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

Transcription

1 ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO SCHOOL DIST Chicago, IL, 6621 DATE LAST THREE YEAR REINSPECTION WAS COMPLETED 5/1/213 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: 4/4/216 ENROLLMENT IDPH INSPECTOR LICENSE NUMBER: IDPH LICENSED INSPECTOR NAME (Please Print): Robert DeBord IDPH MP LICENSE NUMBER: IDPH LICENSED MANAGEMENT PLANNER NAME (Please Print): Evan Christian DESIGNATED PERSON (Please Print): Robert Christlieb PHONE: 51 (773) /4/216 Signature of Designated Person Date SECTION III PLEASE COMPLETE THE FOLLOWING INFORMATION FOR ANY CHANGES WITHIN THE SCHOOL DISTRICT. School building has been sold. Date of Sale: School has been closed. Date closed: School building has been demolished. School building is asbestos free since last reinspection: Please explain in writing why the school building is now asbestos free and include the supporting documentation. If a new school building has been added to the district, submit either and exclusionary statement or a management plan and inspection report. Include the complete name, address and city of school building. Explain in writing if the address of the building is different than the address on this form: IL Revised 1.3

2 THREE YEAR REINSPECTION CHICAGO SCHOOL DIST 299 Chicago, IL, 6621 Unit: Building ID: IDPH ID Number: REPORT DATE: Monday, April 4, 216 Prepared for: 125 S. Clark Street Chicago, IL 663 Prepared by: 6 West Van Buren St., Ste 5 Phone (312) Fax (312) DO NOT REMOVE FROM SCHOOL REQUIRED BY FEDERAL LAW

3 March 11, 216 Mr. R. Kent Cook Asbestos Program Illinois Department of Public Health 525 West Jefferson Street Springfield, Illinois Re: Three-Year Reinspections Dear Mr. Cook:, Managing Environmental Consultant (MEC), conducted the ThreeYear Reinspections and performed management plan updates for the (CPS) facilities in Region 3,4,5 Elementary Schools. Please update your records with the following information. School District: 299 Unit: School: Region: 5 IDPH ID: Building ID: Address: Chicago, IL, 6621 Building Contact: Jackson, David Contact Phone: Current Building Owners: Review 4/4/216 Inspector: Robert DeBord Management Planner: Evan Christian Inspector IDPH License: Management Planner IDPH License: If you have any questions or comments, please contact us at (312) Sincerely, Evan Christian

4 Environmental Notification to Occupants To: Faculty, Staff and Parents From: March 11, 216 RE:, Unit Chicago, IL, 6621 Dear Faculty, Staff and Parents, This letter is to notify you that the 216 asbestos three year re-inspection has been completed at, following the Federal Asbestos Hazard Emergency Response Act (AHERA), 4 CFR Part 763, Subpart E and is available for your review at the main office of the school. Although asbestos-containing materials have been identified at, there is no reason to believe that any threat to the health of students or staff exists at this time. CPS will continue to carefully monitor the condition of asbestos-containing materials and if conditions warrant, all appropriate steps will be taken to maintain the health and safety of all building occupants. If you have any questions regarding this matter or require additional information, please feel free to contact Robert Christlieb, the designated Local Education Authority's Designated Person at (773)

5 Table of Contents I. School and Inspection Information II. Executive Summary III. Methodology IV. Abatement History V. Reassessments and Recommendations VI. Conclusions Table I: Inspector's Reinspection Findings Table II: Management Planner's Review APPENDICES: Appendix A: Assessment Sheets, Drawings and Photos Appendix B: Inspector and Management Planner Licenses Appendix C: Laboratory Accreditations Appendix D: Laboratory Results Appendix E: Chain of Custody Forms

6 SCHOOL AND INSPECTION INFORMATION 1. School Information School: Address: IDPH ID: Contact: Jackson, David Unit: Chicago, IL, 6621 Building ID: Phone: Description of Facility Original Construction: 1958 Total Square Footage: 4796 Current Occupancy: Additional Construction: No of Floors: 2 Phone: (773) Managing Environmental Consultant MEC: Contact: Dan Juneau Address 6 West Van Buren St., Ste 5 Phone: (312) Fax: (312) Inspector Inspector Name: Robert DeBord Signature: 3/11/216 Inspector IDPH license # LEA Designated Person Contact: Robert Christlieb Address: 125 South Clark Street, 17th Floor Chicago, IL Region: 5 Management Planner Management Planner Name: Evan Christian Management Planner IDPH license # Review 4/4/ LEA Designated Person's Acknowledgement Signature: 4/4/216 The reinspection report and recommendations have been received by me and appropriate action will be taken by the School District. Signature: 4/4/216 Name: Robert Christlieb Unit : Building:

7 II. EXECUTIVE SUMMARY was retained by the (CPS) to perform a three-year asbestos reinspection of the. This inspection was conducted in accordance with the United States Environmental Protection Agency (USEPA) Asbestos Hazard Emergency Response Act (AHERA) part (b), and the ongoing Operations and Maintenance Program (O&M) originally designed in the School's Asbestos Management Plan. The purpose of this three-year reinspection is to record any condition changes in the asbestos-containing building material (ACBM) in the school since the previous three-year reinspection and the six-month periodic surveillance, to identify, assess, and include any Homogeneous Areas (HA) not identified in the Management Plan, and to recommend an appropriate response action to manage asbestos. The inspector conducted a three-year reinspection of this facility under Illinois Department of Public Health (IDPH) school reinspection requirements and AHERA, sections and The main building and each addition to the main building, if constructed at different dates, were inspected separately. Laboratory accreditations are included in Appendix C, laboratory results are included in Appendix D, and chain of custody forms are included in Appendix E. Note: During previous inspections, some of the HA(s) were identified together as 9" x 9" floor tile (FT), mastics assoc. with 9" x 9" FT, 12" x 12" FT, mastics assoc. with 12" x 12" FT, pipe insulation, etc. Some of these HA(s) have been re-identified by areas that are uniform in color, texture, construction date, application date, and general appearance. The inspector has determined the following: A. The following HAs have changed assessment categories for Building : Unit: L Aircell Pipe Insulation M Insulation on Pipe Joints on Aircell Insulated Piping TSI-5 Canvas wrap on fiberglass ducts WC-1 window caulk WG-1 Window glaze WS-1 window sills ( transite) Building:

8 B. The following new homogenous areas have been identified for Building : Unit: 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 Assumed: C CM-3 E WS-1 'x1' Ceiling Tile Adhesive Baseboard did not observe Baseboard mastic did not observe 12"x12" White w/ Red, Blue & Yellow Marks Floor Tile 9" X 9" VFT-dark red w/ white streaks 9" X 9" Mastic for VFT-dark red w/ white streaks 12"x 12" White w/black Floor Tile 12"x 12" White w/black Floor Tile 12x12 VFT-gray w/white mastic for 12x12 VFT-gray w/white 12" X 12" Blue VFT 12" X 12" Blue VFT Mastic Transite Panels 12" x 12" Blue Multicolor VFT 12" x 12" Blue Multicolor VFT Mastic Blue Carpet Mastic Tank packing (mag) boilers Gray Carpet Mastic tank packing (small tanks)( mag) window sills ( transite) The following areas were deemed to be inaccessible: TSI-5 mastic for 12x12 VFT-gray w/white 12" X 12" Blue VFT Mastic 12" x 12" Blue Multicolor VFT Mastic Blue Carpet Mastic Canvas wrap on fiberglass ducts 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 Robert DeBord, IDPH License #. The Management Plan was updated by Evan Christian, IDPH License # Inspector and Management Planner Licenses are included in Appendix B. Unit: Building:

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

11 Table I Inspector's Reinspection Findings

12 School Unit Building ID Address Region 5 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Inspector's Reinspection Findings Table 1 Managing Environmental Consultant (MEC) 6 West Van Buren St., Ste 5 Phone: (312) Fax: (312) Inspector's Comments are Summarized at the End of the Report HA No Material Description 1 Hard Plaster A Baseboard mastic baseboard Mastic beneath 1x1 ceiling tile 1x1 ceiling tile 5 'x1' Ceiling Tile Adhesive 5A 1x1 ceiling tile Baseboard did not observe Baseboard mastic did not observe 12"x12" White w/ Red, Blue & Yellow Marks Floor Tile 9 12"x12" White w/ Red, Blue & Yellow Marks Floor Tile Adhesive 1 9" X 9" VFT-dark red w/ white streaks " X 9" Mastic for VFT-dark red w/ white streaks "x 12" White w/black Floor Tile "x 12" White w/black Floor Tile 14 12x12 VFT-gray w/white 15 mastic for 12x12 VFT-gray w/white 16 9" x 9" Gray w/black Streaks Floor Tile Material Quantity Material Location Asbestos Type Material Category NO_ACBM SURFACE None NO_ACBM NO_ACBM NO_ACBM NO_ACBM None None None None ASSUMED NO_ACBM ASSUMED ASSUMED ASSUMED NO_ACBM ASSUMED N ASSUMED Restrooms in 1959 Construction 1959-throughout 1959-throughout 1959 throughout 196 corridor, classrooms, stage 196 BuildingInaccessible 1959 corridor & classrooms 196 throughout 196 throughout First & Second Floor Corridors, Stairwells, Classrooms: 11, , 123, 125, Main Office, and Nurses Office First & Second Floor Corridors, Stairwells, Classrooms: 11, , 123, 125, Main Office, and Nurses Office 2nd fl. Slop sinks MDF and North Gym entraces, rm. 2, west stairwell 2nd fl. Slop sinks MDF and Both Gym entraces, rm. 2, west stairwell Classroom 12 ASSUMED 75 Classroom Rooms , Material Units Friable Damage Type Damage Quantity Damage Units Change in Assessment Category Damage Category Damage Reason Disturbance Potential No ACBM with the potential for damage LOW NONE No ACBM with the potential for damage LOW N NONE No ACBM with the potential for damage LOW N NONE No LOW ASSUMED N NONE No ASSUMED N NONE No Rooms 122 ASSUMED N NONE No ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage Classrooms: 19, CHR None N NONE None None LOW LOW LOW

13 School Unit Building ID Address Region 5 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Inspector's Reinspection Findings Table 1 Managing Environmental Consultant (MEC) 6 West Van Buren St., Ste 5 Phone: (312) Fax: (312) Inspector's Comments are Summarized at the End of the Report HA No Material Description Material Quantity Material Units 17 9" x 9" Gray w/black Streaks Floor Tile 18 12" X 12" Blue VFT 3, " X 12" Blue VFT Mastic 3,24 2 Transite Panels 3, " x 12" Blue Multicolor VFT 24, " x 12" Blue Multicolor VFT Mastic 24,3 23 Blue Carpet Mastic 2,128 C CM-3 Tank packing (mag) boilers Gray Carpet Mastic D DW-1 E Breeching, pipe insulation drywall tank packing (small tanks)( mag) G Aircell Pipe Insulation H Pipe Joint Insulation Associated w/aircell Insulated Piping 4 Material Location Friable Damage Type N NONE ASSUMED N ASSUMED N Rms. 13, 15, 16, 19T, 19B, , 117, 23, 26, 29, 211, 212, 215, 217, 218, 223, 225, 227 Rms. 13, 15, 16, 19T, 19B, , 117, 23, 26, 29, 211, 212, 215, 217, 218, 223, 225, 227 Rms. 21, 221 ASSUMED ASSUMED Boiler room Asst Principals Office, Library, and 28 Boiler room 1959-room 215 Boiler room 11, 111, 112, 113, 114, 22, 23, 29, 214, 216, 217,218, 22,223,225 Classrooms: 19, 11, 111, 112, 113, 114, 22, 23, 29, 214, 216, 217,218, 22,223,225 Kitchen and Cafeteria Kitchen and Cafeteria All rooms in school Asbestos Type Material Category CHR ASSUMED Damage Quantity Damage Units Change in Assessment Category Damage Category No LOW NONE No NONE No N NONE No ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage N NONE No ACBM with the potential for damage LOW ASSUMED N NONE No ACBM with the potential for damage LOW ASSUMED ASSUMED TSI N None NONE No ACBM with the potential for damage LOW ABATED NO_ACBM ASSUMED TSI TSI Y None None NONE No Any remaining friable ACBM or friable suspect ACBM Damaged or significantly damaged friable thermal system insulating ACBM Any remaining friable ACBM or friable LOW 5 3,55 LF 1959 Tunnels, Boiler Room, Pipe Chases CHR TSI Y LOC 5 No 4 LF 1959 Tunnels, Boiler Room, Pipe CHR TSI Y NONE No Damage Reason Disturbance Potential LOW LOW LOW 3 LOW LOW

14 School Unit Building ID Address Region 5 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Inspector's Reinspection Findings Table 1 Managing Environmental Consultant (MEC) 6 West Van Buren St., Ste 5 Phone: (312) Fax: (312) Inspector's Comments are Summarized at the End of the Report HA No Material Description J joints on fiberglass L Aircell Pipe Insulation M Insulation on Pipe Joints on Aircell Insulated Piping TSI-1 preform pipe insulation 2 LF TSI-2 Joint Insulation on Preformed Pipe Insulation 2 LF TSI-3 TSI-4 Pipe Joint Insulation on Mag Block Insulated Piping Vibration Gaskets TSI-5 Canvas wrap on fiberglass ducts TSI-6 canvas wrap on fiberglass ducts TSI-7 vibration Gaskets WC-1 window caulk 5, LF WG-1 Window glaze 7,5 WS-1 window sills ( transite) 3, Material Quantity 2 1, 1 18 Material Units Asbestos Type Material Category Friable Damage Type CHR TSI Y NONE No 196- gym office, storage, tunnels, fan room 196-gym office, storage, tunnels & fan room 196 gym office and 2nd floor CHR TSI Y NONE Yes CHR TSI Y NONE Yes CHR TSI Y NONE No 196 gym office and 2nd floor CHR TSI Y NONE No boiler room AMO TSI 196 fanroom & store room 196- fan room NO_ACBM CHR TSI Yes Any remaining friable ACBM or friable suspect ACBM LOW NO_ACBM TSI NO_ACBM CHR N NONE Yes CHR N NONE Yes throughout ASSUMED N NONE Yes ACBM with the potential for damage ACBM with the potential for damage ACBM with the potential for damage LOW LF nd floor fan room and store room nd floor fan room throughout the building Thoughout FITTING LF FITTING Material Location Chases boiler room, 1st floor tunnel Damage Quantity Damage Units Change in Assessment Category Damage Category suspect ACBM Any remaining friable ACBM or friable suspect ACBM Any remaining friable ACBM or friable suspect ACBM Any remaining friable ACBM or friable suspect ACBM Any remaining friable ACBM or friable suspect ACBM Any remaining friable ACBM or friable suspect ACBM Damage Reason Disturbance Potential LOW LOW LOW LOW LOW None Y NONE None None LOW LOW

15 School Unit Building ID Address Region 5 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Inspector's Reinspection Findings Table 1 Managing Environmental Consultant (MEC) 6 West Van Buren St., Ste 5 Phone: (312) Fax: (312) Inspector's Comments are Summarized at the End of the Report Reinspection Date 3/11/216 Inspector Name Inspector's Comments Robert DeBord 5/15/216 Inspector's IDPH License Number / Expiration Date HA Number: A 5 5A Inspector Comments: Not observed 216 Not observed 216 Not observed 216 Not observed 216 Not observed 216

16 School Unit Building ID Address Region 5 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Inspector's Reinspection Findings Table 1 Managing Environmental Consultant (MEC) 6 West Van Buren St., Ste 5 Phone: (312) Fax: (312) Inspector's Comments are Summarized at the End of the Report HA Number: 23 C CM-3 D DW-1 E G H J L M TSI-1 TSI-2 TSI-3 TSI-4 TSI-5 TSI-6 TSI-7 WC-1 WG-1 WS-1 Inspector Comments: Not observed 216 Not observed 216

17 Table II Management Planner's Review

18 School Address Unit Building ID Chicago, IL, 6621 Region 5 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Management Planner's Review Table II Managing Environmental Consultant (MEC) 6 West Van Buren St., Ste 5 Phone: (312) Fax: (312) Management Planner's Comments Summarized at the End of the Report HA Num Material Description Material Quantity A 5 5A Hard Plaster Baseboard mastic baseboard Mastic beneath 1x1 ceiling tile 1x1 ceiling tile 'x1' Ceiling Tile Adhesive 1x1 ceiling tile Baseboard did not observe Baseboard mastic did not observe 12"x12" White w/ Red, Blue & Yellow Marks Floor Tile 9 12"x12" White w/ Red, Blue & Yellow Marks Floor Tile Adhesive 1 9" X 9" VFT-dark red w/ white streaks " X 9" Mastic for VFT-dark red w/ white streaks "x 12" White w/black Floor Tile 12"x 12" White w/black Floor Tile 12x12 VFT-gray w/white mastic for 12x12 VFT-gray w/white 9" x 9" Gray w/black Streaks Floor Tile " x 9" Gray w/black Streaks Floor Tile " X 12" Blue VFT 12" X 12" Blue VFT Mastic Transite Panels 12" x 12" Blue Multicolor VFT 55, 3,24 3,24 3,78 24,3 Material Units Material Location Asbestos Type Material Category Restrooms in 1959 Construction 1959-throughout 1959-throughout 1959 throughout 196 corridor, classrooms, stage 196 Building- Inaccessible 1959 corridor & classrooms 196 throughout 196 throughout First & Second Floor Corridors, Stairwells, Classrooms: 11, , 123, 125, Main Office, and Nurses Office First & Second Floor Corridors, Stairwells, Classrooms: 11, , 123, 125, Main Office, and Nurses Office 2nd fl. Slop sinks MDF and North Gym entraces, rm. 2, west stairwell 2nd fl. Slop sinks MDF and Both Gym entraces, rm. 2, west stairwell Classroom 12 Classroom 12 Rooms 122 Rooms 122 Classrooms: 19, 11, 111, 112, 113, 114, 22, 23, 29, 214, 216, 217,218, 22,223,225 Classrooms: 19, 11, 111, 112, 113, 114, 22, 23, 29, 214, 216, 217,218, 22,223,225 Kitchen and Cafeteria Kitchen and Cafeteria All rooms in school Rms. 13, 15, 16, 19T, 19B, , 117, 23, 26, 29, 211, 212, No ACBM No ACBM No ACBM No ACBM No ACBM Assumed No ACBM Assumed Assumed Assumed SURFACE No ACBM Assumed Friable Damage Quantity Damage Units Damage Category Response No 6 ACBM with the potential for damage No 6 ACBM with the potential for damage Assumed No 6 ACBM with the potential for damage Assumed Assumed Assumed Assumed Chrysotile No No No No 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 Chrysotile Assumed Assumed Assumed Assumed No No No No 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

19 School Address Unit Building ID Chicago, IL, 6621 Region 5 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Management Planner's Review Table II Managing Environmental Consultant (MEC) 6 West Van Buren St., Ste 5 Phone: (312) Fax: (312) Management Planner's Comments Summarized at the End of the Report HA Num Material Description Material Quantity Material Units 22 12" x 12" Blue Multicolor VFT Mastic 24,3 23 C CM-3 D DW-1 E Blue Carpet Mastic Tank packing (mag) boilers Gray Carpet Mastic Breeching, pipe insulation drywall tank packing (small tanks)( mag) 2, G Aircell Pipe Insulation 3,55 LF H 4 LF J Pipe Joint Insulation Associated w/aircell Insulated Piping joints on fiberglass 2 FITTING L Aircell Pipe Insulation 1, LF M Insulation on Pipe Joints on Aircell Insulated Piping 1 FITTING TSI-1 preform pipe insulation 2 TSI-2 Joint Insulation on Preformed Pipe Insulation 2 TSI-3 TSI-4 TSI-5 Pipe Joint Insulation on Mag Block Insulated Piping Vibration Gaskets Canvas wrap on fiberglass ducts TSI-6 canvas wrap on fiberglass ducts TSI-7 WC-1 WG-1 WS-1 vibration Gaskets window caulk Window glaze window sills ( transite) 18 5, 7,5 3, Material Location Asbestos Type Material Category Friable Damage Quantity Damage Units Damage Category Response Assumed No 6 ACBM with the potential for damage Assumed Assumed Assumed Abated No ACBM Assumed TSI TSI TSI No 6 ACBM with the potential for damage No 6 ACBM with the potential for damage Yes 1959 Tunnels, Boiler Room, Pipe Chases 1959 Tunnels, Boiler Room, Pipe Chases boiler room, 1st floor tunnel Chrysotile TSI Yes 5 LF Chrysotile TSI Yes LF Chrysotile TSI Yes FITTING Chrysotile TSI Yes LF Chrysotile TSI Yes FITTING LF 196- gym office, storage, tunnels, fan room 196-gym office, storage, tunnels & fan room 196 gym office and 2nd floor Chrysotile TSI Yes LF LF 196 gym office and 2nd floor Chrysotile TSI Yes LF 7 Any remaining friable ACBM or friable suspect ACBM 1 Damaged or significantly damaged friable thermal system insulating ACBM 7 Any remaining friable ACBM or friable suspect ACBM 7 Any remaining friable ACBM or friable suspect ACBM 7 Any remaining friable ACBM or friable suspect ACBM 7 Any remaining friable ACBM or friable suspect ACBM 7 Any remaining friable ACBM or friable suspect ACBM 7 Any remaining friable ACBM or friable suspect ACBM boiler room 196 fanroom & store room 196- fan room Amosite No ACBM Chrysotile TSI TSI No ACBM TSI LF LF nd floor fan room and store room nd floor fan room throughout the building Thoughout throughout No ACBM Chrysotile Chrysotile Assumed 215, 217, 218, 223, 225, 227 Rms. 13, 15, 16, 19T, 19B, , 117, 23, 26, 29, 211, 212, 215, 217, 218, 223, 225, 227 Rms. 21, 221 Boiler room Asst Principals Office, Library, and 28 Boiler room 1959-room 215 Boiler room Repair Yes 7 Any remaining friable ACBM or friable suspect ACBM No No No LF LF 6 ACBM with the potential for damage 6 ACBM with the potential for damage 6 ACBM with the potential for damage

20 School Address Unit Building ID Chicago, IL, 6621 Region 5 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Management Planner's Review Table II Managing Environmental Consultant (MEC) 6 West Van Buren St., Ste 5 Phone: (312) Fax: (312) Management Planner's Comments Summarized at the End of the Report 4/4/216 Review Date Manager Planner Name Evan Christian /15/216 Manager IDPH License No/Expiration HA Number A 5 5A Management Comments If identified follow O&M plan.

21 School Address Unit Building ID Chicago, IL, 6621 Region 5 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Management Planner's Review Table II Managing Environmental Consultant (MEC) 6 West Van Buren St., Ste 5 Phone: (312) Fax: (312) Management Planner's Comments Summarized at the End of the Report HA Number Management Comments C CM-3 D DW-1 E G H J L If identified follow O&M plan. If identified follow O&M plan. If identified follow O&M plan. If identified follow O&M plan. If identified follow O&M plan. If identified follow O&M plan. Patch and repair as needed then follow O&M plan.

22 School Address Unit Building ID Chicago, IL, 6621 Region 5 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Management Planner's Review Table II Managing Environmental Consultant (MEC) 6 West Van Buren St., Ste 5 Phone: (312) Fax: (312) Management Planner's Comments Summarized at the End of the Report HA Number M TSI-1 TSI-2 TSI-3 TSI-4 TSI-5 TSI-6 TSI-7 WC-1 WG-1 WS-1 Management Comments If identified follow O&M plan.

23 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Robert DeBord INSPECTION DATE: 3/11/216 INFORMATION FROM PREVIOUS INSPECTION 1 Hard Plaster HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Restrooms in 1959 Construction COMMENTS: Inspector's Signature: 3/11/216

24 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 4/4/216 1 Hard Plaster Restrooms in 1959 Construction 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: 4/4/216

25 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Robert DeBord INSPECTION DATE: 3/11/216 INFORMATION FROM PREVIOUS INSPECTION 2 Baseboard mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: 1959-throughout COMMENTS: Inspector's Signature: 3/11/216

26 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 4/4/216 2 Baseboard mastic 1959-throughout 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: 4/4/216

27 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Robert DeBord INSPECTION DATE: 3/11/216 INFORMATION FROM PREVIOUS INSPECTION 3 baseboard HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: 1959-throughout COMMENTS: Inspector's Signature: 3/11/216

28 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 4/4/216 3 baseboard 1959-throughout 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: 4/4/216

29 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Robert DeBord INSPECTION DATE: 3/11/216 INFORMATION FROM PREVIOUS INSPECTION 4 Mastic beneath 1x1 ceiling tile HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: 1959 throughout COMMENTS: Inspector's Signature: 3/11/216

30 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 4/4/216 4 Mastic beneath 1x1 ceiling tile 1959 throughout 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: 4/4/216

31 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Robert DeBord INSPECTION DATE: 3/11/216 INFORMATION FROM PREVIOUS INSPECTION 4A 1x1 ceiling tile HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: 196 corridor, classrooms, stage COMMENTS: Inspector's Signature: 3/11/216

32 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 4/4/216 4A 1x1 ceiling tile 196 corridor, classrooms, stage 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: 4/4/216

33 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Robert DeBord INSPECTION DATE: 3/11/216 INFORMATION FROM PREVIOUS INSPECTION 5 'x1' Ceiling Tile Adhesive HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed 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: 196 Building- Inaccessible COMMENTS: Not observed 216 Inspector's Signature: 3/11/216

34 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 4/4/216 5 'x1' Ceiling Tile Adhesive 196 Building- Inaccessible In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: If identified follow O&M plan. Management Planner's Signature: 4/4/216

35 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Robert DeBord INSPECTION DATE: 3/11/216 INFORMATION FROM PREVIOUS INSPECTION 5A 1x1 ceiling tile HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: 1959 corridor & classrooms COMMENTS: Inspector's Signature: 3/11/216

36 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 4/4/216 5A 1x1 ceiling tile 1959 corridor & classrooms 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: 4/4/216

37 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Robert DeBord INSPECTION DATE: 3/11/216 INFORMATION FROM PREVIOUS INSPECTION 6 Baseboard did not observe HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed 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: 196 throughout COMMENTS: Not observed 216 Inspector's Signature: 3/11/216

38 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 4/4/216 6 Baseboard did not observe 196 throughout In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: If identified follow O&M plan. Management Planner's Signature: 4/4/216

39 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Robert DeBord INSPECTION DATE: 3/11/216 INFORMATION FROM PREVIOUS INSPECTION 7 Baseboard mastic did not observe HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed 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: 196 throughout COMMENTS: Not observed 216 Inspector's Signature: 3/11/216

40 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 4/4/216 7 Baseboard mastic did not observe 196 throughout In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: If identified follow O&M plan. Management Planner's Signature: 4/4/216

41 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Robert DeBord INSPECTION DATE: 3/11/216 INFORMATION FROM PREVIOUS INSPECTION 8 12"x12" White w/ Red, Blue & Yellow Marks Floor Tile HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW First & Second Floor Corridors, Stairwells, Classrooms: 11, , 123, 125, Main Office, and Nurses Office 55 COMMENTS: Inspector's Signature: 3/11/216

42 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 4/4/ "x12" White w/ Red, Blue & Yellow Marks Floor Tile First & Second Floor Corridors, Stairwells, Classrooms: 11, , 123, 125, Main Office, and Nurses Office 55 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: 4/4/216

43 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Robert DeBord INSPECTION DATE: 3/11/216 INFORMATION FROM PREVIOUS INSPECTION 9 12"x12" White w/ Red, Blue & Yellow Marks Floor Tile Adhesive HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: First & Second Floor Corridors, Stairwells, Classrooms: 11, , 123, 125, Main Office, and Nurses Office COMMENTS: Inspector's Signature: 3/11/216

44 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 4/4/ "x12" White w/ Red, Blue & Yellow Marks Floor Tile Adhesive First & Second Floor Corridors, Stairwells, Classrooms: 11, , 123, 125, Main Office, and Nurses 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: 4/4/216

45 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Robert DeBord INSPECTION DATE: 3/11/216 INFORMATION FROM PREVIOUS INSPECTION 1 9" X 9" VFT-dark red w/ white streaks HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW 2nd fl. Slop sinks MDF and North Gym entraces, rm. 2, west stairwell 15 COMMENTS: Inspector's Signature: 3/11/216

46 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 4/4/ " X 9" VFT-dark red w/ white streaks 2nd fl. Slop sinks MDF and North Gym entraces, rm. 2, west 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: 4/4/216

47 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Robert DeBord INSPECTION DATE: 3/11/216 INFORMATION FROM PREVIOUS INSPECTION 11 9" X 9" Mastic for VFT-dark red w/ white streaks HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW 2nd fl. Slop sinks MDF and Both Gym entraces, rm. 2, west stairwell 15 COMMENTS: Inspector's Signature: 3/11/216

48 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 4/4/ " X 9" Mastic for VFT-dark red w/ white streaks 2nd fl. Slop sinks MDF and Both Gym entraces, rm. 2, west 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: 4/4/216

49 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Robert DeBord INSPECTION DATE: 3/11/216 INFORMATION FROM PREVIOUS INSPECTION 12 12"x 12" White w/black Floor Tile HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Classroom COMMENTS: Inspector's Signature: 3/11/216

50 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 4/4/ "x 12" White w/black Floor Tile 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: 4/4/216

51 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Robert DeBord INSPECTION DATE: 3/11/216 INFORMATION FROM PREVIOUS INSPECTION 13 12"x 12" White w/black Floor Tile HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Classroom COMMENTS: Inspector's Signature: 3/11/216

52 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 4/4/ "x 12" White w/black Floor Tile 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: 4/4/216

53 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Robert DeBord INSPECTION DATE: 3/11/216 INFORMATION FROM PREVIOUS INSPECTION 14 12x12 VFT-gray w/white HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Rooms COMMENTS: Inspector's Signature: 3/11/216

54 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 4/4/ x12 VFT-gray w/white Rooms In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/4/216

55 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Robert DeBord INSPECTION DATE: 3/11/216 INFORMATION FROM PREVIOUS INSPECTION 15 mastic for 12x12 VFT-gray w/white HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Rooms COMMENTS: Inspector's Signature: 3/11/216

56 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 4/4/ mastic for 12x12 VFT-gray w/white Rooms In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/4/216

57 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Robert DeBord INSPECTION DATE: 3/11/216 INFORMATION FROM PREVIOUS INSPECTION 16 9" x 9" Gray w/black Streaks Floor Tile HISTORICAL AHERA DAMAGE CATEGORY ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Classrooms: 19, 11, 111, 112, 113, 114, 22, 23, 29, 214, 216, 217,218, 22,223,225 COMMENTS: Not observed 216 Inspector's Signature: 3/11/216

58 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 4/4/ " x 9" Gray w/black Streaks Floor Tile Classrooms: 19, 11, 111, 112, 113, 114, 22, 23, 29, 214, 216, 217,218, 22,223,225 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: If identified follow O&M plan. Management Planner's Signature: 4/4/216

59 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Robert DeBord INSPECTION DATE: 3/11/216 INFORMATION FROM PREVIOUS INSPECTION 17 9" x 9" Gray w/black Streaks Floor Tile HISTORICAL AHERA DAMAGE CATEGORY ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Classrooms: 19, 11, 111, 112, 113, 114, 22, 23, 29, 214, 216, 217,218, 22,223,225 COMMENTS: Not observed 216 Inspector's Signature: 3/11/216

60 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 4/4/ " x 9" Gray w/black Streaks Floor Tile Classrooms: 19, 11, 111, 112, 113, 114, 22, 23, 29, 214, 216, 217,218, 22,223,225 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: If identified follow O&M plan. Management Planner's Signature: 4/4/216

61 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Robert DeBord INSPECTION DATE: 3/11/216 INFORMATION FROM PREVIOUS INSPECTION 18 12" X 12" Blue VFT HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Kitchen and Cafeteria 324 COMMENTS: Inspector's Signature: 3/11/216

62 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 4/4/ " X 12" Blue VFT Kitchen and Cafeteria 324 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: 4/4/216

63 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Robert DeBord INSPECTION DATE: 3/11/216 INFORMATION FROM PREVIOUS INSPECTION 19 12" X 12" Blue VFT Mastic HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Kitchen and Cafeteria 324 COMMENTS: Inspector's Signature: 3/11/216

64 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 4/4/ " X 12" Blue VFT Mastic Kitchen and Cafeteria 324 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: 4/4/216

65 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Robert DeBord INSPECTION DATE: 3/11/216 INFORMATION FROM PREVIOUS INSPECTION 2 Transite Panels HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW All rooms in school 378 COMMENTS: Inspector's Signature: 3/11/216

66 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 4/4/216 2 Transite Panels All rooms in school 378 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: 4/4/216

67 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Robert DeBord INSPECTION DATE: 3/11/216 INFORMATION FROM PREVIOUS INSPECTION 21 12" x 12" Blue Multicolor VFT HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Rms. 13, 15, 16, 19T, 19B, , 117, 23, 26, 29, 211, 212, 215, 217, 218, 223, 225, COMMENTS: Inspector's Signature: 3/11/216

68 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 4/4/ " x 12" Blue Multicolor VFT Rms. 13, 15, 16, 19T, 19B, , 117, 23, 26, 29, 211, 212, 215, 217, 218, 223, 225, 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: 4/4/216

69 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Robert DeBord INSPECTION DATE: 3/11/216 INFORMATION FROM PREVIOUS INSPECTION 22 12" x 12" Blue Multicolor VFT Mastic HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Rms. 13, 15, 16, 19T, 19B, , 117, 23, 26, 29, 211, 212, 215, 217, 218, 223, 225, COMMENTS: Inspector's Signature: 3/11/216

70 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 4/4/ " x 12" Blue Multicolor VFT Mastic Rms. 13, 15, 16, 19T, 19B, , 117, 23, 26, 29, 211, 212, 215, 217, 218, 223, 225, 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: 4/4/216

71 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Robert DeBord INSPECTION DATE: 3/11/216 INFORMATION FROM PREVIOUS INSPECTION 23 Blue Carpet Mastic HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Rms. 21, COMMENTS: Inspector's Signature: 3/11/216

72 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 4/4/ Blue Carpet Mastic Rms. 21, 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: 4/4/216

73 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Robert DeBord INSPECTION DATE: 3/11/216 INFORMATION FROM PREVIOUS INSPECTION C Tank packing (mag) boilers HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed 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: Not observed 216 Inspector's Signature: 3/11/216

74 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 4/4/216 C Tank packing (mag) boilers 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: If identified follow O&M plan. Management Planner's Signature: 4/4/216

75 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Robert DeBord INSPECTION DATE: 3/11/216 INFORMATION FROM PREVIOUS INSPECTION CM-3 Gray Carpet Mastic HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Asst Principals Office, Library, and 28 4 COMMENTS: Inspector's Signature: 3/11/216

76 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 4/4/216 CM-3 Gray Carpet Mastic Asst Principals Office, Library, and 28 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: 4/4/216

77 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Robert DeBord INSPECTION DATE: 3/11/216 INFORMATION FROM PREVIOUS INSPECTION D Breeching, pipe insulation HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Abated FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Boiler room COMMENTS: Inspector's Signature: 3/11/216

78 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 4/4/216 D Breeching, pipe 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: If identified follow O&M plan. Management Planner's Signature: 4/4/216

79 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Robert DeBord INSPECTION DATE: 3/11/216 INFORMATION FROM PREVIOUS INSPECTION DW-1 drywall HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: 1959-room 215 COMMENTS: Inspector's Signature: 3/11/216

80 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 4/4/216 DW-1 drywall 1959-room 215 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: 4/4/216

81 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Robert DeBord INSPECTION DATE: 3/11/216 INFORMATION FROM PREVIOUS INSPECTION E tank packing (small tanks)( mag) HISTORICAL AHERA DAMAGE CATEGORY 7 Any remaining friable ACBM or friable suspect ACBM HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Boiler room 5 COMMENTS: Inspector's Signature: 3/11/216

82 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 4/4/216 E tank packing (small tanks)( mag) Boiler room 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: 4/4/216

83 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Robert DeBord INSPECTION DATE: 3/11/216 INFORMATION FROM PREVIOUS INSPECTION G Aircell Pipe Insulation HISTORICAL AHERA DAMAGE CATEGORY 1 Damaged or significantly damaged friable thermal system insulating ACBM HISTORICAL DAMAGE REASON: Deterioration HISTORICAL RESPONSE ACTION: Repair ASBESTOS TYPE: Chrysotile FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 1. Damaged or significantly damaged friable thermal system insulating ACBM DAMAGE REASON: Deterioration Physical Damage DISTURBANCE POTENTIAL: LOW 1959 Tunnels, Boiler Room, Pipe Chases 355 LF LF COMMENTS: Inspector's Signature: 3/11/216

84 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 4/4/216 G Aircell Pipe Insulation 1959 Tunnels, Boiler Room, Pipe Chases 355 LF 5 LF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Repair Comments: Patch and repair as needed then follow O&M plan. Management Planner's Signature: 4/4/216

85 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Robert DeBord INSPECTION DATE: 3/11/216 INFORMATION FROM PREVIOUS INSPECTION H Pipe Joint Insulation Associated w/aircell Insulated Piping HISTORICAL AHERA DAMAGE CATEGORY 7 Any remaining friable ACBM or friable suspect ACBM HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: LOW 1959 Tunnels, Boiler Room, Pipe Chases 4 LF LF COMMENTS: Inspector's Signature: 3/11/216

86 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 4/4/216 H Pipe Joint Insulation Associated w/aircell Insulated Piping 1959 Tunnels, Boiler Room, Pipe Chases 4 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: 4/4/216

87 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Robert DeBord INSPECTION DATE: 3/11/216 INFORMATION FROM PREVIOUS INSPECTION J joints on fiberglass HISTORICAL AHERA DAMAGE CATEGORY 7 Any remaining friable ACBM or friable suspect ACBM HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: LOW boiler room, 1st floor tunnel 2 FITTING FITTING COMMENTS: Inspector's Signature: 3/11/216

88 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 4/4/216 J joints on fiberglass boiler room, 1st floor tunnel 2 FITTING FITTING In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/4/216

89 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Robert DeBord INSPECTION DATE: 3/11/216 INFORMATION FROM PREVIOUS INSPECTION L Aircell Pipe Insulation HISTORICAL AHERA DAMAGE CATEGORY 7 HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: LOW 196- gym office, storage, tunnels, fan room 1 LF LF COMMENTS: Inspector's Signature: 3/11/216

90 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 4/4/216 L Aircell Pipe Insulation 196- gym office, storage, tunnels, fan room 1 LF LF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/4/216

91 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Robert DeBord INSPECTION DATE: 3/11/216 INFORMATION FROM PREVIOUS INSPECTION M Insulation on Pipe Joints on Aircell Insulated Piping HISTORICAL AHERA DAMAGE CATEGORY 7 HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: LOW 196-gym office, storage, tunnels & fan room 1 FITTING FITTING COMMENTS: Inspector's Signature: 3/11/216

92 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 4/4/216 M Insulation on Pipe Joints on Aircell Insulated Piping 196-gym office, storage, tunnels & fan room 1 FITTING FITTING In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/4/216

93 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Robert DeBord INSPECTION DATE: 3/11/216 INFORMATION FROM PREVIOUS INSPECTION TSI-1 preform pipe insulation HISTORICAL AHERA DAMAGE CATEGORY 7 Any remaining friable ACBM or friable suspect ACBM HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: LOW 196 gym office and 2nd floor 2 LF LF COMMENTS: Inspector's Signature: 3/11/216

94 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 4/4/216 TSI-1 preform pipe insulation 196 gym office and 2nd floor 2 LF LF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/4/216

95 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Robert DeBord INSPECTION DATE: 3/11/216 INFORMATION FROM PREVIOUS INSPECTION TSI-2 Joint Insulation on Preformed Pipe Insulation HISTORICAL AHERA DAMAGE CATEGORY 7 Any remaining friable ACBM or friable suspect ACBM HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: LOW 196 gym office and 2nd floor 2 LF LF COMMENTS: Inspector's Signature: 3/11/216

96 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 4/4/216 TSI-2 Joint Insulation on Preformed Pipe Insulation 196 gym office and 2nd floor 2 LF LF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/4/216

97 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Robert DeBord INSPECTION DATE: 3/11/216 INFORMATION FROM PREVIOUS INSPECTION TSI-3 Pipe Joint Insulation on Mag Block Insulated Piping HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Amosite 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: Not observed 216 Inspector's Signature: 3/11/216

98 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 4/4/216 TSI-3 Pipe Joint Insulation on Mag Block Insulated Piping 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: If identified follow O&M plan. Management Planner's Signature: 4/4/216

99 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Robert DeBord INSPECTION DATE: 3/11/216 INFORMATION FROM PREVIOUS INSPECTION TSI-4 Vibration Gaskets HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: 196 fanroom & store room COMMENTS: Inspector's Signature: 3/11/216

100 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 4/4/216 TSI-4 Vibration Gaskets 196 fanroom & store 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: 4/4/216

101 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Robert DeBord INSPECTION DATE: 3/11/216 INFORMATION FROM PREVIOUS INSPECTION TSI-5 Canvas wrap on fiberglass ducts HISTORICAL AHERA DAMAGE CATEGORY 7 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM DAMAGE REASON: DISTURBANCE POTENTIAL: LOW 196- fan room 18 COMMENTS: Inspector's Signature: 3/11/216

102 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 4/4/216 TSI-5 Canvas wrap on fiberglass ducts 196- fan room 18 In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: 4/4/216

103 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Robert DeBord INSPECTION DATE: 3/11/216 INFORMATION FROM PREVIOUS INSPECTION TSI-6 canvas wrap on fiberglass ducts HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: nd floor fan room and store room COMMENTS: Inspector's Signature: 3/11/216

104 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 4/4/216 TSI-6 canvas wrap on fiberglass ducts nd floor fan room and store 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: 4/4/216

105 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Robert DeBord INSPECTION DATE: 3/11/216 INFORMATION FROM PREVIOUS INSPECTION TSI-7 vibration Gaskets HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: nd floor fan room COMMENTS: Inspector's Signature: 3/11/216

106 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 4/4/216 TSI-7 vibration Gaskets nd floor fan 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: 4/4/216

107 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Robert DeBord INSPECTION DATE: 3/11/216 INFORMATION FROM PREVIOUS INSPECTION WC-1 window caulk HISTORICAL AHERA DAMAGE CATEGORY 6 HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW throughout the building 5 LF LF COMMENTS: Inspector's Signature: 3/11/216

108 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 4/4/216 WC-1 window caulk throughout the building 5 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: 4/4/216

109 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Robert DeBord INSPECTION DATE: 3/11/216 INFORMATION FROM PREVIOUS INSPECTION WG-1 Window glaze HISTORICAL AHERA DAMAGE CATEGORY 6 HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Thoughout 75 LF LF COMMENTS: Inspector's Signature: 3/11/216

110 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 4/4/216 WG-1 Window glaze Thoughout 75 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: 4/4/216

111 Inspector Assessment Form (REASSESSMENT) AHERA INSPECTOR: Robert DeBord INSPECTION DATE: 3/11/216 INFORMATION FROM PREVIOUS INSPECTION WS-1 window sills ( transite) HISTORICAL AHERA DAMAGE CATEGORY 6 HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW throughout 3 COMMENTS: Inspector's Signature: 3/11/216

112 Management Planner Review Form MANAGEMENT PLANNER: Evan Christian REVIEW DATE: 4/4/216 WS-1 window sills ( transite) throughout 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: 4/4/216

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114 APPENDIX B Inspector and Management Planner Licenses

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