Youth Connection - J. Addams Alter HS

Size: px
Start display at page:

Download "Youth Connection - J. Addams Alter HS"

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 X Youth Connection - J. Addams Alter HS 1814 South Union, Chicago Chicago, IL, 668 DATE LAST THREE YEAR REINSPECTION WAS COMPLETED 4/12/213 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: 4/26/216 ENROLLMENT IDPH INSPECTOR LICENSE NUMBER: IDPH LICENSED INSPECTOR NAME (Please Print): Evan Christian IDPH MP LICENSE NUMBER: IDPH LICENSED MANAGEMENT PLANNER NAME (Please Print): Todd Huffer DESIGNATED PERSON (Please Print): Robert Christlieb PHONE: 129 (773) /26/216 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 Youth Connection - J. Addams Alter HS 1814 South Union, Chicago Chicago, IL, 668 Unit: Building ID: IDPH ID Number: X REPORT DATE: Tuesday, April 26, 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 April 8, 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: Region: School: Youth Connection - J. Addams Alter HS IDPH ID: X Building ID: Address: 1814 South Union, Chicago Chicago, IL, 668 Building Contact: Contact Phone: Current Building Owners: Review 4/26/216 Inspector: Evan Christian Management Planner: Todd Huffer Inspector IDPH License: Management Planner IDPH License: If you have any questions or comments, please contact us at (312) Sincerely, Todd Huffer 1-987

4 Environmental tification to Occupants To: Faculty, Staff and Parents From: April 8, 216 RE: Youth Connection - J. Addams Alter HS, Unit 1814 South Union, Chicago Chicago, IL, 668 Dear Faculty, Staff and Parents, This letter is to notify you that the 216 asbestos three year re-inspection has been completed at Youth Connection - J. Addams Alter HS, 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 Youth Connection - J. Addams Alter HS, 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: Youth Connection - J. Addams Alter HS Address: 1814 South Union, Chicago IDPH ID: X Contact: 2. Unit: Chicago, IL, 668 Building ID: Phone: Description of Facility Original Construction: Total Square Footage: Current Occupancy: Additional Construction: of Floors: LEA Designated Person Contact: Robert Christlieb Address: 125 South Clark Street, 17th Floor Chicago, IL Fax: (312) Inspector Inspector Name: Evan Christian Inspector IDPH license # 6. Phone: (773) Managing Environmental Consultant MEC: Contact: Dan Juneau Address 6 West Van Buren St., Ste 5 Phone: (312) Region: Signature: 4/8/216 Management Planner Management Planner Name: Todd Huffer Management Planner IDPH license # Review 4/26/ LEA Designated Person's Acknowledgement Signature: 4/26/216 The reinspection report and recommendations have been received by me and appropriate action will be taken by the School District. Signature: 4/26/216 Name: Robert Christlieb Unit : Youth Connection - J. Addams Alter HS Building:

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

8 B. The following new homogenous areas have been identified for Building : Unit: Youth Connection - J. Addams Alter HS Building:

9 C. This reinspection covered only physically accessible and visible areas and materials that were identified in the LEA's management plan. The following materials were concealed and/or contained in areas that were inaccessible for sampling and have been classified as : 1 2-M 3-M Unit: 2'x4' Lay In Ceiling Tiles Mastic Assoc. w/9"x9" Green/Gray/Black Floor Tile Mastic Associated w/12"x12" Floor Tile Hard Plaster Skim Coat Plaster Chalk Boards Chalkboard Caulk 12"x12" Brown w/aqua & Maroon Dots Floor Tile 12"x12" Brn w/aqua & Maroon Dots Floor Tile Mastic Brown w/aqua & Maroon Dots Linoleum Brown w/aqua & Maroon Dots Linoleum Mastic 12"x12" Beige Floor Tile 12"x12" Beige Floor tile Mastic 12"x12" Gray w/white Floor Tile 12"x12" Gray w/white Floor Tile Mastic 12"x12" Liight Gray w/white Floor Tile 12"x12" Liight Gray w/white Floor Tile Mastic 12"x12" Blue w/white Floor Tile 12"x12" Blue w/white Floor Tile Mastic 12"x12" Beige Floor Tile 12"x12" Beige Floor Tile Mastic 9"x9" Green w/white Floor Tile 9"x9" Green w/white Floor Tile Mastic 9"x9" White w/green Floor Tile 9"x9" White w/green Floor Tile Mastic 12"x12" Beige w/gray Floor Tile 12"x12" Beige w/gray Floor Tile Mastic 9"x9" Gray w/white & Black Floor Tile 9"x9" Gray w/white & Black Floor Tile Mastic 12"x18" Dk Brown w/red Floor Tile Mastic 9"x9" White Floor Tile 9"x9" White Floor Tile Mastic Gray Sink Undercoating White Sink Undercoating Brown Carpet Adhesive Brown Carpet Adhesive Blue Carpet Adhesive Window Caulk Window Glaze Drywall Youth Connection - J. Addams Alter HS Building:

10 m 45 45m 46 46M 47 47m M Drywall Compound 12x12 Blue Vinyl Tile 12x12 Blue Vinyl Tile Mastic 12x12 Red, Yellow in Lay of Tiles 12x12 Red, Yellow In Lay of Tiles Mastic 12X12 Orange Tiles 12X12 Orange Tiles Mastic 12x12 Red, Yello-Inlays 12x12 Yellow, Red Mastic Brown Carpet Adhesive Black, Tan Tile Grout Black/Tan Tile Adhesive Maroon, Grey, Tan Tile Grout Maroon, Grey, Tan Adhesive 12"x12" Light Brown w/brown Specks VFT 12"x12" Light Brown w/brown Specks VFT Mastic The following areas were deemed to be inaccessible: 2-M m 45m 46M 47m M Mastic Assoc. w/9"x9" Green/Gray/Black Floor Tile Brown Carpet Adhesive Brown Carpet Adhesive 12x12 Blue Vinyl Tile Mastic 12x12 Red, Yellow In Lay of Tiles Mastic 12X12 Orange Tiles Mastic 12x12 Yellow, Red Mastic Black/Tan Tile Adhesive Maroon, Grey, Tan Adhesive 12"x12" Light Brown w/brown Specks VFT Mastic Materials were also listed as "assumed" if they were in good condition and sampling was not conducted to avoid damage. This reinspection was conducted by Evan Christian, IDPH License #. The Management Plan was updated by Todd Huffer, IDPH License # Inspector and Management Planner Licenses are included in Appendix B. Unit: Youth Connection - J. Addams Alter HS 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 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 Youth Connection - J. Addams Alter HS 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: Youth Connection - J. Addams Alter HS Building:

12 Table I Inspector's Reinspection Findings

13 School Youth Connection - J. Addams Alter HS Unit Building ID Address 1814 South Union, Chicago Region ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Inspector's Reinspection Findings Table 1 Managing Environmental Consultant (MEC) 6 West Van Buren St., Ste 5 Phone: (312) Fax: (312) Inspector's Comments are Summarized at the End of the Report HA Material Description 1 2'x4' Lay In Ceiling Tiles 2 2-M Material Units Material Location Asbestos Type Material Category Friable Damage Type 54 Storage ASSUMED Y NONE Change in Assessment Category 9"x9" Green/Gray/Black Floor Tile 2 N NONE 2 ASSUMED N NONE 3 3-M , First Floor Landings to Basement Stairs First Floor Landings to Basement Stairs Faculty Room Faculty Room Boiler Room Throughout Facility CHR Mastic Assoc. w/9"x9" Green/Gray/Black Floor Tile 12"x12" Brown, Textured Floor Tile Mastic Associated w/12"x12" Floor Tile Boiler Insulation Hard Plaster CHR ASSUMED CHR ASSUMED TSI SURFACE N NONE 6 Skim Coat Plaster 25, Throughout Facility ASSUMED SURFACE Y NONE 7 Chalk Boards 1,2 ASSUMED N NONE 8 Chalkboard Caulk 1,2 LF All classrooms except classroom 11 All classrooms ASSUMED N NONE 9 12"x12" Brown w/aqua & Maroon Dots Floor Tile ASSUMED 1 12"x12" Brn w/aqua & Maroon Dots Floor Tile Mastic ASSUMED 11 Brown w/aqua & Maroon Dots Linoleum ASSUMED 12 Brown w/aqua & Maroon Dots Linoleum Mastic 12"x12" Beige Floor Tile 12"x12" Beige Floor tile Mastic 12"x12" Gray w/white Floor Tile 12"x12" Gray w/white Floor Tile Mastic 12"x12" Liight Gray w/white Floor Tile 12"x12" Liight Gray w/white Floor Tile Mastic 12"x12" Blue w/white Floor Tile 12"x12" Blue w/white Floor Tile Mastic 12"x12" Beige Floor Tile 12"x12" Beige Floor Tile Mastic 9"x9" Green w/white Floor Tile 9"x9" Green w/white Floor Tile Mastic 9"x9" White w/green Floor Tile First Floor Corridor, Room 3, Classroom 4 First Floor Corridor, Room 3, Classroom 4 First Floor Washroom First Floor Washroom Classrooms 2 & 5 Classrooms 2 & 5 Classroom 2 Classroom 2 Classroom 2 Classroom 2 ASSUMED ASSUMED ASSUMED ASSUMED ASSUMED ASSUMED ASSUMED Classroom 2 Classroom 2 Lunchroom Lunchroom Classroom 11 Classroom 11 Classroom 11 ASSUMED ASSUMED ASSUMED ASSUMED ASSUMED ASSUMED ASSUMED Material Quantity Damage Quantity Damage Units Damage Category Any remaining friable ACBM or friable suspect ACBM ACBM with the potential for damage ACBM with the potential for damage Damage Reason Disturbance Potential LOW LOW LOW Low ne ne ne ne ne ne ne ne ne ne ne ACBM with the potential for damage Any remaining friable ACBM or friable suspect ACBM ACBM with the potential for damage ACBM with the potential for damage LOW LOW LOW LOW Low Low Low Low Low Low Low Low Low Low Low Low Low

14 School Youth Connection - J. Addams Alter HS Unit Building ID Address 1814 South Union, Chicago Region 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 "x9" White w/green Floor Tile Mastic 12"x12" Beige w/gray Floor Tile 12"x12" Beige w/gray Floor Tile Mastic 9"x9" Gray w/white & Black Floor Tile 9"x9" Gray w/white & Black Floor Tile Mastic 12"x18" Dk Brown w/red Floor Tile 32 Mastic 33 9"x9" White Floor Tile 34 9"x9" White Floor Tile Mastic 35 Gray Sink Undercoating 9 36 White Sink Undercoating 3 37 Brown Carpet Adhesive 38 Brown Carpet Adhesive 39 4 Blue Carpet Adhesive Window Caulk 41 Window Glaze 42 Drywall 43 Drywall Compound 44 Material Quantity Material Units Material Location Asbestos Type Material Category Friable Damage Type Damage Quantity Damage Units Change in Assessment Category Damage Category Damage Reason Disturbance Potential Classroom 11 Kitchen Kitchen Office Office ASSUMED ASSUMED ASSUMED ASSUMED ASSUMED ASSUMED ASSUMED ASSUMED ASSUMED Stairs to Second Floor Stairs to Second Floor Second Floor Corridor Second Floor Corridor Classroom 2 ASSUMED N NONE Room 3 ASSUMED N NONE 74 Office ASSUMED N NONE 1 ASSUMED N NONE 2,4 LF Second Floor Stair Landing Basement Offices Throughout Facility ASSUMED ASSUMED N ne NONE 1, Throughout Facility ASSUMED N NONE 792 Basement Offices ASSUMED Y NONE 792 Basement Offices ASSUMED Y NONE 12x12 Blue Vinyl Tile 2,5 ASSUMED N NONE 44m 12x12 Blue Vinyl Tile Mastic 2,5 ASSUMED N NONE ACBM with the potential for damage LOW 45 12x12 Red, Yellow in Lay of Tiles 27 Rooms 12, 17, 1st Floor Corridor, and 27 Rooms 12, 17, 1st Floor Corridor, and 27 1st Floor ASSUMED N NONE 12x12 Red, Yellow In Lay of Tiles Mastic 27 1st Floor ASSUMED N NONE 46 12X12 Orange Tiles 15 Top of 2nd Floor ASSUMED N NONE ACBM with the potential for damage ACBM with the potential for damage ACBM with the LOW 45m Low Low Low Low Low ne ne ne ne 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 Any remaining friable ACBM or friable suspect ACBM Any remaining friable ACBM or friable suspect ACBM ACBM with the potential for damage LOW LOW LOW LOW Low LOW LOW LOW LOW LOW LOW LOW

15 School Youth Connection - J. Addams Alter HS Unit Building ID Address 1814 South Union, Chicago Region 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 46M 12X12 Orange Tiles Mastic 47 Material Quantity Material Units Material Location Asbestos Type Material Category Friable Damage Type Damage Quantity Damage Units Change in Assessment Category ASSUMED N NONE ASSUMED N NONE ASSUMED N NONE ACBM with the potential for damage LOW ASSUMED SURFACE ASSUMED N NONE N NONE ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage LOW ASSUMED ACBM with the potential for damage LOW 15 12x12 Red, Yello-Inlays 2,9 47m 12x12 Yellow, Red Mastic 2,9 48 Brown Carpet Adhesive 49 Black, Tan Tile Grout 4 5 Black/Tan Tile Adhesive 4 51 Maroon, Grey, Tan Tile Grout 4 Stairwell Top of 2nd Floor Stairwell Lunch Room, Kitchen, 1st Floor Corridor Lunch Room, Kitchen, 1st Floor Corridor Rm. 1,3,4,6 (only rm. 1) Womens Washroom Next to Lunchroom Women's Washroom Next to Lunchroom Men's Washroom ASSUMED N NONE 52 Maroon, Grey, Tan Adhesive 4 Men's Washroom ASSUMED N NONE 53 12"x12" Light Brown w/brown Specks VFT 81 ASSUMED N NONE 53M 12"x12" Light Brown w/brown Specks VFT Mastic 81 Rooms L1, L2, L3, Basement Office, 11, 13, 14, 15, 23 Rooms L1, L2, L3, Basement Office, 11, 13, 14, 15, 23 ASSUMED N NONE Damage Category potential for damage ACBM with the potential for damage ACBM with the potential for damage Damage Reason Disturbance Potential LOW LOW LOW LOW LOW LOW

16 School Youth Connection - J. Addams Alter HS Unit Building ID Address 1814 South Union, Chicago Region 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 4/8/216 Inspector Name Inspector's Comments Evan Christian 5/15/216 Inspector's IDPH License Number / Expiration Date HA Number: M 3 3-M Inspector Comments: t observed 216 t observed 216 t observed 216 t observed 216 t observed 216 t observed 216 t observed 216 t observed 216 t observed 216 t observed 216 t observed 216 t observed 216 t observed 216 t observed 216 t observed 216 t observed 216 t observed 216

17 School Youth Connection - J. Addams Alter HS Unit Building ID Address 1814 South Union, Chicago Region 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: m 45 45m 46 46M 47 47m Inspector Comments: t observed 216 t observed 216 t observed 216 t observed 216 t observed 216 t observed 216 t observed 216 t observed 216 t observed 216 t observed 216 t observed 216 t observed 216 t observed 216

18 School Youth Connection - J. Addams Alter HS Unit Building ID Address 1814 South Union, Chicago Region 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: M Inspector Comments: t observed 216

19 Table II Management Planner's Review

20 School Address Youth Connection - J. Addams Alter HS Unit 1814 South Union, Chicago Building ID Chicago, IL, 668 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 Num Material Description Material Quantity Material Units Material Location Asbestos Type Material Category Friable Damage Quantity Damage Units Damage Category Response 1 2'x4' Lay In Ceiling Tiles 54 Storage Yes 2 2-M 3 3-M "x9" Green/Gray/Black Floor Tile Mastic Assoc. w/9"x9" Green/Gray/Black Floor Tile 12"x12" Brown, Textured Floor Tile Mastic Associated w/12"x12" Floor Tile Boiler Insulation Hard Plaster Skim Coat Plaster 2 2 TSI SURFACE SURFACE Chrysotile Chrysotile Chrysotile 25, 25, First Floor Landings to Basement Stairs First Floor Landings to Basement Stairs Faculty Room Faculty Room Boiler Room Throughout Facility Throughout Facility 7 Any remaining friable ACBM or friable suspect ACBM 6 ACBM with the potential for damage 6 ACBM with the potential for damage Yes Chalk Boards Chalkboard Caulk 12"x12" Brown w/aqua & Maroon Dots Floor Tile 1,2 1,2 LF LF 1 12"x12" Brn w/aqua & Maroon Dots Floor Tile Mastic Brown w/aqua & Maroon Dots Linoleum Brown w/aqua & Maroon Dots Linoleum Mastic 12"x12" Beige Floor Tile 12"x12" Beige Floor tile Mastic 12"x12" Gray w/white Floor Tile 12"x12" Gray w/white Floor Tile Mastic 12"x12" Liight Gray w/white Floor Tile 12"x12" Liight Gray w/white Floor Tile Mastic 12"x12" Blue w/white Floor Tile 12"x12" Blue w/white Floor Tile Mastic 12"x12" Beige Floor Tile 12"x12" Beige Floor Tile Mastic 9"x9" Green w/white Floor Tile 9"x9" Green w/white Floor Tile Mastic 9"x9" White w/green Floor Tile 9"x9" White w/green Floor Tile Mastic 12"x12" Beige w/gray Floor Tile 12"x12" Beige w/gray Floor Tile Mastic All classrooms except classroom 11 All classrooms First Floor Corridor, Room 3, Classroom 4 First Floor Corridor, Room 3, Classroom 4 First Floor Washroom First Floor Washroom Classrooms 2 & 5 Classrooms 2 & 5 Classroom 2 Classroom 2 Classroom 2 Classroom 2 Classroom 2 Classroom 2 Lunchroom Lunchroom Classroom 11 Classroom 11 Classroom 11 Classroom 11 Kitchen Kitchen 6 ACBM with the potential for damage 7 Any remaining friable ACBM or friable suspect ACBM 6 ACBM with the potential for damage 6 ACBM with the potential for damage

21 School Address Youth Connection - J. Addams Alter HS Unit 1814 South Union, Chicago Building ID Chicago, IL, 668 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 Num Material Description "x9" Gray w/white & Black Floor Tile 9"x9" Gray w/white & Black Floor Tile Mastic 12"x18" Dk Brown w/red Floor Tile Mastic 9"x9" White Floor Tile 9"x9" White Floor Tile Mastic Gray Sink Undercoating White Sink Undercoating Brown Carpet Adhesive Brown Carpet Adhesive Blue Carpet Adhesive Window Caulk Window Glaze Drywall 43 Material Quantity Material Units Material Location Asbestos Type Material Category Friable Damage Quantity Damage Units Damage Category Response 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 Yes LF ,4 1, 792 LF Office Office Stairs to Second Floor Stairs to Second Floor Second Floor Corridor Second Floor Corridor Classroom 2 Room 3 Office Second Floor Stair Landing Basement Offices Throughout Facility Throughout Facility Basement Offices Drywall Compound 792 Basement Offices Yes 44 12x12 Blue Vinyl Tile 2,5 44m 12x12 Blue Vinyl Tile Mastic 2,5 6 ACBM with the potential for damage 45 45m 46 46M 47 12x12 Red, Yellow in Lay of Tiles 12x12 Red, Yellow In Lay of Tiles Mastic 12X12 Orange Tiles 12X12 Orange Tiles Mastic 12x12 Red, Yello-Inlays ,9 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 47m 12x12 Yellow, Red Mastic 2,9 6 ACBM with the potential for damage Brown Carpet Adhesive Black, Tan Tile Grout 4 SURFACE 6 ACBM with the potential for damage 5 Black/Tan Tile Adhesive 4 Rooms 12, 17, 1st Floor Corridor, and 27 Rooms 12, 17, 1st Floor Corridor, and 27 1st Floor 1st Floor Top of 2nd Floor Stairwell Top of 2nd Floor Stairwell Lunch Room, Kitchen, 1st Floor Corridor Lunch Room, Kitchen, 1st Floor Corridor Rm. 1,3,4,6 (only rm. 1) Womens Washroom Next to Lunchroom Women's Washroom Next to Lunchroom 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

22 School Address Youth Connection - J. Addams Alter HS Unit 1814 South Union, Chicago Building ID Chicago, IL, 668 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 Num Material Description Material Quantity Material Units Material Location Asbestos Type Material Category Friable Damage Quantity Damage Units Damage Category Response Maroon, Grey, Tan Tile Grout Maroon, Grey, Tan Adhesive 12"x12" Light Brown w/brown Specks VFT ACBM with the potential for damage 6 ACBM with the potential for damage 6 ACBM with the potential for damage 53M 12"x12" Light Brown w/brown Specks VFT Mastic 81 Men's Washroom Men's Washroom Rooms L1, L2, L3, Basement Office, 11, 13, 14, 15, 23 Rooms L1, L2, L3, Basement Office, 11, 13, 14, 15, 23 6 ACBM with the potential for damage

23 School Address Youth Connection - J. Addams Alter HS 1814 South Union, Chicago Unit Building ID Chicago, IL, 668 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 4/26/216 Review Date Manager Planner Name Todd Huffer /15/216 Manager IDPH License /Expiration HA Number M 3 3-M Management Comments

24 School Address Youth Connection - J. Addams Alter HS 1814 South Union, Chicago Unit Building ID Chicago, IL, 668 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 m 45 45m 46 46M Management Comments

25 School Address Youth Connection - J. Addams Alter HS 1814 South Union, Chicago Unit Building ID Chicago, IL, 668 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 47 47m M Management Comments

26 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 1 2'x4' Lay In Ceiling Tiles HISTORICAL AHERA DAMAGE CATEGORY 7 Any remaining friable ACBM or friable suspect ACBM 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: LOW Storage 54 COMMENTS: Inspector's Signature: 4/8/216

27 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 1 2'x4' Lay In Ceiling Tiles Storage 54 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection 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: 4/26/216

28 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 2 9"x9" Green/Gray/Black Floor Tile HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW First Floor Landings to Basement Stairs 2 COMMENTS: Inspector's Signature: 4/8/216

29 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 2 9"x9" Green/Gray/Black Floor Tile First Floor Landings to Basement Stairs 2 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/26/216

30 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 2-M Mastic Assoc. w/9"x9" Green/Gray/Black Floor 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: LOW First Floor Landings to Basement Stairs 2 COMMENTS: Inspector's Signature: 4/8/216

31 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 2-M Mastic Assoc. w/9"x9" Green/Gray/Black Floor Tile First Floor Landings to Basement Stairs 2 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/26/216

32 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 3 12"x12" Brown, Textured Floor Tile 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: Faculty Room COMMENTS: t observed 216 Inspector's Signature: 4/8/216

33 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 3 12"x12" Brown, Textured Floor Tile Faculty 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: 4/26/216

34 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 3-M Mastic Associated w/12"x12" 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 Faculty Room COMMENTS: t observed 216 Inspector's Signature: 4/8/216

35 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 3-M Mastic Associated w/12"x12" Floor Tile Faculty 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: 4/26/216

36 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 4 Boiler Insulation HISTORICAL AHERA DAMAGE CATEGORY Any remaining friable ACBM or friable suspect ACBM 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: Boiler Room COMMENTS: t observed 216 Inspector's Signature: 4/8/216

37 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 4 Boiler Insulation 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: 4/26/216

38 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 5 Hard Plaster 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: LOW Throughout Facility 25 COMMENTS: Inspector's Signature: 4/8/216

39 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 5 Hard Plaster Throughout Facility 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: 4/26/216

40 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 6 Skim Coat Plaster HISTORICAL AHERA DAMAGE CATEGORY 7 Any remaining friable ACBM or friable suspect ACBM 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: LOW Throughout Facility 25 COMMENTS: Inspector's Signature: 4/8/216

41 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 6 Skim Coat Plaster Throughout Facility 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: 4/26/216

42 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 7 Chalk Boards 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: LOW All classrooms except classroom COMMENTS: Inspector's Signature: 4/8/216

43 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 7 Chalk Boards All classrooms except classroom In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection 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: 4/26/216

44 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 8 Chalkboard Caulk 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: LOW All classrooms 12 LF LF COMMENTS: Inspector's Signature: 4/8/216

45 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 8 Chalkboard Caulk All classrooms 12 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: 4/26/216

46 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 9 12"x12" Brown w/aqua & Maroon Dots 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: First Floor Corridor, Room 3, Classroom 4 COMMENTS: t observed 216 Inspector's Signature: 4/8/216

47 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 9 12"x12" Brown w/aqua & Maroon Dots Floor Tile First Floor Corridor, Room 3, Classroom 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: 4/26/216

48 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 1 12"x12" Brn w/aqua & Maroon Dots Floor Tile Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: First Floor Corridor, Room 3, Classroom 4 COMMENTS: t observed 216 Inspector's Signature: 4/8/216

49 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 1 12"x12" Brn w/aqua & Maroon Dots Floor Tile Mastic First Floor Corridor, Room 3, Classroom 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: 4/26/216

50 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 11 Brown w/aqua & Maroon Dots Linoleum HISTORICAL AHERA DAMAGE CATEGORY 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. DAMAGE REASON: DISTURBANCE POTENTIAL: First Floor Washroom COMMENTS: t observed 216 Inspector's Signature: 4/8/216

51 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 11 Brown w/aqua & Maroon Dots Linoleum First Floor Washroom In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection 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: 4/26/216

52 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 12 Brown w/aqua & Maroon Dots Linoleum Mastic HISTORICAL AHERA DAMAGE CATEGORY 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. DAMAGE REASON: DISTURBANCE POTENTIAL: First Floor Washroom COMMENTS: t observed 216 Inspector's Signature: 4/8/216

53 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 12 Brown w/aqua & Maroon Dots Linoleum Mastic First Floor Washroom In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection 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: 4/26/216

54 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 13 12"x12" Beige 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 Classrooms 2 & 5 COMMENTS: t observed 216 Inspector's Signature: 4/8/216

55 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 13 12"x12" Beige Floor Tile Classrooms 2 & 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: 4/26/216

56 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 14 12"x12" Beige Floor tile Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Low Classrooms 2 & 5 COMMENTS: t observed 216 Inspector's Signature: 4/8/216

57 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 14 12"x12" Beige Floor tile Mastic Classrooms 2 & 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: 4/26/216

58 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 15 12"x12" Gray w/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 Classroom 2 COMMENTS: t observed 216 Inspector's Signature: 4/8/216

59 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 15 12"x12" Gray w/white Floor Tile Classroom 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: 4/26/216

60 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 16 12"x12" Gray w/white Floor Tile Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Low Classroom 2 COMMENTS: t observed 216 Inspector's Signature: 4/8/216

61 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 16 12"x12" Gray w/white Floor Tile Mastic Classroom 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: 4/26/216

62 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 17 12"x12" Liight Gray w/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 Classroom 2 COMMENTS: t observed 216 Inspector's Signature: 4/8/216

63 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 17 12"x12" Liight Gray w/white Floor Tile Classroom 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: 4/26/216

64 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 18 12"x12" Liight Gray w/white Floor Tile Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Low Classroom 2 COMMENTS: t observed 216 Inspector's Signature: 4/8/216

65 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 18 12"x12" Liight Gray w/white Floor Tile Mastic Classroom 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: 4/26/216

66 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 19 12"x12" Blue w/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 Classroom 2 COMMENTS: t observed 216 Inspector's Signature: 4/8/216

67 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 19 12"x12" Blue w/white Floor Tile Classroom 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: 4/26/216

68 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 2 12"x12" Blue w/white Floor Tile Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Low Classroom 2 COMMENTS: t observed 216 Inspector's Signature: 4/8/216

69 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 2 12"x12" Blue w/white Floor Tile Mastic Classroom 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: 4/26/216

70 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 21 12"x12" Beige 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 Lunchroom COMMENTS: t observed 216 Inspector's Signature: 4/8/216

71 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 21 12"x12" Beige Floor Tile Lunchroom In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/26/216

72 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 22 12"x12" Beige Floor Tile Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Low Lunchroom COMMENTS: t observed 216 Inspector's Signature: 4/8/216

73 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 22 12"x12" Beige Floor Tile Mastic Lunchroom In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/26/216

74 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 23 9"x9" Green w/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 Classroom 11 COMMENTS: t observed 216 Inspector's Signature: 4/8/216

75 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 23 9"x9" Green w/white Floor Tile Classroom 11 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection 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: 4/26/216

76 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 24 9"x9" Green w/white Floor Tile Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Low Classroom 11 COMMENTS: t observed 216 Inspector's Signature: 4/8/216

77 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 24 9"x9" Green w/white Floor Tile Mastic Classroom 11 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection 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: 4/26/216

78 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 25 9"x9" White w/green 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 Classroom 11 COMMENTS: t observed 216 Inspector's Signature: 4/8/216

79 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 25 9"x9" White w/green Floor Tile Classroom 11 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection 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: 4/26/216

80 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 26 9"x9" White w/green Floor Tile Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Low Classroom 11 COMMENTS: t observed 216 Inspector's Signature: 4/8/216

81 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 26 9"x9" White w/green Floor Tile Mastic Classroom 11 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection 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: 4/26/216

82 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 27 12"x12" Beige w/gray Floor Tile HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Low Kitchen COMMENTS: t observed 216 Inspector's Signature: 4/8/216

83 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 27 12"x12" Beige w/gray Floor Tile Kitchen In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/26/216

84 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 28 12"x12" Beige w/gray Floor Tile Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Low Kitchen COMMENTS: t observed 216 Inspector's Signature: 4/8/216

85 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 28 12"x12" Beige w/gray Floor Tile Mastic Kitchen In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/26/216

86 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 29 9"x9" Gray w/white & Black Floor Tile HISTORICAL AHERA DAMAGE CATEGORY 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. DAMAGE REASON: DISTURBANCE POTENTIAL: Low Office COMMENTS: t observed 216 Inspector's Signature: 4/8/216

87 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 29 9"x9" Gray w/white & Black Floor Tile Office In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection 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: 4/26/216

88 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 3 9"x9" Gray w/white & Black Floor Tile Mastic HISTORICAL AHERA DAMAGE CATEGORY 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. DAMAGE REASON: DISTURBANCE POTENTIAL: Low Office COMMENTS: t observed 216 Inspector's Signature: 4/8/216

89 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 3 9"x9" Gray w/white & Black Floor Tile Mastic Office In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection 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: 4/26/216

90 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 31 12"x18" Dk Brown w/red Floor Tile HISTORICAL AHERA DAMAGE CATEGORY 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. DAMAGE REASON: DISTURBANCE POTENTIAL: Stairs to Second Floor COMMENTS: t observed 216 Inspector's Signature: 4/8/216

91 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 31 12"x18" Dk Brown w/red Floor Tile Stairs to Second Floor In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection 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: 4/26/216

92 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 32 Mastic HISTORICAL AHERA DAMAGE CATEGORY 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. DAMAGE REASON: DISTURBANCE POTENTIAL: Stairs to Second Floor COMMENTS: t observed 216 Inspector's Signature: 4/8/216

93 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 32 Mastic Stairs to Second Floor In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection 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: 4/26/216

94 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 33 9"x9" 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: Second Floor Corridor COMMENTS: t observed 216 Inspector's Signature: 4/8/216

95 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 33 9"x9" White Floor Tile Second Floor Corridor In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection 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: 4/26/216

96 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 34 9"x9" White Floor Tile Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Second Floor Corridor COMMENTS: t observed 216 Inspector's Signature: 4/8/216

97 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 34 9"x9" White Floor Tile Mastic Second Floor Corridor In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection 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: 4/26/216

98 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 35 Gray Sink Undercoating 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: LOW Classroom 2 9 COMMENTS: Inspector's Signature: 4/8/216

99 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 35 Gray Sink Undercoating Classroom 2 9 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection 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: 4/26/216

100 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 36 White Sink Undercoating 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: LOW Room 3 3 COMMENTS: Inspector's Signature: 4/8/216

101 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 36 White Sink Undercoating Room 3 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: 4/26/216

102 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 37 Brown Carpet Adhesive 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: LOW Office 74 COMMENTS: Inspector's Signature: 4/8/216

103 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 37 Brown Carpet Adhesive Office 74 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection 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: 4/26/216

104 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 38 Brown Carpet Adhesive 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: LOW Second Floor Stair Landing 1 COMMENTS: Inspector's Signature: 4/8/216

105 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 38 Brown Carpet Adhesive Second Floor Stair Landing 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: 4/26/216

106 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 39 Blue Carpet Adhesive 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 Basement Offices COMMENTS: t observed 216 Inspector's Signature: 4/8/216

107 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 39 Blue Carpet Adhesive Basement Offices In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection 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: 4/26/216

108 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 4 Window Caulk 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: LOW Throughout Facility 24 LF LF COMMENTS: Inspector's Signature: 4/8/216

109 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 4 Window Caulk Throughout Facility 24 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: 4/26/216

110 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 41 Window Glaze 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: LOW Throughout Facility 1 COMMENTS: Inspector's Signature: 4/8/216

111 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 41 Window Glaze Throughout Facility 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: 4/26/216

112 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 42 Drywall HISTORICAL AHERA DAMAGE CATEGORY 7 Any remaining friable ACBM or friable suspect ACBM 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: LOW Basement Offices 792 COMMENTS: Inspector's Signature: 4/8/216

113 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 42 Drywall Basement Offices 792 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection 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: 4/26/216

114 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 43 Drywall Compound HISTORICAL AHERA DAMAGE CATEGORY 7 Any remaining friable ACBM or friable suspect ACBM 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: LOW Basement Offices 792 COMMENTS: Inspector's Signature: 4/8/216

115 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 43 Drywall Compound Basement Offices 792 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection 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: 4/26/216

116 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 44 12x12 Blue Vinyl 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: LOW Rooms 12, 17, 1st Floor Corridor, and COMMENTS: Inspector's Signature: 4/8/216

117 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 44 12x12 Blue Vinyl Tile Rooms 12, 17, 1st Floor Corridor, and In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/26/216

118 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 44m 12x12 Blue Vinyl Tile 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: LOW Rooms 12, 17, 1st Floor Corridor, and COMMENTS: Inspector's Signature: 4/8/216

119 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 44m 12x12 Blue Vinyl Tile Mastic Rooms 12, 17, 1st Floor Corridor, and In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/26/216

120 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 45 12x12 Red, Yellow in Lay of Tiles 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: LOW 1st Floor 27 COMMENTS: Inspector's Signature: 4/8/216

121 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 45 12x12 Red, Yellow in Lay of Tiles 1st Floor 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: 4/26/216

122 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 45m 12x12 Red, Yellow In Lay of Tiles 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: LOW 1st Floor 27 COMMENTS: Inspector's Signature: 4/8/216

123 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 45m 12x12 Red, Yellow In Lay of Tiles Mastic 1st Floor 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: 4/26/216

124 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 46 12X12 Orange Tiles 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: LOW Top of 2nd Floor Stairwell 15 COMMENTS: Inspector's Signature: 4/8/216

125 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 46 12X12 Orange Tiles Top of 2nd Floor Stairwell 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: 4/26/216

126 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 46M 12X12 Orange Tiles 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: LOW Top of 2nd Floor Stairwell 15 COMMENTS: Inspector's Signature: 4/8/216

127 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 46M 12X12 Orange Tiles Mastic Top of 2nd Floor Stairwell 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: 4/26/216

128 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 47 12x12 Red, Yello-Inlays 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: LOW Lunch Room, Kitchen, 1st Floor Corridor 29 COMMENTS: Inspector's Signature: 4/8/216

129 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 47 12x12 Red, Yello-Inlays Lunch Room, Kitchen, 1st Floor Corridor 29 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection 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: 4/26/216

130 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 47m 12x12 Yellow, Red 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: LOW Lunch Room, Kitchen, 1st Floor Corridor 29 COMMENTS: Inspector's Signature: 4/8/216

131 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 47m 12x12 Yellow, Red Mastic Lunch Room, Kitchen, 1st Floor Corridor 29 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection 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: 4/26/216

132 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 48 Brown Carpet Adhesive HISTORICAL AHERA DAMAGE CATEGORY 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. DAMAGE REASON: DISTURBANCE POTENTIAL: Rm. 1,3,4,6 (only rm. 1) COMMENTS: t observed 216 Inspector's Signature: 4/8/216

133 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 48 Brown Carpet Adhesive Rm. 1,3,4,6 (only rm. 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: 4/26/216

134 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 49 Black, Tan Tile Grout 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: LOW Womens Washroom Next to Lunchroom 4 COMMENTS: Inspector's Signature: 4/8/216

135 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 49 Black, Tan Tile Grout Womens Washroom Next to Lunchroom 4 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/26/216

136 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 5 Black/Tan Tile Adhesive 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: LOW Women's Washroom Next to Lunchroom 4 COMMENTS: Inspector's Signature: 4/8/216

137 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 5 Black/Tan Tile Adhesive Women's Washroom Next to Lunchroom 4 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/26/216

138 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 51 Maroon, Grey, Tan Tile Grout 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: LOW Men's Washroom 4 COMMENTS: Inspector's Signature: 4/8/216

139 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 51 Maroon, Grey, Tan Tile Grout Men's Washroom 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: 4/26/216

140 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 52 Maroon, Grey, Tan Adhesive 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: LOW Men's Washroom 4 COMMENTS: Inspector's Signature: 4/8/216

141 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 52 Maroon, Grey, Tan Adhesive Men's Washroom 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: 4/26/216

142 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 53 12"x12" Light Brown w/brown Specks 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: LOW Rooms L1, L2, L3, Basement Office, 11, 13, 14, 15, COMMENTS: Inspector's Signature: 4/8/216

143 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 53 12"x12" Light Brown w/brown Specks VFT Rooms L1, L2, L3, Basement Office, 11, 13, 14, 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: 4/26/216

144 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Evan Christian Youth Connection - J. Addams Alter HS INSPECTION DATE: 4/8/ South Union, Chicago INFORMATION FROM PREVIOUS INSPECTION 53M 12"x12" Light Brown w/brown Specks 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: LOW Rooms L1, L2, L3, Basement Office, 11, 13, 14, 15, COMMENTS: Inspector's Signature: 4/8/216

145 Management Planner Review Form MANAGEMENT PLANNER: Todd Huffer Youth Connection - J. Addams Alter HS REVIEW DATE: 4/26/ South Union, Chicago 53M 12"x12" Light Brown w/brown Specks VFT Mastic Rooms L1, L2, L3, Basement Office, 11, 13, 14, 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: 4/26/216

146

147 APPENDIX B Inspector and Management Planner Licenses

148

149

150

151

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

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 information

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

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 information

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

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 information

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

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 information

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

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 information

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

If 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 information

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

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 information

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

If 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 information

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

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 information

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

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 information

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

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 information

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

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 information

Three Year Asbestos Re-Inspection Report. Macomb Montessori Academy East Nine Mile Road Warren, Michigan 47089

Three Year Asbestos Re-Inspection Report. Macomb Montessori Academy East Nine Mile Road Warren, Michigan 47089 Three Year Re-Inspection Report For 14057 East Nine Mile Road Warren, Michigan 47089 Prepared by: Northern Analytical Services, LLC. 14870 225 th Avenue Big Rapids, Michigan 49307 Dated: Project 160268

More information

Palmyra High School 07/16 Addition and Renovation Palmyra, Nebraska

Palmyra High School 07/16 Addition and Renovation Palmyra, Nebraska Palmyra High School 07/16 Addition and Renovation Palmyra, Nebraska 845-001-14 DOCUMENT 00 31 26 - EXISTING HAZARDOUS MATERIAL INFORMATION 1.1 EXISTING HAZARDOUS MATERIAL INFORMATION A. This Document with

More information

NARRATIVE REPORT. Underlayment Paper for Linoleum. The Asbestos Bulk Sample Results Table includes asbestos sampling data.

NARRATIVE REPORT. Underlayment Paper for Linoleum. The Asbestos Bulk Sample Results Table includes asbestos sampling data. NARRATIVE REPORT 1.0 BUILDING INFORMATION Engineering and Technology was originally constructed in 1913; although specific information is unavailable, several renovations are evident. Engineering and Technology

More information

NARRATIVE REPORT. Engineering Administration was originally constructed in 1965; the building has had no major renovations.

NARRATIVE REPORT. Engineering Administration was originally constructed in 1965; the building has had no major renovations. NARRATIVE REPORT 1.0 BUILDING INFORMATION Engineering Administration was originally constructed in 1965; the building has had no major renovations. Engineering Administration is a three-story, 9,579 ft

More information

Asbestos 3-Year Re-inspection Report and Updated Management Plan. Edith Nourse Rogers School 43 Highland Street Lowell, Massachusetts, 01852

Asbestos 3-Year Re-inspection Report and Updated Management Plan. Edith Nourse Rogers School 43 Highland Street Lowell, Massachusetts, 01852 Asbestos 3-Year Report Edith Nourse Rogers School 43 Highland Street, 01852 Prepared by: Cardno ATC 600 West Cummings Park, Suite 5450 Woburn, Massachusetts 01801 September 24, 2014 Cardno ATC Project

More information

Turn-Key Environmental Consultants, Inc. 790 Barnhart Rd. 714 Monument Ave. Phone: Troy, OH Dayton, OH Fax:

Turn-Key Environmental Consultants, Inc. 790 Barnhart Rd. 714 Monument Ave. Phone: Troy, OH Dayton, OH Fax: Turn-Key Environmental Consultants, Inc. 790 Barnhart Rd. 714 Monument Ave. Phone: 937-335-8807 Troy, OH 45373 Dayton, OH 45402 Fax: 937-339-4882 March 24, 2016 Mr. Dennis Zimmer City of Dayton, Division

More information

DULANEY HIGH SCHOOL FEASIBILITY STUDY

DULANEY HIGH SCHOOL FEASIBILITY STUDY DULANEY HIGH SCHOOL FEASIBILITY STUDY APPENDIX A: SITE PLAN Baltimore County Public Schools Site Plan-Appendix A Office of Engineering and Construction February 18, 2016 Dulaney High School Feasibility

More information

ASBESTOS POLICY. 2. Authority. 3. Scope. 4. Definitions. 4. Responsibilities. 1. Purpose. Department supervisors

ASBESTOS POLICY. 2. Authority. 3. Scope. 4. Definitions. 4. Responsibilities. 1. Purpose. Department supervisors 1. Purpose ASBESTOS POLICY The purpose of the University of Denver Asbestos Policy is to establish the means to prevent personal asbestos exposures to DU and contractor workers by managing and controlling

More information

RECORD OF FRIABLE AND NONFRIABLE ACM Inspection Date(s) July 31, 2013 (FORM B)

RECORD OF FRIABLE AND NONFRIABLE ACM Inspection Date(s) July 31, 2013 (FORM B) Corporation Yard RECORD OF FRIABLE AND NONFRIABLE AC Inspection Date(s) July 31, 2013 (FOR B) THREE-YEAR REINSPECTION CDS CODE 04-61424-0000000 SCHOOL Corporate Yard SCHOOL PHONE NUBER (530) 891-3095 ADDRESS

More information

ASBESTOS AND LEAD-BASED PAINT SURVEY 696/698 Hawthorne Avenue St. Paul, Minnesota. Prepared for:

ASBESTOS AND LEAD-BASED PAINT SURVEY 696/698 Hawthorne Avenue St. Paul, Minnesota. Prepared for: ASBESTOS AND LEAD-BASED PAINT SURVEY 696/698 Hawthorne Avenue St. Paul, Minnesota Prepared for: City of St. Paul Department of Planning and Economic Development 1100 City Hall Annex 25 West 4 th Street

More information

900 S. Colorado Blvd. - 5,609 square ft building (new automobile sales showroom and offices) built in 2000/2001; and

900 S. Colorado Blvd. - 5,609 square ft building (new automobile sales showroom and offices) built in 2000/2001; and Sent Via erims November 13, 2013 Sonic Automotive, Inc. 4401 Colwick Road Charlotte, North Carolina 28211 Attention: Mr. Doug Siska Re: Asbestos Survey Murray BMW of Denver 900 S Colorado Blvd and 4320

More information

AHERA Asbestos Management Plan

AHERA Asbestos Management Plan Our Services: Asbestos Inspections Asbestos Abatement Design Asbestos Abatement Oversight AHERA Asbestos Management Plan 720 Fairview Drive Carlisle, Ohio 45005 Asbestos Management Planning Phase I Environmental

More information

ASBESTOS ROOF INSPECTION REPORT

ASBESTOS ROOF INSPECTION REPORT ASBESTOS ROOF INSPECTION REPORT OF MARSHALL COURTS ROOF 3300 A&B, 3302 A&B, 3400 A & B, 3402 A & B MARSHALL AVE 800 A & B 35 TH STREET AND 801 A&B 33 RD STREET NEWPORT NEWS, VIRGINIA 23606 MCS JOB #13-031S

More information

Procedure. Procedure

Procedure. Procedure Procedure 4.1524 Asbestos Procedure A. Scope... 1 B. Applicability... 2 C. Definitions... 2 D. Responsibilities... 3 E. Hazards... 4 F. General Rules... 4 G. Asbestos Inventory... 5 H. Asbestos Identification...

More information

Lead Based Coatings Flowchart

Lead Based Coatings Flowchart 1926.62 Any Detectable Levels of Lead / Stop No Testing or Compliance Issues Lead Coatings NOT Target Housing or Child Occupied Facility Target Housing Child Occupied Family Georgia Certified Firm & Inspect

More information

EPA/ODEQ DEMOLITION BY FIRE REQUIREMENTS

EPA/ODEQ DEMOLITION BY FIRE REQUIREMENTS EPA/ODEQ DEMOLITION BY FIRE REQUIREMENTS The OKLAHOMA AIR POLLUTION CONTROL RULES, Oklahoma Administrative Code (OAC) 252:100-13, Open Burning, specifically, subpart 5, Open burning prohibited, states:

More information

TCDSB Asbestos Containing Material Re-Assessment Form. Friability (F/NF) Asbestos Content

TCDSB Asbestos Containing Material Re-Assessment Form. Friability (F/NF) Asbestos Content TCDSB Containing Material June 3, 07 Page St. Josaphat Catholic School 50373 0/0A/0B/0/ 0A/0B/03/03 A/04/05/06/06B //4/5B/5 C/S0 Below Remnant Mastic - Below Tiles 00 (now 0A) Above Ceiling Pipe fitting

More information

ASBESTOS AWARENESS New Employee Training March Environmental, Facilities Services Eddie Pena (HazMat & IAQ Coordinator)

ASBESTOS AWARENESS New Employee Training March Environmental, Facilities Services Eddie Pena (HazMat & IAQ Coordinator) ASBESTOS AWARENESS New Employee Training March 2014 Environmental, Facilities Services Eddie Pena (HazMat & IAQ Coordinator) Why Are You Here? You need to know - Where there is (or may be) asbestoscontaining

More information

Radon Measurement Survey Report. Rollins Elementary School 950 Kane Street Aurora, Illinois Prepared For:

Radon Measurement Survey Report. Rollins Elementary School 950 Kane Street Aurora, Illinois Prepared For: Radon Measurement Survey Report Site: 950 Kane Street Aurora, Illinois 60505 Survey Dates: May 15, 2018 thru May 18, 2018 Prepared For: East Aurora School District 131 417 Fifth Street Aurora, Illinois

More information

Understand what asbestos is and how to avoid exposure

Understand what asbestos is and how to avoid exposure Understand what asbestos is and how to avoid exposure. PINCHIN & AFFILIATES A leader in engineering, environmental health & safety solutions Multi-disciplinary approach by highly qualified, experienced

More information

Radon Measurement Survey Report. Waldo Middle School 56 Jackson Street Aurora, Illinois Prepared For:

Radon Measurement Survey Report. Waldo Middle School 56 Jackson Street Aurora, Illinois Prepared For: Radon Measurement Survey Report Site: 56 Jackson Street Aurora, Illinois 60505 Survey Dates: May 8, 2018 thru May 10, 2018 Prepared For: East Aurora School District 131 417 Fifth Street Aurora, Illinois

More information

STATE OF MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS LANSING

STATE OF MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS LANSING RICK SNYDER GOVERNOR STATE OF MICHIGAN DEPARTMENT OF LICENSING AND REGULATORY AFFAIRS LANSING SHELLY EDGERTON DIRECTOR March 7, 2017 1093 Wayne Rd RE: License #: AS040378598 1093 Wayne Road Dear : Attached

More information

Safe Removal of Asbestos. Work Safe Week 2013

Safe Removal of Asbestos. Work Safe Week 2013 Safe Removal of Asbestos Work Safe Week 2013 Work Safe Week 2013 For the respect of others please ensure your mobile phone is switched off or on silent. In the event of an emergency a Convention Centre

More information

Radon Measurement Survey Report. Fred Rodgers Magnet Academy 501 College Avenue Aurora, Illinois Prepared For:

Radon Measurement Survey Report. Fred Rodgers Magnet Academy 501 College Avenue Aurora, Illinois Prepared For: Radon Measurement Survey Report Site: 501 College Avenue Aurora, Illinois 60505 Survey Dates: May 16, 2018 thru May 18, 2018 Prepared For: East Aurora School District 131 417 Fifth Street Aurora, Illinois

More information

Radon Measurement Survey Report. McKnight School Service Center 417 Fifth Street Aurora, Illinois Prepared For:

Radon Measurement Survey Report. McKnight School Service Center 417 Fifth Street Aurora, Illinois Prepared For: Radon Measurement Survey Report Site: 417 Fifth Street Aurora, Illinois 60505 Survey Dates: May 9, 2018 thru May 11, 2018 Prepared For: East Aurora School District 131 417 Fifth Street Aurora, Illinois

More information

WATER QUALITY TESTING FOR SCHAUMBURG COMMUNITY CONSOLIDATED SCHOOL DISTRICT 54 HOOVER SCHAUMBURG, ILLINOIS OCTOBER 3, 2017 PROJECT NUMBER:

WATER QUALITY TESTING FOR SCHAUMBURG COMMUNITY CONSOLIDATED SCHOOL DISTRICT 54 HOOVER SCHAUMBURG, ILLINOIS OCTOBER 3, 2017 PROJECT NUMBER: WATER QUALITY TESTING FOR SCHAUMBURG COMMUNITY CONSOLIDATED SCHOOL DISTRICT 54 HOOVER SCHAUMBURG, ILLINOIS OCTOBER 3, 2017 PROJECT NUMBER: 17-18350 1550 Hubbard Ave., Batavia, IL 60510, 630-879-3006 Schaumburg

More information

Radon Measurement Survey Report. Krug Elementary School 240 Melrose Avenue Aurora, Illinois Prepared For:

Radon Measurement Survey Report. Krug Elementary School 240 Melrose Avenue Aurora, Illinois Prepared For: Radon Measurement Survey Report Site: 240 Melrose Avenue Aurora, Illinois 60505 Survey Dates: May 1, 2018 thru May 3, 2018 Prepared For: East Aurora School District 131 417 Fifth Street Aurora, Illinois

More information

22A Belvedere Avenue, Parry Sound Sprinkler System Consulting Review

22A Belvedere Avenue, Parry Sound Sprinkler System Consulting Review Parry Sound District Social Services Administration Board Housing and Community Services October 10, 2018 c/o Andrew Ball, Properties and Capital Projects Coordinator Email:aball@psdssab.org 22A Belvedere

More information

Well managed building mean risk is normal. Fire action notices should be displayed by all alarm break glass call points.

Well managed building mean risk is normal. Fire action notices should be displayed by all alarm break glass call points. Record of significant findings Risk assessment for : Assessment undertaken by : Horsefair House Nigel Billing CMIOSH Date: 28/3/17 Overview of Premises: 2 buildings on 3 stories in an L shaped configuration,

More information

Radon Measurement Survey Report. Oak Park Elementary School 1200 Front Street Aurora, Illinois Prepared For:

Radon Measurement Survey Report. Oak Park Elementary School 1200 Front Street Aurora, Illinois Prepared For: Radon Measurement Survey Report Site:July 5, 2018 1200 Front Street Aurora, Illinois 60505 Survey Dates: May 9, 2018 thru May 11, 2018 Prepared For: East Aurora School District 131 417 Fifth Street Aurora,

More information

The school s metal push-out windows were assessed and nothing of concern was noted.

The school s metal push-out windows were assessed and nothing of concern was noted. February 15, 2017 Courtney Wilton Portland Public Schools 501 North Dixon Portland, OR 97227 Via email: Regarding: cwilton@pps.net Lead Paint Condition Assessment Faubion at Tubman 2231 N Flint Avenue

More information

VOTER BOND REFERENDUM 2018 SUMMARY OF WORK PROPOSED

VOTER BOND REFERENDUM 2018 SUMMARY OF WORK PROPOSED Ashton Elementary School 1 Masonry Repair $ 42,781.50 2 Replace HVAC $ 375,000.00 3 Replace SAT @ Various Locations $ 92,364.00 3 Recoat & Resurface Exterior Paved Play Area $ 135,978.30 3 Various Technological

More information

BID PROPOSAL-REVISED

BID PROPOSAL-REVISED BID PROPOSAL-REVISED PROJECT: B17-13, Bldg 1300 HVAC ( the Work ) CABRILLO COMMUNITY COLLEGE DISTRICT Bidder Name Bidder Representative(s) Bidder Representative(s) Contact Information Bidder Mailing Address

More information

Lakehead University Asbestos Removals (2014 Audit) Residence:

Lakehead University Asbestos Removals (2014 Audit) Residence: Lakehead University Asbestos Removals (2014 Audit) Residence: Bartley Residence, #6 Location #: 458, Marathon - Meeting Room, Floor: Marathon - 1, Room Number: RM100 Walls NI Drywall and joint cosurface

More information

MATHEMATICAL SCIENCES BUILDING

MATHEMATICAL SCIENCES BUILDING Final Focused Tiered Environmental Impact Report State Clearinghouse No. 2002072048 Prepared By: OFFICE OF RESOURCE MANAGEMENT AND PLANNING University of California One Shields Avenue 376 Mrak Hall Davis,

More information

Richard Henry Lee Elementary School

Richard Henry Lee Elementary School Facility Assessment Summary This report summarizes the findings of a facility assessment completed on the date noted in the document footer below. Assessors rate each facility feature and system by visual

More information

LIMITED INDOOR MOLD ASSESSMENT

LIMITED INDOOR MOLD ASSESSMENT LIMITED INDOOR MOLD ASSESSMENT RESIDENTIAL PROPERTY 1022 NORTHWEST 27 TH STREET SAN ANTONIO, TEXAS PREPARED FOR: PREPARED BY: LUCAS OLIVA ARGUS ENVIRONMENTAL SAN ANTONIO HOUSING AUTHORITY 10004 WURZBACH

More information

PRIVATE FIRE SERVICE INSTALLATION PACKET

PRIVATE FIRE SERVICE INSTALLATION PACKET PRIVATE FIRE SERVICE INSTALLATION PACKET The 2017 Edition supersedes all previous versions for Private Fire Service Installation To Whom It May Concern: SUBJECT: PRIVATE FIRE SERVICE INSTALLATION Illinois

More information

September 30, Dear Fire Suppression System Contractor/Designer:

September 30, Dear Fire Suppression System Contractor/Designer: CITY OF BOZEMAN FIRE DEPARTMENT P.O. Box 1230 Bozeman, Montana 59771-1230 Phone (406) 582-2350 CITY OF BOZEMAN BUILDING DEPARTMENT 20 E Olive St, STE 208 Bozeman, Montana 59715-4790 Phone (406) 582-2375

More information

HAZARDOUS MATERIALS MANAGEMENT SURVEY FIRE HALL # KNIGHT STREET VANCOUVER, BRITISH COLUMBIA

HAZARDOUS MATERIALS MANAGEMENT SURVEY FIRE HALL # KNIGHT STREET VANCOUVER, BRITISH COLUMBIA HAZARDOUS MATERIALS MANAGEMENT SURVEY FIRE HALL #17 7070 KNIGHT STREET VANCOUVER, BRITISH COLUMBIA Prepared for: City of Vancouver - Real Estate and Facilities Management #300 515 West 10 th Avenue Vancouver,

More information

Joseph Brennemann Elementary School

Joseph Brennemann Elementary School Facility Assessment Summary This report summarizes the findings of a facility assessment completed on the date noted in the document footer below. Assessors rate each facility feature and system by visual

More information

BUILDING, FIRE, AND LIFE SAFETY CODE ENFORCEMENT AND CERTIFICATION OF INSPECTORS FOR HEALTH FACILITIES LICENSED BY THE STATE OF COLORADO

BUILDING, FIRE, AND LIFE SAFETY CODE ENFORCEMENT AND CERTIFICATION OF INSPECTORS FOR HEALTH FACILITIES LICENSED BY THE STATE OF COLORADO DEPARTMENT OF PUBLIC SAFETY Division of Fire Prevention and Control BUILDING, FIRE, AND LIFE SAFETY CODE ENFORCEMENT AND CERTIFICATION OF INSPECTORS FOR HEALTH FACILITIES LICENSED BY THE STATE OF COLORADO

More information

Washington Irving Elementary School

Washington Irving Elementary School Facility Assessment Summary This report summarizes the findings of a facility assessment completed on the date noted in the document footer below. Assessors rate each facility feature and system by visual

More information

UNIVERSITY OF ROCHESTER ENVIRONMENTAL HEALTH & SAFETY

UNIVERSITY OF ROCHESTER ENVIRONMENTAL HEALTH & SAFETY Revision No.: 11 Page 1 of 12 I. PURPOSE This procedure establishes a tool to help maintain a safe environment for all patients, visitors and staff by evaluating the loss of a life safety feature during

More information

AHRI Guideline N Guideline for Assignment of Refrigerant Container Colors. ARI Standard 1200

AHRI Guideline N Guideline for Assignment of Refrigerant Container Colors. ARI Standard 1200 AHRI Guideline N 2012 Guideline for Assignment of Refrigerant Container Colors ARI Standard 1200 IMPORTANT SAFETY DISCLAIMER AHRI does not set safety standards and does not certify or guarantee the safety

More information

Charles W Earle Elementary School

Charles W Earle Elementary School Facility Assessment Summary This report summarizes the findings of a facility assessment completed on the date noted in the document footer below. Assessors rate each facility feature and system by visual

More information

Agustin Lara Elementary Academy

Agustin Lara Elementary Academy Facility Assessment Summary This report summarizes the findings of a facility assessment completed on the date noted in the document footer below. Assessors rate each facility feature and system by visual

More information

Safety Policy Manual Policy No. 145

Safety Policy Manual Policy No. 145 Policy: Interim Life Safety (ILS) Program Page 1 of 9 APPLICATION NYU Langone PURPOSE To ensure adequate life safety protection: When a standpipe, sprinkler, or fire alarm system is out-of-service. When

More information

At least 10 calendar days prior to project start date Within the last 30 days of a project that will extend beyond 12 months

At least 10 calendar days prior to project start date Within the last 30 days of a project that will extend beyond 12 months New York State Department of Labor Division of Safety and Health (518) 485-9263 Filing an asbestos project notification Who must provide asbestos project notification If the asbestos removal project is:

More information

ASBESTOS ADVICE FOR RESIDENTS

ASBESTOS ADVICE FOR RESIDENTS ASBESTOS ADVICE FOR RESIDENTS This leaflet provides information about asbestos in the home and within shared or communal areas. It tells you what asbestos is, where you might find it, why it may be a

More information

3520 A Energy Conservation Standards

3520 A Energy Conservation Standards 3520 A Energy Conservation Standards Regulation Original Adoption: 04/14/2009 Effective Date: 08/06/2009 Revision Dates: 08/05/2009 I. PURPOSE The purpose of this regulation is to establish the energy

More information

Riverview West Side Elementary 160 Isabel Avenue East

Riverview West Side Elementary 160 Isabel Avenue East 160 Isabel Avenue East Project Summary: At the center of Hispanic culture in St. Paul is Riverview Elementary - and it s truly the center of the West Side community. Our newly renovated location offers

More information

Rancho Cucamonga Fire Protection District Prevention Bureau Standard

Rancho Cucamonga Fire Protection District Prevention Bureau Standard Rancho Cucamonga Fire Protection District Prevention Bureau Standard Title: Fire Alarm and Monitoring Systems Standard # 9-3 Effective: May 2002 Number of Pages: 7 Updated: December 2016 for consistency

More information

RESIDENTIAL CARE USER GUIDE UPDATES TO MANITOBA BUILDING/FIRE CODE:

RESIDENTIAL CARE USER GUIDE UPDATES TO MANITOBA BUILDING/FIRE CODE: RESIDENTIAL CARE USER GUIDE UPDATES TO MANITOBA BUILDING/FIRE CODE: Manitoba Regulation 221/2015 and Manitoba Regulation 222/2015 DATE: MARCH 17, 2016 1. INTRODUCTION On April 1, 2016, new building and

More information

<< COMPANY LETTERHEAD >>

<< COMPANY LETTERHEAD >> Healthcare Facilities Accreditation Program Attn: Engineering Department 142 E. Ontario Street Chicago, IL 60611 > < Date > RE: Request for Code Equivalency ABC General Hospital,

More information

John Palmer Elementary School

John Palmer Elementary School Facility Assessment Summary This report summarizes the findings of a facility assessment completed on the date noted in the document footer below. Assessors rate each facility feature and system by visual

More information

[Docket No. FAA ; Directorate Identifier 2012-NM-176-AD] Airworthiness Directives; DASSAULT AVIATION Airplanes

[Docket No. FAA ; Directorate Identifier 2012-NM-176-AD] Airworthiness Directives; DASSAULT AVIATION Airplanes This document is scheduled to be published in the Federal Register on 05/21/2013 and available online at http://federalregister.gov/a/2013-12077, and on FDsys.gov [4910-13-P] DEPARTMENT OF TRANSPORTATION

More information

Edward Jenner Elementary Academy of the Arts

Edward Jenner Elementary Academy of the Arts Facility Assessment Summary This report summarizes the findings of a facility assessment completed on the date noted in the document footer below. Assessors rate each facility feature and system by visual

More information

Josefa Ortiz De Dominguez Elementary School

Josefa Ortiz De Dominguez Elementary School Facility Assessment Summary This report summarizes the findings of a facility assessment completed on the date noted in the document footer below. Assessors rate each facility feature and system by visual

More information

Occupancy Packet & Business License Application

Occupancy Packet & Business License Application YOU ARE HEREBY NOTIFIED THAT A NEW OWNER/TENANT MUST OBTAIN AN OCCUPANCY PERMIT BEFORE OCCUPYING THE PREMISES AT ADDRESS OF PROPERTY In Franklin Park, Illinois 60131. Applications for Occupancy Permits

More information

Title: Fire Sprinkler System Permit Requirements

Title: Fire Sprinkler System Permit Requirements Title: Fire Sprinkler System Permit Requirements Category: Operational Procedure Policy No: OP-03 Classification: Development PURPOSE: 1. To provide clear direction to the fire Sprinkler contractors, general

More information

Asbestos in the Community EHPA

Asbestos in the Community EHPA Asbestos in the Community EHPA Darren Watson Inspector WorkSafe Victoria 20 th June 2016 Contents What is asbestos Forms of asbestos containing material (ACM) Health hazard & risk to health Types of ACM

More information

Emergency Evacuation Plans and Exercises. Risk Management Services

Emergency Evacuation Plans and Exercises. Risk Management Services Emergency Evacuation Plans and Exercises Services Table of Contents I. Program Goals and Objectives... 2 II. Scope and Application... 2 III. Responsibilities... 2 IV. Emergency Evacuation Plans and Maps...

More information

Procedure DESCRIPTION/OVERVIEW

Procedure DESCRIPTION/OVERVIEW Applies To: UNMH Responsible Department: Life Safety Revised: 07.08.16 Procedure Patient Age Group: (X ) N/A ( ) All Ages ( ) Newborns ( ) Pediatric ( ) Adult DESCRIPTION/OVERVIEW To assure the safety

More information

PLATTEVILLE MIDDLE SCHOOL

PLATTEVILLE MIDDLE SCHOOL Architectural The building has aluminum clad wood awning windows in combination with aluminum fixed glass units. They appear to be exterior glazed with insulated glazing. See photo 2. Platteville Middle

More information

1970s building housing main school reception and support offices. Well managed buildings with no significant risk of a fire occurring.

1970s building housing main school reception and support offices. Well managed buildings with no significant risk of a fire occurring. Record of significant findings Risk assessment for : Assessment undertaken by : 71a The Close Nigel Billing CMIOSH Date: 21/3/17 Overview of Premises: 1970s building housing main school reception and support

More information

ADDENDUM #1: MODIFICATIONS AND ADDITIONS TO CONTRACT DOCUMENTS

ADDENDUM #1: MODIFICATIONS AND ADDITIONS TO CONTRACT DOCUMENTS Annex Laundry and Shower Alterations ADDENDUM #1 March 7, 2019 ADDENDUM #1: MODIFICATIONS AND ADDITIONS TO CONTRACT DOCUMENTS A. Invitation to Bid - Call for Bids has been modified as follows: 1. Notice

More information

LOS ANGELES UNIFIED SCHOOL DISTRICT OFFICE OF ENVIRONMENTAL HEALTH AND SAFETY PROCEDURE

LOS ANGELES UNIFIED SCHOOL DISTRICT OFFICE OF ENVIRONMENTAL HEALTH AND SAFETY PROCEDURE TITLE: ISSUER: Occupancy Inspections for New Schools and Modernization Projects John Sterritt, Director Office of Environmental Health and Safety ROUTING Office of Environmental Health & Safety Staff DATE:

More information

PFA Consulting Stratton Park House Wanborough Road Swindon SN3 4HG CHARMINSTER CLOSE RESIDENTS COMPANY LTD 15 WINDSOR ROAD SWINDON SN3 1JP

PFA Consulting Stratton Park House Wanborough Road Swindon SN3 4HG CHARMINSTER CLOSE RESIDENTS COMPANY LTD 15 WINDSOR ROAD SWINDON SN3 1JP RESIDENTS COMPANY LTD 15 WINDSOR ROAD SWINDON SN3 1JP TEL: 07021 186816 FAX: 07092 307819 REGISTERED COMPANY NO: 01274809 PFA Consulting Stratton Park House Wanborough Road Swindon SN3 4HG Telephone: 01793

More information

06/24/16 22 JUNE 2016

06/24/16 22 JUNE 2016 06/24/16 22 JUNE 2016 22 JUNE 2016 Page 1 of 21 Address: 209 S Main Street Submission for: City of Ann Arbor Historic District Commission TOC-00 Table of Contents Historic District Commission Application

More information

Francis M McKay Elementary School

Francis M McKay Elementary School Facility Assessment Summary This report summarizes the findings of a facility assessment completed on the date noted in the document footer below. Assessors rate each facility feature and system by visual

More information

West Norriton Township

West Norriton Township West Norriton Township 1630 W. Marshall Street Norristown, PA 19403 Phone: (610) 631-0450 Fax: (610) 630-0304 www.westnorritontwp.org COMMERICAL USE & OCCUPANCY PERMIT APPLICATION A Certificate of Occupancy

More information

Information and Project Plan Proposal for Home Depot Renovation Library

Information and Project Plan Proposal for Home Depot Renovation Library Information and Project Plan Proposal for Home Depot Renovation Library Writing Sample Libby Graham TABLE OF CONTENTS Purpose of the Project... 1 Purpose of the Publications... 2 Usability Goals for the

More information

Tech Report. September 9,

Tech Report. September 9, Rendering courtesy of the S L A M Collaborative Tech Report I Part I Elizabeth Kimble Lighting/Electrical Option Dr. Houser University Research Building Northeast United States September 9, 2013 Executive

More information

Alessandro Volta Elementary School

Alessandro Volta Elementary School Facility Assessment Summary This report summarizes the findings of a facility assessment completed on the date noted in the document footer below. Assessors rate each facility feature and system by visual

More information

Registration Number: Registration Date/Time: HERS Provider: CA Building Energy Efficiency Standards 2013 Residential Compliance June 2014

Registration Number: Registration Date/Time: HERS Provider: CA Building Energy Efficiency Standards 2013 Residential Compliance June 2014 (Page 1 of 3) A. System Information 01 Space Conditioning System Identification or Name: 02 Space Conditioning System Location or Area Served: 03 Building Type from CF1R 04 05 Verified Low Leakage Ducts

More information

AHRI Guideline N with Addendum Guideline for Assignment of Refrigerant Container Colors. ARI Standard 1200

AHRI Guideline N with Addendum Guideline for Assignment of Refrigerant Container Colors. ARI Standard 1200 AHRI Guideline N with Addendum 1 2016 Guideline for Assignment of Refrigerant Container Colors ARI Standard 1200 AHRI GUIDELINE N-2016 WITH ADDENDUM 1, ASSIGNMENT OF REFRIGERANT CONTAINER COLORS December

More information

NFPA Fire Inspector I Study Guide

NFPA Fire Inspector I Study Guide NFPA 1031-2003 Fire Inspector I Study Guide National Certification Program October 2004 This document is provided This document at no cost is provided to the user at no by cost Kansas to the user Fire

More information

REGULATORY REFORM (FIRE SAFETY) ORDER 2005 PERIODIC REVIEW OF FIRE RISK ASSESSMENT

REGULATORY REFORM (FIRE SAFETY) ORDER 2005 PERIODIC REVIEW OF FIRE RISK ASSESSMENT REGULATORY REFORM (FIRE SAFETY) ORDER 2005 PERIODIC REVIEW OF FIRE RISK ASSESSMENT Responsible person (e.g. employer) or person having control of the premises: Address of premises: Tel: Person(s) consulted:

More information

Genevieve Melody Elementary School

Genevieve Melody Elementary School Facility Assessment Summary This report summarizes the findings of a facility assessment completed on the date noted in the document footer below. Assessors rate each facility feature and system by visual

More information

UNIVERSITY OF HOUSTON Campus Facilities Planning Committee Agenda Item Description Form. Interior Signage Program Concepts Presentation

UNIVERSITY OF HOUSTON Campus Facilities Planning Committee Agenda Item Description Form. Interior Signage Program Concepts Presentation UNIVERSITY OF HOUSTON Campus Facilities Planning Committee Agenda Item Description Form. Item: Campus Interior Signage Program Concepts. Requesting Department:. Contact Names & Dean Patricia Oliver, -9

More information

DEPARTMENT OF PUBLIC SAFETY. Division of Fire Prevention and Control 8 CCR

DEPARTMENT OF PUBLIC SAFETY. Division of Fire Prevention and Control 8 CCR DEPARTMENT OF PUBLIC SAFETY Division of Fire Prevention and Control 8 CCR 1507-31 BUILDING, FIRE, AND LIFE SAFETY CODE ENFORCEMENT AND CERTIFICATION OF INSPECTORS FOR HEALTH FACILITIES LICENSED BY THE

More information

Lead-Based Paint XRF Test Cover Sheet

Lead-Based Paint XRF Test Cover Sheet Lead Safe Testing, LLC 303-949-8884 info@leadsafetestingllc.com 10200 E. Girard Ave. Bldg. A, Suite 412 Denver, CO 80231 Lead-Based Paint XRF Test Cover Sheet Job Name: Glenwood Springs Decommissioned

More information

International Fire Code 2006 Requirements for Construction Plan Reviews of Commercial and Multi-Family Structures

International Fire Code 2006 Requirements for Construction Plan Reviews of Commercial and Multi-Family Structures International Fire Code 2006 Requirements for Construction Plan Reviews of Commercial and Multi-Family Structures Please note this is not an all-inclusive list. The type and complexity of your project

More information

Contractors Site Induction

Contractors Site Induction Contractors Site Induction Guy s Campus Directorate of Estates & Facilities - Document No. HS16 V3.2 Dated 13 th May 2013 About King s College London One of the top 25 universities in the world (Times

More information

State of New Jersey Department of Community Affairs P. O. Box 809 Trenton, NJ

State of New Jersey Department of Community Affairs P. O. Box 809 Trenton, NJ Page 1 of 9 Business Primary Business Owner Primary Property Owner On Site Contact STOCKTON DORMS Stockton University N/A N/A c/o CRAIG RUGGLES Customer ID: 197890 Customer ID: N/A Customer ID: N/A 401

More information

Air Moving Systems. Fire Safety Inspection and Testing of. NBSIR jan «1933. Washington, DC General Services Administration

Air Moving Systems. Fire Safety Inspection and Testing of. NBSIR jan «1933. Washington, DC General Services Administration National Bureau of Standards Gaithersburg, Maryland 2.0899 NBSIR 87-3660 jan «1933 Fire Safety Inspection and Testing of Air Moving Systems John H. Klote U.S. DEPARTMENT OF COMMERCE National Bureau of

More information

Phase II: School Safety Report_ _15:42

Phase II: School Safety Report_ _15:42 Phase II: School Safety Report_10112017_15:42 Phase II: School Safety Report Timothy Underwood 2431 W. KY 10 Tollesboro, Kentucky, 41189 United States of America Target Completion Date: 10/12/2017 Last

More information