5/2/2013 - cpsschoolreports.cps.edu/asbestosinspectionreport_2013/23011 drake...5/2/2013 signature...

ILLINOIS DEPARTMENT OF PUBLIC HEALTHAHERA THREE YEAR REINSPECTIONASBESTOS ABATEMENT PROGRAM

SCHOOL INFORMATION FORM

SECTION I

NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299SCHOOL ID NUMBER: 14-016-2990-2169SCHOOL NAME: Drake SchoolADDRESS OF SCHOOL: 2722 S. King Dr.CITY: Chicago, IL, 60616

DATE LAST THREE YEAR REINSPECTION WAS COMPLETED 2/18/2010If 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: 5/2/2013 ENROLLMENT 243

IDPH INSPECTOR LICENSE NUMBER: 100-07839

IDPH LICENSED INSPECTOR NAME (Please Print): Lisa Laney

IDPH MP LICENSE NUMBER: 100-03613

IDPH LICENSED MANAGEMENT PLANNER NAME (Please Print): Daniel Juneau

DESIGNATED PERSON (Please Print): Ms. Lynn Crivello PHONE: (773) 553-3113

5/2/2013

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: 2001-10-15T00:00:00.000-05:00

School building has been demolished. Date:

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-482-1026 Revised 10.03

THREE–YEAR REINSPECTION

CHICAGO SCHOOL DIST 299

Drake School

2722 S. King Dr.Chicago, IL, 60616

Unit: 23011Building ID: 3100

IDPH ID Number: 14-016-2990-2169

REPORT DATE:Thursday, May 02, 2013

Prepared for:Chicago Public Schools

125 S. Clark StreetChicago, IL 60603

Prepared by:Carnow, Conibear and Associates

600 West Van Buren St., Ste 500

Phone (312) 762-2900

Fax (312) 782-5145

DO NOT REMOVE FROM SCHOOLREQUIRED BY FEDERAL LAW

March 25, 2013

Mr. R. Kent CookAsbestos ProgramIllinois Department of Public Health525 West Jefferson StreetSpringfield, Illinois 62761

Re: Chicago Public Schools - 2013 Three-Year Reinspections

Dear Mr. Cook:

Carnow, Conibear and Associates, Managing Environmental Consultant (MEC), conducted the Three-Year Reinspections and performed management plan updates for the Chicago Public Schools (CPS) facilities in Region 3,4,5 Elementary Schools. Please update your records with the following information.

School District: 299 Unit: 23011 Region: 04 IDPH ID: 14-016-2990-2169

School: Drake School Building ID: 3100

Address: 2722 S. King Dr.

Chicago, IL, 60616

Building Contact: Carrington, Anthony Contact Phone: 773-440-3848

Current Building Owners: Chicago Public Schools

Review Date: 4/24/2013

Inspector: Lisa Laney Inspector IDPH License: 100-07839Management Planner: Daniel Juneau Management Planner IDPH License: 100-03613

If you have any questions or comments, please contact us at (312) 762-2900

Sincerely,Carnow, Conibear and Associates

Daniel Juneau100-03613

Environmental Notification to Occupants

To: Faculty, Staff and ParentsFrom: Chicago Public SchoolsDate: March 25, 2013

RE: Drake School, Unit 23011 2722 S. King Dr. Chicago, IL, 60616

Dear Faculty, Staff and Parents,

This letter is to notify you that the 2013 asbestos three year re-inspection has been completed at DrakeSchool , following the Federal Asbestos Hazard Emergency Response Act (AHERA), 40 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 Drake School, there is no reason to believe that any threat to the health of students or staff exists at this time. CPS will continue to carefullymonitor 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 Ms. Lynn Crivello, the designated Local Education Authority's Designated Person at (773) 553-3113 .

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

SCHOOL AND INSPECTION INFORMATION

1. School Information

School: Drake School Unit: 23011 Region: 04Address: 2722 S. King Dr. Chicago, IL, 60616IDPH ID: 14-016-2990-2169 Building ID: 3100Contact: Carrington, Anthony Phone: 773-440-3848

2. Description of Facility

Original Construction: 1961 Additional Construction: Total Square Footage: 57300 No of Floors: 1Current Occupancy: 243

3. LEA Designated Person

Contact: Ms. Lynn Crivello Phone: (773) 553-3113Address: 125 South Clark Street, 17th Floor Chicago, IL 60603

4. Managing Environmental Consultant

MEC: Carnow, Conibear and AssociatesContact: Dan JuneauAddress 600 West Van Buren St., Ste 500Phone: (312) 762-2900 Fax: (312) 782-5145

5. Inspector

Inspector Name: Lisa Laney

Signature: Inspector IDPH license # 100-07839 Date: 3/25/2013

6. Management Planner

Management Planner Name: Daniel Juneau

Signature: Management Planner IDPH license # 100-03613 Date: 4/24/2013

7. Review Date: 4/24/2013

8. LEA Designated Person's Acknowledgement

The reinspection report and recommendations have been received by me and appropriate action will be taken by the School District.

Signature: Date: 5/2/2013

Name: Ms. Lynn Crivello

Unit : 23011 Drake School Building: 3100

Unit: 23011 Drake School Building: 3100

II. EXECUTIVE SUMMARY

Carnow, Conibear and Associates was retained by the Chicago Public Schools (CPS) to perform a three-year asbestos reinspection of the Drake School. This inspection was conducted in accordance with the United States Environmental Protection Agency (USEPA) Asbestos Hazard Emergency Response Act (AHERA) part 763.92 (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 previousthree-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 763.85 and 763.88. 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 3100:

1 Hard Coat Plaster

2 Acoustical Ceiling Plaster

5 2' x 2' Acoustical Ceiling Tile

7.2 12" x 12" Tan Floor Tile w/Tan Speckles

7.6 12" x 12" Dark Gray Floor Tile

7.7 12" x 12" Black Floor Tile w/White Specks

9.6 12" x 12" Black Floor Tile w/ White Specks Mastic

C Hard Joint Compound on Fiberglass Pipe Insulation

D Duct Insulation


E Tank #1 Insulation

F Tank #2 Insulation

G Hot Water Tank

I / J Tank#3 Insulation (Insulation on Heat Exchanger)

K Paperwrap Pipe Insulation

L Hard Joint Compound on Paperwrap Pipe Insulation

N Acoustical Plaster


B. The following new homogenous areas have been identified for Building 3100:


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/orcontained in areas that were inaccessible for sampling and have been classified as Assumed:

1 Hard Coat Plaster19 Purple Carpet Mastic20 Deep Purple Carpet Mastic21 Blue Carpet Mastic5 2' x 2' Acoustical Ceiling Tile7.2 12" x 12" Tan Floor Tile w/Tan Speckles7.3 12" x 12" Gray Floor Tile w/White & Gray Speckles7.6 12" x 12" Dark Gray Floor Tile7.7 12" x 12" Black Floor Tile w/White Specks8.7 9" x 9" Dark Tan Floor Tile Mastic9.2 12" x 12" Tan Floor Tile Mastic9.3 12" x 12" Gray Floor Tile w/Wh & Gry Spkles Mastic9.6 12" x 12" Black Floor Tile w/ White Specks Mastic

The following areas were deemed to be inaccessible:

20 Deep Purple Carpet Mastic21 Blue Carpet Mastic5 2' x 2' Acoustical Ceiling Tile6.1 9" X 9" Gray Floor Tile6.2 9" x 9" Brown w/ Beige Specks Floor Tile8.4 9" x 9" Tan Floor Tile Mastic8.8 9" x 9" Gray Floor Tile w/ Specks Mastic9.2 12" x 12" Tan Floor Tile Mastic9.3 12" x 12" Gray Floor Tile w/Wh & Gry Spkles Mastic9.5 12" x 12" Dark Gray Floor Tile Mastic

Materials were also listed as "assumed" if they were in good condition and sampling was not conducted to avoid damage.

This reinspection was conducted by Lisa Laney, IDPH License # 100-07839. The Management Plan was updated by Daniel Juneau, IDPH License # 100-03613. Inspector andManagement Planner Licenses are included in Appendix B.


III. METHODOLOGY

Tasks performed on-site included the following:

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 thesematerials 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 anyHA(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 appropriateresponse actions based on the AHERA Damage Category of the ACBM.

8. Submit reinspection findings and management planner recommendations to the LEA within thirty (30) days forinclusion into the management plan.

IV. ABATEMENT HISTORYThe information collected from the existing management plan and inspection report(s) and from interviews with the schoolofficial revealed that the following asbestos abatement was conducted at the school since the previous Three year Reinspection.

Abatement Dates:

V. REASSESSMENTS AND RECOMMENDATIONSThe reassessments and recommendations are summarized in Tables I and II on the following pages. Detailed Hazard AssessmentSheets and Drawings and Photos (if applicable) are included in Appendix A.

VI. CONCLUSIONSThe Drake School Building 3100 Three-Year reinspection has been completed and response actions have been recommended forboth friable and non-friable materials. A timely execution of the response actions recommended will enable the LEA and theDesignated 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 hasbeen identified. Also, periodic surveillance documentation and any summary reports from any response actions that are executedat the school should be used to update the Management Plan.

Table IInspector's Reinspection Findings

Chicago Public Schools School Drake School Unit 23011 Building ID 3100 Address 2722 S. King Dr. Region 04

ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONSInspector's Reinspection Findings Table 1

Managing Environmental Consultant (MEC) Carnow, Conibear and Associates

600 West Van Buren St., Ste 500 Phone: (312) 762-2900 Fax: (312) 782-5145

Inspector's Comments are Summarized at the End of the Report

HA No Material Description Material Quantity

Material Units

Material Location Asbestos Type

Material Category

Friable Damage Type

Damage Quantity

Damage Units Change in Assessment Category

Damage Category Damage Reason Disturbance Potential

1 Hard Coat Plaster 10,000 SF Throughout Building

ASSUMED SURFACE N NONE 0 Yes ACBM with the potential for damage

MODERATE

10 Roof Material and Flashing - NOT AHERA Roof NO_ACBM MISC11 Exterior Brick - NOT AHERA Exterior of Building NO_ACBM MISC12 Exterior Brick Mortar - NOT AHERA Exterior of Building NO_ACBM MISC13 Incinerator Fire Brick Incinerator NO_ACBM MISC14.1 New Acoustical Ceiling Plaster 1st & 2nd Floor

Corridors, Classrooms, Office, Lunchroom, Janitor's Closets, etc.

SURFACE

14.2 New Accoustical Ceiling Plaster 5,000 SF 3rd Floor Corridor CHR SURFACE Y LOC 20 No ACBM with the potential for damage

10 MODERATE

15 Caulk Where Incinerator Stack Joins Chimneyin Incinerator Room

NO_ACBM MISC

16 Cementitious Material on Top of Incinerator Stack

Incinerator Room NO_ACBM MISC

17 Cementitious Material on Side of Stack Incinerator Room NO_ACBM MISC18 Window Caulk Incinerator Room NO_ACBM MISC19 Purple Carpet Mastic 300 SF Office ASSUMED MISC N NONE 0 No ACBM with the

potential for damageLOW

2 Acoustical Ceiling Plaster 2,500 SF Auditorium CHR SURFACE Y NONE 0 Yes Any remaining friable ACBM or friable suspect ACBM

MODERATE

20 Deep Purple Carpet Mastic 150 SF Principal's Office ASSUMED MISC N NONE 0 No ACBM with the potential for damage

LOW

21 Blue Carpet Mastic 750 SF Room 305 and 307, Library

ASSUMED MISC N NONE 0 No ACBM with the potential for damage

LOW

3 Hard Coat Plaster Boiler Room and Kitchen

NO_ACBM MISC

4 1' x 1' Ceiling Tile Lunchroom and Office Area

NO_ACBM MISC

5 2' x 2' Acoustical Ceiling Tile 3,800 SF Gym ASSUMED MISC Y NONE 0 Yes Any remaining friable ACBM or friable suspect ACBM

MODERATE

6.1 9" X 9" Gray Floor Tile 7,500 SF Offices, Store Rooms, Corridors

CHR MISC N NONE 0 No ACBM with the potential for damage

HIGH

6.2 9" x 9" Brown w/ Beige Specks Floor Tile 1,000 SF Teacher's Lunchroom


HIGH

6.3 9" x 9" Green Floor Tile ABATED Corridors ABATED MISC6.4 9" x 9" Tan Floor Tile 200 SF Classrooms, Offices,

and Stairwells, Custodians Office,


HIGH







Material Units


Material Category

Friable Damage Type

Damage Quantity



Gym Office, Gym Storage Rooms

6.5 9" x 9" Black Floor Tile ABATED Classrooms, Washrooms, Janitor's Closet

ABATED MISC

6.6 9" x 9" Red Floor Tile ABATED 1st Floor Corridor ABATED MISC6.7 9" x 9" Dark Tan Floor Tile ABATED Rooms 301, 313 ABATED MISC6.8 9" x 9" Grey Floor Tile w/ Specks 500 SF Men's & Women's

Locker Rooms by Kitchen


HIGH

6.9 9" x 9" White FT w/Black Specks - ABATED

Kitchen ABATED MISC

7.1 12" x 12" White Floor Tile w/Tan SpecklesABATED

Room 309, 3rd FloorTV, 1st floor N & NW Entrance

ABATED MISC

7.2 12" x 12" Tan Floor Tile w/Tan Speckles 9,500 SF Rooms 111, 115, Auditorium and 1st Floor Corridor

ASSUMED MISC N NONE 0 Yes ACBM with the potential for damage

LOW

7.3 12" x 12" Gray Floor Tile w/White & Gray Speckles

2,100 SF Lunchroom ASSUMED MISC N NONE 0 No ACBM with the potential for damage

HIGH

7.4 12" x 12" Brown Floor Tile w/Brown & White Specks-ABATED

Main Entrance, SW Entrance, 3rd Floor TV Room

ABATED MISC

7.5 12" x 12 Off-White Floor Tile w/Blk,Gry, Wh Specks-ABATED

Rooms 304, 305, and 311

ABATED MISC

7.6 12" x 12" Dark Gray Floor Tile 30,000 SF Classrooms and Corridors


LOW

7.7 12" x 12" Black Floor Tile w/White Specks 4,500 SF Classrooms, Corridors and Storage Rooms


LOW

8.1 9" X 9" Gray Floor Tile Mastic 200 SF Classrooms, Offices,Store Rooms, Corridors

CHR MISC N None Low

8.2 9" x 9" Brown w/ Beige Specks Floor Tile Mastic

1,200 SF Classrooms, Teacher's Lunchroom

CHR MISC N None Low

8.3 9" x 9" Green Floor Tile Mastic - ABATED Corridors ABATED MISC8.4 9" x 9" Tan Floor Tile Mastic 250 SF Classrooms, Offices,

and Stairwells, Custodians Office, Gym Office, Gym Storage Rooms


LOW

8.5 9" x 9" Black Floor Tile Mastic - ABATED Classrooms, Washrooms and

ABATED MISC







Material Units


Material Category

Friable Damage Type

Damage Quantity



Janitor's Closet8.6 9" x 9" Red Floor Tile Mastic - ABATED 1st Floor Corridor ABATED MISC8.7 9" x 9" Dark Tan Floor Tile Mastic Rooms 301, 313 ASSUMED MISC8.8 9" x 9" Gray Floor Tile w/ Specks Mastic 500 SF Men's & Women's

Locker Rooms by Kitchen


LOW

8.9 9" x 9" White Floor Tile w/Black Specks Mastic

Kitchen ABATED MISC

9.1 12" x 12" White FT w/ Tan Speckles Mastic - ABATED

Room 309 ABATED MISC

9.2 12" x 12" Tan Floor Tile Mastic 9,500 SF Rooms 111, 115, Auditorium and 1st Floor Corridor

ASSUMED MISC N NONE 0 No ACBM with the potential for damage

LOW

9.3 12" x 12" Gray Floor Tile w/Wh & Gry Spkles Mastic

2,100 SF Lunchroom ASSUMED MISC N NONE 0 No ACBM with the potential for damage

LOW

9.5 12" x 12" Dark Gray Floor Tile Mastic 30,000 SF Classrooms & Corridors


LOW

9.6 12" x 12" Black Floor Tile w/ White Specks Mastic

4,500 SF Classrooms, Corridors and Storage Rooms


LOW

A Fiberglass Boiler Insulation Boiler Room TSIB Fiberglass Pipe Insulation Boiler Room,

Tunnels, Mech. Rooms

TSI

C Hard Joint Compound on Fiberglass Pipe Insulation

180 LF Boiler Room, Tunnels, Mech. Room

CHR TSI Y NONE 0 Yes Any remaining friable ACBM or friable suspect ACBM

MODERATE

D Duct Insulation 130 SF Boiler Room AMO TSI Y NONE 0 Yes Any remaining friable ACBM or friable suspect ACBM

MODERATE

E Tank #1 Insulation 130 SF Boiler Room AMO TSI Y NONE 0 Yes Any remaining friable ACBM or friable suspect ACBM

MODERATE

F Tank #2 Insulation 130 SF Boiler Room AMO_CHR TSI Y NONE 0 Yes Any remaining friable ACBM or friable suspect ACBM

MODERATE

G Hot Water Tank 130 SF Boiler Room AMO_CHR TSI Y NONE 0 Yes Any remaining friable ACBM or friable suspect ACBM

MODERATE

H Fiberglass Duct Covering Mechanical Room MISCI / J Tank#3 Insulation (Insulation on Heat

Exchanger)40 SF Boiler Room CHR TSI Y NONE 0 Yes Any remaining friable

ACBM or friable suspect ACBM

LOW

K Paperwrap Pipe Insulation 500 LF Boiler Room & CHR TSI Y NONE 0 Yes Any remaining friable MODERATE







Material Units


Material Category

Friable Damage Type

Damage Quantity



Tunnel ACBM or friable suspect ACBM


50 LF Boiler Room & Tunnel

CHR TSI Y NONE 0 Yes Any remaining friable ACBM or friable suspect ACBM

MODERATE

M Material between pre-cast concrete panels 3rd floor CHR SURFACE Y None Any remaining friable ACBM or friable suspect ACBM

Low

N Acoustical Plaster 300 SF 1st floor bathrooms CHR SURFACE Y NONE 0 Yes Any remaining friable ACBM or friable suspect ACBM

MODERATE






Reinspection Date 3/25/2013

Inspector Name Lisa Laney

100-07839 5/15/2013

Inspector's IDPH License Number / Expiration Date

Inspector's Comments

HA Number: Inspector Comments:11011121314.114.21516171819220213456.16.26.3 Abated.6.46.5 Abated.6.6






HA Number: Inspector Comments:6.7 Abated.6.86.9 Abated.7.1 Abated.7.27.37.47.57.67.78.1 Not Observed.8.2 Not Observed.8.3 Abated.8.48.5 Abated.8.68.7 Not Observed, has been removed.8.88.9 Abated.9.19.29.39.59.6A Fiberglass not suspect to contain asbestosB Fiberglass not suspect to contain asbestosCDE






HA Number: Inspector Comments:FGH Fiberglass not suspect to contain asbestosI / JKLM Not Observed.N

Table II

Management Planner's Review

Chicago Public SchoolsSchool Drake School Unit 23011 Building ID 3100

Address 2722 S. King Dr. Chicago, IL, 60616 Region 04

ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS

Management Planner's Review Table II



Phone: (312) 762-2900 Fax: (312) 782-5145

Management Planner's Comments Summarized at the End of the ReportHA Num

Material Description Material Quantity

Material Units

Material Location AsbestosType

Material Category

Friable Damage Quantity

Damage Units

Damage Category Response

1 Hard Coat Plaster 10,000 SF Throughout Building Assumed SURFACE No 0 SF 6 ACBM with the potential for damage Operations and Maintenance10 Roof Material and Flashing - NOT AHERA Roof No ACBM MISC 11 Exterior Brick - NOT AHERA Exterior of Building No ACBM MISC 12 Exterior Brick Mortar - NOT AHERA Exterior of Building No ACBM MISC 13 Incinerator Fire Brick Incinerator No ACBM MISC 14.1 New Acoustical Ceiling Plaster 1st & 2nd Floor Corridors, Classrooms,

Office, Lunchroom, Janitor's Closets, etc.

SURFACE

14.2 New Accoustical Ceiling Plaster 5,000 SF 3rd Floor Corridor Chrysotile SURFACE Yes 20 SF 6 ACBM with the potential for damage Repair15 Caulk Where Incinerator Stack Joins Chimney

in Incinerator RoomNo ACBM MISC

16 Cementitious Material on Top of Incinerator Stack Incinerator Room No ACBM MISC 17 Cementitious Material on Side of Stack Incinerator Room No ACBM MISC 18 Window Caulk Incinerator Room No ACBM MISC 19 Purple Carpet Mastic 300 SF Office Assumed MISC No 0 SF 6 ACBM with the potential for damage Operations and Maintenance2 Acoustical Ceiling Plaster 2,500 SF Auditorium Chrysotile SURFACE Yes 0 SF 7 Any remaining friable ACBM or friable

suspect ACBMOperations and Maintenance

20 Deep Purple Carpet Mastic 150 SF Principal's Office Assumed MISC No 0 SF 6 ACBM with the potential for damage Operations and Maintenance21 Blue Carpet Mastic 750 SF Room 305 and 307, Library Assumed MISC No 0 SF 6 ACBM with the potential for damage Operations and Maintenance3 Hard Coat Plaster Boiler Room and Kitchen No ACBM MISC 4 1' x 1' Ceiling Tile Lunchroom and Office Area No ACBM MISC 5 2' x 2' Acoustical Ceiling Tile 3,800 SF Gym Assumed MISC Yes 0 SF 7 Any remaining friable ACBM or friable


6.1 9" X 9" Gray Floor Tile 7,500 SF Offices, Store Rooms, Corridors Chrysotile MISC No 0 SF 6 ACBM with the potential for damage Operations and Maintenance6.2 9" x 9" Brown w/ Beige Specks Floor Tile 1,000 SF Teacher's Lunchroom Chrysotile MISC No 0 SF 6 ACBM with the potential for damage Operations and Maintenance6.3 9" x 9" Green Floor Tile ABATED Corridors Abated MISC 6.4 9" x 9" Tan Floor Tile 200 SF Classrooms, Offices, and Stairwells,

Custodians Office, Gym Office, Gym Storage Rooms

Chrysotile MISC No 0 SF 6 ACBM with the potential for damage Operations and Maintenance

6.5 9" x 9" Black Floor Tile ABATED Classrooms, Washrooms, Janitor's Closet

Abated MISC

6.6 9" x 9" Red Floor Tile ABATED 1st Floor Corridor Abated MISC 6.7 9" x 9" Dark Tan Floor Tile ABATED Rooms 301, 313 Abated MISC 6.8 9" x 9" Grey Floor Tile w/ Specks 500 SF Men's & Women's Locker Rooms by

KitchenChrysotile MISC No 0 SF 6 ACBM with the potential for damage Operations and Maintenance







Phone: (312) 762-2900 Fax: (312) 782-5145



Material Units


Material Category


Damage Units


6.9 9" x 9" White FT w/Black Specks - ABATED Kitchen Abated MISC 7.1 12" x 12" White Floor Tile w/Tan Speckles

ABATEDRoom 309, 3rd Floor TV, 1st floor N & NW Entrance

Abated MISC

7.2 12" x 12" Tan Floor Tile w/Tan Speckles 9,500 SF Rooms 111, 115, Auditorium and 1st Floor Corridor

Assumed MISC No 0 SF 6 ACBM with the potential for damage Operations and Maintenance

7.3 12" x 12" Gray Floor Tile w/White & Gray Speckles 2,100 SF Lunchroom Assumed MISC No 0 SF 6 ACBM with the potential for damage Operations and Maintenance7.4 12" x 12" Brown Floor Tile w/Brown & White

Specks-ABATEDMain Entrance, SW Entrance, 3rd FloorTV Room

Abated MISC

7.5 12" x 12 Off-White Floor Tile w/Blk,Gry, Wh Specks-ABATED

Rooms 304, 305, and 311 Abated MISC

7.6 12" x 12" Dark Gray Floor Tile 30,000 SF Classrooms and Corridors Assumed MISC No 0 SF 6 ACBM with the potential for damage Operations and Maintenance7.7 12" x 12" Black Floor Tile w/White Specks 4,500 SF Classrooms, Corridors and Storage

RoomsAssumed MISC No 0 SF 6 ACBM with the potential for damage Operations and Maintenance

8.1 9" X 9" Gray Floor Tile Mastic 200 SF Classrooms, Offices, Store Rooms, Corridors

Chrysotile MISC No SF

8.2 9" x 9" Brown w/ Beige Specks Floor Tile Mastic 1,200 SF Classrooms, Teacher's Lunchroom Chrysotile MISC No SF 8.3 9" x 9" Green Floor Tile Mastic - ABATED Corridors Abated MISC 8.4 9" x 9" Tan Floor Tile Mastic 250 SF Classrooms, Offices, and Stairwells,

Custodians Office, Gym Office, Gym Storage Rooms

Chrysotile MISC No 0 SF 6 ACBM with the potential for damage Operations and Maintenance

8.5 9" x 9" Black Floor Tile Mastic - ABATED Classrooms, Washrooms and Janitor's Closet

Abated MISC

8.6 9" x 9" Red Floor Tile Mastic - ABATED 1st Floor Corridor Abated MISC 8.7 9" x 9" Dark Tan Floor Tile Mastic Rooms 301, 313 Assumed MISC 8.8 9" x 9" Gray Floor Tile w/ Specks Mastic 500 SF Men's & Women's Locker Rooms by

KitchenChrysotile MISC No 0 SF 6 ACBM with the potential for damage Operations and Maintenance

8.9 9" x 9" White Floor Tile w/Black Specks Mastic Kitchen Abated MISC 9.1 12" x 12" White FT w/ Tan Speckles Mastic -

ABATEDRoom 309 Abated MISC

9.2 12" x 12" Tan Floor Tile Mastic 9,500 SF Rooms 111, 115, Auditorium and 1st Floor Corridor

Assumed MISC No 0 SF 6 ACBM with the potential for damage Operations and Maintenance

9.3 12" x 12" Gray Floor Tile w/Wh & Gry Spkles Mastic

2,100 SF Lunchroom Assumed MISC No 0 SF 6 ACBM with the potential for damage Operations and Maintenance

9.5 12" x 12" Dark Gray Floor Tile Mastic 30,000 SF Classrooms & Corridors Chrysotile MISC No 0 SF 6 ACBM with the potential for damage Operations and Maintenance9.6 12" x 12" Black Floor Tile w/ White Specks Mastic 4,500 SF Classrooms, Corridors and Storage

RoomsAssumed MISC No 0 SF 6 ACBM with the potential for damage Operations and Maintenance







Phone: (312) 762-2900 Fax: (312) 782-5145



Material Units


Material Category


Damage Units


A Fiberglass Boiler Insulation Boiler Room TSI B Fiberglass Pipe Insulation Boiler Room, Tunnels, Mech. Rooms TSI C Hard Joint Compound on Fiberglass Pipe Insulation 180 LF Boiler Room, Tunnels, Mech. Room Chrysotile TSI Yes 0 LF 7 Any remaining friable ACBM or friable


D Duct Insulation 130 SF Boiler Room Amosite TSI Yes 0 SF 7 Any remaining friable ACBM or friable suspect ACBM

Operations and Maintenance

E Tank #1 Insulation 130 SF Boiler Room Amosite TSI Yes 0 SF 7 Any remaining friable ACBM or friable suspect ACBM


F Tank #2 Insulation 130 SF Boiler Room Amosite, Chrysotile

TSI Yes 0 SF 7 Any remaining friable ACBM or friable suspect ACBM


G Hot Water Tank 130 SF Boiler Room Amosite, Chrysotile

TSI Yes 0 SF 7 Any remaining friable ACBM or friable suspect ACBM


H Fiberglass Duct Covering Mechanical Room MISC I / J Tank#3 Insulation (Insulation on Heat Exchanger) 40 SF Boiler Room Chrysotile TSI Yes 0 SF 7 Any remaining friable ACBM or friable


K Paperwrap Pipe Insulation 500 LF Boiler Room & Tunnel Chrysotile TSI Yes 0 LF 7 Any remaining friable ACBM or friable suspect ACBM



50 LF Boiler Room & Tunnel Chrysotile TSI Yes 0 LF 7 Any remaining friable ACBM or friable suspect ACBM


M Material between pre-cast concrete panels 3rd floor Chrysotile SURFACE Yes 7 Any remaining friable ACBM or friable suspect ACBM

N Acoustical Plaster 300 SF 1st floor bathrooms Chrysotile SURFACE Yes 0 SF 7 Any remaining friable ACBM or friable suspect ACBM








Phone: (312) 762-2900 Fax: (312) 782-5145

Management Planner's Comments Summarized at the End of the Report

Review Date 4/24/2013

Manager Planner Name Daniel Juneau100-03613 5/15/2014Manager IDPH License No/Expiration

HA Number Management Comments11011121314.114.21516171819220213







Phone: (312) 762-2900 Fax: (312) 782-5145

Management Planner's Comments Summarized at the End of the ReportHA Number Management Comments456.16.26.36.46.56.66.76.86.97.17.27.37.47.57.67.78.18.28.38.48.58.68.78.88.9







Phone: (312) 762-2900 Fax: (312) 782-5145

Management Planner's Comments Summarized at the End of the ReportHA Number Management Comments9.19.29.39.59.6ABCDEFGHI / JKLMN

Chicago Public Schools

Carnow, Conibear and Associates

2013 AHERA REINSPECTION

Inspector Assessment Form (REASSESSMENT) LEA NAME: Chicago Public Schools UNIT NUMBER: 23011 BUIDLING ID: 3100

CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Lisa Laney

SCHOOL NAME: Drake School INSPECTION DATE: 3/25/2013

ADDRESS: 2722 S. King Dr. IDPH LICENSE NO: 100-07839

INFORMATION FROM PREVIOUS INSPECTION

HOMOGENEOUS AREA: 1

MATERIAL DESCRIPTION: Hard Coat Plaster

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 763.85 and 763.88 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: MODERATE

MATERIAL LOCATION: Throughout Building

MATERIAL QUANTITY: 10000 MATERIAL UNITS: SF

DAMAGE QUANTITY: DAMAGE UNITS: SF

COMMENTS:

Inspector's Signature: Date: 03/25/2013




Management Planner Review FormLEA NAME: Chicago Public Schools UNIT NUMBER: 23011 BUIDLING ID: 3100

CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Daniel Juneau

SCHOOL NAME: Drake School REVIEW DATE: 4/24/2013


HOMOGENEOUS AREA: 1


MATERIAL LOCATION: Throughout Building


DAMAGE QUANTITY: 0 DAMAGE UNITS: SF

In accordance with Sections 763.88 and 763.90 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 763.88 and 763.90 with the following recommendations.

The RESPONSE ACTION recommendation is:

Comments:

Management Planner's Signature: Date: 04/24/2013









HOMOGENEOUS AREA: 10

MATERIAL DESCRIPTION: Roof Material and Flashing - NOT AHERA

HISTORICAL AHERA DAMAGE CATEGORY



ASBESTOS TYPE: No ACBM FRIABLE:



The current AHERA DAMAGE CATEGORY is determined to be .

DAMAGE REASON:

DISTURBANCE POTENTIAL:

MATERIAL LOCATION: Roof

MATERIAL QUANTITY: MATERIAL UNITS:

DAMAGE QUANTITY: DAMAGE UNITS:

COMMENTS:










MATERIAL DESCRIPTION: Roof Material and Flashing - NOT AHERA

MATERIAL LOCATION: Roof





Comments:











MATERIAL DESCRIPTION: Exterior Brick - NOT AHERA








DAMAGE REASON:


MATERIAL LOCATION: Exterior of Building



COMMENTS:










MATERIAL DESCRIPTION: Exterior Brick - NOT AHERA






Comments:











MATERIAL DESCRIPTION: Exterior Brick Mortar - NOT AHERA








DAMAGE REASON:





COMMENTS:










MATERIAL DESCRIPTION: Exterior Brick Mortar - NOT AHERA






Comments:











MATERIAL DESCRIPTION: Incinerator Fire Brick








DAMAGE REASON:


MATERIAL LOCATION: Incinerator



COMMENTS:










MATERIAL DESCRIPTION: Incinerator Fire Brick

MATERIAL LOCATION: Incinerator





Comments:










HOMOGENEOUS AREA: 14.1

MATERIAL DESCRIPTION: New Acoustical Ceiling Plaster




ASBESTOS TYPE: FRIABLE:




DAMAGE REASON:


MATERIAL LOCATION: 1st & 2nd Floor Corridors, Classrooms, Office, Lunchroom, Janitor's Closets, etc.



COMMENTS:










MATERIAL DESCRIPTION: New Acoustical Ceiling Plaster

MATERIAL LOCATION: 1st & 2nd Floor Corridors, Classrooms, Office, Lunchroom, Janitor's Closets, etc.





Comments:











MATERIAL DESCRIPTION: New Accoustical Ceiling Plaster

HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage


HISTORICAL RESPONSE ACTION: Operations and Maintenance

ASBESTOS TYPE: Chrysotile FRIABLE: Yes




DAMAGE REASON: Water


MATERIAL LOCATION: 3rd Floor Corridor



COMMENTS:










MATERIAL DESCRIPTION: New Accoustical Ceiling Plaster

MATERIAL LOCATION: 3rd Floor Corridor






Comments:











MATERIAL DESCRIPTION: Caulk








DAMAGE REASON:


MATERIAL LOCATION: Where Incinerator Stack Joins Chimney in Incinerator Room



COMMENTS:










MATERIAL DESCRIPTION: Caulk

MATERIAL LOCATION: Where Incinerator Stack Joins Chimney in Incinerator Room





Comments:











MATERIAL DESCRIPTION: Cementitious Material on Top of Incinerator Stack








DAMAGE REASON:


MATERIAL LOCATION: Incinerator Room



COMMENTS:










MATERIAL DESCRIPTION: Cementitious Material on Top of Incinerator Stack






Comments:











MATERIAL DESCRIPTION: Cementitious Material on Side of Stack








DAMAGE REASON:





COMMENTS:










MATERIAL DESCRIPTION: Cementitious Material on Side of Stack






Comments:











MATERIAL DESCRIPTION: Window Caulk








DAMAGE REASON:





COMMENTS:










MATERIAL DESCRIPTION: Window Caulk






Comments:











MATERIAL DESCRIPTION: Purple Carpet Mastic








DAMAGE REASON:

DISTURBANCE POTENTIAL: LOW

MATERIAL LOCATION: Office



COMMENTS:










MATERIAL DESCRIPTION: Purple Carpet Mastic

MATERIAL LOCATION: Office






Comments:










HOMOGENEOUS AREA: 2

MATERIAL DESCRIPTION: Acoustical Ceiling Plaster







The current AHERA DAMAGE CATEGORY is determined to be 7. Any remaining friable ACBM or friable suspect ACBM

DAMAGE REASON:


MATERIAL LOCATION: Auditorium



COMMENTS:









HOMOGENEOUS AREA: 2

MATERIAL DESCRIPTION: Acoustical Ceiling Plaster

MATERIAL LOCATION: Auditorium






Comments:











MATERIAL DESCRIPTION: Deep Purple Carpet Mastic








DAMAGE REASON:


MATERIAL LOCATION: Principal's Office



COMMENTS:










MATERIAL DESCRIPTION: Deep Purple Carpet Mastic

MATERIAL LOCATION: Principal's Office






Comments:











MATERIAL DESCRIPTION: Blue Carpet Mastic








DAMAGE REASON:


MATERIAL LOCATION: Room 305 and 307, Library



COMMENTS:










MATERIAL DESCRIPTION: Blue Carpet Mastic

MATERIAL LOCATION: Room 305 and 307, Library






Comments:










HOMOGENEOUS AREA: 3









DAMAGE REASON:


MATERIAL LOCATION: Boiler Room and Kitchen



COMMENTS:









HOMOGENEOUS AREA: 3


MATERIAL LOCATION: Boiler Room and Kitchen





Comments:










HOMOGENEOUS AREA: 4

MATERIAL DESCRIPTION: 1' x 1' Ceiling Tile








DAMAGE REASON:


MATERIAL LOCATION: Lunchroom and Office Area



COMMENTS:









HOMOGENEOUS AREA: 4

MATERIAL DESCRIPTION: 1' x 1' Ceiling Tile

MATERIAL LOCATION: Lunchroom and Office Area





Comments:










HOMOGENEOUS AREA: 5

MATERIAL DESCRIPTION: 2' x 2' Acoustical Ceiling Tile




ASBESTOS TYPE: Assumed FRIABLE: Yes




DAMAGE REASON:


MATERIAL LOCATION: Gym



COMMENTS:









HOMOGENEOUS AREA: 5

MATERIAL DESCRIPTION: 2' x 2' Acoustical Ceiling Tile

MATERIAL LOCATION: Gym






Comments:











MATERIAL DESCRIPTION: 9" X 9" Gray Floor Tile




ASBESTOS TYPE: Chrysotile FRIABLE: No




DAMAGE REASON:

DISTURBANCE POTENTIAL: HIGH

MATERIAL LOCATION: Offices, Store Rooms, Corridors



COMMENTS:










MATERIAL DESCRIPTION: 9" X 9" Gray Floor Tile

MATERIAL LOCATION: Offices, Store Rooms, Corridors






Comments:











MATERIAL DESCRIPTION: 9" x 9" Brown w/ Beige Specks Floor Tile








DAMAGE REASON:


MATERIAL LOCATION: Teacher's Lunchroom



COMMENTS:










MATERIAL DESCRIPTION: 9" x 9" Brown w/ Beige Specks Floor Tile

MATERIAL LOCATION: Teacher's Lunchroom






Comments:











MATERIAL DESCRIPTION: 9" x 9" Green Floor Tile ABATED




ASBESTOS TYPE: Abated FRIABLE:




DAMAGE REASON:


MATERIAL LOCATION: Corridors



COMMENTS: Abated.










MATERIAL DESCRIPTION: 9" x 9" Green Floor Tile ABATED






Comments:











MATERIAL DESCRIPTION: 9" x 9" Tan Floor Tile








DAMAGE REASON:


MATERIAL LOCATION: Classrooms, Offices, and Stairwells, Custodians Office, Gym Office, Gym Storage Rooms



COMMENTS:










MATERIAL DESCRIPTION: 9" x 9" Tan Floor Tile







Comments:











MATERIAL DESCRIPTION: 9" x 9" Black Floor Tile ABATED








DAMAGE REASON:


MATERIAL LOCATION: Classrooms, Washrooms, Janitor's Closet



COMMENTS: Abated.










MATERIAL DESCRIPTION: 9" x 9" Black Floor Tile ABATED

MATERIAL LOCATION: Classrooms, Washrooms, Janitor's Closet





Comments:











MATERIAL DESCRIPTION: 9" x 9" Red Floor Tile ABATED








DAMAGE REASON:


MATERIAL LOCATION: 1st Floor Corridor



COMMENTS:










MATERIAL DESCRIPTION: 9" x 9" Red Floor Tile ABATED






Comments:











MATERIAL DESCRIPTION: 9" x 9" Dark Tan Floor Tile ABATED








DAMAGE REASON:


MATERIAL LOCATION: Rooms 301, 313



COMMENTS: Abated.










MATERIAL DESCRIPTION: 9" x 9" Dark Tan Floor Tile ABATED






Comments:











MATERIAL DESCRIPTION: 9" x 9" Grey Floor Tile w/ Specks








DAMAGE REASON:


MATERIAL LOCATION: Men's & Women's Locker Rooms by Kitchen



COMMENTS:










MATERIAL DESCRIPTION: 9" x 9" Grey Floor Tile w/ Specks







Comments:











MATERIAL DESCRIPTION: 9" x 9" White FT w/Black Specks - ABATED








DAMAGE REASON:


MATERIAL LOCATION: Kitchen



COMMENTS: Abated.










MATERIAL DESCRIPTION: 9" x 9" White FT w/Black Specks - ABATED






Comments:











MATERIAL DESCRIPTION: 12" x 12" White Floor Tile w/Tan Speckles ABATED








DAMAGE REASON:


MATERIAL LOCATION: Room 309, 3rd Floor TV, 1st floor N & NW Entrance



COMMENTS: Abated.










MATERIAL DESCRIPTION: 12" x 12" White Floor Tile w/Tan Speckles ABATED

MATERIAL LOCATION: Room 309, 3rd Floor TV, 1st floor N & NW Entrance





Comments:











MATERIAL DESCRIPTION: 12" x 12" Tan Floor Tile w/Tan Speckles








DAMAGE REASON:


MATERIAL LOCATION: Rooms 111, 115, Auditorium and 1st Floor Corridor



COMMENTS:










MATERIAL DESCRIPTION: 12" x 12" Tan Floor Tile w/Tan Speckles






Comments:











MATERIAL DESCRIPTION: 12" x 12" Gray Floor Tile w/White & Gray Speckles








DAMAGE REASON:


MATERIAL LOCATION: Lunchroom



COMMENTS:










MATERIAL DESCRIPTION: 12" x 12" Gray Floor Tile w/White & Gray Speckles







Comments:











MATERIAL DESCRIPTION: 12" x 12" Brown Floor Tile w/Brown & White Specks-ABATED








DAMAGE REASON:


MATERIAL LOCATION: Main Entrance, SW Entrance, 3rd Floor TV Room



COMMENTS:










MATERIAL DESCRIPTION: 12" x 12" Brown Floor Tile w/Brown & White Specks-ABATED

MATERIAL LOCATION: Main Entrance, SW Entrance, 3rd Floor TV Room





Comments:











MATERIAL DESCRIPTION: 12" x 12 Off-White Floor Tile w/Blk,Gry, Wh Specks-ABATED








DAMAGE REASON:


MATERIAL LOCATION: Rooms 304, 305, and 311



COMMENTS:










MATERIAL DESCRIPTION: 12" x 12 Off-White Floor Tile w/Blk,Gry, Wh Specks-ABATED

MATERIAL LOCATION: Rooms 304, 305, and 311





Comments:











MATERIAL DESCRIPTION: 12" x 12" Dark Gray Floor Tile








DAMAGE REASON:


MATERIAL LOCATION: Classrooms and Corridors



COMMENTS:










MATERIAL DESCRIPTION: 12" x 12" Dark Gray Floor Tile

MATERIAL LOCATION: Classrooms and Corridors





Comments:











MATERIAL DESCRIPTION: 12" x 12" Black Floor Tile w/White Specks








DAMAGE REASON:


MATERIAL LOCATION: Classrooms, Corridors and Storage Rooms



COMMENTS:










MATERIAL DESCRIPTION: 12" x 12" Black Floor Tile w/White Specks






Comments:











MATERIAL DESCRIPTION: 9" X 9" Gray Floor Tile Mastic

HISTORICAL AHERA DAMAGE CATEGORY ACBM with the potential for damage







DAMAGE REASON:

DISTURBANCE POTENTIAL: Low

MATERIAL LOCATION: Classrooms, Offices, Store Rooms, Corridors



COMMENTS: Not Observed.










MATERIAL DESCRIPTION: 9" X 9" Gray Floor Tile Mastic

MATERIAL LOCATION: Classrooms, Offices, Store Rooms, Corridors






Comments:











MATERIAL DESCRIPTION: 9" x 9" Brown w/ Beige Specks Floor Tile Mastic

HISTORICAL AHERA DAMAGE CATEGORY ACBM with the potential for damage







DAMAGE REASON:


MATERIAL LOCATION: Classrooms, Teacher's Lunchroom













MATERIAL DESCRIPTION: 9" x 9" Brown w/ Beige Specks Floor Tile Mastic

MATERIAL LOCATION: Classrooms, Teacher's Lunchroom






Comments:











MATERIAL DESCRIPTION: 9" x 9" Green Floor Tile Mastic - ABATED








DAMAGE REASON:





COMMENTS: Abated.










MATERIAL DESCRIPTION: 9" x 9" Green Floor Tile Mastic - ABATED






Comments:











MATERIAL DESCRIPTION: 9" x 9" Tan Floor Tile Mastic








DAMAGE REASON:





COMMENTS:

















Comments:











MATERIAL DESCRIPTION: 9" x 9" Black Floor Tile Mastic - ABATED








DAMAGE REASON:


MATERIAL LOCATION: Classrooms, Washrooms and Janitor's Closet



COMMENTS: Abated.










MATERIAL DESCRIPTION: 9" x 9" Black Floor Tile Mastic - ABATED

MATERIAL LOCATION: Classrooms, Washrooms and Janitor's Closet





Comments:











MATERIAL DESCRIPTION: 9" x 9" Red Floor Tile Mastic - ABATED








DAMAGE REASON:





COMMENTS:










MATERIAL DESCRIPTION: 9" x 9" Red Floor Tile Mastic - ABATED






Comments:











MATERIAL DESCRIPTION: 9" x 9" Dark Tan Floor Tile Mastic




ASBESTOS TYPE: Assumed FRIABLE:




DAMAGE REASON:





COMMENTS: Not Observed, has been removed.










MATERIAL DESCRIPTION: 9" x 9" Dark Tan Floor Tile Mastic






Comments:











MATERIAL DESCRIPTION: 9" x 9" Gray Floor Tile w/ Specks Mastic








DAMAGE REASON:





COMMENTS:










MATERIAL DESCRIPTION: 9" x 9" Gray Floor Tile w/ Specks Mastic







Comments:











MATERIAL DESCRIPTION: 9" x 9" White Floor Tile w/Black Specks Mastic








DAMAGE REASON:





COMMENTS: Abated.










MATERIAL DESCRIPTION: 9" x 9" White Floor Tile w/Black Specks Mastic






Comments:











MATERIAL DESCRIPTION: 12" x 12" White FT w/ Tan Speckles Mastic - ABATED








DAMAGE REASON:


MATERIAL LOCATION: Room 309



COMMENTS:










MATERIAL DESCRIPTION: 12" x 12" White FT w/ Tan Speckles Mastic - ABATED

MATERIAL LOCATION: Room 309





Comments:



















DAMAGE REASON:





COMMENTS:

















Comments:











MATERIAL DESCRIPTION: 12" x 12" Gray Floor Tile w/Wh & Gry Spkles Mastic








DAMAGE REASON:





COMMENTS:










MATERIAL DESCRIPTION: 12" x 12" Gray Floor Tile w/Wh & Gry Spkles Mastic







Comments:











MATERIAL DESCRIPTION: 12" x 12" Dark Gray Floor Tile Mastic








DAMAGE REASON:


MATERIAL LOCATION: Classrooms & Corridors



COMMENTS:










MATERIAL DESCRIPTION: 12" x 12" Dark Gray Floor Tile Mastic

MATERIAL LOCATION: Classrooms & Corridors






Comments:











MATERIAL DESCRIPTION: 12" x 12" Black Floor Tile w/ White Specks Mastic








DAMAGE REASON:





COMMENTS:










MATERIAL DESCRIPTION: 12" x 12" Black Floor Tile w/ White Specks Mastic






Comments:










HOMOGENEOUS AREA: A

MATERIAL DESCRIPTION: Fiberglass Boiler Insulation








DAMAGE REASON:


MATERIAL LOCATION: Boiler Room



COMMENTS: Fiberglass not suspect to contain asbestos









HOMOGENEOUS AREA: A

MATERIAL DESCRIPTION: Fiberglass Boiler Insulation






Comments:










HOMOGENEOUS AREA: B

MATERIAL DESCRIPTION: Fiberglass Pipe Insulation








DAMAGE REASON:


MATERIAL LOCATION: Boiler Room, Tunnels, Mech. Rooms












HOMOGENEOUS AREA: B

MATERIAL DESCRIPTION: Fiberglass Pipe Insulation

MATERIAL LOCATION: Boiler Room, Tunnels, Mech. Rooms





Comments:










HOMOGENEOUS AREA: C

MATERIAL DESCRIPTION: Hard Joint Compound on Fiberglass Pipe Insulation








DAMAGE REASON:


MATERIAL LOCATION: Boiler Room, Tunnels, Mech. Room

MATERIAL QUANTITY: 180 MATERIAL UNITS: LF

DAMAGE QUANTITY: DAMAGE UNITS: LF

COMMENTS:









HOMOGENEOUS AREA: C

MATERIAL DESCRIPTION: Hard Joint Compound on Fiberglass Pipe Insulation

MATERIAL LOCATION: Boiler Room, Tunnels, Mech. Room


DAMAGE QUANTITY: 0 DAMAGE UNITS: LF




Comments:










HOMOGENEOUS AREA: D

MATERIAL DESCRIPTION: Duct Insulation




ASBESTOS TYPE: Amosite FRIABLE: Yes




DAMAGE REASON:





COMMENTS:









HOMOGENEOUS AREA: D

MATERIAL DESCRIPTION: Duct Insulation







Comments:










HOMOGENEOUS AREA: E

MATERIAL DESCRIPTION: Tank #1 Insulation




ASBESTOS TYPE: Amosite FRIABLE: Yes




DAMAGE REASON:





COMMENTS:









HOMOGENEOUS AREA: E








Comments:










HOMOGENEOUS AREA: F





ASBESTOS TYPE: Amosite, Chrysotile FRIABLE: Yes




DAMAGE REASON:





COMMENTS:









HOMOGENEOUS AREA: F








Comments:










HOMOGENEOUS AREA: G

MATERIAL DESCRIPTION: Hot Water Tank


HISTORICAL DAMAGE REASON: Physical Damage


ASBESTOS TYPE: Amosite, Chrysotile FRIABLE: Yes




DAMAGE REASON:





COMMENTS:









HOMOGENEOUS AREA: G

MATERIAL DESCRIPTION: Hot Water Tank







Comments:










HOMOGENEOUS AREA: H

MATERIAL DESCRIPTION: Fiberglass Duct Covering








DAMAGE REASON:


MATERIAL LOCATION: Mechanical Room












HOMOGENEOUS AREA: H

MATERIAL DESCRIPTION: Fiberglass Duct Covering

MATERIAL LOCATION: Mechanical Room





Comments:










HOMOGENEOUS AREA: I / J

MATERIAL DESCRIPTION: Tank#3 Insulation (Insulation on Heat Exchanger)








DAMAGE REASON:





COMMENTS:









HOMOGENEOUS AREA: I / J

MATERIAL DESCRIPTION: Tank#3 Insulation (Insulation on Heat Exchanger)







Comments:










HOMOGENEOUS AREA: K

MATERIAL DESCRIPTION: Paperwrap Pipe Insulation








DAMAGE REASON:


MATERIAL LOCATION: Boiler Room & Tunnel



COMMENTS:









HOMOGENEOUS AREA: K

MATERIAL DESCRIPTION: Paperwrap Pipe Insulation







Comments:










HOMOGENEOUS AREA: L

MATERIAL DESCRIPTION: Hard Joint Compound on Paperwrap Pipe Insulation








DAMAGE REASON:





COMMENTS:









HOMOGENEOUS AREA: L

MATERIAL DESCRIPTION: Hard Joint Compound on Paperwrap Pipe Insulation







Comments:










HOMOGENEOUS AREA: M

MATERIAL DESCRIPTION: Material between pre-cast concrete panels








DAMAGE REASON:


MATERIAL LOCATION: 3rd floor












HOMOGENEOUS AREA: M

MATERIAL DESCRIPTION: Material between pre-cast concrete panels

MATERIAL LOCATION: 3rd floor





Comments:










HOMOGENEOUS AREA: N

MATERIAL DESCRIPTION: Acoustical Plaster








DAMAGE REASON:


MATERIAL LOCATION: 1st floor bathrooms



COMMENTS:









HOMOGENEOUS AREA: N

MATERIAL DESCRIPTION: Acoustical Plaster

MATERIAL LOCATION: 1st floor bathrooms






Comments:


APPENDIX B

Inspector and Management Planner Licenses

APPENDIX C

Laboratory Accreditations

APPENDIX D

Laboratory Results

APPENDIX E

Chain of Custody Forms

Three-Year Reinspection Key to Terms

CODE KEYMATERIAL

ACBM Asbestos Containing Building MaterialsMATERIAL CATEGORY

MISC Miscellaneous

SURF Surfacing

TSI Thermal System InsulationMATERIAL UNITS

LF Linear Feet

SF Square Feet

CF Cubic FeetDAMAGE TYPE

Loc Localized

Dist Distributed

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