Explain in writing if the address of the building is different than the address on this form:

Transcription

1 ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO SCHOOL DIST Chicago, IL, 6621 DATE LAST THREE YEAR REINSPECTION WAS COMPLETED 3/27/213 If the address on this form is different than the address of the building, submit a written explanation. SECTION II (Please type or print) PLEASE COMPLETE THE FOLLOWING FOR YOUR THREE YEAR REINSPECTION: DATE REINSPECTION COMPLETED: 4/25/216 ENROLLMENT IDPH INSPECTOR LICENSE NUMBER: IDPH LICENSED INSPECTOR NAME (Please Print): Marcos Iwankiw IDPH MP LICENSE NUMBER: IDPH LICENSED MANAGEMENT PLANNER NAME (Please Print): Daniel Juneau DESIGNATED PERSON (Please Print): Robert Christlieb PHONE: 332 (773) /25/216 Signature of Designated Person Date SECTION III PLEASE COMPLETE THE FOLLOWING INFORMATION FOR ANY CHANGES WITHIN THE SCHOOL DISTRICT. School building has been sold. Date of Sale: School has been closed. Date closed: School building has been demolished. School building is asbestos free since last reinspection: Please explain in writing why the school building is now asbestos free and include the supporting documentation. If a new school building has been added to the district, submit either and exclusionary statement or a management plan and inspection report. Include the complete name, address and city of school building. Explain in writing if the address of the building is different than the address on this form: IL Revised 1.3

2 THREE YEAR REINSPECTION CHICAGO SCHOOL DIST 299 Chicago, IL, 6621 Unit: Building ID: IDPH ID Number: REPORT DATE: Monday, April 25, 216 Prepared for: 125 S. Clark Street Chicago, IL 663 Prepared by: 6 West Van Buren St., Ste 5 Phone (312) Fax (312) DO NOT REMOVE FROM SCHOOL REQUIRED BY FEDERAL LAW

3 March 15, 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: Address: Chicago, IL, 6621 Building Contact: Hicks, Fatina Contact Phone: Current Building Owners: Review 4/25/216 Inspector: Marcos Iwankiw 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 Notification to Occupants To: Faculty, Staff and Parents From: March 15, 216 RE:, Unit Chicago, IL, 6621 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: Hicks, Fatina Unit: Chicago, IL, 6621 Building ID: Phone: Description of Facility Original Construction: 1955 Total Square Footage: Current Occupancy: Additional Construction: No 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: Marcos Iwankiw Signature: 3/15/216 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 4/25/ LEA Designated Person's Acknowledgement Signature: 4/25/216 The reinspection report and recommendations have been received by me and appropriate action will be taken by the School District. Signature: 4/25/216 Name: Robert Christlieb Unit : Building:

7 II. EXECUTIVE SUMMARY was retained by the (CPS) to perform a three-year asbestos reinspection of the. This inspection was conducted in accordance with the United States Environmental Protection Agency (USEPA) Asbestos Hazard Emergency Response Act (AHERA) part (b), and the ongoing Operations and Maintenance Program (O&M) originally designed in the School's Asbestos Management Plan. The purpose of this three-year reinspection is to record any condition changes in the asbestos-containing building material (ACBM) in the school since the previous three-year reinspection and the six-month periodic surveillance, to identify, assess, and include any Homogeneous Areas (HA) not identified in the Management Plan, and to recommend an appropriate response action to manage asbestos. The inspector conducted a three-year reinspection of this facility under Illinois Department of Public Health (IDPH) school reinspection requirements and AHERA, sections and The main building and each addition to the main building, if constructed at different dates, were inspected separately. Laboratory accreditations are included in Appendix C, laboratory results are included in Appendix D, and chain of custody forms are included in Appendix E. Note: During previous inspections, some of the HA(s) were identified together as 9" x 9" floor tile (FT), mastics assoc. with 9" x 9" FT, 12" x 12" FT, mastics assoc. with 12" x 12" FT, pipe insulation, etc. Some of these HA(s) have been re-identified by areas that are uniform in color, texture, construction date, application date, and general appearance. The inspector has determined the following: A. The following HAs have changed assessment categories for Building : Unit: 13 air duct insulation 22 9" x 9" Gray Floor Tile 23 Mastic Associated w/ 9" x 9" Gray Floor Tile 24 Tan w/ Gray Linoleum 25 Mastic Associated w/ Tan w/ Gray Linoleum A mag block insulation C cardboard fittings F air cell insulation H aircell TSI Building:

8 Unit: I air cell joints & fittings J aircell TSI joints and fittings Building:

9 B. The following new homogenous areas have been identified for Building : Unit: 22 9" x 9" Gray Floor Tile 23 Mastic Associated w/ 9" x 9" Gray Floor Tile 24 Tan w/ Gray Linoleum 25 Mastic Associated w/ Tan w/ Gray Linoleum Building:

10 C. This reinspection covered only physically accessible and visible areas and materials that were identified in the LEA's management plan. The following materials were concealed and/or contained in areas that were inaccessible for sampling and have been classified as Assumed: 3A 8B 8D x12 white speck floor tile beige specked 12x12 floor tile 12x12 beige specked floor tile 9" x 9" Gray Floor Tile Mastic Associated w/ 9" x 9" Gray Floor Tile Tan w/ Gray Linoleum Mastic Associated w/ Tan w/ Gray Linoleum The following areas were deemed to be inaccessible: A 11D x9 maroon floor tile mastic 12x12 gray floor tile mastic 12x12 beige speckled floor tile mastic 12x12 white speck floor tile mastic Mastic Associated w/ 9" x 9" Gray Floor Tile Mastic Associated w/ Tan w/ Gray Linoleum Materials were also listed as "assumed" if they were in good condition and sampling was not conducted to avoid damage. This reinspection was conducted by Marcos Iwankiw, IDPH License #. The Management Plan was updated by Daniel Juneau, IDPH License # Inspector and Management Planner Licenses are included in Appendix B. Unit: Building:

11 III. METHODOLOGY Tasks performed on-site included the following: IV. 1. Review current management plan, identify HA(s) and extract appropriate information. 2. Examine and verify abatement records. 3. Touch and visually and physically reinspect and reassess the condition of all friable known or assumed ACBM. 4. Touch and visually and physically reinspect all non-friable known or assumed ACBM to determine whether these materials have become friable since the last inspection or periodic surveillance. 5. Identify any condition changes that may affect Hazard Ranking of known ACBM or Assumed ACBM, as well as any HA(s) that have become friable since the last reinspection. 6. Collect bulk samples from each newly discovered friable HA or previously assumed and submit for laboratory analysis. 7. Tabulate reinspection findings and submit for management planner review and recommendations with appropriate response actions based on the AHERA Damage Category of the ACBM. 8. Submit reinspection findings and management planner recommendations to the LEA within thirty (3) days for inclusion into the management plan. ABATEMENT HISTORY The information collected from the existing management plan and inspection report(s) and from interviews with the school official revealed that the following asbestos abatement was conducted at the school since the previous Three year Reinspection. Abatement Dates: V. REASSESSMENTS AND RECOMMENDATIONS The reassessments and recommendations are summarized in Tables I and II on the following pages. Detailed Hazard Assessment Sheets and Drawings and Photos (if applicable) are included in Appendix A. VI. CONCLUSIONS The Building Three-Year reinspection has been completed and response actions have been recommended for both friable and non-friable materials. A timely execution of the response actions recommended will enable the LEA and the Designated Person(s) to effectively manage the existing ACBM. This three-year reinspection report should be inspected in the current Management plan at the CPS Central Office, and one (1) copy should be kept at the school for use when planning any renovation and/or demolition activities in areas where ACBM has been identified. Also, periodic surveillance documentation and any summary reports from any response actions that are executed at the school should be used to update the Management Plan. Unit: Building:

12 Table I Inspector's Reinspection Findings

13 School Unit Building ID Address Region 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 No Material Description 3A 12x12 white speck floor tile 5 9x9 maroon floor tile 5A 8 9x9 brown floor tile 12x12 gray floor tile 1,8 8B beige specked 12x12 floor tile 4,4 8C 12x12 brown speck floor tile 1,54 8D 12x12 beige specked floor tile 3,6 1 9x9 maroon floor tile mastic 1,2 1A 11 9x9 brown floor tile mastic 12x12 gray floor tile mastic 6,5 11A 12x12 beige speckled floor tile mastic 4,4 11B 12x12 brown speck floor tile mastic 1,54 11C 12x12 beige specked floor tile mastic 11D 12x12 white speck floor tile mastic 3, boiler door gasket air duct insulation vinyl mop board black Material Quantity Material Units Material Location Asbestos Type Material Category Friable Damage Type 3,15 ASSUMED N NONE 1,2 corridors, room 13, office (1955 addition) room 12 CHR N gym rms 111, 113, 115, kitchen, 217, 216, 29 (1955 bldg) 2nd floor corridor and room addition - 2nd floor teacher toilet, 1st floor corridor 1955 addition - rm 218, 217, 216, 213, 22, 21, 2 room 12 CHR CHR ASSUMED Damage Quantity Damage Units Damage Category Change in Assessment Category No Damage Reason Disturbance Potential ACBM with the potential for damage LOW NONE No ACBM with the potential for damage LOW N NONE No ACBM with the potential for damage LOW N NONE No LOW CHR N NONE No ACBM with the potential for damage ACBM with the potential for damage ASSUMED N NONE No ACBM with the potential for damage LOW CHR N NONE No ACBM with the potential for damage LOW gym 1955 addition, 19, teachers lounge, 111, 113, 115, kitchen, 217, 216, addition - 19, teachers lounge, 111, 113, 115, kitchen, 217, 216, addition - 2nd floor teacher toilet, 1st floor corridor 2nd floor corridor and room 13 corridors, room 13, office (1955 addition) boiler room 195 unexcavated area NO_ACBM CHR N NONE No ACBM with the potential for damage LOW CHR N NONE No ACBM with the potential for damage LOW CHR N NONE No ACBM with the potential for damage LOW NO_ACBM CHR N NONE No ACBM with the potential for damage LOW ABATED CHR Y DIST 1 Yes Damaged or significantly damaged friable misc. ACBM all rooms addition NO_ACBM LOW 3 LOW

14 School Unit Building ID 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 No Material Description 15 black vinyl mop board mastic 15B brown vinyl mopboard 15C brown vinyl mop board mastic 16 brown vinyl mopboard 16B brown vinyl mop board mastic 18 green carpet mastic maroon carpet mastic green linoleum green linoleum mastic 9" x 9" Gray Floor Tile 23 Mastic Associated w/ 9" x 9" Gray Floor Tile Tan w/ Gray Linoleum 24 Material Quantity Material Units Material Location Asbestos Type Material Category NO_ACBM NO_ACBM NO_ACBM NO_ACBM NO_ACBM NO_ACBM NO_ACBM NO_ACBM NO_ACBM ASSUMED addition - all rooms 1955 building room 213, 218 all rooms building 195 building - all rooms 1955 building - 218, building library room 118 library library Engineer's Washroom Engineer's Washroom Library 6 Friable Damage Type N NONE ASSUMED N ASSUMED N Damage Quantity Damage Units Change in Assessment Category Damage Category Yes NONE Yes NONE Yes ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage Any remaining friable ACBM or friable suspect ACBM Damaged or significantly damaged friable thermal system insulating ACBM Damaged or significantly damaged friable thermal system insulating ACBM Any remaining friable ACBM or friable suspect ACBM Mastic Associated w/ Tan w/ Gray Linoleum mag block insulation 7 Library ASSUMED N NONE Yes A 1,5 boiler room AMO TSI Y NONE Yes B cardboard TSI 1, LF boiler room, unexcavated area (195 bldg) CHR TSI Y DIST 4 No B1 cardboard TSI 1, LF air tunnel, unexcavated area (1955 addition) CHR TSI Y DIST 25 No C cardboard fittings 1 FITTING CHR TSI Y NONE Yes C1 cardboard fittings 5 FITTING boiler room, fan room, air tunnels, unexcavated area (195 bldg) air tunnel, unexcavted area (1955 addition) CHR TSI Y DIST 1 No F air cell insulation 2, boiler room, air chamber, CHR TSI Y NONE Yes 25 LF Damaged or significantly damaged friable thermal system insulating ACBM Any remaining friable ACBM or friable Damage Reason Disturbance Potential LOW LOW LOW LOW LOW 3 LOW 3 MODERATE LOW 3 MODERATE LOW

15 School Unit Building ID 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 No Material Description Material Quantity 1, Material Units H aircell TSI LF I air cell joints & fittings 1 FITTING J aircell TSI joints and fittings 1 FITTING Material Location unexcavated area, mechanical room, (195 bldg) air tunnels, unexcavated area (1955 addition) boiler room, air chamber, unexcavated area (195 bldg) air tunnels, unexcavated areas (1955 addition) Asbestos Type Material Category Friable Damage Type Damage Quantity Damage Units Change in Assessment Category Damage Category Damage Reason Disturbance Potential suspect ACBM CHR TSI Y NONE Yes CHR TSI Y NONE Yes CHR TSI Y NONE Yes Any remaining friable ACBM or friable suspect ACBM Any remaining friable ACBM or friable suspect ACBM LOW Any remaining friable ACBM or friable suspect ACBM LOW LOW

16 School Unit Building ID 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 3/15/216 Inspector Name Inspector's Comments Marcos Iwankiw 5/15/216 Inspector's IDPH License Number / Expiration Date HA Number: 3A 5 5A 8 8B 8C 8D 1 1A 11 11A 11B 11C 11D B 15C 16 16B Inspector Comments: Not observed 216

17 School Unit Building ID 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 B B1 C C1 F H I J Inspector Comments:

18 Table II Management Planner's Review

19 School Address Unit Building ID Chicago, IL, 6621 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 3A 12x12 white speck floor tile 3,15 Assumed No 6 ACBM with the potential for damage 5 5A 8 9x9 maroon floor tile 9x9 brown floor tile 12x12 gray floor tile 1,2 6 ACBM with the potential for damage Chrysotile Chrysotile Chrysotile No 1,8 No 6 ACBM with the potential for damage 8B 8C beige specked 12x12 floor tile 12x12 brown speck floor tile 4,4 1,54 Assumed Chrysotile No No 6 ACBM with the potential for damage 6 ACBM with the potential for damage 8D 12x12 beige specked floor tile 3,6 Assumed No 6 ACBM with the potential for damage 1 1A 11 9x9 maroon floor tile mastic 9x9 brown floor tile mastic 12x12 gray floor tile mastic 1,2 6 ACBM with the potential for damage Chrysotile No ACBM Chrysotile No 6,5 No 6 ACBM with the potential for damage 11A 12x12 beige speckled floor tile mastic 4,4 Chrysotile No 6 ACBM with the potential for damage 11B 12x12 brown speck floor tile mastic 1,54 Chrysotile No 6 ACBM with the potential for damage 11C 11D 12x12 beige specked floor tile mastic 12x12 white speck floor tile mastic 3,15 No ACBM Chrysotile No 6 ACBM with the potential for damage boiler door gasket air duct insulation 48 corridors, room 13, office (1955 addition) room 12 gym rms 111, 113, 115, kitchen, 217, 216, 29 (1955 bldg) 2nd floor corridor and room addition - 2nd floor teacher toilet, 1st floor corridor 1955 addition - rm 218, 217, 216, 213, 22, 21, 2 room 12 gym 1955 addition, 19, teachers lounge, 111, 113, 115, kitchen, 217, 216, addition - 19, teachers lounge, 111, 113, 115, kitchen, 217, 216, addition - 2nd floor teacher toilet, 1st floor corridor 2nd floor corridor and room 13 corridors, room 13, office (1955 addition) boiler room 195 unexcavated area Abated Chrysotile Yes 1 4 Damaged or significantly damaged friable misc. ACBM Remove B 15C 16 16B vinyl mop board black black vinyl mop board mastic brown vinyl mopboard brown vinyl mop board mastic brown vinyl mopboard brown vinyl mop board mastic green carpet mastic maroon carpet mastic green linoleum green linoleum mastic all rooms addition 195 addition - all rooms 1955 building - room 213, 218 all rooms building 195 building - all rooms 1955 building - 218, building - library room 118 library library No ACBM No ACBM No ACBM No ACBM No ACBM No ACBM No ACBM No ACBM No ACBM No ACBM

20 School Address Unit Building ID Chicago, IL, 6621 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 A 9" x 9" Gray Floor Tile Mastic Associated w/ 9" x 9" Gray Floor Tile Tan w/ Gray Linoleum Mastic Associated w/ Tan w/ Gray Linoleum mag block insulation ,5 Engineer's Washroom Engineer's Washroom Library Library boiler room Assumed Assumed Assumed Assumed Amosite TSI No No No No Yes B cardboard TSI 1, LF Chrysotile TSI Yes 4 LF B1 cardboard TSI 1, LF Chrysotile TSI Yes 25 LF C cardboard fittings 1 FITTING Chrysotile TSI Yes FITTING C1 cardboard fittings 5 FITTING Chrysotile TSI Yes 1 FITTING F air cell insulation 2, LF Chrysotile TSI Yes LF H aircell TSI 1, LF Chrysotile TSI Yes LF I air cell joints & fittings 1 FITTING Chrysotile TSI Yes FITTING J aircell TSI joints and fittings 1 FITTING boiler room, unexcavated area (195 bldg) air tunnel, unexcavated area (1955 addition) boiler room, fan room, air tunnels, unexcavated area (195 bldg) air tunnel, unexcavted area (1955 addition) boiler room, air chamber, unexcavated area, mechanical room, (195 bldg) air tunnels, unexcavated area (1955 addition) boiler room, air chamber, unexcavated area (195 bldg) air tunnels, unexcavated areas (1955 addition) Chrysotile TSI Yes FITTING 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 1 Damaged or significantly damaged friable thermal system insulating ACBM 1 Damaged or significantly damaged friable thermal system insulating 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 7 Any remaining friable ACBM or friable suspect ACBM 7 Any remaining friable ACBM or friable suspect ACBM Remove Remove Remove

21 School Address Unit Building ID Chicago, IL, 6621 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 4/25/216 Review Date Manager Planner Name Daniel Juneau /15/216 Manager IDPH License No/Expiration HA Number 3A 5 5A 8 8B 8C 8D 1 1A 11 11A 11B 11C 11D Management Comments If identified, implement O&M Isolate and Secure Access. Remove Damaged Material When Possible

22 School Address Unit Building ID Chicago, IL, 6621 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 Number 15B 15C 16 16B A B B1 C C1 F H I J Management Comments Isolate and Secure Access. Remove Damaged Material When Possible Isolate and Secure Access. Remove Damaged Material When Possible Isolate and Secure Access. Remove Damaged Material When Possible

23 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/15/216 INFORMATION FROM PREVIOUS INSPECTION 3A 12x12 white speck floor tile HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW corridors, room 13, office (1955 addition) 315 COMMENTS: Inspector's Signature: 3/15/216

24 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/25/216 3A 12x12 white speck floor tile corridors, room 13, office (1955 addition) 315 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: 4/25/216

25 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/15/216 INFORMATION FROM PREVIOUS INSPECTION 5 9x9 maroon floor tile HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW room COMMENTS: Inspector's Signature: 3/15/216

26 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/25/ x9 maroon floor tile room In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/25/216

27 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/15/216 INFORMATION FROM PREVIOUS INSPECTION 5A 9x9 brown floor tile HISTORICAL AHERA DAMAGE CATEGORY ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: gym COMMENTS: Not observed 216 Inspector's Signature: 3/15/216

28 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/25/216 5A 9x9 brown floor tile gym In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: If identified, implement O&M Management Planner's Signature: 4/25/216

29 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/15/216 INFORMATION FROM PREVIOUS INSPECTION 8 12x12 gray floor tile HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW rms 111, 113, 115, kitchen, 217, 216, 29 (1955 bldg) 18 COMMENTS: Inspector's Signature: 3/15/216

30 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/25/ x12 gray floor tile rms 111, 113, 115, kitchen, 217, 216, 29 (1955 bldg) 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: 4/25/216

31 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/15/216 INFORMATION FROM PREVIOUS INSPECTION 8B beige specked 12x12 floor tile HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW 2nd floor corridor and room COMMENTS: Inspector's Signature: 3/15/216

32 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/25/216 8B beige specked 12x12 floor tile 2nd floor corridor and room In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/25/216

33 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/15/216 INFORMATION FROM PREVIOUS INSPECTION 8C 12x12 brown speck floor tile HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW 1955 addition - 2nd floor teacher toilet, 1st floor corridor 154 COMMENTS: Inspector's Signature: 3/15/216

34 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/25/216 8C 12x12 brown speck floor tile 1955 addition - 2nd floor teacher toilet, 1st floor corridor 154 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: 4/25/216

35 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/15/216 INFORMATION FROM PREVIOUS INSPECTION 8D 12x12 beige specked floor tile HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW 1955 addition - rm 218, 217, 216, 213, 22, 21, 2 36 COMMENTS: Inspector's Signature: 3/15/216

36 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/25/216 8D 12x12 beige specked floor tile 1955 addition - rm 218, 217, 216, 213, 22, 21, 2 36 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: 4/25/216

37 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/15/216 INFORMATION FROM PREVIOUS INSPECTION 1 9x9 maroon floor tile mastic HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW room COMMENTS: Inspector's Signature: 3/15/216

38 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/25/ x9 maroon floor tile mastic room In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/25/216

39 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/15/216 INFORMATION FROM PREVIOUS INSPECTION 1A 9x9 brown floor tile mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: gym COMMENTS: Inspector's Signature: 3/15/216

40 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/25/216 1A 9x9 brown floor tile mastic gym In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/25/216

41 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/15/216 INFORMATION FROM PREVIOUS INSPECTION 11 12x12 gray floor tile mastic HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW 1955 addition, 19, teachers lounge, 111, 113, 115, kitchen, 217, 216, COMMENTS: Inspector's Signature: 3/15/216

42 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/25/ x12 gray floor tile mastic 1955 addition, 19, teachers lounge, 111, 113, 115, kitchen, 217, 216, 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: 4/25/216

43 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/15/216 INFORMATION FROM PREVIOUS INSPECTION 11A 12x12 beige speckled floor tile mastic HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW 1955 addition - 19, teachers lounge, 111, 113, 115, kitchen, 217, 216, COMMENTS: Inspector's Signature: 3/15/216

44 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/25/216 11A 12x12 beige speckled floor tile mastic 1955 addition - 19, teachers lounge, 111, 113, 115, kitchen, 217, 216, 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: 4/25/216

45 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/15/216 INFORMATION FROM PREVIOUS INSPECTION 11B 12x12 brown speck floor tile mastic HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW 1955 addition - 2nd floor teacher toilet, 1st floor corridor 154 COMMENTS: Inspector's Signature: 3/15/216

46 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/25/216 11B 12x12 brown speck floor tile mastic 1955 addition - 2nd floor teacher toilet, 1st floor corridor 154 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: 4/25/216

47 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/15/216 INFORMATION FROM PREVIOUS INSPECTION 11C 12x12 beige specked floor tile mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: 2nd floor corridor and room 13 COMMENTS: Inspector's Signature: 3/15/216

48 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/25/216 11C 12x12 beige specked floor tile mastic 2nd floor corridor and room 13 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: 4/25/216

49 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/15/216 INFORMATION FROM PREVIOUS INSPECTION 11D 12x12 white speck floor tile mastic HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW corridors, room 13, office (1955 addition) 315 COMMENTS: Inspector's Signature: 3/15/216

50 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/25/216 11D 12x12 white speck floor tile mastic corridors, room 13, office (1955 addition) 315 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: 4/25/216

51 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/15/216 INFORMATION FROM PREVIOUS INSPECTION 12 boiler door gasket 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: 3/15/216

52 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/25/ boiler door gasket boiler room In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/25/216

53 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/15/216 INFORMATION FROM PREVIOUS INSPECTION 13 air duct insulation HISTORICAL AHERA DAMAGE CATEGORY 4 ACBM with potential for significant damage HISTORICAL DAMAGE REASON: Water 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 4. Damaged or significantly damaged friable misc. ACBM DAMAGE REASON: Deterioration Physical Damage DISTURBANCE POTENTIAL: LOW 195 unexcavated area 48 COMMENTS: Inspector's Signature: 3/15/216

54 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/25/ air duct insulation 195 unexcavated area 48 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: Repair Comments: Isolate and Secure Access. Remove Damaged Material When Possible Management Planner's Signature: 4/25/216

55 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/15/216 INFORMATION FROM PREVIOUS INSPECTION 14 vinyl mop board black HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: all rooms addition COMMENTS: Inspector's Signature: 3/15/216

56 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/25/ vinyl mop board black all rooms addition 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: 4/25/216

57 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/15/216 INFORMATION FROM PREVIOUS INSPECTION 15 black vinyl mop board mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: 195 addition - all rooms COMMENTS: Inspector's Signature: 3/15/216

58 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/25/ black vinyl mop board mastic 195 addition - all rooms In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/25/216

59 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/15/216 INFORMATION FROM PREVIOUS INSPECTION 15B brown vinyl mopboard HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: 1955 building - room 213, 218 COMMENTS: Inspector's Signature: 3/15/216

60 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/25/216 15B brown vinyl mopboard 1955 building - room 213, 218 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: 4/25/216

61 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/15/216 INFORMATION FROM PREVIOUS INSPECTION 15C brown vinyl mop board mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: all rooms building COMMENTS: Inspector's Signature: 3/15/216

62 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/25/216 15C brown vinyl mop board mastic all rooms building In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/25/216

63 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/15/216 INFORMATION FROM PREVIOUS INSPECTION 16 brown vinyl mopboard HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: 195 building - all rooms COMMENTS: Inspector's Signature: 3/15/216

64 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/25/ brown vinyl mopboard 195 building - all rooms In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/25/216

65 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/15/216 INFORMATION FROM PREVIOUS INSPECTION 16B brown vinyl mop board mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: 1955 building - 218, 213 COMMENTS: Inspector's Signature: 3/15/216

66 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/25/216 16B brown vinyl mop board mastic 1955 building - 218, 213 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: 4/25/216

67 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/15/216 INFORMATION FROM PREVIOUS INSPECTION 18 green carpet mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: 195 building - library COMMENTS: Inspector's Signature: 3/15/216

68 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/25/ green carpet mastic 195 building - library In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/25/216

69 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/15/216 INFORMATION FROM PREVIOUS INSPECTION 19 maroon carpet mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: room 118 COMMENTS: Inspector's Signature: 3/15/216

70 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/25/ maroon carpet mastic room 118 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: 4/25/216

71 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/15/216 INFORMATION FROM PREVIOUS INSPECTION 2 green linoleum HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: library COMMENTS: Inspector's Signature: 3/15/216

72 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/25/216 2 green linoleum library In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/25/216

73 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/15/216 INFORMATION FROM PREVIOUS INSPECTION 21 green linoleum mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: library COMMENTS: Inspector's Signature: 3/15/216

74 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/25/ green linoleum mastic library In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/25/216

75 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/15/216 INFORMATION FROM PREVIOUS INSPECTION A mag block insulation HISTORICAL AHERA DAMAGE CATEGORY 7 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Amosite FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: LOW boiler room 15 COMMENTS: Inspector's Signature: 3/15/216

76 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/25/216 A mag block insulation boiler room 15 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/25/216

77 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/15/216 INFORMATION FROM PREVIOUS INSPECTION B cardboard TSI 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 Physical Damage DISTURBANCE POTENTIAL: LOW boiler room, unexcavated area (195 bldg) 1 LF LF COMMENTS: Inspector's Signature: 3/15/216

78 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/25/216 B cardboard TSI boiler room, unexcavated area (195 bldg) 1 LF 4 LF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Repair Comments: Isolate and Secure Access. Remove Damaged Material When Possible Management Planner's Signature: 4/25/216

79 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/15/216 INFORMATION FROM PREVIOUS INSPECTION B1 cardboard TSI HISTORICAL AHERA DAMAGE CATEGORY 1 Damaged or significantly damaged friable thermal system insulating ACBM HISTORICAL DAMAGE REASON: Water 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 Physical Damage DISTURBANCE POTENTIAL: MODERATE air tunnel, unexcavated area (1955 addition) 1 LF LF COMMENTS: Inspector's Signature: 3/15/216

80 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/25/216 B1 cardboard TSI air tunnel, unexcavated area (1955 addition) 1 LF 25 LF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Repair Comments: Isolate and Secure Access. Remove Damaged Material When Possible Management Planner's Signature: 4/25/216

81 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/15/216 INFORMATION FROM PREVIOUS INSPECTION C cardboard fittings HISTORICAL AHERA DAMAGE CATEGORY 7 ACBM with potential for significant damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: LOW boiler room, fan room, air tunnels, unexcavated area (195 bldg) 1 FITTING FITTING COMMENTS: Inspector's Signature: 3/15/216

82 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/25/216 C cardboard fittings boiler room, fan room, air tunnels, unexcavated area (195 bldg) 1 FITTING FITTING In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/25/216

83 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/15/216 INFORMATION FROM PREVIOUS INSPECTION C1 cardboard fittings HISTORICAL AHERA DAMAGE CATEGORY 1 Damaged or significantly damaged friable thermal system insulating ACBM HISTORICAL DAMAGE REASON: Water 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 Physical Damage DISTURBANCE POTENTIAL: MODERATE air tunnel, unexcavted area (1955 addition) 5 FITTING FITTING COMMENTS: Inspector's Signature: 3/15/216

84 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/25/216 C1 cardboard fittings air tunnel, unexcavted area (1955 addition) 5 FITTING 1 FITTING In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Repair Comments: Isolate and Secure Access. Remove Damaged Material When Possible Management Planner's Signature: 4/25/216

85 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/15/216 INFORMATION FROM PREVIOUS INSPECTION F air cell insulation HISTORICAL AHERA DAMAGE CATEGORY 7 ACBM with potential for significant damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: LOW boiler room, air chamber, unexcavated area, mechanical room, (195 bldg) 2 LF LF COMMENTS: Inspector's Signature: 3/15/216

86 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/25/216 F air cell insulation boiler room, air chamber, unexcavated area, mechanical room, (195 bldg) 2 LF LF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/25/216

87 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/15/216 INFORMATION FROM PREVIOUS INSPECTION H aircell TSI HISTORICAL AHERA DAMAGE CATEGORY 7 ACBM with potential for significant damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: LOW air tunnels, unexcavated area (1955 addition) 1 LF LF COMMENTS: Inspector's Signature: 3/15/216

88 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/25/216 H aircell TSI air tunnels, unexcavated area (1955 addition) 1 LF LF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/25/216

89 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/15/216 INFORMATION FROM PREVIOUS INSPECTION I air cell joints & fittings HISTORICAL AHERA DAMAGE CATEGORY 7 ACBM with potential for significant damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: LOW boiler room, air chamber, unexcavated area (195 bldg) 1 FITTING FITTING COMMENTS: Inspector's Signature: 3/15/216

90 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/25/216 I air cell joints & fittings boiler room, air chamber, unexcavated area (195 bldg) 1 FITTING FITTING In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/25/216

91 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/15/216 INFORMATION FROM PREVIOUS INSPECTION J aircell TSI joints and fittings HISTORICAL AHERA DAMAGE CATEGORY 7 ACBM with potential for significant damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: LOW air tunnels, unexcavated areas (1955 addition) 1 FITTING FITTING COMMENTS: Inspector's Signature: 3/15/216

92 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/25/216 J aircell TSI joints and fittings air tunnels, unexcavated areas (1955 addition) 1 FITTING FITTING In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/25/216

93 Inspector Assessment Form (New Homogeneous Area) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/15/216 INFORMATION FROM CURRENT INSPECTION 24 Tan w/ Gray Linoleum Library 7 MATERIAL CATEGORY: FRIABLE: No ASBESTOS TYPE: Assumed DISTURBANCE POTENTIAL: LOW AHERA DAMAGE CATEGORY: CONDITION: 6 ACBM with the potential for damage ACCESSIBILITY: Within Reach DAMAGE REASON: DAMAGE REASON: DAMAGE REASON: COMMENTS: Inspector's Signature: 3/15/216

94 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/25/ Tan w/ Gray Linoleum Library 7 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: 4/25/216

95 Inspector Assessment Form (New Homogeneous Area) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/15/216 INFORMATION FROM CURRENT INSPECTION 23 Mastic Associated w/ 9" x 9" Gray Floor Tile Engineer's Washroom 6 MATERIAL CATEGORY: FRIABLE: No ASBESTOS TYPE: Assumed DISTURBANCE POTENTIAL: LOW AHERA DAMAGE CATEGORY: CONDITION: 6 ACBM with the potential for damage ACCESSIBILITY: Not Reachable DAMAGE REASON: DAMAGE REASON: DAMAGE REASON: COMMENTS: Inspector's Signature: 3/15/216

96 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/25/ Mastic Associated w/ 9" x 9" Gray Floor Tile Engineer's Washroom 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: 4/25/216

97 Inspector Assessment Form (New Homogeneous Area) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/15/216 INFORMATION FROM CURRENT INSPECTION 25 Mastic Associated w/ Tan w/ Gray Linoleum Library 7 MATERIAL CATEGORY: FRIABLE: No ASBESTOS TYPE: Assumed DISTURBANCE POTENTIAL: LOW AHERA DAMAGE CATEGORY: CONDITION: 6 ACBM with the potential for damage ACCESSIBILITY: Not Reachable DAMAGE REASON: DAMAGE REASON: DAMAGE REASON: COMMENTS: Inspector's Signature: 3/15/216

98 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/25/ Mastic Associated w/ Tan w/ Gray Linoleum Library 7 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: 4/25/216

99 Inspector Assessment Form (New Homogeneous Area) AHERA INSPECTOR: Marcos Iwankiw INSPECTION DATE: 3/15/216 INFORMATION FROM CURRENT INSPECTION 22 9" x 9" Gray Floor Tile Engineer's Washroom 6 MATERIAL CATEGORY: FRIABLE: No ASBESTOS TYPE: Assumed DISTURBANCE POTENTIAL: LOW AHERA DAMAGE CATEGORY: CONDITION: 6 ACBM with the potential for damage ACCESSIBILITY: Within Reach DAMAGE REASON: DAMAGE REASON: DAMAGE REASON: COMMENTS: Inspector's Signature: 3/15/216

100 Management Planner Review Form MANAGEMENT PLANNER: Daniel Juneau REVIEW DATE: 4/25/ " x 9" Gray Floor Tile Engineer's Washroom 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: 4/25/216

101 APPENDIX B Inspector and Management Planner Licenses

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