THREE-YEAR RE-INSPECTION and ASBESTOS MANAGEMENT PLAN for the

Transcription

1 SCHOOL DISTRICT OF PHILADELPHIA Asbestos Hazard Emergency Response Act AHERA THREE-YEAR RE-INSPECTION and ASBESTOS MANAGEMENT PLAN for the Andrew Jackson Elementary School ULCS# 251 Building # B ADDRESS Philadelphia, Pennsylvania Year Built: 1925 January 216 Conducted by: Accredited Environmental Technologies, Incorporated Batta Environmental Associates, Incorporated Criterion Laboratories, Incorporated Environmental Testing Consultants, LLC G & C Environmental Services, Incorporated KEM Partners, Incorporated Synertech, Inc. TTI Environmental, Inc. USA Environmental Management, Inc. The Vertex Companies, Inc. Management Plan Prepared by: Criterion Labs, Inc and Synertech Inc. This report must remain in the Main Office as mandated by the US EPA AHERA Regulations.

2 AHERA THREE-YEAR REINSPECTION VOLUME IX Table of Contents Transmittal Letter Executive Summary I. Summary list of Confirmed Asbestos Containing Building Materials II. Summary list of Assumed Asbestos Contain Building Materials III. Summary list of Non-Asbestos Containing Building Materials IV. Summary list of Non Suspect Asbestos Containing Building Materials V. Summary List of Auditorium DATA for this location VI. Summary list of Attic and/or Crawlspace DATA for this location VII. Summary list of Pipe Chase/Pipe Shaft DATA for this location Section I Report of Re-Inspection A. Introduction B. Three-Year Re-inspection IX Overview C. Post- Management Plan Activities and Changes C.1 - Sampling and Analysis C.2 - New Floor Tile Sampling C.3 - Abatement Activity C.4 - Periodic (Six-Month) Surveillance (Damaged Materials) Section II Re-Inspection Data A. Introduction B. Re-Inspection Key Definitions C. Room by Room Location Log Report Section III Certificates A. Management Planner/Building Inspector Certificates Section IV Cross Reference Table Page 1-8 Asbestos Management Program Page 9-19

3 SCHOOL DISTRICT OF PHILADELPHIA EDUCATIONAL CENTER 44 NORTH BROAD STREET PHILADELPHIA, PENNSYLVANIA 1913 OFFICE OF ENVIRONMENT AL MANAGEMENT A ND SERVICES PHONE (215) January 216 TO: All Principals All Building Administrators FROM: Fran Burns Chief Operating Officer Francine Locke, M.S., Director Office of Environmental Management and Services SUBJECT: AHERA Three (3) Year Re-inspection IX report In order to comply with the provisions of the Asbestos Hazard Emergency Response Act (AHERA) the attached report is submitted to you. The law requires that this report be kept in the Main/Principal's office. It cannot be removed from these locations. If the school (program) is relocated to a different building, these environmental documents are to be safely retained for the next school/building occupants. All asbestos reports must be available to the public and Federal EPA upon request. Fran Burns Chief Operation Officer Francine Locke, M.S., Director Office of Environmental Management and Services AHERA-2d Revised 12/14/15

4 Executive Summary This Asbestos Hazard Emergency Response Act (AHERA) Three-Year Re-inspection Volume # IX Management Plan at this location, has been completed and the report of re-inspection submitted to the School District of Philadelphia. The re-inspections in all School District of Philadelphia buildings of were conducted and completed between October 5 th, 215 through March 3 th, 216 as a joint project by Accredited Environmental Technologies, Inc., Batta Environmental Associates, Inc., Criterion Laboratories, Inc., Environmental Testing Consultants, LLC, G & C Environmental Services, Inc., KEM Partners, Inc., Synertech, Inc., TTI Environmental, Inc., USA Environmental Management, Inc. and The Vertex Companies, Inc. In general, the School District of Philadelphia Office of Environmental Management and Services conducts Environmental Impact Evaluations and provides Asbestos Inspection Reports prior to any renovation, demolition and/or maintenance activities. The AHERA report must be reviewed prior to any renovation, demolition and/or maintenance activities in order to avoid the unknowing disturbance to Asbestos Containing Building Materials identified within this location. In addition, prior to work activities above all drop ceilings this report should be reviewed to avoid potential disturbances to Asbestos Containing Materials. Refer to Section IV of the Cross Reference Table, for additional Asbestos Management Program information. Contact the Office of Environmental Management and Services to have an Environmental Impact Evaluation conducted prior to any renovation, demolition and/or maintenance activities within this facility. The information contained in this report was obtained from the original Asbestos Management Plan for the school, from update reports on changes and activities since the completion of the 1 st Management Plan for each location and from all prior inspections performed and documented in Volume # I through Volume VIII (dated respectively 1992, 1995, 1998, 21, 24, 27, 21 or 213) (if applicable) - and by this Three-Year Re-inspection of this school. The re-inspection report/management Plan of were reviewed and prepared collectively by Management Planner Megan Vala, Mary Anne Lerro of Criterion Laboratories, Inc. and/or Monique Causley, of Synertech Inc. 215/216 Asbestos Hazard Emergency Response Act (AHERA) Management Report Andrew Jackson Elementary School

5 The inspection process included the addition of a comprehensive Room by Room Inventory of all Thermal (T), Surfacing (S) and Miscellaneous (M) Materials specific to each room of this facility. Inspections of each room s thermal, ceilings, walls, floors and miscellaneous items regardless of Asbestos Content are categorized on the Room by Room Location Log Report for this location. Rooms or areas of the facility that were not accessible at the time of the inspection are marked with an X. The Room by Room Location Log Report is found in Section II C of this Management Plan. All Presumed or Suspect Asbestos Containing Building Materials (ACBMs), listed in the following summary charts are categorized as Confirmed, Assumed, Non-Asbestos, and/or Non- Suspect (ACBMs) were identified in the original Management Plan, or in the Volume I through Volume VIII AHERA Three-Year Re-inspection reports, and were re-inspected as part of this project. As mandated by the U S EPA AHERA regulations, periodic Six-Month inspections and Three- Year Re-inspections of this location will be performed and the Inspection Data in this report will be updated accordingly. Please feel free to contact the School District of Philadelphia s Office of Environmental Management and Services (OEMS) regarding any comments, questions, or concerns regarding this report or any Environmental related topic. OEMS staff can be reached at (215) 4 475, via fax at (215) or via at flocke@philasd.org and/or gfjunod@philasd.org. Additional information can be found on our website. Here is the link to the OEMS website /216 Asbestos Hazard Emergency Response Act (AHERA) Management Report Andrew Jackson Elementary School

6 I. Summary list of Confirmed Asbestos Containing Building Materials within this facility These charts are to be used for a quick reference* in order to avoid the unknowing disturbance of Asbestos Containing Materials during any and all Operations, Maintenance, Renovation, and/or Demolition activities at this location. These materials have been sampled and Laboratory Analysis has CONFIRMED the presence of Asbestos. Contact OEMS prior to the disturbance of any of the following materials. Confirmed Asbestos Containing Building Materials for this location Black Mastic a/w Floor Tile VAT 12" x 12" Pipe Fitting Insulation Pipe Insulation 2-6 inch Transite Electrical Panel * Always refer to the Room by Room Logs for each specific material classification as the material classification findings may be different in various rooms throughout this facility. ** Some Materials may have multiple classifications (Confirmed, Assumed, NAD and Non Suspect) within this facility. 215/216 Asbestos Hazard Emergency Response Act (AHERA) Management Report Andrew Jackson Elementary School

7 II. Summary list of Assumed Asbestos Containing Building Materials within this facility These charts are to be used for a quick reference* in order to avoid the unknowing disturbance of Asbestos Containing Materials during any and all Operations, Maintenance, Renovation, and/or Demolition activities at this location. These materials have not been sampled and should not be disturbed until verification of Asbestos Content. Contact OEMS for assessment and sampling prior to the disturbance of these materials. Assumed Asbestos Containing Building Materials for this location Floor Tile VAT 12" x 12" Sink Undercoat Mastic Vibration Damper Cloth Floor Tile VAT 18" x 18" Spline Ceiling Tile Glue Dots Sheetrock Wall Transite Stalls * Always refer to the Room by Room Logs for each specific material classification as the material classification findings may be different in various rooms throughout this facility. ** Some Materials may have multiple classifications (Confirmed, Assumed, NAD and Non Suspect) within this facility. 215/216 Asbestos Hazard Emergency Response Act (AHERA) Management Report Andrew Jackson Elementary School

8 III. Summary list of Non-Asbestos Containing Building Materials within this facility These charts are to be used for a quick reference* in order to avoid the unknowing disturbance of Asbestos Containing Materials during any and all Operations, Maintenance, Renovation, and/or Demolition activities at this location. These materials have been sampled and Laboratory Analysis has indicated NO Asbestos present or NO ASBESTOS DETECTED (NAD). Non- Asbestos Containing Building Materials for this location Ceiling Tile 2' x 4' Plaster Ceiling Yellow Mastic a/w Floor Tile VAT 12" x 12" Floor Tile VAT 12" x 12" Plaster Walls * Always refer to the Room by Room Logs for each specific material classification as the material classification findings may be different in various rooms throughout this facility. ** Some Materials may have multiple classifications (Confirmed, Assumed, NAD and Non Suspect) within this facility. 215/216 Asbestos Hazard Emergency Response Act (AHERA) Management Report Andrew Jackson Elementary School

9 IV. Summary list of Non-Suspect Asbestos Containing Building Materials within this facility These charts are to be used for a quick reference* in order to avoid the unknowing disturbance of Asbestos Containing Materials during any and all Operations, Maintenance, Renovation, and/or Demolition activities at this location. These materials are not typically known to contain Asbestos. Non-Suspect Asbestos Containing Building Materials for this location Brick Wall Concrete Wall Partition Room Dividers Carpet Fiberglass Ceiling Tile 2' x 4' Steel Plate Flooring Ceramic Tile Floors Fiberglass Pipe Fitting Insulation Terrazo Floor Ceramic Tile Walls Fiberglass Pipe Insulation Vinyl Vibration Damper Cloth Concrete Block Wall Marble Steps Wood Floor Concrete Ceiling Marble Walls Wood Wall Concrete Floor Concrete Wall Wood Wall with Windows * Always refer to the Room by Room Logs for each specific material classification as the material classification findings may be different in various rooms throughout this facility. ** Some Materials may have multiple classifications (Confirmed, Assumed, NAD and Non Suspect) within this facility. 215/216 Asbestos Hazard Emergency Response Act (AHERA) Management Report Andrew Jackson Elementary School

10 V. Summary list of Auditorium DATA for this location These charts are to be used for a quick reference of the Auditorium DATA within this facility. Sampling of the Auditorium Ceilings throughout the District is more difficult because of the various ceiling heights. As sampling occurs this information is updated on a case by case basis for each specific location and facility. This is a list of known materials for this location s Auditorium Gymnasium / Auditorium / Cafeteria Fiberglass Pipe Fitting Insulation Non Suspect ACM Gymnasium / Auditorium / Cafeteria Plaster Ceiling NAD Gymnasium / Auditorium / Cafeteria Plaster Walls NAD Gymnasium / Auditorium / Cafeteria Brick Wall Non Suspect ACM Gymnasium / Auditorium / Cafeteria Floor Tile VAT 12" x 12" Assumed * Always refer to the Room by Room Logs for each specific material classification as the material classification findings may be different in various rooms throughout this facility. ** Some Materials may have multiple classifications (Confirmed, Assumed, NAD and Non Suspect) within this facility. 215/216 Asbestos Hazard Emergency Response Act (AHERA) Management Report Andrew Jackson Elementary School

11 VI. Summary list of Attic and/or Crawlspace DATA for this location These charts are to be used for a quick reference regarding the Attics and/or Crawlspaces inspection DATA within this facility. Contact OEMS prior to entering any attic or crawlspace within this facility and refer to the below chart and legend for Category Rank determination. The Data relative to these spaces is updated as conditions change regarding Abatement or Renovation activity on a case by case basis for each specific location and facility. In general, Crawlspaces are below the basement or 1 st floor and Attics are above the floor space. Category Rank Legend "A" - No Asbestos Containing Materials - Sample Results indicate NO ACM on pipes, fittings, elbows, or equipment located within this functional space, and NO VISIBLE DEBRIS or DAMAGE observed at time of this inspection. "B" - Asbestos Containing Materials Exist - Sample Results indicate ACM on pipes, fittings, elbows, or equipment located within this functional space, HOWEVER, NO VISIBLE DEBRIS or DAMAGE observed at time of this inspection. "C" - Asbestos Containing Materials Exist - Sample Results indicate ACM on pipes, fittings, elbows, or equipment located within this functional space, and LOCALIZED VISIBLE DEBRIS or DAMAGE observed at time of this inspection. "D" - Asbestos Containing Materials Exist - Sample Results indicate ACM on pipes, fittings, elbows, or equipment located within this functional space and DISTRIBUTED VISIBLE DEBRIS or SIGNIFICANT DAMAGE observed at time of this inspection. "E" - No Bulk Sample Results Available SUSPECT ACM OBSERVED. Contact OEMS immediately for additional instructions. Attic/Crawlspace Access Area Floor Surface Category Rank Comments Attic Attic accessible on 3rd Floor near Room 34A N/A N/A A Crawl Space None 215/216 Asbestos Hazard Emergency Response Act (AHERA) Management Report Andrew Jackson Elementary School

12 Floor Element VII. Summary list of Pipe Chase/Pipe Shaft DATA for this location These charts are to be used for a quick reference regarding the information known about the Pipe Chases and/or Pipe Shafts inspection DATA within this facility. Contact OEMS prior to performing renovation activities any Pipe Chase and/or Pipe Shaft within this facility and refer to the below chart and legend for Asbestos Content of various materials identified within each space. The Data relative to these spaces is updated as conditions change regarding Inspection, Abatement and/or Renovation activity on a case by case basis for each specific location and facility. In general, Pipe Chases are horizontal spaces and Pipe Shafts are vertical spaces. 1 BS 1 BS 1 BS 1 BS 1 BS 1 BS 1 BS 1 BS On Site Room Name Material Confirmed Assumed NAD Non Suspect Amount of Material Amount of Damage Boy's Restroom Pipe Chase Fiberglass Pipe Insulation Non Suspect ACM 4 LF LF Boy's Restroom Pipe Non Suspect Chase Concrete Ceiling ACM 6 Boy's Restroom Pipe Non Suspect Chase Brick Wall ACM 55 Boy's Restroom Pipe Non Suspect Chase Concrete Floor ACM 6 Girl's Restroom Pipe Fiberglass Pipe Non Suspect Chase Insulation ACM 3 LF LF Girl's Restroom Pipe Non Suspect Chase Concrete Ceiling ACM 6 Girl's Restroom Pipe Non Suspect Chase Brick Wall ACM 55 Girl's Restroom Pipe Non Suspect Chase Concrete Floor ACM 6 Boy's Restroom Pipe Chase N/A Girl's Restroom Pipe Fiberglass Pipe Non Suspect Chase Fitting Insulation ACM 11 LF LF Girl's Restroom Pipe Fiberglass Pipe Non Suspect Chase Insulation ACM 3 Girl's Restroom Pipe Chase Plaster Ceiling NAD 3 Girl's Restroom Pipe Chase Plaster Walls NAD 4 Girl's Restroom Pipe Non Suspect Chase Concrete Floor ACM 3 Boy's Restroom Pipe Chase Fiberglass Pipe Fitting Insulation Non Suspect ACM 12 LF LF Comments No Access 215/216 Asbestos Hazard Emergency Response Act (AHERA) Management Report Andrew Jackson Elementary School

13 Floor Element On Site Room Name Material Confirmed Assumed NAD Non Suspect Amount of Material Amount of Damage Boy's Restroom Pipe Chase Fiberglass Pipe Insulation Non Suspect ACM 3 Boy's Restroom Pipe Chase Plaster Ceiling NAD 24 Boy's Restroom Pipe Chase Plaster Walls NAD 336 Girl's Restroom Pipe Fiberglass Pipe Non Suspect Chase Fitting Insulation ACM 8 EA EA Girl's Restroom Pipe Fiberglass Pipe Non Suspect Chase Insulation ACM 25 LF LF Girl's Restroom Pipe Chase Plaster Ceiling NAD 3 Girl's Restroom Pipe Chase Plaster Walls NAD 4 Girl's Restroom Pipe Non Suspect Chase Concrete Floor ACM 3 Comments

14 Section I Report of Re-Inspection A. Introduction B. Three-Year Re-Inspection IX Overview C. Post-Management Plan Activities and Changes C.1 Sampling and Analysis C.2 New Floor Tile Sampling C.3 Abatement Activity C.4 Periodic Six-Month Surveillance (Damaged Materials) 215/216 Asbestos Hazard Emergency Response Act (AHERA) Management Report Andrew Jackson Elementary School

15 Section I - A Introduction Report of Re-inspection The Three-Year Re-inspection IX was performed to fulfill the requirements of 4 CFR Part the Asbestos Hazard Emergency Response Act (AHERA). As required by AHERA, each Local Education Agency (LEA) must re-inspect all known confirmed or assumed Asbestos Containing Building Material (ACBM) located in the LEA's facilities. This re-inspection is intended to update the original Asbestos Management Plan for the LEA's facilities. Multiple Building Inspectors of several firms performed the 215/216 re-inspection. The reinspection report/management Plan of were reviewed and prepared collectively by Management Planner Megan Vala, Mary Anne Lerro of Criterion Laboratories, Inc. and Monique Causley, of Synertech Inc. All of the certificates can be found in Section III. During the re-inspection of each School District of Philadelphia facility, all of the Management Plans for that facility were reviewed. Information from the conclusions section of that report is included in this report. Additionally, information on activities such as abatements, cleanings, sampling and inspections, which have taken place since the completion of the original Management Plan, were reviewed during the re-inspection. Information on those activities is included in this report. As mandated by the U S EPA AHERA regulations, all future periodic Six-Month inspections and Three-Year Re-inspections of this location will be performed and the Inspection Data in this report will be updated accordingly. 215/216 Asbestos Hazard Emergency Response Act (AHERA) Management Report Andrew Jackson Elementary School

16 Section I - B Three-Year Re-inspection IX Overview Each homogeneous area of Asbestos Containing Building Material (ACBM) listed in the original Management Plan or in the 1992, 1995, 1998, 21, etc., Three-Year Reinspection reports were inspected for the AHERA Three-Year Re-inspection Volume IX, and the information for that material verified. Any changes to a homogeneous area listed in the updates to the Management Plans were verified. Any area of suspected ACBM found in the course of the re-inspection, and not listed in the Management Plan or updates, were either assumed to contain asbestos or sampled and analyzed to determine their asbestos content. Any such new areas either assumed to contain asbestos or determined through analysis to contain asbestos were included in the report of the Three-Year Re-inspection. The results of the AHERA Three-Year Re-inspection IX are tabulated in the Room by Room log reports located in Section II-C of this report. As previously noted, all future periodic Six-Month inspections and Three-Year Reinspections of this location will be performed and the Inspection Data in this report will be updated accordingly. 215/216 Asbestos Hazard Emergency Response Act (AHERA) Management Report Andrew Jackson Elementary School

17 Section I C.1 Post Management Plan Activities/Changes Information on activities affecting Asbestos Containing Building Materials (ACBMs) at this location is contained in updates to the Management Plan. These updates are kept on file by the School District of Philadelphia and were reviewed for this project. Updates to the Management Plan include the following: Sampling and Analysis, New Tile Installation, Abatement Activity and Periodic Six-Month Surveillance Data. Sampling and Analysis In the event Sampling occurs, data will be listed here. 215/216 Asbestos Hazard Emergency Response Act (AHERA) Management Report Andrew Jackson Elementary School

18 Section I C.2 Information on the installation of new floor tiles/renovation activities affecting Asbestos Containing Building Materials (ACBMs) at this location is contained in updates to the Management Plan. These updates are kept on file by the School District of Philadelphia and were reviewed for this project. Updates to the Management Plan include the following: New Floor Tile Sampling In the event that new tile is installed, the material must be tested prior to installation. 215/216 Asbestos Hazard Emergency Response Act (AHERA) Management Report Andrew Jackson Elementary School

19 Section I C.3 Information on the Asbestos Abatement and renovation activities affecting Asbestos Containing Building Materials (ACBMs) at this location is contained in updates to the Management Plan. These updates are kept on file by the School District of Philadelphia and were reviewed for this project. Updates to the Management Plan include the following: Abatement Activity In the event Abatement occurs, data will be listed here. 215/216 Asbestos Hazard Emergency Response Act (AHERA) Management Report Andrew Jackson Elementary School

20 Floor Element Section I C.4 Information on the AHERA inspection that noted damage to various Building Materials at this location is contained in updates to the Management Plan. These updates are kept on file by the School District of Philadelphia and were reviewed for this project. Work orders are created for Corrective Action responses and tracked for completion. Updates to the Management Plan include the following: Periodic (Six-Month) Surveillance (Damaged Materials) Date 7/14/216 1 BS Amount of Amount of On Site Room Name Material Material Damage Storage Room next to Boy's Restroom near Outside Exit Door Pipe Insulation 2-6 inch 25 LF 1 LF Storage Room next to Boy's Restroom near Outside Exit Door Plaster Ceiling /14/216 1 BS 7/14/216 1 BS Boy's Restroom Fiberglass Pipe Insulation 3 LF 1 LF 7/14/216 1 BS Boy's Restroom Plaster Ceiling /14/216 1 BS Kitchen Pipe Insulation 2-6 inch 21 LF 1 LF 7/14/216 1 BS Music Classroom Pipe Fitting Insulation 1 EA 1 EA 7/14/216 1 BS Music Classroom Vibration Damper Cloth 4 1 Storage Room near Gym/Cafeteria under 7/14/216 1 BS Stairwell Plaster Walls /14/ Fire Tower Stairs near Rooms 17 A-B-C Concrete Ceiling Hallway from Rooms 17 A-B-C to Fire Tower Stairs Pipe Insulation 2-6 inch 11 LF 1 LF 7/14/ /14/ Girl's Restroom next to Classroom 12 Plaster Ceiling /14/ Classroom 11 Back Right Storage Room Floor Tile VAT 12" x 12" /14/ Classroom 21 Left Side Storage Closet Plaster Walls /14/ Classroom 22 Coat Closet Area Plaster Walls /14/ Classroom 26 Coat Closet Area Plaster Walls /14/ Fire Tower Stairs Concrete Ceiling /14/ Classroom 35 Coat Closet Area Pipe Insulation 2-6 inch 12 LF 1 LF 7/14/ Storage Closet next to Girl's Restroom Plaster Ceiling /14/ Classroom 31 Right Side Storage Closet Plaster Ceiling /14/ Classroom 31 Left Side Storage Closet Plaster Walls /14/ Hallway from Girl's Restroom to Boy's Restroom Plaster Ceiling /216 Asbestos Hazard Emergency Response Act (AHERA) Management Report Andrew Jackson Elementary School

21 Section II Re-Inspection Data A. Introduction B. Re-Inspection Key Definitions C. Room by Room Location Log Report 215/216 Asbestos Hazard Emergency Response Act (AHERA) Management Report Andrew Jackson Elementary School

22 Section II - A Introduction Re-inspection Data The following information documents the Three-Year Re-inspection IX of the subject school/facility. The Homogeneous Area Reports were produced using the building inspector's field data on the facility. The key to the Homogeneous Area Report is outlined in the following pages of this report. 215/216 Asbestos Hazard Emergency Response Act (AHERA) Management Report Andrew Jackson Elementary School

23 Section II - B (page 1 of 4) SCHOOL DISTRICT OF PHILADELPHIA AHERA THREE YEAR RE-INSPECTION IX ITEM DEFINITION ULCS# HOMOGENEOUS AREA ID# Individual identification number assigned to each school within the School District of Philadelphia. Identification number assigned to each homogeneous area in a school/facility. Each section of the homogeneous area ID is significant. 11/1/1/1 A B C D A. Is the ULCS# for the school. B. Designates the specific building/building area within the school. C. Designates the floor or level within the building/building area. D. Designates the homogeneous material within that floor or level. Note: Item D may be a number or a letter. SYSTEM AFFECTED ITEM AFFECTED Corresponds to the AHERA system for classifying materials. T : Thermal System S : Surfacing System M : Miscellaneous Is a description of the homogeneous material. ORIGINAL This section contains the information found in the original INSPECTION Management Plan ( ). DATA AMOUNT OF MATERIAL/ UNIT Quantity of material, and measuring unit. Units include: Square Feet () Each (EA) Linear Feet (LF) Cubic Feet (CF). 215/216 Asbestos Hazard Emergency Response Act (AHERA) Management Report Andrew Jackson Elementary School

24 (page 2 of 4) SCHOOL DISTRICT OF PHILADELPHIA AHERA THREE YEAR RE-INSPECTION IX RE-INSPECTION FORM KEY ITEM DEFINITION CND Condition DP Damage Potential ASMD Assumed Asbestos Corresponds to AHERA condition rating for materials. : No Damage 1 : Damage 2 : Significant Damage Corresponds to the AHERA material assessment system. 1 : Potential for Damage 2 : Potential for Significant Damage This means that a material was not sampled for asbestos content during the original Management Plan inspection. RA This corresponds to the AHERA system of response action rating for materials. Response Action 1 : Establish O&M Program 2 : Repair and Establish O&M Program 3 : Enclose 4 : Encapsulate 5 : Remove 6 : Partial Removal and Establish O&M Program CHANGES This section describes changes to the homogeneous material in the twenty-four years since the original AHERA inspection. The abbreviations are defined below. RMVD : Removed ENCL : Enclosed ENCP : Encapsulated DMGD : Damaged SMPLD : Sampled MTRL : Material RPRD : Repaired N/L : None Located RPLCD : Replaced 215/216 Asbestos Hazard Emergency Response Act (AHERA) Management Report Andrew Jackson Elementary School

25 (page 3 of 4) SCHOOL DISTRICT OF PHILADELPHIA AHERA THREE-YEAR RE-INSPECTION IX RE-INSPECTION FORM KEY ITEM DEFINITION THREE YEAR RE-INSPECTION DMGD AMT Amount Damaged NF Newly Friable RA Response Action This section contains the information obtained from the Three-Year Re-inspection IX. With three exceptions, the information categories are identical in format and meaning to those found in the original inspection data section. The three exceptions are defined below. This section gives the quantity of damaged material in a homogeneous area. The quantity is shown in the same format as the amount of material/unit section. This section identifies materials in the original Management Plan which have since become friable. This rating is based on the AHERA regulations, and is comparable to the RA rating found in the "Original Inspection Data" section. The following table details the response actions. 1. Establish O&M Program 2. Repair and Establish O&M Program 3. Enclose 4. Encapsulate 5. Remove 6. Partial Removal and Establish O&M Program a. High Priority Response The homogeneous material has been scheduled for abatement or other response action. b. Medium Priority Response The homogeneous material will be scheduled for abatement or other response action as soon as the high priority responses have been addressed. c. Low Priority Response The homogeneous material will be scheduled for abatement or other response action as soon as the medium priority responses have been addressed. d. On-Going Response/Operations and Maintenance The homogeneous material does not require abatement or other response action at present, and should be included in the facility's on-going operations and maintenance program. 215/216 Asbestos Hazard Emergency Response Act (AHERA) Management Report Andrew Jackson Elementary School

26 (page 4 of 4) SCHOOL DISTRICT OF PHILADELPHIA AHERA THREE-YEAR RE-INSPECTION IX RE-INSPECTION FORM KEY The information presented in the changes section has been compiled from a variety of sources, including the Re-inspection and the following: * Quality Control/Quality Assurance Reports of asbestos abatement projects, prepared by consultants to the School District. * Permit and Notification Forms for asbestos abatement projects. * Periodic Surveillance Forms * Operations and Maintenance activities performed by School District personnel. * Verbal information from School District personnel. * Reports of sampling and analysis of suspected materials by both School District personnel and outside consultants. ROOM BY ROOM LOCATION LOG REPORT This section gives information, including damage amount and location, for a specific homogeneous material on a room-by-room basis and follows the Re-inspection form. NOTE: The disparate nature of the above sources of information prohibits the verification of much information within the scope of the AHERA Three-Year Re-inspection. Discrepancies and omissions may exist in this information, and therefore is included on an "as is" basis. The inspectors for the Three-Year Re-inspection IX evaluated homogeneous areas based on the materials current condition and location, as evidenced during the inspector's site visit.. 215/216 Asbestos Hazard Emergency Response Act (AHERA) Management Report Andrew Jackson Elementary School

27 Section II - C Room by Room Location Log Report These charts are to be used for a quick reference* in order to avoid the unknowing disturbance of Asbestos Containing Materials during any and all Operations, Maintenance, Renovation, and/or Demolition activities at this location. NOTE: Contact OEMS prior to the disturbance of any of the materials that are listed as Confirmed and/or Assumed. The quantities listed for (NAD) non-asbestos containing materials and/or Non-Suspect Materials are only estimated and were not measured for the purpose of this report. Field verification of quantities for renovation purposes would be necessary.

28 251 Andrew Jackson ES AHERA Three-Year Report.xls E l e m e n t F l o o r School District of Philadelphia AHERA Three-Year Reinspection Reinspection Date: 1/27/216 and 1/28/216 Andrew Jackson Elementary School Room by Room Location Log Report Building Inspector: Paul Davis 1213 South 12th Street, Philadelphia, PA Number: ACC ULCS# 251 Year Built: 1925 Number: 7492 Amount of Damage Color required for VAT Management Planner: Mary Anne Lerro System Confirmed, Assumed, NAD, Amount of LF LF On Site Room Name Affected Material Description HID# Non Suspect ACM Material EA EA Comments/Description/Notes 1 BS Boiler Room T Pipe Fitting Insulation 251/1/B/KEM/PD/112 Confirmed 2 EA EA 1 No 1/D 1 BS Boiler Room N/A Fiberglass Pipe Insulation Non Suspect ACM 6 LF LF 1 BS Boiler Room N/A Fiberglass Pipe Fitting Non Suspect ACM 1 EA EA Insulation 1 BS Boiler Room N/A Concrete Ceiling Non Suspect ACM BS Boiler Room N/A Brick Wall Non Suspect ACM BS Boiler Room N/A Concrete Floor Non Suspect ACM 1739 Storage Room next to Maintenance Staff Lounge in rear N/A Fiberglass Pipe Insulation Non Suspect ACM 11 LF LF 1 BS area of Boiler Room Storage Room next to Maintenance Staff Lounge in rear Fiberglass Pipe Fitting N/A Non Suspect ACM 7 EA EA 1 BS area of Boiler Room Insulation Storage Room next to Maintenance Staff Lounge in rear N/A Concrete Ceiling Non Suspect ACM 78 1 BS area of Boiler Room Storage Room next to Maintenance Staff Lounge in rear N/A Brick Wall Non Suspect ACM BS area of Boiler Room Storage Room next to Maintenance Staff Lounge in rear N/A Concrete Floor Non Suspect ACM 78 1 BS area of Boiler Room Maintenance Staff Lounge and Storage in rear area of N/A Fiberglass Pipe Insulation Non Suspect ACM 1 LF LF 1 BS Boiler Room Maintenance Staff Lounge and Storage in rear area of Fiberglass Pipe Fitting N/A Non Suspect ACM 4 EA EA 1 BS Boiler Room Insulation Maintenance Staff Lounge and Storage in rear area of N/A Concrete Ceiling Non Suspect ACM BS Boiler Room Maintenance Staff Lounge and Storage in rear area of N/A Brick Wall Non Suspect ACM 16 1 BS Boiler Room Maintenance Staff Lounge and Storage in rear area of N/A Concrete Floor Non Suspect ACM BS Boiler Room 1 BS Fan Room N/A Fiberglass Pipe Insulation Non Suspect ACM 6 LF LF Fiberglass Pipe Fitting N/A Non Suspect ACM 1 EA EA 1 BS Fan Room Insulation Vinyl Vibration Damper N/A Non Suspect ACM 23 1 BS Fan Room Cloth 1 BS Fan Room M Transite Electrical Panel 251/1/B/KEM/PD/235 Confirmed 43 1 No 1/D 1 BS Fan Room N/A Concrete Ceiling Non Suspect ACM 24 1 BS Fan Room N/A Brick Wall Non Suspect ACM BS Fan Room N/A Concrete Floor Non Suspect ACM 24 1 BS Fan Room's Storage Room N/A Fiberglass Pipe Insulation Non Suspect ACM 3 LF LF Fiberglass Pipe Fitting N/A Non Suspect ACM 6 EA EA 1 BS Fan Room's Storage Room Insulation 1 BS Fan Room's Storage Room N/A Plaster Ceiling NAD BS Fan Room's Storage Room N/A Brick Wall Non Suspect ACM 72 1 BS Fan Room's Storage Room N/A Concrete Wall Non Suspect ACM 24 1 BS Fan Room's Storage Room N/A Concrete Floor Non Suspect ACM 255 Storage Room next to Outside Exit Door on Boy's N/A Fiberglass Pipe Insulation Non Suspect ACM 2 LF LF 1 BS Restroom Side of Basement Storage Room next to Outside Exit Door on Boy's Fiberglass Pipe Fitting N/A Non Suspect ACM 5 EA EA 1 BS Restroom Side of Basement Insulation Storage Room next to Outside Exit Door on Boy's N/A Concrete Ceiling Non Suspect ACM BS Restroom Side of Basement Storage Room next to Outside Exit Door on Boy's N/A Brick Wall Non Suspect ACM 52 1 BS Restroom Side of Basement Storage Room next to Outside Exit Door on Boy's Transite Stalls 251/1/B/KEM/PD/231 Assumed 25 1 BS Restroom Side of Basement M 1 No 1/D Storage Room next to Outside Exit Door on Boy's N/A Concrete Floor Non Suspect ACM BS Restroom Side of Basement Storage Room (Under Stairwell) in the Storage Room next to Outside Exit Door on Boy's Restroom N/A Fiberglass Pipe Insulation Non Suspect ACM 8 LF LF 1 BS Side of Basement Storage Room (Under Stairwell) in the Storage Room next to Outside Exit Door on Boy's Restroom Side of N/A Concrete Ceiling Non Suspect ACM 32 1 BS Basement Storage Room (Under Stairwell) in the Storage Room next to Outside Exit Door on Boy's Restroom Side of N/A Brick Wall Non Suspect ACM 84 1 BS Basement Storage Room (Under Stairwell) in the Storage Room next to Outside Exit Door on Boy's Restroom Side of N/A Concrete Wall Non Suspect ACM 56 1 BS Basement Storage Room (Under Stairwell) in the Storage Room next to Outside Exit Door on Boy's Restroom Side of N/A Concrete Floor Non Suspect ACM 32 1 BS Basement Attic Crawl Space Ranking Damage Potential (DP) Newly Friable (NF) Response Action (RA) 1

29 251 Andrew Jackson ES AHERA Three-Year Report.xls E l e m e n t F l o o r School District of Philadelphia AHERA Three-Year Reinspection Reinspection Date: 1/27/216 and 1/28/216 Andrew Jackson Elementary School Room by Room Location Log Report Building Inspector: Paul Davis 1213 South 12th Street, Philadelphia, PA Number: ACC ULCS# 251 Year Built: 1925 Number: 7492 System Affected Material Description HID# Confirmed, Assumed, NAD, Non Suspect ACM Amount of Material LF EA Amount of LF Damage EA Color required for VAT Management Planner: Mary Anne Lerro On Site Room Name Comments/Description/Notes Storage Room next to Boy's Restroom near Outside T Pipe Fitting Insulation 251/1/B/KEM/PD/112 Confirmed 1 EA EA 1 BS Exit Door 1 No 1/D Storage Room next to Boy's Restroom near Outside T Pipe Insulation 2-6 inch 251/1/B/KEM/PD/11 Confirmed 25 LF LF 1 BS Exit Door 1 Less than 1 LF. Exposed End/Seam 1 Yes 2/A Storage Room next to Boy's Restroom near Outside N/A Fiberglass Pipe Insulation Non Suspect ACM 5 LF LF 1 BS Exit Door Storage Room next to Boy's Restroom near Outside N/A Plaster Ceiling NAD 1 1 BS Exit Door 25 Storage Room next to Boy's Restroom near Outside N/A Brick Wall Non Suspect ACM 5 1 BS Exit Door Storage Room next to Boy's Restroom near Outside N/A Concrete Floor Non Suspect ACM 1 1 BS Exit Door Hallway from Boy's Restroom to Outside Exit Door by T Pipe Fitting Insulation 251/1/B/KEM/PD/112 Confirmed 1 EA EA 1 BS Storage Rooms 1 No 1/D Hallway from Boy's Restroom to Outside Exit Door by T Pipe Insulation 2-6 inch 251/1/B/KEM/PD/11 Confirmed 2 LF LF 1 BS Storage Rooms Less than 1 LF; Small hole. 1 No 1/D Hallway from Boy's Restroom to Outside Exit Door by N/A Fiberglass Pipe Insulation Non Suspect ACM 2 LF LF 1 BS Storage Rooms Hallway from Boy's Restroom to Outside Exit Door by Fiberglass Pipe Fitting N/A Non Suspect ACM 2 EA EA 1 BS Storage Rooms Insulation Hallway from Boy's Restroom to Outside Exit Door by N/A Plaster Ceiling NAD BS Storage Rooms Hallway from Boy's Restroom to Outside Exit Door by N/A Brick Wall Non Suspect ACM BS Storage Rooms Hallway from Boy's Restroom to Outside Exit Door by N/A Concrete Floor Non Suspect ACM BS Storage Rooms 1 BS Boy's Restroom N/A Fiberglass Pipe Insulation Non Suspect ACM 3 LF 1 LF Pipe Chase Access in Room. 1 BS Boy's Restroom N/A Plaster Ceiling NAD 64 2 Pipe Chase Access in Room. 1 BS Boy's Restroom N/A Brick Wall Non Suspect ACM 14 Pipe Chase Access in Room. 1 BS Boy's Restroom M Transite Stalls 251/1/B/KEM/PD/231 Assumed 15 Pipe Chase Access in Room. 1 No 1/D 1 BS Boy's Restroom N/A Concrete Floor Non Suspect ACM 64 Pipe Chase Access in Room. 1 BS Boy's Restroom Pipe Chase N/A Fiberglass Pipe Insulation Non Suspect ACM 4 LF LF 1 BS Boy's Restroom Pipe Chase N/A Concrete Ceiling Non Suspect ACM 6 1 BS Boy's Restroom Pipe Chase N/A Brick Wall Non Suspect ACM 55 1 BS Boy's Restroom Pipe Chase N/A Concrete Floor Non Suspect ACM 6 1 BS Stairwell near Boy's Restroom N/A Plaster Ceiling NAD 31 1 BS Stairwell near Boy's Restroom N/A Plaster Walls NAD BS Stairwell near Boy's Restroom N/A Concrete Floor Non Suspect ACM 31 Storage Room in Stairwell Landing Area near Building N/A Concrete Ceiling Non Suspect ACM 42 1 BS Engineer's Office Storage Room in Stairwell Landing Area near Building N/A Concrete Wall Non Suspect ACM BS Engineer's Office Storage Room in Stairwell Landing Area near Building N/A Brick Wall Non Suspect ACM 78 1 BS Engineer's Office Storage Room in Stairwell Landing Area near Building N/A Concrete Floor Non Suspect ACM 42 1 BS Engineer's Office Storage Room (Under Stairs) in Stairwell Landing Area N/A Concrete Ceiling Non Suspect ACM 32 1 BS near Building Engineer's Office Storage Room (Under Stairs) in Stairwell Landing Area N/A Concrete Wall Non Suspect ACM BS near Building Engineer's Office Storage Room (Under Stairs) in Stairwell Landing Area N/A Concrete Floor Non Suspect ACM 32 1 BS near Building Engineer's Office 1 BS Gymnasium / Auditorium / Cafeteria N/A Fiberglass Pipe Insulation Non Suspect ACM 25 LF LF Fiberglass Pipe Fitting N/A Non Suspect ACM 4 EA EA 1 BS Gymnasium / Auditorium / Cafeteria Insulation 1 BS Gymnasium / Auditorium / Cafeteria N/A Plaster Ceiling NAD BS Gymnasium / Auditorium / Cafeteria N/A Plaster Walls NAD BS Gymnasium / Auditorium / Cafeteria N/A Brick Wall Non Suspect ACM BS Gymnasium / Auditorium / Cafeteria M Floor Tile VAT 12" x 12" 251/1/B/KEM/PD/24 Assumed 55 Grey 1 No 1/D 1 BS Gym Teacher's Office and Storage N/A Plaster Ceiling NAD BS Gym Teacher's Office and Storage N/A Brick Wall Non Suspect ACM BS Gym Teacher's Office and Storage N/A Concrete Block Wall Non Suspect ACM BS Gym Teacher's Office and Storage M Floor Tile VAT 12" x 12" 251/1/B/KEM/PD/25 Assumed 198 White 1 No 1/D 1 BS Storage Room next to Gym Office x X x X X X X X X No Access; Not Inspected. x x x 1 BS Kitchen T Pipe Fitting Insulation 251/1/B/KEM/PD/112 Confirmed 5 EA EA 1 No 1/D 1 BS Kitchen T Pipe Insulation 2-6 inch 251/1/B/KEM/PD/11 Confirmed 21 LF 1 LF Less than 1 LF; Seams on Two Pipes. 1 Yes 2/A 1 BS Kitchen N/A Plaster Ceiling NAD 36 1 BS Kitchen N/A Concrete Block Wall Non Suspect ACM BS Kitchen N/A Brick Wall Non Suspect ACM 684 Attic Crawl Space Ranking Damage Potential (DP) Newly Friable (NF) Response Action (RA) 2

30 251 Andrew Jackson ES AHERA Three-Year Report.xls E l e m e n t F l o o r School District of Philadelphia AHERA Three-Year Reinspection Reinspection Date: 1/27/216 and 1/28/216 Andrew Jackson Elementary School Room by Room Location Log Report Building Inspector: Paul Davis 1213 South 12th Street, Philadelphia, PA Number: ACC ULCS# 251 Year Built: 1925 Number: 7492 Management Planner: Mary Anne Lerro System Confirmed, Assumed, NAD, Amount of LF Amount of LF Color required Attic Crawl Space Damage Potential Newly Friable On Site Room Name Affected Material Description HID# Non Suspect ACM Material EA Damage EA for VAT Comments/Description/Notes Ranking (DP) (NF) 1 BS Kitchen M Floor Tile VAT 12" x 12" 251/1/B/KEM/PD/25 Assumed 18 White 1 No 1/D 1 BS Kitchen M Floor Tile VAT 12" x 12" 251/1/B/KEM/PD/21 Assumed 18 Blue 1 No 1/D School Store between Kitchen and Building Engineer's N/A Plaster Ceiling NAD BS Office School Store between Kitchen and Building Engineer's N/A Brick Wall Non Suspect ACM BS Office School Store between Kitchen and Building Engineer's Floor Tile VAT 12" x 12" 251/1/B/KEM/PD/25 Assumed BS Office M White 1 No 1/D 1 BS Building Engineer's Office T Pipe Insulation 2-6 inch 251/1/B/KEM/PD/11 Confirmed 6 LF LF 1 No 1/D 1 BS Building Engineer's Office N/A Plaster Ceiling NAD BS Building Engineer's Office N/A Brick Wall Non Suspect ACM 46 1 BS Building Engineer's Office M Floor Tile VAT 12" x 12" 251/1/B/KEM/PD/24 Assumed 96 Grey 1 No 1/D 1 BS Building Engineer's Office N/A Steel Plate Flooring Non Suspect ACM 3 1 BS Music Classroom T Pipe Fitting Insulation 251/1/B/KEM/PD/112 Confirmed 1 EA 1 EA Cracked. 1 Yes 2/A 1 BS Music Classroom T Pipe Insulation 2-6 inch 251/1/B/KEM/PD/11 Confirmed 65 LF LF Less than 1 LF; Seam. 1 No 1/D 1 BS Music Classroom N/A Fiberglass Pipe Insulation Non Suspect ACM 8 LF LF Fiberglass Pipe Fitting N/A Non Suspect ACM 25 EA EA 1 BS Music Classroom Insulation 1 BS Music Classroom N/A Ceiling Tile 2' x 4' NAD 5 1 BS Music Classroom N/A Plaster Ceiling NAD BS Music Classroom N/A Concrete Ceiling Non Suspect ACM 1 1 BS Music Classroom N/A Brick Wall Non Suspect ACM BS Music Classroom N/A Concrete Floor Non Suspect ACM BS Music Classroom M Spline Ceiling Tile Glue Dots 251/1/B/KEM/PD/263 Assumed 5 1 No 1/D 1 BS Music Classroom M Vibration Damper Cloth 251/1/B/3 Assumed 4 1 Over Door to Office. 1 Yes 2/A 1 BS Music Classroom Office T Pipe Fitting Insulation 251/1/B/KEM/PD/112 Confirmed 1 EA EA 1 No 1/D 1 BS Music Classroom Office T Pipe Insulation 2-6 inch 251/1/B/KEM/PD/11 Confirmed 13 LF LF 1 No 1/D 1 BS Music Classroom Office N/A Fiberglass Pipe Insulation Non Suspect ACM 1 LF LF Fiberglass Pipe Fitting N/A Non Suspect ACM 15 EA EA 1 BS Music Classroom Office Insulation 1 BS Music Classroom Office N/A Plaster Ceiling NAD BS Music Classroom Office N/A Brick Wall Non Suspect ACM 68 1 BS Music Classroom Office N/A Concrete Floor Non Suspect ACM BS Storage Room across from Music Room T Pipe Fitting Insulation 251/1/B/KEM/PD/112 Confirmed 1 EA EA 1 No 1/D 1 BS Storage Room across from Music Room T Pipe Insulation 2-6 inch 251/1/B/KEM/PD/11 Confirmed 25 LF LF 1 No 1/D 1 BS Storage Room across from Music Room N/A Concrete Ceiling Non Suspect ACM BS Storage Room across from Music Room N/A Brick Wall Non Suspect ACM 6 1 BS Storage Room across from Music Room N/A Concrete Floor Non Suspect ACM BS Girl's Restroom N/A Fiberglass Pipe Insulation Non Suspect ACM 11 LF LF Pipe Chase Located in Room. Fiberglass Pipe Fitting N/A Non Suspect ACM 7 EA EA 1 BS Girl's Restroom Insulation Pipe Chase Located in Room. 1 BS Girl's Restroom N/A Plaster Ceiling NAD 735 Pipe Chase Located in Room. 1 BS Girl's Restroom N/A Brick Wall Non Suspect ACM 112 Pipe Chase Located in Room. 1 BS Girl's Restroom N/A Concrete Floor Non Suspect ACM 735 Pipe Chase Located in Room. 1 BS Girl's Restroom M Transite Stalls 251/1/B/KEM/PD/231 Assumed 3 Pipe Chase Located in Room. 1 No 1/D 1 BS Girl's Restroom Pipe Chase N/A Fiberglass Pipe Insulation Non Suspect ACM 3 LF LF 1 BS Girl's Restroom Pipe Chase N/A Concrete Ceiling Non Suspect ACM 6 1 BS Girl's Restroom Pipe Chase N/A Brick Wall Non Suspect ACM 55 1 BS Girl's Restroom Pipe Chase N/A Concrete Floor Non Suspect ACM 6 1 BS Hallway from Music Classroom to Outside Exit Door N/A Fiberglass Pipe Insulation Non Suspect ACM 65 LF LF 1 BS Hallway from Music Classroom to Outside Exit Door N/A Plaster Ceiling NAD BS Hallway from Music Classroom to Outside Exit Door N/A Brick Wall Non Suspect ACM BS Hallway from Music Classroom to Outside Exit Door N/A Concrete Floor Non Suspect ACM BS Stairwell near Music Classroom T Pipe Insulation 2-6 inch 251/1/B/KEM/PD/11 Confirmed 1 LF LF 1 No 1/D 1 BS Stairwell near Music Classroom T Pipe Fitting Insulation 251/1/B/KEM/PD/112 Confirmed 2 EA EA 1 No 1/D 1 BS Stairwell near Music Classroom N/A Plaster Ceiling NAD 31 1 BS Stairwell near Music Classroom N/A Plaster Walls NAD BS Stairwell near Music Classroom N/A Concrete Floor Non Suspect ACM 31 1 BS Storage Room near Gym/Cafeteria under Stairwell N/A Plaster Ceiling NAD 4 1 BS Storage Room near Gym/Cafeteria under Stairwell N/A Plaster Walls NAD BS Storage Room near Gym/Cafeteria under Stairwell N/A Concrete Floor Non Suspect ACM 4 1 BS Storage Room next to Gym/Cafeteria in Stairwell N/A Concrete Ceiling Non Suspect ACM 9 1 BS Storage Room next to Gym/Cafeteria in Stairwell N/A Concrete Wall Non Suspect ACM 42 1 BS Storage Room next to Gym/Cafeteria in Stairwell N/A Concrete Floor Non Suspect ACM Stairwell near Rooms 17 A-B-C T Pipe Fitting Insulation 251/1/1/12 Confirmed 2 EA EA 1 No 1/D 1 1 Stairwell near Rooms 17 A-B-C T Pipe Insulation 2-6 inch 251/1/1/9 Confirmed 24 LF LF 1 No 1/D 1 1 Stairwell near Rooms 17 A-B-C N/A Plaster Ceiling NAD 31 Response Action (RA) 3

31 251 Andrew Jackson ES AHERA Three-Year Report.xls E l e m e n t F l o o r School District of Philadelphia AHERA Three-Year Reinspection Reinspection Date: 1/27/216 and 1/28/216 Andrew Jackson Elementary School Room by Room Location Log Report Building Inspector: Paul Davis 1213 South 12th Street, Philadelphia, PA Number: ACC ULCS# 251 Year Built: 1925 Number: 7492 Amount of Damage Color required for VAT Management Planner: Mary Anne Lerro System Confirmed, Assumed, NAD, Amount of LF LF On Site Room Name Affected Material Description HID# Non Suspect ACM Material EA EA Comments/Description/Notes 1 1 Stairwell near Rooms 17 A-B-C N/A Plaster Walls NAD Stairwell near Rooms 17 A-B-C N/A Concrete Floor Non Suspect ACM Vestibule in Stairwell near Rooms 17 A-B-C N/A Plaster Ceiling NAD Vestibule in Stairwell near Rooms 17 A-B-C N/A Plaster Walls NAD Vestibule in Stairwell near Rooms 17 A-B-C N/A Concrete Floor Non Suspect ACM Fire Tower Stairs near Rooms 17 A-B-C N/A Concrete Ceiling Non Suspect ACM Fire Tower Stairs near Rooms 17 A-B-C N/A Brick Wall Non Suspect ACM Fire Tower Stairs near Rooms 17 A-B-C N/A Concrete Floor Non Suspect ACM Hallway from Rooms 17 A-B-C to Fire Tower Stairs T Pipe Insulation 2-6 inch 251/1/1/9 Confirmed 11 LF 1 LF 1 Yes 2/A 1 1 Hallway from Rooms 17 A-B-C to Fire Tower Stairs N/A Fiberglass Pipe Insulation Non Suspect ACM 11 LF LF 1 1 Hallway from Rooms 17 A-B-C to Fire Tower Stairs N/A Ceiling Tile 2' x 4' NAD Hallway from Rooms 17 A-B-C to Fire Tower Stairs N/A Plaster Walls NAD Hallway from Rooms 17 A-B-C to Fire Tower Stairs N/A Concrete Floor Non Suspect ACM Storage Room (Left Side) next to Nurse's Office x X x X X X X X X No Access; Not Inspected. x x x 1 1 Nurse's Office Rear Right Side Storage Room N/A Ceiling Tile 2' x 4' NAD Nurse's Office Rear Right Side Storage Room N/A Plaster Walls NAD Nurse's Office Rear Right Side Storage Room N/A Wood Floor Non Suspect ACM Nurse's Office N/A Ceiling Tile 2' x 4' NAD Nurse's Office N/A Plaster Walls NAD Nurse's Office N/A Wood Wall with Windows Non Suspect ACM Nurse's Office N/A Wood Floor Non Suspect ACM STS Office next to Nurse's Office N/A Fiberglass Pipe Insulation Non Suspect ACM 9 LF LF 1 1 STS Office next to Nurse's Office N/A Ceiling Tile 2' x 4' NAD STS Office next to Nurse's Office N/A Plaster Walls NAD STS Office next to Nurse's Office N/A Wood Wall with Windows Non Suspect ACM STS Office next to Nurse's Office M Sheetrock Wall 251/1/1/KEM/PD/21 Assumed No 1/D 1 1 STS Office next to Nurse's Office N/A Wood Floor Non Suspect ACM Bilingual Support Office N/A Fiberglass Pipe Insulation Non Suspect ACM 1 LF LF 1 1 Bilingual Support Office N/A Ceiling Tile 2' x 4' NAD Bilingual Support Office N/A Plaster Walls NAD Bilingual Support Office M Sheetrock Wall 251/1/1/KEM/PD/21 Assumed No 1/D 1 1 Bilingual Support Office N/A Wood Floor Non Suspect ACM Hallway from Bilingual Support Office to Nurse's Office N/A Ceiling Tile 2' x 4' NAD Hallway from Bilingual Support Office to Nurse's Office N/A Plaster Walls NAD Hallway from Bilingual Support Office to Nurse's Office N/A Wood Wall Non Suspect ACM Hallway from Bilingual Support Office to Nurse's Office M Sheetrock Wall 251/1/1/KEM/PD/21 Assumed No 1/D 1 1 Hallway from Bilingual Support Office to Nurse's Office N/A Wood Floor Non Suspect ACM Boy's Restroom next to Classroom 16 N/A Fiberglass Pipe Insulation Non Suspect ACM 6 LF LF Pipe Chase Access in Room. 1 1 Boy's Restroom next to Classroom 16 N/A Plaster Ceiling NAD 162 Pipe Chase Access in Room. 1 1 Boy's Restroom next to Classroom 16 N/A Plaster Walls NAD 27 Pipe Chase Access in Room. 1 1 Boy's Restroom next to Classroom 16 N/A Ceramic Tile Walls Non Suspect ACM 378 Pipe Chase Access in Room. 1 1 Boy's Restroom next to Classroom 16 N/A Concrete Floor Non Suspect ACM 162 Pipe Chase Access in Room. 1 1 Boy's Restroom Pipe Chase x X x X X X X X X No Access; Not Inspected. x x x 1 1 Classroom 16 N/A Fiberglass Pipe Insulation Non Suspect ACM 14 LF LF 1 1 Classroom 16 N/A Ceiling Tile 2' x 4' NAD Classroom 16 N/A Plaster Walls NAD Classroom 16 N/A Wood Floor Non Suspect ACM Classroom 16 Rear Coat Closet Area N/A Plaster Ceiling NAD Classroom 16 Rear Coat Closet Area N/A Plaster Walls NAD Classroom 16 Rear Coat Closet Area N/A Wood Floor Non Suspect ACM Classroom 15 N/A Fiberglass Pipe Insulation Non Suspect ACM 26 LF LF 1 1 Classroom 15 N/A Ceiling Tile 2' x 4' NAD Classroom 15 N/A Plaster Walls NAD Classroom 15 N/A Wood Floor Non Suspect ACM Classroom 15 Rear Coat Closet Area N/A Plaster Ceiling NAD Classroom 15 Rear Coat Closet Area N/A Plaster Walls NAD Classroom 15 Rear Coat Closet Area N/A Wood Floor Non Suspect ACM Classroom 18 N/A Fiberglass Pipe Insulation Non Suspect ACM 2 LF LF 1 1 Classroom 18 N/A Ceiling Tile 2' x 4' NAD Classroom 18 N/A Plaster Walls NAD Classroom 18 N/A Wood Floor Non Suspect ACM Classroom 18 Coat Closet N/A Concrete Ceiling Non Suspect ACM Classroom 18 Coat Closet N/A Plaster Walls NAD Classroom 18 Coat Closet N/A Wood Floor Non Suspect ACM Main Office N/A Fiberglass Pipe Insulation Non Suspect ACM 63 LF LF 1 1 Main Office N/A Ceiling Tile 2' x 4' NAD 432 Attic Crawl Space Ranking Damage Potential (DP) Newly Friable (NF) Response Action (RA) 4

32 251 Andrew Jackson ES AHERA Three-Year Report.xls E l e m e n t F l o o r School District of Philadelphia AHERA Three-Year Reinspection Reinspection Date: 1/27/216 and 1/28/216 Andrew Jackson Elementary School Room by Room Location Log Report Building Inspector: Paul Davis 1213 South 12th Street, Philadelphia, PA Number: ACC ULCS# 251 Year Built: 1925 Number: 7492 Amount of Damage Color required for VAT Management Planner: Mary Anne Lerro System Confirmed, Assumed, NAD, Amount of LF LF On Site Room Name Affected Material Description HID# Non Suspect ACM Material EA EA Comments/Description/Notes 1 1 Main Office N/A Plaster Walls NAD Main Office M Floor Tile VAT 12" x 12" 251/1/1/CC Assumed 432 Multi 1 No 1/D 1 1 Principal's Office N/A Fiberglass Pipe Insulation Non Suspect ACM 1 LF LF No Access; Not Inspected. 1 1 Principal's Office N/A Ceiling Tile 2' x 4' NAD 228 No Access; Not Inspected. 1 1 Principal's Office N/A Plaster Walls NAD 616 No Access; Not Inspected. 1 1 Principal's Office N/A Wood Floor Non Suspect ACM 228 No Access; Not Inspected. 1 1 Principal's Office Restroom N/A Plaster Ceiling NAD 36 No Access; Not Inspected. 1 1 Principal's Office Restroom N/A Plaster Walls NAD 264 No Access; Not Inspected. 1 1 Principal's Office Restroom N/A Ceramic Tile Floors Non Suspect ACM 36 No Access; Not Inspected. 1 1 Main Office Storage Room N/A Plaster Ceiling NAD Main Office Storage Room N/A Plaster Walls NAD Main Office Storage Room N/A Wood Floor Non Suspect ACM Main Entrance to School Building Stairs N/A Plaster Ceiling NAD Main Entrance to School Building Stairs N/A Plaster Walls NAD Main Entrance to School Building Stairs N/A Marble Walls Non Suspect ACM Main Entrance to School Building Stairs N/A Marble Steps Non Suspect ACM Main Entrance to School Building Stairs N/A Terrazo Floor Non Suspect ACM Classroom 19 N/A Fiberglass Pipe Insulation Non Suspect ACM 2 LF LF 1 1 Classroom 19 N/A Ceiling Tile 2' x 4' NAD Classroom 19 N/A Plaster Walls NAD Classroom 19 N/A Wood Floor Non Suspect ACM Classroom 19 Boy's and Girl's Restroom N/A Concrete Ceiling Non Suspect ACM Classroom 19 Boy's and Girl's Restroom N/A Plaster Walls NAD Classroom 19 Boy's and Girl's Restroom N/A Marble Walls Non Suspect ACM Classroom 19 Boy's and Girl's Restroom N/A Concrete Floor Non Suspect ACM Classroom 19 Front Closet N/A Plaster Ceiling NAD Classroom 19 Front Closet N/A Plaster Walls NAD Classroom 19 Front Closet N/A Wood Floor Non Suspect ACM Classroom 19 Front Coat Closet N/A Concrete Ceiling Non Suspect ACM Classroom 19 Front Coat Closet N/A Plaster Walls NAD Classroom 19 Front Coat Closet N/A Wood Floor Non Suspect ACM Classroom 11 N/A Fiberglass Pipe Insulation Non Suspect ACM 12 LF LF 1 1 Classroom 11 N/A Ceiling Tile 2' x 4' NAD Classroom 11 N/A Plaster Walls NAD Classroom 11 N/A Wood Floor Non Suspect ACM Classroom 11 Coat Closet x X x X X X X X X No Access; Not Inspected. x x x 1 1 Classroom 14 T Pipe Insulation 2-6 inch 251/1/1/9 Confirmed 11 LF LF 1 No 1/D 1 1 Classroom 14 N/A Fiberglass Pipe Insulation Non Suspect ACM 75 LF LF 1 1 Classroom 14 N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM Classroom 14 N/A Plaster Walls NAD Classroom 14 M Floor Tile VAT 12" x 12" 251/1/1/CC Assumed 66 Multi 1 No 1/D 1 1 Classroom 14 Coat Closet Area T Pipe Fitting Insulation 251/1/1/12 Confirmed 4 EA EA 1 No 1/D 1 1 Classroom 14 Coat Closet Area T Pipe Insulation 2-6 inch 251/1/1/9 Confirmed 12 LF LF Less than 1 LF; Crack. 1 No 1/D 1 1 Classroom 14 Coat Closet Area N/A Plaster Ceiling NAD Classroom 14 Coat Closet Area N/A Plaster Walls NAD Classroom 14 Coat Closet Area M Floor Tile VAT 12" x 12" 251/1/1/CC Assumed 11 Blue 1 No 1/D 1 1 Classroom 14 Coat Closet Area M Floor Tile VAT 12" x 12" 251/1/1/CC Assumed 9 Red 1 No 1/D 1 1 Classroom 13 N/A Fiberglass Pipe Insulation Non Suspect ACM 2 LF LF 1 1 Classroom 13 N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM Classroom 13 N/A Plaster Walls NAD Classroom 13 M Floor Tile VAT 12" x 12" 251/1/1/CC Assumed 74 Multi 1 No 1/D 1 1 Classroom 13 Coat Closet Area T Pipe Fitting Insulation 251/1/1/12 Confirmed 2 EA EA Seam. 1 No 1/D 1 1 Classroom 13 Coat Closet Area T Pipe Insulation 2-6 inch 251/1/1/9 Confirmed 13 LF LF 1 No 1/D 1 1 Classroom 13 Coat Closet Area N/A Plaster Ceiling NAD Classroom 13 Coat Closet Area N/A Plaster Walls NAD Classroom 13 Coat Closet Area M Floor Tile VAT 12" x 12" 251/1/1/CC Assumed 11 Multi 1 No 1/D 1 1 Classroom 12 N/A Fiberglass Pipe Insulation Non Suspect ACM 24 LF LF 1 1 Classroom 12 N/A Ceiling Tile 2' x 4' NAD Classroom 12 N/A Plaster Walls NAD Classroom 12 N/A Wood Floor Non Suspect ACM Classroom 12 Coat Closet Area T Pipe Fitting Insulation 251/1/1/12 Confirmed 2 EA EA 1 No 1/D 1 1 Classroom 12 Coat Closet Area T Pipe Insulation 2-6 inch 251/1/1/9 Confirmed 13 LF LF 1 No 1/D 1 1 Classroom 12 Coat Closet Area N/A Plaster Ceiling NAD Classroom 12 Coat Closet Area N/A Plaster Walls NAD Classroom 12 Coat Closet Area N/A Wood Floor Non Suspect ACM Girl's Restroom next to Classroom 12 N/A Fiberglass Pipe Insulation Non Suspect ACM 6 LF LF Pipe Chase in Room. Attic Crawl Space Ranking Damage Potential (DP) Newly Friable (NF) Response Action (RA) 5

33 251 Andrew Jackson ES AHERA Three-Year Report.xls E l e m e n t F l o o r School District of Philadelphia AHERA Three-Year Reinspection Reinspection Date: 1/27/216 and 1/28/216 Andrew Jackson Elementary School Room by Room Location Log Report Building Inspector: Paul Davis 1213 South 12th Street, Philadelphia, PA Number: ACC ULCS# 251 Year Built: 1925 Number: 7492 Amount of Damage Color required for VAT Management Planner: Mary Anne Lerro System Confirmed, Assumed, NAD, Amount of LF LF On Site Room Name Affected Material Description HID# Non Suspect ACM Material EA EA Comments/Description/Notes 1 1 Girl's Restroom next to Classroom 12 N/A Plaster Ceiling NAD Pipe Chase in Room. 1 1 Girl's Restroom next to Classroom 12 N/A Plaster Walls NAD 27 Pipe Chase in Room. 1 1 Girl's Restroom next to Classroom 12 N/A Ceramic Tile Walls Non Suspect ACM 378 Pipe Chase in Room. 1 1 Girl's Restroom next to Classroom 12 N/A Concrete Floor Non Suspect ACM 162 Pipe Chase in Room. Fiberglass Pipe Fitting N/A Non Suspect ACM EA EA 1 1 Girl's Restroom Pipe Chase Insulation Girl's Restroom Pipe Chase N/A Fiberglass Pipe Insulation Non Suspect ACM 3 LF LF 1 1 Girl's Restroom Pipe Chase N/A Plaster Ceiling NAD Girl's Restroom Pipe Chase N/A Plaster Walls NAD Girl's Restroom Pipe Chase N/A Concrete Floor Non Suspect ACM Stairwell next to Classroom 11 T Pipe Fitting Insulation 251/1/1/12 Confirmed 1 EA EA 1 No 1/D 1 1 Stairwell next to Classroom 11 T Pipe Insulation 2-6 inch 251/1/1/9 Confirmed 24 LF LF 1 No 1/D 1 1 Stairwell next to Classroom 11 N/A Plaster Ceiling NAD Stairwell next to Classroom 11 N/A Plaster Walls NAD Stairwell next to Classroom 11 N/A Concrete Floor Non Suspect ACM Vestibule in Stairwell near Classroom 11 N/A Plaster Ceiling NAD Vestibule in Stairwell near Classroom 11 N/A Plaster Walls NAD Vestibule in Stairwell near Classroom 11 N/A Concrete Floor Non Suspect ACM Classroom 11 Back Right Storage Room N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 54 No Access; Not Inspected. 1 1 Classroom 11 Back Right Storage Room N/A Plaster Walls NAD 33 No Access; Not Inspected. 1 1 Classroom 11 Back Right Storage Room M Floor Tile VAT 12" x 12" 251/1/1/CC Assumed 54 1 Tan No Access; Not Inspected. 1 No 2/A 1 1 Classroom 11 Middle Office next to Storage Room N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 72 No Access; Not Inspected. 1 1 Classroom 11 Middle Office next to Storage Room N/A Plaster Walls NAD 143 No Access; Not Inspected. 1 1 Classroom 11 Middle Office next to Storage Room M Sheetrock Wall 251/1/1/KEM/PD/21 Assumed 166 No Access; Not Inspected. 1 No 1/D 1 1 Classroom 11 Middle Office next to Storage Room M Floor Tile VAT 12" x 12" 251/1/1/CC Assumed 72 Multi No Access; Not Inspected. 1 No 1/D 1 1 Classroom 11 Front Office on Right N/A Fiberglass Pipe Insulation Non Suspect ACM 2 LF LF 1 1 Classroom 11 Front Office on Right N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM Classroom 11 Front Office on Right N/A Plaster Walls NAD Classroom 11 Front Office on Right M Sheetrock Wall 251/1/1/KEM/PD/21 Assumed 29 1 No 1/D 1 1 Classroom 11 Front Office on Right M Floor Tile VAT 12" x 12" 251/1/1/CC Assumed 9 Multi 1 No 1/D 1 1 Classroom 11 Kitchen N/A Fiberglass Pipe Insulation Non Suspect ACM 15 LF LF 1 1 Classroom 11 Kitchen N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM Classroom 11 Kitchen N/A Plaster Walls NAD Classroom 11 Kitchen M Sheetrock Wall 251/1/1/KEM/PD/21 Assumed No 1/D 1 1 Classroom 11 Kitchen M Floor Tile VAT 12" x 12" 251/1/1/CC Assumed 117 Blue 1 No 1/D 1 1 Classroom 11 Restroom N/A Fiberglass Pipe Insulation Non Suspect ACM 5 LF LF 1 1 Classroom 11 Restroom N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM Classroom 11 Restroom N/A Plaster Walls NAD Classroom 11 Restroom N/A Concrete Floor Non Suspect ACM Classroom 11 Pre-School N/A Fiberglass Pipe Insulation Non Suspect ACM 23 LF LF 1 1 Classroom 11 Pre-School N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM Classroom 11 Pre-School N/A Plaster Walls NAD Classroom 11 Pre-School M Sheetrock Wall 251/1/1/KEM/PD/21 Assumed 5 1 No 1/D 1 1 Classroom 11 Pre-School M Floor Tile VAT 12" x 12" 251/1/1/CC Assumed 85 Multi 1 No 1/D 1 1 Women's Restroom next to Classroom 11 N/A Fiberglass Pipe Insulation Non Suspect ACM 4 LF LF 1 1 Women's Restroom next to Classroom 11 N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM Women's Restroom next to Classroom 11 N/A Plaster Walls NAD Women's Restroom next to Classroom 11 N/A Wood Floor Non Suspect ACM Women's Restroom next to Classroom 11 N/A Ceramic Tile Floors Non Suspect ACM Hallway from Boy's Restroom to Girl's Restroom T Pipe Fitting Insulation 251/1/1/12 Confirmed 3 EA EA 1 No 1/D 1 1 Hallway from Boy's Restroom to Girl's Restroom T Pipe Insulation 2-6 inch 251/1/1/9 Confirmed 44 LF LF 1 No 1/D 1 1 Hallway from Boy's Restroom to Girl's Restroom N/A Fiberglass Pipe Insulation Non Suspect ACM 48 LF LF 1 1 Hallway from Boy's Restroom to Girl's Restroom N/A Ceiling Tile 2' x 4' NAD Hallway from Boy's Restroom to Girl's Restroom N/A Plaster Walls NAD Hallway from Boy's Restroom to Girl's Restroom N/A Concrete Floor Non Suspect ACM Stairwell next to Classroom 21 T Pipe Fitting Insulation 251/1/2/15 Confirmed 4 EA EA Cracks and Gouges. 1 No 1/D 1 2 Stairwell next to Classroom 21 T Pipe Insulation 2-6 inch 251/1/2/16 Confirmed 32 LF LF 1 No 1/D 1 2 Stairwell next to Classroom 21 N/A Plaster Ceiling NAD Stairwell next to Classroom 21 N/A Plaster Walls NAD Stairwell next to Classroom 21 N/A Concrete Floor Non Suspect ACM Classroom 21 Art N/A Fiberglass Pipe Insulation Non Suspect ACM 48 LF LF 1 2 Classroom 21 Art N/A Ceiling Tile 2' x 4' NAD Classroom 21 Art N/A Plaster Walls NAD Classroom 21 Art M Sink Undercoat Mastic 251/1/2/KEM/PD/262 Assumed 27 1 No 1/D 1 2 Classroom 21 Art M Floor Tile VAT 12" x 12" 251/1/2/DD Assumed 1156 Multi 1 No 1/D 1 2 Classroom 21 Left Side Storage Closet T Pipe Insulation 2-6 inch 251/1/2/16 Confirmed 11 LF LF Less than 1 LF; Taped Hole. 1 No 1/D 1 2 Classroom 21 Left Side Storage Closet N/A Fiberglass Pipe Insulation Non Suspect ACM 22 LF LF Attic Crawl Space Ranking Damage Potential (DP) Newly Friable (NF) Response Action (RA) 6

34 251 Andrew Jackson ES AHERA Three-Year Report.xls E l e m e n t F l o o r School District of Philadelphia AHERA Three-Year Reinspection Reinspection Date: 1/27/216 and 1/28/216 Andrew Jackson Elementary School Room by Room Location Log Report Building Inspector: Paul Davis 1213 South 12th Street, Philadelphia, PA Number: ACC ULCS# 251 Year Built: 1925 Number: 7492 Amount of Damage Color required for VAT Management Planner: Mary Anne Lerro System Confirmed, Assumed, NAD, Amount of LF LF On Site Room Name Affected Material Description HID# Non Suspect ACM Material EA EA Comments/Description/Notes 1 2 Classroom 21 Left Side Storage Closet N/A Plaster Ceiling NAD Classroom 21 Left Side Storage Closet N/A Plaster Walls NAD Classroom 21 Left Side Storage Closet M Floor Tile VAT 12" x 12" 251/1/2/DD Assumed 54 Green 1 No 1/D 1 2 Classroom 21 Right Side Storage Closet T Pipe Insulation 2-6 inch 251/1/2/16 Confirmed 8 LF LF No Access; Not Inspected. 1 No 1/D 1 2 Classroom 21 Right Side Storage Closet N/A Plaster Ceiling NAD 54 No Access; Not Inspected. 1 2 Classroom 21 Right Side Storage Closet N/A Plaster Walls NAD 36 No Access; Not Inspected. 1 2 Classroom 21 Right Side Storage Closet M Floor Tile VAT 12" x 12" 251/1/2/DD Assumed 54 Green No Access; Not Inspected. 1 No 1/D 1 2 Men's Restroom next to Classroom 21 N/A Fiberglass Pipe Insulation Non Suspect ACM 2 LF LF 1 2 Men's Restroom next to Classroom 21 N/A Plaster Ceiling NAD Men's Restroom next to Classroom 21 N/A Plaster Walls NAD Men's Restroom next to Classroom 21 M Transite Stalls 251/1/2/KK Assumed 4 1 No 1/D 1 2 Men's Restroom next to Classroom 21 N/A Concrete Floor Non Suspect ACM Book Closet next to Girl's Restroom N/A Plaster Ceiling NAD Book Closet next to Girl's Restroom N/A Plaster Walls NAD Book Closet next to Girl's Restroom N/A Concrete Floor Non Suspect ACM Classroom 22 N/A Fiberglass Pipe Insulation Non Suspect ACM 18 LF LF 1 2 Classroom 22 N/A Ceiling Tile 2' x 4' NAD Classroom 22 N/A Plaster Walls NAD Classroom 22 N/A Wood Floor Non Suspect ACM Classroom 22 Coat Closet Area T Pipe Fitting Insulation 251/1/2/15 Confirmed 2 EA EA 1 No 1/D 1 2 Classroom 22 Coat Closet Area T Pipe Insulation 2-6 inch 251/1/2/16 Confirmed 13 LF LF 1 No 1/D 1 2 Classroom 22 Coat Closet Area N/A Plaster Ceiling NAD Classroom 22 Coat Closet Area N/A Plaster Walls NAD Classroom 22 Coat Closet Area N/A Wood Floor Non Suspect ACM Girl's Restroom next to Classroom 22 N/A Fiberglass Pipe Insulation Non Suspect ACM 12 LF LF Pipe Chase Access in Room. 1 2 Girl's Restroom next to Classroom 22 N/A Plaster Ceiling NAD 144 Pipe Chase Access in Room. 1 2 Girl's Restroom next to Classroom 22 N/A Plaster Walls NAD 26 Pipe Chase Access in Room. 1 2 Girl's Restroom next to Classroom 22 N/A Ceramic Tile Walls Non Suspect ACM 364 Pipe Chase Access in Room. 1 2 Girl's Restroom next to Classroom 22 N/A Concrete Floor Non Suspect ACM 144 Pipe Chase Access in Room. 1 2 Girl's Restroom Pipe Chase x X x X X X X X X No Access; Not Inspected. x x x 1 2 Classroom 23 N/A Fiberglass Pipe Insulation Non Suspect ACM 18 LF LF 1 2 Classroom 23 N/A Ceiling Tile 2' x 4' NAD Classroom 23 N/A Plaster Walls NAD Classroom 23 N/A Wood Floor Non Suspect ACM Classroom 23 Coat Closet Area T Pipe Fitting Insulation 251/1/2/15 Confirmed 2 EA EA 1 No 1/D 1 2 Classroom 23 Coat Closet Area T Pipe Insulation 2-6 inch 251/1/2/16 Confirmed 12 LF LF Less than 1 LF; Small Crack. 1 No 1/D 1 2 Classroom 23 Coat Closet Area N/A Plaster Ceiling NAD Classroom 23 Coat Closet Area N/A Plaster Walls NAD Classroom 23 Coat Closet Area N/A Wood Floor Non Suspect ACM Classroom 24 T Pipe Insulation 2-6 inch 251/1/2/16 Confirmed 22 LF LF Less than 1 LF; Small Hole. 1 No 1/D 1 2 Classroom 24 N/A Fiberglass Pipe Insulation Non Suspect ACM 24 LF LF 1 2 Classroom 24 N/A Ceiling Tile 2' x 4' NAD Classroom 24 N/A Plaster Walls NAD Classroom 24 N/A Wood Floor Non Suspect ACM Classroom 24 Coat Closet Area in Front T Pipe Fitting Insulation 251/1/2/15 Confirmed 1 EA EA 1 No 1/D 1 2 Classroom 24 Coat Closet Area in Front T Pipe Insulation 2-6 inch 251/1/2/16 Confirmed 12 LF LF 1 No 1/D 1 2 Classroom 24 Coat Closet Area in Front N/A Plaster Ceiling NAD Classroom 24 Coat Closet Area in Front N/A Plaster Walls NAD Classroom 24 Coat Closet Area in Front N/A Wood Floor Non Suspect ACM Classroom 24 Storage Room in Back N/A Plaster Ceiling NAD Classroom 24 Storage Room in Back N/A Plaster Walls NAD Classroom 24 Storage Room in Back N/A Wood Floor Non Suspect ACM Classroom 211 N/A Fiberglass Pipe Insulation Non Suspect ACM 24 LF LF 1 2 Classroom 211 N/A Ceiling Tile 2' x 4' NAD Classroom 211 N/A Plaster Walls NAD Classroom 211 N/A Partition Room Dividers Non Suspect ACM Classroom 211 N/A Wood Floor Non Suspect ACM Classroom 211 Coat Closet Area N/A Concrete Ceiling Non Suspect ACM Classroom 211 Coat Closet Area N/A Plaster Walls NAD Classroom 211 Coat Closet Area N/A Wood Floor Non Suspect ACM Classroom 24-A N/A Ceiling Tile 2' x 4' NAD Classroom 24-A N/A Plaster Walls NAD Classroom 24-A N/A Wood Floor Non Suspect ACM Women's Restroom in Classroom 24-A N/A Fiberglass Pipe Insulation Non Suspect ACM 6 LF LF Fiberglass Pipe Fitting N/A Non Suspect ACM EA EA 1 2 Women's Restroom in Classroom 24-A Insulation Women's Restroom in Classroom 24-A N/A Plaster Ceiling NAD 42 Attic Crawl Space Ranking Damage Potential (DP) Newly Friable (NF) Response Action (RA) 7

35 251 Andrew Jackson ES AHERA Three-Year Report.xls E l e m e n t F l o o r School District of Philadelphia AHERA Three-Year Reinspection Reinspection Date: 1/27/216 and 1/28/216 Andrew Jackson Elementary School Room by Room Location Log Report Building Inspector: Paul Davis 1213 South 12th Street, Philadelphia, PA Number: ACC ULCS# 251 Year Built: 1925 Number: 7492 Amount of Damage Color required for VAT Management Planner: Mary Anne Lerro System Confirmed, Assumed, NAD, Amount of LF LF On Site Room Name Affected Material Description HID# Non Suspect ACM Material EA EA Comments/Description/Notes 1 2 Women's Restroom in Classroom 24-A N/A Plaster Walls NAD Women's Restroom in Classroom 24-A N/A Ceramic Tile Floors Non Suspect ACM Classroom 25 N/A Fiberglass Pipe Insulation Non Suspect ACM 6 LF LF 1 2 Classroom 25 N/A Ceiling Tile 2' x 4' NAD Classroom 25 N/A Plaster Walls NAD Classroom 25 N/A Wood Floor Non Suspect ACM Classroom 25 Coat Closet Area N/A Plaster Ceiling NAD Classroom 25 Coat Closet Area N/A Plaster Walls NAD Classroom 25 Coat Closet Area N/A Wood Floor Non Suspect ACM Classroom 26 N/A Fiberglass Pipe Insulation Non Suspect ACM 18 LF LF 1 2 Classroom 26 N/A Ceiling Tile 2' x 4' NAD Classroom 26 N/A Plaster Walls NAD Classroom 26 N/A Wood Floor Non Suspect ACM Classroom 26 Coat Closet Area T Pipe Fitting Insulation 251/1/2/15 Confirmed 2 EA EA 1 No 1/D 1 2 Classroom 26 Coat Closet Area T Pipe Insulation 2-6 inch 251/1/2/16 Confirmed 12 LF LF 1 No 1/D 1 2 Classroom 26 Coat Closet Area N/A Plaster Ceiling NAD Classroom 26 Coat Closet Area N/A Plaster Walls NAD Classroom 26 Coat Closet Area N/A Wood Floor Non Suspect ACM Classroom 27 N/A Fiberglass Pipe Insulation Non Suspect ACM 15 LF LF 1 2 Classroom 27 N/A Ceiling Tile 2' x 4' NAD Classroom 27 N/A Plaster Walls NAD Classroom 27 N/A Wood Floor Non Suspect ACM Classroom 27 Coat Closet Area N/A Plaster Ceiling NAD Classroom 27 Coat Closet Area N/A Plaster Walls NAD Classroom 27 Coat Closet Area N/A Wood Floor Non Suspect ACM 12 Classroom 29/21 Computer Lab Office Space and N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 1 2 Copy Room 38 Classroom 29/21 Computer Lab Office Space and N/A Plaster Walls NAD 1 2 Copy Room 55 Classroom 29/21 Computer Lab Office Space and Sheetrock Wall 251/1/2/KEM/PD/21 Assumed 1 2 Copy Room M 19 1 No 1/D Classroom 29/21 Computer Lab Office Space and Floor Tile VAT 12" x 12" 251/1/2/DD Assumed 1 2 Copy Room M 38 Tan 1 No 1/D 1 2 Classroom 29/21 Computer Lab N/A Fiberglass Pipe Insulation Non Suspect ACM 12 LF LF 1 2 Classroom 29/21 Computer Lab N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM Classroom 29/21 Computer Lab N/A Plaster Walls NAD Classroom 29/21 Computer Lab M Sheetrock Wall 251/1/2/KEM/PD/21 Assumed 19 1 No 1/D 1 2 Classroom 29/21 Computer Lab N/A Carpet Non Suspect ACM Classroom 29/21 Computer Lab M Floor Tile VAT 12" x 12" 251/1/2/DD Assumed 8 Tan 1 No 1/D 1 2 Classroom 29/21 Coat Closet on 29 Side of Room N/A Concrete Ceiling Non Suspect ACM Classroom 29/21 Coat Closet on 29 Side of Room N/A Plaster Walls NAD Classroom 29/21 Coat Closet on 29 Side of Room M Sheetrock Wall 251/1/2/KEM/PD/21 Assumed 48 1 No 1/D 1 2 Classroom 29/21 Coat Closet on 29 Side of Room M Floor Tile VAT 12" x 12" 251/1/2/DD Assumed 32 Tan 1 No 1/D 1 2 Classroom 29/21 Storage Room on 29 Side of Room N/A Concrete Ceiling Non Suspect ACM Classroom 29/21 Storage Room on 29 Side of Room N/A Plaster Walls NAD Classroom 29/21 Storage Room on 29 Side of Room M Sheetrock Wall 251/1/2/KEM/PD/21 Assumed 48 1 No 1/D 1 2 Classroom 29/21 Storage Room on 29 Side of Room M Floor Tile VAT 12" x 12" 251/1/2/DD Assumed 44 Tan 1 No 1/D Classroom 29/21 Computer Server Room on 21 Side N/A Concrete Ceiling Non Suspect ACM 1 2 of Room 44 Classroom 29/21 Computer Server Room on 21 Side N/A Plaster Walls NAD 1 2 of Room 312 Classroom 29/21 Computer Server Room on 21 Side Sheetrock Wall 251/1/2/KEM/PD/21 Assumed 1 2 of Room M 48 1 No 1/D Classroom 29/21 Computer Server Room on 21 Side Floor Tile VAT 12" x 12" 251/1/2/DD Assumed 1 2 of Room M 44 Tan 1 No 1/D Classroom 29/21 Computer Lab Office Space and N/A Concrete Ceiling Non Suspect ACM 1 2 Copy Room Storage Closet 36 Classroom 29/21 Computer Lab Office Space and N/A Plaster Walls NAD 1 2 Copy Room Storage Closet 264 Classroom 29/21 Computer Lab Office Space and Sheetrock Wall 251/1/2/KEM/PD/21 Assumed 1 2 Copy Room Storage Closet M 48 1 No 1/D Classroom 29/21 Computer Lab Office Space and N/A Floor Tile VAT 12" x 12" NAD 1 2 Copy Room Storage Closet 36 Tan Sampled 2/13/15 (KEM/B.Joseph) Classroom 29/21 Computer Lab Office Space and N/A Yellow Mastic a/w Floor Tile 1 2 Copy Room Storage Closet VAT 12" x 12" NAD 36 Yellow Sampled 2/13/15 (KEM/B.Joseph) 1 2 Boy's Restroom next to Classroom 27 N/A Fiberglass Pipe Insulation Non Suspect ACM 6 LF LF Pipe Chase Access in Room. 1 2 Boy's Restroom next to Classroom 27 N/A Plaster Ceiling NAD 144 Pipe Chase Access in Room. 1 2 Boy's Restroom next to Classroom 27 N/A Plaster Walls NAD 26 Pipe Chase Access in Room. Attic Crawl Space Ranking Damage Potential (DP) Newly Friable (NF) Response Action (RA) 8

36 251 Andrew Jackson ES AHERA Three-Year Report.xls E l e m e n t F l o o r School District of Philadelphia AHERA Three-Year Reinspection Reinspection Date: 1/27/216 and 1/28/216 Andrew Jackson Elementary School Room by Room Location Log Report Building Inspector: Paul Davis 1213 South 12th Street, Philadelphia, PA Number: ACC ULCS# 251 Year Built: 1925 Number: 7492 Management Planner: Mary Anne Lerro System Confirmed, Assumed, NAD, Amount of LF Amount of LF Color required Attic Crawl Space Damage Potential Newly Friable On Site Room Name Affected Material Description HID# Non Suspect ACM Material EA Damage EA for VAT Comments/Description/Notes Ranking (DP) (NF) 1 2 Boy's Restroom next to Classroom 27 N/A Ceramic Tile Walls Non Suspect ACM 364 Pipe Chase Access in Room. 1 2 Boy's Restroom next to Classroom 27 N/A Concrete Floor Non Suspect ACM 144 Pipe Chase Access in Room. Fiberglass Pipe Fitting N/A Non Suspect ACM EA EA 1 2 Boy's Restroom Pipe Chase Insulation Boy's Restroom Pipe Chase N/A Fiberglass Pipe Insulation Non Suspect ACM 3 LF LF 1 2 Boy's Restroom Pipe Chase N/A Plaster Ceiling NAD Boy's Restroom Pipe Chase N/A Plaster Walls NAD Boy's Restroom Pipe Chase N/A Concrete Floor Non Suspect ACM Stairwell near Classroom 28 T Pipe Fitting Insulation 251/1/2/15 Confirmed 3 EA EA 1 No 1/D 1 2 Stairwell near Classroom 28 T Pipe Insulation 2-6 inch 251/1/2/16 Confirmed 32 LF LF 1 No 1/D 1 2 Stairwell near Classroom 28 N/A Plaster Ceiling NAD Stairwell near Classroom 28 N/A Plaster Walls NAD Stairwell near Classroom 28 N/A Concrete Floor Non Suspect ACM Hallway from Classroom 28 to Fire Tower Stairs T Pipe Insulation 2-6 inch 251/1/2/16 Confirmed 22 LF LF 1 No 1/D 1 2 Hallway from Classroom 28 to Fire Tower Stairs N/A Ceiling Tile 2' x 4' NAD Hallway from Classroom 28 to Fire Tower Stairs N/A Plaster Walls NAD Hallway from Classroom 28 to Fire Tower Stairs N/A Concrete Floor Non Suspect ACM Classroom 28 N/A Fiberglass Pipe Insulation Non Suspect ACM 12 LF LF 1 2 Classroom 28 N/A Ceiling Tile 2' x 4' NAD Classroom 28 N/A Plaster Walls NAD Classroom 28 N/A Wood Floor Non Suspect ACM Classroom 28 Coat Closet on Right Side of Room T Pipe Fitting Insulation 251/1/2/15 Confirmed 2 EA EA 1 No 1/D 1 2 Classroom 28 Coat Closet on Right Side of Room T Pipe Insulation 2-6 inch 251/1/2/16 Confirmed 14 LF LF Less than 1 LF; Pencil Holes. 1 No 1/D 1 2 Classroom 28 Coat Closet on Right Side of Room N/A Plaster Ceiling NAD Classroom 28 Coat Closet on Right Side of Room N/A Plaster Walls NAD Classroom 28 Coat Closet on Right Side of Room N/A Wood Floor Non Suspect ACM Classroom 28 Book Closet on Left Side of Room N/A Fiberglass Pipe Insulation Non Suspect ACM 48 LF LF Fiberglass Pipe Fitting N/A Non Suspect ACM EA EA 1 2 Classroom 28 Book Closet on Left Side of Room Insulation Classroom 28 Book Closet on Left Side of Room N/A Plaster Ceiling NAD Classroom 28 Book Closet on Left Side of Room N/A Plaster Walls NAD Classroom 28 Book Closet on Left Side of Room N/A Wood Floor Non Suspect ACM Fire Tower Stairs Landing Area by Hallway N/A Concrete Ceiling Non Suspect ACM Fire Tower Stairs Landing Area by Hallway N/A Brick Wall Non Suspect ACM Fire Tower Stairs Landing Area by Hallway N/A Concrete Floor Non Suspect ACM Fire Tower Stairs N/A Concrete Ceiling Non Suspect ACM Fire Tower Stairs N/A Brick Wall Non Suspect ACM Fire Tower Stairs N/A Concrete Floor Non Suspect ACM Hallway from Girl's Restroom to Boy's Restroom T Pipe Fitting Insulation 251/1/2/15 Confirmed 3 EA EA 1 No 1/D 1 2 Hallway from Girl's Restroom to Boy's Restroom T Pipe Insulation 2-6 inch 251/1/2/16 Confirmed 44 LF LF Less than 1 LF. Taped. 1 No 1/D 1 2 Hallway from Girl's Restroom to Boy's Restroom N/A Fiberglass Pipe Insulation Non Suspect ACM 38 LF LF 1 2 Hallway from Girl's Restroom to Boy's Restroom N/A Ceiling Tile 2' x 4' NAD Hallway from Girl's Restroom to Boy's Restroom N/A Plaster Walls NAD Hallway from Girl's Restroom to Boy's Restroom N/A Concrete Floor Non Suspect ACM Stairwell near Classroom 38 T Pipe Fitting Insulation 251/1/3/23 Confirmed 2 EA EA 1 No 1/D 1 3 Stairwell near Classroom 38 T Pipe Insulation 2-6 inch 251/1/3/2 Confirmed 19 LF LF 1 No 1/D 1 3 Stairwell near Classroom 38 N/A Plaster Ceiling NAD Stairwell near Classroom 38 N/A Plaster Walls NAD Stairwell near Classroom 38 N/A Concrete Floor Non Suspect ACM Fire Tower Stairs N/A Concrete Ceiling Non Suspect ACM Fire Tower Stairs N/A Brick Wall Non Suspect ACM Fire Tower Stairs N/A Concrete Floor Non Suspect ACM Hallway from Classroom 38 to Fire Tower T Pipe Insulation 2-6 inch 251/1/3/2 Confirmed 11 LF LF 1 No 1/D 1 3 Hallway from Classroom 38 to Fire Tower N/A Ceiling Tile 2' x 4' NAD Hallway from Classroom 38 to Fire Tower N/A Plaster Walls NAD Hallway from Classroom 38 to Fire Tower N/A Concrete Floor Non Suspect ACM Classroom 38 N/A Fiberglass Pipe Insulation Non Suspect ACM 7 LF LF 1 3 Classroom 38 N/A Ceiling Tile 2' x 4' NAD Classroom 38 N/A Plaster Walls NAD Classroom 38 N/A Floor Tile VAT 12" x 12" NAD 96 Orange Sampled 12/11/14 (SYN/B.Bryson) Black Mastic a/w Floor Tile 1 3 Classroom 38 M VAT 12" x 12" 251/1/3/KEM/PD/25 Confirmed 96 Sampled 12/11/14 (SYN/B.Bryson) 1 No 1/D 1 3 Classroom 38 Coat Closet Area N/A Fiberglass Pipe Insulation Non Suspect ACM 8 LF LF No Access; Not Inspected. 1 3 Classroom 38 Coat Closet Area N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 84 No Access; Not Inspected. 1 3 Classroom 38 Coat Closet Area N/A Plaster Walls NAD 44 No Access; Not Inspected. 1 3 Classroom 38 Coat Closet Area M Floor Tile VAT 12" x 12" 251/1/3/EE Assumed 84 Tan No Access; Not Inspected. 1 No 1/D 1 3 Classroom 38 Book Closet N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 3 No Access; Not Inspected. Response Action (RA) 9

37 251 Andrew Jackson ES AHERA Three-Year Report.xls E l e m e n t F l o o r School District of Philadelphia AHERA Three-Year Reinspection Reinspection Date: 1/27/216 and 1/28/216 Andrew Jackson Elementary School Room by Room Location Log Report Building Inspector: Paul Davis 1213 South 12th Street, Philadelphia, PA Number: ACC ULCS# 251 Year Built: 1925 Number: 7492 Amount of Damage Color required for VAT Management Planner: Mary Anne Lerro System Confirmed, Assumed, NAD, Amount of LF LF On Site Room Name Affected Material Description HID# Non Suspect ACM Material EA EA Comments/Description/Notes 1 3 Classroom 38 Book Closet N/A Plaster Walls NAD 242 No Access; Not Inspected. 1 3 Classroom 38 Book Closet M Floor Tile VAT 12" x 12" 251/1/3/EE Assumed 3 Tan No Access; Not Inspected. 1 No 1/D 1 3 Classroom 37 N/A Ceiling Tile 2' x 4' NAD Classroom 37 N/A Plaster Walls NAD Classroom 37 N/A Wood Floor Non Suspect ACM Classroom 37 Coat Closet Area T Pipe Insulation 2-6 inch 251/1/3/2 Confirmed 11 LF LF 1 No 1/D 1 3 Classroom 37 Coat Closet Area N/A Plaster Ceiling NAD Classroom 37 Coat Closet Area N/A Plaster Walls NAD Classroom 37 Coat Closet Area N/A Wood Floor Non Suspect ACM Boy's Restroom next to Classroom 37 N/A Fiberglass Pipe Insulation Non Suspect ACM 6 LF LF Pipe Chase Access in Room. 1 3 Boy's Restroom next to Classroom 37 N/A Plaster Ceiling NAD 18 Pipe Chase Access in Room. 1 3 Boy's Restroom next to Classroom 37 N/A Plaster Walls NAD 28 Pipe Chase Access in Room. 1 3 Boy's Restroom next to Classroom 37 N/A Ceramic Tile Walls Non Suspect ACM 392 Pipe Chase Access in Room. 1 3 Boy's Restroom next to Classroom 37 N/A Concrete Floor Non Suspect ACM 18 Pipe Chase Access in Room. 1 3 Boy's Restroom Pipe Chase x X x X X X X X X No Access; Not Inspected. x x x 1 3 Classroom 36 N/A Fiberglass Pipe Insulation Non Suspect ACM 1 LF LF 1 3 Classroom 36 N/A Ceiling Tile 2' x 4' NAD Classroom 36 N/A Plaster Walls NAD Classroom 36 N/A Wood Floor Non Suspect ACM Classroom 36 Coat Closet Area T Pipe Insulation 2-6 inch 251/1/3/2 Confirmed 12 LF LF 1 No 1/D 1 3 Classroom 36 Coat Closet Area N/A Plaster Ceiling NAD Classroom 36 Coat Closet Area N/A Plaster Walls NAD Classroom 36 Coat Closet Area N/A Wood Floor Non Suspect ACM IMC Office N/A Ceiling Tile 2' x 4' NAD IMC Office N/A Plaster Walls NAD IMC Office M Sheetrock Wall 251/1/3/KEM/PD/21 Assumed 2 1 No 1/D 1 3 IMC Office M Sink Undercoat Mastic 251/1/3/KEM/PD/262 Assumed 3 1 No 1/D 1 3 IMC Office N/A Carpet Non Suspect ACM Storage between IMC/Library and IMC Office x X x X X X X X X No Access; Not Inspected. x x x 1 3 IMC/Library N/A Fiberglass Pipe Insulation Non Suspect ACM 36 LF LF 1 3 IMC/Library N/A Ceiling Tile 2' x 4' NAD IMC/Library N/A Plaster Walls NAD IMC/Library M Sheetrock Wall 251/1/3/KEM/PD/21 Assumed 47 1 No 1/D 1 3 IMC/Library N/A Carpet Non Suspect ACM IMC/Library Middle Storage Closet N/A Plaster Ceiling NAD IMC/Library Middle Storage Closet N/A Plaster Walls NAD IMC/Library Middle Storage Closet M Floor Tile VAT 12" x 12" 251/1/3/EE Assumed 8 Tan 1 No 1/D 1 3 Storage Room in IMC/Library x X x X X X X X X No Access; Not Inspected. x x x 1 3 Classroom 35 N/A Fiberglass Pipe Insulation Non Suspect ACM 12 LF LF 1 3 Classroom 35 N/A Ceiling Tile 2' x 4' NAD Classroom 35 N/A Plaster Walls NAD Classroom 35 N/A Wood Floor Non Suspect ACM Classroom 35 Coat Closet Area T Pipe Insulation 2-6 inch 251/1/3/2 Confirmed 12 LF 1 LF No Access; Not Inspected. 1 Yes 2/A 1 3 Classroom 35 Coat Closet Area N/A Plaster Ceiling NAD Classroom 35 Coat Closet Area N/A Plaster Walls NAD Classroom 35 Coat Closet Area N/A Wood Floor Non Suspect ACM Room 34-A Counselor's Office N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 36 Attic Access Door next door. 1 3 Room 34-A Counselor's Office N/A Plaster Walls NAD 77 Attic Access Door next door. 1 3 Room 34-A Counselor's Office N/A Wood Floor Non Suspect ACM 36 Attic Access Door next door. 1 3 Room 34-A Storage Closet N/A Plaster Ceiling NAD Room 34-A Storage Closet N/A Plaster Walls NAD Room 34-A Storage Closet N/A Wood Floor Non Suspect ACM Room 34-A Counselor's Office Women's Restroom N/A Fiberglass Pipe Insulation Non Suspect ACM 8 LF LF Fiberglass Pipe Fitting N/A Non Suspect ACM EA EA 1 3 Room 34-A Counselor's Office Women's Restroom Insulation Room 34-A Counselor's Office Women's Restroom N/A Plaster Ceiling NAD Room 34-A Counselor's Office Women's Restroom N/A Plaster Walls NAD Room 34-A Counselor's Office Women's Restroom N/A Ceramic Tile Floors Non Suspect ACM Classroom 34 T Pipe Insulation 2-6 inch 251/1/3/2 Confirmed 12 LF LF 1 No 1/D 1 3 Classroom 34 N/A Fiberglass Pipe Insulation Non Suspect ACM 12 LF LF 1 3 Classroom 34 N/A Ceiling Tile 2' x 4' NAD Classroom 34 N/A Plaster Walls NAD Classroom 34 N/A Wood Floor Non Suspect ACM Girl's Restroom next to Classroom 32 N/A Plaster Ceiling NAD 162 Pipe Chase Access in Room. 1 3 Girl's Restroom next to Classroom 32 N/A Plaster Walls NAD 27 Pipe Chase Access in Room. 1 3 Girl's Restroom next to Classroom 32 N/A Ceramic Tile Walls Non Suspect ACM 378 Pipe Chase Access in Room. 1 3 Girl's Restroom next to Classroom 32 N/A Concrete Floor Non Suspect ACM 162 Pipe Chase Access in Room. Attic Crawl Space Ranking Damage Potential (DP) Newly Friable (NF) Response Action (RA) 1

38 251 Andrew Jackson ES AHERA Three-Year Report.xls E l e m e n t F l o o r School District of Philadelphia AHERA Three-Year Reinspection Reinspection Date: 1/27/216 and 1/28/216 Andrew Jackson Elementary School Room by Room Location Log Report Building Inspector: Paul Davis 1213 South 12th Street, Philadelphia, PA Number: ACC ULCS# 251 Year Built: 1925 Number: 7492 Management Planner: Mary Anne Lerro System Confirmed, Assumed, NAD, Amount of LF Amount of LF Color required Attic Crawl Space Damage Potential Newly Friable On Site Room Name Affected Material Description HID# Non Suspect ACM Material EA Damage EA for VAT Comments/Description/Notes Ranking (DP) (NF) 1 3 Girl's Restroom next to Classroom 32 M Vibration Damper Cloth 251/1/3/KEM/PD/261 Assumed 2 Pipe Chase Access in Room. 1 No 1/D Fiberglass Pipe Fitting N/A Non Suspect ACM EA EA 1 3 Girl's Restroom Pipe Chase Insulation Girl's Restroom Pipe Chase N/A Fiberglass Pipe Insulation Non Suspect ACM 25 LF LF 1 3 Girl's Restroom Pipe Chase N/A Plaster Ceiling NAD Girl's Restroom Pipe Chase N/A Plaster Walls NAD Girl's Restroom Pipe Chase N/A Concrete Floor Non Suspect ACM Classroom 33 N/A Fiberglass Pipe Insulation Non Suspect ACM 13 LF LF 1 3 Classroom 33 N/A Ceiling Tile 2' x 4' NAD Classroom 33 N/A Plaster Walls NAD Classroom 33 N/A Wood Floor Non Suspect ACM Classroom 32 N/A Fiberglass Pipe Insulation Non Suspect ACM 1 LF LF 1 3 Classroom 32 N/A Ceiling Tile 2' x 4' NAD Classroom 32 N/A Plaster Walls NAD Classroom 32 N/A Wood Floor Non Suspect ACM Storage Closet next to Girl's Restroom N/A Plaster Ceiling NAD Storage Closet next to Girl's Restroom N/A Plaster Walls NAD Storage Closet next to Girl's Restroom N/A Concrete Floor Non Suspect ACM Storage Closet next to Classroom 31 N/A Plaster Ceiling NAD Storage Closet next to Classroom 31 N/A Plaster Walls NAD Storage Closet next to Classroom 31 N/A Wood Floor Non Suspect ACM Classroom 31 N/A Fiberglass Pipe Insulation Non Suspect ACM 14 LF LF 1 3 Classroom 31 N/A Ceiling Tile 2' x 4' NAD Classroom 31 N/A Plaster Walls NAD Classroom 31 M Floor Tile VAT 18" x 18" 251/1/3/KEM/PD/27 Assumed 1152 Multi 1 No 1/D 1 3 Classroom 31 Right Side Storage Closet N/A Plaster Ceiling NAD Classroom 31 Right Side Storage Closet N/A Plaster Walls NAD Classroom 31 Right Side Storage Closet M Floor Tile VAT 18" x 18" 251/1/3/KEM/PD/27 Assumed 54 Multi 1 No 1/D 1 3 Classroom 31 Left Side Storage Closet N/A Fiberglass Pipe Insulation Non Suspect ACM 8 LF LF 1 3 Classroom 31 Left Side Storage Closet N/A Plaster Ceiling NAD Classroom 31 Left Side Storage Closet N/A Plaster Walls NAD Classroom 31 Left Side Storage Closet M Floor Tile VAT 18" x 18" 251/1/3/KEM/PD/27 Assumed 54 Multi 1 No 1/D 1 3 Stairwell next to Classroom 31 T Pipe Fitting Insulation 251/1/3/23 Confirmed 1 EA EA Exposed End. 1 No 1/D 1 3 Stairwell next to Classroom 31 T Pipe Insulation 2-6 inch 251/1/3/2 Confirmed 17 LF LF 1 No 1/D 1 3 Stairwell next to Classroom 31 N/A Plaster Ceiling NAD Stairwell next to Classroom 31 N/A Plaster Walls NAD Stairwell next to Classroom 31 N/A Concrete Floor Non Suspect ACM Hallway from Girl's Restroom to Boy's Restroom T Pipe Fitting Insulation 251/1/3/23 Confirmed 1 EA EA 1 No 1/D 1 3 Hallway from Girl's Restroom to Boy's Restroom T Pipe Insulation 2-6 inch 251/1/3/2 Confirmed 22 LF LF 1 No 1/D 1 3 Hallway from Girl's Restroom to Boy's Restroom N/A Ceiling Tile 2' x 4' NAD Hallway from Girl's Restroom to Boy's Restroom N/A Plaster Ceiling NAD Hallway from Girl's Restroom to Boy's Restroom N/A Plaster Walls NAD Hallway from Girl's Restroom to Boy's Restroom N/A Concrete Floor Non Suspect ACM C Crawl Space X X X X X X X X X None None X X X 1 A Attic accessible on 3rd Floor near Room 34A X X X X X X X X X A X X X Response Action (RA) 11

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