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

Transcription

1 ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO SCHOOL DIST Jefferson Alternative School 11 S. Hamilton Chicago, IL, 6612 DATE LAST THREE YEAR REINSPECTION WAS COMPLETED 4/17/213 If the address on this form is different than the address of the building, submit a written explanation. SECTION II (Please type or print) PLEASE COMPLETE THE FOLING FOR YOUR THREE YEAR REINSPECTION: DATE REINSPECTION COMPLETED: 1/17/216 ENROLLMENT IDPH INSPECTOR LICENSE NUMBER: IDPH LICENSED INSPECTOR NAME (Please Print): James Lehnhardt IDPH MP LICENSE NUMBER: IDPH LICENSED MANAGEMENT PLANNER NAME (Please Print): Evan Christian DESIGNATED PERSON (Please Print): Robert Christlieb PHONE: 222 (773) /17/216 Signature of Designated Person Date SECTION III PLEASE COMPLETE THE FOLING INFORMATION FOR ANY CHANGES WITHIN THE SCHOOL DISTRICT. School building has been sold. Date of Sale: School has been closed. Date closed: School building has been demolished. School building is asbestos free since last reinspection: Please explain in writing why the school building is now asbestos free and include the supporting documentation. If a new school building has been added to the district, submit either and exclusionary statement or a management plan and inspection report. Include the complete name, address and city of school building. Explain in writing if the address of the building is different than the address on this form: IL Revised 1.3

2 THREE YEAR REINSPECTION CHICAGO SCHOOL DIST 299 Jefferson Alternative School 11 S. Hamilton Chicago, IL, 6612 Unit: 311 Building ID: 212 IDPH ID Number: REPORT DATE: Monday, October 17, 216 Prepared for: 125 S. Clark Street Chicago, IL 663 Prepared by: 6 West Van Buren St., Ste 5 Phone (312) Fax (312) DO NOT REMOVE FROM SCHOOL REQUIRED BY FEDERAL LAW

3 October 6, 216 Mr. R. Kent Cook Asbestos Program Illinois Department of Public Health 525 West Jefferson Street Springfield, Illinois Re: Three-Year Reinspections Dear Mr. Cook:, Managing Environmental Consultant (MEC), conducted the ThreeYear Reinspections and performed management plan updates for the (CPS) facilities in Region 3,4,5 Elementary Schools. Please update your records with the following information. School District: 299 Unit: 311 Region: 3 School: Jefferson Alternative School IDPH ID: Building ID: 212 Address: 11 S. Hamilton Chicago, IL, 6612 Building Contact: Contact Phone: Current Building Owners: Review 1/17/216 Inspector: James Lehnhardt Management Planner: Evan Christian Inspector IDPH License: Management Planner IDPH License: If you have any questions or comments, please contact us at (312) Sincerely, Evan Christian

4 Environmental tification to Occupants To: Faculty, Staff and Parents From: October 6, 216 RE: Jefferson Alternative School, Unit S. Hamilton Chicago, IL, 6612 Dear Faculty, Staff and Parents, This letter is to notify you that the 216 asbestos three year re-inspection has been completed at Jefferson Alternative School, 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 Jefferson Alternative School, 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: Jefferson Alternative School Address: 11 S. Hamilton IDPH ID: Contact: 2. Unit: 311 Chicago, IL, 6612 Building ID: 212 Phone: Description of Facility Original Construction: Total Square Footage: Current Occupancy: Additional Construction: of Floors: LEA Designated Person Contact: Robert Christlieb Address: 125 South Clark Street, 17th Floor Chicago, IL Fax: (312) Inspector Inspector Name: James Lehnhardt Signature: 1/6/216 Inspector IDPH license # Phone: (773) Managing Environmental Consultant MEC: Contact: Dan Juneau Address 6 West Van Buren St., Ste 5 Phone: (312) Region: 3 Management Planner Management Planner Name: Evan Christian Management Planner IDPH license # Review 1/17/ LEA Designated Person's Acknowledgement Signature: 1/17/216 The reinspection report and recommendations have been received by me and appropriate action will be taken by the School District. Signature: 1/17/216 Name: Robert Christlieb Unit : 311 Jefferson Alternative School Building: 212

7 II. EXECUTIVE SUMMARY was retained by the (CPS) to perform a three-year asbestos reinspection of the Jefferson Alternative School. 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 212: Unit: Window Glazing 7 Fiberglass Pipe Insulation 2 Insulation on Room Divider 26 Fire Door Insulation 27 Duct Wrap 28 Fiberglass Joints 3 12" x 12" Gray Floor Tile 31 12" x 12" Gray Floor Tile Mastic 32 12" x 12" White w/ Gray Floor Tile Jefferson Alternative School Building: 212

8 Unit: " x 12" White w/gray Floor Tile Mastic 4 Sink Coating 43 Transite Sink/Counter Tops Jefferson Alternative School Building: 212

9 B. The following new homogenous areas have been identified for Building 212: Unit: 311 Jefferson Alternative School Building: 212

10 C. This reinspection covered only physically accessible and visible areas and materials that were identified in the LEA's management plan. The following materials were concealed and/or contained in areas that were inaccessible for sampling and have been classified as : A m Unit: 311 Spray-on Spray-on Material Plaster Walls Interior Brick Interior Brick Mortar Window Glazing Fiberglass Pipe Insulation 1" x 1" Ceiling Tile with Dots, Metal Cinder Block Wall Cinder Block Wall Mortar Room Divider Insulation-Plaster Wall 12" x 12" Multi-Beige VFT 12" x 12" Multi-Beige VFT Mastic Gray Carpet Glue Insulation on Room Divider 1.5" x 1.5" Ceiling Tile w/ Dots, Metal Gray Vinyl Room Divider Sheetrock Sheet Rock Joint Compound Finished Brick Mortar Vinyl Inlay Fire Door Insulation Duct Wrap Fiberglass Joints Carpet Adhesive 12" x 12" Gray Floor Tile 12" x 12" Gray Floor Tile Mastic 12" x 12" White w/ Gray Floor Tile 12" x 12" White w/gray Floor Tile Mastic 12" x 12" Multi-Beige Floor Tile 12" x 12" Multi-Beige Floor Tile Mastic 12" x 12" Parquae Linoleum 12" x 12" Parquae Linoleum Adhesive 4" Medium Brown Vinyl Baseboard 4" Medium Brown Vinyl Baseboard Mastic Sink Coating 2" Dark Brown Baseboard 2" Dark Brown Baseboard Mastic Transite Sink/Counter Tops Baseboard 8" Dark Tan Baseboard Mastic Terrazzo Flooring 12x12 white with green & rose Specs Jefferson Alternative School Building: 212

11 46m M 12x12 White with Green & Rose Specs Mastic 12"x12" Beige Floor Tile (Patching Material) 12"x12" Beige Floor Tile Mastic (Patching Material) 12"x12" Dark brown w/light Brown FT 12"x12" Dark brown w/light Brown FT Mastic The following areas were deemed to be inaccessible: m 46m 48 49M Spray-on Spray-on Material 12" x 12" Multi-Beige VFT Mastic Fiberglass Joints 12" x 12" Gray Floor Tile Mastic 12" x 12" White w/gray Floor Tile Mastic Baseboard Mastic 12x12 White with Green & Rose Specs Mastic 12"x12" Beige Floor Tile Mastic (Patching Material) 12"x12" Dark brown w/light Brown FT Mastic 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 James Lehnhardt, IDPH License # The Management Plan was updated by Evan Christian, IDPH License # Inspector and Management Planner Licenses are included in Appendix B. Unit: 311 Jefferson Alternative School Building: 212

12 III. METHODOLOGY Tasks performed on-site included the following: IV. 1. Review current management plan, identify HA(s) and extract appropriate information. 2. Examine and verify abatement records. 3. Touch and visually and physically reinspect and reassess the condition of all friable known or assumed ACBM. 4. Touch and visually and physically reinspect all non-friable known or assumed ACBM to determine whether these materials have become friable since the last inspection or periodic surveillance. 5. Identify any condition changes that may affect Hazard Ranking of known ACBM or ACBM, as well as any HA(s) that have become friable since the last reinspection. 6. Collect bulk samples from each newly discovered friable HA or previously assumed and submit for laboratory analysis. 7. Tabulate reinspection findings and submit for management planner review and recommendations with appropriate response actions based on the AHERA Damage Category of the ACBM. 8. Submit reinspection findings and management planner recommendations to the LEA within thirty (3) days for inclusion into the management plan. ABATEMENT HISTORY The information collected from the existing management plan and inspection report(s) and from interviews with the school official revealed that the following asbestos abatement was conducted at the school since the previous Three year Reinspection. Abatement Dates: V. REASSESSMENTS AND RECOMMENDATIONS The reassessments and recommendations are summarized in Tables I and II on the following pages. Detailed Hazard Assessment Sheets and Drawings and Photos (if applicable) are included in Appendix A. VI. CONCLUSIONS The Jefferson Alternative School Building 212 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: 311 Jefferson Alternative School Building: 212

13 Table I Inspector's Reinspection Findings

14 School Jefferson Alternative School Unit 311 Building ID 212 Address 11 S. Hamilton Region 3 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Inspector's Reinspection Findings Table 1 Managing Environmental Consultant (MEC) 6 West Van Buren St., Ste 5 Phone: (312) Fax: (312) Inspector's Comments are Summarized at the End of the Report HA Material Description 2 Spray-on Spray-on Material 3 Material Quantity Material Units Material Location Asbestos Type Material Category Friable Damage Type 9, ASSUMED SURFACE Y NONE Plaster Walls 1, Above Drop Ceiling on Beams Throughout School Throughout School Change in Assessment Category ASSUMED SURFACE N NONE 4 Interior Brick 25, Throughout School ASSUMED N NONE 5 Interior Brick Mortar 75, Throughout building ASSUMED N NONE 6 Window Glazing 1,5 LF ASSUMED N NONE Yes 7 Fiberglass Pipe Insulation 15, LF Throughout Building Throughout Building ASSUMED TSI Y NONE Yes 8 12" x 12" Beige VFT 8, Throughout School CHR N NONE 9 12" x 12" Beige VFT Mastic 8, CHR N NONE 1 1" x 1" Ceiling Tile with Dots, Metal 12,5 ASSUMED N NONE 1 12" x 12" Tan VFT Throughout Building Throughout Building t located 11 12" x 12" Tan VFT Mastic 12 Cinder Block Wall 4 Storage Room UNDEFINE D UNDEFINE D ASSUMED N NONE 13 Cinder Block Wall Mortar 4 Storage Room ASSUMED N NONE Room Divider Insulation-Plaster Wall 12" x 12" Multi-Beige VFT 2 Room 39 Counslers Office ASSUMED ASSUMED N ne NONE 16 12" x 12" Multi-Beige VFT Mastic 2 Counslers Office ASSUMED N NONE 17 12" x 12" Gray VFT t Found 18 12" x 12" Gray VFT Mastic 19 Gray Carpet Glue UNDEFINE D UNDEFINE D ASSUMED N NONE ACBM with the potential for damage 2 Insulation on Room Divider ASSUMED TSI Y NONE Yes Any remaining friable ACBM or friable suspect ACBM t found t found 1,2 5 rth and South Bathroom floor tile and mastic, Chapel, Library South and rth Chapel Damage Quantity Damage Units Damage Category Damage Reason Disturbance Potential Any remaining friable ACBM or friable suspect ACBM ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage Any remaining friable ACBM or friable suspect ACBM ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage Low

15 School Jefferson Alternative School Unit 311 Building ID 212 Address 11 S. Hamilton Region 3 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Inspector's Reinspection Findings Table 1 Managing Environmental Consultant (MEC) 6 West Van Buren St., Ste 5 Phone: (312) Fax: (312) Inspector's Comments are Summarized at the End of the Report HA Material Description " x 1.5" Ceiling Tile w/ Dots, Metal 22 Gray Vinyl Room Divider Material Quantity Material Units Material Location Asbestos Type Material Category Friable Damage Type 5 ASSUMED N NONE ASSUMED 23 Sheetrock 5 All Purpose Room, Class 2, Store Room t present at time of Inspection All Purpose Room ASSUMED N 23A Sheet Rock Joint Compound 2 ASSUMED 24 Finished Brick Mortar 25 All Purpose Room/Detention Area All Purpose Room ASSUMED 25 Vinyl Inlay 1,35 Gym Room Floor 26 Fire Door Insulation 5 Throughout School Corridors 27 Duct Wrap 5, 28 Fiberglass Joints Carpet Adhesive 3 31 Damage Quantity Damage Units Damage Category Change in Assessment Category NONE N NONE ACBM with the potential for damage ACBM with the potential for damage N NONE ASSUMED N NONE ASSUMED TSI Y NONE Yes Above Drop Ceiling Throughout School ASSUMED TSI Y NONE Yes LF Above Drop Ceiling Throughout School ASSUMED TSI Y NONE Yes 5, ASSUMED N NONE 12" x 12" Gray Floor Tile 1,5 Rms 212, 214, 216, Chapel Room 25 ASSUMED N NONE Yes 12" x 12" Gray Floor Tile Mastic 1,5 Room 25 ASSUMED N NONE Yes 32 12" x 12" White w/ Gray Floor Tile 1, Main Office ASSUMED N NONE Yes 33 12" x 12" White w/gray Floor Tile Mastic 1, Main Office ASSUMED N NONE Yes 34 12" x 12" Multi-Beige Floor Tile 4,8 ASSUMED N NONE 35 12" x 12" Multi-Beige Floor Tile Mastic 2,7 Rooms 2,2A,2B, 23A,23B,25,26, 212,216,219, Bathroom, Library, rth/south Hall, Post 26 & 27, Chaplin Office Rooms 2, 2A, 2B, 23A,23B,25,26, ACBM with the potential for damage ACBM with the potential for damage Any remaining friable ACBM or friable suspect ACBM Any remaining friable ACBM or friable suspect ACBM Any remaining friable ACBM or friable suspect ACBM 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 ASSUMED N NONE ACBM with the potential for damage ACBM with the potential for damage ne Damage Reason Disturbance Potential Low

16 School Jefferson Alternative School Unit 311 Building ID 212 Address 11 S. Hamilton Region 3 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Inspector's Reinspection Findings Table 1 Managing Environmental Consultant (MEC) 6 West Van Buren St., Ste 5 Phone: (312) Fax: (312) Inspector's Comments are Summarized at the End of the Report HA Material Description Material Quantity Material Units Material Location Asbestos Type Material Category Friable Damage Type ASSUMED N NONE Damage Quantity Damage Units Change in Assessment Category Damage Category Damage Reason Disturbance Potential ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ,216,219 Bathroom, Library, rth/south Hall, Post 26 & 27, Chaplin Office Room 214 Bathroom 25 Room 214 Bathroom ASSUMED N NONE 635 ASSUMED N NONE ASSUMED N NONE ACBM with the potential for damage ASSUMED SURFACE N NONE Yes N NONE ACBM with potential for significant damage ACBM with the potential for damage ASSUMED ASSUMED N NONE ACBM with the potential for damage Post 26 & 27, Rooms 2, 2A, 2B and 327 Post 26 & 27, Rooms 2, 2A, 2B and 327 Rooms 216, 217, 317, 323 Post Office Rooms 26 and 27, rooms 2, 2A, 2B, 21, 211, 212, 214, 216, 217, 218, 31, 314, 316, 317, 318, 32, and 327, Supervisors Office Post Office Rooms 26 and 27, rooms 2, 2A, 2B, 21, 211, 212, 214, 216, 217, 218, 31, 314, 316, 317, 318, 32 and 327, Supervisors Office Room 216, 316 ASSUMED N NONE Yes 6 LF Multi Purpose Room ASSUMED N NONE 6 LF Multi Purpose Room ASSUMED N NONE 1, Lobby Entrance ASSUMED N NONE 6 2nd Floor Supervisor's Office & Toilet-rthside 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 36 12" x 12" Parquae Linoleum 37 12" x 12" Parquae Linoleum Adhesive 38 4" Medium Brown Vinyl Baseboard 39 4" Medium Brown Vinyl Baseboard Mastic Sink Coating " Dark Brown Baseboard 2,4 LF 42 2" Dark Brown Baseboard Mastic 2,4 LF 43 Transite Sink/Counter Tops 4 44 Baseboard 8" Dark Tan 44m Baseboard Mastic 45 Terrazzo Flooring 46 12x12 white with green & rose Specs

17 School Jefferson Alternative School Unit 311 Building ID 212 Address 11 S. Hamilton Region 3 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Inspector's Reinspection Findings Table 1 Managing Environmental Consultant (MEC) 6 West Van Buren St., Ste 5 Phone: (312) Fax: (312) Inspector's Comments are Summarized at the End of the Report HA Material Description 46m 12x12 White with Green & Rose Specs Mastic 47 12"x12" Beige Floor Tile (Patching Material) 12"x12" Beige Floor Tile Mastic (Patching Material) 12"x12" Dark brown w/light Brown FT M 12"x12" Dark brown w/light Brown FT Mastic Material Quantity Material Units Material Location Asbestos Type Material Category Friable Damage Type 6 ASSUMED N NONE 1,5 2nd Floor Supervisor's Office & Toilet -rthside Throughout School ASSUMED N 1,5 Throughout School ASSUMED N 75 By Room 35 as Patch Hallway By Room 35 as Patch Hallway ASSUMED 75 ASSUMED Damage Quantity Damage Units Damage Category Change in Assessment Category Damage Reason Disturbance Potential ACBM with the potential for damage NONE N NONE 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 NONE

18 School Jefferson Alternative School Unit 311 Building ID 212 Address 11 S. Hamilton Region 3 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Inspector's Reinspection Findings Table 1 Managing Environmental Consultant (MEC) 6 West Van Buren St., Ste 5 Phone: (312) Fax: (312) Inspector's Comments are Summarized at the End of the Report Reinspection Date 1/6/216 Inspector Name Inspector's Comments James Lehnhardt /15/216 Inspector's IDPH License Number / Expiration Date HA Number: A Inspector Comments: t observed 216 t observed 216 t observed 216 t observed 216 t observed 216 t observed 216

19 School Jefferson Alternative School Unit 311 Building ID 212 Address 11 S. Hamilton Region 3 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Inspector's Reinspection Findings Table 1 Managing Environmental Consultant (MEC) 6 West Van Buren St., Ste 5 Phone: (312) Fax: (312) Inspector's Comments are Summarized at the End of the Report HA Number: m m M Inspector Comments:

20 School Jefferson Alternative School Unit 311 Building ID 212 Address 11 S. Hamilton Region 3 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Inspector's Reinspection Findings Table 1 Managing Environmental Consultant (MEC) 6 West Van Buren St., Ste 5 Phone: (312) Fax: (312) Inspector's Comments are Summarized at the End of the Report

21 Table II Management Planner's Review

22 School Address Jefferson Alternative School Unit 11 S. Hamilton 311 Building ID Chicago, IL, Region 3 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Management Planner's Review Table II Managing Environmental Consultant (MEC) 6 West Van Buren St., Ste 5 Phone: (312) Fax: (312) Management Planner's Comments Summarized at the End of the Report HA Num Material Description Material Quantity Material Units Material Location Asbestos Type Material Category Friable Damage Quantity Damage Units Damage Category Response 2 Spray-on Spray-on Material 9, SURFACE Yes Plaster Walls Interior Brick Interior Brick Mortar Window Glazing Fiberglass Pipe Insulation 1, 25, 75, 1,5 15, LF LF SURFACE TSI Yes LF LF " x 12" Beige VFT 12" x 12" Beige VFT Mastic 1" x 1" Ceiling Tile with Dots, Metal 12" x 12" Tan VFT 12" x 12" Tan VFT Mastic Cinder Block Wall Cinder Block Wall Mortar Room Divider Insulation-Plaster Wall 12" x 12" Multi-Beige VFT 12" x 12" Multi-Beige VFT Mastic 12" x 12" Gray VFT 12" x 12" Gray VFT Mastic Gray Carpet Glue 8, 8, 12, ,2 Chrysotile Chrysotile Undefined Undefined Undefined Undefined Insulation on Room Divider 5 Throughout School Throughout Building Throughout Building t located t found Storage Room Storage Room Room 39 Counslers Office Counslers Office t Found t found rth and South Bathroom floor tile and mastic, Chapel, Library South and rth Chapel 7 Any remaining friable ACBM or friable suspect ACBM 7 Any remaining friable ACBM or friable suspect ACBM Above Drop Ceiling on Beams Throughout School Throughout School Throughout School Throughout building Throughout Building Throughout Building TSI Yes " x 1.5" Ceiling Tile w/ Dots, Metal A Gray Vinyl Room Divider Sheetrock Sheet Rock Joint Compound Finished Brick Mortar Vinyl Inlay Fire Door Insulation ,35 5 All Purpose Room, Class 2, Store Room t present at time of Inspection All Purpose Room All Purpose Room/Detention Area All Purpose Room Gym Room Floor Throughout School Corridors 7 Any remaining friable ACBM or friable suspect ACBM TSI Yes 27 Duct Wrap 5, Above Drop Ceiling Throughout School TSI Yes 7 Any remaining friable ACBM or friable suspect ACBM 7 Any remaining friable ACBM or friable

23 School Address Jefferson Alternative School Unit 11 S. Hamilton 311 Building ID Chicago, IL, Region 3 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Management Planner's Review Table II Managing Environmental Consultant (MEC) 6 West Van Buren St., Ste 5 Phone: (312) Fax: (312) Management Planner's Comments Summarized at the End of the Report HA Num Material Description Material Quantity Material Units Material Location Asbestos Type Material Category Friable Damage Quantity Damage Units Damage Category Response 28 Fiberglass Joints 15 LF Above Drop Ceiling Throughout School TSI Yes LF Carpet Adhesive 12" x 12" Gray Floor Tile 12" x 12" Gray Floor Tile Mastic 12" x 12" White w/ Gray Floor Tile 12" x 12" White w/gray Floor Tile Mastic 12" x 12" Multi-Beige Floor Tile 5, 1,5 1,5 1, 1, 4, " x 12" Multi-Beige Floor Tile Mastic 2, " x 12" Parquae Linoleum 12" x 12" Parquae Linoleum Adhesive 4" Medium Brown Vinyl Baseboard " Medium Brown Vinyl Baseboard Mastic Sink Coating 6 Rms 212, 214, 216, Chapel Room 25 Room 25 Main Office Main Office Rooms 2,2A,2B, 23A,23B,25,26,212,216,219, Bathroom, Library, rth/south Hall, Post 26 & 27, Chaplin Office Rooms 2, 2A, 2B, 23A,23B,25,26, 212,216,219 Bathroom, Library, rth/south Hall, Post 26 & 27, Chaplin Office Room 214 Bathroom Room 214 Bathroom Post 26 & 27, Rooms 2, 2A, 2B and 327 Post 26 & 27, Rooms 2, 2A, 2B and 327 Rooms 216, 217, 317, 323 suspect ACBM 7 Any remaining friable ACBM or friable suspect ACBM SURFACE 41 2" Dark Brown Baseboard 2,4 LF LF 42 2" Dark Brown Baseboard Mastic 2,4 LF LF m Transite Sink/Counter Tops Baseboard 8" Dark Tan Baseboard Mastic LF LF Post Office Rooms 26 and 27, rooms 2, 2A, 2B, 21, 211, 212, 214, 216, 217, 218, 31, 314, 316, 317, 318, 32, and 327, Supervisors Office Post Office Rooms 26 and 27, rooms 2, 2A, 2B, 21, 211, 212, 214, 216, 217, 218, 31, 314, 316, 317, 318, 32 and 327, Supervisors Office Room 216, 316 Multi Purpose Room Multi Purpose Room 5 ACBM with potential for significant damage LF LF

24 School Address Jefferson Alternative School Unit 11 S. Hamilton 311 Building ID Chicago, IL, Region 3 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Management Planner's Review Table II Managing Environmental Consultant (MEC) 6 West Van Buren St., Ste 5 Phone: (312) Fax: (312) Management Planner's Comments Summarized at the End of the Report HA Num Material Description Material Quantity Material Units Material Location Asbestos Type Material Category Friable Damage Quantity Damage Units Damage Category Response Terrazzo Flooring 12x12 white with green & rose Specs 1, 6 46m 12x12 White with Green & Rose Specs Mastic M 12"x12" Beige Floor Tile (Patching Material) 12"x12" Beige Floor Tile Mastic (Patching Material) 12"x12" Dark brown w/light Brown FT 12"x12" Dark brown w/light Brown FT Mastic 1,5 1, Lobby Entrance 2nd Floor Supervisor's Office & Toiletrthside 2nd Floor Supervisor's Office & Toilet rthside Throughout School Throughout School By Room 35 as Patch Hallway By Room 35 as Patch Hallway

25 School Address Jefferson Alternative School 11 S. Hamilton Unit 311 Building ID Chicago, IL, 6612 Region ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Management Planner's Review Table II Managing Environmental Consultant (MEC) 6 West Van Buren St., Ste 5 Phone: (312) Fax: (312) Management Planner's Comments Summarized at the End of the Report 1/17/216 Review Date Manager Planner Name Evan Christian /15/216 Manager IDPH License /Expiration HA Number A 24 Management Comments If identified follow O&M plan. If identified follow O&M plan. If identified follow O&M plan. If identified follow O&M plan. If identified follow O&M plan. If identified follow O&M plan.

26 School Address Jefferson Alternative School 11 S. Hamilton Unit 311 Building ID Chicago, IL, 6612 Region ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Management Planner's Review Table II Managing Environmental Consultant (MEC) 6 West Van Buren St., Ste 5 Phone: (312) Fax: (312) Management Planner's Comments Summarized at the End of the Report HA Number m m Management Comments

27 School Address Jefferson Alternative School 11 S. Hamilton Unit 311 Building ID Chicago, IL, 6612 Region ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Management Planner's Review Table II Managing Environmental Consultant (MEC) 6 West Van Buren St., Ste 5 Phone: (312) Fax: (312) Management Planner's Comments Summarized at the End of the Report HA Number 49 49M Management Comments

28 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION 2 Spray-on Spray-on Material HISTORICAL AHERA DAMAGE CATEGORY 7 Any remaining friable ACBM or friable suspect ACBM HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: Above Drop Ceiling on Beams Throughout School 9 COMMENTS: Inspector's Signature: 1/6/216

29 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton Spray-on Spray-on Material Above Drop Ceiling on Beams Throughout School 9 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: 1/17/216

30 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION 3 Plaster Walls HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Throughout School 1 COMMENTS: Inspector's Signature: 1/6/216

31 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton Plaster Walls Throughout School 1 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 1/17/216

32 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION 4 Interior Brick HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Throughout School 25 COMMENTS: Inspector's Signature: 1/6/216

33 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton Interior Brick Throughout School 25 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 1/17/216

34 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION 5 Interior Brick Mortar HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Throughout building 75 COMMENTS: Inspector's Signature: 1/6/216

35 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton Interior Brick Mortar Throughout building 75 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: 1/17/216

36 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION 6 Window Glazing HISTORICAL AHERA DAMAGE CATEGORY 6 HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Throughout Building 15 LF LF COMMENTS: Inspector's Signature: 1/6/216

37 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton Window Glazing Throughout Building 15 LF LF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 1/17/216

38 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION 7 Fiberglass Pipe Insulation HISTORICAL AHERA DAMAGE CATEGORY 7 HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: Throughout Building 15 LF LF COMMENTS: Inspector's Signature: 1/6/216

39 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton Fiberglass Pipe Insulation Throughout Building 15 LF LF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 1/17/216

40 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION 8 12" x 12" Beige VFT 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: Throughout School 8 COMMENTS: Inspector's Signature: 1/6/216

41 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton " x 12" Beige VFT Throughout School 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: 1/17/216

42 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION 9 12" x 12" Beige VFT 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: Throughout Building 8 COMMENTS: Inspector's Signature: 1/6/216

43 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton " x 12" Beige VFT Mastic Throughout Building 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: 1/17/216

44 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION 1 1" x 1" Ceiling Tile with Dots, Metal HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Throughout Building 125 COMMENTS: Inspector's Signature: 1/6/216

45 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton " x 1" Ceiling Tile with Dots, Metal Throughout Building 125 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 1/17/216

46 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION 1 12" x 12" Tan VFT HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Undefined 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: t located COMMENTS: t observed 216 Inspector's Signature: 1/6/216

47 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton " x 12" Tan VFT t located In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: If identified follow O&M plan. Management Planner's Signature: 1/17/216

48 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION 11 12" x 12" Tan VFT Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Undefined 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: t found COMMENTS: t observed 216 Inspector's Signature: 1/6/216

49 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton " x 12" Tan VFT Mastic t found In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: If identified follow O&M plan. Management Planner's Signature: 1/17/216

50 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION 12 Cinder Block Wall HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Storage Room 4 COMMENTS: Inspector's Signature: 1/6/216

51 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton Cinder Block Wall Storage Room 4 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 1/17/216

52 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION 13 Cinder Block Wall Mortar HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Storage Room 4 COMMENTS: Inspector's Signature: 1/6/216

53 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton Cinder Block Wall Mortar Storage Room 4 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 1/17/216

54 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION 14 Room Divider Insulation-Plaster Wall 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: Low Room 39 COMMENTS: t observed 216 Inspector's Signature: 1/6/216

55 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton Room Divider Insulation-Plaster Wall Room In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: If identified follow O&M plan. Management Planner's Signature: 1/17/216

56 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION 15 12" x 12" Multi-Beige VFT HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Counslers Office 2 COMMENTS: Inspector's Signature: 1/6/216

57 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton " x 12" Multi-Beige VFT Counslers Office 2 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 1/17/216

58 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION 16 12" x 12" Multi-Beige VFT Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Counslers Office 2 COMMENTS: Inspector's Signature: 1/6/216

59 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton " x 12" Multi-Beige VFT Mastic Counslers Office 2 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 1/17/216

60 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION 17 12" x 12" Gray VFT HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Undefined 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: t Found COMMENTS: t observed 216 Inspector's Signature: 1/6/216

61 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton " x 12" Gray VFT t Found In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: If identified follow O&M plan. Management Planner's Signature: 1/17/216

62 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION 18 12" x 12" Gray VFT Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Undefined 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: t found COMMENTS: t observed 216 Inspector's Signature: 1/6/216

63 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton " x 12" Gray VFT Mastic t found In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: If identified follow O&M plan. Management Planner's Signature: 1/17/216

64 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION 19 Gray Carpet Glue HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: rth and South Bathroom floor tile and mastic, Chapel, Library 12 COMMENTS: Inspector's Signature: 1/6/216

65 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton Gray Carpet Glue rth and South Bathroom floor tile and mastic, Chapel, Library 12 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 1/17/216

66 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION 2 Insulation on Room Divider HISTORICAL AHERA DAMAGE CATEGORY 7 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: South and rth Chapel 5 COMMENTS: Inspector's Signature: 1/6/216

67 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton Insulation on Room Divider South and rth Chapel 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: 1/17/216

68 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION " x 1.5" Ceiling Tile w/ Dots, Metal HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: All Purpose Room, Class 2, Store Room 5 COMMENTS: Inspector's Signature: 1/6/216

69 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton " x 1.5" Ceiling Tile w/ Dots, Metal All Purpose Room, Class 2, Store 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: 1/17/216

70 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION 22 Gray Vinyl Room Divider 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: Low t present at time of Inspection COMMENTS: t observed 216 Inspector's Signature: 1/6/216

71 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton Gray Vinyl Room Divider t present at time of Inspection In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: If identified follow O&M plan. Management Planner's Signature: 1/17/216

72 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION 23 Sheetrock HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: All Purpose Room 5 COMMENTS: Inspector's Signature: 1/6/216

73 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton Sheetrock All Purpose 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: 1/17/216

74 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION 23A Sheet Rock Joint Compound HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: All Purpose Room/Detention Area 2 COMMENTS: Inspector's Signature: 1/6/216

75 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton A Sheet Rock Joint Compound All Purpose Room/Detention Area 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: 1/17/216

76 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION 24 Finished Brick Mortar HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: All Purpose Room 25 COMMENTS: Inspector's Signature: 1/6/216

77 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton Finished Brick Mortar All Purpose Room 25 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 1/17/216

78 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION 25 Vinyl Inlay HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Gym Room Floor 135 COMMENTS: Inspector's Signature: 1/6/216

79 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton Vinyl Inlay Gym Room Floor 135 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: 1/17/216

80 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION 26 Fire Door Insulation HISTORICAL AHERA DAMAGE CATEGORY 7 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: Throughout School Corridors 5 COMMENTS: Inspector's Signature: 1/6/216

81 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton Fire Door Insulation Throughout School Corridors 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: 1/17/216

82 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION 27 Duct Wrap HISTORICAL AHERA DAMAGE CATEGORY 7 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: Above Drop Ceiling Throughout School 5 COMMENTS: Inspector's Signature: 1/6/216

83 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton Duct Wrap Above Drop Ceiling Throughout School 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: 1/17/216

84 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION 28 Fiberglass Joints HISTORICAL AHERA DAMAGE CATEGORY 7 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: Above Drop Ceiling Throughout School 15 LF LF COMMENTS: Inspector's Signature: 1/6/216

85 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton Fiberglass Joints Above Drop Ceiling Throughout School 15 LF LF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 1/17/216

86 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION 29 Carpet Adhesive HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Rms 212, 214, 216, Chapel 5 COMMENTS: Inspector's Signature: 1/6/216

87 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton Carpet Adhesive Rms 212, 214, 216, Chapel 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: 1/17/216

88 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION 3 12" x 12" Gray Floor Tile HISTORICAL AHERA DAMAGE CATEGORY 6 HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Room COMMENTS: Inspector's Signature: 1/6/216

89 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton " x 12" Gray Floor Tile Room In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 1/17/216

90 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION 31 12" x 12" Gray Floor Tile Mastic HISTORICAL AHERA DAMAGE CATEGORY 6 HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Room COMMENTS: Inspector's Signature: 1/6/216

91 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton " x 12" Gray Floor Tile Mastic Room In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 1/17/216

92 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION 32 12" x 12" White w/ Gray Floor Tile HISTORICAL AHERA DAMAGE CATEGORY 6 HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Main Office 1 COMMENTS: Inspector's Signature: 1/6/216

93 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton " x 12" White w/ Gray Floor Tile Main Office 1 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 1/17/216

94 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION 33 12" x 12" White w/gray Floor Tile Mastic HISTORICAL AHERA DAMAGE CATEGORY 6 HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Main Office 1 COMMENTS: Inspector's Signature: 1/6/216

95 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton " x 12" White w/gray Floor Tile Mastic Main Office 1 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 1/17/216

96 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION 34 12" x 12" Multi-Beige Floor Tile HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Rooms 2,2A,2B, 23A,23B,25,26,212,216,219, Bathroom, Library, rth/south Hall, Post 26 & 27, Chaplin Office 48 COMMENTS: Inspector's Signature: 1/6/216

97 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton " x 12" Multi-Beige Floor Tile Rooms 2,2A,2B, 23A,23B,25,26,212,216,219, Bathroom, Library, rth/south Hall, Post 26 & 27, Chaplin Office 48 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: 1/17/216

98 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION 35 12" x 12" Multi-Beige Floor Tile Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Rooms 2, 2A, 2B, 23A,23B,25,26, 212,216,219 Bathroom, Library, rth/south Hall, Post 26 & 27, Chaplin Office 27 COMMENTS: Inspector's Signature: 1/6/216

99 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton " x 12" Multi-Beige Floor Tile Mastic Rooms 2, 2A, 2B, 23A,23B,25,26, 212,216,219 Bathroom, Library, rth/south Hall, Post 26 & 27, Chaplin Office 27 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: 1/17/216

100 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION 36 12" x 12" Parquae Linoleum HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Room 214 Bathroom 25 COMMENTS: Inspector's Signature: 1/6/216

101 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton " x 12" Parquae Linoleum Room 214 Bathroom 25 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 1/17/216

102 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION 37 12" x 12" Parquae Linoleum Adhesive HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Room 214 Bathroom 25 COMMENTS: Inspector's Signature: 1/6/216

103 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton " x 12" Parquae Linoleum Adhesive Room 214 Bathroom 25 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 1/17/216

104 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION 38 4" Medium Brown Vinyl Baseboard HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Post 26 & 27, Rooms 2, 2A, 2B and COMMENTS: Inspector's Signature: 1/6/216

105 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton " Medium Brown Vinyl Baseboard Post 26 & 27, Rooms 2, 2A, 2B and 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: 1/17/216

106 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION 39 4" Medium Brown Vinyl Baseboard Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Post 26 & 27, Rooms 2, 2A, 2B and COMMENTS: Inspector's Signature: 1/6/216

107 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton " Medium Brown Vinyl Baseboard Mastic Post 26 & 27, Rooms 2, 2A, 2B and 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: 1/17/216

108 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION 4 Sink Coating HISTORICAL AHERA DAMAGE CATEGORY 5 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 5. ACBM with potential for significant damage DAMAGE REASON: DISTURBANCE POTENTIAL: Rooms 216, 217, 317, COMMENTS: Inspector's Signature: 1/6/216

109 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton Sink Coating Rooms 216, 217, 317, 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: 1/17/216

110 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION 41 2" Dark Brown Baseboard HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Post Office Rooms 26 and 27, rooms 2, 2A, 2B, 21, 211, 212, 214, 216, 217, 218, 31, 314, 316, 317, 318, 32, and 327, Supervisors Office 24 LF LF COMMENTS: Inspector's Signature: 1/6/216

111 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton " Dark Brown Baseboard Post Office Rooms 26 and 27, rooms 2, 2A, 2B, 21, 211, 212, 214, 216, 217, 218, 31, 314, 316, 317, 318, 32, and 327, Supervisors Office 24 LF LF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 1/17/216

112 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION 42 2" Dark Brown Baseboard Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Post Office Rooms 26 and 27, rooms 2, 2A, 2B, 21, 211, 212, 214, 216, 217, 218, 31, 314, 316, 317, 318, 32 and 327, Supervisors Office 24 LF LF COMMENTS: Inspector's Signature: 1/6/216

113 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton " Dark Brown Baseboard Mastic Post Office Rooms 26 and 27, rooms 2, 2A, 2B, 21, 211, 212, 214, 216, 217, 218, 31, 314, 316, 317, 318, 32 and 327, Supervisors Office 24 LF LF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 1/17/216

114 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION 43 Transite Sink/Counter Tops HISTORICAL AHERA DAMAGE CATEGORY 6 HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Room 216, COMMENTS: Inspector's Signature: 1/6/216

115 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton Transite Sink/Counter Tops Room 216, 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: 1/17/216

116 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION 44 Baseboard 8" Dark Tan HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Multi Purpose Room 6 LF LF COMMENTS: Inspector's Signature: 1/6/216

117 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton Baseboard 8" Dark Tan Multi Purpose Room 6 LF LF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 1/17/216

118 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION 44m Baseboard Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Multi Purpose Room 6 LF LF COMMENTS: Inspector's Signature: 1/6/216

119 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton m Baseboard Mastic Multi Purpose Room 6 LF LF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 1/17/216

120 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION 45 Terrazzo Flooring HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Lobby Entrance 1 COMMENTS: Inspector's Signature: 1/6/216

121 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton Terrazzo Flooring Lobby Entrance 1 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 1/17/216

122 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION 46 12x12 white with green & rose Specs HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: 2nd Floor Supervisor's Office & Toilet-rthside 6 COMMENTS: Inspector's Signature: 1/6/216

123 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton x12 white with green & rose Specs 2nd Floor Supervisor's Office & Toilet-rthside 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: 1/17/216

124 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION 46m 12x12 White with Green & Rose Specs Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: 2nd Floor Supervisor's Office & Toilet -rthside 6 COMMENTS: Inspector's Signature: 1/6/216

125 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton m 12x12 White with Green & Rose Specs Mastic 2nd Floor Supervisor's Office & Toilet -rthside 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: 1/17/216

126 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION 47 12"x12" Beige Floor Tile (Patching Material) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Throughout School 15 COMMENTS: Inspector's Signature: 1/6/216

127 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton "x12" Beige Floor Tile (Patching Material) Throughout School 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: 1/17/216

128 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION 48 12"x12" Beige Floor Tile Mastic (Patching Material) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Throughout School 15 COMMENTS: Inspector's Signature: 1/6/216

129 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton "x12" Beige Floor Tile Mastic (Patching Material) Throughout School 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: 1/17/216

130 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION 49 12"x12" Dark brown w/light Brown FT HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: By Room 35 as Patch Hallway 75 COMMENTS: Inspector's Signature: 1/6/216

131 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton "x12" Dark brown w/light Brown FT By Room 35 as Patch Hallway 75 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: 1/17/216

132 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: James Lehnhardt Jefferson Alternative School INSPECTION DATE: 1/6/ S. Hamilton INFORMATION FROM PREVIOUS INSPECTION 49M 12"x12" Dark brown w/light Brown FT Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: By Room 35 as Patch Hallway 75 COMMENTS: Inspector's Signature: 1/6/216

133 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Evan Christian Jefferson Alternative School REVIEW DATE: 1/17/ S. Hamilton M 12"x12" Dark brown w/light Brown FT Mastic By Room 35 as Patch Hallway 75 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: 1/17/216

134 216 AHERA REINSPECTION

135 APPENDIX B Inspector and Management Planner Licenses

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