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74 NORTH STREET - ASBESTOS Y National Abatement, Inc Invoice P O Box 4386 Peabody, MA 01960 Date Invoice# 9/9,12019 2019-00216 74 North St. Salem.MA 01970 Cataldo Ambulance 74 North Street Salem,MA 01970 P.O. No. Terms Project Quantity Description gate Amount The removal and disposal of asbestos roof flashing at former Car Wash located at 74 8,900.00 8.900.00 North St.Salem,MA Total 58.900.00 YW �EST-ALL ""IRONMUYTAi. RjjtVJ('Ci1 Final Clearance Inspection Checklist Clienr Dam Addre", Project M: Turk Asbestm Cvnttactor. Negatirt Presmuter_ Yes =',:! �onrsitemcrit 'lst POIT Sheeting in V11 DwOn'Type! 1�+1 , Full Co ntamment. ltic, Wndt,Iea Size: �`� �0 G3nL'C1 1{CIIIl1Y8l: {S Iv[n[crial QuantityEimhtns q?j (,&5 t6, Lv a L v- - 0 Sigutwc 1.2umc Proicrr montlor UZI Superniso . x, �7 ,JirJMA U LaA Too#of SamPL--:: � T,043 s5 Fail Lai)I 5am c# Ixrestxm Starr Tuae End-1'=r Vsnutcs F�m lute Vuluult F:Fw1d i any; The Pnsr.iharrmrar Clrsrarnwr L"O for crsri-afur:n i.0 J.A.B. / ROLLOFF. INC. E.P.A.AGENCY 44235 {{,,,,,,�� Y CT,MA,R1,1(T,NH,ME Asbestos Waste Transport & Disposal GENERATORS EPA P.O. fox 509,Hampstead,NH 03841 EPA New England EMERGENCY RESPONSE P 1 Congress Street TELEPHONE bl 387-1495 Boston,MA 02114-2023 800 424-8802 (617)918-1111 NON-HAZA'R OUS SPECIAL WASTE MANIFEST "' • MnfDEPAsbestosNo' Number u nruj"HNG O *• Contractor , Name �-/ Address / Address f '�,"/� 7 �Td7 City State ►p C City �'L ` State ip- Telephone Number Phone Number Date Container Del. i rDate of Pickup Gf,.+l ATING LOCATION Type of Container Name VOLUME CY Friable Q Non-Friable, Address. MUST BE 1N CUBIC YARDS City State Ba Drum11 WrappedN � Other[]Q, NA2212,ASBESTOS, 9, Mill Phone Number f certify the abbe named material does not contain free liquid as defined by 41. Ffrt Z 10 or any plicable state law,is not a hazardous waste as defined by 48 CFR part 261 or any applicable state law, has been property descri cl ad packs nd is in proper condition fcr transportation according to NESMAP standards for asbestos waste disposal found in 40 CFR park 6 .1 AUTHORIZED SIGNATURE Date: " 1,4/40f) j Transporter 1: Name Address Telephone# Driver: Registration#: Date: Signature State/# Acknowledgement of receipt of materials. Transporter 2: ,g,I ROLLOFE •P.O. 6 TE © H 0841 0(617) 7- Driver: Registration#: _Date: Signature state/# Acknowledgement of receipt of materials. Transporter 3: _-- Flame Address Telephony# Driver: Registration#: Date: Signature State/# Acknowledgement of receipt of materials. Landfill Name: Waste Management of NH -Turnkey Landfill 0 Landfill Name: Location: 97 Rochester Neck Rd., Rochester, NH 03839 H Location: Phone No: 603-330-2165 Permit#: DES-SW-SP 95-001 R Phone No: Permit#: Landfill Name: _ Notes: Location: Phone No: Permit#: Received bv: Date: 9/5/2619 AQ 04-Asbestos Removal Notification Form ANF-001-Transaction#1135016 Massachusetts Department of Environmental Protection 1100312734R2 BWP AQ 04 (ANF-001) Asbestos Project# Project Revision Notification Project Revision Project Cancellation l.t A. Asbestos Abatement Description 1.Facility Location: gCA DO AMBULANCE _ - 1 74 NORTH ST a.Name of Facility b.Street Address __ �� 19T0 781-233-0062 c.Cityrrown d.State e.Zip Code f.Telephone 0T0 AGGANiS CONTRACTOR Instructions 1.All g•Facility Contact Person Name h.Facility Contact Person Title sections of this form must Worksite Location: ROOF FLASHING be completed in order to i.Building Name,Wing,Floor,Room,etc. comply with MassDEP notification requirements 2. 131anket Permit Project Approval, if applicable: of 310 CMR 7.15 and Approval ID# Department of Labor 3. Non-Traditional Asbestos Abatement Work Practice Approval,if applicable: Standards(DLS) Anarnval.ill# notification requirements 89/06/2019 -- - P9/11/2019 of 453 CMR 6.12 a.Project Start Date(MMIDDfYYYY) b.End Date(MM/DDlYYYY) :RAM-4 BAM-4 c.Worts Hours-Monday Through Friday d.Work Hours-Saturday&Sunday MassDEP Use only .Date Relit Other Project Revisions: Note:Temporary storage of Asbestos containing waste material is only allowed at the place of business of a DLS C. Certification licensed Asbestos "I certify that I have personally examined IM NET j contractor or a transfer the foregoing and am familiar with the 1,Name 2.Authorized Signature station that is permitted information contained in this document UPERViS©R by MassDEP and and all attachments and that,based on operated in compliance my inquiry of those individuals 3.Position(ritle 4.Date(MM/DD/YYYY) with Solid Waste immediately responsible for obtaining 99-588-3161 NA,INC Regulations 310 CMR the information,I believe that the 5.Telephone 6.Representing 19.000 information is true,accurate,and 06 Box 4386 PEABCOMY complete.I am aware that there are 7.Address 8.City/Town significant penalties for submitting false information,including !�A G1960 Mote:Contractor must ng possible fines and sign this form for DLS imprisonment.The undersigned hereby 9•State 10.Zip Code notification purposes states that I have read the Commonwealth of Massachusetts regulations goveming asbestos abatement(453 CMR 6.00 promulgated by the Department of Labor Standards and 310 CMR 7.15 promulgated by the Department of Environmentat httpsl/edep.dep.mass.gov/eDEP/WebFormstA,sbestos/BWPANFOOl.aspx 112 9/5/2619 AQ 04-Asbestos Removal Notification Form ANF-001-Transaction#1135016 Protection),and that 1 am aware that this permit application or notification shall not be deemed valid unless payment of the applicable fee is made." https.liedep.dep.mass.gov/SDEPNVebForms/Asbastos/BWPANFoOl.aspx 2/2 Massachusetts Department of Environmental Protection 100312734 .� BWP AQ 04 (ANF-001) �., Asbestos Project# Asbestos notification Form r Project Revision r Project Cancellation A. Asbestos Abatement Description 1.Facility Location: CATALDO AMBULANCE 74 NORTH ST Instructions 1.All a.Name of Facility b.Street Address sections of this form SALEM MA 01970 7812330062 must be completed in order to comply with a City/Town d.State e.Zip Code f.Telephone MassDEPnotificaton STEVEAGGANIS CONTRACTOR requirements of 310 CMR 7.15 and g,Facility Contact Person Name h.Facility Contact Person Title Department of Labor Work-site Location: ROOF FLASHING Standards(DLS) notification i.Building Name,Wing,Floor,Room,etc requirements of 453 2. IS the facility occupied? r a.Yes F b,No CMR&.12 3. Is this a fee exempt notification(city,town, district, municipal housing authority, state facility,or owner-occupied residential property of four units or less)' f a,Ym W b.No MassDEP Use Only 4.Blanket Permit Project Approval,if applicable: Date Received Approval ID# 5.Non-Traditional Asbestos Abatement Work Practice Approval, if applicable: Approval ID# 6.Asbestos Contractor: NATIONALABATEMENT INC 98 UNCOLN AVENUE a Name b.Address SAUGUS MA 019M 7815893161 a City/rows d.State e.Zip Code f.Telephone AC000511 h.Contract Type:17 1. Written r-2.Verbal g.DLS License# 7 .IINIWMAONET OWNER AS000339 a.Name of Contractors On-Site Supervisor/Foreman q.DLS Certification# 8. FU ENWONI&WI]AL INC AA000144 a.Name of Project Monitor b.DLS Certification# 9. N/A a.Name of Asbestos Analytical Lab b.DLS Certification# 10. 817/2019 8/17/2019 a.Project Start Date(MM/DD/YYYY) b.End Date(MM/DD/YYYY) 8AM-4 8AM-4 c Work Hours-Monday Through Friday d.Work Hours-Saturday&Sunday 11.What type of project is this9 r a.Demolition f— b.Renovation r c.Repair(v` d.Other-Please Specify: ASBESTOS REMOVAL Revised: 11/13/2013 Page I of Massachusetts Department of Environmental Protection 100312734 BWP AQ 04 (ANF-001) � Asbestos Project# Asbestos Notification Form r Project Revision r Project Cancellation A.Asbestos Abatement Description:(cont.) 12.Abatement procedures(check all that apply): r— a.Glove Bag r— b.Encapsulation r c. Enclosure r d.Disposal Only r e.Cleanup r f.Full Containment 17 g.Other-Please Specif}•: WET REMOVAL 13.Job is being conducted: E` a.Indoors F7 b.Outdoors 14 a.Total amount of each type of asbestos Containing materials(ACM)to be removed,enclosed,or encapsulated: 600 1.Linear Feet(Lin.Ft) 2.Square Feet(Sq.Ft) b.Boiler,Breaching,Duct, c.Transite Pipe Tank Surface Coatings 1.Lin.Ft 2.Sq.Ft 1.Lin.Ft 2.Sq.Ft d.Pipe Insulation e.Transite Shingles 1.Lin.Ft 2.Sq.Ft 1.Lin.Ft 2.Sq.Ft £Spray-On Fireproofing S.Transite Panels 1.Lin.Ft 2.Sq.Ft 1_Lin.Ft 2 Sq.Ft h.Cloths,Woven Fabrics i.Other-Please Specify: 1.Lin.Ft 2.Sq.Ft j.Insulating Cement ROOF FLASHING 600 1.Lin.Ft 2.Sq.Ft 1.Lin.Ft 2.Sq.Ft 15.Describe the decontamination system(s)to be used: WET REMOVAL 16.Describe the containerization/disposal methods to comply with 310 CMR 7.15 and 453 CMR 6.14(2) (g): ALL METHODS WILL COMPLY 17.For Emergency Asbestos Operations,the MassDEP and DLS officials who evaluated the emergency: a.Name of MassOEP Offal b.Trde of MassDEP Official c.Date of Authorization(MMIDD/YYYY) d.Waiver# e.Name of DLS Official t Title of DLS Official g.Date of Authorization(MM/DD/YYYY) h.Waiver# 18.Do prevailing wage rates as per M.G.L.c. 149,§26,27 or 27A—F apply to this r a.Yes 1✓ b.No project? Revised: 11/13/2013 Page 2 of 4 Massachusetts Department of Environmental Protection 100312734 BWP AQ 04 (ANF-001) f Asbestos Project# ,t Asbestos Notification Form ►— Project Revision r Project Cancellation C.Asbestos Transportation&Disposal: (coat.) 3.Name and address of temporary storage location/transfer station for the asbestos containing waste material: 229 LYNNWAY SAME a Temporary Storage Location Name b.Address LYNN MA 01905 7815893161 a eityrrown d.State e.Zip Code f.Telephone 4.Name and location of final disposal site(asbestos landfill): WASTE MANAGEMENT OF NH TURNKEY LAND FILL a.Final Disposal Site Name b.Final Disposal Site Owner Name 97 ROCHESTER NECK RD c.Address ROCHESTER NH 03839 6033302165 Nola:Contractor must d.City/Town e.State f.Zip Code g.Telephone sign this form for DLS notification purposes A Certification JN NET JM NEC "I certify that t have personally 1.Name 2.Authorized Signature examined the foregoing and am SUPERVISOR 7r24/2019 familiar with the information contained in this document and 3.Posifionfrdle 4.Date(MWDDNYYY) all attachments and that,based 7815893161 NA ING on my inquiry of those 5.Telephone 6.Representing individuals immediately PO BOX43W PEABODY responsible for obtaining the 7.Address 8.Cityrrown information,1 believe that the MA 01960 information is true,accurate,and complete.I am aware that there 9.State 10.Zip Cade are significant penalties for submitting false information, including possible fines and imprisonment.The undersigned hereby states that 1 have read the Commonwealth of Massachusetts regulations governing asbestos abatement (453 CMR 6.00 promulgated by the Department of Labor Standards and 310 CMR 7.15 promulgated by the Department of Environmental Protection), and that I am aware that this permit application or notification shall not be deemed valid unless payment of the applicable fee is made." Revised: 11/13/2013 Page 4 of 4 A IT I ON A L ASATEME T P.O. BOX 4386 Peabody, MA 01960 (781) 589-3161, Fax (781)231-5780 Email: jnet*a-abatement.com July 29, 2019 To: Salem Inspectional Services /Fire Dept. RE: Asbestos Abatement at 74 North_St. Start Date's: August 7th-10, 2019 Sam-4 National Abatement, Inc. Jimmy Net A T 1 N A L ABATE ENT P.O.BOX 4386 Peabod7,MA 01960 (781)589-3161.Fax(731)231-5780 Email:jnet@a-abatement.com June 27"',2019 VIA EMAIL: RE: Asbestos Abatement Proposal for Mr. Steve Agganis Agganis Construction 394 Lincoln Ave. Saugus, MA 01906 Job Location: Former Car Wash @74 North St. Salem,MA 01970 National Abatement is pleased to submit the following technical and cost proposal to provide you with Asbestos Abatement services at the above referenced site. National Abatement is a Massachusetts Certified Asbestos Abatement Contractor and employs individuals licensed by the Commonwealth of MA as Asbestos Abatement Supervisors and Asbestos Abatement Workers. National has conducted a walkthrough of the area to review the existing conditions. The proposal shall outline the technical approach and services for properly removing Asbestos Containing Materials. L SCOPE OF WORK: A. Abatement of Asbestos Containing Materials: l. Access to the work area will be limited and will be posted with warning signs at all potential entry points. 2. All work practices and engineering controls outlined in the Massachusetts Regulations&Federal Government regarding Asbestos Removal will be met or exceeded during the abatement phase of this project. R. Asbestos Project Air Monitoring: 1- Upon completion of each abatement phase,Nationals competent person will perform a visual inspection of the abatement area(s)to ensure that all work is complete and that the work site is free of dust and debris. 2. National will subcontract an independent industrial hygiene firm to conduct post abaterncnt visual inspections and clearance air sampling of each work area. Engineering controls will not be removed until clearance criteria are achieved. C. Materials to be Abated: 1. Removal and disposal of all visible roof flushing locates on flat roof section. H. FEE SCHEDULE: 2. Total listed below are for the abatement and disposal of Asbestos Containing Materials noted above including labor,material,permits, equipment and insurance. No additional amounts will be billed without specific authorization from client. TOTAL ABATEMENT COST: Eight thousand nine hundred------------------$8900.00 Price included all required notification fees,wastes disposal, and final air clearances. III. TERMS: 1. Water and Electricity must be available at the site at no additional cost. 2. The client or owner must remove stored items, fixtures,fixed furniture and moveable objects from the work areas prior to commencement of the project. 3. Pricing does not include replacement of the abated material. Should you have any questions regarding this proposal,please do not hesitate to contact us at(781) 589-3161. National appreciates the opportunity to provide our services to you and, we look forward to working together on this project. Sincerely, National AbatentenI, C. ,Jimmy Net r Approval of Pr(wosal nd Notice to Proceed: Signature - — Date Print Name and Title Purchase Order Number