If the address on this form is different than the address of the building, submit a written explanation.
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- Percival Johnson
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1 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: SCHOOL NAME: Chicago Academy ADDRESS OF SCHOOL: 3400 N. Austin Ave. CITY: Chicago, IL, DATE LAST THREE YEAR REINSPECTION WAS COMPLETED 4/16/2013 If the address on this form is different than the address of the building, submit a written explanation. SECTION II (Please type or print) PLEASE COMPLETE THE FOLLOWING FOR YOUR THREE YEAR REINSPECTION: DATE REINSPECTION COMPLETED: 5/31/2016 ENROLLMENT 599 IDPH INSPECTOR LICENSE NUMBER: IDPH LICENSED INSPECTOR NAME (Please Print): IDPH MP LICENSE NUMBER: Roberto Rivera IDPH LICENSED MANAGEMENT PLANNER NAME (Please Print): Arturo Saenz DESIGNATED PERSON (Please Print): Robert Christlieb PHONE: (773) /31/2016 Signature of Designated Person SECTION III Date 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 Revised 10.03
2 THREE YEAR REINSPECTION CHICAGO SCHOOL DIST 299 Chicago Academy 3400 N. Austin Ave. Chicago, IL, Unit: Building ID: 6670 IDPH ID Number: REPORT DATE: Tuesday, May 31, 2016 Prepared for: Chicago Public Schools 125 S. Clark Street Chicago, IL Prepared by: 855 W. Adams St., Ste. 200 Phone (312) Fax (312) DO NOT REMOVE FROM SCHOOL REQUIRED BY FEDERAL LAW
3 March 10, 2016 Mr. R. Kent Cook Asbestos Program Illinois Department of Public Health 525 West Jefferson Street Springfield, Illinois Re: Chicago Public Schools Three-Year Reinspections Dear Mr. Cook:, Managing Environmental Consultant (MEC), conducted the Three-Year Reinspections and performed management plan updates for the Chicago Public Schools (CPS) facilities in Region 1,2,6 Elementary Schools. Please update your records with the following information. School District: 299 Unit: Region: 01 IDPH ID: School: Chicago Academy Building ID: 6670 Address: 3400 N. Austin Ave. Chicago, IL, Building Contact: Calderon, Manuel Contact Phone: Current Building Owners: Chicago Public Schools Review Date: 05/30/2016 Inspector: Roberto Rivera Inspector IDPH License: Management Planner: Arturo Saenz Management Planner IDPH License: If you have any questions or comments, please contact us at (312) Sincerely, Arturo Saenz
4 Environmental Notification to Occupants To: Faculty, Staff and Parents From: Chicago Public Schools Date: March 10, 2016 RE: Chicago Academy, Unit N. Austin Ave. Chicago, IL, Dear Faculty, Staff and Parents, This letter is to notify you that the 2016 asbestos three year re-inspection has been completed at Chicago Academy, 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 Chicago Academy, there is no reason to believe that any threat to the health of students or staff exists at this time. CPS will continue to carefully monitor the condition of asbestos-containing materials and if conditions warrant, all appropriate steps will be taken to maintain the health and safety of all building occupants. If you have any questions regarding this matter or require additional information, please feel free to contact Robert Christlieb, the designated Local Education Authority's Designated Person at (773)
5 Table of Contents I. School and Inspection Information II. III. IV. Executive Summary Methodology Abatement History V. Reassessments and Recommendations VI. Conclusions Table I: Inspector's Reinspection Findings Table II: Management Planner's Review APPENDICES: Appendix A: Appendix B: Appendix C: Appendix D: Appendix E: Assessment Sheets, Drawings and Photos Inspector and Management Planner Licenses Laboratory Accreditations Laboratory Results Chain of Custody Forms
6 SCHOOL AND INSPECTION INFORMATION 1. School Information School: Chicago Academy Unit: Region: 01 Address: 3400 N. Austin Ave. Chicago, IL, IDPH ID: Building ID: 6670 Contact: Calderon, Manuel Phone: Description of Facility Original Construction: 1920 Additional Construction: 1971 Total Square Footage: No of Floors: 2 Current Occupancy: LEA Designated Person Contact: Robert Christlieb Phone: (773) Address: 125 South Clark Street, 17th Floor Chicago, IL Managing Environmental Consultant MEC: Contact: Arturo Saenz Address 855 W. Adams St., Ste. 200 Phone: (312) Fax: (312) Inspector Inspector Name: Roberto Rivera Signature: Inspector IDPH license # Date: 3/10/ Management Planner Management Planner Name: Arturo Saenz Signature: Management Planner IDPH license # Date: 05/30/ Review Date: 05/30/ LEA Designated Person's Acknowledgement The reinspection report and recommendations have been received by me and appropriate action will be taken by the School District. Signature: Date: 5/31/2016 Name: Robert Christlieb Unit : Chicago Academy Building: 6670
7 II. EXECUTIVE SUMMARY was retained by the Chicago Public Schools (CPS) to perform a threeyear asbestos reinspection of the Chicago Academy. This inspection was conducted in accordance with the United States Environmental Protection Agency (USEPA) Asbestos Hazard Emergency Response Act (AHERA) part (b), and the ongoing Operations and Maintenance Program (O&M) originally designed in the School's Asbestos Management Plan. The purpose of this three-year reinspection is to record any condition changes in the asbestos-containing building material (ACBM) in the school since the previous three-year reinspection and the six-month periodic surveillance, to identify, assess, and include any Homogeneous Areas (HA) not identified in the Management Plan, and to recommend an appropriate response action to manage asbestos. The inspector conducted a three-year reinspection of this facility under Illinois Department of Public Health (IDPH) school reinspection requirements and AHERA, sections and The main building and each addition to the main building, if constructed at different dates, were inspected separately. Laboratory accreditations are included in Appendix C, laboratory results are included in Appendix D, and chain of custody forms are included in Appendix E. Note: During previous inspections, some of the HA(s) were identified together as 9" x 9" floor tile (FT), mastics assoc. with 9" x 9" FT, 12" x 12" FT, mastics assoc. with 12" x 12" FT, pipe insulation, etc. Some of these HA(s) have been re-identified by areas that are uniform in color, texture, construction date, application date, and general appearance. The inspector has determined the following: A. The following HAs have changed assessment categories for Building 6670: 71 Aircell Duct Insulation 72 Mudded Joint Packing Elbow/Fitting/Valve on Fiberglass Pipe Insulation Unit: Chicago Academy Building: 6670
8 B. The following new homogenous areas have been identified for Building 6670: 96 12" x 12" Sand VFT 96A 12" x 12" Sand VFT Mastic Unit: Chicago Academy Building: 6670
9 C. This reinspection covered only physically accessible and visible areas and materials that were identified in the LEA's management plan. The following materials were concealed and/or contained in areas that were inaccessible for sampling and have been classified as Assumed: 30 9"x 9" Cream VFT Mastic 41 12"X12" Black w/ White Streaks VFL 42 12"X12" Black w/ White Streaks VFL Mastic 47 12"X12" Blue w/white VFT 48 12"X12" Blue w/white VFT Mastic 49 12"X12" White w/tan Spots VFT (NOT OBSERVED) 50 12"X12" White w/tan Spots VFT Mastic (NOT OBSERVED) 52 Brown w/tan Small Squares Linoleum Mastic (NOT OBSERVED) 77 12"X12" White w/gray VFT 78 12"X12" White w/gray VFT Mastic 79 Terrazzo 80 Drywall, Tape, Compound 81 12"X12" White w/tan Streaks 81A 12"X12" White w/tan Streaks Mastic 82 12"X12" White w/multi-color Streaks 82A 12"X12" White w/multi-color Streaks Mastic 83 Blue-Gray Linoleum 83A Blue-Gray Linoleum Mastic 84 Blue-White Linoleum 84A Blue-White Linoleum Mastic 85 12"X12" Gray w/streaks VFT 85A 12"X12" Gray w/streaks VFT Mastic 86 12"X12" Gray w/streaks VFT 86A 12"X12" Gray w/streaks VFT Mastic 87 Gray Speckled Linoleum 87A Gray Speckled Linoleum Mastic 88 1'X1' White Smooth-Textured Ceiling Tiles 89 Terrazzo x 12 White with Blue Streaks VFT 90A 12 x 12 White with Blue Streaks VFT Mastic x 12 Blue Streaked VFT 91A 12 x 12 Blue Streaked VFT Mastic 92 White Linoleum Flooring VFT 92A White Linoleum Flooring VFT Mastic 93 6" x 12" Ceiling Tile White with Holes x 12 Dark Beige streaked VFT 94A 12 x 12 Dark Beige streaked VFT Mastic 95 9" x 9" Beige Mixed VFT 95A 9" x 9" Beige Mixed VFT Mastic Unit: Chicago Academy Building: 6670
10 96 12" x 12" Sand VFT 96A 12" x 12" Sand VFT Mastic The following areas were deemed to be inaccessible: 37 12"X12" Orange VFT (Under HA47+48) 38 12"X12" Orange VFT Mastic (Under HA47+48) 52 Brown w/tan Small Squares Linoleum Mastic (NOT OBSERVED) 73 Boiler Breeching 93 6" x 12" Ceiling Tile White with Holes 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 Roberto Rivera, IDPH License # The Management Plan was updated by Arturo Saenz, IDPH License # Inspector and Management Planner Licenses are included in Appendix B. Unit: Chicago Academy Building: 6670
11 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 these materials have become friable since the last inspection or periodic surveillance. 5. Identify any condition changes that may affect Hazard Ranking of known ACBM or Assumed ACBM, as well as any HA(s) that have become friable since the last reinspection. 6. Collect bulk samples from each newly discovered friable HA or previously assumed and submit for laboratory analysis. 7. Tabulate reinspection findings and submit for management planner review and recommendations with appropriate response actions based on the AHERA Damage Category of the ACBM. 8. Submit reinspection findings and management planner recommendations to the LEA within thirty (30) days for inclusion into the management plan. IV. ABATEMENT HISTORY The information collected from the existing management plan and inspection report(s) and from interviews with the school official revealed that the following asbestos abatement was conducted at the school since the previous Three year Reinspection. Abatement Dates: V. REASSESSMENTS AND RECOMMENDATIONS The reassessments and recommendations are summarized in Tables I and II on the following pages. Detailed Hazard Assessment Sheets and Drawings and Photos (if applicable) are included in Appendix A. VI. CONCLUSIONS The Chicago Academy Building 6670 Three-Year reinspection has been completed and response actions have been recommended for both friable and non-friable materials. A timely execution of the response actions recommended will enable the LEA and the Designated Person(s) to effectively manage the existing ACBM. This three-year reinspection report should be inspected in the current Management plan at the CPS Central Office, and one (1) copy should be kept at the school for use when planning any renovation and/or demolition activities in areas where ACBM has been identified. Also, periodic surveillance documentation and any summary reports from any response actions that are executed at the school should be used to update the Management Plan. Unit: Chicago Academy Building: 6670
12 Table I Inspector's Reinspection Findings
13 School Chicago Academy Unit Building ID 6670 Address 3400 N. Austin Ave. Region 01 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Inspector's Reinspection Findings Table 1 Managing Environmental Consultant (MEC) 855 W. Adams St., Ste. 200 Phone: (312) Fax: (312) Inspector's Comments are Summarized at the End of the Report HA No Material Description Material Quantity Material Units Material Location 01 9" x9" Black Vinyl Floor Tile 8,200 SF 1st through 3rd floor corridors, auditorium, engineer's office and office vault Bldg. 02 9" x9" Black Vinyl Floor Tile Mastic 8,200 SF 1st through 3rd floor corridors, auditorium, engineer's office and office vault Bldg. 03 9"x 9" Red Vinyl Floor Tile 8,200 SF 1st through 3rd Floor Corridors, auditorium, engineer's office and office vault Bldg. 04 9" x 9" Red Vinyl Floor Tile Mastic 8,200 SF 1st through 3rd Floor Corridors, auditorium, engineer's office and office vault Bldg. 05 Black Border Vinyl Floor Tile 3,300 SF 1st through 3rd Floor Corridors, auditorium (under carpet), engineer's office and office vault Bldg. 06 Black Border Vinyl Floor Tile Mastic 3,300 SF 1st through 3rd Floor Corridors, auditorium (under carpet), engineer's office and office vault Bldg " x 12" White w/grey Streaks Vinyl Floor Tile 08 12" x 12" White w/grey Streaks VFT Mastic 3,500 SF Room 100A/B, 110 (under the carpet), 110A, 110B, 133, 131, 207A, 223, 301A, 309, Basement Storage J Bldg. 3,500 SF Room 100A/B, 110, 110A, 110B, 131, Asbestos Type Material Category Friable Damage Type Damage Quantity Damage Units Change in Assessment Category CHR MISC N NONE 0 No ACBM with the potential for damage CHR MISC N NONE 0 No ACBM with the potential for damage CHR MISC N NONE 0 No ACBM with the potential for damage CHR MISC N NONE 0 No ACBM with the potential for damage CHR MISC N NONE 0 No ACBM with the potential for damage CHR MISC N NONE 0 No ACBM with the potential for damage CHR MISC N NONE 0 No ACBM with the potential for damage CHR MISC N NONE 0 No ACBM with the potential for damage Damage Category Damage Reason Disturbance Potential MODERATE LOW MODERATE LOW MODERATE LOW MODERATE LOW
14 School Chicago Academy Unit Building ID 6670 Address 3400 N. Austin Ave. Region 01 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Inspector's Reinspection Findings Table 1 Managing Environmental Consultant (MEC) 855 W. Adams St., Ste. 200 Phone: (312) Fax: (312) Inspector's Comments are Summarized at the End of the Report HA No Material Description Material Quantity 09 9" x9" Green w/streaks Vinyl Floor Tile (NOT OBSERVED) 10 9" x 9" Green w/streaks Vinyl Floor Tile Mastic (NOT OBSERVED) 11 9" x 9" Beige w/ Red Streaks Vinyl Floor Tile 12 9" x9" Beige w/red Streaks Vinyl Floor Tile Mastic Material Units Material Location Asbestos Type Material Category Friable Damage Type Damage Quantity Damage Units Change in Assessment Category 133, 207A, 223, 301A, 309,, Basement Storage J Bldg. 1,200 SF Rm 311 CHR MISC N Dist 0 No ACBM with the potential for damage 1,200 SF Room 311 CHR MISC N None 0 No ACBM with the potential for damage 1,650 SF Room 105 (under HA #47) and Room Bldg. 1,650 SF Room 105 (under HA #47) and Room 308 Bldg 1932 CHR MISC N NONE 0 No ACBM with the potential for damage CHR MISC N NONE 0 No ACBM with the potential for damage Damage Category Damage Reason Disturbance Potential 13 12" x12" White w/grey Spots/Streaks VFT 800 SF Room 101A CHR MISC N NONE 0 No ACBM with the MODERATE Bldg. potential for damage 14 12" x12" White w/grey Spots/Streaks VFT 800 SF Room 101A CHR MISC N NONE 0 No ACBM with the LOW Mastic Bldg. potential for damage 15 9"X9" Multi-color VFT 300 SF 3rd Fl. Hall by CHR MISC N NONE 0 No ACBM with the MODERATE Room Bldg. potential for damage 16 9"X9" Multi-color VFT Mastic 300 SF 3rd Fl. Hall by CHR MISC N NONE 0 No ACBM with the LOW Room Bldg. potential for damage 17 9"X9" Beige Mixed VFT 650 SF 3rd & 2nd Floor CHR MISC N NONE 0 No ACBM with the MODERATE Hall by stairs and elevator Bldg. potential for damage 18 9"X9" Beige Mixed VFT Mastic 650 SF 2nd Flr & 3rd Hall CHR MISC N NONE 0 No ACBM with the LOW by elevator and stairs Bldg. potential for damage 19 9"X9" Gray w/spots Vinyl Floor VFT - Rm B50 ABATED MISC None ABATED 20 9"X9" Gray w/spots Vinyl Floor VFT Rm B50 ABATED MISC None Mastic - ABATED 21 9"X9" Salmon w/dots, Vinyl Floor VFT - Rms B52 ABATED MISC None Low ABATED 22 9"X9" Salmon w/dots, Vinyl Floor VFT Rms B52 ABATED MISC None Low Mastic - ABATED 23 9"X9" Light Brown w/dots Vinyl Floor Rms B49, B52, ABATED MISC None Low Tiles - ABATED B50A, B50B 24 9"X9" Light Brown w/dots Vinyl Floor VFT Mastic - ABATED Rms B49, B52, B50A, B50B ABATED ABATED MISC None Low LOW LOW MODERATE LOW
15 School Chicago Academy Unit Building ID 6670 Address 3400 N. Austin Ave. Region 01 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Inspector's Reinspection Findings Table 1 Managing Environmental Consultant (MEC) 855 W. Adams St., Ste. 200 Phone: (312) Fax: (312) 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 25 9"X9" Dark Brown w/ Dots Vinyl Floor Rm 151 ABATED MISC None Low Tile - ABATED 26 9"X9" Dark Brown w/ Dots Vinyl Floor Room 151 ABATED MISC None Tile Mastic - ABATED 27 9"X9" Burgundy Vinyl Floor Tile 1,250 SF Rm 116, Rm 120 CHR MISC N NONE 0 No ACBM with the LOW (under carpet) Bldg. potential for damage 28 9"X9" Burgundy Vinyl Floor Tile Mastic 1,250 SF Rm 116, Rm 120 (under carpet) Bldg. CHR MISC N NONE 0 No ACBM with the potential for damage LOW 29 9"x 9" Cream VFT 2,450 SF Rm 116, Rm 120 (under carpet) Bldg. 30 9"x 9" Cream VFT Mastic 2,450 SF Rm 116 and 120 (under the carpet) Bldg. 31 9"X9" Coffee w/streak VFT 250 SF Rm 215A Bldg. 32 9"X9" Coffee w/streak VFT Mastic 250 SF Rm 215A Bldg. 33 9"X9" Blue w/streaks VFT - ABATED Rm 250 North Office Storage 34 9"X9" Blue w/streaks VFT Mastic - Rm 250 North ABATED Office Storage 35 12"x12" White w/ Spots and Streaks VFT - REMOVED 36 12"x12" White w/ Spots and Streaks VFT mastic - REMOVED Rm 212A NO_ACBM MISC CHR MISC N NONE 0 No ACBM with the potential for damage ASSUMED MISC N NONE 0 No ACBM with the potential for damage CHR MISC N NONE 0 No ACBM with the potential for damage MODERATE CHR MISC N NONE 0 No ACBM with the LOW potential for damage ABATED MISC Low ABATED MISC None Low Rooms 212A NO_ACBM MISC None 37 12"X12" Orange VFT (Under HA47+48) 800 SF Rm 210 CHR MISC N NONE 0 No ACBM with the potential for damage 38 12"X12" Orange VFT Mastic (Under 800 SF Rm 210 CHR MISC N NONE 0 No ACBM with the HA47+48) potential for damage 39 12"X12" Beige w/tan Specks VFT 650 SF Rms 202, 202A-C - CHR MISC N NONE 0 No ACBM with the 1932 Bldg. potential for damage 40 12"X12" Beige w/tan Specks VFT Mastic 650 SF Rms 202, 202A-C CHR MISC N NONE 0 No ACBM with the Bldg. potential for damage 41 12"X12" Black w/ White Streaks VFL 2,500 SF Lunchroom ASSUMED MISC N NONE 0 No ACBM with the Manager's Office, potential for damage 3rd Floor Lunchroom, Assistant Eng. Office Bldg "X12" Black w/ White Streaks VFL Mastic 2,500 SF Lunchroom Manager's Office, ASSUMED MISC N NONE 0 No ACBM with the potential for damage LOW LOW LOW LOW MODERATE LOW MODERATE LOW
16 School Chicago Academy Unit Building ID 6670 Address 3400 N. Austin Ave. Region 01 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Inspector's Reinspection Findings Table 1 Managing Environmental Consultant (MEC) 855 W. Adams St., Ste. 200 Phone: (312) Fax: (312) Inspector's Comments are Summarized at the End of the Report HA No Material Description Material Quantity Material Units Material Location 3rd Floor Lunchroom, Assistant Eng. Office Bldg. 43 9"X9" Tan w/brown Streaks Vinyl Floor Tile (Abated) Basement Phone Rm Abated 44 9"X9" Tan w/brown Streaks Vinyl Floor Basement Phone Rm Tile Mastic (Abated) - Abated 45 12"X12" Off-White w/gray Streaks VFT Basement Rm B7, (Abated) Rm B "X12" Off-White w/gray Streaks VFT Basement Rm B7, Mastic (Abated) Rm B "X12" Blue w/white VFT 8,750 SF Rms 105, 107, 107E, 109/109A, 111/113, 115/117, 119/121, 210, 212A Bldg "X12" Blue w/white VFT Mastic 8,750 SF Rms 105, 107, 107E, 109/109A, 111/113, 115/117, 119/121, 210, 212A Bldg "X12" White w/tan Spots VFT (NOT OBSERVED) 50 12"X12" White w/tan Spots VFT Mastic (NOT OBSERVED) 51 Brown w/tan Small Squares Linoleum (NOT OBSERVED) 52 Brown w/tan Small Squares Linoleum Mastic (NOT OBSERVED) 53 2'X2' White Dot w/grooves Ceiling Tiles 3rd Floor Lunchroom, Rm 322A-D, 3rd Floor Corridor by 322A- D, 200, 321A Bldg. 54 2'X2' White Smooth Ceiling Tiles 3rd Floor Lunchroom Serving Area, 3rd Floor kitchen, Lunchroom Manager's Office Bldg. 55 1'X1' Brown w/holes, Ceiling Tiles 3rd Floor Small Gymnasium (302), Asbestos Type Material Category Friable Damage Type ABATED MISC None ABATED MISC None ABATED MISC None ABATED MISC Damage Quantity Damage Units Change in Assessment Category ASSUMED MISC N NONE 0 No ACBM with the potential for damage ASSUMED MISC N NONE 0 No ACBM with the potential for damage 450 SF Main Office ASSUMED MISC N NONE 0 No ACBM with the potential for damage 450 SF Main Office ASSUMED MISC N NONE 0 No ACBM with the potential for damage 900 SF Rm 313 CHR MISC N NONE 0 No ACBM with the potential for damage 900 SF Rm 313 ASSUMED MISC N NONE 0 No ACBM with the potential for damage NO_ACBM MISC NO_ACBM NO_ACBM MISC MISC Damage Category Damage Reason Disturbance Potential MODERATE LOW LOW LOW LOW LOW
17 School Chicago Academy Unit Building ID 6670 Address 3400 N. Austin Ave. Region 01 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Inspector's Reinspection Findings Table 1 Managing Environmental Consultant (MEC) 855 W. Adams St., Ste. 200 Phone: (312) Fax: (312) Inspector's Comments are Summarized at the End of the Report HA No Material Description Material Quantity Material Units Material Location 2nd Floor Gym Bldg. 56 1'X1' Dot Ceiling Tiles Rms 116, 213B, Gym, 323, 323A-D, 3rd Floor Hallway Between 323A-D, 3rd Floor Lunchroom, Rm 322A-D, 3rd Floor Corridor by 322A-D (Above HA# 53), 3rd Floor Lunchroom Serving Area, 3rd Floor Kitchen, Lunchroom Manager's Office (Above HA# 54) Bldg 'X4' White Dot/Groove Ceiling Tiles Rm 133, 131, 1st/2nd/3rd Floor North and South Toilets, 107B, 107C, 110, 110A, 110B, 207A, 207B, 207D, 213, 219, 223, 231, 309A, 331, 3rd Floor Janitor's Closet, 323A-D, 329, 321, 309D, 309B, 309, 207C, 229, 221, Bldg "X12" Grooved Ceiling Tiles 107, 114, MainOffice, Principal & Astt Pincipal's Offc, CopyRm 112, 120, 205, 207, 212A, 210, 214, 214A, 300(library), 308, 3rd Flr LunchRm, 322A-D, 3rd Flr Corridor by 322A- D, 3rd Flr LunchRm Serv. Area, 3rd Flr Asbestos Type NO_ACBM Material Category MISC Friable Damage Type NO_ACBM MISC None NO_ACBM MISC Damage Quantity Damage Units Change in Assessment Category Damage Category Damage Reason Disturbance Potential
18 School Chicago Academy Unit Building ID 6670 Address 3400 N. Austin Ave. Region 01 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Inspector's Reinspection Findings Table 1 Managing Environmental Consultant (MEC) 855 W. Adams St., Ste. 200 Phone: (312) Fax: (312) Inspector's Comments are Summarized at the End of the Report HA No Material Description Material Quantity Material Units Material Location Kitchen,LunchRm Manag. Offc, 200 (In Stairwell), Bldg. 59 2'X4' White w/ Deep Grooves, Ceiling Tiles Rm 100A/B Bldg. 60 2'X2' White w/dots, Ceiling Tiles Rm 108 Lounge, 109/109A, 111/113, 115/117, 119/121, 200 (library) Bldg. 61 Carpet Mastic Rm 106, 116, 120, Principal and Astt Principal's Office, Copy Rm, 144, Locker Rm by Engineer's Office, 203, 231, 200(library), 240, 242, 244, 300(library), 133, 112, Auditorium Bldg. 62 Hard Coat Plaster Throughout (See Hatching Maps) Bldg. 63 Troweled on Wall Plaster 1st Floor Auditorium 1932 Bldg 64 Rough-Textured Ceiling Plaster Rm 150, 150A, 151, 250, , 3rd Floor Conference Rm Bldg. 65 Aircell Pipe Insulation 7,305 LF Throughout Basement (See Hatching Maps), 207D, 209, 211, 211A, 213, 213B, Bldg. 66 Mudded Joint Packing Elbow/Fitting/Valve on Aircell Pipe Insulation 752 LF Throughout Basement (See Hatching Maps), 207D, 209, 211, 211A, 213, 213B Bldg 1932 Asbestos Type NO_ACBM NO_ACBM NO_ACBM Material Category MISC MISC MISC Friable Damage Type NO_ACBM SURFACE None NO_ACBM NO_ACBM SURFACE None Damage Quantity Damage Units Change in Assessment Category CHR TSI Y DIST 50 No ACBM with the potential for damage CHR TSI Y NONE 0 No ACBM with the potential for damage Damage Category Damage Reason Disturbance Potential 3 LOW LOW
19 School Chicago Academy Unit Building ID 6670 Address 3400 N. Austin Ave. Region 01 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Inspector's Reinspection Findings Table 1 Managing Environmental Consultant (MEC) 855 W. Adams St., Ste. 200 Phone: (312) Fax: (312) Inspector's Comments are Summarized at the End of the Report HA No Material Description Material Quantity Material Units Material Location 67 Cardboard Pipe Insulation 5,640 LF Throughout Basement (See Hatching Maps), 207D, 209, 211, 211A, 213, 213B Bldg 68 Mudded Joint Packing Elbow/Fitting/Valve on Cardboard Pipe Insulation (Paperwrap) 546 LF Throughout Basement (See Hatching Maps), 207D, 209, 211, 211A, 213, 213B Bldg 69 Mag Block Pipe Insulation 1,780 LF Basement Wood Shop, N. Compressor R, Storage D, N. and S. Tunnel, Main Corridor, SW Tunnel, Storage I, Weight Room Bldg 70 Mudded Joint Packing Elbow/Fitting/Valve on Mag Block Pipe Insulation 280 LF Basement Wood Shop, N. Compressor R, Storage D, N. and S. Tunnel, Main Corridor, SW Tunnel, Storage I, Weight Room Bldg. 71 Aircell Duct Insulation 250 LF Basement Storage G Bldg. 72 Mudded Joint Packing Elbow/Fitting/Valve 705 LF Throughout on Fiberglass Pipe Insulation Basement (See Hatching Maps) and Attic Bldg. 73 Boiler Breeching 120 LF Boiler Rm Bldg. 74 Tank Insulation 300 SF Boiler Rm Bldg. 75 Hard Coat Plaster Throughout (See Hatching Maps) Bldg 76 Carpet Mastic Rm Bldg. Asbestos Type Material Category Friable Damage Type Damage Quantity Damage Units Change in Assessment Category CHR TSI Y DIST 10 No ACBM with the potential for damage CHR TSI Y NONE 0 No ACBM with the potential for damage CHR TSI Y LOC 5 No ACBM with the potential for damage CHR TSI Y DIST 10 No ACBM with the potential for damage CHR TSI Y LOC 20 Yes ACBM with the potential for damage CHR TSI Y LOC 3 Yes ACBM with the potential for damage AMO TSI Y NONE 0 No ACBM with the potential for damage CHR TSI Y NONE 0 No ACBM with the potential for damage NO_ACBM NO_ACBM Damage Category Damage Reason Disturbance Potential 3 LOW LOW LOW LOW LOW LOW LOW LOW
20 School Chicago Academy Unit Building ID 6670 Address 3400 N. Austin Ave. Region 01 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Inspector's Reinspection Findings Table 1 Managing Environmental Consultant (MEC) 855 W. Adams St., Ste. 200 Phone: (312) Fax: (312) Inspector's Comments are Summarized at the End of the Report HA No Material Description Material Quantity Material Units Material Location 77 12"X12" White w/gray VFT 2,500 SF 3rd Floor Lunchroom, 3rd Floor Lunchroom Manager's Office, Assistant Eng. Office Bldg "X12" White w/gray VFT Mastic 2,500 SF 3rd Floor Lunchroom, 3rd Floor Lunchroom Manager's Office, Assistant Eng. Office Bldg. 79 Terrazzo 7,650 SF Stairwell Treads Landings, Hallway Border and Room, Entrances, Stairs Upto Gym, Auditorium, Stairs and Vestibules, Stairs in Gym Area, Stairs Near Freight Elevator Bldg. 80 Drywall, Tape, Compound 2,300 SF 2nd & 3rd Floor Stair Corridor to Addition, Rm 313, 300, 301, Bldg "X12" White w/tan Streaks 900 SF Rm 315, 315A Bldg. 81A 12"X12" White w/tan Streaks Mastic 900 SF Rm 315, 315A Bldg "X12" White w/multi-color Streaks 700 SF Rm 313A, 3151A Bldg. 82A 12"X12" White w/multi-color Streaks 700 SF Rm 313A, 3151A - Mastic 1932 Bldg. 83 Blue-Gray Linoleum 500 SF Rm 311 and 311 Lab Bldg. 83A Blue-Gray Linoleum Mastic 500 SF Rm 311 and 311 Lab Bldg. 84 Blue-White Linoleum 300 SF Rm 311 and 311 Lab Bldg. 84A Blue-White Linoleum Mastic 300 SF Rm 311 and 311 Lab Bldg. Asbestos Type Material Category Friable Damage Type Damage Quantity Damage Units Change in Assessment Category ASSUMED MISC N NONE 0 No ACBM with the potential for damage ASSUMED MISC N NONE 0 No ACBM with the potential for damage ASSUMED MISC N NONE 0 No ACBM with the potential for damage ASSUMED MISC Y NONE 0 No ACBM with the potential for damage Damage Category Damage Reason Disturbance Potential ASSUMED MISC N NONE 0 No ACBM with the potential for damage MODERATE ASSUMED MISC N NONE 0 No ACBM with the LOW potential for damage ASSUMED MISC N NONE 0 No ACBM with the MODERATE potential for damage ASSUMED MISC N NONE 0 No ACBM with the LOW potential for damage ASSUMED MISC N NONE 0 No ACBM with the LOW potential for damage ASSUMED MISC N NONE 0 No ACBM with the LOW potential for damage ASSUMED MISC N NONE 0 No ACBM with the MODERATE potential for damage ASSUMED MISC N NONE 0 No ACBM with the LOW potential for damage 85 12"X12" Gray w/streaks VFT 2,500 SF Rm 108, staff Room, ASSUMED MISC N NONE 0 No ACBM with the MODERATE MODERATE LOW MODERATE LOW
21 School Chicago Academy Unit Building ID 6670 Address 3400 N. Austin Ave. Region 01 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Inspector's Reinspection Findings Table 1 Managing Environmental Consultant (MEC) 855 W. Adams St., Ste. 200 Phone: (312) Fax: (312) Inspector's Comments are Summarized at the End of the Report HA No Material Description Material Quantity Material Units Material Location Man and Women Toilets, Hall within Room 100, GYM by Bldg. 85A 12"X12" Gray w/streaks VFT Mastic 2,500 SF Rm 108, staff Room, Man and gym by 106, Women Toilets, Hall within Room 100, GYM by Bldg "X12" Gray w/streaks VFT 6,000 SF Rm 255, 254, 253, 252, 155, 154, 153, 152; basement B51; 1st, 2nd, 3rd Floor Corridors (1960) 86A 12"X12" Gray w/streaks VFT Mastic 6,000 SF Rm 255, 254, 253, 252, 155, 154, 153, 152; Basement B51; 1st, 2nd, 3rd Floor Corridors (1960) 87 Gray Speckled Linoleum 4,500 SF Room B52 (art room) Bldg. 87A Gray Speckled Linoleum Mastic 4,500 SF Room B52 (art room) Bldg. Asbestos Type Material Category Friable Damage Type Damage Quantity Damage Units Change in Assessment Category Damage Category Damage Reason Disturbance Potential potential for damage ASSUMED MISC N NONE 0 No ACBM with the potential for damage ASSUMED MISC N NONE 0 No ACBM with the potential for damage ASSUMED MISC N NONE 0 No ACBM with the potential for damage ASSUMED MISC N NONE 0 No ACBM with the potential for damage ASSUMED MISC N NONE 0 No ACBM with the potential for damage 88 1'X1' White Smooth-Textured Ceiling Tiles 1,600 SF Rm 202, 205 (1932) ASSUMED MISC N NONE 0 No ACBM with the potential for damage 89 Terrazzo 900 SF Stairwells (1960) ASSUMED MISC N NONE 0 No ACBM with the potential for damage x 12 White with Blue Streaks VFT 200 SF Room 331(teacher/ ASSUMED MISC N NONE 0 No ACBM with the staff lounge) potential for damage Bldg. 90A 12 x 12 White with Blue Streaks VFT Mastic 200 SF Room 331(teacher/ staff lounge) Bldg x 12 Blue Streaked VFT 200 SF Room 331(teacher/ staff lounge) Bldg. 91A 12 x 12 Blue Streaked VFT Mastic 200 SF Room 331(teacher/ staff lounge) Bldg. 92 White Linoleum Flooring VFT 900 SF Room Bldg. 92A White Linoleum Flooring VFT Mastic 900 SF Rooms Bldg. ASSUMED MISC N NONE 0 No ACBM with the potential for damage ASSUMED MISC N NONE 0 No ACBM with the potential for damage ASSUMED MISC N NONE 0 No ACBM with the potential for damage ASSUMED MISC N NONE 0 No ACBM with the potential for damage ASSUMED MISC N NONE 0 No ACBM with the potential for damage LOW MODERATE LOW MODERATE LOW LOW MODERATE LOW LOW MODERATE LOW MODERATE LOW
22 School Chicago Academy Unit Building ID 6670 Address 3400 N. Austin Ave. Region 01 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Inspector's Reinspection Findings Table 1 Managing Environmental Consultant (MEC) 855 W. Adams St., Ste. 200 Phone: (312) Fax: (312) Inspector's Comments are Summarized at the End of the Report HA No Material Description Material Quantity Material Units Material Location 93 6" x 12" Ceiling Tile White with Holes 4,500 SF Auditorium & Balcony Room, 108 Staff Room Bldg. Asbestos Type Material Category Friable Damage Type Damage Quantity Damage Units Change in Assessment Category ASSUMED MISC Y NONE 0 No ACBM with the potential for damage x 12 Dark Beige streaked VFT 800 SF Main Office (1932) ASSUMED MISC N NONE 0 No ACBM with the potential for damage 94A 12 x 12 Dark Beige streaked VFT Mastic 800 SF Main Office (1932) ASSUMED MISC N NONE 0 No ACBM with the potential for damage 95 9" x 9" Beige Mixed VFT 600 SF 3rd and 2nd Floor ASSUMED MISC N NONE 0 No ACBM with the Corridor by Rooms potential for damage 301 and Bldg 95A 9" x 9" Beige Mixed VFT Mastic 600 SF 3rd and 2nd Floor Corridor by Rooms 301 and Bldg 96 12" x 12" Sand VFT 700 SF Room Bldg. 96A 12" x 12" Sand VFT Mastic 700 SF Room Bldg. ASSUMED MISC N NONE 0 No ACBM with the potential for damage ASSUMED MISC N NONE 0 No ACBM with the potential for damage ASSUMED MISC N NONE 0 No ACBM with the potential for damage Damage Category Damage Reason Disturbance Potential LOW MODERATE LOW MODERATE LOW MODERATE LOW
23 School Chicago Academy Unit Building ID 6670 Address 3400 N. Austin Ave. Region 01 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Inspector's Reinspection Findings Table 1 Managing Environmental Consultant (MEC) 855 W. Adams St., Ste. 200 Phone: (312) Fax: (312) Inspector's Comments are Summarized at the End of the Report Reinspection Date 3/10/2016 Inspector Name Roberto Rivera /6/2017 Inspector's IDPH License Number / Expiration Date Inspector's Comments HA Number: Inspector Comments:
24 School Chicago Academy Unit Building ID 6670 Address 3400 N. Austin Ave. Region 01 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Inspector's Reinspection Findings Table 1 Managing Environmental Consultant (MEC) 855 W. Adams St., Ste. 200 Phone: (312) Fax: (312) Inspector's Comments are Summarized at the End of the Report HA Number: Inspector Comments:
25 School Chicago Academy Unit Building ID 6670 Address 3400 N. Austin Ave. Region 01 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Inspector's Reinspection Findings Table 1 Managing Environmental Consultant (MEC) 855 W. Adams St., Ste. 200 Phone: (312) Fax: (312) Inspector's Comments are Summarized at the End of the Report HA Number: Inspector Comments: Damage A
26 School Chicago Academy Unit Building ID 6670 Address 3400 N. Austin Ave. Region 01 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Inspector's Reinspection Findings Table 1 Managing Environmental Consultant (MEC) 855 W. Adams St., Ste. 200 Phone: (312) Fax: (312) Inspector's Comments are Summarized at the End of the Report HA Number: 82 82A 83 83A 84 84A 85 85A 86 86A 87 87A A 91 91A 92 92A A 95 95A 96 96A Inspector Comments:
27 School Chicago Academy Unit Building ID 6670 Address 3400 N. Austin Ave. Region 01 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Inspector's Reinspection Findings Table 1 Managing Environmental Consultant (MEC) 855 W. Adams St., Ste. 200 Phone: (312) Fax: (312) Inspector's Comments are Summarized at the End of the Report
28 Table II Management Planner's Review
29 School Chicago Academy Unit Building ID 6670 Address 3400 N. Austin Ave. Chicago, IL, Region 01 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Management Planner's Review Table II Managing Environmental Consultant (MEC) 855 W. Adams St., Ste. 200 Phone: (312) Fax: (312) Management Planner's Comments Summarized at the End of the Report HA Material Description Material Material Material Location Asbestos Material Friable Damage Damage Damage Category Response Num Quantity Units Type Category Quantity Units 01 9" x9" Black Vinyl Floor Tile 8,200 SF 1st through 3rd floor corridors, Chrysotile MISC No 0 SF 6 ACBM with the potential for damage auditorium, engineer's office and office vault Bldg. 02 9" x9" Black Vinyl Floor Tile Mastic 8,200 SF 1st through 3rd floor corridors, Chrysotile MISC No 0 SF 6 ACBM with the potential for damage auditorium, engineer's office and office vault Bldg. 03 9"x 9" Red Vinyl Floor Tile 8,200 SF 1st through 3rd Floor Corridors, Chrysotile MISC No 0 SF 6 ACBM with the potential for damage auditorium, engineer's office and office vault Bldg. 04 9" x 9" Red Vinyl Floor Tile Mastic 8,200 SF 1st through 3rd Floor Corridors, Chrysotile MISC No 0 SF 6 ACBM with the potential for damage auditorium, engineer's office and office vault Bldg. 05 Black Border Vinyl Floor Tile 3,300 SF 1st through 3rd Floor Corridors, Chrysotile MISC No 0 SF 6 ACBM with the potential for damage auditorium (under carpet), engineer's office and office vault Bldg. 06 Black Border Vinyl Floor Tile Mastic 3,300 SF 1st through 3rd Floor Corridors, Chrysotile MISC No 0 SF 6 ACBM with the potential for damage auditorium (under carpet), engineer's office and office vault Bldg " x 12" White w/grey Streaks Vinyl Floor Tile 3,500 SF Room 100A/B, 110 (under the carpet), Chrysotile MISC No 0 SF 6 ACBM with the potential for damage 110A, 110B, 133, 131, 207A, 223, 301A, 309, Basement Storage J Bldg " x 12" White w/grey Streaks VFT Mastic 3,500 SF Room 100A/B, 110, 110A, 110B, 131, Chrysotile MISC No 0 SF 6 ACBM with the potential for damage 133, 207A, 223, 301A, 309,, Basement Storage J Bldg. 09 9" x9" Green w/streaks Vinyl Floor Tile (NOT 1,200 SF Rm 311 Chrysotile MISC No 0 SF 6 ACBM with the potential for damage OBSERVED) 10 9" x 9" Green w/streaks Vinyl Floor Tile Mastic 1,200 SF Room 311 Chrysotile MISC No 0 SF 6 ACBM with the potential for damage (NOT OBSERVED) 11 9" x 9" Beige w/ Red Streaks Vinyl Floor Tile 1,650 SF Room 105 (under HA #47) and Room Chrysotile MISC No 0 SF 6 ACBM with the potential for damage Bldg. 12 9" x9" Beige w/red Streaks Vinyl Floor Tile Mastic 1,650 SF Room 105 (under HA #47) and Room Chrysotile MISC No 0 SF 6 ACBM with the potential for damage 308 Bldg " x12" White w/grey Spots/Streaks VFT 800 SF Room 101A Bldg. Chrysotile MISC No 0 SF 6 ACBM with the potential for damage 14 12" x12" White w/grey Spots/Streaks VFT Mastic 800 SF Room 101A Bldg. Chrysotile MISC No 0 SF 6 ACBM with the potential for damage 15 9"X9" Multi-color VFT 300 SF 3rd Fl. Hall by Room Bldg. Chrysotile MISC No 0 SF 6 ACBM with the potential for damage
30 School Chicago Academy Unit Building ID 6670 Address 3400 N. Austin Ave. Chicago, IL, Region 01 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Management Planner's Review Table II Managing Environmental Consultant (MEC) 855 W. Adams St., Ste. 200 Phone: (312) Fax: (312) Management Planner's Comments Summarized at the End of the Report HA Material Description Material Material Material Location Asbestos Material Friable Damage Damage Damage Category Response Num Quantity Units Type Category Quantity Units 16 9"X9" Multi-color VFT Mastic 300 SF 3rd Fl. Hall by Room Bldg. Chrysotile MISC No 0 SF 6 ACBM with the potential for damage 17 9"X9" Beige Mixed VFT 650 SF 3rd & 2nd Floor Hall by stairs and Chrysotile MISC No 0 SF 6 ACBM with the potential for damage elevator Bldg. 18 9"X9" Beige Mixed VFT Mastic 650 SF 2nd Flr & 3rd Hall by elevator and stairs Chrysotile MISC No 0 SF 6 ACBM with the potential for damage Bldg. 19 9"X9" Gray w/spots Vinyl Floor VFT - ABATED Rm B50 Abated MISC 20 9"X9" Gray w/spots Vinyl Floor VFT Mastic - Rm B50 Abated MISC ABATED 21 9"X9" Salmon w/dots, Vinyl Floor VFT - ABATED Rms B52 Abated MISC 22 9"X9" Salmon w/dots, Vinyl Floor VFT Mastic - Rms B52 Abated MISC ABATED 23 9"X9" Light Brown w/dots Vinyl Floor Tiles - Rms B49, B52, B50A, B50B Abated MISC ABATED 24 9"X9" Light Brown w/dots Vinyl Floor VFT Mastic - Rms B49, B52, B50A, B50B ABATED Abated MISC ABATED 25 9"X9" Dark Brown w/ Dots Vinyl Floor Tile - Rm 151 Abated MISC ABATED 26 9"X9" Dark Brown w/ Dots Vinyl Floor Tile Mastic Room 151 Abated MISC - ABATED 27 9"X9" Burgundy Vinyl Floor Tile 1,250 SF Rm 116, Rm 120 (under carpet) Chrysotile MISC No 0 SF 6 ACBM with the potential for damage Bldg. 28 9"X9" Burgundy Vinyl Floor Tile Mastic 1,250 SF Rm 116, Rm 120 (under carpet) Chrysotile MISC No 0 SF 6 ACBM with the potential for damage Bldg. 29 9"x 9" Cream VFT 2,450 SF Rm 116, Rm 120 (under carpet) Chrysotile MISC No 0 SF 6 ACBM with the potential for damage Bldg. 30 9"x 9" Cream VFT Mastic 2,450 SF Rm 116 and 120 (under the carpet) - Assumed MISC No 0 SF 6 ACBM with the potential for damage 1932 Bldg. 31 9"X9" Coffee w/streak VFT 250 SF Rm 215A Bldg. Chrysotile MISC No 0 SF 6 ACBM with the potential for damage 32 9"X9" Coffee w/streak VFT Mastic 250 SF Rm 215A Bldg. Chrysotile MISC No 0 SF 6 ACBM with the potential for damage 33 9"X9" Blue w/streaks VFT - ABATED Rm 250 North Office Storage Abated MISC 34 9"X9" Blue w/streaks VFT Mastic - ABATED Rm 250 North Office Storage Abated MISC 35 12"x12" White w/ Spots and Streaks VFT - Rm 212A No ACBM MISC REMOVED 36 12"x12" White w/ Spots and Streaks VFT mastic - Rooms 212A No ACBM MISC REMOVED 37 12"X12" Orange VFT (Under HA47+48) 800 SF Rm 210 Chrysotile MISC No 0 SF 6 ACBM with the potential for damage
31 School Chicago Academy Unit Building ID 6670 Address 3400 N. Austin Ave. Chicago, IL, Region 01 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Management Planner's Review Table II Managing Environmental Consultant (MEC) 855 W. Adams St., Ste. 200 Phone: (312) Fax: (312) Management Planner's Comments Summarized at the End of the Report HA Material Description Material Material Material Location Asbestos Material Friable Damage Damage Damage Category Response Num Quantity Units Type Category Quantity Units 38 12"X12" Orange VFT Mastic (Under HA47+48) 800 SF Rm 210 Chrysotile MISC No 0 SF 6 ACBM with the potential for damage 39 12"X12" Beige w/tan Specks VFT 650 SF Rms 202, 202A-C Bldg. Chrysotile MISC No 0 SF 6 ACBM with the potential for damage 40 12"X12" Beige w/tan Specks VFT Mastic 650 SF Rms 202, 202A-C Bldg. Chrysotile MISC No 0 SF 6 ACBM with the potential for damage 41 12"X12" Black w/ White Streaks VFL 2,500 SF Lunchroom Manager's Office, 3rd Floor Assumed MISC No 0 SF 6 ACBM with the potential for damage Lunchroom, Assistant Eng. Office Bldg "X12" Black w/ White Streaks VFL Mastic 2,500 SF Lunchroom Manager's Office, 3rd Floor Assumed MISC No 0 SF 6 ACBM with the potential for damage Lunchroom, Assistant Eng. Office Bldg. 43 9"X9" Tan w/brown Streaks Vinyl Floor Tile Basement Phone Rm Abated Abated MISC (Abated) 44 9"X9" Tan w/brown Streaks Vinyl Floor Tile Mastic Basement Phone Rm - Abated Abated MISC (Abated) 45 12"X12" Off-White w/gray Streaks VFT (Abated) Basement Rm B7, Rm B19 Abated MISC 46 12"X12" Off-White w/gray Streaks VFT Mastic Basement Rm B7, Rm B19 Abated MISC (Abated) 47 12"X12" Blue w/white VFT 8,750 SF Rms 105, 107, 107E, 109/109A, Assumed MISC No 0 SF 6 ACBM with the potential for damage 111/113, 115/117, 119/121, 210, 212A Bldg "X12" Blue w/white VFT Mastic 8,750 SF Rms 105, 107, 107E, 109/109A, Assumed MISC No 0 SF 6 ACBM with the potential for damage 111/113, 115/117, 119/121, 210, 212A Bldg "X12" White w/tan Spots VFT (NOT 450 SF Main Office Assumed MISC No 0 SF 6 ACBM with the potential for damage OBSERVED) 50 12"X12" White w/tan Spots VFT Mastic (NOT 450 SF Main Office Assumed MISC No 0 SF 6 ACBM with the potential for damage OBSERVED) 51 Brown w/tan Small Squares Linoleum (NOT 900 SF Rm 313 Chrysotile MISC No 0 SF 6 ACBM with the potential for damage OBSERVED) 52 Brown w/tan Small Squares Linoleum Mastic 900 SF Rm 313 Assumed MISC No 0 SF 6 ACBM with the potential for damage (NOT OBSERVED) 53 2'X2' White Dot w/grooves Ceiling Tiles 3rd Floor Lunchroom, Rm 322A-D, 3rd No ACBM MISC Floor Corridor by 322A-D, 200, 321A Bldg. 54 2'X2' White Smooth Ceiling Tiles 3rd Floor Lunchroom Serving Area, 3rd Floor kitchen, Lunchroom Manager's Office Bldg. No ACBM MISC
32 School Chicago Academy Unit Building ID 6670 Address 3400 N. Austin Ave. Chicago, IL, Region 01 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Management Planner's Review Table II Managing Environmental Consultant (MEC) 855 W. Adams St., Ste. 200 Phone: (312) Fax: (312) HA Num Material Description Material Quantity Material Units Material Location Asbestos Type Material Category 55 1'X1' Brown w/holes, Ceiling Tiles 3rd Floor Small Gymnasium (302), 2nd No ACBM MISC Floor Gym Bldg. 56 1'X1' Dot Ceiling Tiles Rms 116, 213B, Gym, 323, 323A-D, No ACBM MISC 3rd Floor Hallway Between 323A-D, 3rd Floor Lunchroom, Rm 322A-D, 3rd Floor Corridor by 322A-D (Above HA# 53), 3rd Floor Lunchroom Serving Area, 3rd Floor Kitchen, Lunchroom Manager's Office (Above HA# 54) Bldg 'X4' White Dot/Groove Ceiling Tiles Rm 133, 131, 1st/2nd/3rd Floor North No ACBM MISC and South Toilets, 107B, 107C, 110, 110A, 110B, 207A, 207B, 207D, 213, 219, 223, 231, 309A, 331, 3rd Floor Janitor's Closet, 323A-D, 329, 321, 309D, 309B, 309, 207C, 229, 221, Bldg "X12" Grooved Ceiling Tiles 107, 114, MainOffice, Principal & Astt No ACBM MISC Pincipal's Offc, CopyRm 112, 120, 205, 207, 212A, 210, 214, 214A, 300(library), 308, 3rd Flr LunchRm, 322A-D, 3rd Flr Corridor by 322A-D, 3rd Flr LunchRm Serv. Area, 3rd Flr Kitchen,LunchRm Manag. Offc, 200 (In Stairwell), Bldg. 59 2'X4' White w/ Deep Grooves, Ceiling Tiles Rm 100A/B Bldg. No ACBM MISC 60 2'X2' White w/dots, Ceiling Tiles Rm 108 Lounge, 109/109A, 111/113, No ACBM MISC 115/117, 119/121, 200 (library) Bldg. 61 Carpet Mastic Rm 106, 116, 120, Principal and Astt No ACBM MISC Principal's Office, Copy Rm, 144, Locker Rm by Engineer's Office, 203, 231, 200(library), 240, 242, 244, 300(library), 133, 112, Auditorium Bldg. 62 Hard Coat Plaster Throughout (See Hatching Maps) - No ACBM SURFACE 1932 Bldg. Management Planner's Comments Summarized at the End of the Report Friable Damage Quantity Damage Units Damage Category Response
33 School Chicago Academy Unit Building ID 6670 Address 3400 N. Austin Ave. Chicago, IL, Region 01 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Management Planner's Review Table II Managing Environmental Consultant (MEC) 855 W. Adams St., Ste. 200 Phone: (312) Fax: (312) Management Planner's Comments Summarized at the End of the Report HA Material Description Material Material Material Location Asbestos Material Friable Damage Damage Damage Category Response Num Quantity Units Type Category Quantity Units 63 Troweled on Wall Plaster 1st Floor Auditorium 1932 Bldg No ACBM SURFACE 64 Rough-Textured Ceiling Plaster Rm 150, 150A, 151, 250, , 3rd No ACBM Floor Conference Rm Bldg. 65 Aircell Pipe Insulation 7,305 LF Throughout Basement (See Hatching Chrysotile TSI Yes 50 LF 6 ACBM with the potential for damage Repair Maps), 207D, 209, 211, 211A, 213, 213B, Bldg. 66 Mudded Joint Packing Elbow/Fitting/Valve on 752 LF Throughout Basement (See Hatching Chrysotile TSI Yes 0 LF 6 ACBM with the potential for damage Aircell Pipe Insulation Maps), 207D, 209, 211, 211A, 213, 213B Bldg Cardboard Pipe Insulation 5,640 LF Throughout Basement (See Hatching Maps), 207D, 209, 211, 211A, 213, 213B Bldg Chrysotile TSI Yes 10 LF 6 ACBM with the potential for damage Repair 68 Mudded Joint Packing Elbow/Fitting/Valve on Cardboard Pipe Insulation (Paperwrap) 546 LF Throughout Basement (See Hatching Maps), 207D, 209, 211, 211A, 213, 213B Bldg 69 Mag Block Pipe Insulation 1,780 LF Basement Wood Shop, N. Compressor R, Storage D, N. and S. Tunnel, Main Corridor, SW Tunnel, Storage I, Weight Room Bldg 70 Mudded Joint Packing Elbow/Fitting/Valve on Mag Block Pipe Insulation 280 LF Basement Wood Shop, N. Compressor R, Storage D, N. and S. Tunnel, Main Corridor, SW Tunnel, Storage I, Weight Room Bldg. Chrysotile TSI Yes 0 LF 6 ACBM with the potential for damage Chrysotile TSI Yes 5 LF 6 ACBM with the potential for damage Repair Chrysotile TSI Yes 10 LF 6 ACBM with the potential for damage Repair 71 Aircell Duct Insulation 250 LF Basement Storage G Bldg. Chrysotile TSI Yes 20 LF 6 ACBM with the potential for damage Repair 72 Mudded Joint Packing Elbow/Fitting/Valve on 705 LF Throughout Basement (See Hatching Chrysotile TSI Yes 3 LF 6 ACBM with the potential for damage Repair Fiberglass Pipe Insulation Maps) and Attic Bldg. 73 Boiler Breeching 120 LF Boiler Rm Bldg. Amosite TSI Yes 0 LF 6 ACBM with the potential for damage 74 Tank Insulation 300 SF Boiler Rm Bldg. Chrysotile TSI Yes 0 SF 6 ACBM with the potential for damage 75 Hard Coat Plaster Throughout (See Hatching Maps) - No ACBM 1960 Bldg 76 Carpet Mastic Rm Bldg. No ACBM 77 12"X12" White w/gray VFT 2,500 SF 3rd Floor Lunchroom, 3rd Floor Assumed MISC No 0 SF 6 ACBM with the potential for damage Lunchroom Manager's Office, Assistant Eng. Office Bldg "X12" White w/gray VFT Mastic 2,500 SF 3rd Floor Lunchroom, 3rd Floor Lunchroom Manager's Office, Assistant Assumed MISC No 0 SF 6 ACBM with the potential for damage
34 School Chicago Academy Unit Building ID 6670 Address 3400 N. Austin Ave. Chicago, IL, Region 01 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Management Planner's Review Table II Managing Environmental Consultant (MEC) HA Num Material Description Material Quantity Material Units Material Location 855 W. Adams St., Ste. 200 Phone: (312) Fax: (312) Asbestos Type Management Planner's Comments Summarized at the End of the Report Material Category Friable Damage Quantity Damage Units Damage Category Eng. Office Bldg. 79 Terrazzo 7,650 SF Stairwell Treads Landings, Hallway Assumed MISC No 0 SF 6 ACBM with the potential for damage Border and Room, Entrances, Stairs Upto Gym, Auditorium, Stairs and Vestibules, Stairs in Gym Area, Stairs Near Freight Elevator Bldg. 80 Drywall, Tape, Compound 2,300 SF 2nd & 3rd Floor Stair Corridor to Assumed MISC Yes 0 SF 6 ACBM with the potential for damage Addition, Rm 313, 300, 301, Bldg "X12" White w/tan Streaks 900 SF Rm 315, 315A Bldg. Assumed MISC No 0 SF 6 ACBM with the potential for damage 81A 12"X12" White w/tan Streaks Mastic 900 SF Rm 315, 315A Bldg. Assumed MISC No 0 SF 6 ACBM with the potential for damage 82 12"X12" White w/multi-color Streaks 700 SF Rm 313A, 3151A Bldg. Assumed MISC No 0 SF 6 ACBM with the potential for damage 82A 12"X12" White w/multi-color Streaks Mastic 700 SF Rm 313A, 3151A Bldg. Assumed MISC No 0 SF 6 ACBM with the potential for damage 83 Blue-Gray Linoleum 500 SF Rm 311 and 311 Lab Bldg. Assumed MISC No 0 SF 6 ACBM with the potential for damage 83A Blue-Gray Linoleum Mastic 500 SF Rm 311 and 311 Lab Bldg. Assumed MISC No 0 SF 6 ACBM with the potential for damage 84 Blue-White Linoleum 300 SF Rm 311 and 311 Lab Bldg. Assumed MISC No 0 SF 6 ACBM with the potential for damage 84A Blue-White Linoleum Mastic 300 SF Rm 311 and 311 Lab Bldg. Assumed MISC No 0 SF 6 ACBM with the potential for damage 85 12"X12" Gray w/streaks VFT 2,500 SF Rm 108, staff Room, Man and Women Assumed MISC No 0 SF 6 ACBM with the potential for damage Toilets, Hall within Room 100, GYM by Bldg. 85A 12"X12" Gray w/streaks VFT Mastic 2,500 SF Rm 108, staff Room, Man and gym by Assumed MISC No 0 SF 6 ACBM with the potential for damage 106, Women Toilets, Hall within Room 100, GYM by Bldg "X12" Gray w/streaks VFT 6,000 SF Rm 255, 254, 253, 252, 155, 154, 153, Assumed MISC No 0 SF 6 ACBM with the potential for damage 152; basement B51; 1st, 2nd, 3rd Floor Corridors (1960) 86A 12"X12" Gray w/streaks VFT Mastic 6,000 SF Rm 255, 254, 253, 252, 155, 154, 153, Assumed MISC No 0 SF 6 ACBM with the potential for damage 152; Basement B51; 1st, 2nd, 3rd Floor Corridors (1960) 87 Gray Speckled Linoleum 4,500 SF Room B52 (art room) Bldg. Assumed MISC No 0 SF 6 ACBM with the potential for damage 87A Gray Speckled Linoleum Mastic 4,500 SF Room B52 (art room) Bldg. Assumed MISC No 0 SF 6 ACBM with the potential for damage 88 1'X1' White Smooth-Textured Ceiling Tiles 1,600 SF Rm 202, 205 (1932) Assumed MISC No 0 SF 6 ACBM with the potential for damage 89 Terrazzo 900 SF Stairwells (1960) Assumed MISC No 0 SF 6 ACBM with the potential for damage x 12 White with Blue Streaks VFT 200 SF Room 331(teacher/ staff lounge) - Assumed MISC No 0 SF 6 ACBM with the potential for damage 1932 Bldg. 90A 12 x 12 White with Blue Streaks VFT Mastic 200 SF Room 331(teacher/ staff lounge) - Assumed MISC No 0 SF 6 ACBM with the potential for damage Response
35 School Chicago Academy Unit Building ID 6670 Address 3400 N. Austin Ave. Chicago, IL, Region 01 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Management Planner's Review Table II Managing Environmental Consultant (MEC) HA Num Material Description Material Quantity Material Units Material Location 855 W. Adams St., Ste. 200 Phone: (312) Fax: (312) Asbestos Type Management Planner's Comments Summarized at the End of the Report Material Category Friable Damage Quantity Damage Units Damage Category 1932 Bldg x 12 Blue Streaked VFT 200 SF Room 331(teacher/ staff lounge) - Assumed MISC No 0 SF 6 ACBM with the potential for damage 1932 Bldg. 91A 12 x 12 Blue Streaked VFT Mastic 200 SF Room 331(teacher/ staff lounge) - Assumed MISC No 0 SF 6 ACBM with the potential for damage 1932 Bldg. 92 White Linoleum Flooring VFT 900 SF Room Bldg. Assumed MISC No 0 SF 6 ACBM with the potential for damage 92A White Linoleum Flooring VFT Mastic 900 SF Rooms Bldg. Assumed MISC No 0 SF 6 ACBM with the potential for damage 93 6" x 12" Ceiling Tile White with Holes 4,500 SF Auditorium & Balcony Room, 108 Staff Assumed MISC Yes 0 SF 6 ACBM with the potential for damage Room Bldg x 12 Dark Beige streaked VFT 800 SF Main Office (1932) Assumed MISC No 0 SF 6 ACBM with the potential for damage 94A 12 x 12 Dark Beige streaked VFT Mastic 800 SF Main Office (1932) Assumed MISC No 0 SF 6 ACBM with the potential for damage 95 9" x 9" Beige Mixed VFT 600 SF 3rd and 2nd Floor Corridor by Rooms Assumed MISC No 0 SF 6 ACBM with the potential for damage 301 and Bldg 95A 9" x 9" Beige Mixed VFT Mastic 600 SF 3rd and 2nd Floor Corridor by Rooms Assumed MISC No 0 SF 6 ACBM with the potential for damage 301 and Bldg 96 12" x 12" Sand VFT 700 SF Room Bldg. Assumed MISC No 0 SF 6 ACBM with the potential for damage 96A 12" x 12" Sand VFT Mastic 700 SF Room Bldg. Assumed MISC No 0 SF 6 ACBM with the potential for damage Response
36 School Chicago Academy Unit Building ID 6670 Address 3400 N. Austin Ave. Chicago, IL, Region 01 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Management Planner's Review Table II Managing Environmental Consultant (MEC) 855 W. Adams St., Ste. 200 Phone: (312) Fax: (312) Management Planner's Comments Summarized at the End of the Report Review Date 5/30/2016 Manager Planner Name Arturo Saenz /19/2017 Manager IDPH License No/Expiration HA Number Management Comments
37 School Chicago Academy Unit Building ID 6670 Address 3400 N. Austin Ave. Chicago, IL, Region 01 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Management Planner's Review Table II Managing Environmental Consultant (MEC) 855 W. Adams St., Ste. 200 Phone: (312) Fax: (312) HA Number Management Comments Management Planner's Comments Summarized at the End of the Report
38 School Chicago Academy Unit Building ID 6670 Address 3400 N. Austin Ave. Chicago, IL, Region 01 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Management Planner's Review Table II Managing Environmental Consultant (MEC) 855 W. Adams St., Ste. 200 Phone: (312) Fax: (312) HA Number Management Comments Management Planner's Comments Summarized at the End of the Report
39 School Chicago Academy Unit Building ID 6670 Address 3400 N. Austin Ave. Chicago, IL, Region 01 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Management Planner's Review Table II Managing Environmental Consultant (MEC) 855 W. Adams St., Ste. 200 Phone: (312) Fax: (312) HA Number A 82 82A 83 83A 84 84A 85 85A 86 86A 87 87A A 91 91A 92 Management Comments Management Planner's Comments Summarized at the End of the Report
40 School Chicago Academy Unit Building ID 6670 Address 3400 N. Austin Ave. Chicago, IL, Region 01 ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS Management Planner's Review Table II Managing Environmental Consultant (MEC) 855 W. Adams St., Ste. 200 Phone: (312) Fax: (312) HA Number 92A A 95 95A 96 96A Management Comments Management Planner's Comments Summarized at the End of the Report
41 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 01 HISTORICAL AHERA DAMAGE CATEGORY 9" x9" Black Vinyl Floor Tile 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE 1st through 3rd floor corridors, auditorium, engineer's office and office vault Bldg. MATERIAL QUANTITY: 8200 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
42 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 01 9" x9" Black Vinyl Floor Tile 1st through 3rd floor corridors, auditorium, engineer's office and office vault Bldg. MATERIAL QUANTITY: 8200 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
43 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 02 HISTORICAL AHERA DAMAGE CATEGORY 9" x9" Black Vinyl Floor Tile Mastic 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW 1st through 3rd floor corridors, auditorium, engineer's office and office vault Bldg. MATERIAL QUANTITY: 8200 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
44 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 02 9" x9" Black Vinyl Floor Tile Mastic 1st through 3rd floor corridors, auditorium, engineer's office and office vault Bldg. MATERIAL QUANTITY: 8200 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
45 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 03 HISTORICAL AHERA DAMAGE CATEGORY 9"x 9" Red Vinyl Floor Tile 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE 1st through 3rd Floor Corridors, auditorium, engineer's office and office vault Bldg. MATERIAL QUANTITY: 8200 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
46 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 03 9"x 9" Red Vinyl Floor Tile 1st through 3rd Floor Corridors, auditorium, engineer's office and office vault Bldg. MATERIAL QUANTITY: 8200 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
47 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 04 HISTORICAL AHERA DAMAGE CATEGORY 9" x 9" Red Vinyl Floor Tile Mastic 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW 1st through 3rd Floor Corridors, auditorium, engineer's office and office vault Bldg. MATERIAL QUANTITY: 8200 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
48 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 04 9" x 9" Red Vinyl Floor Tile Mastic 1st through 3rd Floor Corridors, auditorium, engineer's office and office vault Bldg. MATERIAL QUANTITY: 8200 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
49 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 05 HISTORICAL AHERA DAMAGE CATEGORY Black Border Vinyl Floor Tile 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE 1st through 3rd Floor Corridors, auditorium (under carpet), engineer's office and office vault Bldg. MATERIAL QUANTITY: 3300 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
50 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 05 Black Border Vinyl Floor Tile 1st through 3rd Floor Corridors, auditorium (under carpet), engineer's office and office vault Bldg. MATERIAL QUANTITY: 3300 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
51 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 06 HISTORICAL AHERA DAMAGE CATEGORY Black Border Vinyl Floor Tile Mastic 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW 1st through 3rd Floor Corridors, auditorium (under carpet), engineer's office and office vault Bldg. MATERIAL QUANTITY: 3300 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
52 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 06 Black Border Vinyl Floor Tile Mastic 1st through 3rd Floor Corridors, auditorium (under carpet), engineer's office and office vault Bldg. MATERIAL QUANTITY: 3300 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
53 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 07 HISTORICAL AHERA DAMAGE CATEGORY 12" x 12" White w/grey Streaks Vinyl Floor Tile 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE Room 100A/B, 110 (under the carpet), 110A, 110B, 133, 131, 207A, 223, 301A, 309, Basement Storage J Bldg. MATERIAL QUANTITY: 3500 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
54 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 07 12" x 12" White w/grey Streaks Vinyl Floor Tile Room 100A/B, 110 (under the carpet), 110A, 110B, 133, 131, 207A, 223, 301A, 309, Basement Storage J Bldg. MATERIAL QUANTITY: 3500 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
55 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 08 HISTORICAL AHERA DAMAGE CATEGORY 12" x 12" White w/grey Streaks VFT Mastic 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Room 100A/B, 110, 110A, 110B, 131, 133, 207A, 223, 301A, 309,, Basement Storage J Bldg. MATERIAL QUANTITY: 3500 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
56 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 08 12" x 12" White w/grey Streaks VFT Mastic Room 100A/B, 110, 110A, 110B, 131, 133, 207A, 223, 301A, 309,, Basement Storage J Bldg. MATERIAL QUANTITY: 3500 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
57 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 09 HISTORICAL AHERA DAMAGE CATEGORY 9" x9" Green w/streaks Vinyl Floor Tile (NOT OBSERVED) 6 ACBM with potential for significant damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Rm 311 MATERIAL QUANTITY: 1200 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
58 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 09 9" x9" Green w/streaks Vinyl Floor Tile (NOT OBSERVED) Rm 311 MATERIAL QUANTITY: 1200 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
59 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 10 HISTORICAL AHERA DAMAGE CATEGORY 9" x 9" Green w/streaks Vinyl Floor Tile Mastic (NOT OBSERVED) 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Room 311 MATERIAL QUANTITY: 1200 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
60 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 10 9" x 9" Green w/streaks Vinyl Floor Tile Mastic (NOT OBSERVED) Room 311 MATERIAL QUANTITY: 1200 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
61 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 11 HISTORICAL AHERA DAMAGE CATEGORY 9" x 9" Beige w/ Red Streaks Vinyl Floor Tile 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE Room 105 (under HA #47) and Room Bldg. MATERIAL QUANTITY: 1650 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
62 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 11 9" x 9" Beige w/ Red Streaks Vinyl Floor Tile Room 105 (under HA #47) and Room Bldg. MATERIAL QUANTITY: 1650 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
63 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 12 HISTORICAL AHERA DAMAGE CATEGORY 9" x9" Beige w/red Streaks Vinyl Floor Tile Mastic 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Room 105 (under HA #47) and Room 308 Bldg 1932 MATERIAL QUANTITY: 1650 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
64 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 12 9" x9" Beige w/red Streaks Vinyl Floor Tile Mastic Room 105 (under HA #47) and Room 308 Bldg 1932 MATERIAL QUANTITY: 1650 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
65 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 13 HISTORICAL AHERA DAMAGE CATEGORY 12" x12" White w/grey Spots/Streaks VFT 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE Room 101A Bldg. MATERIAL QUANTITY: 800 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
66 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 13 12" x12" White w/grey Spots/Streaks VFT Room 101A Bldg. MATERIAL QUANTITY: 800 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
67 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 14 HISTORICAL AHERA DAMAGE CATEGORY 12" x12" White w/grey Spots/Streaks VFT Mastic 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Room 101A Bldg. MATERIAL QUANTITY: 800 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
68 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 14 12" x12" White w/grey Spots/Streaks VFT Mastic Room 101A Bldg. MATERIAL QUANTITY: 800 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
69 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 15 HISTORICAL AHERA DAMAGE CATEGORY 9"X9" Multi-color VFT 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE 3rd Fl. Hall by Room Bldg. MATERIAL QUANTITY: 300 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
70 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 15 9"X9" Multi-color VFT 3rd Fl. Hall by Room Bldg. MATERIAL QUANTITY: 300 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
71 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 16 HISTORICAL AHERA DAMAGE CATEGORY 9"X9" Multi-color VFT Mastic 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW 3rd Fl. Hall by Room Bldg. MATERIAL QUANTITY: 300 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
72 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 16 9"X9" Multi-color VFT Mastic 3rd Fl. Hall by Room Bldg. MATERIAL QUANTITY: 300 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
73 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 17 HISTORICAL AHERA DAMAGE CATEGORY 9"X9" Beige Mixed VFT 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE 3rd & 2nd Floor Hall by stairs and elevator Bldg. MATERIAL QUANTITY: 650 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
74 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 17 9"X9" Beige Mixed VFT 3rd & 2nd Floor Hall by stairs and elevator Bldg. MATERIAL QUANTITY: 650 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
75 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 18 HISTORICAL AHERA DAMAGE CATEGORY 9"X9" Beige Mixed VFT Mastic 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW 2nd Flr & 3rd Hall by elevator and stairs Bldg. MATERIAL QUANTITY: 650 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
76 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 18 9"X9" Beige Mixed VFT Mastic 2nd Flr & 3rd Hall by elevator and stairs Bldg. MATERIAL QUANTITY: 650 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
77 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 19 9"X9" Gray w/spots Vinyl Floor VFT - ABATED HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Abated FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Rm B50 MATERIAL QUANTITY: DAMAGE QUANTITY: MATERIAL UNITS: DAMAGE UNITS: COMMENTS: Inspector's Signature: Date: 03/10/2016
78 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 19 9"X9" Gray w/spots Vinyl Floor VFT - ABATED Rm B50 MATERIAL QUANTITY: DAMAGE QUANTITY: MATERIAL UNITS: DAMAGE UNITS: In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
79 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 20 9"X9" Gray w/spots Vinyl Floor VFT Mastic - ABATED HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Abated FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Rm B50 MATERIAL QUANTITY: DAMAGE QUANTITY: MATERIAL UNITS: DAMAGE UNITS: COMMENTS: Inspector's Signature: Date: 03/10/2016
80 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 20 MATERIAL QUANTITY: DAMAGE QUANTITY: 9"X9" Gray w/spots Vinyl Floor VFT Mastic - ABATED Rm B50 MATERIAL UNITS: DAMAGE UNITS: In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
81 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 21 9"X9" Salmon w/dots, Vinyl Floor VFT - ABATED HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Abated FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Low Rms B52 MATERIAL QUANTITY: DAMAGE QUANTITY: MATERIAL UNITS: DAMAGE UNITS: COMMENTS: Inspector's Signature: Date: 03/10/2016
82 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 21 9"X9" Salmon w/dots, Vinyl Floor VFT - ABATED Rms B52 MATERIAL QUANTITY: DAMAGE QUANTITY: MATERIAL UNITS: DAMAGE UNITS: In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
83 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 22 9"X9" Salmon w/dots, Vinyl Floor VFT Mastic - ABATED HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Abated FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Low Rms B52 MATERIAL QUANTITY: DAMAGE QUANTITY: MATERIAL UNITS: DAMAGE UNITS: COMMENTS: Inspector's Signature: Date: 03/10/2016
84 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 22 MATERIAL QUANTITY: DAMAGE QUANTITY: 9"X9" Salmon w/dots, Vinyl Floor VFT Mastic - ABATED Rms B52 MATERIAL UNITS: DAMAGE UNITS: In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
85 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 23 9"X9" Light Brown w/dots Vinyl Floor Tiles - ABATED HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Abated FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Low Rms B49, B52, B50A, B50B MATERIAL QUANTITY: DAMAGE QUANTITY: MATERIAL UNITS: DAMAGE UNITS: COMMENTS: Inspector's Signature: Date: 03/10/2016
86 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 23 MATERIAL QUANTITY: DAMAGE QUANTITY: 9"X9" Light Brown w/dots Vinyl Floor Tiles - ABATED Rms B49, B52, B50A, B50B MATERIAL UNITS: DAMAGE UNITS: In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
87 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 24 9"X9" Light Brown w/dots Vinyl Floor VFT Mastic - ABATED HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Abated FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Low Rms B49, B52, B50A, B50B ABATED MATERIAL QUANTITY: DAMAGE QUANTITY: MATERIAL UNITS: DAMAGE UNITS: COMMENTS: Inspector's Signature: Date: 03/10/2016
88 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 24 MATERIAL QUANTITY: DAMAGE QUANTITY: 9"X9" Light Brown w/dots Vinyl Floor VFT Mastic - ABATED Rms B49, B52, B50A, B50B ABATED MATERIAL UNITS: DAMAGE UNITS: In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
89 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 25 9"X9" Dark Brown w/ Dots Vinyl Floor Tile - ABATED HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Abated FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Low Rm 151 MATERIAL QUANTITY: DAMAGE QUANTITY: MATERIAL UNITS: DAMAGE UNITS: COMMENTS: Inspector's Signature: Date: 03/10/2016
90 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 25 9"X9" Dark Brown w/ Dots Vinyl Floor Tile - ABATED Rm 151 MATERIAL QUANTITY: DAMAGE QUANTITY: MATERIAL UNITS: DAMAGE UNITS: In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
91 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 26 9"X9" Dark Brown w/ Dots Vinyl Floor Tile Mastic - ABATED HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Abated FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Room 151 MATERIAL QUANTITY: DAMAGE QUANTITY: MATERIAL UNITS: DAMAGE UNITS: COMMENTS: Inspector's Signature: Date: 03/10/2016
92 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 26 9"X9" Dark Brown w/ Dots Vinyl Floor Tile Mastic - ABATED Room 151 MATERIAL QUANTITY: DAMAGE QUANTITY: MATERIAL UNITS: DAMAGE UNITS: In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
93 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 27 HISTORICAL AHERA DAMAGE CATEGORY 9"X9" Burgundy Vinyl Floor Tile 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Rm 116, Rm 120 (under carpet) Bldg. MATERIAL QUANTITY: 1250 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
94 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 27 9"X9" Burgundy Vinyl Floor Tile Rm 116, Rm 120 (under carpet) Bldg. MATERIAL QUANTITY: 1250 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
95 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 28 HISTORICAL AHERA DAMAGE CATEGORY 9"X9" Burgundy Vinyl Floor Tile Mastic 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Rm 116, Rm 120 (under carpet) Bldg. MATERIAL QUANTITY: 1250 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
96 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 28 9"X9" Burgundy Vinyl Floor Tile Mastic Rm 116, Rm 120 (under carpet) Bldg. MATERIAL QUANTITY: 1250 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
97 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 29 HISTORICAL AHERA DAMAGE CATEGORY 9"x 9" Cream VFT 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Rm 116, Rm 120 (under carpet) Bldg. MATERIAL QUANTITY: 2450 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
98 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 29 9"x 9" Cream VFT Rm 116, Rm 120 (under carpet) Bldg. MATERIAL QUANTITY: 2450 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
99 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 30 HISTORICAL AHERA DAMAGE CATEGORY 9"x 9" Cream VFT Mastic 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Rm 116 and 120 (under the carpet) Bldg. MATERIAL QUANTITY: 2450 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
100 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 30 9"x 9" Cream VFT Mastic Rm 116 and 120 (under the carpet) Bldg. MATERIAL QUANTITY: 2450 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
101 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 31 HISTORICAL AHERA DAMAGE CATEGORY 9"X9" Coffee w/streak VFT 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE Rm 215A Bldg. MATERIAL QUANTITY: 250 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
102 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 31 9"X9" Coffee w/streak VFT Rm 215A Bldg. MATERIAL QUANTITY: 250 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
103 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 32 HISTORICAL AHERA DAMAGE CATEGORY 9"X9" Coffee w/streak VFT Mastic 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Rm 215A Bldg. MATERIAL QUANTITY: 250 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
104 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 32 9"X9" Coffee w/streak VFT Mastic Rm 215A Bldg. MATERIAL QUANTITY: 250 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
105 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 33 9"X9" Blue w/streaks VFT - ABATED HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Abated FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Low Rm 250 North Office Storage MATERIAL QUANTITY: DAMAGE QUANTITY: MATERIAL UNITS: DAMAGE UNITS: COMMENTS: Inspector's Signature: Date: 03/10/2016
106 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 33 9"X9" Blue w/streaks VFT - ABATED Rm 250 North Office Storage MATERIAL QUANTITY: DAMAGE QUANTITY: MATERIAL UNITS: DAMAGE UNITS: In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
107 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 34 9"X9" Blue w/streaks VFT Mastic - ABATED HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Abated FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Low Rm 250 North Office Storage MATERIAL QUANTITY: DAMAGE QUANTITY: MATERIAL UNITS: DAMAGE UNITS: COMMENTS: Inspector's Signature: Date: 03/10/2016
108 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 34 9"X9" Blue w/streaks VFT Mastic - ABATED Rm 250 North Office Storage MATERIAL QUANTITY: DAMAGE QUANTITY: MATERIAL UNITS: DAMAGE UNITS: In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
109 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 35 12"x12" White w/ Spots and Streaks VFT - REMOVED HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Rm 212A MATERIAL QUANTITY: DAMAGE QUANTITY: MATERIAL UNITS: DAMAGE UNITS: COMMENTS: Inspector's Signature: Date: 03/10/2016
110 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 35 MATERIAL QUANTITY: DAMAGE QUANTITY: 12"x12" White w/ Spots and Streaks VFT - REMOVED Rm 212A MATERIAL UNITS: DAMAGE UNITS: In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
111 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 36 12"x12" White w/ Spots and Streaks VFT mastic - REMOVED HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Rooms 212A MATERIAL QUANTITY: DAMAGE QUANTITY: MATERIAL UNITS: DAMAGE UNITS: COMMENTS: Inspector's Signature: Date: 03/10/2016
112 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 36 MATERIAL QUANTITY: DAMAGE QUANTITY: 12"x12" White w/ Spots and Streaks VFT mastic - REMOVED Rooms 212A MATERIAL UNITS: DAMAGE UNITS: In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
113 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 37 12"X12" Orange VFT (Under HA47+48) HISTORICAL AHERA DAMAGE CATEGORY 6 HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Rm 210 MATERIAL QUANTITY: 800 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
114 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 37 12"X12" Orange VFT (Under HA47+48) Rm 210 MATERIAL QUANTITY: 800 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
115 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 38 12"X12" Orange VFT Mastic (Under HA47+48) HISTORICAL AHERA DAMAGE CATEGORY 6 HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Rm 210 MATERIAL QUANTITY: 800 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
116 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 38 12"X12" Orange VFT Mastic (Under HA47+48) Rm 210 MATERIAL QUANTITY: 800 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
117 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 39 HISTORICAL AHERA DAMAGE CATEGORY 12"X12" Beige w/tan Specks VFT 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE Rms 202, 202A-C Bldg. MATERIAL QUANTITY: 650 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
118 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 39 12"X12" Beige w/tan Specks VFT Rms 202, 202A-C Bldg. MATERIAL QUANTITY: 650 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
119 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 40 HISTORICAL AHERA DAMAGE CATEGORY 12"X12" Beige w/tan Specks VFT Mastic 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Rms 202, 202A-C Bldg. MATERIAL QUANTITY: 650 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
120 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 40 12"X12" Beige w/tan Specks VFT Mastic Rms 202, 202A-C Bldg. MATERIAL QUANTITY: 650 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
121 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 41 HISTORICAL AHERA DAMAGE CATEGORY 12"X12" Black w/ White Streaks VFL 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE Lunchroom Manager's Office, 3rd Floor Lunchroom, Assistant Eng. Office Bldg. MATERIAL QUANTITY: 2500 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
122 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 41 12"X12" Black w/ White Streaks VFL Lunchroom Manager's Office, 3rd Floor Lunchroom, Assistant Eng. Office Bldg. MATERIAL QUANTITY: 2500 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
123 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 42 HISTORICAL AHERA DAMAGE CATEGORY 12"X12" Black w/ White Streaks VFL Mastic 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Lunchroom Manager's Office, 3rd Floor Lunchroom, Assistant Eng. Office Bldg. MATERIAL QUANTITY: 2500 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
124 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 42 12"X12" Black w/ White Streaks VFL Mastic Lunchroom Manager's Office, 3rd Floor Lunchroom, Assistant Eng. Office Bldg. MATERIAL QUANTITY: 2500 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
125 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 43 9"X9" Tan w/brown Streaks Vinyl Floor Tile (Abated) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Abated FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Basement Phone Rm Abated MATERIAL QUANTITY: DAMAGE QUANTITY: MATERIAL UNITS: DAMAGE UNITS: COMMENTS: Inspector's Signature: Date: 03/10/2016
126 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 43 MATERIAL QUANTITY: DAMAGE QUANTITY: 9"X9" Tan w/brown Streaks Vinyl Floor Tile (Abated) Basement Phone Rm Abated MATERIAL UNITS: DAMAGE UNITS: In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
127 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 44 9"X9" Tan w/brown Streaks Vinyl Floor Tile Mastic (Abated) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Abated FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Basement Phone Rm - Abated MATERIAL QUANTITY: DAMAGE QUANTITY: MATERIAL UNITS: DAMAGE UNITS: COMMENTS: Inspector's Signature: Date: 03/10/2016
128 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 44 MATERIAL QUANTITY: DAMAGE QUANTITY: 9"X9" Tan w/brown Streaks Vinyl Floor Tile Mastic (Abated) Basement Phone Rm - Abated MATERIAL UNITS: DAMAGE UNITS: In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
129 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 45 12"X12" Off-White w/gray Streaks VFT (Abated) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Abated FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Basement Rm B7, Rm B19 MATERIAL QUANTITY: DAMAGE QUANTITY: MATERIAL UNITS: DAMAGE UNITS: COMMENTS: Inspector's Signature: Date: 03/10/2016
130 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 45 12"X12" Off-White w/gray Streaks VFT (Abated) Basement Rm B7, Rm B19 MATERIAL QUANTITY: DAMAGE QUANTITY: MATERIAL UNITS: DAMAGE UNITS: In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
131 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 46 12"X12" Off-White w/gray Streaks VFT Mastic (Abated) HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Abated FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Basement Rm B7, Rm B19 MATERIAL QUANTITY: DAMAGE QUANTITY: MATERIAL UNITS: DAMAGE UNITS: COMMENTS: Inspector's Signature: Date: 03/10/2016
132 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 46 MATERIAL QUANTITY: DAMAGE QUANTITY: 12"X12" Off-White w/gray Streaks VFT Mastic (Abated) Basement Rm B7, Rm B19 MATERIAL UNITS: DAMAGE UNITS: In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
133 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 47 HISTORICAL AHERA DAMAGE CATEGORY 12"X12" Blue w/white VFT 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE Rms 105, 107, 107E, 109/109A, 111/113, 115/117, 119/121, 210, 212A Bldg. MATERIAL QUANTITY: 8750 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
134 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 47 12"X12" Blue w/white VFT Rms 105, 107, 107E, 109/109A, 111/113, 115/117, 119/121, 210, 212A Bldg. MATERIAL QUANTITY: 8750 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
135 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 48 HISTORICAL AHERA DAMAGE CATEGORY 12"X12" Blue w/white VFT Mastic 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Rms 105, 107, 107E, 109/109A, 111/113, 115/117, 119/121, 210, 212A Bldg. MATERIAL QUANTITY: 8750 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
136 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 48 12"X12" Blue w/white VFT Mastic Rms 105, 107, 107E, 109/109A, 111/113, 115/117, 119/121, 210, 212A Bldg. MATERIAL QUANTITY: 8750 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
137 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 49 HISTORICAL AHERA DAMAGE CATEGORY 12"X12" White w/tan Spots VFT (NOT OBSERVED) 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Main Office MATERIAL QUANTITY: 450 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
138 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 49 12"X12" White w/tan Spots VFT (NOT OBSERVED) Main Office MATERIAL QUANTITY: 450 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
139 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 50 HISTORICAL AHERA DAMAGE CATEGORY 12"X12" White w/tan Spots VFT Mastic (NOT OBSERVED) 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Main Office MATERIAL QUANTITY: 450 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
140 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 50 12"X12" White w/tan Spots VFT Mastic (NOT OBSERVED) Main Office MATERIAL QUANTITY: 450 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
141 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 51 HISTORICAL AHERA DAMAGE CATEGORY Brown w/tan Small Squares Linoleum (NOT OBSERVED) 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Rm 313 MATERIAL QUANTITY: 900 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
142 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 51 Brown w/tan Small Squares Linoleum (NOT OBSERVED) Rm 313 MATERIAL QUANTITY: 900 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
143 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 52 HISTORICAL AHERA DAMAGE CATEGORY Brown w/tan Small Squares Linoleum Mastic (NOT OBSERVED) 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Rm 313 MATERIAL QUANTITY: 900 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
144 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 52 Brown w/tan Small Squares Linoleum Mastic (NOT OBSERVED) Rm 313 MATERIAL QUANTITY: 900 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
145 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 53 2'X2' White Dot w/grooves Ceiling Tiles HISTORICAL AHERA DAMAGE CATEGORY ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: 3rd Floor Lunchroom, Rm 322A-D, 3rd Floor Corridor by 322A-D, 200, 321A Bldg. MATERIAL QUANTITY: DAMAGE QUANTITY: MATERIAL UNITS: DAMAGE UNITS: COMMENTS: Inspector's Signature: Date: 03/10/2016
146 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 53 MATERIAL QUANTITY: DAMAGE QUANTITY: 2'X2' White Dot w/grooves Ceiling Tiles 3rd Floor Lunchroom, Rm 322A-D, 3rd Floor Corridor by 322A-D, 200, 321A Bldg. MATERIAL UNITS: DAMAGE UNITS: In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
147 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 54 2'X2' White Smooth Ceiling Tiles HISTORICAL AHERA DAMAGE CATEGORY ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: 3rd Floor Lunchroom Serving Area, 3rd Floor kitchen, Lunchroom Manager's Office Bldg. MATERIAL QUANTITY: DAMAGE QUANTITY: MATERIAL UNITS: DAMAGE UNITS: COMMENTS: Inspector's Signature: Date: 03/10/2016
148 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 54 MATERIAL QUANTITY: DAMAGE QUANTITY: 2'X2' White Smooth Ceiling Tiles 3rd Floor Lunchroom Serving Area, 3rd Floor kitchen, Lunchroom Manager's Office Bldg. MATERIAL UNITS: DAMAGE UNITS: In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
149 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 55 1'X1' Brown w/holes, Ceiling Tiles HISTORICAL AHERA DAMAGE CATEGORY ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: MATERIAL QUANTITY: DAMAGE QUANTITY: 3rd Floor Small Gymnasium (302), 2nd Floor Gym Bldg. MATERIAL UNITS: DAMAGE UNITS: COMMENTS: Inspector's Signature: Date: 03/10/2016
150 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 55 MATERIAL QUANTITY: DAMAGE QUANTITY: 1'X1' Brown w/holes, Ceiling Tiles 3rd Floor Small Gymnasium (302), 2nd Floor Gym Bldg. MATERIAL UNITS: DAMAGE UNITS: In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
151 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 56 1'X1' Dot Ceiling Tiles HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: MATERIAL QUANTITY: DAMAGE QUANTITY: Rms 116, 213B, Gym, 323, 323A-D, 3rd Floor Hallway Between 323A-D, 3rd Floor Lunchroom, Rm 322A-D, 3rd Floor Corridor by 322A-D (Above HA# 53), 3rd Floor Lunchroom Serving Area, 3rd Floor Kitchen, Lunchroom Manager's Office (Above HA# 54) Bldg 1932 MATERIAL UNITS: DAMAGE UNITS: COMMENTS: Inspector's Signature: Date: 03/10/2016
152 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 56 MATERIAL QUANTITY: DAMAGE QUANTITY: 1'X1' Dot Ceiling Tiles Rms 116, 213B, Gym, 323, 323A-D, 3rd Floor Hallway Between 323A-D, 3rd Floor Lunchroom, Rm 322A-D, 3rd Floor Corridor by 322A-D (Above HA# 53), 3rd Floor Lunchroom Serving Area, 3rd Floor Kitchen, Lunchroom Manager's Office (Above HA# 54) Bldg 1932 MATERIAL UNITS: DAMAGE UNITS: In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
153 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 57 2'X4' White Dot/Groove Ceiling Tiles HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Rm 133, 131, 1st/2nd/3rd Floor North and South Toilets, 107B, 107C, 110, 110A, 110B, 207A, 207B, 207D, 213, 219, 223, 231, 309A, 331, 3rd Floor Janitor's Closet, 323A-D, 329, 321, 309D, 309B, 309, 207C, 229, 221, Bldg. MATERIAL QUANTITY: DAMAGE QUANTITY: MATERIAL UNITS: DAMAGE UNITS: COMMENTS: Inspector's Signature: Date: 03/10/2016
154 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 57 2'X4' White Dot/Groove Ceiling Tiles Rm 133, 131, 1st/2nd/3rd Floor North and South Toilets, 107B, 107C, 110, 110A, 110B, 207A, 207B, 207D, 213, 219, 223, 231, 309A, 331, 3rd Floor Janitor's Closet, 323A-D, 329, 321, 309D, 309B, 309, 207C, 229, 221, Bldg. MATERIAL QUANTITY: DAMAGE QUANTITY: MATERIAL UNITS: DAMAGE UNITS: In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
155 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 58 12"X12" Grooved Ceiling Tiles HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: 107, 114, MainOffice, Principal & Astt Pincipal's Offc, CopyRm 112, 120, 205, 207, 212A, 210, 214, 214A, 300(library), 308, 3rd Flr LunchRm, 322A-D, 3rd Flr Corridor by 322A-D, 3rd Flr LunchRm Serv. Area, 3rd Flr Kitchen,LunchRm Manag. Offc, 200 (In Stairwell), Bldg. MATERIAL QUANTITY: DAMAGE QUANTITY: MATERIAL UNITS: DAMAGE UNITS: COMMENTS: Inspector's Signature: Date: 03/10/2016
156 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 58 12"X12" Grooved Ceiling Tiles 107, 114, MainOffice, Principal & Astt Pincipal's Offc, CopyRm 112, 120, 205, 207, 212A, 210, 214, 214A, 300(library), 308, 3rd Flr LunchRm, 322A-D, 3rd Flr Corridor by 322A-D, 3rd Flr LunchRm Serv. Area, 3rd Flr Kitchen,LunchRm Manag. Offc, 200 (In Stairwell), Bldg. MATERIAL QUANTITY: DAMAGE QUANTITY: MATERIAL UNITS: DAMAGE UNITS: In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
157 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 59 2'X4' White w/ Deep Grooves, Ceiling Tiles HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Rm 100A/B Bldg. MATERIAL QUANTITY: DAMAGE QUANTITY: MATERIAL UNITS: DAMAGE UNITS: COMMENTS: Inspector's Signature: Date: 03/10/2016
158 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 59 2'X4' White w/ Deep Grooves, Ceiling Tiles Rm 100A/B Bldg. MATERIAL QUANTITY: DAMAGE QUANTITY: MATERIAL UNITS: DAMAGE UNITS: In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
159 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 60 2'X2' White w/dots, Ceiling Tiles HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: MATERIAL QUANTITY: DAMAGE QUANTITY: Rm 108 Lounge, 109/109A, 111/113, 115/117, 119/121, 200 (library) Bldg. MATERIAL UNITS: DAMAGE UNITS: COMMENTS: Inspector's Signature: Date: 03/10/2016
160 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 60 MATERIAL QUANTITY: DAMAGE QUANTITY: 2'X2' White w/dots, Ceiling Tiles Rm 108 Lounge, 109/109A, 111/113, 115/117, 119/121, 200 (library) Bldg. MATERIAL UNITS: DAMAGE UNITS: In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
161 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 61 Carpet Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: MATERIAL QUANTITY: DAMAGE QUANTITY: Rm 106, 116, 120, Principal and Astt Principal's Office, Copy Rm, 144, Locker Rm by Engineer's Office, 203, 231, 200(library), 240, 242, 244, 300(library), 133, 112, Auditorium Bldg. MATERIAL UNITS: DAMAGE UNITS: COMMENTS: Inspector's Signature: Date: 03/10/2016
162 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 61 MATERIAL QUANTITY: DAMAGE QUANTITY: Carpet Mastic Rm 106, 116, 120, Principal and Astt Principal's Office, Copy Rm, 144, Locker Rm by Engineer's Office, 203, 231, 200(library), 240, 242, 244, 300(library), 133, 112, Auditorium Bldg. MATERIAL UNITS: DAMAGE UNITS: In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
163 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 62 Hard Coat Plaster HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Throughout (See Hatching Maps) Bldg. MATERIAL QUANTITY: DAMAGE QUANTITY: MATERIAL UNITS: DAMAGE UNITS: COMMENTS: Inspector's Signature: Date: 03/10/2016
164 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 62 Hard Coat Plaster Throughout (See Hatching Maps) Bldg. MATERIAL QUANTITY: DAMAGE QUANTITY: MATERIAL UNITS: DAMAGE UNITS: In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
165 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 63 Troweled on Wall Plaster HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: 1st Floor Auditorium 1932 Bldg MATERIAL QUANTITY: DAMAGE QUANTITY: MATERIAL UNITS: DAMAGE UNITS: COMMENTS: Inspector's Signature: Date: 03/10/2016
166 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 63 Troweled on Wall Plaster 1st Floor Auditorium 1932 Bldg MATERIAL QUANTITY: DAMAGE QUANTITY: MATERIAL UNITS: DAMAGE UNITS: In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
167 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 64 Rough-Textured Ceiling Plaster HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: MATERIAL QUANTITY: DAMAGE QUANTITY: Rm 150, 150A, 151, 250, , 3rd Floor Conference Rm Bldg. MATERIAL UNITS: DAMAGE UNITS: COMMENTS: Inspector's Signature: Date: 03/10/2016
168 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 64 MATERIAL QUANTITY: DAMAGE QUANTITY: Rough-Textured Ceiling Plaster Rm 150, 150A, 151, 250, , 3rd Floor Conference Rm Bldg. MATERIAL UNITS: DAMAGE UNITS: In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
169 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 65 HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: Aircell Pipe Insulation 6 ACBM with potential for significant damage Delamination Repair ASBESTOS TYPE: Chrysotile FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Deterioration LOW Throughout Basement (See Hatching Maps), 207D, 209, 211, 211A, 213, 213B, Bldg. MATERIAL QUANTITY: 7305 MATERIAL UNITS: LF DAMAGE QUANTITY: DAMAGE UNITS: LF COMMENTS: Inspector's Signature: Date: 03/10/2016
170 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 65 Aircell Pipe Insulation Throughout Basement (See Hatching Maps), 207D, 209, 211, 211A, 213, 213B, Bldg. MATERIAL QUANTITY: 7305 MATERIAL UNITS: LF DAMAGE QUANTITY: 50 DAMAGE UNITS: LF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Repair Comments: Management Planner's Signature: Date: 05/30/2016
171 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 66 HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: Mudded Joint Packing Elbow/Fitting/Valve on Aircell Pipe Insulation 6 ACBM with potential for significant damage Deterioration Repair ASBESTOS TYPE: Chrysotile FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Throughout Basement (See Hatching Maps), 207D, 209, 211, 211A, 213, 213B Bldg 1932 MATERIAL QUANTITY: 752 MATERIAL UNITS: LF DAMAGE QUANTITY: DAMAGE UNITS: LF COMMENTS: Inspector's Signature: Date: 03/10/2016
172 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 66 Mudded Joint Packing Elbow/Fitting/Valve on Aircell Pipe Insulation Throughout Basement (See Hatching Maps), 207D, 209, 211, 211A, 213, 213B Bldg 1932 MATERIAL QUANTITY: 752 MATERIAL UNITS: LF DAMAGE QUANTITY: 0 DAMAGE UNITS: LF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Repair Comments: Management Planner's Signature: Date: 05/30/2016
173 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 67 HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: Cardboard Pipe Insulation 6 ACBM with potential for significant damage Deterioration Repair ASBESTOS TYPE: Chrysotile FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: Deterioration LOW Throughout Basement (See Hatching Maps), 207D, 209, 211, 211A, 213, 213B Bldg MATERIAL QUANTITY: 5640 MATERIAL UNITS: LF DAMAGE QUANTITY: DAMAGE UNITS: LF COMMENTS: Damage Inspector's Signature: Date: 03/10/2016
174 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 67 Cardboard Pipe Insulation Throughout Basement (See Hatching Maps), 207D, 209, 211, 211A, 213, 213B Bldg MATERIAL QUANTITY: 5640 MATERIAL UNITS: LF DAMAGE QUANTITY: 10 DAMAGE UNITS: LF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Repair Comments: Management Planner's Signature: Date: 05/30/2016
175 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 68 HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: Mudded Joint Packing Elbow/Fitting/Valve on Cardboard Pipe Insulation (Paperwrap) 6 ACBM with potential for significant damage Deterioration ASBESTOS TYPE: Chrysotile FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Throughout Basement (See Hatching Maps), 207D, 209, 211, 211A, 213, 213B Bldg MATERIAL QUANTITY: 546 MATERIAL UNITS: LF DAMAGE QUANTITY: DAMAGE UNITS: LF COMMENTS: Inspector's Signature: Date: 03/10/2016
176 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 68 Mudded Joint Packing Elbow/Fitting/Valve on Cardboard Pipe Insulation (Paperwrap) Throughout Basement (See Hatching Maps), 207D, 209, 211, 211A, 213, 213B Bldg MATERIAL QUANTITY: 546 MATERIAL UNITS: LF DAMAGE QUANTITY: 0 DAMAGE UNITS: LF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
177 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 69 HISTORICAL AHERA DAMAGE CATEGORY Mag Block Pipe Insulation 6 ACBM with potential for significant damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: Repair ASBESTOS TYPE: Chrysotile FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Basement Wood Shop, N. Compressor R, Storage D, N. and S. Tunnel, Main Corridor, SW Tunnel, Storage I, Weight Room Bldg MATERIAL QUANTITY: 1780 MATERIAL UNITS: LF DAMAGE QUANTITY: DAMAGE UNITS: LF COMMENTS: Inspector's Signature: Date: 03/10/2016
178 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 69 Mag Block Pipe Insulation Basement Wood Shop, N. Compressor R, Storage D, N. and S. Tunnel, Main Corridor, SW Tunnel, Storage I, Weight Room Bldg MATERIAL QUANTITY: 1780 MATERIAL UNITS: LF DAMAGE QUANTITY: 5 DAMAGE UNITS: LF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Repair Comments: Management Planner's Signature: Date: 05/30/2016
179 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 70 HISTORICAL AHERA DAMAGE CATEGORY Mudded Joint Packing Elbow/Fitting/Valve on Mag Block Pipe Insulation 6 ACBM with potential for significant damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: Repair ASBESTOS TYPE: Chrysotile FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Basement Wood Shop, N. Compressor R, Storage D, N. and S. Tunnel, Main Corridor, SW Tunnel, Storage I, Weight Room Bldg. MATERIAL QUANTITY: 280 MATERIAL UNITS: LF DAMAGE QUANTITY: DAMAGE UNITS: LF COMMENTS: Inspector's Signature: Date: 03/10/2016
180 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 70 Mudded Joint Packing Elbow/Fitting/Valve on Mag Block Pipe Insulation Basement Wood Shop, N. Compressor R, Storage D, N. and S. Tunnel, Main Corridor, SW Tunnel, Storage I, Weight Room Bldg. MATERIAL QUANTITY: 280 MATERIAL UNITS: LF DAMAGE QUANTITY: 10 DAMAGE UNITS: LF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Repair Comments: Management Planner's Signature: Date: 05/30/2016
181 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 71 HISTORICAL AHERA DAMAGE CATEGORY Aircell Duct Insulation 6 ACBM with potential for significant damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: Repair ASBESTOS TYPE: Chrysotile FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Basement Storage G Bldg. MATERIAL QUANTITY: 250 MATERIAL UNITS: LF DAMAGE QUANTITY: DAMAGE UNITS: LF COMMENTS: Inspector's Signature: Date: 03/10/2016
182 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 71 Aircell Duct Insulation Basement Storage G Bldg. MATERIAL QUANTITY: 250 MATERIAL UNITS: LF DAMAGE QUANTITY: 20 DAMAGE UNITS: LF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Repair Comments: Management Planner's Signature: Date: 05/30/2016
183 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 72 HISTORICAL AHERA DAMAGE CATEGORY Mudded Joint Packing Elbow/Fitting/Valve on Fiberglass Pipe Insulation 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Throughout Basement (See Hatching Maps) and Attic Bldg. MATERIAL QUANTITY: 705 MATERIAL UNITS: LF DAMAGE QUANTITY: DAMAGE UNITS: LF COMMENTS: Inspector's Signature: Date: 03/10/2016
184 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 72 Mudded Joint Packing Elbow/Fitting/Valve on Fiberglass Pipe Insulation Throughout Basement (See Hatching Maps) and Attic Bldg. MATERIAL QUANTITY: 705 MATERIAL UNITS: LF DAMAGE QUANTITY: 3 DAMAGE UNITS: LF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
185 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 73 HISTORICAL AHERA DAMAGE CATEGORY Boiler Breeching 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Amosite FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Boiler Rm Bldg. MATERIAL QUANTITY: 120 MATERIAL UNITS: LF DAMAGE QUANTITY: DAMAGE UNITS: LF COMMENTS: Inspector's Signature: Date: 03/10/2016
186 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 73 Boiler Breeching Boiler Rm Bldg. MATERIAL QUANTITY: 120 MATERIAL UNITS: LF DAMAGE QUANTITY: 0 DAMAGE UNITS: LF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
187 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 74 HISTORICAL AHERA DAMAGE CATEGORY Tank Insulation 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Chrysotile FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Boiler Rm Bldg. MATERIAL QUANTITY: 300 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
188 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 74 Tank Insulation Boiler Rm Bldg. MATERIAL QUANTITY: 300 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
189 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 75 Hard Coat Plaster HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Throughout (See Hatching Maps) Bldg MATERIAL QUANTITY: DAMAGE QUANTITY: MATERIAL UNITS: DAMAGE UNITS: COMMENTS: Inspector's Signature: Date: 03/10/2016
190 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 75 Hard Coat Plaster Throughout (See Hatching Maps) Bldg MATERIAL QUANTITY: DAMAGE QUANTITY: MATERIAL UNITS: DAMAGE UNITS: In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
191 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 76 Carpet Mastic HISTORICAL AHERA DAMAGE CATEGORY HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: No ACBM FRIABLE: RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be. DAMAGE REASON: DISTURBANCE POTENTIAL: Rm Bldg. MATERIAL QUANTITY: DAMAGE QUANTITY: MATERIAL UNITS: DAMAGE UNITS: COMMENTS: Inspector's Signature: Date: 03/10/2016
192 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 76 Carpet Mastic Rm Bldg. MATERIAL QUANTITY: DAMAGE QUANTITY: MATERIAL UNITS: DAMAGE UNITS: In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
193 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 77 HISTORICAL AHERA DAMAGE CATEGORY 12"X12" White w/gray VFT 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE 3rd Floor Lunchroom, 3rd Floor Lunchroom Manager's Office, Assistant Eng. Office Bldg. MATERIAL QUANTITY: 2500 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
194 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 77 12"X12" White w/gray VFT 3rd Floor Lunchroom, 3rd Floor Lunchroom Manager's Office, Assistant Eng. Office Bldg. MATERIAL QUANTITY: 2500 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
195 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 78 HISTORICAL AHERA DAMAGE CATEGORY 12"X12" White w/gray VFT Mastic 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW 3rd Floor Lunchroom, 3rd Floor Lunchroom Manager's Office, Assistant Eng. Office Bldg. MATERIAL QUANTITY: 2500 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
196 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 78 12"X12" White w/gray VFT Mastic 3rd Floor Lunchroom, 3rd Floor Lunchroom Manager's Office, Assistant Eng. Office Bldg. MATERIAL QUANTITY: 2500 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
197 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 79 HISTORICAL AHERA DAMAGE CATEGORY Terrazzo 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE Stairwell Treads Landings, Hallway Border and Room, Entrances, Stairs Upto Gym, Auditorium, Stairs and Vestibules, Stairs in Gym Area, Stairs Near Freight Elevator Bldg. MATERIAL QUANTITY: 7650 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
198 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 79 Terrazzo Stairwell Treads Landings, Hallway Border and Room, Entrances, Stairs Upto Gym, Auditorium, Stairs and Vestibules, Stairs in Gym Area, Stairs Near Freight Elevator Bldg. MATERIAL QUANTITY: 7650 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
199 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 80 HISTORICAL AHERA DAMAGE CATEGORY Drywall, Tape, Compound 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW 2nd & 3rd Floor Stair Corridor to Addition, Rm 313, 300, 301, Bldg. MATERIAL QUANTITY: 2300 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
200 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 80 Drywall, Tape, Compound 2nd & 3rd Floor Stair Corridor to Addition, Rm 313, 300, 301, Bldg. MATERIAL QUANTITY: 2300 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
201 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 81 HISTORICAL AHERA DAMAGE CATEGORY 12"X12" White w/tan Streaks 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE Rm 315, 315A Bldg. MATERIAL QUANTITY: 900 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
202 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 81 12"X12" White w/tan Streaks Rm 315, 315A Bldg. MATERIAL QUANTITY: 900 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
203 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: HISTORICAL AHERA DAMAGE CATEGORY 81A 12"X12" White w/tan Streaks Mastic 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Rm 315, 315A Bldg. MATERIAL QUANTITY: 900 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
204 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 81A 12"X12" White w/tan Streaks Mastic Rm 315, 315A Bldg. MATERIAL QUANTITY: 900 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
205 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 82 HISTORICAL AHERA DAMAGE CATEGORY 12"X12" White w/multi-color Streaks 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE Rm 313A, 3151A Bldg. MATERIAL QUANTITY: 700 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
206 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 82 12"X12" White w/multi-color Streaks Rm 313A, 3151A Bldg. MATERIAL QUANTITY: 700 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
207 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: HISTORICAL AHERA DAMAGE CATEGORY 82A 12"X12" White w/multi-color Streaks Mastic 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Rm 313A, 3151A Bldg. MATERIAL QUANTITY: 700 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
208 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 82A 12"X12" White w/multi-color Streaks Mastic Rm 313A, 3151A Bldg. MATERIAL QUANTITY: 700 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
209 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 83 HISTORICAL AHERA DAMAGE CATEGORY Blue-Gray Linoleum 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Rm 311 and 311 Lab Bldg. MATERIAL QUANTITY: 500 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
210 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 83 Blue-Gray Linoleum Rm 311 and 311 Lab Bldg. MATERIAL QUANTITY: 500 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
211 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: HISTORICAL AHERA DAMAGE CATEGORY 83A Blue-Gray Linoleum Mastic 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Rm 311 and 311 Lab Bldg. MATERIAL QUANTITY: 500 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
212 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 83A Blue-Gray Linoleum Mastic Rm 311 and 311 Lab Bldg. MATERIAL QUANTITY: 500 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
213 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 84 HISTORICAL AHERA DAMAGE CATEGORY Blue-White Linoleum 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE Rm 311 and 311 Lab Bldg. MATERIAL QUANTITY: 300 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
214 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 84 Blue-White Linoleum Rm 311 and 311 Lab Bldg. MATERIAL QUANTITY: 300 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
215 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: HISTORICAL AHERA DAMAGE CATEGORY 84A Blue-White Linoleum Mastic 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Rm 311 and 311 Lab Bldg. MATERIAL QUANTITY: 300 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
216 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 84A Blue-White Linoleum Mastic Rm 311 and 311 Lab Bldg. MATERIAL QUANTITY: 300 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
217 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 85 HISTORICAL AHERA DAMAGE CATEGORY 12"X12" Gray w/streaks VFT 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE Rm 108, staff Room, Man and Women Toilets, Hall within Room 100, GYM by Bldg. MATERIAL QUANTITY: 2500 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
218 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 85 12"X12" Gray w/streaks VFT Rm 108, staff Room, Man and Women Toilets, Hall within Room 100, GYM by Bldg. MATERIAL QUANTITY: 2500 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
219 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: HISTORICAL AHERA DAMAGE CATEGORY 85A 12"X12" Gray w/streaks VFT Mastic 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Rm 108, staff Room, Man and gym by 106, Women Toilets, Hall within Room 100, GYM by Bldg 1932 MATERIAL QUANTITY: 2500 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
220 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 85A 12"X12" Gray w/streaks VFT Mastic Rm 108, staff Room, Man and gym by 106, Women Toilets, Hall within Room 100, GYM by Bldg 1932 MATERIAL QUANTITY: 2500 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
221 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 86 HISTORICAL AHERA DAMAGE CATEGORY 12"X12" Gray w/streaks VFT 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE Rm 255, 254, 253, 252, 155, 154, 153, 152; basement B51; 1st, 2nd, 3rd Floor Corridors (1960) MATERIAL QUANTITY: 6000 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
222 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 86 12"X12" Gray w/streaks VFT Rm 255, 254, 253, 252, 155, 154, 153, 152; basement B51; 1st, 2nd, 3rd Floor Corridors (1960) MATERIAL QUANTITY: 6000 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
223 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: HISTORICAL AHERA DAMAGE CATEGORY 86A 12"X12" Gray w/streaks VFT Mastic 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Rm 255, 254, 253, 252, 155, 154, 153, 152; Basement B51; 1st, 2nd, 3rd Floor Corridors (1960) MATERIAL QUANTITY: 6000 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
224 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 86A 12"X12" Gray w/streaks VFT Mastic Rm 255, 254, 253, 252, 155, 154, 153, 152; Basement B51; 1st, 2nd, 3rd Floor Corridors (1960) MATERIAL QUANTITY: 6000 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
225 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 87 HISTORICAL AHERA DAMAGE CATEGORY Gray Speckled Linoleum 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE Room B52 (art room) Bldg. MATERIAL QUANTITY: 4500 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
226 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 87 Gray Speckled Linoleum Room B52 (art room) Bldg. MATERIAL QUANTITY: 4500 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
227 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: HISTORICAL AHERA DAMAGE CATEGORY 87A Gray Speckled Linoleum Mastic 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Room B52 (art room) Bldg. MATERIAL QUANTITY: 4500 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
228 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 87A Gray Speckled Linoleum Mastic Room B52 (art room) Bldg. MATERIAL QUANTITY: 4500 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
229 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 88 HISTORICAL AHERA DAMAGE CATEGORY 1'X1' White Smooth-Textured Ceiling Tiles 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Rm 202, 205 (1932) MATERIAL QUANTITY: 1600 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
230 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 88 1'X1' White Smooth-Textured Ceiling Tiles Rm 202, 205 (1932) MATERIAL QUANTITY: 1600 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
231 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 89 HISTORICAL AHERA DAMAGE CATEGORY Terrazzo 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE Stairwells (1960) MATERIAL QUANTITY: 900 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
232 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 89 Terrazzo Stairwells (1960) MATERIAL QUANTITY: 900 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
233 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 90 HISTORICAL AHERA DAMAGE CATEGORY 12 x 12 White with Blue Streaks VFT 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Room 331(teacher/ staff lounge) Bldg. MATERIAL QUANTITY: 200 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
234 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: x 12 White with Blue Streaks VFT Room 331(teacher/ staff lounge) Bldg. MATERIAL QUANTITY: 200 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
235 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: HISTORICAL AHERA DAMAGE CATEGORY 90A 12 x 12 White with Blue Streaks VFT Mastic 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Room 331(teacher/ staff lounge) Bldg. MATERIAL QUANTITY: 200 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
236 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 90A 12 x 12 White with Blue Streaks VFT Mastic Room 331(teacher/ staff lounge) Bldg. MATERIAL QUANTITY: 200 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
237 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 91 HISTORICAL AHERA DAMAGE CATEGORY 12 x 12 Blue Streaked VFT 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE Room 331(teacher/ staff lounge) Bldg. MATERIAL QUANTITY: 200 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
238 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: x 12 Blue Streaked VFT Room 331(teacher/ staff lounge) Bldg. MATERIAL QUANTITY: 200 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
239 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: HISTORICAL AHERA DAMAGE CATEGORY 91A 12 x 12 Blue Streaked VFT Mastic 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Room 331(teacher/ staff lounge) Bldg. MATERIAL QUANTITY: 200 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
240 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 91A 12 x 12 Blue Streaked VFT Mastic Room 331(teacher/ staff lounge) Bldg. MATERIAL QUANTITY: 200 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
241 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 92 HISTORICAL AHERA DAMAGE CATEGORY White Linoleum Flooring VFT 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE Room Bldg. MATERIAL QUANTITY: 900 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
242 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 92 White Linoleum Flooring VFT Room Bldg. MATERIAL QUANTITY: 900 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
243 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: HISTORICAL AHERA DAMAGE CATEGORY 92A White Linoleum Flooring VFT Mastic 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Rooms Bldg. MATERIAL QUANTITY: 900 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
244 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 92A White Linoleum Flooring VFT Mastic Rooms Bldg. MATERIAL QUANTITY: 900 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
245 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 93 HISTORICAL AHERA DAMAGE CATEGORY 6" x 12" Ceiling Tile White with Holes 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: Yes RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Auditorium & Balcony Room, 108 Staff Room Bldg. MATERIAL QUANTITY: 4500 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
246 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 93 6" x 12" Ceiling Tile White with Holes Auditorium & Balcony Room, 108 Staff Room Bldg. MATERIAL QUANTITY: 4500 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
247 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 94 HISTORICAL AHERA DAMAGE CATEGORY 12 x 12 Dark Beige streaked VFT 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE Main Office (1932) MATERIAL QUANTITY: 800 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
248 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: x 12 Dark Beige streaked VFT Main Office (1932) MATERIAL QUANTITY: 800 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
249 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: HISTORICAL AHERA DAMAGE CATEGORY 94A 12 x 12 Dark Beige streaked VFT Mastic 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW Main Office (1932) MATERIAL QUANTITY: 800 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
250 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 94A 12 x 12 Dark Beige streaked VFT Mastic Main Office (1932) MATERIAL QUANTITY: 800 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
251 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: 95 HISTORICAL AHERA DAMAGE CATEGORY 9" x 9" Beige Mixed VFT 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: MODERATE 3rd and 2nd Floor Corridor by Rooms 301 and Bldg MATERIAL QUANTITY: 600 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
252 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 95 9" x 9" Beige Mixed VFT 3rd and 2nd Floor Corridor by Rooms 301 and Bldg MATERIAL QUANTITY: 600 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
253 Inspector Assessment Form (REASSESSMENT) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM PREVIOUS INSPECTION HOMOGENEOUS AREA: HISTORICAL AHERA DAMAGE CATEGORY 95A 9" x 9" Beige Mixed VFT Mastic 6 ACBM with the potential for damage HISTORICAL DAMAGE REASON: HISTORICAL RESPONSE ACTION: ASBESTOS TYPE: Assumed FRIABLE: No RESULTS OF REINSPECTION AND REASSESSMENT This homogeneous area was reinspected and reassessed in accordance with Section and of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection. The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage DAMAGE REASON: DISTURBANCE POTENTIAL: LOW 3rd and 2nd Floor Corridor by Rooms 301 and Bldg MATERIAL QUANTITY: 600 MATERIAL UNITS: SF DAMAGE QUANTITY: DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
254 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 95A 9" x 9" Beige Mixed VFT Mastic 3rd and 2nd Floor Corridor by Rooms 301 and Bldg MATERIAL QUANTITY: 600 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: Comments: Management Planner's Signature: Date: 05/30/2016
255 Inspector Assessment Form (New Homogeneous Area) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 HOMOGENEOUS AREA: 96 INFORMATION FROM CURRENT INSPECTION 12" x 12" Sand VFT Room Bldg. MATERIAL QUANTITY: 700 MATERIAL UNITS: SF MATERIAL CATEGORY: MISC FRIABLE: No ASBESTOS TYPE: Assumed DISTURBANCE POTENTIAL: MODERATE CONDITION: AHERA DAMAGE CATEGORY: 6 ACBM with the potential for damage ACCESSIBILITY: Within Reach DAMAGE REASON: DAMAGE REASON: DAMAGE REASON: DAMAGE QUANTITY: 0 DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
256 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 96 12" x 12" Sand VFT Room Bldg. MATERIAL QUANTITY: 700 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: COMMENTS: Management Planner's Signature: Date: 05/30/2016
257 Inspector Assessment Form (New Homogeneous Area) CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera SCHOOL NAME: Chicago Academy INSPECTION DATE: 3/10/2016 INFORMATION FROM CURRENT INSPECTION HOMOGENEOUS AREA: 96A 12" x 12" Sand VFT Mastic Room Bldg. MATERIAL QUANTITY: 700 MATERIAL UNITS: SF MATERIAL CATEGORY: MISC FRIABLE: No ASBESTOS TYPE: Assumed DISTURBANCE POTENTIAL: LOW CONDITION: AHERA DAMAGE CATEGORY: 6 ACBM with the potential for damage ACCESSIBILITY: Within Reach DAMAGE REASON: DAMAGE REASON: DAMAGE REASON: DAMAGE QUANTITY: 0 DAMAGE UNITS: SF COMMENTS: Inspector's Signature: Date: 03/10/2016
258 Management Planner Review Form CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Arturo Saenz SCHOOL NAME: Chicago Academy REVIEW DATE: 5/30/2016 HOMOGENEOUS AREA: 96A 12" x 12" Sand VFT Mastic Room Bldg. MATERIAL QUANTITY: 700 MATERIAL UNITS: SF DAMAGE QUANTITY: 0 DAMAGE UNITS: SF In accordance with Sections and of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections and with the following recommendations. The RESPONSE ACTION recommendation is: COMMENTS: Management Planner's Signature: Date: 05/30/2016
259 APPENDIX B Inspector and Management Planner Licenses
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If 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
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
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