Explain in writing if the address of the building is different than the address on this form:

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1 ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO SCHOOL DIST S. Bishop Chicago, IL, 662 DATE LAST THREE YEAR REINSPECTION WAS COMPLETED 4/11/213 If the address on this form is different than the address of the building, submit a written explanation. SECTION II (Please type or print) PLEASE COMPLETE THE FOLING FOR YOUR THREE YEAR REINSPECTION: DATE REINSPECTION COMPLETED: 7/11/216 ENROLLMENT IDPH INSPECTOR LICENSE NUMBER: IDPH LICENSED INSPECTOR NAME (Please Print): Beinville Brooks IDPH MP LICENSE NUMBER: IDPH LICENSED MANAGEMENT PLANNER NAME (Please Print): Todd Huffer DESIGNATED PERSON (Please Print): Robert Christlieb PHONE: 383 (773) /11/216 Signature of Designated Person Date SECTION III PLEASE COMPLETE THE FOLING INFORMATION FOR ANY CHANGES WITHIN THE SCHOOL DISTRICT. School building has been sold. Date of Sale: School has been closed. Date closed: School building has been demolished. School building is asbestos free since last reinspection: Please explain in writing why the school building is now asbestos free and include the supporting documentation. If a new school building has been added to the district, submit either and exclusionary statement or a management plan and inspection report. Include the complete name, address and city of school building. Explain in writing if the address of the building is different than the address on this form: IL Revised 1.3

2 THREE YEAR REINSPECTION CHICAGO SCHOOL DIST S. Bishop Chicago, IL, 662 Unit: 2281 Building ID: 286 IDPH ID Number: REPORT DATE: Monday, July 11, 216 Prepared for: 125 S. Clark Street Chicago, IL 663 Prepared by: 6 West Van Buren St., Ste 5 Phone (312) Fax (312) DO NOT REMOVE FROM SCHOOL REQUIRED BY FEDERAL LAW

3 March 1, 216 Mr. R. Kent Cook Asbestos Program Illinois Department of Public Health 525 West Jefferson Street Springfield, Illinois Re: Three-Year Reinspections Dear Mr. Cook:, Managing Environmental Consultant (MEC), conducted the ThreeYear Reinspections and performed management plan updates for the (CPS) facilities in Region 3,4,5 Elementary Schools. Please update your records with the following information. School District: 299 Unit: 2281 Region: 5 School: IDPH ID: Building ID: 286 Address: 815 S. Bishop Chicago, IL, 662 Building Contact: e, Juan Contact Phone: Current Building Owners: Review 7/11/216 Inspector: Beinville Brooks Management Planner: Todd Huffer Inspector IDPH License: Management Planner IDPH License: If you have any questions or comments, please contact us at (312) Sincerely, Todd Huffer 1-987

4 Environmental tification to Occupants To: Faculty, Staff and Parents From: March 1, 216 RE:, Unit S. Bishop Chicago, IL, 662 Dear Faculty, Staff and Parents, This letter is to notify you that the 216 asbestos three year re-inspection has been completed at Cook School, following the Federal Asbestos Hazard Emergency Response Act (AHERA), 4 CFR Part 763, Subpart E and is available for your review at the main office of the school. Although asbestos-containing materials have been identified at, there is no reason to believe that any threat to the health of students or staff exists at this time. CPS will continue to carefully monitor the condition of asbestos-containing materials and if conditions warrant, all appropriate steps will be taken to maintain the health and safety of all building occupants. If you have any questions regarding this matter or require additional information, please feel free to contact Robert Christlieb, the designated Local Education Authority's Designated Person at (773)

5 Table of Contents I. School and Inspection Information II. Executive Summary III. Methodology IV. Abatement History V. Reassessments and Recommendations VI. Conclusions Table I: Inspector's Reinspection Findings Table II: Management Planner's Review APPENDICES: Appendix A: Assessment Sheets, Drawings and Photos Appendix B: Inspector and Management Planner Licenses Appendix C: Laboratory Accreditations Appendix D: Laboratory Results Appendix E: Chain of Custody Forms

6 SCHOOL AND INSPECTION INFORMATION 1. School Information School: Address: IDPH ID: Contact: S. Bishop e, Juan Unit: 2281 Chicago, IL, 662 Building ID: 286 Phone: Description of Facility Original Construction: 1973 Total Square Footage: Current Occupancy: Additional Construction: of Floors: Phone: (773) Managing Environmental Consultant MEC: Contact: Dan Juneau Address 6 West Van Buren St., Ste 5 Phone: (312) Fax: (312) Inspector Inspector Name: Beinville Brooks Signature: 3/1/216 Inspector IDPH license # LEA Designated Person Contact: Robert Christlieb Address: 125 South Clark Street, 17th Floor Chicago, IL Region: 5 Management Planner Management Planner Name: Todd Huffer Signature: 7/11/216 Management Planner IDPH license # Review 7/11/ LEA Designated Person's Acknowledgement The reinspection report and recommendations have been received by me and appropriate action will be taken by the School District. Signature: 7/11/216 Name: Robert Christlieb Unit : 2281 Building: 286

7 II. EXECUTIVE SUMMARY was retained by the (CPS) to perform a three-year asbestos reinspection of the. This inspection was conducted in accordance with the United States Environmental Protection Agency (USEPA) Asbestos Hazard Emergency Response Act (AHERA) part (b), and the ongoing Operations and Maintenance Program (O&M) originally designed in the School's Asbestos Management Plan. The purpose of this three-year reinspection is to record any condition changes in the asbestos-containing building material (ACBM) in the school since the previous three-year reinspection and the six-month periodic surveillance, to identify, assess, and include any Homogeneous Areas (HA) not identified in the Management Plan, and to recommend an appropriate response action to manage asbestos. The inspector conducted a three-year reinspection of this facility under Illinois Department of Public Health (IDPH) school reinspection requirements and AHERA, sections and The main building and each addition to the main building, if constructed at different dates, were inspected separately. Laboratory accreditations are included in Appendix C, laboratory results are included in Appendix D, and chain of custody forms are included in Appendix E. te: During previous inspections, some of the HA(s) were identified together as 9" x 9" floor tile (FT), mastics assoc. with 9" x 9" FT, 12" x 12" FT, mastics assoc. with 12" x 12" FT, pipe insulation, etc. Some of these HA(s) have been re-identified by areas that are uniform in color, texture, construction date, application date, and general appearance. The inspector has determined the following: A. The following HAs have changed assessment categories for Building 286: Unit: " White Floor Tile (1925) 4 9x9 Beige Floor Tile (1925) 24 9"beige floor tile mastic 47 2' x 4' Ceiling Tile w/ Chicken Scratch 48 Hard Coat Plaster 49 Hard Coat Plaster 5 12" x 12" Dark Brown Floor Tile 51 Mastic Associated w/ 12" x 12" Dark Brown Floor Tile 52 12" x 12" Acoustical Ceiling Tile w/ Glue Dots Building: 286

8 Unit: Glue Dots Associated w/ 12" x 12" Acoustical Ceiling Tile 54 12" x 12" Light Beige w/ Tan Specks Floor Tile 55 Mastic Associated w/ 12" x 12" Light Beige w/ Tan Specks Floor Tile B paper wrap pipe insulation (1925) E tank insulation F fittings on fiberglass (1974) Building: 286

9 B. The following new homogenous areas have been identified for Building 286: Unit: ' x 4' Ceiling Tile w/ Chicken Scratch 48 Hard Coat Plaster 49 Hard Coat Plaster 5 12" x 12" Dark Brown Floor Tile 51 Mastic Associated w/ 12" x 12" Dark Brown Floor Tile 52 12" x 12" Acoustical Ceiling Tile w/ Glue Dots 53 Glue Dots Associated w/ 12" x 12" Acoustical Ceiling Tile 54 12" x 12" Light Beige w/ Tan Specks Floor Tile 55 Mastic Associated w/ 12" x 12" Light Beige w/ Tan Specks Floor Tile Building: 286

10 C. This reinspection covered only physically accessible and visible areas and materials that were identified in the LEA's management plan. The following materials were concealed and/or contained in areas that were inaccessible for sampling and have been classified as : B E I Unit: " White Floor Tile (1925) 12" Brown Floor Tile 12" Beige Floor Tile (1974) 12" white floor tile (1974) fire doors (1925) transite lab tables (1925) baseboard mastic (1925) fire doors (1974) baseboard mastic (1974) baseboard (1925) 9"beige floor tile mastic 12" tan floor tile mastic (1925) 12" beige floor tile mastic (1974) 12" purple floor tile (1925) 12" purple floor tile mastic (1925) 12" tan floor tile (1974) brown linoleum - t Observed/Concrete Floors brown linoleum mastic-t Observed/Concrete Floors purple carpet mastic (1925) orange carpet mastic (1925) brown carpet mastic orange carpet mastic (1974) 12x12 white floor tile Carpet multicolor adhesive 12x12 tan w/specks Purple carpet 2' x 4' Ceiling Tile w/ Chicken Scratch Hard Coat Plaster Hard Coat Plaster 12" x 12" Dark Brown Floor Tile Mastic Associated w/ 12" x 12" Dark Brown Floor Tile 12" x 12" Acoustical Ceiling Tile w/ Glue Dots Glue Dots Associated w/ 12" x 12" Acoustical Ceiling Tile 12" x 12" Light Beige w/ Tan Specks Floor Tile Mastic Associated w/ 12" x 12" Light Beige w/ Tan Specks Floor Tile paper wrap pipe insulation (1925) tank insulation fittings on aircell (1925) Building: 286

11 J incinerator insulation (1925) (gone cr 199) The following areas were deemed to be inaccessible: " white floor tile mastic (1925) Mastic Associated w/ 12" x 12" Dark Brown Floor Tile 12" x 12" Acoustical Ceiling Tile w/ Glue Dots Glue Dots Associated w/ 12" x 12" Acoustical Ceiling Tile Mastic Associated w/ 12" x 12" Light Beige w/ Tan Specks Floor Tile Materials were also listed as "assumed" if they were in good condition and sampling was not conducted to avoid damage. This reinspection was conducted by Beinville Brooks, IDPH License # The Management Plan was updated by Todd Huffer, IDPH License # Inspector and Management Planner Licenses are included in Appendix B. Unit: 2281 Building: 286

12 III. METHODOLOGY Tasks performed on-site included the following: IV. 1. Review current management plan, identify HA(s) and extract appropriate information. 2. Examine and verify abatement records. 3. Touch and visually and physically reinspect and reassess the condition of all friable known or assumed ACBM. 4. Touch and visually and physically reinspect all non-friable known or assumed ACBM to determine whether these materials have become friable since the last inspection or periodic surveillance. 5. Identify any condition changes that may affect Hazard Ranking of known ACBM or ACBM, as well as any HA(s) that have become friable since the last reinspection. 6. Collect bulk samples from each newly discovered friable HA or previously assumed and submit for laboratory analysis. 7. Tabulate reinspection findings and submit for management planner review and recommendations with appropriate response actions based on the AHERA Damage Category of the ACBM. 8. Submit reinspection findings and management planner recommendations to the LEA within thirty (3) days for inclusion into the management plan. ABATEMENT HISTORY The information collected from the existing management plan and inspection report(s) and from interviews with the school official revealed that the following asbestos abatement was conducted at the school since the previous Three year Reinspection. Abatement Dates: V. REASSESSMENTS AND RECOMMENDATIONS The reassessments and recommendations are summarized in Tables I and II on the following pages. Detailed Hazard Assessment Sheets and Drawings and Photos (if applicable) are included in Appendix A. VI. CONCLUSIONS The Building 286 Three-Year reinspection has been completed and response actions have been recommended for both friable and non-friable materials. A timely execution of the response actions recommended will enable the LEA and the Designated Person(s) to effectively manage the existing ACBM. This three-year reinspection report should be inspected in the current Management plan at the CPS Central Office, and one (1) copy should be kept at the school for use when planning any renovation and/or demolition activities in areas where ACBM has been identified. Also, periodic surveillance documentation and any summary reports from any response actions that are executed at the school should be used to update the Management Plan. Unit: 2281 Building: 286

13 Table I Inspector's Reinspection Findings

14 School Unit 2281 Building ID 286 Address 815 S. Bishop Region 5 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Inspector's Reinspection Findings Table 1 Managing Environmental Consultant (MEC) 6 West Van Buren St., Ste 5 Phone: (312) Fax: (312) Inspector's Comments are Summarized at the End of the Report HA Material Description 3 12" White Floor Tile (1925) 4 9x9 Beige Floor Tile (1925) x12 White Floor Tile (1925) 9 12" Brown Floor Tile (1974) 12 12" Beige Floor Tile (1974) 1, " white floor tile (1974) 5,6 16 fire doors (1925) 2 EA boiler room gasket (1925) - REMOVED transite lab tables (1925) 3 19 baseboard mastic (1925) 7 LF 2 fire doors (1974) 21 baseboard mastic (1974) "beige floor tile mastic Material Quantity Material Units Material Location Asbestos Type Material Category Friable Damage Type 2,25 Room 12 & 112 ASSUMED N NONE Change in Assessment Category Yes 75 Room 14 CHR N LOC 2 Yes 12" Tan Floor Tile (1925) 1,15 Room 113 CHR N NONE 12" Brown Floor Tile 1,95 Room 11 & 112 ASSUMED N NONE 75 Room 111 CHR N NONE 3,52 Store Rooms, Eng. Office, 1st & 2nd Floor Corridors Room 224 & 228 CHR N NONE ASSUMED N NONE room 119, 121, lunchroom, teacher's lunchroom & corridor boiler room, boiler room tunnel boiler room room 27 ASSUMED N NONE ASSUMED N NONE ABATED ASSUMED TSI N NONE rooms 115a, 216a, 1st floor boys toilet & adjacent corridor kitchen ASSUMED N NONE ASSUMED N throughout building 1974 rooms 115a & 216a ASSUMED N ASSUMED throughout building 1974 room 14 ANT ASSUMED 1st & 2nd floor corridor room 11&112 room 119, 121, teacher'slunchroom, lunchroom & 2 EA 2,94 LF baseboard (1925) 7 LF baseboard (1974) 2,94 LF 75 12"orange floor tile mastic 8,65 12" brown floor tile mastic (1925) 1,95 12" white floor tile mastic (1974) 5,6 Damage Quantity Damage Units Damage Category ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage Damage Reason Disturbance Potential 5 ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage NONE N NONE N NONE N LOC 2 Yes CHR N NONE CHR N NONE CHR N NONE ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage NONE 5

15 School Unit 2281 Building ID 286 Address 815 S. Bishop Region 5 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Inspector's Reinspection Findings Table 1 Managing Environmental Consultant (MEC) 6 West Van Buren St., Ste 5 Phone: (312) Fax: (312) Inspector's Comments are Summarized at the End of the Report HA Material Description 28 12" brown floor tile mastic (1974) 3, " white floor tile mastic (1925) 2,25 corridor store rooms, elec. Room, eng. office, 1st & 2nd floor corridors rooms 112, " tan floor tile mastic (1925) 1, " med. brown FT mastic (1925) " beige floor tile mastic (1974) 1, " purple floor tile (1925) " purple floor tile mastic (1925) " tan floor tile (1974) " tan floor tile mastic (1974) brown linoleum - t Observed/Concrete Floors brown linoleum mastic-t Observed/Concrete Floors purple carpet mastic (1925) Material Quantity Material Units Material Location Asbestos Type Material Category Friable Damage Type CHR N NONE CHR N room 113 ASSUMED room 111,115a CHR room 224, 228 ASSUMED ASSUMED main office, principal's office main office, principal's office annex office Change in Assessment Category Damage Category ACBM with the potential for damage NONE N NONE N NONE N NONE N NONE ASSUMED N NONE ASSUMED N NONE annex office CHR N NONE ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage store room ASSUMED 1925 bldg - store room store room ( main office) teach rr & room 218 ASSUMED ASSUMED N NONE ASSUMED N NONE ASSUMED N NONE ASSUMED N NONE ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ASSUMED N NONE ASSUMED N NONE ASSUMED N NONE ACBM with the potential for damage ACBM with the potential for damage ACBM with the 8 orange carpet mastic (1925) 1,125 brown carpet mastic 1,5 42 orange carpet mastic (1974) 6, 43 12x12 white floor tile Carpet multicolor adhesive 1,125 principal's office, annex office room 12,122,124,126 & store room & library. Room 217,219223,226,teach lounge,library office,av rm 1925 bldg - Room 111 Room x12 tan w/specks 9, Rooms 219, 226, Damage Quantity Damage Units Damage Reason Disturbance Potential

16 School Unit 2281 Building ID 286 Address 815 S. Bishop Region 5 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Inspector's Reinspection Findings Table 1 Managing Environmental Consultant (MEC) 6 West Van Buren St., Ste 5 Phone: (312) Fax: (312) Inspector's Comments are Summarized at the End of the Report HA Material Description 46 Purple carpet 47 Material Quantity Material Units Material Location Asbestos Type Material Category Friable Damage Type ASSUMED N NONE Throughout 1st and 2nd Corridor, All Classrooms in 1925 Building Throughout 1925 Building ASSUMED Y NONE Yes ASSUMED SURFACE Y NONE Yes 124 and 126 Library Damage Quantity Damage Units Change in Assessment Category 2, 2' x 4' Ceiling Tile w/ Chicken Scratch 25, 48 Hard Coat Plaster 37,5 49 Hard Coat Plaster 37,5 Throughout 1974 Building ASSUMED SURFACE Y NONE Yes 5 12" x 12" Dark Brown Floor Tile 474 ASSUMED N NONE Yes 51 Mastic Associated w/ 12" x 12" Dark Brown Floor Tile 474 ASSUMED N NONE ASSUMED N NONE 38 ASSUMED N NONE 725 ASSUMED N 725 Room 28 ASSUMED A 12" x 12" Acoustical Ceiling Tile w/ Glue Dots Glue Dots Associated w/ 12" x 12" Acoustical Ceiling Tile 12" x 12" Light Beige w/ Tan Specks Floor Tile Mastic Associated w/ 12" x 12" Light Beige w/ Tan Specks Floor Tile aircell pipe insulation (1925) 1st Floor Restroom and Rooms 115B and 215B 1st Floor Restroom and Rooms 115B and 215B Room 213 Chalk Board Room 213 Chalk Board Room 28 CHR TSI B paper wrap pipe insulation (1925) ASSUMED D E aircell duct insulation tank insulation F fittings on fiberglass (1974) 1 H fittings on paper wrap (1925) Damage Category potential for damage ACBM with the potential for damage Any remaining friable ACBM or friable suspect ACBM Damage Reason Disturbance Potential Any remaining friable ACBM or friable suspect ACBM Any remaining friable ACBM or friable suspect ACBM ACBM with the potential for damage Yes ACBM with the potential for damage Yes Yes NONE Yes N NONE Yes ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage TSI Y NONE Yes Any remaining friable ACBM or friable suspect ACBM CHR ASSUMED TSI TSI Y NONE Yes Any remaining friable ACBM or friable suspect ACBM Any remaining friable ACBM or friable suspect ACBM Any remaining friable ACBM or friable suspect ACBM 6 LF 1 basement open crawl spaces bsmnt crawl space, boys & girls bathroom, pipe chases throughout wall, crawl space boiler room FITTING compactor room CHR TSI Y NONE Yes LF basement crawl spaces, boys & girls bathrooms, pipechases CHR TSI Y NONE

17 School Unit 2281 Building ID 286 Address 815 S. Bishop Region 5 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Inspector's Reinspection Findings Table 1 Managing Environmental Consultant (MEC) 6 West Van Buren St., Ste 5 Phone: (312) Fax: (312) Inspector's Comments are Summarized at the End of the Report HA Material Description I J fittings on aircell (1925) incinerator insulation (1925) (gone cr 199) Material Quantity Material Units Material Location thoughout building crawl space boiler room Asbestos Type Material Category ASSUMED ASSUMED TSI TSI Friable Damage Type Damage Quantity Damage Units Change in Assessment Category Damage Category Damage Reason Disturbance Potential

18 School Unit 2281 Building ID 286 Address 815 S. Bishop Region 5 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Inspector's Reinspection Findings Table 1 Managing Environmental Consultant (MEC) 6 West Van Buren St., Ste 5 Phone: (312) Fax: (312) Inspector's Comments are Summarized at the End of the Report Reinspection Date 3/1/216 Inspector Name Inspector's Comments Beinville Brooks /15/217 Inspector's IDPH License Number / Expiration Date HA Number: Inspector Comments: Damage is located in Room 14 Damage is located in Room 14

19 School Unit 2281 Building ID 286 Address 815 S. Bishop Region 5 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Inspector's Reinspection Findings Table 1 Managing Environmental Consultant (MEC) 6 West Van Buren St., Ste 5 Phone: (312) Fax: (312) Inspector's Comments are Summarized at the End of the Report HA Number: A B D E F Inspector Comments: t observed 216 t observed 216 t observed 216 t observed 216

20 School Unit 2281 Building ID 286 Address 815 S. Bishop Region 5 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Inspector's Reinspection Findings Table 1 Managing Environmental Consultant (MEC) 6 West Van Buren St., Ste 5 Phone: (312) Fax: (312) Inspector's Comments are Summarized at the End of the Report HA Number: H I J Inspector Comments: t observed 216 t observed 216

21 Table II Management Planner's Review

22 School Address Unit 815 S. Bishop 2281 Building ID Chicago, IL, Region 5 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Management Planner's Review Table II Managing Environmental Consultant (MEC) 6 West Van Buren St., Ste 5 Phone: (312) Fax: (312) Management Planner's Comments Summarized at the End of the Report HA Num Material Description Material Quantity Material Units Material Location Asbestos Type Material Category Friable Damage Quantity Damage Units Damage Category Response " White Floor Tile (1925) 9x9 Beige Floor Tile (1925) 12" Tan Floor Tile (1925) 12" Brown Floor Tile 12x12 White Floor Tile (1925) 12" Brown Floor Tile (1974) 2, ,15 1, ,52 Chrysotile Chrysotile Chrysotile Chrysotile " Beige Floor Tile (1974) 12" white floor tile (1974) 1,95 5, fire doors (1925) boiler room gasket (1925) - REMOVED transite lab tables (1925) baseboard mastic (1925) 2 EA TSI EA LF Abated 3 7 LF fire doors (1974) baseboard mastic (1974) baseboard (1925) baseboard (1974) 2 2,94 7 2,94 EA LF LF LF Room 12 & 112 Room 14 Room 113 Room 11 & 112 Room 111 Store Rooms, Eng. Office, 1st & 2nd Floor Corridors Room 224 & 228 room 119, 121, lunchroom, teacher's lunchroom & corridor boiler room, boiler room tunnel boiler room room 27 rooms 115a, 216a, 1st floor boys toilet & adjacent corridor kitchen throughout building 1974 rooms 115a & 216a throughout building 1974 EA LF LF LF "beige floor tile mastic 12"orange floor tile mastic 12" brown floor tile mastic (1925) 12" white floor tile mastic (1974) 75 8,65 1,95 5,6 Anthophyllit e Chrysotile Chrysotile Chrysotile " brown floor tile mastic (1974) 3,52 Chrysotile " white floor tile mastic (1925) 12" tan floor tile mastic (1925) 12" med. brown FT mastic (1925) 12" beige floor tile mastic (1974) 12" purple floor tile (1925) 12" purple floor tile mastic (1925) 12" tan floor tile (1974) 12" tan floor tile mastic (1974) 2,25 1, , Chrysotile Chrysotile Chrysotile room 14 1st & 2nd floor corridor room 11&112 room 119, 121, teacher'slunchroom, lunchroom & corridor store rooms, elec. Room, eng. office, 1st & 2nd floor corridors rooms 112, 12 room 113 room 111,115a room 224, 228 main office, principal's office main office, principal's office annex office annex office

23 School Address Unit 815 S. Bishop 2281 Building ID Chicago, IL, Region 5 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Management Planner's Review Table II Managing Environmental Consultant (MEC) 6 West Van Buren St., Ste 5 Phone: (312) Fax: (312) Management Planner's Comments Summarized at the End of the Report HA Num Material Description Material Location Asbestos Type Material Category brown linoleum - t Observed/Concrete Floors brown linoleum mastic-t Observed/Concrete Floors purple carpet mastic (1925) orange carpet mastic (1925) brown carpet mastic orange carpet mastic (1974) store room 1925 bldg - store room 8 1,125 1,5 6, store room ( main office) teach rr & room 218 principal's office, annex office room 12,122,124,126 & store room & library. Room 217, ,226,teach lounge,library office,av rm 1925 bldg - Room 111 Room 218 Rooms 219, 226, 124 and 126 Library Throughout 1st and 2nd Corridor, All Classrooms in 1925 Building Throughout 1925 Building x12 white floor tile Carpet multicolor adhesive 12x12 tan w/specks Purple carpet 2' x 4' Ceiling Tile w/ Chicken Scratch 375 1,125 9, 2, 25, 48 Hard Coat Plaster 37,5 49 Hard Coat Plaster 37,5 5 12" x 12" Dark Brown Floor Tile A B Mastic Associated w/ 12" x 12" Dark Brown Floor Tile 12" x 12" Acoustical Ceiling Tile w/ Glue Dots Glue Dots Associated w/ 12" x 12" Acoustical Ceiling Tile 12" x 12" Light Beige w/ Tan Specks Floor Tile Mastic Associated w/ 12" x 12" Light Beige w/ Tan Specks Floor Tile aircell pipe insulation (1925) paper wrap pipe insulation (1925) D E F Material Quantity Material Units Friable Damage Quantity Damage Units Damage Category Response Yes SURFACE Yes Throughout 1974 Building SURFACE Yes 1st Floor Restroom and Rooms 115B and 215B 1st Floor Restroom and Rooms 115B and 215B Room 213 Chalk Board Room 213 Chalk Board 7 Any remaining friable ACBM or friable suspect ACBM 7 Any remaining friable ACBM or friable suspect ACBM 7 Any remaining friable ACBM or friable suspect ACBM Room 28 Room 28 6 LF Chrysotile TSI TSI Yes LF 7 Any remaining friable ACBM or friable suspect ACBM aircell duct insulation tank insulation 1 basement open crawl spaces bsmnt crawl space, boys & girls bathroom, pipe chases throughout wall, crawl space boiler room Chrysotile TSI TSI Yes fittings on fiberglass (1974) 1 FITTING compactor room Chrysotile TSI Yes FITTING 7 Any remaining friable ACBM or friable suspect ACBM 7 Any remaining friable ACBM or friable

24 School Address Unit 815 S. Bishop 2281 Building ID Chicago, IL, Region 5 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Management Planner's Review Table II Managing Environmental Consultant (MEC) 6 West Van Buren St., Ste 5 Phone: (312) Fax: (312) Management Planner's Comments Summarized at the End of the Report HA Num Material Description Material Quantity Material Units Material Location Asbestos Type Material Category Friable Damage Quantity Damage Units H fittings on paper wrap (1925) 2 LF Chrysotile TSI Yes LF I J fittings on aircell (1925) incinerator insulation (1925) (gone cr 199) basement crawl spaces, boys & girls bathrooms, pipechases thoughout building crawl space boiler room TSI TSI Damage Category Response suspect ACBM 7 Any remaining friable ACBM or friable suspect ACBM

25 School Address 815 S. Bishop Unit 2281 Building ID Chicago, IL, 662 Region ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Management Planner's Review Table II Managing Environmental Consultant (MEC) 6 West Van Buren St., Ste 5 Phone: (312) Fax: (312) Management Planner's Comments Summarized at the End of the Report 7/11/216 Review Date Manager Planner Name Todd Huffer /15/216 Manager IDPH License /Expiration HA Number Management Comments repair damaged material and maintain O&M procedures Repair damaged material and maintain O&M procedures

26 School Address 815 S. Bishop Unit 2281 Building ID Chicago, IL, 662 Region ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Management Planner's Review Table II Managing Environmental Consultant (MEC) 6 West Van Buren St., Ste 5 Phone: (312) Fax: (312) Management Planner's Comments Summarized at the End of the Report HA Number A B D E F H Management Comments

27 School Address Unit 815 S. Bishop 2281 Building ID Chicago, IL, 662 Region ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Management Planner's Review Table II Managing Environmental Consultant (MEC) 6 West Van Buren St., Ste 5 Phone: (312) Fax: (312) Management Planner's Comments Summarized at the End of the Report HA Number I J Management Comments

28 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM PREVIOUS INSPECTION 3 12" White Floor Tile (1925) HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with potential for significant damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Room 12 & COMMENTS: Inspector's Signature: 3/1/216

29 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop " White Floor Tile (1925) Room 12 & In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 7/11/216

30 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM PREVIOUS INSPECTION 4 9x9 Beige Floor Tile (1925) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: Physical Damage DISTURBANCE POTENTIAL: Room COMMENTS: Damage is located in Room 14 Inspector's Signature: 3/1/216

31 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop x9 Beige Floor Tile (1925) Room In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: repair damaged material and maintain O&M procedures Management Planner's Signature: 7/11/216

32 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM PREVIOUS INSPECTION 5 12" Tan Floor Tile (1925) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Room COMMENTS: Inspector's Signature: 3/1/216

33 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop " Tan Floor Tile (1925) Room In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 7/11/216

34 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM PREVIOUS INSPECTION 7 12" Brown Floor Tile HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Room 11 & COMMENTS: Inspector's Signature: 3/1/216

35 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop " Brown Floor Tile Room 11 & In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 7/11/216

36 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM PREVIOUS INSPECTION 8 12x12 White Floor Tile (1925) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Room COMMENTS: Inspector's Signature: 3/1/216

37 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop x12 White Floor Tile (1925) Room In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 7/11/216

38 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM PREVIOUS INSPECTION 9 12" Brown Floor Tile (1974) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Store Rooms, Eng. Office, 1st & 2nd Floor Corridors 352 COMMENTS: Inspector's Signature: 3/1/216

39 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop " Brown Floor Tile (1974) Store Rooms, Eng. Office, 1st & 2nd Floor Corridors 352 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 7/11/216

40 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM PREVIOUS INSPECTION 12 12" Beige Floor Tile (1974) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Room 224 & COMMENTS: Inspector's Signature: 3/1/216

41 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop " Beige Floor Tile (1974) Room 224 & In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 7/11/216

42 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM PREVIOUS INSPECTION 14 12" white floor tile (1974) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: room 119, 121, lunchroom, teacher's lunchroom & corridor 56 COMMENTS: Inspector's Signature: 3/1/216

43 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop " white floor tile (1974) room 119, 121, lunchroom, teacher's lunchroom & corridor 56 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 7/11/216

44 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM PREVIOUS INSPECTION 16 fire doors (1925) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: boiler room, boiler room tunnel 2 EA EA COMMENTS: Inspector's Signature: 3/1/216

45 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop fire doors (1925) boiler room, boiler room tunnel 2 EA EA In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 7/11/216

46 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM PREVIOUS INSPECTION 17 boiler room gasket (1925) - REMOVED HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Abated FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: boiler room COMMENTS: Inspector's Signature: 3/1/216

47 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop boiler room gasket (1925) - REMOVED boiler room 286 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 7/11/216

48 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM PREVIOUS INSPECTION 18 transite lab tables (1925) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: room 27 3 COMMENTS: Inspector's Signature: 3/1/216

49 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop transite lab tables (1925) room 27 3 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 7/11/216

50 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM PREVIOUS INSPECTION 19 baseboard mastic (1925) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: rooms 115a, 216a, 1st floor boys toilet & adjacent corridor 7 LF LF COMMENTS: Inspector's Signature: 3/1/216

51 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop baseboard mastic (1925) rooms 115a, 216a, 1st floor boys toilet & adjacent corridor 7 LF LF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 7/11/216

52 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM PREVIOUS INSPECTION 2 fire doors (1974) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: kitchen 2 EA EA COMMENTS: Inspector's Signature: 3/1/216

53 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop fire doors (1974) kitchen 2 EA EA In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 7/11/216

54 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM PREVIOUS INSPECTION 21 baseboard mastic (1974) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: throughout building LF LF COMMENTS: Inspector's Signature: 3/1/216

55 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop baseboard mastic (1974) throughout building LF LF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 7/11/216

56 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM PREVIOUS INSPECTION 22 baseboard (1925) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: rooms 115a & 216a 7 LF LF COMMENTS: Inspector's Signature: 3/1/216

57 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop baseboard (1925) rooms 115a & 216a 7 LF LF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 7/11/216

58 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM PREVIOUS INSPECTION 23 baseboard (1974) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Anthophyllite FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: throughout building LF LF COMMENTS: Inspector's Signature: 3/1/216

59 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop baseboard (1974) throughout building LF LF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 7/11/216

60 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM PREVIOUS INSPECTION 24 9"beige floor tile mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: Physical Damage DISTURBANCE POTENTIAL: room COMMENTS: Damage is located in Room 14 Inspector's Signature: 3/1/216

61 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop "beige floor tile mastic room In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Repair damaged material and maintain O&M procedures Management Planner's Signature: 7/11/216

62 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM PREVIOUS INSPECTION 25 12"orange floor tile mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: 1st & 2nd floor corridor 865 COMMENTS: Inspector's Signature: 3/1/216

63 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop "orange floor tile mastic 1st & 2nd floor corridor 865 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 7/11/216

64 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM PREVIOUS INSPECTION 26 12" brown floor tile mastic (1925) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: room 11& COMMENTS: Inspector's Signature: 3/1/216

65 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop " brown floor tile mastic (1925) room 11& In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 7/11/216

66 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM PREVIOUS INSPECTION 27 12" white floor tile mastic (1974) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: room 119, 121, teacher'slunchroom, lunchroom & corridor 56 COMMENTS: Inspector's Signature: 3/1/216

67 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop " white floor tile mastic (1974) room 119, 121, teacher'slunchroom, lunchroom & corridor 56 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 7/11/216

68 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM PREVIOUS INSPECTION 28 12" brown floor tile mastic (1974) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: store rooms, elec. Room, eng. office, 1st & 2nd floor corridors 352 COMMENTS: Inspector's Signature: 3/1/216

69 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop " brown floor tile mastic (1974) store rooms, elec. Room, eng. office, 1st & 2nd floor corridors 352 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 7/11/216

70 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM PREVIOUS INSPECTION 29 12" white floor tile mastic (1925) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: rooms 112, COMMENTS: Inspector's Signature: 3/1/216

71 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop " white floor tile mastic (1925) rooms 112, In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 7/11/216

72 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM PREVIOUS INSPECTION 3 12" tan floor tile mastic (1925) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: room COMMENTS: Inspector's Signature: 3/1/216

73 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop " tan floor tile mastic (1925) room In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 7/11/216

74 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM PREVIOUS INSPECTION 31 12" med. brown FT mastic (1925) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: room 111,115a 75 COMMENTS: Inspector's Signature: 3/1/216

75 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop " med. brown FT mastic (1925) room 111,115a 75 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 7/11/216

76 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM PREVIOUS INSPECTION 32 12" beige floor tile mastic (1974) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: room 224, COMMENTS: Inspector's Signature: 3/1/216

77 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop " beige floor tile mastic (1974) room 224, In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 7/11/216

78 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM PREVIOUS INSPECTION 33 12" purple floor tile (1925) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: main office, principal's office 42 COMMENTS: Inspector's Signature: 3/1/216

79 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop " purple floor tile (1925) main office, principal's office 42 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 7/11/216

80 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM PREVIOUS INSPECTION 34 12" purple floor tile mastic (1925) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: main office, principal's office 42 COMMENTS: Inspector's Signature: 3/1/216

81 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop " purple floor tile mastic (1925) main office, principal's office 42 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 7/11/216

82 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM PREVIOUS INSPECTION 35 12" tan floor tile (1974) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: annex office 625 COMMENTS: Inspector's Signature: 3/1/216

83 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop " tan floor tile (1974) annex office 625 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 7/11/216

84 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM PREVIOUS INSPECTION 36 12" tan floor tile mastic (1974) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: annex office 625 COMMENTS: Inspector's Signature: 3/1/216

85 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop " tan floor tile mastic (1974) annex office 625 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 7/11/216

86 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM PREVIOUS INSPECTION 37 brown linoleum - t Observed/Concrete Floors HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: store room COMMENTS: t observed 216 Inspector's Signature: 3/1/216

87 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop brown linoleum - t Observed/Concrete Floors store room 286 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 7/11/216

88 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM PREVIOUS INSPECTION 38 brown linoleum mastic-t Observed/Concrete Floors HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: 1925 bldg - store room COMMENTS: t observed 216 Inspector's Signature: 3/1/216

89 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop brown linoleum mastic-t Observed/Concrete Floors 1925 bldg - store room 286 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 7/11/216

90 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM PREVIOUS INSPECTION 39 purple carpet mastic (1925) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: store room ( main office) 8 COMMENTS: Inspector's Signature: 3/1/216

91 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop purple carpet mastic (1925) store room ( main office) 8 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 7/11/216

92 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM PREVIOUS INSPECTION 4 orange carpet mastic (1925) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: teach rr & room COMMENTS: Inspector's Signature: 3/1/216

93 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop orange carpet mastic (1925) teach rr & room In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 7/11/216

94 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM PREVIOUS INSPECTION 41 brown carpet mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: principal's office, annex office 15 COMMENTS: Inspector's Signature: 3/1/216

95 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop brown carpet mastic principal's office, annex office 15 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 7/11/216

96 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM PREVIOUS INSPECTION 42 orange carpet mastic (1974) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: room 12,122,124,126 & store room & library. Room 217, ,226,teach lounge,library office,av rm 6 COMMENTS: Inspector's Signature: 3/1/216

97 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop orange carpet mastic (1974) room 12,122,124,126 & store room & library. Room 217, ,226,teach lounge,library office,av rm 6 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 7/11/216

98 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM PREVIOUS INSPECTION 43 12x12 white floor tile HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: 1925 bldg - Room COMMENTS: Inspector's Signature: 3/1/216

99 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop x12 white floor tile 1925 bldg - Room In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 7/11/216

100 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM PREVIOUS INSPECTION 44 Carpet multicolor adhesive HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Room COMMENTS: Inspector's Signature: 3/1/216

101 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop Carpet multicolor adhesive Room In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 7/11/216

102 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM PREVIOUS INSPECTION 45 12x12 tan w/specks HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Rooms 219, 226, 124 and COMMENTS: Inspector's Signature: 3/1/216

103 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop x12 tan w/specks Rooms 219, 226, 124 and In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 7/11/216

104 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM PREVIOUS INSPECTION 46 Purple carpet HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Library 2 COMMENTS: Inspector's Signature: 3/1/216

105 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop Purple carpet Library 2 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 7/11/216

106 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM PREVIOUS INSPECTION A aircell pipe insulation (1925) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: basement open crawl spaces COMMENTS: t observed 216 Inspector's Signature: 3/1/216

107 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop A aircell pipe insulation (1925) basement open crawl spaces In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 7/11/216

108 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM PREVIOUS INSPECTION B paper wrap pipe insulation (1925) HISTORICAL AHERA DAMAGE CATEGORY 7 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: bsmnt crawl space, boys & girls bathroom, pipe chases throughout 6 LF LF COMMENTS: Inspector's Signature: 3/1/216

109 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop B paper wrap pipe insulation (1925) bsmnt crawl space, boys & girls bathroom, pipe chases throughout 6 LF LF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 7/11/216

110 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM PREVIOUS INSPECTION D aircell duct insulation HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: wall, crawl space COMMENTS: t observed 216 Inspector's Signature: 3/1/216

111 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop D aircell duct insulation wall, crawl space In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 7/11/216

112 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM PREVIOUS INSPECTION E tank insulation HISTORICAL AHERA DAMAGE CATEGORY 7 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: boiler room 1 COMMENTS: Inspector's Signature: 3/1/216

113 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop E tank insulation boiler room 1 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 7/11/216

114 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM PREVIOUS INSPECTION F fittings on fiberglass (1974) HISTORICAL AHERA DAMAGE CATEGORY 7 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: compactor room 1 FITTING FITTING COMMENTS: Inspector's Signature: 3/1/216

115 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop F fittings on fiberglass (1974) compactor room 1 FITTING FITTING In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 7/11/216

116 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM PREVIOUS INSPECTION H fittings on paper wrap (1925) HISTORICAL AHERA DAMAGE CATEGORY 7 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: basement crawl spaces, boys & girls bathrooms, pipechases thoughout building 2 LF LF COMMENTS: Inspector's Signature: 3/1/216

117 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop H fittings on paper wrap (1925) basement crawl spaces, boys & girls bathrooms, pipechases thoughout building 2 LF LF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 7/11/216

118 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM PREVIOUS INSPECTION I fittings on aircell (1925) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: crawl space COMMENTS: t observed 216 Inspector's Signature: 3/1/216

119 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop I fittings on aircell (1925) crawl space In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 7/11/216

120 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM PREVIOUS INSPECTION J incinerator insulation (1925) (gone cr 199) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: boiler room COMMENTS: t observed 216 Inspector's Signature: 3/1/216

121 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop J incinerator insulation (1925) (gone cr 199) boiler room 286 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 7/11/216

122 216 AHERA REINSPECTION Inspector Assessment Form (New Homogeneous Area) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM CURRENT INSPECTION 49 Hard Coat Plaster Throughout 1974 Building 375 MATERIAL CATEGORY: SURFACE FRIABLE: Yes ASBESTOS TYPE: DISTURBANCE POTENTIAL: AHERA DAMAGE CATEGORY: CONDITION: 7 Any remaining friable ACBM or friable suspect ACBM ACCESSIBILITY: Within Reach DAMAGE REASON: DAMAGE REASON: DAMAGE REASON: COMMENTS: Inspector's Signature: 3/1/216

123 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop Hard Coat Plaster Throughout 1974 Building 375 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: COMMENTS: Management Planner's Signature: 7/11/216

124 216 AHERA REINSPECTION Inspector Assessment Form (New Homogeneous Area) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM CURRENT INSPECTION 48 Hard Coat Plaster Throughout 1925 Building 375 MATERIAL CATEGORY: SURFACE FRIABLE: Yes ASBESTOS TYPE: DISTURBANCE POTENTIAL: AHERA DAMAGE CATEGORY: CONDITION: 7 Any remaining friable ACBM or friable suspect ACBM ACCESSIBILITY: Within Reach DAMAGE REASON: DAMAGE REASON: DAMAGE REASON: COMMENTS: Inspector's Signature: 3/1/216

125 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop Hard Coat Plaster Throughout 1925 Building 375 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: COMMENTS: Management Planner's Signature: 7/11/216

126 216 AHERA REINSPECTION Inspector Assessment Form (New Homogeneous Area) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM CURRENT INSPECTION 52 12" x 12" Acoustical Ceiling Tile w/ Glue Dots Room 213 Chalk Board 38 MATERIAL CATEGORY: FRIABLE: ASBESTOS TYPE: DISTURBANCE POTENTIAL: AHERA DAMAGE CATEGORY: CONDITION: ACCESSIBILITY: t Reachable DAMAGE REASON: DAMAGE REASON: DAMAGE REASON: COMMENTS: Inspector's Signature: 3/1/216

127 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop " x 12" Acoustical Ceiling Tile w/ Glue Dots Room 213 Chalk Board 38 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: COMMENTS: Management Planner's Signature: 7/11/216

128 216 AHERA REINSPECTION Inspector Assessment Form (New Homogeneous Area) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM CURRENT INSPECTION 5 12" x 12" Dark Brown Floor Tile 1st Floor Restroom and Rooms 115B and 215B 474 MATERIAL CATEGORY: FRIABLE: ASBESTOS TYPE: DISTURBANCE POTENTIAL: AHERA DAMAGE CATEGORY: CONDITION: ACCESSIBILITY: Within Reach DAMAGE REASON: DAMAGE REASON: DAMAGE REASON: COMMENTS: Inspector's Signature: 3/1/216

129 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop " x 12" Dark Brown Floor Tile 1st Floor Restroom and Rooms 115B and 215B 474 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: COMMENTS: Management Planner's Signature: 7/11/216

130 216 AHERA REINSPECTION Inspector Assessment Form (New Homogeneous Area) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM CURRENT INSPECTION 54 12" x 12" Light Beige w/ Tan Specks Floor Tile Room MATERIAL CATEGORY: FRIABLE: ASBESTOS TYPE: DISTURBANCE POTENTIAL: AHERA DAMAGE CATEGORY: CONDITION: ACCESSIBILITY: Within Reach DAMAGE REASON: DAMAGE REASON: DAMAGE REASON: COMMENTS: Inspector's Signature: 3/1/216

131 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop " x 12" Light Beige w/ Tan Specks Floor Tile Room In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: COMMENTS: Management Planner's Signature: 7/11/216

132 216 AHERA REINSPECTION Inspector Assessment Form (New Homogeneous Area) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM CURRENT INSPECTION 55 Mastic Associated w/ 12" x 12" Light Beige w/ Tan Specks Floor Tile Room MATERIAL CATEGORY: FRIABLE: ASBESTOS TYPE: DISTURBANCE POTENTIAL: AHERA DAMAGE CATEGORY: CONDITION: ACCESSIBILITY: t Reachable DAMAGE REASON: DAMAGE REASON: DAMAGE REASON: COMMENTS: Inspector's Signature: 3/1/216

133 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop Mastic Associated w/ 12" x 12" Light Beige w/ Tan Specks Floor Tile Room In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: COMMENTS: Management Planner's Signature: 7/11/216

134 216 AHERA REINSPECTION Inspector Assessment Form (New Homogeneous Area) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM CURRENT INSPECTION 51 Mastic Associated w/ 12" x 12" Dark Brown Floor Tile 1st Floor Restroom and Rooms 115B and 215B 474 MATERIAL CATEGORY: FRIABLE: ASBESTOS TYPE: DISTURBANCE POTENTIAL: AHERA DAMAGE CATEGORY: CONDITION: ACCESSIBILITY: t Reachable DAMAGE REASON: DAMAGE REASON: DAMAGE REASON: COMMENTS: Inspector's Signature: 3/1/216

135 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop Mastic Associated w/ 12" x 12" Dark Brown Floor Tile 1st Floor Restroom and Rooms 115B and 215B 474 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: COMMENTS: Management Planner's Signature: 7/11/216

136 216 AHERA REINSPECTION Inspector Assessment Form (New Homogeneous Area) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM CURRENT INSPECTION 53 Glue Dots Associated w/ 12" x 12" Acoustical Ceiling Tile Room 213 Chalk Board 38 MATERIAL CATEGORY: FRIABLE: ASBESTOS TYPE: DISTURBANCE POTENTIAL: AHERA DAMAGE CATEGORY: CONDITION: ACCESSIBILITY: t Reachable DAMAGE REASON: DAMAGE REASON: DAMAGE REASON: COMMENTS: Inspector's Signature: 3/1/216

137 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop Glue Dots Associated w/ 12" x 12" Acoustical Ceiling Tile Room 213 Chalk Board 38 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: COMMENTS: Management Planner's Signature: 7/11/216

138 216 AHERA REINSPECTION Inspector Assessment Form (New Homogeneous Area) AHERA INSPECTOR: Beinville Brooks INSPECTION DATE: 3/1/ S. Bishop INFORMATION FROM CURRENT INSPECTION 47 2' x 4' Ceiling Tile w/ Chicken Scratch Throughout 1st and 2nd Corridor, All Classrooms in 1925 Building 25 MATERIAL CATEGORY: FRIABLE: Yes ASBESTOS TYPE: DISTURBANCE POTENTIAL: AHERA DAMAGE CATEGORY: CONDITION: 7 Any remaining friable ACBM or friable suspect ACBM ACCESSIBILITY: Barely Reachable DAMAGE REASON: DAMAGE REASON: DAMAGE REASON: COMMENTS: Inspector's Signature: 3/1/216

139 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 7/11/ S. Bishop ' x 4' Ceiling Tile w/ Chicken Scratch Throughout 1st and 2nd Corridor, All Classrooms in 1925 Building 25 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: COMMENTS: Management Planner's Signature: 7/11/216

140 APPENDIX B Inspector and Management Planner Licenses

141

142

143

Explain in writing if the address of the building is different than the address on this form:

Explain in writing if the address of the building is different than the address on this form: ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO

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Explain in writing if the address of the building is different than the address on this form:

Explain in writing if the address of the building is different than the address on this form: ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO

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Explain in writing if the address of the building is different than the address on this form:

Explain in writing if the address of the building is different than the address on this form: ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO

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Explain in writing if the address of the building is different than the address on this form:

Explain in writing if the address of the building is different than the address on this form: ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO

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Explain in writing if the address of the building is different than the address on this form:

Explain in writing if the address of the building is different than the address on this form: ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO

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Explain in writing if the address of the building is different than the address on this form:

Explain in writing if the address of the building is different than the address on this form: ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO

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If the address on this form is different than the address of the building, submit a written explanation.

If the address on this form is different than the address of the building, submit a written explanation. ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO

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If the address on this form is different than the address of the building, submit a written explanation.

If the address on this form is different than the address of the building, submit a written explanation. ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO

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Explain in writing if the address of the building is different than the address on this form:

Explain in writing if the address of the building is different than the address on this form: ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO

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Explain in writing if the address of the building is different than the address on this form:

Explain in writing if the address of the building is different than the address on this form: ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO

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Learn Charter School Excel Campus ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO

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Noble Street Charter - UIC College Prep ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO

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If the address on this form is different than the address of the building, submit a written explanation.

If the address on this form is different than the address of the building, submit a written explanation. ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-2724

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Explain in writing if the address of the building is different than the address on this form:

Explain in writing if the address of the building is different than the address on this form: ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO

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If the address on this form is different than the address of the building, submit a written explanation.

If the address on this form is different than the address of the building, submit a written explanation. ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO

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Explain in writing if the address of the building is different than the address on this form:

Explain in writing if the address of the building is different than the address on this form: ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO

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Explain in writing if the address of the building is different than the address on this form:

Explain in writing if the address of the building is different than the address on this form: ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO

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If the address on this form is different than the address of the building, submit a written explanation.

If the address on this form is different than the address of the building, submit a written explanation. ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-2490

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If the address on this form is different than the address of the building, submit a written explanation.

If the address on this form is different than the address of the building, submit a written explanation. ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-2270

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Explain in writing if the address of the building is different than the address on this form:

Explain in writing if the address of the building is different than the address on this form: ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO

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If the address on this form is different than the address of the building, submit a written explanation.

If the address on this form is different than the address of the building, submit a written explanation. ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-2080

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If the address on this form is different than the address of the building, submit a written explanation.

If the address on this form is different than the address of the building, submit a written explanation. ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO

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Explain in writing if the address of the building is different than the address on this form:

Explain in writing if the address of the building is different than the address on this form: ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO

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If the address on this form is different than the address of the building, submit a written explanation.

If the address on this form is different than the address of the building, submit a written explanation. ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-2286

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Explain in writing if the address of the building is different than the address on this form:

Explain in writing if the address of the building is different than the address on this form: ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO

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Explain in writing if the address of the building is different than the address on this form:

Explain in writing if the address of the building is different than the address on this form: ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO

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Explain in writing if the address of the building is different than the address on this form:

Explain in writing if the address of the building is different than the address on this form: ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO

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Explain in writing if the address of the building is different than the address on this form:

Explain in writing if the address of the building is different than the address on this form: ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO

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Explain in writing if the address of the building is different than the address on this form:

Explain in writing if the address of the building is different than the address on this form: ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO

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Explain in writing if the address of the building is different than the address on this form:

Explain in writing if the address of the building is different than the address on this form: ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO

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If the address on this form is different than the address of the building, submit a written explanation.

If the address on this form is different than the address of the building, submit a written explanation. ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-2059

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If the address on this form is different than the address of the building, submit a written explanation.

If the address on this form is different than the address of the building, submit a written explanation. ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO

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If the address on this form is different than the address of the building, submit a written explanation.

If the address on this form is different than the address of the building, submit a written explanation. ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-2497

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If the address on this form is different than the address of the building, submit a written explanation.

If the address on this form is different than the address of the building, submit a written explanation. ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO

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Explain in writing if the address of the building is different than the address on this form:

Explain in writing if the address of the building is different than the address on this form: ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO

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Explain in writing if the address of the building is different than the address on this form:

Explain in writing if the address of the building is different than the address on this form: ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO

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Explain in writing if the address of the building is different than the address on this form:

Explain in writing if the address of the building is different than the address on this form: ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO

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Explain in writing if the address of the building is different than the address on this form:

Explain in writing if the address of the building is different than the address on this form: ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO

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Explain in writing if the address of the building is different than the address on this form:

Explain in writing if the address of the building is different than the address on this form: ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO

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If the address on this form is different than the address of the building, submit a written explanation.

If the address on this form is different than the address of the building, submit a written explanation. ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-2053

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Explain in writing if the address of the building is different than the address on this form:

Explain in writing if the address of the building is different than the address on this form: ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO

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If the address on this form is different than the address of the building, submit a written explanation.

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