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 W. 62nd Chicago, IL, 6636 DATE LAST THREE YEAR REINSPECTION WAS COMPLETED 3/12/213 If the address on this form is different than the address of the building, submit a written explanation. SECTION II (Please type or print) PLEASE COMPLETE THE FOLING FOR YOUR THREE YEAR REINSPECTION: DATE REINSPECTION COMPLETED: 6/28/216 ENROLLMENT IDPH INSPECTOR LICENSE NUMBER: IDPH LICENSED INSPECTOR NAME (Please Print): Allizon Brooks IDPH MP LICENSE NUMBER: IDPH LICENSED MANAGEMENT PLANNER NAME (Please Print): Todd Huffer DESIGNATED PERSON (Please Print): Robert Christlieb PHONE: 433 (773) /28/216 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 W. 62nd Chicago, IL, 6636 Unit: 2331 Building ID: 329 IDPH ID Number: REPORT DATE: Tuesday, June 28, 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 18, 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: 2961 Region: 5 School: IDPH ID: Building ID: 329 Address: 24 W. 62nd Chicago, IL, 6636 Building Contact: Contact Phone: Current Building Owners: Review 6/28/216 Inspector: Allizon Brooks Management Planner: Todd Huffer Inspector IDPH License: Management Planner IDPH License: If you have any questions or comments, please contact us at (312) Sincerely, Todd Huffer 1-987

4 Environmental tification to Occupants To: Faculty, Staff and Parents From: March 18, 216 RE:, Unit W. 62nd Chicago, IL, 6636 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: 24 W. 62nd IDPH ID: Contact: 2. Unit: 2961 Chicago, IL, 6636 Building ID: 329 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 Phone: (773) Managing Environmental Consultant MEC: Contact: Dan Juneau Address 6 West Van Buren St., Ste 5 Phone: (312) Fax: (312) Inspector Inspector Name: Allizon Brooks Signature: 3/18/216 Inspector IDPH license # Region: 5 Management Planner Management Planner Name: Todd Huffer Management Planner IDPH license # Review 6/28/ LEA Designated Person's Acknowledgement Signature: 6/28/216 The reinspection report and recommendations have been received by me and appropriate action will be taken by the School District. Signature: 6/28/216 Name: Robert Christlieb Unit : 2961 Building: 329

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 329: Unit: 'x2' Textured Ceiling Tile 5 2'x2' Ceiling Tile (smooth) 21 Spray on - fire proofing 22 Spray on Building: 329

8 B. The following new homogenous areas have been identified for Building 329: Unit: 2331 Building: 329

9 C. This reinspection covered only physically accessible and visible areas and materials that were identified in the LEA's management plan. The following materials were concealed and/or contained in areas that were inaccessible for sampling and have been classified as Assumed: CM 2'x2' Textured Ceiling Tile 2'x2' Ceiling Tile (smooth) 12"x12" Tan Floor Tile 12"x12" Brown Floor Tile (Light Brown) 12"x12" Blue Floor Tile Linoleum Incinerator Fire Brick Mastic Beneath Linoleum Black Baseboard Mastic beneath baseboard Vibration Damper Window sill and Header Backing Spray on - fire proofing Spray on 12x12 blue floor tile 12" x 12" blue/gray w/white ft Dark Brown Carpet Mastic The following areas were deemed to be inaccessible: A 15D 'x2' Textured Ceiling Tile 2'x2' Ceiling Tile (smooth) Mastic beneath 12"x12" Black Floor Tile Mastic beneath 12"x12" Light Brown Mastic beneath baseboard Vibration Damper 12" x 12" blue/gray w/white ft 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 Allizon Brooks, IDPH License # The Management Plan was updated by Todd Huffer, IDPH License # Inspector and Management Planner Licenses are included in Appendix B. Unit: 2331 Building: 329

10 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 329 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: 2331 Building: 329

11 Table I Inspector's Reinspection Findings

12 School Unit 2961 Building ID 329 Address 24 W. 62nd 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 4 2'x2' Textured Ceiling Tile 5 2'x2' Ceiling Tile (smooth) 6 Material Quantity Material Units Material Location Asbestos Type Material Category Friable Damage Type Damage Quantity Damage Units 3, Gym ASSUMED Y NONE Change in Assessment Category Yes 1,835 Multipurpose Room ASSUMED Y NONE Yes 12"x12" Black Floor Tile 1, CHR N NONE 7 12"x12" White w/streaks 22,45 CHR N NONE 8 12"x12" Tan Floor Tile 5,4 ASSUMED N NONE 9 12"x12" Brown Floor Tile (Light Brown) 2,55 Corridors on 1st and 2nd Floor and Stairways Classrooms Throughout Multipurpose Room & Kitchen, Girls & Boys Cot Room, Student Dining Gym ASSUMED N NONE 1 12"x12" Blue Floor Tile 45 ASSUMED N NONE 11 Linoleum 8 Gym (Court/Basketball) Racquetball Court ASSUMED N NONE 14 Incinerator Fire Brick 1 Boiler Room ASSUMED N NONE 15A Mastic beneath 12"x12" Black Floor Tile 1, CHR N NONE 15B Mastic Beneath 12"x12" White w/streaks 22,45 CHR N NONE 15C Mastic Beneath 12"x12" Tan Floor Tile 5,61 CHR N NONE 15D Mastic beneath 12"x12" Light Brown 2,55 1st and 2nd Floor Corridor and Stairways Classrooms Throughout Multipurpose Room and Kitchen Gym CHR N NONE 15E Mastic Beneath 12"x12" Blue Floor Tile 45 CHR N NONE 16 Mastic Beneath Linoleum 8 Gym (Court/Basketball) Racquetball Court ASSUMED N NONE 17 Black Baseboard 1,66 LF Throughout ASSUMED N NONE 18 Mastic beneath baseboard 1,66 LF throughout ASSUMED N NONE 19 Vibration Damper 1 N NONE Window sill and Header Backing 3,6 2nd Floor Mechanical Room Curtain Wall Throughout ASSUMED 2 ASSUMED N NONE Damage Category Damage Reason Disturbance Potential 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 ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage

13 School Unit 2961 Building ID 329 Address 24 W. 62nd 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 21 Spray on - fire proofing 22 Spray on 23 12x12 blue floor tile 24 CM 12" x 12" blue/gray w/white ft Dark Brown Carpet Mastic Material Quantity Material Units Material Location Asbestos Type Material Category Friable Damage Type Damage Quantity Damage Units 3 Beams - dock area ASSUMED SURFACE Y NONE Change in Assessment Category Yes 69, Ceiling Beams, throughout ASSUMED SURFACE Y NONE Yes 9 Room 29 ASSUMED N NONE 9 3, Room 29 Room 235, Main Office, 19, Library, Conference Room, Asst. Principal's Office ASSUMED ASSUMED N N NONE NONE Damage Category 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 Damage Reason Disturbance Potential

14 School Unit 2961 Building ID 329 Address 24 W. 62nd 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 3/18/216 Inspector Name Inspector's Comments Allizon Brooks /15/217 Inspector's IDPH License Number / Expiration Date HA Number: A 15B 15C 15D 15E CM Inspector Comments:

15 School Unit 2961 Building ID 329 Address 24 W. 62nd 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

16 Table II Management Planner's Review

17 School Address Unit 24 W. 62nd 2961 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 4 2'x2' Textured Ceiling Tile 3, Gym Assumed Yes 5 2'x2' Ceiling Tile (smooth) 1,835 Multipurpose Room Assumed Yes 6 12"x12" Black Floor Tile 1, Chrysotile "x12" White w/streaks 12"x12" Tan Floor Tile 22,45 5,4 Chrysotile Assumed 6 ACBM with the potential for damage 6 ACBM with the potential for damage A 12"x12" Brown Floor Tile (Light Brown) 12"x12" Blue Floor Tile Linoleum Incinerator Fire Brick Mastic beneath 12"x12" Black Floor Tile 2, , Assumed Assumed Assumed Assumed Chrysotile 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 15B 15C 15D 15E Mastic Beneath 12"x12" White w/streaks Mastic Beneath 12"x12" Tan Floor Tile Mastic beneath 12"x12" Light Brown Mastic Beneath 12"x12" Blue Floor Tile Mastic Beneath Linoleum Black Baseboard Mastic beneath baseboard Vibration Damper Window sill and Header Backing Spray on - fire proofing 22,45 5,61 2, ,66 1,66 1 3,6 3 LF LF Corridors on 1st and 2nd Floor and Stairways Classrooms Throughout Multipurpose Room & Kitchen, Girls & Boys Cot Room, Student Dining Gym Gym (Court/Basketball) Racquetball Court Boiler Room 1st and 2nd Floor Corridor and Stairways Classrooms Throughout Multipurpose Room and Kitchen Gym Gym (Court/Basketball) Racquetball Court Throughout throughout 2nd Floor Mechanical Room Curtain Wall Throughout Beams - dock area 7 Any remaining friable ACBM or friable suspect ACBM 7 Any remaining friable ACBM or friable suspect ACBM 6 ACBM with the potential for damage Chrysotile Chrysotile Chrysotile Chrysotile Assumed Assumed Assumed Assumed Assumed Assumed SURFACE Yes LF LF 22 Spray on 69, Ceiling Beams, throughout Assumed SURFACE Yes CM 12x12 blue floor tile 12" x 12" blue/gray w/white ft Dark Brown Carpet Mastic 9 9 3, Room 29 Room 29 Room 235, Main Office, 19, Library, Conference Room, Asst. Principal's Office 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 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 7 Any remaining friable ACBM or friable suspect ACBM 7 Any remaining friable ACBM or friable suspect ACBM 6 ACBM with the potential for damage 6 ACBM with the potential for damage

18 School Address 24 W. 62nd Unit 2961 Building ID Chicago, IL, 6636 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 6/28/216 Review Date Manager Planner Name Todd Huffer /15/216 Manager IDPH License /Expiration HA Number Management Comments

19 School Address 24 W. 62nd Unit 2961 Building ID Chicago, IL, 6636 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 15A 15B 15C 15D 15E CM Management Comments

20 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/18/ W. 62nd INFORMATION FROM PREVIOUS INSPECTION 4 2'x2' Textured Ceiling Tile 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: Gym 3 COMMENTS: Inspector's Signature: 3/18/216

21 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 6/28/ W. 62nd 'x2' Textured Ceiling Tile Gym 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: 6/28/216

22 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/18/ W. 62nd INFORMATION FROM PREVIOUS INSPECTION 5 2'x2' Ceiling Tile (smooth) 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: Multipurpose Room 1835 COMMENTS: Inspector's Signature: 3/18/216

23 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 6/28/ W. 62nd 'x2' Ceiling Tile (smooth) Multipurpose Room 1835 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 6/28/216

24 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/18/ W. 62nd INFORMATION FROM PREVIOUS INSPECTION 6 12"x12" 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: Corridors on 1st and 2nd Floor and Stairways 1 COMMENTS: Inspector's Signature: 3/18/216

25 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 6/28/ W. 62nd "x12" Black Floor Tile Corridors on 1st and 2nd Floor and Stairways 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: 6/28/216

26 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/18/ W. 62nd INFORMATION FROM PREVIOUS INSPECTION 7 12"x12" White w/streaks 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: Classrooms Throughout 2245 COMMENTS: Inspector's Signature: 3/18/216

27 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 6/28/ W. 62nd "x12" White w/streaks Classrooms Throughout 2245 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 6/28/216

28 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/18/ W. 62nd INFORMATION FROM PREVIOUS INSPECTION 8 12"x12" Tan 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: Multipurpose Room & Kitchen, Girls & Boys Cot Room, Student Dining 54 COMMENTS: Inspector's Signature: 3/18/216

29 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 6/28/ W. 62nd "x12" Tan Floor Tile Multipurpose Room & Kitchen, Girls & Boys Cot Room, Student Dining 54 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 6/28/216

30 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/18/ W. 62nd INFORMATION FROM PREVIOUS INSPECTION 9 12"x12" Brown Floor Tile (Light Brown) 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: Gym 255 COMMENTS: Inspector's Signature: 3/18/216

31 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 6/28/ W. 62nd "x12" Brown Floor Tile (Light Brown) Gym 255 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 6/28/216

32 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/18/ W. 62nd INFORMATION FROM PREVIOUS INSPECTION 1 12"x12" 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: Gym (Court/Basketball) 45 COMMENTS: Inspector's Signature: 3/18/216

33 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 6/28/ W. 62nd "x12" Blue Floor Tile Gym (Court/Basketball) 45 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 6/28/216

34 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/18/ W. 62nd INFORMATION FROM PREVIOUS INSPECTION 11 Linoleum 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: Racquetball Court 8 COMMENTS: Inspector's Signature: 3/18/216

35 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 6/28/ W. 62nd Linoleum Racquetball Court 8 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 6/28/216

36 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/18/ W. 62nd INFORMATION FROM PREVIOUS INSPECTION 14 Incinerator Fire Brick 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: Boiler Room 1 COMMENTS: Inspector's Signature: 3/18/216

37 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 6/28/ W. 62nd Incinerator Fire Brick Boiler Room 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: 6/28/216

38 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/18/ W. 62nd INFORMATION FROM PREVIOUS INSPECTION 15A Mastic beneath 12"x12" 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: 1st and 2nd Floor Corridor and Stairways 1 COMMENTS: Inspector's Signature: 3/18/216

39 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 6/28/ W. 62nd A Mastic beneath 12"x12" Black Floor Tile 1st and 2nd Floor Corridor and Stairways 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: 6/28/216

40 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/18/ W. 62nd INFORMATION FROM PREVIOUS INSPECTION 15B Mastic Beneath 12"x12" White w/streaks 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: Classrooms Throughout 2245 COMMENTS: Inspector's Signature: 3/18/216

41 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 6/28/ W. 62nd B Mastic Beneath 12"x12" White w/streaks Classrooms Throughout 2245 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 6/28/216

42 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/18/ W. 62nd INFORMATION FROM PREVIOUS INSPECTION 15C Mastic Beneath 12"x12" Tan 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: Multipurpose Room and Kitchen 561 COMMENTS: Inspector's Signature: 3/18/216

43 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 6/28/ W. 62nd C Mastic Beneath 12"x12" Tan Floor Tile Multipurpose Room and Kitchen 561 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 6/28/216

44 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/18/ W. 62nd INFORMATION FROM PREVIOUS INSPECTION 15D Mastic beneath 12"x12" Light Brown 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: Gym 255 COMMENTS: Inspector's Signature: 3/18/216

45 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 6/28/ W. 62nd D Mastic beneath 12"x12" Light Brown Gym 255 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 6/28/216

46 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/18/ W. 62nd INFORMATION FROM PREVIOUS INSPECTION 15E Mastic Beneath 12"x12" Blue 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: Gym (Court/Basketball) 45 COMMENTS: Inspector's Signature: 3/18/216

47 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 6/28/ W. 62nd E Mastic Beneath 12"x12" Blue Floor Tile Gym (Court/Basketball) 45 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 6/28/216

48 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/18/ W. 62nd INFORMATION FROM PREVIOUS INSPECTION 16 Mastic Beneath Linoleum 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: Racquetball Court 8 COMMENTS: Inspector's Signature: 3/18/216

49 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 6/28/ W. 62nd Mastic Beneath Linoleum Racquetball Court 8 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 6/28/216

50 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/18/ W. 62nd INFORMATION FROM PREVIOUS INSPECTION 17 Black Baseboard HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with potential for significant 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 166 LF LF COMMENTS: Inspector's Signature: 3/18/216

51 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 6/28/ W. 62nd Black Baseboard Throughout 166 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: 6/28/216

52 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/18/ W. 62nd INFORMATION FROM PREVIOUS INSPECTION 18 Mastic beneath baseboard 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 166 LF LF COMMENTS: Inspector's Signature: 3/18/216

53 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 6/28/ W. 62nd Mastic beneath baseboard throughout 166 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: 6/28/216

54 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/18/ W. 62nd INFORMATION FROM PREVIOUS INSPECTION 19 Vibration Damper 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: 2nd Floor Mechanical Room 1 COMMENTS: Inspector's Signature: 3/18/216

55 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 6/28/ W. 62nd Vibration Damper 2nd Floor Mechanical Room 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: 6/28/216

56 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/18/ W. 62nd INFORMATION FROM PREVIOUS INSPECTION 2 Window sill and Header Backing 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: Curtain Wall Throughout 36 COMMENTS: Inspector's Signature: 3/18/216

57 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 6/28/ W. 62nd Window sill and Header Backing Curtain Wall Throughout 36 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 6/28/216

58 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/18/ W. 62nd INFORMATION FROM PREVIOUS INSPECTION 21 Spray on - fire proofing 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: Beams - dock area 3 COMMENTS: Inspector's Signature: 3/18/216

59 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 6/28/ W. 62nd Spray on - fire proofing Beams - dock area 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: 6/28/216

60 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/18/ W. 62nd INFORMATION FROM PREVIOUS INSPECTION 22 Spray on 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: Ceiling Beams, throughout 69 COMMENTS: Inspector's Signature: 3/18/216

61 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 6/28/ W. 62nd Spray on Ceiling Beams, throughout 69 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 6/28/216

62 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/18/ W. 62nd INFORMATION FROM PREVIOUS INSPECTION 23 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: Room 29 9 COMMENTS: Inspector's Signature: 3/18/216

63 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 6/28/ W. 62nd x12 blue floor tile Room 29 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: 6/28/216

64 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/18/ W. 62nd INFORMATION FROM PREVIOUS INSPECTION 24 12" x 12" blue/gray w/white ft HISTORICAL AHERA DAMAGE CATEGORY 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. DAMAGE REASON: DISTURBANCE POTENTIAL: Room 29 9 COMMENTS: Inspector's Signature: 3/18/216

65 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 6/28/ W. 62nd " x 12" blue/gray w/white ft Room 29 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: 6/28/216

66 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/18/ W. 62nd INFORMATION FROM PREVIOUS INSPECTION CM Dark Brown Carpet 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: Room 235, Main Office, 19, Library, Conference Room, Asst. Principal's Office 3 COMMENTS: Inspector's Signature: 3/18/216

67 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 6/28/ W. 62nd CM Dark Brown Carpet Mastic Room 235, Main Office, 19, Library, Conference Room, Asst. Principal's Office 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: 6/28/216

68 216 AHERA REINSPECTION

69 APPENDIX B Inspector and Management Planner Licenses

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