21 Er
r.
Fire Prevention Division
29 Fort Avenue
Salem, Ma 01970
tel (97B1 745-7777
fax Oa; 745-9402
to: Matthew Raposo IES
fax 4: 1
from: 1
date' I
subject: I
pages: I
NOTES:
617-629-2920
Capt. William R. Hudson
5/6/2004
59-63 Jefferson Avenue
7 Total
0
This facsimile contains privileged and confident/Si 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 intended recipient or the employee or agent responsible for delivering it to the intended
recipient. you are hereby notified that any communication. 6'ansmission, dissemination or
reproduction of this facsimile or its contents is striciiv prohibited. if you have received
th.s facsimmle in error pease immediteh; heft y us by telephone and return the origin_!'
fac irnlie to us at the above address via the U S. postal service. " Thank You.
Capt. William R. Mudsoia
Fire Marshal
Robert W. Turner
Chief
IIf thnt, sthuse±±s
SALEM FIRE PREVENTION BUREAU
29 FORT AVENUE
SALEM MA 01970
The Salem Fire Department has received your letter of inquiry for
information concerning the possibility of flammable liquid storage or
releases on the property described below.
59,61,63 Jefferson Avenue
You should understand that the Salem Fire Department is but one of several
departmentk. within the City of Salem to which information can be obtained
concerning Mammable 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 an 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
Fire Marshal
A
109258
MM DD YYYY
1 1MA 1 1 02 1 1 201 1 2012 I
FDID * State * Incident Date *
11 1 112-0000759
Station Incident Number *
❑ Delete
1 1 000I Change
Exposure * ❑ No Activity
NFIRS -1
Basic
B Location*
® Street address
❑ Intersection
❑ In front of
['Rear of
❑ Adjacent to
❑ Directions
❑Check this box to Indicate that the address forthis incident
Module In Section B "Alternative Location Specification". Use
0631 ljeffenson Avenue
Number/Milepost Prefix Street or Highway
Apt./Suite/Room
Cross street or
C Incident Type *
1111 1 'Building fire
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 Q None
F.' Actions Taken*
ISalem
City
directions, as applicable
II I
Their FDID Their
State
Their
Incident Number
111 1 'Extinguishment by
Primary Action Taken (1)
112 1 (Salvage &
Additional Action Taken (2)
Additional Action Taken (3)
Completed Modules
Q Fire-2
X❑ 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*
Deaths
2 ❑Detector did not alert
() ❑ Unknown
Structures
131 ❑Church, place of worship
161 ['Restaurant or cafeteria
162 ['Bar/Tavern or nightclub
213 ['Elementary school or kindergarten
215 ['High school or junior high
241 ['College, adult education
311 []Care facility for the aged
331 ['Hospital
Outside
124 ['Playground or park
655 ['Crops or orchard
669 ['Forest (timberland)
807 ['Outdoor storage area
919 ['Dump or sanitary landfill
931 ['Open land or field
overhaul
fire I
El Date & Times
Check boxes if Month Day Year Hr Min Sec
dates are the
same as Alarm ALARM always required
021 1 201 I 20121107 : 46 : 00
s provided on the Wildland Fire Census Tract 12041
only for Wildland fires. . — I 0 0 1
Street Type Suffix
1 1M2s, 1 101970
State Zip Code
Date. Alarm *
Midnight is 0000
ARRIVAL required, unless canceled or did not arrive
Arrival * 1 021 1 201 1
12
Shift or
Platoon
E2 Shift & Alarms
Local Option
1 11STA 41
Alarms District
20121107:47:00 I E3
CONTROLLED Optional, Except for wildland fires
❑Controlled [ J L J I I1
LAST UNIT CLEARED, required except for wildland fires
Last Unit
® Cleared
Gi
1 021 1 201 1 20121116:00:00 1
Resources *
Check this box and skip this
section if an Apparatus or
Personnel form is used.
Apparatus Personnel Property $1 1 , 300 ,1 0001 ❑
Suppression
Special Studies
Local Option
I I
Special
Study ID#
Special
Study Value
G2 Estimated Dollar Losses &
Values
EMS I
Other I
❑
H1 * Casualties❑None
Fire
Service
LOSSES: Required for all
for non fires.
fires if known. Optional
None
00101 II Contents $ I 1 , 075 ,1 0001
Check box if resource counts
include aid received resources.
H3
PRE -INCIDENT VALUE: Optional
Property $1 1 , 000 ,1 0001 ❑
Contents $ I 1,1 0001,1 0001 ❑
Hazardous Materials Release
Injuries N ❑None
11 1 1 ❑Natural Gas: slew lest, no evauation or HaoMat actions
2 0Propane gas: <21 lb. tank (as in home BBQ grill)
Civilian) 11 1 3 0Gasoline:
4 ❑ Kerosene: fuel burning equipment or portable storage
Detector
Required for Confined Fires. 5 ❑Diesel fuel/fuel oil :vehicle fuel tank or portable
6 ❑ Household solvents: home/office spill, cleanup only
1 ❑Detector alerted occupants
7 ❑Motor oil: from engine or portable container
then 8 ['Paint: from paint cans totaling < 55 gallons
0 ❑ Other : special HazMat actions required or spill > 55ga1.,
Please complete the HaHMat form
34 1 ❑ Clinic,clinic type infirmary
342 ❑ Doctor/dentist office
3 61 ❑Prison or jail, not juvenile
41 9 ❑ 1-or 2-family dwelling
429 ❑ Multi -family dwelling
439 ❑ Rooming/boarding house
44 9 ❑Commercial hotel or motel
4 5 9 ❑Residential, board and care
4 64 ❑ Dormitory/barracks
5190Food and beverage sales
vehicle fuel tank or portable container
936 ❑vacant lot
938 ['Graded/care for plot of land
946 ['Lake, river, stream
951 ['Railroad right of way
960 00ther street
961 ❑ Highway/divided highway
962 ['Residential street/driveway
I Mixed
NN
10
20
33
40
51
53
58
59
60
63
65
00
539 ❑ Household
579 1
571 0
599 ❑ Business office
615 ['Electric generating plant
629 ❑ Laboratory/science lab
700 ['Manufacturing plant
819 ❑Livestock/poultry storage(barn)
882 ❑Non-residential parking garage
891 ❑Warehouse
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
981 0
984 0
goods, sales, repairs
Motor vehicle/boat sales/repair
Gas or service station
Construction site
Industrial plant yard
Lookup and enter a Property Use code only if
you have NOT checked a Property Use box:
Property Use 1579 1
'Motor vehicle or boat sales, 1
NFIRS-1 Revision 03/11/99
Salem Fire Department ' 09258 02/20/2012 12-0000759
Person/Entity Involved
Local Option
Business name (if applicable)
I- 1-1
Area Code Phone Number
❑Check This Box if
same address as
incident location.
Then skip the three
duplicate address
lines.
Mr.,Ms., Mrs. First Name MI Last Name Suffix
Number
Post Office Box
11
Prefix Street or Highway
I 1 I
Apt./Suite/Room
City
State Zip Code
More people involved? Check this box and attach Supplemental Forms (NFIRS-1S) as necessary
K2Owner ni Same as person involved?
LJ Then check this box and skip (Allied Collision
The rest of this section.
Local Option Business name (if Applicable)
❑Check this box if
same address as
incident location.
Then skip the three
duplicate address
lines.
L Remarks
Local Option
1 1 (Ron
Mr.,Ms., Mrs. First Name
1063
Number
Post Office Box
IMA 1101970
State Zip Code
1 IlJefferson
Prefix Street or Highway
I 1 1 IBottaro
MI " Last Name
I I I
1-1
Apt./Suite/Room
(Salem
City
11 I
Street Type Suffix
1781 1-1858 I-19828
Area Code Phone Number
'AVE
Street Type
I u
Suffix
I u
Suffix
On 02/20/2012 at 07:46:00 dispatched To 063 Jefferson Avenue /Salem, MA 01970. The
location is a Motor vehicle or boat sales, services, repair. The incident was determined
to be a(n) Building fire.
NOTE: Per Lt. Flynn the cause has been changed to undetermined after investigation. Lt.
Flynn advises when more information has been received from outside investigators, the cause
maybe changed to reflect same. The report will be updated by Lt. Flynn at the
time.10/07/2012 11:31:58 Brown
07:47:00 arrived on scene.
The following involvements were noted:
Name/Business Name Involvement Type
Bottaro, Ron
The following actions were performed on scene:
Extinguishment by fire service personnel
Salvage & overhaul
L Authorization
03062 I 1 Giunta, (Deputy) John 1 IDCE
Officer in charge ID Signature Position or rank Assignment
Check
El ' 07511
same
as Officer Member making report ID
in charge.
'Lerner, Shawn D
Signature
1 I 021 1201 1 20121
Month Day Year
1' DIE I I 1.1 021 1 2011 20121
Position or rank Assignment Month Day Year
Salem'Fire Departt
09258 02/20/2012 12-0000759
Date: 05/06/2004 Time: 16:02:45
Address:
No. 61R
Business name:
Tank data:
Tank size:
Product:
Record # 672
Street JEFFERSON AVENUE
ATLANTIC PAVING (NORM DUBE)
(in gallons)
12,000
(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:
Date: 05/06/2004
Address:
No. 61R
Business name:
Tank data:
Tank size:
Product:
F
12/17/1998
H&S TANK CLEANING
memo
Time: 16:03:04
Record #
Street JEFFERSON AVENUE
ATLANTIC PAVING (NORM DUBE)
(in gallons)
12,000
(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:
F
12/17/1998
H&S TANK CLEANING
memo
671
Date: 05/06/2004 Time: 15:43:49
Address:
No. 61-63
Business name:
Record # 321
Street JEFFERSON AVENUE
MICHAUD BUS LINES
Tank data:
Tank size: (in gallons)
3,000
Product: (G)asoline W
(D)iesel fuel
(F)uel oil for heating
(W)aste oil
(0)ther regulated substance
(U)nknown substance
Tank type: (S)teel
(F)iberglass
Date of removal:
Contractor:
Additional details:
Date: 05/06/2004
Address:
No. 61-63
Business name:
Tank data:
Tank size:
Product:
S
09/29/1992
TOTAL WASTE MANAGEMENT CORP.
memo
Time: 15:46:04
Record #
Street JEFFERSON AVENUE
MICHAUD BUS LINES
(in gallons)
3,000
(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:
322
S
•09/29/1992
TOTAL WASTE MANAGEMENT CORP.
memo
' Date: 05/06/2004 Time: 15:42:29
Address:
No. 59
Business name:
Record # 471
Street JEFFERSON AVENUE
RYDER TRUCK RENTAL
Tank data:
Tank size: (in gallons) 6,000
Product: (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 S
Date of removal: 11/16/1995
Contractor: TRIUMVIRATE ENVIRONMENTAL
Additional details: memo
Date: 05/06/2004 Time: 15:43:24 Record # 342
Address:
No. 59
Business name:
Street JEFFERSON AVENUE
RYDER TRUCK LEASE
Tank data:
Tank size: (in gallons) 4,000
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 S
Date of removal: 12/08/1992
Contractor: CRAFTSMAN CONSTRUCTION CO.
Additional details: memo
Date: 05/06/2004 Time: 15:41:40
Address:
No. 59
Business name:
Record # 352
Street JEFFERSON AVENUE
RYDER TRUCK RENTAL
Tank data:
Tank size: (in gallons)
5,000
Product: (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: 05/06/2004
Address:
No. 59
Business name:
Tank data:
Tank size:
Product:
S
04/15/1993
CRAFTSMEN CONSTRUCTION CORP.
memo
Time: 15:42:01
Record #
Street JEFFERSON AVENUE
RYDER TRUCK RENTAL
(in gallons)
500
(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:
470
S
11/16/1995
TRIUMVIRATE ENVIRONMENTAL
memo
Date: 05/06/2004
Address:
No. 61-63
Business name:
Tank data:
Tank size:
Product:
Time: 16:03:48 Record # 323
Street JEFFERSON AVENUE
MICHAUD BUS LINES
(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
09/29/1992
TOTAL WASTE MANAGEMENT CORP.
memo