Explain in writing if the address of the building is different than the address on this form:
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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, 6623 DATE LAST THREE YEAR REINSPECTION WAS COMPLETED 3/19/213 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: 5/17/216 ENROLLMENT IDPH INSPECTOR LICENSE NUMBER: IDPH LICENSED INSPECTOR NAME (Please Print): Dionne Carey IDPH MP LICENSE NUMBER: IDPH LICENSED MANAGEMENT PLANNER NAME (Please Print): Todd Huffer DESIGNATED PERSON (Please Print): Robert Christlieb PHONE: 667 (773) /17/216 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, 6623 Unit: Building ID: IDPH ID Number: REPORT DATE: Tuesday, May 17, 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 24, 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: 3 IDPH ID: Building ID: Address: Chicago, IL, 6623 Building Contact: Torres, Henry Contact Phone: Current Building Owners: Review 5/17/216 Inspector: Dionne Carey Management Planner: Todd Huffer Inspector IDPH License: Management Planner IDPH License: If you have any questions or comments, please contact us at (312) Sincerely, Todd Huffer 1-987
4 Environmental tification to Occupants To: Faculty, Staff and Parents From: March 24, 216 RE:, Unit Chicago, IL, 6623 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: Torres, Henry Unit: Chicago, IL, 6623 Building ID: Phone: Description of Facility Original Construction: Total Square Footage: Current Occupancy: Additional Construction: of Floors: LEA Designated Person Contact: Robert Christlieb Address: 125 South Clark Street, 17th Floor Chicago, IL Phone: (773) Managing Environmental Consultant MEC: Contact: Dan Juneau Address 6 West Van Buren St., Ste 5 Phone: (312) Fax: (312) Inspector Inspector Name: Dionne Carey Signature: 3/24/216 Inspector IDPH license # 6. Region: 3 Management Planner Management Planner Name: Todd Huffer Management Planner IDPH license # Review 5/17/ LEA Designated Person's Acknowledgement Signature: 5/17/216 The reinspection report and recommendations have been received by me and appropriate action will be taken by the School District. Signature: 5/17/216 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: 37 Drywall Ceiling 38 Drywall Ceiling Joint Compound 39 Drywall Ceiling Joint Tape 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: Stage Lights Electrical Insulation Carpet Mastic Sink Coating 12" x 12" White w/blue Specks FT 12" x 12" White w/blue Specks FT Mastic 12" x 12" Blue Speckled Floor Tile 12" x 12" Blue Speckled Floor Tile Mastic Beige Ceramic Floor Tile Grout Brown Ceramic Baseboard Grout Interior Door Caulk Burgandy Carpet Mastic 4" Black Vinyl Baseboard 4" Black Vinyl Baseboard Adhesive Wall Expansion Joint Caulk Drywall Ceiling Drywall Ceiling Joint Compound Drywall Ceiling Joint Tape 12" X 12" Beige Speckled Floor Tile (Patch) 12" X 12" Beige Speckled Floor Tile (Patch) Gray Skid Pad Covering Adhesive Ceramic Wall Tile Grout Ceramic Wall Tile Adhesive Gray Carpet Adhesive 12"x12" Grey w/dark Grey Streaks VFT 12"x12" Grey w/dark Grey Streaks VFT Mastic 12"x12" Beige w/white Streaks VFT 12"x12" Beige w/white Streaks VFT Mastic 12"x12" Red VFT 12"x12" Red VFT Mastic Grey Patterned Carpet Mastic Vault Door Insulation Transite Counter Top Vibration Collar (isolation cloth) The following areas were deemed to be inaccessible: Unit: Stage Lights Electrical Insulation Carpet Mastic 12" x 12" White w/blue Specks FT Mastic 12" x 12" Blue Speckled Floor Tile Mastic Building:
10 Burgandy Carpet Mastic 4" Black Vinyl Baseboard Adhesive 12" x 12" Beige w/brown Specks Floor Tile Mastic Gray Skid Pad Covering Adhesive Ceramic Wall Tile Adhesive Gray Carpet Adhesive 12"x12" Grey w/dark Grey Streaks VFT Mastic 12"x12" Beige w/white Streaks VFT Mastic 12"x12" Red VFT Mastic Grey Patterned Carpet Mastic Vault Door Insulation 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 Dionne Carey, IDPH License #. The Management Plan was updated by Todd Huffer, 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 3 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 1 2' x 4' Ceiling tile Hard plaster on walls & ceiling 11 2' x 4' Metal covered ceiling tile 12 Duct interior lining Folding Doors Cloth Cover Black pipe insulation 15 Duct Exterior Insulation Interior window caulk Exterior window caulk - not AHERA Exterior window glaze - not AHERA Lower Roof Field - not AHERA Spray-on Fire Proofing Lower Roof Flashing - not AHERA Upper Roof Field - not AHERA Upper Roof Flashing - not AHERA Stage Lights Electrical Insulation 24 Carpet Mastic 25 Sink Coating Material Quantity Material Units Material Location Asbestos Type Material Category Friable Damage Type Throughout building Small Gymnasium (Handball Court) Throughout classrooms on the 1st & 2nd floors Mechanical/Fan Rooms Rooms 12 &122 Mechanical/Fan Rooms Mechanical/Fan Room Throughout school Exterior of building Exterior of building Lower roof Throughout school Lower roof Upper roof Upper roof Auditorium NO_ACBM NO_ACBM SURFACE NO_ACBM NO_ACBM NO_ACBM NO_ACBM TSI NO_ACBM TSI NO_ACBM NO_ACBM NO_ACBM NO_ACBM NO_ACBM CHR NO_ACBM CHR ASSUMED SURFACE TSI N NONE ASSUMED N ASSUMED Damage Quantity Damage Units Change in Assessment Category Damage Category LOW NONE ACBM with the potential for damage ACBM with the potential for damage N NONE ACBM with the potential for damage LOW ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage LOW 2 LF 18, " x 12" White w/blue Specks FT 2,4 18,11,114,2,2 228,21,214,218,22 224,226,228,23,23 2,234 2, 21, 22, 24, 26, 28, 21, 212, 25, 214, 218, 22, 222,223, 224, 226,15,18, 11, 112, 114, 116, 118,12,122 Room 15,112,118 ASSUMED N NONE 12" x 12" White w/blue Specks FT Mastic 2,4 Room 15, 112, 118 ASSUMED N NONE 12" x 12" Blue Speckled Floor Tile 225 N NONE 225 Room 15, 112, 118, and 212 Room 15, 112, 118, and 212 ASSUMED 12" x 12" Blue Speckled Floor Tile Mastic ASSUMED N NONE Damage Reason Disturbance Potential LOW LOW LOW LOW
14 School Unit Building ID Address Region 3 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 3 12" x 12" Beige w/ Brown Specks Floor Tile 3 Beige Ceramic Floor Tile Grout 31 Brown Ceramic Baseboard Grout Material Units Material Location Asbestos Type Material Category Friable Damage Type 3, CHR N NONE 4, ASSUMED N 6 LF ASSUMED Interior Door Caulk 1,28 LF ASSUMED Burgandy Carpet Mastic 4,6 ASSUMED 4" Black Vinyl Baseboard 6 LF 35 4" Black Vinyl Baseboard Adhesive 6 LF 36 Wall Expansion Joint Caulk 3 LF Throughout building in all classrooms and hallways except washrooms All 1st and 2nd Floor Washrooms, 1st Floor Janitors Closets, and Kitchen Area All 1st and 2nd Floor Washrooms, 1st Floor Janitors Closets, and Kitchen Area All door on 1st and 2nd floors Main Office, Conf Room, Faculty Lounge, Asst Prin Office, Rms 16C and D, Student Services, Assembly Hall, 1st and 2nd Floor Corridors Assembly Hall, 1st and 2nd Floor Corridors Assembly Hall 37 Drywall Ceiling 4 Room Drywall Ceiling Joint Compound 5 39 Drywall Ceiling Joint Tape " x 12" Beige w/brown Specks Floor Tile Mastic 12" X 12" Beige Speckled Floor Tile (Patch) 3, " X 12" Beige Speckled Floor Tile (Patch) Material Quantity 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 ACBM with the potential for damage LOW N NONE N NONE ACBM with the potential for damage ACBM with the potential for damage LOW ASSUMED N NONE ACBM with the potential for damage LOW ASSUMED N NONE ACBM with the potential for damage LOW ASSUMED N NONE Y NONE Yes Room 221 ASSUMED N NONE Yes LF Room 221 ASSUMED N NONE Yes Throughout building CHR N NONE 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 LOW ASSUMED 2nd Floor Hall outside room 234 and Stairs 2nd Floor Hall outside room 234 ASSUMED ASSUMED LOW LOW LOW LOW LOW
15 School Unit Building ID Address Region 3 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 42 Gray Skid Pad Covering Adhesive Ceramic Wall Tile Grout 2 44 Ceramic Wall Tile Adhesive 45 Gray Carpet Adhesive 46 12"x12" Grey w/dark Grey Streaks VFT 47 12"x12" Grey w/dark Grey Streaks VFT Mastic 12"x12" Beige w/white Streaks VFT "x12" Beige w/white Streaks VFT Mastic Baseboard 12"x12" Red VFT 51 12"x12" Red VFT Mastic 52 Grey Patterned Carpet Mastic Material Quantity Material Units Material Location Asbestos Type Material Category Friable Damage Type and Stairs Elevator ASSUMED N NONE Janitors Closets ASSUMED N NONE 2 Janitor's Closets ASSUMED N 4, Assembly Hall ASSUMED N 3,3 Rooms 116,12,122 ASSUMED 3,3 Rooms 116,12,122 ASSUMED 2,74 ASSUMED 74 3 Room 28, 21, 212, 214, 226 Room 28, 21, 212, 214, 226 Throughout building Room 212 Damage Quantity Damage Units Change in Assessment Category Damage Category Damage Reason Disturbance Potential NONE NONE N NONE N NONE N NONE ASSUMED N NONE ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage LOW NO_ACBM ASSUMED N NONE ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage LOW LOW LOW LOW LOW LOW LOW LOW 3 Room 212 ASSUMED N NONE 1,43 Room 225(Library) ASSUMED N NONE LOW Baseboard Mastic Vault Door Insulation 6 NO_ACBM ASSUMED TSI N NONE ACBM with the potential for damage LOW 8 Transite Counter Top 15 ASSUMED N NONE Vibration Collar (isolation cloth) 1 LF ASSUMED N NONE ACBM with the potential for damage ACBM with the potential for damage LOW 9 B Hard Joint Compound on Fiberglass Pipe Runs Throughout building Main Office (Room 1D/Storage), Room 218 Science Lab (Room 21) Ductwork throughout building - mechanical areas Throughout school (above ceiling tiles) NO_ACBM LOW LOW
16 School Unit Building ID Address Region 3 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 3/24/216 Inspector Name Inspector's Comments Dionne Carey 5/15/217 Inspector's IDPH License Number / Expiration Date HA Number: Inspector Comments: t observed in Rooms 232, 114, and 11. Could be under tile. t observed in Room 212 t observed in Room 212
17 School Unit Building ID Address Region 3 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: B Inspector Comments: t observed 216 t observed 216
18 School Unit Building ID Address Region 3 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
19 Table II Management Planner's Review
20 School Address Unit Building ID Chicago, IL, 6623 Region 3 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 ' x 4' Ceiling tile Hard plaster on walls & ceiling 2' x 4' Metal covered ceiling tile Duct interior lining Folding Doors Cloth Cover Black pipe insulation Duct Exterior Insulation Interior window caulk Exterior window caulk - not AHERA Exterior window glaze - not AHERA Lower Roof Field - not AHERA Spray-on Fire Proofing Lower Roof Flashing - not AHERA Upper Roof Field - not AHERA Upper Roof Flashing - not AHERA Stage Lights Electrical Insulation Carpet Mastic 2 18, LF 25 Sink Coating " x 12" White w/blue Specks FT 12" x 12" White w/blue Specks FT Mastic 12" x 12" Blue Speckled Floor Tile 12" x 12" Blue Speckled Floor Tile Mastic 12" x 12" Beige w/ Brown Specks Floor Tile 2,4 2, , 3 Beige Ceramic Floor Tile Grout 4, 31 Brown Ceramic Baseboard Grout 6 LF Material Location Asbestos Type Material Category Friable Damage Quantity Damage Units Damage Category Response Throughout building Small Gymnasium (Handball Court) Throughout classrooms on the 1st & 2nd floors Mechanical/Fan Rooms Rooms 12 &122 Mechanical/Fan Rooms Mechanical/Fan Room Throughout school Exterior of building Exterior of building Lower roof Throughout school Lower roof Upper roof Upper roof Auditorium 18,11,114,2,2228,21,214,218,22224,226,228,23,232,234 2, 21, 22, 24, 26, 28, 21, 212, 25, 214, 218, 22, 222,223, 224, 226,15,18, 11, 112, 114, 116, 118,12,122 Room 15,112,118 Room 15, 112, 118 Room 15, 112, 118, and 212 Room 15, 112, 118, and 212 Throughout building in all classrooms and hallways except washrooms All 1st and 2nd Floor Washrooms, 1st Floor Janitors Closets, and Kitchen Area All 1st and 2nd Floor Washrooms, 1st Floor Janitors Closets, and Kitchen Area ACBM ACBM ACBM SURFACE ACBM ACBM ACBM ACBM ACBM ACBM ACBM ACBM ACBM Chrysotile ACBM Chrysotile Assumed Assumed TSI TSI SURFACE TSI LF 6 ACBM with the potential for damage 6 ACBM with the potential for damage Assumed 6 ACBM with the potential for damage Assumed Assumed Assumed Assumed Chrysotile 6 ACBM with the potential for damage 6 ACBM with the potential for damage 6 ACBM with the potential for damage 6 ACBM with the potential for damage 6 ACBM with the potential for damage Assumed 6 ACBM with the potential for damage Assumed LF 6 ACBM with the potential for damage
21 School Address Unit Building ID Chicago, IL, 6623 Region 3 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 Interior Door Caulk Burgandy Carpet Mastic 1,28 4,6 LF Assumed Assumed LF 6 ACBM with the potential for damage 6 ACBM with the potential for damage 34 4" Black Vinyl Baseboard 6 LF Assumed LF 6 ACBM with the potential for damage 35 4" Black Vinyl Baseboard Adhesive 6 LF Assumed LF 6 ACBM with the potential for damage Wall Expansion Joint Caulk Drywall Ceiling 3 4 LF All door on 1st and 2nd floors Main Office, Conf Room, Faculty Lounge, Asst Prin Office, Rms 16C and D, Student Services, Assembly Hall, 1st and 2nd Floor Corridors Assembly Hall, 1st and 2nd Floor Corridors Assembly Hall Room 221 Assumed Assumed Yes LF Drywall Ceiling Joint Compound Drywall Ceiling Joint Tape 12" x 12" Beige w/brown Specks Floor Tile Mastic 12" X 12" Beige Speckled Floor Tile (Patch) , LF Assumed Assumed Chrysotile Assumed LF 41 12" X 12" Beige Speckled Floor Tile (Patch) Assumed Gray Skid Pad Covering Adhesive Ceramic Wall Tile Grout Ceramic Wall Tile Adhesive Gray Carpet Adhesive 12"x12" Grey w/dark Grey Streaks VFT 12"x12" Grey w/dark Grey Streaks VFT Mastic 12"x12" Beige w/white Streaks VFT 12"x12" Beige w/white Streaks VFT Mastic Baseboard 12"x12" Red VFT 12"x12" Red VFT Mastic Grey Patterned Carpet Mastic Baseboard Mastic Vault Door Insulation , 3,3 3,3 2, ACBM with the potential for damage 6 ACBM with the potential for damage 6 ACBM with the potential for damage 6 ACBM with the potential for damage 6 ACBM with the potential for damage 6 ACBM with the potential for damage 6 ACBM with the potential for damage 6 ACBM with the potential for damage 6 ACBM with the potential for damage 6 ACBM with the potential for damage 6 ACBM with the potential for damage 6 TSI Assumed Assumed Assumed Assumed Assumed Assumed Assumed Assumed ACBM Assumed Assumed Assumed ACBM Assumed 3 3 1,43 6 ACBM with the potential for damage 8 9 Transite Counter Top Vibration Collar (isolation cloth) 15 1 LF Room 221 Room 221 Throughout building 2nd Floor Hall outside room 234 and Stairs 2nd Floor Hall outside room 234 and Stairs Elevator Janitors Closets Janitor's Closets Assembly Hall Rooms 116,12,122 Rooms 116,12,122 Room 28, 21, 212, 214, 226 Room 28, 21, 212, 214, 226 Throughout building Room 212 Room 212 Room 225(Library) Throughout building Main Office (Room 1D/Storage), Room 218 Science Lab (Room 21) Ductwork throughout building - 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 Assumed LF 6 ACBM with the potential for damage 6 ACBM with the potential for damage
22 School Address Unit Building ID Chicago, IL, 6623 Region 3 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 B Hard Joint Compound on Fiberglass Pipe Runs Review Date Manager Planner Name Material Quantity 5/17/216 Todd Huffer Material Units Material Location mechanical areas Throughout school (above ceiling tiles) HA Number 1 1 Asbestos Type Material Category ACBM Management Comments Friable Damage Quantity Damage Units Damage Category Response
23 School Address Unit Building ID Chicago, IL, 6623 Region 3 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 /15/216 Manager IDPH License /Expiration HA Number Management Comments t observed in Rooms 232, 114, and 11. Could be under tile. material not observed in room 212 material not observed in room 212
24 School Address Unit Building ID Chicago, IL, 6623 Region 3 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 B Management Comments Material t Observed in 216 Material t Observed in 216
25 School Address Unit Building ID Chicago, IL, 6623 Region 3 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
26 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION 1 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: Throughout building COMMENTS: Inspector's Signature: 3/24/216
27 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/ ' x 4' Ceiling tile 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: 5/17/216
28 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION 1 Hard plaster on walls & ceiling 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: Small Gymnasium (Handball Court) COMMENTS: Inspector's Signature: 3/24/216
29 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/216 1 Hard plaster on walls & ceiling Small Gymnasium (Handball Court) 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: 5/17/216
30 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION 11 2' x 4' Metal covered ceiling tile HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: ACBM 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 classrooms on the 1st & 2nd floors COMMENTS: Inspector's Signature: 3/24/216
31 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/ ' x 4' Metal covered ceiling tile Throughout classrooms on the 1st & 2nd floors 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: 5/17/216
32 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION 12 Duct interior lining 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: Mechanical/Fan Rooms COMMENTS: Inspector's Signature: 3/24/216
33 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/ Duct interior lining Mechanical/Fan Rooms In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 5/17/216
34 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION 13 Folding Doors Cloth Cover 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: Rooms 12 &122 COMMENTS: Inspector's Signature: 3/24/216
35 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/ Folding Doors Cloth Cover Rooms 12 &122 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: 5/17/216
36 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION 14 Black 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: Mechanical/Fan Rooms COMMENTS: Inspector's Signature: 3/24/216
37 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/ Black pipe insulation Mechanical/Fan Rooms In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 5/17/216
38 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION 15 Duct Exterior 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: Mechanical/Fan Room COMMENTS: Inspector's Signature: 3/24/216
39 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/ Duct Exterior Insulation Mechanical/Fan 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: 5/17/216
40 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION 16 Interior window caulk 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 school COMMENTS: Inspector's Signature: 3/24/216
41 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/ Interior window caulk Throughout school 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: 5/17/216
42 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION 17 Exterior window caulk - not 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 of building COMMENTS: Inspector's Signature: 3/24/216
43 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/ Exterior window caulk - not AHERA Exterior of 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: 5/17/216
44 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION 18 Exterior window glaze - not 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 of building COMMENTS: Inspector's Signature: 3/24/216
45 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/ Exterior window glaze - not AHERA Exterior of 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: 5/17/216
46 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION 19 Lower Roof Field - not 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: Lower roof COMMENTS: Inspector's Signature: 3/24/216
47 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/ Lower Roof Field - not AHERA Lower roof 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: 5/17/216
48 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION 2 Spray-on Fire Proofing 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 school COMMENTS: Inspector's Signature: 3/24/216
49 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/216 2 Spray-on Fire Proofing Throughout school 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: 5/17/216
50 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION 2 Lower Roof Flashing - not AHERA 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: Lower roof COMMENTS: Inspector's Signature: 3/24/216
51 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/216 2 Lower Roof Flashing - not AHERA Lower roof 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: 5/17/216
52 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION 21 Upper Roof Field - not 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: Upper roof COMMENTS: Inspector's Signature: 3/24/216
53 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/ Upper Roof Field - not AHERA Upper roof 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: 5/17/216
54 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION 22 Upper Roof Flashing - not AHERA 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: Upper roof COMMENTS: Inspector's Signature: 3/24/216
55 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/ Upper Roof Flashing - not AHERA Upper roof 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: 5/17/216
56 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION 23 Stage Lights Electrical Insulation 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 Auditorium 2 LF LF COMMENTS: Inspector's Signature: 3/24/216
57 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/ Stage Lights Electrical Insulation Auditorium 2 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: 5/17/216
58 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION 24 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 18,11,114,2,22-28,21,214,218,22-224,226,228,23,232, COMMENTS: t observed in Rooms 232, 114, and 11. Could be under tile. Inspector's Signature: 3/24/216
59 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/ Carpet Mastic 18,11,114,2,22-28,21,214,218,22-224,226,228,23,232, 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: t observed in Rooms 232, 114, and 11. Could be under tile. Management Planner's Signature: 5/17/216
60 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION 25 Sink Coating 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 2, 21, 22, 24, 26, 28, 21, 212, 25, 214, 218, 22, 222,223, 224, 226,15,18, 11, 112, 114, 116, 118,12, COMMENTS: Inspector's Signature: 3/24/216
61 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/ Sink Coating 2, 21, 22, 24, 26, 28, 21, 212, 25, 214, 218, 22, 222,223, 224, 226,15,18, 11, 112, 114, 116, 118,12, In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 5/17/216
62 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION 26 12" x 12" White w/blue Specks FT 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 15,112, COMMENTS: Inspector's Signature: 3/24/216
63 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/ " x 12" White w/blue Specks FT Room 15,112, 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: 5/17/216
64 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION 27 12" x 12" White w/blue Specks FT 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 15, 112, COMMENTS: Inspector's Signature: 3/24/216
65 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/ " x 12" White w/blue Specks FT Mastic Room 15, 112, 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: 5/17/216
66 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION 28 12" x 12" Blue 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 Room 15, 112, 118, and COMMENTS: t observed in Room 212 Inspector's Signature: 3/24/216
67 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/ " x 12" Blue Speckled Floor Tile Room 15, 112, 118, and 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: material not observed in room 212 Management Planner's Signature: 5/17/216
68 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION 29 12" x 12" Blue 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 Room 15, 112, 118, and COMMENTS: t observed in Room 212 Inspector's Signature: 3/24/216
69 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/ " x 12" Blue Speckled Floor Tile Mastic Room 15, 112, 118, and 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: material not observed in room 212 Management Planner's Signature: 5/17/216
70 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION 3 12" x 12" Beige w/ Brown Specks 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 Throughout building in all classrooms and hallways except washrooms 3 COMMENTS: Inspector's Signature: 3/24/216
71 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/ " x 12" Beige w/ Brown Specks Floor Tile Throughout building in all classrooms and hallways except washrooms 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: 5/17/216
72 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION 3 Beige Ceramic Floor Tile Grout 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 All 1st and 2nd Floor Washrooms, 1st Floor Janitors Closets, and Kitchen Area 4 COMMENTS: Inspector's Signature: 3/24/216
73 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/216 3 Beige Ceramic Floor Tile Grout All 1st and 2nd Floor Washrooms, 1st Floor Janitors Closets, and Kitchen Area 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: 5/17/216
74 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION 31 Brown Ceramic Baseboard Grout 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 All 1st and 2nd Floor Washrooms, 1st Floor Janitors Closets, and Kitchen Area 6 LF LF COMMENTS: Inspector's Signature: 3/24/216
75 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/ Brown Ceramic Baseboard Grout All 1st and 2nd Floor Washrooms, 1st Floor Janitors Closets, and Kitchen Area 6 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: 5/17/216
76 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION 32 Interior Door Caulk 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 All door on 1st and 2nd floors 128 LF LF COMMENTS: Inspector's Signature: 3/24/216
77 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/ Interior Door Caulk All door on 1st and 2nd floors 128 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: 5/17/216
78 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION 33 Burgandy 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 Main Office, Conf Room, Faculty Lounge, Asst Prin Office, Rms 16C and D, Student Services, 46 COMMENTS: Inspector's Signature: 3/24/216
79 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/ Burgandy Carpet Mastic Main Office, Conf Room, Faculty Lounge, Asst Prin Office, Rms 16C and D, Student Services, 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: Management Planner's Signature: 5/17/216
80 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION 34 4" Black Vinyl 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 Assembly Hall, 1st and 2nd Floor Corridors 6 LF LF COMMENTS: Inspector's Signature: 3/24/216
81 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/ " Black Vinyl Baseboard Assembly Hall, 1st and 2nd Floor Corridors 6 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: 5/17/216
82 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION 35 4" Black Vinyl 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 Assembly Hall, 1st and 2nd Floor Corridors 6 LF LF COMMENTS: Inspector's Signature: 3/24/216
83 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/ " Black Vinyl Baseboard Adhesive Assembly Hall, 1st and 2nd Floor Corridors 6 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: 5/17/216
84 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION 36 Wall Expansion Joint Caulk 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 Assembly Hall 3 LF LF COMMENTS: Inspector's Signature: 3/24/216
85 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/ Wall Expansion Joint Caulk Assembly Hall 3 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: 5/17/216
86 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION 37 Drywall Ceiling HISTORICAL AHERA DAMAGE CATEGORY 7 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 COMMENTS: Inspector's Signature: 3/24/216
87 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/ Drywall Ceiling 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: 5/17/216
88 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION 38 Drywall Ceiling Joint Compound HISTORICAL AHERA DAMAGE CATEGORY 6 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: 3/24/216
89 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/ Drywall Ceiling Joint Compound 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: 5/17/216
90 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION 39 Drywall Ceiling Joint Tape HISTORICAL AHERA DAMAGE CATEGORY 6 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 LF LF COMMENTS: Inspector's Signature: 3/24/216
91 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/ Drywall Ceiling Joint Tape Room 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: 5/17/216
92 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION 4 12" x 12" Beige w/brown Specks Floor Tile Mastic 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 Throughout building 3 COMMENTS: Inspector's Signature: 3/24/216
93 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/ " x 12" Beige w/brown Specks Floor Tile Mastic Throughout building 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: 5/17/216
94 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION 4 12" X 12" Beige Speckled Floor Tile (Patch) HISTORICAL AHERA DAMAGE CATEGORY ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: 2nd Floor Hall outside room 234 and Stairs COMMENTS: t observed 216 Inspector's Signature: 3/24/216
95 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/ " X 12" Beige Speckled Floor Tile (Patch) 2nd Floor Hall outside room 234 and Stairs 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: Material t Observed in 216 Management Planner's Signature: 5/17/216
96 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION 41 12" X 12" Beige Speckled Floor Tile (Patch) HISTORICAL AHERA DAMAGE CATEGORY ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: 2nd Floor Hall outside room 234 and Stairs COMMENTS: t observed 216 Inspector's Signature: 3/24/216
97 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/ " X 12" Beige Speckled Floor Tile (Patch) 2nd Floor Hall outside room 234 and Stairs 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: Material t Observed in 216 Management Planner's Signature: 5/17/216
98 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION 42 Gray Skid Pad Covering 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 Elevator 25 COMMENTS: Inspector's Signature: 3/24/216
99 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/ Gray Skid Pad Covering Adhesive Elevator 25 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 5/17/216
100 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION 43 Ceramic Wall Tile Grout 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 Janitors Closets 2 COMMENTS: Inspector's Signature: 3/24/216
101 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/ Ceramic Wall Tile Grout Janitors Closets 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: 5/17/216
102 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION 44 Ceramic Wall Tile 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 Janitor's Closets 2 COMMENTS: Inspector's Signature: 3/24/216
103 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/ Ceramic Wall Tile Adhesive Janitor's Closets 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: 5/17/216
104 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION 45 Gray Carpet 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 Assembly Hall 4 COMMENTS: Inspector's Signature: 3/24/216
105 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/ Gray Carpet Adhesive Assembly Hall 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: 5/17/216
106 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION 46 12"x12" Grey w/dark Grey Streaks VFT 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 Rooms 116,12, COMMENTS: Inspector's Signature: 3/24/216
107 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/ "x12" Grey w/dark Grey Streaks VFT Rooms 116,12, In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 5/17/216
108 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION 47 12"x12" Grey w/dark Grey Streaks VFT 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 Rooms 116,12, COMMENTS: Inspector's Signature: 3/24/216
109 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/ "x12" Grey w/dark Grey Streaks VFT Mastic Rooms 116,12, In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 5/17/216
110 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION 48 12"x12" Beige w/white Streaks VFT 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 28, 21, 212, 214, COMMENTS: Inspector's Signature: 3/24/216
111 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/ "x12" Beige w/white Streaks VFT Room 28, 21, 212, 214, 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: 5/17/216
112 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION 49 12"x12" Beige w/white Streaks VFT 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 28, 21, 212, 214, COMMENTS: Inspector's Signature: 3/24/216
113 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/ "x12" Beige w/white Streaks VFT Mastic Room 28, 21, 212, 214, 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: 5/17/216
114 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION 5 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: 3/24/216
115 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/216 5 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: 5/17/216
116 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION 5 12"x12" Red VFT 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: 3/24/216
117 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/ "x12" Red VFT 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: 5/17/216
118 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION 51 12"x12" Red VFT 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: 3/24/216
119 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/ "x12" Red VFT 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: 5/17/216
120 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION 52 Grey Patterned 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 225(Library) 143 COMMENTS: Inspector's Signature: 3/24/216
121 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/ Grey Patterned Carpet Mastic Room 225(Library) 143 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: 5/17/216
122 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION 6 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: 3/24/216
123 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/216 6 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: 5/17/216
124 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION 7 Vault Door Insulation 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 (Room 1D/Storage), Room COMMENTS: Inspector's Signature: 3/24/216
125 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/216 7 Vault Door Insulation Main Office (Room 1D/Storage), 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: 5/17/216
126 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION 8 Transite Counter Top 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 Science Lab (Room 21) 15 COMMENTS: Inspector's Signature: 3/24/216
127 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/216 8 Transite Counter Top Science Lab (Room 21) 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: 5/17/216
128 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION 9 Vibration Collar (isolation cloth) 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 Ductwork throughout building - mechanical areas 1 LF LF COMMENTS: Inspector's Signature: 3/24/216
129 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/216 9 Vibration Collar (isolation cloth) Ductwork throughout building - mechanical areas 1 LF LF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 5/17/216
130 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Dionne Carey INSPECTION DATE: 3/24/216 INFORMATION FROM PREVIOUS INSPECTION B Hard Joint Compound 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 school (above ceiling tiles) COMMENTS: Inspector's Signature: 3/24/216
131 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer REVIEW DATE: 5/17/216 B Hard Joint Compound on Fiberglass Pipe Runs Throughout school (above ceiling tiles) 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: 5/17/216
132
133 APPENDIX B Inspector and Management Planner Licenses
134
135
136
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
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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: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-2270
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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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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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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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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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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
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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: 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: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-3013
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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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