Youth Connection - Community Service West Acad. Of Scholastic Achievement

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 Y Youth Connection - Community Service West Acad. Of Scholastic Chicago, IL, 6644 DATE LAST THREE YEAR REINSPECTION WAS COMPLETED 4/3/213 If the address on this form is different than the address of the building, submit a written explanation. SECTION II (Please type or print) PLEASE COMPLETE THE FOLLOWING FOR YOUR THREE YEAR REINSPECTION: DATE REINSPECTION COMPLETED: 6/2/216 IDPH INSPECTOR LICENSE NUMBER: IDPH LICENSED INSPECTOR NAME (Please Print): John Feely IDPH MP LICENSE NUMBER: IDPH LICENSED MANAGEMENT PLANNER NAME (Please Print): DESIGNATED PERSON (Please Print): Robert Christlieb ENROLLMENT 26 Daniel Juneau PHONE: (773) /2/216 Signature of Designated Person Date SECTION III PLEASE COMPLETE THE FOLLOWING INFORMATION FOR ANY CHANGES WITHIN THE SCHOOL DISTRICT. School building has been sold. Date of Sale: School has been closed. Date closed: School building has been demolished. School building is asbestos free since last reinspection: Please explain in writing why the school building is now asbestos free and include the supporting documentation. If a new school building has been added to the district, submit either and exclusionary statement or a management plan and inspection report. Include the complete name, address and city of school building. Explain in writing if the address of the building is different than the address on this form: IL Revised 1.3

2 THREE YEAR REINSPECTION CHICAGO SCHOOL DIST 299 Youth Connection - Community Service West - Acad. Of Scholastic Chicago, IL, 6644 Unit: 6616 Building ID: IDPH ID Number: Y REPORT DATE: Thursday, June 2, 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 May 27, 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: 6616 Region: School: Youth Connection - Community Service West - Acad. Of Scholastic Address: IDPH ID: Y Building ID: Chicago, IL, 6644 Building Contact: Contact Phone: Current Building Owners: Review 6/2/216 Inspector: John Feely 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 Notification to Occupants To: Faculty, Staff and Parents From: May 27, 216 RE: Youth Connection - Community Service West - Acad. Of Scholastic, Unit 6616 Chicago, IL, 6644 Dear Faculty, Staff and Parents, This letter is to notify you that the 216 asbestos three year re-inspection has been completed at Youth Connection - Community Service West - Acad. Of Scholastic, 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 Youth Connection - Community Service West - Acad. Of Scholastic, 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 asbestoscontaining 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: Youth Connection Community Service West - Acad. Of Scholastic Address: IDPH ID: Y Contact: 2. Unit: 6616 Chicago, IL, 6644 Building ID: Phone: Description of Facility Original Construction: Total Square Footage: Current Occupancy: Additional Construction: No of Floors: LEA Designated Person Contact: Robert Christlieb Address: 125 South Clark Street, 17th Floor Chicago, IL Fax: (312) Inspector Inspector Name: John Feely Inspector IDPH license # Phone: (773) Managing Environmental Consultant MEC: Contact: Dan Juneau Address 6 West Van Buren St., Ste 5 Phone: (312) Region: Signature: 5/27/216 Management Planner Management Planner Name: Daniel Juneau Management Planner IDPH license # Review 6/2/ LEA Designated Person's Acknowledgement Signature: 6/2/216 The reinspection report and recommendations have been received by me and appropriate action will be taken by the School District. Signature: 6/2/216 Name: Robert Christlieb Unit : 6616 Youth Connection - Community Service West - Acad. Of Scholastic Building:

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8 II. EXECUTIVE SUMMARY was retained by the (CPS) to perform a three-year asbestos reinspection of the Youth Connection - Community Service West - Acad. Of Scholastic. 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 sixmonth 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. Note: 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 : Unit: Wall Plaster 2 12" x 12" White Floor Tile 3 Mastic Underneath 12" x 12" White Floor Tile 4 Drywall 21 12" x 12" Blue Floor Tile 22 Mastic Associated w/ 12" x 12" Blue Floor Tile 23 3" Blue Baseboard 24 Mastic Associated w/ Blue Baseboard 25 2' x 4' Ceiling Tile Youth Connection - Community Service West - Acad. Of Scholastic Building:

9 Unit: Drywall 27 Lab Tops Youth Connection - Community Service West - Acad. Of Scholastic Building:

10 B. The following new homogenous areas have been identified for Building : Unit: " x 12" Blue Floor Tile 22 Mastic Associated w/ 12" x 12" Blue Floor Tile 23 3" Blue Baseboard 24 Mastic Associated w/ Blue Baseboard 25 2' x 4' Ceiling Tile 26 Drywall 27 Lab Tops Youth Connection - Community Service West - Acad. Of Scholastic Building:

11 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 : m ' x 2' Accoustic White Ceiling Tile 2' x 4' White Ceiling Tile Wall Plaster 12''x 12'' Blue Floor Tile 12'' x 12'' Yellow Floor Tile 12''x 12'' Orange Floor Tile 12''x 12'' Red Floor Tile Mastic Associated with Yellow/Blue/Red/Orange VFT 12" x 12" White Floor Tile Mastic Underneath 12" x 12" White Floor Tile Drywall Yellow Baseboard Yellow Baseboard Mastic 12" x 12" Blue Floor Tile Mastic Associated w/ 12" x 12" Blue Floor Tile 3" Blue Baseboard Mastic Associated w/ Blue Baseboard 2' x 4' Ceiling Tile Drywall Lab Tops Beige Vinyl Baseboads Maroon Vinyl Baseboards Brown Vinyl Baseboard The following areas were deemed to be inaccessible: 3 2m Mastic Underneath 12" x 12" White Floor Tile Yellow Baseboard Mastic Mastic Associated w/ 12" x 12" Blue Floor Tile Mastic Associated w/ Blue Baseboard 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 John Feely, IDPH License # The Management Plan was updated by Daniel Juneau, IDPH License # Inspector and Management Planner Licenses are included in Appendix B. Unit: 6616 Youth Connection - Community Service West - Acad. Of Scholastic Building:

12 III. METHODOLOGY Tasks performed on-site included the following: IV. 1. Review current management plan, identify HA(s) and extract appropriate information. 2. Examine and verify abatement records. 3. Touch and visually and physically reinspect and reassess the condition of all friable known or assumed ACBM. 4. Touch and visually and physically reinspect all non-friable known or assumed ACBM to determine whether these materials have become friable since the last inspection or periodic surveillance. 5. Identify any condition changes that may affect Hazard Ranking of known ACBM or ACBM, as well as any HA(s) that have become friable since the last reinspection. 6. Collect bulk samples from each newly discovered friable HA or previously assumed and submit for laboratory analysis. 7. Tabulate reinspection findings and submit for management planner review and recommendations with appropriate response actions based on the AHERA Damage Category of the ACBM. 8. Submit reinspection findings and management planner recommendations to the LEA within thirty (3) days for inclusion into the management plan. ABATEMENT HISTORY The information collected from the existing management plan and inspection report(s) and from interviews with the school official revealed that the following asbestos abatement was conducted at the school since the previous Three year Reinspection. Abatement Dates: V. REASSESSMENTS AND RECOMMENDATIONS The reassessments and recommendations are summarized in Tables I and II on the following pages. Detailed Hazard Assessment Sheets and Drawings and Photos (if applicable) are included in Appendix A. VI. CONCLUSIONS The Youth Connection - Community Service West - Acad. Of Scholastic Building 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: 6616 Youth Connection - Community Service West - Acad. Of Scholastic Building:

13 Table I Inspector's Reinspection Findings

14 School Youth Connection - Community Service West - Acad. Of Scholastic Unit 6616 Building ID Address Region 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 No Material Description 1 2' x 2' Accoustic White Ceiling Tile " x 12" Brown and White Floor Tile (ABATED) 12" x 12" Brown and White Floor Tile Mastic 2' x 4' White Ceiling Tile 3,48 13 Wall Plaster 3, ''x 12'' Blue Floor Tile 1, '' x 12'' Yellow Floor Tile 1, ''x 12'' Orange Floor Tile ''x 12'' Red Floor Tile 5 18 Mastic Associated with Yellow/Blue/Red/Orange VFT 12" x 12" White Floor Tile 3,5 2,4 3 Mastic Underneath 12" x 12" White Floor Tile 2,4 4 Drywall 8, " x 12" Brown Floor Tile (ABATED) Mastic Associated with 12" x 12" Brown Floor Tile 12x12 Brown Tile with Textured Look Material Quantity 2,4 Material Units Material Location Asbestos Type Material Category Friable Damage Type Throughout Main Building, Restrooms, Halls, and Classrooms Rear stairwell Lower area Lower level - Rear stairwell (ABATED) Child / Parent Center - Second Floor Main Building North Side All Exterior Walls of Main Building & CPC Building Throughout Building-Hallways, Stairwell ThroughoutOffices/Classrooms Througout-Used for Decorative Pattern Throughout-Used for Decorative Pattern Throughout ASSUMED Y NONE ABATED ABATED ASSUMED Y ASSUMED SURFACE ASSUMED Throughout 2nd Floor of Main Building Underneath floor tile in classrooms, hallways, restrooms, and office in main building. Classrooms, Hallway, Office, Playroom, Restrooms Stairwell Stairwell (ABATED) 1st Floor Girls/Boys Wash Room Damage Category Change in Assessment Category No Any remaining friable ACBM or friable suspect ACBM LOW NONE No Any remaining friable ACBM or friable suspect ACBM LOW N NONE Yes LOW N NONE No Any remaining friable ACBM or friable suspect ACBM ACBM with the potential for damage ASSUMED N NONE No N NONE No ASSUMED N NONE No ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage LOW ASSUMED ASSUMED N NONE No N NONE Yes ACBM with the potential for damage ACBM with the potential for damage LOW ASSUMED ASSUMED N NONE Yes ACBM with the potential for damage LOW ASSUMED N NONE Yes ACBM with the potential for damage LOW ABATED ABATED ABATED None Damage Quantity Damage Units Damage Reason Disturbance Potential LOW LOW LOW LOW Low

15 School Youth Connection - Community Service West - Acad. Of Scholastic Unit 6616 Building ID Address Region 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 No Material Description 19m 2 12x12 Brown Tile with Textured Look Mastic Yellow Baseboard 1, LF 2m Yellow Baseboard Mastic 1, LF 21 12" x 12" Blue Floor Tile 1,7 22 Mastic Associated w/ 12" x 12" Blue Floor Tile 3" Blue Baseboard 1, LF 24 Mastic Associated w/ Blue Baseboard 4 LF 25 2' x 4' Ceiling Tile 1,7 26 Drywall 3,4 27 Lab Tops Beige Vinyl Baseboads Maroon Vinyl Baseboards Brown Vinyl Baseboard Material Quantity Material Units Material Location Asbestos Type Material Category 1st Floor Girls/Boys Wash Rooms Throughout 2nd Floor Throughout 2nd Floor 1st Floor Science Lab (Built 212) 1st Floor Science Lab (Built 212) 1st Floor Science Lab (Built 212) 1st Floor Science Lab (Built 212) 1st Floor Science Lab (Built 212) ABATED ASSUMED N NONE ASSUMED N ASSUMED N ASSUMED ASSUMED ASSUMED ASSUMED 1st Floor Science Lab (Built 212) 1st Floor Science Lab (Built 212) Bathroom Back Staircase Friable Damage Type Damage Quantity Damage Units Change in Assessment Category Damage Category No NONE No NONE Yes N NONE Yes N NONE Yes N NONE Yes Y NONE Yes ASSUMED N NONE Yes ASSUMED N NONE Yes 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 Any remaining friable ACBM or friable suspect ACBM ACBM with the potential for damage ACBM with the potential for damage ASSUMED ASSUMED ASSUMED None Damage Reason Disturbance Potential Low LOW LOW LOW LOW LOW LOW LOW LOW LOW

16 School Youth Connection - Community Service West - Acad. Of Scholastic Unit 6616 Building ID Address Region 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 5/27/216 Inspector Name Inspector's Comments John Feely /15/216 Inspector's IDPH License Number / Expiration Date HA Number: m 2 2m Inspector Comments:

17 School Youth Connection - Community Service West - Acad. Of Scholastic Unit 6616 Building ID Address Region 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: Inspector Comments: Not observed 216 Not observed 216 Not observed 216

18 Table II Management Planner's Review

19 School Address Youth Connection Community Service West Acad. Of Scholastic Unit Building ID 6616 Chicago, IL, 6644 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 Num Material Description Material Quantity Material Units Material Location Asbestos Type Material Category Friable Damage Quantity Damage Units Damage Category Response 1 2' x 2' Accoustic White Ceiling Tile 2,4 Yes 7 Any remaining friable ACBM or friable suspect ACBM Follow O&M Plan " x 12" Brown and White Floor Tile (ABATED) 12" x 12" Brown and White Floor Tile Mastic 2' x 4' White Ceiling Tile 3,48 Abated Abated Yes Wall Plaster 3,78 SURFACE No ''x 12'' Blue Floor Tile 12'' x 12'' Yellow Floor Tile 12''x 12'' Orange Floor Tile 12''x 12'' Red Floor Tile 1,7 1,7 5 5 No No No No 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 6 ACBM with the potential for damage 6 ACBM with the potential for damage Follow O&M Plan ,5 No 6 ACBM with the potential for damage Follow O&M Plan 2 3 Mastic Associated with Yellow/Blue/Red/Orange VFT 12" x 12" White Floor Tile Mastic Underneath 12" x 12" White Floor Tile Throughout Main Building, Restrooms, Halls, and Classrooms Rear stairwell - Lower area Lower level - Rear stairwell (ABATED) Child / Parent Center - Second Floor Main Building North Side All Exterior Walls of Main Building & CPC Building Throughout Building-Hallways, Stairwell Throughout-Offices/Classrooms Througout-Used for Decorative Pattern Throughout-Used for Decorative Pattern Throughout 2,4 2,4 No No 6 ACBM with the potential for damage 6 ACBM with the potential for damage Follow O&M Plan Follow O&M Plan 4 Drywall 8,6 No 6 ACBM with the potential for damage Follow O&M Plan m 2 2m " x 12" Brown Floor Tile (ABATED) Mastic Associated with 12" x 12" Brown Floor Tile 12x12 Brown Tile with Textured Look 12x12 Brown Tile with Textured Look Mastic Yellow Baseboard Yellow Baseboard Mastic 12" x 12" Blue Floor Tile Mastic Associated w/ 12" x 12" Blue Floor Tile 3" Blue Baseboard Mastic Associated w/ Blue Baseboard 2' x 4' Ceiling Tile Throughout 2nd Floor of Main Building Underneath floor tile in classrooms, hallways, restrooms, and office in main building. Classrooms, Hallway, Office, Playroom, Restrooms Stairwell Stairwell (ABATED) 1st Floor Girls/Boys Wash Room 1st Floor Girls/Boys Wash Rooms Throughout 2nd Floor Throughout 2nd Floor 1st Floor Science Lab (Built 212) 1st Floor Science Lab (Built 212) 1st Floor Science Lab (Built 212) 1st Floor Science Lab (Built 212) 1st Floor Science Lab (Built 212) Abated Abated Abated Abated No No No No No No Yes LF LF LF LF 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 Follow O&M Plan Follow O&M Plan Follow O&M Plan Follow O&M Plan Follow O&M Plan Follow O&M Plan Follow O&M Plan 1, 1, 1,7 1, ,7 LF LF LF LF Follow O&M Plan Follow O&M Plan Follow O&M Plan Follow O&M Plan Follow O&M Plan

20 School Address Youth Connection Community Service West Acad. Of Scholastic Unit Building ID 6616 Chicago, IL, 6644 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 Num Material Description Material Quantity Material Units Material Location Asbestos Type Material Category Friable Damage Quantity Damage Units Drywall Lab Tops Beige Vinyl Baseboads Maroon Vinyl Baseboards Brown Vinyl Baseboard 3,4 25 1st Floor Science Lab (Built 212) 1st Floor Science Lab (Built 212) No No Bathroom Back Staircase Damage Category Response suspect ACBM 6 ACBM with the potential for damage 6 ACBM with the potential for damage Follow O&M Plan Follow O&M Plan

21 School Address Youth Connection Community Service West Acad. Of Scholastic Unit Building ID 6616 Chicago, IL, 6644 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 6/2/216 Review Date Manager Planner Name Daniel Juneau /15/216 Manager IDPH License No/Expiration HA Number m 2 2m Management Comments

22 School Address Youth Connection Community Service West Acad. Of Scholastic Unit Building ID 6616 Chicago, IL, 6644 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 Management Comments If identified, implement O&M If identified, implement O&M If identified, implement O&M

23 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 6616 AHERA INSPECTOR: John Feely Youth Connection - Community Service West - Acad. Of Scholastic INSPECTION DATE: 5/27/ INFORMATION FROM PREVIOUS INSPECTION 1 2' x 2' Accoustic White Ceiling Tile HISTORICAL AHERA DAMAGE CATEGORY 7 Any remaining friable ACBM or friable suspect ACBM HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: Follow O&M Plan ASBESTOS TYPE: FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Throughout Main Building, Restrooms, Halls, and Classrooms 24 COMMENTS: Inspector's Signature: 5/27/216

24 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau Youth Connection Community Service West - Acad. Of Scholastic REVIEW DATE: 6/2/ ' x 2' Accoustic White Ceiling Tile Throughout Main Building, Restrooms, Halls, and Classrooms 24 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: Follow O&M Plan Comments: Management Planner's Signature: 6/2/216

25 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 6616 AHERA INSPECTOR: John Feely Youth Connection - Community Service West - Acad. Of Scholastic INSPECTION DATE: 5/27/ INFORMATION FROM PREVIOUS INSPECTION 1 12" x 12" Brown and White 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: Rear stairwell - Lower area COMMENTS: Inspector's Signature: 5/27/216

26 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau Youth Connection Community Service West - Acad. Of Scholastic REVIEW DATE: 6/2/ " x 12" Brown and White Floor Tile (ABATED) Rear stairwell - Lower area 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: 6/2/216

27 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 6616 AHERA INSPECTOR: John Feely Youth Connection - Community Service West - Acad. Of Scholastic INSPECTION DATE: 5/27/ INFORMATION FROM PREVIOUS INSPECTION 11 12" x 12" Brown and White Floor Tile Mastic 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: Lower level - Rear stairwell (ABATED) COMMENTS: Inspector's Signature: 5/27/216

28 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau Youth Connection Community Service West - Acad. Of Scholastic REVIEW DATE: 6/2/ " x 12" Brown and White Floor Tile Mastic Lower level - Rear stairwell (ABATED) In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 6/2/216

29 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 6616 AHERA INSPECTOR: John Feely Youth Connection - Community Service West - Acad. Of Scholastic INSPECTION DATE: 5/27/ INFORMATION FROM PREVIOUS INSPECTION 12 2' x 4' White Ceiling Tile HISTORICAL AHERA DAMAGE CATEGORY 7 Any remaining friable ACBM or friable suspect ACBM HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: Follow O&M Plan ASBESTOS TYPE: FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Child / Parent Center - Second Floor Main Building North Side 348 COMMENTS: Inspector's Signature: 5/27/216

30 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau Youth Connection Community Service West - Acad. Of Scholastic REVIEW DATE: 6/2/ ' x 4' White Ceiling Tile Child / Parent Center - Second Floor Main Building North Side 348 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: Follow O&M Plan Comments: Management Planner's Signature: 6/2/216

31 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 6616 AHERA INSPECTOR: John Feely Youth Connection - Community Service West - Acad. Of Scholastic INSPECTION DATE: 5/27/ INFORMATION FROM PREVIOUS INSPECTION 13 Wall Plaster HISTORICAL AHERA DAMAGE CATEGORY 7 ACBM with potential for significant damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: Follow O&M Plan ASBESTOS TYPE: FRIABLE: No 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: LOW All Exterior Walls of Main Building & CPC Building 378 COMMENTS: Inspector's Signature: 5/27/216

32 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau Youth Connection Community Service West - Acad. Of Scholastic REVIEW DATE: 6/2/ Wall Plaster All Exterior Walls of Main Building & CPC Building 378 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: Follow O&M Plan Comments: Management Planner's Signature: 6/2/216

33 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 6616 AHERA INSPECTOR: John Feely Youth Connection - Community Service West - Acad. Of Scholastic INSPECTION DATE: 5/27/ INFORMATION FROM PREVIOUS INSPECTION 14 12''x 12'' Blue Floor Tile HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: Follow O&M Plan ASBESTOS TYPE: FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Throughout Building-Hallways, Stairwell 17 COMMENTS: Inspector's Signature: 5/27/216

34 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau Youth Connection Community Service West - Acad. Of Scholastic REVIEW DATE: 6/2/ ''x 12'' Blue Floor Tile Throughout Building-Hallways, Stairwell 17 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: Follow O&M Plan Comments: Management Planner's Signature: 6/2/216

35 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 6616 AHERA INSPECTOR: John Feely Youth Connection - Community Service West - Acad. Of Scholastic INSPECTION DATE: 5/27/ INFORMATION FROM PREVIOUS INSPECTION 15 12'' x 12'' Yellow Floor Tile HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: Follow O&M Plan ASBESTOS TYPE: FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Throughout-Offices/Classrooms 17 COMMENTS: Inspector's Signature: 5/27/216

36 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau Youth Connection Community Service West - Acad. Of Scholastic REVIEW DATE: 6/2/ '' x 12'' Yellow Floor Tile Throughout-Offices/Classrooms 17 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: Follow O&M Plan Comments: Management Planner's Signature: 6/2/216

37 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 6616 AHERA INSPECTOR: John Feely Youth Connection - Community Service West - Acad. Of Scholastic INSPECTION DATE: 5/27/ INFORMATION FROM PREVIOUS INSPECTION 16 12''x 12'' Orange Floor Tile HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: Follow O&M Plan ASBESTOS TYPE: FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Througout-Used for Decorative Pattern 5 COMMENTS: Inspector's Signature: 5/27/216

38 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau Youth Connection Community Service West - Acad. Of Scholastic REVIEW DATE: 6/2/ ''x 12'' Orange Floor Tile Througout-Used for Decorative Pattern 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: Follow O&M Plan Comments: Management Planner's Signature: 6/2/216

39 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 6616 AHERA INSPECTOR: John Feely Youth Connection - Community Service West - Acad. Of Scholastic INSPECTION DATE: 5/27/ INFORMATION FROM PREVIOUS INSPECTION 17 12''x 12'' Red Floor Tile HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: Follow O&M Plan ASBESTOS TYPE: FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Throughout-Used for Decorative Pattern 5 COMMENTS: Inspector's Signature: 5/27/216

40 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau Youth Connection Community Service West - Acad. Of Scholastic REVIEW DATE: 6/2/ ''x 12'' Red Floor Tile Throughout-Used for Decorative Pattern 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: Follow O&M Plan Comments: Management Planner's Signature: 6/2/216

41 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 6616 AHERA INSPECTOR: John Feely Youth Connection - Community Service West - Acad. Of Scholastic INSPECTION DATE: 5/27/ INFORMATION FROM PREVIOUS INSPECTION 18 Mastic Associated with Yellow/Blue/Red/Orange VFT HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: Follow O&M Plan ASBESTOS TYPE: FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Throughout 35 COMMENTS: Inspector's Signature: 5/27/216

42 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau Youth Connection Community Service West - Acad. Of Scholastic REVIEW DATE: 6/2/ Mastic Associated with Yellow/Blue/Red/Orange VFT Throughout 35 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Follow O&M Plan Comments: Management Planner's Signature: 6/2/216

43 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 6616 AHERA INSPECTOR: John Feely Youth Connection - Community Service West - Acad. Of Scholastic INSPECTION DATE: 5/27/ INFORMATION FROM PREVIOUS INSPECTION 2 12" x 12" White Floor Tile HISTORICAL AHERA DAMAGE CATEGORY 6 HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Throughout 2nd Floor of Main Building 24 COMMENTS: Inspector's Signature: 5/27/216

44 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau Youth Connection Community Service West - Acad. Of Scholastic REVIEW DATE: 6/2/ " x 12" White Floor Tile Throughout 2nd Floor of Main Building 24 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: 6/2/216

45 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 6616 AHERA INSPECTOR: John Feely Youth Connection - Community Service West - Acad. Of Scholastic INSPECTION DATE: 5/27/ INFORMATION FROM PREVIOUS INSPECTION 3 Mastic Underneath 12" x 12" White Floor Tile HISTORICAL AHERA DAMAGE CATEGORY 6 HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Underneath floor tile in classrooms, hallways, restrooms, and office in main building. 24 COMMENTS: Inspector's Signature: 5/27/216

46 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau Youth Connection Community Service West - Acad. Of Scholastic REVIEW DATE: 6/2/ Mastic Underneath 12" x 12" White Floor Tile Underneath floor tile in classrooms, hallways, restrooms, and office in main building. 24 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: 6/2/216

47 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 6616 AHERA INSPECTOR: John Feely Youth Connection - Community Service West - Acad. Of Scholastic INSPECTION DATE: 5/27/ INFORMATION FROM PREVIOUS INSPECTION 4 Drywall HISTORICAL AHERA DAMAGE CATEGORY 6 Any remaining friable ACBM or friable suspect ACBM HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: Follow O&M Plan ASBESTOS TYPE: FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Classrooms, Hallway, Office, Playroom, Restrooms 86 COMMENTS: Inspector's Signature: 5/27/216

48 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau Youth Connection Community Service West - Acad. Of Scholastic REVIEW DATE: 6/2/ Drywall Classrooms, Hallway, Office, Playroom, Restrooms 86 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: Follow O&M Plan Comments: Management Planner's Signature: 6/2/216

49 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 6616 AHERA INSPECTOR: John Feely Youth Connection - Community Service West - Acad. Of Scholastic INSPECTION DATE: 5/27/ INFORMATION FROM PREVIOUS INSPECTION 8 12" x 12" Brown 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: Stairwell COMMENTS: Inspector's Signature: 5/27/216

50 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau Youth Connection Community Service West - Acad. Of Scholastic REVIEW DATE: 6/2/ " x 12" Brown Floor Tile (ABATED) Stairwell 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: 6/2/216

51 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 6616 AHERA INSPECTOR: John Feely Youth Connection - Community Service West - Acad. Of Scholastic INSPECTION DATE: 5/27/ INFORMATION FROM PREVIOUS INSPECTION 9 Mastic Associated with 12" x 12" Brown Floor Tile 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: Stairwell (ABATED) COMMENTS: Inspector's Signature: 5/27/216

52 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau Youth Connection Community Service West - Acad. Of Scholastic REVIEW DATE: 6/2/ Mastic Associated with 12" x 12" Brown Floor Tile Stairwell (ABATED) In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 6/2/216

53 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 6616 AHERA INSPECTOR: John Feely Youth Connection - Community Service West - Acad. Of Scholastic INSPECTION DATE: 5/27/ INFORMATION FROM PREVIOUS INSPECTION 19 12x12 Brown Tile with Textured Look 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: Low 1st Floor Girls/Boys Wash Room COMMENTS: Inspector's Signature: 5/27/216

54 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau Youth Connection Community Service West - Acad. Of Scholastic REVIEW DATE: 6/2/ x12 Brown Tile with Textured Look 1st Floor Girls/Boys Wash 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: 6/2/216

55 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 6616 AHERA INSPECTOR: John Feely Youth Connection - Community Service West - Acad. Of Scholastic INSPECTION DATE: 5/27/ INFORMATION FROM PREVIOUS INSPECTION 19m 12x12 Brown Tile with Textured Look Mastic 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: Low 1st Floor Girls/Boys Wash Rooms COMMENTS: Inspector's Signature: 5/27/216

56 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau Youth Connection Community Service West - Acad. Of Scholastic REVIEW DATE: 6/2/ m 12x12 Brown Tile with Textured Look Mastic 1st Floor Girls/Boys Wash Rooms 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: 6/2/216

57 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 6616 AHERA INSPECTOR: John Feely Youth Connection - Community Service West - Acad. Of Scholastic INSPECTION DATE: 5/27/ INFORMATION FROM PREVIOUS INSPECTION 2 Yellow Baseboard HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: Follow O&M Plan ASBESTOS TYPE: FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Throughout 2nd Floor 1 LF LF COMMENTS: Inspector's Signature: 5/27/216

58 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau Youth Connection Community Service West - Acad. Of Scholastic REVIEW DATE: 6/2/ Yellow Baseboard Throughout 2nd Floor 1 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: Follow O&M Plan Comments: Management Planner's Signature: 6/2/216

59 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 6616 AHERA INSPECTOR: John Feely Youth Connection - Community Service West - Acad. Of Scholastic INSPECTION DATE: 5/27/ INFORMATION FROM PREVIOUS INSPECTION 2m Yellow Baseboard Mastic HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: Follow O&M Plan ASBESTOS TYPE: FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Throughout 2nd Floor 1 LF LF COMMENTS: Inspector's Signature: 5/27/216

60 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau Youth Connection Community Service West - Acad. Of Scholastic REVIEW DATE: 6/2/ m Yellow Baseboard Mastic Throughout 2nd Floor 1 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: Follow O&M Plan Comments: Management Planner's Signature: 6/2/216

61 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 6616 AHERA INSPECTOR: John Feely Youth Connection - Community Service West - Acad. Of Scholastic INSPECTION DATE: 5/27/ INFORMATION FROM PREVIOUS INSPECTION 5 Beige Vinyl Baseboads HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: COMMENTS: Not observed 216 Inspector's Signature: 5/27/216

62 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau Youth Connection Community Service West - Acad. Of Scholastic REVIEW DATE: 6/2/ Beige Vinyl Baseboads 6616 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: If identified, implement O&M Management Planner's Signature: 6/2/216

63 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 6616 AHERA INSPECTOR: John Feely Youth Connection - Community Service West - Acad. Of Scholastic INSPECTION DATE: 5/27/ INFORMATION FROM PREVIOUS INSPECTION 6 Maroon Vinyl Baseboards HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Bathroom COMMENTS: Not observed 216 Inspector's Signature: 5/27/216

64 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau Youth Connection Community Service West - Acad. Of Scholastic REVIEW DATE: 6/2/ Maroon Vinyl Baseboards Bathroom 6616 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: If identified, implement O&M Management Planner's Signature: 6/2/216

65 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 6616 AHERA INSPECTOR: John Feely Youth Connection - Community Service West - Acad. Of Scholastic INSPECTION DATE: 5/27/ INFORMATION FROM PREVIOUS INSPECTION 7 Brown Vinyl Baseboard HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Back Staircase COMMENTS: Not observed 216 Inspector's Signature: 5/27/216

66 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau Youth Connection Community Service West - Acad. Of Scholastic REVIEW DATE: 6/2/ Brown Vinyl Baseboard Back Staircase 6616 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: If identified, implement O&M Management Planner's Signature: 6/2/216

67 216 AHERA REINSPECTION Inspector Assessment Form (New Homogeneous Area) AHERA INSPECTOR: John Feely Youth Connection Community Service West - Acad. Of Scholastic INSPECTION DATE: 5/27/ INFORMATION FROM CURRENT INSPECTION 22 Mastic Associated w/ 12" x 12" Blue Floor Tile 1st Floor Science Lab (Built 212) 17 MATERIAL CATEGORY: FRIABLE: No ASBESTOS TYPE: DISTURBANCE POTENTIAL: LOW AHERA DAMAGE CATEGORY: CONDITION: 6 ACBM with the potential for damage ACCESSIBILITY: Not Reachable DAMAGE REASON: DAMAGE REASON: DAMAGE REASON: COMMENTS: Inspector's Signature: 5/27/216

68 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau Youth Connection Community Service West - Acad. Of Scholastic REVIEW DATE: 6/2/ Mastic Associated w/ 12" x 12" Blue Floor Tile 1st Floor Science Lab (Built 212) 17 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: 6/2/216

69 216 AHERA REINSPECTION Inspector Assessment Form (New Homogeneous Area) AHERA INSPECTOR: John Feely Youth Connection Community Service West - Acad. Of Scholastic INSPECTION DATE: 5/27/ INFORMATION FROM CURRENT INSPECTION 26 Drywall 1st Floor Science Lab (Built 212) 34 MATERIAL CATEGORY: FRIABLE: No ASBESTOS TYPE: DISTURBANCE POTENTIAL: LOW AHERA DAMAGE CATEGORY: CONDITION: 6 ACBM with the potential for damage ACCESSIBILITY: Within Reach DAMAGE REASON: DAMAGE REASON: DAMAGE REASON: COMMENTS: Inspector's Signature: 5/27/216

70 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau Youth Connection Community Service West - Acad. Of Scholastic REVIEW DATE: 6/2/ Drywall 1st Floor Science Lab (Built 212) 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: 6/2/216

71 216 AHERA REINSPECTION Inspector Assessment Form (New Homogeneous Area) AHERA INSPECTOR: John Feely Youth Connection Community Service West - Acad. Of Scholastic INSPECTION DATE: 5/27/ INFORMATION FROM CURRENT INSPECTION 21 12" x 12" Blue Floor Tile 1st Floor Science Lab (Built 212) 17 MATERIAL CATEGORY: FRIABLE: No ASBESTOS TYPE: DISTURBANCE POTENTIAL: LOW AHERA DAMAGE CATEGORY: CONDITION: 6 ACBM with the potential for damage ACCESSIBILITY: Within Reach DAMAGE REASON: DAMAGE REASON: DAMAGE REASON: COMMENTS: Inspector's Signature: 5/27/216

72 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau Youth Connection Community Service West - Acad. Of Scholastic REVIEW DATE: 6/2/ " x 12" Blue Floor Tile 1st Floor Science Lab (Built 212) 17 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: 6/2/216

73 216 AHERA REINSPECTION Inspector Assessment Form (New Homogeneous Area) AHERA INSPECTOR: John Feely Youth Connection Community Service West - Acad. Of Scholastic INSPECTION DATE: 5/27/ INFORMATION FROM CURRENT INSPECTION 27 Lab Tops 1st Floor Science Lab (Built 212) 25 MATERIAL CATEGORY: FRIABLE: No ASBESTOS TYPE: DISTURBANCE POTENTIAL: LOW AHERA DAMAGE CATEGORY: CONDITION: 6 ACBM with the potential for damage ACCESSIBILITY: Within Reach DAMAGE REASON: DAMAGE REASON: DAMAGE REASON: COMMENTS: Inspector's Signature: 5/27/216

74 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau Youth Connection Community Service West - Acad. Of Scholastic REVIEW DATE: 6/2/ Lab Tops 1st Floor Science Lab (Built 212) 25 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: COMMENTS: Management Planner's Signature: 6/2/216

75 216 AHERA REINSPECTION Inspector Assessment Form (New Homogeneous Area) AHERA INSPECTOR: John Feely Youth Connection Community Service West - Acad. Of Scholastic INSPECTION DATE: 5/27/ INFORMATION FROM CURRENT INSPECTION 23 3" Blue Baseboard 1st Floor Science Lab (Built 212) 4 LF MATERIAL CATEGORY: FRIABLE: No ASBESTOS TYPE: DISTURBANCE POTENTIAL: LOW AHERA DAMAGE CATEGORY: CONDITION: 6 ACBM with the potential for damage ACCESSIBILITY: Within Reach DAMAGE REASON: DAMAGE REASON: DAMAGE REASON: COMMENTS: Inspector's Signature: 5/27/216 LF

76 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau Youth Connection Community Service West - Acad. Of Scholastic REVIEW DATE: 6/2/ " Blue Baseboard 1st Floor Science Lab (Built 212) 4 LF LF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: COMMENTS: Management Planner's Signature: 6/2/216

77 216 AHERA REINSPECTION Inspector Assessment Form (New Homogeneous Area) AHERA INSPECTOR: John Feely Youth Connection Community Service West - Acad. Of Scholastic INSPECTION DATE: 5/27/ INFORMATION FROM CURRENT INSPECTION 24 Mastic Associated w/ Blue Baseboard 1st Floor Science Lab (Built 212) 4 LF MATERIAL CATEGORY: FRIABLE: No ASBESTOS TYPE: DISTURBANCE POTENTIAL: LOW AHERA DAMAGE CATEGORY: CONDITION: 6 ACBM with the potential for damage ACCESSIBILITY: Not Reachable DAMAGE REASON: DAMAGE REASON: DAMAGE REASON: COMMENTS: Inspector's Signature: 5/27/216 LF

78 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau Youth Connection Community Service West - Acad. Of Scholastic REVIEW DATE: 6/2/ Mastic Associated w/ Blue Baseboard 1st Floor Science Lab (Built 212) 4 LF LF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: COMMENTS: Management Planner's Signature: 6/2/216

79 216 AHERA REINSPECTION Inspector Assessment Form (New Homogeneous Area) AHERA INSPECTOR: John Feely Youth Connection Community Service West - Acad. Of Scholastic INSPECTION DATE: 5/27/ INFORMATION FROM CURRENT INSPECTION 25 2' x 4' Ceiling Tile 1st Floor Science Lab (Built 212) 17 MATERIAL CATEGORY: FRIABLE: Yes ASBESTOS TYPE: DISTURBANCE POTENTIAL: LOW AHERA DAMAGE CATEGORY: CONDITION: 7 Any remaining friable ACBM or friable suspect ACBM ACCESSIBILITY: Barely Reachable DAMAGE REASON: DAMAGE REASON: DAMAGE REASON: COMMENTS: Inspector's Signature: 5/27/216

80 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau Youth Connection Community Service West - Acad. Of Scholastic REVIEW DATE: 6/2/ ' x 4' Ceiling Tile 1st Floor Science Lab (Built 212) 17 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: 6/2/216

81 APPENDIX B Inspector and Management Planner Licenses

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