If the address on this form is different than the address of the building, submit a written explanation.

Transcription

1 ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO SCHOOL DIST Chicago, IL, 668 DATE LAST THREE YEAR REINSPECTION WAS COMPLETED 2/28/213 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: 3/8/216 ENROLLMENT IDPH INSPECTOR LICENSE NUMBER: IDPH LICENSED INSPECTOR NAME (Please Print): Marcos Iwankiw IDPH MP LICENSE NUMBER: IDPH LICENSED MANAGEMENT PLANNER NAME (Please Print): Evan Christian DESIGNATED PERSON (Please Print): Robert Christlieb PHONE: 266 (773) /8/216 Signature of Designated Person Date SECTION III PLEASE COMPLETE THE FOLLOWING INFORMATION FOR ANY CHANGES WITHIN THE SCHOOL DISTRICT. School building has been sold. Date of Sale: School has been closed. Date closed: School building has been demolished. School building is asbestos free since last reinspection: Please explain in writing why the school building is now asbestos free and include the supporting documentation. If a new school building has been added to the district, submit either and exclusionary statement or a management plan and inspection report. Include the complete name, address and city of school building. Explain in writing if the address of the building is different than the address on this form: IL Revised 1.3

2 THREE YEAR REINSPECTION CHICAGO SCHOOL DIST 299 Chicago, IL, 668 Unit: Building ID: IDPH ID Number: REPORT DATE: Tuesday, March 8, 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 February 25, 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, 668 Building Contact: Presswood, Thomas Contact Phone: Current Building Owners: Review 3/8/216 Inspector: Marcos Iwankiw Management Planner: Evan Christian Inspector IDPH License: Management Planner IDPH License: If you have any questions or comments, please contact us at (312) Sincerely, Evan Christian

4 Environmental tification to Occupants To: Faculty, Staff and Parents From: February 25, 216 RE:, Unit Chicago, IL, 668 Dear Faculty, Staff and Parents, This letter is to notify you that the 216 asbestos three year re-inspection has been completed at, following the Federal Asbestos Hazard Emergency Response Act (AHERA), 4 CFR Part 763, Subpart E and is available for your review at the main office of the school. Although asbestos-containing materials have been identified at, there is no reason to believe that any threat to the health of students or staff exists at this time. CPS will continue to carefully monitor the condition of asbestos-containing materials and if conditions warrant, all appropriate steps will be taken to maintain the health and safety of all building occupants. If you have any questions regarding this matter or require additional information, please feel free to contact Robert Christlieb, the designated Local Education Authority's Designated Person at (773)

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

6 SCHOOL AND INSPECTION INFORMATION 1. School Information School: Address: IDPH ID: Contact: Presswood, Thomas Unit: Chicago, IL, 668 Building ID: Phone: Description of Facility Original Construction: 1893 Total Square Footage: Current Occupancy: Additional Construction: of Floors: 3 LEA Designated Person Contact: Robert Christlieb Address: 125 South Clark Street, 17th Floor Chicago, IL Phone: (773) Managing Environmental Consultant MEC: Contact: Dan Juneau Address 6 West Van Buren St., Ste 5 Phone: (312) Fax: (312) Inspector Inspector Name: Marcos Iwankiw Signature: 2/25/216 Inspector IDPH license # 6. Region: 3 Management Planner Management Planner Name: Evan Christian Signature: 3/8/216 Management Planner IDPH license # Review 3/8/ LEA Designated Person's Acknowledgement The reinspection report and recommendations have been received by me and appropriate action will be taken by the School District. Signature: 3/8/216 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: 14 Kaowool Gaskets 15 Mudded Pipe Insulation 19 Drywall Joint Compund 116 Light Beige w/ Gray Spots Linoleum 2 Interior Incinerator Material/Breeching 23 2' x 4' Ceiling Tile w/fissures/pinholes 24 2'x2' Sectional CeilingTile w/sm.fissures/pinholes B Aircell Pipe Insulation C Cardboard Pipe Covering Building:

8 D Unit: Pipe Joint Compound Building:

9 B. The following new homogenous areas have been identified for Building : 116 Unit: Light Beige w/ Gray Spots Linoleum Building:

10 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: White Linoleum White Linoleum Adhesive Lab Counter Tops Brown Epoxy Flooring Kaowool Gaskets Mudded Pipe Insulation 12"x12" Beige w/ Streaks VFT 12"x12" Beige w/ Streaks VFT Mastic Drywall Drywall Joint Compund 12"x12" Blotted Beige VFT 12"x12" Blotted Beige VFT Mastic Spray-on Fire Proofing Firedoors Door Frame Caulk Plaster Light Beige w/ Gray Spots Linoleum Roof Field Roof Field Purple Carpet Mastic Wiring for Flood Lights in Field House 12" x 12" Dark Beige Floor Tile 12" x 12" Dark Beige Floor Tile Mastic 12" x 12" Light Beige Floor Tile 12" x 12" Light Beige Floor Tile Mastic Interior Incinerator Material/Breeching Black Vinyl Floor Covering Black Vinyl Floor Covering Mastic 2' x 4' Ceiling Tile w/fissures/pinholes 2'x2' Sectional CeilingTile w/sm.fissures/pinholes Light Grey Linoleum Light Grey Linoleum Adhesive 12"x12" Beige Floor Tile The following areas were deemed to be inaccessible: Unit: White Linoleum Adhesive Kaowool Gaskets 12"x12" Beige w/ Streaks VFT Mastic 12"x12" Blotted Beige VFT Mastic Building:

11 Wiring for Flood Lights in Field House Black Vinyl Floor Covering Mastic Light Grey Linoleum Adhesive 12"x12" Light Blue VFT Mastic 12"x12" Dark Beige VFT Mastic Materials were also listed as "assumed" if they were in good condition and sampling was not conducted to avoid damage. This reinspection was conducted by Marcos Iwankiw, IDPH License #. The Management Plan was updated by Evan Christian, IDPH License # Inspector and Management Planner Licenses are included in Appendix B. Unit: Building:

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

13 Table I Inspector's Reinspection Findings

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 1 Exterior Brick 1 White Linoleum 3,2 11 White Linoleum Adhesive 3,2 12 Lab Counter Tops Brown Epoxy Flooring 2, 14 Kaowool Gaskets 15 Mudded Pipe Insulation Material Quantity Material Location Asbestos Type Material Category Friable Damage Type NO_ACBM EA Exteior of Bldg.n- AHERA Parent Rm., Science Rm. 27, Lunch Rm., Kitchen Parent Rm., Science Rm. 27, Lunch Rm., Kitchen Science Rm. ASSUMED N NONE ASSUMED N Basement Corridors ASSUMED ASSUMED FITTING Boiler Rm. ASSUMED 4 Fire Pump Rm. 12"x12" Beige w/ Streaks VFT 12"x12" Beige w/ Streaks VFT Mastic 1,6 1,6 18 Drywall 5, 19 Drywall Joint Compund 5 LF 11 Exterior Brick Mortar 11 12"x12" Blotted Beige VFT "x12" Blotted Beige VFT Mastic Spray-on Fire Proofing 3, 113 Firedoors 114 Door Frame Caulk 115 Plaster 1 1 Material Units Damage Quantity Damage Units Change in Assessment Category Damage Category ACBM with the potential for damage LOW NONE ACBM with the potential for damage LOW N NONE NONE TSI Y NONE ASSUMED TSI Y NONE Yes Rms. 22, 26A ASSUMED N NONE Rms. 22, 26A ASSUMED N NONE ASSUMED N NONE ASSUMED N NONE Yes ACBM with the potential for damage LOW 2nd Floor Faculty Restroom, Kitchen, Lunch Rm. 2nd Floor Faculty Restroom, Kitchen, Lunch Rm. Exterior of Bldg. n -AHERA 3rd Floor Corridor ACBM with the potential for damage ACBM with the potential for damage Any remaining friable ACBM or friable suspect ACBM 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 N ASSUMED N NONE 3rd Floor Corridor ASSUMED N NONE Attic Ducting ASSUMED SURFACE Y DIST 1,5 ACBM with the potential for damage ACBM with the potential for damage Significantly damaged friable surfacing ACBM ACBM with the potential for damage ACBM with the potential for damage Significantly damaged friable surfacing ACBM LOW Yes Damage Reason Disturbance Potential LOW LOW LOW LOW LOW LOW NO_ACBM FITTING Throughout ASSUMED N NONE 5 LF Throughout ASSUMED N NONE 12, Throughout ASSUMED SURFACE Y DIST 6, LOW 3 LOW LOW LOW 3 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 116 Light Beige w/ Gray Spots Linoleum 12 Roof Field 12.1 Roof Field 13 Roof Flashing 13.1 Roof Flashing Purple Carpet Mastic Wiring for Flood Lights in Field House 16 12" x 12" Dark Beige Floor Tile 17 12" x 12" Dark Beige Floor Tile Mastic 18 12" x 12" Light Beige Floor Tile 19 12" x 12" Light Beige Floor Tile Mastic 2 Interior Incinerator Material/Breeching Material Quantity Material Units Material Location Asbestos Type Material Category Friable Damage Type ASSUMED N NONE ASSUMED ASSUMED CHR CHR LF Kitchen, South and rth Lunchroom Upper Roof Level n -AHERA Lower Level - nahera Upper Level - nahera Lower Level - n AHERA 22 Field House ASSUMED ASSUMED N ASSUMED ASSUMED ASSUMED ASSUMED 178 Lunchrooms and Kitchen Lunchrooms and Kitchen Lunchrooms and Kitchen Lunchrooms and Kitchen Boiler Room ASSUMED TSI Black Vinyl Floor Covering 2 2 ASSUMED 2' x 4' Ceiling Tile w/fissures/pinholes 9, 'x2' Sectional CeilingTile w/sm.fissures/pinholes 4, Main Entrance Foyer and Stairs Main Entrance Foyer and Stairs 1st, 2nd & 3rd Floor Corridors, Classrooms & Main Office Gym, Room 33 & 35 ASSUMED Black Vinyl Floor Covering Mastic 25 Light Grey Linoleum 8 26 Light Grey Linoleum Adhesive 4 12"x12" Light Blue Floor Tile "x12" Dark Beige Floor Tile "x12" Beige Floor Tile 2, 5 Damage Quantity Damage Units Damage Category Change in Assessment Category Yes ACBM with the potential for damage LOW NONE ACBM with the potential for damage LOW Y NONE Yes LOW N NONE N NONE ASSUMED Y NONE Yes Any remaining friable ACBM or friable suspect ACBM ACBM with the potential for damage ACBM with the potential for damage Any remaining friable ACBM or friable suspect ACBM ASSUMED Y DIST 8 Yes Room 27 ASSUMED N NONE 8 Room 27 ASSUMED N NONE 3,9 CHR N NONE 8 Rooms 12, 16, 17 Throughout CHR N NONE 2,5 1st & 2nd Floor ASSUMED N NONE Damaged or significantly damaged friable misc. ACBM ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the Damage Reason Disturbance Potential LOW LOW LOW 1 LOW LOW LOW LOW 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 HA Material Description 5 Linoleum 6 12"x12" Light Blue VFT Mastic 3, "x12" Dark Beige VFT Mastic 4, "x12" Beige Floor Tile Mastic B Linoleum Floor Mastic Interior Brick Interior Brick Mortar Aircell Pipe Insulation C D Material Quantity Material Units 1, LF Cardboard Pipe Covering 6 LF Pipe Joint Compound 2 EA Material Location Corridors, 25 & 28 Gym & Gym Entrances Rooms 12, 16, 17 1st & 2nd Floor Corridors, 25 & 28 Gym Interior of Bldg. Interior of Bldg. Mechanical Areas, Kitchen, B'smt Corridor, Lunchroom, Store Rm. Mechanical Areas, Lunchrrom, Basement Corridor, & Entrance Door Kitchen, Playroom & Lunchroom, Basement Corridor, Mechanical Areas Asbestos Type Material Category Friable Damage Type Damage Quantity Damage Units Change in Assessment Category Damage Category Damage Reason Disturbance Potential potential for damage NO_ACBM CHR N NONE CHR N NONE ACBM with the potential for damage ACBM with the potential for damage LOW NO_ACBM NO_ACBM NO_ACBM AMO TSI Y NONE Yes Any remaining friable ACBM or friable suspect ACBM LOW CHR TSI Y NONE Yes Any remaining friable ACBM or friable suspect ACBM LOW AMO TSI Y NONE Yes Any remaining friable ACBM or friable suspect ACBM LOW LOW NO_ACBM

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 Reinspection Date 2/25/216 Inspector Name Inspector's Comments Marcos Iwankiw 5/15/216 Inspector's IDPH License Number / Expiration Date HA Number: Inspector Comments: 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 HA Number: B C D Inspector Comments: t observed 216 t observed 216 t observed 216 t observed 216

19 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

20 Table II Management Planner's Review

21 School Address Unit Building ID Chicago, IL, 668 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 1 1 Exterior Brick White Linoleum 3,2 ACBM Assumed 6 ACBM with the potential for damage Assumed 6 ACBM with the potential for damage EA FITTING Exteior of Bldg.- n- AHERA Parent Rm., Science Rm. 27, Lunch Rm., Kitchen Parent Rm., Science Rm. 27, Lunch Rm., Kitchen Science Rm. Basement Corridors Boiler Rm. 11 White Linoleum Adhesive 3, Lab Counter Tops Brown Epoxy Flooring Kaowool Gaskets 13 2, 1 Assumed Assumed Assumed TSI Yes EA FITTING 4 Fire Pump Rm. Assumed TSI Yes 12"x12" Beige w/ Streaks VFT 12"x12" Beige w/ Streaks VFT Mastic Drywall 1,6 1,6 5, Assumed Assumed Assumed 19 Drywall Joint Compund 5 LF Assumed LF 6 ACBM with the potential for damage Exterior Brick Mortar 12"x12" Blotted Beige VFT 12"x12" Blotted Beige VFT Mastic Spray-on Fire Proofing 2 2 3, Rms. 22, 26A Rms. 22, 26A 2nd Floor Faculty Restroom, Kitchen, Lunch Rm. 2nd Floor Faculty Restroom, Kitchen, Lunch Rm. Exterior of Bldg. - n -AHERA 3rd Floor Corridor 3rd Floor Corridor Attic Ducting 6 ACBM with the potential for damage 6 ACBM with the potential for damage 7 Any remaining friable ACBM or friable suspect ACBM 7 Any remaining friable ACBM or friable suspect ACBM 6 ACBM with the potential for damage 6 ACBM with the potential for damage 6 ACBM with the potential for damage 15 Mudded Pipe Insulation ACBM Assumed Assumed Assumed SURFACE Yes 1,5 Remove Firedoors Door Frame Caulk Plaster , FITTING LF Throughout Throughout Throughout Assumed Assumed Assumed SURFACE Yes 6, FITTING LF Light Beige w/ Gray Spots Linoleum Roof Field Roof Field Roof Flashing Roof Flashing Purple Carpet Mastic Wiring for Flood Lights in Field House 12" x 12" Dark Beige Floor Tile 12" x 12" Dark Beige Floor Tile Mastic 2, LF Assumed Assumed Assumed Chrysotile Chrysotile Assumed Assumed Assumed Assumed 5 Kitchen, South and rth Lunchroom Upper Roof Level - n -AHERA Lower Level - n- AHERA Upper Level - n- AHERA Lower Level - n -AHERA 22 Field House Lunchrooms and Kitchen Lunchrooms and Kitchen 6 ACBM with the potential for damage 6 ACBM with the potential for damage 3 Significantly damaged friable surfacing ACBM 6 ACBM with the potential for damage 6 ACBM with the potential for damage 3 Significantly damaged friable surfacing ACBM 6 ACBM with the potential for damage LF 6 ACBM with the potential for damage Repair

22 School Address Unit Building ID Chicago, IL, 668 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 12" Light Beige Floor Tile 12" x 12" Light Beige Floor Tile Mastic Interior Incinerator Material/Breeching Black Vinyl Floor Covering Black Vinyl Floor Covering Mastic 2' x 4' Ceiling Tile w/fissures/pinholes 2 2 9, 'x2' Sectional CeilingTile w/sm.fissures/pinholes 4, B Light Grey Linoleum Light Grey Linoleum Adhesive 12"x12" Light Blue Floor Tile 12"x12" Dark Beige Floor Tile 12"x12" Beige Floor Tile Linoleum 12"x12" Light Blue VFT Mastic 12"x12" Dark Beige VFT Mastic 12"x12" Beige Floor Tile Mastic Linoleum Floor Mastic Interior Brick Interior Brick Mortar Aircell Pipe Insulation 8 8 3,9 8 2,5 3,9 4, 1, LF C Cardboard Pipe Covering 6 LF D Pipe Joint Compound 2 EA Material Location Asbestos Type Material Category Lunchrooms and Kitchen Lunchrooms and Kitchen Boiler Room Assumed Assumed Assumed TSI Yes Main Entrance Foyer and Stairs Main Entrance Foyer and Stairs 1st, 2nd & 3rd Floor Corridors, Classrooms & Main Office Gym, Room 33 & 35 Assumed Assumed Assumed Yes Assumed Yes 8 Room 27 Room 27 Rooms 12, 16, 17 Throughout 1st & 2nd Floor Corridors, 25 & 28 Gym & Gym Entrances Rooms 12, 16, 17 Assumed Assumed Chrysotile Chrysotile Assumed ACBM Chrysotile Chrysotile ACBM ACBM ACBM ACBM Amosite 7 Any remaining friable ACBM or friable suspect ACBM 6 ACBM with the potential for damage 6 ACBM with the potential for damage 7 Any remaining friable ACBM or friable suspect ACBM 4 Damaged or significantly damaged friable misc. ACBM 6 ACBM with the potential for damage 6 ACBM with the potential for damage 6 ACBM with the potential for damage 6 ACBM with the potential for damage 6 ACBM with the potential for damage 6 ACBM with the potential for damage 6 ACBM with the potential for damage TSI Yes LF Chrysotile TSI Yes LF Amosite TSI Yes EA 7 Any remaining friable ACBM or friable suspect ACBM 7 Any remaining friable ACBM or friable suspect ACBM 7 Any remaining friable ACBM or friable suspect ACBM 1st & 2nd Floor Corridors, 25 & 28 Gym Interior of Bldg. Interior of Bldg. Mechanical Areas, Kitchen, B'smt Corridor, Lunchroom, Store Rm. Mechanical Areas, Lunchrrom, Basement Corridor, & Entrance Door Kitchen, Playroom & Lunchroom, Basement Corridor, Mechanical Areas Friable Damage Quantity Damage Units Damage Category Response Repair

23 School Address Unit Building ID Chicago, IL, 668 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 3/8/216 Review Date Manager Planner Name Evan Christian /15/216 Manager IDPH License /Expiration HA Number Management Comments

24 School Address Unit Building ID Chicago, IL, 668 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 Management Comments Isolate and control access to attic space until proper sampling can take place. if material confirmed to contain asbestos, material shall be removed per applicable regulations. Conduct proper sampling to determine if material contains asbestos. If material is confirmed to contain asbestos, material shall be repaired per applicable regulations. If identified follow O&M plan. If identified follow O&M plan. If identified follow O&M plan. If identified follow O&M plan. If identified follow O&M plan. Isolate and control access to space until proper sampling can take place. If material confirmed to contain asbestos, material shall be repaired per applicable regulations.

25 School Address Unit Building ID Chicago, IL, 668 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 C D Management Comments

26 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 2/25/216 INFORMATION FROM PREVIOUS INSPECTION 1 Exterior Brick 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: Exteior of Bldg.- n- AHERA COMMENTS: Inspector's Signature: 2/25/216

27 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 3/8/216 1 Exterior Brick Exteior of Bldg.- n- AHERA 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: 3/8/216

28 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 2/25/216 INFORMATION FROM PREVIOUS INSPECTION 1 White Linoleum HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Parent Rm., Science Rm. 27, Lunch Rm., Kitchen 32 COMMENTS: Inspector's Signature: 2/25/216

29 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 3/8/216 1 White Linoleum Parent Rm., Science Rm. 27, Lunch Rm., Kitchen 32 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 3/8/216

30 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 2/25/216 INFORMATION FROM PREVIOUS INSPECTION 11 White Linoleum Adhesive HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Parent Rm., Science Rm. 27, Lunch Rm., Kitchen 32 COMMENTS: Inspector's Signature: 2/25/216

31 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 3/8/ White Linoleum Adhesive Parent Rm., Science Rm. 27, Lunch Rm., Kitchen 32 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 3/8/216

32 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 2/25/216 INFORMATION FROM PREVIOUS INSPECTION 12 Lab Counter Tops 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 Rm. 13 EA EA COMMENTS: Inspector's Signature: 2/25/216

33 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 3/8/ Lab Counter Tops Science Rm. 13 EA EA 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: 3/8/216

34 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 2/25/216 INFORMATION FROM PREVIOUS INSPECTION 13 Brown Epoxy Flooring HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Basement Corridors 2 COMMENTS: Inspector's Signature: 2/25/216

35 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 3/8/ Brown Epoxy Flooring Basement Corridors 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: 3/8/216

36 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 2/25/216 INFORMATION FROM PREVIOUS INSPECTION 14 Kaowool Gaskets HISTORICAL AHERA DAMAGE CATEGORY 7 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Boiler Rm. 1 FITTING FITTING COMMENTS: Inspector's Signature: 2/25/216

37 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 3/8/ Kaowool Gaskets Boiler Rm. 1 FITTING FITTING 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: 3/8/216

38 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 2/25/216 INFORMATION FROM PREVIOUS INSPECTION 15 Mudded Pipe Insulation HISTORICAL AHERA DAMAGE CATEGORY 7 Damaged or significantly damaged friable thermal system insulating ACBM 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 Fire Pump Rm. 4 COMMENTS: Inspector's Signature: 2/25/216

39 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 3/8/ Mudded Pipe Insulation Fire Pump Rm. 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: 3/8/216

40 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 2/25/216 INFORMATION FROM PREVIOUS INSPECTION 16 12"x12" Beige w/ 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 Rms. 22, 26A 16 COMMENTS: Inspector's Signature: 2/25/216

41 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 3/8/ "x12" Beige w/ Streaks VFT Rms. 22, 26A 16 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 3/8/216

42 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 2/25/216 INFORMATION FROM PREVIOUS INSPECTION 17 12"x12" Beige w/ 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 Rms. 22, 26A 16 COMMENTS: Inspector's Signature: 2/25/216

43 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 3/8/ "x12" Beige w/ Streaks VFT Mastic Rms. 22, 26A 16 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 3/8/216

44 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 2/25/216 INFORMATION FROM PREVIOUS INSPECTION 18 Drywall 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 2nd Floor Faculty Restroom, Kitchen, Lunch Rm. 5 COMMENTS: Inspector's Signature: 2/25/216

45 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 3/8/ Drywall 2nd Floor Faculty Restroom, Kitchen, Lunch Rm. 5 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 3/8/216

46 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 2/25/216 INFORMATION FROM PREVIOUS INSPECTION 19 Drywall Joint Compund 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 2nd Floor Faculty Restroom, Kitchen, Lunch Rm. 5 LF LF COMMENTS: Inspector's Signature: 2/25/216

47 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 3/8/ Drywall Joint Compund 2nd Floor Faculty Restroom, Kitchen, Lunch Rm. 5 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: 3/8/216

48 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 2/25/216 INFORMATION FROM PREVIOUS INSPECTION 11 Exterior Brick Mortar 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 Bldg. - n -AHERA COMMENTS: Inspector's Signature: 2/25/216

49 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 3/8/ Exterior Brick Mortar Exterior of Bldg. - n -AHERA 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: 3/8/216

50 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 2/25/216 INFORMATION FROM PREVIOUS INSPECTION 11 12"x12" Blotted Beige 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 3rd Floor Corridor 2 COMMENTS: Inspector's Signature: 2/25/216

51 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 3/8/ "x12" Blotted Beige VFT 3rd Floor Corridor 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: 3/8/216

52 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 2/25/216 INFORMATION FROM PREVIOUS INSPECTION "x12" Blotted Beige 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 3rd Floor Corridor 2 COMMENTS: Inspector's Signature: 2/25/216

53 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 3/8/ "x12" Blotted Beige VFT Mastic 3rd Floor Corridor 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: 3/8/216

54 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 2/25/216 INFORMATION FROM PREVIOUS INSPECTION 112 Spray-on Fire Proofing HISTORICAL AHERA DAMAGE CATEGORY 3 Significantly damaged friable surfacing ACBM HISTORICAL DAMAGE REASON: Air Erosion/Flow Delamination Deterioration HISTORICAL RESPONSE ACTION: Remove 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 3. Significantly damaged friable surfacing ACBM DAMAGE REASON: Deterioration Physical Damage Air Erosion/Flow DISTURBANCE POTENTIAL: LOW Attic Ducting 3 COMMENTS: Inspector's Signature: 2/25/216

55 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 3/8/ Spray-on Fire Proofing Attic Ducting 3 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: Remove Comments: Isolate and control access to attic space until proper sampling can take place. if material confirmed to contain asbestos, material shall be removed per applicable regulations. Management Planner's Signature: 3/8/216

56 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 2/25/216 INFORMATION FROM PREVIOUS INSPECTION 113 Firedoors 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 Throughout 1 FITTING FITTING COMMENTS: Inspector's Signature: 2/25/216

57 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 3/8/ Firedoors Throughout 1 FITTING FITTING 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: 3/8/216

58 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 2/25/216 INFORMATION FROM PREVIOUS INSPECTION 114 Door Frame 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 Throughout 5 LF LF COMMENTS: Inspector's Signature: 2/25/216

59 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 3/8/ Door Frame Caulk Throughout 5 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: 3/8/216

60 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 2/25/216 INFORMATION FROM PREVIOUS INSPECTION 115 Plaster HISTORICAL AHERA DAMAGE CATEGORY 3 Significantly damaged friable surfacing ACBM HISTORICAL DAMAGE REASON: Deterioration Delamination HISTORICAL RESPONSE ACTION: Repair 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 3. Significantly damaged friable surfacing ACBM DAMAGE REASON: Deterioration Physical Damage DISTURBANCE POTENTIAL: LOW Throughout 12 COMMENTS: Inspector's Signature: 2/25/216

61 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 3/8/ Plaster Throughout 12 6 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Repair Comments: Conduct proper sampling to determine if material contains asbestos. If material is confirmed to contain asbestos, material shall be repaired per applicable regulations. Management Planner's Signature: 3/8/216

62 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 2/25/216 INFORMATION FROM PREVIOUS INSPECTION 12 Roof Field HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Upper Roof Level - n -AHERA COMMENTS: Inspector's Signature: 2/25/216

63 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 3/8/ Roof Field Upper Roof Level - n -AHERA 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: 3/8/216

64 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 2/25/216 INFORMATION FROM PREVIOUS INSPECTION 12.1 Roof Field HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Lower Level - n- AHERA COMMENTS: Inspector's Signature: 2/25/216

65 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 3/8/ Roof Field Lower Level - n- AHERA 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: 3/8/216

66 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 2/25/216 INFORMATION FROM PREVIOUS INSPECTION 13 Roof Flashing HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Upper Level - n- AHERA COMMENTS: Inspector's Signature: 2/25/216

67 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 3/8/ Roof Flashing Upper Level - n- AHERA 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: 3/8/216

68 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 2/25/216 INFORMATION FROM PREVIOUS INSPECTION 13.1 Roof Flashing HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Lower Level - n -AHERA COMMENTS: Inspector's Signature: 2/25/216

69 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 3/8/ Roof Flashing Lower Level - n -AHERA 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: 3/8/216

70 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 2/25/216 INFORMATION FROM PREVIOUS INSPECTION 14 Purple Carpet Mastic 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: 22 COMMENTS: t observed 216 Inspector's Signature: 2/25/216

71 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 3/8/ Purple Carpet Mastic 22 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: If identified follow O&M plan. Management Planner's Signature: 3/8/216

72 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 2/25/216 INFORMATION FROM PREVIOUS INSPECTION 15 Wiring for Flood Lights in Field House 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 Field House 5 LF LF COMMENTS: Inspector's Signature: 2/25/216

73 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 3/8/ Wiring for Flood Lights in Field House Field House 5 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: 3/8/216

74 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 2/25/216 INFORMATION FROM PREVIOUS INSPECTION 16 12" x 12" Dark Beige Floor Tile 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: Lunchrooms and Kitchen COMMENTS: t observed 216 Inspector's Signature: 2/25/216

75 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 3/8/ " x 12" Dark Beige Floor Tile Lunchrooms and Kitchen In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: If identified follow O&M plan. Management Planner's Signature: 3/8/216

76 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 2/25/216 INFORMATION FROM PREVIOUS INSPECTION 17 12" x 12" Dark Beige Floor Tile Mastic 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: Lunchrooms and Kitchen COMMENTS: t observed 216 Inspector's Signature: 2/25/216

77 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 3/8/ " x 12" Dark Beige Floor Tile Mastic Lunchrooms and Kitchen In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: If identified follow O&M plan. Management Planner's Signature: 3/8/216

78 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 2/25/216 INFORMATION FROM PREVIOUS INSPECTION 18 12" x 12" Light Beige Floor Tile 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: Lunchrooms and Kitchen COMMENTS: t observed 216 Inspector's Signature: 2/25/216

79 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 3/8/ " x 12" Light Beige Floor Tile Lunchrooms and Kitchen In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: If identified follow O&M plan. Management Planner's Signature: 3/8/216

80 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 2/25/216 INFORMATION FROM PREVIOUS INSPECTION 19 12" x 12" Light Beige Floor Tile Mastic 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: Lunchrooms and Kitchen COMMENTS: t observed 216 Inspector's Signature: 2/25/216

81 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 3/8/ " x 12" Light Beige Floor Tile Mastic Lunchrooms and Kitchen In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: If identified follow O&M plan. Management Planner's Signature: 3/8/216

82 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 2/25/216 INFORMATION FROM PREVIOUS INSPECTION 2 Interior Incinerator Material/Breeching HISTORICAL AHERA DAMAGE CATEGORY 7 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Boiler Room 178 COMMENTS: Inspector's Signature: 2/25/216

83 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 3/8/216 2 Interior Incinerator Material/Breeching Boiler Room 178 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: 3/8/216

84 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 2/25/216 INFORMATION FROM PREVIOUS INSPECTION 21 Black Vinyl Floor Covering 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 Entrance Foyer and Stairs 2 COMMENTS: Inspector's Signature: 2/25/216

85 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 3/8/ Black Vinyl Floor Covering Main Entrance Foyer and Stairs 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: 3/8/216

86 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 2/25/216 INFORMATION FROM PREVIOUS INSPECTION 22 Black Vinyl Floor Covering 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 Entrance Foyer and Stairs 2 COMMENTS: Inspector's Signature: 2/25/216

87 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 3/8/ Black Vinyl Floor Covering Mastic Main Entrance Foyer and Stairs 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: 3/8/216

88 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 2/25/216 INFORMATION FROM PREVIOUS INSPECTION 23 2' x 4' Ceiling Tile w/fissures/pinholes HISTORICAL AHERA DAMAGE CATEGORY 7 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: LOW 1st, 2nd & 3rd Floor Corridors, Classrooms & Main Office 948 COMMENTS: Inspector's Signature: 2/25/216

89 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 3/8/ ' x 4' Ceiling Tile w/fissures/pinholes 1st, 2nd & 3rd Floor Corridors, Classrooms & Main Office 948 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: 3/8/216

90 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 2/25/216 INFORMATION FROM PREVIOUS INSPECTION 24 2'x2' Sectional CeilingTile w/sm.fissures/pinholes HISTORICAL AHERA DAMAGE CATEGORY 4 Any remaining friable ACBM or friable suspect ACBM HISTORICAL DAMAGE REASON: Water HISTORICAL RESPONSE ACTION: Remove 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 4. Damaged or significantly damaged friable misc. ACBM DAMAGE REASON: Water Deterioration Physical Damage DISTURBANCE POTENTIAL: LOW Gym, Room 33 & 35 4 COMMENTS: Inspector's Signature: 2/25/216

91 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 3/8/ 'x2' Sectional CeilingTile w/sm.fissures/pinholes Gym, Room 33 & 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: Remove Comments: Isolate and control access to space until proper sampling can take place. If material confirmed to contain asbestos, material shall be repaired per applicable regulations. Management Planner's Signature: 3/8/216

92 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 2/25/216 INFORMATION FROM PREVIOUS INSPECTION 25 Light Grey Linoleum HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Room 27 8 COMMENTS: Inspector's Signature: 2/25/216

93 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 3/8/ Light Grey Linoleum Room 27 8 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 3/8/216

94 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 2/25/216 INFORMATION FROM PREVIOUS INSPECTION 26 Light Grey Linoleum Adhesive HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Room 27 8 COMMENTS: Inspector's Signature: 2/25/216

95 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 3/8/ Light Grey Linoleum Adhesive Room 27 8 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 3/8/216

96 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 2/25/216 INFORMATION FROM PREVIOUS INSPECTION 4 12"x12" Light Blue Floor Tile HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Rooms 12, 16, COMMENTS: Inspector's Signature: 2/25/216

97 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 3/8/ "x12" Light Blue Floor Tile Rooms 12, 16, In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 3/8/216

98 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 2/25/216 INFORMATION FROM PREVIOUS INSPECTION "x12" Dark Beige Floor Tile HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Throughout 8 COMMENTS: Inspector's Signature: 2/25/216

99 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 3/8/ "x12" Dark Beige Floor Tile Throughout 8 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 3/8/216

100 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 2/25/216 INFORMATION FROM PREVIOUS INSPECTION "x12" Beige Floor Tile HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with potential for significant damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW 1st & 2nd Floor Corridors, 25 & COMMENTS: Inspector's Signature: 2/25/216

101 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 3/8/ "x12" Beige Floor Tile 1st & 2nd Floor Corridors, 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: 3/8/216

102 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 2/25/216 INFORMATION FROM PREVIOUS INSPECTION 5 Linoleum 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: Gym & Gym Entrances COMMENTS: Inspector's Signature: 2/25/216

103 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 3/8/216 5 Linoleum Gym & Gym Entrances 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: 3/8/216

104 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 2/25/216 INFORMATION FROM PREVIOUS INSPECTION 6 12"x12" Light Blue VFT Mastic HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Rooms 12, 16, COMMENTS: Inspector's Signature: 2/25/216

105 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 3/8/ "x12" Light Blue VFT Mastic Rooms 12, 16, In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 3/8/216

106 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 2/25/216 INFORMATION FROM PREVIOUS INSPECTION "x12" Dark Beige VFT Mastic HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW 4 COMMENTS: Inspector's Signature: 2/25/216

107 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 3/8/ "x12" Dark Beige VFT Mastic 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: 3/8/216

108 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 2/25/216 INFORMATION FROM PREVIOUS INSPECTION "x12" Beige Floor Tile 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: 1st & 2nd Floor Corridors, 25 & 28 COMMENTS: Inspector's Signature: 2/25/216

109 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 3/8/ "x12" Beige Floor Tile Mastic 1st & 2nd Floor Corridors, 25 & 28 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: 3/8/216

110 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 2/25/216 INFORMATION FROM PREVIOUS INSPECTION 7 Linoleum Floor 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: Gym COMMENTS: Inspector's Signature: 2/25/216

111 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 3/8/216 7 Linoleum Floor Mastic Gym 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: 3/8/216

112 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 2/25/216 INFORMATION FROM PREVIOUS INSPECTION 8 Interior Brick 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: Interior of Bldg. COMMENTS: Inspector's Signature: 2/25/216

113 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 3/8/216 8 Interior Brick Interior of Bldg. 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: 3/8/216

114 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 2/25/216 INFORMATION FROM PREVIOUS INSPECTION 9 Interior Brick Mortar 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: Interior of Bldg. COMMENTS: Inspector's Signature: 2/25/216

115 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 3/8/216 9 Interior Brick Mortar Interior of Bldg. 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: 3/8/216

116 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 2/25/216 INFORMATION FROM PREVIOUS INSPECTION B Aircell Pipe Insulation HISTORICAL AHERA DAMAGE CATEGORY 7 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Amosite 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 Mechanical Areas, Kitchen, B'smt Corridor, Lunchroom, Store Rm. 1 LF LF COMMENTS: Inspector's Signature: 2/25/216

117 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 3/8/216 B Aircell Pipe Insulation Mechanical Areas, Kitchen, B'smt Corridor, Lunchroom, Store Rm. 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: 3/8/216

118 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 2/25/216 INFORMATION FROM PREVIOUS INSPECTION C Cardboard Pipe Covering HISTORICAL AHERA DAMAGE CATEGORY 7 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Mechanical Areas, Lunchrrom, Basement Corridor, & Entrance Door 6 LF LF COMMENTS: Inspector's Signature: 2/25/216

119 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 3/8/216 C Cardboard Pipe Covering Mechanical Areas, Lunchrrom, Basement Corridor, & Entrance Door 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: 3/8/216

120 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 2/25/216 INFORMATION FROM PREVIOUS INSPECTION D Pipe Joint Compound HISTORICAL AHERA DAMAGE CATEGORY 7 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Amosite 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 Kitchen, Playroom & Lunchroom, Basement Corridor, Mechanical Areas 2 EA EA COMMENTS: Inspector's Signature: 2/25/216

121 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 3/8/216 D Pipe Joint Compound Kitchen, Playroom & Lunchroom, Basement Corridor, Mechanical Areas 2 EA EA 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: 3/8/216

122 Inspector Assessment Form (New Homogeneous Area) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 2/25/216 INFORMATION FROM CURRENT INSPECTION 116 Light Beige w/ Gray Spots Linoleum Kitchen, South and rth Lunchroom 2 MATERIAL CATEGORY: FRIABLE: ASBESTOS TYPE: Assumed DISTURBANCE POTENTIAL: LOW AHERA DAMAGE CATEGORY: CONDITION: 6 ACBM with the potential for damage ACCESSIBILITY: Within Reach DAMAGE REASON: DAMAGE REASON: DAMAGE REASON: COMMENTS: Inspector's Signature: 2/25/216

123 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 3/8/ Light Beige w/ Gray Spots Linoleum Kitchen, South and rth Lunchroom 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: 3/8/216

124 APPENDIX B Inspector and Management Planner Licenses

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129