ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR...
Transcript of ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR...
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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: UNKNOWNSCHOOL NAME: Chicago Math and Science Academy HSADDRESS OF SCHOOL: 7212 N. ClarkCITY: Chicago, IL, 60626
DATE LAST THREE YEAR REINSPECTION WAS COMPLETED 4/29/2013If 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: 7/14/2016 ENROLLMENT 596
IDPH INSPECTOR LICENSE NUMBER: 100-19039
IDPH LICENSED INSPECTOR NAME (Please Print): Wayne Gardner
IDPH MP LICENSE NUMBER: 100-01786
IDPH LICENSED MANAGEMENT PLANNER NAME (Please Print): Guillermo Garcia
DESIGNATED PERSON (Please Print): Robert Christlieb PHONE: (773) 553-3197
7/14/2016
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
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THREE–YEAR REINSPECTION
CHICAGO SCHOOL DIST 299
Chicago Math and Science Academy HS
7212 N. ClarkChicago, IL, 60626
Unit: 66281Building ID: 7940
IDPH ID Number: UNKNOWN
REPORT DATE:Thursday, July 14, 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
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May 5, 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: 66281 Region: 02 IDPH ID: UNKNOWN
School: Chicago Math and Science Academy HS Building ID: 7940
Address: 7212 N. Clark
Chicago, IL, 60626
Building Contact: Contact Phone:
Current Building Owners: Chicago Public Schools
Review Date: 07/14/2016
Inspector: Wayne Gardner Inspector IDPH License: 100-19039Management Planner: Guillermo Garcia Management Planner IDPH License: 100-01786
If you have any questions or comments, please contact us at (312) 733-6262
Sincerely,GSG Consultants, Inc.
Guillermo Garcia100-01786
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Environmental Notification to Occupants
To: Faculty, Staff and ParentsFrom: Chicago Public SchoolsDate: May 05, 2016
RE: Chicago Math and Science Academy HS, Unit 66281 7212 N. Clark Chicago, IL, 60626
Dear Faculty, Staff and Parents,
This letter is to notify you that the 2016 asbestos three year re-inspection has been completed at Chicago Math and Science Academy HS , following the Federal Asbestos Hazard Emergency Response Act (AHERA), 40 CFR Part 763, Subpart E and is available for your review at the main officeof the school.
Although asbestos-containing materials have been identified at Chicago Math and Science Academy HS, 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 .
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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
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SCHOOL AND INSPECTION INFORMATION
1. School Information
School: Chicago Math and Science Academy HS
Unit: 66281 Region: 02
Address: 7212 N. Clark Chicago, IL, 60626IDPH ID: UNKNOWN Building ID: 7940Contact: Phone:
2. Description of Facility
Original Construction: 2013 Additional Construction: Total Square Footage: 11270 No of Floors: 1Current Occupancy: 596
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: Wayne Gardner
Signature: Inspector IDPH license # 100-19039 Date: 5/5/2016
6. Management Planner
Management Planner Name: Guillermo Garcia
Signature: Management Planner IDPH license # 100-01786 Date: 07/14/2016
7. Review Date: 07/14/2016
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: 7/14/2016
Name: Robert Christlieb
Unit : 66281 Chicago Math and Science Academy HS Building: 7940
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Unit: 66281 Chicago Math and Science Academy HS
Building: 7940
II. EXECUTIVE SUMMARY
GSG Consultants, Inc. was retained by the Chicago Public Schools (CPS) to perform a three-year asbestos reinspection of the Chicago Math and Science Academy HS. 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 7940:
10 Plaster
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Unit: 66281 Chicago Math and Science Academy HS
Building: 7940
B. The following new homogenous areas have been identified for Building 7940:
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Unit: 66281 Chicago Math and Science Academy HS
Building: 7940
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:
01 2'x4' White with Pinholes Ceiling Tile02 12"x12" White Floor Tile02A 12"x12" White Floor Tile Mastic03 Dry Wall System04 Vinyl Baseboard04A Vinyl Baseboard Mastic05 12"x12" Red Floor Tile05A 12"x12" Red Floor Tile Mastic06 12"x12" Blue Floor Tile06A 12"x12" Blue Floor Tile Mastic07 Sink Undercoating08 12"x12" Gray w/ Black and Brown Floor Tile08A 12"x12" Gray with Black and Brown Floor Tile
Mastic09 2'x4' White Smooth Ceiling Tile10 Plaster
The following areas were deemed to be inaccessible:
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 Wayne Gardner , IDPH License # 100-19039. The Management Plan was updated by Guillermo Garcia, IDPH License # 100-01786. Inspector and Management Planner Licenses are included in Appendix B.
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Unit: 66281 Chicago Math and Science Academy HS Building: 7940
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 Chicago Math and Science Academy HS Building 7940 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.
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Table IInspector's Reinspection Findings
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Chicago Public Schools School Chicago Math and Science Academy HS Unit 66281 Building ID 7940 Address 7212 N. Clark Region 02
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
01 2'x4' White with Pinholes Ceiling Tile 32,000 SF Throughout Building
ASSUMED MISC Y None 0 No ACBM with the potential for damage
LOW
02 12"x12" White Floor Tile 28,000 SF Throughout Building
ASSUMED MISC N NONE 0 No ACBM with the potential for damage
LOW
02A 12"x12" White Floor Tile Mastic 28,000 SF Throughout Building
ASSUMED MISC N NONE 0 No ACBM with the potential for damage
LOW
03 Dry Wall System 40,000 SF Throughout Building
ASSUMED MISC Y NONE 0 No ACBM with the potential for damage
LOW
04 Vinyl Baseboard 8,000 LF Throughout Building
ASSUMED MISC N None 0 No ACBM with the potential for damage
LOW
04A Vinyl Baseboard Mastic 8,000 LF Throughout Building
ASSUMED MISC N None 0 No ACBM with the potential for damage
LOW
05 12"x12" Red Floor Tile 600 SF Classroom Entries for Middle School
ASSUMED MISC N None 0 No ACBM with the potential for damage
LOW
05A 12"x12" Red Floor Tile Mastic 600 SF Classroom Entries for Middle School
ASSUMED MISC N None 0 No ACBM with the potential for damage
LOW
06 12"x12" Blue Floor Tile 1,300 SF Classroom Entries for High School, Lunchroom
ASSUMED MISC N None 0 No ACBM with the potential for damage
LOW
06A 12"x12" Blue Floor Tile Mastic 1,300 SF Classroom Entries for High School, Lunchroom
ASSUMED MISC N None 0 No ACBM with the potential for damage
LOW
07 Sink Undercoating 10 SF Rooms 219, 201, 110
ASSUMED MISC N None 0 No ACBM with the potential for damage
LOW
08 12"x12" Gray w/ Black and Brown Floor Tile
400 SF Hallway Near Room308 and Near 503 Restroom
ASSUMED MISC N None 0 No ACBM with the potential for damage
LOW
08A 12"x12" Gray with Black and Brown Floor Tile Mastic
400 SF Hallway near Room 308 and near 503 Restroom
ASSUMED MISC N None 0 No ACBM with the potential for damage
LOW
09 2'x4' White Smooth Ceiling Tile 450 SF Kitchen ASSUMED MISC Y None 0 No ACBM with the potential for damage
LOW
10 Plaster 50 SF Main Electrical Closet
ASSUMED SURFACE Y None 0 Yes ACBM with the potential for damage
LOW
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Chicago Public Schools School Chicago Math and Science Academy HS Unit 66281 Building ID 7940 Address 7212 N. Clark Region 02
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
Reinspection Date 5/5/2016
Inspector Name Wayne Gardner
100-19039 2/13/2017Inspector's IDPH License Number / Expiration Date
Inspector's Comments
HA Number: Inspector Comments:010202A030404A0505A0606A070808A0910
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Table II
Management Planner's Review
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Chicago Public Schools
SchoolChicago Math and ScienceAcademy HS Unit 66281 Building ID 7940
Address 7212 N. Clark Chicago, IL, 60626 Region 02
ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS
Management Planner's Review Table II
Managing Environmental Consultant (MEC) GSG Consultants, Inc.
855 W. Adams St., Ste. 200
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
01 2'x4' White with Pinholes Ceiling Tile 32,000 SF Throughout Building Assumed MISC Yes 0 SF 6 ACBM with the potential for damage Follow O&M Plan02 12"x12" White Floor Tile 28,000 SF Throughout Building Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan02A 12"x12" White Floor Tile Mastic 28,000 SF Throughout Building Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan03 Dry Wall System 40,000 SF Throughout Building Assumed MISC Yes 0 SF 6 ACBM with the potential for damage Follow O&M Plan04 Vinyl Baseboard 8,000 LF Throughout Building Assumed MISC No 0 LF 6 ACBM with the potential for damage Follow O&M Plan04A Vinyl Baseboard Mastic 8,000 LF Throughout Building Assumed MISC No 0 LF 6 ACBM with the potential for damage Follow O&M Plan05 12"x12" Red Floor Tile 600 SF Classroom Entries for Middle School Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan05A 12"x12" Red Floor Tile Mastic 600 SF Classroom Entries for Middle School Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan06 12"x12" Blue Floor Tile 1,300 SF Classroom Entries for High School,
LunchroomAssumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan
06A 12"x12" Blue Floor Tile Mastic 1,300 SF Classroom Entries for High School, Lunchroom
Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan
07 Sink Undercoating 10 SF Rooms 219, 201, 110 Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan08 12"x12" Gray w/ Black and Brown Floor Tile 400 SF Hallway Near Room 308 and Near 503
RestroomAssumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan
08A 12"x12" Gray with Black and Brown Floor Tile Mastic
400 SF Hallway near Room 308 and near 503 Restroom
Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan
09 2'x4' White Smooth Ceiling Tile 450 SF Kitchen Assumed MISC Yes 0 SF 6 ACBM with the potential for damage Follow O&M Plan10 Plaster 50 SF Main Electrical Closet Assumed SURFACE Yes 0 SF 6 ACBM with the potential for damage Follow O&M Plan
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Chicago Public Schools
SchoolChicago Math and ScienceAcademy HS Unit 66281 Building ID 7940
Address 7212 N. Clark Chicago, IL, 60626 Region 02
ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS
Management Planner's Review Table II
Managing Environmental Consultant (MEC) GSG Consultants, Inc.
855 W. Adams St., Ste. 200
Phone: (312) 733-6262 Fax: (312) 733-5612
Management Planner's Comments Summarized at the End of the Report
Review Date 7/14/2016
Manager Planner Name Guillermo Garcia100-01786 3/21/2017Manager IDPH License No/Expiration
HA Number Management Comments010202A030404A0505A0606A070808A0910
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Chicago Public Schools
SchoolChicago Math and ScienceAcademy HS Unit 66281 Building ID 7940
Address 7212 N. Clark Chicago, IL, 60626 Region 02
ASBESTOS REINSPECTION FINDINGS AND RECOMMENDATIONS
Management Planner's Review Table II
Managing Environmental Consultant (MEC) GSG Consultants, Inc.
855 W. Adams St., Ste. 200
Phone: (312) 733-6262 Fax: (312) 733-5612
Management Planner's Comments Summarized at the End of the Report
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Chicago Public Schools
GSG Consultants, Inc.
2016 AHERA REINSPECTION
Inspector Assessment Form (REASSESSMENT) LEA NAME: Chicago Public Schools UNIT NUMBER: 66281 BUIDLING ID: 7940
CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Wayne Gardner
SCHOOL NAME: Chicago Math and Science Academy HS
INSPECTION DATE: 5/5/2016
ADDRESS: 7212 N. Clark IDPH LICENSE NO: 100-19039
INFORMATION FROM PREVIOUS INSPECTION
HOMOGENEOUS AREA: 01
MATERIAL DESCRIPTION: 2'x4' White with Pinholes Ceiling Tile
HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage
HISTORICAL DAMAGE REASON:
HISTORICAL RESPONSE ACTION: Follow O&M Plan
ASBESTOS TYPE: Assumed 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 6. ACBM with the potential for damage
DAMAGE REASON:
DISTURBANCE POTENTIAL: LOW
MATERIAL LOCATION: Throughout Building
MATERIAL QUANTITY: 32000 MATERIAL UNITS: SF
DAMAGE QUANTITY: DAMAGE UNITS: SF
COMMENTS:
Inspector's Signature: Date: 05/05/2016
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Chicago Public Schools
GSG Consultants, Inc.
2016 AHERA REINSPECTION
Management Planner Review FormLEA NAME: Chicago Public Schools UNIT NUMBER: 66281 BUIDLING ID: 7940
CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Guillermo Garcia
SCHOOL NAME: Chicago Math and Science Academy HS
REVIEW DATE: 7/14/2016
ADDRESS: 7212 N. Clark IDPH LICENSE NO: 100-19039
HOMOGENEOUS AREA: 01
MATERIAL DESCRIPTION: 2'x4' White with Pinholes Ceiling Tile
MATERIAL LOCATION: Throughout Building
MATERIAL QUANTITY: 32000 MATERIAL UNITS: SF
DAMAGE QUANTITY: 0 DAMAGE UNITS: SF
In accordance with Sections 763.88 and 763.90 of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections 763.88 and 763.90 with the following recommendations.
The RESPONSE ACTION recommendation is:
Follow O&M Plan
Comments:
Management Planner's Signature: Date: 07/14/2016
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Chicago Public Schools
GSG Consultants, Inc.
2016 AHERA REINSPECTION
Inspector Assessment Form (REASSESSMENT) LEA NAME: Chicago Public Schools UNIT NUMBER: 66281 BUIDLING ID: 7940
CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Wayne Gardner
SCHOOL NAME: Chicago Math and Science Academy HS
INSPECTION DATE: 5/5/2016
ADDRESS: 7212 N. Clark IDPH LICENSE NO: 100-19039
INFORMATION FROM PREVIOUS INSPECTION
HOMOGENEOUS AREA: 02
MATERIAL DESCRIPTION: 12"x12" White Floor Tile
HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage
HISTORICAL DAMAGE REASON:
HISTORICAL RESPONSE ACTION: Follow O&M Plan
ASBESTOS TYPE: Assumed FRIABLE: No
RESULTS OF REINSPECTION AND REASSESSMENT
This homogeneous area was reinspected and reassessed in accordance with Section 763.85 and 763.88 of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection.
The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage
DAMAGE REASON:
DISTURBANCE POTENTIAL: LOW
MATERIAL LOCATION: Throughout Building
MATERIAL QUANTITY: 28000 MATERIAL UNITS: SF
DAMAGE QUANTITY: DAMAGE UNITS: SF
COMMENTS:
Inspector's Signature: Date: 05/05/2016
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Chicago Public Schools
GSG Consultants, Inc.
2016 AHERA REINSPECTION
Management Planner Review FormLEA NAME: Chicago Public Schools UNIT NUMBER: 66281 BUIDLING ID: 7940
CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Guillermo Garcia
SCHOOL NAME: Chicago Math and Science Academy HS
REVIEW DATE: 7/14/2016
ADDRESS: 7212 N. Clark IDPH LICENSE NO: 100-19039
HOMOGENEOUS AREA: 02
MATERIAL DESCRIPTION: 12"x12" White Floor Tile
MATERIAL LOCATION: Throughout Building
MATERIAL QUANTITY: 28000 MATERIAL UNITS: SF
DAMAGE QUANTITY: 0 DAMAGE UNITS: SF
In accordance with Sections 763.88 and 763.90 of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections 763.88 and 763.90 with the following recommendations.
The RESPONSE ACTION recommendation is:
Follow O&M Plan
Comments:
Management Planner's Signature: Date: 07/14/2016
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Chicago Public Schools
GSG Consultants, Inc.
2016 AHERA REINSPECTION
Inspector Assessment Form (REASSESSMENT) LEA NAME: Chicago Public Schools UNIT NUMBER: 66281 BUIDLING ID: 7940
CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Wayne Gardner
SCHOOL NAME: Chicago Math and Science Academy HS
INSPECTION DATE: 5/5/2016
ADDRESS: 7212 N. Clark IDPH LICENSE NO: 100-19039
INFORMATION FROM PREVIOUS INSPECTION
HOMOGENEOUS AREA: 02A
MATERIAL DESCRIPTION: 12"x12" White Floor Tile Mastic
HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage
HISTORICAL DAMAGE REASON:
HISTORICAL RESPONSE ACTION: Follow O&M Plan
ASBESTOS TYPE: Assumed FRIABLE: No
RESULTS OF REINSPECTION AND REASSESSMENT
This homogeneous area was reinspected and reassessed in accordance with Section 763.85 and 763.88 of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection.
The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage
DAMAGE REASON:
DISTURBANCE POTENTIAL: LOW
MATERIAL LOCATION: Throughout Building
MATERIAL QUANTITY: 28000 MATERIAL UNITS: SF
DAMAGE QUANTITY: DAMAGE UNITS: SF
COMMENTS:
Inspector's Signature: Date: 05/05/2016
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Chicago Public Schools
GSG Consultants, Inc.
2016 AHERA REINSPECTION
Management Planner Review FormLEA NAME: Chicago Public Schools UNIT NUMBER: 66281 BUIDLING ID: 7940
CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Guillermo Garcia
SCHOOL NAME: Chicago Math and Science Academy HS
REVIEW DATE: 7/14/2016
ADDRESS: 7212 N. Clark IDPH LICENSE NO: 100-19039
HOMOGENEOUS AREA: 02A
MATERIAL DESCRIPTION: 12"x12" White Floor Tile Mastic
MATERIAL LOCATION: Throughout Building
MATERIAL QUANTITY: 28000 MATERIAL UNITS: SF
DAMAGE QUANTITY: 0 DAMAGE UNITS: SF
In accordance with Sections 763.88 and 763.90 of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections 763.88 and 763.90 with the following recommendations.
The RESPONSE ACTION recommendation is:
Follow O&M Plan
Comments:
Management Planner's Signature: Date: 07/14/2016
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Chicago Public Schools
GSG Consultants, Inc.
2016 AHERA REINSPECTION
Inspector Assessment Form (REASSESSMENT) LEA NAME: Chicago Public Schools UNIT NUMBER: 66281 BUIDLING ID: 7940
CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Wayne Gardner
SCHOOL NAME: Chicago Math and Science Academy HS
INSPECTION DATE: 5/5/2016
ADDRESS: 7212 N. Clark IDPH LICENSE NO: 100-19039
INFORMATION FROM PREVIOUS INSPECTION
HOMOGENEOUS AREA: 03
MATERIAL DESCRIPTION: Dry Wall System
HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage
HISTORICAL DAMAGE REASON:
HISTORICAL RESPONSE ACTION: Follow O&M Plan
ASBESTOS TYPE: Assumed 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 6. ACBM with the potential for damage
DAMAGE REASON:
DISTURBANCE POTENTIAL: LOW
MATERIAL LOCATION: Throughout Building
MATERIAL QUANTITY: 40000 MATERIAL UNITS: SF
DAMAGE QUANTITY: DAMAGE UNITS: SF
COMMENTS:
Inspector's Signature: Date: 05/05/2016
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Chicago Public Schools
GSG Consultants, Inc.
2016 AHERA REINSPECTION
Management Planner Review FormLEA NAME: Chicago Public Schools UNIT NUMBER: 66281 BUIDLING ID: 7940
CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Guillermo Garcia
SCHOOL NAME: Chicago Math and Science Academy HS
REVIEW DATE: 7/14/2016
ADDRESS: 7212 N. Clark IDPH LICENSE NO: 100-19039
HOMOGENEOUS AREA: 03
MATERIAL DESCRIPTION: Dry Wall System
MATERIAL LOCATION: Throughout Building
MATERIAL QUANTITY: 40000 MATERIAL UNITS: SF
DAMAGE QUANTITY: 0 DAMAGE UNITS: SF
In accordance with Sections 763.88 and 763.90 of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections 763.88 and 763.90 with the following recommendations.
The RESPONSE ACTION recommendation is:
Follow O&M Plan
Comments:
Management Planner's Signature: Date: 07/14/2016
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Chicago Public Schools
GSG Consultants, Inc.
2016 AHERA REINSPECTION
Inspector Assessment Form (REASSESSMENT) LEA NAME: Chicago Public Schools UNIT NUMBER: 66281 BUIDLING ID: 7940
CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Wayne Gardner
SCHOOL NAME: Chicago Math and Science Academy HS
INSPECTION DATE: 5/5/2016
ADDRESS: 7212 N. Clark IDPH LICENSE NO: 100-19039
INFORMATION FROM PREVIOUS INSPECTION
HOMOGENEOUS AREA: 04
MATERIAL DESCRIPTION: Vinyl Baseboard
HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage
HISTORICAL DAMAGE REASON:
HISTORICAL RESPONSE ACTION: Follow O&M Plan
ASBESTOS TYPE: Assumed FRIABLE: No
RESULTS OF REINSPECTION AND REASSESSMENT
This homogeneous area was reinspected and reassessed in accordance with Section 763.85 and 763.88 of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection.
The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage
DAMAGE REASON:
DISTURBANCE POTENTIAL: LOW
MATERIAL LOCATION: Throughout Building
MATERIAL QUANTITY: 8000 MATERIAL UNITS: LF
DAMAGE QUANTITY: DAMAGE UNITS: LF
COMMENTS:
Inspector's Signature: Date: 05/05/2016
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Chicago Public Schools
GSG Consultants, Inc.
2016 AHERA REINSPECTION
Management Planner Review FormLEA NAME: Chicago Public Schools UNIT NUMBER: 66281 BUIDLING ID: 7940
CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Guillermo Garcia
SCHOOL NAME: Chicago Math and Science Academy HS
REVIEW DATE: 7/14/2016
ADDRESS: 7212 N. Clark IDPH LICENSE NO: 100-19039
HOMOGENEOUS AREA: 04
MATERIAL DESCRIPTION: Vinyl Baseboard
MATERIAL LOCATION: Throughout Building
MATERIAL QUANTITY: 8000 MATERIAL UNITS: LF
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: 07/14/2016
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Chicago Public Schools
GSG Consultants, Inc.
2016 AHERA REINSPECTION
Inspector Assessment Form (REASSESSMENT) LEA NAME: Chicago Public Schools UNIT NUMBER: 66281 BUIDLING ID: 7940
CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Wayne Gardner
SCHOOL NAME: Chicago Math and Science Academy HS
INSPECTION DATE: 5/5/2016
ADDRESS: 7212 N. Clark IDPH LICENSE NO: 100-19039
INFORMATION FROM PREVIOUS INSPECTION
HOMOGENEOUS AREA: 04A
MATERIAL DESCRIPTION: Vinyl Baseboard Mastic
HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage
HISTORICAL DAMAGE REASON:
HISTORICAL RESPONSE ACTION: Follow O&M Plan
ASBESTOS TYPE: Assumed FRIABLE: No
RESULTS OF REINSPECTION AND REASSESSMENT
This homogeneous area was reinspected and reassessed in accordance with Section 763.85 and 763.88 of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection.
The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage
DAMAGE REASON:
DISTURBANCE POTENTIAL: LOW
MATERIAL LOCATION: Throughout Building
MATERIAL QUANTITY: 8000 MATERIAL UNITS: LF
DAMAGE QUANTITY: DAMAGE UNITS: LF
COMMENTS:
Inspector's Signature: Date: 05/05/2016
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Chicago Public Schools
GSG Consultants, Inc.
2016 AHERA REINSPECTION
Management Planner Review FormLEA NAME: Chicago Public Schools UNIT NUMBER: 66281 BUIDLING ID: 7940
CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Guillermo Garcia
SCHOOL NAME: Chicago Math and Science Academy HS
REVIEW DATE: 7/14/2016
ADDRESS: 7212 N. Clark IDPH LICENSE NO: 100-19039
HOMOGENEOUS AREA: 04A
MATERIAL DESCRIPTION: Vinyl Baseboard Mastic
MATERIAL LOCATION: Throughout Building
MATERIAL QUANTITY: 8000 MATERIAL UNITS: LF
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: 07/14/2016
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Chicago Public Schools
GSG Consultants, Inc.
2016 AHERA REINSPECTION
Inspector Assessment Form (REASSESSMENT) LEA NAME: Chicago Public Schools UNIT NUMBER: 66281 BUIDLING ID: 7940
CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Wayne Gardner
SCHOOL NAME: Chicago Math and Science Academy HS
INSPECTION DATE: 5/5/2016
ADDRESS: 7212 N. Clark IDPH LICENSE NO: 100-19039
INFORMATION FROM PREVIOUS INSPECTION
HOMOGENEOUS AREA: 05
MATERIAL DESCRIPTION: 12"x12" Red Floor Tile
HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage
HISTORICAL DAMAGE REASON:
HISTORICAL RESPONSE ACTION: Follow O&M Plan
ASBESTOS TYPE: Assumed FRIABLE: No
RESULTS OF REINSPECTION AND REASSESSMENT
This homogeneous area was reinspected and reassessed in accordance with Section 763.85 and 763.88 of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection.
The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage
DAMAGE REASON:
DISTURBANCE POTENTIAL: LOW
MATERIAL LOCATION: Classroom Entries for Middle School
MATERIAL QUANTITY: 600 MATERIAL UNITS: SF
DAMAGE QUANTITY: DAMAGE UNITS: SF
COMMENTS:
Inspector's Signature: Date: 05/05/2016
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Chicago Public Schools
GSG Consultants, Inc.
2016 AHERA REINSPECTION
Management Planner Review FormLEA NAME: Chicago Public Schools UNIT NUMBER: 66281 BUIDLING ID: 7940
CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Guillermo Garcia
SCHOOL NAME: Chicago Math and Science Academy HS
REVIEW DATE: 7/14/2016
ADDRESS: 7212 N. Clark IDPH LICENSE NO: 100-19039
HOMOGENEOUS AREA: 05
MATERIAL DESCRIPTION: 12"x12" Red Floor Tile
MATERIAL LOCATION: Classroom Entries for Middle School
MATERIAL QUANTITY: 600 MATERIAL UNITS: SF
DAMAGE QUANTITY: 0 DAMAGE UNITS: SF
In accordance with Sections 763.88 and 763.90 of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections 763.88 and 763.90 with the following recommendations.
The RESPONSE ACTION recommendation is:
Follow O&M Plan
Comments:
Management Planner's Signature: Date: 07/14/2016
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Chicago Public Schools
GSG Consultants, Inc.
2016 AHERA REINSPECTION
Inspector Assessment Form (REASSESSMENT) LEA NAME: Chicago Public Schools UNIT NUMBER: 66281 BUIDLING ID: 7940
CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Wayne Gardner
SCHOOL NAME: Chicago Math and Science Academy HS
INSPECTION DATE: 5/5/2016
ADDRESS: 7212 N. Clark IDPH LICENSE NO: 100-19039
INFORMATION FROM PREVIOUS INSPECTION
HOMOGENEOUS AREA: 05A
MATERIAL DESCRIPTION: 12"x12" Red Floor Tile Mastic
HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage
HISTORICAL DAMAGE REASON:
HISTORICAL RESPONSE ACTION: Follow O&M Plan
ASBESTOS TYPE: Assumed FRIABLE: No
RESULTS OF REINSPECTION AND REASSESSMENT
This homogeneous area was reinspected and reassessed in accordance with Section 763.85 and 763.88 of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection.
The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage
DAMAGE REASON:
DISTURBANCE POTENTIAL: LOW
MATERIAL LOCATION: Classroom Entries for Middle School
MATERIAL QUANTITY: 600 MATERIAL UNITS: SF
DAMAGE QUANTITY: DAMAGE UNITS: SF
COMMENTS:
Inspector's Signature: Date: 05/05/2016
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Chicago Public Schools
GSG Consultants, Inc.
2016 AHERA REINSPECTION
Management Planner Review FormLEA NAME: Chicago Public Schools UNIT NUMBER: 66281 BUIDLING ID: 7940
CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Guillermo Garcia
SCHOOL NAME: Chicago Math and Science Academy HS
REVIEW DATE: 7/14/2016
ADDRESS: 7212 N. Clark IDPH LICENSE NO: 100-19039
HOMOGENEOUS AREA: 05A
MATERIAL DESCRIPTION: 12"x12" Red Floor Tile Mastic
MATERIAL LOCATION: Classroom Entries for Middle School
MATERIAL QUANTITY: 600 MATERIAL UNITS: SF
DAMAGE QUANTITY: 0 DAMAGE UNITS: SF
In accordance with Sections 763.88 and 763.90 of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections 763.88 and 763.90 with the following recommendations.
The RESPONSE ACTION recommendation is:
Follow O&M Plan
Comments:
Management Planner's Signature: Date: 07/14/2016
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Chicago Public Schools
GSG Consultants, Inc.
2016 AHERA REINSPECTION
Inspector Assessment Form (REASSESSMENT) LEA NAME: Chicago Public Schools UNIT NUMBER: 66281 BUIDLING ID: 7940
CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Wayne Gardner
SCHOOL NAME: Chicago Math and Science Academy HS
INSPECTION DATE: 5/5/2016
ADDRESS: 7212 N. Clark IDPH LICENSE NO: 100-19039
INFORMATION FROM PREVIOUS INSPECTION
HOMOGENEOUS AREA: 06
MATERIAL DESCRIPTION: 12"x12" Blue Floor Tile
HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage
HISTORICAL DAMAGE REASON:
HISTORICAL RESPONSE ACTION: Follow O&M Plan
ASBESTOS TYPE: Assumed FRIABLE: No
RESULTS OF REINSPECTION AND REASSESSMENT
This homogeneous area was reinspected and reassessed in accordance with Section 763.85 and 763.88 of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection.
The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage
DAMAGE REASON:
DISTURBANCE POTENTIAL: LOW
MATERIAL LOCATION: Classroom Entries for High School, Lunchroom
MATERIAL QUANTITY: 1300 MATERIAL UNITS: SF
DAMAGE QUANTITY: DAMAGE UNITS: SF
COMMENTS:
Inspector's Signature: Date: 05/05/2016
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Chicago Public Schools
GSG Consultants, Inc.
2016 AHERA REINSPECTION
Management Planner Review FormLEA NAME: Chicago Public Schools UNIT NUMBER: 66281 BUIDLING ID: 7940
CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Guillermo Garcia
SCHOOL NAME: Chicago Math and Science Academy HS
REVIEW DATE: 7/14/2016
ADDRESS: 7212 N. Clark IDPH LICENSE NO: 100-19039
HOMOGENEOUS AREA: 06
MATERIAL DESCRIPTION: 12"x12" Blue Floor Tile
MATERIAL LOCATION: Classroom Entries for High School, Lunchroom
MATERIAL QUANTITY: 1300 MATERIAL UNITS: SF
DAMAGE QUANTITY: 0 DAMAGE UNITS: SF
In accordance with Sections 763.88 and 763.90 of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections 763.88 and 763.90 with the following recommendations.
The RESPONSE ACTION recommendation is:
Follow O&M Plan
Comments:
Management Planner's Signature: Date: 07/14/2016
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Chicago Public Schools
GSG Consultants, Inc.
2016 AHERA REINSPECTION
Inspector Assessment Form (REASSESSMENT) LEA NAME: Chicago Public Schools UNIT NUMBER: 66281 BUIDLING ID: 7940
CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Wayne Gardner
SCHOOL NAME: Chicago Math and Science Academy HS
INSPECTION DATE: 5/5/2016
ADDRESS: 7212 N. Clark IDPH LICENSE NO: 100-19039
INFORMATION FROM PREVIOUS INSPECTION
HOMOGENEOUS AREA: 06A
MATERIAL DESCRIPTION: 12"x12" Blue Floor Tile Mastic
HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage
HISTORICAL DAMAGE REASON:
HISTORICAL RESPONSE ACTION: Follow O&M Plan
ASBESTOS TYPE: Assumed FRIABLE: No
RESULTS OF REINSPECTION AND REASSESSMENT
This homogeneous area was reinspected and reassessed in accordance with Section 763.85 and 763.88 of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection.
The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage
DAMAGE REASON:
DISTURBANCE POTENTIAL: LOW
MATERIAL LOCATION: Classroom Entries for High School, Lunchroom
MATERIAL QUANTITY: 1300 MATERIAL UNITS: SF
DAMAGE QUANTITY: DAMAGE UNITS: SF
COMMENTS:
Inspector's Signature: Date: 05/05/2016
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Chicago Public Schools
GSG Consultants, Inc.
2016 AHERA REINSPECTION
Management Planner Review FormLEA NAME: Chicago Public Schools UNIT NUMBER: 66281 BUIDLING ID: 7940
CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Guillermo Garcia
SCHOOL NAME: Chicago Math and Science Academy HS
REVIEW DATE: 7/14/2016
ADDRESS: 7212 N. Clark IDPH LICENSE NO: 100-19039
HOMOGENEOUS AREA: 06A
MATERIAL DESCRIPTION: 12"x12" Blue Floor Tile Mastic
MATERIAL LOCATION: Classroom Entries for High School, Lunchroom
MATERIAL QUANTITY: 1300 MATERIAL UNITS: SF
DAMAGE QUANTITY: 0 DAMAGE UNITS: SF
In accordance with Sections 763.88 and 763.90 of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections 763.88 and 763.90 with the following recommendations.
The RESPONSE ACTION recommendation is:
Follow O&M Plan
Comments:
Management Planner's Signature: Date: 07/14/2016
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Chicago Public Schools
GSG Consultants, Inc.
2016 AHERA REINSPECTION
Inspector Assessment Form (REASSESSMENT) LEA NAME: Chicago Public Schools UNIT NUMBER: 66281 BUIDLING ID: 7940
CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Wayne Gardner
SCHOOL NAME: Chicago Math and Science Academy HS
INSPECTION DATE: 5/5/2016
ADDRESS: 7212 N. Clark IDPH LICENSE NO: 100-19039
INFORMATION FROM PREVIOUS INSPECTION
HOMOGENEOUS AREA: 07
MATERIAL DESCRIPTION: Sink Undercoating
HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage
HISTORICAL DAMAGE REASON:
HISTORICAL RESPONSE ACTION: Follow O&M Plan
ASBESTOS TYPE: Assumed FRIABLE: No
RESULTS OF REINSPECTION AND REASSESSMENT
This homogeneous area was reinspected and reassessed in accordance with Section 763.85 and 763.88 of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection.
The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage
DAMAGE REASON:
DISTURBANCE POTENTIAL: LOW
MATERIAL LOCATION: Rooms 219, 201, 110
MATERIAL QUANTITY: 10 MATERIAL UNITS: SF
DAMAGE QUANTITY: DAMAGE UNITS: SF
COMMENTS:
Inspector's Signature: Date: 05/05/2016
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Chicago Public Schools
GSG Consultants, Inc.
2016 AHERA REINSPECTION
Management Planner Review FormLEA NAME: Chicago Public Schools UNIT NUMBER: 66281 BUIDLING ID: 7940
CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Guillermo Garcia
SCHOOL NAME: Chicago Math and Science Academy HS
REVIEW DATE: 7/14/2016
ADDRESS: 7212 N. Clark IDPH LICENSE NO: 100-19039
HOMOGENEOUS AREA: 07
MATERIAL DESCRIPTION: Sink Undercoating
MATERIAL LOCATION: Rooms 219, 201, 110
MATERIAL QUANTITY: 10 MATERIAL UNITS: SF
DAMAGE QUANTITY: 0 DAMAGE UNITS: SF
In accordance with Sections 763.88 and 763.90 of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections 763.88 and 763.90 with the following recommendations.
The RESPONSE ACTION recommendation is:
Follow O&M Plan
Comments:
Management Planner's Signature: Date: 07/14/2016
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Chicago Public Schools
GSG Consultants, Inc.
2016 AHERA REINSPECTION
Inspector Assessment Form (REASSESSMENT) LEA NAME: Chicago Public Schools UNIT NUMBER: 66281 BUIDLING ID: 7940
CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Wayne Gardner
SCHOOL NAME: Chicago Math and Science Academy HS
INSPECTION DATE: 5/5/2016
ADDRESS: 7212 N. Clark IDPH LICENSE NO: 100-19039
INFORMATION FROM PREVIOUS INSPECTION
HOMOGENEOUS AREA: 08
MATERIAL DESCRIPTION: 12"x12" Gray w/ Black and Brown Floor Tile
HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage
HISTORICAL DAMAGE REASON:
HISTORICAL RESPONSE ACTION: Follow O&M Plan
ASBESTOS TYPE: Assumed FRIABLE: No
RESULTS OF REINSPECTION AND REASSESSMENT
This homogeneous area was reinspected and reassessed in accordance with Section 763.85 and 763.88 of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection.
The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage
DAMAGE REASON:
DISTURBANCE POTENTIAL: LOW
MATERIAL LOCATION: Hallway Near Room 308 and Near 503 Restroom
MATERIAL QUANTITY: 400 MATERIAL UNITS: SF
DAMAGE QUANTITY: DAMAGE UNITS: SF
COMMENTS:
Inspector's Signature: Date: 05/05/2016
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Chicago Public Schools
GSG Consultants, Inc.
2016 AHERA REINSPECTION
Management Planner Review FormLEA NAME: Chicago Public Schools UNIT NUMBER: 66281 BUIDLING ID: 7940
CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Guillermo Garcia
SCHOOL NAME: Chicago Math and Science Academy HS
REVIEW DATE: 7/14/2016
ADDRESS: 7212 N. Clark IDPH LICENSE NO: 100-19039
HOMOGENEOUS AREA: 08
MATERIAL DESCRIPTION: 12"x12" Gray w/ Black and Brown Floor Tile
MATERIAL LOCATION: Hallway Near Room 308 and Near 503 Restroom
MATERIAL QUANTITY: 400 MATERIAL UNITS: SF
DAMAGE QUANTITY: 0 DAMAGE UNITS: SF
In accordance with Sections 763.88 and 763.90 of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections 763.88 and 763.90 with the following recommendations.
The RESPONSE ACTION recommendation is:
Follow O&M Plan
Comments:
Management Planner's Signature: Date: 07/14/2016
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Chicago Public Schools
GSG Consultants, Inc.
2016 AHERA REINSPECTION
Inspector Assessment Form (REASSESSMENT) LEA NAME: Chicago Public Schools UNIT NUMBER: 66281 BUIDLING ID: 7940
CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Wayne Gardner
SCHOOL NAME: Chicago Math and Science Academy HS
INSPECTION DATE: 5/5/2016
ADDRESS: 7212 N. Clark IDPH LICENSE NO: 100-19039
INFORMATION FROM PREVIOUS INSPECTION
HOMOGENEOUS AREA: 08A
MATERIAL DESCRIPTION: 12"x12" Gray with Black and Brown Floor Tile Mastic
HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage
HISTORICAL DAMAGE REASON:
HISTORICAL RESPONSE ACTION: Follow O&M Plan
ASBESTOS TYPE: Assumed FRIABLE: No
RESULTS OF REINSPECTION AND REASSESSMENT
This homogeneous area was reinspected and reassessed in accordance with Section 763.85 and 763.88 of AHERA and it's condition HAS NOT CHANGED when compared to the conditions of the last AHERA reinspection.
The current AHERA DAMAGE CATEGORY is determined to be 6. ACBM with the potential for damage
DAMAGE REASON:
DISTURBANCE POTENTIAL: LOW
MATERIAL LOCATION: Hallway near Room 308 and near 503 Restroom
MATERIAL QUANTITY: 400 MATERIAL UNITS: SF
DAMAGE QUANTITY: DAMAGE UNITS: SF
COMMENTS:
Inspector's Signature: Date: 05/05/2016
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Chicago Public Schools
GSG Consultants, Inc.
2016 AHERA REINSPECTION
Management Planner Review FormLEA NAME: Chicago Public Schools UNIT NUMBER: 66281 BUIDLING ID: 7940
CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Guillermo Garcia
SCHOOL NAME: Chicago Math and Science Academy HS
REVIEW DATE: 7/14/2016
ADDRESS: 7212 N. Clark IDPH LICENSE NO: 100-19039
HOMOGENEOUS AREA: 08A
MATERIAL DESCRIPTION: 12"x12" Gray with Black and Brown Floor Tile Mastic
MATERIAL LOCATION: Hallway near Room 308 and near 503 Restroom
MATERIAL QUANTITY: 400 MATERIAL UNITS: SF
DAMAGE QUANTITY: 0 DAMAGE UNITS: SF
In accordance with Sections 763.88 and 763.90 of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections 763.88 and 763.90 with the following recommendations.
The RESPONSE ACTION recommendation is:
Follow O&M Plan
Comments:
Management Planner's Signature: Date: 07/14/2016
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Chicago Public Schools
GSG Consultants, Inc.
2016 AHERA REINSPECTION
Inspector Assessment Form (REASSESSMENT) LEA NAME: Chicago Public Schools UNIT NUMBER: 66281 BUIDLING ID: 7940
CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Wayne Gardner
SCHOOL NAME: Chicago Math and Science Academy HS
INSPECTION DATE: 5/5/2016
ADDRESS: 7212 N. Clark IDPH LICENSE NO: 100-19039
INFORMATION FROM PREVIOUS INSPECTION
HOMOGENEOUS AREA: 09
MATERIAL DESCRIPTION: 2'x4' White Smooth Ceiling Tile
HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage
HISTORICAL DAMAGE REASON:
HISTORICAL RESPONSE ACTION: Follow O&M Plan
ASBESTOS TYPE: Assumed 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 6. ACBM with the potential for damage
DAMAGE REASON:
DISTURBANCE POTENTIAL: LOW
MATERIAL LOCATION: Kitchen
MATERIAL QUANTITY: 450 MATERIAL UNITS: SF
DAMAGE QUANTITY: DAMAGE UNITS: SF
COMMENTS:
Inspector's Signature: Date: 05/05/2016
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Chicago Public Schools
GSG Consultants, Inc.
2016 AHERA REINSPECTION
Management Planner Review FormLEA NAME: Chicago Public Schools UNIT NUMBER: 66281 BUIDLING ID: 7940
CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Guillermo Garcia
SCHOOL NAME: Chicago Math and Science Academy HS
REVIEW DATE: 7/14/2016
ADDRESS: 7212 N. Clark IDPH LICENSE NO: 100-19039
HOMOGENEOUS AREA: 09
MATERIAL DESCRIPTION: 2'x4' White Smooth Ceiling Tile
MATERIAL LOCATION: Kitchen
MATERIAL QUANTITY: 450 MATERIAL UNITS: SF
DAMAGE QUANTITY: 0 DAMAGE UNITS: SF
In accordance with Sections 763.88 and 763.90 of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections 763.88 and 763.90 with the following recommendations.
The RESPONSE ACTION recommendation is:
Follow O&M Plan
Comments:
Management Planner's Signature: Date: 07/14/2016
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Chicago Public Schools
GSG Consultants, Inc.
2016 AHERA REINSPECTION
Inspector Assessment Form (REASSESSMENT) LEA NAME: Chicago Public Schools UNIT NUMBER: 66281 BUIDLING ID: 7940
CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Wayne Gardner
SCHOOL NAME: Chicago Math and Science Academy HS
INSPECTION DATE: 5/5/2016
ADDRESS: 7212 N. Clark IDPH LICENSE NO: 100-19039
INFORMATION FROM PREVIOUS INSPECTION
HOMOGENEOUS AREA: 10
MATERIAL DESCRIPTION: Plaster
HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage
HISTORICAL DAMAGE REASON:
HISTORICAL RESPONSE ACTION: Follow O&M Plan
ASBESTOS TYPE: Assumed 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 6. ACBM with the potential for damage
DAMAGE REASON:
DISTURBANCE POTENTIAL: LOW
MATERIAL LOCATION: Main Electrical Closet
MATERIAL QUANTITY: 50 MATERIAL UNITS: SF
DAMAGE QUANTITY: DAMAGE UNITS: SF
COMMENTS:
Inspector's Signature: Date: 05/05/2016
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Chicago Public Schools
GSG Consultants, Inc.
2016 AHERA REINSPECTION
Management Planner Review FormLEA NAME: Chicago Public Schools UNIT NUMBER: 66281 BUIDLING ID: 7940
CITY/STATE: Chicago, Illinois MANAGEMENT PLANNER: Guillermo Garcia
SCHOOL NAME: Chicago Math and Science Academy HS
REVIEW DATE: 7/14/2016
ADDRESS: 7212 N. Clark IDPH LICENSE NO: 100-19039
HOMOGENEOUS AREA: 10
MATERIAL DESCRIPTION: Plaster
MATERIAL LOCATION: Main Electrical Closet
MATERIAL QUANTITY: 50 MATERIAL UNITS: SF
DAMAGE QUANTITY: 0 DAMAGE UNITS: SF
In accordance with Sections 763.88 and 763.90 of the Asbestos Hazard Emergency Response Act (AHERA) the LEA must select a management planner to review the results of the inspection and assessment and recommend appropriate response actions. The original inspection of the above identified homogeneous area has been reviewed in accordance with Sections 763.88 and 763.90 with the following recommendations.
The RESPONSE ACTION recommendation is:
Follow O&M Plan
Comments:
Management Planner's Signature: Date: 07/14/2016
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Chicago Public Schools
GSG Consultants, Inc.
2016 AHERA REINSPECTION
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APPENDIX B
Inspector and Management Planner Licenses
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APPENDIX C
Laboratory Accreditations
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APPENDIX D
Laboratory Results
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APPENDIX E
Chain of Custody Forms
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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