Enclosed please find the inspection report for the above-referenced location.
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1 December 30, 2008 Ted Sherman Saint Paul Public Schools 360 Colborne Street Saint Paul, MN RE: Eastern Heights Elementary Asbestos Inspection Project # Dear Ted: Enclosed please find the inspection report for the above-referenced location. If you have any questions or require additional information, please do not hesitate to contact me. Sincerely, INSTITUTE FOR ENVIRONMENTAL ASSESSMENT, INC. Jeff Carlson Director of Inspection Services JC/wb Enclosures cc File
2 ASBESTOS INSPECTION PROFILE Eastern Heights Elementary 2001 Margaret Street Saint Paul, MN Submitted to: Ted Sherman Saint Paul Public Schools Submitted by: Institute for Environmental Assessment 9201 West Broadway North, Suite 600 Brooklyn Park, MN / Client #2001 Project #
3 INDEX SECTION I Asbestos Summary and Inspection Report SECTION II Floor Plans SECTION III Asbestos Laboratory Report SECTION IV Asbestos Inspector and Management Planner Licenses
4 SECTION I Asbestos Summary and Inspection Report
5 Asbestos Summary Eastern Heights Elementary 2001 Margaret Street Saint Paul, MN On December 15, 2008, an inspection for asbestos-containing materials (ACM) was performed at the above-referenced location. The scope of the inspection included all accessible suspect ACM within the building. Since this was a limited inspection, there may be additional materials not identified on the report located within wall cavities, pipe chases and/or other inaccessible locations. Suspect ACM was identified and sampled for asbestos content. Identified materials confirmed to be ACM include the following: 9 x9 floor tile and mastic Fire doors Vinyl countertops The following suspect materials were not sampled as part of the inspection. These materials are assumed to contain asbestos and shall be treated as ACM or sampled prior to disturbance to determine if they are ACM or not. Identified materials assumed to be ACM include the following: Air cell pipe insulation and pipe joint insulation 9 x 27 vinyl floor tile and mastic Wood floor mastic/felt/vapor barrier Sink undercoating Chalkboard adhesive Tackboard adhesive See the attached report for specific quantities and locations. Destructive sampling was not performed as a part of this inspection. This inspection does not meet the requirements of the Minnesota Pollution Control Agency (MPCA) or Minnesota OSHA (MNOSHA) for an asbestos demolition/renovation inspection. Bulk Samples of accessible suspect material were collected and analyzed in accordance with Environmental Protection Agency (EPA) sampling and analytical procedure requirements. Sampling was conducted in a manner determined by the inspector to be sufficient to identify whether the suspect materials are asbestos containing. Where deemed appropriate, prior sample results were used and are referenced in the report. Roof samples were not collected as part of this inspection. Suspect roofing materials should be handled as asbestos or sampled prior to disturbance to determine if they are ACM or not. Specific locations of these materials, as well as those suspect materials which were analyzed and were found not to contain asbestos, are identified in the attached report., Inc Page 1 of 1
6 Eastern Heights Elementary 2001 Margaret Street, Saint Paul, MN Inspection Dates: 12/15/2008 Chart B - Assessment of Asbestos-Containing Building Materials (ACBM) All asbestos-containing events listed here are to be inspected during each six-month periodic surveillance inspection for changes in condition. The Institute for Environmental Assessment () highly recommends an in depth "front end" inspection prior to any general renovation or remodeling to determine if those activities may disrupt building materials that may involve existing or undiscovered asbestos. Potentially inaccessible or exempt asbestos-containing materials not included in this plan may include: adhesives, caulking, putty, woven blankets, curtains, gloves and gaskets, electrical wiring insulation and heat shields above lights, paints and coatings, roofing felts, flashings and shingles, and mineral core fire doors. Damaged materials which require corrective action to reduce a potential hazard are indicated on Chart A. All non-damaged ACBM identified in Chart B should be monitored through scheduled inspections and removed prior to renovation or demolition activities, or when their condition deteriorates. District administration will direct another formal inspection by a federally certified inspector within three (3) years, and will maintain an ongoing file for each building. Specific recommendations on how to manage the different types of asbestos-containing material are identified in the Asbestos Management Plan. PLEASE NOTE: Based on EPA recommendations, materials analyzed utilizing PLM and found to contain between 0% and 10% should be assumed asbestos containing unless building owner wishes the laboratory to utilize "point counting." For samples analyzed prior to 1994 containing 1% or less (trace) of asbestos, resampling utilizing the 1993 EPA Test Method or point counting is strongly recommended for purposes of demolition or renovation before treating these materials as non-asbestos containing. Contact your local office for questions or additional information. EPA ASSESSMENT CATEGORIES: 1 = Damaged or significantly damaged TSI ACM. 5 = ACBM w/potential for damage. 2 = Damaged friable surfacing ACM. 6 = ACBM w/potential for significant damage. 3 = Significantly damaged friable surfacing ACM. 7 = Any remaining friable ACBM or friable suspected ACBM. 4 = Damaged or significantly damaged friable miscellaneous ACM. Event No. Material Type Location Estimated Amount Total Friable? % Asbestos EPA Assess. Category 14 B1A Air Cell Pipe Insulation 1929 ORIGINAL BUILDING UNEXCAVATED AREA 1929 Original Building BR2 1 Lin. Ft. Y ASSUMED 1 Comments: DEBRIS AT FAR END OF CRAWL SPACE AT WALL. 15 A1A Mudded Pipe Joints on Air Cell Insulation 1929 ORIGINAL BUILDING UNEXCAVATED AREA 1929 Original Building BR2 1 Joints Y ASSUMED 1 Comments: DEBRIS AT FAR END OF CRAWL SPACE AT WALL. Eastern Heights Elementary Page 1
7 Eastern Heights Elementary 2001 Margaret Street, Saint Paul, MN Inspection Dates: 12/15/2008 Event No. Material Type Location Estimated Amount Total Friable? % Asbestos EPA Assess. Category 16 V0A Sink Undercoating 1929 ORIGINAL BUILDING UNEXCAVATED AREA Gray w/hook Faucet BR2 8 Sq. Ft. N ASSUMED 5 Comments: ONE (1) DOUBLE SINK LOOSE ON DUCTWORK. 17 V0E Sink Undercoating 1929 ORIGINAL BUILDING UNEXCAVATED AREA Cream w/gooseneck Faucet BR2 5 Sq. Ft. N ASSUMED 5 Comments: ONE (1) SINK LOOSE ON DUCTWORK. 19 V0A Sink Undercoating ROOM 113 (TEACHERS' LOUNGE) 8 Sq. Ft. N ASSUMED 5 Gray w/hook Faucet Comments: ONE (1) DOUBLE SINK. 21 X0A Miscellaneous Material THROUGHOUT 1952 ADDITION 80 Sq. Ft. N ASSUMED 5 Slate Chalkboard Adhesive (1952) Comments: 22 X0B Miscellaneous Material THROUGHOUT 1952 ADDITION 300 Sq. Ft. N ASSUMED 5 Tackboard Adhesive (1952) Comments: 23 T0A Light Cord Insulation CAFETERIA (115) 24 Lin. Ft. N ASSUMED 5 Fuzzy, White Comments: FOUR (4) LIGHTS W/TWO (2) CORDS EACH FOR STAGE. 25 S0B Wood Floor Mastic / Felt / Vapor Barrier CAFETERIA STAGE (137 & 137A) 600 Sq. Ft. N ASSUMED Addition Comments: ON CONCRETE. 31 K0H 9" x 9" Vinyl Floor Tile & Mastic ROOM Sq. Ft. N 5 CH (TILE & MASTIC) 5 Tan w/black & Red Marbling (1952) Comments: UNDER CARPET. 33 X1A Miscellaneous Material ROOM Sq. Ft. N 25 CH 5 Beige Terrazzo-Look Countertops Comments: Eastern Heights Elementary Page 2
8 Eastern Heights Elementary 2001 Margaret Street, Saint Paul, MN Inspection Dates: 12/15/2008 Event No. Material Type Location Estimated Amount Total Friable? % Asbestos EPA Assess. Category 34 X1A Miscellaneous Material ROOM Sq. Ft. N 25 CH 5 Beige Terrazzo-Look Countertops Comments: 35 K0H 9" x 9" Vinyl Floor Tile & Mastic ROOM Sq. Ft. N 5 CH (TILE & MASTIC) 5 Tan w/black & Red Marbling (1952) Comments: UNDER CARPET. 36 X0C Miscellaneous Material THROUGHOUT 1969 ADDITION 900 Sq. Ft. N ASSUMED 5 Chalkboard Adhesive (1969) Comments: 37 X0D Miscellaneous Material THROUGHOUT 1969 ADDITION 250 Sq. Ft. N ASSUMED 5 Tackboard Adhesive (1969) Comments: 42 K0C 9" x 9" Vinyl Floor Tile & Mastic ROOM Sq. Ft. N 5 CH (TILE & MASTIC) 5 Beige w/black Streaks (1969) Comments: UNDER CARPET. 47 P0A Fire Doors 1969 ADDITION 1ST FLOOR STAIRWELL 40 Sq. Ft. Y 10 CH, 20 AM 4 Wood Composite - 1 Hr Rating (Underwriter's Laboratories) Comments: TWO (2) DOORS. NO WORKING LATCH. EXPOSED AT LATCH HOLE. 52 K0C 9" x 9" Vinyl Floor Tile & Mastic ROOM Sq. Ft. N 5 CH (TILE & MASTIC) 5 Beige w/black Streaks (1969) Comments: UNDER CARPET IN 1969 ADDITION PORTION OF ROOM. 53 P0B Fire Doors 1969 ADDITION 2ND FLOOR STAIRWELL 40 Sq. Ft. Y 40 CH, 5 AM 4 Wood Composite - 1 Hr Rating (Weldwood) Comments: TWO (2) DOORS. EXPOSED AT LATCH. 54 K0A 9" x 9" Vinyl Floor Tile & Mastic 1969 ADDITION 2ND FLOOR HALLWAY 725 Sq. Ft. N 5 CH (TILE & MASTIC) 5 Gray w/black & Beige Streaks (1969) Comments: Eastern Heights Elementary Page 3
9 Eastern Heights Elementary 2001 Margaret Street, Saint Paul, MN Inspection Dates: 12/15/2008 Event No. Material Type Location Estimated Amount Total Friable? % Asbestos EPA Assess. Category 59 X1B Miscellaneous Material ROOM Sq. Ft. N 25 CH 5 Light Green & Beige Terrazzo-Look Countertop Comments: 60 X1B Miscellaneous Material ROOM Sq. Ft. N 25 CH 5 Light Green & Beige Terrazzo-Look Countertop Comments: 62 X1B Miscellaneous Material ROOM Sq. Ft. N 25 CH 5 Light Green & Beige Terrazzo-Look Countertop Comments: 69 K0H 9" x 9" Vinyl Floor Tile & Mastic ROOM Sq. Ft. N 5 CH (TILE & MASTIC) 5 Tan w/black & Red Marbling (1952) Comments: UNDER CARPET. 71 K0H 9" x 9" Vinyl Floor Tile & Mastic ROOM Sq. Ft. N 5 CH (TILE & MASTIC) 5 Tan w/black & Red Marbling (1952) Comments: UNDER CARPET. 73 K0H 9" x 9" Vinyl Floor Tile & Mastic ROOM Sq. Ft. N 5 CH (TILE & MASTIC) 5 Tan w/black & Red Marbling (1952) Comments: 74 K0H 9" x 9" Vinyl Floor Tile & Mastic ROOM Sq. Ft. N 5 CH (TILE & MASTIC) 5 Tan w/black & Red Marbling (1952) Comments: UNDER CARPET. 77 K0D 9" x 9" Vinyl Floor Tile & Mastic 1929 ORIGINAL BUILDING 2ND FLOOR HALLWAY 135 Sq. Ft. N 5 CH 5 Solid Army Green Comments: 78 K0E 9" x 9" Vinyl Floor Tile & Mastic 1929 ORIGINAL BUILDING 2ND FLOOR HALLWAY 135 Sq. Ft. N 3 CH (TILE) 5 Solid Black Comments: Eastern Heights Elementary Page 4
10 Eastern Heights Elementary 2001 Margaret Street, Saint Paul, MN Inspection Dates: 12/15/2008 Event No. Material Type Location Estimated Amount Total Friable? % Asbestos EPA Assess. Category 79 K3B Miscellaneous Flooring 1929 ORIGINAL BUILDING 2ND FLOOR HALLWAY 70 Sq. Ft. N ASSUMED 5 9" x 27" Army Green Border Tiles Comments: 84 S0A Wood Floor Mastic / Felt / Vapor Barrier ROOM Sq. Ft. N ASSUMED Original Building Comments: UNDER CARPET. 87 S0A Wood Floor Mastic / Felt / Vapor Barrier ROOM Sq. Ft. N ASSUMED Original Building Comments: UNDER CARPET. 89 S0A Wood Floor Mastic / Felt / Vapor Barrier THROUGHOUT 1929 ORIGINAL BUILDING 3RD 1929 Original Building FLOOR 1400 Sq. Ft. N ASSUMED 5 Comments: 90 K0D 9" x 9" Vinyl Floor Tile & Mastic 1929 ORIGINAL BUILDING 3RD FLOOR HALLWAY 135 Sq. Ft. N 5 CH 5 Solid Army Green Comments: UNDER CARPET. PRESENCE VERIFIED. QUANTITY ASSUMED TO BE THE SAME AS 2ND FLOOR HALLWAY. 91 K0E 9" x 9" Vinyl Floor Tile & Mastic 1929 ORIGINAL BUILDING 3RD FLOOR HALLWAY 135 Sq. Ft. N 3 CH (TILE) 5 Solid Black Comments: UNDER CARPET. PRESENCE VERIFIED. QUANTITY ASSUMED TO BE THE SAME AS 2ND FLOOR HALLWAY. 92 K3B Miscellaneous Flooring 1929 ORIGINAL BUILDING 3RD FLOOR HALLWAY 70 Sq. Ft. N ASSUMED 5 9" x 27" Army Green Border Tiles Comments: UNDER CARPET. 94 X0E Miscellaneous Material THROUGHOUT 1991 ADDITION 700 Sq. Ft. N ASSUMED 5 Chalkboard/Tackboard Adhesive (1991) Comments: Eastern Heights Elementary Page 5
11 Eastern Heights Elementary 2001 Margaret Street, Saint Paul, MN Inspection Dates: 12/15/2008 Chart C - All Materials List The following list contains all events observed by the inspector, whether or not they actually contained asbestos, and are grouped by homogeneous area (material type). Homogeneous Area ID Code (Material Type) Event No. Location % Asbestos Sample No. New Sample Location Estimated Total Amount A1A A4A A4B B1A D1A D2A Mudded Pipe Joints on Air Cell Insulation Total Amount: 1 Joints 1929 Original Building ORIGINAL BUILDING UNEXCAVATED AREA BR2 ASSUMED 1 Joints Mudded Pipe Joints on Fiberglass Insulation Total Amount: 4 Joints Gray, Uncovered 12 BOILER ROOM (BR3) NONE DETECTED MA-01 4 Joints Mudded Pipe Joints on Fiberglass Insulation Total Amount: 10 Joints 2001 Installation 13 BOILER ROOM (BR3) NONE DETECTED MA Joints Air Cell Pipe Insulation Total Amount: 1 Lin. Ft Original Building ORIGINAL BUILDING UNEXCAVATED AREA BR2 ASSUMED 1 Lin. Ft. Boiler Gaskets Total Amount: 10 Sq. Ft. Shiny, Synthetic 8 BOILER ROOM (BR3) NSM 10 Sq. Ft. Interior Boiler Insulation Total Amount: 20 Sq. Ft. Door Refractory (2001) 9 BOILER ROOM (BR3) NONE DETECTED MA Sq. Ft. Eastern Heights Elementary Page 1
12 Chart C - All Materials List - Eastern Heights Elementary (cont.) Homogeneous Area ID Code (Material Type) Event No. Location % Asbestos Sample No. New Sample Location Estimated Total Amount D2B I1A I1B I1C I2A I2B Interior Boiler Insulation White Panels (2001) Total Amount: 50 Sq. Ft. 10 BOILER ROOM (BR3) NONE DETECTED MA Sq. Ft. 1' x 1' Acoustical Ceiling Tile 20-Hole Pegboard (1952) Total Amount: 2,015 Sq. Ft ADDITION 1ST FLOOR HALLWAY NONE DETECTED 207-B7A GYMNASIUM. 900 Sq. Ft ADDITION 2ND FLOOR HALLWAY NONE DETECTED 900 Sq. Ft ADDITION 2ND FLOOR BOYS' RESTROOM NONE DETECTED 215 Sq. Ft. 1' x 1' Acoustical Ceiling Tile Clustered Pinholes (1969) Total Amount: 1,895 Sq. Ft ADDITION 1ST FLOOR HALLWAY NONE DETECTED 207-B8A 750 Sq. Ft ADDITION STAIRWELL NONE DETECTED 300 Sq. Ft. 50 LOWER LEVEL STORAGE OFF 1969 ADDITION STAIRWELL NONE DETECTED 120 Sq. Ft ADDITION 2ND FLOOR HALLWAY NONE DETECTED 725 Sq. Ft. 1' x 1' Acoustical Ceiling Tile 22-Hole Pegboard (1929) Total Amount: 350 Sq. Ft ORIGINAL BUILDING 2ND FLOOR HALLWAY NONE DETECTED MA Sq. Ft. 2' x 2' Acoustical Ceiling Tile Total Amount: 20,000 Sq. Ft. Textured w/pinholes 1 THROUGHOUT BUILDING NONE DETECTED MA-28 MA-28: TEACHERS' LOUNGE (113) Sq. Ft. 2' x 2' Acoustical Ceiling Tile Total Amount: 5,000 Sq. Ft. Fabric-Covered Fiberglass 2 THROUGHOUT BUILDING NSM 5000 Sq. Ft. Eastern Heights Elementary Page 2
13 Chart C - All Materials List - Eastern Heights Elementary (cont.) Homogeneous Area ID Code (Material Type) Event No. Location % Asbestos Sample No. New Sample Location Estimated Total Amount I2C I3A K0A K0C K0D K0E 2' x 2' Acoustical Ceiling Tile Vinyl-Coated Gypsum 2' x 4' Ceiling Tile Widthwise Fissures 9" x 9" Vinyl Floor Tile & Mastic Gray w/black & Beige Streaks (1969) 9" x 9" Vinyl Floor Tile & Mastic Beige w/black Streaks (1969) 9" x 9" Vinyl Floor Tile & Mastic Solid Army Green 9" x 9" Vinyl Floor Tile & Mastic Solid Black Total Amount: 960 Sq. Ft. 26 KITCHEN NSM 960 Sq. Ft. Total Amount: 340 Sq. Ft. 24 CAFETERIA STAGE (137) NONE DETECTED MA Sq. Ft ADDITION 2ND FLOOR HALLWAY 5 CH (TILE & MASTIC) 42 ROOM CH (TILE & MASTIC) 52 ROOM CH (TILE & MASTIC) Total Amount: 725 Sq. Ft AK-1 AK-1: 1ST FLOOR HALLWAY. 725 Sq. Ft. Total Amount: 1,205 Sq. Ft ROOM Sq. Ft. 580 Sq. Ft. Total Amount: 270 Sq. Ft ORIGINAL BUILDING 2ND FLOOR HALLWAY 5 CH Sq. Ft ORIGINAL BUILDING 3RD FLOOR HALLWAY 5 CH 135 Sq. Ft. Total Amount: 270 Sq. Ft ORIGINAL BUILDING 2ND FLOOR HALLWAY 3 CH (TILE) JC Sq. Ft ORIGINAL BUILDING 3RD FLOOR HALLWAY 3 CH (TILE) 135 Sq. Ft. Eastern Heights Elementary Page 3
14 Chart C - All Materials List - Eastern Heights Elementary (cont.) Homogeneous Area ID Code (Material Type) Event No. Location % Asbestos Sample No. New Sample Location Estimated Total Amount K0H K2B K2D K2E K3A 9" x 9" Vinyl Floor Tile & Mastic Tan w/black & Red Marbling (1952) 12" x 12" Vinyl Floor Tile & Mastic Blue w/light & Dark Gray Smudges 12" x 12" Vinyl Floor Tile & Mastic Blue & White Mottle 12" x 12" Vinyl Floor Tile & Mastic Tan w/brown Smudges Miscellaneous Flooring 2' x 2' Gray w/black & White Streaks 31 ROOM CH (TILE & MASTIC) 35 ROOM CH (TILE & MASTIC) 69 ROOM CH (TILE & MASTIC) 71 ROOM CH (TILE & MASTIC) 73 ROOM CH (TILE & MASTIC) 74 ROOM CH (TILE & MASTIC) Total Amount: 3,750 Sq. Ft. 625 Sq. Ft. 625 Sq. Ft. 625 Sq. Ft. 625 Sq. Ft Sq. Ft. 625 Sq. Ft. Total Amount: 900 Sq. Ft ADDITION 2ND FLOOR HALLWAY NEW 900 Sq. Ft. Total Amount: 10,000 Sq. Ft. 6 THROUGHOUT BUILDING NONE DETECTED MA-23 MA-23: ROOM Sq. Ft. Total Amount: 6,000 Sq. Ft. 7 THROUGHOUT BUILDING NONE DETECTED MA-25 MA-25: ROOM Sq. Ft. Total Amount: 140 Sq. Ft. 43 ROOM 106 NONE DETECTED MA Sq. Ft. 45 ROOM 108 NONE DETECTED 70 Sq. Ft. Eastern Heights Elementary Page 4
15 Chart C - All Materials List - Eastern Heights Elementary (cont.) Homogeneous Area ID Code (Material Type) Event No. Location % Asbestos Sample No. New Sample Location Estimated Total Amount K3B L0A M0A N0B Miscellaneous Flooring 9" x 27" Army Green Border Tiles Fabric Isolation Joints Light Gray Fabric Plaster 1929 Original Building Sheetrock & Taping Compound 1952 Addition Total Amount: 140 Sq. Ft ORIGINAL BUILDING 2ND FLOOR HALLWAY ASSUMED 70 Sq. Ft ORIGINAL BUILDING 3RD FLOOR HALLWAY ASSUMED 70 Sq. Ft. Total Amount: 6 Sq. Ft. 11 BOILER ROOM (BR3) NONE DETECTED EC1 BOILER ROOM. 6 Sq. Ft. 18 THROUGHOUT 1929 ORIGINAL BUILDING 1ST FLOOR NONE DETECTED MA-05,06 MA-05: OFFICE ROOM 100/118 WALL. MA-06: OFFICE ROOM 100/118 CEILING. 76 THROUGHOUT 1929 ORIGINAL BUILDING 2ND FLOOR NONE DETECTED MA-19,20,21 MA-19,20: 1952 ORIGINAL BUILDING HALLWAY. MA-21: 2ND FLOOR HALLWAY. 88 THROUGHOUT 1929 ORIGINAL BUILDING 3RD FLOOR NONE DETECTED MA-22; MA-22: ROOM 305 CEILING : 3RD FLOOR SPEECH OFFICE WALL. Total Amount: 13,000 Sq. Ft Sq. Ft Sq. Ft Sq. Ft. Total Amount: 1,800 Sq. Ft ADDITION 1ST FLOOR HALLWAY NONE DETECTED AK5 AK5: CEILING ABOVE 1 X Sq. Ft ADDITION 2ND FLOOR HALLWAY NONE DETECTED EC3; 509-M M11: OUTSIDE ROOM Sq. Ft. N0C N0D Sheetrock & Taping Compound 1969 Addition Total Amount: 1,450 Sq. Ft ADDITION 1ST FLOOR HALLWAY NONE DETECTED 725 Sq. Ft ADDITION 2ND FLOOR HALLWAY NONE DETECTED EC2 2ND FLOOR HALLWAY. 725 Sq. Ft. Sheetrock & Taping Compound 1991 Addition/Installation Total Amount: 10,000 Sq. Ft. 5 THROUGHOUT BUILDING NONE DETECTED MA-29 MA-29: 1ST FLOOR HALLWAY OUTSIDE LIBRARY Sq. Ft. Eastern Heights Elementary Page 5
16 Chart C - All Materials List - Eastern Heights Elementary (cont.) Homogeneous Area ID Code (Material Type) Event No. Location % Asbestos Sample No. New Sample Location Estimated Total Amount P0A P0B Q0A R0A S0A S0B T0A Fire Doors Total Amount: 40 Sq. Ft. Wood Composite - 1 Hr Rating (Underwriter's Laboratories) ADDITION 1ST FLOOR STAIRWELL 10 CH, 20 AM MA Sq. Ft. Fire Doors Total Amount: 40 Sq. Ft. Wood Composite - 1 Hr Rating (Weldwood) ADDITION 2ND FLOOR STAIRWELL 40 CH, 5 AM MA Sq. Ft. Carpet Mastic Total Amount: 25,000 Sq. Ft. Berber Carpet 3 THROUGHOUT BUILDING NONE DETECTED MA-27 MA-27: ROOM Sq. Ft. Baseboard/Mopboard Mastic Total Amount: 5,000 Sq. Ft. Blue Baseboard 4 THROUGHOUT BUILDING NONE DETECTED MA-26 MA-26: ROOM Sq. Ft. Wood Floor Mastic / Felt / Vapor Barrier 1929 Original Building Total Amount: 2,800 Sq. Ft. 84 ROOM 201 ASSUMED 700 Sq. Ft. 87 ROOM 200 ASSUMED 700 Sq. Ft. 89 THROUGHOUT 1929 ORIGINAL BUILDING 3RD FLOOR ASSUMED 1400 Sq. Ft. Wood Floor Mastic / Felt / Vapor Barrier 1952 Addition Total Amount: 600 Sq. Ft. 25 CAFETERIA STAGE (137 & 137A) ASSUMED 600 Sq. Ft. Light Cord Insulation Total Amount: 24 Lin. Ft. Fuzzy, White 23 CAFETERIA (115) ASSUMED 24 Lin. Ft. Eastern Heights Elementary Page 6
17 Chart C - All Materials List - Eastern Heights Elementary (cont.) Homogeneous Area ID Code (Material Type) Event No. Location % Asbestos Sample No. New Sample Location Estimated Total Amount V0A V0B V0C Sink Undercoating Gray w/hook Faucet Sink Undercoating Cream Sink Undercoating Gray w/gooseneck Faucet Total Amount: 16 Sq. Ft ORIGINAL BUILDING UNEXCAVATED AREA BR2 ASSUMED 8 Sq. Ft. 19 ROOM 113 (TEACHERS' LOUNGE) ASSUMED 8 Sq. Ft. Total Amount: 9 Sq. Ft. 85 ROOM 201 NONE DETECTED 3 Sq. Ft. 86 ROOM 200 NONE DETECTED MA-17 3 Sq. Ft. 93 ROOM 306 NONE DETECTED 3 Sq. Ft. Total Amount: 65 Sq. Ft. 20 NURSE'S OFFICE NONE DETECTED 5 Sq. Ft. 30 ROOM 102 NONE DETECTED 5 Sq. Ft. 32 ROOM 103 NONE DETECTED 5 Sq. Ft. 41 ROOM 105 NONE DETECTED 5 Sq. Ft. 44 ROOM 106 NONE DETECTED 5 Sq. Ft. 46 ROOM 108 NONE DETECTED 5 Sq. Ft. 58 ROOM 208 NONE DETECTED MA-13 5 Sq. Ft. 61 ROOM 207 NONE DETECTED 5 Sq. Ft. 63 ROOM 206 NONE DETECTED 5 Sq. Ft. 68 ROOM 205 NONE DETECTED 5 Sq. Ft. 70 ROOM 204 NONE DETECTED 5 Sq. Ft. 72 ROOM 203 NONE DETECTED 5 Sq. Ft. 75 ROOM 202 NONE DETECTED 5 Sq. Ft. Eastern Heights Elementary Page 7
18 Chart C - All Materials List - Eastern Heights Elementary (cont.) Homogeneous Area ID Code (Material Type) Event No. Location % Asbestos Sample No. New Sample Location Estimated Total Amount V0D V0E W1A W1B Sink Undercoating Total Amount: 50 Sq. Ft. Rough, Gray w/gooseneck Faucet (1991) 95 THROUGHOUT 1991 ADDITION NONE DETECTED MA-11 MA-11: ROOM Sq. Ft. Sink Undercoating Total Amount: 5 Sq. Ft. Cream w/gooseneck Faucet ORIGINAL BUILDING UNEXCAVATED AREA BR2 ASSUMED 5 Sq. Ft. 1' x 1' Ceiling Tile Mastic Associated w/i1a Total Amount: 450 Sq. Ft ADDITION 1ST FLOOR HALLWAY NONE DETECTED 200 Sq. Ft ADDITION 2ND FLOOR HALLWAY NONE DETECTED MA-16 MA-16: OUTSIDE ROOM Sq. Ft ADDITION 2ND FLOOR BOYS' RESTROOM NONE DETECTED 50 Sq. Ft. 1' x 1' Ceiling Tile Mastic Associated w/i1b Total Amount: 390 Sq. Ft ADDITION 1ST FLOOR HALLWAY NONE DETECTED 150 Sq. Ft ADDITION STAIRWELL NONE DETECTED 60 Sq. Ft. 51 LOWER LEVEL STORAGE OFF 1969 ADDITION STAIRWELL NONE DETECTED MA Sq. Ft ADDITION 2ND FLOOR HALLWAY NONE DETECTED MA-14 MA-14: OUTSIDE ROOM Sq. Ft. W1C X0A 1' x 1' Ceiling Tile Mastic Associated w/i1c Total Amount: 75 Sq. Ft ORIGINAL BUILDING 2ND FLOOR HALLWAY NONE DETECTED MA Sq. Ft. Miscellaneous Material Slate Chalkboard Adhesive (1952) Total Amount: 80 Sq. Ft. 21 THROUGHOUT 1952 ADDITION ASSUMED 80 Sq. Ft. Eastern Heights Elementary Page 8
19 Chart C - All Materials List - Eastern Heights Elementary (cont.) Homogeneous Area ID Code (Material Type) Event No. Location % Asbestos Sample No. New Sample Location Estimated Total Amount X0B X0C X0D X0E X1A X1B Miscellaneous Material Total Amount: 300 Sq. Ft. Tackboard Adhesive (1952) 22 THROUGHOUT 1952 ADDITION ASSUMED 300 Sq. Ft. Miscellaneous Material Total Amount: 900 Sq. Ft. Chalkboard Adhesive (1969) 36 THROUGHOUT 1969 ADDITION ASSUMED 900 Sq. Ft. Miscellaneous Material Total Amount: 250 Sq. Ft. Tackboard Adhesive (1969) 37 THROUGHOUT 1969 ADDITION ASSUMED 250 Sq. Ft. Miscellaneous Material Total Amount: 700 Sq. Ft. Chalkboard/Tackboard Adhesive (1991) 94 THROUGHOUT 1991 ADDITION ASSUMED 700 Sq. Ft. Miscellaneous Material Beige Terrazzo-Look Countertops Total Amount: 30 Sq. Ft. 33 ROOM CH MA Sq. Ft. 34 ROOM CH 15 Sq. Ft. Miscellaneous Material Light Green & Beige Terrazzo-Look Countertop Total Amount: 120 Sq. Ft. 59 ROOM CH MA Sq. Ft. 60 ROOM CH 40 Sq. Ft. 62 ROOM CH 40 Sq. Ft. Eastern Heights Elementary Page 9
20 SECTION II Floor Plans
21 Eastern Heights Elementary - Basement TA3 TA2 BR1 ST2 BR5 BR2 BR3 BR4 TA1 ST1
22 Eastern Heights Elementary - First Floor A A A A TA A B 175A S A TA A STA A
23 Eastern Heights Elementary - Second Floor TA A 201A 238 TA S3 201 TA S
24 Eastern Heights Elementary - Third Floor S TA TA S4
25 SECTION III Asbestos Laboratory Report
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34 SECTION IV Asbestos Inspector & Management Planner Licenses
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Explain in writing if the address of the building is different than the address on this form:
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
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More informationExplain in writing if the address of the building is different than the address on this form:
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-0044
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-2320
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