Explain in writing if the address of the building is different than the address on this form:
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- Evelyn Park
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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, 668 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 FOLLOWING FOR YOUR THREE YEAR REINSPECTION: DATE REINSPECTION COMPLETED: 5/5/216 ENROLLMENT IDPH INSPECTOR LICENSE NUMBER: IDPH LICENSED INSPECTOR NAME (Please Print): Allizon Brooks IDPH MP LICENSE NUMBER: IDPH LICENSED MANAGEMENT PLANNER NAME (Please Print): Daniel Juneau DESIGNATED PERSON (Please Print): Robert Christlieb PHONE: 26 (773) /5/216 Signature of Designated Person Date SECTION III PLEASE COMPLETE THE FOLLOWING INFORMATION FOR ANY CHANGES WITHIN THE SCHOOL DISTRICT. School building has been sold. Date of Sale: School has been closed. Date closed: School building has been demolished. School building is asbestos free since last reinspection: Please explain in writing why the school building is now asbestos free and include the supporting documentation. If a new school building has been added to the district, submit either and exclusionary statement or a management plan and inspection report. Include the complete name, address and city of school building. Explain in writing if the address of the building is different than the address on this form: IL Revised 1.3
2 THREE YEAR REINSPECTION CHICAGO SCHOOL DIST 299 Chicago, IL, 668 Unit: Building ID: IDPH ID Number: REPORT DATE: Thursday, May 5, 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 2, 216 Mr. R. Kent Cook Asbestos Program Illinois Department of Public Health 525 West Jefferson Street Springfield, Illinois Re: Three-Year Reinspections Dear Mr. Cook:, Managing Environmental Consultant (MEC), conducted the ThreeYear Reinspections and performed management plan updates for the (CPS) facilities in Region 3,4,5 Elementary Schools. Please update your records with the following information. School District: 299 Unit: School: Region: 4 IDPH ID: Building ID: Address: Chicago, IL, 668 Building Contact: Lane, Sharell Contact Phone: Current Building Owners: Review 5/5/216 Inspector: Allizon Brooks 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 2, 216 RE:, Unit Chicago, IL, 668 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: Lane, Sharell Unit: Chicago, IL, 668 Building ID: Phone: Description of Facility Original Construction: 193 Total Square Footage: 4785 Current Occupancy: Additional Construction: of Floors: 3 LEA Designated Person Contact: Robert Christlieb Address: 125 South Clark Street, 17th Floor Chicago, IL Phone: (773) Managing Environmental Consultant MEC: Contact: Dan Juneau Address 6 West Van Buren St., Ste 5 Phone: (312) Fax: (312) Inspector Inspector Name: Allizon Brooks Signature: 3/2/216 Inspector IDPH license # 6. Region: 4 Management Planner Management Planner Name: Daniel Juneau Signature: 5/5/216 Management Planner IDPH license # Review 5/5/ LEA Designated Person's Acknowledgement The reinspection report and recommendations have been received by me and appropriate action will be taken by the School District. Signature: 5/5/216 Name: Robert Christlieb Unit : Building:
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 : Unit: 27 White Sink Coating 36 2' x 2' White Fissured Ceiling Tile 45 Incinerator Insulation 4G 9" x 9" Beige Floor Tile Building:
8 B. The following new homogenous areas have been identified for Building : Unit: Building:
9 C. This reinspection covered only physically accessible and visible areas and materials that were identified in the LEA's management plan. The following materials were concealed and/or contained in areas that were inaccessible for sampling and have been classified as Assumed: C 3F C 4H 6H Carpet Mastic Roof Flashing - t AHERA Roof Field (Core) - t AHERA Blue/Green Carpet Mastic White Sink Coating 12" x 12" White w/gray Specks Floor Tile 12" x 12" White w/gray Specks Floor Tile Mastic 6" Beige Baseboard 6" Beige Baseboard Adhesive Pink Linoleum Pink Linoleum Adhesive Blue Linoleum Blue Linoleum Adhesive 2' x 2' White Fissured Ceiling Tile 12" X 12" Beige/Brown Speckled Floor Tile 12" X 12" Beige/Brown Speckled Floor Tile Mastic Drywall 12" x 12" Orange Floor Tile 12" x 12" White Floor Tile Drywall Joint Tape Drywall Joint Compound 12x12 White Floor Tile w/ Gray Mottle 12x12 White Floor Tile w/gray Mottle Mastic Incinerator Insulation Firedoor 12x12 White Floor Tile w/gray Mottle 9" x 9" White w/green Floor Tile 9" x 9" White w/green Floor Tile Mastic The following areas were deemed to be inaccessible: B 5F 6A Unit: 12" x 12" White w/gray Specks Floor Tile Mastic 6" Beige Baseboard Adhesive Pink Linoleum Adhesive Blue Linoleum Adhesive 12" X 12" Beige/Brown Speckled Floor Tile Mastic 12x12 White Floor Tile w/gray Mottle Mastic 12" x 12" Tan w/brown Floor Tile Mastic 12" x 12" White Floor Tile Mastic 9" x 9" Tan w/ White Floor Tile Mastic Building:
10 6B 6D 6E 6F 6G 6H 8 9" x 9" Black Floor Tile Mastic 9" x 9" White w/ Red and Black Floor Tile Mastic 9" x 9" Orange Floor Tile Mastic 9" x 9" Brown Floor Tile Mastic 9" x 9" Beige Floor Tile Mastic 9" x 9" White w/green Floor Tile Mastic Yellow Linoleum 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 Allizon Brooks, IDPH License #. The Management Plan was updated by Daniel Juneau, IDPH License # Inspector and Management Planner Licenses are included in Appendix B. Unit: Building:
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 Assumed ACBM, as well as any HA(s) that have become friable since the last reinspection. 6. Collect bulk samples from each newly discovered friable HA or previously assumed and submit for laboratory analysis. 7. Tabulate reinspection findings and submit for management planner review and recommendations with appropriate response actions based on the AHERA Damage Category of the ACBM. 8. Submit reinspection findings and management planner recommendations to the LEA within thirty (3) days for inclusion into the management plan. ABATEMENT HISTORY The information collected from the existing management plan and inspection report(s) and from interviews with the school official revealed that the following asbestos abatement was conducted at the school since the previous Three year Reinspection. Abatement Dates: V. REASSESSMENTS AND RECOMMENDATIONS The reassessments and recommendations are summarized in Tables I and II on the following pages. Detailed Hazard Assessment Sheets and Drawings and Photos (if applicable) are included in Appendix A. VI. CONCLUSIONS The Building Three-Year reinspection has been completed and response actions have been recommended for both friable and non-friable materials. A timely execution of the response actions recommended will enable the LEA and the Designated Person(s) to effectively manage the existing ACBM. This three-year reinspection report should be inspected in the current Management plan at the CPS Central Office, and one (1) copy should be kept at the school for use when planning any renovation and/or demolition activities in areas where ACBM has been identified. Also, periodic surveillance documentation and any summary reports from any response actions that are executed at the school should be used to update the Management Plan. Unit: Building:
12 Table I Inspector's Reinspection Findings
13 School Unit Building ID 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 Plaster 1 Black Baseboard Mastic Green Carpet Mastic Carpet Mastic ' x 4' Ceiling Tile Gray Baseboard 15 Gray Baseboard Mastic 16 Pink Baseboard 17 Pink Baseboard Mastic 18 Brown Baseboard 19 Brown Baseboard Mastic 2 Drywall 21 Drywall Exterior Brick n AHERA Exterior Brick Mortar n AHERA Roof Flashing - t AHERA Roof Field (Core) - t AHERA Blue/Green Carpet Mastic 27 White Sink Coating Material Quantity Material Units Material Location Asbestos Type Material Category Friable Damage Type Throughout Building Throughout Building Library Modular Building Rooms 43, 44, 45 Library - Room 23 Modular Building Room 46 Modular Building Room 46 Modular Building Corridor, Washrooms, and Coat Room Modular Building Corridor, Washrooms, and Coat Room Modular Building Rooms 43 and 44 Modular Building Rooms 43 and 44 Modular Building Throughout Basement Storage, Room 15, and Library - Room 23 Exterior Exterior Exterior Exterior Room 11 NO_ACBM SURFACE NO_ACBM NO_ACBM ASSUMED NO_ACBM NO_ACBM NO_ACBM NO_ACBM ASSUMED ASSUMED ASSUMED N NONE Damage Quantity Damage Units Change in Assessment Category Damage Category ACBM with the potential for damage Any remaining friable ACBM or friable suspect ACBM ACBM with the potential for damage LOW ACBM with the LOW Room 15 Lunchroom ASSUMED SURFACE Y NONE Yes 12" x 12" White w/gray Specks Floor Tile 4,5 ASSUMED N NONE 12" x 12" White w/gray Specks Floor Tile 4,5 New 23 Modular Hallways and Classrooms, Storage Rooms New 23 Modular - ASSUMED N NONE Damage Reason Disturbance Potential LOW LOW
14 School Unit Building ID 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 Material Quantity Material Units Mastic 3 6" Beige Baseboard 1,7 31 6" Beige Baseboard Adhesive 1,7 32 Pink Linoleum 1 33 Pink Linoleum Adhesive 1 34 Blue Linoleum 1 35 Blue Linoleum Adhesive ' x 2' White Fissured Ceiling Tile 4, " X 12" Beige/Brown Speckled Floor Tile 1, " X 12" Beige/Brown Speckled Floor Tile Mastic 1,5 39 Drywall 32 3A 12" x 12" Tan w/white Floor Tile 18, 3B 12" x 12" Tan w/brown Floor Tile 1, Material Location Hallways and Classrooms, Storage Rooms New 23 Modular Hallways and Classrooms, Storage Rooms New 23 Modular Hallways and Classrooms, Storage Rooms New 23 Modular Girl's Washroom New 23 Modular Girl's Washroom New 23 Modular Boy's Washroom New 23 Modular Boy's Washroom New 23 Modular Hallways, Classrooms and Storage Lunchroom, Room 6, 1st Floor Janitor's Closet Lunchroom, Room 6, 1st Floor Janitor's Closet Basement Boy's Playroom South Rooms 32, Gym Office, 25 Coat Room, 23, 22, 21, 13, and Teachers Lunchroom Rooms 21, 14,1st and 2nd Floor Corridor, Teachers Lunchroom, patching throughout building, and 1st & 2nd Floor Janitors Closet Asbestos Type Material Category Friable Damage Type Damage Quantity Damage Units Change in Assessment Category Damage Category Damage Reason Disturbance Potential potential for damage ASSUMED N NONE ACBM with the potential for damage LOW ASSUMED N NONE ACBM with the potential for damage LOW ASSUMED N NONE N NONE ASSUMED N NONE ASSUMED N NONE ASSUMED Y NONE Yes ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage Any remaining friable ACBM or friable suspect ACBM LOW ASSUMED ASSUMED N NONE ACBM with the potential for damage LOW ASSUMED N NONE ACBM with the potential for damage LOW ASSUMED N NONE N NONE ACBM with the potential for damage ACBM with the potential for damage LOW CHR CHR N NONE ACBM with the potential for damage LOW LOW LOW LOW LOW LOW
15 School Unit Building ID 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 3C 3D 12" x 12" Orange Floor Tile 12" x 12" Pink Floor Tile 3E 12" x 12" Gray Floor Tile 3F 12" x 12" White Floor Tile 4 Material Quantity Material Units Material Location Asbestos Type Material Category Friable Damage Type Room 15 Modular Building Rooms 43, 44, Corridors, and Washrooms Modular Building Room 46 1st Floor Corridor, Room 12, Washroom, MDF, 3rd flr Computer Rm, 31 Basement Boy's Playroom South Basement Boy's Playroom South Lobby ASSUMED ASSUMED N NONE ASSUMED N ASSUMED CHR TSI NE Lunchroom, Rm 12, 24, 31 NE Lunchroom, rm 12, 24, 31 Incinerator in Coal Room ASSUMED Damage Quantity Damage Units Change in Assessment Category Damage Category ACBM with the potential for damage LOW NONE LOW N NONE Y LOC 2 N NONE ASSUMED N NONE ASSUMED TSI Y NONE Yes ACBM with the potential for damage ACBM with the potential for damage Damaged or significantly damaged friable thermal system insulating ACBM ACBM with the potential for damage ACBM with the potential for damage Any remaining friable ACBM or friable suspect ACBM ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage 1,5 Drywall Joint Tape 56 LF 41 Drywall Joint Compound 56 LF 42 AirCell 1 LF 43 12x12 White Floor Tile w/ Gray Mottle 3, x12 White Floor Tile w/gray Mottle Mastic Incinerator Insulation 3, Firedoor 15 Boiler Room ASSUMED N NONE 4A 9" x 9" Tan w/white Floor Tile 5, N NONE 9" x 9" Black Floor Tile 3,2 CHR N NONE 4C 12x12 White Floor Tile w/gray Mottle 3,7 ASSUMED N NONE 4D 9" x 9" White w/red and Black Floor Tile 3, CHR N NONE 4E 9" x 9" Orange Floor Tile 85 CHR N NONE 4F 9" x 9" Brown Floor Tile 2, Rooms 11, 25, 26, and 35 Main Office, and Lunchroom underneath 12" X 12" Floor Tile NE Lunchroom, rm 12, 24, 31 2nd and 3rd Floor Corridors Old Engineer's Office Old Engineer's Office and Patching Throughout CHR 4B CHR 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 Damage Reason Disturbance Potential LOW 2 LOW LOW LOW LOW LOW LOW LOW LOW LOW LOW LOW
16 School Unit Building ID 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 4G 9" x 9" Beige Floor Tile 4H 9" x 9" White w/green Floor Tile 5A Material Quantity Material Units 1, " x 12" Tan w/white Floor Tile Mastic 18, 5B 12" x 12" Tan w/brown Floor Tile Mastic 1, 5C 5D 12" x 12" Orange Floor Tile Mastic 12" x 12" Pink Floor Tile Mastic 5E 12" x 12" Gray Floor Tile Mastic 5F 12" x 12" White Floor Tile Mastic 2,5 6A 9" x 9" Tan w/ White Floor Tile Mastic 5, 6B 9" x 9" Black Floor Tile Mastic 1, 6C 9" x 9" Green Floor Tile Mastic 6D 9" x 9" White w/ Red and Black Floor Tile Mastic 9" x 9" Orange Floor Tile Mastic 6E 3, 85 Material Location Asbestos Type Material Category Friable Damage Type CHR N NONE ASSUMED N Rooms 32, 36, Gym Office, 25 Coat Room, 23, 22, 21, 13, and Teachers Lunchroom Rooms 21, 12, 14,1st and 2nd Floor Corridor, Teachers Lunchroom, and patching throughout building Room 15 Modular Building Rooms 43, 44, Corridor, and Washrooms Modular Building Room 46 Room 12, 15 Washroom, and 1st Floor Corridor, MDF Room, 3rd Flr Computer Rm, 24 Lunchroom, 31 Rooms 11, 25, 26, and 35 Main Office CHR CHR CHR CHR N NONE ACBM with the potential for damage LOW CHR N NONE LOW CHR N NONE ACBM with the potential for damage ACBM with the potential for damage 2nd Floor Adjustment Room (24) 2nd and 3rd Floor Corridors Old Engineer's Office CHR CHR N NONE CHR N NONE Building Room 35, and Patching Throughout Building Main Office Damage Quantity Damage Units Change in Assessment Category Damage Category Yes ACBM with the potential for damage LOW NONE LOW N NONE ACBM with the potential for damage ACBM with the potential for damage N NONE ACBM with the potential for damage LOW ne Damage Reason Disturbance Potential LOW Low ne LOW Low ACBM with the potential for damage ACBM with the potential for damage LOW LOW
17 School Unit Building ID 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 6F 9" x 9" Brown Floor Tile Mastic 6G 9" x 9" Beige Floor Tile Mastic 6H 9" x 9" White w/green Floor Tile Mastic 7 Yellow Linoleum 8 Yellow Linoleum Mastic 9 Black Baseboard A Elbows on Fiberglass Pipe Runs B Duct Insulation C Paperwrap Pipe Insulation D Elbows on Paperwrap Pipe Insulation Material Quantity Material Units Material Location Asbestos Type Material Category Friable Damage Type 2, CHR N NONE 1,25 CHR N 4 Old Engineer's Office, Lunchroom, and patching throughout Room 35, and Patching Throughout Main Office ASSUMED 75 CHR 75 3rd Floor Janitor Closets 3rd Floor Janitor Closets Throughout Building Throughout Building Basement Air Chamber Throughout Basement behind walls above ceilings and in chases Throughout Basement CHR NO_ACBM NO_ACBM CHR TSI ne CHR TSI ne NO_ACBM TSI Damage Quantity Damage Units Damage Category Change in Assessment Category Damage Reason Disturbance Potential ACBM with the potential for damage LOW NONE ACBM with the potential for damage LOW N NONE NONE N NONE ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage LOW N LOW LOW Moderate
18 School Unit Building ID 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 3/2/216 Inspector Name Inspector's Comments Allizon Brooks 5/15/217 Inspector's IDPH License Number / Expiration Date HA Number: Inspector Comments: t observed 216 t observed 216 t observed 216 t observed 216 t observed 216 t observed 216 t observed 216 t observed 216
19 School Unit Building ID 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: A 3B 3C 3D 3E 3F A 4B 4C 4D 4E 4F 4G 4H 5A Inspector Comments: t observed 216 t observed 216 t observed 216
20 School Unit Building ID 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: 5B 5C 5D 5E 5F 6A 6B 6C 6D 6E 6F 6G 6H A B C D Inspector Comments: t observed 216 t observed 216 t observed 216 t observed 216 t observed 216 t observed 216
21 Table II Management Planner's Review
22 School Address Unit Building ID Chicago, IL, 668 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 Plaster Black Baseboard Mastic Green Carpet Mastic Carpet Mastic ' x 4' Ceiling Tile Gray Baseboard Gray Baseboard Mastic Pink Baseboard 17 Pink Baseboard Mastic Brown Baseboard Brown Baseboard Mastic Drywall Drywall Exterior Brick n AHERA Exterior Brick Mortar n AHERA Roof Flashing - t AHERA Roof Field (Core) - t AHERA Blue/Green Carpet Mastic White Sink Coating " x 12" White w/gray Specks Floor Tile 4, " x 12" White w/gray Specks Floor Tile Mastic 4,5 3 6" Beige Baseboard 1,7 31 6" Beige Baseboard Adhesive 1, Pink Linoleum Pink Linoleum Adhesive Blue Linoleum Material Location Asbestos Type Material Category Friable Damage Quantity Damage Units Damage Category Response Throughout Building Throughout Building Library Modular Building - Rooms 43, 44, 45 Library - Room 23 Modular Building - Room 46 Modular Building - Room 46 Modular Building - Corridor, Washrooms, and Coat Room Modular Building - Corridor, Washrooms, and Coat Room Modular Building - Rooms 43 and 44 Modular Building - Rooms 43 and 44 Modular Building - Throughout Basement Storage, Room 15, and Library - Room 23 Exterior Exterior Exterior Exterior Room 11 Room 15 Lunchroom ACBM ACBM ACBM Assumed SURFACE ACBM ACBM ACBM ACBM Assumed Assumed Assumed Assumed SURFACE Yes Assumed 6 ACBM with the potential for damage 7 Any remaining friable ACBM or friable suspect ACBM 6 ACBM with the potential for damage New 23 Modular - Hallways and Classrooms, Storage Rooms New 23 Modular - Hallways and Classrooms, Storage Rooms New 23 Modular - Hallways and Classrooms, Storage Rooms New 23 Modular - Hallways and Classrooms, Storage Rooms New 23 Modular Girl's Washroom New 23 Modular Girl's Washroom New 23 Modular Boy's Washroom Assumed 6 ACBM with the potential for damage Assumed 6 ACBM with the potential for damage Assumed 6 ACBM with the potential for damage Assumed Assumed Assumed 6 ACBM with the potential for damage 6 ACBM with the potential for damage 6 ACBM with the potential for damage
23 School Address Unit Building ID Chicago, IL, 668 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 Material Location Asbestos Type Material Category Friable Damage Quantity Damage Units Damage Category Response Blue Linoleum Adhesive 2' x 2' White Fissured Ceiling Tile 1 4,5 Assumed Assumed Yes 12" X 12" Beige/Brown Speckled Floor Tile 1,5 Assumed 6 ACBM with the potential for damage 7 Any remaining friable ACBM or friable suspect ACBM 6 ACBM with the potential for damage " X 12" Beige/Brown Speckled Floor Tile Mastic 1,5 Assumed 6 ACBM with the potential for damage 39 3A Drywall 12" x 12" Tan w/white Floor Tile 32 18, Assumed Chrysotile 6 ACBM with the potential for damage 6 ACBM with the potential for damage 3B 12" x 12" Tan w/brown Floor Tile 1, Chrysotile 6 ACBM with the potential for damage 3C 3D 12" x 12" Orange Floor Tile 12" x 12" Pink Floor Tile Assumed 3E 3F 12" x 12" Gray Floor Tile 12" x 12" White Floor Tile 1,5 Assumed 6 ACBM with the potential for damage Drywall Joint Tape Drywall Joint Compound AirCell LF LF LF New 23 Modular Boy's Washroom New 23 Modular - Hallways, Classrooms and Storage Lunchroom, Room 6, 1st Floor Janitor's Closet Lunchroom, Room 6, 1st Floor Janitor's Closet Basement Boy's Playroom South Rooms 32, Gym Office, 25 Coat Room, 23, 22, 21, 13, and Teachers Lunchroom Rooms 21, 14,1st and 2nd Floor Corridor, Teachers Lunchroom, patching throughout building, and 1st & 2nd Floor Janitors Closet Room 15 Modular Building - Rooms 43, 44, Corridors, and Washrooms Modular Building - Room 46 1st Floor Corridor, Room 12, Washroom, MDF, 3rd flr Computer Rm, 31 Basement Boy's Playroom South Basement Boy's Playroom South Lobby Assumed Assumed Chrysotile TSI Yes 2 LF LF LF Repair x12 White Floor Tile w/ Gray Mottle 12x12 White Floor Tile w/gray Mottle Mastic Incinerator Insulation 3,7 3,7 16 NE Lunchroom, Rm 12, 24, 31 NE Lunchroom, rm 12, 24, 31 Incinerator in Coal Room Assumed Assumed Assumed TSI Yes 46 4A 4B Firedoor 9" x 9" Tan w/white Floor Tile 9" x 9" Black Floor Tile 15 5, 3,2 Assumed Chrysotile Chrysotile 4C 4D 12x12 White Floor Tile w/gray Mottle 9" x 9" White w/red and Black Floor Tile 3,7 3, Boiler Room Rooms 11, 25, 26, and 35 Main Office, and Lunchroom underneath 12" X 12" Floor Tile NE Lunchroom, rm 12, 24, 31 2nd and 3rd Floor Corridors 6 ACBM with the potential for damage 6 ACBM with the potential for damage 1 Damaged or significantly damaged friable thermal system insulating ACBM 6 ACBM with the potential for damage 6 ACBM with the potential for damage 7 Any remaining friable ACBM or friable suspect ACBM 6 ACBM with the potential for damage 6 ACBM with the potential for damage 6 ACBM with the potential for damage Assumed Chrysotile 6 ACBM with the potential for damage 6 ACBM with the potential for damage
24 School Address Unit Building ID Chicago, IL, 668 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 Material Location Asbestos Type Material Category Friable Damage Quantity Damage Units Damage Category Response 4E 4F 9" x 9" Orange Floor Tile 9" x 9" Brown Floor Tile 85 2, Chrysotile Chrysotile 6 ACBM with the potential for damage 6 ACBM with the potential for damage 4G 9" x 9" Beige Floor Tile 1,25 Chrysotile 6 ACBM with the potential for damage 4H 5A 9" x 9" White w/green Floor Tile 12" x 12" Tan w/white Floor Tile Mastic 4 18, Assumed Chrysotile 6 ACBM with the potential for damage 6 ACBM with the potential for damage 5B 12" x 12" Tan w/brown Floor Tile Mastic 1, Chrysotile 6 ACBM with the potential for damage 5C 5D 12" x 12" Orange Floor Tile Mastic 12" x 12" Pink Floor Tile Mastic Chrysotile 5E 5F 12" x 12" Gray Floor Tile Mastic 12" x 12" White Floor Tile Mastic Chrysotile 6 ACBM with the potential for damage 6A 6B 6C 6D 6E 6F Old Engineer's Office Old Engineer's Office and Patching Throughout Building Room 35, and Patching Throughout Building Main Office Rooms 32, 36, Gym Office, 25 Coat Room, 23, 22, 21, 13, and Teachers Lunchroom Rooms 21, 12, 14,1st and 2nd Floor Corridor, Teachers Lunchroom, and patching throughout building Room 15 Modular Building - Rooms 43, 44, Corridor, and Washrooms Modular Building - Room 46 Room 12, 15 Washroom, and 1st Floor Corridor, MDF Room, 3rd Flr Computer Rm, 24 Lunchroom, 31 Rooms 11, 25, 26, and 35 Main Office 2nd Floor Adjustment Room (24) 2nd and 3rd Floor Corridors Old Engineer's Office Old Engineer's Office, Lunchroom, and patching throughout Room 35, and Patching Throughout Main Office 3rd Floor Janitor Closets 3rd Floor Janitor Closets Throughout Building Throughout Building Basement Air Chamber Throughout Basement behind walls above ceilings and in chases Throughout Basement Chrysotile Chrysotile Chrysotile Chrysotile Chrysotile Chrysotile 6 ACBM with the potential for damage 6 ACBM with the potential for damage 6 ACBM with the potential for damage 6 ACBM with the potential for damage 6 ACBM with the potential for damage Chrysotile Assumed Chrysotile Chrysotile ACBM ACBM Chrysotile Chrysotile TSI TSI 6 ACBM with the potential for damage 6 ACBM with the potential for damage 6 ACBM with the potential for damage 6 ACBM with the potential for damage ACBM TSI 2,5 9" x 9" Tan w/ White Floor Tile Mastic 9" x 9" Black Floor Tile Mastic 9" x 9" Green Floor Tile Mastic 9" x 9" White w/ Red and Black Floor Tile Mastic 9" x 9" Orange Floor Tile Mastic 9" x 9" Brown Floor Tile Mastic 5, 1, 3, 85 2, 6G 6H A B C 9" x 9" Beige Floor Tile Mastic 9" x 9" White w/green Floor Tile Mastic Yellow Linoleum Yellow Linoleum Mastic Black Baseboard Elbows on Fiberglass Pipe Runs Duct Insulation Paperwrap Pipe Insulation 1, D Elbows on Paperwrap Pipe Insulation
25 School Address Unit Building ID Chicago, IL, 668 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 5/5/216 Review Date Manager Planner Name Daniel Juneau /15/216 Manager IDPH License /Expiration HA Number Management Comments If identified, implement O&M If identified, implement O&M If identified, implement O&M
26 School Address Unit Building ID Chicago, IL, 668 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 Number Management Comments A 3B 3C If identified, implement O&M If identified, implement O&M If identified, implement O&M If identified, implement O&M If identified, implement O&M If identified, implement O&M
27 School Address Unit Building ID Chicago, IL, 668 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 Number Management Comments 3D 3E 3F A 4B 4C 4D 4E 4F 4G 4H 5A 5B 5C 5D 5E 5F 6A 6B 6C If identified, implement O&M If identified, implement O&M Repair Localized Damage and Continue O&M If identified, implement O&M If identified, implement O&M If identified, implement O&M If identified, implement O&M
28 School Address Unit Building ID Chicago, IL, 668 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 Number 6D 6E 6F 6G 6H A B C D Management Comments If identified, implement O&M If identified, implement O&M
29 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 1 Plaster HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Throughout Building COMMENTS: Inspector's Signature: 3/2/216
30 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/216 1 Plaster Throughout Building 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: 5/5/216
31 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 1 Black Baseboard Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Throughout Building COMMENTS: Inspector's Signature: 3/2/216
32 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/216 1 Black Baseboard Mastic Throughout Building 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: 5/5/216
33 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 11 Green Carpet Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Library COMMENTS: Inspector's Signature: 3/2/216
34 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/ Green Carpet Mastic Library 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: 5/5/216
35 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 12 Carpet Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Modular Building - Rooms 43, 44, 45 COMMENTS: t observed 216 Inspector's Signature: 3/2/216
36 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/ Carpet Mastic Modular Building - Rooms 43, 44, 45 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: If identified, implement O&M Management Planner's Signature: 5/5/216
37 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 13 2' x 4' Ceiling Tile HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Library - Room 23 COMMENTS: Inspector's Signature: 3/2/216
38 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/ ' x 4' Ceiling Tile Library - Room 23 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: 5/5/216
39 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 14 Gray Baseboard HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Modular Building - Room 46 COMMENTS: t observed 216 Inspector's Signature: 3/2/216
40 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/ Gray Baseboard Modular Building - Room 46 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: If identified, implement O&M Management Planner's Signature: 5/5/216
41 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 15 Gray 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. DAMAGE REASON: DISTURBANCE POTENTIAL: Modular Building - Room 46 COMMENTS: t observed 216 Inspector's Signature: 3/2/216
42 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/ Gray Baseboard Mastic Modular Building - Room 46 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: If identified, implement O&M Management Planner's Signature: 5/5/216
43 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 16 Pink Baseboard HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Modular Building - Corridor, Washrooms, and Coat Room COMMENTS: t observed 216 Inspector's Signature: 3/2/216
44 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/ Pink Baseboard Modular Building - Corridor, Washrooms, and Coat Room In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: If identified, implement O&M Management Planner's Signature: 5/5/216
45 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 17 Pink 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. DAMAGE REASON: DISTURBANCE POTENTIAL: Modular Building - Corridor, Washrooms, and Coat Room COMMENTS: t observed 216 Inspector's Signature: 3/2/216
46 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/ Pink Baseboard Mastic Modular Building - Corridor, Washrooms, and Coat Room In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: If identified, implement O&M Management Planner's Signature: 5/5/216
47 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 18 Brown Baseboard HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Modular Building - Rooms 43 and 44 COMMENTS: t observed 216 Inspector's Signature: 3/2/216
48 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/ Brown Baseboard Modular Building - Rooms 43 and 44 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: If identified, implement O&M Management Planner's Signature: 5/5/216
49 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 19 Brown 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. DAMAGE REASON: DISTURBANCE POTENTIAL: Modular Building - Rooms 43 and 44 COMMENTS: t observed 216 Inspector's Signature: 3/2/216
50 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/ Brown Baseboard Mastic Modular Building - Rooms 43 and 44 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: If identified, implement O&M Management Planner's Signature: 5/5/216
51 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 2 Drywall HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Modular Building - Throughout COMMENTS: t observed 216 Inspector's Signature: 3/2/216
52 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/216 2 Drywall Modular Building - Throughout In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: If identified, implement O&M Management Planner's Signature: 5/5/216
53 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 21 Drywall HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Basement Storage, Room 15, and Library - Room 23 COMMENTS: Inspector's Signature: 3/2/216
54 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/ Drywall Basement Storage, Room 15, and Library - Room 23 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: 5/5/216
55 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 22 Exterior Brick n AHERA HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Exterior COMMENTS: Inspector's Signature: 3/2/216
56 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/ Exterior Brick n AHERA Exterior 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: 5/5/216
57 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 23 Exterior Brick Mortar n AHERA HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Exterior COMMENTS: Inspector's Signature: 3/2/216
58 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/ Exterior Brick Mortar n AHERA Exterior 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: 5/5/216
59 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 24 Roof Flashing - t AHERA HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Exterior COMMENTS: Inspector's Signature: 3/2/216
60 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/ Roof Flashing - t AHERA Exterior 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: 5/5/216
61 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 25 Roof Field (Core) - t AHERA HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Exterior COMMENTS: Inspector's Signature: 3/2/216
62 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/ Roof Field (Core) - t AHERA Exterior 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: 5/5/216
63 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 26 Blue/Green Carpet Mastic HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Room COMMENTS: Inspector's Signature: 3/2/216
64 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/ Blue/Green Carpet Mastic Room In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 5/5/216
65 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 27 White Sink Coating HISTORICAL AHERA DAMAGE CATEGORY 7 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Room 15 Lunchroom 4 COMMENTS: Inspector's Signature: 3/2/216
66 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/ White Sink Coating Room 15 Lunchroom 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: 5/5/216
67 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 28 12" x 12" White w/gray Specks Floor Tile HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW New 23 Modular - Hallways and Classrooms, Storage Rooms 45 COMMENTS: Inspector's Signature: 3/2/216
68 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/ " x 12" White w/gray Specks Floor Tile New 23 Modular - Hallways and Classrooms, Storage Rooms 45 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 5/5/216
69 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 29 12" x 12" White w/gray Specks Floor Tile Mastic HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW New 23 Modular - Hallways and Classrooms, Storage Rooms 45 COMMENTS: Inspector's Signature: 3/2/216
70 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/ " x 12" White w/gray Specks Floor Tile Mastic New 23 Modular - Hallways and Classrooms, Storage Rooms 45 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 5/5/216
71 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 3 6" Beige Baseboard HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW New 23 Modular - Hallways and Classrooms, Storage Rooms 17 COMMENTS: Inspector's Signature: 3/2/216
72 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/ " Beige Baseboard New 23 Modular - Hallways and Classrooms, Storage Rooms 17 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 5/5/216
73 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 31 6" Beige Baseboard Adhesive HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW New 23 Modular - Hallways and Classrooms, Storage Rooms 17 COMMENTS: Inspector's Signature: 3/2/216
74 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/ " Beige Baseboard Adhesive New 23 Modular - Hallways and Classrooms, Storage Rooms 17 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 5/5/216
75 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 32 Pink Linoleum HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW New 23 Modular Girl's Washroom 1 COMMENTS: Inspector's Signature: 3/2/216
76 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/ Pink Linoleum New 23 Modular Girl's Washroom 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: 5/5/216
77 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 33 Pink Linoleum Adhesive HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW New 23 Modular Girl's Washroom 1 COMMENTS: Inspector's Signature: 3/2/216
78 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/ Pink Linoleum Adhesive New 23 Modular Girl's Washroom 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: 5/5/216
79 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 34 Blue Linoleum HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW New 23 Modular Boy's Washroom 1 COMMENTS: Inspector's Signature: 3/2/216
80 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/ Blue Linoleum New 23 Modular Boy's Washroom 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: 5/5/216
81 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 35 Blue Linoleum Adhesive HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW New 23 Modular Boy's Washroom 1 COMMENTS: Inspector's Signature: 3/2/216
82 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/ Blue Linoleum Adhesive New 23 Modular Boy's Washroom 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: 5/5/216
83 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 36 2' x 2' White Fissured Ceiling Tile HISTORICAL AHERA DAMAGE CATEGORY 7 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: LOW New 23 Modular - Hallways, Classrooms and Storage 45 COMMENTS: Inspector's Signature: 3/2/216
84 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/ ' x 2' White Fissured Ceiling Tile New 23 Modular - Hallways, Classrooms and Storage 45 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 5/5/216
85 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 37 12" X 12" Beige/Brown Speckled Floor Tile HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Lunchroom, Room 6, 1st Floor Janitor's Closet 15 COMMENTS: Inspector's Signature: 3/2/216
86 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/ " X 12" Beige/Brown Speckled Floor Tile Lunchroom, Room 6, 1st Floor Janitor's Closet 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: 5/5/216
87 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 38 12" X 12" Beige/Brown Speckled Floor Tile Mastic HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Lunchroom, Room 6, 1st Floor Janitor's Closet 15 COMMENTS: Inspector's Signature: 3/2/216
88 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/ " X 12" Beige/Brown Speckled Floor Tile Mastic Lunchroom, Room 6, 1st Floor Janitor's Closet 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: 5/5/216
89 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 39 Drywall HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Basement Boy's Playroom South 32 COMMENTS: Inspector's Signature: 3/2/216
90 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/ Drywall Basement Boy's Playroom South 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: 5/5/216
91 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 3A 12" x 12" Tan w/white Floor Tile HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Rooms 32, Gym Office, 25 Coat Room, 23, 22, 21, 13, and Teachers Lunchroom 18 COMMENTS: Inspector's Signature: 3/2/216
92 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/216 3A 12" x 12" Tan w/white Floor Tile Rooms 32, Gym Office, 25 Coat Room, 23, 22, 21, 13, and Teachers Lunchroom 18 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 5/5/216
93 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 3B 12" x 12" Tan w/brown Floor Tile HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Rooms 21, 14,1st and 2nd Floor Corridor, Teachers Lunchroom, patching throughout building, and 1st & 2nd Floor Janitors Closet 1 COMMENTS: Inspector's Signature: 3/2/216
94 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/216 3B 12" x 12" Tan w/brown Floor Tile Rooms 21, 14,1st and 2nd Floor Corridor, Teachers Lunchroom, patching throughout building, and 1st & 2nd Floor Janitors Closet 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: 5/5/216
95 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 3C 12" x 12" Orange Floor Tile HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Room 15 COMMENTS: t observed 216 Inspector's Signature: 3/2/216
96 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/216 3C 12" x 12" Orange Floor Tile Room 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: If identified, implement O&M Management Planner's Signature: 5/5/216
97 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 3D 12" x 12" 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. DAMAGE REASON: DISTURBANCE POTENTIAL: Modular Building - Rooms 43, 44, Corridors, and Washrooms COMMENTS: t observed 216 Inspector's Signature: 3/2/216
98 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/216 3D 12" x 12" Pink Floor Tile Modular Building - Rooms 43, 44, Corridors, and Washrooms In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: If identified, implement O&M Management Planner's Signature: 5/5/216
99 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 3E 12" x 12" 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. DAMAGE REASON: DISTURBANCE POTENTIAL: Modular Building - Room 46 COMMENTS: t observed 216 Inspector's Signature: 3/2/216
100 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/216 3E 12" x 12" Gray Floor Tile Modular Building - Room 46 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: If identified, implement O&M Management Planner's Signature: 5/5/216
101 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 3F 12" x 12" White Floor Tile HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW 1st Floor Corridor, Room 12, Washroom, MDF, 3rd flr Computer Rm, COMMENTS: Inspector's Signature: 3/2/216
102 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/216 3F 12" x 12" White Floor Tile 1st Floor Corridor, Room 12, Washroom, MDF, 3rd flr Computer Rm, In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 5/5/216
103 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 4 Drywall Joint Tape HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Basement Boy's Playroom South 56 LF LF COMMENTS: Inspector's Signature: 3/2/216
104 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/216 4 Drywall Joint Tape Basement Boy's Playroom South 56 LF LF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 5/5/216
105 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 41 Drywall Joint Compound HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Basement Boy's Playroom South 56 LF LF COMMENTS: Inspector's Signature: 3/2/216
106 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/ Drywall Joint Compound Basement Boy's Playroom South 56 LF LF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 5/5/216
107 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 42 AirCell HISTORICAL AHERA DAMAGE CATEGORY 1 Damaged or significantly damaged friable thermal system insulating ACBM HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: Repair ASBESTOS TYPE: Chrysotile FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 1. Damaged or significantly damaged friable thermal system insulating ACBM DAMAGE REASON: Delamination Deterioration DISTURBANCE POTENTIAL: LOW Lobby 1 LF LF COMMENTS: Inspector's Signature: 3/2/216
108 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/ AirCell Lobby 1 LF 2 LF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Repair Comments: Repair Localized Damage and Continue O&M Management Planner's Signature: 5/5/216
109 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 43 12x12 White Floor Tile w/ Gray Mottle HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW NE Lunchroom, Rm 12, 24, COMMENTS: Inspector's Signature: 3/2/216
110 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/ x12 White Floor Tile w/ Gray Mottle NE Lunchroom, Rm 12, 24, In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 5/5/216
111 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 44 12x12 White Floor Tile w/gray Mottle Mastic HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW NE Lunchroom, rm 12, 24, COMMENTS: Inspector's Signature: 3/2/216
112 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/ x12 White Floor Tile w/gray Mottle Mastic NE Lunchroom, rm 12, 24, In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 5/5/216
113 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 45 Incinerator Insulation HISTORICAL AHERA DAMAGE CATEGORY 7 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Incinerator in Coal Room 16 COMMENTS: Inspector's Signature: 3/2/216
114 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/ Incinerator Insulation Incinerator in Coal 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: 5/5/216
115 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 46 Firedoor HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Boiler Room 15 COMMENTS: Inspector's Signature: 3/2/216
116 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/ Firedoor Boiler Room 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: 5/5/216
117 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 4A 9" x 9" Tan w/white Floor Tile HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Rooms 11, 25, 26, and 35 5 COMMENTS: Inspector's Signature: 3/2/216
118 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/216 4A 9" x 9" Tan w/white Floor Tile Rooms 11, 25, 26, and 35 5 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 5/5/216
119 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 4B 9" x 9" Black Floor Tile HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Main Office, and Lunchroom underneath 12" X 12" Floor Tile 32 COMMENTS: Inspector's Signature: 3/2/216
120 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/216 4B 9" x 9" Black Floor Tile Main Office, and Lunchroom underneath 12" X 12" Floor Tile 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: 5/5/216
121 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 4C 12x12 White Floor Tile w/gray Mottle HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW NE Lunchroom, rm 12, 24, COMMENTS: Inspector's Signature: 3/2/216
122 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/216 4C 12x12 White Floor Tile w/gray Mottle NE Lunchroom, rm 12, 24, In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 5/5/216
123 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 4D 9" x 9" White w/red and Black Floor Tile HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW 2nd and 3rd Floor Corridors 3 COMMENTS: Inspector's Signature: 3/2/216
124 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/216 4D 9" x 9" White w/red and Black Floor Tile 2nd and 3rd Floor Corridors 3 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 5/5/216
125 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 4E 9" x 9" Orange Floor Tile HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Old Engineer's Office 85 COMMENTS: Inspector's Signature: 3/2/216
126 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/216 4E 9" x 9" Orange Floor Tile Old Engineer's Office 85 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: 5/5/216
127 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 4F 9" x 9" Brown Floor Tile HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Old Engineer's Office and Patching Throughout Building 2 COMMENTS: Inspector's Signature: 3/2/216
128 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/216 4F 9" x 9" Brown Floor Tile Old Engineer's Office and Patching Throughout Building 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: 5/5/216
129 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 4G 9" x 9" Beige Floor Tile HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with potential for significant damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Room 35, and Patching Throughout Building 125 COMMENTS: Inspector's Signature: 3/2/216
130 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/216 4G 9" x 9" Beige Floor Tile Room 35, and Patching Throughout Building 125 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: 5/5/216
131 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 4H 9" x 9" White w/green Floor Tile HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Main Office 4 COMMENTS: Inspector's Signature: 3/2/216
132 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/216 4H 9" x 9" White w/green Floor Tile Main Office 4 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 5/5/216
133 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 5A 12" x 12" Tan w/white Floor Tile Mastic HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Rooms 32, 36, Gym Office, 25 Coat Room, 23, 22, 21, 13, and Teachers Lunchroom 18 COMMENTS: Inspector's Signature: 3/2/216
134 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/216 5A 12" x 12" Tan w/white Floor Tile Mastic Rooms 32, 36, Gym Office, 25 Coat Room, 23, 22, 21, 13, and Teachers Lunchroom 18 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 5/5/216
135 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 5B 12" x 12" Tan w/brown Floor Tile Mastic HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Rooms 21, 12, 14,1st and 2nd Floor Corridor, Teachers Lunchroom, and patching throughout building 1 COMMENTS: Inspector's Signature: 3/2/216
136 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/216 5B 12" x 12" Tan w/brown Floor Tile Mastic Rooms 21, 12, 14,1st and 2nd Floor Corridor, Teachers Lunchroom, and patching throughout building 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: 5/5/216
137 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 5C 12" x 12" Orange Floor Tile Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Low Room 15 COMMENTS: t observed 216 Inspector's Signature: 3/2/216
138 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/216 5C 12" x 12" Orange Floor Tile Mastic Room 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: If identified, implement O&M Management Planner's Signature: 5/5/216
139 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 5D 12" x 12" Pink 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. DAMAGE REASON: DISTURBANCE POTENTIAL: Modular Building - Rooms 43, 44, Corridor, and Washrooms COMMENTS: t observed 216 Inspector's Signature: 3/2/216
140 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/216 5D 12" x 12" Pink Floor Tile Mastic Modular Building - Rooms 43, 44, Corridor, and Washrooms In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: If identified, implement O&M Management Planner's Signature: 5/5/216
141 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 5E 12" x 12" Gray 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. DAMAGE REASON: DISTURBANCE POTENTIAL: Modular Building - Room 46 COMMENTS: t observed 216 Inspector's Signature: 3/2/216
142 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/216 5E 12" x 12" Gray Floor Tile Mastic Modular Building - Room 46 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: If identified, implement O&M Management Planner's Signature: 5/5/216
143 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 5F 12" x 12" White Floor Tile Mastic HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Room 12, 15 Washroom, and 1st Floor Corridor, MDF Room, 3rd Flr Computer Rm, 24 Lunchroom, COMMENTS: Inspector's Signature: 3/2/216
144 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/216 5F 12" x 12" White Floor Tile Mastic Room 12, 15 Washroom, and 1st Floor Corridor, MDF Room, 3rd Flr Computer Rm, 24 Lunchroom, 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: 5/5/216
145 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 6A 9" x 9" Tan w/ White Floor Tile Mastic HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Rooms 11, 25, 26, and 35 5 COMMENTS: Inspector's Signature: 3/2/216
146 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/216 6A 9" x 9" Tan w/ White Floor Tile Mastic Rooms 11, 25, 26, and 35 5 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 5/5/216
147 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 6B 9" x 9" Black Floor Tile Mastic HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Main Office 1 COMMENTS: Inspector's Signature: 3/2/216
148 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/216 6B 9" x 9" Black Floor Tile Mastic Main Office 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: 5/5/216
149 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 6C 9" x 9" Green Floor Tile Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Low 2nd Floor Adjustment Room (24) COMMENTS: t observed 216 Inspector's Signature: 3/2/216
150 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/216 6C 9" x 9" Green Floor Tile Mastic 2nd Floor Adjustment Room (24) In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: If identified, implement O&M Management Planner's Signature: 5/5/216
151 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 6D 9" x 9" White w/ Red and Black Floor Tile Mastic HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW 2nd and 3rd Floor Corridors 3 COMMENTS: Inspector's Signature: 3/2/216
152 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/216 6D 9" x 9" White w/ Red and Black Floor Tile Mastic 2nd and 3rd Floor Corridors 3 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 5/5/216
153 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 6E 9" x 9" Orange Floor Tile Mastic HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Old Engineer's Office 85 COMMENTS: Inspector's Signature: 3/2/216
154 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/216 6E 9" x 9" Orange Floor Tile Mastic Old Engineer's Office 85 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: 5/5/216
155 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 6F 9" x 9" Brown Floor Tile Mastic HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Old Engineer's Office, Lunchroom, and patching throughout 2 COMMENTS: Inspector's Signature: 3/2/216
156 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/216 6F 9" x 9" Brown Floor Tile Mastic Old Engineer's Office, Lunchroom, and patching throughout 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: 5/5/216
157 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 6G 9" x 9" Beige Floor Tile Mastic HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Room 35, and Patching Throughout 125 COMMENTS: Inspector's Signature: 3/2/216
158 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/216 6G 9" x 9" Beige Floor Tile Mastic Room 35, and Patching Throughout 125 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: 5/5/216
159 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 6H 9" x 9" White w/green Floor Tile Mastic HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Main Office 4 COMMENTS: Inspector's Signature: 3/2/216
160 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/216 6H 9" x 9" White w/green Floor Tile Mastic Main Office 4 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 5/5/216
161 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 7 Yellow Linoleum HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW 3rd Floor Janitor Closets 75 COMMENTS: Inspector's Signature: 3/2/216
162 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/216 7 Yellow Linoleum 3rd Floor Janitor Closets 75 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: 5/5/216
163 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 8 Yellow Linoleum Mastic HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW 3rd Floor Janitor Closets 75 COMMENTS: Inspector's Signature: 3/2/216
164 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/216 8 Yellow Linoleum Mastic 3rd Floor Janitor Closets 75 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: 5/5/216
165 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION 9 Black Baseboard HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Throughout Building COMMENTS: Inspector's Signature: 3/2/216
166 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/216 9 Black Baseboard Throughout Building 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: 5/5/216
167 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION A Elbows on Fiberglass Pipe Runs HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Throughout Building COMMENTS: Inspector's Signature: 3/2/216
168 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/216 A Elbows on Fiberglass Pipe Runs Throughout Building 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: 5/5/216
169 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION B Duct Insulation HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Basement Air Chamber COMMENTS: t observed 216 Inspector's Signature: 3/2/216
170 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/216 B Duct Insulation Basement Air Chamber In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: If identified, implement O&M Management Planner's Signature: 5/5/216
171 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION C Paperwrap Pipe Insulation HISTORICAL AHERA DAMAGE CATEGORY ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Moderate Throughout Basement behind walls above ceilings and in chases COMMENTS: t observed 216 Inspector's Signature: 3/2/216
172 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/216 C Paperwrap Pipe Insulation Throughout Basement behind walls above ceilings and in chases In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: If identified, implement O&M Management Planner's Signature: 5/5/216
173 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Allizon Brooks INSPECTION DATE: 3/2/216 INFORMATION FROM PREVIOUS INSPECTION D Elbows on Paperwrap Pipe Insulation HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Throughout Basement COMMENTS: Inspector's Signature: 3/2/216
174 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 5/5/216 D Elbows on Paperwrap Pipe Insulation Throughout Basement 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: 5/5/216
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176 APPENDIX B Inspector and Management Planner Licenses
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Explain in writing if the address of the building is different than the address on this form:
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
More informationExplain in writing if the address of the building is different than the address on this form:
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
More informationExplain in writing if the address of the building is different than the address on this form:
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
More informationExplain in writing if the address of the building is different than the address on this form:
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
More informationIf the address on this form is different than the address of the building, submit a written explanation.
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
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-2286
More informationExplain in writing if the address of the building is different than the address on this form:
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
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-2490
More informationExplain in writing if the address of the building is different than the address on this form:
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
More informationIf the address on this form is different than the address of the building, submit a written explanation.
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
More informationExplain in writing if the address of the building is different than the address on this form:
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
More informationExplain in writing if the address of the building is different than the address on this form:
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
More informationExplain in writing if the address of the building is different than the address on this form:
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
More informationExplain in writing if the address of the building is different than the address on this form:
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
More informationExplain in writing if the address of the building is different than the address on this form:
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
More informationIf the address on this form is different than the address of the building, submit a written explanation.
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
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-2724
More informationExplain in writing if the address of the building is different than the address on this form:
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
More informationExplain in writing if the address of the building is different than the address on this form:
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
More informationExplain in writing if the address of the building is different than the address on this form:
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
More informationExplain in writing if the address of the building is different than the address on this form:
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
More informationIf the address on this form is different than the address of the building, submit a written explanation.
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
More informationIf the address on this form is different than the address of the building, submit a written explanation.
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
More informationExplain in writing if the address of the building is different than the address on this form:
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
More informationExplain in writing if the address of the building is different than the address on this form:
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
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-2270
More informationExplain in writing if the address of the building is different than the address on this form:
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
More informationNoble Street Charter - UIC College Prep
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
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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
More informationExplain in writing if the address of the building is different than the address on this form:
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
More informationExplain in writing if the address of the building is different than the address on this form:
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
More informationExplain in writing if the address of the building is different than the address on this form:
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
More informationExplain in writing if the address of the building is different than the address on this form:
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
More informationExplain in writing if the address of the building is different than the address on this form:
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
More informationIf the address on this form is different than the address of the building, submit a written explanation.
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
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-2268
More informationYouth Connection - Community Service West Acad. Of Scholastic Achievement
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
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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
More informationIf the address on this form is different than the address of the building, submit a written explanation.
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
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-2080
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-2121
More informationIf the address on this form is different than the address of the building, submit a written explanation.
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
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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
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-3553
More informationIf the address on this form is different than the address of the building, submit a written explanation.
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
More informationExplain in writing if the address of the building is different than the address on this form:
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
More informationExplain in writing if the address of the building is different than the address on this form:
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
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-2168
More informationExplain in writing if the address of the building is different than the address on this form:
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
More informationExplain in writing if the address of the building is different than the address on this form:
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
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-2207
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-2356
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-2053
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-3760
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-3770
More informationExplain in writing if the address of the building is different than the address on this form:
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
More informationExplain in writing if the address of the building is different than the address on this form:
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
More informationExplain in writing if the address of the building is different than the address on this form:
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
More informationExplain in writing if the address of the building is different than the address on this form:
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
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-3278
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-2497
More informationExplain in writing if the address of the building is different than the address on this form:
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
More informationExplain in writing if the address of the building is different than the address on this form:
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
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-2059
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-381X
More informationIf the address on this form is different than the address of the building, submit a written explanation.
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
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-3013
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-2059
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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
More informationExplain in writing if the address of the building is different than the address on this form:
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
More informationExplain in writing if the address of the building is different than the address on this form:
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
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-3759
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-0043
More informationExplain in writing if the address of the building is different than the address on this form:
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
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-2841
More informationExplain in writing if the address of the building is different than the address on this form:
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
More informationIf the address on this form is different than the address of the building, submit a written explanation.
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
More informationExplain in writing if the address of the building is different than the address on this form:
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
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-0027
More informationIf the address on this form is different than the address of the building, submit a written explanation.
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
More informationExplain in writing if the address of the building is different than the address on this form:
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
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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
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