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

Transcription

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 Chicago, IL, 6616 DATE LAST THREE YEAR REINSPECTION WAS COMPLETED 3/26/213 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: 8/3/216 ENROLLMENT IDPH INSPECTOR LICENSE NUMBER: IDPH LICENSED INSPECTOR NAME (Please Print): Marcos Iwankiw IDPH MP LICENSE NUMBER: IDPH LICENSED MANAGEMENT PLANNER NAME (Please Print): Daniel Juneau DESIGNATED PERSON (Please Print): Robert Christlieb PHONE: 627 (773) /3/216 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 299 Chicago, IL, 6616 Unit: Building ID: IDPH ID Number: REPORT DATE: Tuesday, August 3, 216 Prepared for: 125 S. Clark Street Chicago, IL 663 Prepared by: 6 West Van Buren St., Ste 5 Phone (312) Fax (312) DO NOT REMOVE FROM SCHOOL REQUIRED BY FEDERAL LAW

3 August 26, 216 Mr. R. Kent Cook Asbestos Program Illinois Department of Public Health 525 West Jefferson Street Springfield, Illinois Re: Three-Year Reinspections Dear Mr. Cook:, Managing Environmental Consultant (MEC), conducted the ThreeYear Reinspections and performed management plan updates for the (CPS) facilities in Region 3,4,5 Elementary Schools. Please update your records with the following information. School District: 299 Unit: Region: 4 School: IDPH ID: Building ID: Address: Chicago, IL, 6616 Building Contact: Jimenez, Victor Contact Phone: Current Building Owners: Review 8/3/216 Inspector: Marcos Iwankiw Management Planner: Daniel Juneau Inspector IDPH License: Management Planner IDPH License: If you have any questions or comments, please contact us at (312) Sincerely, Daniel Juneau

4 Environmental Notification to Occupants To: Faculty, Staff and Parents From: August 26, 216 RE:, Unit Chicago, IL, 6616 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: IDPH ID: Contact: Jimenez, Victor Unit: Chicago, IL, 6616 Building ID: Phone: Description of Facility Original Construction: 194 Total Square Footage: 5728 Current Occupancy: Additional Construction: No of Floors: 3 Phone: (773) Managing Environmental Consultant MEC: Contact: Dan Juneau Address 6 West Van Buren St., Ste 5 Phone: (312) Fax: (312) Inspector Inspector Name: Marcos Iwankiw Signature: 8/26/216 Inspector IDPH license # LEA Designated Person Contact: Robert Christlieb Address: 125 South Clark Street, 17th Floor Chicago, IL Region: 4 Management Planner Management Planner Name: Daniel Juneau Management Planner IDPH license # Review 8/3/ LEA Designated Person's Acknowledgement Signature: 8/3/216 The reinspection report and recommendations have been received by me and appropriate action will be taken by the School District. Signature: 8/3/216 Name: Robert Christlieb Unit : Building:

7 II. EXECUTIVE SUMMARY was retained by the (CPS) to perform a three-year asbestos reinspection of the. This inspection was conducted in accordance with the United States Environmental Protection Agency (USEPA) Asbestos Hazard Emergency Response Act (AHERA) part (b), and the ongoing Operations and Maintenance Program (O&M) originally designed in the School's Asbestos Management Plan. The purpose of this three-year reinspection is to record any condition changes in the asbestos-containing building material (ACBM) in the school since the previous three-year reinspection and the six-month periodic surveillance, to identify, assess, and include any Homogeneous Areas (HA) not identified in the Management Plan, and to recommend an appropriate response action to manage asbestos. The inspector conducted a three-year reinspection of this facility under Illinois Department of Public Health (IDPH) school reinspection requirements and AHERA, sections and The main building and each addition to the main building, if constructed at different dates, were inspected separately. Laboratory accreditations are included in Appendix C, laboratory results are included in Appendix D, and chain of custody forms are included in Appendix E. Note: 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 : Unit: 7 1' x 1' Off-white Floor Tile A Aircell Pipe Insulation B HVAC Duct Insulation E Mag-Block Tank Insulation I Paperwrap Pipe Insulation (Cardboard) J Fittings on Paperwrap Pipe Insulation (Cardboard) M Fittings on Pre-formed Pipe Insulation N Boiler Breeching Insulation Building:

8 B. The following new homogenous areas have been identified for Building : Unit: Building:

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 Assumed: D E G O Spray-on Fireproofing 9" x 9" Black Floor Tile 1' x 1' Off-white Floor Tile Grey-colored Flooring Glazed Brick Glazed Brick Mortar Roofing Material - not AHERA 12x12 Lt. grey with white floor tile 12x12 Lt. grey with white floor tile mastic 12x12 White with tan floor tile 12x12 white with tan floor tile mastic 4" Tan vinyl Baseboard 4" tan vinyl basebord adhesive Pre fab ceiling panels Pre fab Wall Panels Aircell Duct Insulation Mag-Block Tank Insulation Boiler Gaskets HVAC Vibration Collars (Vibration Joints) The following areas were deemed to be inaccessible: K 12x12 Lt. grey with white floor tile mastic 12x12 white with tan floor tile mastic 4" tan vinyl basebord adhesive Fittings on Fiberglass Pipe Insulation 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 Marcos Iwankiw, IDPH License #. The Management Plan was updated by Daniel Juneau, IDPH License # Inspector and Management Planner Licenses are included in Appendix B. Unit: Building:

10 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 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: Building:

11 Table I Inspector's Reinspection Findings

12 School Unit Building ID Address Region 4 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 No Material Description 1 Spray-on Fireproofing 3 Acoustical Plaster on Ceilings 4 Hard Coat Plaster 6 9" x 9" Black Floor Tile 7 1' x 1' Off-white Floor Tile 8 1' x 1' Off-white Floor Tile Mastic 9 9" x 9" Brown Floor Tile 1 9" x 9" Tan Floor Tile Mastic Below 9" x 9" Tan and 9" x 9" Brown FT 2' x 4' Gypsum Ceiling Tile 13 Interior Door Caulk (brown) 14 2' x 4' Pitted Lay in Ceiling Tile 15 1' x 1' Ceiling Tile Mastic 16 Acoustical Ceiling Plaster 17 Hard Plaster above Acoustical Plaster 18 Acoustical Plaster on Soffits 19 Hard Plaster Above Acoustical Plaster on Soffits 2 1' x 1' Ceiling Tile Material Quantity Material Units Material Location Asbestos Type Material Category Friable Damage Type 5 Boiler Room ASSUMED SURFACE N NONE Change in Assessment Category No 6, Classrooms and Corridors CHR SURFACE Y NONE No Throughout Building on Walls and Ceilings Throughout Building Throughout Building Throughout Building Park District Office (Room 12) Park District Office (Room 12) Park District Office (Room 12) Kitchen, Food Storage Area Interior doors throughout building Main Offices, Room 13 (Computer Room), and Hallways Entrance Lobby, Classrooms, Lunchroom, Gymnasium Storage Closet in Room 14 Storage Closet in Room 14 Throughout Classrooms, and Lunchroom Throughout Classrooms, Lunchroom Throughout Building NO_ACBM SURFACE ASSUMED ASSUMED N NONE Yes NO_ACBM CHR CHR CHR NO_ACBM NO_ACBM NO_ACBM NO_ACBM NO_ACBM SURFACE NO_ACBM SURFACE NO_ACBM NO_ACBM NO_ACBM 1, 5 Damage Quantity Damage Units Damage Category NONE Disturbance Potential ACBM with the potential for damage Any remaining friable ACBM or friable suspect ACBM LOW ACBM with the potential for damage LOW None N Damage Reason LOW Moderate No ACBM with the potential for damage LOW

13 School Unit Building ID Address Region 4 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 No Material Description 2 Black Vinyl Baseboard 21 Yellow Mastic on Black Vinyl Baseboard 22 Gypsum Walls (Drywall) 23 Gypsum Mud and Tape 24 Pyro Brick 25 Pyro Brick Mortar Exterior Brick - not AHERA Exterior Brick Mortar - not AHERA Exterior Door Caulk - not AHERA Exterior Window Caulk - not AHERA Exterior Window Glaze - not AHERA Interior Door Caulk (black) 32 Interior Window Caulk (black) Incinerator Brick Grey-colored Flooring 35 Glazed Brick 3,7 36 Glazed Brick Mortar 3, Roofing Material - not AHERA 12x12 Lt. grey with white floor tile 15, Material Quantity Material Units Material Location Asbestos Type Material Category Friable Damage Type Throughout Building Throughout Building Basement, Kitchen (Food Storage Room), Lunchroom, Throughout Classrooms Basement, Kitchen (Food Storage Room), Lunchroom, Throughout Classrooms Throughout Building Along Walls, Above Ceilings and Doorways Throughout Building Along Walls, Above Ceilings and Doorways Exterior Exterior Exterior Exterior Exterior Throughout Building Throughout Building Basement Cafeteria, Food Storage Room (Kitchen) Restrooms throughout Building Restrooms throughout Building Exterior All classrooms, hallways, NO_ACBM NO_ACBM NO_ACBM NO_ACBM NO_ACBM NO_ACBM NO_ACBM NO_ACBM NO_ACBM NO_ACBM NO_ACBM NO_ACBM NO_ACBM NO_ACBM ASSUMED ASSUMED ASSUMED N NONE N NONE ASSUMED ASSUMED N NONE Damage Quantity Damage Units Change in Assessment Category Damage Category Damage Reason Disturbance Potential No No ACBM with the potential for damage ACBM with the potential for damage LOW No ACBM with the potential for damage LOW LOW

14 School Unit Building ID Address Region 4 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 No Material Description 39 12x12 Lt. grey with white floor tile mastic Material Quantity Material Units Material Location multipurpose room All classrooms, hallways, multipurpose room Throughout Modular building Throughout Modular building Throughout Modular building Throughout Modualr building Throughout Modular Building Throughout Modular building Throughout Building above ceilings, Basement Basement, Mechanical Areas Asbestos Type Material Category Friable Damage Type ASSUMED N NONE ASSUMED N ASSUMED N ASSUMED ASSUMED ASSUMED ASSUMED Damage Quantity Damage Units Change in Assessment Category Damage Category Damage Reason Disturbance Potential No ACBM with the potential for damage LOW NONE No No N NONE No N NONE No N NONE No N NONE No CHR TSI Y NONE Yes CHR TSI Y NONE Yes ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage Any remaining friable ACBM or friable suspect ACBM Any remaining friable ACBM or friable suspect ACBM Any remaining friable ACBM or friable suspect ACBM Any remaining friable ACBM or friable suspect ACBM ACBM with the potential for damage Any remaining friable ACBM or friable suspect ACBM Any remaining friable ACBM or friable suspect ACBM LOW NONE 15, 12x12 White with tan floor tile 1,65 12x12 white with tan floor tile mastic 1,65 4" Tan vinyl Baseboard 2 LF 4" tan vinyl basebord adhesive 2 LF Pre fab ceiling panels 1,65 Pre fab Wall Panels 1,5 A Aircell Pipe Insulation 1,2 LF B HVAC Duct Insulation 1,25 D Aircell Duct Insulation 1 Storage Closet in Room 13 ASSUMED TSI Y NONE No E Mag-Block Tank Insulation 13 Boiler Room (water tank) ASSUMED TSI Y NONE Yes G Boiler Gaskets 6 Boiler Room ASSUMED N NONE No H Pre-formed Pipe Insulation 4 LF Basement, Boiler Room AMO TSI Y NONE No I Paperwrap Pipe Insulation (Cardboard) 3 LF CHR TSI Y NONE Yes J Fittings on Paperwrap Pipe Insulation (Cardboard) 3 LF CHR TSI Y NONE Yes Any remaining friable ACBM or friable suspect ACBM LOW K Fittings on Fiberglass Pipe Insulation 35 LF Basement, Boiler Room, Throughout Building above ceilings Basement, Boiler Room, Throughout Building Above Ceilings Above Hallway Ceiling, Boiler Room, Basement CHR TSI Y NONE No Any remaining friable ACBM or friable suspect ACBM LOW LOW LOW LOW LOW LOW LOW LOW LOW LOW LOW LOW LOW

15 School Unit Building ID Address Region 4 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 No Material Description L Fittings on Aircell Pipe Insulation M Fittings on Pre-formed Pipe Insulation N Boiler Breeching Insulation O HVAC Vibration Collars (Vibration Joints) Material Quantity Material Units Material Location Asbestos Type Material Category Friable Damage Type 2 LF CHR TSI Y NONE 6 LF Basement, Boiler Room, Throughout Building above ceiling Basement, Boiler Room CHR TSI Y 16 Boiler Room CHR TSI 65 LF Basement ASSUMED Damage Quantity Damage Units Damage Category Change in Assessment Category No Damage Reason Disturbance Potential Any remaining friable ACBM or friable suspect ACBM LOW NONE Yes LOW Y NONE Yes N NONE No Any remaining friable ACBM or friable suspect ACBM Any remaining friable ACBM or friable suspect ACBM ACBM with the potential for damage LOW LOW

16 School Unit Building ID Address Region 4 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 8/26/216 Inspector Name Inspector's Comments Marcos Iwankiw 5/15/216 Inspector's IDPH License Number / Expiration Date HA Number: Inspector Comments: Not observed 216 Not observed 216 Not observed 216

17 School Unit Building ID Address Region 4 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Inspector's Reinspection Findings Table 1 Managing Environmental Consultant (MEC) 6 West Van Buren St., Ste 5 Phone: (312) Fax: (312) Inspector's Comments are Summarized at the End of the Report HA Number: A B D E G H I J K Inspector Comments: Not observed Floor is now cement

18 School Unit Building ID Address Region 4 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: L M N O Inspector Comments:

19 Table II Management Planner's Review

20 School Address Unit Building ID Chicago, IL, 6616 Region 4 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 1 3 Spray-on Fireproofing Acoustical Plaster on Ceilings 5 6, Boiler Room Classrooms and Corridors Assumed Chrysotile SURFACE SURFACE No Yes 6 ACBM with the potential for damage 7 Any remaining friable ACBM or friable suspect ACBM 4 Hard Coat Plaster No ACBM SURFACE " x 9" Black Floor Tile 1' x 1' Off-white Floor Tile 1' x 1' Off-white Floor Tile Mastic 9" x 9" Brown Floor Tile 9" x 9" Tan Floor Tile Mastic Below 9" x 9" Tan and 9" x 9" Brown FT 2' x 4' Gypsum Ceiling Tile Interior Door Caulk (brown) 2' x 4' Pitted Lay in Ceiling Tile Assumed Assumed No ACBM Chrysotile Chrysotile Chrysotile No ACBM No ACBM No ACBM No 6 ACBM with the potential for damage No 6 ACBM with the potential for damage 15 1' x 1' Ceiling Tile Mastic No ACBM Acoustical Ceiling Plaster Hard Plaster above Acoustical Plaster Acoustical Plaster on Soffits No ACBM No ACBM No ACBM SURFACE SURFACE Hard Plaster Above Acoustical Plaster on Soffits 1' x 1' Ceiling Tile Black Vinyl Baseboard Yellow Mastic on Black Vinyl Baseboard Gypsum Walls (Drywall) No ACBM No ACBM No ACBM No ACBM No ACBM 23 Gypsum Mud and Tape No ACBM 24 Pyro Brick No ACBM 25 Pyro Brick Mortar No ACBM 26 Exterior Brick - not AHERA Throughout Building on Walls and Ceilings Throughout Building Throughout Building Throughout Building Park District Office (Room 12) Park District Office (Room 12) Park District Office (Room 12) Kitchen, Food Storage Area Interior doors throughout building Main Offices, Room 13 (Computer Room), and Hallways Entrance Lobby, Classrooms, Lunchroom, Gymnasium Storage Closet in Room 14 Storage Closet in Room 14 Throughout Classrooms, and Lunchroom Throughout Classrooms, Lunchroom Throughout Building Throughout Building Throughout Building Basement, Kitchen (Food Storage Room), Lunchroom, Throughout Classrooms Basement, Kitchen (Food Storage Room), Lunchroom, Throughout Classrooms Throughout Building Along Walls, Above Ceilings and Doorways Throughout Building Along Walls, Above Ceilings and Doorways Exterior No ACBM 1, 5

21 School Address Unit Building ID Chicago, IL, 6616 Region 4 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 Exterior Brick Mortar - not AHERA Exterior Door Caulk - not AHERA Exterior Window Caulk - not AHERA Exterior Window Glaze - not AHERA Interior Door Caulk (black) Interior Window Caulk (black) Incinerator Brick Grey-colored Flooring No ACBM No ACBM No ACBM No ACBM No ACBM No ACBM No ACBM Assumed Assumed Assumed Assumed Assumed Exterior Exterior Exterior Exterior Throughout Building Throughout Building Basement Cafeteria, Food Storage Room (Kitchen) Restrooms throughout Building Restrooms throughout Building Exterior All classrooms, hallways, multipurpose room All classrooms, hallways, multipurpose room Throughout Modular building Throughout Modular building Throughout Modular building Throughout Modualr building Throughout Modular Building Throughout Modular building Throughout Building above ceilings, Basement Basement, Mechanical Areas Glazed Brick Glazed Brick Mortar Roofing Material - not AHERA 12x12 Lt. grey with white floor tile 3,7 3,7 No No 6 ACBM with the potential for damage 6 ACBM with the potential for damage 15, No 6 ACBM with the potential for damage 39 12x12 Lt. grey with white floor tile mastic 15, Assumed No 6 ACBM with the potential for damage A 12x12 White with tan floor tile 12x12 white with tan floor tile mastic 4" Tan vinyl Baseboard 4" tan vinyl basebord adhesive Pre fab ceiling panels Pre fab Wall Panels Aircell Pipe Insulation 1,65 1, ,65 1,5 1,2 LF LF LF Assumed Assumed Assumed Assumed Assumed Assumed Chrysotile TSI No No No No No No Yes LF LF LF Chrysotile TSI Yes Storage Closet in Room 13 Assumed TSI Yes Boiler Room (water tank) Assumed TSI Yes 6 4 LF Boiler Room Basement, Boiler Room Assumed Amosite TSI No Yes LF 3 LF Basement, Boiler Room, Throughout Building above ceilings Chrysotile TSI Yes LF 6 ACBM with the potential for damage 6 ACBM with the potential for damage 6 ACBM with the potential for damage 6 ACBM with the potential for damage 6 ACBM with the potential for damage 6 ACBM with the potential for damage 7 Any remaining friable ACBM or friable suspect ACBM 7 Any remaining friable ACBM or friable suspect ACBM 7 Any remaining friable ACBM or friable suspect ACBM 7 Any remaining friable ACBM or friable suspect ACBM 6 ACBM with the potential for damage 7 Any remaining friable ACBM or friable suspect ACBM 7 Any remaining friable ACBM or friable suspect ACBM B HVAC Duct Insulation 1,25 D Aircell Duct Insulation 1 E Mag-Block Tank Insulation 13 G H Boiler Gaskets Pre-formed Pipe Insulation I Paperwrap Pipe Insulation (Cardboard)

22 School Address Unit Building ID Chicago, IL, 6616 Region 4 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 J Fittings on Paperwrap Pipe Insulation (Cardboard) 3 LF Chrysotile TSI Yes LF Fittings on Fiberglass Pipe Insulation 35 LF Chrysotile TSI Yes LF L Fittings on Aircell Pipe Insulation 2 LF Chrysotile TSI Yes LF M Fittings on Pre-formed Pipe Insulation 6 LF Chrysotile TSI Yes LF N Boiler Breeching Insulation 16 Boiler Room Chrysotile TSI Yes O HVAC Vibration Collars (Vibration Joints) 65 LF Basement Assumed No LF 7 Any remaining friable ACBM or friable suspect ACBM 7 Any remaining friable ACBM or friable suspect ACBM 7 Any remaining friable ACBM or friable suspect ACBM 7 Any remaining friable ACBM or friable suspect ACBM 7 Any remaining friable ACBM or friable suspect ACBM 6 ACBM with the potential for damage K Basement, Boiler Room, Throughout Building Above Ceilings Above Hallway Ceiling, Boiler Room, Basement Basement, Boiler Room, Throughout Building above ceiling Basement, Boiler Room

23 School Address Unit Building ID Chicago, IL, 6616 Region 4 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 8/3/216 Review Date Manager Planner Name Daniel Juneau /15/216 Manager IDPH License No/Expiration HA Number Management Comments If identified, implement O&M If identified, implement O&M If identified, implement O&M

24 School Address Unit Building ID Chicago, IL, 6616 Region 4 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Management Planner's Review Table II Managing Environmental Consultant (MEC) 6 West Van Buren St., Ste 5 Phone: (312) Fax: (312) Management Planner's Comments Summarized at the End of the Report HA Number A B D E G H I Management Comments

25 School Address Unit Building ID Chicago, IL, 6616 Region 4 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 J K L M N O Management Comments

26 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION 1 Spray-on Fireproofing HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No 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: LOW Boiler Room 5 COMMENTS: Inspector's Signature: 8/26/216

27 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/216 1 Spray-on Fireproofing Boiler 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: 8/3/216

28 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION 3 Acoustical Plaster on Ceilings HISTORICAL AHERA DAMAGE CATEGORY 7 Any remaining friable ACBM or friable suspect ACBM HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Classrooms and Corridors 6 COMMENTS: Inspector's Signature: 8/26/216

29 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/216 3 Acoustical Plaster on Ceilings Classrooms and Corridors 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: 8/3/216

30 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION 4 Hard Coat Plaster HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM 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: Throughout Building on Walls and Ceilings COMMENTS: Inspector's Signature: 8/26/216

31 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/216 4 Hard Coat Plaster Throughout Building on Walls and Ceilings 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: 8/3/216

32 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION 6 9" x 9" Black Floor Tile HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: 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. DAMAGE REASON: DISTURBANCE POTENTIAL: Throughout Building COMMENTS: Not observed 216 Inspector's Signature: 8/26/216

33 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/ " x 9" Black Floor Tile Throughout Building 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: If identified, implement O&M Management Planner's Signature: 8/3/216

34 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION 7 1' x 1' Off-white Floor Tile HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with potential for significant damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No 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: LOW Throughout Building 1 COMMENTS: Inspector's Signature: 8/26/216

35 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/ ' x 1' Off-white Floor Tile 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: 8/3/216

36 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION 8 1' x 1' Off-white Floor Tile Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM 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: Throughout Building COMMENTS: Inspector's Signature: 8/26/216

37 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/ ' x 1' Off-white Floor Tile Mastic Throughout Building 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: 8/3/216

38 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION 9 9" x 9" Brown Floor Tile HISTORICAL AHERA DAMAGE CATEGORY ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Moderate Park District Office (Room 12) COMMENTS: Not observed 216 Inspector's Signature: 8/26/216

39 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/ " x 9" Brown Floor Tile Park District Office (Room 12) In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: If identified, implement O&M Management Planner's Signature: 8/3/216

40 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION 1 9" x 9" Tan Floor Tile HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Park District Office (Room 12) COMMENTS: Not observed 216 Inspector's Signature: 8/26/216

41 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/ " x 9" Tan Floor Tile Park District Office (Room 12) In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: If identified, implement O&M Management Planner's Signature: 8/3/216

42 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION 11 Mastic Below 9" x 9" Tan and 9" x 9" Brown FT HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: No 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: LOW Park District Office (Room 12) 5 COMMENTS: Inspector's Signature: 8/26/216

43 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/ Mastic Below 9" x 9" Tan and 9" x 9" Brown FT Park District Office (Room 12) 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: 8/3/216

44 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION 12 2' x 4' Gypsum Ceiling Tile HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM 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: Kitchen, Food Storage Area COMMENTS: Inspector's Signature: 8/26/216

45 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/ ' x 4' Gypsum Ceiling Tile Kitchen, Food Storage Area 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: 8/3/216

46 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION 13 Interior Door Caulk (brown) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM 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: Interior doors throughout building COMMENTS: Inspector's Signature: 8/26/216

47 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/ Interior Door Caulk (brown) Interior doors throughout building 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: 8/3/216

48 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION 14 2' x 4' Pitted Lay in Ceiling Tile HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM 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: Main Offices, Room 13 (Computer Room), and Hallways COMMENTS: Inspector's Signature: 8/26/216

49 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/ ' x 4' Pitted Lay in Ceiling Tile Main Offices, Room 13 (Computer Room), and Hallways 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: 8/3/216

50 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION 15 1' x 1' Ceiling Tile Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM 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: Entrance Lobby, Classrooms, Lunchroom, Gymnasium COMMENTS: Inspector's Signature: 8/26/216

51 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/ ' x 1' Ceiling Tile Mastic Entrance Lobby, Classrooms, Lunchroom, Gymnasium 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: 8/3/216

52 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION 16 Acoustical Ceiling Plaster HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM 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: Storage Closet in Room 14 COMMENTS: Inspector's Signature: 8/26/216

53 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/ Acoustical Ceiling Plaster Storage Closet in 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: 8/3/216

54 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION 17 Hard Plaster above Acoustical Plaster HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM 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: Storage Closet in Room 14 COMMENTS: Inspector's Signature: 8/26/216

55 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/ Hard Plaster above Acoustical Plaster Storage Closet in 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: 8/3/216

56 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION 18 Acoustical Plaster on Soffits HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM 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: Throughout Classrooms, and Lunchroom COMMENTS: Inspector's Signature: 8/26/216

57 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/ Acoustical Plaster on Soffits Throughout Classrooms, and Lunchroom 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: 8/3/216

58 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION 19 Hard Plaster Above Acoustical Plaster on Soffits HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM 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: Throughout Classrooms, Lunchroom COMMENTS: Inspector's Signature: 8/26/216

59 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/ Hard Plaster Above Acoustical Plaster on Soffits Throughout Classrooms, Lunchroom 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: 8/3/216

60 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION 2 1' x 1' Ceiling Tile HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM 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: Throughout Building COMMENTS: Inspector's Signature: 8/26/216

61 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/ ' x 1' Ceiling Tile Throughout Building 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: 8/3/216

62 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION 2 Black Vinyl Baseboard HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM 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: Throughout Building COMMENTS: Inspector's Signature: 8/26/216

63 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/216 2 Black Vinyl Baseboard Throughout Building 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: 8/3/216

64 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION 21 Yellow Mastic on Black Vinyl Baseboard HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM 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: Throughout Building COMMENTS: Inspector's Signature: 8/26/216

65 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/ Yellow Mastic on Black Vinyl Baseboard Throughout Building 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: 8/3/216

66 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION 22 Gypsum Walls (Drywall) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Basement, Kitchen (Food Storage Room), Lunchroom, Throughout Classrooms COMMENTS: Inspector's Signature: 8/26/216

67 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/ Gypsum Walls (Drywall) Basement, Kitchen (Food Storage Room), Lunchroom, Throughout Classrooms 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: 8/3/216

68 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION 23 Gypsum Mud and Tape HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Basement, Kitchen (Food Storage Room), Lunchroom, Throughout Classrooms COMMENTS: Inspector's Signature: 8/26/216

69 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/ Gypsum Mud and Tape Basement, Kitchen (Food Storage Room), Lunchroom, Throughout Classrooms 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: 8/3/216

70 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION 24 Pyro Brick HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM 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: Throughout Building Along Walls, Above Ceilings and Doorways COMMENTS: Inspector's Signature: 8/26/216

71 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/ Pyro Brick Throughout Building Along Walls, Above Ceilings and Doorways 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: 8/3/216

72 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION 25 Pyro Brick Mortar HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM 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: Throughout Building Along Walls, Above Ceilings and Doorways COMMENTS: Inspector's Signature: 8/26/216

73 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/ Pyro Brick Mortar Throughout Building Along Walls, Above Ceilings and Doorways 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: 8/3/216

74 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION 26 Exterior Brick - not AHERA HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM 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: Exterior COMMENTS: Inspector's Signature: 8/26/216

75 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/ Exterior Brick - not AHERA Exterior 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: 8/3/216

76 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION 27 Exterior Brick Mortar - not AHERA HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM 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: Exterior COMMENTS: Inspector's Signature: 8/26/216

77 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/ Exterior Brick Mortar - not AHERA Exterior 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: 8/3/216

78 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION 28 Exterior Door Caulk - not AHERA HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM 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: Exterior COMMENTS: Inspector's Signature: 8/26/216

79 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/ Exterior Door Caulk - not AHERA Exterior 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: 8/3/216

80 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION 29 Exterior Window Caulk - not AHERA HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM 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: Exterior COMMENTS: Inspector's Signature: 8/26/216

81 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/ Exterior Window Caulk - not AHERA Exterior 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: 8/3/216

82 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION 3 Exterior Window Glaze - not AHERA HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM 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: Exterior COMMENTS: Inspector's Signature: 8/26/216

83 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/216 3 Exterior Window Glaze - not AHERA Exterior 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: 8/3/216

84 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION 31 Interior Door Caulk (black) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM 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: Throughout Building COMMENTS: Inspector's Signature: 8/26/216

85 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/ Interior Door Caulk (black) Throughout Building 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: 8/3/216

86 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION 32 Interior Window Caulk (black) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM 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: Throughout Building COMMENTS: Inspector's Signature: 8/26/216

87 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/ Interior Window Caulk (black) Throughout Building 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: 8/3/216

88 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION 33 Incinerator Brick HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Basement COMMENTS: Inspector's Signature: 8/26/216

89 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/ Incinerator Brick Basement 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: 8/3/216

90 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION 34 Grey-colored Flooring HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: 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. DAMAGE REASON: DISTURBANCE POTENTIAL: Cafeteria, Food Storage Room (Kitchen) COMMENTS: Not observed Floor is now cement Inspector's Signature: 8/26/216

91 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/ Grey-colored Flooring Cafeteria, Food Storage Room (Kitchen) 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: 8/3/216

92 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION 35 Glazed Brick HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No 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: LOW Restrooms throughout Building 37 COMMENTS: Inspector's Signature: 8/26/216

93 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/ Glazed Brick Restrooms throughout Building 37 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: 8/3/216

94 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION 36 Glazed Brick Mortar HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No 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: LOW Restrooms throughout Building 37 COMMENTS: Inspector's Signature: 8/26/216

95 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/ Glazed Brick Mortar Restrooms throughout Building 37 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: 8/3/216

96 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION 37 Roofing Material - not AHERA HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: 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. DAMAGE REASON: DISTURBANCE POTENTIAL: Exterior COMMENTS: Inspector's Signature: 8/26/216

97 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/ Roofing Material - not AHERA Exterior 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: 8/3/216

98 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION 38 12x12 Lt. grey with white floor tile HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No 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: LOW All classrooms, hallways, multipurpose room 15 COMMENTS: Inspector's Signature: 8/26/216

99 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/ x12 Lt. grey with white floor tile All classrooms, hallways, multipurpose room 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: 8/3/216

100 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION 39 12x12 Lt. grey with white floor tile mastic HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No 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: LOW All classrooms, hallways, multipurpose room 15 COMMENTS: Inspector's Signature: 8/26/216

101 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/ x12 Lt. grey with white floor tile mastic All classrooms, hallways, multipurpose room 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: 8/3/216

102 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION 4 12x12 White with tan floor tile HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No 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: LOW Throughout Modular building 165 COMMENTS: Inspector's Signature: 8/26/216

103 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/ x12 White with tan floor tile Throughout Modular building 165 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: 8/3/216

104 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION 41 12x12 white with tan floor tile mastic HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No 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: LOW Throughout Modular building 165 COMMENTS: Inspector's Signature: 8/26/216

105 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/ x12 white with tan floor tile mastic Throughout Modular building 165 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: 8/3/216

106 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION 42 4" Tan vinyl Baseboard HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No 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: LOW Throughout Modular building 2 LF LF COMMENTS: Inspector's Signature: 8/26/216

107 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/ " Tan vinyl Baseboard Throughout Modular building 2 LF LF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 8/3/216

108 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION 43 4" tan vinyl basebord adhesive HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No 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: LOW Throughout Modualr building 2 LF LF COMMENTS: Inspector's Signature: 8/26/216

109 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/ " tan vinyl basebord adhesive Throughout Modualr building 2 LF LF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 8/3/216

110 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION 44 Pre fab ceiling panels HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No 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: LOW Throughout Modular Building 165 COMMENTS: Inspector's Signature: 8/26/216

111 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/ Pre fab ceiling panels Throughout Modular Building 165 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: 8/3/216

112 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION 45 Pre fab Wall Panels HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No 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: LOW Throughout Modular building 15 COMMENTS: Inspector's Signature: 8/26/216

113 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/ Pre fab Wall Panels Throughout Modular 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: 8/3/216

114 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION A Aircell Pipe Insulation HISTORICAL AHERA DAMAGE CATEGORY 7 ACBM with potential for significant damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Throughout Building above ceilings, Basement 12 LF LF COMMENTS: Inspector's Signature: 8/26/216

115 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/216 A Aircell Pipe Insulation Throughout Building above ceilings, Basement 12 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: 8/3/216

116 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION B HVAC Duct Insulation HISTORICAL AHERA DAMAGE CATEGORY 7 ACBM with potential for significant damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Basement, Mechanical Areas 125 COMMENTS: Inspector's Signature: 8/26/216

117 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/216 B HVAC Duct Insulation Basement, Mechanical Areas 125 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: 8/3/216

118 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION D Aircell Duct Insulation HISTORICAL AHERA DAMAGE CATEGORY 7 Any remaining friable ACBM or friable suspect ACBM HISTORICAL DAMAGE REASON: 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 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Storage Closet in Room 13 1 COMMENTS: Inspector's Signature: 8/26/216

119 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/216 D Aircell Duct Insulation Storage Closet in Room 13 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: 8/3/216

120 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION E Mag-Block Tank Insulation HISTORICAL AHERA DAMAGE CATEGORY 7 ACBM with the potential for damage HISTORICAL DAMAGE REASON: 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 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Boiler Room (water tank) 13 COMMENTS: Inspector's Signature: 8/26/216

121 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/216 E Mag-Block Tank Insulation Boiler Room (water tank) 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: 8/3/216

122 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION G Boiler Gaskets HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No 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: LOW Boiler Room 6 COMMENTS: Inspector's Signature: 8/26/216

123 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/216 G Boiler Gaskets Boiler Room 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: 8/3/216

124 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION H Pre-formed Pipe Insulation HISTORICAL AHERA DAMAGE CATEGORY 7 Any remaining friable ACBM or friable suspect ACBM HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Amosite 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: LOW Basement, Boiler Room 4 LF LF COMMENTS: Inspector's Signature: 8/26/216

125 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/216 H Pre-formed Pipe Insulation Basement, Boiler Room 4 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: 8/3/216

126 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION I Paperwrap Pipe Insulation (Cardboard) HISTORICAL AHERA DAMAGE CATEGORY 7 ACBM with potential for significant damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Basement, Boiler Room, Throughout Building above ceilings 3 LF LF COMMENTS: Inspector's Signature: 8/26/216

127 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/216 I Paperwrap Pipe Insulation (Cardboard) Basement, Boiler Room, Throughout Building above ceilings 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: Comments: Management Planner's Signature: 8/3/216

128 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION J Fittings on Paperwrap Pipe Insulation (Cardboard) HISTORICAL AHERA DAMAGE CATEGORY 7 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Basement, Boiler Room, Throughout Building Above Ceilings 3 LF LF COMMENTS: Inspector's Signature: 8/26/216

129 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/216 J Fittings on Paperwrap Pipe Insulation (Cardboard) Basement, Boiler Room, Throughout Building Above Ceilings 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: Comments: Management Planner's Signature: 8/3/216

130 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION K Fittings on Fiberglass Pipe Insulation HISTORICAL AHERA DAMAGE CATEGORY 7 Any remaining friable ACBM or friable suspect ACBM HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Above Hallway Ceiling, Boiler Room, Basement 35 LF LF COMMENTS: Inspector's Signature: 8/26/216

131 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/216 K Fittings on Fiberglass Pipe Insulation Above Hallway Ceiling, Boiler Room, Basement 35 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: 8/3/216

132 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION L Fittings on Aircell Pipe Insulation HISTORICAL AHERA DAMAGE CATEGORY 7 Any remaining friable ACBM or friable suspect ACBM HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Basement, Boiler Room, Throughout Building above ceiling 2 LF LF COMMENTS: Inspector's Signature: 8/26/216

133 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/216 L Fittings on Aircell Pipe Insulation Basement, Boiler Room, Throughout Building above ceiling 2 LF LF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 8/3/216

134 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION M Fittings on Pre-formed Pipe Insulation HISTORICAL AHERA DAMAGE CATEGORY 7 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Basement, Boiler Room 6 LF LF COMMENTS: Inspector's Signature: 8/26/216

135 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/216 M Fittings on Pre-formed Pipe Insulation Basement, Boiler Room 6 LF LF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 8/3/216

136 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION N Boiler Breeching Insulation HISTORICAL AHERA DAMAGE CATEGORY 7 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Boiler Room 16 COMMENTS: Inspector's Signature: 8/26/216

137 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/216 N Boiler Breeching Insulation Boiler Room 16 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: 8/3/216

138 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 8/26/216 INFORMATION FROM PREVIOUS INSPECTION O HVAC Vibration Collars (Vibration Joints) HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No 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: LOW Basement 65 LF LF COMMENTS: Inspector's Signature: 8/26/216

139 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 8/3/216 O HVAC Vibration Collars (Vibration Joints) Basement 65 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: 8/3/216

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141 APPENDIX B Inspector and Management Planner Licenses

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