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

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 Carver Military Academy 131 S. Doty Chicago, IL, 6627 DATE LAST THREE YEAR REINSPECTION WAS COMPLETED 5/7/213 If the address on this form is different than the address of the building, submit a written explanation. SECTION II (Please type or print) PLEASE COMPLETE THE FOLING FOR YOUR THREE YEAR REINSPECTION: DATE REINSPECTION COMPLETED: 6/16/216 ENROLLMENT 493 IDPH INSPECTOR LICENSE NUMBER: IDPH LICENSED INSPECTOR NAME (Please Print): Wayne Gardner IDPH MP LICENSE NUMBER: IDPH LICENSED MANAGEMENT PLANNER NAME (Please Print): Guillermo Garcia DESIGNATED PERSON (Please Print): Robert Christlieb PHONE: (773) /16/216 Signature of Designated Person Date SECTION III PLEASE COMPLETE THE FOLING INFORMATION FOR ANY CHANGES WITHIN THE SCHOOL DISTRICT. School building has been sold. Date of Sale: School has been closed. Date closed: School building has been demolished. School building is asbestos free since last reinspection: Please explain in writing why the school building is now asbestos free and include the supporting documentation. If a new school building has been added to the district, submit either and exclusionary statement or a management plan and inspection report. Include the complete name, address and city of school building. Explain in writing if the address of the building is different than the address on this form: IL Revised 1.3

2 THREE YEAR REINSPECTION CHICAGO SCHOOL DIST 299 Carver Military Academy 131 S. Doty Chicago, IL, 6627 Unit: Building ID: 185 IDPH ID Number: REPORT DATE: Thursday, June 16, 216 Prepared for: 125 S. Clark Street Chicago, IL 663 Prepared by: 855 W. Adams St., Ste. 2 Phone (312) Fax (312) DO NOT REMOVE FROM SCHOOL REQUIRED BY FEDERAL LAW

3 April 5, 216 Mr. R. Kent Cook Asbestos Program Illinois Department of Public Health 525 West Jefferson Street Springfield, Illinois Re: Three-Year Reinspections Dear Mr. Cook:, Managing Environmental Consultant (MEC), conducted the Three-Year Reinspections and performed management plan updates for the (CPS) facilities in Region 1,2,6 Elementary Schools. Please update your records with the following information. School District: 299 Unit: School: Carver Military Academy Region: 6 IDPH ID: Building ID: 185 Address: 131 S. Doty Chicago, IL, 6627 Building Contact: Brown, David Contact Phone: Current Building Owners: Review 5/16/216 Inspector: Wayne Gardner Management Planner: Guillermo Garcia Inspector IDPH License: Management Planner IDPH License: If you have any questions or comments, please contact us at (312) Sincerely, Guillermo Garcia

4 Environmental tification to Occupants To: Faculty, Staff and Parents From: April 5, 216 RE: Carver Military Academy, Unit 131 S. Doty Chicago, IL, 6627 Dear Faculty, Staff and Parents, This letter is to notify you that the 216 asbestos three year re-inspection has been completed at Carver Military Academy, 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 Carver Military Academy, 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: 2. Carver Military Academy 131 S. Doty Brown, David Unit: Chicago, IL, 6627 Building ID: 185 Phone: Description of Facility Original Construction: 1955 Total Square Footage: Current Occupancy: Additional Construction: of Floors: 3 LEA Designated Person Contact: Robert Christlieb Address: 125 South Clark Street, 17th Floor Chicago, IL Fax: (312) Inspector Inspector Name: Wayne Gardner Signature: 4/5/216 Inspector IDPH license # Phone: (773) Managing Environmental Consultant MEC: Contact: Arturo Saenz Address 855 W. Adams St., Ste. 2 Phone: (312) Region: 6 Management Planner Management Planner Name: Guillermo Garcia Management Planner IDPH license # Review 5/16/ LEA Designated Person's Acknowledgement Signature: 5/16/216 The reinspection report and recommendations have been received by me and appropriate action will be taken by the School District. Signature: 6/16/216 Name: Robert Christlieb Unit : Carver Military Academy Building: 185

7 II. EXECUTIVE SUMMARY was retained by the (CPS) to perform a threeyear asbestos reinspection of the Carver Military Academy. This inspection was conducted in accordance with the United States Environmental Protection Agency (USEPA) Asbestos Hazard Emergency Response Act (AHERA) part (b), and the ongoing Operations and Maintenance Program (O&M) originally designed in the School's Asbestos Management Plan. The purpose of this three-year reinspection is to record any condition changes in the asbestos-containing building material (ACBM) in the school since the previous three-year reinspection and the six-month periodic surveillance, to identify, assess, and include any Homogeneous Areas (HA) not identified in the Management Plan, and to recommend an appropriate response action to manage asbestos. The inspector conducted a three-year reinspection of this facility under Illinois Department of Public Health (IDPH) school reinspection requirements and AHERA, sections and The main building and each addition to the main building, if constructed at different dates, were inspected separately. Laboratory accreditations are included in Appendix C, laboratory results are included in Appendix D, and chain of custody forms are included in Appendix E. te: During previous inspections, some of the HA(s) were identified together as 9" x 9" floor tile (FT), mastics assoc. with 9" x 9" FT, 12" x 12" FT, mastics assoc. with 12" x 12" FT, pipe insulation, etc. Some of these HA(s) have been re-identified by areas that are uniform in color, texture, construction date, application date, and general appearance. The inspector has determined the following: A. The following HAs have changed assessment categories for Building 185: 15 Unit: 12x12 Acoustical Ceiling Tile Carver Military Academy Building: 185

8 B. The following new homogenous areas have been identified for Building 185: Unit: Carver Military Academy Building: 185

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: 13D M M 14 14M 15 15M 16 16M Green Carpet Mastic Spray on Insulation 12x12 Acoustical Ceiling Tile 12" x 12" Brown with Tan/White Streaks Floor Tile & Adhesive 12" x 12" White w/ White & Pink Speckles Floor Tile and Adhesive Insulation on Boiler Exhaust Pipes Insulation on Hot Water Tank MJP E/F/V on Fiberglass Pipe Insulation Tan and Brown Streaked Linoleum & Adhesive 1 x 1 Ceiling Tile Splined Beige Terrazzo Drywall Adhesive for Brown with White Streaks Stair Treads White Woven Insulation on Electrical Copper Wires 12"x12" Floor Tile Adhesive for 12"x12" Floor Tile 12 x 12 VFT Gray w/ Mixed Blue Specs 12 x 12 VFT Gray w/ Mixed Blue Specs Mastic 12 x 12 VFT Green 12 x 12 VFT Green Mastic 12 x 12 Black VFT w/ white 12 x 12 Black VFT w/ White Specs Mastic The following areas were deemed to be inaccessible: 6A 6B 6C 6D 6E 13D M 12M 12x12 Dark Brown Floor Tile Mastic 12x12 Tan FloorTile Mastic 12x12 Olive Green Floor Tile Mastic 12x12 Gray Floor Tile Mastic 12x12 Off White Floor Tile Mastic Green Carpet Mastic Spray on Insulation 12x12 Acoustical Ceiling Tile Adhesive for Brown with White Streaks Stair Treads Adhesive for 12"x12" Floor Tile Materials were also listed as "assumed" if they were in good condition and sampling was not Unit: Carver Military Academy Building: 185

10 conducted to avoid damage. This reinspection was conducted by Wayne Gardner, IDPH License # The Management Plan was updated by Guillermo Garcia, IDPH License # Inspector and Management Planner Licenses are included in Appendix B. Unit: Carver Military Academy Building: 185

11 III. METHODOLOGY Tasks performed on-site included the following: IV. 1. Review current management plan, identify HA(s) and extract appropriate information. 2. Examine and verify abatement records. 3. Touch and visually and physically reinspect and reassess the condition of all friable known or assumed ACBM. 4. Touch and visually and physically reinspect all non-friable known or assumed ACBM to determine whether these materials have become friable since the last inspection or periodic surveillance. 5. Identify any condition changes that may affect Hazard Ranking of known ACBM or Assumed ACBM, as well as any HA(s) that have become friable since the last reinspection. 6. Collect bulk samples from each newly discovered friable HA or previously assumed and submit for laboratory analysis. 7. Tabulate reinspection findings and submit for management planner review and recommendations with appropriate response actions based on the AHERA Damage Category of the ACBM. 8. Submit reinspection findings and management planner recommendations to the LEA within thirty (3) days for inclusion into the management plan. ABATEMENT HISTORY The information collected from the existing management plan and inspection report(s) and from interviews with the school official revealed that the following asbestos abatement was conducted at the school since the previous Three year Reinspection. Abatement Dates: V. REASSESSMENTS AND RECOMMENDATIONS The reassessments and recommendations are summarized in Tables I and II on the following pages. Detailed Hazard Assessment Sheets and Drawings and Photos (if applicable) are included in Appendix A. VI. CONCLUSIONS The Carver Military Academy Building 185 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: Carver Military Academy Building: 185

12 Table I Inspector's Reinspection Findings

13 School Carver Military Academy Unit Building ID 185 Address 131 S. Doty Region 6 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Inspector's Reinspection Findings Table 1 Managing Environmental Consultant (MEC) 855 W. Adams St., Ste. 2 Phone: (312) Fax: (312) Inspector's Comments are Summarized at the End of the Report HA Material Description 3A 12x12 Dark Brown Floor Tile 3B 12x12 Tan Floor Tile 3C 12x12 Olive Green Floor Tile 3D 3E 6A 12x12 Gray Floor Tile Mastic 12x12 Off White Floor Tile 12x12 Dark Brown Floor Tile Mastic 14,43 6B 12x12 Tan FloorTile Mastic 1,77 6C 12x12 Olive Green Floor Tile Mastic 5, 6D 12x12 Gray Floor Tile Mastic 7 6E 12x12 Off White Floor Tile Mastic 8 13A Brown Carpet Mastic 13B Blue Carpet Mastic 13C 13D Wine Carpet Mastic Green Carpet Mastic 13H 9x9 Beige w/ Multi-Colored Streaks Floor Tile - NOT OBSERVED Material Quantity 14,43 5, Material Units Material Location Asbestos Type Material Category Friable Damage Type CHR N NONE NO_ACBM CHR N NO_ACBM NO_ACBM CHR CHR Lunchroom, Gym Office, Attendance Room, Auditorium Basement Hallway Attendance Room, Locker Rooms, Health Room, Drivers Ed Room Gym Balcony, Stairs, Elevators Basement Corridors Room 19 Lunchroom, Gym Office, Attendance Room, Auditorium Basement Hallway 139, Attendance Room, Locker Rooms, Gym Stairs, Balcony to Gym, Health Room, Drivers Ed Rm Gym Balcony, Stairs, Elevators Lobbies Basement Corridors Room 19 Hallway in Front of Office, Room 228, Auditorium and Band Room Throughout Classrooms, Main Office, Rooms 214, 216, 138, 26, 28 and 21 Library Teachers Lunch Room and Center Media Room 1st Floor Women's Washroom and 1,7 26 Damage Quantity Damage Units Damage Category Change in Assessment Category Damage Reason Disturbance Potential ACBM with the potential for damage NONE ACBM with the potential for damage N NONE ACBM with the potential for damage N NONE ACBM with the potential for damage CHR N NONE ACBM with the potential for damage CHR N NONE N NONE ACBM with the potential for damage ACBM with the potential for damage CHR NO_ACBM NO_ACBM NO_ACBM ASSUMED N NONE ACBM with the potential for damage CHR N NONE ACBM with the potential for damage

14 School Carver Military Academy Unit Building ID 185 Address 131 S. Doty Region 6 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Inspector's Reinspection Findings Table 1 Managing Environmental Consultant (MEC) 855 W. Adams St., Ste. 2 Phone: (312) Fax: (312) Inspector's Comments are Summarized at the End of the Report HA Material Description 14 Spray on Insulation 15 12x12 Acoustical Ceiling Tile 2 12" x 12" Brown with Tan/White Streaks Floor Tile & Adhesive " x 12" White w/ White & Pink Speckles Floor Tile and Adhesive Insulation on Boiler Exhaust Pipes 23 Material Quantity Material Units 8 5,5 6, 1, 1 LF Insulation on Hot Water Tank 2 24 MJP E/F/V on Fiberglass Pipe Insulation 2 LF Tan and Brown Streaked Linoleum & Adhesive 1 x 1 Ceiling Tile Splined 27 Beige Terrazzo 28 Drywall 1M Adhesive for Brown with White Streaks Stair Treads White Woven Insulation on Electrical Copper Wires Material Location Corridor (West End) Entrance to Auditorium throughout Basement, 1st ffoor Band Rooms Basement Hallway, 1st and 2nd Floor Hallways, Drill Hall, 1st Floor Meeting Room, Rooms 26, 28, 216, 218, 228, 19, 136, 138, main office 136 Asbestos Type Material Category Friable Damage Type ASSUMED SURFACE Y NONE ASSUMED Y NONE ASSUMED N Damage Quantity Damage Units Change in Assessment Category Damage Category Yes ACBM with the potential for damage ACBM with the potential for damage NONE ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage Low 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 Damaged friable ASSUMED N NONE Boiler Room and Pool Mechanical Room Pool Mechanical Room Boiler Room, Loading Dock/Garage, Pool Mechanical Room 134 ASSUMED TSI Y NONE ASSUMED TSI Y NONE ASSUMED TSI Y NONE ASSUMED N NONE ASSUMED Y NONE ASSUMED N NONE 5 5, 1, 1, Basement Hallway and Auditorium 2nd Floor Landings, Rooms 1-1, and Stairs Throughout School ASSUMED Y NONE 1,2 Throughout ASSUMED N NONE 1 LF ASSUMED Y NONE 12 12"x12" Floor Tile 5 Auditorium StageLights- in Place or Dismantled Attendance Office ASSUMED N NONE 12M Adhesive for 12"x12" Floor Tile 5 Attendance Office ASSUMED N NONE 13 Fireproof Insulation 1, Ceiling of the CHR SURFACE Y DIST 3 11 Damage Reason Disturbance Potential 5

15 School Carver Military Academy Unit Building ID 185 Address 131 S. Doty Region 6 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Inspector's Reinspection Findings Table 1 Managing Environmental Consultant (MEC) 855 W. Adams St., Ste. 2 Phone: (312) Fax: (312) Inspector's Comments are Summarized at the End of the Report HA Material Description x 12 VFT Gray w/ Mixed Blue Specs 1,2 14M 1, x 12 VFT Gray w/ Mixed Blue Specs Mastic 12 x 12 VFT Green 4,5 15M 12 x 12 VFT Green Mastic 4, x 12 Black VFT w/ white 1,2 Auditorium Boys Locker Room, Girls Locker Room Boys Locker Room, Girls Locker Room Activity Room, 2nd Floor West Gym Corridor Activity Room, 2nd Floor West Gym Corridor Lunchroom 16M 12 x 12 Black VFT w/ White Specs Mastic 1,2 Lunchroom Material Quantity Material Units Material Location Asbestos Type Material Category Friable Damage Type Damage Quantity Damage Units Change in Assessment Category ASSUMED N NONE ASSUMED N NONE ASSUMED N NONE ASSUMED N NONE ACBM with the potential for damage ASSUMED N NONE N NONE ACBM with the potential for damage ACBM with the potential for damage ASSUMED Damage Category surfacing ACBM ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage Damage Reason Disturbance Potential

16 School Carver Military Academy Unit Building ID 185 Address 131 S. Doty Region 6 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Inspector's Reinspection Findings Table 1 Managing Environmental Consultant (MEC) 855 W. Adams St., Ste. 2 Phone: (312) Fax: (312) Inspector's Comments are Summarized at the End of the Report Reinspection Date 4/5/216 Inspector Name Inspector's Comments Wayne Gardner /13/217 Inspector's IDPH License Number / Expiration Date HA Number: 3A 3B 3C 3D 3E 6A 6B 6C 6D 6E 13A 13B 13C 13D 13H Inspector Comments:

17 School Carver Military Academy Unit Building ID 185 Address 131 S. Doty Region 6 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Inspector's Reinspection Findings Table 1 Managing Environmental Consultant (MEC) 855 W. Adams St., Ste. 2 Phone: (312) Fax: (312) Inspector's Comments are Summarized at the End of the Report HA Number: M M M 15 15M 16 16M Inspector Comments:

18 Table II Management Planner's Review

19 School Address Carver Military Academy Unit 131 S. Doty Building ID Chicago, IL, Region 6 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Management Planner's Review Table II Managing Environmental Consultant (MEC) 855 W. Adams St., Ste. 2 Phone: (312) Fax: (312) Management Planner's Comments Summarized at the End of the Report HA Num Material Description Material Quantity Material Units Material Location Asbestos Type Material Category Friable Damage Quantity Damage Units Damage Category Response 3A 12x12 Dark Brown Floor Tile 14,43 Chrysotile 3B 12x12 Tan Floor Tile ACBM 3C 3D 3E 6A 12x12 Olive Green Floor Tile 12x12 Gray Floor Tile Mastic 12x12 Off White Floor Tile 12x12 Dark Brown Floor Tile Mastic 5, Chrysotile ACBM ACBM Chrysotile 14,43 6B 12x12 Tan FloorTile Mastic 1,77 Chrysotile 6C 6D 6E 13A 12x12 Olive Green Floor Tile Mastic 12x12 Gray Floor Tile Mastic 12x12 Off White Floor Tile Mastic Brown Carpet Mastic 5, 7 8 Chrysotile Chrysotile Chrysotile ACBM 13B Blue Carpet Mastic ACBM 13C 13D Wine Carpet Mastic Green Carpet Mastic ACBM Assumed 13H Lunchroom, Gym Office, Attendance Room, Auditorium Basement Hallway Attendance Room, Locker Rooms, Health Room, Drivers Ed Room Gym Balcony, Stairs, Elevators Basement Corridors Room 19 Lunchroom, Gym Office, Attendance Room, Auditorium Basement Hallway 139, Attendance Room, Locker Rooms, Gym Stairs, Balcony to Gym, Health Room, Drivers Ed Rm Gym Balcony, Stairs, Elevators Lobbies Basement Corridors Room 19 Hallway in Front of Office, Room 228, Auditorium and Band Room Throughout Classrooms, Main Office, Rooms 214, 216, 138, 26, 28 and 21 Library Teachers Lunch Room and Center Media Room 1st Floor Women's Washroom and Corridor (West End) Entrance to Auditorium throughout Basement, 1st ffoor Band Rooms Basement Hallway, 1st and 2nd Floor Hallways, Drill Hall, 1st Floor Meeting Room, Rooms 26, 28, 216, 218, 228, 19, 136, 138, main office 136 Chrysotile Assumed Assumed SURFACE Yes Yes Assumed Assumed Boiler Room and Pool Mechanical Room Assumed TSI Yes LF 1,7 9x9 Beige w/ Multi-Colored Streaks Floor Tile NOT OBSERVED Spray on Insulation 12x12 Acoustical Ceiling Tile ,5 2 12" x 12" Brown with Tan/White Streaks Floor Tile & Adhesive 6, 21 12" x 12" White w/ White & Pink Speckles Floor Tile and Adhesive Insulation on Boiler Exhaust Pipes 1, 1 LF

20 School Address Carver Military Academy Unit 131 S. Doty Building ID Chicago, IL, Region 6 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Management Planner's Review Table II Managing Environmental Consultant (MEC) 855 W. Adams St., Ste. 2 Phone: (312) Fax: (312) Management Planner's Comments Summarized at the End of the Report HA Num Material Description Material Quantity Material Units Material Location Asbestos Type Material Category Friable Damage Quantity Damage Units Damage Category Response Insulation on Hot Water Tank MJP E/F/V on Fiberglass Pipe Insulation 2 2 LF Assumed Assumed TSI TSI Yes Yes LF Tan and Brown Streaked Linoleum & Adhesive 1 x 1 Ceiling Tile Splined Beige Terrazzo 5 5, 1, Assumed Assumed Assumed Yes 28 1M 1, 1,2 Assumed Assumed Yes 11 Drywall Adhesive for Brown with White Streaks Stair Treads White Woven Insulation on Electrical Copper Wires Pool Mechanical Room Boiler Room, Loading Dock/Garage, Pool Mechanical Room 134 Basement Hallway and Auditorium 2nd Floor Landings, Rooms 1-1, and Stairs Throughout School Throughout 1 LF Assumed Yes LF 12 12M M 15 12"x12" Floor Tile Adhesive for 12"x12" Floor Tile Fireproof Insulation 12 x 12 VFT Gray w/ Mixed Blue Specs 12 x 12 VFT Gray w/ Mixed Blue Specs Mastic 12 x 12 VFT Green 5 5 1, 1,2 1,2 4,5 Assumed Assumed Chrysotile Assumed Assumed Assumed SURFACE Yes 3 2 Damaged friable surfacing ACBM Remove 15M 12 x 12 VFT Green Mastic 4,5 Assumed 16 16M 12 x 12 Black VFT w/ white 12 x 12 Black VFT w/ White Specs Mastic 1,2 1,2 Auditorium StageLights- in Place or Dismantled Attendance Office Attendance Office Ceiling of the Auditorium Boys Locker Room, Girls Locker Room Boys Locker Room, Girls Locker Room Activity Room, 2nd Floor West Gym Corridor Activity Room, 2nd Floor West Gym Corridor Lunchroom Lunchroom Assumed Assumed

21 School Address Carver Military Academy 131 S. Doty Unit Building ID Chicago, IL, 6627 Region ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Management Planner's Review Table II Managing Environmental Consultant (MEC) 855 W. Adams St., Ste. 2 Phone: (312) Fax: (312) Management Planner's Comments Summarized at the End of the Report 5/16/216 Review Date Manager Planner Name Guillermo Garcia /21/217 Manager IDPH License /Expiration HA Number 3A 3B 3C 3D 3E 6A 6B 6C 6D 6E 13A 13B 13C 13D 13H 14 Management Comments

22 School Address Carver Military Academy 131 S. Doty Unit Building ID Chicago, IL, 6627 Region ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Management Planner's Review Table II Managing Environmental Consultant (MEC) 855 W. Adams St., Ste. 2 Phone: (312) Fax: (312) Management Planner's Comments Summarized at the End of the Report HA Number M M M 15 15M 16 16M Management Comments

23 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 185 AHERA INSPECTOR: Wayne Gardner Carver Military Academy INSPECTION DATE: 4/5/ S. Doty INFORMATION FROM PREVIOUS INSPECTION 3A 12x12 Dark Brown 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 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Lunchroom, Gym Office, Attendance Room, Auditorium Basement Hallway 1443 COMMENTS: Inspector's Signature: 4/5/216

24 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia Carver Military Academy REVIEW DATE: 5/16/ S. Doty A 12x12 Dark Brown Floor Tile Lunchroom, Gym Office, Attendance Room, Auditorium Basement Hallway 1443 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: 5/16/216

25 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Wayne Gardner Carver Military Academy INSPECTION DATE: 4/5/ S. Doty INFORMATION FROM PREVIOUS INSPECTION 3B 12x12 Tan Floor Tile HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: 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: Attendance Room, Locker Rooms, Health Room, Drivers Ed Room COMMENTS: Inspector's Signature: 4/5/216

26 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia Carver Military Academy REVIEW DATE: 5/16/ S. Doty B 12x12 Tan Floor Tile Attendance Room, Locker Rooms, Health Room, Drivers Ed Room In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 5/16/216

27 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 185 AHERA INSPECTOR: Wayne Gardner Carver Military Academy INSPECTION DATE: 4/5/ S. Doty INFORMATION FROM PREVIOUS INSPECTION 3C 12x12 Olive Green 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 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Gym Balcony, Stairs, Elevators 5 COMMENTS: Inspector's Signature: 4/5/216

28 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia Carver Military Academy REVIEW DATE: 5/16/ S. Doty C 12x12 Olive Green Floor Tile Gym Balcony, Stairs, Elevators 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: 5/16/216

29 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Wayne Gardner Carver Military Academy INSPECTION DATE: 4/5/ S. Doty INFORMATION FROM PREVIOUS INSPECTION 3D 12x12 Gray Floor Tile Mastic HISTORICAL AHERA DAMAGE CATEGORY ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: 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 Corridors COMMENTS: Inspector's Signature: 4/5/216

30 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia Carver Military Academy REVIEW DATE: 5/16/ S. Doty D 12x12 Gray Floor Tile Mastic Basement Corridors 185 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: 5/16/216

31 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Wayne Gardner Carver Military Academy INSPECTION DATE: 4/5/ S. Doty INFORMATION FROM PREVIOUS INSPECTION 3E 12x12 Off White Floor Tile HISTORICAL AHERA DAMAGE CATEGORY ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: 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: Room 19 COMMENTS: Inspector's Signature: 4/5/216

32 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia Carver Military Academy REVIEW DATE: 5/16/ S. Doty E 12x12 Off White Floor Tile Room In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 5/16/216

33 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 185 AHERA INSPECTOR: Wayne Gardner Carver Military Academy INSPECTION DATE: 4/5/ S. Doty INFORMATION FROM PREVIOUS INSPECTION 6A 12x12 Dark Brown Floor Tile Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Lunchroom, Gym Office, Attendance Room, Auditorium Basement Hallway 1443 COMMENTS: Inspector's Signature: 4/5/216

34 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia Carver Military Academy REVIEW DATE: 5/16/ S. Doty A 12x12 Dark Brown Floor Tile Mastic Lunchroom, Gym Office, Attendance Room, Auditorium Basement Hallway 1443 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: 5/16/216

35 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 185 AHERA INSPECTOR: Wayne Gardner Carver Military Academy INSPECTION DATE: 4/5/ S. Doty INFORMATION FROM PREVIOUS INSPECTION 6B 12x12 Tan FloorTile Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: 139, Attendance Room, Locker Rooms, Gym Stairs, Balcony to Gym, Health Room, Drivers Ed Rm 177 COMMENTS: Inspector's Signature: 4/5/216

36 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia Carver Military Academy REVIEW DATE: 5/16/ S. Doty B 12x12 Tan FloorTile Mastic 139, Attendance Room, Locker Rooms, Gym Stairs, Balcony to Gym, Health Room, Drivers Ed Rm 177 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: 5/16/216

37 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 185 AHERA INSPECTOR: Wayne Gardner Carver Military Academy INSPECTION DATE: 4/5/ S. Doty INFORMATION FROM PREVIOUS INSPECTION 6C 12x12 Olive Green Floor Tile Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Gym Balcony, Stairs, Elevators Lobbies 5 COMMENTS: Inspector's Signature: 4/5/216

38 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia Carver Military Academy REVIEW DATE: 5/16/ S. Doty C 12x12 Olive Green Floor Tile Mastic Gym Balcony, Stairs, Elevators Lobbies 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: 5/16/216

39 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 185 AHERA INSPECTOR: Wayne Gardner Carver Military Academy INSPECTION DATE: 4/5/ S. Doty INFORMATION FROM PREVIOUS INSPECTION 6D 12x12 Gray Floor Tile Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Basement Corridors 7 COMMENTS: Inspector's Signature: 4/5/216

40 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia Carver Military Academy REVIEW DATE: 5/16/ S. Doty D 12x12 Gray Floor Tile Mastic Basement Corridors 7 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: 5/16/216

41 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 185 AHERA INSPECTOR: Wayne Gardner Carver Military Academy INSPECTION DATE: 4/5/ S. Doty INFORMATION FROM PREVIOUS INSPECTION 6E 12x12 Off White Floor Tile Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Room 19 8 COMMENTS: Inspector's Signature: 4/5/216

42 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia Carver Military Academy REVIEW DATE: 5/16/ S. Doty E 12x12 Off White Floor Tile Mastic Room 19 8 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 5/16/216

43 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Wayne Gardner Carver Military Academy INSPECTION DATE: 4/5/ S. Doty INFORMATION FROM PREVIOUS INSPECTION 13A Brown Carpet Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: 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: Hallway in Front of Office, Room 228, Auditorium and Band Room COMMENTS: Inspector's Signature: 4/5/216

44 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia Carver Military Academy REVIEW DATE: 5/16/ S. Doty A Brown Carpet Mastic Hallway in Front of Office, Room 228, Auditorium and Band Room In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 5/16/216

45 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Wayne Gardner Carver Military Academy INSPECTION DATE: 4/5/ S. Doty INFORMATION FROM PREVIOUS INSPECTION 13B Blue Carpet Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: 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, Main Office, Rooms 214, 216, 138, 26, 28 and 21 COMMENTS: Inspector's Signature: 4/5/216

46 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia Carver Military Academy REVIEW DATE: 5/16/ S. Doty B Blue Carpet Mastic Throughout Classrooms, Main Office, Rooms 214, 216, 138, 26, 28 and 21 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: 5/16/216

47 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Wayne Gardner Carver Military Academy INSPECTION DATE: 4/5/ S. Doty INFORMATION FROM PREVIOUS INSPECTION 13C Wine Carpet Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: 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: Library COMMENTS: Inspector's Signature: 4/5/216

48 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia Carver Military Academy REVIEW DATE: 5/16/ S. Doty C Wine Carpet Mastic Library 185 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: 5/16/216

49 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 185 AHERA INSPECTOR: Wayne Gardner Carver Military Academy INSPECTION DATE: 4/5/ S. Doty INFORMATION FROM PREVIOUS INSPECTION 13D Green Carpet Mastic 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 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Teachers Lunch Room and Center Media Room 17 COMMENTS: Inspector's Signature: 4/5/216

50 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia Carver Military Academy REVIEW DATE: 5/16/ S. Doty D Green Carpet Mastic Teachers Lunch Room and Center Media Room 17 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: 5/16/216

51 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 185 AHERA INSPECTOR: Wayne Gardner Carver Military Academy INSPECTION DATE: 4/5/ S. Doty INFORMATION FROM PREVIOUS INSPECTION 13H 9x9 Beige w/ Multi-Colored Streaks Floor Tile - NOT OBSERVED HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: 1st Floor Women's Washroom and Corridor (West End) 26 COMMENTS: Inspector's Signature: 4/5/216

52 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia Carver Military Academy REVIEW DATE: 5/16/ S. Doty H 9x9 Beige w/ Multi-Colored Streaks Floor Tile - NOT OBSERVED 1st Floor Women's Washroom and Corridor (West End) 26 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: 5/16/216

53 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 185 AHERA INSPECTOR: Wayne Gardner Carver Military Academy INSPECTION DATE: 4/5/ S. Doty INFORMATION FROM PREVIOUS INSPECTION 14 Spray on Insulation HISTORICAL AHERA DAMAGE CATEGORY 6 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 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Entrance to Auditorium 8 COMMENTS: Inspector's Signature: 4/5/216

54 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia Carver Military Academy REVIEW DATE: 5/16/ S. Doty Spray on Insulation Entrance to Auditorium 8 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 5/16/216

55 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 185 AHERA INSPECTOR: Wayne Gardner Carver Military Academy INSPECTION DATE: 4/5/ S. Doty INFORMATION FROM PREVIOUS INSPECTION 15 12x12 Acoustical Ceiling Tile HISTORICAL AHERA DAMAGE CATEGORY 6 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 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: throughout Basement, 1st ffoor Band Rooms 55 COMMENTS: Inspector's Signature: 4/5/216

56 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia Carver Military Academy REVIEW DATE: 5/16/ S. Doty x12 Acoustical Ceiling Tile throughout Basement, 1st ffoor Band Rooms 55 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: 5/16/216

57 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 185 AHERA INSPECTOR: Wayne Gardner Carver Military Academy INSPECTION DATE: 4/5/ S. Doty INFORMATION FROM PREVIOUS INSPECTION 2 12" x 12" Brown with Tan/White Streaks Floor Tile & Adhesive 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 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Basement Hallway, 1st and 2nd Floor Hallways, Drill Hall, 1st Floor Meeting Room, Rooms 26, 28, 216, 218, 228, 19, 136, 138, main office 6 COMMENTS: Inspector's Signature: 4/5/216

58 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia Carver Military Academy REVIEW DATE: 5/16/ S. Doty " x 12" Brown with Tan/White Streaks Floor Tile & Adhesive Basement Hallway, 1st and 2nd Floor Hallways, Drill Hall, 1st Floor Meeting Room, Rooms 26, 28, 216, 218, 228, 19, 136, 138, main office 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: 5/16/216

59 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 185 AHERA INSPECTOR: Wayne Gardner Carver Military Academy INSPECTION DATE: 4/5/ S. Doty INFORMATION FROM PREVIOUS INSPECTION 21 12" x 12" White w/ White & Pink Speckles Floor Tile and Adhesive 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 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: COMMENTS: Inspector's Signature: 4/5/216

60 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia Carver Military Academy REVIEW DATE: 5/16/ S. Doty " x 12" White w/ White & Pink Speckles Floor Tile and Adhesive 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: 5/16/216

61 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 185 AHERA INSPECTOR: Wayne Gardner Carver Military Academy INSPECTION DATE: 4/5/ S. Doty INFORMATION FROM PREVIOUS INSPECTION 22 Insulation on Boiler Exhaust Pipes HISTORICAL AHERA DAMAGE CATEGORY 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 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Boiler Room and Pool Mechanical Room 1 LF LF COMMENTS: Inspector's Signature: 4/5/216

62 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia Carver Military Academy REVIEW DATE: 5/16/ S. Doty Insulation on Boiler Exhaust Pipes Boiler Room and Pool Mechanical Room 1 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: 5/16/216

63 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 185 AHERA INSPECTOR: Wayne Gardner Carver Military Academy INSPECTION DATE: 4/5/ S. Doty INFORMATION FROM PREVIOUS INSPECTION 23 Insulation on Hot Water Tank HISTORICAL AHERA DAMAGE CATEGORY 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 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Pool Mechanical Room 2 COMMENTS: Inspector's Signature: 4/5/216

64 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia Carver Military Academy REVIEW DATE: 5/16/ S. Doty Insulation on Hot Water Tank Pool Mechanical Room 2 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 5/16/216

65 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 185 AHERA INSPECTOR: Wayne Gardner Carver Military Academy INSPECTION DATE: 4/5/ S. Doty INFORMATION FROM PREVIOUS INSPECTION 24 MJP E/F/V on Fiberglass Pipe Insulation HISTORICAL AHERA DAMAGE CATEGORY 6 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 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Boiler Room, Loading Dock/Garage, Pool Mechanical Room 2 LF LF COMMENTS: Inspector's Signature: 4/5/216

66 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia Carver Military Academy REVIEW DATE: 5/16/ S. Doty MJP E/F/V on Fiberglass Pipe Insulation Boiler Room, Loading Dock/Garage, Pool Mechanical Room 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: 5/16/216

67 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 185 AHERA INSPECTOR: Wayne Gardner Carver Military Academy INSPECTION DATE: 4/5/ S. Doty INFORMATION FROM PREVIOUS INSPECTION 25 Tan and Brown Streaked Linoleum & Adhesive 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 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Low COMMENTS: Inspector's Signature: 4/5/216

68 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia Carver Military Academy REVIEW DATE: 5/16/ S. Doty Tan and Brown Streaked Linoleum & Adhesive 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: 5/16/216

69 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 185 AHERA INSPECTOR: Wayne Gardner Carver Military Academy INSPECTION DATE: 4/5/ S. Doty INFORMATION FROM PREVIOUS INSPECTION 26 1 x 1 Ceiling Tile Splined HISTORICAL AHERA DAMAGE CATEGORY 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 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Basement Hallway and Auditorium 5 COMMENTS: Inspector's Signature: 4/5/216

70 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia Carver Military Academy REVIEW DATE: 5/16/ S. Doty x 1 Ceiling Tile Splined Basement Hallway and Auditorium 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: 5/16/216

71 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 185 AHERA INSPECTOR: Wayne Gardner Carver Military Academy INSPECTION DATE: 4/5/ S. Doty INFORMATION FROM PREVIOUS INSPECTION 27 Beige Terrazzo 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 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: 2nd Floor Landings, Rooms 1-1, and Stairs 1 COMMENTS: Inspector's Signature: 4/5/216

72 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia Carver Military Academy REVIEW DATE: 5/16/ S. Doty Beige Terrazzo 2nd Floor Landings, Rooms 1-1, and Stairs 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: 5/16/216

73 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 185 AHERA INSPECTOR: Wayne Gardner Carver Military Academy INSPECTION DATE: 4/5/ S. Doty INFORMATION FROM PREVIOUS INSPECTION 28 Drywall HISTORICAL AHERA DAMAGE CATEGORY 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 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Throughout School 1 COMMENTS: Inspector's Signature: 4/5/216

74 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia Carver Military Academy REVIEW DATE: 5/16/ S. Doty Drywall Throughout School 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: 5/16/216

75 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 185 AHERA INSPECTOR: Wayne Gardner Carver Military Academy INSPECTION DATE: 4/5/ S. Doty INFORMATION FROM PREVIOUS INSPECTION 1M Adhesive for Brown with White Streaks Stair Treads 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 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Throughout 12 COMMENTS: Inspector's Signature: 4/5/216

76 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia Carver Military Academy REVIEW DATE: 5/16/ S. Doty M Adhesive for Brown with White Streaks Stair Treads Throughout 12 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 5/16/216

77 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 185 AHERA INSPECTOR: Wayne Gardner Carver Military Academy INSPECTION DATE: 4/5/ S. Doty INFORMATION FROM PREVIOUS INSPECTION 11 White Woven Insulation on Electrical Copper Wires HISTORICAL AHERA DAMAGE CATEGORY 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 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Auditorium StageLights- in Place or Dismantled 1 LF LF COMMENTS: Inspector's Signature: 4/5/216

78 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia Carver Military Academy REVIEW DATE: 5/16/ S. Doty White Woven Insulation on Electrical Copper Wires Auditorium StageLights- in Place or Dismantled 1 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: 5/16/216

79 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 185 AHERA INSPECTOR: Wayne Gardner Carver Military Academy INSPECTION DATE: 4/5/ S. Doty INFORMATION FROM PREVIOUS INSPECTION 12 12"x12" 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 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Attendance Office 5 COMMENTS: Inspector's Signature: 4/5/216

80 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia Carver Military Academy REVIEW DATE: 5/16/ S. Doty "x12" Floor Tile Attendance Office 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: 5/16/216

81 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 185 AHERA INSPECTOR: Wayne Gardner Carver Military Academy INSPECTION DATE: 4/5/ S. Doty INFORMATION FROM PREVIOUS INSPECTION 12M Adhesive for 12"x12" 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 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Attendance Office 5 COMMENTS: Inspector's Signature: 4/5/216

82 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia Carver Military Academy REVIEW DATE: 5/16/ S. Doty M Adhesive for 12"x12" Floor Tile Attendance Office 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: 5/16/216

83 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 185 AHERA INSPECTOR: Wayne Gardner Carver Military Academy INSPECTION DATE: 4/5/ S. Doty INFORMATION FROM PREVIOUS INSPECTION 13 Fireproof Insulation HISTORICAL AHERA DAMAGE CATEGORY 2 Damaged friable surfacing ACBM HISTORICAL DAMAGE REASON: Physical Damage HISTORICAL RESPONSE ACTION: Repair ASBESTOS TYPE: Chrysotile FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 2. Damaged friable surfacing ACBM DAMAGE REASON: Physical Damage DISTURBANCE POTENTIAL: Ceiling of the Auditorium 1 COMMENTS: Inspector's Signature: 4/5/216

84 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia Carver Military Academy REVIEW DATE: 5/16/ S. Doty Fireproof Insulation Ceiling of the Auditorium 1 3 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Repair Comments: Management Planner's Signature: 5/16/216

85 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 185 AHERA INSPECTOR: Wayne Gardner Carver Military Academy INSPECTION DATE: 4/5/ S. Doty INFORMATION FROM PREVIOUS INSPECTION x 12 VFT Gray w/ Mixed Blue Specs 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 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Boys Locker Room, Girls Locker Room 12 COMMENTS: Inspector's Signature: 4/5/216

86 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia Carver Military Academy REVIEW DATE: 5/16/ S. Doty x 12 VFT Gray w/ Mixed Blue Specs Boys Locker Room, Girls Locker Room 12 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 5/16/216

87 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 185 AHERA INSPECTOR: Wayne Gardner Carver Military Academy INSPECTION DATE: 4/5/ S. Doty INFORMATION FROM PREVIOUS INSPECTION 14M 12 x 12 VFT Gray w/ Mixed Blue Specs Mastic 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 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Boys Locker Room, Girls Locker Room 12 COMMENTS: Inspector's Signature: 4/5/216

88 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia Carver Military Academy REVIEW DATE: 5/16/ S. Doty M 12 x 12 VFT Gray w/ Mixed Blue Specs Mastic Boys Locker Room, Girls Locker Room 12 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 5/16/216

89 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 185 AHERA INSPECTOR: Wayne Gardner Carver Military Academy INSPECTION DATE: 4/5/ S. Doty INFORMATION FROM PREVIOUS INSPECTION x 12 VFT Green 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 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Activity Room, 2nd Floor West Gym Corridor 45 COMMENTS: Inspector's Signature: 4/5/216

90 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia Carver Military Academy REVIEW DATE: 5/16/ S. Doty x 12 VFT Green Activity Room, 2nd Floor West Gym Corridor 45 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 5/16/216

91 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 185 AHERA INSPECTOR: Wayne Gardner Carver Military Academy INSPECTION DATE: 4/5/ S. Doty INFORMATION FROM PREVIOUS INSPECTION 15M 12 x 12 VFT Green Mastic 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 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Activity Room, 2nd Floor West Gym Corridor 45 COMMENTS: Inspector's Signature: 4/5/216

92 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia Carver Military Academy REVIEW DATE: 5/16/ S. Doty M 12 x 12 VFT Green Mastic Activity Room, 2nd Floor West Gym Corridor 45 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 5/16/216

93 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 185 AHERA INSPECTOR: Wayne Gardner Carver Military Academy INSPECTION DATE: 4/5/ S. Doty INFORMATION FROM PREVIOUS INSPECTION x 12 Black VFT w/ white 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 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Lunchroom 12 COMMENTS: Inspector's Signature: 4/5/216

94 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia Carver Military Academy REVIEW DATE: 5/16/ S. Doty x 12 Black VFT w/ white Lunchroom 12 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 5/16/216

95 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 185 AHERA INSPECTOR: Wayne Gardner Carver Military Academy INSPECTION DATE: 4/5/ S. Doty INFORMATION FROM PREVIOUS INSPECTION 16M 12 x 12 Black VFT w/ White Specs Mastic 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 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Lunchroom 12 COMMENTS: Inspector's Signature: 4/5/216

96 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Guillermo Garcia Carver Military Academy REVIEW DATE: 5/16/ S. Doty M 12 x 12 Black VFT w/ White Specs Mastic Lunchroom 12 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 5/16/216

97 216 AHERA REINSPECTION

98 APPENDIX B Inspector and Management Planner Licenses

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