ࡱ> WYV#` U-bjbjmm 12J8BBBV82,^$Vnvud< GIIIIII$rh NmQB S"u  m9NNN jRBGN GNN "B ntD0(!V(!(!B,5DN?C555mm^555    VVVVVVVVV  JOHN ELIAS BALDACCI GOVERNOR David P. Littell COMMISSIONER STATE OF MAINE DEPARTMENT OF ENVIRONMENTAL PROTECTION Project Monitoring Disclosure Form May it be known that  FORMTEXT   for Project#  FORMTEXT       (Name of Contractor/Design Consultant) has provided to the building owner/agent with this disclosure form, and Project Monitoring:  FORMCHECKBOX  will not be conducted during this asbestos abatement project.  FORMCHECKBOX  will be conducted during this asbestos abatement project. Contractors/Design Consultants hired to perform asbestos abatement activities are required by Maine Chapter 425 Asbestos Abatement Regulations to provide project monitoring information to building owner/agents when project monitoring will not be performed. Maine Regulations do not require project monitoring. It is, ultimately, the building owner/agents decision whether project monitoring is appropriate for a particular abatement project. Project monitoring by a Maine certified Asbestos Air Monitor provides project documentation regarding whether the activity was conducted in accordance with design specifications and applicable rules and regulations. It also includes area monitoring; area monitoring means that a Maine certified Asbestos Air Monitor collects air samples during the abatement activity. Air samples are typically taken immediately outside the regulated area and in other adjacent locations in order to determine whether elevated fiber levels are being detected during the abatement activity. Independent area monitoring can be useful to address the concerns of building occupants regarding air quality issues while the abatement project is on-going. Area monitoring is not the same as Air Clearance Sampling. Air clearance sampling is collecting air samples at the conclusion of the asbestos abatement project, after an Asbestos Air Monitor has determined that the regulated area is visually clean, to determine whether the air inside the containment system meets Maines air clearance standards. As noted above, project monitoring is not required by regulation, air clearance sampling is required by regulation (except for exterior materials [roofing and siding] and for certain abatement methods that do not require containment systems). Finally, air clearance sampling must be performed by an Asbestos Air Monitor who is independent from the abatement contractor whenever the abatement project involves more than 100 linear and/or square feet of asbestos. The cost of project monitoring is cited often as the main reason it is not performed. Independent project monitoring (see the Asbestos Consultant Independent Business Relationship Disclosure Form to determine if the consultant is independent from the contractor) may serve to reduce a building owners potential liability by documenting that that the abatement activity was conducted in accordance with design specifications and applicable rules and regulations and may be appropriate whenever an asbestos abatement project is conducted immediately adjacent to occupied areas in buildings or for projects with high public visibility. The scope of project monitoring is determined by contract; building owner/agents should always solicit as many estimates as necessary to get the most appropriate services. I understand copies of this disclosure must be presented to the building owner/agent and must be part of the permanent record for this project. I also understand that this completed form must be available upon request at the asbestos project site. Asbestos Contractor/Design Consultant:  FORMTEXT  , Project Code:  FORMTEXT       (Printed name) (Signature) (Date) Building Owner or Agent:  FORMTEXT   (Printed name) (Signature) (Date) If you have any questions on asbestos or state and federal regulations on asbestos, please call the Maine Department of Environmental Protections Asbestos Hazard Prevention Program at (207) 287-2651.      Project Monitoring Disclosure 02/25/2008 AUGUSTA 17 STATE HOUSE STATION BANGOR PORTLAND PRESQUE ISLE AUGUSTA, MAINE 04333-0017 106 HOGAN ROAD 312 CANCO ROAD 123 1>?NO\]jkuŷųrc^YO^?Oj/hO2hJ35UjhO25U hA 5 hO25hO2hO2CJOJQJaJhJ35CJOJQJaJhO2hO25CJOJQJaJhJ3@B*CJphhJ3@B*CJphhJ3@B*CJphhJ3hJ3B*CJOJQJphhJ3B*CJ OJQJphhJ3B*CJOJQJphhJ3OJQJmHnHu"jhJ3OJQJUmHnHu 1>?Nu d   gdO2$a$gdO2$da &#$+Daa$$dh$q} &#$+D.H/Ha$$dh<q`&#$+De.H/Ha$$dh<q`&#$+De.H/H^a$ &/F~T-     ( * > @ L N d  < > @ B R , -   ÿÿÿÿ沪沪~~x~ hO2CJ hO2>*jd1hO2hJ35U hO25>*j0hO2hJ35UhO2hO25jhO2hO25UhA hO2jhO25UmHnHuj|0hO2hJ35U hO25jhO25UhO25mHnHu/ , - $%&@BDP;NO\w  !gdO2gdO2gdO28JKQj%&@D(*>@BLNPd8ԶԓzjԶj3hO2hO2UaJhO2hO2CJhO2hO2>*aJ hA aJ$jhO2hO2UaJmHnHuj2hO2hO2UaJhO2hO2aJmHnHuj1hO2hO2UaJjhO2hO2UaJhO2hO2aJ hO2hO2 hO2>*hO2 hO25)89NOWX\wyzDEFGIJLMOPR|}~,--<-=->-鱝{sqsdsTdj3hJ3B*UphjhJ3B*UphUhJ3B*phhJ3B*CJOJQJphhJ3hO2hzjhzU'hO2hJ3CJOJQJaJmHnHu0jhO2hJ3CJOJQJUaJmHnHu hO25 hO2hO2hO2hO2>*aJhO2hO2CJhO2hO2aJjhO2hO2UaJwxyz{DFHIKLNOQR|}~,, - -Q-R-  @ d5$7$8$9DH$gdO2gdO25 CENTRAL DRIVE, SKYWAY PARK (207) 624-6550FAX: (207) 624-6024 BANGOR, MAINE 04401 PORTLAND, MAINE 04103 PRESQUE ISLE, MAINE 04769-2094 RAY BLDG., HOSPITAL ST. (207) 941-4570 FAX: (207) 941-4584 (207) 822-6300 FAX: (207) 822-6303 (207) 764-6477 FAX: (207) 764-1507 web site:  HYPERLINK "http://www.maine.gov/dep" www.maine.gov/dep >-O-P-Q-R-S-T-U-'hO2hJ3CJOJQJaJmHnHuhO2hJ3hJ3B*phjhJ3B*Uph hJ30JR-S-T-U- d5$7$8$9DH$/0&P/ =!8"8#@ $[%h /Dd5 T  0Ab/A+ne\Hp}V_c.Dn.A+ne\Hp}V_cPNG  IHDR2ZsRGB@}0PLTE9O pHYsYYNV.4IDATxI#9Q\ԕH E UVdFG AڿߖC}_hE~6[{F,CSum9γ anҔgt 4(i11a|hB%MИ`ӌfOјv#h^lM>  4r_, =iKN!03s4;u ՌChhmM5#:N3[&& Ml8HO4jl# ui,J44Od,$iJF66ndh4,ΐQ ǕbRی s1M4Ni0'xQӻ!8iiTJ^٢)MFЙFUѷ rJ#,V,$DoK8!g6*'iz9繩K@iǓ@J41; k?0MRkF{,|^? d;hb G."J^i ䷧yvu(#4*Ѥ&T#b}XtXVhړ1kr#|iڲOGV]V)s+7Ѥ NytMՓ0=?k=JQ]iG=Y!$v13A=6>RRUM'_4T \?*5nԴibeh_9O~otzj-!V-jicwnOs+Ќ0޴e;9qݨnzFlps9 %6ϾWbsyhw#h|PʱM4;Uc-Հ|l|Ϡ&yfO9O֝;Jє3 _Fe#wEbaS H-cѨhybu3DZI߸]y(g#v:zc ׏~4e'gˤϲHѯhco&f4fAEewbaѭjߌ&Ai4zSGccf^Stp},3ςfܒh|Xh~nGq ߏf|")`}̈$NH7asv=:h0mxnb۽|8x&Y6 i瓖6m=]''4M}ezl)ͦ<h+j#i jD<44d4=0ȧ+B}O66h& ߐnt_g=Ǜ@3,hiO(n4cG<:64wSl&4Ïy~1KwL ?NtML{u%Ɇ"4>]D8U7?͔G$lԝHGJdZ&LA[uY6%s1/u5 MEl@ӕ `sY! QsKUC֋MP7ipЃN#@;4QfkG4(HP'CgqkvB^\5lXi)7h6c)بn/cR^ iK4Jo?6pа Z`%Sxph$R}k '8V}a=\33eLP4+-Y* \a<)^Qf)M%m'rJ`_-{jf4ZAC[krg(w38N<5V&i73b`2_>Whʉ!Lsws0fiI+4Wwi6DWNEy+(zUy'vylK\[joȬwY+#)}DIOS)Xwh^SX[4⢋$El {|cw>8~ $Gvg(ӎkt[H嶀NOV#MF3nEBUEiu;74k him];_qi:82JCC[5ei;+XZ$78- /=vo[h 8@ }7u:qK=-шi$V դNPo};Hp:! -$ۦ($Mci ޅ37rvKdOJ/}; = Fu4)!44g9f 7 ű'RF.@dV c$u*4|F[V Dp/ +Ҵ% h$( D'<1{M1]^S MBy4=ն]"H.~|mDq ToY 'k4P>) Nh%f@IM'B kd3h|[t+[B3«7'=P1:0>8 !/. p{u^c@#h'3f |t{PEӒƢg msJӿv! sb̢%L  Edb~ kb4ftAqQ j Yf9 +4i"xQٖ%H355S~Q!׿j{SNki0vsK-nM,5[.=h hXOР ͦkN="Oa]dO#ɮL炦DZcJa{@Stn4Ke͝&ךJ(n.6F Pj[?yćE4e(i/.pr<̶pG4H7ӷiDKuc5d8[5YB9Mٴ;t7hx7?M +iFOE Q5}bE\Ti;l!u@(JFvѻ[vE9DiS#&I _Ny|hr9k4v kq>O^9RNdçk֛AkpPѸx fiF漵l9 Z(w<}3ѬEdnϝ9L48/Q`b`'섳$][KO~y)4:4v0uwLіƎjR'R74a`-9cdoj`v174nh,Ur·Lvgz3o2YEki؍+WWYrD9 rD&_Dütd:q{lQ/x|MAz,tycNBFq7hwlK>*|m}iX-okbsh/3x|8@M5m;8J`w:qs߱w-+RF\[6B[4k b hjj;˕pgwY+NS雺URƖV"B"4 1ՋhUK ݥsZP`fcjC͢6꨸;^P7X]>3~g̖YHqyp+!ӏ3'8n %l:zq}E5EKm ;.MB7yFQfè 1pneRihGCa:Vک'4µӖ2 MS^l4݆<-wai&&"p#3,rUGiZмbN ; yy0PI7hSkuA@wRbˀKOhp qy5ŌzmqgM:V ֑.hvLQg)l텞^'CZ@AP7ka\4])É&'woИvDRޘ$a)քh4B;pejͪ{=Zy'ٳ k:VΛUyYҨLVǮpKi௙7qΏ灕iwt64^ BB}dd*Y/lufY]#ҰJ5)ٍѠpQ8 ufz i^Jek4IEb,hu ѱi&/Fgd:J(\dS3'#jP3vl۳cN3 K>XdL+'݌&FhD+/,m84ۗwą-2&xFo#Ƚ8#Ue#Zu2G#f$uiz-YNFL xF3&pkWhhD!@9ͤ ␾DKM֫/JG' /-u.1Ac6ULA{W f@#.\`l1BEDu4[izYдJSۼp15 0RTtLcUɋ0ceryidjhv22eHry&ݎ;4^q .M WU5 e ap$̧r.hsյ~8mo4S\ƯJqw4QNqGlhؠͶ,DI}T}-'rw? ٴ)_EԓzZIa.?"‡YYa-z1[`hu49gkBthi/O48_ak54\h΃{ZL`4aVo]X_l+څ<;Vj`4^a ޡ_/7411Ҹjf|@i޷qXԹò%,YJw|F71 ݵ4B9h;s4R~bZZ#] Q D`CYj4, 5IQכkwi\˺YEv2,\F2o#j'hV3ƲTx fBYY%45]e+C'SgR-U=bNu.85hn҄K0!tLP,KoEa&L3|nL3kK8q㣻ŢAH&"|uL$cZ%^#YGeG?*%;y0B3-il|3GV[{J/nc˥UYx33Ar mn.4D"kW^Y&hSBa.EhZnd)xct?@f<ߣhU3>Uԑt^¶QlNuL4nj'(G4 Ty}nAJC@F哎&yΚjv0o+lZjM&; Mw~ᗖVɻ7Q|(kЉ#dwZ`Vbٛxݽ\;\xFs(fL5Zl0uIw D%7@#glt밴~&^ .tiQqi(b?ޣɅ_1е2JG;UHo.|f!Fjj>x؛1CkVT8?Py-VE'ow4J1TsDy+ Ւ8y2ysw}1?[4~3M imB^8g8EɻO)R4!Wi'nB M;(tqYBv'ԙ hEÛZ HQB<&x]CqUߦK^2Xҗ $i ِ/ypьb8]ВpO倡Qа6fdV\JMmϨ.-MF^Tհ:Zpif6U%G4˖6:"u|w4cjkA1 ],F=0e^nD+9,g/ Oࢸ9--M\ hf"/]0ga}˵o5$󯉆.pH>19^mj`W"j[qvt= \v/YKK'hFܢ)  Vjo !M zڃvPByIz*WTf|O#h̕&\UlaN/N]q!zCw@07r&kY^,M0Y%kǯ9Hަ S1SݫC `襏,D "M4n-&kDK 4@ö QG6m| LPL1 棝|(Ǜn{n;.KM;`^}_AfA#є)oʦ9scX|S|EM8)!|43LO Z\Rt@oӔ2%@;8p1=jRQBASo=͋Ӑ]z3&i~W4wvAQ'KS,i@@3y@S-m{AfX" TIB46@<`TIM)4tfzʁƏE;Y,8Ѵ+4+qHt 1銩+7,[M+FG#'4_|fؔڥ-h$+HCh$r46{lm&,+4ZE3ȋԲsRG\j:8h~Si40Oo$uK,AOeLaUCR0\83;{跛 GmT?y,Ǿ8ڍ`[1 h8ܣ"۱!/L.h`cˎtL%IU444b[qvx:NLZA`17.$ CIg>LyO]kPɪܱ A I| Fh/є:s5QxnVSn6,i^ݰU+-1>54qZ&9KpUX)W>G# .x1Omx!lϖCIF+h6;4^;ea5x7ۍ:}4T46X|iF/#)UЬ0Wϖʋ+\N25͚p-ڐnxif:LYhHBh~yEv6}準<&T^?B\L/&"gU|nb@x6= s3 eE#ajnh ˺@Ӫ*;ppvMf!`.c*^ؑnK&U5&hrA54Ԁ W&T?ѽ-fz  hCBB+yAÓԻ]}ҌJmL0[3jgޘq~D.ތ҃F럿wk'%w޷6fȱk,ٯuY ox!ZARp%MWD+Za>ꤥE]+B* 6a0|F.&.ua}D*L4WW5^3}:¾ \_i}pS 81";߈y1ҎΪHjQ=XIf-#uډ%;(,E@[m_5 M2J<Ԡ!YAkր *Ӥt# *1L&jMiMnUp;Ic-}nhYӢ|:%Tu= 0vOFގi p _8tm[Lb :Ҭi`4Qil\{ݡ"+G4 ו|Dڎr󿻦ܙΊ+j~|rkjMVgـn'@eJ_U~iNR Ov>gQVh`^&*էj/vAiB:~Hr$V?ζ6!X!6ug6&'&G{qKSluE/F 2 -8x&\faโ#^o۵֯4͖!2%6(&ifWRKiUfSM0sT) )- \)79op!H@MKF4B{ܯD<8X.ьJMn+^Mv!W-Ml؃id+N1I۶kMu_i쟤-> R84dg)67)4xМe[/Cu %(F_3n0aXU "t5],+Ԝƺ$=nL~Q!Xk"Bdz̷i$e!Ѵy.RI[sf=SS <Gڐh*WiM$=Ε~?<_Q  1ˊyGw 2-x34 h-f҈M[ ]}J@UAMХgۚA7IiLWœo:M,$O]5%hOy]#2li86h\uf̗s44y|h~Le sfZ *C;^\9si)RbҔE텞Ywe'f_ ZқG‘6AaJ,0ܥ{Mpԃ1`lbTf{.̈́hp L#͇`n,q,mx)NƷv,M瓖ه4Т;[Z_Kʒf<57h8_-ͲW0ЬV9Ʊ3*_yfF ,4nqyfiU=Ͳ.Migik%XާY۸Dܕ`J~]?&ߖBsҡS0_9tBvXnx}JʩeَFea>he`J' 4-g^?L3m L`vm~=yt01h@*B*ph2B@R2 O2 Body TextaJNN2 1>?Nu 601   ( ) * $%&?RS`{|}~HJLMOPRSUVJKLO000000000000000000000000000000000000000000000000y0000y0000y0000y0000@00 0 A[000000000y0000@S 777:8>-U- wR-U-T- MY<NFFG$G$FFFX8@(  V  # " B S  ?HNx')x-tText1Text2Check1Check2Text11Text12Text13MO =O KPt<LPMPTNPOPlBPPQP\RPSPܤTPUPTVPWPXP<<YP|<ZP<[P <\P,<]P l<^P<_P<`Plr3aPr3bPr3cP,s3dPLk3ePk3fPk3gP l3hP 3iP  3jPD 3HH    9AGMWqqO     MM    ?FLU\vvO :*urn:schemas-microsoft-com:office:smarttagsStreet9*urn:schemas-microsoft-com:office:smarttagsState9 *urn:schemas-microsoft-com:office:smarttagsplace8*urn:schemas-microsoft-com:office:smarttagsCity>*urn:schemas-microsoft-com:office:smarttags PostalCode;*urn:schemas-microsoft-com:office:smarttagsaddress= *urn:schemas-microsoft-com:office:smarttags PlaceType= *urn:schemas-microsoft-com:office:smarttags PlaceName D       )0JJLLMMOPRSUVO69hpbm KJJLLMMOPRSUVkoO33333333333 0uHJJLLMMOPRSUILOJJLLMMOPRSUVO&KZdP 0^`0OJQJo(q&KO2J3 H^A zJLORULO@<TfLNP@P P@PP4@PX@UnknownGz Times New Roman5Symbol3& z Arial9GaramondA&Eurostile-WP;Wingdings"1hN&2Æ£n n Y8@ H4BB2QHX?O2* Thomas CotnoirOIT Oh+'0 , L X d p| Thomas Cotnoir$Project Monitoring Disclosure.dotOIT4Microsoft Office Word@ @Hd@$1w@[n ՜.+,D՜.+,D hp  Dept of Marine ResourcesB'  Title 8@ _PID_HLINKSAlTOhttp://www.maine.gov/dep  !"#$%&'()*+,-./012346789:;<=>?@ABCDEGHIJKLMOPQRSTUXRoot Entry FAnZData 41Table58!WordDocument12SummaryInformation(FDocumentSummaryInformation8NCompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q