Factor Base Value 0 11.5 Unit Price 1,500 0.090 180,300 1,500 0.090 180,300 Total Value per SQ unit /Card:1109,41 Yrd Items 1500 1500 1500 1500 1500 1700 1600 1600 Land Size Land Value Total Value .09 172,500 372,400 .09 158,100 337,700 .09 153,500 333,100 09 149,000 321,800 09 149,000 321,800 .09 136,700 298,900 .09 129,200 .09 129,200 282,500 TAX DISTRICT Type Date Sale Code 1/16/2004 Inc Per Prop 1/1/1900 Legal Description 380,200I Entered Lot Size 380,200 I Total Land:I I /Parcel:1109.41 II Land Unit Type:I Parcel ID 134-0405-0 Asses'd Value Notes 372,400 year end 337,700 year end 333,100 year end roll 321,800 roll 321,800 conversion 298,900 Year End Amount CIO Last Visit Fed Code Adj Neigh Neigh Neigh Infl 1 Influ Mod 4.000 CG Sale Price V 480000 No 93900 No Ok Date 12/11/2006 12/28/2005 1/6/2005 1/20/2004 1/7/2004 1/7/2003 1/4/2002 12/4/2001 PAT ACCT. Tst Verif Assoc PCL Value No No F. Descrip Comment Intl 2 Infl 3 % User Acct 1 GIS Ref GIS Ref I Insp Date 1 PRINT Date I Time 101 /02/08 111:01:55 ILAST REV Date Time 09/26/05 10:13:50 apro 10522 I Notes ACTIVITY INFORMATION Date Result Sign: fl Appraised Alt Value Class 180,320 Ok Spec Land Fact Code By patriot roperties Inc. USER DEFINED Prior Id # 1: Prior Id # 2: Prior Id # 3: Priorld#1: Prior Id # 2: Prior Id # 3: Prior Id # 1: II Prior Id # 2: [ Prior Id # 3: _ f ASR Map: Fact Dist: Reval Dist: Year: LandReason: BldReason: Name Use Value Notes 180,300 Total AC/HA:I0.0899908 I Total SF/SM:I3920.00 Parcel LUC:1325 IStore I Prime NB DescICOMM GOOD Disclaimer: This Information is believed to be correct but is subject to change and is not warranteed. Database: FY2008 I Total:► 180,3201 I Spl Creditl a pro Total:I 180,300 onnst :XTERIOR INFOKMAI ION Type: 78 - Store Sty Ht:1 -1 Story (Liv) Units: 2 I Total: Foundation: Frame: 2 - Steel Prime Wall: 07 - Brick Sec Wall: Roof Struct: 04 - Flat Roof Cover: 04 - Tar+Gravel Color: View / Desir: 3ENERAL INFORMATION Grade: C - Average Year Blt: 1940 Eff Yr Blt: Alt LUC: Alt %: Jurisdict: Fact Const Mod: Lump Sum Adj: NTERIOR INFORMATION Avg Ht/FL: STND - Drywall - WallBoard - Typical - LinoNinyl Prim Int Wal 01 Sec Int Wall: 12 Partition: T Prim Floors: 05 Sec Floors: Bsmnt Flr: Bsmnt Gar: Electric: 3 Insulation: 2 Int vs Ext: S Heat Fuel: 1 - Typical - Typical - Oil Heat Type: 01 - Forced H/Air # Heat Sys: 2 % Heated: 100 % AC: Solar HW: NO Central Vac: % Com Wal % Sprinkled UAIli FtAIUKtb 1 Full Bath A Bath: 2 3/4 Bath: I A 3QBth 1/2 Bath: A HBth: % OthrFix: Rating: Rating: Rating: 1 Rating: 2 Rating: Average Rating: Rating: OTHER FEATURES 1 Kits: A Kits: I Frpl: Rating: Rating: Rating: WSFIue: Rating: CONDO INFORMATION ill Location: 1 Unit #: 11 Floor: II % Own: 1 Name: DEPRECIATION Phys Cond: AV - Average Functional: 40;% 501%1 Economic: Special: 1 Override: I% I CALC SUMMARY Basic $ / SQ:165.00 :Size Adj.:11.08777 Const Adj.: 1 1.06029 Adj $ / SQ:174.968 Grade Factor:11.00 Other Features:15000 Neighborhood Inf:11 LUC Factor:11.00 NO Adj Total:1330642 Depreciation: 1 132257 Depreciated Total:1198385 SPEC FEATURESIYARD ITEMS Code Description A Y/S Qty Size/Dim 88 Fence-6 D Y 1 200 More:IN Total: I% UUMMtN I 'H&R BLOCK, BILLY RAYS. RESIDENTIAL GRID 1st Res Grid Desc:1 Level FY I LR DR D I K I FR Other Upper Lvl 2 Lvl 1 Lower Totals I RMs:I 1 REMODELING 11 Exterior: 11 Interior: Additions: Kitchen: Baths: Plumbing: Electric: # Units RR BR FB HB L FBI—R—s7.1 Baths1 HBI2 0 RES BREAKDOWN 1NoUnit RMS BRS FL 1% Heating: General: COMPARABLE SALES 11 Rate Parcel ID Typ I WtAv$/SQ:1 I AvRate: Juris. Factor: Special Features: Final Total: Qual Con Year Unit Price ID/S AV AV 1990 8.50 T 0 198400 Dep LUC 12.8 325 Total Yard Items:i 1,500' I.; Total Special Featues: Totals Date Sale Price Ind.Vall0 Val/Su Fin:157.09 Val/Su Net:128.55 Val/Su SzAdI57.09 i.7rft 11.r7 41 SUB AREA Code 1 Description BMT Basement 1'FFL :First Floor Area - SQ 3,475 3,475 Net Sketched Area:16,950 I Size Adi 34751 Gross Areal PARCEL ID 34-0405-0 Fact NB Fa Appr Value JCodJFact Juris. Value 1,500 1,500 75 EFL BMT (3475) 85 SUB AREA DETAIL Rate - AV Undepr Value I Sub % 18.740 65,1281 Area Usbl 74.970 260,51311 Total:) 325,6411 69501 FinAreal 34751 Descrip 10 9 40 Type Qu Ten IMAGE ;34 U4U6 Map Lot PROPERTY LOCATION I No I Alt No Direction/Street/City I 2311251 WASHINGTON STREET, SALEM OWNERSHIP Owner 1: DEIULIS PROPERTIES, LLC Owner 2: Owner 3:1 Street 1: 31 COLLINS STREET TERRACE Street 2: Twn/City: LYNN SUProv: MA I Cntryl Own Occ:I Postal: 01902 TYpe: l PREVIOUS OWNER Owner 1: DEIULIS PROPERTIES, LLC - 0wner2: - Street 1: 31 COLLINS STREET TERRACE Twn/City: SUProv: Postal: LYNN MA 01902 1 Cntryl U Suffix IN PROCESS APPRAISAL SUMMARY I Use Code Building Value Yard Items I ;325 152,200 8,000 vlARRATIVE DESCRIPTION This Parcel contains .477 Acres of land mainly classified as Store with a(n) Store Building Built about 1950, Having Primarily StuccoBlk Exterior and Tar+Gravel Roof Cover, with 5 Units, 0 Baths, 0 HaltBaths, 0 3/4 Baths, 0 Rooms, and 0 Bdrms. OTHER ASSESSMENTS I Code , Descrip/No Amount Corn. Int PROPERTY FACTORS Item Code Descip 1 % Z B5 CENT DEV 100 o l nl Census:I Flood Haz:l D s I Item Code U Exmpt Topo Street Traffic LAND_SECTION (First 7 lines only) • Use LUC Depth 1 Base Neigh Neigh % Code Description Fact No of Units PriceUnits ' Unit Type Unit Price Adj Neigh . Influ Mod Infl 1 Infl 2 325 Store 20766 Sq. Ft. 1.329 CG Total AC/HA:10.476722 I Total SF/SM:I20766.00 1 Parcel LUC:I325 1Store 1 Prime NB DesclCOMM GOOD Disclaimer: This Information is believed to be correct but is subject to change and is not warranteed. Database: FY2008 Descrip Land Size 0.477 1 of 1 CARD Land Value 317,400 commercial Salem Total Value 1 477,600 ,Total PON 152,200 Total Parcel ,; `,?. 152,200 Source:jMarket Adj Cost 'REVIOUS ASSESSMENT Tax Yr Use 12007 325 2006 325 12005 ,1 2004 2003 2003 2002 2002 325 325 325 325 325 325 Cat FV FV FV FV CV FV FV PAB1 8,000 0.477 8,000 0.477 Total Value per SQ unit /Card: Bldg Value Yrd Items 152,200 8000 136,600 8300 136,600 131,400 131,400 123,000 186,300 186,300 SALES INFORMATION I Grantor Legal Ref DEIULIS PROPERT 14145-320 MINOAN MILL HIL 8073-459 BUILDING PERMITS Date Number Descrip 9/3/2002 169-2003 Alterati 8/21/2002 150-2003 Alterati 2/28/2002 554-2002 Sign 5/25/1999 348-1999 Sign 8300 8300 8300 9300 8800 8800 317,400 317,400 69.83 477,6001 477,6001 1 /Parcel: 69.83 II TOTAL ASSESSED: 477,600 !11151! Legal Description Entered Lot Size Total Land:) Land Unit Type: Parcel ID L4-0406-0 Land Size Land Value Total Value Asses'd Value Notes .477 303,600 463,800 463,800 year end .477 278,300 423,200 423,200 year end .477 270,200 415,100 415,100 yearend roll .477 262,200 401,900 401,900 roll .477 262,200 401,900 401,900 conversion .477 240,700 373,000 373,000 Year End .477 227,500 .477 227,500 422,600 TAX DISTRICT Type Date Sale Code 6/4/1997 2/6/1986 Partial Ints Amount C/O 82,000 C 25,000 C 1,000 C 400 C Appeal Data From I Sale Price V Tst Verif Assoc PC No No • 174400 No No Last Visit Fed Code F. Descrip Comment ALTERATIONS PARTIAL INTERIOR T FOR BISCOTTI CUCIN ELAINE WALSH Land Type Site LT Factor Value 0 11.5 Ind 3 % Date 12/11/2006 12/28/2005 1/6/2005 1/20/2004 1/7/2004 1/7/2003 1/4/2002 Former 4/18/2002 PAT ACCT. L Value User Acct GIS Ref GIS Ref Insp Date iliatnOt Properties Inc. PRINT Date Time 01/16/08 13:48:59 LAST REV Date Time 05/25/06 115:08:09 ule apro 11151 Notes ACTIVITY INFORMATION Date ' Result 9/28/2000 Permit Visit Sign: Appraised Alt Value Class 317,448 Total:I 317,4481 I Spl Credit' apro Spec Land Code Fact USER DEFINED Prior Id # 1: Prior Id # 2: Prior Id # 3: Prior Id # 1: I1 Prior Id # 2: Prior Id # 3: I Prior Id # 1: Prior Id # 2: Prior Id # 3: ASR Map: Fact Dist: Reval Dist: Year: LandReason: BldReason: I By Name 201 PATRIOT / /- Use Value ' Notes 317,400 II Total:I 317,4001 2008 EXTERIOR INFORMATION Type: 78 - Store Sfy Ht:1 - 1 Story (Liv) Units: 5 1 Total: Foundation: 6 - Slab Frame: 2 - Steel Prime Wall: 27 - StuccoBlk Sec Wall: 21 - Conc. Block Roof Struct: 04 - Flat Roof Cover: 04 - Tar+Gravel Color: View / Desir: GENERAL INFORMATION Grade: C- - Average. (-) Year Blt: 1950 Eff Yr Bit:l Alt LUC: Alt %:I Jurisdict: Fact: Const Mod: Lump Sum Adj: INTERIOR INFORMATION I Avg Ht/FL:ISTND Prim Int Wa1l01 - Drywall I Sec Int Wall:I I Partition:IT - Typical I Prim Floors: 04 - Carpet Sec Floors: 05 - Lino/Vinyl Bsmnt FIr:I Bsmnt Gar: Electric: Insulation: Int vs Ext: Heat Fuel: 3 - Typical 2 - Typical S 2 - Gas BATH FEATURES I 11 Full Bath 1 A Bath: l5 1 3/4 Bath:I 11 A 3QBth 1 1/2 Bath: A HBth:[ 501% OthrFix:110 OTHER FEATURES Kits: Rating: A Kits: Rating: Frpl: Rating: WSFIue: Rating: CONDO INFORMATION I Location: I Unit #: I Floor: I % Own: I Name: DEPRECIATION Phys Cond: FR - Fair II Functional: %I Economic: I Special: II Override: 501% I I CALC SUMMARY Basic $ / SQ: 65.00 Size Adj.: 0.94622 Const Adj.: 0,954465 Adj $ / SQ: 58.704 Grade Factor:I0.90 Other Features: 5000 Neighborhood Inf: 1 LUC Factor: 1.00 Adj Total: 365827 Depreciation:1213643 Depreciated Total:1152184 I Heat Type: 01 - Forced H/Air # Heat Sys: 1 % Heated: 100 %AC:I Solar HW: NO Central Vac:INO % Com Wal 5 %Sprinkled! SPEC FEATURESIYARD ITEMS Code Description A Y/S Qty Size/Dim • 85 Paving D Y 1 6700 More: N Rating: Rating: Rating: Rating: Rating: Rating: Rating: Average I - Income Adi Total: COMMENTS I POOL HALL IN REAR SECTION,5 STORE I FRONTS. I I 1 I RESIDENTIAL GRID list Res Grid I Desc:I 1 # Units! I (Level FY I LR DR D K I FR RR BR FB HB L 0 Other Upper Lvl 2 Lvl 1 Lower I (Totals RMs:I I BRs:I I Baths HBI REMODELING II Exterior: 11 Interior: 1 Additions: 481% I Kitchen: I Baths: 20 % I Plumbing: 1% I Electric: I% I Heating: 58.41% I General: RES BREAKDOWN INoUnit RMS BRS FL COMPARABLE SALES 1 Rate Parcel ID ! WtAv$/SQ:I Juris. Factor: Special Features: Final Total: Qual Con Year Unit Price AV AV 1970 1.68 Total Yard.ltems: 8,000' D/S T Typ Totals Date Sale Price 1 AvRate:I 1 Ind.Va110 I Val/Su Fin122.25 1 0 Val/Su Net: 22.25 152200 VaI/Su SzAd 22.25 Dep LUC 28.8 325 Total Special Featues:j SKETCH SUB AREA I Code Description 'FFL First Floor 13' Area - SQ 6,839 40 FFL (6839) 79 90 39 Rate - AV Unclear Value I 58.700 401,4751 Net Sketched Area:I6,839 1 Total:( I Size Ad! 68391 Gross Areal 6839I FinAreal PARCEL I_D34-0406-0 Fact NB Fa Appr Value JCod JFact Juris. Value —1 8,000 8,000 1 Total ] 8,000, IMAGE 41 19 SUB AREA DETAIL Sub % % # Area Usbl Descrip Type Qu Ten 401,4751 68391 AssessPro Patriot Properties, Inc FAX COVER SHEET: TO: FROM: DATE: SUBJECT: PAGES: CITY OF SALEM FIRE DEPARTMENT FIRE PREVENTION BUREAU 29 FORT AVENUE SALEM, MA. 01970 TODD PISKOVITZ INSP. PRECZEWSKI 10/30/2001 21-E SITE REPORT 4 A FRANK PRECZEWSKI FIRE INSPECTOR PHONE: 978-745.7777 CELL: 978-375-5262 FAX: 978.745-9402 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. �OUE4t//77(-14 . gwirLE, Lf 50S-744-6990 City of SaLEm, alsaefiu Efts, ?i -tz 1��iaztmEn� p 4sLafa dtE ,st,EEt �a �al"Em, ,V11na.chu,.Eh 01970-3695 508-•744-1235 E PtEVE,Ltho1L Jax 508-745-4646 ButfaU 5°8-745-7777 October 30;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 ''FORA 21-E SITE REPORT' FOR 228-232 ESSEX STREET AND 99:103 WASHINGTON STREET SALEM, OUR FILES SHOWS THE PROPERTY AS CLEAN NO UST'S OR RELEASES .� You,=. should ::unde`rstand: that, the ,Salem . Firre -De arvtment,,l el : p is�= but �severai `a.��.� departments within :.the�.City ,of Salem to which information::;.cari 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 Tire: 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. Signe RANK.PRECZEWSKI FIRE INSPECTOR SALEM.FIRE,DEPARTMENT 1 POWER BURNERS -Name Richard Sprague Stearns et Address 232 Essex it. Date 9/16/52 Name of Burner Ui 1-U-Mat i C 2 Kind of Heat Gals. Stored 825 Cap. of Tank275 Gals. 3-2'75,s Location of TankBasement Kind of Oil Installed by Curley duel Co. of Wakefield 563 main 5t. Inspected . 9/15/52 Approved 9/16/52 FORM 24 Date POWER BURNERS "Toyember 6,178 Name 71,,ihm1 r (7n. B Location Q7 Wqqhirc.tor Name of Burner No. of Tanks Mass. Approval No. 114.7 Gals. Stored t t 0 Kind of Heat :;t/71 Location of Tank TiRscmpr-, Kind of Oil xi? Installed by '-:]rnest -','?,:alton C. of C. # 10)189 Inspected by TrIOD0 RoDansreau 11-06-78 Date Approved '7uZ,ut 50 -744 -DJJ0 etfy of SaLEm, gizz 1�E/aztmEnt ZalayettE �tTEEt �a/Em, 11aliac/ uietti O/97i-3695 3ei' 5ob-144-1235 `J,Ir 50a-745-4646 APRIL 14, 1999 f uz£au 5c4- /45-'/ 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 FOLLOWING PROPERTIES 19i-WASHINGTON_STREET AND-28 LINDEN,;OUR FILES AND COMPUTOR SHOW THE PROPERTIES CLEAN FROM ANY RELEASES NO UST' S S. 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, FNK PRECZEWSKI FIRE INSPECTOR SALEM FIRE DEPARTMENT A NM DD YYYY 1091'158 1 1MA J 1 06 1 1 041 1 2008 1 * State * Incident Date * FDID 15 Station 1 108-0002629 Incident Number * ❑ Delete 1 0001 ❑ Change Exposure * ❑ No Activity NFIRS -1 Basic B Location* ® Street address ❑ Intersection El In front,of ❑ Rear of Adjacent to ❑Directions C Incident 'Type * 1321 J !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* Their II 1 FDID Their State Their Incident Number 1303 1 !Medical assist, Primary Action Taken (1) 1 1 1 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 ❑Arson-11 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 2 41 ❑ College, adult education 311 0Care facility for the aged 331 ❑Hospital Outside 124 ['Playground or park 655 ['Crops or orchard 669 []Forest (timberland) 807 0 Outdoor storage area 919 ['bump or sanitary landfill 931 ❑fin land or field H2 Detector ❑Check this box to Indicate that the address for this incident is provided on the Wildland Fir Nodule In Section B "Alternative Location Specification". Use only for Wildland fires. Census Tract 12047 1 07711 11Willson Street Number/Milepost Prefix Street or Highway 1 1 'Salem Apt./Suite/Room City : a street 2::t: ris Ei Date & Times Check boxes if Month dates are the same as Alarm ALARM always required 1 061 j 04J 1 Date. Alarm * 1- 00 1 1 1 LJ Street Type Suffix 1 IMA 1 101970 State Zip Code Midnight is 0000 Day Year Hr Min Sec 4 20081108: 40: 00 1 Shift or ARRIVAL required, unless canceled or did not arrive X❑ Arrival * I_JA 0 4 1 Platoon 20081108:44:00 1 E3 CONTROLLED Optional, Except for wildland fires ❑ Controlled LAST UNIT CLEARED, required except for wildland fires Last Unit II Cleared Gi J LJ I 11 1 061 1 0411 20081 108 : 59 : 00 1 Resources * ❑Check this box and skip this section if an Apparatus or Personnel form is used. Apparatus Personnel Property Suppression 1I EMs 1 00011 Other ❑ Hl* Casualties❑None 11 Check box if resource counts include aid received resources. H3 Contents E2 Shift & Alarms Local Option 1 1 'STA 4 I Alarms District Special Studies Local Option 1 I1 I Special Special Study ID# Study Value G2 Estimated Dollar Losses & Values LOSSES: $1 $1 Required for all fires for non fires. if known. Optional None 1,1 0001,1 0001 1 , 1 0001,1 0001 1 PRE -INCIDENT VALUE: optional 'Property S1 1 , 1 0001,1 0001 Contents $ 1 I 1 0001 ,1 0001 Hazardous Materials Release Deaths Injuries N ❑None Fire U I I 1 ❑Natural Gas: sloa leak, no evauation or Barnet actions Service u 2 ❑Propane CivilianI 1 1 1 3 ['Gasoline: vehicle fuel tank or portable container 4 ❑ Kerosene: fuel burning equipment or portable storage Required for Confined Fires. 5 ❑Diesel fuel/fuel oil:vehici. fuel tank or portable cuparlts 6 ❑Household solvents: home/office spill, cleanup only 11�Detector alerted oc 7 Ei Motor oil: £rom engine or portable container 20 Detector did not alert them 8 ❑ Paint : from paint cane totaling < 55 gallons gas : <21 lb. tank (as in home BBQ grill) [J ❑ Unknown 0 ❑ Other: special HasOat actions required or spill > 55ga1., Please comolete the HaoMat form 341 ❑ Clinic,clinic type infirmary 539 ❑ Household goods,sales,repairs 3 42 ❑ Doctor/dentist office 361 ❑Prison or jail, not juvenile 419 ❑ 1-or 2-family dwelling 429 ❑ Multi -family dwelling 439 ❑ Rooming/boarding house 449 ❑Commercial hotel or motel 45 9 ❑ 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 NN 10 20 33 40 51 53 58 59 60 63 65 00 Use Property Not Mixed Assembly use Education use Medical use Residential use Row of stores Enclosed mall Bus. & Residential Office use Industrial use Military use Farm use Other mixed use 579 ❑ Motor vehicle/boat sales/repair 571 ❑ Gas or service station 599 ❑ 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 1215 'High school/junior high NFIRS-1 Revision 03/11/99 Salem Fire Department 09258 06/04/2008 08-0002629 K1 Person/Entity Involved Local Option (Salem High School Business name (if applicable) Area Code Phone Number 1 1 (Paul 1 1 IL'Heureux ❑Check This Box if Mr Ms , Mrs. First Name MI Last Name same address as incident location. Then skip the three 1010 1 1 1 ISkerry duplicate address Number Prefix Street or Highway lines. 1 1 1 1Salem Post Office Box Apt./Suite/Room City 1MA 1101970 1-1 1 State Zip Code ❑ More people involved? Check this box and attach Supplemental Forms (NFIRS-1S) as necessary K2 Owner 0 Same as person involved? Then check this box and skip The rest of this section. Local Option ❑Check this box if same address as incident location. Then skip the three duplicate address lines. Business name (if Applicable) I 1 1 1 L__J I Mr„ma., Mrs. First Name 1 Number 1 Post Office Box I JI State Zip Code MI Last Name Prefix Street or Highway I 1 1 Apt./Suite/Room City L Remarks Local Option On 06/04/2008 at 08:40:00 E5 was dispatched to 77 Willson Street. 08:40:00 unit E5 en route. 08:44:00 unit E5 arrived to find a 43 year old male patient. Patient's sign and symptoms are:N/A EMS Patient - Medical History Narrative EMS Patient Chronological Events Ambulance transported. E5 back in service. L Authorization • 103886 1 1Frechette, (Lt.) Officer in charge ID Signature Check 1 08755 Box if LI same as Officer Member making report ID in charge. 1IST Street Type I L-J Suffix I L-J Suffix 1 1 I-1 1-1 1 Area Code Phone Number 1 I LTE I I Position or rank Assignment 1 IDobrosielski, John M 11CS I I Signature Position or rank Assignment 1 Suffix Street Type Suffix I 1 111 1 251 1 20081_ Month Day Year 1 1 111 1251 I 20081 Month Day Year Salem Fire Department 09258 06/04/2008 08-0002629 FAX to: from: I date: I subject: I patties_ NOTES: Latern tire vepartment Fire Prevention Division 29 Fort Avenue Salem, Ma 01970 tel (978) 745-7777 fax 9 ,8; 745-9402 Alan Pierce 978-745-1046 Tnspector Charles Holloran 09/18/09 Fire Report L.T Erin Griffin Fire Marshall ;rs tacs;mUe contains priv:leged and confrdentia; information intended only for the use the individual or entry to whom it is addressed..1f the reader of the facsimile is not intended recipient or the employee or agent responsible for delivering it to the intended cipient, you are hereby notified that any communication. transmission, dissemination or Drocuction of this facsimile or its contents is strictly prohibited. if you have received facLirn:le errcr ,✓'ease immedilely :;c!: y us by telephone and return the origin_! ' :simlie to us at the above address via the U S. postal service Thank You. City of Salem, Massachusetts Fire Department FAX to: I from: I date: I subject: Fares: i • NOTES: Fire Prevention Division 29 FORT AVENUE, SALEM, MA 01970 FRANK PRECZEWSKI, JR. Fire Inspector /7/3/97 Fire Prevention Bureau 978-745-7777 PAGER: 978-489-8233 FAX: 978-745-9402 q qe This facsimile contains privileged and confidential information intended only far 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 prohibited. if you have received this facsimile in error please immeditely notify us by telephone and return the original facsimile to us at the above address via the J.S. postal service. Thank You. p em cicolmtt VV. �utnet CHIEF 5o8-744-6990 City of cSaLEnn c4ai.aefiulEdLi 917.E Eliarfmznf 4S Lafayette c5tteet csa%nc, JVlassachusztts 01970-3695 at 508-744-1235 Jaz 508-744-3938 9i1E J"ievention 17uteau 5° -745-7777 NOVEMBER 13, 1997 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 5 WALL STREET CT. SALEM, MA. THEIR IS NO RECORDS TO LEAD ME TO BELIEVE THEIR IS OR EVER WAS A UST AT THIS SITE. THE FILES SHOW NOTHING, NOT EVEN IN OUR COMPUTER. 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. igned, FraPreczewski Fire Inspector Salem Fire Department r David till Cody Chief 978- 744 - 6990 dcody@safem.com City of 5a[em, Massachusetts Fire Department 48 Lafayette Street 5a(em, Massachusetts 01970-3695 Tel: 978-744-1235 Fax 978-795-4646 Fire 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. This is kour request for a 21—E site report for the property known 'as 28 Williams Street. A review of our records show no indication of any UST's or releases on that site. You should understand that the Salem Fire Department is but one of several departments within the City of Salem to which informations can be obtained concerning flammable liquid storage, releases, or hazardous wastes. tt is quite probable that this department would have no knowledge of the presence of hazardous wastes on any particn#.i- site since this department does not do independent ha7-nrdous waste investigations. To assist you in conducting your environmental assessment of the site, we are able to inform you as indirato..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 ccznpletee The information in ftie 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 Saiern, the Salera Fire Department, nor- it'semployees or members in connection with providing 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 h797iu report prepared by you, nor cited as evidence of the presence •14. of any hazardous wastes or releases on this site- Signed Lt. Erin Grifi=in Fire Marshal June.21, 2012 us waste absence