Learn Charter School Excel Campus
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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 x Learn Charter School Excel Campus 241 W. Congress Chicago, IL, 6612 DATE LAST THREE YEAR REINSPECTION WAS COMPLETED 4/15/21 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: 4/12/213 ENROLLMENT IDPH INSPECTOR LICENSE NUMBER: IDPH LICENSED INSPECTOR NAME (Please Print): Marcus Tsilimos IDPH MP LICENSE NUMBER: IDPH LICENSED MANAGEMENT PLANNER NAME (Please Print): Todd Huffer DESIGNATED PERSON (Please Print): Ms. Lynn Crivello PHONE: 437 (773) /12/213 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 299 Learn Charter School Excel Campus 241 W. Congress Chicago, IL, 6612 Unit: Building ID: 581-Congress IDPH ID Number: x REPORT DATE: Friday, April 12, 213 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 14, 213 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: Region: 2 School: Learn Charter School Excel Campus IDPH ID: x Building ID: 581-Congress Address: 241 W. Congress Chicago, IL, 6612 Building Contact: Contact Phone: Current Building Owners: Review 4/12/213 Inspector: Marcus Tsilimos 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 14, 213 RE: Learn Charter School Excel Campus, Unit 241 W. Congress Chicago, IL, 6612 Dear Faculty, Staff and Parents, This letter is to notify you that the 213 asbestos three year re-inspection has been completed at Learn Charter School Excel Campus, 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 Learn Charter School Excel Campus, 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 Ms. Lynn Crivello, 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: Learn Charter School Excel Campus Address: 241 W. Congress IDPH ID: x Contact: 2. Unit: Chicago, IL, 6612 Building ID: 581-Congress Phone: Description of Facility Original Construction: Total Square Footage: Current Occupancy: Additional Construction: of Floors: LEA Designated Person Contact: Ms. Lynn Crivello Address: 125 South Clark Street, 17th Floor Chicago, IL Fax: (312) Inspector Inspector Name: Marcus Tsilimos Signature: 3/14/213 Inspector IDPH license # Phone: (773) Managing Environmental Consultant MEC: Contact: Dan Juneau Address 6 West Van Buren St., Ste 5 Phone: (312) Region: 2 Management Planner Management Planner Name: Todd Huffer Management Planner IDPH license # Review 4/12/ LEA Designated Person's Acknowledgement Signature: 4/12/213 The reinspection report and recommendations have been received by me and appropriate action will be taken by the School District. Signature: 4/12/213 Name: Ms. Lynn Crivello Unit : Learn Charter School Excel Campus Building: 581-Congress
7 II. EXECUTIVE SUMMARY was retained by the (CPS) to perform a three-year asbestos reinspection of the Learn Charter School Excel Campus. 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 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 581-Congress: Unit: 6 Boiler Breeching 13 Hard Plaster Wall and Ceiling Material 5 Aircell Duct Insulation Learn Charter School Excel Campus Building: 581-Congress
8 B. The following new homogenous areas have been identified for Building 581-Congress: Unit: 38 Door Caulk 39 Window Caulk Learn Charter School Excel Campus Building: 581-Congress
9 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 : "x12" Yellow w/white & Beige Floor Tile 12"x12" Yellow w/white & Beige Floor Tile Mastic 12"x12" Purple w/dk Blue & Gray Floor Tile 12"x12" Purple w/dk Blue & Gray Floor Tile Mastic 12"x12" Green w/dk Green Floor Tile 12"x12" Green w/dk Green Floor Tile Mastic Hard Plaster Wall and Ceiling Material Gray Carpet Mastic 12"x12" Blue w/white & Gray Floor Tile 12"x12" Blue w/white & Dk Blue Floor Tile 12"x12" Blue w/white & Dk Blue Floor Tile Mastic 12"x12" Yellow w/white Streaks Floor Tile Mastic 12"x12" White w/multicolored Streaks Floor Tile 12"x12" White w/multicolors Floor Tile Mastic Gray Linoleum Gray Linoleum Adhesive Tan Square Linoleum Tan Square Linoleum Adhesive Tan Linoleum Tan Linoleum Adhesive Blue Carpet Adhesive 2" Purple Baseboard 2" Purple Baseboard Adhesive 2" Black Baseboard 2" Black Baseboard Adhesive 2" Beige Baseboard 2" Beige Baseboard Adhesive 12"x12" Beige w/tan Specks Floor Tile 12"x12" Beige w/tan Specks Floor Tile Mastic 12"x12" Blue w/white & Gray Floor Tile Mastic 12"x12" Yellow w/white Streaks Floor Tile Brown carpet adhesive 2' x 4' Drywall ceiling tile Door Caulk Window Caulk The following areas were deemed to be inaccessible: Unit: 12"x12" Yellow w/white & Beige Floor Tile Mastic 12"x12" Purple w/dk Blue & Gray Floor Tile Mastic 12"x12" Green w/dk Green Floor Tile Mastic 12"x12" Blue w/white & Dk Blue Floor Tile Mastic Learn Charter School Excel Campus Building: 581-Congress
10 "x12" Yellow w/white Streaks Floor Tile Mastic 12"x12" White w/multicolors Floor Tile Mastic Gray Linoleum Adhesive Tan Square Linoleum Adhesive Tan Linoleum Adhesive Blue Carpet Adhesive 2" Purple Baseboard Adhesive 2" Black Baseboard Adhesive 2" Beige Baseboard Adhesive 12"x12" Beige w/tan Specks Floor Tile Mastic Vinyl Floor Tile Mastic 12"x12" Blue w/white & Gray Floor Tile Mastic Brown carpet adhesive 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 Marcus Tsilimos, IDPH License # The Management Plan was updated by Todd Huffer, IDPH License # Inspector and Management Planner Licenses are included in Appendix B. Unit: Learn Charter School Excel Campus Building: 581-Congress
11 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 Learn Charter School Excel Campus Building 581-Congress 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: Learn Charter School Excel Campus Building: 581-Congress
12 Table I Inspector's Reinspection Findings
13 School Learn Charter School Excel Campus Unit Building ID 581-Congress Address 241 W. Congress Region 2 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 6 Boiler Breeching 7 Material Quantity Material Units Material Location Asbestos Type Material Category Friable Damage Type Damage Quantity Damage Units 3 Boiler Room CHR TSI Y NONE Change in Assessment Category Yes 12"x12" Yellow w/white & Beige Floor Tile 3,6 ASSUMED N NONE 8 12"x12" Yellow w/white & Beige Floor Tile Mastic 3,6 ASSUMED Y NONE 9 12"x12" Purple w/dk Blue & Gray Floor Tile 1,2 ASSUMED N NONE 1 MJP on Corrugated Pipe Covering 15 CHR TSI Y 1 12"x12" Purple w/dk Blue & Gray Floor Tile Mastic 1,2 ASSUMED 11 12"x12" Green w/dk Green Floor Tile 5,325 ASSUMED 12 12"x12" Green w/dk Green Floor Tile Mastic 5, Hard Plaster Wall and Ceiling Material 18, Basement, Music Room, Art Room, Teacher's Lounge, Stage, 2nd & 3rd Floor Hall, Basement, Music Room, Art Room, Teacher's Lounge, Stage, 2nd & 3rd Floor Hall Basement, Music Room, Art Room, Teacher's Lounge, Stage, 2nd & 3rd Floor Corridors Throughout Building Basement, Music Room, Art Room, Teacher's Lounge, Stage, 2nd & 3rd Floor Corridors, 1st Floor Church Basement, Music Room, Art Room, Teacher's Lounge, WWR, 2nd & 3rd Floor Corridors, Stage Basement, Music Room, Art Room, Teacher's Lounge, WWR, 2nd & 3rd Floor Corridors, All Floors of Building Gray Carpet Mastic 12"x12" Blue w/white & Gray Floor Tile "x12" Blue w/white & Dk Blue Floor Tile 2,988 Damage Category Damage Reason Disturbance Potential Any remaining friable ACBM or friable suspect ACBM ACBM with the potential for damage MODERATE Any remaining friable ACBM or friable suspect ACBM ACBM with the potential for damage MODERATE NONE MODERATE N NONE ACBM with the potential for damage ACBM with the potential for damage N LOC 2 ACBM with the potential for damage ASSUMED N NONE ACBM with the potential for damage ASSUMED SURFACE Y NONE Yes Any remaining friable ACBM or friable suspect ACBM Principal's Office Basement Stairway ASSUMED ASSUMED N N NONE ASSUMED N NONE ACBM with the potential for damage ACBM with the potential for damage Elevator, Office, Church, 2nd & 3rd MODERATE 5
14 School Learn Charter School Excel Campus Unit Building ID 581-Congress Address 241 W. Congress Region 2 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 18 12"x12" Blue w/white & Dk Blue Floor Tile Mastic 2,988 2 Corrugated Pipe Covering 1, "x12" Yellow w/white Streaks Floor Tile Mastic 12"x12" White w/multicolored Streaks Floor Tile 65 12, 12, Material Quantity Material Units Material Location Floor Corridors, Staircases Elevator, Office, 2nd & 3rd Floor Corridors, Staircases Basement, Stage, Stairwells, Teacher's Lounge, Art Room, MWR, Engineer, Mechanical Room,Fire Pump Rm Office Asbestos Type Material Category Friable Damage Type ASSUMED N NONE CHR TSI Y ASSUMED ASSUMED Damage Quantity Damage Units Change in Assessment Category Damage Category ACBM with the potential for damage NONE Any remaining friable ACBM or friable suspect ACBM N NONE N NONE ACBM with the potential for damage ACBM with the potential for damage ASSUMED N NONE ACBM with the potential for damage 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 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 22 12"x12" White w/multicolors Floor Tile Mastic 23 Gray Linoleum 1,8 All Classrooms and Closets on the 2nd & 3rd Floors All Classrooms and Closets on the 2nd & 3rd Floors Church 24 Gray Linoleum Adhesive 1,8 Church ASSUMED N NONE 25 Tan Square Linoleum 2 Church ASSUMED N NONE 26 Tan Square Linoleum Adhesive 2 Church ASSUMED N NONE 27 Tan Linoleum 2 Church ASSUMED N NONE 28 Tan Linoleum Adhesive 2 Church ASSUMED N NONE 29 Blue Carpet Adhesive 4,5 Church ASSUMED N NONE 3 Vinyl Floor Tile 8,16 CHR N NONE 3 2" Purple Baseboard 4 All Floors of Building Basement ASSUMED N NONE 31 2" Purple Baseboard Adhesive 4 Basement ASSUMED N NONE 32 2" Black Baseboard 132 Basement ASSUMED N NONE 33 2" Black Baseboard Adhesive 132 Basement ASSUMED N NONE 21 Damage Reason Disturbance Potential
15 School Learn Charter School Excel Campus Unit Building ID 581-Congress Address 241 W. Congress Region 2 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 34 2" Beige Baseboard 35 2" Beige Baseboard Adhesive Material Quantity Material Units Material Location Asbestos Type Material Category Friable Damage Type 28 ASSUMED N NONE 28 ASSUMED N 12"x12" Beige w/tan Specks Floor Tile 3,4 Music Room, Art Room, Teacher's Lounge Music Room, Art Room, Teacher's Lounge Basement ASSUMED 12"x12" Beige w/tan Specks Floor Tile Mastic Vinyl Floor Tile Mastic 3,4 Basement ASSUMED 4 2,4 CHR 5 Aircell Duct Insulation 32 All Floors of Building Boiler Room 16 12"x12" Blue w/white & Gray Floor Tile Mastic 12"x12" Yellow w/white Streaks Floor Tile Brown carpet adhesive 37 2' x 4' Drywall ceiling tile Damage Quantity Damage Units Damage Category Change in Assessment Category ACBM with the potential for damage NONE ACBM with the potential for damage N NONE N NONE N NONE CHR TSI Y NONE Yes Basement Stairway ASSUMED N NONE Office ASSUMED N NONE ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage Any remaining friable ACBM or friable suspect ACBM 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 5 Office storage room ASSUMED N NONE 3 Kitchen ASSUMED N NONE Door Caulk 2, Throughout ASSUMED N NONE Window Caulk 4, Throughout ASSUMED N NONE Damage Reason Disturbance Potential
16 School Learn Charter School Excel Campus Unit Building ID 581-Congress Address 241 W. Congress Region 2 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 3/14/213 Inspector Name Inspector's Comments Marcus Tsilimos /15/213 Inspector's IDPH License Number / Expiration Date HA Number: Inspector Comments: Repaired 21 Material t Observed 213- abatement records Repaired 21
17 School Learn Charter School Excel Campus Unit Building ID 581-Congress Address 241 W. Congress Region 2 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: Inspector Comments:
18 Table II Management Planner's Review
19 School Address Learn Charter School Excel Campus Unit 241 W. Congress Building ID Chicago, IL, Congress Region 2 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 6 Boiler Breeching 3 Boiler Room Chrysotile TSI Yes 7 12"x12" Yellow w/white & Beige Floor Tile 3,6 8 12"x12" Yellow w/white & Beige Floor Tile Mastic 3,6 Yes 7 Any remaining friable ACBM or friable suspect ACBM 9 12"x12" Purple w/dk Blue & Gray Floor Tile 1,2 1 1 MJP on Corrugated Pipe Covering 12"x12" Purple w/dk Blue & Gray Floor Tile Mastic 15 1,2 Chrysotile TSI Yes 11 12"x12" Green w/dk Green Floor Tile 5, "x12" Green w/dk Green Floor Tile Mastic 5, Hard Plaster Wall and Ceiling Material 18, Basement, Music Room, Art Room, Teacher's Lounge, Stage, 2nd & 3rd Floor Hall, Basement, Music Room, Art Room, Teacher's Lounge, Stage, 2nd & 3rd Floor Hall Basement, Music Room, Art Room, Teacher's Lounge, Stage, 2nd & 3rd Floor Corridors Throughout Building Basement, Music Room, Art Room, Teacher's Lounge, Stage, 2nd & 3rd Floor Corridors, 1st Floor Church Basement, Music Room, Art Room, Teacher's Lounge, WWR, 2nd & 3rd Floor Corridors, Stage Basement, Music Room, Art Room, Teacher's Lounge, WWR, 2nd & 3rd Floor Corridors, All Floors of Building 7 Any remaining friable ACBM or friable suspect ACBM SURFACE Yes 7 Any remaining friable ACBM or friable suspect ACBM Gray Carpet Mastic 12"x12" Blue w/white & Gray Floor Tile 12"x12" Blue w/white & Dk Blue Floor Tile 8 2, "x12" Blue w/white & Dk Blue Floor Tile Mastic 2,988 2 Corrugated Pipe Covering 1,33 Chrysotile TSI Yes 7 Any remaining friable ACBM or friable suspect ACBM "x12" Yellow w/white Streaks Floor Tile Mastic 12"x12" White w/multicolored Streaks Floor Tile 65 12, Principal's Office Basement Stairway Elevator, Office, Church, 2nd & 3rd Floor Corridors, Staircases Elevator, Office, 2nd & 3rd Floor Corridors, Staircases Basement, Stage, Stairwells, Teacher's Lounge, Art Room, MWR, Engineer, Mechanical Room,Fire Pump Rm Office All Classrooms and Closets on the 2nd & 3rd Floors
20 School Address Learn Charter School Excel Campus Unit 241 W. Congress Building ID Chicago, IL, Congress Region 2 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 22 12"x12" White w/multicolors Floor Tile Mastic 12, Gray Linoleum Gray Linoleum Adhesive Tan Square Linoleum Tan Square Linoleum Adhesive Tan Linoleum Tan Linoleum Adhesive Blue Carpet Adhesive Vinyl Floor Tile 2" Purple Baseboard 2" Purple Baseboard Adhesive 2" Black Baseboard 2" Black Baseboard Adhesive 2" Beige Baseboard 1,8 1, ,5 8, Chrysotile 35 2" Beige Baseboard Adhesive "x12" Beige w/tan Specks Floor Tile 12"x12" Beige w/tan Specks Floor Tile Mastic Vinyl Floor Tile Mastic Aircell Duct Insulation 3,4 3,4 2,4 32 All Classrooms and Closets on the 2nd & 3rd Floors Church Church Church Church Church Church Church All Floors of Building Basement Basement Basement Basement Music Room, Art Room, Teacher's Lounge Music Room, Art Room, Teacher's Lounge Basement Basement All Floors of Building Boiler Room Chrysotile Chrysotile TSI Yes "x12" Blue w/white & Gray Floor Tile Mastic 12"x12" Yellow w/white Streaks Floor Tile Brown carpet adhesive 2' x 4' Drywall ceiling tile Door Caulk Window Caulk , 4, Basement Stairway Office Office storage room Kitchen Throughout Throughout 7 Any remaining friable ACBM or friable suspect ACBM
21 School Address Learn Charter School Excel Campus 241 W. Congress Unit Building ID Chicago, IL, 6612 Region 581-Congress 2 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 4/12/213 Review Date Manager Planner Name Todd Huffer /15/213 Manager IDPH License /Expiration HA Number Management Comments smaterial t Observed 213- abatement records
22 School Address Learn Charter School Excel Campus 241 W. Congress Unit Building ID Chicago, IL, 6612 Region 581-Congress 2 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 Management Comments
23 School Address Learn Charter School Excel Campus 241 W. Congress Unit Building ID Chicago, IL, 6612 Region 581-Congress 2 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 Management Comments
24 213 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 581-Congress AHERA INSPECTOR: Marcus Tsilimos Learn Charter School Excel Campus INSPECTION DATE: 3/14/ W. Congress INFORMATION FROM PREVIOUS INSPECTION 6 Boiler Breeching HISTORICAL AHERA DAMAGE CATEGORY 7 Damaged or significantly damaged friable thermal system insulating ACBM HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: Repair 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: MODERATE Boiler Room 3 COMMENTS: Repaired 21 Inspector's Signature: 3/14/213
25 213 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Learn Charter School Excel Campus REVIEW DATE: 4/12/ W. Congress Congress 6 Boiler Breeching Boiler Room 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: Repair Comments: Management Planner's Signature: 4/12/213
26 213 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 581-Congress AHERA INSPECTOR: Marcus Tsilimos Learn Charter School Excel Campus INSPECTION DATE: 3/14/ W. Congress INFORMATION FROM PREVIOUS INSPECTION 7 12"x12" Yellow w/white & Beige 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: MODERATE Basement, Music Room, Art Room, Teacher's Lounge, Stage, 2nd & 3rd Floor Hall, 36 COMMENTS: Inspector's Signature: 3/14/213
27 213 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Learn Charter School Excel Campus REVIEW DATE: 4/12/ W. Congress Congress 7 12"x12" Yellow w/white & Beige Floor Tile Basement, Music Room, Art Room, Teacher's Lounge, Stage, 2nd & 3rd Floor Hall, 36 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: 4/12/213
28 213 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 581-Congress AHERA INSPECTOR: Marcus Tsilimos Learn Charter School Excel Campus INSPECTION DATE: 3/14/ W. Congress INFORMATION FROM PREVIOUS INSPECTION 8 12"x12" Yellow w/white & Beige Floor Tile Mastic 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: Basement, Music Room, Art Room, Teacher's Lounge, Stage, 2nd & 3rd Floor Hall 36 COMMENTS: Inspector's Signature: 3/14/213
29 213 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Learn Charter School Excel Campus REVIEW DATE: 4/12/ W. Congress Congress 8 12"x12" Yellow w/white & Beige Floor Tile Mastic Basement, Music Room, Art Room, Teacher's Lounge, Stage, 2nd & 3rd Floor Hall 36 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: 4/12/213
30 213 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 581-Congress AHERA INSPECTOR: Marcus Tsilimos Learn Charter School Excel Campus INSPECTION DATE: 3/14/ W. Congress INFORMATION FROM PREVIOUS INSPECTION 9 12"x12" Purple w/dk Blue & Gray 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: MODERATE Basement, Music Room, Art Room, Teacher's Lounge, Stage, 2nd & 3rd Floor Corridors 12 COMMENTS: Inspector's Signature: 3/14/213
31 213 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Learn Charter School Excel Campus REVIEW DATE: 4/12/ W. Congress Congress 9 12"x12" Purple w/dk Blue & Gray Floor Tile Basement, Music Room, Art Room, Teacher's Lounge, Stage, 2nd & 3rd Floor Corridors 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: 4/12/213
32 213 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 581-Congress AHERA INSPECTOR: Marcus Tsilimos Learn Charter School Excel Campus INSPECTION DATE: 3/14/ W. Congress INFORMATION FROM PREVIOUS INSPECTION 1 MJP on Corrugated Pipe Covering HISTORICAL AHERA DAMAGE CATEGORY 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 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE Throughout Building 15 COMMENTS: Inspector's Signature: 3/14/213
33 213 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Learn Charter School Excel Campus REVIEW DATE: 4/12/ W. Congress Congress 1 MJP on Corrugated Pipe Covering Throughout Building 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: 4/12/213
34 213 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 581-Congress AHERA INSPECTOR: Marcus Tsilimos Learn Charter School Excel Campus INSPECTION DATE: 3/14/ W. Congress INFORMATION FROM PREVIOUS INSPECTION 1 12"x12" Purple w/dk Blue & Gray 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: DISTURBANCE POTENTIAL: Basement, Music Room, Art Room, Teacher's Lounge, Stage, 2nd & 3rd Floor Corridors, 1st Floor Church 12 COMMENTS: Inspector's Signature: 3/14/213
35 213 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Learn Charter School Excel Campus REVIEW DATE: 4/12/ W. Congress Congress 1 12"x12" Purple w/dk Blue & Gray Floor Tile Mastic Basement, Music Room, Art Room, Teacher's Lounge, Stage, 2nd & 3rd Floor Corridors, 1st Floor Church 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: 4/12/213
36 213 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 581-Congress AHERA INSPECTOR: Marcus Tsilimos Learn Charter School Excel Campus INSPECTION DATE: 3/14/ W. Congress INFORMATION FROM PREVIOUS INSPECTION 11 12"x12" Green w/dk Green 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: Physical Damage DISTURBANCE POTENTIAL: Basement, Music Room, Art Room, Teacher's Lounge, WWR, 2nd & 3rd Floor Corridors, Stage 5325 COMMENTS: Inspector's Signature: 3/14/213
37 213 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Learn Charter School Excel Campus REVIEW DATE: 4/12/ W. Congress Congress 11 12"x12" Green w/dk Green Floor Tile Basement, Music Room, Art Room, Teacher's Lounge, WWR, 2nd & 3rd Floor Corridors, Stage 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: 4/12/213
38 213 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 581-Congress AHERA INSPECTOR: Marcus Tsilimos Learn Charter School Excel Campus INSPECTION DATE: 3/14/ W. Congress INFORMATION FROM PREVIOUS INSPECTION 12 12"x12" Green w/dk Green 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: DISTURBANCE POTENTIAL: Basement, Music Room, Art Room, Teacher's Lounge, WWR, 2nd & 3rd Floor Corridors, 5325 COMMENTS: Inspector's Signature: 3/14/213
39 213 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Learn Charter School Excel Campus REVIEW DATE: 4/12/ W. Congress Congress 12 12"x12" Green w/dk Green Floor Tile Mastic Basement, Music Room, Art Room, Teacher's Lounge, WWR, 2nd & 3rd Floor Corridors, 5325 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: 4/12/213
40 213 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 581-Congress AHERA INSPECTOR: Marcus Tsilimos Learn Charter School Excel Campus INSPECTION DATE: 3/14/ W. Congress INFORMATION FROM PREVIOUS INSPECTION 13 Hard Plaster Wall and Ceiling Material HISTORICAL AHERA DAMAGE CATEGORY 7 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: All Floors of Building 18 COMMENTS: Inspector's Signature: 3/14/213
41 213 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Learn Charter School Excel Campus REVIEW DATE: 4/12/ W. Congress Congress 13 Hard Plaster Wall and Ceiling Material All Floors of Building 18 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: 4/12/213
42 213 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 581-Congress AHERA INSPECTOR: Marcus Tsilimos Learn Charter School Excel Campus INSPECTION DATE: 3/14/ W. Congress INFORMATION FROM PREVIOUS INSPECTION 14 Gray 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. DAMAGE REASON: DISTURBANCE POTENTIAL: Principal's Office COMMENTS: Material t Observed 213- abatement records Inspector's Signature: 3/14/213
43 213 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Learn Charter School Excel Campus REVIEW DATE: 4/12/ W. Congress Gray Carpet Mastic Principal's Office 581-Congress 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: smaterial t Observed 213- abatement records Management Planner's Signature: 4/12/213
44 213 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 581-Congress AHERA INSPECTOR: Marcus Tsilimos Learn Charter School Excel Campus INSPECTION DATE: 3/14/ W. Congress INFORMATION FROM PREVIOUS INSPECTION 15 12"x12" Blue w/white & Gray 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: Basement Stairway 8 COMMENTS: Inspector's Signature: 3/14/213
45 213 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Learn Charter School Excel Campus REVIEW DATE: 4/12/ W. Congress Congress 15 12"x12" Blue w/white & Gray Floor Tile Basement Stairway 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: 4/12/213
46 213 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 581-Congress AHERA INSPECTOR: Marcus Tsilimos Learn Charter School Excel Campus INSPECTION DATE: 3/14/ W. Congress INFORMATION FROM PREVIOUS INSPECTION 17 12"x12" Blue w/white & Dk Blue 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: Elevator, Office, Church, 2nd & 3rd Floor Corridors, Staircases 2988 COMMENTS: Inspector's Signature: 3/14/213
47 213 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Learn Charter School Excel Campus REVIEW DATE: 4/12/ W. Congress Congress 17 12"x12" Blue w/white & Dk Blue Floor Tile Elevator, Office, Church, 2nd & 3rd Floor Corridors, Staircases 2988 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: 4/12/213
48 213 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 581-Congress AHERA INSPECTOR: Marcus Tsilimos Learn Charter School Excel Campus INSPECTION DATE: 3/14/ W. Congress INFORMATION FROM PREVIOUS INSPECTION 18 12"x12" Blue w/white & Dk Blue 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: DISTURBANCE POTENTIAL: Elevator, Office, 2nd & 3rd Floor Corridors, Staircases 2988 COMMENTS: Inspector's Signature: 3/14/213
49 213 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Learn Charter School Excel Campus REVIEW DATE: 4/12/ W. Congress Congress 18 12"x12" Blue w/white & Dk Blue Floor Tile Mastic Elevator, Office, 2nd & 3rd Floor Corridors, Staircases 2988 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: 4/12/213
50 213 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 581-Congress AHERA INSPECTOR: Marcus Tsilimos Learn Charter School Excel Campus INSPECTION DATE: 3/14/ W. Congress INFORMATION FROM PREVIOUS INSPECTION 2 Corrugated Pipe Covering HISTORICAL AHERA DAMAGE CATEGORY 7 Damaged or significantly damaged friable thermal system insulating ACBM HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: Repair 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, Stage, Stairwells, Teacher's Lounge, Art Room, MWR, Engineer, Mechanical Room,Fire Pump Rm 133 COMMENTS: Repaired 21 Inspector's Signature: 3/14/213
51 213 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Learn Charter School Excel Campus REVIEW DATE: 4/12/ W. Congress Congress 2 Corrugated Pipe Covering Basement, Stage, Stairwells, Teacher's Lounge, Art Room, MWR, Engineer, Mechanical Room,Fire Pump Rm 133 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: Repair Comments: Management Planner's Signature: 4/12/213
52 213 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 581-Congress AHERA INSPECTOR: Marcus Tsilimos Learn Charter School Excel Campus INSPECTION DATE: 3/14/ W. Congress INFORMATION FROM PREVIOUS INSPECTION 2 12"x12" Yellow w/white Streaks 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: DISTURBANCE POTENTIAL: Office 65 COMMENTS: Inspector's Signature: 3/14/213
53 213 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Learn Charter School Excel Campus REVIEW DATE: 4/12/ W. Congress Congress 2 12"x12" Yellow w/white Streaks Floor Tile Mastic Office 65 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: 4/12/213
54 213 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 581-Congress AHERA INSPECTOR: Marcus Tsilimos Learn Charter School Excel Campus INSPECTION DATE: 3/14/ W. Congress INFORMATION FROM PREVIOUS INSPECTION 21 12"x12" White w/multicolored Streaks 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: All Classrooms and Closets on the 2nd & 3rd Floors 12 COMMENTS: Inspector's Signature: 3/14/213
55 213 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Learn Charter School Excel Campus REVIEW DATE: 4/12/ W. Congress Congress 21 12"x12" White w/multicolored Streaks Floor Tile All Classrooms and Closets on the 2nd & 3rd Floors 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: 4/12/213
56 213 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 581-Congress AHERA INSPECTOR: Marcus Tsilimos Learn Charter School Excel Campus INSPECTION DATE: 3/14/ W. Congress INFORMATION FROM PREVIOUS INSPECTION 22 12"x12" White w/multicolors 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: DISTURBANCE POTENTIAL: All Classrooms and Closets on the 2nd & 3rd Floors 12 COMMENTS: Inspector's Signature: 3/14/213
57 213 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Learn Charter School Excel Campus REVIEW DATE: 4/12/ W. Congress Congress 22 12"x12" White w/multicolors Floor Tile Mastic All Classrooms and Closets on the 2nd & 3rd Floors 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: 4/12/213
58 213 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 581-Congress AHERA INSPECTOR: Marcus Tsilimos Learn Charter School Excel Campus INSPECTION DATE: 3/14/ W. Congress INFORMATION FROM PREVIOUS INSPECTION 23 Gray Linoleum HISTORICAL AHERA DAMAGE CATEGORY 6 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: Church 18 COMMENTS: Inspector's Signature: 3/14/213
59 213 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Learn Charter School Excel Campus REVIEW DATE: 4/12/ W. Congress Congress 23 Gray Linoleum Church 18 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: 4/12/213
60 213 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 581-Congress AHERA INSPECTOR: Marcus Tsilimos Learn Charter School Excel Campus INSPECTION DATE: 3/14/ W. Congress INFORMATION FROM PREVIOUS INSPECTION 24 Gray Linoleum Adhesive HISTORICAL AHERA DAMAGE CATEGORY 6 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: Church 18 COMMENTS: Inspector's Signature: 3/14/213
61 213 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Learn Charter School Excel Campus REVIEW DATE: 4/12/ W. Congress Congress 24 Gray Linoleum Adhesive Church 18 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: 4/12/213
62 213 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 581-Congress AHERA INSPECTOR: Marcus Tsilimos Learn Charter School Excel Campus INSPECTION DATE: 3/14/ W. Congress INFORMATION FROM PREVIOUS INSPECTION 25 Tan Square Linoleum HISTORICAL AHERA DAMAGE CATEGORY 6 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: Church 2 COMMENTS: Inspector's Signature: 3/14/213
63 213 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Learn Charter School Excel Campus REVIEW DATE: 4/12/ W. Congress Congress 25 Tan Square Linoleum Church 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: 4/12/213
64 213 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 581-Congress AHERA INSPECTOR: Marcus Tsilimos Learn Charter School Excel Campus INSPECTION DATE: 3/14/ W. Congress INFORMATION FROM PREVIOUS INSPECTION 26 Tan Square Linoleum Adhesive HISTORICAL AHERA DAMAGE CATEGORY 6 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: Church 2 COMMENTS: Inspector's Signature: 3/14/213
65 213 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Learn Charter School Excel Campus REVIEW DATE: 4/12/ W. Congress Congress 26 Tan Square Linoleum Adhesive Church 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: 4/12/213
66 213 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 581-Congress AHERA INSPECTOR: Marcus Tsilimos Learn Charter School Excel Campus INSPECTION DATE: 3/14/ W. Congress INFORMATION FROM PREVIOUS INSPECTION 27 Tan Linoleum HISTORICAL AHERA DAMAGE CATEGORY 6 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: Church 2 COMMENTS: Inspector's Signature: 3/14/213
67 213 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Learn Charter School Excel Campus REVIEW DATE: 4/12/ W. Congress Congress 27 Tan Linoleum Church 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: 4/12/213
68 213 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 581-Congress AHERA INSPECTOR: Marcus Tsilimos Learn Charter School Excel Campus INSPECTION DATE: 3/14/ W. Congress INFORMATION FROM PREVIOUS INSPECTION 28 Tan Linoleum Adhesive HISTORICAL AHERA DAMAGE CATEGORY 6 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: Church 2 COMMENTS: Inspector's Signature: 3/14/213
69 213 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Learn Charter School Excel Campus REVIEW DATE: 4/12/ W. Congress Congress 28 Tan Linoleum Adhesive Church 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: 4/12/213
70 213 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 581-Congress AHERA INSPECTOR: Marcus Tsilimos Learn Charter School Excel Campus INSPECTION DATE: 3/14/ W. Congress INFORMATION FROM PREVIOUS INSPECTION 29 Blue Carpet Adhesive HISTORICAL AHERA DAMAGE CATEGORY 6 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: Church 45 COMMENTS: Inspector's Signature: 3/14/213
71 213 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Learn Charter School Excel Campus REVIEW DATE: 4/12/ W. Congress Congress 29 Blue Carpet Adhesive Church 45 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: 4/12/213
72 213 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 581-Congress AHERA INSPECTOR: Marcus Tsilimos Learn Charter School Excel Campus INSPECTION DATE: 3/14/ W. Congress INFORMATION FROM PREVIOUS INSPECTION 3 Vinyl Floor Tile HISTORICAL AHERA DAMAGE CATEGORY 6 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: All Floors of Building 816 COMMENTS: Inspector's Signature: 3/14/213
73 213 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Learn Charter School Excel Campus REVIEW DATE: 4/12/ W. Congress Congress 3 Vinyl Floor Tile All Floors of Building 816 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: 4/12/213
74 213 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 581-Congress AHERA INSPECTOR: Marcus Tsilimos Learn Charter School Excel Campus INSPECTION DATE: 3/14/ W. Congress INFORMATION FROM PREVIOUS INSPECTION 3 2" Purple Baseboard 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: Basement 4 COMMENTS: Inspector's Signature: 3/14/213
75 213 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Learn Charter School Excel Campus REVIEW DATE: 4/12/ W. Congress Congress 3 2" Purple Baseboard Basement 4 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: 4/12/213
76 213 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 581-Congress AHERA INSPECTOR: Marcus Tsilimos Learn Charter School Excel Campus INSPECTION DATE: 3/14/ W. Congress INFORMATION FROM PREVIOUS INSPECTION 31 2" Purple Baseboard 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: Basement 4 COMMENTS: Inspector's Signature: 3/14/213
77 213 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Learn Charter School Excel Campus REVIEW DATE: 4/12/ W. Congress Congress 31 2" Purple Baseboard Adhesive Basement 4 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: 4/12/213
78 213 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 581-Congress AHERA INSPECTOR: Marcus Tsilimos Learn Charter School Excel Campus INSPECTION DATE: 3/14/ W. Congress INFORMATION FROM PREVIOUS INSPECTION 32 2" Black Baseboard 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: Basement 132 COMMENTS: Inspector's Signature: 3/14/213
79 213 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Learn Charter School Excel Campus REVIEW DATE: 4/12/ W. Congress Congress 32 2" Black Baseboard Basement 132 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: 4/12/213
80 213 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 581-Congress AHERA INSPECTOR: Marcus Tsilimos Learn Charter School Excel Campus INSPECTION DATE: 3/14/ W. Congress INFORMATION FROM PREVIOUS INSPECTION 33 2" Black Baseboard 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: Basement 132 COMMENTS: Inspector's Signature: 3/14/213
81 213 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Learn Charter School Excel Campus REVIEW DATE: 4/12/ W. Congress Congress 33 2" Black Baseboard Adhesive Basement 132 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: 4/12/213
82 213 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 581-Congress AHERA INSPECTOR: Marcus Tsilimos Learn Charter School Excel Campus INSPECTION DATE: 3/14/ W. Congress INFORMATION FROM PREVIOUS INSPECTION 34 2" Beige Baseboard 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: Music Room, Art Room, Teacher's Lounge 28 COMMENTS: Inspector's Signature: 3/14/213
83 213 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Learn Charter School Excel Campus REVIEW DATE: 4/12/ W. Congress Congress 34 2" Beige Baseboard Music Room, Art Room, Teacher's Lounge 28 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: 4/12/213
84 213 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 581-Congress AHERA INSPECTOR: Marcus Tsilimos Learn Charter School Excel Campus INSPECTION DATE: 3/14/ W. Congress INFORMATION FROM PREVIOUS INSPECTION 35 2" Beige Baseboard 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: Music Room, Art Room, Teacher's Lounge 28 COMMENTS: Inspector's Signature: 3/14/213
85 213 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Learn Charter School Excel Campus REVIEW DATE: 4/12/ W. Congress Congress 35 2" Beige Baseboard Adhesive Music Room, Art Room, Teacher's Lounge 28 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: 4/12/213
86 213 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 581-Congress AHERA INSPECTOR: Marcus Tsilimos Learn Charter School Excel Campus INSPECTION DATE: 3/14/ W. Congress INFORMATION FROM PREVIOUS INSPECTION 36 12"x12" Beige w/tan Specks 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: Basement 34 COMMENTS: Inspector's Signature: 3/14/213
87 213 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Learn Charter School Excel Campus REVIEW DATE: 4/12/ W. Congress Congress 36 12"x12" Beige w/tan Specks Floor Tile Basement 34 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: 4/12/213
88 213 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 581-Congress AHERA INSPECTOR: Marcus Tsilimos Learn Charter School Excel Campus INSPECTION DATE: 3/14/ W. Congress INFORMATION FROM PREVIOUS INSPECTION 37 12"x12" Beige w/tan Specks 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: DISTURBANCE POTENTIAL: Basement 34 COMMENTS: Inspector's Signature: 3/14/213
89 213 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Learn Charter School Excel Campus REVIEW DATE: 4/12/ W. Congress Congress 37 12"x12" Beige w/tan Specks Floor Tile Mastic Basement 34 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: 4/12/213
90 213 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 581-Congress AHERA INSPECTOR: Marcus Tsilimos Learn Charter School Excel Campus INSPECTION DATE: 3/14/ W. Congress INFORMATION FROM PREVIOUS INSPECTION 4 Vinyl Floor Tile Mastic HISTORICAL AHERA DAMAGE CATEGORY 6 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: All Floors of Building 24 COMMENTS: Inspector's Signature: 3/14/213
91 213 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Learn Charter School Excel Campus REVIEW DATE: 4/12/ W. Congress Congress 4 Vinyl Floor Tile Mastic All Floors of Building 24 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: 4/12/213
92 213 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 581-Congress AHERA INSPECTOR: Marcus Tsilimos Learn Charter School Excel Campus INSPECTION DATE: 3/14/ W. Congress INFORMATION FROM PREVIOUS INSPECTION 5 Aircell Duct Insulation HISTORICAL AHERA DAMAGE CATEGORY 7 Damaged or significantly damaged friable thermal system insulating ACBM HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: Repair 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: Boiler Room 32 COMMENTS: Inspector's Signature: 3/14/213
93 213 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Learn Charter School Excel Campus REVIEW DATE: 4/12/ W. Congress Congress 5 Aircell Duct Insulation Boiler Room 32 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: Repair Comments: Management Planner's Signature: 4/12/213
94 213 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 581-Congress AHERA INSPECTOR: Marcus Tsilimos Learn Charter School Excel Campus INSPECTION DATE: 3/14/ W. Congress INFORMATION FROM PREVIOUS INSPECTION 16 12"x12" Blue w/white & Gray 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: DISTURBANCE POTENTIAL: Basement Stairway 8 COMMENTS: Inspector's Signature: 3/14/213
95 213 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Learn Charter School Excel Campus REVIEW DATE: 4/12/ W. Congress Congress 16 12"x12" Blue w/white & Gray Floor Tile Mastic Basement Stairway 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: 4/12/213
96 213 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 581-Congress AHERA INSPECTOR: Marcus Tsilimos Learn Charter School Excel Campus INSPECTION DATE: 3/14/ W. Congress INFORMATION FROM PREVIOUS INSPECTION 19 12"x12" Yellow w/white Streaks 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: Office 65 COMMENTS: Inspector's Signature: 3/14/213
97 213 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Learn Charter School Excel Campus REVIEW DATE: 4/12/ W. Congress Congress 19 12"x12" Yellow w/white Streaks Floor Tile Office 65 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: 4/12/213
98 213 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 581-Congress AHERA INSPECTOR: Marcus Tsilimos Learn Charter School Excel Campus INSPECTION DATE: 3/14/ W. Congress INFORMATION FROM PREVIOUS INSPECTION 36 Brown carpet 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: Office storage room 5 COMMENTS: Inspector's Signature: 3/14/213
99 213 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Learn Charter School Excel Campus REVIEW DATE: 4/12/ W. Congress Congress 36 Brown carpet adhesive Office storage room 5 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: 4/12/213
100 213 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 581-Congress AHERA INSPECTOR: Marcus Tsilimos Learn Charter School Excel Campus INSPECTION DATE: 3/14/ W. Congress INFORMATION FROM PREVIOUS INSPECTION 37 2' x 4' Drywall ceiling 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: Kitchen 3 COMMENTS: Inspector's Signature: 3/14/213
101 213 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Learn Charter School Excel Campus REVIEW DATE: 4/12/ W. Congress Congress 37 2' x 4' Drywall ceiling tile Kitchen 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: 4/12/213
102 213 AHERA REINSPECTION Inspector Assessment Form (New Homogeneous Area) AHERA INSPECTOR: Marcus Tsilimos Learn Charter School Excel Campus INSPECTION DATE: 3/14/ W. Congress Congress INFORMATION FROM CURRENT INSPECTION 38 Door Caulk Throughout 2 MATERIAL CATEGORY: FRIABLE: ASBESTOS TYPE: DISTURBANCE POTENTIAL: AHERA DAMAGE CATEGORY: CONDITION: ACCESSIBILITY: Within Reach DAMAGE REASON: DAMAGE REASON: DAMAGE REASON: COMMENTS: Inspector's Signature: 3/14/213
103 213 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Learn Charter School Excel Campus REVIEW DATE: 4/12/ W. Congress Congress 38 Door Caulk Throughout 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: 4/12/213
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107 213 AHERA REINSPECTION Inspector Assessment Form (New Homogeneous Area) AHERA INSPECTOR: Marcus Tsilimos Learn Charter School Excel Campus INSPECTION DATE: 3/14/ W. Congress Congress INFORMATION FROM CURRENT INSPECTION 39 Window Caulk Throughout 4 MATERIAL CATEGORY: FRIABLE: ASBESTOS TYPE: DISTURBANCE POTENTIAL: AHERA DAMAGE CATEGORY: CONDITION: ACCESSIBILITY: Within Reach DAMAGE REASON: DAMAGE REASON: DAMAGE REASON: COMMENTS: Inspector's Signature: 3/14/213
108 213 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Learn Charter School Excel Campus REVIEW DATE: 4/12/ W. Congress Congress 39 Window Caulk Throughout 4 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: 4/12/213
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112 APPENDIX B Inspector and Management Planner Licenses
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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
More informationExplain 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
More informationExplain 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
More informationExplain 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
More informationIf 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
More informationExplain 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
More informationIf 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
More informationExplain 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
More informationExplain 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
More informationExplain 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
More informationExplain 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
More informationExplain 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
More informationExplain 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
More informationExplain 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
More informationExplain 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
More informationExplain 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
More informationIf 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
More informationExplain 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
More informationExplain 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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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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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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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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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: 14-016-2990-3278
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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: 14-016-2990-3553
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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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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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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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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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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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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: 14-016-2990-2356
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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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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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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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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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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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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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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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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: 14-016-2990-3013
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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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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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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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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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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
More informationIf 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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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
More informationIf 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: 14-016-2990-2268
More informationIf 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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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
More informationIf 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: 14-016-2990-2121
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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: 14-016-2990-3760
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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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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
More informationIf 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: 14-016-2990-2207
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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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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: 14-016-2990-2168
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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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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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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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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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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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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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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: 14-016-2990-3759
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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: 14-016-2990-3770
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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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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: 14-016-2990-381X
More informationIf 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: 14-016-2990-2841
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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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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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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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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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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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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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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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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: 14-016-2990-0043
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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: 14-016-2990-0027
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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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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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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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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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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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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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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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