illinois department of public health ahera three year...

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: 14-016-2990-2398SCHOOL NAME: Peck SchoolADDRESS OF SCHOOL: 3826 W. 58th St.CITY: Chicago, IL, 60629

DATE LAST THREE YEAR REINSPECTION WAS COMPLETED 3/21/2013If 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: 4/6/2016 ENROLLMENT 1008

IDPH INSPECTOR LICENSE NUMBER: 100-03175

IDPH LICENSED INSPECTOR NAME (Please Print): Marcos Iwankiw

IDPH MP LICENSE NUMBER: 100-03613

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

DESIGNATED PERSON (Please Print): Robert Christlieb PHONE: (773) 553-3197

4/6/2016

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. 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

Peck School

3826 W. 58th St.Chicago, IL, 60629

Unit: 24871Building ID: 5340

IDPH ID Number: 14-016-2990-2398

REPORT DATE:Wednesday, April 06, 2016

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 18, 2016

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

Re: Chicago Public Schools - 2016 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: 24871 Region: 05 IDPH ID: 14-016-2990-2398

School: Peck School Building ID: 5340

Address: 3826 W. 58th St.

Chicago, IL, 60629

Building Contact: Contact Phone:

Current Building Owners: Chicago Public Schools

Review Date: 04/06/2016

Inspector: Marcos Iwankiw Inspector IDPH License: 100-03175Management 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 18, 2016

RE: Peck School, Unit 24871 3826 W. 58th St. Chicago, IL, 60629

Dear Faculty, Staff and Parents,

This letter is to notify you that the 2016 asbestos three year re-inspection has been completed at Peck School , 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 Peck 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 Robert Christlieb, the designated Local Education Authority's Designated Person at (773) 553-3197 .

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: Peck School Unit: 24871 Region: 05Address: 3826 W. 58th St. Chicago, IL, 60629IDPH ID: 14-016-2990-2398 Building ID: 5340Contact: Phone:

2. Description of Facility

Original Construction: Additional Construction: Total Square Footage: No of Floors: Current Occupancy: 1008

3. LEA Designated Person

Contact: Robert Christlieb Phone: (773) 553-3197Address: 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: Marcos Iwankiw

Signature: Inspector IDPH license # 100-03175 Date: 3/18/2016

6. Management Planner

Management Planner Name: Daniel Juneau

Signature: Management Planner IDPH license # 100-03613 Date: 04/06/2016

7. Review Date: 04/06/2016

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: 4/6/2016

Name: Robert Christlieb

Unit : 24871 Peck School Building: 5340

Unit: 24871 Peck School Building: 5340

II. EXECUTIVE SUMMARY

Carnow, Conibear and Associates was retained by the Chicago Public Schools (CPS) to perform a three-year asbestos reinspection of the Peck 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 5340:

0 Blue-Purple Carpet Mastic

001 Plaster Ceilings

002 2'x4' Lay In Ceiling Panels

005 Cellulose Pipe Insulation

020 Plaster Walls

021 1'x1' Acoustical Ceilling Tile

024D 9"x9" Brown Floor Tile

025C 9x9 Gray w/Wihite & Pink Streaks Floor TileMastic

027 Drywall


028 Drywall Tape and Mud

033 Wallboard

036 Wallboard

039 Wallboard

042 12"x12" Blue Floor Tile

044 Brown Vinyl Baseboard

045 Brown Vinyl Baseboard Mastic

046 Cream Vinyl Baseboard

047 Cream Vinyl Baseborad Mastic

048 Pink Vinyl Baseboard

049 Pink Vinyl Baseboard Mastic

050 Cream Vinyl Baseboard

051 Cream Vinyl Baseboard Mastic

052 Pink Vinyl Baseboard

053 Pink Vinyl Baseboard Mastic

060 Insulation Behind Metal Behind Radiators

063 Drywall Compound

064 Ceramic Wall Tile Adhesive

065 Green Carpet Adhesive

066 Ceramic Floor Tile Grout



083 12"x12" Beige w/Gray and Brown Streaks FloorTile


94 12" x 12" Tan w/ Brown Spots Floor Tile

95 Mastic Associated w/ 12" x 12" Tan w/ Brown SpotsFloor Tile

96 Blue Linoleum

97 Orange Linoleum

98 2' X 2' Wormy Ceiling Tile

99 Baseboard Mastic

C aircell pipe insulation

FF 12"x12" Off White w/ Grey Streaks Floor TileMastic

R Waffle Pipe Fittings


B. The following new homogenous areas have been identified for Building 5340:

94 12" x 12" Tan w/ Brown Spots Floor Tile

95 Mastic Associated w/ 12" x 12" Tan w/ Brown SpotsFloor Tile

96 Blue Linoleum

97 Orange Linoleum

98 2' X 2' Wormy Ceiling Tile

99 Baseboard Mastic


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:

0 Blue-Purple Carpet Mastic001 Plaster Ceilings002 2'x4' Lay In Ceiling Panels005 Cellulose Pipe Insulation020 Plaster Walls021 1'x1' Acoustical Ceilling Tile022A 12x12 Taupe Specked Floor Tile022B 12x12 Tan Floor Tile022C 12x12 Cream w/Tan Specks Floor Tile022D 12x12 Beige w/White & Brown Specks Floor Tile022F 12"x12" White Floor Tile023E 12"x12" White w/Charcoal Specks Floor Tile

Adhesive023F 12"x12" White Floor Tile Adhesive024D 9"x9" Brown Floor Tile025C 9x9 Gray w/Wihite & Pink Streaks Floor Tile

Mastic025D 9"x9" Brown Floor Tile Mastic026 1'x1' Acoustical Ceiling Tile Adhesive027 Drywall028 Drywall Tape and Mud031 12"x12" Beige Floor Tile033 Wallboard034 12"x12" Cream Floor Tile036 Wallboard037 12"x12" Pink Floor Tile039 Wallboard040 12"x12" Beoge Floor Tile042 12"x12" Blue Floor Tile044 Brown Vinyl Baseboard045 Brown Vinyl Baseboard Mastic046 Cream Vinyl Baseboard047 Cream Vinyl Baseborad Mastic048 Pink Vinyl Baseboard049 Pink Vinyl Baseboard Mastic050 Cream Vinyl Baseboard051 Cream Vinyl Baseboard Mastic052 Pink Vinyl Baseboard053 Pink Vinyl Baseboard Mastic054 Green Chalk Boards and Adhesive055 Caulk on Walls Above Fireplace056 4" Brown Vinyl Baseboard


057 4" Brown Vinyl Baseboard Adhesive058 Tectum Ceiling Panels059 Mastic Beneath Wood Flooring060 Insulation Behind Metal Behind Radiators061 Terrazzo062 Drywall063 Drywall Compound064 Ceramic Wall Tile Adhesive065 Green Carpet Adhesive066 Ceramic Floor Tile Grout067 Ceramic Floor Tile Adhesive068 Caulk on Wood Windows069 Wndow Glazing on Wood Windows070 Beige Sheet Flooring071 Beige Sheet Flooring Adhesive072 Textured Paint073 2'x4' Lay In Ceiling Panels074 2'x4' Lay In Ceiling Panels075 Textured Ceiling Paint076 Beige Sheet Flooring077 Beige Sheet Flooring Adhesive078 Wallboard079 Drywall080 Drywall Compound081 12"x12" Gray w/Black Specks Floor Tile082 12"x12" Gray w/Black Specks Floor Tile Adhesive083 12"x12" Beige w/Gray and Brown Streaks Floor

Tile084 12"x12" Beige w/Gray and Brown Streaks Floor

Tile Adhesive085 6" Black Vinyl Baseboard086 6" Black Vinyl Baseboard Adhesive088 4" Beige Vinyl Baseboard089 4" Beige Vinyl Baseboard Adhesive090 2'x4' Lay In Ceiling Panels091 Chalkboard and Marker Board Adhesive092 Chalkboard and Marker Board Adhesive093 Chalkboard and Marker Board Adhesive94 12" x 12" Tan w/ Brown Spots Floor Tile95 Mastic Associated w/ 12" x 12" Tan w/ Brown Spots

Floor Tile96 Blue Linoleum97 Orange Linoleum98 2' X 2' Wormy Ceiling Tile99 Baseboard MasticAA 12"x12" Green w/ Black Specks Floor TileBB 12"x12" Green w/ Black Specks Floor Tile MasticCC 12"x12" Yellow w/ Black Specks Floor Tile


DD 12"x12" Yellow w/ Black Specks Floor Tile MasticEE 12"x12" Off White w/ Grey Streaks Floor TileFF 12"x12" Off White w/ Grey Streaks Floor Tile

MasticGG 12"x12" Off White w/ Grey Streaks Floor TileHH 12"x12" Off White w/ Grey Streaks Floor Tile

MasticJ Tank InsulationR Waffle Pipe FittingsU 12"x12" Grey w/ Grey & White Streaks Floor TileV 12"x12" Grey w/ Grey & White Streaks Floor Tile

MasticW 12"x12" Brown w/ Black Specks Floor TileX 12"x12" Brown w/ Black Specks Floor Tile MasticY 12"x12" Blue w/ Black Specks Floor TileZ 12"x12" Blue w/ Black Specks Floor Tile Mastic

The following areas were deemed to be inaccessible:

0 Blue-Purple Carpet Mastic023B 12x12 Tan Floor Tile Mastic023F 12"x12" White Floor Tile Adhesive025C 9x9 Gray w/Wihite & Pink Streaks Floor Tile

Mastic026 1'x1' Acoustical Ceiling Tile Adhesive045 Brown Vinyl Baseboard Mastic047 Cream Vinyl Baseborad Mastic049 Pink Vinyl Baseboard Mastic051 Cream Vinyl Baseboard Mastic053 Pink Vinyl Baseboard Mastic054 Green Chalk Boards and Adhesive057 4" Brown Vinyl Baseboard Adhesive059 Mastic Beneath Wood Flooring060 Insulation Behind Metal Behind Radiators064 Ceramic Wall Tile Adhesive065 Green Carpet Adhesive067 Ceramic Floor Tile Adhesive071 Beige Sheet Flooring Adhesive077 Beige Sheet Flooring Adhesive082 12"x12" Gray w/Black Specks Floor Tile Adhesive087 Mirror Adhesive089 4" Beige Vinyl Baseboard Adhesive091 Chalkboard and Marker Board Adhesive092 Chalkboard and Marker Board Adhesive093 Chalkboard and Marker Board Adhesive95 Mastic Associated w/ 12" x 12" Tan w/ Brown Spots


Floor Tile99 Baseboard MasticBB 12"x12" Green w/ Black Specks Floor Tile MasticDD 12"x12" Yellow w/ Black Specks Floor Tile MasticX 12"x12" Brown w/ Black Specks Floor Tile MasticZ 12"x12" Blue w/ Black Specks 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 Marcos Iwankiw, IDPH License # 100-03175. 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 Peck School Building 5340 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 Peck School Unit 24871 Building ID 5340 Address 3826 W. 58th St. Region 05

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

0 Blue-Purple Carpet Mastic 600 SF Rooms 124, 128, 208, Main Office

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

LOW

001 Plaster Ceilings 10,000 SF Throughout Facility ASSUMED SURFACE N NONE 0 Yes ACBM with potential for significant damage

LOW

002 2'x4' Lay In Ceiling Panels 10,000 SF Throughout Facility ASSUMED MISC Y NONE 0 Yes Any remaining friable ACBM or friable suspect ACBM

LOW

005 Cellulose Pipe Insulation 700 LF Coal Storage ASSUMED TSI Y NONE 0 Yes Any remaining friable ACBM or friable suspect ACBM

LOW

009 Fiberglass Pipe Insulation Throughout Facility NOT_TESTED

TSI

012 Loose Fill Fiberglass Insulation Attic NOT_TESTED

TSI

014 Insulation between Boiler and Steel Jacket Boiler Room ABATED MISC019 Boiler Packing on Inside of Boiler Doors Boiler Room ABATED MISC020 Plaster Walls 20,000 SF Throughout Facility ASSUMED SURFACE Y NONE 0 Yes Any remaining friable

ACBM or friable suspect ACBM

LOW

021 1'x1' Acoustical Ceilling Tile 600 SF Rooms 222 and 224 ASSUMED MISC Y NONE 0 Yes Any remaining friable ACBM or friable suspect ACBM

LOW

022A 12x12 Taupe Specked Floor Tile 15,000 SF 1st & 2nd Flor Corridors, 2nd FloorWest Room, Bilingual Spanish Room, 127, Storage,Library Storage, Kitchen, 2nd Floor Storages

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

LOW

022B 12x12 Tan Floor Tile 496 SF Polish Bilingual Room 227


LOW

022C 12x12 Cream w/Tan Specks Floor Tile 1,500 SF Rooms 114, 121 ASSUMED MISC N NONE 0 No ACBM with the potential for damage

LOW

022D 12x12 Beige w/White & Brown Specks Floor Tile

1,000 SF Main Office, 1 3/4 Floor Classroom, Room 1, Gym Storage, 127 Office, 223


LOW

022E 12"x12" White w/Charcoal Specks Floor Tile

116 and 124 ABATED MISC Loc Moderate

022F 12"x12" White Floor Tile 42 SF Engineer's Washroom


LOW

023A 12x12 Taupe Specked Floor Tile Mastic 1st & 2nd Flor NO_ACBM MISC







Material Units


Material Category

Friable Damage Type

Damage Quantity



Corridors, 2nd FloorWest Room, Bilingual Spanish Room, 127, Storage,Library Storage, Kitchen, 2nd Floor Storages

023B 12x12 Tan Floor Tile Mastic 496 SF Polish Bilingual Room 227

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

LOW

023C 12x12 cream w/tan specks floor tile mastic rooms 114, 121 ABATED MISC None Moderate023D 12x12 Beige w/White & Brown Specks

Floor Tile MasticMain Office, 1 3/4 Floor Classroom, Room 1, Gym Storage, 127 Office, 223

NO_ACBM MISC

023E 12"x12" White w/Charcoal Specks Floor Tile Adhesive

1,250 SF 116 and 124 ASSUMED MISC N NONE 0 No ACBM with the potential for damage

LOW

023F 12"x12" White Floor Tile Adhesive 42 SF Engineer's Washroom


LOW

024 C 9x9 gray w/pink & white streaks floor tile 140 SF main office storage CHR MISC N NONE 0 No ACBM with the potential for damage

LOW

024A 9x9 green w/white specks floor tile room 116 storage ABATED MISC Loc Moderate024B 9x9 white w/green specks floor tile room 116 storage ABATED MISC Loc Moderate024C 9x9 Green w/White Specks Floor Tile

MasticRoom 114 Storage NO_ACBM MISC

024D 9"x9" Brown Floor Tile 150 SF Engineer's Office and Boiler Room Washroom

ASSUMED MISC N LOC 4 Yes ACBM with the potential for damage

5 LOW

025B 9"x9" White w/Green Specks Floor Tile Mastic

Room 114 Storage NO_ACBM MISC

025C 9x9 Gray w/Wihite & Pink Streaks Floor Tile Mastic

140 LF Main Office Storage ASSUMED MISC N NONE 0 Yes ACBM with the potential for damage

LOW

025D 9"x9" Brown Floor Tile Mastic 150 SF Engineer's Office and Boiler Room Washroom


LOW

026 1'x1' Acoustical Ceiling Tile Adhesive 800 SF 122, 124 ASSUMED MISC N NONE 0 No ACBM with the potential for damage

LOW

027 Drywall 1,000 SF Bathrooms ASSUMED MISC N NONE 0 Yes ACBM with the potential for damage

LOW

028 Drywall Tape and Mud 1,000 SF Bathrooms ASSUMED MISC N NONE 0 Yes ACBM with the potential for damage

LOW

031 12"x12" Beige Floor Tile 700 SF Mobile Unit 400 ASSUMED MISC N NONE 0 No ACBM with the potential for damage

LOW

032 12"x12" Beige Floor Tile Mastic Mobile Unit 400 NO_ACBM MISC







Material Units


Material Category

Friable Damage Type

Damage Quantity



033 Wallboard 1,000 SF Mobile Unit 400 ASSUMED MISC N NONE 0 Yes ACBM with the potential for damage

LOW

034 12"x12" Cream Floor Tile 700 SF Mobile Unit 500 ASSUMED MISC N NONE 0 No ACBM with the potential for damage

LOW

035 12"x12" Cream Floor Tile Mastic Mobie Unit 500 NO_ACBM MISC036 Wallboard 1,000 SF Mobile Unit 500 ASSUMED MISC N NONE 0 Yes ACBM with the

potential for damageLOW

037 12"x12" Pink Floor Tile 700 SF Mobile Unit #3 ASSUMED MISC N NONE 0 No ACBM with the potential for damage

LOW

038 12"x12" Pink Floor Tile Mastic Mobile Unit #3 NO_ACBM MISC039 Wallboard 1,000 SF Mobile Unit #3 ASSUMED MISC N NONE 0 Yes ACBM with the


040 12"x12" Beoge Floor Tile 700 SF Classrooms and Corridor in Mobile Unit 400


LOW

041 12"x12" Beige Floor Tile Mastic mobile unit #1 - room 401, 403, 402

NO_ACBM MISC

042 12"x12" Blue Floor Tile 700 SF mobile unit #1 - room 402


LOW

043 12"x12" Blue Floor Tile Mastic mobile unit #1 - room 402

NO_ACBM MISC

044 Brown Vinyl Baseboard 400 LF Throughout Corridorand Classrooms in Mobile Unit 400


LOW

045 Brown Vinyl Baseboard Mastic 400 LF Throughout Corridorand Classrooms in Mobile Unit 400


LOW

046 Cream Vinyl Baseboard 300 LF Throughout Corridorand Classrooms in Mobile Unit 400


LOW

047 Cream Vinyl Baseborad Mastic 300 LF Throughout Corridorand Classrooms in Mobile Unit 400


LOW

048 Pink Vinyl Baseboard 600 LF Corridors, Girls Toilet, Boys Toilet, Mobile Unit #1


LOW

049 Pink Vinyl Baseboard Mastic 600 LF Mobile Unit #1: Corridors, Girls Toilet, Boys Toilet


LOW

050 Cream Vinyl Baseboard 300 LF Throughout Corridorand Classrooms in Mobile Unit 500


LOW

051 Cream Vinyl Baseboard Mastic 300 LF Throughout Corridorand Classrooms in


LOW







Material Units


Material Category

Friable Damage Type

Damage Quantity



Mobile Unit 500052 Pink Vinyl Baseboard 200 LF Mobile Unit #3 -

ThroughoutASSUMED MISC N NONE 0 Yes ACBM with the


053 Pink Vinyl Baseboard Mastic 300 LF Mobile Unit #3 - Throughout


LOW

054 Green Chalk Boards and Adhesive 3,600 SF In Classrooms Throughout Facility


LOW

055 Caulk on Walls Above Fireplace 8 LF 114 ASSUMED MISC N NONE 0 No ACBM with the potential for damage

LOW

056 4" Brown Vinyl Baseboard 163 LF 127, Office, 1 3/4 Floor Room, 223


LOW

057 4" Brown Vinyl Baseboard Adhesive 163 LF 127, Office, 1 3/4 Floor Room, 223


LOW

058 Tectum Ceiling Panels 2,480 SF Gym ASSUMED MISC N NONE 0 No ACBM with the potential for damage

LOW

059 Mastic Beneath Wood Flooring 2,480 SF Gym ASSUMED MISC N NONE 0 No ACBM with the potential for damage

LOW

060 Insulation Behind Metal Behind Radiators 160 SF Gym ASSUMED TSI Y NONE 0 Yes Any remaining friable ACBM or friable suspect ACBM

LOW

061 Terrazzo 3,300 SF Throughout Facility Inclusing Corridors, Entrances and Stairways


LOW

062 Drywall 163 LF 214, 222, 224 ASSUMED MISC N NONE 0 No ACBM with the potential for damage

LOW

063 Drywall Compound 250 SF 214, 222, 224 ASSUMED MISC N LOC 1 Yes ACBM with the potential for damage

5 LOW

064 Ceramic Wall Tile Adhesive 60 SF Behind Water Fountains in Corridors


LOW

065 Green Carpet Adhesive 100 SF Auditorium ASSUMED MISC N NONE 0 Yes ACBM with the potential for damage

LOW

066 Ceramic Floor Tile Grout 130 SF 116 & 124 Washrooms


LOW

067 Ceramic Floor Tile Adhesive 130 SF 116 & 124 Washrooms


LOW

068 Caulk on Wood Windows 24 SF Engineer's Office ASSUMED MISC N NONE 0 No ACBM with the potential for damage

LOW

069 Wndow Glazing on Wood Windows 24 SF Engineer's Office ASSUMED MISC N NONE 0 No ACBM with the potential for damage

LOW

070 Beige Sheet Flooring 288 SF Washrooms im Mobile Unit 400


LOW

071 Beige Sheet Flooring Adhesive 288 SF Washrooms im ASSUMED MISC N NONE 0 No ACBM with the LOW







Material Units


Material Category

Friable Damage Type

Damage Quantity



Mobile Unit 400 potential for damage072 Textured Paint 288 SF Washrooms in

Modular Building 400 and 500


LOW

073 2'x4' Lay In Ceiling Panels 4,410 SF Throughout ModularBuilding 400 with the exception of the Washrooms

ASSUMED MISC Y NONE 0 Yes Any remaining friable ACBM or friable suspect ACBM

LOW

074 2'x4' Lay In Ceiling Panels 4,410 SF Throughout Mobile Unit 500 with the exception of the Washrooms


LOW

075 Textured Ceiling Paint 288 SF Modular Unit 500 ASSUMED MISC N NONE 0 No ACBM with the potential for damage

LOW

076 Beige Sheet Flooring 288 SF Washrooms in Mobile Unit 500


LOW

077 Beige Sheet Flooring Adhesive 288 SF Washrooms in Modular Unit 500


LOW

078 Wallboard 16,000 SF Mobile Unit 400 and500

ASSUMED MISC Y LOC 2 No Damaged or significantly damaged friable misc. ACBM

5 MODERATE

079 Drywall 19,000 SF Throughout Annex ASSUMED MISC N NONE 0 No ACBM with the potential for damage

LOW

080 Drywall Compound 19,000 SF Throughout Annex ASSUMED MISC N NONE 0 No ACBM with the potential for damage

LOW

081 12"x12" Gray w/Black Specks Floor Tile 20,000 SF Throughout Annex with the exception of the Washrooms, Boiler Room, JanitorClosets and Electric Room


LOW

082 12"x12" Gray w/Black Specks Floor Tile Adhesive

20,000 SF Throughout Annex with the exception of the Washrooms, Boiler Room, JanitorClosets and Electric Room


LOW

083 12"x12" Beige w/Gray and Brown Streaks Floor Tile

1,240 SF Girl's & Boy's Washrooms in Annex


LOW

084 12"x12" Beige w/Gray and Brown Streaks Floor Tile Adhesive

1,240 SF Girl's and Boy's Washrooms in Annex


LOW

085 6" Black Vinyl Baseboard 250 LF Boy's and Girl's ASSUMED MISC N NONE 0 No ACBM with the LOW







Material Units


Material Category

Friable Damage Type

Damage Quantity



Washrooms in Annex

potential for damage

086 6" Black Vinyl Baseboard Adhesive 250 LF Boy's and Girl's Washrooms in Annex


LOW

087 Mirror Adhesive 12 SF Girl's Washroom ANT MISC N NONE 0 No ACBM with the potential for damage

LOW

088 4" Beige Vinyl Baseboard 1,960 LF Throughout Annex with the exception of the Washrooms, Boiler Room, JanitorClosets and Electric Room


LOW

089 4" Beige Vinyl Baseboard Adhesive 1,960 LF Throughout Annex with the exception of the Washrooms, Boiler Room, JanitorClosets and Electric Room


LOW

090 2'x4' Lay In Ceiling Panels 17,000 SF Throughout Annex with the exception of the Washrooms, Boiler Room, JanitorClosets and Electric Room

ASSUMED MISC Y NONE 0 No Any remaining friable ACBM or friable suspect ACBM

LOW

091 Chalkboard and Marker Board Adhesive 1,000 SF Annex Classrooms ASSUMED MISC N NONE 0 No ACBM with the potential for damage

LOW

092 Chalkboard and Marker Board Adhesive 400 SF Modular Building 400 Classrooms


LOW

093 Chalkboard and Marker Board Adhesive 200 SF Modular Building 500 Classrooms


LOW

94 12" x 12" Tan w/ Brown Spots Floor Tile 4,000 SF Throughout Building


LOW

95 Mastic Associated w/ 12" x 12" Tan w/ Brown Spots Floor Tile

4,000 SF Throughout Building


LOW

96 Blue Linoleum 300 SF Boy's Washroom ASSUMED MISC N NONE 0 Yes ACBM with the potential for damage

LOW

97 Orange Linoleum 300 SF Girl's Washroom ASSUMED MISC N NONE 0 Yes ACBM with the potential for damage

LOW

98 2' X 2' Wormy Ceiling Tile 5,000 SF Throughout Building


LOW

99 Baseboard Mastic 600 LF Throughout Building


LOW







Material Units


Material Category

Friable Damage Type

Damage Quantity



AA 12"x12" Green w/ Black Specks Floor Tile 60 SF Classrooms and Hallways (Annex)


LOW

BB 12"x12" Green w/ Black Specks Floor Tile Mastic

60 SF Classrooms and Hallways (Annex)


LOW

C aircell pipe insulation 225 LF basement pipe tunnels mechanical rooms

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

LOW

CC 12"x12" Yellow w/ Black Specks Floor Tile



LOW

D Mag Block Pipe Insulation Boiler Room, Pipe Tunnels, Air Tunnels

ABATED TSI None Moderate

DD 12"x12" Yellow w/ Black Specks Floor Tile Mastic



LOW

EE 12"x12" Off White w/ Grey Streaks Floor Tile

5,000 SF 400 Module (ExceptWashrooms)

ASSUMED MISC N LOC 20 No ACBM with the potential for damage

5 LOW

F aircell pipe fittings boiler room, air tunnels, pipe tunnels


FF 12"x12" Off White w/ Grey Streaks Floor Tile Mastic



LOW

G Mag Block Pipe Fittings Boiler Room, Air Tunnels, Pipe Tunnels


GG 12"x12" Off White w/ Grey Streaks Floor Tile



LOW

H cardboard hard fittings air tunnels ABATED TSI None ModerateHH 12"x12" Off White w/ Grey Streaks Floor

Tile Mastic5,000 SF 500 Module (Except

Washrooms)ASSUMED MISC N NONE 0 No ACBM with the


J Tank Insulation Material Not Observed - Metal Jacket Covering.

ASSUMED TSI

K Tank Packing Material Not Observed - Metal Jacket Covering

ABATED TSI

O Aircell Duct Insulation Crawl Spaces ABATED TSIP boiler gasket -rope boiler room ABATED TSI None LowQ waffle pipe insulation pipe tunnel, air

tunnelABATED TSI None Moderate

R Waffle Pipe Fittings 400 LF Pipe Tunnel, Air Tunnel


LOW

S Fiberglass Fittings boiler room, pipe tunnel, air tunnel

ABATED TSI Loc Moderate

T boiler gasket - hard boiler room ABATED TSI None LowU 12"x12" Grey w/ Grey & White Streaks 1,080 SF Boys and Girls ASSUMED MISC N NONE 0 No ACBM with the LOW







Material Units


Material Category

Friable Damage Type

Damage Quantity



Floor Tile Washrooms (Annex) potential for damageV 12"x12" Grey w/ Grey & White Streaks

Floor Tile Mastic1,080 SF Boys & Girls

Washroom (Annex)ASSUMED MISC N NONE 0 No ACBM with the


W 12"x12" Brown w/ Black Specks Floor Tile 60 SF Classrooms and Hallways (Annex)


LOW

X 12"x12" Brown w/ Black Specks Floor TileMastic



LOW

Y 12"x12" Blue w/ Black Specks Floor Tile 60 SF Classrooms and Hallways (Annex)


LOW

Z 12"x12" Blue w/ Black Specks Floor Tile Mastic



LOW






Reinspection Date 3/18/2016

Inspector Name Marcos Iwankiw

100-03175 5/15/2016Inspector's IDPH License Number / Expiration Date

Inspector's Comments

HA Number: Inspector Comments:0001002005009 Not a suspect material.012 Not a suspect material014019020021022A022B022C022D022E022F023A023B023C023D023E023F024 C024A






HA Number: Inspector Comments:024B024C024D Damage located in the Engineer's Office025B025C025D026027028031032033034035036037038039040041042043044045046047048049050






HA Number: Inspector Comments:051052053054055056057058059060061062063 Damage located in Room 222064065066067068069070071072073074075076077078 Damage located in Mobile Unit 400079






HA Number: Inspector Comments:080081082083084085086087088089090091092093949596979899AABBCCCDDDEE Damage located in Mobile Unit 400FFF






HA Number: Inspector Comments:GGGHHHJ Not observed 2016KOPQRSTUVWXYZ

Table II

Management Planner's Review

Chicago Public SchoolsSchool Peck School Unit 24871 Building ID 5340

Address 3826 W. 58th St. Chicago, IL, 60629 Region 05

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

0 Blue-Purple Carpet Mastic 600 SF Rooms 124, 128, 208, Main Office Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan001 Plaster Ceilings 10,000 SF Throughout Facility Assumed SURFACE No 0 SF 5 ACBM with potential for significant

damageFollow O&M Plan

002 2'x4' Lay In Ceiling Panels 10,000 SF Throughout Facility Assumed MISC Yes 0 SF 7 Any remaining friable ACBM or friable suspect ACBM

Follow O&M Plan

005 Cellulose Pipe Insulation 700 LF Coal Storage Assumed TSI Yes 0 LF 7 Any remaining friable ACBM or friable suspect ACBM

Follow O&M Plan

009 Fiberglass Pipe Insulation Throughout Facility Not Tested TSI 012 Loose Fill Fiberglass Insulation Attic Not Tested TSI 014 Insulation between Boiler and Steel Jacket Boiler Room Abated MISC 019 Boiler Packing on Inside of Boiler Doors Boiler Room Abated MISC 020 Plaster Walls 20,000 SF Throughout Facility Assumed SURFACE Yes 0 SF 7 Any remaining friable ACBM or friable

suspect ACBMFollow O&M Plan

021 1'x1' Acoustical Ceilling Tile 600 SF Rooms 222 and 224 Assumed MISC Yes 0 SF 7 Any remaining friable ACBM or friable suspect ACBM

Follow O&M Plan

022A 12x12 Taupe Specked Floor Tile 15,000 SF 1st & 2nd Flor Corridors, 2nd Floor West Room, Bilingual Spanish Room, 127, Storage, Library Storage, Kitchen, 2nd Floor Storages

Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan

022B 12x12 Tan Floor Tile 496 SF Polish Bilingual Room 227 Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan022C 12x12 Cream w/Tan Specks Floor Tile 1,500 SF Rooms 114, 121 Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan022D 12x12 Beige w/White & Brown Specks Floor Tile 1,000 SF Main Office, 1 3/4 Floor Classroom,

Room 1, Gym Storage, 127 Office, 223Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan

022E 12"x12" White w/Charcoal Specks Floor Tile 116 and 124 Abated MISC 022F 12"x12" White Floor Tile 42 SF Engineer's Washroom Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan023A 12x12 Taupe Specked Floor Tile Mastic 1st & 2nd Flor Corridors, 2nd Floor

West Room, Bilingual Spanish Room, 127, Storage, Library Storage, Kitchen, 2nd Floor Storages

No ACBM MISC

023B 12x12 Tan Floor Tile Mastic 496 SF Polish Bilingual Room 227 Chrysotile MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan023C 12x12 cream w/tan specks floor tile mastic rooms 114, 121 Abated MISC 023D 12x12 Beige w/White & Brown Specks Floor Tile

MasticMain Office, 1 3/4 Floor Classroom, Room 1, Gym Storage, 127 Office, 223

No ACBM MISC

023E 12"x12" White w/Charcoal Specks Floor Tile Adhesive

1,250 SF 116 and 124 Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan

023F 12"x12" White Floor Tile Adhesive 42 SF Engineer's Washroom Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan







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



Material Units


Material Category


Damage Units


024 C 9x9 gray w/pink & white streaks floor tile 140 SF main office storage Chrysotile MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan024A 9x9 green w/white specks floor tile room 116 storage Abated MISC 024B 9x9 white w/green specks floor tile room 116 storage Abated MISC 024C 9x9 Green w/White Specks Floor Tile Mastic Room 114 Storage No ACBM MISC 024D 9"x9" Brown Floor Tile 150 SF Engineer's Office and Boiler Room

WashroomAssumed MISC No 4 SF 6 ACBM with the potential for damage Follow O&M Plan

025B 9"x9" White w/Green Specks Floor Tile Mastic Room 114 Storage No ACBM MISC 025C 9x9 Gray w/Wihite & Pink Streaks Floor Tile Mastic 140 LF Main Office Storage Assumed MISC No 0 LF 6 ACBM with the potential for damage Follow O&M Plan025D 9"x9" Brown Floor Tile Mastic 150 SF Engineer's Office and Boiler Room

WashroomAssumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan

026 1'x1' Acoustical Ceiling Tile Adhesive 800 SF 122, 124 Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan027 Drywall 1,000 SF Bathrooms Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan028 Drywall Tape and Mud 1,000 SF Bathrooms Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan031 12"x12" Beige Floor Tile 700 SF Mobile Unit 400 Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan032 12"x12" Beige Floor Tile Mastic Mobile Unit 400 No ACBM MISC 033 Wallboard 1,000 SF Mobile Unit 400 Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan034 12"x12" Cream Floor Tile 700 SF Mobile Unit 500 Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan035 12"x12" Cream Floor Tile Mastic Mobie Unit 500 No ACBM MISC 036 Wallboard 1,000 SF Mobile Unit 500 Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan037 12"x12" Pink Floor Tile 700 SF Mobile Unit #3 Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan038 12"x12" Pink Floor Tile Mastic Mobile Unit #3 No ACBM MISC 039 Wallboard 1,000 SF Mobile Unit #3 Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan040 12"x12" Beoge Floor Tile 700 SF Classrooms and Corridor in Mobile Unit

400Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan

041 12"x12" Beige Floor Tile Mastic mobile unit #1 - room 401, 403, 402 No ACBM MISC 042 12"x12" Blue Floor Tile 700 SF mobile unit #1 - room 402 Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan043 12"x12" Blue Floor Tile Mastic mobile unit #1 - room 402 No ACBM MISC 044 Brown Vinyl Baseboard 400 LF Throughout Corridor and Classrooms in

Mobile Unit 400Assumed MISC No 0 LF 6 ACBM with the potential for damage Follow O&M Plan

045 Brown Vinyl Baseboard Mastic 400 LF Throughout Corridor and Classrooms inMobile Unit 400

Assumed MISC No 0 LF 6 ACBM with the potential for damage Follow O&M Plan

046 Cream Vinyl Baseboard 300 LF Throughout Corridor and Classrooms inMobile Unit 400


047 Cream Vinyl Baseborad Mastic 300 LF Throughout Corridor and Classrooms inMobile Unit 400








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



Material Units


Material Category


Damage Units


048 Pink Vinyl Baseboard 600 LF Corridors, Girls Toilet, Boys Toilet, Mobile Unit #1


049 Pink Vinyl Baseboard Mastic 600 LF Mobile Unit #1: Corridors, Girls Toilet, Boys Toilet


050 Cream Vinyl Baseboard 300 LF Throughout Corridor and Classrooms inMobile Unit 500


051 Cream Vinyl Baseboard Mastic 300 LF Throughout Corridor and Classrooms inMobile Unit 500


052 Pink Vinyl Baseboard 200 LF Mobile Unit #3 - Throughout Assumed MISC No 0 LF 6 ACBM with the potential for damage Follow O&M Plan053 Pink Vinyl Baseboard Mastic 300 LF Mobile Unit #3 - Throughout Assumed MISC No 0 LF 6 ACBM with the potential for damage Follow O&M Plan054 Green Chalk Boards and Adhesive 3,600 SF In Classrooms Throughout Facility Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan055 Caulk on Walls Above Fireplace 8 LF 114 Assumed MISC No 0 LF 6 ACBM with the potential for damage Follow O&M Plan056 4" Brown Vinyl Baseboard 163 LF 127, Office, 1 3/4 Floor Room, 223 Assumed MISC No 0 LF 6 ACBM with the potential for damage Follow O&M Plan057 4" Brown Vinyl Baseboard Adhesive 163 LF 127, Office, 1 3/4 Floor Room, 223 Assumed MISC No 0 LF 6 ACBM with the potential for damage Follow O&M Plan058 Tectum Ceiling Panels 2,480 SF Gym Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan059 Mastic Beneath Wood Flooring 2,480 SF Gym Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan060 Insulation Behind Metal Behind Radiators 160 SF Gym Assumed TSI Yes 0 SF 7 Any remaining friable ACBM or friable


061 Terrazzo 3,300 SF Throughout Facility Inclusing Corridors,Entrances and Stairways


062 Drywall 163 LF 214, 222, 224 Assumed MISC No 0 LF 6 ACBM with the potential for damage Follow O&M Plan063 Drywall Compound 250 SF 214, 222, 224 Assumed MISC No 1 SF 6 ACBM with the potential for damage Repair064 Ceramic Wall Tile Adhesive 60 SF Behind Water Fountains in Corridors Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan065 Green Carpet Adhesive 100 SF Auditorium Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan066 Ceramic Floor Tile Grout 130 SF 116 & 124 Washrooms Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan067 Ceramic Floor Tile Adhesive 130 SF 116 & 124 Washrooms Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan068 Caulk on Wood Windows 24 SF Engineer's Office Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan069 Wndow Glazing on Wood Windows 24 SF Engineer's Office Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan070 Beige Sheet Flooring 288 SF Washrooms im Mobile Unit 400 Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan071 Beige Sheet Flooring Adhesive 288 SF Washrooms im Mobile Unit 400 Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan072 Textured Paint 288 SF Washrooms in Modular Building 400

and 500Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan

073 2'x4' Lay In Ceiling Panels 4,410 SF Throughout Modular Building 400 with the exception of the Washrooms

Assumed MISC Yes 0 SF 7 Any remaining friable ACBM or friable suspect ACBM

Follow O&M Plan

074 2'x4' Lay In Ceiling Panels 4,410 SF Throughout Mobile Unit 500 with the Assumed MISC Yes 0 SF 7 Any remaining friable ACBM or friable Follow O&M Plan







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



Material Units


Material Category


Damage Units


exception of the Washrooms suspect ACBM075 Textured Ceiling Paint 288 SF Modular Unit 500 Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan076 Beige Sheet Flooring 288 SF Washrooms in Mobile Unit 500 Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan077 Beige Sheet Flooring Adhesive 288 SF Washrooms in Modular Unit 500 Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan078 Wallboard 16,000 SF Mobile Unit 400 and 500 Assumed MISC Yes 2 SF 4 Damaged or significantly damaged

friable misc. ACBMRepair

079 Drywall 19,000 SF Throughout Annex Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan080 Drywall Compound 19,000 SF Throughout Annex Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan081 12"x12" Gray w/Black Specks Floor Tile 20,000 SF Throughout Annex with the exception of

the Washrooms, Boiler Room, Janitor Closets and Electric Room


082 12"x12" Gray w/Black Specks Floor Tile Adhesive 20,000 SF Throughout Annex with the exception ofthe Washrooms, Boiler Room, Janitor Closets and Electric Room


083 12"x12" Beige w/Gray and Brown Streaks Floor Tile 1,240 SF Girl's & Boy's Washrooms in Annex Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan084 12"x12" Beige w/Gray and Brown Streaks Floor Tile

Adhesive1,240 SF Girl's and Boy's Washrooms in Annex Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan

085 6" Black Vinyl Baseboard 250 LF Boy's and Girl's Washrooms in Annex Assumed MISC No 0 LF 6 ACBM with the potential for damage Follow O&M Plan086 6" Black Vinyl Baseboard Adhesive 250 LF Boy's and Girl's Washrooms in Annex Assumed MISC No 0 LF 6 ACBM with the potential for damage Follow O&M Plan087 Mirror Adhesive 12 SF Girl's Washroom Anthophyllit

eMISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan

088 4" Beige Vinyl Baseboard 1,960 LF Throughout Annex with the exception ofthe Washrooms, Boiler Room, Janitor Closets and Electric Room


089 4" Beige Vinyl Baseboard Adhesive 1,960 LF Throughout Annex with the exception ofthe Washrooms, Boiler Room, Janitor Closets and Electric Room


090 2'x4' Lay In Ceiling Panels 17,000 SF Throughout Annex with the exception ofthe Washrooms, Boiler Room, Janitor Closets and Electric Room

Assumed MISC Yes 0 SF 7 Any remaining friable ACBM or friable suspect ACBM

Follow O&M Plan

091 Chalkboard and Marker Board Adhesive 1,000 SF Annex Classrooms Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan092 Chalkboard and Marker Board Adhesive 400 SF Modular Building 400 Classrooms Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan093 Chalkboard and Marker Board Adhesive 200 SF Modular Building 500 Classrooms Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan94 12" x 12" Tan w/ Brown Spots Floor Tile 4,000 SF Throughout Building Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan95 Mastic Associated w/ 12" x 12" Tan w/ Brown Spots

Floor Tile4,000 SF Throughout Building Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan







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



Material Units


Material Category


Damage Units


96 Blue Linoleum 300 SF Boy's Washroom Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan97 Orange Linoleum 300 SF Girl's Washroom Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan98 2' X 2' Wormy Ceiling Tile 5,000 SF Throughout Building Assumed MISC Yes 0 SF 7 Any remaining friable ACBM or friable


99 Baseboard Mastic 600 LF Throughout Building Assumed MISC No 0 LF 6 ACBM with the potential for damage Follow O&M PlanAA 12"x12" Green w/ Black Specks Floor Tile 60 SF Classrooms and Hallways (Annex) Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M PlanBB 12"x12" Green w/ Black Specks Floor Tile Mastic 60 SF Classrooms and Hallways (Annex) Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M PlanC aircell pipe insulation 225 LF basement pipe tunnels mechanical

roomsChrysotile TSI Yes 0 LF 7 Any remaining friable ACBM or friable


CC 12"x12" Yellow w/ Black Specks Floor Tile 60 SF Classrooms and Hallways (Annex) Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M PlanD Mag Block Pipe Insulation Boiler Room, Pipe Tunnels, Air Tunnels Abated TSI DD 12"x12" Yellow w/ Black Specks Floor Tile Mastic 60 SF Classrooms and Hallways (Annex) Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M PlanEE 12"x12" Off White w/ Grey Streaks Floor Tile 5,000 SF 400 Module (Except Washrooms) Assumed MISC No 20 SF 6 ACBM with the potential for damage Follow O&M PlanF aircell pipe fittings boiler room, air tunnels, pipe tunnels Abated TSI FF 12"x12" Off White w/ Grey Streaks Floor Tile Mastic 5,000 SF 400 Module (Except Washrooms) Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M PlanG Mag Block Pipe Fittings Boiler Room, Air Tunnels, Pipe Tunnels Abated TSI GG 12"x12" Off White w/ Grey Streaks Floor Tile 5,000 SF 500 Module (Except Washrooms) Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M PlanH cardboard hard fittings air tunnels Abated TSI HH 12"x12" Off White w/ Grey Streaks Floor Tile Mastic 5,000 SF 500 Module (Except Washrooms) Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M PlanJ Tank Insulation Material Not Observed - Metal Jacket

Covering.Assumed TSI

K Tank Packing Material Not Observed - Metal Jacket Covering

Abated TSI

O Aircell Duct Insulation Crawl Spaces Abated TSI P boiler gasket -rope boiler room Abated TSI Q waffle pipe insulation pipe tunnel, air tunnel Abated TSI R Waffle Pipe Fittings 400 LF Pipe Tunnel, Air Tunnel Assumed MISC No 0 LF 6 ACBM with the potential for damage Follow O&M PlanS Fiberglass Fittings boiler room, pipe tunnel, air tunnel Abated TSI T boiler gasket - hard boiler room Abated TSI U 12"x12" Grey w/ Grey & White Streaks Floor Tile 1,080 SF Boys and Girls Washrooms (Annex) Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M PlanV 12"x12" Grey w/ Grey & White Streaks Floor Tile

Mastic1,080 SF Boys & Girls Washroom (Annex) Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan

W 12"x12" Brown w/ Black Specks Floor Tile 60 SF Classrooms and Hallways (Annex) Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M PlanX 12"x12" Brown w/ Black Specks Floor Tile Mastic 60 SF Classrooms and Hallways (Annex) Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M PlanY 12"x12" Blue w/ Black Specks Floor Tile 60 SF Classrooms and Hallways (Annex) Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan







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



Material Units


Material Category


Damage Units


Z 12"x12" Blue w/ Black Specks Floor Tile Mastic 60 SF Classrooms and Hallways (Annex) Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan

Review Date 4/6/2016

Manager Planner Name Daniel Juneau100-03613 5/15/2016

HA Number Management Comments0001002







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

Management Planner's Comments Summarized at the End of the ReportManager IDPH License No/Expiration HA Number Management Comments

005009012014019020021022A022B022C022D022E022F023A023B023C023D023E023F024 C024A024B024C024D Repair or Replace when possible. Continue O&M025B025C025D







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

Management Planner's Comments Summarized at the End of the ReportHA Number Management Comments026027028031032033034035036037038039040041042043044045046047048049050051052053054







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

Management Planner's Comments Summarized at the End of the ReportHA Number Management Comments055056057058059060061062063 Repair damage and Continue O&M064065066067068069070071072073074075076077078 Repair Damage and Continue O&M079080081







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

Management Planner's Comments Summarized at the End of the ReportHA Number Management Comments082083084085086087088089090091092093949596979899AABBCCCDDDEE Repair or Replace when possible. Continue O&MFFF







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

Management Planner's Comments Summarized at the End of the ReportHA Number Management CommentsGGGHHHJ If observed, implement O&M.KOPQRSTUVWXYZ

Chicago Public Schools

Carnow, Conibear and Associates

2016 AHERA REINSPECTION

Inspector Assessment Form (REASSESSMENT) LEA NAME: Chicago Public Schools UNIT NUMBER: 24871 BUIDLING ID: 5340

CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Marcos Iwankiw

SCHOOL NAME: Peck School INSPECTION DATE: 3/18/2016

ADDRESS: 3826 W. 58th St. IDPH LICENSE NO: 100-03175

INFORMATION FROM PREVIOUS INSPECTION

HOMOGENEOUS AREA: 0

MATERIAL DESCRIPTION: Blue-Purple Carpet Mastic

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: LOW

MATERIAL LOCATION: Rooms 124, 128, 208, Main Office

MATERIAL QUANTITY: 600 MATERIAL UNITS: SF

DAMAGE QUANTITY: DAMAGE UNITS: SF

COMMENTS:

Inspector's Signature: Date: 03/18/2016




Management Planner Review FormLEA NAME: Chicago Public Schools UNIT NUMBER: 24871 BUIDLING ID: 5340

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

SCHOOL NAME: Peck School REVIEW DATE: 4/6/2016


HOMOGENEOUS AREA: 0

MATERIAL DESCRIPTION: Blue-Purple Carpet Mastic

MATERIAL LOCATION: Rooms 124, 128, 208, Main Office


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: 04/06/2016









HOMOGENEOUS AREA: 001

MATERIAL DESCRIPTION: Plaster Ceilings







The current AHERA DAMAGE CATEGORY is determined to be 5. ACBM with potential for significant damage

DAMAGE REASON:


MATERIAL LOCATION: Throughout Facility



COMMENTS:










MATERIAL DESCRIPTION: Plaster Ceilings






Comments:











MATERIAL DESCRIPTION: 2'x4' Lay In Ceiling Panels




ASBESTOS TYPE: Assumed FRIABLE: Yes



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

DAMAGE REASON:





COMMENTS:
















Comments:











MATERIAL DESCRIPTION: Cellulose Pipe Insulation








DAMAGE REASON:


MATERIAL LOCATION: Coal Storage

MATERIAL QUANTITY: 700 MATERIAL UNITS: LF

DAMAGE QUANTITY: DAMAGE UNITS: LF

COMMENTS:










MATERIAL DESCRIPTION: Cellulose Pipe Insulation

MATERIAL LOCATION: Coal Storage


DAMAGE QUANTITY: 0 DAMAGE UNITS: LF



Comments:











MATERIAL DESCRIPTION: Fiberglass Pipe Insulation

HISTORICAL AHERA DAMAGE CATEGORY



ASBESTOS TYPE: Not Tested FRIABLE:



The current AHERA DAMAGE CATEGORY is determined to be .

DAMAGE REASON:

DISTURBANCE POTENTIAL:


MATERIAL QUANTITY: MATERIAL UNITS:

DAMAGE QUANTITY: DAMAGE UNITS:

COMMENTS: Not a suspect material.










MATERIAL DESCRIPTION: Fiberglass Pipe Insulation






Comments:











MATERIAL DESCRIPTION: Loose Fill Fiberglass Insulation




ASBESTOS TYPE: Not Tested FRIABLE:




DAMAGE REASON:


MATERIAL LOCATION: Attic



COMMENTS: Not a suspect material










MATERIAL DESCRIPTION: Loose Fill Fiberglass Insulation

MATERIAL LOCATION: Attic





Comments:











MATERIAL DESCRIPTION: Insulation between Boiler and Steel Jacket




ASBESTOS TYPE: Abated FRIABLE:




DAMAGE REASON:


MATERIAL LOCATION: Boiler Room



COMMENTS:










MATERIAL DESCRIPTION: Insulation between Boiler and Steel Jacket






Comments:











MATERIAL DESCRIPTION: Boiler Packing on Inside of Boiler Doors








DAMAGE REASON:





COMMENTS:










MATERIAL DESCRIPTION: Boiler Packing on Inside of Boiler Doors






Comments:











MATERIAL DESCRIPTION: Plaster Walls








DAMAGE REASON:





COMMENTS:










MATERIAL DESCRIPTION: Plaster Walls






Comments:











MATERIAL DESCRIPTION: 1'x1' Acoustical Ceilling Tile








DAMAGE REASON:


MATERIAL LOCATION: Rooms 222 and 224



COMMENTS:










MATERIAL DESCRIPTION: 1'x1' Acoustical Ceilling Tile

MATERIAL LOCATION: Rooms 222 and 224





Comments:










HOMOGENEOUS AREA: 022A

MATERIAL DESCRIPTION: 12x12 Taupe Specked Floor Tile

HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage


HISTORICAL RESPONSE ACTION: Follow O&M Plan





DAMAGE REASON:


MATERIAL LOCATION: 1st & 2nd Flor Corridors, 2nd Floor West Room, Bilingual Spanish Room, 127, Storage, Library Storage, Kitchen, 2nd Floor Storages



COMMENTS:










MATERIAL DESCRIPTION: 12x12 Taupe Specked Floor Tile






Follow O&M Plan

Comments:










HOMOGENEOUS AREA: 022B

MATERIAL DESCRIPTION: 12x12 Tan Floor Tile








DAMAGE REASON:


MATERIAL LOCATION: Polish Bilingual Room 227



COMMENTS:










MATERIAL DESCRIPTION: 12x12 Tan Floor Tile






Follow O&M Plan

Comments:










HOMOGENEOUS AREA: 022C

MATERIAL DESCRIPTION: 12x12 Cream w/Tan Specks Floor Tile








DAMAGE REASON:


MATERIAL LOCATION: Rooms 114, 121



COMMENTS:










MATERIAL DESCRIPTION: 12x12 Cream w/Tan Specks Floor Tile

MATERIAL LOCATION: Rooms 114, 121





Follow O&M Plan

Comments:










HOMOGENEOUS AREA: 022D

MATERIAL DESCRIPTION: 12x12 Beige w/White & Brown Specks Floor Tile








DAMAGE REASON:


MATERIAL LOCATION: Main Office, 1 3/4 Floor Classroom, Room 1, Gym Storage, 127 Office, 223



COMMENTS:










MATERIAL DESCRIPTION: 12x12 Beige w/White & Brown Specks Floor Tile






Follow O&M Plan

Comments:










HOMOGENEOUS AREA: 022E

MATERIAL DESCRIPTION: 12"x12" White w/Charcoal Specks Floor Tile








DAMAGE REASON:

DISTURBANCE POTENTIAL: Moderate

MATERIAL LOCATION: 116 and 124



COMMENTS:










MATERIAL DESCRIPTION: 12"x12" White w/Charcoal Specks Floor Tile






Comments:










HOMOGENEOUS AREA: 022F

MATERIAL DESCRIPTION: 12"x12" White Floor Tile








DAMAGE REASON:


MATERIAL LOCATION: Engineer's Washroom



COMMENTS:










MATERIAL DESCRIPTION: 12"x12" White Floor Tile






Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: 12x12 Taupe Specked Floor Tile Mastic




ASBESTOS TYPE: No ACBM FRIABLE:




DAMAGE REASON:





COMMENTS:










MATERIAL DESCRIPTION: 12x12 Taupe Specked Floor Tile Mastic






Comments:











MATERIAL DESCRIPTION: 12x12 Tan Floor Tile Mastic




ASBESTOS TYPE: Chrysotile FRIABLE: No




DAMAGE REASON:





COMMENTS:










MATERIAL DESCRIPTION: 12x12 Tan Floor Tile Mastic






Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: 12x12 cream w/tan specks floor tile mastic








DAMAGE REASON:


MATERIAL LOCATION: rooms 114, 121



COMMENTS:










MATERIAL DESCRIPTION: 12x12 cream w/tan specks floor tile mastic

MATERIAL LOCATION: rooms 114, 121





Comments:











MATERIAL DESCRIPTION: 12x12 Beige w/White & Brown Specks Floor Tile Mastic








DAMAGE REASON:





COMMENTS:










MATERIAL DESCRIPTION: 12x12 Beige w/White & Brown Specks Floor Tile Mastic






Comments:











MATERIAL DESCRIPTION: 12"x12" White w/Charcoal Specks Floor Tile Adhesive








DAMAGE REASON:





COMMENTS:










MATERIAL DESCRIPTION: 12"x12" White w/Charcoal Specks Floor Tile Adhesive






Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: 12"x12" White Floor Tile Adhesive








DAMAGE REASON:





COMMENTS:










MATERIAL DESCRIPTION: 12"x12" White Floor Tile Adhesive






Follow O&M Plan

Comments:










HOMOGENEOUS AREA: 024 C

MATERIAL DESCRIPTION: 9x9 gray w/pink & white streaks floor tile




ASBESTOS TYPE: Chrysotile FRIABLE: No




DAMAGE REASON:


MATERIAL LOCATION: main office storage



COMMENTS:









HOMOGENEOUS AREA: 024 C

MATERIAL DESCRIPTION: 9x9 gray w/pink & white streaks floor tile

MATERIAL LOCATION: main office storage





Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: 9x9 green w/white specks floor tile








DAMAGE REASON:


MATERIAL LOCATION: room 116 storage



COMMENTS:










MATERIAL DESCRIPTION: 9x9 green w/white specks floor tile






Comments:











MATERIAL DESCRIPTION: 9x9 white w/green specks floor tile








DAMAGE REASON:





COMMENTS:










MATERIAL DESCRIPTION: 9x9 white w/green specks floor tile






Comments:











MATERIAL DESCRIPTION: 9x9 Green w/White Specks Floor Tile Mastic








DAMAGE REASON:


MATERIAL LOCATION: Room 114 Storage



COMMENTS:










MATERIAL DESCRIPTION: 9x9 Green w/White Specks Floor Tile Mastic






Comments:











MATERIAL DESCRIPTION: 9"x9" Brown Floor Tile

HISTORICAL AHERA DAMAGE CATEGORY 6 Damaged or significantly damaged friable misc. ACBM

HISTORICAL DAMAGE REASON: Physical Damage

HISTORICAL RESPONSE ACTION: Remove





DAMAGE REASON: Physical Damage


MATERIAL LOCATION: Engineer's Office and Boiler Room Washroom



COMMENTS: Damage located in the Engineer's Office










MATERIAL DESCRIPTION: 9"x9" Brown Floor Tile






Remove

Comments:

Repair or Replace when possible. Continue O&M











MATERIAL DESCRIPTION: 9"x9" White w/Green Specks Floor Tile Mastic








DAMAGE REASON:





COMMENTS:










MATERIAL DESCRIPTION: 9"x9" White w/Green Specks Floor Tile Mastic






Comments:











MATERIAL DESCRIPTION: 9x9 Gray w/Wihite & Pink Streaks Floor Tile Mastic








DAMAGE REASON:


MATERIAL LOCATION: Main Office Storage



COMMENTS:










MATERIAL DESCRIPTION: 9x9 Gray w/Wihite & Pink Streaks Floor Tile Mastic

MATERIAL LOCATION: Main Office Storage





Comments:











MATERIAL DESCRIPTION: 9"x9" Brown Floor Tile Mastic








DAMAGE REASON:





COMMENTS:










MATERIAL DESCRIPTION: 9"x9" Brown Floor Tile Mastic






Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: 1'x1' Acoustical Ceiling Tile Adhesive








DAMAGE REASON:


MATERIAL LOCATION: 122, 124



COMMENTS:










MATERIAL DESCRIPTION: 1'x1' Acoustical Ceiling Tile Adhesive

MATERIAL LOCATION: 122, 124





Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: Drywall








DAMAGE REASON:


MATERIAL LOCATION: Bathrooms



COMMENTS:
















Comments:











MATERIAL DESCRIPTION: Drywall Tape and Mud








DAMAGE REASON:





COMMENTS:










MATERIAL DESCRIPTION: Drywall Tape and Mud






Comments:











MATERIAL DESCRIPTION: 12"x12" Beige Floor Tile








DAMAGE REASON:


MATERIAL LOCATION: Mobile Unit 400



COMMENTS:










MATERIAL DESCRIPTION: 12"x12" Beige Floor Tile






Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: 12"x12" Beige Floor Tile Mastic








DAMAGE REASON:





COMMENTS:
















Comments:











MATERIAL DESCRIPTION: Wallboard








DAMAGE REASON:





COMMENTS:
















Comments:











MATERIAL DESCRIPTION: 12"x12" Cream Floor Tile








DAMAGE REASON:





COMMENTS:










MATERIAL DESCRIPTION: 12"x12" Cream Floor Tile






Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: 12"x12" Cream Floor Tile Mastic








DAMAGE REASON:


MATERIAL LOCATION: Mobie Unit 500



COMMENTS:










MATERIAL DESCRIPTION: 12"x12" Cream Floor Tile Mastic

MATERIAL LOCATION: Mobie Unit 500





Comments:



















DAMAGE REASON:





COMMENTS:
















Comments:











MATERIAL DESCRIPTION: 12"x12" Pink Floor Tile








DAMAGE REASON:


MATERIAL LOCATION: Mobile Unit #3



COMMENTS:










MATERIAL DESCRIPTION: 12"x12" Pink Floor Tile






Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: 12"x12" Pink Floor Tile Mastic








DAMAGE REASON:





COMMENTS:










MATERIAL DESCRIPTION: 12"x12" Pink Floor Tile Mastic






Comments:



















DAMAGE REASON:





COMMENTS:
















Comments:











MATERIAL DESCRIPTION: 12"x12" Beoge Floor Tile








DAMAGE REASON:


MATERIAL LOCATION: Classrooms and Corridor in Mobile Unit 400



COMMENTS:










MATERIAL DESCRIPTION: 12"x12" Beoge Floor Tile

MATERIAL LOCATION: Classrooms and Corridor in Mobile Unit 400





Follow O&M Plan

Comments:



















DAMAGE REASON:


MATERIAL LOCATION: mobile unit #1 - room 401, 403, 402



COMMENTS:











MATERIAL LOCATION: mobile unit #1 - room 401, 403, 402





Comments:











MATERIAL DESCRIPTION: 12"x12" Blue Floor Tile








DAMAGE REASON:


MATERIAL LOCATION: mobile unit #1 - room 402



COMMENTS:










MATERIAL DESCRIPTION: 12"x12" Blue Floor Tile






Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: 12"x12" Blue Floor Tile Mastic








DAMAGE REASON:





COMMENTS:










MATERIAL DESCRIPTION: 12"x12" Blue Floor Tile Mastic






Comments:











MATERIAL DESCRIPTION: Brown Vinyl Baseboard








DAMAGE REASON:


MATERIAL LOCATION: Throughout Corridor and Classrooms in Mobile Unit 400



COMMENTS:










MATERIAL DESCRIPTION: Brown Vinyl Baseboard






Comments:











MATERIAL DESCRIPTION: Brown Vinyl Baseboard Mastic








DAMAGE REASON:





COMMENTS:










MATERIAL DESCRIPTION: Brown Vinyl Baseboard Mastic






Comments:











MATERIAL DESCRIPTION: Cream Vinyl Baseboard








DAMAGE REASON:





COMMENTS:
















Comments:











MATERIAL DESCRIPTION: Cream Vinyl Baseborad Mastic








DAMAGE REASON:





COMMENTS:










MATERIAL DESCRIPTION: Cream Vinyl Baseborad Mastic






Comments:











MATERIAL DESCRIPTION: Pink Vinyl Baseboard








DAMAGE REASON:


MATERIAL LOCATION: Corridors, Girls Toilet, Boys Toilet, Mobile Unit #1



COMMENTS:











MATERIAL LOCATION: Corridors, Girls Toilet, Boys Toilet, Mobile Unit #1





Comments:











MATERIAL DESCRIPTION: Pink Vinyl Baseboard Mastic








DAMAGE REASON:


MATERIAL LOCATION: Mobile Unit #1: Corridors, Girls Toilet, Boys Toilet



COMMENTS:











MATERIAL LOCATION: Mobile Unit #1: Corridors, Girls Toilet, Boys Toilet





Comments:



















DAMAGE REASON:





COMMENTS:
















Comments:











MATERIAL DESCRIPTION: Cream Vinyl Baseboard Mastic








DAMAGE REASON:





COMMENTS:










MATERIAL DESCRIPTION: Cream Vinyl Baseboard Mastic






Comments:



















DAMAGE REASON:


MATERIAL LOCATION: Mobile Unit #3 - Throughout



COMMENTS:
















Comments:



















DAMAGE REASON:





COMMENTS:
















Comments:











MATERIAL DESCRIPTION: Green Chalk Boards and Adhesive








DAMAGE REASON:


MATERIAL LOCATION: In Classrooms Throughout Facility



COMMENTS:










MATERIAL DESCRIPTION: Green Chalk Boards and Adhesive

MATERIAL LOCATION: In Classrooms Throughout Facility





Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: Caulk on Walls Above Fireplace








DAMAGE REASON:


MATERIAL LOCATION: 114



COMMENTS:










MATERIAL DESCRIPTION: Caulk on Walls Above Fireplace

MATERIAL LOCATION: 114





Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: 4" Brown Vinyl Baseboard








DAMAGE REASON:


MATERIAL LOCATION: 127, Office, 1 3/4 Floor Room, 223



COMMENTS:










MATERIAL DESCRIPTION: 4" Brown Vinyl Baseboard






Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: 4" Brown Vinyl Baseboard Adhesive








DAMAGE REASON:





COMMENTS:










MATERIAL DESCRIPTION: 4" Brown Vinyl Baseboard Adhesive






Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: Tectum Ceiling Panels








DAMAGE REASON:


MATERIAL LOCATION: Gym



COMMENTS:










MATERIAL DESCRIPTION: Tectum Ceiling Panels






Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: Mastic Beneath Wood Flooring








DAMAGE REASON:





COMMENTS:










MATERIAL DESCRIPTION: Mastic Beneath Wood Flooring






Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: Insulation Behind Metal Behind Radiators








DAMAGE REASON:





COMMENTS:










MATERIAL DESCRIPTION: Insulation Behind Metal Behind Radiators






Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: Terrazzo








DAMAGE REASON:


MATERIAL LOCATION: Throughout Facility Inclusing Corridors, Entrances and Stairways



COMMENTS:










MATERIAL DESCRIPTION: Terrazzo

MATERIAL LOCATION: Throughout Facility Inclusing Corridors, Entrances and Stairways





Follow O&M Plan

Comments:



















DAMAGE REASON:


MATERIAL LOCATION: 214, 222, 224



COMMENTS:
















Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: Drywall Compound



HISTORICAL RESPONSE ACTION: Repair










COMMENTS: Damage located in Room 222
















Repair

Comments:

Repair damage and Continue O&M











MATERIAL DESCRIPTION: Ceramic Wall Tile Adhesive








DAMAGE REASON:


MATERIAL LOCATION: Behind Water Fountains in Corridors



COMMENTS:










MATERIAL DESCRIPTION: Ceramic Wall Tile Adhesive

MATERIAL LOCATION: Behind Water Fountains in Corridors





Comments:











MATERIAL DESCRIPTION: Green Carpet Adhesive








DAMAGE REASON:


MATERIAL LOCATION: Auditorium



COMMENTS:










MATERIAL DESCRIPTION: Green Carpet Adhesive

MATERIAL LOCATION: Auditorium





Comments:











MATERIAL DESCRIPTION: Ceramic Floor Tile Grout








DAMAGE REASON:


MATERIAL LOCATION: 116 & 124 Washrooms



COMMENTS:










MATERIAL DESCRIPTION: Ceramic Floor Tile Grout






Comments:











MATERIAL DESCRIPTION: Ceramic Floor Tile Adhesive








DAMAGE REASON:





COMMENTS:










MATERIAL DESCRIPTION: Ceramic Floor Tile Adhesive






Comments:











MATERIAL DESCRIPTION: Caulk on Wood Windows








DAMAGE REASON:


MATERIAL LOCATION: Engineer's Office



COMMENTS:










MATERIAL DESCRIPTION: Caulk on Wood Windows






Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: Wndow Glazing on Wood Windows








DAMAGE REASON:





COMMENTS:










MATERIAL DESCRIPTION: Wndow Glazing on Wood Windows






Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: Beige Sheet Flooring








DAMAGE REASON:


MATERIAL LOCATION: Washrooms im Mobile Unit 400



COMMENTS:
















Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: Beige Sheet Flooring Adhesive








DAMAGE REASON:





COMMENTS:
















Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: Textured Paint








DAMAGE REASON:


MATERIAL LOCATION: Washrooms in Modular Building 400 and 500



COMMENTS:










MATERIAL DESCRIPTION: Textured Paint

MATERIAL LOCATION: Washrooms in Modular Building 400 and 500





Follow O&M Plan

Comments:



















DAMAGE REASON:


MATERIAL LOCATION: Throughout Modular Building 400 with the exception of the Washrooms



COMMENTS:











MATERIAL LOCATION: Throughout Modular Building 400 with the exception of the Washrooms





Follow O&M Plan

Comments:



















DAMAGE REASON:


MATERIAL LOCATION: Throughout Mobile Unit 500 with the exception of the Washrooms



COMMENTS:











MATERIAL LOCATION: Throughout Mobile Unit 500 with the exception of the Washrooms





Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: Textured Ceiling Paint








DAMAGE REASON:


MATERIAL LOCATION: Modular Unit 500



COMMENTS:










MATERIAL DESCRIPTION: Textured Ceiling Paint

MATERIAL LOCATION: Modular Unit 500





Follow O&M Plan

Comments:



















DAMAGE REASON:


MATERIAL LOCATION: Washrooms in Mobile Unit 500



COMMENTS:











MATERIAL LOCATION: Washrooms in Mobile Unit 500





Follow O&M Plan

Comments:



















DAMAGE REASON:


MATERIAL LOCATION: Washrooms in Modular Unit 500



COMMENTS:











MATERIAL LOCATION: Washrooms in Modular Unit 500





Follow O&M Plan

Comments:


















The current AHERA DAMAGE CATEGORY is determined to be 4. Damaged or significantly damaged friable misc. ACBM


DISTURBANCE POTENTIAL: MODERATE

MATERIAL LOCATION: Mobile Unit 400 and 500



COMMENTS: Damage located in Mobile Unit 400











MATERIAL LOCATION: Mobile Unit 400 and 500





Remove

Comments:

Repair Damage and Continue O&M



















DAMAGE REASON:


MATERIAL LOCATION: Throughout Annex



COMMENTS:
















Follow O&M Plan

Comments:



















DAMAGE REASON:





COMMENTS:
















Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: 12"x12" Gray w/Black Specks Floor Tile








DAMAGE REASON:


MATERIAL LOCATION: Throughout Annex with the exception of the Washrooms, Boiler Room, Janitor Closets and Electric Room



COMMENTS:










MATERIAL DESCRIPTION: 12"x12" Gray w/Black Specks Floor Tile






Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: 12"x12" Gray w/Black Specks Floor Tile Adhesive








DAMAGE REASON:





COMMENTS:










MATERIAL DESCRIPTION: 12"x12" Gray w/Black Specks Floor Tile Adhesive






Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: 12"x12" Beige w/Gray and Brown Streaks Floor Tile








DAMAGE REASON:


MATERIAL LOCATION: Girl's & Boy's Washrooms in Annex



COMMENTS:










MATERIAL DESCRIPTION: 12"x12" Beige w/Gray and Brown Streaks Floor Tile

MATERIAL LOCATION: Girl's & Boy's Washrooms in Annex





Remove

Comments:











MATERIAL DESCRIPTION: 12"x12" Beige w/Gray and Brown Streaks Floor Tile Adhesive








DAMAGE REASON:


MATERIAL LOCATION: Girl's and Boy's Washrooms in Annex



COMMENTS:










MATERIAL DESCRIPTION: 12"x12" Beige w/Gray and Brown Streaks Floor Tile Adhesive

MATERIAL LOCATION: Girl's and Boy's Washrooms in Annex





Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: 6" Black Vinyl Baseboard








DAMAGE REASON:


MATERIAL LOCATION: Boy's and Girl's Washrooms in Annex



COMMENTS:










MATERIAL DESCRIPTION: 6" Black Vinyl Baseboard






Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: 6" Black Vinyl Baseboard Adhesive








DAMAGE REASON:





COMMENTS:










MATERIAL DESCRIPTION: 6" Black Vinyl Baseboard Adhesive






Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: Mirror Adhesive




ASBESTOS TYPE: Anthophyllite FRIABLE: No




DAMAGE REASON:


MATERIAL LOCATION: Girl's Washroom



COMMENTS:










MATERIAL DESCRIPTION: Mirror Adhesive






Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: 4" Beige Vinyl Baseboard








DAMAGE REASON:





COMMENTS:










MATERIAL DESCRIPTION: 4" Beige Vinyl Baseboard






Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: 4" Beige Vinyl Baseboard Adhesive








DAMAGE REASON:





COMMENTS:










MATERIAL DESCRIPTION: 4" Beige Vinyl Baseboard Adhesive






Follow O&M Plan

Comments:



















DAMAGE REASON:





COMMENTS:
















Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: Chalkboard and Marker Board Adhesive








DAMAGE REASON:


MATERIAL LOCATION: Annex Classrooms



COMMENTS:











MATERIAL LOCATION: Annex Classrooms





Follow O&M Plan

Comments:



















DAMAGE REASON:


MATERIAL LOCATION: Modular Building 400 Classrooms



COMMENTS:
















Follow O&M Plan

Comments:



















DAMAGE REASON:





COMMENTS:
















Follow O&M Plan

Comments:










HOMOGENEOUS AREA: AA

MATERIAL DESCRIPTION: 12"x12" Green w/ Black Specks Floor Tile








DAMAGE REASON:


MATERIAL LOCATION: Classrooms and Hallways (Annex)



COMMENTS:









HOMOGENEOUS AREA: AA

MATERIAL DESCRIPTION: 12"x12" Green w/ Black Specks Floor Tile






Follow O&M Plan

Comments:










HOMOGENEOUS AREA: BB

MATERIAL DESCRIPTION: 12"x12" Green w/ Black Specks Floor Tile Mastic








DAMAGE REASON:





COMMENTS:









HOMOGENEOUS AREA: BB

MATERIAL DESCRIPTION: 12"x12" Green w/ Black Specks Floor Tile Mastic






Follow O&M Plan

Comments:










HOMOGENEOUS AREA: C

MATERIAL DESCRIPTION: aircell pipe insulation

HISTORICAL AHERA DAMAGE CATEGORY 7 Damaged or significantly damaged friable thermal system insulating ACBM



ASBESTOS TYPE: Chrysotile FRIABLE: Yes




DAMAGE REASON:


MATERIAL LOCATION: basement pipe tunnels mechanical rooms



COMMENTS:









HOMOGENEOUS AREA: C

MATERIAL DESCRIPTION: aircell pipe insulation

MATERIAL LOCATION: basement pipe tunnels mechanical rooms





Comments:










HOMOGENEOUS AREA: CC

MATERIAL DESCRIPTION: 12"x12" Yellow w/ Black Specks Floor Tile








DAMAGE REASON:





COMMENTS:









HOMOGENEOUS AREA: CC

MATERIAL DESCRIPTION: 12"x12" Yellow w/ Black Specks Floor Tile






Follow O&M Plan

Comments:










HOMOGENEOUS AREA: D

MATERIAL DESCRIPTION: Mag Block Pipe Insulation








DAMAGE REASON:


MATERIAL LOCATION: Boiler Room, Pipe Tunnels, Air Tunnels



COMMENTS:









HOMOGENEOUS AREA: D

MATERIAL DESCRIPTION: Mag Block Pipe Insulation

MATERIAL LOCATION: Boiler Room, Pipe Tunnels, Air Tunnels





Comments:










HOMOGENEOUS AREA: DD

MATERIAL DESCRIPTION: 12"x12" Yellow w/ Black Specks Floor Tile Mastic








DAMAGE REASON:





COMMENTS:









HOMOGENEOUS AREA: DD

MATERIAL DESCRIPTION: 12"x12" Yellow w/ Black Specks Floor Tile Mastic






Follow O&M Plan

Comments:










HOMOGENEOUS AREA: EE

MATERIAL DESCRIPTION: 12"x12" Off White w/ Grey Streaks Floor Tile










MATERIAL LOCATION: 400 Module (Except Washrooms)



COMMENTS: Damage located in Mobile Unit 400









HOMOGENEOUS AREA: EE







Follow O&M Plan

Comments:

Repair or Replace when possible. Continue O&M










HOMOGENEOUS AREA: F

MATERIAL DESCRIPTION: aircell pipe fittings








DAMAGE REASON:


MATERIAL LOCATION: boiler room, air tunnels, pipe tunnels



COMMENTS:









HOMOGENEOUS AREA: F

MATERIAL DESCRIPTION: aircell pipe fittings

MATERIAL LOCATION: boiler room, air tunnels, pipe tunnels





Comments:










HOMOGENEOUS AREA: FF

MATERIAL DESCRIPTION: 12"x12" Off White w/ Grey Streaks Floor Tile Mastic








DAMAGE REASON:





COMMENTS:









HOMOGENEOUS AREA: FF







Follow O&M Plan

Comments:










HOMOGENEOUS AREA: G

MATERIAL DESCRIPTION: Mag Block Pipe Fittings








DAMAGE REASON:


MATERIAL LOCATION: Boiler Room, Air Tunnels, Pipe Tunnels



COMMENTS:









HOMOGENEOUS AREA: G

MATERIAL DESCRIPTION: Mag Block Pipe Fittings

MATERIAL LOCATION: Boiler Room, Air Tunnels, Pipe Tunnels





Comments:










HOMOGENEOUS AREA: GG









DAMAGE REASON:





COMMENTS:









HOMOGENEOUS AREA: GG







Follow O&M Plan

Comments:










HOMOGENEOUS AREA: H

MATERIAL DESCRIPTION: cardboard hard fittings








DAMAGE REASON:


MATERIAL LOCATION: air tunnels



COMMENTS:









HOMOGENEOUS AREA: H

MATERIAL DESCRIPTION: cardboard hard fittings

MATERIAL LOCATION: air tunnels





Comments:










HOMOGENEOUS AREA: HH









DAMAGE REASON:





COMMENTS:









HOMOGENEOUS AREA: HH







Follow O&M Plan

Comments:










HOMOGENEOUS AREA: J

MATERIAL DESCRIPTION: Tank Insulation




ASBESTOS TYPE: Assumed FRIABLE:




DAMAGE REASON:


MATERIAL LOCATION: Material Not Observed - Metal Jacket Covering.



COMMENTS: Not observed 2016









HOMOGENEOUS AREA: J

MATERIAL DESCRIPTION: Tank Insulation

MATERIAL LOCATION: Material Not Observed - Metal Jacket Covering.





Comments:

If observed, implement O&M.










HOMOGENEOUS AREA: K

MATERIAL DESCRIPTION: Tank Packing








DAMAGE REASON:


MATERIAL LOCATION: Material Not Observed - Metal Jacket Covering



COMMENTS:









HOMOGENEOUS AREA: K

MATERIAL DESCRIPTION: Tank Packing

MATERIAL LOCATION: Material Not Observed - Metal Jacket Covering





Comments:










HOMOGENEOUS AREA: O

MATERIAL DESCRIPTION: Aircell Duct Insulation








DAMAGE REASON:


MATERIAL LOCATION: Crawl Spaces



COMMENTS:









HOMOGENEOUS AREA: O

MATERIAL DESCRIPTION: Aircell Duct Insulation

MATERIAL LOCATION: Crawl Spaces





Comments:










HOMOGENEOUS AREA: P

MATERIAL DESCRIPTION: boiler gasket -rope








DAMAGE REASON:

DISTURBANCE POTENTIAL: Low

MATERIAL LOCATION: boiler room



COMMENTS:









HOMOGENEOUS AREA: P

MATERIAL DESCRIPTION: boiler gasket -rope






Comments:










HOMOGENEOUS AREA: Q

MATERIAL DESCRIPTION: waffle pipe insulation








DAMAGE REASON:


MATERIAL LOCATION: pipe tunnel, air tunnel



COMMENTS:









HOMOGENEOUS AREA: Q

MATERIAL DESCRIPTION: waffle pipe insulation

MATERIAL LOCATION: pipe tunnel, air tunnel





Comments:










HOMOGENEOUS AREA: R

MATERIAL DESCRIPTION: Waffle Pipe Fittings








DAMAGE REASON:


MATERIAL LOCATION: Pipe Tunnel, Air Tunnel



COMMENTS:









HOMOGENEOUS AREA: R

MATERIAL DESCRIPTION: Waffle Pipe Fittings

MATERIAL LOCATION: Pipe Tunnel, Air Tunnel





Comments:










HOMOGENEOUS AREA: S

MATERIAL DESCRIPTION: Fiberglass Fittings








DAMAGE REASON:


MATERIAL LOCATION: boiler room, pipe tunnel, air tunnel



COMMENTS:









HOMOGENEOUS AREA: S

MATERIAL DESCRIPTION: Fiberglass Fittings

MATERIAL LOCATION: boiler room, pipe tunnel, air tunnel





Comments:










HOMOGENEOUS AREA: T

MATERIAL DESCRIPTION: boiler gasket - hard








DAMAGE REASON:

DISTURBANCE POTENTIAL: Low




COMMENTS:









HOMOGENEOUS AREA: T

MATERIAL DESCRIPTION: boiler gasket - hard






Comments:










HOMOGENEOUS AREA: U

MATERIAL DESCRIPTION: 12"x12" Grey w/ Grey & White Streaks Floor Tile








DAMAGE REASON:


MATERIAL LOCATION: Boys and Girls Washrooms (Annex)



COMMENTS:









HOMOGENEOUS AREA: U

MATERIAL DESCRIPTION: 12"x12" Grey w/ Grey & White Streaks Floor Tile

MATERIAL LOCATION: Boys and Girls Washrooms (Annex)





Follow O&M Plan

Comments:










HOMOGENEOUS AREA: V

MATERIAL DESCRIPTION: 12"x12" Grey w/ Grey & White Streaks Floor Tile Mastic








DAMAGE REASON:


MATERIAL LOCATION: Boys & Girls Washroom (Annex)



COMMENTS:









HOMOGENEOUS AREA: V

MATERIAL DESCRIPTION: 12"x12" Grey w/ Grey & White Streaks Floor Tile Mastic

MATERIAL LOCATION: Boys & Girls Washroom (Annex)





Follow O&M Plan

Comments:










HOMOGENEOUS AREA: W

MATERIAL DESCRIPTION: 12"x12" Brown w/ Black Specks Floor Tile








DAMAGE REASON:





COMMENTS:









HOMOGENEOUS AREA: W

MATERIAL DESCRIPTION: 12"x12" Brown w/ Black Specks Floor Tile






Follow O&M Plan

Comments:










HOMOGENEOUS AREA: X

MATERIAL DESCRIPTION: 12"x12" Brown w/ Black Specks Floor Tile Mastic








DAMAGE REASON:





COMMENTS:









HOMOGENEOUS AREA: X

MATERIAL DESCRIPTION: 12"x12" Brown w/ Black Specks Floor Tile Mastic






Follow O&M Plan

Comments:










HOMOGENEOUS AREA: Y

MATERIAL DESCRIPTION: 12"x12" Blue w/ Black Specks Floor Tile








DAMAGE REASON:





COMMENTS:









HOMOGENEOUS AREA: Y

MATERIAL DESCRIPTION: 12"x12" Blue w/ Black Specks Floor Tile






Follow O&M Plan

Comments:










HOMOGENEOUS AREA: Z

MATERIAL DESCRIPTION: 12"x12" Blue w/ Black Specks Floor Tile Mastic








DAMAGE REASON:





COMMENTS:









HOMOGENEOUS AREA: Z

MATERIAL DESCRIPTION: 12"x12" Blue w/ Black Specks Floor Tile Mastic






Follow O&M Plan

Comments:





Inspector Assessment Form (New Homogeneous Area)

LEA NAME: Chicago Public Schools UNIT NUMBER: 24871 BUIDLING ID: 5340




INFORMATION FROM CURRENT INSPECTIONHOMOGENEOUS AREA: 95

MATERIAL DESCRIPTION: Mastic Associated w/ 12" x 12" Tan w/ Brown Spots Floor Tile

MATERIAL LOCATION: Throughout Building


MATERIAL CATEGORY: MISC FRIABLE: No

ASBESTOS TYPE: Assumed

DISTURBANCE POTENTIAL: LOW CONDITION:

AHERA DAMAGE CATEGORY: 6 ACBM with the potential for damage

ACCESSIBILITY: Not Reachable DAMAGE REASON:DAMAGE REASON:DAMAGE REASON:


COMMENTS:










MATERIAL DESCRIPTION: Mastic Associated w/ 12" x 12" Tan w/ Brown Spots Floor Tile




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 originalinspection of the above identified homogeneous area has been reviewed in accordance with Sections 763.88 and 763.90 with the following recommendations.


COMMENTS:











MATERIAL DESCRIPTION: Orange Linoleum







ACCESSIBILITY: Within Reach DAMAGE REASON:DAMAGE REASON:DAMAGE REASON:


COMMENTS:










MATERIAL DESCRIPTION: Orange Linoleum






COMMENTS:











MATERIAL DESCRIPTION: Baseboard Mastic







ACCESSIBILITY: Not Reachable DAMAGE REASON:DAMAGE REASON:DAMAGE REASON:


COMMENTS:










MATERIAL DESCRIPTION: Baseboard Mastic






COMMENTS:











MATERIAL DESCRIPTION: 12" x 12" Tan w/ Brown Spots Floor Tile









COMMENTS:










MATERIAL DESCRIPTION: 12" x 12" Tan w/ Brown Spots Floor Tile






COMMENTS:











MATERIAL DESCRIPTION: Blue Linoleum

MATERIAL LOCATION: Boy's Washroom








COMMENTS:










MATERIAL DESCRIPTION: Blue Linoleum

MATERIAL LOCATION: Boy's Washroom





COMMENTS:











MATERIAL DESCRIPTION: 2' X 2' Wormy Ceiling Tile



MATERIAL CATEGORY: MISC FRIABLE: Yes



AHERA DAMAGE CATEGORY: 7 Any remaining friable ACBM or friable suspect ACBM

ACCESSIBILITY: Barely Reachable DAMAGE REASON:DAMAGE REASON:DAMAGE REASON:


COMMENTS:










MATERIAL DESCRIPTION: 2' X 2' Wormy Ceiling Tile






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

illinois department of public health ahera three year...

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