ࡱ> ^`]'` .IbjbjLULU .T.?.?llF ,rJJJJJ`~ lh+j+j+j+j+j+j+$-hm/+E"JJ""+JJ+&&&" JJh+&"h+&&(h()Jf M# ))+0,))0$)0 ())0() ZD!@&!4!, ++& ,""""F F F  JDF F F J  Asbestos Presumed Positive Disclosure State of Maine Department of Environmental Protection Lead & Asbestos Hazard Prevention Program 17 State House Station, Augusta, ME 04333 TEL (207) 287-2651 FAX (207) 287-6220FORM P Page 1 of 1 Revised 2011 Notice Asbestos is a naturally occurring mineral, very strong and heat resistant and has been used in many products ranging from pipe insulation to cement wallboard. Confirming that a material is an asbestos-containing material requires that samples of the material be collected by a Maine-certified Asbestos Inspector; the samples then must be analyzed by a Maine-licensed Asbestos Analytical Laboratory to determine if they are asbestos-containing. Any materials presumed to contain asbestos will be treated by the asbestos abatement contractor as an asbestos-containing material during your building renovation or demolition project. Sampling suspect asbestos materials to determine if they contain asbestos will prevent the unnecessary expense of treating non-asbestos materials as asbestos-containing materials. In instances where the likelihood is very high that the material in question is asbestos containing, (e.g., original pipe insulation or original insulation on an old boiler in an older building or home), the building owner may choose to presume that the material is asbestos and treat it as such, thereby saving the time and cost associated with sampling the suspect material. Common building materials or building components that may be asbestos-containing include, but are not limited to: pipe insulation, mudded fitting, boiler covering, tank covering, duct covering, breeching covering, surfacing material, floor tiles, cementious wallboard or siding products. The following material(s) are presumed to be asbestos-containing materials and for the purposes of this asbestos abatement project will be treated as asbestos-containing materials. The total cost of sampling and analyzing of these presumed asbestos-containing materials is shown so that building owners are aware of potential cost savings by presuming certain building materials are asbestos-containing.  Suspect Material  Location(s) Quantity Estimated Cost of Sampling & Analysis FORMTEXT       FORMTEXT       FORMTEXT      $ FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      $ FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      $ FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      $ FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      $ FORMTEXT       Total $ FORMTEXT       I understand that if any suspect materials associated with this asbestos abatement activity are presumed to contain asbestos, copies of this disclosure must be presented to the building owner/agent prior to the start of the asbestos abatement activity, and must be part of the permanent record for this project. I also understand that a copy of this completed form must be available upon request at the asbestos project site. ____________________________________________  FORMTEXT  &'( q_P?1h>ahC5OJQJ^J hGnhCCJOJQJ^JaJhC5CJOJQJ^JaJ#hChC5CJOJQJ^JaJh>ahC5CJ4OJQJ^JhP5CJ0OJQJ^Jh>ahC5CJ OJQJ^Jh>ahCCJ OJQJ^JhGnCJOJQJ^Jh>ahCCJOJQJ^J hPhCCJ OJQJ^JaJ h%OJQJ^JhPOJQJ^Jh>ahCOJQJ^J hCCJ '(7^ $$Ifa$gdC$If$If $IfgdM\ $$Ifa$$If$If .I   8 9 wk_VJJ> $$Ifa$gd6 $$Ifa$gdz $IfgdP $$Ifa$gdP $$Ifa$gd]kd$$IflF~ #+ !b0m+    4 layt>a    8 9 tu~odSA1h'h'5CJOJQJ^J#h'h'5CJOJQJ^JaJ h6hzCJOJQJ^JaJhChCCJaJh6h>aCJOJQJ^Jh"CJOJQJ^JhkCJOJQJ^JhzhzCJOJQJ^JhzhzOJQJ^Jhzhz5OJQJ^J hPhPCJOJQJ^JaJ#hPhP5CJ OJQJ^JaJ hP5CJ OJQJ^JaJ h`qCJOJQJ^JaJ~ $$Ifa$gdq $$Ifa$gd'fkd$$Ifl4+m+0m+4 laf4yt602N|ųr҂bV@b+jhhOJQJU^JaJhOJQJ^JaJjhOJQJU^JaJhLQ@h'5CJOJQJ^Jh'h'5CJOJQJ^J#h'h'5CJ OJQJ^JaJ h'hZCJOJQJ^J#h'h'5CJOJQJ^JaJhZ5CJOJQJ^JhLQ@h65CJOJQJ^JhLQ@hq5CJOJQJ^JhFW5CJOJQJ^J02~ $$Ifa$gd'jkd:$$Ifl*P+ t0P+644 layt' ~"YSSSS$Ifkd$$Ifl-\N P"*   t0P+644 laytFW $&:<>HJLNbڿڿˇڿqڿ[ڿ+jghhOJQJU^JaJ+jlhhOJQJU^JaJhFWOJQJ^JaJ+jhhOJQJU^JaJ+jhhOJQJU^JaJhOJQJ^JaJh'h'OJQJ^JaJjhOJQJU^JaJ*jhOJQJU^JaJmHnHu""$LtYSSSS$Ifkd$$Ifl-\N P"*   t0P+644 laytFWbdfprtvٴ٨ٴ٨pٴ٨Zٴ٨+jhhOJQJU^JaJ+jhhOJQJU^JaJhFWOJQJ^JaJ+jOhhOJQJU^JaJhOJQJ^JaJh'h'OJQJ^JaJ*jhOJQJU^JaJmHnHujhOJQJU^JaJ+jhhOJQJU^JaJ@jYSSSS$Ifkd7$$Ifl-\N P"*   t0P+644 laytFW .02<>@BDXZ\fhlnٴ٨ٴ٨pٴ٨Zٴ٨+j hhOJQJU^JaJ+jhhOJQJU^JaJhFWOJQJ^JaJ+jhhOJQJU^JaJhOJQJ^JaJh'h'OJQJ^JaJ*jhOJQJU^JaJmHnHujhOJQJU^JaJ+j2hhOJQJU^JaJjlYSSSS$Ifkd$$Ifl-\N P"*   t0P+644 laytFW  &(*468:Nٴ٨ٴ٨pٴ٨ZK٨h'hFWOJQJ^JaJ+jz hhOJQJU^JaJ+j} hhOJQJU^JaJhFWOJQJ^JaJ+j hhOJQJU^JaJhOJQJ^JaJh'h'OJQJ^JaJ*jhOJQJU^JaJmHnHujhOJQJU^JaJ+j hhOJQJU^JaJ8`YSSSS$Ifkd $$Ifl-\N P"*   t0P+644 laytFWNPR\^`bvxzٴ٨ٴ٨pٴ_O@h'hQ8OJQJ^JaJhQ8hQ85OJQJ^JaJ hK/hQ8CJ OJQJ^JaJ +j hhOJQJU^JaJhFWOJQJ^JaJ+jf hhOJQJU^JaJhOJQJ^JaJh'hFWOJQJ^JaJ*jhOJQJU^JaJmHnHujhOJQJU^JaJ+j hhOJQJU^JaJYPD>>$If $$Ifa$gdQ8 $IfgdQ8kdR $$Ifl-\N P"*   t0P+644 laytFW%'s͑snaO=#h=xhO5CJOJQJ^JaJ#hOhO5CJOJQJ^JaJh"h@ IOJQJ^J h@ I5h{hQ8CJOJQJ^Jh'hQ8OJQJ^JaJ-jh5OJQJU^JaJmHnHu.j hh5OJQJU^JaJh5OJQJ^JaJ"jh5OJQJU^JaJhThQ85OJQJ^JaJ hThTCJ OJQJ^JaJ %&'DDDE}qqhhhhh_ $IfgdO $IfgdO $$Ifa$gd@ IkdO$$Ifl-0"*" t0P+644 laytQ8 st~D D D$DbDDDDDD׽黟鎀nVB'5j<hk1h5>*CJOJQJU^JaJ&hk1h5>*CJOJQJ^JaJ/jhk1h5>*CJOJQJU^JaJ#hOhO5CJOJQJ^JaJhOCJOJQJ^JaJ h=xhOCJOJQJ^JaJ7jhk1h>*CJOJQJU^JaJmHnHuU2jhk1h>*CJOJQJU^JaJ#hk1h>*CJOJQJ^JaJ,jhk1h>*CJOJQJU^JaJ      Signature (Asbestos Contractor/Consultant Print Name Date  FORMTEXT       Project Code  FORMTEXT        I understand that if any suspect materials associated with this asbestos abatement activity are presumed to contain asbestos, those materials will be treated as asbestos-containing materials. ____________________________________________  FORMTEXT       Signature (Building Owner/Agent Print Name Date  FORMTEXT        DDEEEEEEEEEEEEEEFHG編ymaUE5h"hvs5CJOJQJ^Jh"hO5CJOJQJ^JhOCJOJQJ^Jh@ 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