Explain in writing if the address of the building is different than the address on this form:
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- Eunice Burns
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1 ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO SCHOOL DIST S. Charles Chicago, IL, 6643 DATE LAST THREE YEAR REINSPECTION WAS COMPLETED 3/18/213 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: 5/23/216 ENROLLMENT IDPH INSPECTOR LICENSE NUMBER: IDPH LICENSED INSPECTOR NAME (Please Print): Panfilo Carrazco IDPH MP LICENSE NUMBER: IDPH LICENSED MANAGEMENT PLANNER NAME (Please Print): Arturo Saenz DESIGNATED PERSON (Please Print): Robert Christlieb PHONE: 312 (773) /23/216 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 S. Charles Chicago, IL, 6643 Unit: Building ID: 215 IDPH ID Number: REPORT DATE: Monday, May 23, 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 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 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: Region: 6 IDPH ID: Building ID: 215 Address: 1354 S. Charles Chicago, IL, 6643 Building Contact: Jorgensen, Beverly Contact Phone: Current Building Owners: Review 5/21/216 Inspector: Panfilo Carrazco Management Planner: Arturo Saenz Inspector IDPH License: Management Planner IDPH License: If you have any questions or comments, please contact us at (312) Sincerely, Arturo Saenz 1-419
4 Environmental tification to Occupants To: Faculty, Staff and Parents From: April 26, 216 RE:, Unit 1354 S. Charles Chicago, IL, 6643 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: S. Charles Jorgensen, Beverly Unit: Chicago, IL, 6643 Building ID: 215 Phone: Description of Facility Original Construction: 1929 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 Phone: (773) Managing Environmental Consultant MEC: Contact: Arturo Saenz Address 855 W. Adams St., Ste. 2 Phone: (312) Fax: (312) Inspector Inspector Name: Panfilo Carrazco Signature: 4/26/216 Inspector IDPH license # Region: 6 Management Planner Management Planner Name: Arturo Saenz Management Planner IDPH license # Review 5/21/ LEA Designated Person's Acknowledgement Signature: 5/21/216 The reinspection report and recommendations have been received by me and appropriate action will be taken by the School District. Signature: 5/23/216 Name: Robert Christlieb Unit : Building: 215
7 II. EXECUTIVE SUMMARY was retained by the (CPS) to perform a threeyear asbestos reinspection of the. This inspection was conducted in accordance with the United States Environmental Protection Agency (USEPA) Asbestos Hazard Emergency Response Act (AHERA) part (b), and the ongoing Operations and Maintenance Program (O&M) originally designed in the School's Asbestos Management Plan. The purpose of this three-year reinspection is to record any condition changes in the asbestos-containing building material (ACBM) in the school since the previous three-year reinspection and the six-month periodic surveillance, to identify, assess, and include any Homogeneous Areas (HA) not identified in the Management Plan, and to recommend an appropriate response action to manage asbestos. The inspector conducted a three-year reinspection of this facility under Illinois Department of Public Health (IDPH) school reinspection requirements and AHERA, sections and The main building and each addition to the main building, if constructed at different dates, were inspected separately. Laboratory accreditations are included in Appendix C, laboratory results are included in Appendix D, and chain of custody forms are included in Appendix E. te: During previous inspections, some of the HA(s) were identified together as 9" x 9" floor tile (FT), mastics assoc. with 9" x 9" FT, 12" x 12" FT, mastics assoc. with 12" x 12" FT, pipe insulation, etc. Some of these HA(s) have been re-identified by areas that are uniform in color, texture, construction date, application date, and general appearance. The inspector has determined the following: A. The following HAs have changed assessment categories for Building 215: B Unit: MJP E/F/V on Fiberglass Building: 215
8 B. The following new homogenous areas have been identified for Building 215: Unit: Building: 215
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 : 1E 2B 2C 2E 6E 7A 7B 7C 7E A 1B 1C Unit: 12x12 Dark Blue & Light Blue Floor Tile 12x12 Red & Brown/Cream Floor Tile (Marble Pattern) 12x12 Light Brown & Cream Floor Tile 9"x9" Red and Black Floor Tile 12x12 Dark Blue & Light Blue Floor Tile Mastic 12x12 Off White Floor Tile Mastic 12x12 Red & Brown/Cream Floor Tile Mastic (Marble Pattern) 12"x12" Light Brown & Cream Floor (Mastic) 9x9 Red and Black Floor Tile Mastic Light Green Carpet Mastic (t Observed) Carpet Mastic (NOT OBSERVED) 12x12 Brown Floor Tile 12x12 Brown, Beige, Tan floor tile Mastic 12x12 Beige Floor Tile 12x12 Tan Floor Tile Blue Carpet Mastic Green Carpet Mastic 9"X9" Brown Floor Tile 9"X9" Brown Floor Tile Mastic 9"X9" Tan Floor Tile 9"X9" Tan Floor Tile Mastic 12"X12" Green Floor Tile 12"X12" Green Floor Tile Mastic Terrazo Flooring - Gray and White Speckled Plaster Terrazzo Flooring - Green with White and Black specles Terrazzo Flooring - Light Green with Dark Green specles Terrazo Flooring - Light Grey with Pearl Specles Terrazo Flooring - Mint Green with White Speckles Vibration Gasket (Tan) Vibration Gasket (Red) 12" x 18" Black Border Tile 12"x 18" Black Border Tile Mastic 2' x 2' White Ceiling Tile 12x12 Tan Floor Tile VFT 12x12 Tan Floor Tile VFT(Mastic) 1x1 ceiling tile white with wormhole and ceiling tile 1x1 Ceiling tile white with wormhole and ceiling tile Building: 215
10 B (Mastic Glue Pucks) 12x12 cream with Gray specs VFT 12x12 Cream with Gray specs VFT(Mastic) 12x12 Creamy Brown Specs VFT 12x12 creamy brown specs VFT(Mastic) MJP E/F/V on Fiberglass The following areas were deemed to be inaccessible: 7D 7E C D 12x12 Red & Black Floor Tile Mastic 9x9 Red and Black Floor Tile Mastic Light Green Carpet Mastic (t Observed) Blue Carpet Mastic Green Carpet Mastic 9"X9" Brown Floor Tile 9"X9" Brown Floor Tile Mastic 9"X9" Tan Floor Tile 9"X9" Tan Floor Tile Mastic 12"X12" Green Floor Tile Mastic 12"x 18" Black Border Tile Mastic Aircell Pipe Insulation MJP E/F/V on Aircell 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 Panfilo Carrazco, IDPH License # The Management Plan was updated by Arturo Saenz, IDPH License # Inspector and Management Planner Licenses are included in Appendix B. Unit: Building: 215
11 III. METHODOLOGY Tasks performed on-site included the following: IV. 1. Review current management plan, identify HA(s) and extract appropriate information. 2. Examine and verify abatement records. 3. Touch and visually and physically reinspect and reassess the condition of all friable known or assumed ACBM. 4. Touch and visually and physically reinspect all non-friable known or assumed ACBM to determine whether these materials have become friable since the last inspection or periodic surveillance. 5. Identify any condition changes that may affect Hazard Ranking of known ACBM or ACBM, as well as any HA(s) that have become friable since the last reinspection. 6. Collect bulk samples from each newly discovered friable HA or previously assumed and submit for laboratory analysis. 7. Tabulate reinspection findings and submit for management planner review and recommendations with appropriate response actions based on the AHERA Damage Category of the ACBM. 8. Submit reinspection findings and management planner recommendations to the LEA within thirty (3) days for inclusion into the management plan. ABATEMENT HISTORY The information collected from the existing management plan and inspection report(s) and from interviews with the school official revealed that the following asbestos abatement was conducted at the school since the previous Three year Reinspection. Abatement Dates: V. REASSESSMENTS AND RECOMMENDATIONS The reassessments and recommendations are summarized in Tables I and II on the following pages. Detailed Hazard Assessment Sheets and Drawings and Photos (if applicable) are included in Appendix A. VI. CONCLUSIONS The Building 215 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: 215
12 Table I Inspector's Reinspection Findings
13 School Unit Building ID 215 Address 1354 S. Charles 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 1 12x12 Brown w/ Tan Floor Tile (Removed 21) 9x9 Red & Black Floor Tile- ABATED 9x9 Green Floor Tile 35 1D 9x9 Dark & Light Green Floor TileABATED 9x9 Dark Brown& Red Floor Tile 14 1E 12x12 Dark Blue & Light Blue Floor Tile 2 12x12 Tan Floor Tile 2A 2B 1A 1B 1C Material Quantity Material Units Material Location 23 Basement, Teacher's Lounge, 4 Asbestos Type Material Category Friable Damage Type ABATED ABATED CHR N NONE Damage Quantity Damage Units Change in Assessment Category Damage Category ACBM with the potential for damage MODERATE ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage MODERATE ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage MODERATE 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 ACBM with the LOW CHR N NONE ASSUMED N NONE CHR N NONE CHR N NONE 74 12x12 Off White Floor Tile 8 Basement Corridor, Pre-Kindergarten Room Basement Room 2 12x12 Red & Brown/Cream Floor Tile (Marble Pattern) 12x12 Light Brown & Cream Floor Tile 671 Room 4 ASSUMED N NONE 2C 7 Room 18 ASSUMED N NONE 2D 12x12 Red & Black Floor Tile 2,378 Auditorium CHR N NONE 2E 9"x9" Red and Black Floor Tile 35 ASSUMED N NONE 6 Tile Mastic (t Observed) 4,97 CHR N NONE 6A 9x9 Red & Black Floor Tile MasticABATED 9x9 Green Floor Tile Mastic Asst. Principals Office, 3 1st and 2nd fl. corridors, and lunch rm office Room CHR N NONE 9x9 Dark & Light Green Floor Tile MasticABATED 9x9 Dark Brown & Red Floor Tile Mastic Teacher's LoungeBasement Main Office 14 Stair Landing Outside Gym Main Office, 15 CHR N NONE ASSUMED N NONE CHR N NONE 6C 6D 7 12x12 Dark Blue & Light Blue Floor Tile Mastic 12x12 Tan Floor Tile Mastic 7A 7B 6E 7C Disturbance Potential ABATED Stair Landing Outside Gym Main office, 15 2,675 6B Damage Reason MODERATE MODERATE MODERATE MODERATE MODERATE LOW LOW ABATED ABATED 74 2,756 12x12 Off White Floor Tile Mastic 8 Basement Corridor, Pre-Kindergarten Basement Rm. 2 ASSUMED N NONE 12x12 Red & Brown/Cream Floor Tile Mastic (Marble Pattern) 12"x12" Light Brown & Cream Floor 671 Room 4 ASSUMED N NONE 7 Room 18 ASSUMED N NONE LOW LOW LOW LOW LOW
14 School Unit Building ID 215 Address 1354 S. Charles 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 7D (Mastic) 12x12 Red & Black Floor Tile Mastic 7E 9x9 Red and Black Floor Tile Mastic 8 Light Green Carpet Mastic (t Observed) 9 Carpet Mastic (NOT OBSERVED) 1 12x12 Brown Floor Tile 1A 12x12 Brown, Beige, Tan floor tile Mastic Material Units Material Location Asbestos Type Material Category Friable Damage Type 2,376 Auditorium CHR N NONE 35 ASSUMED N NONE Asst. Principals Office, 3 Room 28 ASSUMED N 8 Room 32 ASSUMED N NONE 1 N NONE ASSUMED N NONE 1B 12x12 Beige Floor Tile 1 ASSUMED N NONE 1C 12x12 Tan Floor Tile 1 ASSUMED N NONE 11 Blue Carpet Mastic 936 3rd Floor Warming Kitchen 3rd Floor Warming Kitchen 3rd Floor Warming Kitchen 3rd Floor Warming Kitchen Room 24 ASSUMED 3 ASSUMED N NONE 12 Green Carpet Mastic 18 Principal's Office ASSUMED N NONE 13 9"X9" Brown Floor Tile 2 Engineer's Office ASSUMED N NONE 14 9"X9" Brown Floor Tile Mastic 2 Engineer's Office ASSUMED N NONE 15 9"X9" Tan Floor Tile 2 Engineer's Office ASSUMED N NONE 16 9"X9" Tan Floor Tile Mastic 2 Engineer's Office ASSUMED N NONE 17 12"X12" Green Floor Tile 35 Basement Room 1 ASSUMED N NONE 18 12"X12" Green Floor Tile Mastic 19 Terrazo Flooring - Gray and White Speckled Plaster Terrazzo Flooring - Green with White and Black specles Terrazzo Flooring - Light Green with Dark Green specles Terrazo Flooring - Light Grey with Pearl Specles Terrazo Flooring - Mint Green with White Material Quantity Damage Quantity Damage Units Change in Assessment Category 35 Basement Room 1 ASSUMED N NONE 1,138 South Stairwell ASSUMED N NONE 42,5 SURFACE N NONE Throughout Walls and Ceilings rth Stairwell ASSUMED 2,92 ASSUMED N NONE 46 Elevator Hall ASSUMED N NONE 2 Elevator Hall ASSUMED N NONE 6 rth Corridor ASSUMED N NONE Damage Category potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the Damage Reason Disturbance Potential LOW LOW LOW MODERATE LOW MODERATE MODERATE LOW LOW MODERATE LOW MODERATE LOW MODERATE LOW LOW MODERATE LOW LOW LOW LOW
15 School Unit Building ID 215 Address 1354 S. Charles 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 25 Speckles Vibration Gasket (Tan) 4 LF 26 Vibration Gasket (Red) " x 18" Black Border Tile 28 Asbestos Type Material Category Friable Damage Type Border Attic ASSUMED N NONE LF Attic ASSUMED N NONE 35 ASSUMED N NONE 12"x 18" Black Border Tile Mastic 35 ASSUMED N NONE ACBM with the potential for damage LOW 29 2' x 2' White Ceiling Tile 2 Engineer's Office, Gym Stairs, and Auditorium Engineer's Office, Auditorium, and Gym Stairs West Entrance ASSUMED Y NONE ACBM with the potential for damage MODERATE 3 12x12 Maroon VFT (ABATED) ABATED 31 12x12 Maroon VFT Mastic (ABATED) ABATED 32 12x12 Tan Floor Tile VFT 5, ASSUMED N NONE ACBM with the potential for damage MODERATE 33 12x12 Tan Floor Tile VFT(Mastic) 5, ASSUMED N NONE ACBM with the potential for damage LOW 34 5 ASSUMED N NONE Room 24, Library ASSUMED Y NONE 1,5 Room 28 ASSUMED N NONE 37 12x12 Cream with Gray specs VFT(Mastic) 1,5 Room 28 ASSUMED N NONE 38 12x12 Creamy Brown Specs VFT 25 IB office ASSUMED N NONE 39 12x12 creamy brown specs VFT(Mastic) 25 IB office ASSUMED N NONE B MJP E/F/V on Fiberglass 35 LF Mechanical Areas, ASSUMED TSI Y LOC 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 Damaged or LOW x1 ceiling tile white with wormhole and ceiling tile 1x1 Ceiling tile white with wormhole and ceiling tile (Mastic Glue Pucks) 12x12 cream with Gray specs VFT 1st and 2nd floor corridor, Lunchroom office 211, outside room 4 landing 1st and 2nd floor corridor, Lunchroom office 211, outside room 4 landing 1st and 2nd floor cooridors, lunchroom office (211), Landing outside Room 4 1st and 2nd floor cooridors, Lunchroom office (211), Landing outside of Rm 4 Room 24, Library 35 Material Quantity Material Units Material Location Damage Quantity 1 Damage Units Change in Assessment Category Yes Damage Category Damage Reason potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage Disturbance Potential LOW LOW MODERATE LOW MODERATE LOW MODERATE LOW 5 MODERATE
16 School Unit Building ID 215 Address 1354 S. Charles 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 Material Quantity Material Units Material Location Asbestos Type Material Category Friable Damage Type Damage Quantity Damage Units Change in Assessment Category Boiler Rooms C Aircell Pipe Insulation D MJP E/F/V on Aircell Pipe Insulation 45 LF Attic CHR TSI Y NONE 25 LF Attic CHR TSI Y NONE Damage Category significantly damaged friable thermal system insulating ACBM ACBM with the potential for damage ACBM with the potential for damage Damage Reason Disturbance Potential LOW LOW
17 School Unit Building ID 215 Address 1354 S. Charles 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 4/26/216 Inspector Name Inspector's Comments Panfilo Carrazco /13/217 Inspector's IDPH License Number / Expiration Date HA Number: 1 1A 1B 1C 1D 1E 2 2A 2B 2C 2D 2E 6 6A 6B 6C 6D 6E 7 7A 7B 7C 7D 7E Inspector Comments:
18 School Unit Building ID 215 Address 1354 S. Charles 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: A 1B 1C Inspector Comments:
19 School Unit Building ID 215 Address 1354 S. Charles 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: B C D Inspector Comments:
20 Table II Management Planner's Review
21 School Address Unit 1354 S. Charles 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 1 1A 1B 1C 1D 1E 2 12x12 Brown w/ Tan Floor Tile (Removed 21) 9x9 Red & Black Floor Tile- ABATED 9x9 Green Floor Tile 9x9 Dark & Light Green Floor Tile- ABATED 9x9 Dark Brown& Red Floor Tile 12x12 Dark Blue & Light Blue Floor Tile 12x12 Tan Floor Tile 2A 2B 12x12 Off White Floor Tile 12x12 Red & Brown/Cream Floor Tile (Marble Pattern) 12x12 Light Brown & Cream Floor Tile 12x12 Red & Black Floor Tile 9"x9" Red and Black Floor Tile Tile Mastic (t Observed) 2C 2D 2E 6 6A 6B 6C 6D 6E 7 7A 7B 7C 7D 7E A 1B 1C 11 9x9 Red & Black Floor Tile Mastic- ABATED 9x9 Green Floor Tile Mastic 9x9 Dark & Light Green Floor Tile Mastic- ABATED 9x9 Dark Brown & Red Floor Tile Mastic 12x12 Dark Blue & Light Blue Floor Tile Mastic 12x12 Tan Floor Tile Mastic 12x12 Off White Floor Tile Mastic 12x12 Red & Brown/Cream Floor Tile Mastic (Marble Pattern) 12"x12" Light Brown & Cream Floor (Mastic) 12x12 Red & Black Floor Tile Mastic 9x9 Red and Black Floor Tile Mastic Light Green Carpet Mastic (t Observed) Carpet Mastic (NOT OBSERVED) 12x12 Brown Floor Tile 12x12 Brown, Beige, Tan floor tile Mastic 12x12 Beige Floor Tile 12x12 Tan Floor Tile Blue Carpet Mastic Material Quantity Material Units Material Location 23 Basement, Teacher's Lounge, , , , , Room 18 Auditorium Asst. Principals Office, 3 1st and 2nd fl. corridors, and lunch rm office Room 23 Teacher's Lounge-Basement Main Office Stair Landing Outside Gym Main Office, 15 Basement Corridor, Pre-Kindergarten Basement Rm. 2 Room 4 7 2, Room 18 Auditorium Asst. Principals Office, 3 Room 28 Room 32 3rd Floor Warming Kitchen 3rd Floor Warming Kitchen 3rd Floor Warming Kitchen 3rd Floor Warming Kitchen Room 24 Stair Landing Outside Gym Main office, 15 Basement Corridor, Pre-Kindergarten Room Basement Room 2 Room 4 Asbestos Type Material Category Friable Damage Quantity Damage Units Damage Category Response Abated Abated Chrysotile Abated Chrysotile Chrysotile Chrysotile Chrysotile Chrysotile Chrysotile Abated Chrysotile Abated Chrysotile Chrysotile
22 School Address Unit 1354 S. Charles 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 ,138 42,5 2,92 Principal's Office Engineer's Office Engineer's Office Engineer's Office Engineer's Office Basement Room 1 Basement Room 1 South Stairwell Throughout Walls and Ceilings rth Stairwell SURFACE 46 Elevator Hall Green Carpet Mastic 9"X9" Brown Floor Tile 9"X9" Brown Floor Tile Mastic 9"X9" Tan Floor Tile 9"X9" Tan Floor Tile Mastic 12"X12" Green Floor Tile 12"X12" Green Floor Tile Mastic Terrazo Flooring - Gray and White Speckled Plaster Terrazzo Flooring - Green with White and Black specles Terrazzo Flooring - Light Green with Dark Green specles Terrazo Flooring - Light Grey with Pearl Specles Terrazo Flooring - Mint Green with White Speckles Vibration Gasket (Tan) Vibration Gasket (Red) 12" x 18" Black Border Tile LF LF LF LF 28 12"x 18" Black Border Tile Mastic ' x 2' White Ceiling Tile 12x12 Maroon VFT (ABATED) 2 Abated Yes 31 12x12 Maroon VFT Mastic (ABATED) Abated 32 12x12 Tan Floor Tile VFT 5, 33 12x12 Tan Floor Tile VFT(Mastic) 5, x1 ceiling tile white with wormhole and ceiling tile 1x1 Ceiling tile white with wormhole and ceiling tile (Mastic Glue Pucks) 12x12 cream with Gray specs VFT 12x12 Cream with Gray specs VFT(Mastic) 5 5 Elevator Hall rth Corridor Border Attic Attic Engineer's Office, Gym Stairs, and Auditorium Engineer's Office, Auditorium, and Gym Stairs West Entrance 1st and 2nd floor corridor, Lunchroom office 211, outside room 4 landing 1st and 2nd floor corridor, Lunchroom office 211, outside room 4 landing 1st and 2nd floor cooridors, lunchroom office (211), Landing outside Room 4 1st and 2nd floor cooridors, Lunchroom office (211), Landing outside of Rm 4 Room 24, Library Room 24, Library Yes 1,5 1,5 Room 28 Room
23 School Address Unit 1354 S. Charles 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 B 12x12 Creamy Brown Specs VFT 12x12 creamy brown specs VFT(Mastic) MJP E/F/V on Fiberglass LF IB office IB office Mechanical Areas, Boiler Rooms TSI Yes 1 LF Repair C D Aircell Pipe Insulation MJP E/F/V on Aircell Pipe Insulation LF LF Attic Attic Chrysotile Chrysotile TSI TSI Yes Yes LF LF 1 Damaged or significantly damaged friable thermal system insulating ACBM
24 School Address 1354 S. Charles Unit Building ID Chicago, IL, 6643 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 5/21/216 Review Date Manager Planner Name Arturo Saenz /19/217 Manager IDPH License /Expiration HA Number 1 1A 1B 1C 1D 1E 2 2A 2B 2C 2D 2E 6 6A 6B 6C 6D 6E 7 7A 7B 7C 7D 7E Management Comments
25 School Address 1354 S. Charles Unit Building ID Chicago, IL, 6643 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 1A 1B 1C Management Comments
26 School Address 1354 S. Charles Unit Building ID Chicago, IL, 6643 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 B C D Management Comments
27 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 1 12x12 Brown w/ Tan Floor Tile (Removed 21) HISTORICAL AHERA DAMAGE CATEGORY Any remaining friable ACBM or friable suspect ACBM HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Abated FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: COMMENTS: Inspector's Signature: 4/26/216
28 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles x12 Brown w/ Tan Floor Tile (Removed 21) 215 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: 5/21/216
29 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 1A 9x9 Red & Black Floor Tile- ABATED HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Abated FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: 23 COMMENTS: Inspector's Signature: 4/26/216
30 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles A 9x9 Red & Black Floor Tile- ABATED 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: 5/21/216
31 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 1B 9x9 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: MODERATE Basement, Teacher's Lounge, 4 35 COMMENTS: Inspector's Signature: 4/26/216
32 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles B 9x9 Green Floor Tile Basement, Teacher's Lounge, 4 35 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: 5/21/216
33 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 1C 9x9 Dark & Light Green Floor Tile- ABATED HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Abated FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: COMMENTS: Inspector's Signature: 4/26/216
34 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles C 9x9 Dark & Light Green Floor Tile- ABATED 215 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: 5/21/216
35 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 1D 9x9 Dark Brown& Red 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: MODERATE Stair Landing Outside Gym 14 COMMENTS: Inspector's Signature: 4/26/216
36 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles D 9x9 Dark Brown& Red Floor Tile Stair Landing Outside Gym 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: 5/21/216
37 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 1E 12x12 Dark Blue & Light Blue Floor Tile HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE Main office, COMMENTS: Inspector's Signature: 4/26/216
38 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles E 12x12 Dark Blue & Light Blue Floor Tile Main office, 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: 5/21/216
39 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 2 12x12 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 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE Basement Corridor, Pre-Kindergarten Room 2675 COMMENTS: Inspector's Signature: 4/26/216
40 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles x12 Tan Floor Tile Basement Corridor, Pre-Kindergarten Room 2675 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: 5/21/216
41 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 2A 12x12 Off White 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: MODERATE Basement Room 2 8 COMMENTS: Inspector's Signature: 4/26/216
42 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles A 12x12 Off White Floor Tile Basement Room 2 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: 5/21/216
43 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 2B 12x12 Red & Brown/Cream Floor Tile (Marble Pattern) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE Room COMMENTS: Inspector's Signature: 4/26/216
44 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles B 12x12 Red & Brown/Cream Floor Tile (Marble Pattern) 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: 5/21/216
45 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 2C 12x12 Light Brown & Cream Floor Tile HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE Room 18 7 COMMENTS: Inspector's Signature: 4/26/216
46 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles C 12x12 Light Brown & Cream Floor Tile Room 18 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: 5/21/216
47 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 2D 12x12 Red & Black 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: MODERATE Auditorium 2378 COMMENTS: Inspector's Signature: 4/26/216
48 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles D 12x12 Red & Black Floor Tile Auditorium 2378 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: 5/21/216
49 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 2E 9"x9" Red and Black Floor Tile HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Asst. Principals Office, 3 35 COMMENTS: Inspector's Signature: 4/26/216
50 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles E 9"x9" Red and Black Floor Tile Asst. Principals Office, 3 35 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: 5/21/216
51 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 6 Tile Mastic (t 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: LOW 1st and 2nd fl. corridors, and lunch rm office 497 COMMENTS: Inspector's Signature: 4/26/216
52 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles Tile Mastic (t Observed) 1st and 2nd fl. corridors, and lunch rm office 497 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: 5/21/216
53 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 6A 9x9 Red & Black Floor Tile Mastic- ABATED HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Abated FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Room 23 COMMENTS: Inspector's Signature: 4/26/216
54 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles A 9x9 Red & Black Floor Tile Mastic- ABATED 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: 5/21/216
55 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 6B 9x9 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: LOW Teacher's Lounge-Basement 35 COMMENTS: Inspector's Signature: 4/26/216
56 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles B 9x9 Green Floor Tile Mastic Teacher's Lounge-Basement 35 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: 5/21/216
57 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 6C 9x9 Dark & Light Green Floor Tile Mastic- ABATED HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Abated FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Main Office COMMENTS: Inspector's Signature: 4/26/216
58 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles C 9x9 Dark & Light Green Floor Tile Mastic- ABATED Main Office 215 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: 5/21/216
59 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 6D 9x9 Dark Brown & Red 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: LOW Stair Landing Outside Gym 14 COMMENTS: Inspector's Signature: 4/26/216
60 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles D 9x9 Dark Brown & Red Floor Tile Mastic Stair Landing Outside Gym 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: 5/21/216
61 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 6E 12x12 Dark Blue & Light Blue Floor Tile Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Main Office, COMMENTS: Inspector's Signature: 4/26/216
62 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles E 12x12 Dark Blue & Light Blue Floor Tile Mastic Main Office, 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: 5/21/216
63 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 7 12x12 Tan 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: LOW Basement Corridor, Pre-Kindergarten 2756 COMMENTS: Inspector's Signature: 4/26/216
64 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles x12 Tan Floor Tile Mastic Basement Corridor, Pre-Kindergarten 2756 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: 5/21/216
65 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 7A 12x12 Off White Floor Tile Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Basement Rm. 2 8 COMMENTS: Inspector's Signature: 4/26/216
66 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles A 12x12 Off White Floor Tile Mastic Basement Rm. 2 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: 5/21/216
67 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 7B 12x12 Red & Brown/Cream Floor Tile Mastic (Marble Pattern) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Room COMMENTS: Inspector's Signature: 4/26/216
68 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles B 12x12 Red & Brown/Cream Floor Tile Mastic (Marble Pattern) 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: 5/21/216
69 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 7C 12"x12" Light Brown & Cream Floor (Mastic) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Room 18 7 COMMENTS: Inspector's Signature: 4/26/216
70 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles C 12"x12" Light Brown & Cream Floor (Mastic) Room 18 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: 5/21/216
71 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 7D 12x12 Red & Black 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: LOW Auditorium 2376 COMMENTS: Inspector's Signature: 4/26/216
72 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles D 12x12 Red & Black Floor Tile Mastic Auditorium 2376 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: 5/21/216
73 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 7E 9x9 Red and Black Floor Tile Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Asst. Principals Office, 3 35 COMMENTS: Inspector's Signature: 4/26/216
74 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles E 9x9 Red and Black Floor Tile Mastic Asst. Principals Office, 3 35 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: 5/21/216
75 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 8 Light Green Carpet Mastic (t Observed) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Room 28 COMMENTS: Inspector's Signature: 4/26/216
76 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles Light Green Carpet Mastic (t Observed) Room 28 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 5/21/216
77 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 9 Carpet Mastic (NOT OBSERVED) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Room 32 8 COMMENTS: Inspector's Signature: 4/26/216
78 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles Carpet Mastic (NOT OBSERVED) Room 32 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: 5/21/216
79 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 1 12x12 Brown Floor Tile HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE 3rd Floor Warming Kitchen 1 COMMENTS: Inspector's Signature: 4/26/216
80 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles x12 Brown Floor Tile 3rd Floor Warming Kitchen 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: 5/21/216
81 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 1A 12x12 Brown, Beige, Tan floor tile Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW 3rd Floor Warming Kitchen 3 COMMENTS: Inspector's Signature: 4/26/216
82 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles A 12x12 Brown, Beige, Tan floor tile Mastic 3rd Floor Warming Kitchen 3 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 5/21/216
83 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 1B 12x12 Beige Floor Tile HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE 3rd Floor Warming Kitchen 1 COMMENTS: Inspector's Signature: 4/26/216
84 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles B 12x12 Beige Floor Tile 3rd Floor Warming Kitchen 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: 5/21/216
85 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 1C 12x12 Tan Floor Tile HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE 3rd Floor Warming Kitchen 1 COMMENTS: Inspector's Signature: 4/26/216
86 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles C 12x12 Tan Floor Tile 3rd Floor Warming Kitchen 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: 5/21/216
87 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 11 Blue Carpet Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Room COMMENTS: Inspector's Signature: 4/26/216
88 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles Blue Carpet Mastic Room In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 5/21/216
89 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 12 Green Carpet Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Principal's Office 18 COMMENTS: Inspector's Signature: 4/26/216
90 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles Green Carpet Mastic Principal's Office 18 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 5/21/216
91 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 13 9"X9" Brown Floor Tile HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE Engineer's Office 2 COMMENTS: Inspector's Signature: 4/26/216
92 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles "X9" Brown Floor Tile Engineer's Office 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: 5/21/216
93 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 14 9"X9" Brown Floor Tile Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Engineer's Office 2 COMMENTS: Inspector's Signature: 4/26/216
94 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles "X9" Brown Floor Tile Mastic Engineer's Office 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: 5/21/216
95 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 15 9"X9" Tan Floor Tile HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE Engineer's Office 2 COMMENTS: Inspector's Signature: 4/26/216
96 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles "X9" Tan Floor Tile Engineer's Office 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: 5/21/216
97 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 16 9"X9" Tan Floor Tile Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Engineer's Office 2 COMMENTS: Inspector's Signature: 4/26/216
98 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles "X9" Tan Floor Tile Mastic Engineer's Office 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: 5/21/216
99 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 17 12"X12" Green Floor Tile HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE Basement Room 1 35 COMMENTS: Inspector's Signature: 4/26/216
100 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles "X12" Green Floor Tile Basement Room 1 35 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: 5/21/216
101 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 18 12"X12" Green Floor Tile Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Basement Room 1 35 COMMENTS: Inspector's Signature: 4/26/216
102 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles "X12" Green Floor Tile Mastic Basement Room 1 35 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: 5/21/216
103 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 19 Terrazo Flooring - Gray and White Speckled HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW South Stairwell 1138 COMMENTS: Inspector's Signature: 4/26/216
104 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles Terrazo Flooring - Gray and White Speckled South Stairwell 1138 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: 5/21/216
105 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 2 Plaster HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with potential for significant damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE Throughout Walls and Ceilings 425 COMMENTS: Inspector's Signature: 4/26/216
106 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles Plaster Throughout Walls and Ceilings 425 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: 5/21/216
107 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 21 Terrazzo Flooring - Green with White and Black specles HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW rth Stairwell 292 COMMENTS: Inspector's Signature: 4/26/216
108 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles Terrazzo Flooring - Green with White and Black specles rth Stairwell 292 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: 5/21/216
109 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 22 Terrazzo Flooring - Light Green with Dark Green specles HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Elevator Hall 46 COMMENTS: Inspector's Signature: 4/26/216
110 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles Terrazzo Flooring - Light Green with Dark Green specles Elevator Hall 46 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: 5/21/216
111 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 23 Terrazo Flooring - Light Grey with Pearl Specles HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Elevator Hall 2 COMMENTS: Inspector's Signature: 4/26/216
112 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles Terrazo Flooring - Light Grey with Pearl Specles Elevator Hall 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: 5/21/216
113 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 24 Terrazo Flooring - Mint Green with White Speckles HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW rth Corridor Border 6 COMMENTS: Inspector's Signature: 4/26/216
114 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles Terrazo Flooring - Mint Green with White Speckles rth Corridor Border 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: 5/21/216
115 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 25 Vibration Gasket (Tan) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Attic 4 LF LF COMMENTS: Inspector's Signature: 4/26/216
116 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles Vibration Gasket (Tan) Attic 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: 5/21/216
117 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 26 Vibration Gasket (Red) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Attic 4 LF LF COMMENTS: Inspector's Signature: 4/26/216
118 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles Vibration Gasket (Red) Attic 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: 5/21/216
119 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 27 12" x 18" Black Border Tile HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE Engineer's Office, Gym Stairs, and Auditorium 35 COMMENTS: Inspector's Signature: 4/26/216
120 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles " x 18" Black Border Tile Engineer's Office, Gym Stairs, and Auditorium 35 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: 5/21/216
121 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 28 12"x 18" Black Border Tile Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Engineer's Office, Auditorium, and Gym Stairs 35 COMMENTS: Inspector's Signature: 4/26/216
122 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles "x 18" Black Border Tile Mastic Engineer's Office, Auditorium, and Gym Stairs 35 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: 5/21/216
123 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 29 2' x 2' White Ceiling Tile HISTORICAL AHERA DAMAGE CATEGORY 6 Any remaining friable ACBM or friable suspect ACBM HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE West Entrance 2 COMMENTS: Inspector's Signature: 4/26/216
124 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles ' x 2' White Ceiling Tile West Entrance 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: 5/21/216
125 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 3 12x12 Maroon VFT (ABATED) HISTORICAL AHERA DAMAGE CATEGORY ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Abated FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: 1st and 2nd floor corridor, Lunchroom office 211, outside room 4 landing COMMENTS: Inspector's Signature: 4/26/216
126 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles x12 Maroon VFT (ABATED) 1st and 2nd floor corridor, Lunchroom office 211, outside room 4 landing 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: 5/21/216
127 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 31 12x12 Maroon VFT Mastic (ABATED) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Abated FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: 1st and 2nd floor corridor, Lunchroom office 211, outside room 4 landing COMMENTS: Inspector's Signature: 4/26/216
128 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles x12 Maroon VFT Mastic (ABATED) 1st and 2nd floor corridor, Lunchroom office 211, outside room 4 landing 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: 5/21/216
129 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 32 12x12 Tan Floor Tile VFT HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE 1st and 2nd floor cooridors, lunchroom office (211), Landing outside Room 4 5 COMMENTS: Inspector's Signature: 4/26/216
130 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles x12 Tan Floor Tile VFT 1st and 2nd floor cooridors, lunchroom office (211), Landing outside Room 4 5 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 5/21/216
131 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 33 12x12 Tan Floor Tile VFT(Mastic) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW 1st and 2nd floor cooridors, Lunchroom office (211), Landing outside of Rm 4 5 COMMENTS: Inspector's Signature: 4/26/216
132 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles x12 Tan Floor Tile VFT(Mastic) 1st and 2nd floor cooridors, Lunchroom office (211), Landing outside of Rm 4 5 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 5/21/216
133 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 34 1x1 ceiling tile white with wormhole and ceiling tile HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Room 24, Library 5 COMMENTS: Inspector's Signature: 4/26/216
134 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles x1 ceiling tile white with wormhole and ceiling tile Room 24, Library 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: 5/21/216
135 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 35 1x1 Ceiling tile white with wormhole and ceiling tile (Mastic Glue Pucks) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Room 24, Library 5 COMMENTS: Inspector's Signature: 4/26/216
136 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles x1 Ceiling tile white with wormhole and ceiling tile (Mastic Glue Pucks) Room 24, Library 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: 5/21/216
137 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 36 12x12 cream with Gray specs VFT HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE Room COMMENTS: Inspector's Signature: 4/26/216
138 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles x12 cream with Gray specs VFT 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: 5/21/216
139 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 37 12x12 Cream with Gray specs VFT(Mastic) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Room COMMENTS: Inspector's Signature: 4/26/216
140 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles x12 Cream with Gray specs VFT(Mastic) Room In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 5/21/216
141 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 38 12x12 Creamy Brown Specs VFT HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE IB office 25 COMMENTS: Inspector's Signature: 4/26/216
142 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles x12 Creamy Brown Specs VFT IB office 25 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 5/21/216
143 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION 39 12x12 creamy brown specs VFT(Mastic) HISTORICAL AHERA DAMAGE CATEGORY 6 HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW IB office 25 COMMENTS: Inspector's Signature: 4/26/216
144 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles x12 creamy brown specs VFT(Mastic) IB office 25 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 5/21/216
145 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION B MJP E/F/V on Fiberglass HISTORICAL AHERA DAMAGE CATEGORY 1 Damaged or significantly damaged friable thermal system insulating ACBM HISTORICAL DAMAGE REASON: Physical Damage Deterioration HISTORICAL RESPONSE ACTION: Repair ASBESTOS TYPE: FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 1. Damaged or significantly damaged friable thermal system insulating ACBM DAMAGE REASON: Physical Damage Deterioration DISTURBANCE POTENTIAL: MODERATE Mechanical Areas, Boiler Rooms 35 LF LF COMMENTS: Inspector's Signature: 4/26/216
146 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles B MJP E/F/V on Fiberglass Mechanical Areas, Boiler Rooms 35 LF 1 LF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Repair Comments: Management Planner's Signature: 5/21/216
147 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION C Aircell Pipe Insulation HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Attic 45 LF LF COMMENTS: Inspector's Signature: 4/26/216
148 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles C Aircell Pipe Insulation Attic 45 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: 5/21/216
149 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 215 AHERA INSPECTOR: Panfilo Carrazco INSPECTION DATE: 4/26/ S. Charles INFORMATION FROM PREVIOUS INSPECTION D MJP E/F/V on Aircell Pipe Insulation HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Attic 25 LF LF COMMENTS: Inspector's Signature: 4/26/216
150 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Arturo Saenz REVIEW DATE: 5/21/ S. Charles D MJP E/F/V on Aircell Pipe Insulation Attic 25 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: 5/21/216
151 216 AHERA REINSPECTION
152 APPENDIX B Inspector and Management Planner Licenses
153
154
155
156
157
Explain in writing if the address of the building is different than the address on this form:
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationExplain in writing if the address of the building is different than the address on this form:
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationExplain in writing if the address of the building is different than the address on this form:
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-2053
More informationExplain in writing if the address of the building is different than the address on this form:
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationExplain in writing if the address of the building is different than the address on this form:
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-3278
More informationExplain in writing if the address of the building is different than the address on this form:
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationExplain in writing if the address of the building is different than the address on this form:
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationExplain in writing if the address of the building is different than the address on this form:
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-2059
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-2268
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-3760
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-2207
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-2356
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-2121
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-2059
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-2497
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-3770
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-2286
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-2490
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-3013
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationExplain in writing if the address of the building is different than the address on this form:
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationExplain in writing if the address of the building is different than the address on this form:
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationExplain in writing if the address of the building is different than the address on this form:
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-2270
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-2724
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-3759
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-0043
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-2168
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-2080
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-381X
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-2841
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-3553
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-0027
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
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