12 ALMEIDA STREET - WELL e 3R '", ��+ �'�i,.� EN,•q �y `�., i..5b�^R, ,eq ,K 5. + wiWt
�* CITY 'OFJ$ALEMPMASSACHUSETTS ' r w
'b'r urs r+`. , I a,5r'A a - r t .+ rv¢r•yr n„ - � d� "� r ,Yaa, r
"BOARD OF.HEALTH 4br4 Z ' n ZtkZK.3..t ^r. .+ °va ri rye. .
WASHINGTONSTREET 4THFLOOR ` '` i
SALEm:MA 01970 I '
ti ,
TEL. 978-741-1800 a.
FAx 978-745-0343
W W W.SALEWCOM
Kimberley Driscoll JOANNE SCOTT, MPH, RS, CHO
Mayor HEALTH AGENT
WELL CONSTRUCTION PERMIT
Location: 12 Almeida Street
Owner: Steven Morris
Address: Ipswich Road, Boxford MA
This permit is granted in conformity with the statutes and ordinances relating to well
permits.
Well Construction permits are non-transferable.
This permit shall be on site at all times that work is taking place. Permit shall expire one
(1) year from the date of issuance unless revoked from cause.
This permit does not constitute a Water Supply Certificate.
Permit#: 007-06
Date Issued: 6/21/06
(Drilling Well) (TED Inc. — Reg. #560)
HEALTH AGENT
CITY OF SALEM,- MASSACHUSETTS
BOARD OF HEALTH
p+ 120 WASHINGTON STREET, 4Ti-t FLOOR v
SALEM, 01870 n R
TEL. 978-741-1800
- FAX 978-778-745-0343 JUN
11,1 U
STANLEY J. USOVICY, JR. JOANNE SCOTT, MPH, RS; CHO - �'s200
MAYOR HEALTH AGENT C/ U
BOARD OF At W
N
Well Construction permitApptication
Date: �S 0(o Fee: $100. Check payable to the City of Salem (no cash)
Location: 12 ALMf-1 oAS �• Salem,MA. 01970
Owner: Sa e u 1tiLor>'ts Address RISJc«f Tel. 9��- y23-
Type of well: 1)P_iUtO Well use: VOA-eg-—t 0,
Well Contractor: ChikAt g tvl• nn'' cL,� &=,,.Pump Contractor: S AA-9
Address: t 2q Deteot— Q. drib, tv A - Address:
Phone: 9 -29. 8N7- 7320 Phone:
Reg. #: 3o5-
Have
osHave abutters been notified? (y)es HOW? iL"A-LI--Y
----------------------- -------__—___ __-------------- - -------
In the space provided below(or on back).show the location of the proposed well in relation to
existing or proposed above-or below ground structures- A description of visible prior and current
land use-within (200)-feet of theproposed-welllocation, which represent a potential source of
contamination. q -r7.4 IS IS
/// OSPU ��Do UNrXJ4CC�� LAfJ0
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20 ` oce r
RQ oc D F �L�t`e ,nA ST
1 ro�s�
R-es,4e,nir�R�
14onueS
T-t+ T-Pecr.
J
There is no fee for monitoring.welisbut a permit is required for installation.
B.O.H. use only. Check* 13&q-7 Check date: _5 -r5'-2�OG Permit#:
Well const permit appl revised-tt125102
IMPORTANT MESSAGE
FOR v
II��
DATE 1 V I 10 IME SL_P.M.
M � Orr
OF a
PHONE
AREA CODE NUMBER EXTENSION
D FAX
D MOBILE
AREA CODE NUMBER TIME TO CALL
TELEPHONES{ PLEASE GALL
.CAME TO SEE YOU `.. `WILL CALL AGAIN
WANTS TO SEE YOU ` RUSH ._.
RETLIRNEQ.YqUH CiL WILL FAX TO YOU.
M SSAG
O 0. a
OUB
SIGNED WITel I=,
FORM 4009
MARE W U.S.A.
10/24/2008 11:209788879491 PAGE 01/04
�. o iris
77c PVED
OCT 2 4 2008
10/24/2008 11:20 9788879491 PAGE 02/04
m
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CITY OF SALEM BOARD OF,HEALTH
Salem, Massachusetts 01970
120 Washington Street 4"floor
JOANNE SCOTT.MPH.HS,CHO Tcl:(978)741-1800
HEALTH AGENT Fax: (978),74-S 0343,
Well Water Supply Certificate Application
The issuance of a Water Supply Certificate by the Board of Health shall
certify that the private well may be used as a drinking,water supply. A Water
Supply Certificate must be issued for the use of a private well prior to the
issuance of an occupancy permit for an existing structure or prior to the issuan!:�;
of a building permit for new construction which is to be served by the well.
The following must be submitted to the Board of Health to obtain a Water Supply
Certificate
'copy of the Well Construction Permit
'copy of the Water Well Completion Report as required by the DEM
Office of Water Resources (313 CMR 3.001
'copy of the Pumping Test Report
"copy of the Water Quality Report,.
-------------------------------------------------------------------------------------------------
Location of well: I d A 1 Jm Qd Qa s C¢v k Salem, MA.
Owner of property: Goy t"R`' Q-Tei.
Owner's address:
Date: 3 Q'
----------------------------------------------------------------------------------------------------------
B4O.H. use only Permit
10/24/2008 11:20 9788879491 PAGE 03/04
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
• 120 WASHINGTON STREET, 4TH FLOOR
SALEM,-MA 01920
TCL. 976.741-1 eoo
FAa 979-745.034
STANI,F.,V USOVICZ. JR, JOANNE SCOTT, MPH. RS, CHO
MAYOR HEALTH AGENT.
Salem Board of Health Pumping Test Repo
Name of well owner:Cpir Kg, 9•,4rc I,IAP :AgAddress: 45 we S°�• So iQtm
P.ocQ.
Weil locaCwn(referenced to atleast two permanent structures or landmarks): I2 Q I %PAD S4-,
St
Date pumping test was performed: �~ d—C
Depth at which pump was set for the test:
00/
r
Location of the discharge line: 10o A10R"(l'
Static water level immediately before pumping commenced:
Discharge rate: 6 G 0 r1A (if applicable,timethediseharge,rate changed)'
i
Pump il n=levels'and respective times after pumping commenced:
Maximum drawdown during the test:
Duration of test: a)pumping time:
b) recovery time during which measurements were taken: R 5
Recovery water levels ar�d respective times after cessation of pumping: .
_,y t�RS
Reference point used for all measurements:_ toe 101� GAS,AM-,
Please fill out form completely and return to the Salem Board of Health
along with the Water Welt Completion-Report. Pump test report is a
requirement prior to issuing a Water Well Supply Certificate.
10/24/2008 11:20 9788879491 PAGE 04/04
Mass,chuserts Department of Environmental Management p`aryG34
Office of Water. Resources 4t®
TYPE OR PRINT ONLY Well Compilation Report
1.WELL LOCATION -GPS (OPTIONAL LATITUDE— — LONGITUDE�' , DATUM
Address at Well Location:
1 :0 Property Owirer/Ctient:
Subdivision Name: Mailing Address:
CitylTown:
Ckoy/Town: . n _^
Assessors Lot b: NOTEAssessors Map and Lots mandatory if no:ctri eTeddi,e.s��s evet labile
Assessors Map oro 6619 Issued jLF�-+�-�-
Board of Heakh permit obtained. Yes ER Not Required ❑
Permit Number ��
3:PHOp/>$ED 113E
4:DRILLIRC+METHOD ";;i
WORK PERFORMED
tic. . � IrngaGon ❑ Cable '`I� Auger
�'New Well C3 Abandon l Air Hammer, ,Q Direct Push
Deepen Q Recondition ❑ Monitoring ❑ Municipal Mud,Aoia ❑ Other
❑ Replace ❑ Other Q Industrial 0 Other
5.°WELL'LOG
Water Unconsolidated Consolidated B;S(TE.SKETCH i
. _ F Other Rock Type
Zones rn rn 2 z Material Description
-
From(it) To(it) "^
p _
7e
STRUCTION B: SINt3
CR
WELL OON
Total Depth
CODripeL From(ft) To(0) Casing Type and Material Size I.D. (in) Well Seal Type
(-
Date Complete
J e. #-
9.SCREEN Screen Diameter
From(ft) TO(h) Slot Size Screen Type and 101110ri51
- 11. ADDITIONAL WELL INFORMATION
10:FILTER ACK PGROUT/ABANDONMENT MATERIAL Developed? ❑ Yes IN No
Material Description Purpose Frachire .
From(ft) To(It) Enhancement? ❑ Yes �No
thod
Disinfected? fees ❑ No
lh WELL TEST'DATA(ALL SECTIONS MANDATORYFOR'rPROD[1CfIONWELLSJ 13.STATIC WATER LEVELDepth BeowSr
Yield Time Bumped Drawdown to Ti(his f(mm) p(F0uenito -
Date Method papm) (hrs&min) (Ft.BGS) (his&min) (Fl.BGS) Date Measured Gr n Sur(aee (FF)
1;,Np(�JppgpESS OFPUl1P glg'fpk4J(TIORCOtIPtNY
14.PERMANENT_ PUMP IF AVAILABLE) '
y�di 'moCOHo�power_�-
Pump Description 'r" _.� -
.Pump Intake Depth 4 i1 (ft) Nominal Pump Capacity
i6.`CCMFJIENT
S
171.WELLLORILLER' EME11 1 This was was-driged.'oared.andior abandoned under my supervision,according to appllceblq
`' S'STATrules end regulations,and thl .1pod is complete slid o�e/ th6,best of my knoWedg0.
Driller. tr�� �' Supervising.Driller Signature: '!"' (^' - tar egfstfdtidn
Firm: ' � Date: .0 t'f
c- file Permit
.NOTE: Well Completion Reports must be.rled by the negicrcrcd well driller willtin jf)dayp Of well e0 IO1P.§0A.
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
& 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAx 978-745-0343
W W W.SALEM.COM
Kimberley Driscoll ,JOANNE SCOTT, MPH, RS, CHO
Mayor HEALTH AGENT
March 12, 2007
Steven Morris
84 Ipswich Road
Boxford, MA 01921
Dear Mr. Morris:
Please be advised that your application for a Well Water Supply Certificate for
12 Almeida Street is incomplete. Therefore, a Water Supply Certificate cannot be
issued at this time.
The Salem Board of Health requires the following information to determine the suitability
of the water for drinking and other household use:
1. Well Water Supply Certificate Application
2. Completed Pumping Test Record.
3. Water Well Completion Report
4. A complete Water Quality Testing as delineated in the enclosed Massachusetts
Department of Environmental Protection document, 'Parameters and Testing
Frequency for Private Wells."
The water quality test that you did submit indicates an unacceptable level of
Tetrachloroethylene.
All water quality analysis must be performed by a laboratory that is certified by the
Commonwealth of Massachusetts for the specific analysis required. This list is available
at: http://edep.dep.mass.gov/iabcert/labcert.asp mass gov/labcert/labcert aspx.
All water quality analysis must be conducted utilizing methods approved by the U.S.
Environmental Protection Agency for analyzing drinking water.
All water quality analysis must be performed on a water sample collected at 12 Almeida
Street by the analyzing laboratory.
, iDcerely,
%Joanne Scott
Health Agent
Cc: Salem Building Commissioner Thomas St. Pierre
10/14/2008 07:35 9783528236 C M ROLLINS CO INC PAGE 01/06
10114/2008 07:24 9768679491 PAGE 01/01
OCT-11.2000 10.29 9,66520023 TRORMNSEN E'Ib57 P•OD1 /001
Thom. tensen Laboratory, Inc.
w.Ult4mn Haatl,WeetlAed FAA 0190% ?7ii-mad95 i-mm M4-rtnr r4X97Ed92.W%
I't,opmNumh-m.. A112250 loponrlft WHIM
Colonial Ranncleling 12 Abnei4a S5
45 Rridyc:St Salem,MA
Salam MA 01970
Date SMPtect 10/2/01 Sampled by: CM Rollin Staff
VOC Rums
PAILkRU B, 'MCL 1.13517.7 PARAWFLIK MCL RliSUL't
Rcnccm 5,0 NO 1,1,2,2-Tarachloromhnns •• Nll
c,7r1»aTancchlorldo 5.0 NT) 1?-DkhMtoprMnnc N1)
1,1-Ululilor6edgdcae 7.0 NO Chlontm 4flafte - NU
1�-n;chlrntxthtme 5.0 N1) Dromomothane 11n
p•Dlehloioikovott6 5.0 141.1 1,23-Trklilmopropmo NO
Trkhlcmxxhy(cnc 5.0 NO 1,1,1,2-Tdr.0doeoetliam -• ND
1,1.1=1ricblomethanu 200, Nn Cltloroeftme NJ)
Vinyl worldc 2.0 ND 2,2-0mhlolopropma NO
Mommhhmlbotme Ion. ND04,111cmnnfucoo ND
6r410- *hIo Ix=cuc 6110. Nn P-Cltlornwtme ND
trans-1 2-pichloroetbylene IM. NO BrumObetfmm NU
cls-I..2•DicllhmA1hyleao 70.0 ND 1,3-MobI mcprupeao - ND
12-Dicblcropmpanc 310 ND 1,2,4-1rbnethylhomm, -- ND
Elhylbenune 700. ND 1,2,3=1ric1)MroIw=nc ND
Stynmc 100. NO n-Propylbel;lAtle .. NO
letrachhtmathylunc SA' NO P-Rntyllyworic - NO
Toluom 1000. Nn Naplifte m - ND
Xylalcs(Toto11 10000, NO Hcanclllorobvtadleno NO
Diehlonamihono .5.0 NO 1,33-Trimethylhtattsne - Nl)
124-TrIchl"rohem/m 70.0 WD p-hor."pyltoWne - NO
1,1,24'rlcbloroetWme 5.0 NO ND
Ch)nrofonn' - NO t-BtltYlOca/.t«w - NP
)3romodict+lorrtmWme, - NO lee-RutyRluneCut •- NO
ChlorodiMmmmnetham: ND i7vor0Tc;chhmmV-4b1ne _ NO
Rnunurunn . - NA DichlorOdO om)msthnnc ND
tn-Diehlnntbrnano - ND Rumiochloromedmoe NO
UlbrOmnmcthonc Nn c'McdtylTLrtiaryliutyWtbw - NU
l,l-ll+ahtptrgvuprnc ND
1.1•.Ulahlotneftne - NO
%ytowvwv of'hllomal Standards: IM-None Dutcctad
4-ilrcum tl.utrobsnunc 91 MCL-Moimimt Ccmamluatlo0 Level
1,2.Dichwrobmzeue-4 91 Rcsutuare luuA
pr"T" n t.tmfr 0.5 ua)L WTRB(Opli00al)
WWI P, Isun.for
7'bolatanv0t l.ahumtory Inc.
10/14/2008 07:35 9783528236 C M ROLLINS CO INC PAGE 03/06
JAN.22.2007 10:24 9706920023 THObCTGNCCN 01549 F.002 /005
8G LtMETON ROAD,WESTFORD.MA 01886 s (978)692-8396 FAX(978)692-0023 1-800-649-TEST
Roport Number: A104571 Repot Mae: 12/27/06
Coloniul Remodding Corp 12 Almeida St
45 Ciridge 5't Salem MA
Sulem MA. 01970
D-we Sampled: 12/15/06 Sampled by: Rollius Staff
EPA 524.2
PARAMETER
I. RFAULT PARAMETER MCI. Rk"St11,T
Renzcnc 5.0 NO 1,1.2,2-Tetrachlornclhanc NO
Curbun'I'etrAcWorlde 5.0 ND 1,3-Dich1oropropabe - ND
1,1-i)ichkmte0ylcnc 7.0 NO ChloraMethime NO
1,20lebloroefbme 5.0 ND Bromometbane NO
p-DichltwuBcnwnc 5.0 ND 1,2.3-Trieldompropanc •- NY.)
'lrichloroe0ty)sne 5.0 NO 1,1 ND
1.1,1-Trichlurocilmac M. ND Chluroctharte _ NT)
ViuytChlonde ' 2.0 NO 7,2-DichlorormManc NO
Munacblorobeaze)e 100. ND (0-C:hlorotolueue - ND
urthu-Dichturobonzatte W. NT) p-Chkaowlue)c •• ND
trans-1,2•Dichlormthylete 100. NO Bromubutzetta •- 'NI')
cis-l;2-Dtchlotnethylono 70.0 ND 1,3-Diehlotupropene NI)
1,2•Dicliloropropam 5.0 ND 111-Trimothy)benzena ND
F.lhylkM40 to 700. ND 1,2,3-Trichlorobemene ND
Slyrede 1U0. NO n-Propylbenzene NI)
Tutracbloroothyleae 5.0 13 n-1hitylbenzene _ NO
Toluene 1000. NT) Naphthalene NI)
Xylebes('Tolal) 10000, ND Nexachlorobuladiunc NI)
Dichloromethane 5.0 NO 1,3,5-Trimethylhcmcnc NO
I,2,4-74ichlorubuanme 70.0 ND P-Iauptupyholuene - ND
1,1.2-Trichlornctl u c 5.0 NO lsoprupylbcozone NA
chloroform 1 t-Butylbt2uene ND
Bromodichloramethaw NO ". c-Rutylbunzone •• ND
Cidorodibromomerhane - NO, FlunroTrichloromethune NO
Rrumulitrut - ND Diohlorodifluoromethmc - ND
in-ViddombeDxene -- NO Rmmochlurumuthanc - ND
Dibrumumut was - NO •Med)yl'T'ertiaryButylFther •• NO
1,1-Dichluruprupene .. ND
1,1-Dicblometbane NO
%Rccuvuv ui latemal 5ttuulards: NO-None Detected
d-Aromofluorubeanc 74 MCL'Maxbmtm C:OnfAminat6m Level
1.1-Dichltunhemenc-d 112 RUIURS are is us/L
Defection Limit 0.5 uu71. •MTBE(rh)tiunul)
Nutxwmtn)eted ro Mass DEP Lob MA077. ,
Michael P. rlson.tor
Thorwemcn l.alamatbry Inc.
10/14/2008 07:35 9783528236 C M ROLLINS CO INC PAGE 02/06
,1W.22.2007 13:29 9796920023 (J TnORST6NSEN a105J F.001 /001
66 LITTLETON POAD,WESTFORD.MA 01888 a (676)692_8WS FAX(978)692-0023 I.600-649-TEST
Rrp.71t NwnOm:A104571 Reportl)NC lanuarv22,21X17
Cli:ne SoMpIc Takata At:
Colonia(Kcmodclln8 Corp. 12 Almcida St
45 111 i fte%I Salem MA
S:alctra MA 01970
Sanapic taken By C.M.ttallits On* 12/15/06
TE.STPARAMETER EPA MAX RMSUI.TS tIN1'Is
-1'nT:d(:nlitnrna(I') n 0 pax 100MI
Auli,mmy ILIMI6 41JMi1 mp/L
Amiu,;(P) 0.01 aO.tln2 MO.
)laNam 2.0 0.00 mg/I.
1lcrylliwv 0.1X4 +,0.001 mg/L
renbniuna IMMI3 40.1)00.5 mp/L
f'.ih:ium
Not Spec. 27.8....
mWL
Chromium. 01 •al.lml mg/1.- MO.
,
Copper(S) "63 0.04 m8/1.
Iron(S) 0.3 00,98 mBR,
Lead(la) 0.015 0.063 mg/L
Mvgficsiann Not Spee. 8.1m WI, .
M.vlgeaaac(5) (1.05 1fU.lU mg/L
Mmory 0.1102 <00111.2 MWL
Pulmsita i Naat Spec. 3,9
MIX
Scicnium
0.05 v9.001 11111.11n.
SndlunT 1w Note 87.8 VISA.
lhatltnm 0.002 ••:0.001 W&4
Alkalmity(S) Not Spec. 110 MA
Atmmylin Naa Spec 10.03 MWL
cl+.loridr.(S) 250 120 MWI,
ChIlwinr. Not spec. ':0.02 mR/L
COM(9) '15 8211 Cl'U
CoRdur-tivily Nut Spec. 678 umhos/an
Cyeaidc 0.2 1:4.01 mg/L
Huoridc(S) 110 1.7 Mg.
I ardness Not Spec. 103 n.gd,
Nista'(m N)(P) 14 -.4,01
wg/1,
Nilrilrs(It,NxP) $ -:1).43 mg/.T.-
PH(.?) 6.5-8-5 7.6 STJ
Odor(S) .1 4 7Y1N
Sulphwo(S) 230 22.7 MP/L .
I Lrhidiry Not Spec• 7.0
SedlmGn N I U
pos/aleg neQ,
Lcpcnds:
(P)I'Mmary LI'A Standard,($)=SacmdtayEPA Sumdtml,a-Rxccrds RPA Limit,
•TNTC-loa Numerous to Collar.'--ftckgr000d$acleris Noted,' Racmis Advisory Limit
Radium Advisory Llmlts,Mass.-20,KH-230.
TTiin wncar sangde as suhmltted is cnnsldcred SAPS to drink according to EPA/M- guidelines.
Row"-ver,tole ur rnnrt luum"Mm"teed'Semdary limits 0 denoted by the M. sign, `
Muadcnusetts State Crnlfied Miuhaal)`. f:v1wm.Rtr
TeStinM LQIfOratary gMA048 Thnr*Ami, n Islmrat11ry ha,
10/14/2008 07:35 9703528236 C M ROLLINS CO INC PAGE 06/06
JAN.22.2007 10:25 9786920023 THORSTEN88N 91849. P.005 /99S
Page': 2
ARROTHCH PQH 011"MiCA
ASBESTOS ANALYSIS BY TRANSMISSION ELECTRON MICROSCOPY (TEN)
(COPYRIGHT (C) 1998 BY APR - VER 6.3 SEPT 98)
•LENT: Thorstensen Laboratory CONTACT PERSON: Mike Carlson
MPLE: 12 Almeida St TYPE: Water PROJECT#: 104573
-----------------------------------------------------------------------
ASBESTOS CONCENTRATION
A) TOTAL ASBESTOS COUNT = 0.0000 STRUCTURES/CC ( = 0.00 STR/LIT)
B) TOTAL ASBESTOS COUNT - 0.00 STRUCTURES/SQUARE MILLIMETER
ASBESTOS CRMCTERISTICS
A) CHRYSOTILE:
NONE OBSERVED
B) AMPHIBOLES:
NONE OBSERVED
I COUNTING DATA
A) TOTAL GRID OPENINGS EXAMINED y 7
B) TOTAL STRUCTURES INVESTIGATED 0
C) TOTAL ASBESTOS CONTAINING STRUCTURES OBSERVED m 0
NO.CNRTSOTILE FIBERS - 0
NO.CHRYSOTILE BVNDLES,CLUSTERS,MATRIX STRUCTURES = 0
NO.AMPBIBOLE FIBERS . 0
NO.AMPHIBOLE BUNDLESfCLUSTERS,MATRIX STRUCTURES 0
D) TOTAL NON-ASBESTOS STRUCTURES INVESTIGATED = 0
E) ANALYTICAL SENSITIVITY (ESTIMATED NOT TO EXCEED) : 193.38260 STRUCTURE/CO
PILmm LOADING RATA
A) TOTAL ASBESTOS MASS (VOL) = 0.0000 PSCOGRAMS PER LITER(=neaogram/M^3)
B) TOTAL ASBESTOS MASS (AREA) - 0.0000 PICOGRAMS PER MM-2
C) TOTAL ASBESTOS COUNT - 0.00 STRUCTURES PER MM-2
D) TOTAL PARTICLES INVESTIGATED m 0.00 STRUCTURES PER MM"2
B) ASBESTOS LIMIT (ESTIMATED NOT
T,O)EXCEED)n 15.07 STRUCTURES/MM-2
RESPECTFULLY SUBMITTED:
10/14/2008 07:35 9783528236 C M K LLINS CO INC PAGE 05/06
JAN.22.2007 10:25 97e6920023 TNORSTENSSN #1999 F.009 /005
AEROTZCB PSK BILLERICA Page: 1
ASBESTOS BX T04 (INDIVIDUAL SAMPLE, LEVEL I OR II)
(COPYRIGHT (C) 1998 BY APR - VER 6.3 SEPT 98)
.IENT: Tkorstensen Laboratory CONTACT PERSON: Mike Carlson
.MPLE: 12 Almeida St TYPE: Water PROJECT#: 104573
.-----------------------------------------------------------------------------
FILTER TYPE: NCE ACTIVE DIAMETER (mm): 22.14
VOLUME FILTERED (LITERS) : 0.0300
GRID TYPE: 200 FINDER OPENING AREA (mm^2) : 0.00948
MICROSCOPE USED: PHILIPS EM 300
ACCELERATING VOLTAGE (kv) : 80 BEAM CURRENT (UA) : 40
MAGNIFICATION: 18,000 TOTAL AREA EXAMINED: 0.06636 (mm-2)
GRIDS EVALUATED ACCORDING TO AHERA PROTOCOL: Y
ANALYZED BY: Aimee Cormier DATE: 12/27/06 APR JOB NO: 612-0061
.. ------.----------------------------------------------------------------------
fDIVIDUAL STRUCTURE DATA RECORD
KEY TO ABBREVIATIONS:
F FIBER NA NON-ASBESTOS MINERAL
X FIBER INTERSECTING GRID AS AMBIGUOUS MINERAL
B BUNDLE ST STRONG SAED PATTERN
M MATRIX FV FAINT OR VANISHING SAW PATTERN
C CLUSTER NP NO PATTERN (FOLLOWING ATTEMPT)
CH CHRYSOTILE ASBESTOS NX NO PATTERN (NO ATTEMPT)
AM AMOSITE ASBESTOS PA PATTERN •AMBIGUOUS
CR CROCIDOLITE ASBESTOS TA TREMOLITE-ACTINOLITE ASBESTOS
AN ANTHOPHYLLITS ASBESTOS
)X PROFILE. ELEMENTS ARE GIVEN AS NA-MG-SI-CA-FE
------------------------------------------------------------------------------
.MPLE #: 12 Almeida St APE 4: 612-0061. 01
)LURE FILTERED (LITERS) : -----00300 TOTAL AREA EXAMINED: 0.06636 (MM
------------------------- ------------------------------------
D 08J OBJ LEN WID RATIO THR MIN SAED MASS EDX LEN LEN
;. "No. TYP uM . uM L/W UM ID . QUAL PG PROFILE <5 >-5
- --- --- ------ ----- ----- ----- --- ---- --------- --
'GIN GRID OPENING NO. 01 LOCATED: 1-01
'GIN GRID OPENING NO. 02 LOCATED: 1-Pl
:GIN GRID OPENING 80. 03 LOCATED. 1-01
'GIN GRID OPENING NO. 04 LOCATED: 2-R6
'GIN GRID OPENING NO. 05 .LOCATED: 2-I6
;GIN GRID OPENING NO. 06 LOCATED: 3-I5
!GIN GRID OPENING NO. 07 LOCATED: 3-J5
.ATE A: TOTAL 0 0
)MMENTS: 1211-r9, 82, s4
10/14/2008 07:35 9783528236 C M ROLLINS CO INC PAGE 04/06
JAN.22.1007 10:24 9766920023 Ttt(19 S'r PNS6N 01649 P.003 /005
ItugAn Affiliate of Sevam Trent t.abcralorfea,lac,
Mike Carlton
'i'harsteaseu Laboratory,Inc,
66 Liltlmm Road
Wcslroni, MA 01886
T1ear Mike: DCLCTntxT 211,2000
Please 8.ed enelnsed,resu(ta for ono(t)snmPle,l reject Ref; 104573,Acmtcch P&TC]ah ff760-612.0061,which
YOU sllhmitted for ashestos analyait by Tmnsmimirnt Mem?n Miur,.%ypy(TF,M),
The rawlt4 aecordingto the TJRF.PA Phone IT Primary and Recondary Drinking Wawt Reguhni.0 is EPA Method
100.2(fibers longe(than 10 microns)are listed under cohmm A. ("-5"is equal to the value of the dutccti:m limit)
A )hoe&Tiroc ]Atte&Time
SAbII'I,ii ID ]million ubers/l w Filtered Ana zed
12 Almcida81. 1).193 i2/lSlU6:14:47 12/27106; 15:57
Ilia Sant MOximum Cmmninant level 00411(MC).0)and Maximum Contaminant level(MCT.)for athestov in waux is
7.0 million fiberVIber.
Aerotech P,@R Aillnriea is auredited)ryNVF1.AP(fl I0R3R)and the C:unmlmwwlUt 01'Maysaahwelty(NM•MAU3R)Cir
mhestns analysis of water wmplca.
The test rusults in :tris upon Moot All NLLAp ragalrements for PRMMelera far wWcb omrsditatlon is.required or
�uvaileblc. Any Ctooptious to NULAY coquirements are noted above,
Auroluch Y&K is not responsible for hleortect samplingprocedum' since these water Malioles were not collected by our
lab)K:r./unnal. Aurolurll P k,K is only responsible for die analysis and Mor*of submitted samples, Accreditation in"o WA'y
constitutes err ilnplicx produce cortiGceuon,appiaVaL or eadotsemeut by NL•LAY. Ibis reportrelates only to the specific samples
lVMUd 11LTuia. Thu enclosed MpOrt 11Wl 1101 bo reproduced except in fdlL without the wtift approval of Aerotech P&K.
Should you have fiutlier questions,or need additional iofomtatio9,please feet free to contact CT e1rt Scrvias or
me any time,
Sincerely,
-r
I ruesl T.004 ph.D.
Manger-Microscopy Services
AHOMah P&K 140 a:Al(lawsy Row! . N. nNIMM, MA Otaa% • doe fi53 0o 11 . 978 OOT 1400 �, Fac 970 047 7071 • www Annjn. lM4 .nam
L
CITY OF SALEM, MASSACHUSETTS
« BOARD OF HEALTH
s 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
W W W.SALEM.COM
Kimberley Driscoll JOANNE SCOTT, MPH, RS, CHO
Mayor HEALTH AGENT
March 12, 2007
Steven Morris
84 Ipswich Road
Boxford, MA 01921
Dear Mr. Morris:
Please be advised that your application for a Well Water Supply Certificate for
12 Almeida Street is incomplete. Therefore, a Water Supply Certificate cannot be
issued at this time.
The Salem Board of Health requires the following information to determine the suitability
of the water for drinking and other household use:
1. Well Water Supply Certificate Application
2. Completed Pumping Test Record.
3. Water Well Completion Report
4. A complete Water Quality Testing as delineated in the enclosed Massachusetts
Department of Environmental Protection document, 'Parameters and Testing
Frequency for Private Wells."
The water quality test that you did submit indicates an unacceptable level of
Tetrachloroethylene.
All water quality analysis must be performed by a laboratory that is certified by the
Commonwealth of Massachusetts for the specific analysis required. This list is available
at: http://edep.dep.mass.gov/labcert/labcert.aspx.
All water quality analysis must be conducted utilizing methods approved by the U.S.
Environmental Protection Agency for analyzing drinking water.
All water quality analysis must be performed on a water sample collected at 12 Almeida
Street by the analyzing laboratory.
,>,ncerely,
i— > �-c(
tAoanne Scott
Health Agent
Cc: Salem Building Commissioner Thomas St. Pierre
HP Fax Series 900 Fax History Report for
Plain Paper Fax/Copier Joanne Scott Salem BOH
978 745 0343
Sep-24-20081:02pm
Last Fax
Date Time Twe Identification dura u Pte. _result
Sep 24 1:02pm Sent 919788874114 0:28 1 OK
Result:
OK - black and white fax
_�J
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAx 978-745-0343
W W W.SALEM.COM
Kimberley Driscoll JOANNE SCOTT, MPH, RS, CHO
Mayor HEALTH AGENT
March 12, 2007
Steven Morris
84 Ipswich Road
Boxford, MA 01921
Dear Mr. Morris:
Please be advised thatY our application for a Well Water Supply Certificate for
12 Almeida Street is incomplete. Therefore, a Water Supply Certificate cannot be
issued at this time.
The Salem Board of Health requires the following information to determine the suitability
of the water for drinking and other household use:
1. Well Water Supply Certificate Application
2. Completed Pumping Test Record.
3. Water Well Completion Report
4. A complete Water Quality Testing as delineated in the enclosed Massachusetts
Department of Environmental Protection document, "Parameters and Testing
Frequency for Private Wells."
The water quality test that you did submit indicates an unacceptable level of
Tetrachloroethylene.
All water quality analysis must be performed by a laboratory that is certified by the
Commonwealth of Massachusetts for the specific analysis required. This list is available
at: http://edep.dep.mass.gov/labcert/labcert.asp .
All water quality analysis must be conducted utilizing methods approved by the U.S.
Environmental Protection Agency for analyzing drinking water.
All water quality analysis must be performed on a water sample collected at 12 Almeida
Street by the analyzing laboratory.
IL
cerely,
ne Scott
Health Agent
Cc: Salem Building Commissioner Thomas St. Pierre
HP Fax Series 900 Fax History Report for
Plain Paper Fax/Copier Joanne Scott Salem BOH
978 745 0343
Sep 25 2008 3:45pm
Last Fax
Date Time Twe Identification Durati Puts-
Sep
result
Sep 25 3:45pm Sent 99787457817 0:27 1 OK
Result:
OK - black and white fax
HP Fax Series 900 Fax History Report for
Plain Paper Fax/Copier Joanne Scott Salem BOH
978 745 0343
Sep 25 2008 2:59pm
Last Fax
Date Time L)= Identification Duration Pa Result
Sep 25 2:58pm Sent 919788874114 0:28 1 OK
Result:
OK -!mak and white fax
Thor t.ensen .Laboratory, Inc. v
66 L_ttleton Rd.
PC Ro5z 426
WOSLlord, MA 01886-0126
USA
(978) 692-8395
PACE i
Ciarlc� M.Rollins Ca, Inc. Invcicc #: 000b681b
Accounts Payable Invoice nate: 1 ! 3/07
129 nepct Road PaymcnL Duo: 02/02/0'
Buxiord, MA 01921 Terms : 10. 00/30 NET 30
- PO Number: 104573
TAXPAYER ID: 01-,2bd9728
INVOICE
Salem water test 655 . 00
12 Almeida SL. Salem <A
T, h_5�
T47A ...) , 00
66 LITTLETON ROAD, WESTFORD, MA 01886
Report Number: A 104573 (978)692-8395 FAX(978)692.0023 1.800-649-TEST
Report Date: 12127,'06
Colonial Remodeling Corp
45 Bridge St 12 Almeida St
Salem MA 01970 Salem MA
Date Sampled: 12/15/06 Sampled by: Rollins Staff
EPA 524.2
PARAMETER MCL RESULT PARAMETER
Benzene MCL RESULT
5.0 ND 1,1,2,2-Tetrachloroethane -- Np
Carbon Tetrachloride 5.0 ND 1,3-Dichloropropane ND
I,1-Dichloroethylene 7.0 ND Chloromethane
-- ND
1,2-Dichloroethane 5.0 ND Bromomethane
p-DichloroBenzene 5.0 ND ND
1,2,3-Trichloropropane -- ND
Trichloroethylene 5.0 ND 1,1,1,2-Tetrachloroethane _ ND
1,1,1-Trichloroethane 200. ND Chloroethane ND
Vinyl Chloride 2.0 ND 2,2-Dichloropropane ND
Monochlorobenzene 100. ND o-Chlorotoluene ND
ortho-Dichlorobenzene 600. ND p-Chlorotoluene ND
trans-l,2-Dichloroethylene 100. ND Bromobenzene ND
cis-1,2-Dichloroethylene 70.0 ND 1,3-Dichloropropene ND
1,2-Dichloropropane 5.0 ND 1,2,4-Trimethylbenzene ND
Ethylbenzene 700. ND 1,2,3-Trichlorobenzene ND
Styrene 100. ND n-Propylbenzene ND
Letrachloroethylene 5.0_ l3� n-Butylbenzene ND
Toluene 1000, ND Naphthalene ND
Xylenes(Total) 10000. ND Hexachlorobutadiene
Dichloromethane ND
5.0 ND 1,3,5-Trimethylbenzene - ND
1,2,4-Trichlorobcnzene 70.0 ND p-Isopropyltoluene
ND
1,1,2-Trichloroethane 5.0 ND lsopropylbenzene
Chloroform ND
- I t-Butylbenzene _ ND
Bromodichloromethane ND sec-Butylbenzere - ND
Chlorodibromomethaue ND FluoroTrichloromethane ND
Bromoform ND Dichlorodifluoromethane
ND
m-Dichlorobenzene ND Bromochloromethane
Dibromomethane ND
ND *MethylTertiaryButylEther -- ND
1,1-Dichloropropene ND
1,1-Dichloroethane ND
%Recovery of Internal Standards: ND-None Detected
4-Bromofluorobenzene 94 MCL=Maximum Contamination Level
1,2-Dichlorobenzene-d 112 Results are in ue/L
Detection Limit:0-5 ue/L *MTBE(Ootional)
Subcontracted to Mass DEP Lab MA072. 7Je, GLft.''(+t
Mic�haeLlP/'.Z/aron. for
Thorstensen Laboratory Inc.
66 LITTLETON ROAD,WESTFORD, MA 01886 (978)692-8395 FAX(978) 692-0023 1.800-649-TEST
Report Number: A 104573 Report Date. ,Ianue.ry 22,2007
Client: Sample Taken At:
Colonial Remodeling Corp. 12 Almeida St
45 Bridge St Salem MA
Salem MA 01970
Sample Taker.By: C.M. Rollins On: 12,15/06
Certificate of Anah:sis
TEST PARAMFIT R EPA MAX RESULTS UNITS
"Total Coliform(P) 0 0 per 1001111
Antimony 0.006 <0.001 mg,L
Arsenic(P) 0.05 <0.002 mgrL
Barium - 2.0 0.009. - mWL
Beryllium 0.004 <0.001 mg/L
Cadmium 0.005 <0.000.5 mg/l,
Calcium Not Spec. 27.8 melL
Chromium 0.1 <0.001 mg'L
Copper(S) 1.3 0.04 nig/L
Iron(S) 0.3 40.98 mg/L
Lead(P) 0.015 (1,003 nigiL
Magnesium Not Spec. 8.1 mg/L
Manganese(S) 0.05 #0.10 mg'L
Mercury 0.002 <0.000,2 mgiL
Potassium Not Spec. 3.9 mg/L
Selenium 0.05 <0.001 mg/L
Sodium SecNote 87.8 ring,L
Thallium 0.002 <0.001 mg/1.
Alkalinity(S) Not Spec. 110 mg/L
Ammonia Not Spec. <0,03 mg/L
Chloride(S) 250 120 mg/L
Chlorine Not Spec. <0.02 mg/L
Color(S) 15 420 CPU
Conductivity Not Spec. 678 unihos'cni
Cyanide 0.2 <0.01 niglL
Fluoride(S) 4.0 1.7 nig%L
Hardness Not Spec. 103 mg/L
Nitrates(as N)(P) 10 <0.01 mg/L
Nitrites(as N)(P) 5 <0.05 me/T..
pH(S) 6.5•8.5 7.6 SU
Odor(S) 3 0 TON
Sulphates(S) 250 22.7 niglL
Turbidity Not Spec. 3.0 N'FU
Sediment pos/neg neg
Legends:
(P)=Priman LPA Standerd. (S)=Secondanv CPA Standard.#=hscceds EPA Limit.
TNTC—Too Numerous to Count. "'=Background Bacteria Noted. =Esceids Advisory Limit
Sodium Advisory Limits, Mass.=20,N1-1=250.
'Phis"ater Sample as submitted is considered SAFE to drink according to LTA/1711A guidelines.
I lotrever,one or more parameters exceeds secondmr limits as denoted by the# sign.
Massachusetts State Certified Michael P.Carlson.for
Testing Laboratory 4NIA048 Tborstensen Laboratory Inc.
, r
7/20010: 0+e 2069842474 HE[ ,: F: 3E r3 sa
New England ChromaChem
6 Nichols Street
Salem, MA 01970
978-744.6600
Sample Information
EPA Method 624.2 Volatile Organic compounds in Water
Client Thorstensen Laboratory
lab ID, 612086
Client ID: 104573
State! Liquid
Date Received: 12/22/06
Date Analyzed: 12!22106
Date Sampled: 12/15/06
Analytical Results
Parameter Results ug/L) Parameter Results ug1L)
Acetone D Trans-1,2-dichtoroethene NO
Benzene ND 1,2-01chloropropene NO
Bromobenzene ND 1,3-Dichloropropane ND
Bromochloromet ane NO 2,2-Dichloropropane ND
Bromodichloromethane ND 1,1-01ehlcropropene NO
Bromoform ND Ethyibenzene NO
Bromomethane ND Hexachlorobutadiene ND
2-Butanone ND Isopropylbenzene NO
N-Butylbenzene ND P-Isopro yltoluene NO
Sec-Butylbenzens NO Met ylene Chloride NO
Tert•But 'be
nzene NO Methyl-tent-butyl ether NO
Carbon Tetrachloride NO Naphthalene NO
Chlcrobenzene NO N-Propylbenzene ND
Chloroethane NO St rune IND
Chloroform 1 1,1,1,2-Tetrachloroethane NO
Chloromethane NO 1,1,2,2-Tetrachloroethane NO iJAI
2-Chlorotoluene ND Tetrachloroethene . 13
4-Chlorotoluene NO Toluene NO
Dibromechloromethane NO 1,2,3-Trichlorobenzene NO
1,2-Dibromo-3-ch'oroprepane NO 1,2,4-Trichlorobenzene NO
1,2-Dibromoethane ND 1,1,1-Trichloroethane NO
Dibromomethane O - - - 1,1; • nchloroethane NO
1,2•Dichlorobenzene °" NO Trichloroethene D
1,3-Dichlorobenzene NO Trichiorotluoromethane NO
1,4-Dichlorobenzene ND 1,2,3-Tne loropropane ND
Dichlorodifluoromethane NO 1,2,4-Trimelh (benzene NO
1,1-Dichloroethane NO 1,3,5-Trimethylbenzene NO
1,2-Dichloroethane ND Vinyl Chloride NO
1,1-Dichloroetnene NO M&P-Xylene NO
Cis-1,2-dichbroethene NO 0-Xylene NO
Recoveries of Internal Standards
Ben4
ene-d6 99
4-Bromofluorobenzone 94
1,2-D1
chlorobenzene-d4 112 (0 00
Method Detection Limit = 0.5 . gln
Electronkallysi,9ned and approved by.Mr. Bruce A Bornstein; Lab Director Date: 12128/2006
An Affiliate of Severn Trent Laboratories, Inc.
Mike Carlson
Thorstensen Laboratory, Inc.
66 Littleton Road
Westford, 'MA 01886
Dear Mike: December 28,2006
Please find enclosed results for one(l)sample,Project Ref: 104573,Aerotech P&K Job#760-612-0061,which
you submitted for asbestos analysis by Transmission Electron Microscopy(TEM).
The results according to the USEPA Phase 11 Primary and Secondary Drinking Water Regulations EPA Method
100.2(fibers longer than 10 microns)are listed under column A. ("<" is equal to the value of the detection limit)
i A Date&Time Date&Time
SAMPLED) (million G6ers/liter) Filtered Analyzed
12 Almeida St. <0.193 12.+15/06; 14:47 12/27/06; 15:57
i
The final Maximum Contaminant Level Goal(MCLG)and Maximum Contaminant level(MCL)for asbestos in water is
7.0 million fibers/liter.
Aerotech P&K Billerica is accredited by NYELAP(#10838)and the Commonwealth ofMassachn:setts(#M-M4038)for
asbestos analysis of water samples.
The test results in this report meet all NELAP requirements for parameters for which accreditation is required or
available. Any exceptions to NELAP requirements are noted above.
Aerotech P&K is not responsible for incorrect sampling procedures since these water samples were not collected by our
lab personnel. Aerotech P&K is only responsible for the analysis and reporting of submitted samples. Accreditation in no way
constitutes or implies product certification,approval,orendorsementbyNELAP. This report relates onlyto the specific samples
tested herein. The enclosed report shall not be reproduced except in full,without the written approval of Aerotech P&K.
Should youhave further questions.or need additional information,please feel free to contact Client Services or
me any time.
Sincerely
Ernest T.Debi, Ph.D.
Manager-Microscopy Services
Aerotech P&K 148 Rangmay Road a N. Billerica, MA 01862 0 800 653 8011 a 975 667 1400 . Fax 978 667 7871 . w"W.AerclechPK.com
Page: 1
AEROTECH P&K BILLERICA
ASBESTOS BY TEM (INDIVIDUAL SAMPLE, LEVEL I OR II)
(COPYRIGHT (C) 1998 BY APK - VER 6. 3 SEPT 98)
CLIENT: Thorstensen Laboratory CONTACT PERSON: Mike Carlson
SAMPLE: 12 AImeida St TYPE: Water PROJECT#: 104573
-------------------------------------------------------------------------------
FILTER TYPE: MCE ACTIVE DIAMETER (mm) : 22. 14
VOLUME FILTERED (LITERS) : 0. 0300
GRID TYPE: 200 FINDER OPENING AREA (mm^2) : 0. 00948
MICROSCOPE USED: PHILIPS EM 300
ACCELERATING VOLTAGE (kv) : 80 BEAM CURRENT (UA) : 40
MAGNIFICATION: 18, 000 TOTAL AREA EXAMINED: 0. 06636 (MM^2)
GRIDS EVALUATED ACCORDING TO AHERA PROTOCOL: Y
ANALYZED BY: Aimee Cormier DATE: . 12/27/06 APK JOB NO: 6I2-0061
------------------------------------------------------------------------------
INDIVIDUAL STRUCTURE DATA RECORD
KEY TO ABBREVIATIONS:
F FIBER NA NON-ASBESTOS MINERAL
X FIBER INTERSECTING GRID AB AMBIGUOUS MINERAL
B BUNDLE ST STRONG SAED PATTERN
M MATRIX FV FAINT OR VANISHING SAED PATTERN
C CLUSTER NP NO PATTERN (FOLLOWING ATTEMPT)
CH CHRYSOTILE ASBESTOS NX NO PATTERN (NO ATTEMPT)
AM AMOSITE ASBESTOS PA PATTERN AMBIGUOUS
CR CROCIDOLITE ASBESTOS TA TREMOLITE-ACTINOLITE ASBESTOS
AN ANTHOPHYLLITE ASBESTOS
EDX PROFILE. ELEMENTS ARE GIVEN AS NA-MG-SI-CA-FE
-------------------------------------------------------------------------------
SAMPLE #: 12 Almeida St APK #: 612-0061 . 01
VOLUME FILTERED (LITERS) : 0. 0300 TOTAL AREA EXAMINED: 0. 06636 (MM^
-------------------------------------------------------------------------------
GRD OBJ OBJ LEN WID RATIO THK MIN SAED MASS EDX LEN LEN
No. No. TYP um um LIW uM ID QUAL PG PROFILE <5 >=5
--- --- --- ------ ----- ----- ------ --- ---- ---------
--------------- --- ---
BEGIN GRID OPENING NO. 01 LOCATED: 1-01
BEGIN GRID OPENING NO. 02 LOCATED: I-P1
BEGIN GRID OPENING NO. 03 LOCATED: 1-Q1
BEGIN GRID OPENING NO. 04 LOCATED: 2-H6
BEGIN GRID OPENING N0. 05 LOCATED: 2-I6
BEGIN GRID OPENING NO. 06 LOCATED: 3-I5
BEGIN GRID OPENING NO. 07 LOCATED: 3-J5
PLATE #: TOTAL --0 - 0
COMMENTS: 1211-r9, s2, s4
AEROTECH P&K BILLERICA
ASBESTOS ANALYSIS BY TRANSMISSION ELECTRON MICROSCOPY (TEM)
(COPYRIGHT (C) 1998 BY APK - VER 6. 3 SEPT 98)
CLIENT: Thorstensen Laboratory CONTACT PERSON: Mike Carlson
SAMPLE: i2 Almeida St TYPE: Water PROJECT#: 104573
-----------------------------------------------------------------
I ASBESTOS CONCENTRATION - ------
A) TOTAL ASBESTOS COUNT = 0. 0000 STRUCTURES/CC ( = 0. 00 STR/LIT)
B) TOTAL ASBESTOS COUNT = 0. 00 STRUCTURES/SQUARE MILLIMETER
II ASBESTOS CHARACTERISTICS
A) CHRYSOTILE:
NONE OBSERVED
B) AMPHIBOLES:
NONE OBSERVED
III COUNTING DATA
A) TOTAL GRID OPENINGS EXAMINED = 7
B) TOTAL STRUCTURES INVESTIGATED = 0
C) TOTAL ASBESTOS CONTAINING STRUCTURES OBSERVED = 0
NO. CHRYSOTILE FIBERS = 0
NO- CHRYSOTILE BUNDLES,CLUSTERS,MATRIX STRUCTURES = 0
NO.AMPHIBOLE FIBERS = 0
NO-AMPHIBOLE BUNDLES,CLUSTERS,MATRIX STRUCTURES = 0
D) TOTAL NON-ASBESTOS STRUCTURES INVESTIGATED = 0
E) ANALYTICAL SENSITIVITY (ESTIMATED NOT TO EXCEED) : 193. 38260 STRUCTURE/cc
CV FILTER LOADING DATA
A) TOTAL ASBESTOS MASS (VOL) = 0.0000 PICOGRAMS PER LITER(=nanogramlM^3)
B) TOTAL ASBESTOS MASS (AREA) = 0. 0000 PICOGRAMS PER MM-2
C) TOTAL ASBESTOS COUNT = 0. 00 STRUCTURES PER MM-2
D) TOTAL PARTICLES INVESTIGATED = 0. 00 STRUCTURES PER MM-2
E) ASBESTOS LIMIT (ESTIMATED NOT
T'OrEXCEED) : 15. 07 STRUCTURES/MM^2
RESPECTFULLY SUBMITTED: 6'l l,t,t �� / (� DATE:
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Parcel ID 14_0197_0 a\ ??V
Address 12 - ALMEDA STREET
Map for Reference Only
NOT A� LEGAL
Because)o-f differefif update
schedules, current property
assessments may not reflect recent
changes to property boundaries.
Check with the Board of Assessors to -
confirm boundaries used at time of
assessment.