illinois department of public health ahera three...

ILLINOIS DEPARTMENT OF PUBLIC HEALTHAHERA THREE YEAR REINSPECTIONASBESTOS ABATEMENT PROGRAM

SCHOOL INFORMATION FORM

SECTION I

NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299SCHOOL ID NUMBER: 14-016-2990-381XSCHOOL NAME: UNO - Carlos Fuentes Campus CharterADDRESS OF SCHOOL: 2845 West BarryCITY: Chicago, IL,

DATE LAST THREE YEAR REINSPECTION WAS COMPLETED 4/19/2013If the address on this form is different than the address of the building, submit a written explanation.

SECTION II (Please type or print)PLEASE COMPLETE THE FOLLOWING FOR YOUR THREE YEAR REINSPECTION:

DATE REINSPECTION COMPLETED: 11/11/2016 ENROLLMENT 552

IDPH INSPECTOR LICENSE NUMBER: 100-06327

IDPH LICENSED INSPECTOR NAME (Please Print): Roberto Rivera

IDPH MP LICENSE NUMBER: 100-07342

IDPH LICENSED MANAGEMENT PLANNER NAME (Please Print): Jigar Shah

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

11/11/2016

Signature of Designated Person Date

SECTION III

PLEASE COMPLETE THE FOLLOWING INFORMATION FOR ANY CHANGES WITHIN THE SCHOOL DISTRICT.

School building has been sold. Date of Sale:

School has been closed. Date closed:

School building has been demolished. Date:

School building is asbestos free since last reinspection:

Please explain in writing why the school building is now asbestos free and include the supporting documentation.

If a new school building has been added to the district, submit either and exclusionary statement or a management plan and inspection report. Include the complete name, address and city of school building.

Explain in writing if the address of the building is different than the address on this form:

IL-482-1026 Revised 10.03

THREE–YEAR REINSPECTION

CHICAGO SCHOOL DIST 299

UNO - Carlos Fuentes Campus Charter

2845 West BarryChicago, IL,

Unit: 66393Building ID: 3342

IDPH ID Number: 14-016-2990-381X

REPORT DATE:Friday, November 11, 2016

Prepared for:Chicago Public Schools

125 S. Clark StreetChicago, IL 60603

Prepared by:GSG Consultants, Inc.

855 W. Adams St., Ste. 200

Phone (312) 733-6262

Fax (312) 733-5612

DO NOT REMOVE FROM SCHOOLREQUIRED BY FEDERAL LAW

August 16, 2016

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

Re: Chicago Public Schools - 2016 Three-Year Reinspections

Dear Mr. Cook:

GSG Consultants, Inc., 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: 66393 Region: IDPH ID: 14-016-2990-381X

School: UNO - Carlos Fuentes Campus Charter Building ID: 3342

Address: 2845 West Barry

Chicago, IL,

Building Contact: Contact Phone:

Current Building Owners: Chicago Public Schools

Review Date: 11/10/2016

Inspector: Roberto Rivera Inspector IDPH License: 100-06327Management Planner: Jigar Shah Management Planner IDPH License: 100-07342

If you have any questions or comments, please contact us at (312) 733-6262

Sincerely,GSG Consultants, Inc.

Jigar Shah100-07342

Environmental Notification to Occupants

To: Faculty, Staff and ParentsFrom: Chicago Public SchoolsDate: August 16, 2016

RE: UNO - Carlos Fuentes Campus Charter, Unit 66393 2845 West Barry 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 UNO - Carlos Fuentes Campus Charter , 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 UNO - Carlos Fuentes Campus Charter, 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) 553-3197 .

Table of Contents

I. School and Inspection Information

II. Executive Summary

III. Methodology

IV. Abatement History

V. Reassessments and Recommendations

VI. Conclusions

Table I: Inspector's Reinspection Findings

Table II: Management Planner's Review

APPENDICES:

Appendix A: Assessment Sheets, Drawings and Photos

Appendix B: Inspector and Management Planner Licenses

Appendix C: Laboratory Accreditations

Appendix D: Laboratory Results

Appendix E: Chain of Custody Forms

SCHOOL AND INSPECTION INFORMATION

1. School Information

School: UNO - Carlos Fuentes Campus Charter

Unit: 66393 Region:

Address: 2845 West Barry Chicago, IL, IDPH ID: 14-016-2990-381X Building ID: 3342Contact: Phone:

2. Description of Facility

Original Construction: Additional Construction: Total Square Footage: 13600 No of Floors: Current Occupancy: 552

3. LEA Designated Person

Contact: Robert Christlieb Phone: (773) 553-3197Address: 125 South Clark Street, 17th Floor Chicago, IL 60603

4. Managing Environmental Consultant

MEC: GSG Consultants, Inc.Contact: Arturo SaenzAddress 855 W. Adams St., Ste. 200Phone: (312) 733-6262 Fax: (312) 733-5612

5. Inspector

Inspector Name: Roberto Rivera

Signature: Inspector IDPH license # 100-06327 Date: 8/16/2016

6. Management Planner

Management Planner Name: Jigar Shah

Signature: Management Planner IDPH license # 100-07342 Date: 11/10/2016

7. Review Date: 11/10/2016

8. LEA Designated Person's Acknowledgement

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

Signature: Date: 11/11/2016

Name: Robert Christlieb

Unit : 66393 UNO - Carlos Fuentes Campus Charter Building: 3342

Unit: 66393 UNO - Carlos Fuentes Campus Charter

Building: 3342

II. EXECUTIVE SUMMARY

GSG Consultants, Inc. was retained by the Chicago Public Schools (CPS) to perform a three-year asbestos reinspection of the UNO - Carlos Fuentes Campus Charter. This inspection was conducted in accordance with the United States Environmental Protection Agency (USEPA) Asbestos Hazard Emergency Response Act (AHERA) part 763.92 (b), and the ongoing Operations and Maintenance Program (O&M) originally designed in the School's Asbestos Management Plan. The purpose of this three-year reinspection is to record any condition changes in the asbestos-containing building material (ACBM) in the school since theprevious 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 763.85 and 763.88. The main building and each addition to the main building, if constructed at different dates, were inspected separately. Laboratory accreditations are included in Appendix C, laboratory results are included in Appendix D, and chain of custody forms are included in Appendix E.

Note: During previous inspections, some of the HA(s) were identified together as 9" x 9" floor tile (FT), mastics assoc. with 9" x 9" FT, 12" x 12" FT, mastics assoc. with 12" x 12" FT, pipe insulation, etc. Some of these HA(s) have been re-identified by areas that are uniform in color, texture, construction date, application date, and general appearance.

The inspector has determined the following:

A. The following HAs have changed assessment categories for Building 3342:


Building: 3342

B. The following new homogenous areas have been identified for Building 3342:

66 Drywall System

67 Black Baseboard

68 Black Baseboard Mastic

69 2'X2' Pinhole Ceiling Tiles

70 MJP on Fiberglass

71 Drywall System

72 6" Black Baseboard Mastic

73 2'X4' Smooth Ceiling Tile

74 4" Blue Baseboard Mastic

75 2'X2' Pinhole Ceiling Tiles

76 12"X12" Light Sand VFT

77 12"X12" Light Sand VFT Mastic

78 Terrazzo Mixed Colors

79 Terrazzo Green


Building: 3342

C. This reinspection covered only physically accessible and visible areas and materials that were identified in the LEA's management plan. The following materials were concealed and/orcontained in areas that were inaccessible for sampling and have been classified as Assumed:

008 Acoustical Plaster010 9"x9" Tan Floor Tile - NOT OBSERVED011 12"x 12" Gray Floor Tile012 9"x9" Tan & Red Vinyl Floor Tile013 9"x9" Tan Vinyl Floor Tile015 9"x9" Tan Vinyl Floor Tile Mastic016 12"x 12" Gray Floor Tile Mastic017 9"x9" Tan and Red Floor Tile Mastic018 9"x9" Tan Floor Tile Mastic - Not Observed019 9"x9" Tan and Red Vinyl Floor Tile020 9"x9" Tan and Red Floor Tile Mastic021 Joint Insulaiton Assoc/w Fiberglass Insulated Pipe022 12"x12" Cream & White Floor Tile023 12"x12" Cream w/White Floor Tile Mastic024 12"x12" Spline Ceiling Tile025 Hard Plaster026 12"x12" Brown w/Brown & White Streaks Floor

Tile027 12"x12" Brown w/Brn & Wt Strks Floor Tile Mastic028 12"x12" Cream Floor Tile029 12"x12" Cream Floor Tile Mastic030 12"x12" Beige w/Brown Floor Tile031 12"x12" Beige w/Brown Floor Tile Mastic032 9"x9" Dark Brown Floor Tile- NOT OBSERVED033 9"x9" Dark Brown Floor Tile Mastic NOT

OBSERVED034 12"x12" Brown Streaked Floor Tile035 12"x12" Brown Streaked Floor Tile Mastic036 12"x12" Blue Floor Tile037 12"x12" Blue Floor Tile Mastic038 12"x12" Blue Floor Tile039 12"x12" Blue Floor Tile Mastic040 12"x12" Blue Floor Tile041 12"x12" Blue Floor Tile Mastic042 12"x12" Beige Floor Tile043 12"x12" Beige Floor Tile Mastic044 2'x4' Lay In Ceiling Panels w/2'x2' Design045 4" Blue Vinyl Baseboard046 4" Blue Vinyl Baseboard Adhesive047 Insulation in Divider Wall048 Blue Vinyl Stair Treads049 Blue Vinyl Stair Tread Adhesive


Building: 3342

050 Purple Vinyl Stair Treads051 Purple Vinyl Stair Tread Adhesive052 Linoleum on Counters053 Linoleum Adhesive on Counters054 Chalkboards055 Chalkboard Adhesive056 Marker Board Adhesive057 4" Brown Vinyl Baseboard058 4" Brown Vinyl Baseboard Adhesive60 12 x 12 Tan Floor Tile60A 12 x 12 Tan Floor Tile Mastic61 12 x 12 Blue Floor Tile with Streaks61A 12 x 12 Blue with Streaks Floor Tile Mastic62 12 X 12 Beige Speckled VFT63 12 x 12 Beige Speckled Mastic64 12 x 12 Yellow w/ Red VFT65 12 x 12 Yellow w/ Red Specks Mastic66 Drywall System67 Black Baseboard68 Black Baseboard Mastic69 2'X2' Pinhole Ceiling Tiles70 MJP on Fiberglass71 Drywall System72 6" Black Baseboard Mastic73 2'X4' Smooth Ceiling Tile74 4" Blue Baseboard Mastic75 2'X2' Pinhole Ceiling Tiles76 12"X12" Light Sand VFT77 12"X12" Light Sand VFT Mastic78 Terrazzo Mixed Colors79 Terrazzo Green

The following areas were deemed to be inaccessible:

016 12"x 12" Gray Floor Tile Mastic017 9"x9" Tan and Red Floor Tile Mastic020 9"x9" Tan and Red Floor Tile Mastic023 12"x12" Cream w/White Floor Tile Mastic027 12"x12" Brown w/Brn & Wt Strks Floor Tile Mastic029 12"x12" Cream Floor Tile Mastic031 12"x12" Beige w/Brown Floor Tile Mastic033 9"x9" Dark Brown Floor Tile Mastic NOT

OBSERVED035 12"x12" Brown Streaked Floor Tile Mastic037 12"x12" Blue Floor Tile Mastic039 12"x12" Blue Floor Tile Mastic


Building: 3342

041 12"x12" Blue Floor Tile Mastic043 12"x12" Beige Floor Tile Mastic046 4" Blue Vinyl Baseboard Adhesive047 Insulation in Divider Wall049 Blue Vinyl Stair Tread Adhesive051 Purple Vinyl Stair Tread Adhesive053 Linoleum Adhesive on Counters055 Chalkboard Adhesive056 Marker Board Adhesive058 4" Brown Vinyl Baseboard Adhesive60A 12 x 12 Tan Floor Tile Mastic61A 12 x 12 Blue with Streaks Floor Tile Mastic63 12 x 12 Beige Speckled Mastic65 12 x 12 Yellow w/ Red Specks Mastic77 12"X12" Light Sand VFT Mastic

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

This reinspection was conducted by Roberto Rivera, IDPH License # 100-06327. The Management Plan was updated by Jigar Shah, IDPH License # 100-07342. Inspector and Management Planner Licenses are included in Appendix B.

Unit: 66393 UNO - Carlos Fuentes Campus Charter Building: 3342

III. METHODOLOGY

Tasks performed on-site included the following:

1. Review current management plan, identify HA(s) and extract appropriate information.

2. Examine and verify abatement records.

3. Touch and visually and physically reinspect and reassess the condition of all friable known or assumed ACBM.

4. Touch and visually and physically reinspect all non-friable known or assumed ACBM to determine whether thesematerials have become friable since the last inspection or periodic surveillance.

5. Identify any condition changes that may affect Hazard Ranking of known ACBM or Assumed ACBM, as well as anyHA(s) that have become friable since the last reinspection.

6. Collect bulk samples from each newly discovered friable HA or previously assumed and submit for laboratory analysis.

7. Tabulate reinspection findings and submit for management planner review and recommendations with appropriateresponse actions based on the AHERA Damage Category of the ACBM.

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

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

Abatement Dates:

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

VI. CONCLUSIONSThe UNO - Carlos Fuentes Campus Charter Building 3342 Three-Year reinspection has been completed and response actionshave been recommended for both friable and non-friable materials. A timely execution of the response actions recommended willenable 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 hasbeen identified. Also, periodic surveillance documentation and any summary reports from any response actions that are executedat the school should be used to update the Management Plan.

Table IInspector's Reinspection Findings

Chicago Public Schools School UNO - Carlos Fuentes Campus Charter Unit 66393 Building ID 3342 Address 2845 West Barry Region

ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONSInspector's Reinspection Findings Table 1

Managing Environmental Consultant (MEC) GSG Consultants, Inc.

855 W. Adams St., Ste. 200 Phone: (312) 733-6262 Fax: (312) 733-5612

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

001 Low Pressure Steam Pipe Insulation 155 LF Basement Corridors,Cafeteria and Boielr Rooms

CHR TSI Y NONE 0 No Any remaining friable ACBM or friable suspect ACBM

MODERATE

002 Low Pressure Steam Pipe Fitting Insulation 21 LF Basement Corridor, Cafeteria and Boiler Rooms

CHR TSI Y NONE 0 No ACBM with the potential for damage

MODERATE

004 Joint Insulation Associ./w Aircell Pipe Insulation

140 LF Basement Corridor, Cafeteria and Boiler Rooms


MODERATE

005 Paperwrap Pipe Insulation on Chilled WaterPiping



MODERATE

006 Joint Insulation on Paperwrap Insulated Piping



MODERATE

007 Joint Insulation on Paperwrap Insulated Piping



MODERATE

008 Acoustical Plaster 6,300 SF Basement Lunchroom Ceiling

ASSUMED MISC N NONE 0 ACBM with the potential for damage

MODERATE

009 Insulation on Low Pressure Steam Piping - NOT OBSERVED

No

009 A Joint Insulation on Domestic Cold Water Piping - NOT OBSERVED

Above Boiler in Boiler Room

UNDEFINED

No

009 B Paperwrap Pipe Insulation on Domestic Cold Water Piping - NOT OBSERVED

Boiler Room UNDEFINED

No

009C Joint Insulation Assoc/w Aircell Insulated Piping on Domestic Cold Water Piping - NOT OBSERVED

Boiler Room UNDEFINED

No

010 9"x9" Tan Floor Tile - NOT OBSERVED Boiler Room Foyer ASSUMED MISC N NONE No011 12"x 12" Gray Floor Tile 110 SF Tunnel Between

BuildingsASSUMED MISC N NONE 0 No ACBM with the

potential for damageLOW

012 9"x9" Tan & Red Vinyl Floor Tile 5,040 SF Cafeteria ASSUMED MISC N NONE 0 No ACBM with the potential for damage

LOW

013 9"x9" Tan Vinyl Floor Tile 1,260 SF Lunchroom, Kitchen ASSUMED MISC N NONE 0 No ACBM with the potential for damage

015 9"x9" Tan Vinyl Floor Tile Mastic 1,260 SF Lunchroom, Kitchen ASSUMED MISC N NONE 0 No ACBM with the potential for damage

LOW

016 12"x 12" Gray Floor Tile Mastic 110 SF Tunnel Between Buildings

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

LOW

017 9"x9" Tan and Red Floor Tile Mastic 5,040 SF Cafeteria ASSUMED MISC N NONE 0 No ACBM with the potential for damage

MODERATE

018 9"x9" Tan Floor Tile Mastic - Not Observed

Boiler Room Foyer ASSUMED MISC N NONE No LOW







Material Units


Material Category

Friable Damage Type

Damage Quantity



019 9"x9" Tan and Red Vinyl Floor Tile 12,000 SF Building A Corridors and Classrooms


MODERATE

020 9"x9" Tan and Red Floor Tile Mastic 12,000 SF Building A Corridors and Classrooms


LOW

021 Joint Insulaiton Assoc/w Fiberglass Insulated Pipe

80 LF Boiler Room 1 in B Building

ASSUMED TSI Y NONE 0 No ACBM with the potential for damage

LOW

022 12"x12" Cream & White Floor Tile 130 SF Building A Foyer ASSUMED MISC N NONE 0 No ACBM with the potential for damage

MODERATE

023 12"x12" Cream w/White Floor Tile Mastic 130 SF Building A Foyer ASSUMED MISC N NONE 0 No ACBM with the potential for damage

LOW

024 12"x12" Spline Ceiling Tile 4,000 SF Building A Foyer ASSUMED MISC Y NONE 0 No ACBM with the potential for damage

MODERATE

025 Hard Plaster 20,000 SF Throughout Buildings A & B

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

MODERATE

026 12"x12" Brown w/Brown & White Streaks Floor Tile

80 SF Entrance of BuildingA- Stair Landing


LOW

027 12"x12" Brown w/Brn & Wt Strks Floor Tile Mastic

80 SF Entrance of BuildingA- Stair Landing


LOW

028 12"x12" Cream Floor Tile 300 SF Classroom 004 in A Building


MODERATE

029 12"x12" Cream Floor Tile Mastic 300 SF Classroom 004 in A Building


LOW

030 12"x12" Beige w/Brown Floor Tile 40 SF A Building Stair Landing Between 1st & 2nd Floors


LOW

031 12"x12" Beige w/Brown Floor Tile Mastic 40 SF A Building Stair Landing Between 1st & 2nd Floors


LOW

032 9"x9" Dark Brown Floor Tile- NOT OBSERVED

35 SF A Building Janitor Closet 107


MODERATE

033 9"x9" Dark Brown Floor Tile Mastic NOT OBSERVED

35 SF A Building Janitor Closet 107


MODERATE

034 12"x12" Brown Streaked Floor Tile 60 SF A Building Southeast Stair Landing


MODERATE

035 12"x12" Brown Streaked Floor Tile Mastic 60 SF A Building Southeast Stair Landing


LOW

036 12"x12" Blue Floor Tile 408 SF A Building Room 101, Main Office


MODERATE

037 12"x12" Blue Floor Tile Mastic 408 SF A Building Room 101, Main Office


LOW







Material Units


Material Category

Friable Damage Type

Damage Quantity



038 12"x12" Blue Floor Tile 406 SF Kitchen & Washroom by B206 and Boiler Room Foyer


MODERATE

039 12"x12" Blue Floor Tile Mastic 406 SF Kitchen & Washroom by B206 AND Boiler Room


LOW

040 12"x12" Blue Floor Tile 1,760 SF B Building 1st & 2nd Floor Corridors,B200, B206


MODERATE

041 12"x12" Blue Floor Tile Mastic 1,760 SF B Building 1st & 2nd Floor Corridors,B200, B206


LOW

042 12"x12" Beige Floor Tile 100 SF B Building 1st & 2nd Floor Corridors


MODERATE

043 12"x12" Beige Floor Tile Mastic 100 SF B Building 1st & 2nd Floor Corridors


LOW

044 2'x4' Lay In Ceiling Panels w/2'x2' Design 42 SF Washroom by B-206 ASSUMED MISC Y NONE 0 No Any remaining friable ACBM or friable suspect ACBM

MODERATE

045 4" Blue Vinyl Baseboard 975 LF A Building Corridors, B200, B206, Kitchen, Washroom by 206, 003,004


MODERATE

046 4" Blue Vinyl Baseboard Adhesive 975 LF A Building Corridors, B200, B206, Kitchen, Washroom by 206, 003,004


LOW

047 Insulation in Divider Wall 810 SF Cafeteria ASSUMED TSI Y NONE 0 No Any remaining friable ACBM or friable suspect ACBM

LOW

048 Blue Vinyl Stair Treads 1,636 SF South Stairway and Stage Stairs


MODERATE

049 Blue Vinyl Stair Tread Adhesive 1,636 SF South Stairway and Stage Stairs


LOW

050 Purple Vinyl Stair Treads 1,600 SF North Staiars ASSUMED MISC N NONE 0 No ACBM with the potential for damage

MODERATE

051 Purple Vinyl Stair Tread Adhesive 1,600 SF North Stairway ASSUMED MISC N NONE 0 No ACBM with the potential for damage

LOW

052 Linoleum on Counters 360 SF 105, 106, 204A, 205A


MODERATE

053 Linoleum Adhesive on Counters 360 SF 105, 106, 204A, ASSUMED MISC N NONE 0 No ACBM with the LOW







Material Units


Material Category

Friable Damage Type

Damage Quantity



205A potential for damage054 Chalkboards 200 SF 105, 205A ASSUMED MISC N NONE 0 No ACBM with the

potential for damageLOW

055 Chalkboard Adhesive 200 SF 105, 205A ASSUMED MISC N NONE 0 No ACBM with the potential for damage

LOW

056 Marker Board Adhesive 100 SF 204A ASSUMED MISC N NONE 0 No ACBM with the potential for damage

LOW

057 4" Brown Vinyl Baseboard 60 LF Tunnel Between Buildings


MODERATE

058 4" Brown Vinyl Baseboard Adhesive 60 LF Tunnel Between Buildings


LOW

60 12 x 12 Tan Floor Tile 100 SF Building A - Boiler Foyer


LOW

60A 12 x 12 Tan Floor Tile Mastic 100 SF Building A - Boiler Foyer


LOW

61 12 x 12 Blue Floor Tile with Streaks 860 SF Building B - Teacher's Lounge


LOW

61A 12 x 12 Blue with Streaks Floor Tile Mastic 860 SF Building B - Teacher's Lounge


LOW

62 12 X 12 Beige Speckled VFT 1,900 SF 3rd Flr Corridor, 2ndFlr Janitor Closet & Corridor, 1st Floor Corridor


MODERATE

63 12 x 12 Beige Speckled Mastic 1,900 SF 3rd Flr Corridor, 2ndFlr Janitor Closet & Corridor, 1st Floor Corridor


LOW

64 12 x 12 Yellow w/ Red VFT 600 SF Lunchroom Gym Corridor Bldg B


MODERATE

65 12 x 12 Yellow w/ Red Specks Mastic 600 SF Lunchroom / Gym Corridor Bldg B


LOW

66 Drywall System 10,000 SF A201, A203, A201A(School Director), A003, A004 - Bldg A


MODERATE

67 Black Baseboard 150 LF Main Office - Bldg A


LOW

68 Black Baseboard Mastic 150 LF Main Office - Bldg A


LOW

69 2'X2' Pinhole Ceiling Tiles 400 SF Office A101, Main Office Staff Toilet - Bldg A


LOW

70 MJP on Fiberglass 140 FITTING Storage Room Under North

ASSUMED TSI Y NONE 0 No ACBM with the potential for damage

LOW







Material Units


Material Category

Friable Damage Type

Damage Quantity



Stairwell, A005 (Mechanical) - Bldg A

71 Drywall System 20,000 SF Storage B013, Music Rm B100A, Pantry Storage B006, B102, B101A, B106 & Toilet, Passage behind Stage, Basement Boys & Girls Toilet, 1st & 2nd Flr Janitors Closet, 1st & 2nd FlrElevator Lobby - Bldg B


LOW

72 6" Black Baseboard Mastic 100 LF Music Room (B100A), B100B - Bldg B


LOW

73 2'X4' Smooth Ceiling Tile 150 SF Kitchen Pantry (B005), Pantry Storage (B006) - Bldg B

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

LOW

74 4" Blue Baseboard Mastic 500 LF North Stairwell, 1st Flr Corridor, Pantry Storage (B006) - Bldg B


LOW

75 2'X2' Pinhole Ceiling Tiles 550 SF B106 Toilet, Unisex Toilet (Near B105), B102 - Bldg B

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

LOW

76 12"X12" Light Sand VFT 600 SF Passage Behind Stage (Basement) - Bldg B


LOW

77 12"X12" Light Sand VFT Mastic 600 SF Passage Behind Stage (Basement) - Bldg B


LOW

78 Terrazzo Mixed Colors 400 SF Basement Boys & Girls Toilet - Bldg B


LOW

79 Terrazzo Green 150 SF Basement Boys & Girls Toilet - Bldg B


LOW






Reinspection Date 8/16/2016

Inspector Name Roberto Rivera

100-06327 1/6/2017Inspector's IDPH License Number / Expiration Date

Inspector's Comments

HA Number: Inspector Comments:001002004005006007008009 Not Observed009 A Not Observed009 B Not Observed009C Not Observed010 Not Observed011012013015016017018 Not Observed019020021022023






HA Number: Inspector Comments:024025026027028029030031032033034035036037038039040041042043044045046047048049050051052






HA Number: Inspector Comments:0530540550560570586060A6161A626364656667686970717273747576777879

Table II

Management Planner's Review

Chicago Public Schools

SchoolUNO - Carlos Fuentes Campus Charter Unit 66393 Building ID 3342

Address 2845 West Barry Chicago, IL, Region

ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS

Management Planner's Review Table II



Phone: (312) 733-6262 Fax: (312) 733-5612

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

Material Description Material Quantity

Material Units

Material Location AsbestosType

Material Category

Friable Damage Quantity

Damage Units

Damage Category Response

001 Low Pressure Steam Pipe Insulation 155 LF Basement Corridors, Cafeteria and Boielr Rooms

Chrysotile TSI Yes 0 LF 7 Any remaining friable ACBM or friable suspect ACBM

Follow O&M Plan

002 Low Pressure Steam Pipe Fitting Insulation 21 LF Basement Corridor, Cafeteria and Boiler Rooms

Chrysotile TSI Yes 0 LF 6 ACBM with the potential for damage Follow O&M Plan

004 Joint Insulation Associ./w Aircell Pipe Insulation 140 LF Basement Corridor, Cafeteria and Boiler Rooms


005 Paperwrap Pipe Insulation on Chilled Water Piping 75 LF Basement Corridor, Cafeteria and Boiler Rooms


006 Joint Insulation on Paperwrap Insulated Piping 8 LF Basement Corridor, Cafeteria and Boiler Rooms


007 Joint Insulation on Paperwrap Insulated Piping 60 LF Basement Corridor, Cafeteria and Boiler Rooms


008 Acoustical Plaster 6,300 SF Basement Lunchroom Ceiling Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan009 Insulation on Low Pressure Steam Piping - NOT

OBSERVED

009 A Joint Insulation on Domestic Cold Water Piping - NOT OBSERVED

Above Boiler in Boiler Room Undefined

009 B Paperwrap Pipe Insulation on Domestic Cold WaterPiping - NOT OBSERVED

Boiler Room Undefined

009C Joint Insulation Assoc/w Aircell Insulated Piping on Domestic Cold Water Piping - NOT OBSERVED

Boiler Room Undefined

010 9"x9" Tan Floor Tile - NOT OBSERVED Boiler Room Foyer Assumed MISC No 011 12"x 12" Gray Floor Tile 110 SF Tunnel Between Buildings Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan012 9"x9" Tan & Red Vinyl Floor Tile 5,040 SF Cafeteria Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan013 9"x9" Tan Vinyl Floor Tile 1,260 SF Lunchroom, Kitchen Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan015 9"x9" Tan Vinyl Floor Tile Mastic 1,260 SF Lunchroom, Kitchen Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan016 12"x 12" Gray Floor Tile Mastic 110 SF Tunnel Between Buildings Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan017 9"x9" Tan and Red Floor Tile Mastic 5,040 SF Cafeteria Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan018 9"x9" Tan Floor Tile Mastic - Not Observed Boiler Room Foyer Assumed MISC No 019 9"x9" Tan and Red Vinyl Floor Tile 12,000 SF Building A Corridors and Classrooms Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan020 9"x9" Tan and Red Floor Tile Mastic 12,000 SF Building A Corridors and Classrooms Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan021 Joint Insulaiton Assoc/w Fiberglass Insulated Pipe 80 LF Boiler Room 1 in B Building Assumed TSI Yes 0 LF 6 ACBM with the potential for damage Follow O&M Plan022 12"x12" Cream & White Floor Tile 130 SF Building A Foyer Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan023 12"x12" Cream w/White Floor Tile Mastic 130 SF Building A Foyer Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan








Phone: (312) 733-6262 Fax: (312) 733-5612



Material Units


Material Category


Damage Units


024 12"x12" Spline Ceiling Tile 4,000 SF Building A Foyer Assumed MISC Yes 0 SF 6 ACBM with the potential for damage Follow O&M Plan025 Hard Plaster 20,000 SF Throughout Buildings A & B Assumed SURFACE No 0 SF 6 ACBM with the potential for damage Follow O&M Plan026 12"x12" Brown w/Brown & White Streaks Floor Tile 80 SF Entrance of Building A- Stair Landing Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan027 12"x12" Brown w/Brn & Wt Strks Floor Tile Mastic 80 SF Entrance of Building A- Stair Landing Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan028 12"x12" Cream Floor Tile 300 SF Classroom 004 in A Building Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan029 12"x12" Cream Floor Tile Mastic 300 SF Classroom 004 in A Building Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan030 12"x12" Beige w/Brown Floor Tile 40 SF A Building Stair Landing Between 1st &

2nd FloorsAssumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan

031 12"x12" Beige w/Brown Floor Tile Mastic 40 SF A Building Stair Landing Between 1st &2nd Floors

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

032 9"x9" Dark Brown Floor Tile- NOT OBSERVED 35 SF A Building Janitor Closet 107 Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan033 9"x9" Dark Brown Floor Tile Mastic NOT

OBSERVED35 SF A Building Janitor Closet 107 Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan

034 12"x12" Brown Streaked Floor Tile 60 SF A Building Southeast Stair Landing Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan035 12"x12" Brown Streaked Floor Tile Mastic 60 SF A Building Southeast Stair Landing Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan036 12"x12" Blue Floor Tile 408 SF A Building Room 101, Main Office Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan037 12"x12" Blue Floor Tile Mastic 408 SF A Building Room 101, Main Office Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan038 12"x12" Blue Floor Tile 406 SF Kitchen & Washroom by B206 and

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

039 12"x12" Blue Floor Tile Mastic 406 SF Kitchen & Washroom by B206 AND Boiler Room


040 12"x12" Blue Floor Tile 1,760 SF B Building 1st & 2nd Floor Corridors, B200, B206


041 12"x12" Blue Floor Tile Mastic 1,760 SF B Building 1st & 2nd Floor Corridors, B200, B206


042 12"x12" Beige Floor Tile 100 SF B Building 1st & 2nd Floor Corridors Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan043 12"x12" Beige Floor Tile Mastic 100 SF B Building 1st & 2nd Floor Corridors Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan044 2'x4' Lay In Ceiling Panels w/2'x2' Design 42 SF Washroom by B-206 Assumed MISC Yes 0 SF 7 Any remaining friable ACBM or friable

suspect ACBMFollow O&M Plan

045 4" Blue Vinyl Baseboard 975 LF A Building Corridors, B200, B206, Kitchen, Washroom by 206, 003,004

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

046 4" Blue Vinyl Baseboard Adhesive 975 LF A Building Corridors, B200, B206, Kitchen, Washroom by 206, 003,004


047 Insulation in Divider Wall 810 SF Cafeteria Assumed TSI Yes 0 SF 7 Any remaining friable ACBM or friable Follow O&M Plan








Phone: (312) 733-6262 Fax: (312) 733-5612



Material Units


Material Category


Damage Units


suspect ACBM048 Blue Vinyl Stair Treads 1,636 SF South Stairway and Stage Stairs Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan049 Blue Vinyl Stair Tread Adhesive 1,636 SF South Stairway and Stage Stairs Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan050 Purple Vinyl Stair Treads 1,600 SF North Staiars Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan051 Purple Vinyl Stair Tread Adhesive 1,600 SF North Stairway Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan052 Linoleum on Counters 360 SF 105, 106, 204A, 205A Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan053 Linoleum Adhesive on Counters 360 SF 105, 106, 204A, 205A Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan054 Chalkboards 200 SF 105, 205A Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan055 Chalkboard Adhesive 200 SF 105, 205A Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan056 Marker Board Adhesive 100 SF 204A Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan057 4" Brown Vinyl Baseboard 60 LF Tunnel Between Buildings Assumed MISC No 0 LF 6 ACBM with the potential for damage Follow O&M Plan058 4" Brown Vinyl Baseboard Adhesive 60 LF Tunnel Between Buildings Assumed MISC No 0 LF 6 ACBM with the potential for damage Follow O&M Plan60 12 x 12 Tan Floor Tile 100 SF Building A - Boiler Foyer Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan60A 12 x 12 Tan Floor Tile Mastic 100 SF Building A - Boiler Foyer Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan61 12 x 12 Blue Floor Tile with Streaks 860 SF Building B - Teacher's Lounge Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan61A 12 x 12 Blue with Streaks Floor Tile Mastic 860 SF Building B - Teacher's Lounge Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan62 12 X 12 Beige Speckled VFT 1,900 SF 3rd Flr Corridor, 2nd Flr Janitor Closet

& Corridor, 1st Floor CorridorAssumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan

63 12 x 12 Beige Speckled Mastic 1,900 SF 3rd Flr Corridor, 2nd Flr Janitor Closet & Corridor, 1st Floor Corridor


64 12 x 12 Yellow w/ Red VFT 600 SF Lunchroom Gym Corridor Bldg B Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan65 12 x 12 Yellow w/ Red Specks Mastic 600 SF Lunchroom / Gym Corridor Bldg B Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan66 Drywall System 10,000 SF A201, A203, A201A (School Director),

A003, A004 - Bldg AAssumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan

67 Black Baseboard 150 LF Main Office - Bldg A Assumed MISC No 0 LF 6 ACBM with the potential for damage Follow O&M Plan68 Black Baseboard Mastic 150 LF Main Office - Bldg A Assumed MISC No 0 LF 6 ACBM with the potential for damage Follow O&M Plan69 2'X2' Pinhole Ceiling Tiles 400 SF Office A101, Main Office Staff Toilet -

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

70 MJP on Fiberglass 140 FITTING Storage Room Under North Stairwell, A005 (Mechanical) - Bldg A

Assumed TSI Yes 0 FITTING 6 ACBM with the potential for damage Follow O&M Plan

71 Drywall System 20,000 SF Storage B013, Music Rm B100A, Pantry Storage B006, B102, B101A, B106 & Toilet, Passage behind Stage, Basement Boys & Girls Toilet, 1st &









Phone: (312) 733-6262 Fax: (312) 733-5612



Material Units


Material Category


Damage Units


2nd Flr Janitors Closet, 1st & 2nd Flr Elevator Lobby - Bldg B

72 6" Black Baseboard Mastic 100 LF Music Room (B100A), B100B - Bldg B Assumed MISC No 0 LF 6 ACBM with the potential for damage Follow O&M Plan73 2'X4' Smooth Ceiling Tile 150 SF Kitchen Pantry (B005), Pantry Storage

(B006) - Bldg BAssumed MISC Yes 0 SF 6 ACBM with the potential for damage Follow O&M Plan

74 4" Blue Baseboard Mastic 500 LF North Stairwell, 1st Flr Corridor, Pantry Storage (B006) - Bldg B


75 2'X2' Pinhole Ceiling Tiles 550 SF B106 Toilet, Unisex Toilet (Near B105),B102 - Bldg B

Assumed MISC Yes 0 SF 6 ACBM with the potential for damage Follow O&M Plan

76 12"X12" Light Sand VFT 600 SF Passage Behind Stage (Basement) - Bldg B


77 12"X12" Light Sand VFT Mastic 600 SF Passage Behind Stage (Basement) - Bldg B


78 Terrazzo Mixed Colors 400 SF Basement Boys & Girls Toilet - Bldg B Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan79 Terrazzo Green 150 SF Basement Boys & Girls Toilet - Bldg B Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan








Phone: (312) 733-6262 Fax: (312) 733-5612

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

Review Date 11/10/2016

Manager Planner Name Jigar Shah100-07342 1/19/2017Manager IDPH License No/Expiration

HA Number Management Comments001002004005006007008009009 A009 B009C010011012013015016017018019020








Phone: (312) 733-6262 Fax: (312) 733-5612

Management Planner's Comments Summarized at the End of the ReportHA Number Management Comments021022023024025026027028029030031032033034035036037038039040041042043044045046








Phone: (312) 733-6262 Fax: (312) 733-5612

Management Planner's Comments Summarized at the End of the ReportHA Number Management Comments0470480490500510520530540550560570586060A6161A62636465666768697071








Phone: (312) 733-6262 Fax: (312) 733-5612

Management Planner's Comments Summarized at the End of the ReportHA Number Management Comments7273747576777879


GSG Consultants, Inc.

2016 AHERA REINSPECTION

Inspector Assessment Form (REASSESSMENT) LEA NAME: Chicago Public Schools UNIT NUMBER: 66393 BUIDLING ID: 3342

CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Roberto Rivera

SCHOOL NAME: UNO - Carlos Fuentes Campus Charter

INSPECTION DATE: 8/16/2016

ADDRESS: 2845 West Barry IDPH LICENSE NO: 100-06327

INFORMATION FROM PREVIOUS INSPECTION

HOMOGENEOUS AREA: 001

MATERIAL DESCRIPTION: Low Pressure Steam Pipe Insulation

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

HISTORICAL DAMAGE REASON:

HISTORICAL RESPONSE ACTION: Follow O&M Plan

ASBESTOS TYPE: Chrysotile FRIABLE: Yes

RESULTS OF REINSPECTION AND REASSESSMENT

This homogeneous area was reinspected and reassessed in accordance with Section 763.85 and 763.88 of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection.

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

DAMAGE REASON:

DISTURBANCE POTENTIAL: MODERATE

MATERIAL LOCATION: Basement Corridors, Cafeteria and Boielr Rooms

MATERIAL QUANTITY: 155 MATERIAL UNITS: LF

DAMAGE QUANTITY: DAMAGE UNITS: LF

COMMENTS:

Inspector's Signature: Date: 08/16/2016




Management Planner Review FormLEA NAME: Chicago Public Schools UNIT NUMBER: 66393 BUIDLING ID: 3342

CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Jigar Shah


REVIEW DATE: 11/10/2016



MATERIAL DESCRIPTION: Low Pressure Steam Pipe Insulation

MATERIAL LOCATION: Basement Corridors, Cafeteria and Boielr Rooms


DAMAGE QUANTITY: 0 DAMAGE UNITS: LF

In accordance with Sections 763.88 and 763.90 of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections 763.88 and 763.90 with the following recommendations.

The RESPONSE ACTION recommendation is:

Follow O&M Plan

Comments:

Management Planner's Signature: Date: 11/10/2016











MATERIAL DESCRIPTION: Low Pressure Steam Pipe Fitting Insulation

HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage






The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage

DAMAGE REASON:


MATERIAL LOCATION: Basement Corridor, Cafeteria and Boiler Rooms



COMMENTS:











MATERIAL DESCRIPTION: Low Pressure Steam Pipe Fitting Insulation






Follow O&M Plan

Comments:












MATERIAL DESCRIPTION: Joint Insulation Associ./w Aircell Pipe Insulation








DAMAGE REASON:





COMMENTS:











MATERIAL DESCRIPTION: Joint Insulation Associ./w Aircell Pipe Insulation






Follow O&M Plan

Comments:












MATERIAL DESCRIPTION: Paperwrap Pipe Insulation on Chilled Water Piping








DAMAGE REASON:





COMMENTS:











MATERIAL DESCRIPTION: Paperwrap Pipe Insulation on Chilled Water Piping






Follow O&M Plan

Comments:












MATERIAL DESCRIPTION: Joint Insulation on Paperwrap Insulated Piping








DAMAGE REASON:





COMMENTS:

















Follow O&M Plan

Comments:




















DAMAGE REASON:





COMMENTS:

















Follow O&M Plan

Comments:












MATERIAL DESCRIPTION: Acoustical Plaster




ASBESTOS TYPE: Assumed FRIABLE: No




DAMAGE REASON:


MATERIAL LOCATION: Basement Lunchroom Ceiling

MATERIAL QUANTITY: 6300 MATERIAL UNITS: SF

DAMAGE QUANTITY: DAMAGE UNITS: SF

COMMENTS:











MATERIAL DESCRIPTION: Acoustical Plaster

MATERIAL LOCATION: Basement Lunchroom Ceiling


DAMAGE QUANTITY: 0 DAMAGE UNITS: SF



Follow O&M Plan

Comments:












MATERIAL DESCRIPTION: Insulation on Low Pressure Steam Piping - NOT OBSERVED

HISTORICAL AHERA DAMAGE CATEGORY



ASBESTOS TYPE: FRIABLE:



The current AHERA DAMAGE CATEGORY is determined to be .

DAMAGE REASON:

DISTURBANCE POTENTIAL:

MATERIAL LOCATION:

MATERIAL QUANTITY: MATERIAL UNITS:

DAMAGE QUANTITY: DAMAGE UNITS:

COMMENTS: Not Observed











MATERIAL DESCRIPTION: Insulation on Low Pressure Steam Piping - NOT OBSERVED

MATERIAL LOCATION:





Follow O&M Plan

Comments:











HOMOGENEOUS AREA: 009 A

MATERIAL DESCRIPTION: Joint Insulation on Domestic Cold Water Piping - NOT OBSERVED




ASBESTOS TYPE: Undefined FRIABLE:




DAMAGE REASON:


MATERIAL LOCATION: Above Boiler in Boiler Room













HOMOGENEOUS AREA: 009 A

MATERIAL DESCRIPTION: Joint Insulation on Domestic Cold Water Piping - NOT OBSERVED

MATERIAL LOCATION: Above Boiler in Boiler Room





Follow O&M Plan

Comments:











HOMOGENEOUS AREA: 009 B

MATERIAL DESCRIPTION: Paperwrap Pipe Insulation on Domestic Cold Water Piping - NOT OBSERVED








DAMAGE REASON:


MATERIAL LOCATION: Boiler Room













HOMOGENEOUS AREA: 009 B

MATERIAL DESCRIPTION: Paperwrap Pipe Insulation on Domestic Cold Water Piping - NOT OBSERVED






Follow O&M Plan

Comments:











HOMOGENEOUS AREA: 009C

MATERIAL DESCRIPTION: Joint Insulation Assoc/w Aircell Insulated Piping on Domestic Cold Water Piping - NOT OBSERVED








DAMAGE REASON:















HOMOGENEOUS AREA: 009C

MATERIAL DESCRIPTION: Joint Insulation Assoc/w Aircell Insulated Piping on Domestic Cold Water Piping - NOT OBSERVED






Follow O&M Plan

Comments:












MATERIAL DESCRIPTION: 9"x9" Tan Floor Tile - NOT OBSERVED








DAMAGE REASON:


MATERIAL LOCATION: Boiler Room Foyer














MATERIAL DESCRIPTION: 9"x9" Tan Floor Tile - NOT OBSERVED






Follow O&M Plan

Comments:












MATERIAL DESCRIPTION: 12"x 12" Gray Floor Tile








DAMAGE REASON:

DISTURBANCE POTENTIAL: LOW

MATERIAL LOCATION: Tunnel Between Buildings



COMMENTS:











MATERIAL DESCRIPTION: 12"x 12" Gray Floor Tile






Follow O&M Plan

Comments:












MATERIAL DESCRIPTION: 9"x9" Tan & Red Vinyl Floor Tile








DAMAGE REASON:


MATERIAL LOCATION: Cafeteria



COMMENTS:











MATERIAL DESCRIPTION: 9"x9" Tan & Red Vinyl Floor Tile






Follow O&M Plan

Comments:












MATERIAL DESCRIPTION: 9"x9" Tan Vinyl Floor Tile

HISTORICAL AHERA DAMAGE CATEGORY 6







DAMAGE REASON:


MATERIAL LOCATION: Lunchroom, Kitchen



COMMENTS:











MATERIAL DESCRIPTION: 9"x9" Tan Vinyl Floor Tile






Follow O&M Plan

Comments:












MATERIAL DESCRIPTION: 9"x9" Tan Vinyl Floor Tile Mastic

HISTORICAL AHERA DAMAGE CATEGORY 6







DAMAGE REASON:





COMMENTS:











MATERIAL DESCRIPTION: 9"x9" Tan Vinyl Floor Tile Mastic






Follow O&M Plan

Comments:












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








DAMAGE REASON:





COMMENTS:











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






Follow O&M Plan

Comments:












MATERIAL DESCRIPTION: 9"x9" Tan and Red Floor Tile Mastic








DAMAGE REASON:





COMMENTS:

















Follow O&M Plan

Comments:












MATERIAL DESCRIPTION: 9"x9" Tan Floor Tile Mastic - Not Observed








DAMAGE REASON:
















MATERIAL DESCRIPTION: 9"x9" Tan Floor Tile Mastic - Not Observed






Follow O&M Plan

Comments:












MATERIAL DESCRIPTION: 9"x9" Tan and Red Vinyl Floor Tile








DAMAGE REASON:


MATERIAL LOCATION: Building A Corridors and Classrooms



COMMENTS:











MATERIAL DESCRIPTION: 9"x9" Tan and Red Vinyl Floor Tile






Follow O&M Plan

Comments:




















DAMAGE REASON:





COMMENTS:

















Follow O&M Plan

Comments:












MATERIAL DESCRIPTION: Joint Insulaiton Assoc/w Fiberglass Insulated Pipe




ASBESTOS TYPE: Assumed FRIABLE: Yes




DAMAGE REASON:


MATERIAL LOCATION: Boiler Room 1 in B Building



COMMENTS:











MATERIAL DESCRIPTION: Joint Insulaiton Assoc/w Fiberglass Insulated Pipe

MATERIAL LOCATION: Boiler Room 1 in B Building





Follow O&M Plan

Comments:












MATERIAL DESCRIPTION: 12"x12" Cream & White Floor Tile








DAMAGE REASON:


MATERIAL LOCATION: Building A Foyer



COMMENTS:











MATERIAL DESCRIPTION: 12"x12" Cream & White Floor Tile






Follow O&M Plan

Comments:












MATERIAL DESCRIPTION: 12"x12" Cream w/White Floor Tile Mastic








DAMAGE REASON:





COMMENTS:











MATERIAL DESCRIPTION: 12"x12" Cream w/White Floor Tile Mastic






Follow O&M Plan

Comments:












MATERIAL DESCRIPTION: 12"x12" Spline Ceiling Tile








DAMAGE REASON:





COMMENTS:











MATERIAL DESCRIPTION: 12"x12" Spline Ceiling Tile






Follow O&M Plan

Comments:












MATERIAL DESCRIPTION: Hard Plaster








DAMAGE REASON:


MATERIAL LOCATION: Throughout Buildings A & B



COMMENTS:











MATERIAL DESCRIPTION: Hard Plaster

MATERIAL LOCATION: Throughout Buildings A & B





Follow O&M Plan

Comments:












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








DAMAGE REASON:


MATERIAL LOCATION: Entrance of Building A- Stair Landing



COMMENTS:











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






Follow O&M Plan

Comments:












MATERIAL DESCRIPTION: 12"x12" Brown w/Brn & Wt Strks Floor Tile Mastic








DAMAGE REASON:





COMMENTS:











MATERIAL DESCRIPTION: 12"x12" Brown w/Brn & Wt Strks Floor Tile Mastic






Follow O&M Plan

Comments:












MATERIAL DESCRIPTION: 12"x12" Cream Floor Tile








DAMAGE REASON:


MATERIAL LOCATION: Classroom 004 in A Building



COMMENTS:











MATERIAL DESCRIPTION: 12"x12" Cream Floor Tile






Follow O&M Plan

Comments:












MATERIAL DESCRIPTION: 12"x12" Cream Floor Tile Mastic








DAMAGE REASON:





COMMENTS:











MATERIAL DESCRIPTION: 12"x12" Cream Floor Tile Mastic






Follow O&M Plan

Comments:












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








DAMAGE REASON:


MATERIAL LOCATION: A Building Stair Landing Between 1st & 2nd Floors



COMMENTS:











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






Follow O&M Plan

Comments:












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








DAMAGE REASON:





COMMENTS:











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






Follow O&M Plan

Comments:












MATERIAL DESCRIPTION: 9"x9" Dark Brown Floor Tile- NOT OBSERVED








DAMAGE REASON:


MATERIAL LOCATION: A Building Janitor Closet 107



COMMENTS:











MATERIAL DESCRIPTION: 9"x9" Dark Brown Floor Tile- NOT OBSERVED






Follow O&M Plan

Comments:












MATERIAL DESCRIPTION: 9"x9" Dark Brown Floor Tile Mastic NOT OBSERVED








DAMAGE REASON:





COMMENTS:











MATERIAL DESCRIPTION: 9"x9" Dark Brown Floor Tile Mastic NOT OBSERVED






Follow O&M Plan

Comments:












MATERIAL DESCRIPTION: 12"x12" Brown Streaked Floor Tile








DAMAGE REASON:


MATERIAL LOCATION: A Building Southeast Stair Landing



COMMENTS:











MATERIAL DESCRIPTION: 12"x12" Brown Streaked Floor Tile






Follow O&M Plan

Comments:












MATERIAL DESCRIPTION: 12"x12" Brown Streaked Floor Tile Mastic








DAMAGE REASON:





COMMENTS:











MATERIAL DESCRIPTION: 12"x12" Brown Streaked Floor Tile Mastic






Follow O&M Plan

Comments:












MATERIAL DESCRIPTION: 12"x12" Blue Floor Tile








DAMAGE REASON:


MATERIAL LOCATION: A Building Room 101, Main Office



COMMENTS:

















Follow O&M Plan

Comments:












MATERIAL DESCRIPTION: 12"x12" Blue Floor Tile Mastic








DAMAGE REASON:





COMMENTS:

















Follow O&M Plan

Comments:




















DAMAGE REASON:


MATERIAL LOCATION: Kitchen & Washroom by B206 and Boiler Room Foyer



COMMENTS:












MATERIAL LOCATION: Kitchen & Washroom by B206 and Boiler Room Foyer





Follow O&M Plan

Comments:




















DAMAGE REASON:


MATERIAL LOCATION: Kitchen & Washroom by B206 AND Boiler Room



COMMENTS:












MATERIAL LOCATION: Kitchen & Washroom by B206 AND Boiler Room





Follow O&M Plan

Comments:




















DAMAGE REASON:


MATERIAL LOCATION: B Building 1st & 2nd Floor Corridors, B200, B206



COMMENTS:

















Follow O&M Plan

Comments:




















DAMAGE REASON:





COMMENTS:

















Follow O&M Plan

Comments:












MATERIAL DESCRIPTION: 12"x12" Beige Floor Tile








DAMAGE REASON:


MATERIAL LOCATION: B Building 1st & 2nd Floor Corridors



COMMENTS:











MATERIAL DESCRIPTION: 12"x12" Beige Floor Tile






Follow O&M Plan

Comments:












MATERIAL DESCRIPTION: 12"x12" Beige Floor Tile Mastic








DAMAGE REASON:





COMMENTS:











MATERIAL DESCRIPTION: 12"x12" Beige Floor Tile Mastic






Follow O&M Plan

Comments:












MATERIAL DESCRIPTION: 2'x4' Lay In Ceiling Panels w/2'x2' Design








DAMAGE REASON:


MATERIAL LOCATION: Washroom by B-206



COMMENTS:











MATERIAL DESCRIPTION: 2'x4' Lay In Ceiling Panels w/2'x2' Design

MATERIAL LOCATION: Washroom by B-206





Follow O&M Plan

Comments:












MATERIAL DESCRIPTION: 4" Blue Vinyl Baseboard








DAMAGE REASON:


MATERIAL LOCATION: A Building Corridors, B200, B206, Kitchen, Washroom by 206, 003,004



COMMENTS:











MATERIAL DESCRIPTION: 4" Blue Vinyl Baseboard






Follow O&M Plan

Comments:












MATERIAL DESCRIPTION: 4" Blue Vinyl Baseboard Adhesive








DAMAGE REASON:





COMMENTS:











MATERIAL DESCRIPTION: 4" Blue Vinyl Baseboard Adhesive






Follow O&M Plan

Comments:












MATERIAL DESCRIPTION: Insulation in Divider Wall








DAMAGE REASON:





COMMENTS:











MATERIAL DESCRIPTION: Insulation in Divider Wall






Follow O&M Plan

Comments:












MATERIAL DESCRIPTION: Blue Vinyl Stair Treads








DAMAGE REASON:


MATERIAL LOCATION: South Stairway and Stage Stairs



COMMENTS:











MATERIAL DESCRIPTION: Blue Vinyl Stair Treads






Follow O&M Plan

Comments:












MATERIAL DESCRIPTION: Blue Vinyl Stair Tread Adhesive








DAMAGE REASON:





COMMENTS:











MATERIAL DESCRIPTION: Blue Vinyl Stair Tread Adhesive






Follow O&M Plan

Comments:












MATERIAL DESCRIPTION: Purple Vinyl Stair Treads








DAMAGE REASON:


MATERIAL LOCATION: North Staiars



COMMENTS:











MATERIAL DESCRIPTION: Purple Vinyl Stair Treads

MATERIAL LOCATION: North Staiars





Follow O&M Plan

Comments:












MATERIAL DESCRIPTION: Purple Vinyl Stair Tread Adhesive








DAMAGE REASON:


MATERIAL LOCATION: North Stairway



COMMENTS:











MATERIAL DESCRIPTION: Purple Vinyl Stair Tread Adhesive

MATERIAL LOCATION: North Stairway





Follow O&M Plan

Comments:












MATERIAL DESCRIPTION: Linoleum on Counters








DAMAGE REASON:


MATERIAL LOCATION: 105, 106, 204A, 205A



COMMENTS:











MATERIAL DESCRIPTION: Linoleum on Counters






Follow O&M Plan

Comments:












MATERIAL DESCRIPTION: Linoleum Adhesive on Counters








DAMAGE REASON:





COMMENTS:











MATERIAL DESCRIPTION: Linoleum Adhesive on Counters






Follow O&M Plan

Comments:












MATERIAL DESCRIPTION: Chalkboards








DAMAGE REASON:


MATERIAL LOCATION: 105, 205A



COMMENTS:











MATERIAL DESCRIPTION: Chalkboards






Follow O&M Plan

Comments:












MATERIAL DESCRIPTION: Chalkboard Adhesive








DAMAGE REASON:





COMMENTS:











MATERIAL DESCRIPTION: Chalkboard Adhesive






Follow O&M Plan

Comments:












MATERIAL DESCRIPTION: Marker Board Adhesive








DAMAGE REASON:


MATERIAL LOCATION: 204A



COMMENTS:











MATERIAL DESCRIPTION: Marker Board Adhesive

MATERIAL LOCATION: 204A





Follow O&M Plan

Comments:












MATERIAL DESCRIPTION: 4" Brown Vinyl Baseboard








DAMAGE REASON:





COMMENTS:











MATERIAL DESCRIPTION: 4" Brown Vinyl Baseboard






Follow O&M Plan

Comments:












MATERIAL DESCRIPTION: 4" Brown Vinyl Baseboard Adhesive








DAMAGE REASON:





COMMENTS:











MATERIAL DESCRIPTION: 4" Brown Vinyl Baseboard Adhesive






Follow O&M Plan

Comments:












MATERIAL DESCRIPTION: 12 x 12 Tan Floor Tile








DAMAGE REASON:


MATERIAL LOCATION: Building A - Boiler Foyer



COMMENTS:











MATERIAL DESCRIPTION: 12 x 12 Tan Floor Tile






Follow O&M Plan

Comments:











HOMOGENEOUS AREA: 60A

MATERIAL DESCRIPTION: 12 x 12 Tan Floor Tile Mastic








DAMAGE REASON:





COMMENTS:











MATERIAL DESCRIPTION: 12 x 12 Tan Floor Tile Mastic






Follow O&M Plan

Comments:












MATERIAL DESCRIPTION: 12 x 12 Blue Floor Tile with Streaks








DAMAGE REASON:


MATERIAL LOCATION: Building B - Teacher's Lounge



COMMENTS:











MATERIAL DESCRIPTION: 12 x 12 Blue Floor Tile with Streaks






Follow O&M Plan

Comments:












MATERIAL DESCRIPTION: 12 x 12 Blue with Streaks Floor Tile Mastic








DAMAGE REASON:





COMMENTS:











MATERIAL DESCRIPTION: 12 x 12 Blue with Streaks Floor Tile Mastic






Follow O&M Plan

Comments:












MATERIAL DESCRIPTION: 12 X 12 Beige Speckled VFT








DAMAGE REASON:


MATERIAL LOCATION: 3rd Flr Corridor, 2nd Flr Janitor Closet & Corridor, 1st Floor Corridor



COMMENTS:











MATERIAL DESCRIPTION: 12 X 12 Beige Speckled VFT






Follow O&M Plan

Comments:












MATERIAL DESCRIPTION: 12 x 12 Beige Speckled Mastic








DAMAGE REASON:





COMMENTS:











MATERIAL DESCRIPTION: 12 x 12 Beige Speckled Mastic






Follow O&M Plan

Comments:












MATERIAL DESCRIPTION: 12 x 12 Yellow w/ Red VFT








DAMAGE REASON:


MATERIAL LOCATION: Lunchroom Gym Corridor Bldg B



COMMENTS:











MATERIAL DESCRIPTION: 12 x 12 Yellow w/ Red VFT

MATERIAL LOCATION: Lunchroom Gym Corridor Bldg B





Follow O&M Plan

Comments:












MATERIAL DESCRIPTION: 12 x 12 Yellow w/ Red Specks Mastic








DAMAGE REASON:


MATERIAL LOCATION: Lunchroom / Gym Corridor Bldg B



COMMENTS:











MATERIAL DESCRIPTION: 12 x 12 Yellow w/ Red Specks Mastic

MATERIAL LOCATION: Lunchroom / Gym Corridor Bldg B





Follow O&M Plan

Comments:





Inspector Assessment Form (New Homogeneous Area)

LEA NAME: Chicago Public Schools UNIT NUMBER: 66393 BUIDLING ID: 3342





INFORMATION FROM CURRENT INSPECTIONHOMOGENEOUS AREA: 70

MATERIAL DESCRIPTION: MJP on Fiberglass

MATERIAL LOCATION: Storage Room Under North Stairwell, A005 (Mechanical) - Bldg A

MATERIAL QUANTITY: 140 MATERIAL UNITS: FITTING

MATERIAL CATEGORY: TSI FRIABLE: Yes

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: FITTING

COMMENTS:











MATERIAL DESCRIPTION: MJP on Fiberglass

MATERIAL LOCATION: Storage Room Under North Stairwell, A005 (Mechanical) - Bldg A

MATERIAL QUANTITY: 140 MATERIAL UNITS: FITTING

DAMAGE QUANTITY: 0 DAMAGE UNITS: FITTING

In accordance with Sections 763.88 and 763.90 of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The originalinspection of the above identified homogeneous area has been reviewed in accordance with Sections 763.88 and 763.90 with the following recommendations.


COMMENTS:












MATERIAL DESCRIPTION: Drywall System

MATERIAL LOCATION: Storage B013, Music Rm B100A, Pantry Storage B006, B102, B101A, B106 & Toilet, Passage behind Stage, Basement Boys & Girls Toilet, 1st & 2nd Flr Janitors Closet, 1st & 2nd Flr Elevator Lobby - Bldg B


MATERIAL CATEGORY: MISC FRIABLE: No






COMMENTS:












MATERIAL LOCATION: Storage B013, Music Rm B100A, Pantry Storage B006, B102, B101A, B106 & Toilet, Passage behind Stage, Basement Boys & Girls Toilet, 1st & 2nd Flr Janitors Closet, 1st & 2nd Flr Elevator Lobby - Bldg B





COMMENTS:












MATERIAL DESCRIPTION: 2'X4' Smooth Ceiling Tile

MATERIAL LOCATION: Kitchen Pantry (B005), Pantry Storage (B006) - Bldg B


MATERIAL CATEGORY: MISC FRIABLE: Yes






COMMENTS:











MATERIAL DESCRIPTION: 2'X4' Smooth Ceiling Tile

MATERIAL LOCATION: Kitchen Pantry (B005), Pantry Storage (B006) - Bldg B





COMMENTS:












MATERIAL DESCRIPTION: 2'X2' Pinhole Ceiling Tiles

MATERIAL LOCATION: B106 Toilet, Unisex Toilet (Near B105), B102 - Bldg B


MATERIAL CATEGORY: MISC FRIABLE: Yes




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


COMMENTS:












MATERIAL LOCATION: B106 Toilet, Unisex Toilet (Near B105), B102 - Bldg B





COMMENTS:












MATERIAL DESCRIPTION: 6" Black Baseboard Mastic

MATERIAL LOCATION: Music Room (B100A), B100B - Bldg B








COMMENTS:











MATERIAL DESCRIPTION: 6" Black Baseboard Mastic

MATERIAL LOCATION: Music Room (B100A), B100B - Bldg B





COMMENTS:












MATERIAL DESCRIPTION: Terrazzo Mixed Colors

MATERIAL LOCATION: Basement Boys & Girls Toilet - Bldg B








COMMENTS:











MATERIAL DESCRIPTION: Terrazzo Mixed Colors






COMMENTS:












MATERIAL DESCRIPTION: Black Baseboard Mastic

MATERIAL LOCATION: Main Office - Bldg A








COMMENTS:











MATERIAL DESCRIPTION: Black Baseboard Mastic






COMMENTS:












MATERIAL DESCRIPTION: 12"X12" Light Sand VFT Mastic

MATERIAL LOCATION: Passage Behind Stage (Basement) - Bldg B






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


COMMENTS:











MATERIAL DESCRIPTION: 12"X12" Light Sand VFT Mastic






COMMENTS:













MATERIAL LOCATION: A201, A203, A201A (School Director), A003, A004 - Bldg A




DISTURBANCE POTENTIAL: MODERATE CONDITION:




COMMENTS:












MATERIAL LOCATION: A201, A203, A201A (School Director), A003, A004 - Bldg A





COMMENTS:













MATERIAL LOCATION: Office A101, Main Office Staff Toilet - Bldg A








COMMENTS:












MATERIAL LOCATION: Office A101, Main Office Staff Toilet - Bldg A





COMMENTS:












MATERIAL DESCRIPTION: 12"X12" Light Sand VFT









COMMENTS:











MATERIAL DESCRIPTION: 12"X12" Light Sand VFT






COMMENTS:












MATERIAL DESCRIPTION: Black Baseboard









COMMENTS:











MATERIAL DESCRIPTION: Black Baseboard






COMMENTS:












MATERIAL DESCRIPTION: 4" Blue Baseboard Mastic

MATERIAL LOCATION: North Stairwell, 1st Flr Corridor, Pantry Storage (B006) - Bldg B








COMMENTS:











MATERIAL DESCRIPTION: 4" Blue Baseboard Mastic

MATERIAL LOCATION: North Stairwell, 1st Flr Corridor, Pantry Storage (B006) - Bldg B





COMMENTS:












MATERIAL DESCRIPTION: Terrazzo Green









COMMENTS:











MATERIAL DESCRIPTION: Terrazzo Green






COMMENTS:


APPENDIX B

Inspector and Management Planner Licenses

APPENDIX C

Laboratory Accreditations

APPENDIX D

Laboratory Results

APPENDIX E

Chain of Custody Forms

Three-Year Reinspection Key to Terms

CODE KEYMATERIAL

ACBM Asbestos Containing Building MaterialsMATERIAL CATEGORY

MISC Miscellaneous

SURF Surfacing

TSI Thermal System InsulationMATERIAL UNITS

LF Linear Feet

SF Square Feet

CF Cubic FeetDAMAGE TYPE

Loc Localized

Dist Distributed

illinois department of public health ahera three...

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