Explain in writing if the address of the building is different than the address on this form:
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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 Chicago, IL, 6628 DATE LAST THREE YEAR REINSPECTION WAS COMPLETED 4/11/213 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: 6/1/216 ENROLLMENT IDPH INSPECTOR LICENSE NUMBER: IDPH LICENSED INSPECTOR NAME (Please Print): Esteban Nunez IDPH MP LICENSE NUMBER: IDPH LICENSED MANAGEMENT PLANNER NAME (Please Print): Jigar Shah DESIGNATED PERSON (Please Print): Robert Christlieb PHONE: 576 (773) /1/216 Signature of Designated Person Date SECTION III PLEASE COMPLETE THE FOLLOWING INFORMATION FOR ANY CHANGES WITHIN THE SCHOOL DISTRICT. School building has been sold. Date of Sale: School has been closed. Date closed: School building has been demolished. School building is asbestos free since last reinspection: Please explain in writing why the school building is now asbestos free and include the supporting documentation. If a new school building has been added to the district, submit either and exclusionary statement or a management plan and inspection report. Include the complete name, address and city of school building. Explain in writing if the address of the building is different than the address on this form: IL Revised 1.3
2 THREE YEAR REINSPECTION CHICAGO SCHOOL DIST 299 Chicago, IL, 6628 Unit: 2231 Building ID: 236 IDPH ID Number: REPORT DATE: Friday, June 1, 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 15, 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: 2231 School: Region: 6 IDPH ID: Building ID: 236 Address: Chicago, IL, 6628 Building Contact: Cruz, Marcos Contact Phone: Current Building Owners: Review 6/8/216 Inspector: Esteban Nunez Management Planner: Jigar Shah Inspector IDPH License: Management Planner IDPH License: If you have any questions or comments, please contact us at (312) Sincerely, Jigar Shah
4 Environmental tification to Occupants To: Faculty, Staff and Parents From: April 15, 216 RE:, Unit 2231 Chicago, IL, 6628 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: Cruz, Marcos Unit: 2231 Chicago, IL, 6628 Building ID: 236 Phone: Description of Facility Original Construction: 1925 Total Square Footage: 6436 Current Occupancy: Additional Construction: of Floors: 2 Phone: (773) Managing Environmental Consultant MEC: Contact: Arturo Saenz Address 855 W. Adams St., Ste. 2 Phone: (312) Fax: (312) Inspector Inspector Name: Esteban Nunez Signature: 4/15/216 Inspector IDPH license # LEA Designated Person Contact: Robert Christlieb Address: 125 South Clark Street, 17th Floor Chicago, IL Region: 6 Management Planner Management Planner Name: Jigar Shah Management Planner IDPH license # Review 6/8/ LEA Designated Person's Acknowledgement Signature: 6/8/216 The reinspection report and recommendations have been received by me and appropriate action will be taken by the School District. Signature: 6/1/216 Name: Robert Christlieb Unit : 2231 Building: 236
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 236: I Unit: 2231 Aircell Duct Insulation Building: 236
8 B. The following new homogenous areas have been identified for Building 236: Unit: 2231 Building: 236
9 C. This reinspection covered only physically accessible and visible areas and materials that were identified in the LEA's management plan. The following materials were concealed and/or contained in areas that were inaccessible for sampling and have been classified as Assumed: A A 2A 21 21A M M 28 28M 29 29M 3 3M M Heating Pipe Fire Brick in Incinerator Terrazzo 12x12 Sand Colored Floor Tile Mastic (NOT OBSERVED) 12x12 Cream Colored Floor Tile 12x12 Tan Floor Tile 12x12 Tan Floor Tile Mastic 12x12 Light Brown Floor Tile Mastic 12x12 White w/ Black Streaks Floor Tile 12x12 White w/ Black Streaks Floor Tile Mastic Grey Carpet Mastic NOT OBSERVED Hardcoat Plaster 1 x 1 White Fissured Ceiling Tile 1 x 1 White Fissured Ceiling Tile Mastic 2 x 4 White Fissured Ceiling Tile 12 x 12 White with Beige Specs Floor Tile (t Observed) 12 x 12 White with Beige Specs Floor Tile Mastic (t observed) 12 x 12 Off White with Beige Specs Floor Tile (t Observed) 12 x 12 Off White with Beige Specs Floor Tile Mastic (t Observed) 12 x 12 VFT Light Gray w/ white Specks 12 x 12 VFT & Mastic Light gray w/ white specks 12 x 12 VFT Blue Speckled 12 x 12 VFT & Mastic Blude Speckled 12 x 12 VFT Maroon w/ Dark Brown Specks 12 x 12 Mastic Maroon w/ Dark Brown The following areas were deemed to be inaccessible: 12 17A 2A 21A 25M 27M Unit: 2231 Black Mop Board Mastic 12x12 Sand Colored Floor Tile Mastic (NOT OBSERVED) 12x12 Light Brown Floor Tile Mastic 12x12 White w/ Black Streaks Floor Tile Mastic 1 x 1 White Fissured Ceiling Tile Mastic 12 x 12 White with Beige Specs Floor Tile Mastic Building: 236
10 28M H (t observed) 12 x 12 Off White with Beige Specs Floor Tile Mastic (t Observed) MJP E/F/V on Heating and Water 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 Esteban Nunez, IDPH License # The Management Plan was updated by Jigar Shah, IDPH License # Inspector and Management Planner Licenses are included in Appendix B. Unit: 2231 Building: 236
11 III. METHODOLOGY Tasks performed on-site included the following: IV. 1. Review current management plan, identify HA(s) and extract appropriate information. 2. Examine and verify abatement records. 3. Touch and visually and physically reinspect and reassess the condition of all friable known or assumed ACBM. 4. Touch and visually and physically reinspect all non-friable known or assumed ACBM to determine whether these materials have become friable since the last inspection or periodic surveillance. 5. Identify any condition changes that may affect Hazard Ranking of known ACBM or Assumed ACBM, as well as any HA(s) that have become friable since the last reinspection. 6. Collect bulk samples from each newly discovered friable HA or previously assumed and submit for laboratory analysis. 7. Tabulate reinspection findings and submit for management planner review and recommendations with appropriate response actions based on the AHERA Damage Category of the ACBM. 8. Submit reinspection findings and management planner recommendations to the LEA within thirty (3) days for inclusion into the management plan. ABATEMENT HISTORY The information collected from the existing management plan and inspection report(s) and from interviews with the school official revealed that the following asbestos abatement was conducted at the school since the previous Three year Reinspection. Abatement Dates: V. REASSESSMENTS AND RECOMMENDATIONS The reassessments and recommendations are summarized in Tables I and II on the following pages. Detailed Hazard Assessment Sheets and Drawings and Photos (if applicable) are included in Appendix A. VI. CONCLUSIONS The Building 236 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: 2231 Building: 236
12 Table I Inspector's Reinspection Findings
13 School Unit 2231 Building ID 236 Address 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 Linoleum NOT OBSERVED 2 12x12 Brown Speckled Floor Tile 8 Linoleum Mastic NOT OBSERVED 9 12x12 Brown Speckled Floor Tile Mastic Heating Pipe 14 Transite Partitiions 15 Fire Brick in Incinerator 16 Terrazzo x12 Sand Colored Floor Tile (NOT OBSERVED) 12x12 Sand Colored Floor Tile Mastic (NOT OBSERVED) 12x12 Cream Colored Floor Tile 18A Material Quantity Material Units 7,116 7,116 Black Mop Board 192 Black Mop Board Mastic kitchen NOT OBSERVED All Corridors - 1st and 2nd Floors Kitchen NOT OBSERVED All Corridors - 1st and 2nd Floors Teachers Lounge and Cafeteria Teachers Lounge and Cafeteria Boiler Room Asbestos Type Material Category Friable Damage Type N NONE Damage Quantity Damage Units Change in Assessment Category Damage Category Damage Reason Disturbance Potential 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 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 LOW CHR CHR N NONE NO_ACBM N NONE NO_ACBM N NONE LOW LOW ASSUMED TSI Y NONE NO_ACBM N NONE All Washrooms Throughout The Facility Boiler Room ASSUMED N NONE 5,1 Throughout School ASSUMED N NONE 384 Main Office CHR N NONE 384 Main Office ASSUMED N NONE 47 ASSUMED N NONE 12x12 Cream Colored Floor Tile Mastic 47 CHR N NONE ACBM with the potential for damage LOW 19 12x12 Tan Floor Tile 37 ASSUMED N NONE ACBM with the potential for damage MODERATE 19A 12x12 Tan Floor Tile Mastic 37 ASSUMED N NONE ACBM with the potential for damage LOW 2 12x12 Light Brown Floor Tile 1,68 CHR N NONE ACBM with the potential for damage MODERATE 2A 12x12 Light Brown Floor Tile Mastic 1,68 Rooms 124 (Teachers Lounge) and Kitchen Closet & Rm. 18 (Abated) Rooms 124 (Teachers Lounge) and 18 (Abated) and Kitchen Closet Rooms 124 (Teachers Lounge) and 18 (Abated) Rooms 124 (Teachers Lounge) and 18 (Abated) Room 117 (Library) and 1st & 2nd Floor Storage Rooms Room 117 (Library) and 1st & 2nd Floor ASSUMED N NONE ACBM with the potential for damage LOW 17A 8 7 Material Location LOW LOW LOW MODERATE LOW MODERATE
14 School Unit 2231 Building ID 236 Address 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 21 12x12 White w/ Black Streaks Floor Tile 1,264 21A 1, x12 White w/ Black Streaks Floor Tile Mastic Ceramic Tile Grout Grey Carpet Mastic NOT OBSERVED Hardcoat Plaster 2, 25 1 x 1 White Fissured Ceiling Tile 1,4 Storage Rooms Room 116 (Lunchroom) Room 116 (Lunchroom) All Washrooms at the Facility Main Office NOT OBSERVED 1st and 2nd Floors Throughout Room 121 (Library) 25M 1 x 1 White Fissured Ceiling Tile Mastic 1, x 4 White Fissured Ceiling Tile x 12 White with Beige Specs Floor Tile (t Observed) 12 x 12 White with Beige Specs Floor Tile Mastic (t observed) 12 x 12 Off White with Beige Specs Floor Tile (t Observed) 12 x 12 Off White with Beige Specs Floor Tile Mastic (t Observed) 12 x 12 VFT Light Gray w/ white Specks M 28 28M 29 Material Quantity Material Units Material Location Asbestos Type Material Category Friable Damage Type ASSUMED N NONE ASSUMED N NONE NO_ACBM Y ASSUMED N ASSUMED SURFACE ASSUMED Room 121 (Library) ASSUMED 21 1,1 1,1 6 Room 122 (Kindergarden) Kitchen (not observed) Kitchen (not observed) Kitchen (t Observed) Kitchen (t Observed) Cafeteria and Kitchen Cafeteria and Kitchen Main Office Damage Quantity Damage Units Change in Assessment Category Damage Category NONE NONE Y NONE Y NONE N NONE ASSUMED N NONE ASSUMED N NONE ASSUMED N NONE ASSUMED N NONE ASSUMED N NONE ASSUMED N NONE ASSUMED N NONE ASSUMED N NONE ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage 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 3 12 x 12 VFT & Mastic Light gray w/ white specks 12 x 12 VFT Blue Speckled 3M 12 x 12 VFT & Mastic Blude Speckled 6 Main Office ASSUMED N NONE 31 5 Elevator Vestibule ASSUMED N NONE 31 M 12 x 12 VFT Maroon w/ Dark Brown Specks 12 x 12 Mastic Maroon w/ Dark Brown A Boiler Insulation B C 29M 5 Elevator Vestibule ASSUMED N NONE 2,2 Boiler Room CHR TSI Y NONE Insulation on Water Return Tanks 8 Boiler Room CHR TSI Y NONE Heating and Water Pipe Insulation 889 Boiler Room, Mechanical Room, Air Tunnels, Pipe CHR TSI Y NONE Damage Reason Disturbance Potential MODERATE LOW MODERATE LOW LOW MODERATE LOW MODERATE MODERATE LOW MODERATE LOW MODERATE LOW MODERATE LOW MODERATE LOW LOW LOW LOW
15 School Unit 2231 Building ID 236 Address 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 D MJP E/F/V on Heating and Water Pipe Insulation E Insulation on Heating Pipes F Magblock Pipe Joint Insulation G Heating and Water Pipe Insulation H I Material Quantity Material Units ,465 MJP E/F/V on Heating and Water Pipe Insulation 386 Aircell Duct Insulation 39 Material Location Chases Boiler Room, Mechanical Room, Air Tunnels, Pipe Chases Boiler Room, Boiler Room Tunnel, Mechanical Room Boiler Room and Throughout Basement Pipe Chases Boiler Room, Pipe Chases, Mechanical Room, Air Tunnels, Unexcavated Crawl Spaces Boiler Room, Pipe Chases, Mechanical Room, Air Tunnels, Unexcavated Crawl Spaces East & West Crawl Space (under Assembly Hall) Asbestos Type Material Category Friable Damage Type CHR TSI Y NONE CHR TSI Y CHR TSI CHR Damage Quantity Damage Units Change in Assessment Category Damage Category Damage Reason ACBM with the potential for damage LOW NONE ACBM with the potential for damage LOW Y NONE ACBM with the potential for damage LOW TSI Y NONE ACBM with the potential for damage LOW CHR TSI Y NONE ACBM with the potential for damage LOW CHR TSI Y DIST 6 Yes Damaged or significantly damaged friable thermal system insulating ACBM 3 Disturbance Potential HIGH
16 School Unit 2231 Building ID 236 Address 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 4/15/216 Inspector Name Inspector's Comments Esteban Nunez /13/217 Inspector's IDPH License Number / Expiration Date HA Number: A 18 18A 19 19A 2 2A 21 21A Inspector Comments: NOT OBSERVED NOT OBSERVED NOT OBSERVED
17 School Unit 2231 Building ID 236 Address 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: 25M M 28 28M 29 29M 3 3M M A B C D E F G H I Inspector Comments:
18 Table II Management Planner's Review
19 School Address Unit 2231 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 A 18 Linoleum NOT OBSERVED 12x12 Brown Speckled Floor Tile Linoleum Mastic NOT OBSERVED 12x12 Brown Speckled Floor Tile Mastic Black Mop Board Black Mop Board Mastic Heating Pipe Transite Partitiions Fire Brick in Incinerator Terrazzo 12x12 Sand Colored Floor Tile (NOT OBSERVED) 12x12 Sand Colored Floor Tile Mastic (NOT OBSERVED) 12x12 Cream Colored Floor Tile 7,116 7, , A 12x12 Cream Colored Floor Tile Mastic x12 Tan Floor Tile 37 19A 12x12 Tan Floor Tile Mastic x12 Light Brown Floor Tile 1,68 2A 12x12 Light Brown Floor Tile Mastic 1, A M x12 White w/ Black Streaks Floor Tile 12x12 White w/ Black Streaks Floor Tile Mastic Ceramic Tile Grout Grey Carpet Mastic NOT OBSERVED Hardcoat Plaster 1 x 1 White Fissured Ceiling Tile 1 x 1 White Fissured Ceiling Tile Mastic 2 x 4 White Fissured Ceiling Tile 12 x 12 White with Beige Specs Floor Tile (t Observed) 1,264 1, , 1,4 1, Material Location kitchen NOT OBSERVED All Corridors - 1st and 2nd Floors Kitchen NOT OBSERVED All Corridors - 1st and 2nd Floors Teachers Lounge and Cafeteria Teachers Lounge and Cafeteria Boiler Room All Washrooms Throughout The Facility Boiler Room Throughout School Main Office Main Office Rooms 124 (Teachers Lounge) and Kitchen Closet & Rm. 18 (Abated) Rooms 124 (Teachers Lounge) and 18 (Abated) and Kitchen Closet Rooms 124 (Teachers Lounge) and 18 (Abated) Rooms 124 (Teachers Lounge) and 18 (Abated) Room 117 (Library) and 1st & 2nd Floor Storage Rooms Room 117 (Library) and 1st & 2nd Floor Storage Rooms Room 116 (Lunchroom) Room 116 (Lunchroom) All Washrooms at the Facility Main Office NOT OBSERVED 1st and 2nd Floors - Throughout Room 121 (Library) Room 121 (Library) Room 122 (Kindergarden) Kitchen (not observed) Asbestos Type Material Category Friable Damage Quantity Damage Units Damage Category Response Yes Chrysotile ACBM ACBM Assumed ACBM Assumed Assumed Chrysotile Assumed TSI Assumed Chrysotile Assumed Assumed Chrysotile Assumed Assumed Assumed ACBM Assumed Assumed Assumed Assumed Assumed Assumed SURFACE Yes Yes Yes Chrysotile
20 School Address Unit 2231 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 27M 21 Kitchen (not observed) Assumed 21 Kitchen (t Observed) Assumed 21 Kitchen (t Observed) Assumed 29 29M 3 3M M A B C 12 x 12 White with Beige Specs Floor Tile Mastic (t observed) 12 x 12 Off White with Beige Specs Floor Tile (t Observed) 12 x 12 Off White with Beige Specs Floor Tile Mastic (t Observed) 12 x 12 VFT Light Gray w/ white Specks 12 x 12 VFT & Mastic Light gray w/ white specks 12 x 12 VFT Blue Speckled 12 x 12 VFT & Mastic Blude Speckled 12 x 12 VFT Maroon w/ Dark Brown Specks 12 x 12 Mastic Maroon w/ Dark Brown Boiler Insulation Insulation on Water Return Tanks Heating and Water Pipe Insulation 1,1 1, , Assumed Assumed Assumed Assumed Assumed Assumed Chrysotile Chrysotile Chrysotile TSI TSI TSI Yes Yes Yes D MJP E/F/V on Heating and Water Pipe Insulation 78 Chrysotile TSI Yes E Insulation on Heating Pipes 18 Chrysotile TSI Yes F Magblock Pipe Joint Insulation 15 Chrysotile TSI Yes G Heating and Water Pipe Insulation 1,465 Chrysotile TSI Yes H MJP E/F/V on Heating and Water Pipe Insulation 386 Chrysotile TSI Yes I Aircell Duct Insulation 39 Cafeteria and Kitchen Cafeteria and Kitchen Main Office Main Office Elevator Vestibule Elevator Vestibule Boiler Room Boiler Room Boiler Room, Mechanical Room, Air Tunnels, Pipe Chases Boiler Room, Mechanical Room, Air Tunnels, Pipe Chases Boiler Room, Boiler Room Tunnel, Mechanical Room Boiler Room and Throughout Basement Pipe Chases Boiler Room, Pipe Chases, Mechanical Room, Air Tunnels, Unexcavated Crawl Spaces Boiler Room, Pipe Chases, Mechanical Room, Air Tunnels, Unexcavated Crawl Spaces East & West Crawl Space (under Assembly Hall) Chrysotile TSI Yes 6 1 Damaged or significantly damaged friable thermal system insulating ACBM Repair 28 28M Response
21 School Address Unit 2231 Building ID Chicago, IL, 6628 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 6/8/216 Review Date Manager Planner Name Jigar Shah /19/217 Manager IDPH License /Expiration HA Number Management Comments
22 School Address Unit 2231 Building ID Chicago, IL, 6628 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 17A 18 18A 19 19A 2 2A 21 21A M M 28 28M 29 29M 3 3M M A B Management Comments
23 School Address Unit 2231 Building ID Chicago, IL, 6628 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 Management Comments C D E F G H I Repair Damaged ACM, Restrict Access until Repaired
24 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 2231 AHERA INSPECTOR: Esteban Nunez INSPECTION DATE: 4/15/ INFORMATION FROM PREVIOUS INSPECTION 1 Linoleum 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. DAMAGE REASON: DISTURBANCE POTENTIAL: kitchen NOT OBSERVED COMMENTS: NOT OBSERVED Inspector's Signature: 4/15/216
25 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Jigar Shah REVIEW DATE: 6/8/ Linoleum NOT OBSERVED kitchen NOT OBSERVED 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: 6/8/216
26 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Esteban Nunez INSPECTION DATE: 4/15/ INFORMATION FROM PREVIOUS INSPECTION 2 12x12 Brown Speckled 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 All Corridors - 1st and 2nd Floors 7116 COMMENTS: Inspector's Signature: 4/15/216
27 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Jigar Shah REVIEW DATE: 6/8/ x12 Brown Speckled Floor Tile All Corridors - 1st and 2nd Floors 7116 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: 6/8/216
28 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 2231 AHERA INSPECTOR: Esteban Nunez INSPECTION DATE: 4/15/ INFORMATION FROM PREVIOUS INSPECTION 8 Linoleum 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. DAMAGE REASON: DISTURBANCE POTENTIAL: Kitchen NOT OBSERVED COMMENTS: NOT OBSERVED Inspector's Signature: 4/15/216
29 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Jigar Shah REVIEW DATE: 6/8/ Linoleum Mastic NOT OBSERVED Kitchen NOT OBSERVED 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: 6/8/216
30 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Esteban Nunez INSPECTION DATE: 4/15/ INFORMATION FROM PREVIOUS INSPECTION 9 12x12 Brown Speckled 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 All Corridors - 1st and 2nd Floors 7116 COMMENTS: Inspector's Signature: 4/15/216
31 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Jigar Shah REVIEW DATE: 6/8/ x12 Brown Speckled Floor Tile Mastic All Corridors - 1st and 2nd Floors 7116 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: 6/8/216
32 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Esteban Nunez INSPECTION DATE: 4/15/ INFORMATION FROM PREVIOUS INSPECTION 11 Black Mop Board HISTORICAL AHERA DAMAGE CATEGORY 6 HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Teachers Lounge and Cafeteria 192 COMMENTS: Inspector's Signature: 4/15/216
33 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Jigar Shah REVIEW DATE: 6/8/ Black Mop Board Teachers Lounge and Cafeteria 192 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: 6/8/216
34 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Esteban Nunez INSPECTION DATE: 4/15/ INFORMATION FROM PREVIOUS INSPECTION 12 Black Mop Board Mastic HISTORICAL AHERA DAMAGE CATEGORY 6 HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Teachers Lounge and Cafeteria 192 COMMENTS: Inspector's Signature: 4/15/216
35 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Jigar Shah REVIEW DATE: 6/8/ Black Mop Board Mastic Teachers Lounge and Cafeteria 192 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: 6/8/216
36 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Esteban Nunez INSPECTION DATE: 4/15/ INFORMATION FROM PREVIOUS INSPECTION 13 Heating Pipe HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Boiler Room 8 COMMENTS: Inspector's Signature: 4/15/216
37 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Jigar Shah REVIEW DATE: 6/8/ Heating Pipe Boiler Room 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: 6/8/216
38 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Esteban Nunez INSPECTION DATE: 4/15/ INFORMATION FROM PREVIOUS INSPECTION 14 Transite Partitiions HISTORICAL AHERA DAMAGE CATEGORY 6 HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW All Washrooms Throughout The Facility 7 COMMENTS: Inspector's Signature: 4/15/216
39 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Jigar Shah REVIEW DATE: 6/8/ Transite Partitiions All Washrooms Throughout The Facility 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: 6/8/216
40 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Esteban Nunez INSPECTION DATE: 4/15/ INFORMATION FROM PREVIOUS INSPECTION 15 Fire Brick in Incinerator HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Boiler Room 5 COMMENTS: Inspector's Signature: 4/15/216
41 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Jigar Shah REVIEW DATE: 6/8/ Fire Brick in Incinerator Boiler Room 5 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 6/8/216
42 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Esteban Nunez INSPECTION DATE: 4/15/ INFORMATION FROM PREVIOUS INSPECTION 16 Terrazzo HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Throughout School 51 COMMENTS: Inspector's Signature: 4/15/216
43 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Jigar Shah REVIEW DATE: 6/8/ Terrazzo Throughout School 51 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: 6/8/216
44 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Esteban Nunez INSPECTION DATE: 4/15/ INFORMATION FROM PREVIOUS INSPECTION 17 12x12 Sand Colored Floor Tile (NOT OBSERVED) HISTORICAL AHERA DAMAGE CATEGORY 6 HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE Main Office 384 COMMENTS: Inspector's Signature: 4/15/216
45 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Jigar Shah REVIEW DATE: 6/8/ x12 Sand Colored Floor Tile (NOT OBSERVED) Main Office 384 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: 6/8/216
46 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Esteban Nunez INSPECTION DATE: 4/15/ INFORMATION FROM PREVIOUS INSPECTION 17A 12x12 Sand Colored Floor Tile Mastic (NOT OBSERVED) HISTORICAL AHERA DAMAGE CATEGORY 6 HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Main Office 384 COMMENTS: Inspector's Signature: 4/15/216
47 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Jigar Shah REVIEW DATE: 6/8/ A 12x12 Sand Colored Floor Tile Mastic (NOT OBSERVED) Main Office 384 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: 6/8/216
48 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Esteban Nunez INSPECTION DATE: 4/15/ INFORMATION FROM PREVIOUS INSPECTION 18 12x12 Cream Colored Floor Tile HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE Rooms 124 (Teachers Lounge) and Kitchen Closet & Rm. 18 (Abated) 47 COMMENTS: Inspector's Signature: 4/15/216
49 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Jigar Shah REVIEW DATE: 6/8/ x12 Cream Colored Floor Tile Rooms 124 (Teachers Lounge) and Kitchen Closet & Rm. 18 (Abated) 47 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: 6/8/216
50 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Esteban Nunez INSPECTION DATE: 4/15/ INFORMATION FROM PREVIOUS INSPECTION 18A 12x12 Cream Colored 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 Rooms 124 (Teachers Lounge) and 18 (Abated) and Kitchen Closet 47 COMMENTS: Inspector's Signature: 4/15/216
51 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Jigar Shah REVIEW DATE: 6/8/ A 12x12 Cream Colored Floor Tile Mastic Rooms 124 (Teachers Lounge) and 18 (Abated) and Kitchen Closet 47 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: 6/8/216
52 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Esteban Nunez INSPECTION DATE: 4/15/ INFORMATION FROM PREVIOUS INSPECTION 19 12x12 Tan Floor Tile HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE Rooms 124 (Teachers Lounge) and 18 (Abated) 37 COMMENTS: Inspector's Signature: 4/15/216
53 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Jigar Shah REVIEW DATE: 6/8/ x12 Tan Floor Tile Rooms 124 (Teachers Lounge) and 18 (Abated) 37 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 6/8/216
54 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Esteban Nunez INSPECTION DATE: 4/15/ INFORMATION FROM PREVIOUS INSPECTION 19A 12x12 Tan Floor Tile Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Rooms 124 (Teachers Lounge) and 18 (Abated) 37 COMMENTS: Inspector's Signature: 4/15/216
55 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Jigar Shah REVIEW DATE: 6/8/ A 12x12 Tan Floor Tile Mastic Rooms 124 (Teachers Lounge) and 18 (Abated) 37 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 6/8/216
56 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Esteban Nunez INSPECTION DATE: 4/15/ INFORMATION FROM PREVIOUS INSPECTION 2 12x12 Light Brown Floor Tile HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE Room 117 (Library) and 1st & 2nd Floor Storage Rooms 168 COMMENTS: Inspector's Signature: 4/15/216
57 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Jigar Shah REVIEW DATE: 6/8/ x12 Light Brown Floor Tile Room 117 (Library) and 1st & 2nd Floor Storage Rooms 168 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: 6/8/216
58 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Esteban Nunez INSPECTION DATE: 4/15/ INFORMATION FROM PREVIOUS INSPECTION 2A 12x12 Light Brown Floor Tile Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Room 117 (Library) and 1st & 2nd Floor Storage Rooms 168 COMMENTS: Inspector's Signature: 4/15/216
59 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Jigar Shah REVIEW DATE: 6/8/ A 12x12 Light Brown Floor Tile Mastic Room 117 (Library) and 1st & 2nd Floor Storage Rooms 168 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: 6/8/216
60 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Esteban Nunez INSPECTION DATE: 4/15/ INFORMATION FROM PREVIOUS INSPECTION 21 12x12 White w/ Black Streaks Floor Tile HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE Room 116 (Lunchroom) 1264 COMMENTS: Inspector's Signature: 4/15/216
61 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Jigar Shah REVIEW DATE: 6/8/ x12 White w/ Black Streaks Floor Tile Room 116 (Lunchroom) 1264 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: 6/8/216
62 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Esteban Nunez INSPECTION DATE: 4/15/ INFORMATION FROM PREVIOUS INSPECTION 21A 12x12 White w/ Black Streaks Floor Tile Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Room 116 (Lunchroom) 1264 COMMENTS: Inspector's Signature: 4/15/216
63 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Jigar Shah REVIEW DATE: 6/8/ A 12x12 White w/ Black Streaks Floor Tile Mastic Room 116 (Lunchroom) 1264 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: 6/8/216
64 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Esteban Nunez INSPECTION DATE: 4/15/ INFORMATION FROM PREVIOUS INSPECTION 22 Ceramic Tile Grout HISTORICAL AHERA DAMAGE CATEGORY 6 HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: ACBM 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 All Washrooms at the Facility 84 COMMENTS: Inspector's Signature: 4/15/216
65 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Jigar Shah REVIEW DATE: 6/8/ Ceramic Tile Grout All Washrooms at the Facility 84 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: 6/8/216
66 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Esteban Nunez INSPECTION DATE: 4/15/ INFORMATION FROM PREVIOUS INSPECTION 23 Grey Carpet Mastic NOT OBSERVED HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Main Office NOT OBSERVED 384 COMMENTS: NOT OBSERVED Inspector's Signature: 4/15/216
67 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Jigar Shah REVIEW DATE: 6/8/ Grey Carpet Mastic NOT OBSERVED Main Office NOT OBSERVED 384 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: 6/8/216
68 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Esteban Nunez INSPECTION DATE: 4/15/ INFORMATION FROM PREVIOUS INSPECTION 24 Hardcoat Plaster HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW 1st and 2nd Floors - Throughout 2 COMMENTS: Inspector's Signature: 4/15/216
69 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Jigar Shah REVIEW DATE: 6/8/ Hardcoat Plaster 1st and 2nd Floors - Throughout 2 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 6/8/216
70 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Esteban Nunez INSPECTION DATE: 4/15/ INFORMATION FROM PREVIOUS INSPECTION 25 1 x 1 White Fissured Ceiling Tile HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE Room 121 (Library) 14 COMMENTS: Inspector's Signature: 4/15/216
71 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Jigar Shah REVIEW DATE: 6/8/ x 1 White Fissured Ceiling Tile Room 121 (Library) 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: 6/8/216
72 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Esteban Nunez INSPECTION DATE: 4/15/ INFORMATION FROM PREVIOUS INSPECTION 25M 1 x 1 White Fissured Ceiling Tile Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Room 121 (Library) 14 COMMENTS: Inspector's Signature: 4/15/216
73 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Jigar Shah REVIEW DATE: 6/8/ M 1 x 1 White Fissured Ceiling Tile Mastic Room 121 (Library) 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: 6/8/216
74 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Esteban Nunez INSPECTION DATE: 4/15/ INFORMATION FROM PREVIOUS INSPECTION 26 2 x 4 White Fissured Ceiling Tile HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE Room 122 (Kindergarden) 72 COMMENTS: Inspector's Signature: 4/15/216
75 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Jigar Shah REVIEW DATE: 6/8/ x 4 White Fissured Ceiling Tile Room 122 (Kindergarden) 72 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: 6/8/216
76 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Esteban Nunez INSPECTION DATE: 4/15/ INFORMATION FROM PREVIOUS INSPECTION x 12 White with Beige Specs Floor Tile (t Observed) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE Kitchen (not observed) 21 COMMENTS: Inspector's Signature: 4/15/216
77 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Jigar Shah REVIEW DATE: 6/8/ x 12 White with Beige Specs Floor Tile (t Observed) Kitchen (not observed) 21 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 6/8/216
78 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Esteban Nunez INSPECTION DATE: 4/15/ INFORMATION FROM PREVIOUS INSPECTION 27M 12 x 12 White with Beige Specs Floor Tile Mastic (t observed) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Kitchen (not observed) 21 COMMENTS: Inspector's Signature: 4/15/216
79 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Jigar Shah REVIEW DATE: 6/8/ M 12 x 12 White with Beige Specs Floor Tile Mastic (t observed) Kitchen (not observed) 21 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 6/8/216
80 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Esteban Nunez INSPECTION DATE: 4/15/ INFORMATION FROM PREVIOUS INSPECTION x 12 Off White with Beige Specs Floor Tile (t Observed) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE Kitchen (t Observed) 21 COMMENTS: Inspector's Signature: 4/15/216
81 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Jigar Shah REVIEW DATE: 6/8/ x 12 Off White with Beige Specs Floor Tile (t Observed) Kitchen (t Observed) 21 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 6/8/216
82 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Esteban Nunez INSPECTION DATE: 4/15/ INFORMATION FROM PREVIOUS INSPECTION 28M 12 x 12 Off White with Beige Specs Floor Tile Mastic (t Observed) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Kitchen (t Observed) 21 COMMENTS: Inspector's Signature: 4/15/216
83 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Jigar Shah REVIEW DATE: 6/8/ M 12 x 12 Off White with Beige Specs Floor Tile Mastic (t Observed) Kitchen (t Observed) 21 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 6/8/216
84 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Esteban Nunez INSPECTION DATE: 4/15/ INFORMATION FROM PREVIOUS INSPECTION x 12 VFT Light Gray w/ white Specks HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE Cafeteria and Kitchen 11 COMMENTS: Inspector's Signature: 4/15/216
85 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Jigar Shah REVIEW DATE: 6/8/ x 12 VFT Light Gray w/ white Specks Cafeteria and Kitchen 11 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: 6/8/216
86 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Esteban Nunez INSPECTION DATE: 4/15/ INFORMATION FROM PREVIOUS INSPECTION 29M 12 x 12 VFT & Mastic Light gray w/ white specks HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Cafeteria and Kitchen 11 COMMENTS: Inspector's Signature: 4/15/216
87 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Jigar Shah REVIEW DATE: 6/8/ M 12 x 12 VFT & Mastic Light gray w/ white specks Cafeteria and Kitchen 11 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: 6/8/216
88 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Esteban Nunez INSPECTION DATE: 4/15/ INFORMATION FROM PREVIOUS INSPECTION 3 12 x 12 VFT Blue Speckled HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE Main Office 6 COMMENTS: Inspector's Signature: 4/15/216
89 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Jigar Shah REVIEW DATE: 6/8/ x 12 VFT Blue Speckled Main Office 6 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 6/8/216
90 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Esteban Nunez INSPECTION DATE: 4/15/ INFORMATION FROM PREVIOUS INSPECTION 3M 12 x 12 VFT & Mastic Blude Speckled HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Main Office 6 COMMENTS: Inspector's Signature: 4/15/216
91 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Jigar Shah REVIEW DATE: 6/8/ M 12 x 12 VFT & Mastic Blude Speckled Main Office 6 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 6/8/216
92 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Esteban Nunez INSPECTION DATE: 4/15/ INFORMATION FROM PREVIOUS INSPECTION x 12 VFT Maroon w/ Dark Brown Specks HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE Elevator Vestibule 5 COMMENTS: Inspector's Signature: 4/15/216
93 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Jigar Shah REVIEW DATE: 6/8/ x 12 VFT Maroon w/ Dark Brown Specks Elevator Vestibule 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: 6/8/216
94 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Esteban Nunez INSPECTION DATE: 4/15/ INFORMATION FROM PREVIOUS INSPECTION 31 M 12 x 12 Mastic Maroon w/ Dark Brown HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Elevator Vestibule 5 COMMENTS: Inspector's Signature: 4/15/216
95 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Jigar Shah REVIEW DATE: 6/8/ M 12 x 12 Mastic Maroon w/ Dark Brown Elevator Vestibule 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: 6/8/216
96 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Esteban Nunez INSPECTION DATE: 4/15/ INFORMATION FROM PREVIOUS INSPECTION A Boiler 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 Boiler Room 22 COMMENTS: Inspector's Signature: 4/15/216
97 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Jigar Shah REVIEW DATE: 6/8/ A Boiler Insulation Boiler Room 22 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: 6/8/216
98 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Esteban Nunez INSPECTION DATE: 4/15/ INFORMATION FROM PREVIOUS INSPECTION B Insulation on Water Return Tanks 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 Boiler Room 8 COMMENTS: Inspector's Signature: 4/15/216
99 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Jigar Shah REVIEW DATE: 6/8/ B Insulation on Water Return Tanks Boiler Room 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: 6/8/216
100 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Esteban Nunez INSPECTION DATE: 4/15/ INFORMATION FROM PREVIOUS INSPECTION C Heating and Water 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 Boiler Room, Mechanical Room, Air Tunnels, Pipe Chases 889 COMMENTS: Inspector's Signature: 4/15/216
101 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Jigar Shah REVIEW DATE: 6/8/ C Heating and Water Pipe Insulation Boiler Room, Mechanical Room, Air Tunnels, Pipe Chases 889 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: 6/8/216
102 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Esteban Nunez INSPECTION DATE: 4/15/ INFORMATION FROM PREVIOUS INSPECTION D MJP E/F/V on Heating and Water 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 Boiler Room, Mechanical Room, Air Tunnels, Pipe Chases 78 COMMENTS: Inspector's Signature: 4/15/216
103 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Jigar Shah REVIEW DATE: 6/8/ D MJP E/F/V on Heating and Water Pipe Insulation Boiler Room, Mechanical Room, Air Tunnels, Pipe Chases 78 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: 6/8/216
104 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Esteban Nunez INSPECTION DATE: 4/15/ INFORMATION FROM PREVIOUS INSPECTION E Insulation on Heating Pipes 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 Boiler Room, Boiler Room Tunnel, Mechanical Room 18 COMMENTS: Inspector's Signature: 4/15/216
105 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Jigar Shah REVIEW DATE: 6/8/ E Insulation on Heating Pipes Boiler Room, Boiler Room Tunnel, Mechanical Room 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: 6/8/216
106 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Esteban Nunez INSPECTION DATE: 4/15/ INFORMATION FROM PREVIOUS INSPECTION F Magblock Pipe Joint 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 Boiler Room and Throughout Basement Pipe Chases 15 COMMENTS: Inspector's Signature: 4/15/216
107 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Jigar Shah REVIEW DATE: 6/8/ F Magblock Pipe Joint Insulation Boiler Room and Throughout Basement Pipe Chases 15 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 6/8/216
108 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Esteban Nunez INSPECTION DATE: 4/15/ INFORMATION FROM PREVIOUS INSPECTION G Heating and Water 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 Boiler Room, Pipe Chases, Mechanical Room, Air Tunnels, Unexcavated Crawl Spaces 1465 COMMENTS: Inspector's Signature: 4/15/216
109 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Jigar Shah REVIEW DATE: 6/8/ G Heating and Water Pipe Insulation Boiler Room, Pipe Chases, Mechanical Room, Air Tunnels, Unexcavated Crawl Spaces 1465 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: 6/8/216
110 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Esteban Nunez INSPECTION DATE: 4/15/ INFORMATION FROM PREVIOUS INSPECTION H MJP E/F/V on Heating and Water 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 Boiler Room, Pipe Chases, Mechanical Room, Air Tunnels, Unexcavated Crawl Spaces 386 COMMENTS: Inspector's Signature: 4/15/216
111 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Jigar Shah REVIEW DATE: 6/8/ H MJP E/F/V on Heating and Water Pipe Insulation Boiler Room, Pipe Chases, Mechanical Room, Air Tunnels, Unexcavated Crawl Spaces 386 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: 6/8/216
112 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Esteban Nunez INSPECTION DATE: 4/15/ INFORMATION FROM PREVIOUS INSPECTION I Aircell Duct Insulation HISTORICAL AHERA DAMAGE CATEGORY 1 Damaged or significantly damaged friable thermal system insulating ACBM HISTORICAL DAMAGE REASON: Deterioration HISTORICAL RESPONSE ACTION: Repair ASBESTOS TYPE: Chrysotile FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 1. Damaged or significantly damaged friable thermal system insulating ACBM DAMAGE REASON: Deterioration DISTURBANCE POTENTIAL: HIGH East & West Crawl Space (under Assembly Hall) 39 COMMENTS: Inspector's Signature: 4/15/216
113 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Jigar Shah REVIEW DATE: 6/8/ I Aircell Duct Insulation East & West Crawl Space (under Assembly Hall) 39 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: Repair Comments: Repair Damaged ACM, Restrict Access until Repaired Management Planner's Signature: 6/8/216
114 216 AHERA REINSPECTION
115 APPENDIX B Inspector and Management Planner Licenses
116
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 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 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: 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: 14-016-2990-2121
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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: 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 informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-2207
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationExplain in writing if the address of the building is different than the address on this form:
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: 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: 14-016-2990-3760
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-3770
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: 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: 14-016-2990-2497
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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
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
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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
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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: 14-016-2990-2059
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
More informationExplain in writing if the address of the building is different than the address on this form:
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationExplain in writing if the address of the building is different than the address on this form:
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-2490
More informationExplain in writing if the address of the building is different than the address on this form:
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationExplain in writing if the address of the building is different than the address on this form:
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationExplain in writing if the address of the building is different than the address on this form:
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-2286
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
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 informationExplain in writing if the address of the building is different than the address on this form:
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationExplain in writing if the address of the building is different than the address on this form:
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationExplain in writing if the address of the building is different than the address on this form:
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More 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
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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
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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: 14-016-2990-2080
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: 14-016-2990-2724
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: 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
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: 14-016-2990-3553
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-2168
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: 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: 14-016-2990-2841
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: 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: 14-016-2990-0027
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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
More informationExplain in writing if the address of the building is different than the address on this form:
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationExplain in writing if the address of the building is different than the address on this form:
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: 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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