Palmyra High School 07/16 Addition and Renovation Palmyra, Nebraska
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1 Palmyra High School 07/16 Addition and Renovation Palmyra, Nebraska DOCUMENT EXISTING HAZARDOUS MATERIAL INFORMATION 1.1 EXISTING HAZARDOUS MATERIAL INFORMATION A. This Document with its referenced attachments is part of the Procurement and Contracting Requirements for Project. They provide Owner's information for Bidders' convenience and are intended to supplement rather than serve in lieu of Bidders' own investigations. They are made available for Bidders' convenience and information, but are not a warranty of existing conditions. This Document and its attachments are not part of the Contract Documents. B. An AHERA 3-Year Asbestos Inspection for Project, prepared by B2 Environmental, Inc., dated November 11, 2015, is available for viewing as appended to this Document. C. Related Requirements: 1. Document "Instructions to Bidders" for the Bidder's responsibilities for examination of Project site and existing conditions. 2. Document "Geotechnical Data" for reports and soil-boring data from geotechnical investigations that are made available to bidders. 3. Section "Structure Demolition"" for notification requirements if materials suspected of containing hazardous materials are encountered. 4. Section "Selective Structure Demolition" for notification requirements if materials suspected of containing hazardous materials are encountered. END OF DOCUMENT EXISTING HAZARDOUS MATERIAL INFORMATION
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3 High School of original AHERA inspection: 5/10/1988 ID Number Homogeneous Sampling Area Material Description Material Asbestos Content Friability AHERA Locations (list all locations in the homogeneous areas) Recommended 101 2'x4' Suspended Ceiling Tile Misc. No Friable X Kitchen 102 2'x4' Suspended Ceiling Tile Misc. No Friable X Throughout the Building 103 2'x4' Suspended Ceiling Tile Misc. No Friable X Science Room 104 Plaster-Textured Misc. Yes Non-friable X* Smoking Lounge Material abated 'x4' Suspended Ceiling Tile Misc. No Friable X Throughout the East Wing 106 Mudded Pipe Fittings TSI No Friable X Old Boiler Room 107 Air Cell Pipe Insulation TSI Yes Friable X* Old Boiler Room, Pipe Tunnels Material abated. 108 Air Cell Pipe Insulation TSI Yes Friable X* 109 9"x9" Brown Floor Tile and Mastic Misc. Assumed Non-friable X* 110 9"x9" Brown Floor Tile and Mastic (Under Carpet) Misc. Yes Non-friable "x12" Brown Speckled Floor Tile and Mastic Misc. Yes Non-friable "x12" Tan Floor Tile and Mastic Misc. Yes Non-friable "x12" Blue Floor Tile and Mastic Misc. Yes Non-friable Metal-Asbestos Flue on Boilers Misc. Assumed Non-friable 5 Storage Room (Old Kitchen) Storage Room, Home Economics Room, 2 North Classrooms North Classroom Throughout the Building Old Science Room Lobby-Lunch Area, South Corridor, East Stage Area Northwest Mechanical Room, Northeast Mechanical Room Material abated. Material abated. AHERA Categories: 1 = Damaged or Significantly damaged TSI ACBM 2 = Damaged friable surfacing ACBM 3 = Significantly damaged friable surfacing ACBM 4 = Damaged or Significantly damaged friable misc. ACBM 5 = ACBM with potential for damage 6 = ACBM with potential for significant damage 7 = Any remaining friable ACBM or friable suspected ACBM X = Not applicable (material is not ACBM) x9 = No assessment category provided in original inspection
4 ID Number Homogeneous Sampling Area Material Description Material Asbestos Content Friability AHERA Locations (list all locations in the homogeneous areas) Recommended 115 Cement Asbestos Board Misc. No Non-friable X Science Room Fume Hood 116 Gypsum Board Taping Compound Misc. No Non-friable X 117 Gypsum Board Taping Compound Misc. No Non-friable X Walls in Metal Building Walls in Remodel and Addition 118 Vibration Dampers Misc. No Non-friable X Air Handling Units 119 Plaster Misc. No Non-friable X Throughout the Original Building 120 Sink Insulation Misc. Yes Non-friable 5 Room 003, Room 108, Teachers Work Room, Art Room (114), Library Office 121 Sray on Ceiling Texture Surfacing No Friable X Room Black Baseboard Misc. No Non-friable X Throughout 1938 Building 12"x12" Gray Floor Tile and 123 Misc. No Non-friable X Yellow Glue Room 102, Room 103 AHERA Categories: 1 = Damaged or Significantly damaged TSI ACBM 2 = Damaged friable surfacing ACBM 3 = Significantly damaged friable surfacing ACBM 4 = Damaged or Significantly damaged friable misc. ACBM 5 = ACBM with potential for damage 6 = ACBM with potential for significant damage 7 = Any remaining friable ACBM or friable suspected ACBM X = Not applicable (material is not ACBM) x9 = No assessment category provided in original inspection
5 9"x9" Brown Floor Tile and Mastic (Under Carpet) Homogeneous Area Number: 110 Location(s) of ACBM by Quantity Friablity Justification of North Classroom (Under Carpet) - Room sf Non-friable 5 ACBM with potential for damage No (both tile and mastic are ACM)
6 12"x12" Brown Speckled Floor Tile and Mastic Homogeneous Area Number: 111 Location(s) of ACBM by Quantity Friablity Justification of Art Room (114), Southwest Storage Room, Handicap and Girls Restroom, Shop (Industrial arts), Kitchen Corridor and Storage 3,060 sf Non-friable 5 ACBM with potential for damage No (only mastic is ACM)
7 12"x12" Tan Floor Tile and Mastic Homogeneous Area Number: 112 Location(s) of ACBM by Quantity Friablity Justification of Old Science Room (106) 419 sf Non-friable 5 ACBM with potential for damage No (only mastic is ACM)
8 12"x12" Blue Floor Tile and Mastic Homogeneous Area Number: 113 Location(s) of ACBM by Quantity Friablity Justification of Lobby-Lunch Area, South Corridor, East Stage Area 3140 sf Non-friable 5 ACBM with potential for damage No (only mastic is ACM)
9 Metal-Asbestos Flue on Boilers Homogeneous Area Number: 114 Location(s) of ACBM by Quantity Friablity Justification of Northwest Mechanical Room 2 Flues Non-friable 5 ACBM with potential for damage No Northeast Mechanical Room 3 Flues Non-friable 5 ACBM with potential for damage No
10 Sink Insulation Homogeneous Area Number: 120 Location(s) of ACBM by Quantity Friablity Justification of Room 003, Room108, Teachers Work Room, Art Room, Library Office 18 sf Non-friable 5 ACBM with potential for damage Yes
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 informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationExplain in writing if the address of the building is different than the address on this form:
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationExplain in writing if the address of the building is different than the address on this form:
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationExplain in writing if the address of the building is different than the address on this form:
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
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