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 Chicago, IL, 6632 DATE LAST THREE YEAR REINSPECTION WAS COMPLETED 3/2/213 If the address on this form is different than the address of the building, submit a written explanation. SECTION II (Please type or print) PLEASE COMPLETE THE FOLING FOR YOUR THREE YEAR REINSPECTION: DATE REINSPECTION COMPLETED: 4/13/216 ENROLLMENT IDPH INSPECTOR LICENSE NUMBER: IDPH LICENSED INSPECTOR NAME (Please Print): Marcos Iwankiw IDPH MP LICENSE NUMBER: IDPH LICENSED MANAGEMENT PLANNER NAME (Please Print): Daniel Juneau DESIGNATED PERSON (Please Print): Robert Christlieb PHONE: 1557 (773) /13/216 Signature of Designated Person Date SECTION III PLEASE COMPLETE THE FOLING INFORMATION FOR ANY CHANGES WITHIN THE SCHOOL DISTRICT. School building has been sold. Date of Sale: School has been closed. Date closed: School building has been demolished. School building is asbestos free since last reinspection: Please explain in writing why the school building is now asbestos free and include the supporting documentation. If a new school building has been added to the district, submit either and exclusionary statement or a management plan and inspection report. Include the complete name, address and city of school building. Explain in writing if the address of the building is different than the address on this form: IL Revised 1.3

2 THREE YEAR REINSPECTION CHICAGO SCHOOL DIST 299 Chicago, IL, 6632 Unit: 2381 Building ID: 32 A IDPH ID Number: REPORT DATE: Wednesday, April 13, 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 23, 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: 2381 Region: 4 School: IDPH ID: Building ID: 32 A Address: Chicago, IL, 6632 Building Contact: Contact Phone: Current Building Owners: Review 4/13/216 Inspector: Marcos Iwankiw Management Planner: Daniel Juneau Inspector IDPH License: Management Planner IDPH License: If you have any questions or comments, please contact us at (312) Sincerely, Daniel Juneau

4 Environmental tification to Occupants To: Faculty, Staff and Parents From: March 23, 216 RE:, Unit 2381 Chicago, IL, 6632 Dear Faculty, Staff and Parents, This letter is to notify you that the 216 asbestos three year re-inspection has been completed at, following the Federal Asbestos Hazard Emergency Response Act (AHERA), 4 CFR Part 763, Subpart E and is available for your review at the main office of the school. Although asbestos-containing materials have been identified at, there is no reason to believe that any threat to the health of students or staff exists at this time. CPS will continue to carefully monitor the condition of asbestos-containing materials and if conditions warrant, all appropriate steps will be taken to maintain the health and safety of all building occupants. If you have any questions regarding this matter or require additional information, please feel free to contact Robert Christlieb, the designated Local Education Authority's Designated Person at (773)

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

6 SCHOOL AND INSPECTION INFORMATION 1. School Information School: Address: IDPH ID: Contact: 2. Unit: 2381 Chicago, IL, 6632 Building ID: 32 A Phone: Description of Facility Original Construction: Total Square Footage: 49 Current Occupancy: Additional Construction: of Floors: LEA Designated Person Contact: Robert Christlieb Address: 125 South Clark Street, 17th Floor Chicago, IL Fax: (312) Inspector Inspector Name: Marcos Iwankiw Signature: 3/23/216 Inspector IDPH license # Phone: (773) Managing Environmental Consultant MEC: Contact: Dan Juneau Address 6 West Van Buren St., Ste 5 Phone: (312) Region: 4 Management Planner Management Planner Name: Daniel Juneau Management Planner IDPH license # Review 4/13/ LEA Designated Person's Acknowledgement Signature: 4/13/216 The reinspection report and recommendations have been received by me and appropriate action will be taken by the School District. Signature: 4/13/216 Name: Robert Christlieb Unit : 2381 Building: 32 A

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 32 A: Unit: 2381 Building: 32 A

8 B. The following new homogenous areas have been identified for Building 32 A: Unit: 2381 Building: 32 A

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 : A 22B 23 23A 23B ' x 4' Lay In Ceiling Panels Adhesive for Chalk, Marker & Bulletin Boards Vibration Absorber on Duct Boiler Gaskets Gasket on AC Filter Door 12"x12" Green Floor Tile 12"x12" Pink Floor Tile 12"x12" Dark Blue Floor Tile 12"x12" Cream Floor Tile Mastic associated with HA 15, 16, 17, & 18 Drywall 12"x12" White/Gray Floor Tile 12"x12" White/Grey Floor Tile Mastic Tan Vinyl Sheet Flooring Blue Vinyl Sheet Flooring Blue Vinyl sheet flooring Mastic Tan Vinyl Sheet Flooring Mastic Pink Vinyl Sheet Flooring Pink Vinyl Sheet Flooring Mastic 12"x12" White Speckled Floor Tile Vinyl Covered Drywall Wall/Ceiling 4" Cream Baseboard 4" Cream Baseboard Mastic Drywall Compound Cinderblock Cinderblock Mortar 12" x 12" Blue Floor Tile w/black Flecks 12" x 12" Blue Floor Tile w/black Flecks Mastic 4" Blonde Vinyl Baseboard 4" Blonde Vinyl Baseboard Mastic The following areas were deemed to be inaccessible: B 23 23B 27 Unit: 2381 Adhesive for Chalk, Marker & Bulletin Boards Mastic associated with HA 15, 16, 17, & 18 12"x12" White/Grey Floor Tile Mastic Blue Vinyl sheet flooring Mastic Tan Vinyl Sheet Flooring Mastic Pink Vinyl Sheet Flooring Mastic 4" Cream Baseboard Mastic Building: 32 A

10 7 9 12" x 12" Blue Floor Tile w/black Flecks Mastic 4" Blonde Vinyl Baseboard Mastic Materials were also listed as "assumed" if they were in good condition and sampling was not conducted to avoid damage. This reinspection was conducted by Marcos Iwankiw, IDPH License # The Management Plan was updated by Daniel Juneau, IDPH License # Inspector and Management Planner Licenses are included in Appendix B. Unit: 2381 Building: 32 A

11 III. METHODOLOGY Tasks performed on-site included the following: IV. 1. Review current management plan, identify HA(s) and extract appropriate information. 2. Examine and verify abatement records. 3. Touch and visually and physically reinspect and reassess the condition of all friable known or assumed ACBM. 4. Touch and visually and physically reinspect all non-friable known or assumed ACBM to determine whether these materials have become friable since the last inspection or periodic surveillance. 5. Identify any condition changes that may affect Hazard Ranking of known ACBM or 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 32 A 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: 2381 Building: 32 A

12 Table I Inspector's Reinspection Findings

13 School Unit 2381 Building ID 32 A Address Region 4 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 1 Fiberglass Pipe and Joint Insulation 1 2' x 4' Lay In Ceiling Panels 9,5 11 2, 12 Adhesive for Chalk, Marker & Bulletin Boards Vibration Absorber on Duct 13 Boiler Gaskets Material Quantity Material Units Material Location Asbestos Type Material Category Friable Damage Type NOT_TEST ED ASSUMED Y NONE Throughout Building Classrooms, Corridors, Office and Storage Room Classrooms ASSUMED N 12 Boiler Room ASSUMED 2 Boiler Room ASSUMED Gasket on AC Filter Door 1 Boiler Room ASSUMED 12"x12" Green Floor Tile 8 ASSUMED 16 12"x12" Pink Floor Tile "x12" Dark Blue Floor Tile "x12" Cream Floor Tile 8 19 Mastic associated with HA 15, 16, 17, & 18 2 Drywall Classrooms, Corridors, and Office Classrooms, Corridors, & Office Classrooms, Corridors, & Office Classrooms, Corridors, & Office Classrooms, Corridors, & Office Ceilings and Walls Between Classrooms 2 21 Thruoughout Mobile Unit 4 & 5 Throughout Mobil Units 4 & 5 Mobile Unit 4 Boy's & Girl's Bathrooms Boys Bathroom BLDG 5 Boys Bathroom BLDG 5 Moble Unit 4: Boy's & Girl's Bathrooms Girls Bathroom BLDG 5 Girls Bathroom 32 12, 12"x12" White/Gray Floor Tile 7,36 12"x12" White/Grey Floor Tile Mastic 7,36 22 Tan Vinyl Sheet Flooring 32 22A Blue Vinyl Sheet Flooring 16 22B Blue Vinyl sheet flooring Mastic Tan Vinyl Sheet Flooring Mastic 32 23A Pink Vinyl Sheet Flooring 16 23B Pink Vinyl Sheet Flooring Mastic 16 Damage Quantity Damage Units Change in Assessment Category Damage Category Damage Reason Disturbance Potential NONE N NONE N NONE N NONE N NONE 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 ASSUMED N NONE ASSUMED N NONE ASSUMED N NONE ASSUMED N NONE ASSUMED Y NONE ASSUMED N NONE ASSUMED N NONE ASSUMED N NONE ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage 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 ASSUMED N NONE N NONE ASSUMED N NONE ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ASSUMED ASSUMED N NONE N NONE ACBM with the potential for damage ACBM with the ASSUMED

14 School Unit 2381 Building ID 32 A Address Region 4 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 24 12"x12" White Speckled Floor Tile 7,36 25 Vinyl Covered Drywall Wall/Ceiling 1, " Cream Baseboard 1,5 27 4" Cream Baseboard Mastic 1,5 3 Drywall Compound 12, 4 Cinderblock 1, 5 Cinderblock Mortar 1, 6 12" x 12" Blue Floor Tile w/black Flecks 9, 7 12" x 12" Blue Floor Tile w/black Flecks Mastic 9, 8 4" Blonde Vinyl Baseboard 1,6 9 4" Blonde Vinyl Baseboard Mastic 1,6 Material Quantity Material Units Material Location BLDG 5 Throughout Mobil Units 4 & 5 Throughout Mobil Unit 4 & 5 Throughout Mobile Units 4 & 5 Throughout Mobil Units 4 & 5 Ceilings and Walls Between Classrooms Walls Throughout Building With the Exception of Walls Between Classrooms Walls Throughout Building With the Exception of Walls Between Classrooms Classrooms, Corridors, Office and Storage Room Classrooms, Corridors, Office and Storage Room Classrooms, Corridors, Office and Storage Room Classrooms, Corridors, Office and Storage Room Asbestos Type Material Category Friable Damage Type Damage Quantity Damage Units Change in Assessment Category Damage Category ASSUMED N NONE ASSUMED N NONE ASSUMED N NONE ASSUMED N NONE ASSUMED Y NONE ASSUMED N NONE ASSUMED N NONE ACBM with the potential for damage ASSUMED N NONE ACBM with the potential for damage ASSUMED N NONE ACBM with the potential for damage ASSUMED N NONE ACBM with the potential for damage ASSUMED N NONE ACBM with the potential for damage 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 Damage Reason Disturbance Potential

15 School Unit 2381 Building ID 32 A Address Region 4 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 3/23/216 Inspector Name Inspector's Comments Marcos Iwankiw /15/216 Inspector's IDPH License Number / Expiration Date HA Number: A 22B 23 23A 23B Inspector Comments:

16 School Unit 2381 Building ID 32 A Address Region 4 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:

17 Table II Management Planner's Review

18 School Address Unit 2381 Building ID Chicago, IL, A Region 4 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 1 1 Fiberglass Pipe and Joint Insulation 2' x 4' Lay In Ceiling Panels 9, Adhesive for Chalk, Marker & Bulletin Boards Vibration Absorber on Duct Boiler Gaskets Gasket on AC Filter Door 12"x12" Green Floor Tile 12"x12" Pink Floor Tile 12"x12" Dark Blue Floor Tile 12"x12" Cream Floor Tile Mastic associated with HA 15, 16, 17, & 18 Drywall 2, , "x12" White/Gray Floor Tile 12"x12" White/Grey Floor Tile Mastic Tan Vinyl Sheet Flooring 7,36 7, A 22B 23 Blue Vinyl Sheet Flooring Blue Vinyl sheet flooring Mastic Tan Vinyl Sheet Flooring Mastic A 23B Pink Vinyl Sheet Flooring Pink Vinyl Sheet Flooring Mastic 12"x12" White Speckled Floor Tile Vinyl Covered Drywall Wall/Ceiling 4" Cream Baseboard 4" Cream Baseboard Mastic Drywall Compound ,36 1,28 1,5 1,5 12, 4 Cinderblock 1, 5 Cinderblock Mortar 1, Material Location Asbestos Type Material Category Friable Damage Quantity Damage Units Damage Category Response Throughout Building Classrooms, Corridors, Office and Storage Room Classrooms Boiler Room Boiler Room Boiler Room Classrooms, Corridors, and Office Classrooms, Corridors, & Office Classrooms, Corridors, & Office Classrooms, Corridors, & Office Classrooms, Corridors, & Office Ceilings and Walls Between Classrooms Thruoughout Mobile Unit 4 & 5 Throughout Mobil Units 4 & 5 Mobile Unit 4 - Boy's & Girl's Bathrooms Boys Bathroom BLDG 5 Boys Bathroom BLDG 5 Moble Unit 4: Boy's & Girl's Bathrooms Girls Bathroom BLDG 5 Girls Bathroom BLDG 5 Throughout Mobil Units 4 & 5 Throughout Mobil Unit 4 & 5 Throughout Mobile Units 4 & 5 Throughout Mobil Units 4 & 5 Ceilings and Walls Between Classrooms Walls Throughout Building With the Exception of Walls Between Classrooms Walls Throughout Building With the Exception of Walls Between t Tested Yes Yes 7 Any remaining friable ACBM or friable suspect ACBM 7 Any remaining friable ACBM or friable suspect ACBM Yes 7 Any remaining friable ACBM or friable suspect ACBM

19 School Address Unit 2381 Building ID Chicago, IL, A Region 4 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 6 12" x 12" Blue Floor Tile w/black Flecks 9, 7 12" x 12" Blue Floor Tile w/black Flecks Mastic 9, 8 4" Blonde Vinyl Baseboard 1,6 9 4" Blonde Vinyl Baseboard Mastic 1,6 Material Location Classrooms Classrooms, Corridors, Office and Storage Room Classrooms, Corridors, Office and Storage Room Classrooms, Corridors, Office and Storage Room Classrooms, Corridors, Office and Storage Room Asbestos Type Material Category Friable Damage Quantity Damage Units Damage Category Response

20 School Address Unit 2381 Building ID Chicago, IL, 6632 Region 32 A 4 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Management Planner's Review Table II Managing Environmental Consultant (MEC) 6 West Van Buren St., Ste 5 Phone: (312) Fax: (312) Management Planner's Comments Summarized at the End of the Report 4/13/216 Review Date Manager Planner Name Daniel Juneau /15/216 Manager IDPH License /Expiration HA Number A 22B 23 23A 23B Management Comments

21 School Address Unit 2381 Building ID Chicago, IL, 6632 Region 32 A 4 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

22 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) 2381 AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/23/ A INFORMATION FROM PREVIOUS INSPECTION 1 Fiberglass Pipe and Joint Insulation HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: t Tested FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Throughout Building COMMENTS: Inspector's Signature: 3/23/216

23 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/13/ Fiberglass Pipe and Joint Insulation Throughout Building A In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/13/216

24 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) A AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/23/ INFORMATION FROM PREVIOUS INSPECTION 1 2' x 4' Lay In Ceiling Panels HISTORICAL AHERA DAMAGE CATEGORY 7 Any remaining friable ACBM or friable suspect ACBM HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: Classrooms, Corridors, Office and Storage Room 95 COMMENTS: Inspector's Signature: 3/23/216

25 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/13/ A 1 2' x 4' Lay In Ceiling Panels Classrooms, Corridors, Office and Storage Room 95 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/13/216

26 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) A AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/23/ INFORMATION FROM PREVIOUS INSPECTION 11 Adhesive for Chalk, Marker & Bulletin Boards HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Classrooms 2 COMMENTS: Inspector's Signature: 3/23/216

27 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/13/ A 11 Adhesive for Chalk, Marker & Bulletin Boards Classrooms 2 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/13/216

28 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) A AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/23/ INFORMATION FROM PREVIOUS INSPECTION 12 Vibration Absorber on Duct HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Boiler Room 12 COMMENTS: Inspector's Signature: 3/23/216

29 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/13/ A 12 Vibration Absorber on Duct Boiler Room 12 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/13/216

30 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) A AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/23/ INFORMATION FROM PREVIOUS INSPECTION 13 Boiler Gaskets HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Boiler Room 2 COMMENTS: Inspector's Signature: 3/23/216

31 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/13/ A 13 Boiler Gaskets Boiler Room 2 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/13/216

32 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) A AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/23/ INFORMATION FROM PREVIOUS INSPECTION 14 Gasket on AC Filter Door HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Boiler Room 1 COMMENTS: Inspector's Signature: 3/23/216

33 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/13/ A 14 Gasket on AC Filter Door 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: 4/13/216

34 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) A AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/23/ INFORMATION FROM PREVIOUS INSPECTION 15 12"x12" Green Floor Tile HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Classrooms, Corridors, and Office 8 COMMENTS: Inspector's Signature: 3/23/216

35 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/13/ A 15 12"x12" Green Floor Tile Classrooms, Corridors, and Office 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: 4/13/216

36 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) A AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/23/ INFORMATION FROM PREVIOUS INSPECTION 16 12"x12" Pink Floor Tile HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Classrooms, Corridors, & Office 8 COMMENTS: Inspector's Signature: 3/23/216

37 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/13/ A 16 12"x12" Pink Floor Tile Classrooms, Corridors, & Office 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: 4/13/216

38 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) A AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/23/ INFORMATION FROM PREVIOUS INSPECTION 17 12"x12" Dark Blue Floor Tile HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Classrooms, Corridors, & Office 8 COMMENTS: Inspector's Signature: 3/23/216

39 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/13/ A 17 12"x12" Dark Blue Floor Tile Classrooms, Corridors, & Office 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: 4/13/216

40 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) A AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/23/ INFORMATION FROM PREVIOUS INSPECTION 18 12"x12" Cream Floor Tile HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Classrooms, Corridors, & Office 8 COMMENTS: Inspector's Signature: 3/23/216

41 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/13/ A 18 12"x12" Cream Floor Tile Classrooms, Corridors, & Office 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: 4/13/216

42 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) A AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/23/ INFORMATION FROM PREVIOUS INSPECTION 19 Mastic associated with HA 15, 16, 17, & 18 HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Classrooms, Corridors, & Office 32 COMMENTS: Inspector's Signature: 3/23/216

43 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/13/ A 19 Mastic associated with HA 15, 16, 17, & 18 Classrooms, Corridors, & Office 32 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/13/216

44 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) A AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/23/ INFORMATION FROM PREVIOUS INSPECTION 2 Drywall HISTORICAL AHERA DAMAGE CATEGORY 7 Any remaining friable ACBM or friable suspect ACBM HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: Ceilings and Walls Between Classrooms 12 COMMENTS: Inspector's Signature: 3/23/216

45 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/13/ A 2 Drywall Ceilings and Walls Between Classrooms 12 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/13/216

46 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) A AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/23/ INFORMATION FROM PREVIOUS INSPECTION 2 12"x12" White/Gray Floor Tile HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Thruoughout Mobile Unit 4 & COMMENTS: Inspector's Signature: 3/23/216

47 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/13/ A 2 12"x12" White/Gray Floor Tile Thruoughout Mobile Unit 4 & In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/13/216

48 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) A AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/23/ INFORMATION FROM PREVIOUS INSPECTION 21 12"x12" White/Grey Floor Tile Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Throughout Mobil Units 4 & COMMENTS: Inspector's Signature: 3/23/216

49 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/13/ A 21 12"x12" White/Grey Floor Tile Mastic Throughout Mobil Units 4 & In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/13/216

50 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) A AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/23/ INFORMATION FROM PREVIOUS INSPECTION 22 Tan Vinyl Sheet Flooring HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Mobile Unit 4 - Boy's & Girl's Bathrooms 32 COMMENTS: Inspector's Signature: 3/23/216

51 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/13/ A 22 Tan Vinyl Sheet Flooring Mobile Unit 4 - Boy's & Girl's Bathrooms 32 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/13/216

52 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) A AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/23/ INFORMATION FROM PREVIOUS INSPECTION 22A Blue Vinyl Sheet Flooring HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Boys Bathroom BLDG 5 16 COMMENTS: Inspector's Signature: 3/23/216

53 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/13/ A 22A Blue Vinyl Sheet Flooring Boys Bathroom BLDG 5 16 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/13/216

54 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) A AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/23/ INFORMATION FROM PREVIOUS INSPECTION 22B Blue Vinyl sheet flooring Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Boys Bathroom BLDG 5 16 COMMENTS: Inspector's Signature: 3/23/216

55 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/13/ A 22B Blue Vinyl sheet flooring Mastic Boys Bathroom BLDG 5 16 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/13/216

56 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) A AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/23/ INFORMATION FROM PREVIOUS INSPECTION 23 Tan Vinyl Sheet Flooring Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Moble Unit 4: Boy's & Girl's Bathrooms 32 COMMENTS: Inspector's Signature: 3/23/216

57 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/13/ A 23 Tan Vinyl Sheet Flooring Mastic Moble Unit 4: Boy's & Girl's Bathrooms 32 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/13/216

58 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) A AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/23/ INFORMATION FROM PREVIOUS INSPECTION 23A Pink Vinyl Sheet Flooring HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Girls Bathroom BLDG 5 16 COMMENTS: Inspector's Signature: 3/23/216

59 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/13/ A 23A Pink Vinyl Sheet Flooring Girls Bathroom BLDG 5 16 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/13/216

60 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) A AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/23/ INFORMATION FROM PREVIOUS INSPECTION 23B Pink Vinyl Sheet Flooring Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Girls Bathroom BLDG 5 16 COMMENTS: Inspector's Signature: 3/23/216

61 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/13/ A 23B Pink Vinyl Sheet Flooring Mastic Girls Bathroom BLDG 5 16 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/13/216

62 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) A AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/23/ INFORMATION FROM PREVIOUS INSPECTION 24 12"x12" White Speckled Floor Tile HISTORICAL AHERA DAMAGE CATEGORY 6 Any remaining friable ACBM or friable suspect ACBM HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Throughout Mobil Units 4 & COMMENTS: Inspector's Signature: 3/23/216

63 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/13/ A 24 12"x12" White Speckled Floor Tile Throughout Mobil Units 4 & In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/13/216

64 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) A AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/23/ INFORMATION FROM PREVIOUS INSPECTION 25 Vinyl Covered Drywall Wall/Ceiling HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Throughout Mobil Unit 4 & COMMENTS: Inspector's Signature: 3/23/216

65 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/13/ A 25 Vinyl Covered Drywall Wall/Ceiling Throughout Mobil Unit 4 & In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/13/216

66 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) A AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/23/ INFORMATION FROM PREVIOUS INSPECTION 26 4" Cream Baseboard HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Throughout Mobile Units 4 & 5 15 COMMENTS: Inspector's Signature: 3/23/216

67 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/13/ A 26 4" Cream Baseboard Throughout Mobile Units 4 & 5 15 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/13/216

68 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) A AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/23/ INFORMATION FROM PREVIOUS INSPECTION 27 4" Cream Baseboard Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Throughout Mobil Units 4 & 5 15 COMMENTS: Inspector's Signature: 3/23/216

69 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/13/ A 27 4" Cream Baseboard Mastic Throughout Mobil Units 4 & 5 15 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/13/216

70 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) A AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/23/ INFORMATION FROM PREVIOUS INSPECTION 3 Drywall Compound HISTORICAL AHERA DAMAGE CATEGORY 7 Any remaining friable ACBM or friable suspect ACBM HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: Ceilings and Walls Between Classrooms 12 COMMENTS: Inspector's Signature: 3/23/216

71 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/13/ A 3 Drywall Compound Ceilings and Walls Between Classrooms 12 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/13/216

72 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) A AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/23/ INFORMATION FROM PREVIOUS INSPECTION 4 Cinderblock HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Walls Throughout Building With the Exception of Walls Between Classrooms 1 COMMENTS: Inspector's Signature: 3/23/216

73 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/13/ A 4 Cinderblock Walls Throughout Building With the Exception of Walls Between Classrooms 1 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/13/216

74 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) A AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/23/ INFORMATION FROM PREVIOUS INSPECTION 5 Cinderblock Mortar HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Walls Throughout Building With the Exception of Walls Between Classrooms 1 COMMENTS: Inspector's Signature: 3/23/216

75 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/13/ A 5 Cinderblock Mortar Walls Throughout Building With the Exception of Walls Between Classrooms 1 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/13/216

76 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) A AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/23/ INFORMATION FROM PREVIOUS INSPECTION 6 12" x 12" Blue Floor Tile w/black Flecks HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Classrooms, Corridors, Office and Storage Room 9 COMMENTS: Inspector's Signature: 3/23/216

77 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/13/ A 6 12" x 12" Blue Floor Tile w/black Flecks Classrooms, Corridors, Office and Storage Room 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: 4/13/216

78 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) A AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/23/ INFORMATION FROM PREVIOUS INSPECTION 7 12" x 12" Blue Floor Tile w/black Flecks Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Classrooms, Corridors, Office and Storage Room 9 COMMENTS: Inspector's Signature: 3/23/216

79 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/13/ A 7 12" x 12" Blue Floor Tile w/black Flecks Mastic Classrooms, Corridors, Office and Storage Room 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: 4/13/216

80 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) A AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/23/ INFORMATION FROM PREVIOUS INSPECTION 8 4" Blonde Vinyl Baseboard HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Classrooms, Corridors, Office and Storage Room 16 COMMENTS: Inspector's Signature: 3/23/216

81 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/13/ A 8 4" Blonde Vinyl Baseboard Classrooms, Corridors, Office and Storage Room 16 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/13/216

82 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) A AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/23/ INFORMATION FROM PREVIOUS INSPECTION 9 4" Blonde Vinyl Baseboard Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Classrooms, Corridors, Office and Storage Room 16 COMMENTS: Inspector's Signature: 3/23/216

83 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/13/ A 9 4" Blonde Vinyl Baseboard Mastic Classrooms, Corridors, Office and Storage Room 16 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/13/216

84 216 AHERA REINSPECTION

85 APPENDIX B Inspector and Management Planner Licenses

86

87

88