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

Transcription

1 Corporation Yard

2 RECORD OF FRIABLE AND NONFRIABLE AC Inspection Date(s) July 31, 2013 (FOR B) THREE-YEAR REINSPECTION CDS CODE SCHOOL Corporate Yard SCHOOL PHONE NUBER (530) ADDRESS (NUBER) (STREET) (CITY) (ZIP) 2455 Carmichael Drive Chico, CA IPORTANT- Each building and functional space with friable ACB or friable assumed ACB listed on this form requires completion of FOR C (PHYSICAL AND HAZARD ASSESSENT OF FRIABLE ACB OR FRIABLE ASSUED ACB). Indicate location of material on blueprint, diagram or narrative in square or linear feet, and attach a copy (Sec ). CHECK ONE CHECK ONE LINE BUILDING NAE & FUNCTIONAL SPACE SUR- ACB ASSUED ACB (Indicate Address if Different From Above) FACING TSI ISC FRIABLE NON- FRIABLE FRIABLE NON- FRIABLE 1. A X X X X 2. B - LAUNDRY NO SUSPECT ACB 3. C - STORAGE NO SUSPECT ACB 4. D - POISON STORAGE NO SUSPECT ACB 5. E - PAINT SHOP X X 6. F - PLANS ROO NO SUSPECT ACB 7. G - & O OFFICE NO SUSPECT ACB 8. H - OFFICE & FACILITIES NO SUSPECT ACB 9. I - RESTROOS NO SUSPECT ACB 10. J - STORAGE SHED NO SUSPECT ACB 11. K - PRINT SHOP NO SUSPECT ACB 12. L - BAKERY NO SUSPECT ACB See attached "Homogeneous aterials Records" for all materials and their locations by building. On Form B all buildings are listed, and a summary of all non-friable and friable material is provided. Friable materials and their locations are listed separately under each building on Form B. Z:\Clients\Chico USD\ Year Reinspections\Sites\Corp Yard\Corp Yard Form B.wpd

3 THREE-YEAR REINSPECTION HO OGENEOUS ACB RECORDS Date of Inspection: July 31, 2013 District: Chico Unified School District Inspector: Blake Howes Building: A aterial aterial at. # 2 % Asb. Ft /L.F. Location Condition: Code & Comments Friable 9" VINYL FLOOR TILE & ADHESIVE 2 1-5% 980 S LOCKERS & ELECTRICIAN OFFICE (1) FORERLY ECHANICS OFFICE & AINTENANCE OFFICE N (BEIGE) & ADHESIVE 4 TRACE 60 S UPSTAIRS RESTROO (1) (4) SAPLE HS-COP-04 COLLECTED IN N (YELLOW) & ADHESIVE 6 TRACE 200 S TRANSPORTATION OFFICE, ROLLING CHAIR WEAR-OUT (2) (4) SAPLE HS-COP-06 COLLECTED IN N 12" ACOUSTIC CEILING TILE - 1/8" HOLE PATTERN 7 NONE 680 S DRIVERS LOUNGE & TRANSPORTATION OFFICE (13) SAPLE HS-COP-07 COLLECTED IN N/A (GREY/BLUE) & ADHESIVE 8 ASSUED 260 S TRANSPORTATION OFFICE (1) (4) N S DRYWALL TEXTURE 9 ASSUED 200 S TRANSPORTATION OFFICE (1) (4) N 9" VINYL FLOOR TILE (PINK) & ADHESIVE 62 ASSUED 500 S KEY SITH SHOP (1) (4) N DRYWALL 77 NONE 5,000 S ALL ROOS (13) SAPLE HS-CUSD-CORP-77A COLLECTED ON N/A (CREA) & ADHESIVE 78 ASSUED 100 S DRIVERS ROO AT TRANSPORTATION OFFICE (1) (4) N GLAZING COPOUND 79 ASSUED Z:\Clients\Chico USD\ Year Reinspections\Sites\Corp Yard\Corp Yard HR.wpd 50 L GROUND SHED WINDOWS (1) (4) N General Condition: (1) Good (2) Dam aged (3) Significantly Dam aged (25% or m ore) Change in Condition: (4) No (5) Yes (If Yes, explain under com m ents) Abated: (6) Repaired (7) Rem oved (8) Encapsulated (9) Enclosed (10) Isolated & Restricted iscellaneous: (11) Inaccessible, no inspection data (12) Other (Explain under com m ents) (13) Non-Asbestos/Not Inspected CONSULT ORIGINAL AND SUPPLE ENTARY INSPECTION REPORTS FOR ATERIALS WITH TRACE A OUNTS OF ASBESTOS

4 THREE-YEAR REINSPECTION HO OGENEOUS ACB RECORDS Date of Inspection: July 31, 2013 District: Chico Unified School District Inspector: Blake Howes Building: E - Paint Shop aterial aterial at. # 2 % Asb. Ft /L.F. Location Condition: Code & Comments Friable DRYWALL % IN SKI COAT Z:\Clients\Chico USD\ Year Reinspections\Sites\Corp Yard\Corp Yard HR.wpd 2,000 S PAINT SHOP - ALL AREAS (1) (4) N General Condition: (1) Good (2) Dam aged (3) Significantly Dam aged (25% or m ore) Change in Condition: (4) No (5) Yes (If Yes, explain under com m ents) Abated: (6) Repaired (7) Rem oved (8) Encapsulated (9) Enclosed (10) Isolated & Restricted iscellaneous: (11) Inaccessible, no inspection data (12) Other (Explain under com m ents) (13) Non-Asbestos/Not Inspected CONSULT ORIGINAL AND SUPPLE ENTARY INSPECTION REPORTS FOR ATERIALS WITH TRACE A OUNTS OF ASBESTOS

5 THREE-YEAR REINSPECTION HO OGENEOUS ACB RECORDS Date of Inspection: July 31, 2013 District: Chico Unified School District Inspector: Blake Howes Building: D - Poison Storage aterial aterial at. # 2 % Asb. Ft /L.F. Location Condition: Code & Comments Friable DRYWALL 76 NONE Z:\Clients\Chico USD\ Year Reinspections\Sites\Corp Yard\Corp Yard HR.wpd 500 S ALL ROOS (13) N/A General Condition: (1) Good (2) Dam aged (3) Significantly Dam aged (25% or m ore) Change in Condition: (4) No (5) Yes (If Yes, explain under com m ents) Abated: (6) Repaired (7) Rem oved (8) Encapsulated (9) Enclosed (10) Isolated & Restricted iscellaneous: (11) Inaccessible, no inspection data (12) Other (Explain under com m ents) (13) Non-Asbestos/Not Inspected CONSULT ORIGINAL AND SUPPLE ENTARY INSPECTION REPORTS FOR ATERIALS WITH TRACE A OUNTS OF ASBESTOS

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7 SIX-ONTH SURVEILLANCE

8 District: Chico Unified School District SIX ONTH SURVEILLANCE HOOGENEOUS ACB RECORDS Date of Inspection: Inspector: Building: A aterial aterial % Asb. Ft 2 /L.F. Location Condition: Code & Comments Friable at. # 9" VINYL FLOOR TILE & 2 1-5% 980 S LOCKERS & ELECTRICIAN OFFICE (1) FORERLY ECHANICS OFFICE & N ADHESIVE AINTENANCE OFFICE (BEIGE) & ADHESIVE 4 TRACE 60 S UPSTAIRS RESTROO (1) (4) SAPLE HS-COP-04 COLLECTED IN N 6 TRACE 200 S TRANSPORTATION OFFICE, ROLLING CHAIR WEAR- (2) (4) SAPLE HS-COP-06 COLLECTED IN N (YELLOW) & ADHESIVE OUT 12" ACOUSTIC CEILING 7 NONE 680 S DRIVERS LOUNGE & TRANSPORTATION OFFICE (13) SAPLE HS-COP-07 COLLECTED IN N/A TILE - 1/8" HOLE PATTERN 8 ASSUED 260 S TRANSPORTATION OFFICE (1) (4) N (GREY/BLUE) & ADHESIVE S DRYWALL TEXTURE 9 ASSUED 200 S TRANSPORTATION OFFICE (1) (4) N 9" VINYL FLOOR TILE (PINK) 62 ASSUED 500 S KEY SITH SHOP (1) (4) N & ADHESIVE DRYWALL 77 NONE 5,000 S ALL ROOS (13) SAPLE HS-CUSD-CORP-77A COLLECTED ON N/A 78 ASSUED 100 S DRIVERS ROO AT TRANSPORTATION OFFICE (1) (4) N (CREA) & ADHESIVE GLAZING COPOUND 79 ASSUED 50 L GROUND SHED WINDOWS (1) (4) N Z:\Clients\Chico USD\ Year Reinspections\Sites\Corp Yard\Corp Yard 6 month.wpd General Condition: (1) Good (2) Damaged (3) Significantly Damaged (25% or more) Change in Condition: (4) No (5) Yes (If Yes, explain under comments) Abated: (6) Repaired (7) Removed (8) Encapsulated (9) Enclosed (10) Isolated & Restricted iscellaneous: (11) Inaccessible, no inspection data (12) Other (Explain under comments) (13) Non-Asbestos/Not Inspected CONSULT ORIGINAL AND SUPPLEENTARY INSPECTION REPORTS FOR ATERIALS WITH TRACE AOUNTS OF ASBESTOS

9 SIX ONTH SURVEILLANCE HOOGENEOUS ACB RECORDS Date of Inspection: District: Chico Unified School District Inspector: Building: E - Paint Shop aterial aterial at. # % Asb. Ft 2 /L.F. Location Condition: Code & Comments Friable DRYWALL % IN SKI COAT 2,000 S PAINT SHOP - ALL AREAS (1) (4) N Z:\Clients\Chico USD\ Year Reinspections\Sites\Corp Yard\Corp Yard 6 month.wpd General Condition: (1) Good (2) Damaged (3) Significantly Damaged (25% or more) Change in Condition: (4) No (5) Yes (If Yes, explain under comments) Abated: (6) Repaired (7) Removed (8) Encapsulated (9) Enclosed (10) Isolated & Restricted iscellaneous: (11) Inaccessible, no inspection data (12) Other (Explain under comments) (13) Non-Asbestos/Not Inspected CONSULT ORIGINAL AND SUPPLEENTARY INSPECTION REPORTS FOR ATERIALS WITH TRACE AOUNTS OF ASBESTOS

10 SIX ONTH SURVEILLANCE HOOGENEOUS ACB RECORDS Date of Inspection: District: Chico Unified School District Inspector: Building: D - Poison Storage aterial aterial at. # % Asb. Ft 2 /L.F. Location Condition: Code & Comments Friable DRYWALL 76 NONE 500 S ALL ROOS (13) N/A Z:\Clients\Chico USD\ Year Reinspections\Sites\Corp Yard\Corp Yard 6 month.wpd General Condition: (1) Good (2) Damaged (3) Significantly Damaged (25% or more) Change in Condition: (4) No (5) Yes (If Yes, explain under comments) Abated: (6) Repaired (7) Removed (8) Encapsulated (9) Enclosed (10) Isolated & Restricted iscellaneous: (11) Inaccessible, no inspection data (12) Other (Explain under comments) (13) Non-Asbestos/Not Inspected CONSULT ORIGINAL AND SUPPLEENTARY INSPECTION REPORTS FOR ATERIALS WITH TRACE AOUNTS OF ASBESTOS