If the address on this form is different than the address of the building, submit a written explanation.
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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 N. Point Ave Chicago, IL, 6647 DATE LAST THREE YEAR REINSPECTION WAS COMPLETED 4/27/213 If the address on this form is different than the address of the building, submit a written explanation. SECTION II (Please type or print) PLEASE COMPLETE THE FOLLOWING FOR YOUR THREE YEAR REINSPECTION: DATE REINSPECTION COMPLETED: 8/11/216 ENROLLMENT 461 IDPH INSPECTOR LICENSE NUMBER: IDPH LICENSED INSPECTOR NAME (Please Print): Panfilo Carrazco IDPH MP LICENSE NUMBER: IDPH LICENSED MANAGEMENT PLANNER NAME (Please Print): Guillermo Garcia DESIGNATED PERSON (Please Print): Robert Christlieb PHONE: (773) /11/216 Signature of Designated Person Date SECTION III PLEASE COMPLETE THE FOLLOWING 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 N. Point Ave Chicago, IL, 6647 Unit: 2271 Building ID: 276 IDPH ID Number: REPORT DATE: Thursday, August 11, 216 Prepared for: 125 S. Clark Street Chicago, IL 663 Prepared by: 855 W. Adams St., Ste. 2 Phone (312) Fax (312) DO NOT REMOVE FROM SCHOOL REQUIRED BY FEDERAL LAW
3 March 3, 216 Mr. R. Kent Cook Asbestos Program Illinois Department of Public Health 525 West Jefferson Street Springfield, Illinois Re: Three-Year Reinspections Dear Mr. Cook:, Managing Environmental Consultant (MEC), conducted the Three-Year Reinspections and performed management plan updates for the (CPS) facilities in Region 1,2,6 Elementary Schools. Please update your records with the following information. School District: 299 Unit: 2272 Region: 2 School: IDPH ID: Building ID: 276 Address: 221 N. Point Ave Chicago, IL, 6647 Building Contact: Contact Phone: Current Building Owners: Review 8/9/216 Inspector: Panfilo Carrazco Management Planner: Guillermo Garcia Inspector IDPH License: Management Planner IDPH License: If you have any questions or comments, please contact us at (312) Sincerely, Guillermo Garcia
4 Environmental tification to Occupants To: Faculty, Staff and Parents From: March 3, 216 RE:, Unit N. Point Ave Chicago, IL, 6647 Dear Faculty, Staff and Parents, This letter is to notify you that the 216 asbestos three year re-inspection has been completed at, following the Federal Asbestos Hazard Emergency Response Act (AHERA), 4 CFR Part 763, Subpart E and is available for your review at the main office of the school. Although asbestos-containing materials have been identified at, there is no reason to believe that any threat to the health of students or staff exists at this time. CPS will continue to carefully monitor the condition of asbestos-containing materials and if conditions warrant, all appropriate steps will be taken to maintain the health and safety of all building occupants. If you have any questions regarding this matter or require additional information, please feel free to contact Robert Christlieb, the designated Local Education Authority's Designated Person at (773)
5 Table of Contents I. School and Inspection Information II. Executive Summary III. Methodology IV. Abatement History V. Reassessments and Recommendations VI. Conclusions Table I: Inspector's Reinspection Findings Table II: Management Planner's Review APPENDICES: Appendix A: Assessment Sheets, Drawings and Photos Appendix B: Inspector and Management Planner Licenses Appendix C: Laboratory Accreditations Appendix D: Laboratory Results Appendix E: Chain of Custody Forms
6 SCHOOL AND INSPECTION INFORMATION 1. School Information School: Address: 221 N. Point Ave IDPH ID: Contact: 2. Unit: 2272 Chicago, IL, 6647 Building ID: 276 Phone: Region: 2 Description of Facility Original Construction: Total Square Footage: Current Occupancy: Additional Construction: of Floors: LEA Designated Person Contact: Robert Christlieb Address: 125 South Clark Street, 17th Floor Chicago, IL Phone: (773) Managing Environmental Consultant MEC: Contact: Arturo Saenz Address 855 W. Adams St., Ste. 2 Phone: (312) Fax: (312) Inspector Inspector Name: Panfilo Carrazco Signature: 3/3/216 Inspector IDPH license # Management Planner Management Planner Name: Guillermo Garcia Signature: 8/9/216 Management Planner IDPH license # Review 8/9/ LEA Designated Person's Acknowledgement The reinspection report and recommendations have been received by me and appropriate action will be taken by the School District. Signature: 8/11/216 Name: Robert Christlieb Unit : 2272 Building: 276
7 II. EXECUTIVE SUMMARY was retained by the (CPS) to perform a threeyear asbestos reinspection of the. This inspection was conducted in accordance with the United States Environmental Protection Agency (USEPA) Asbestos Hazard Emergency Response Act (AHERA) part (b), and the ongoing Operations and Maintenance Program (O&M) originally designed in the School's Asbestos Management Plan. The purpose of this three-year reinspection is to record any condition changes in the asbestos-containing building material (ACBM) in the school since the previous three-year reinspection and the six-month periodic surveillance, to identify, assess, and include any Homogeneous Areas (HA) not identified in the Management Plan, and to recommend an appropriate response action to manage asbestos. The inspector conducted a three-year reinspection of this facility under Illinois Department of Public Health (IDPH) school reinspection requirements and AHERA, sections and The main building and each addition to the main building, if constructed at different dates, were inspected separately. Laboratory accreditations are included in Appendix C, laboratory results are included in Appendix D, and chain of custody forms are included in Appendix E. te: During previous inspections, some of the HA(s) were identified together as 9" x 9" floor tile (FT), mastics assoc. with 9" x 9" FT, 12" x 12" FT, mastics assoc. with 12" x 12" FT, pipe insulation, etc. Some of these HA(s) have been re-identified by areas that are uniform in color, texture, construction date, application date, and general appearance. The inspector has determined the following: A. The following HAs have changed assessment categories for Building 276: Unit: Cardboard Pipe Insulation 1 Mag Block Pipe Insulation 11 MJP on Mag Block Pipe Insulation 12 12"X12" Sand VFT 13 12"x12" Sand VFT Mastic 14 12"x12" Tan Blotched VFT 15 12"x12" Tan Blotched VFT Mastic 17 12"x12" Light Brown w/ White Streaks VFT Mastic 18 MJP E/F/V on Fiberglass Pipe Insulation Building: 276
8 19 Unit: " x 12" Ceiling Tile Building: 276
9 B. The following new homogenous areas have been identified for Building 276: Unit: A 12x12 White w/tan specks VFT 12B 12x12 White w/tan specks VFT Mastic 23 12x12 Offwhite w/ white and brown speckles VFT 23A 12x12 Offwhite w/ white and brown speckles VFT Mastic 24 Undersink Coating 25 12x12 White w/green specks VFT 25A 12x12 White w/green specks VFT Mastic 26 Textured Ceiling 27 2x4 Ceiling Tile 28 Fire doors 8 Aircell Pipe Insulation Building: 276
10 C. This reinspection covered only physically accessible and visible areas and materials that were identified in the LEA's management plan. The following materials were concealed and/or contained in areas that were inaccessible for sampling and have been classified as Assumed: 12 12A 12B M 21 21M 22 22M 23 23A A "X12" Sand VFT 12x12 White w/tan specks VFT 12x12 White w/tan specks VFT Mastic 12"x12" Sand VFT Mastic 12"x12" Tan Blotched VFT 12"x12" Light Brown w/ White Streaks VFT Mastic MJP E/F/V on Fiberglass Pipe Insulation 12" x 12" Ceiling Tile 12" x 12" White w/ Green and Rust Specks - VFT 12" x 12" White w/ Green and Rust Specks - Mastic 12" x 12" Green w/ Dark Green - VFT 12" x 12" Green w/ Dark Green - Mastic 12" x 12" White w/ Gold Streaks - VFT 12" x 12" White w/ Gold Streaks - Mastic 12x12 Offwhite w/ white and brown speckles VFT 12x12 Offwhite w/ white and brown speckles VFT Mastic Undersink Coating 12x12 White w/green specks VFT 12x12 White w/green specks VFT Mastic Textured Ceiling 2x4 Ceiling Tile Fire doors Aircell Pipe Insulation The following areas were deemed to be inaccessible: 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 Panfilo Carrazco, IDPH License # The Management Plan was updated by Guillermo Garcia, IDPH License # Inspector and Management Planner Licenses are included in Appendix B. Unit: 2271 Building: 276
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 Assumed ACBM, as well as any HA(s) that have become friable since the last reinspection. 6. Collect bulk samples from each newly discovered friable HA or previously assumed and submit for laboratory analysis. 7. Tabulate reinspection findings and submit for management planner review and recommendations with appropriate response actions based on the AHERA Damage Category of the ACBM. 8. Submit reinspection findings and management planner recommendations to the LEA within thirty (3) days for inclusion into the management plan. ABATEMENT HISTORY The information collected from the existing management plan and inspection report(s) and from interviews with the school official revealed that the following asbestos abatement was conducted at the school since the previous Three year Reinspection. Abatement Dates: V. REASSESSMENTS AND RECOMMENDATIONS The reassessments and recommendations are summarized in Tables I and II on the following pages. Detailed Hazard Assessment Sheets and Drawings and Photos (if applicable) are included in Appendix A. VI. CONCLUSIONS The Building 276 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: 2271 Building: 276
12 Table I Inspector's Reinspection Findings
13 School Unit 2272 Building ID 276 Address 221 N. Point Ave Region 2 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Inspector's Reinspection Findings Table 1 Managing Environmental Consultant (MEC) 855 W. Adams St., Ste. 2 Phone: (312) Fax: (312) Inspector's Comments are Summarized at the End of the Report HA Material Description 1 12"x12" Tan VFT 4 Corrugated Cardboard Material (NOT OBSERVED) 6 Material Units Material Location Asbestos Type Material Category Friable Damage Type 16,65 Throughout CHR N NONE Change in Assessment Category CHR TSI NONE Cardboard Pipe Insulation 36 LF CHR TSI Y NONE 7A Black Fiber-like Material 4 Basement, Large Storage Room Next to Room 14 Boiler Rm, Engine Rm, 1, 2, 3, Coal Room, Bsmt Corridor, Girls BR Vestibule Boiler Doors CHR Y NONE 9 MJP on Cardboard Pipe Insulation 27 LF CHR TSI Y LOC 1 Mag Block Pipe Insulation 8 LF Boiler Rm, Engine Rm, 1, 2, 3, Coal Room, Bsmt Corridor Sprinkler Room CHR TSI Y 11 MJP on Mag Block Pipe Insulation 3 LF Sprinkler Room CHR TSI 12 12"X12" Sand VFT 3, ASSUMED 12A 12x12 White w/tan specks VFT 2,8 (Gym not observed), 1, 2, Main Office, & 21 Gym ASSUMED 12B 12x12 White w/tan specks VFT Mastic 2,8 Gym 13 12"x12" Sand VFT Mastic 3, 14 12"x12" Tan Blotched VFT "x12" Tan Blotched VFT Mastic "x12" Light Brown w/ White Streaks VFT 12"x12" Light Brown w/ White Streaks VFT Mastic MJP E/F/V on Fiberglass Pipe Insulation (Gym not observed), 1, 2, Main Office, & 21 Rm 21 (Formerly 4) Rm 21 (Formerly 4), MDF Room 2nd Fl Bathroom Corridor 2nd Fl Bathroom Corridor Throughout 19 12" x 12" Ceiling Tile 2 12" x 12" White w/ Green and Rust Specks - VFT Room 21 and hallway outside 21 #14 17 Material Quantity , 4 Damage Quantity Damage Units Damage Category Damage Reason Disturbance Potential ACBM with the potential for damage ACBM with the potential for damage LOW Yes ACBM with the potential for damage HIGH NONE Yes Y NONE Yes N NONE Yes ACBM with the potential for damage Damaged or significantly damaged friable thermal system insulating ACBM ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage LOW 2 N NONE MODERATE ASSUMED N NONE ASSUMED N NONE Yes ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ASSUMED N NONE Yes LOW CHR N NONE Yes CHR N NONE ASSUMED N NONE Yes ASSUMED TSI Y NONE Yes ASSUMED Y NONE Yes 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 LOW MODERATE LOW LOW LOW LOW LOW LOW LOW LOW MODERATE LOW LOW
14 School Unit 2272 Building ID 276 Address 221 N. Point Ave Region 2 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Inspector's Reinspection Findings Table 1 Managing Environmental Consultant (MEC) 855 W. Adams St., Ste. 2 Phone: (312) Fax: (312) Inspector's Comments are Summarized at the End of the Report HA Material Description 2M 21 12" x 12" White w/ Green and Rust Specks - Mastic 12" x 12" Green w/ Dark Green - VFT 21M 12" x 12" Green w/ Dark Green - Mastic 22 12" x 12" White w/ Gold Streaks - VFT 22M 12" x 12" White w/ Gold Streaks - Mastic 1,2 23 1, 1, 24 12x12 Offwhite w/ white and brown speckles VFT 12x12 Offwhite w/ white and brown speckles VFT Mastic Undersink Coating x12 White w/green specks VFT 65 25A 12x12 White w/green specks VFT Mastic Textured Ceiling x4 Ceiling Tile 6, 28 Fire doors 96 8 Aircell Pipe Insulation 4 23A Material Quantity Material Units Material Location Asbestos Type Material Category Friable Damage Type Damage Quantity Damage Units Change in Assessment Category 4 #14 ASSUMED N NONE 4 #14 ASSUMED N NONE 4 #14 ASSUMED N NONE 1,2 3rd Floor Gym Main Bldg. 3rd Floor Gym Main Bldg. Throughout Building Throughout Building Rooms A21, A12, A16, A18 and vault 1st Floor corridors & Faculty room 1st Floor corridors & Faculty room Annex Link ASSUMED N NONE ASSUMED N NONE ASSUMED N NONE ASSUMED N NONE ASSUMED N NONE ASSUMED N NONE ASSUMED N NONE ASSUMED N NONE Chase annex link, 1st floor Vault, 1st floor corridor Annex link ASSUMED N NONE ASSUMED N NONE Plenum Chamber, Room 16, Basement corridor by room 11, throughout basement ASSUMED DIST 5 Damage Category Damage Reason Disturbance Potential 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 MODERATE ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage MODERATE ACBM with the potential for damage Damaged or significantly damaged friable misc. ACBM LOW MODERATE MODERATE MODERATE MODERATE MODERATE LOW LOW LOW LOW LOW LOW
15 School Unit 2272 Building ID 276 Address 221 N. Point Ave Region 2 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Inspector's Reinspection Findings Table 1 Managing Environmental Consultant (MEC) 855 W. Adams St., Ste. 2 Phone: (312) Fax: (312) Inspector's Comments are Summarized at the End of the Report Reinspection Date 3/3/216 Inspector Name Inspector's Comments Panfilo Carrazco /13/217 Inspector's IDPH License Number / Expiration Date HA Number: A A 12B M 21 21M 22 22M 23 Inspector Comments:
16 School Unit 2272 Building ID 276 Address 221 N. Point Ave Region 2 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Inspector's Reinspection Findings Table 1 Managing Environmental Consultant (MEC) 855 W. Adams St., Ste. 2 Phone: (312) Fax: (312) Inspector's Comments are Summarized at the End of the Report HA Number: 23A A Inspector Comments:
17 Table II Management Planner's Review
18 School Address Unit 221 N. Point Ave 2272 Building ID Chicago, IL, Region 2 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Management Planner's Review Table II Managing Environmental Consultant (MEC) 855 W. Adams St., Ste. 2 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 "x12" Tan VFT Corrugated Cardboard Material (NOT OBSERVED) 16,65 Chrysotile Chrysotile TSI 6 Cardboard Pipe Insulation 36 LF Chrysotile TSI Yes LF 7A 9 Black Fiber-like Material MJP on Cardboard Pipe Insulation 4 27 LF Chrysotile Chrysotile TSI Yes Yes 2 LF Mag Block Pipe Insulation MJP on Mag Block Pipe Insulation 12"X12" Sand VFT 8 3 3, LF LF Chrysotile Chrysotile Assumed TSI TSI Yes Yes LF LF 1 Damaged or significantly damaged friable thermal system insulating ACBM Repair A 12B 13 12x12 White w/tan specks VFT 12x12 White w/tan specks VFT Mastic 12"x12" Sand VFT Mastic 2,8 2,8 3, Assumed Assumed Assumed M 21 21M 22 22M 23 23A , ,2 1,2 1, 1, Assumed Chrysotile Chrysotile Assumed Assumed Assumed Assumed Assumed Assumed Assumed Assumed Assumed Assumed Assumed TSI Yes Yes 24 12"x12" Tan Blotched VFT 12"x12" Tan Blotched VFT Mastic 12"x12" Light Brown w/ White Streaks VFT 12"x12" Light Brown w/ White Streaks VFT Mastic MJP E/F/V on Fiberglass Pipe Insulation 12" x 12" Ceiling Tile 12" x 12" White w/ Green and Rust Specks - VFT 12" x 12" White w/ Green and Rust Specks - Mastic 12" x 12" Green w/ Dark Green - VFT 12" x 12" Green w/ Dark Green - Mastic 12" x 12" White w/ Gold Streaks - VFT 12" x 12" White w/ Gold Streaks - Mastic 12x12 Offwhite w/ white and brown speckles VFT 12x12 Offwhite w/ white and brown speckles VFT Mastic Undersink Coating Throughout Basement, Large Storage Room Next to Room 14 Boiler Rm, Engine Rm, 1, 2, 3, Coal Room, Bsmt Corridor, Girls BR Vestibule Boiler Doors Boiler Rm, Engine Rm, 1, 2, 3, Coal Room, Bsmt Corridor Sprinkler Room Sprinkler Room (Gym not observed), 1, 2, Main Office, & 21 Gym Gym (Gym not observed), 1, 2, Main Office, & 21 Rm 21 (Formerly 4) Rm 21 (Formerly 4), MDF Room 2nd Fl Bathroom Corridor 2nd Fl Bathroom Corridor Throughout Room 21 and hallway outside 21 #14 #14 #14 #14 3rd Floor Gym - Main Bldg. 3rd Floor Gym - Main Bldg. Throughout Building Throughout Building 2 Assumed 25 12x12 White w/green specks VFT 65 Rooms A21, A12, A16, A18 and vault 1st Floor corridors & Faculty room Assumed
19 School Address Unit 221 N. Point Ave 2272 Building ID Chicago, IL, Region 2 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Management Planner's Review Table II Managing Environmental Consultant (MEC) 855 W. Adams St., Ste. 2 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 25A x12 White w/green specks VFT Mastic Textured Ceiling 2x4 Ceiling Tile , Assumed Assumed Assumed 28 8 Fire doors Aircell Pipe Insulation st Floor corridors & Faculty room Annex Link Chase annex link, 1st floor Vault, 1st floor corridor Annex link Plenum Chamber, Room 16, Basement corridor by room 11, throughout basement Assumed Assumed 5 4 Damaged or significantly damaged friable misc. ACBM Repair
20 School Address 221 N. Point Ave Unit 2272 Building ID Chicago, IL, 6647 Region ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Management Planner's Review Table II Managing Environmental Consultant (MEC) 855 W. Adams St., Ste. 2 Phone: (312) Fax: (312) Management Planner's Comments Summarized at the End of the Report 8/9/216 Review Date Manager Planner Name Guillermo Garcia /21/217 Manager IDPH License /Expiration HA Number A A 12B M 21 21M 22 22M 23 23A 24 Management Comments
21 School Address 221 N. Point Ave Unit 2272 Building ID Chicago, IL, 6647 Region ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Management Planner's Review Table II Managing Environmental Consultant (MEC) 855 W. Adams St., Ste. 2 Phone: (312) Fax: (312) Management Planner's Comments Summarized at the End of the Report HA Number 25 25A Management Comments
22 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 3/3/ N. Point Ave INFORMATION FROM PREVIOUS INSPECTION 1 12"x12" Tan VFT HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL 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 DISTURBANCE POTENTIAL: LOW Throughout 1665 COMMENTS: Inspector's Signature: 3/3/216
23 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia REVIEW DATE: 8/9/ N. Point Ave "x12" Tan VFT Throughout 1665 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: 8/9/216
24 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 3/3/ N. Point Ave INFORMATION FROM PREVIOUS INSPECTION 4 Corrugated Cardboard Material (NOT OBSERVED) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL 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 DISTURBANCE POTENTIAL: LOW Basement, Large Storage Room Next to Room 14 COMMENTS: Inspector's Signature: 3/3/216
25 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia REVIEW DATE: 8/9/ N. Point Ave Corrugated Cardboard Material (NOT OBSERVED) Basement, Large Storage Room Next to Room 14 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: 8/9/216
26 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 3/3/ N. Point Ave INFORMATION FROM PREVIOUS INSPECTION 6 Cardboard Pipe Insulation HISTORICAL AHERA DAMAGE CATEGORY 6 Damaged or significantly damaged friable thermal system insulating ACBM HISTORICAL Deterioration Delamination Other 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 DISTURBANCE POTENTIAL: HIGH Boiler Rm, Engine Rm, 1, 2, 3, Coal Room, Bsmt Corridor, Girls BR Vestibule 36 LF LF COMMENTS: Inspector's Signature: 3/3/216
27 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia REVIEW DATE: 8/9/ N. Point Ave Cardboard Pipe Insulation Boiler Rm, Engine Rm, 1, 2, 3, Coal Room, Bsmt Corridor, Girls BR Vestibule 36 LF LF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 8/9/216
28 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 3/3/ N. Point Ave INFORMATION FROM PREVIOUS INSPECTION 7A Black Fiber-like Material HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL 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 DISTURBANCE POTENTIAL: LOW Boiler Doors 4 COMMENTS: Inspector's Signature: 3/3/216
29 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia REVIEW DATE: 8/9/ N. Point Ave A Black Fiber-like Material Boiler Doors 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: 8/9/216
30 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 3/3/ N. Point Ave INFORMATION FROM PREVIOUS INSPECTION 9 MJP on Cardboard Pipe Insulation HISTORICAL AHERA DAMAGE CATEGORY 1 ACBM with the potential for damage HISTORICAL 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 1. Damaged or significantly damaged friable thermal system insulating ACBM DISTURBANCE POTENTIAL: MODERATE Boiler Rm, Engine Rm, 1, 2, 3, Coal Room, Bsmt Corridor 27 LF LF COMMENTS: Inspector's Signature: 3/3/216
31 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia REVIEW DATE: 8/9/ N. Point Ave MJP on Cardboard Pipe Insulation Boiler Rm, Engine Rm, 1, 2, 3, Coal Room, Bsmt Corridor 27 LF 2 LF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Repair Comments: Management Planner's Signature: 8/9/216
32 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 3/3/ N. Point Ave INFORMATION FROM PREVIOUS INSPECTION 1 Mag Block Pipe Insulation HISTORICAL AHERA DAMAGE CATEGORY 6 Damaged or significantly damaged friable thermal system insulating ACBM HISTORICAL Physical Damage Deterioration Delamination 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 6. ACBM with the potential for damage DISTURBANCE POTENTIAL: LOW Sprinkler Room 8 LF LF COMMENTS: Inspector's Signature: 3/3/216
33 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia REVIEW DATE: 8/9/ N. Point Ave Mag Block Pipe Insulation Sprinkler Room 8 LF LF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Repair Comments: Management Planner's Signature: 8/9/216
34 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 3/3/ N. Point Ave INFORMATION FROM PREVIOUS INSPECTION 11 MJP on Mag Block Pipe Insulation HISTORICAL AHERA DAMAGE CATEGORY 6 Any remaining friable ACBM or friable suspect ACBM HISTORICAL Physical Damage Deterioration 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 6. ACBM with the potential for damage DISTURBANCE POTENTIAL: LOW Sprinkler Room 3 LF LF COMMENTS: Inspector's Signature: 3/3/216
35 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia REVIEW DATE: 8/9/ N. Point Ave MJP on Mag Block Pipe Insulation Sprinkler Room 3 LF LF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Repair Comments: Management Planner's Signature: 8/9/216
36 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 3/3/ N. Point Ave INFORMATION FROM PREVIOUS INSPECTION 12 12"X12" Sand VFT HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed 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 DISTURBANCE POTENTIAL: LOW (Gym not observed), 1, 2, Main Office, & 21 3 COMMENTS: Inspector's Signature: 3/3/216
37 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia REVIEW DATE: 8/9/ N. Point Ave "X12" Sand VFT (Gym not observed), 1, 2, Main Office, & 21 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: 8/9/216
38 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 3/3/ N. Point Ave INFORMATION FROM PREVIOUS INSPECTION 13 12"x12" Sand VFT Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed 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 DISTURBANCE POTENTIAL: LOW (Gym not observed), 1, 2, Main Office, & 21 3 COMMENTS: Inspector's Signature: 3/3/216
39 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia REVIEW DATE: 8/9/ N. Point Ave "x12" Sand VFT Mastic (Gym not observed), 1, 2, Main Office, & 21 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: 8/9/216
40 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 3/3/ N. Point Ave INFORMATION FROM PREVIOUS INSPECTION 14 12"x12" Tan Blotched VFT HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed 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 DISTURBANCE POTENTIAL: LOW Rm 21 (Formerly 4) 36 COMMENTS: Inspector's Signature: 3/3/216
41 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia REVIEW DATE: 8/9/ N. Point Ave "x12" Tan Blotched VFT Rm 21 (Formerly 4) 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: 8/9/216
42 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 3/3/ N. Point Ave INFORMATION FROM PREVIOUS INSPECTION 15 12"x12" Tan Blotched VFT Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL 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 DISTURBANCE POTENTIAL: LOW Rm 21 (Formerly 4), MDF Room 95 COMMENTS: Inspector's Signature: 3/3/216
43 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia REVIEW DATE: 8/9/ N. Point Ave "x12" Tan Blotched VFT Mastic Rm 21 (Formerly 4), MDF Room 95 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: 8/9/216
44 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 3/3/ N. Point Ave INFORMATION FROM PREVIOUS INSPECTION 16 12"x12" Light Brown w/ White Streaks VFT HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL 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 DISTURBANCE POTENTIAL: LOW 2nd Fl Bathroom Corridor 8 COMMENTS: Inspector's Signature: 3/3/216
45 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia REVIEW DATE: 8/9/ N. Point Ave "x12" Light Brown w/ White Streaks VFT 2nd Fl Bathroom Corridor 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: 8/9/216
46 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 3/3/ N. Point Ave INFORMATION FROM PREVIOUS INSPECTION 17 12"x12" Light Brown w/ White Streaks VFT Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed 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 DISTURBANCE POTENTIAL: LOW 2nd Fl Bathroom Corridor 8 COMMENTS: Inspector's Signature: 3/3/216
47 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia REVIEW DATE: 8/9/ N. Point Ave "x12" Light Brown w/ White Streaks VFT Mastic 2nd Fl Bathroom Corridor 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: 8/9/216
48 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 3/3/ N. Point Ave INFORMATION FROM PREVIOUS INSPECTION 18 MJP E/F/V on Fiberglass Pipe Insulation HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed 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 DISTURBANCE POTENTIAL: MODERATE Throughout 13 COMMENTS: Inspector's Signature: 3/3/216
49 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia REVIEW DATE: 8/9/ N. Point Ave MJP E/F/V on Fiberglass Pipe Insulation Throughout 13 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: 8/9/216
50 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 3/3/ N. Point Ave INFORMATION FROM PREVIOUS INSPECTION 19 12" x 12" Ceiling Tile HISTORICAL AHERA DAMAGE CATEGORY 6 Any remaining friable ACBM or friable suspect ACBM HISTORICAL HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed 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 DISTURBANCE POTENTIAL: LOW Room 21 and hallway outside 21 1 COMMENTS: Inspector's Signature: 3/3/216
51 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia REVIEW DATE: 8/9/ N. Point Ave " x 12" Ceiling Tile Room 21 and hallway outside 21 1 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 8/9/216
52 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 3/3/ N. Point Ave INFORMATION FROM PREVIOUS INSPECTION 2 12" x 12" White w/ Green and Rust Specks - VFT HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed 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 DISTURBANCE POTENTIAL: LOW #14 4 COMMENTS: Inspector's Signature: 3/3/216
53 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia REVIEW DATE: 8/9/ N. Point Ave " x 12" White w/ Green and Rust Specks - VFT #14 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: 8/9/216
54 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 3/3/ N. Point Ave INFORMATION FROM PREVIOUS INSPECTION 2M 12" x 12" White w/ Green and Rust Specks - Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed 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 DISTURBANCE POTENTIAL: MODERATE #14 4 COMMENTS: Inspector's Signature: 3/3/216
55 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia REVIEW DATE: 8/9/ N. Point Ave M 12" x 12" White w/ Green and Rust Specks - Mastic #14 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: 8/9/216
56 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 3/3/ N. Point Ave INFORMATION FROM PREVIOUS INSPECTION 21 12" x 12" Green w/ Dark Green - VFT HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed 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 DISTURBANCE POTENTIAL: MODERATE #14 4 COMMENTS: Inspector's Signature: 3/3/216
57 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia REVIEW DATE: 8/9/ N. Point Ave " x 12" Green w/ Dark Green - VFT #14 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: 8/9/216
58 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 3/3/ N. Point Ave INFORMATION FROM PREVIOUS INSPECTION 21M 12" x 12" Green w/ Dark Green - Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed 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 DISTURBANCE POTENTIAL: MODERATE #14 4 COMMENTS: Inspector's Signature: 3/3/216
59 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia REVIEW DATE: 8/9/ N. Point Ave M 12" x 12" Green w/ Dark Green - Mastic #14 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: 8/9/216
60 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 3/3/ N. Point Ave INFORMATION FROM PREVIOUS INSPECTION 22 12" x 12" White w/ Gold Streaks - VFT HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed 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 DISTURBANCE POTENTIAL: MODERATE 3rd Floor Gym - Main Bldg. 12 COMMENTS: Inspector's Signature: 3/3/216
61 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia REVIEW DATE: 8/9/ N. Point Ave " x 12" White w/ Gold Streaks - VFT 3rd Floor Gym - Main Bldg. 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: 8/9/216
62 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 3/3/ N. Point Ave INFORMATION FROM PREVIOUS INSPECTION 22M 12" x 12" White w/ Gold Streaks - Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed 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 DISTURBANCE POTENTIAL: MODERATE 3rd Floor Gym - Main Bldg. 12 COMMENTS: Inspector's Signature: 3/3/216
63 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia REVIEW DATE: 8/9/ N. Point Ave M 12" x 12" White w/ Gold Streaks - Mastic 3rd Floor Gym - Main Bldg. 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: 8/9/216
64 216 AHERA REINSPECTION Inspector Assessment Form (New Homogeneous Area) AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 3/3/ N. Point Ave INFORMATION FROM CURRENT INSPECTION 8 Aircell Pipe Insulation Plenum Chamber, Room 16, Basement corridor by room 11, throughout basement 4 MATERIAL CATEGORY: FRIABLE: ASBESTOS TYPE: Assumed DISTURBANCE POTENTIAL: LOW AHERA DAMAGE CATEGORY: CONDITION: 4 Damaged or significantly damaged friable misc. ACBM ACCESSIBILITY: Within Reach 5 COMMENTS: Inspector's Signature: 3/3/216
65 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia REVIEW DATE: 8/9/ N. Point Ave Aircell Pipe Insulation Plenum Chamber, Room 16, Basement corridor by room 11, throughout basement 4 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: 8/9/216
66 216 AHERA REINSPECTION Inspector Assessment Form (New Homogeneous Area) AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 3/3/ N. Point Ave INFORMATION FROM CURRENT INSPECTION 25A 12x12 White w/green specks VFT Mastic 1st Floor corridors & Faculty room 65 MATERIAL CATEGORY: FRIABLE: ASBESTOS TYPE: Assumed DISTURBANCE POTENTIAL: LOW AHERA DAMAGE CATEGORY: CONDITION: ACCESSIBILITY: Barely Reachable COMMENTS: Inspector's Signature: 3/3/216
67 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia REVIEW DATE: 8/9/ N. Point Ave A 12x12 White w/green specks VFT Mastic 1st Floor corridors & Faculty room 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: 8/9/216
68 216 AHERA REINSPECTION Inspector Assessment Form (New Homogeneous Area) AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 3/3/ N. Point Ave INFORMATION FROM CURRENT INSPECTION 25 12x12 White w/green specks VFT 1st Floor corridors & Faculty room 65 MATERIAL CATEGORY: FRIABLE: ASBESTOS TYPE: Assumed DISTURBANCE POTENTIAL: MODERATE AHERA DAMAGE CATEGORY: CONDITION: ACCESSIBILITY: Within Reach COMMENTS: Inspector's Signature: 3/3/216
69 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia REVIEW DATE: 8/9/ N. Point Ave x12 White w/green specks VFT 1st Floor corridors & Faculty room 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: 8/9/216
70 216 AHERA REINSPECTION Inspector Assessment Form (New Homogeneous Area) AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 3/3/ N. Point Ave INFORMATION FROM CURRENT INSPECTION 27 2x4 Ceiling Tile Chase annex link, 1st floor Vault, 1st floor corridor 6 MATERIAL CATEGORY: FRIABLE: ASBESTOS TYPE: Assumed DISTURBANCE POTENTIAL: LOW AHERA DAMAGE CATEGORY: CONDITION: ACCESSIBILITY: Within Reach COMMENTS: Inspector's Signature: 3/3/216
71 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia REVIEW DATE: 8/9/ N. Point Ave x4 Ceiling Tile Chase annex link, 1st floor Vault, 1st floor corridor 6 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: COMMENTS: Management Planner's Signature: 8/9/216
72 216 AHERA REINSPECTION Inspector Assessment Form (New Homogeneous Area) AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 3/3/ N. Point Ave INFORMATION FROM CURRENT INSPECTION 28 Fire doors Annex link 96 MATERIAL CATEGORY: FRIABLE: ASBESTOS TYPE: Assumed DISTURBANCE POTENTIAL: LOW AHERA DAMAGE CATEGORY: CONDITION: ACCESSIBILITY: Within Reach COMMENTS: Inspector's Signature: 3/3/216
73 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia REVIEW DATE: 8/9/ N. Point Ave Fire doors Annex link 96 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: 8/9/216
74 216 AHERA REINSPECTION Inspector Assessment Form (New Homogeneous Area) AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 3/3/ N. Point Ave INFORMATION FROM CURRENT INSPECTION 24 Undersink Coating Rooms A21, A12, A16, A18 and vault 2 MATERIAL CATEGORY: FRIABLE: ASBESTOS TYPE: Assumed DISTURBANCE POTENTIAL: LOW AHERA DAMAGE CATEGORY: CONDITION: ACCESSIBILITY: Within Reach COMMENTS: Inspector's Signature: 3/3/216
75 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia REVIEW DATE: 8/9/ N. Point Ave Undersink Coating Rooms A21, A12, A16, A18 and vault 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: 8/9/216
76 216 AHERA REINSPECTION Inspector Assessment Form (New Homogeneous Area) AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 3/3/ N. Point Ave INFORMATION FROM CURRENT INSPECTION 26 Textured Ceiling Annex Link 41 MATERIAL CATEGORY: FRIABLE: ASBESTOS TYPE: Assumed DISTURBANCE POTENTIAL: LOW AHERA DAMAGE CATEGORY: CONDITION: ACCESSIBILITY: Within Reach COMMENTS: Inspector's Signature: 3/3/216
77 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia REVIEW DATE: 8/9/ N. Point Ave Textured Ceiling Annex Link 41 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: 8/9/216
78 216 AHERA REINSPECTION Inspector Assessment Form (New Homogeneous Area) AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 3/3/ N. Point Ave INFORMATION FROM CURRENT INSPECTION 12A 12x12 White w/tan specks VFT Gym 28 MATERIAL CATEGORY: FRIABLE: ASBESTOS TYPE: Assumed DISTURBANCE POTENTIAL: MODERATE AHERA DAMAGE CATEGORY: CONDITION: ACCESSIBILITY: Within Reach COMMENTS: Inspector's Signature: 3/3/216
79 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia REVIEW DATE: 8/9/ N. Point Ave A 12x12 White w/tan specks VFT Gym 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: 8/9/216
80 216 AHERA REINSPECTION Inspector Assessment Form (New Homogeneous Area) AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 3/3/ N. Point Ave INFORMATION FROM CURRENT INSPECTION 12B 12x12 White w/tan specks VFT Mastic Gym 28 MATERIAL CATEGORY: FRIABLE: ASBESTOS TYPE: Assumed DISTURBANCE POTENTIAL: LOW AHERA DAMAGE CATEGORY: CONDITION: ACCESSIBILITY: Barely Reachable COMMENTS: Inspector's Signature: 3/3/216
81 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia REVIEW DATE: 8/9/ N. Point Ave B 12x12 White w/tan specks VFT Mastic Gym 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: 8/9/216
82 216 AHERA REINSPECTION Inspector Assessment Form (New Homogeneous Area) AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 3/3/ N. Point Ave INFORMATION FROM CURRENT INSPECTION 23A 12x12 Offwhite w/ white and brown speckles VFT Mastic Throughout Building 1 MATERIAL CATEGORY: FRIABLE: ASBESTOS TYPE: Assumed DISTURBANCE POTENTIAL: LOW AHERA DAMAGE CATEGORY: CONDITION: ACCESSIBILITY: Barely Reachable COMMENTS: Inspector's Signature: 3/3/216
83 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia REVIEW DATE: 8/9/ N. Point Ave A 12x12 Offwhite w/ white and brown speckles VFT Mastic Throughout Building 1 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: COMMENTS: Management Planner's Signature: 8/9/216
84 216 AHERA REINSPECTION Inspector Assessment Form (New Homogeneous Area) AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 3/3/ N. Point Ave INFORMATION FROM CURRENT INSPECTION 23 12x12 Offwhite w/ white and brown speckles VFT Throughout Building 1 MATERIAL CATEGORY: FRIABLE: ASBESTOS TYPE: Assumed DISTURBANCE POTENTIAL: MODERATE AHERA DAMAGE CATEGORY: CONDITION: ACCESSIBILITY: Within Reach COMMENTS: Inspector's Signature: 3/3/216
85 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia REVIEW DATE: 8/9/ N. Point Ave x12 Offwhite w/ white and brown speckles VFT Throughout Building 1 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: COMMENTS: Management Planner's Signature: 8/9/216
86 216 AHERA REINSPECTION
87 APPENDIX B Inspector and Management Planner Licenses
88
89
90
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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: 14-016-2990-2270
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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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