Explain in writing if the address of the building is different than the address on this form:
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- Mercy Stokes
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1 ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO SCHOOL DIST Chicago, IL, 6619 DATE LAST THREE YEAR REINSPECTION WAS COMPLETED 3/19/213 If the address on this form is different than the address of the building, submit a written explanation. SECTION II (Please type or print) PLEASE COMPLETE THE FOLING FOR YOUR THREE YEAR REINSPECTION: DATE REINSPECTION COMPLETED: 3/3/216 IDPH INSPECTOR LICENSE NUMBER: IDPH LICENSED INSPECTOR NAME (Please Print): Bruce Alroth IDPH MP LICENSE NUMBER: IDPH LICENSED MANAGEMENT PLANNER NAME (Please Print): DESIGNATED PERSON (Please Print): Robert Christlieb ENROLLMENT 49 Daniel Juneau PHONE: (773) /3/216 Signature of Designated Person Date SECTION III PLEASE COMPLETE THE FOLING INFORMATION FOR ANY CHANGES WITHIN THE SCHOOL DISTRICT. School building has been sold. Date of Sale: School has been closed. Date closed: School building has been demolished. School building is asbestos free since last reinspection: Please explain in writing why the school building is now asbestos free and include the supporting documentation. If a new school building has been added to the district, submit either and exclusionary statement or a management plan and inspection report. Include the complete name, address and city of school building. Explain in writing if the address of the building is different than the address on this form: IL Revised 1.3
2 THREE YEAR REINSPECTION CHICAGO SCHOOL DIST 299 Chicago, IL, 6619 Unit: Building ID: 566 IDPH ID Number: REPORT DATE: Wednesday, March 3, 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: 5 IDPH ID: Building ID: 566 Address: Chicago, IL, 6619 Building Contact: Murden, Paul Contact Phone: Current Building Owners: Review 3/3/216 Inspector: Bruce Alroth Management Planner: Daniel Juneau Inspector IDPH License: Management Planner IDPH License: If you have any questions or comments, please contact us at (312) Sincerely, Daniel Juneau
4 Environmental tification to Occupants To: Faculty, Staff and Parents From: February 25, 216 RE:, Unit Chicago, IL, 6619 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: Murden, Paul Unit: Chicago, IL, 6619 Building ID: 566 Phone: Description of Facility Original Construction: 1925 Total Square Footage: 8821 Current Occupancy: Additional Construction: of Floors: 2 Phone: (773) Managing Environmental Consultant MEC: Contact: Dan Juneau Address 6 West Van Buren St., Ste 5 Phone: (312) Fax: (312) Inspector Inspector Name: Bruce Alroth Signature: 2/25/216 Inspector IDPH license # LEA Designated Person Contact: Robert Christlieb Address: 125 South Clark Street, 17th Floor Chicago, IL Region: 5 Management Planner Management Planner Name: Daniel Juneau Management Planner IDPH license # Review 3/3/ LEA Designated Person's Acknowledgement Signature: 3/3/216 The reinspection report and recommendations have been received by me and appropriate action will be taken by the School District. Signature: 3/3/216 Name: Robert Christlieb Unit : Building: 566
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 566: Unit: 16 Duct Jacket (1926) 22 insulation on incerator door 44 2x4 ceiling tiles 45 ceiling plaster D fittings on paperwrap insulation (1926) O pre-form pipe insulation (1926) P aircell pipe insulation R fittings on aircell (1956) S fittings on pre-form insulation (1926) Building: 566
8 T Unit: boiler gasket (1926) Building: 566
9 B. The following new homogenous areas have been identified for Building 566: Unit: Building: 566
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 : A 48 48A 49 49A 5 O S T U V 12" LT. Brwn. Flr. Tile (1956) 12" Blue flr. Tile 12" Gray flr. Tile Duct Jacket (1926) baseboard (1926) Baseboard mastic Baseboard Baseboard mastic insulation on incerator door Fire Brick mortar fire door 12" beige flr tile 12" beige flr tile mastic (1926) 12" beige flr tile (1956) 12" Blue Flr tile mastic (1956) 12" lt Brown flr tile 12" lt brown flr tile mastic (1926) 12" brown flr tile (1926) Dark blue carpet mastic (1956) Linoleum (beige) Linoleum mastic (1956) blue carpet mastic (1926) 2' tectum ceiling tiles (1926) 12x12 black and white floor tile 2x4 ceiling tiles ceiling plaster 12x12 beige floor tile 12"x12" Red w/dark Streaks VFT 12"x12" Red w/dark Streaks VFT Mastic 12"x12" Black and Green VFT 12"x12" Black and Green VFT Mastic 12"x12" Off White VFT 12"x12" Off White VFT Mastic Red Multicolor Carpet Mastic pre-form pipe insulation (1926) fittings on pre-form insulation (1926) boiler gasket (1926) White Coating Bottom of Sink Black Coating on Bottom of Sink The following areas were deemed to be inaccessible: Unit: Building: 566
11 A 48A 49A 5 C D Baseboard mastic Baseboard mastic insulation on incerator door Fire Brick mortar fire door 12" beige flr tile mastic (1926) 12" beige flr tile mastic (1956) 9" tan flr tile mastic (1956) 12" lt brown flr tile mastic (1956) 12" Blue Flr tile mastic (1956) 12" Tan flr tile mastic (1956) 12" gray flr tile mastic (1956) 12" lt brown flr tile mastic (1926) 12" brown flr tile mastic (1926) Dark blue carpet mastic (1956) Linoleum mastic (1956) 12"x12" Red w/dark Streaks VFT Mastic 12"x12" Black and Green VFT Mastic 12"x12" Off White VFT Mastic Red Multicolor Carpet Mastic paperwrap pipe insulation (1926) fittings on paperwrap insulation (1926) 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 Bruce Alroth, IDPH License # The Management Plan was updated by Daniel Juneau, IDPH License # Inspector and Management Planner Licenses are included in Appendix B. Unit: Building: 566
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 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 566 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: 566
13 Table I Inspector's Reinspection Findings
14 School Unit Building ID 566 Address Region 5 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 5B 9 x 9 White Floortile streaked VAT 11 9" tan flr tile " LT. Brwn. Flr. Tile (1956) " Gray flr. Tile 16 Material Quantity Material Units Material Location Asbestos Type Material Category Friable Damage Type 1963 Bldg, Main office, Principals office, Nurses tiolet Storage rm, and Closet bldg bldg rtheast corridor, 1st pre-kindergarten rm nd flr corridor ABATED CHR ASSUMED N NONE N NONE ASSUMED N CHR N Rm. 21,22,23,24, Bldg rth section basement bldg. ASSUMED ASSUMED Damage Quantity Damage Units Change in Assessment Category Damage Category ACBM with the potential for damage ACBM with the potential for damage NONE N NONE ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage NONE TSI Y NONE Yes Any remaining friable ACBM or friable suspect ACBM CHR ASSUMED N NONE ACBM with the potential for damage ASSUMED N NONE N NONE ASSUMED N NONE ASSUMED TSI Y NONE Yes ASSUMED TSI Y NONE ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage Any remaining friable ACBM or friable suspect ACBM Any remaining friable ACBM or friable suspect ACBM ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ASSUMED " Blue flr. Tile 75 12" Tan flr. Tile 42 3, Duct Jacket (1926) 3 16A 18 9 x 9 Brown/orange floortile Mastic baseboard (1926) Baseboard mastic 56 2 Baseboard Baseboard mastic insulation on incerator door 1 23 Fire Brick mortar Bldg, Rm 25 Rm 211,213, and 2nd flr teachers restroom rm, 211,213 and 2nd flr. Teachers RR Rm. 2,22,23,24 Rm, 2,22,23,24 boiler room 1926 bldg. (door welded shut) boiler rm, 1926 bldg 24 fire door 2 boiler room tunnel ASSUMED N NONE 25 12" beige flr tile 1,32 ASSUMED N NONE 26 12" beige flr tile mastic (1926) 1, bldg - 2nd flr corridor 2nd flr corridor ASSUMED N NONE 27 12" beige flr tile (1956) 1,15 ASSUMED N NONE 28 12" beige flr tile mastic (1956) 1,15 1st flr corridor and rm 2 1st flr corridor and rm 2 CHR N NONE Damage Reason Disturbance Potential
15 School Unit Building ID 566 Address Region 5 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 29 9" tan flr tile mastic (1956) 3 12" lt brown flr tile mastic (1956) Material Quantity Material Units Material Location Asbestos Type Material Category Friable Damage Type Damage Quantity Damage Units 15 CHR N NONE 5 kitchen office and store room 1st flr corridor Change in Assessment Category CHR N NONE 12" Blue Flr tile mastic (1956) 75 kindergarten rm 11 ASSUMED N NONE 12" Tan flr tile mastic (1956) 42 2nd flr corridor CHR N NONE 33 12" gray flr tile mastic (1956) 3, N NONE 12" lt Brown flr tile 27 ASSUMED N NONE 35 12" lt brown flr tile mastic (1926) 27 ASSUMED N NONE 36 12" brown flr tile (1926) 1, Rm, 21,22,23,24 1st and 2nd flr southwest corridor 1st and 2nd flr southwest corridor Rm 216 CHR 34 ASSUMED N NONE 37 12" brown flr tile mastic (1926) 1, Rm 216 CHR N NONE 38 Dark blue carpet mastic (1956) 75 Rm 11 ASSUMED N NONE 39 Linoleum (beige) 4 N NONE Linoleum mastic (1956) bldg - Rm 11, storeroom Rm 11, storage rm ASSUMED 4 ASSUMED N NONE 41 blue carpet mastic (1926) 2' tectum ceiling tiles (1926) 1,8 1st&2nd flr classrooms gymnasium ASSUMED 42 ASSUMED N NONE 43 12x12 black and white floor tile ASSUMED 44 2x4 ceiling tiles 75, 1956 bdlg - Storage room and closet Throughout bldg 1924 ASSUMED Y NONE Yes 45 ceiling plaster 8, 1956 bldg, all 2nd floor ASSUMED SURFACE Y NONE Yes 46 12x12 beige floor tile 75 ASSUMED N NONE 47 12"x12" Red w/dark Streaks VFT bldg - room 2 Room 19 ASSUMED N NONE 47A 12"x12" Red w/dark Streaks VFT Mastic 6 Room 19 ASSUMED N NONE 48 12"x12" Black and Green VFT 1 Lunchroom Office ASSUMED N NONE Damage Category Damage Reason Disturbance Potential ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ne Low 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 ACBM with the potential for damage
16 School Unit Building ID 566 Address Region 5 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 48A 12"x12" Black and Green VFT Mastic 49 12"x12" Off White VFT 49A 5 Material Quantity Material Units Material Location Asbestos Type Material Category Friable Damage Type Damage Quantity Damage Units 1 Lunchroom Office ASSUMED N NONE Change in Assessment Category Damage Category 1 Lunchroom Office ASSUMED N NONE 12"x12" Off White VFT Mastic 1 Lunchroom Office ASSUMED N NONE Red Multicolor Carpet Mastic 1 ASSUMED N NONE C paperwrap pipe insulation (1926) 153 CHR TSI Y DIST 8 D fittings on paperwrap insulation (1926) 18 EA CHR TSI Y NONE Yes E F J Tank Insulation (1926) tank packing (1926) Aircell pipe insulation (1926) 9 ABATED ABATED CHR TSI TSI TSI Y DIST 2 Damaged or significantly damaged friable thermal system insulating ACBM O pre-form pipe insulation (1926) 1 Principals Office, Office in Gym boiler room and pipe chase, unexcavated areas, Dever tunnel walk-way boiler room and pipe chase, unexcavated areas, Dever tunnel walk-way boiler room boiler room Throughout building, air plenums (not decks), and unexcavated areas boiler room ASSUMED TSI Y NONE Yes P aircell pipe insulation 4 CHR TSI Y NONE Yes Q fittings aircell 9 Throughout building, & unexcavated areas throughout building, & unexcavated areas CHR TSI Y DIST 2 R fittings on aircell (1956) 4 throughout building, & unexcavated area CHR TSI Y NONE Yes S fittings on pre-form insulation (1926) 1 boiler room ASSUMED TSI Y NONE Yes T boiler gasket (1926) 25 boiler room ASSUMED TSI Y NONE Yes U White Coating Bottom of Sink 4 Room 11 ASSUMED N NONE Any remaining friable ACBM or friable suspect ACBM Any remaining friable ACBM or friable suspect ACBM Damaged or significantly damaged friable thermal system insulating ACBM Any remaining friable ACBM or friable suspect ACBM 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 ACBM with the potential for damage ACBM with the potential for damage Damaged or significantly damaged friable thermal system insulating ACBM Any remaining friable ACBM or friable suspect ACBM Damage Reason Disturbance Potential 3 MODERATE 3 MODERATE 3
17 School Unit Building ID 566 Address Region 5 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 V Black Coating on Bottom of Sink Material Quantity 4 Material Units Material Location Asbestos Type Material Category Friable Damage Type Room 24 ASSUMED N NONE Damage Quantity Damage Units Change in Assessment Category Damage Category ACBM with the potential for damage Damage Reason Disturbance Potential
18 School Unit Building ID 566 Address Region 5 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 Bruce Alroth /15/217 Inspector's IDPH License Number / Expiration Date HA Number: 5B A Inspector Comments: t observed w wood floor
19 School Unit Building ID 566 Address Region 5 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Inspector's Reinspection Findings Table 1 Managing Environmental Consultant (MEC) 6 West Van Buren St., Ste 5 Phone: (312) Fax: (312) Inspector's Comments are Summarized at the End of the Report HA Number: A 48 48A 49 49A 5 C D E F J O P Q R Inspector Comments: t observed w wood floor t observed 216
20 School Unit Building ID 566 Address Region 5 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: S T U V Inspector Comments:
21 Table II Management Planner's Review
22 School Address Unit Building ID Chicago, IL, Region 5 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 5B 9 x 9 White Floortile streaked VAT " tan flr tile " LT. Brwn. Flr. Tile (1956) 12" Blue flr. Tile 12" Tan flr. Tile 12" Gray flr. Tile Duct Jacket (1926) , 3 16A 18 9 x 9 Brown/orange floortile Mastic baseboard (1926) Baseboard mastic Baseboard Baseboard mastic insulation on incerator door Fire Brick mortar fire door 12" beige flr tile 12" beige flr tile mastic (1926) 12" beige flr tile (1956) 12" beige flr tile mastic (1956) 9" tan flr tile mastic (1956) 12" lt brown flr tile mastic (1956) 12" Blue Flr tile mastic (1956) 12" Tan flr tile mastic (1956) 12" gray flr tile mastic (1956) 12" lt Brown flr tile 12" lt brown flr tile mastic (1926) 12" brown flr tile (1926) 12" brown flr tile mastic (1926) Dark blue carpet mastic (1956) Linoleum (beige) 2 1,32 1,32 1,15 1, , , 1, 75 4 Friable Damage Quantity Damage Units Damage Category Response 1963 Bldg, Main office, Principals office, Nurses tiolet Storage rm, and Closet bldg bldg - rtheast corridor, 1st pre-kindergarten rm nd flr corridor Rm. 21,22,23,24, Bldg rth section basement bldg. Abated Chrysotile Chrysotile TSI Yes 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 7 Any remaining friable ACBM or friable suspect ACBM 1926 Bldg, Rm 25 Rm 211,213, and 2nd flr teachers restroom rm, 211,213 and 2nd flr. Teachers RR Rm. 2,22,23,24 Rm, 2,22,23,24 boiler room 1926 bldg. (door welded shut) boiler rm, 1926 bldg Chrysotile 6 ACBM with the potential for damage TSI Yes TSI Yes Chrysotile Chrysotile Chrysotile Chrysotile Chrysotile Chrysotile 6 ACBM with the potential for damage 6 ACBM with the potential for damage 6 ACBM with the potential for damage 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 6 ACBM with the potential for damage 6 ACBM with the potential for damage 6 ACBM with the potential for damage 6 ACBM with the potential for damage 6 ACBM with the potential for damage 6 ACBM with the potential for damage 6 ACBM with the potential for damage 6 ACBM with the potential for damage 6 ACBM with the potential for damage 6 ACBM with the potential for damage 6 ACBM with the potential for damage 6 ACBM with the potential for damage 6 ACBM with the potential for damage boiler room tunnel 1924 bldg - 2nd flr corridor 2nd flr corridor 1st flr corridor and rm 2 1st flr corridor and rm 2 kitchen office and store room 1st flr corridor kindergarten rm 11 2nd flr corridor Rm, 21,22,23,24 1st and 2nd flr southwest corridor 1st and 2nd flr southwest corridor Rm 216 Rm 216 Rm bldg - Rm 11, storeroom
23 School Address Unit Building ID Chicago, IL, Region 5 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 Linoleum mastic (1956) blue carpet mastic (1926) 2' tectum ceiling tiles (1926) 12x12 black and white floor tile 2x4 ceiling tiles 4 6 ACBM with the potential for damage 6 ACBM with the potential for damage 75, 1,8 Rm 11, storage rm 1st&2nd flr classrooms gymnasium 1956 bdlg - Storage room and closet Throughout bldg 1924 Yes 45 ceiling plaster 8, 1956 bldg, all 2nd floor SURFACE Yes A 48 48A 49 49A 5 C 12x12 beige floor tile 12"x12" Red w/dark Streaks VFT 12"x12" Red w/dark Streaks VFT Mastic 12"x12" Black and Green VFT 12"x12" Black and Green VFT Mastic 12"x12" Off White VFT 12"x12" Off White VFT Mastic Red Multicolor Carpet Mastic paperwrap pipe insulation (1926) Chrysotile TSI Yes 8 D fittings on paperwrap insulation (1926) 18 EA Chrysotile TSI Yes EA 7 Any remaining friable ACBM or friable suspect ACBM E F J Tank Insulation (1926) tank packing (1926) Aircell pipe insulation (1926) 9 Abated Abated Chrysotile TSI TSI TSI Yes 2 pre-form pipe insulation (1926) 1 TSI Yes P aircell pipe insulation 4 Chrysotile TSI Yes Q fittings aircell 9 Chrysotile TSI Yes 2 R fittings on aircell (1956) 4 Chrysotile TSI Yes S fittings on pre-form insulation (1926) 1 Throughout building, & unexcavated areas throughout building, & unexcavated areas throughout building, & unexcavated area boiler room TSI Yes 1 Damaged or significantly damaged friable thermal system insulating ACBM 7 Any remaining friable ACBM or friable suspect ACBM 7 Any remaining friable ACBM or friable suspect ACBM 1 Damaged or significantly damaged friable thermal system insulating ACBM 7 Any remaining friable ACBM or friable suspect ACBM 7 Any remaining friable ACBM or friable suspect ACBM Remove O 1956 bldg - room 2 Room 19 Room 19 Lunchroom Office Lunchroom Office Lunchroom Office Lunchroom Office Principals Office, Office in Gym boiler room and pipe chase, unexcavated areas, Dever tunnel walkway boiler room and pipe chase, unexcavated areas, Dever tunnel walkway boiler room boiler room Throughout building, air plenums (not decks), and unexcavated areas boiler room 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 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 1 Damaged or significantly damaged friable thermal system insulating ACBM Repair Repair
24 School Address Unit Building ID Chicago, IL, Region 5 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 T boiler gasket (1926) 25 boiler room TSI Yes U V White Coating Bottom of Sink Black Coating on Bottom of Sink 4 4 Room 11 Room 24 7 Any remaining friable ACBM or friable suspect ACBM 6 ACBM with the potential for damage 6 ACBM with the potential for damage Review Date 3/3/216 HA Number Management Comments
25 School Address Unit Building ID Chicago, IL, 6619 Region 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 Manager Planner Name Daniel Juneau /15/216 Manager IDPH License /Expiration HA Number 5B A Management Comments If identified, implement O&M
26 School Address Unit Building ID Chicago, IL, 6619 Region 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 A 48 48A 49 49A 5 C D E F J O P Q R S Management Comments If identified, implement O&M If identified, implement O&M Remove or Repair as appliciable. Continue O&M Once response action is complete. Continue O&M Remove or Repair as applicable. Continue O&M.
27 School Address Unit Building ID Chicago, IL, 6619 Region 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 T U V Management Comments
28 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION 5B 9 x 9 White Floortile streaked VAT HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Abated 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: 1963 Bldg, Main office, Principals office, Nurses tiolet COMMENTS: Inspector's Signature: 2/25/216
29 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ B 9 x 9 White Floortile streaked VAT 1963 Bldg, Main office, Principals office, Nurses tiolet 566 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: 3/3/216
30 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION 11 9" tan flr tile 1956 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: Storage rm, and Closet bldg COMMENTS: Inspector's Signature: 2/25/216
31 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ " tan flr tile 1956 Storage rm, and Closet 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: 3/3/216
32 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION 12 12" LT. Brwn. Flr. Tile (1956) HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: 1956 bldg - rtheast corridor, 1st 5 COMMENTS: Inspector's Signature: 2/25/216
33 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ " LT. Brwn. Flr. Tile (1956) 1956 bldg - rtheast corridor, 1st 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: 3/3/216
34 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION 13 12" Blue flr. Tile HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: pre-kindergarten rm COMMENTS: Inspector's Signature: 2/25/216
35 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ " Blue flr. Tile pre-kindergarten rm In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 3/3/216
36 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION 14 12" Tan flr. 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: nd flr corridor 42 COMMENTS: Inspector's Signature: 2/25/216
37 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ " Tan flr. Tile nd flr corridor 42 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: 3/3/216
38 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION 15 12" Gray flr. Tile HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Rm. 21,22,23,24, Bldg COMMENTS: Inspector's Signature: 2/25/216
39 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ " Gray flr. Tile Rm. 21,22,23,24, 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: 3/3/216
40 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION 16 Duct Jacket (1926) HISTORICAL AHERA DAMAGE CATEGORY 7 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: rth section basement bldg. 3 COMMENTS: Inspector's Signature: 2/25/216
41 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ Duct Jacket (1926) rth section basement bldg. 3 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 3/3/216
42 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION 16A 9 x 9 Brown/orange floortile Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: 1926 Bldg, Rm 25 COMMENTS: t observed w wood floor Inspector's Signature: 2/25/216
43 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ A 9 x 9 Brown/orange floortile Mastic 1926 Bldg, Rm In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: If identified, implement O&M Management Planner's Signature: 3/3/216
44 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION 18 baseboard (1926) HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Rm 211,213, and 2nd flr teachers restroom 56 COMMENTS: Inspector's Signature: 2/25/216
45 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ baseboard (1926) Rm 211,213, and 2nd flr teachers restroom 56 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: 3/3/216
46 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION 19 Baseboard mastic HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with potential for significant damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: rm, 211,213 and 2nd flr. Teachers RR 56 COMMENTS: Inspector's Signature: 2/25/216
47 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ Baseboard mastic rm, 211,213 and 2nd flr. Teachers RR 56 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: 3/3/216
48 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION 2 Baseboard HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Rm. 2,22,23,24 66 COMMENTS: Inspector's Signature: 2/25/216
49 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ Baseboard Rm. 2,22,23,24 66 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: 3/3/216
50 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION 21 Baseboard mastic HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Rm, 2,22,23,24 66 COMMENTS: Inspector's Signature: 2/25/216
51 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ Baseboard mastic Rm, 2,22,23,24 66 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: 3/3/216
52 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION 22 insulation on incerator door HISTORICAL AHERA DAMAGE CATEGORY 7 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: boiler room 1926 bldg. (door welded shut) 1 COMMENTS: Inspector's Signature: 2/25/216
53 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ insulation on incerator door boiler room 1926 bldg. (door welded shut) 1 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 3/3/216
54 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION 23 Fire Brick mortar HISTORICAL AHERA DAMAGE CATEGORY 7 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: boiler rm, 1926 bldg 24 COMMENTS: Inspector's Signature: 2/25/216
55 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ Fire Brick mortar boiler rm, 1926 bldg 24 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 3/3/216
56 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION 24 fire door HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: boiler room tunnel 2 COMMENTS: Inspector's Signature: 2/25/216
57 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ fire door boiler room tunnel 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: 3/3/216
58 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION 25 12" beige flr tile HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: 1924 bldg - 2nd flr corridor 132 COMMENTS: Inspector's Signature: 2/25/216
59 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ " beige flr tile 1924 bldg - 2nd flr corridor 132 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: 3/3/216
60 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION 26 12" beige flr tile mastic (1926) HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: 2nd flr corridor 132 COMMENTS: Inspector's Signature: 2/25/216
61 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ " beige flr tile mastic (1926) 2nd flr corridor 132 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: 3/3/216
62 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION 27 12" beige flr tile (1956) HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: 1st flr corridor and rm COMMENTS: Inspector's Signature: 2/25/216
63 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ " beige flr tile (1956) 1st flr corridor and rm In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 3/3/216
64 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION 28 12" beige flr tile mastic (1956) 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: 1st flr corridor and rm COMMENTS: Inspector's Signature: 2/25/216
65 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ " beige flr tile mastic (1956) 1st flr corridor and rm In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 3/3/216
66 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION 29 9" tan flr tile mastic (1956) 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: kitchen office and store room 15 COMMENTS: Inspector's Signature: 2/25/216
67 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ " tan flr tile mastic (1956) kitchen office and store room 15 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 3/3/216
68 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION 3 12" lt brown flr tile mastic (1956) 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: 1st flr corridor 5 COMMENTS: Inspector's Signature: 2/25/216
69 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ " lt brown flr tile mastic (1956) 1st flr corridor 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: 3/3/216
70 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION 31 12" Blue Flr tile mastic (1956) HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: kindergarten rm COMMENTS: Inspector's Signature: 2/25/216
71 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ " Blue Flr tile mastic (1956) kindergarten rm In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 3/3/216
72 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION 32 12" Tan flr tile mastic (1956) 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: 2nd flr corridor 42 COMMENTS: Inspector's Signature: 2/25/216
73 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ " Tan flr tile mastic (1956) 2nd flr corridor 42 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: 3/3/216
74 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION 33 12" gray flr tile mastic (1956) 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: Rm, 21,22,23,24 3 COMMENTS: Inspector's Signature: 2/25/216
75 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ " gray flr tile mastic (1956) Rm, 21,22,23,24 3 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 3/3/216
76 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION 34 12" lt Brown flr tile HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: 1st and 2nd flr southwest corridor 27 COMMENTS: Inspector's Signature: 2/25/216
77 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ " lt Brown flr tile 1st and 2nd flr southwest corridor 27 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: 3/3/216
78 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION 35 12" lt brown flr tile mastic (1926) HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: 1st and 2nd flr southwest corridor 27 COMMENTS: Inspector's Signature: 2/25/216
79 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ " lt brown flr tile mastic (1926) 1st and 2nd flr southwest corridor 27 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: 3/3/216
80 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION 36 12" brown flr tile (1926) HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Rm COMMENTS: Inspector's Signature: 2/25/216
81 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ " brown flr tile (1926) Rm In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 3/3/216
82 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION 37 12" brown flr tile mastic (1926) 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: Rm COMMENTS: Inspector's Signature: 2/25/216
83 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ " brown flr tile mastic (1926) Rm In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 3/3/216
84 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION 38 Dark blue carpet mastic (1956) HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Rm COMMENTS: Inspector's Signature: 2/25/216
85 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ Dark blue carpet mastic (1956) Rm In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 3/3/216
86 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION 39 Linoleum (beige) HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: 1956 bldg - Rm 11, storeroom 4 COMMENTS: Inspector's Signature: 2/25/216
87 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ Linoleum (beige) 1956 bldg - Rm 11, storeroom 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: 3/3/216
88 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION 4 Linoleum mastic (1956) HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Rm 11, storage rm 4 COMMENTS: Inspector's Signature: 2/25/216
89 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ Linoleum mastic (1956) Rm 11, storage 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: 3/3/216
90 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION 41 blue carpet mastic (1926) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: 1st&2nd flr classrooms COMMENTS: t observed w wood floor Inspector's Signature: 2/25/216
91 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ blue carpet mastic (1926) 1st&2nd flr classrooms 566 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: If identified, implement O&M Management Planner's Signature: 3/3/216
92 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION 42 2' tectum ceiling tiles (1926) HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: gymnasium 18 COMMENTS: Inspector's Signature: 2/25/216
93 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ ' tectum ceiling tiles (1926) gymnasium 18 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 3/3/216
94 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION 43 12x12 black and white floor tile HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Low 1956 bdlg - Storage room and closet COMMENTS: t observed 216 Inspector's Signature: 2/25/216
95 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ x12 black and white floor tile 1956 bdlg - Storage room and closet 566 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: If identified, implement O&M Management Planner's Signature: 3/3/216
96 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION 44 2x4 ceiling tiles HISTORICAL AHERA DAMAGE CATEGORY 7 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: Throughout bldg COMMENTS: Inspector's Signature: 2/25/216
97 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ x4 ceiling tiles Throughout 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: 3/3/216
98 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION 45 ceiling plaster HISTORICAL AHERA DAMAGE CATEGORY 7 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: 1956 bldg, all 2nd floor 8 COMMENTS: Inspector's Signature: 2/25/216
99 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ ceiling plaster 1956 bldg, all 2nd floor 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: 3/3/216
100 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION 46 12x12 beige floor tile HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: Deterioration HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: 1956 bldg - room 2 75 COMMENTS: Inspector's Signature: 2/25/216
101 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ x12 beige floor tile 1956 bldg - room 2 75 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 3/3/216
102 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION 47 12"x12" Red w/dark Streaks VFT HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Room 19 6 COMMENTS: Inspector's Signature: 2/25/216
103 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ "x12" Red w/dark Streaks VFT Room 19 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: Comments: Management Planner's Signature: 3/3/216
104 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION 47A 12"x12" Red w/dark Streaks VFT Mastic HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Room 19 6 COMMENTS: Inspector's Signature: 2/25/216
105 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ A 12"x12" Red w/dark Streaks VFT Mastic Room 19 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: Comments: Management Planner's Signature: 3/3/216
106 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION 48 12"x12" Black and Green VFT HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Lunchroom Office 1 COMMENTS: Inspector's Signature: 2/25/216
107 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ "x12" Black and Green VFT Lunchroom Office 1 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 3/3/216
108 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION 48A 12"x12" Black and Green VFT Mastic HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Lunchroom Office 1 COMMENTS: Inspector's Signature: 2/25/216
109 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ A 12"x12" Black and Green VFT Mastic Lunchroom Office 1 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 3/3/216
110 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION 49 12"x12" Off White VFT HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Lunchroom Office 1 COMMENTS: Inspector's Signature: 2/25/216
111 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ "x12" Off White VFT Lunchroom Office 1 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 3/3/216
112 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION 49A 12"x12" Off White VFT Mastic HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Lunchroom Office 1 COMMENTS: Inspector's Signature: 2/25/216
113 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ A 12"x12" Off White VFT Mastic Lunchroom Office 1 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 3/3/216
114 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION 5 Red Multicolor Carpet Mastic HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Principals Office, Office in Gym 1 COMMENTS: Inspector's Signature: 2/25/216
115 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ Red Multicolor Carpet Mastic Principals Office, Office in Gym 1 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 3/3/216
116 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION C paperwrap pipe insulation (1926) HISTORICAL AHERA DAMAGE CATEGORY 1 ACBM with potential for significant damage HISTORICAL DAMAGE REASON: Deterioration 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 1. Damaged or significantly damaged friable thermal system insulating ACBM DAMAGE REASON: Deterioration DISTURBANCE POTENTIAL: MODERATE boiler room and pipe chase, unexcavated areas, Dever tunnel walk-way 153 COMMENTS: Inspector's Signature: 2/25/216
117 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ C paperwrap pipe insulation (1926) boiler room and pipe chase, unexcavated areas, Dever tunnel walk-way 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: Remove or Repair as appliciable. Continue O&M Management Planner's Signature: 3/3/216
118 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION D fittings on paperwrap insulation (1926) 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: boiler room and pipe chase, unexcavated areas, Dever tunnel walk-way 18 EA EA COMMENTS: Inspector's Signature: 2/25/216
119 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ D fittings on paperwrap insulation (1926) boiler room and pipe chase, unexcavated areas, Dever tunnel walk-way 18 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: 3/3/216
120 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION E Tank Insulation (1926) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Abated 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: boiler room COMMENTS: Inspector's Signature: 2/25/216
121 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ E Tank Insulation (1926) boiler room 566 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: 3/3/216
122 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION F tank packing (1926) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Abated 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: boiler room COMMENTS: Inspector's Signature: 2/25/216
123 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ F tank packing (1926) boiler room 566 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: 3/3/216
124 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION J Aircell pipe insulation (1926) HISTORICAL AHERA DAMAGE CATEGORY 1 Damaged or significantly damaged friable thermal system insulating ACBM HISTORICAL DAMAGE REASON: Deterioration HISTORICAL RESPONSE ACTION: Repair ASBESTOS TYPE: Chrysotile FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 1. Damaged or significantly damaged friable thermal system insulating ACBM DAMAGE REASON: Deterioration DISTURBANCE POTENTIAL: MODERATE Throughout building, air plenums (not decks), and unexcavated areas 9 COMMENTS: Inspector's Signature: 2/25/216
125 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ J Aircell pipe insulation (1926) Throughout building, air plenums (not decks), and unexcavated areas 9 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: Repair Comments: Once response action is complete. Continue O&M Management Planner's Signature: 3/3/216
126 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION O pre-form pipe insulation (1926) HISTORICAL AHERA DAMAGE CATEGORY 7 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: boiler room 1 COMMENTS: Inspector's Signature: 2/25/216
127 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ O pre-form pipe insulation (1926) boiler room 1 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 3/3/216
128 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION P aircell pipe insulation 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: Throughout building, & unexcavated areas 4 COMMENTS: Inspector's Signature: 2/25/216
129 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ P aircell pipe insulation Throughout building, & unexcavated areas 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: 3/3/216
130 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION Q fittings aircell HISTORICAL AHERA DAMAGE CATEGORY 1 Damaged or significantly damaged friable thermal system insulating ACBM HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: Repair ASBESTOS TYPE: Chrysotile FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 1. Damaged or significantly damaged friable thermal system insulating ACBM DAMAGE REASON: Deterioration DISTURBANCE POTENTIAL: throughout building, & unexcavated areas 9 COMMENTS: Inspector's Signature: 2/25/216
131 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ Q fittings aircell throughout building, & unexcavated areas 9 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: Repair Comments: Remove or Repair as applicable. Continue O&M. Management Planner's Signature: 3/3/216
132 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION R fittings on aircell (1956) 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: throughout building, & unexcavated area 4 COMMENTS: Inspector's Signature: 2/25/216
133 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ R fittings on aircell (1956) throughout building, & unexcavated area 4 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 3/3/216
134 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION S fittings on pre-form insulation (1926) HISTORICAL AHERA DAMAGE CATEGORY 7 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: boiler room 1 COMMENTS: Inspector's Signature: 2/25/216
135 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ S fittings on pre-form insulation (1926) boiler room 1 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 3/3/216
136 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION T boiler gasket (1926) HISTORICAL AHERA DAMAGE CATEGORY 7 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: boiler room 25 COMMENTS: Inspector's Signature: 2/25/216
137 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ T boiler gasket (1926) boiler room 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: 3/3/216
138 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION U White Coating Bottom of Sink HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Room 11 4 COMMENTS: Inspector's Signature: 2/25/216
139 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ U White Coating Bottom of Sink Room 11 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: 3/3/216
140 216 AHERA REINSPECTION Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Bruce Alroth INSPECTION DATE: 2/25/ INFORMATION FROM PREVIOUS INSPECTION V Black Coating on Bottom of Sink HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Room 24 4 COMMENTS: Inspector's Signature: 2/25/216
141 216 AHERA REINSPECTION Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 3/3/ V Black Coating on Bottom of Sink Room 24 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: 3/3/216
142 216 AHERA REINSPECTION
143 APPENDIX B Inspector and Management Planner Licenses
144
145
146
147
148
Explain in writing if the address of the building is different than the address on this form:
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationExplain in writing if the address of the building is different than the address on this form:
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationExplain in writing if the address of the building is different than the address on this form:
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationExplain in writing if the address of the building is different than the address on this form:
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationExplain in writing if the address of the building is different than the address on this form:
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationExplain in writing if the address of the building is different than the address on this form:
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationExplain in writing if the address of the building is different than the address on this form:
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationExplain in writing if the address of the building is different than the address on this form:
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationExplain in writing if the address of the building is different than the address on this form:
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
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