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

Transcription

1 ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO SCHOOL DIST S. Langley Chicago, IL, 6637 DATE LAST THREE YEAR REINSPECTION WAS COMPLETED 4/1/213 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: 4/14/216 ENROLLMENT IDPH INSPECTOR LICENSE NUMBER: IDPH LICENSED INSPECTOR NAME (Please Print): Marcos Iwankiw IDPH MP LICENSE NUMBER: IDPH LICENSED MANAGEMENT PLANNER NAME (Please Print): Daniel Juneau DESIGNATED PERSON (Please Print): Robert Christlieb PHONE: 463 (773) /14/216 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 S. Langley Chicago, IL, 6637 Unit: Building ID: 583 IDPH ID Number: REPORT DATE: Thursday, April 14, 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 March 22, 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: School: Region: 5 IDPH ID: Building ID: 583 Address: 62 S. Langley Chicago, IL, 6637 Building Contact: Brown, Andre Contact Phone: Current Building Owners: Review 4/14/216 Inspector: Marcos Iwankiw Management Planner: Daniel Juneau Inspector IDPH License: Management Planner IDPH License: If you have any questions or comments, please contact us at (312) Sincerely, Daniel Juneau

4 Environmental tification to Occupants To: Faculty, Staff and Parents From: March 22, 216 RE:, Unit S. Langley Chicago, IL, 6637 Dear Faculty, Staff and Parents, This letter is to notify you that the 216 asbestos three year re-inspection has been completed at, following the Federal Asbestos Hazard Emergency Response Act (AHERA), 4 CFR Part 763, Subpart E and is available for your review at the main office of the school. Although asbestos-containing materials have been identified at, there is no reason to believe that any threat to the health of students or staff exists at this time. CPS will continue to carefully monitor the condition of asbestos-containing materials and if conditions warrant, all appropriate steps will be taken to maintain the health and safety of all building occupants. If you have any questions regarding this matter or require additional information, please feel free to contact Robert Christlieb, the designated Local Education Authority's Designated Person at (773)

5 Table of Contents I. School and Inspection Information II. Executive Summary III. Methodology IV. Abatement History V. Reassessments and Recommendations VI. Conclusions Table I: Inspector's Reinspection Findings Table II: Management Planner's Review APPENDICES: Appendix A: Assessment Sheets, Drawings and Photos Appendix B: Inspector and Management Planner Licenses Appendix C: Laboratory Accreditations Appendix D: Laboratory Results Appendix E: Chain of Custody Forms

6 SCHOOL AND INSPECTION INFORMATION 1. School Information School: Address: IDPH ID: Contact: S. Langley Brown, Andre Unit: Chicago, IL, 6637 Building ID: 583 Phone: Description of Facility Original Construction: 1973 Total Square Footage: Current Occupancy: Additional Construction: of Floors: 3 Phone: (773) Managing Environmental Consultant MEC: Contact: Dan Juneau Address 6 West Van Buren St., Ste 5 Phone: (312) Fax: (312) Inspector Inspector Name: Marcos Iwankiw Signature: 3/22/216 Inspector IDPH license # LEA Designated Person Contact: Robert Christlieb Address: 125 South Clark Street, 17th Floor Chicago, IL Region: 5 Management Planner Management Planner Name: Daniel Juneau Signature: 4/14/216 Management Planner IDPH license # Review 4/14/ LEA Designated Person's Acknowledgement The reinspection report and recommendations have been received by me and appropriate action will be taken by the School District. Signature: 4/14/216 Name: Robert Christlieb Unit : Building: 583

7 II. EXECUTIVE SUMMARY was retained by the (CPS) to perform a three-year asbestos reinspection of the. This inspection was conducted in accordance with the United States Environmental Protection Agency (USEPA) Asbestos Hazard Emergency Response Act (AHERA) part (b), and the ongoing Operations and Maintenance Program (O&M) originally designed in the School's Asbestos Management Plan. The purpose of this three-year reinspection is to record any condition changes in the asbestos-containing building material (ACBM) in the school since the previous three-year reinspection and the six-month periodic surveillance, to identify, assess, and include any Homogeneous Areas (HA) not identified in the Management Plan, and to recommend an appropriate response action to manage asbestos. The inspector conducted a three-year reinspection of this facility under Illinois Department of Public Health (IDPH) school reinspection requirements and AHERA, sections and The main building and each addition to the main building, if constructed at different dates, were inspected separately. Laboratory accreditations are included in Appendix C, laboratory results are included in Appendix D, and chain of custody forms are included in Appendix E. 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 583: Unit: plaster 22 2x4 fissured pin dot ceiling tile 23 12x12 beige floor tile 38 Sink Insulation 4 2' x 4' Lay In Ceiling panels 51 12" X 12" White w/ Dark Spots Floor Tile 52 Mastic Associated w/ 12" X 12" White w/ Dark Spots Floor Tile 53 9" x 9" Black Floor Tile 54 Mastic Associated w/ 9" x 9" Black Floor Tile Building: 583

8 Unit: CM-2 purple carpet mastic TSI-1 pipe insulation Building: 583

9 B. The following new homogenous areas have been identified for Building 583: Unit: " X 12" White w/ Dark Spots Floor Tile 52 Mastic Associated w/ 12" X 12" White w/ Dark Spots Floor Tile 53 9" x 9" Black Floor Tile 54 Mastic Associated w/ 9" x 9" Black Floor Tile Building: 583

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 Assumed: CM-2 TSI-1 black floor sheeting plaster 2x4 fissured pin dot ceiling tile 12x12 beige floor tile 12x12 grey floor tile drywall Incinerator Insulation Sink Insulation 12x12 White Floor Tile 2' x 4' Lay In Ceiling panels 12x12 Blue Floor Tile Mastic for HA 39 & 4 12x12 Yellow Floor Tile / 12x12 Blue Floor Tile Checkerboard Pattern Mastic for HA x12 Yellow FT/ 12x12 Blue FT Pipefitting Insulation 12x12 Tan mottle Floor Tile Mastic 12x12 White MultiColored Mottle Floor Tile 12x12 Peach FT 12x12 Peach FT mastic 12x12 Tan Mottle Floor Tile 12" X 12" White w/ Dark Spots Floor Tile Mastic Associated w/ 12" X 12" White w/ Dark Spots Floor Tile 9" x 9" Black Floor Tile Mastic Associated w/ 9" x 9" Black Floor Tile purple carpet mastic pipe insulation The following areas were deemed to be inaccessible: Unit: x9 gray floor tile & mastic Mastic for HA 39 & 4 Mastic for HA x12 Yellow FT/ 12x12 Blue FT 12x12 Peach FT mastic Mastic Associated w/ 12" X 12" White w/ Dark Spots Floor Tile Mastic Associated w/ 9" x 9" Black Floor Tile Building: 583

11 CM-2 FTM-3 TSI-1 TSI-2 purple carpet mastic 12x12 olive green w/black floor tile mastic pipe insulation ply fittings Materials were also listed as "assumed" if they were in good condition and sampling was not conducted to avoid damage. This reinspection was conducted by Marcos Iwankiw, IDPH License # The Management Plan was updated by Daniel Juneau, IDPH License # Inspector and Management Planner Licenses are included in Appendix B. Unit: Building: 583

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 Assumed ACBM, as well as any HA(s) that have become friable since the last reinspection. 6. Collect bulk samples from each newly discovered friable HA or previously assumed and submit for laboratory analysis. 7. Tabulate reinspection findings and submit for management planner review and recommendations with appropriate response actions based on the AHERA Damage Category of the ACBM. 8. Submit reinspection findings and management planner recommendations to the LEA within thirty (3) days for inclusion into the management plan. ABATEMENT HISTORY The information collected from the existing management plan and inspection report(s) and from interviews with the school official revealed that the following asbestos abatement was conducted at the school since the previous Three year Reinspection. Abatement Dates: V. REASSESSMENTS AND RECOMMENDATIONS The reassessments and recommendations are summarized in Tables I and II on the following pages. Detailed Hazard Assessment Sheets and Drawings and Photos (if applicable) are included in Appendix A. VI. CONCLUSIONS The Building 583 Three-Year reinspection has been completed and response actions have been recommended for both friable and non-friable materials. A timely execution of the response actions recommended will enable the LEA and the Designated Person(s) to effectively manage the existing ACBM. This three-year reinspection report should be inspected in the current Management plan at the CPS Central Office, and one (1) copy should be kept at the school for use when planning any renovation and/or demolition activities in areas where ACBM has been identified. Also, periodic surveillance documentation and any summary reports from any response actions that are executed at the school should be used to update the Management Plan. Unit: Building: 583

13 Table I Inspector's Reinspection Findings

14 School Unit Building ID 583 Address 62 S. Langley Region 5 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 3 paperwrap elbows-abated 7 black floor sheeting 8 12 plaster 9x9 gray floor tile & mastic 3 19 plaster 6, 22 2x4 fissured pin dot ceiling tile 65, 23 12x12 beige floor tile x12 grey floor tile drywall 6 37 Incinerator Insulation 2 38 Sink Insulation x12 White Floor Tile 9 4 2' x 4' Lay In Ceiling panels x12 Blue Floor Tile 1 41 Mastic for HA 39 & 4 1, 42 12x12 Yellow Floor Tile / 12x12 Blue Floor Tile Checkerboard Pattern Mastic for HA x12 Yellow FT/ 12x12 Blue FT Pipefitting Insulation LF Material Quantity 4, Material Units Material Location Asbestos Type Material Category Friable Damage Type EW corridors over fountain, 2nd floor girls restroom, 3rd floor boys restroom throughout corridors in 1914 addition throughout restroom ABATED TSI ASSUMED NO_ACBM CHR N NONE SURFACE kitchen, restroom, stairwells throughout exception -kitchen, stairwells, restroom Entrance #2 N ASSUMED SURFACE N ASSUMED ASSUMED Rooms 322, 323, 324, 325,329, 221, 2nd Floor Nurse Office, 327, 326, 328, 127 MDF Room in Basement Pump room Incinerator in Coal Storage Room Damage Quantity Damage Units Change in Assessment Category Damage Category Damage Reason Disturbance Potential ACBM with the potential for damage NONE Yes Y NONE Yes N NONE Yes ASSUMED N NONE 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 NONE ASSUMED N NONE ACBM with the potential for damage ASSUMED TSI Y NONE Kindergarten Head Start Room Kindergarten Head start rm 122 Main Office ASSUMED SURFACE Y NONE Yes ASSUMED N NONE ASSUMED Y NONE Yes Kindergarten Head Start, rm 122 Kindergarten Head Start, Rm 122 Enterance 2, Enterance 3 Enterance 2, Enterance 3 Janitors Closets in 1971 BLDG ASSUMED N NONE ASSUMED N NONE ASSUMED N NONE ASSUMED N NONE ASSUMED Y NONE Any remaining friable ACBM or friable suspect ACBM 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 Any remaining friable ACBM or friable MODERATE

15 School Unit Building ID 583 Address 62 S. Langley Region 5 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 45 12x12 Tan mottle Floor Tile Mastic 46 Material Units Material Location Asbestos Type Material Category Friable Damage Type 1,35 ASSUMED N NONE 12x12 White MultiColored Mottle Floor Tile 2,8 ASSUMED N NONE 48 12x12 Peach FT 4,2 ASSUMED N NONE ACBM with the potential for damage 49 12x12 Peach FT mastic 4,2 ASSUMED N NONE 12x12 Tan Mottle Floor Tile 1,35 ASSUMED N NONE 51 12" X 12" White w/ Dark Spots Floor Tile 7 ASSUMED N NONE Yes 52 Mastic Associated w/ 12" X 12" White w/ Dark Spots Floor Tile 9" x 9" Black Floor Tile 7 Room 11 ASSUMED N NONE Yes 13 ASSUMED N NONE Yes 54 Mastic Associated w/ 9" x 9" Black Floor Tile 13 ASSUMED N NONE Yes ACBM with the potential for damage CM-2 purple carpet mastic Building - 2nd Floor - Hallway by Elevator 1914 Building - 2nd Floor - Hallway by Elevator office 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 5 Lunch RM, Teacher RR 1971 BLDG-RM 129, 124, 328, 3rd Floor Teacher RR 1971 Building 1,2,3rd floor corridors 1971 BLDG 1,2,3rd Floor Corridors Lunch Rm., Teacher RR Room 11 ASSUMED N NONE Yes ACBM with the potential for damage FT-1 12x12 gray with green floor tile (Abated) ABATED FT-2 FT-3 12x12 rose floor tile (Abated) 12x12 olive green w/black floor tile ABATED CHR FTM-1 ABATED FTM-2 FTM-3 12x12 gray w/ green floor tile mastic Abated 12x12 rose floor tile mastic - Abated 12x12 olive green w/black floor tile mastic art room 314 (actually room 39) office nurse office, 226, 321, Corridor 1914 Art Room- 39 ABATED CHR TSI-1 pipe insulation office nurses office, 226, 321, rm 11, 322, 323, 324, 325,329, 221, 2nd Floor Nurse Office, 327, 326, 328, st flr boys restrm, boiler rm, 2nd flr corridor, NW stairwell ASSUMED 53 Material Quantity 1,8 1,8 79 LF Damage Quantity Damage Units Change in Assessment Category Damage Category suspect ACBM ACBM with the potential for damage ACBM with the potential for damage ne Damage Reason Disturbance Potential Moderate N NONE ACBM with the potential for damage N NONE ACBM with the potential for damage TSI Y NONE Yes Any remaining friable ACBM or friable suspect ACBM

16 School Unit Building ID 583 Address 62 S. Langley Region 5 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 TSI-2 ply fittings Material Quantity 5 Material Units Material Location Asbestos Type Material Category Friable Damage Type FITTING stairwell between 2nd & 3rd floor CHR TSI Y NONE Damage Quantity Damage Units Change in Assessment Category Damage Category Any remaining friable ACBM or friable suspect ACBM Damage Reason Disturbance Potential

17 School Unit Building ID 583 Address 62 S. Langley Region 5 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 3/22/216 Inspector Name Inspector's Comments Marcos Iwankiw /15/216 Inspector's IDPH License Number / Expiration Date HA Number: Inspector Comments:

18 School Unit Building ID 583 Address 62 S. Langley Region 5 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: CM-2 FT-1 FT-2 FT-3 FTM-1 FTM-2 FTM-3 TSI-1 TSI-2 Inspector Comments:

19 Table II Management Planner's Review

20 School Address Unit 62 S. Langley Building ID Chicago, IL, Region 5 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 3 paperwrap elbows-abated Abated TSI Assumed ACBM Chrysotile Assumed Assumed EW corridors over fountain, 2nd floor girls restroom, 3rd floor boys restroom throughout corridors in 1914 addition throughout restroom kitchen, restroom, stairwells throughout - exception -kitchen, stairwells, restroom Entrance #2 Rooms 322, 323, 324, 325,329, 221, 2nd Floor Nurse Office, 327, 326, 328, 127 MDF Room in Basement Pump room Incinerator in Coal Storage Room black floor sheeting plaster 9x9 gray floor tile & mastic plaster 2x4 fissured pin dot ceiling tile 4, SURFACE SURFACE 6 ACBM with the potential for damage 3 6, 65, Yes Assumed Assumed 6 ACBM with the potential for damage 6 ACBM with the potential for damage 7 Any remaining friable ACBM or friable suspect ACBM 6 ACBM with the potential for damage 6 ACBM with the potential for damage x12 beige floor tile 12x12 grey floor tile drywall Incinerator Insulation 6 2 Assumed Assumed TSI Yes Kindergarten Head Start Room Kindergarten Head start rm 122 Main Office Assumed Assumed Assumed SURFACE Yes Yes Kindergarten Head Start, rm 122 Kindergarten Head Start, Rm 122 Enterance 2, Enterance 3 Assumed Assumed Assumed 6 ACBM with the potential for damage 7 Any remaining friable ACBM or friable suspect ACBM 6 ACBM with the potential for damage 6 ACBM with the potential for damage 7 Any remaining friable ACBM or friable suspect ACBM 6 ACBM with the potential for damage 6 ACBM with the potential for damage 6 ACBM with the potential for damage Sink Insulation 12x12 White Floor Tile 2' x 4' Lay In Ceiling panels , x12 Blue Floor Tile Mastic for HA 39 & 4 12x12 Yellow Floor Tile / 12x12 Blue Floor Tile Checkerboard Pattern Mastic for HA x12 Yellow FT/ 12x12 Blue FT Pipefitting Insulation LF Enterance 2, Enterance 3 Janitors Closets in 1971 BLDG Assumed Assumed Yes LF 12x12 Tan mottle Floor Tile Mastic 12x12 White MultiColored Mottle Floor Tile 1,35 2,8 Assumed Assumed 12x12 Peach FT 12x12 Peach FT mastic 12x12 Tan Mottle Floor Tile 12" X 12" White w/ Dark Spots Floor Tile Mastic Associated w/ 12" X 12" White w/ Dark Spots Floor Tile 4,2 4,2 1, Lunch RM, Teacher RR 1971 BLDG-RM 129, 124, 328, 3rd Floor Teacher RR 1971 Building 1,2,3rd floor corridors 1971 BLDG 1,2,3rd Floor Corridors Lunch Rm., Teacher RR Room 11 Room 11 6 ACBM with the potential for damage 7 Any remaining friable ACBM or friable suspect ACBM 6 ACBM with the potential for damage 6 ACBM with the potential for damage Assumed Assumed Assumed Assumed Assumed 6 ACBM with the potential for damage 6 ACBM with the potential for damage 6 ACBM with the potential for damage 6 ACBM with the potential for damage 6 ACBM with the potential for damage

21 School Address Unit 62 S. Langley Building ID Chicago, IL, Region 5 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 53 9" x 9" Black Floor Tile 13 Assumed 6 ACBM with the potential for damage 54 Mastic Associated w/ 9" x 9" Black Floor Tile 13 Assumed 6 ACBM with the potential for damage CM-2 FT-1 purple carpet mastic 12x12 gray with green floor tile (Abated) 4 Assumed Abated 6 ACBM with the potential for damage FT-2 FT-3 FTM-1 FTM-2 FTM-3 12x12 rose floor tile (Abated) 12x12 olive green w/black floor tile 12x12 gray w/ green floor tile mastic - Abated 12x12 rose floor tile mastic - Abated 12x12 olive green w/black floor tile mastic 1,8 6 ACBM with the potential for damage Abated Chrysotile Abated Abated Chrysotile 1,8 6 ACBM with the potential for damage TSI-1 pipe insulation 79 LF Assumed TSI Yes LF ply fittings 5 FITTING Chrysotile TSI Yes FITTING 7 Any remaining friable ACBM or friable suspect ACBM 7 Any remaining friable ACBM or friable suspect ACBM TSI Building - 2nd Floor - Hallway by Elevator 1914 Building - 2nd Floor - Hallway by Elevator office art room (actually room 39) office nurse office, 226, 321, Corridor 1914 Art Room office nurses office, 226, 321, rm 11, 322, 323, 324, 325,329, 221, 2nd Floor Nurse Office, 327, 326, 328, st flr boys restrm, boiler rm, 2nd flr corridor, NW stairwell stairwell between 2nd & 3rd floor

22 School Address 62 S. Langley Unit Building ID Chicago, IL, 6637 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 4/14/216 Review Date Manager Planner Name Daniel Juneau /15/216 Manager IDPH License /Expiration HA Number Management Comments

23 School Address 62 S. Langley Unit Building ID Chicago, IL, 6637 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 CM-2 FT-1 FT-2 FT-3 FTM-1 FTM-2 FTM-3 TSI-1 TSI-2 Management Comments

24 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/22/ S. Langley INFORMATION FROM PREVIOUS INSPECTION 3 paperwrap elbows-abated HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Abated FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: EW corridors over fountain, 2nd floor girls restroom, 3rd floor boys restroom COMMENTS: Inspector's Signature: 3/22/216

25 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/14/ S. Langley paperwrap elbows-abated EW corridors over fountain, 2nd floor girls restroom, 3rd floor boys restroom 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: 4/14/216

26 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 583 AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/22/ S. Langley INFORMATION FROM PREVIOUS INSPECTION 7 black floor sheeting HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: throughout corridors in 1914 addition 4 COMMENTS: Inspector's Signature: 3/22/216

27 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/14/ S. Langley black floor sheeting throughout corridors in 1914 addition 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: 4/14/216

28 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/22/ S. Langley INFORMATION FROM PREVIOUS INSPECTION 8 plaster HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: throughout COMMENTS: Inspector's Signature: 3/22/216

29 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/14/ S. Langley plaster throughout 583 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: 4/14/216

30 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 583 AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/22/ S. Langley INFORMATION FROM PREVIOUS INSPECTION 12 9x9 gray floor tile & mastic HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: restroom 3 COMMENTS: Inspector's Signature: 3/22/216

31 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/14/ S. Langley x9 gray floor tile & mastic restroom 3 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/14/216

32 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 583 AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/22/ S. Langley INFORMATION FROM PREVIOUS INSPECTION 19 plaster HISTORICAL AHERA DAMAGE CATEGORY 6 HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: kitchen, restroom, stairwells 6 COMMENTS: Inspector's Signature: 3/22/216

33 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/14/ S. Langley plaster kitchen, restroom, stairwells 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: 4/14/216

34 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 583 AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/22/ S. Langley INFORMATION FROM PREVIOUS INSPECTION 22 2x4 fissured pin dot ceiling tile HISTORICAL AHERA DAMAGE CATEGORY 7 HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: throughout - exception -kitchen, stairwells, restroom 65 COMMENTS: Inspector's Signature: 3/22/216

35 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/14/ S. Langley x4 fissured pin dot ceiling tile throughout - exception -kitchen, stairwells, restroom 65 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: 4/14/216

36 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 583 AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/22/ S. Langley INFORMATION FROM PREVIOUS INSPECTION 23 12x12 beige floor tile HISTORICAL AHERA DAMAGE CATEGORY 6 HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Entrance #2 1 COMMENTS: Inspector's Signature: 3/22/216

37 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/14/ S. Langley x12 beige floor tile Entrance #2 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: 4/14/216

38 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 583 AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/22/ S. Langley INFORMATION FROM PREVIOUS INSPECTION 35 12x12 grey floor tile HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Rooms 322, 323, 324, 325,329, 221, 2nd Floor Nurse Office, 327, 326, 328, COMMENTS: Inspector's Signature: 3/22/216

39 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/14/ S. Langley x12 grey floor tile Rooms 322, 323, 324, 325,329, 221, 2nd Floor Nurse Office, 327, 326, 328, 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: 4/14/216

40 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 583 AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/22/ S. Langley INFORMATION FROM PREVIOUS INSPECTION 36 drywall HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MDF Room in Basement Pump room 6 COMMENTS: Inspector's Signature: 3/22/216

41 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/14/ S. Langley drywall MDF Room in Basement Pump room 6 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/14/216

42 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 583 AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/22/ S. Langley INFORMATION FROM PREVIOUS INSPECTION 37 Incinerator Insulation HISTORICAL AHERA DAMAGE CATEGORY 7 Any remaining friable ACBM or friable suspect ACBM HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: Incinerator in Coal Storage Room 2 COMMENTS: Inspector's Signature: 3/22/216

43 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/14/ S. Langley Incinerator Insulation Incinerator in Coal Storage Room 2 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/14/216

44 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 583 AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/22/ S. Langley INFORMATION FROM PREVIOUS INSPECTION 38 Sink Insulation HISTORICAL AHERA DAMAGE CATEGORY 6 Any remaining friable ACBM or friable suspect ACBM HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Kindergarten Head Start Room 5 COMMENTS: Inspector's Signature: 3/22/216

45 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/14/ S. Langley Sink Insulation Kindergarten Head Start 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: 4/14/216

46 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 583 AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/22/ S. Langley INFORMATION FROM PREVIOUS INSPECTION 39 12x12 White Floor Tile HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Kindergarten Head start rm COMMENTS: Inspector's Signature: 3/22/216

47 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/14/ S. Langley x12 White Floor Tile Kindergarten Head start rm 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: 4/14/216

48 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 583 AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/22/ S. Langley INFORMATION FROM PREVIOUS INSPECTION 4 2' x 4' Lay In Ceiling panels HISTORICAL AHERA DAMAGE CATEGORY 7 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: Main Office 12 COMMENTS: Inspector's Signature: 3/22/216

49 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/14/ S. Langley ' x 4' Lay In Ceiling panels Main Office 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: 4/14/216

50 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 583 AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/22/ S. Langley INFORMATION FROM PREVIOUS INSPECTION 4 12x12 Blue Floor Tile HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Kindergarten Head Start, rm COMMENTS: Inspector's Signature: 3/22/216

51 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/14/ S. Langley x12 Blue Floor Tile Kindergarten Head Start, rm 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: 4/14/216

52 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 583 AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/22/ S. Langley INFORMATION FROM PREVIOUS INSPECTION 41 Mastic for HA 39 & 4 HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Kindergarten Head Start, Rm COMMENTS: Inspector's Signature: 3/22/216

53 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/14/ S. Langley Mastic for HA 39 & 4 Kindergarten Head Start, Rm 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: 4/14/216

54 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 583 AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/22/ S. Langley INFORMATION FROM PREVIOUS INSPECTION 42 12x12 Yellow Floor Tile / 12x12 Blue Floor Tile Checkerboard Pattern HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Enterance 2, Enterance 3 34 COMMENTS: Inspector's Signature: 3/22/216

55 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/14/ S. Langley x12 Yellow Floor Tile / 12x12 Blue Floor Tile Checkerboard Pattern Enterance 2, Enterance 3 34 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: 4/14/216

56 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 583 AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/22/ S. Langley INFORMATION FROM PREVIOUS INSPECTION 43 Mastic for HA x12 Yellow FT/ 12x12 Blue FT HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Enterance 2, Enterance 3 34 COMMENTS: Inspector's Signature: 3/22/216

57 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/14/ S. Langley Mastic for HA x12 Yellow FT/ 12x12 Blue FT Enterance 2, Enterance 3 34 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: 4/14/216

58 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 583 AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/22/ S. Langley INFORMATION FROM PREVIOUS INSPECTION 44 Pipefitting Insulation HISTORICAL AHERA DAMAGE CATEGORY 7 Any remaining friable ACBM or friable suspect ACBM HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE Janitors Closets in 1971 BLDG 45 LF LF COMMENTS: Inspector's Signature: 3/22/216

59 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/14/ S. Langley Pipefitting Insulation Janitors Closets in 1971 BLDG 45 LF LF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/14/216

60 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 583 AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/22/ S. Langley INFORMATION FROM PREVIOUS INSPECTION 45 12x12 Tan mottle Floor Tile Mastic HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Lunch RM, Teacher RR 135 COMMENTS: Inspector's Signature: 3/22/216

61 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/14/ S. Langley x12 Tan mottle Floor Tile Mastic Lunch RM, Teacher RR 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: 4/14/216

62 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 583 AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/22/ S. Langley INFORMATION FROM PREVIOUS INSPECTION 46 12x12 White MultiColored Mottle Floor Tile HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: 1971 BLDG-RM 129, 124, 328, 3rd Floor Teacher RR 28 COMMENTS: Inspector's Signature: 3/22/216

63 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/14/ S. Langley x12 White MultiColored Mottle Floor Tile 1971 BLDG-RM 129, 124, 328, 3rd Floor Teacher RR 28 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/14/216

64 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 583 AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/22/ S. Langley INFORMATION FROM PREVIOUS INSPECTION 48 12x12 Peach FT HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: 1971 Building 1,2,3rd floor corridors 42 COMMENTS: Inspector's Signature: 3/22/216

65 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/14/ S. Langley x12 Peach FT 1971 Building 1,2,3rd floor corridors 42 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: 4/14/216

66 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 583 AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/22/ S. Langley INFORMATION FROM PREVIOUS INSPECTION 49 12x12 Peach FT mastic HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: 1971 BLDG 1,2,3rd Floor Corridors 42 COMMENTS: Inspector's Signature: 3/22/216

67 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/14/ S. Langley x12 Peach FT mastic 1971 BLDG 1,2,3rd Floor Corridors 42 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: 4/14/216

68 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 583 AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/22/ S. Langley INFORMATION FROM PREVIOUS INSPECTION 5 12x12 Tan Mottle Floor Tile HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Lunch Rm., Teacher RR 135 COMMENTS: Inspector's Signature: 3/22/216

69 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/14/ S. Langley x12 Tan Mottle Floor Tile Lunch Rm., Teacher RR 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: 4/14/216

70 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 583 AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/22/ S. Langley INFORMATION FROM PREVIOUS INSPECTION CM-2 purple carpet mastic HISTORICAL AHERA DAMAGE CATEGORY 6 HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: office 4 COMMENTS: Inspector's Signature: 3/22/216

71 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/14/ S. Langley CM-2 purple carpet mastic office 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: 4/14/216

72 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/22/ S. Langley INFORMATION FROM PREVIOUS INSPECTION FT-1 12x12 gray with green floor tile (Abated) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Abated FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Moderate art room (actually room 39) COMMENTS: Inspector's Signature: 3/22/216

73 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/14/ S. Langley FT-1 12x12 gray with green floor tile (Abated) art room (actually room 39) 583 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: 4/14/216

74 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/22/ S. Langley INFORMATION FROM PREVIOUS INSPECTION FT-2 12x12 rose floor tile (Abated) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Abated FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: office COMMENTS: Inspector's Signature: 3/22/216

75 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/14/ S. Langley FT-2 12x12 rose floor tile (Abated) office 583 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: 4/14/216

76 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 583 AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/22/ S. Langley INFORMATION FROM PREVIOUS INSPECTION FT-3 12x12 olive green w/black floor tile HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: nurse office, 226, 321, Corridor 18 COMMENTS: Inspector's Signature: 3/22/216

77 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/14/ S. Langley FT-3 12x12 olive green w/black floor tile nurse office, 226, 321, Corridor 18 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/14/216

78 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/22/ S. Langley INFORMATION FROM PREVIOUS INSPECTION FTM-1 12x12 gray w/ green floor tile mastic - Abated HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Abated FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: 1914 Art Room- 39 COMMENTS: Inspector's Signature: 3/22/216

79 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/14/ S. Langley FTM-1 12x12 gray w/ green floor tile mastic - Abated 1914 Art 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: 4/14/216

80 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/22/ S. Langley INFORMATION FROM PREVIOUS INSPECTION FTM-2 12x12 rose floor tile mastic - Abated HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Abated FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: office COMMENTS: Inspector's Signature: 3/22/216

81 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/14/ S. Langley FTM-2 12x12 rose floor tile mastic - Abated office 583 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: 4/14/216

82 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 583 AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/22/ S. Langley INFORMATION FROM PREVIOUS INSPECTION FTM-3 12x12 olive green w/black floor tile mastic HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with potential for significant damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: nurses office, 226, 321, rm 11, 322, 323, 324, 325,329, 221, 2nd Floor Nurse Office, 327, 326, 328, COMMENTS: Inspector's Signature: 3/22/216

83 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/14/ S. Langley FTM-3 12x12 olive green w/black floor tile mastic nurses office, 226, 321, rm 11, 322, 323, 324, 325,329, 221, 2nd Floor Nurse Office, 327, 326, 328, 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: 4/14/216

84 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 583 AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/22/ S. Langley INFORMATION FROM PREVIOUS INSPECTION TSI-1 pipe insulation HISTORICAL AHERA DAMAGE CATEGORY 7 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: st flr boys restrm, boiler rm, 2nd flr corridor, NW stairwell 79 LF LF COMMENTS: Inspector's Signature: 3/22/216

85 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/14/ S. Langley TSI-1 pipe insulation st flr boys restrm, boiler rm, 2nd flr corridor, NW stairwell 79 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: 4/14/216

86 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 583 AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/22/ S. Langley INFORMATION FROM PREVIOUS INSPECTION TSI-2 ply fittings HISTORICAL AHERA DAMAGE CATEGORY 7 Any remaining friable ACBM or friable suspect ACBM HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: stairwell between 2nd & 3rd floor 5 FITTING FITTING COMMENTS: Inspector's Signature: 3/22/216

87 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/14/ S. Langley TSI-2 ply fittings stairwell between 2nd & 3rd floor 5 FITTING FITTING 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: 4/14/216

88 216 AHERA REINSPECTION Inspector Assessment Form (New Homogeneous Area) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/22/ S. Langley INFORMATION FROM CURRENT INSPECTION 53 9" x 9" Black Floor Tile 1914 Building - 2nd Floor - Hallway by Elevator 13 MATERIAL CATEGORY: FRIABLE: ASBESTOS TYPE: Assumed DISTURBANCE POTENTIAL: AHERA DAMAGE CATEGORY: CONDITION: 6 ACBM with the potential for damage ACCESSIBILITY: Within Reach DAMAGE REASON: DAMAGE REASON: DAMAGE REASON: COMMENTS: Inspector's Signature: 3/22/216

89 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/14/ S. Langley " x 9" Black Floor Tile 1914 Building - 2nd Floor - Hallway by Elevator 13 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: COMMENTS: Management Planner's Signature: 4/14/216

90 216 AHERA REINSPECTION Inspector Assessment Form (New Homogeneous Area) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/22/ S. Langley INFORMATION FROM CURRENT INSPECTION 54 Mastic Associated w/ 9" x 9" Black Floor Tile 1914 Building - 2nd Floor - Hallway by Elevator 13 MATERIAL CATEGORY: FRIABLE: ASBESTOS TYPE: Assumed DISTURBANCE POTENTIAL: AHERA DAMAGE CATEGORY: CONDITION: 6 ACBM with the potential for damage ACCESSIBILITY: t Reachable DAMAGE REASON: DAMAGE REASON: DAMAGE REASON: COMMENTS: Inspector's Signature: 3/22/216

91 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/14/ S. Langley Mastic Associated w/ 9" x 9" Black Floor Tile 1914 Building - 2nd Floor - Hallway by Elevator 13 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: COMMENTS: Management Planner's Signature: 4/14/216

92 216 AHERA REINSPECTION Inspector Assessment Form (New Homogeneous Area) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/22/ S. Langley INFORMATION FROM CURRENT INSPECTION 51 12" X 12" White w/ Dark Spots Floor Tile Room 11 7 MATERIAL CATEGORY: FRIABLE: ASBESTOS TYPE: Assumed DISTURBANCE POTENTIAL: AHERA DAMAGE CATEGORY: CONDITION: 6 ACBM with the potential for damage ACCESSIBILITY: Within Reach DAMAGE REASON: DAMAGE REASON: DAMAGE REASON: COMMENTS: Inspector's Signature: 3/22/216

93 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/14/ S. Langley " X 12" White w/ Dark Spots Floor Tile Room 11 7 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: COMMENTS: Management Planner's Signature: 4/14/216

94 216 AHERA REINSPECTION Inspector Assessment Form (New Homogeneous Area) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/22/ S. Langley INFORMATION FROM CURRENT INSPECTION 52 Mastic Associated w/ 12" X 12" White w/ Dark Spots Floor Tile Room 11 7 MATERIAL CATEGORY: FRIABLE: ASBESTOS TYPE: Assumed DISTURBANCE POTENTIAL: AHERA DAMAGE CATEGORY: CONDITION: 6 ACBM with the potential for damage ACCESSIBILITY: t Reachable DAMAGE REASON: DAMAGE REASON: DAMAGE REASON: COMMENTS: Inspector's Signature: 3/22/216

95 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/14/ S. Langley Mastic Associated w/ 12" X 12" White w/ Dark Spots Floor Tile Room 11 7 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: COMMENTS: Management Planner's Signature: 4/14/216

96 APPENDIX B Inspector and Management Planner Licenses

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