ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR...

ILLINOIS DEPARTMENT OF PUBLIC HEALTHAHERA THREE YEAR REINSPECTIONASBESTOS ABATEMENT PROGRAM

SCHOOL INFORMATION FORM

SECTION I

NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299SCHOOL ID NUMBER: 14-016-2990-2293SCHOOL NAME: Kellogg SchoolADDRESS OF SCHOOL: 9241 S LeavittCITY: Chicago, IL, 60620

DATE LAST THREE YEAR REINSPECTION WAS COMPLETED 2/11/2013If 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: 8/11/2016 ENROLLMENT 251

IDPH INSPECTOR LICENSE NUMBER: 100-11255

IDPH LICENSED INSPECTOR NAME (Please Print): Esteban Nunez

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

8/11/2016

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

Kellogg School

9241 S LeavittChicago, IL, 60620

Unit: 23971Building ID: 4240

IDPH ID Number: 14-016-2990-2293

REPORT DATE:Thursday, August 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

March 23, 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: 23971 Region: 06 IDPH ID: 14-016-2990-2293

School: Kellogg School Building ID: 4240

Address: 9241 S Leavitt

Chicago, IL, 60620

Building Contact: Kennedy, Patrick Contact Phone: 312-543-1706

Current Building Owners: Chicago Public Schools

Review Date: 07/05/2016

Inspector: Esteban Nunez Inspector IDPH License: 100-11255Management 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: March 23, 2016

RE: Kellogg School, Unit 23971 9241 S Leavitt Chicago, IL, 60620

Dear Faculty, Staff and Parents,

This letter is to notify you that the 2016 asbestos three year re-inspection has been completed at Kellogg School , following the Federal Asbestos Hazard Emergency Response Act (AHERA), 40 CFR Part 763, Subpart E and is available for your review at the main office of the school.

Although asbestos-containing materials have been identified at Kellogg School, there is no reason to believe that any threat to the health of students or staff exists at this time. CPS will continue to carefullymonitor the condition of asbestos-containing materials and if conditions warrant, all appropriate steps will be taken to maintain the health and safety of all building occupants.

If you have any questions regarding this matter or require additional information, please feel free to contact Robert Christlieb, the designated Local Education Authority's Designated Person at (773) 553-3197 .

Table of Contents

I. School and Inspection Information

II. Executive Summary

III. Methodology

IV. Abatement History

V. Reassessments and Recommendations

VI. Conclusions

Table I: Inspector's Reinspection Findings

Table II: Management Planner's Review

APPENDICES:

Appendix A: Assessment Sheets, Drawings and Photos

Appendix B: Inspector and Management Planner Licenses

Appendix C: Laboratory Accreditations

Appendix D: Laboratory Results

Appendix E: Chain of Custody Forms

SCHOOL AND INSPECTION INFORMATION

1. School Information

School: Kellogg School Unit: 23971 Region: 06Address: 9241 S Leavitt Chicago, IL, 60620IDPH ID: 14-016-2990-2293 Building ID: 4240Contact: Kennedy, Patrick Phone: 312-543-1706

2. Description of Facility

Original Construction: 1937 Additional Construction: 1954Total Square Footage: 18315 No of Floors: 2Current Occupancy: 251

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: Esteban Nunez

Signature: Inspector IDPH license # 100-11255 Date: 3/23/2016

6. Management Planner

Management Planner Name: Jigar Shah

Signature: Management Planner IDPH license # 100-07342 Date: 07/05/2016

7. Review Date: 07/05/2016

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: 8/11/2016

Name: Robert Christlieb

Unit : 23971 Kellogg School Building: 4240

Unit: 23971 Kellogg School Building: 4240

II. EXECUTIVE SUMMARY

GSG Consultants, Inc. was retained by the Chicago Public Schools (CPS) to perform a three-year asbestos reinspection of the Kellogg School. This inspection was conducted in accordance with the United States Environmental Protection Agency (USEPA) Asbestos Hazard Emergency Response Act (AHERA) part 763.92 (b), and the ongoing Operations and Maintenance Program (O&M) originally designed in the School's Asbestos Management Plan.The purpose of this three-year reinspection is to record any condition changes in the asbestos-containing building material (ACBM) in the school since the previous three-year reinspection and the six-month periodic surveillance, to identify, assess, and include any Homogeneous Areas (HA) not identified in the Management Plan, and to recommend an appropriate response action to manage asbestos.

The inspector conducted a three-year reinspection of this facility under Illinois Department of Public Health (IDPH) school reinspection requirements and AHERA, sections 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 4240:

C Aircell pipe insulation

D Aircell joints


B. The following new homogenous areas have been identified for Building 4240:

35 12x12 Yellow VFT

35A 12x12 Yellow VFT Mastic

36 12x12 Gray VFT

36A 12x12 Gray VFT Mastic


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

01B 12x12 taupe floor tile01C 12x12 crème floor tile01D 12x12 blue floor tile07C 12x12 crème floor tile mastic (not observed)07D 12x12 blue floor tile mastic10 1x1 acoustical ceiling tile mastic17 Brown hardcoat plaster18 Brown hardcoat plaster19 Blue carpet mastic (not observed)20 Violet carpet Mastic21 Brown Baseboard21A Brown baseboard mastic22 2x2 ceiling tile23 12"X 12" White Floor Tile24 12"X 12" White Floor Tile Mastic25 Vinyl Flooring Mastic26 2'X 2' Ceiling Tile27 Brown, Orange & Tan Patterned Ceramic Tile Grout28 Brown, Orange & Tan Patterned Ceramic Tile

Adhesive29 Grey Speckled Terrazzo30 1'x1' White Ceiling Tile31 12x12 Tan Streaked VFT31A 12x12 Tan Streaked VFT Mastic32 12x12 Tan Streaked VFT32A 12x12 Tan Streaked VFT Mastic33 12x12 Blue Streaked VFT33A 12x12 Blue Streaked VFT Mastic34 12x12 Blue Streaked VFT34A 12x12 Blue Streaked VFT Mastic35 12x12 Yellow VFT35A 12x12 Yellow VFT Mastic36 12x12 Gray VFT36A 12x12 Gray VFT MasticI Horse Hair Duct InsulationS Horse hair duct insulation

The following areas were deemed to be inaccessible:

07C 12x12 crème floor tile mastic (not observed)


07D 12x12 blue floor tile mastic10 1x1 acoustical ceiling tile mastic22 2x2 ceiling tile28 Brown, Orange & Tan Patterned Ceramic Tile

Adhesive31A 12x12 Tan Streaked VFT Mastic32A 12x12 Tan Streaked VFT Mastic33A 12x12 Blue Streaked VFT Mastic35A 12x12 Yellow VFT MasticC Aircell pipe insulationI Horse Hair Duct InsulationL Aircell pipe insulationM Aircell jointsN Cardboard pipe insulationO Cardboard jointsP Incinerator insulation (Not Observed)S Horse hair duct insulationT Mag Duct insulation

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 Esteban Nunez, IDPH License # 100-11255. The Management Plan was updated by Jigar Shah, IDPH License # 100-07342. Inspector and Management Planner Licenses are included in Appendix B.


III. METHODOLOGY

Tasks performed on-site included the following:

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

2. Examine and verify abatement records.

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

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

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

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

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

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

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

Abatement Dates:

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

VI. CONCLUSIONSThe Kellogg School Building 4240 Three-Year reinspection has been completed and response actions have been recommendedfor both friable and non-friable materials. A timely execution of the response actions recommended will enable the LEA and theDesignated Person(s) to effectively manage the existing ACBM.

This three-year reinspection report should be inspected in the current Management plan at the CPS Central Office, and one (1)copy should be kept at the school for use when planning any renovation and/or demolition activities in areas where ACBM hasbeen identified. Also, periodic surveillance documentation and any summary reports from any response actions that are executedat the school should be used to update the Management Plan.

Table IInspector's Reinspection Findings

Chicago Public Schools School Kellogg School Unit 23971 Building ID 4240 Address 9241 S Leavitt Region 06

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

01A 12x12 orange speckled floor tile (ABATED)

1st & 2nd floor corridors-1937 building

ABATED MISC None Low

01B 12x12 taupe floor tile 500 SF Rm 205((Rooms 200, 201, 201B, 203, 100, 101,103 -abated))

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

MODERATE

01C 12x12 crème floor tile 690 SF Room 200 ASSUMED MISC N NONE 0 No ACBM with the potential for damage

MODERATE

01D 12x12 blue floor tile 1,005 SF room 201 ((202, teacher's lounge- abated))


MODERATE

02 White hardcoat plaster 23,200 SF 1937 building walls NO_ACBM SURFACE No06 Hardcoat plaster 8,400 SF 1954 addtion-walls NO_ACBM SURFACE No07A 12x12 orange speckled floor tile mastic

(ABATED)1st & 2nd floor corridor-1937 building


07B 12x12 Taupe floor tile mastic 500 SF Rm 205((Rooms 200, 201, 201B, 203, 100, 101,103 -abated))

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

LOW

07C 12x12 crème floor tile mastic (not observed)

690 SF room 200 ASSUMED MISC N NONE 0 No ACBM with the potential for damage

LOW

07D 12x12 blue floor tile mastic 1,005 SF Rooms: 201 & 202, teachers lounge


LOW

08A 12x12 orange speckled floor tile mastic-ABATED

1st & 2nd floor corridors-1954 addition


08B 12x12 taupe floor tile mastic 600 SF Room 205, lunchroom office, stage wings


LOW

09A 12x12 orange speckled floor tile-ABATED 1st & 2nd floor corridors-1954 addition

ABATED MISC None

09B 12x12 taupe floor tile 600 SF Room 205, lunchroom office, stage wings


MODERATE

10 1x1 acoustical ceiling tile mastic 1,000 SF Library ASSUMED MISC Y NONE 0 No ACBM with the potential for damage

LOW

11 9x9 black floor tile (under existing floor tile)- ABATED

2nd floor corridor-1937 building

ABATED MISC None

12 9x9 red floor tile (under existing Floor Tile)- ABATED

2nd floor corridor-1937 building


13 9x9 black floor tile mastic-ABATED 2nd floor corridor- ABATED MISC None Low







Material Units


Material Category

Friable Damage Type

Damage Quantity



1937 building (underexisting Floor Tile)

14 9x9 red floor tile mastic-ABATED 2nd floor corridor-1937 building (underexisting Floor Tile)


15 Interior window glazing - (ABATED 2002) All windows-1937 building - abated

ABATED MISC

16 Interior window glazing (ABATED 2002) All windows-1954 addition

ABATED MISC

17 Brown hardcoat plaster 23,200 SF 1937 building-Walls ASSUMED SURFACE Y NONE 0 No ACBM with the potential for damage

MODERATE

18 Brown hardcoat plaster 8,400 SF 1954 addition-Walls ASSUMED SURFACE Y NONE 0 No ACBM with the potential for damage

MODERATE

19 Blue carpet mastic (not observed) 2,000 SF Room 102, 204 (library)


LOW

20 Violet carpet Mastic 1,000 SF Main office, principal's office


LOW

21 Brown Baseboard 14 LF Principal's office ASSUMED MISC N NONE 0 No ACBM with the potential for damage

LOW

21A Brown baseboard mastic 14 LF Principal's office ASSUMED MISC N NONE 0 No ACBM with the potential for damage

LOW

22 2x2 ceiling tile 2,100 SF Gym ASSUMED MISC Y NONE 0 No ACBM with the potential for damage

LOW

23 12"X 12" White Floor Tile 3,500 SF Rms 001, 002, 003, 004, Corridor, WaterHeater Closet , Closets (MOBILE UNIT)


MODERATE

24 12"X 12" White Floor Tile Mastic 3,500 SF Rms 001,002,003,004, Corridor, Water Heater Closet, Closets (MOBILE UNIT)


LOW

25 Vinyl Flooring Mastic 1,000 SF Washrooms (MobileUnit)


LOW

26 2'X 2' Ceiling Tile 3,500 SF Throughout Mobile Unit

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

LOW

27 Brown, Orange & Tan Patterned Ceramic Tile Grout

2,408 SF 1st & 2nd Floor Girl's & Boy's Washrooms, Gym Washrooms, West-Northeast-Southeast & Gym Entrances


LOW







Material Units


Material Category

Friable Damage Type

Damage Quantity



28 Brown, Orange & Tan Patterned Ceramic Tile Adhesive



LOW

29 Grey Speckled Terrazzo 1,000 SF North & South Stairwells


LOW

30 1'x1' White Ceiling Tile 3,624 SF 2nd Floor Library ASSUMED MISC Y NONE 0 No ACBM with the potential for damage

MODERATE

31 12x12 Tan Streaked VFT 1,800 SF 1st Floor Corridor-1937 Building

ASSUMED MISC N NONE 0 ACBM with the potential for damage

MODERATE

31A 12x12 Tan Streaked VFT Mastic 1,800 SF 1st Floor Corridor- 1937 Building


LOW

32 12x12 Tan Streaked VFT 350 SF 1st Floor Corridor- 1954 Building


MODERATE

32A 12x12 Tan Streaked VFT Mastic 350 SF 1st Floor Corridor- 1954 Addition


LOW

33 12x12 Blue Streaked VFT 7,000 SF 2nd Floor Corridor, Room 100, 101, 102,103, 200, 201, 201B,203 - 1937 Building


MODERATE

33A 12x12 Blue Streaked VFT Mastic 2,600 SF 2nd Floor Corridor, Room 102 r-1937 Building


LOW

34 12x12 Blue Streaked VFT 2,500 SF 2nd Floor Corridor -1954 Addition


MODERATE

34A 12x12 Blue Streaked VFT Mastic 2,500 SF 2nd Floor Corridor- 1954 Addition


LOW

35 12x12 Yellow VFT 150 SF Teachers Lounge ASSUMED MISC N NONE 0 ACBM with the potential for damage

MODERATE

35A 12x12 Yellow VFT Mastic 150 SF Teachers lounge ASSUMED MISC N NONE 0 ACBM with the potential for damage

LOW

36 12x12 Gray VFT 500 SF Rm 202 ASSUMED MISC N NONE 0 ACBM with the potential for damage

MODERATE

36A 12x12 Gray VFT Mastic 500 SF Rm 202 ASSUMED MISC N NONE 0 ACBM with the potential for damage

LOW

C Aircell pipe insulation 1,132 LF 1937 building-basement

CHR TSI Y NONE 0 Yes ACBM with the potential for damage

MODERATE

D Aircell joints 152 LF 1937 building-basement

CHR TSI Y NONE 0 Yes ACBM with the potential for damage

MODERATE

E Cardboard pipe insulation 800 LF 1954-crawlspace (No Access)

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

Moderate

F Cardboard joints 84 FITTING 1937 building- CHR TSI Y NONE 0 No ACBM with the MODERATE







Material Units


Material Category

Friable Damage Type

Damage Quantity



basement potential for damageG Mag block pipe insulation 35 LF Basement-1937

buildingCHR TSI Y NONE 0 No ACBM with the

potential for damageMODERATE

H Aircell duct insulation 800 SF Basement-1937 building

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

MODERATE

I Horse Hair Duct Insulation 600 SF Basement-1937 building

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

LOW

K Insulation in Fire Rated Doors 6 EA Gym & Basement CHR TSI N NONE 0 No ACBM with the potential for damage

LOW

L Aircell pipe insulation 80 LF Basement-1954 addition


MODERATE

M Aircell joints 16 FITTING Basement-1954 addition


MODERATE

N Cardboard pipe insulation 20 LF Basement-1937 Building


MODERATE

O Cardboard joints 5 FITTING Basement-1954 addition


MODERATE

P Incinerator insulation (Not Observed) 25 SF Basement-1937 building

NO_ACBM TSI No

Q Boiler gasket (ABATED 2002) Basement-1937 building

ABATED TSI

R Boiler brick (ABATED 2002) Basement-1937 building

ABATED TSI

S Horse hair duct insulation 140 SF Basement-1954 additon

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

LOW

T Mag Duct insulation 4 SF 1937 crawlspace (No Access)


LOW






Reinspection Date 3/23/2016

Inspector Name Esteban Nunez

100-11255 2/13/2017Inspector's IDPH License Number / Expiration Date

Inspector's Comments

HA Number: Inspector Comments:01A01B01C01D020607A07B07C07D08A08B09A09B10111213141516171819






HA Number: Inspector Comments:202121A2223242526272829303131A3232A3333A3434A3535A3636ACDEFG






HA Number: Inspector Comments:HIKLMNOPQRST

Table II

Management Planner's Review

Chicago Public SchoolsSchool Kellogg School Unit 23971 Building ID 4240

Address 9241 S Leavitt Chicago, IL, 60620 Region 06

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

01A 12x12 orange speckled floor tile (ABATED) 1st & 2nd floor corridors-1937 building Abated MISC 01B 12x12 taupe floor tile 500 SF Rm 205

((Rooms 200, 201, 201B, 203, 100, 101, 103 -abated))

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

01C 12x12 crème floor tile 690 SF Room 200 Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan01D 12x12 blue floor tile 1,005 SF room 201

((202, teacher's lounge- abated))Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan

02 White hardcoat plaster 23,200 SF 1937 building walls No ACBM SURFACE SF 06 Hardcoat plaster 8,400 SF 1954 addtion-walls No ACBM SURFACE SF 07A 12x12 orange speckled floor tile mastic (ABATED) 1st & 2nd floor corridor-1937 building Abated MISC 07B 12x12 Taupe floor tile mastic 500 SF Rm 205

((Rooms 200, 201, 201B, 203, 100, 101, 103 -abated))

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

07C 12x12 crème floor tile mastic (not observed) 690 SF room 200 Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan07D 12x12 blue floor tile mastic 1,005 SF Rooms: 201 & 202, teachers lounge Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan08A 12x12 orange speckled floor tile mastic-ABATED 1st & 2nd floor corridors-1954 addition Abated MISC 08B 12x12 taupe floor tile mastic 600 SF Room 205, lunchroom office, stage

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

09A 12x12 orange speckled floor tile-ABATED 1st & 2nd floor corridors-1954 addition Abated MISC 09B 12x12 taupe floor tile 600 SF Room 205, lunchroom office, stage

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

10 1x1 acoustical ceiling tile mastic 1,000 SF Library Assumed MISC Yes 0 SF 6 ACBM with the potential for damage Follow O&M Plan11 9x9 black floor tile (under existing floor tile)-

ABATED 2nd floor corridor-1937 building Abated MISC

12 9x9 red floor tile (under existing Floor Tile)- ABATED

2nd floor corridor-1937 building Abated MISC

13 9x9 black floor tile mastic-ABATED 2nd floor corridor-1937 building (under existing Floor Tile)

Abated MISC

14 9x9 red floor tile mastic-ABATED 2nd floor corridor-1937 building (under existing Floor Tile)

Abated MISC

15 Interior window glazing - (ABATED 2002) All windows-1937 building - abated Abated MISC 16 Interior window glazing (ABATED 2002) All windows-1954 addition Abated MISC 17 Brown hardcoat plaster 23,200 SF 1937 building-Walls Assumed SURFACE Yes 0 SF 6 ACBM with the potential for damage Follow O&M Plan18 Brown hardcoat plaster 8,400 SF 1954 addition-Walls Assumed SURFACE Yes 0 SF 6 ACBM with the potential for damage Follow O&M Plan19 Blue carpet mastic (not observed) 2,000 SF Room 102, 204 (library) Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan20 Violet carpet Mastic 1,000 SF Main office, principal's office 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


21 Brown Baseboard 14 LF Principal's office Assumed MISC No 0 LF 6 ACBM with the potential for damage Follow O&M Plan21A Brown baseboard mastic 14 LF Principal's office Assumed MISC No 0 LF 6 ACBM with the potential for damage Follow O&M Plan22 2x2 ceiling tile 2,100 SF Gym Assumed MISC Yes 0 SF 6 ACBM with the potential for damage Follow O&M Plan23 12"X 12" White Floor Tile 3,500 SF Rms 001, 002, 003, 004, Corridor,

Water Heater Closet , Closets (MOBILEUNIT)


24 12"X 12" White Floor Tile Mastic 3,500 SF Rms 001,002,003,004, Corridor, Water Heater Closet, Closets (MOBILE UNIT)


25 Vinyl Flooring Mastic 1,000 SF Washrooms (Mobile Unit) Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan26 2'X 2' Ceiling Tile 3,500 SF Throughout Mobile Unit Assumed MISC Yes 0 SF 6 ACBM with the potential for damage Follow O&M Plan27 Brown, Orange & Tan Patterned Ceramic Tile

Grout2,408 SF 1st & 2nd Floor Girl's & Boy's

Washrooms, Gym Washrooms, West-Northeast-Southeast & Gym Entrances


28 Brown, Orange & Tan Patterned Ceramic Tile Adhesive



29 Grey Speckled Terrazzo 1,000 SF North & South Stairwells Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan30 1'x1' White Ceiling Tile 3,624 SF 2nd Floor Library Assumed MISC Yes 0 SF 6 ACBM with the potential for damage Follow O&M Plan31 12x12 Tan Streaked VFT 1,800 SF 1st Floor Corridor-1937 Building Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan31A 12x12 Tan Streaked VFT Mastic 1,800 SF 1st Floor Corridor- 1937 Building Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan32 12x12 Tan Streaked VFT 350 SF 1st Floor Corridor- 1954 Building Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan32A 12x12 Tan Streaked VFT Mastic 350 SF 1st Floor Corridor- 1954 Addition Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan33 12x12 Blue Streaked VFT 7,000 SF 2nd Floor Corridor, Room 100, 101,

102, 103, 200, 201, 201B, 203 - 1937 Building


33A 12x12 Blue Streaked VFT Mastic 2,600 SF 2nd Floor Corridor, Room 102 r-1937 Building


34 12x12 Blue Streaked VFT 2,500 SF 2nd Floor Corridor -1954 Addition Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan34A 12x12 Blue Streaked VFT Mastic 2,500 SF 2nd Floor Corridor- 1954 Addition Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan35 12x12 Yellow VFT 150 SF Teachers Lounge Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan35A 12x12 Yellow VFT Mastic 150 SF Teachers lounge Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan36 12x12 Gray VFT 500 SF Rm 202 Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M Plan36A 12x12 Gray VFT Mastic 500 SF Rm 202 Assumed MISC No 0 SF 6 ACBM with the potential for damage Follow O&M PlanC Aircell pipe insulation 1,132 LF 1937 building-basement Chrysotile TSI Yes 0 LF 6 ACBM with the potential for damage Follow O&M PlanD Aircell joints 152 LF 1937 building-basement Chrysotile TSI Yes 0 LF 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


E Cardboard pipe insulation 800 LF 1954-crawlspace (No Access) Chrysotile TSI Yes 0 LF 6 ACBM with the potential for damage Follow O&M PlanF Cardboard joints 84 FITTING 1937 building-basement Chrysotile TSI Yes 0 FITTING 6 ACBM with the potential for damage Follow O&M PlanG Mag block pipe insulation 35 LF Basement-1937 building Chrysotile TSI Yes 0 LF 6 ACBM with the potential for damage Follow O&M PlanH Aircell duct insulation 800 SF Basement-1937 building Chrysotile TSI Yes 0 SF 6 ACBM with the potential for damage Follow O&M PlanI Horse Hair Duct Insulation 600 SF Basement-1937 building Assumed TSI Yes 0 SF 6 ACBM with the potential for damage Follow O&M PlanK Insulation in Fire Rated Doors 6 EA Gym & Basement Chrysotile TSI No 0 EA 6 ACBM with the potential for damage Follow O&M PlanL Aircell pipe insulation 80 LF Basement-1954 addition Chrysotile TSI Yes 0 LF 6 ACBM with the potential for damage Follow O&M PlanM Aircell joints 16 FITTING Basement-1954 addition Chrysotile TSI Yes 0 FITTING 6 ACBM with the potential for damage Follow O&M PlanN Cardboard pipe insulation 20 LF Basement-1937 Building Chrysotile TSI Yes 0 LF 6 ACBM with the potential for damage Follow O&M PlanO Cardboard joints 5 FITTING Basement-1954 addition Chrysotile TSI Yes 0 FITTING 6 ACBM with the potential for damage Follow O&M PlanP Incinerator insulation (Not Observed) 25 SF Basement-1937 building No ACBM TSI SF Q Boiler gasket (ABATED 2002) Basement-1937 building Abated TSI R Boiler brick (ABATED 2002) Basement-1937 building Abated TSI S Horse hair duct insulation 140 SF Basement-1954 additon Assumed TSI Yes 0 SF 6 ACBM with the potential for damage Follow O&M PlanT Mag Duct insulation 4 SF 1937 crawlspace (No Access) Chrysotile TSI Yes 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 7/5/2016

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

HA Number Management Comments01A01B01C01D020607A07B07C07D08A08B09A09B1011121314151617







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

Management Planner's Comments Summarized at the End of the ReportHA Number Management Comments1819202121A2223242526272829303131A3232A3333A3434A3535A3636AC







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

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

Chicago Public Schools

GSG Consultants, Inc.

2016 AHERA REINSPECTION

Inspector Assessment Form (REASSESSMENT) LEA NAME: Chicago Public Schools UNIT NUMBER: 23971 BUIDLING ID: 4240

CITY/STATE: Chicago, Illinois AHERA INSPECTOR: Esteban Nunez

SCHOOL NAME: Kellogg School INSPECTION DATE: 3/23/2016

ADDRESS: 9241 S Leavitt IDPH LICENSE NO: 100-11255

INFORMATION FROM PREVIOUS INSPECTION

HOMOGENEOUS AREA: 01A

MATERIAL DESCRIPTION: 12x12 orange speckled floor tile (ABATED)

HISTORICAL AHERA DAMAGE CATEGORY ACBM with the potential for damage

HISTORICAL DAMAGE REASON:

HISTORICAL RESPONSE ACTION:

ASBESTOS TYPE: Abated FRIABLE:

RESULTS OF REINSPECTION AND REASSESSMENT

This homogeneous area was reinspected and reassessed in accordance with Section 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 .

DAMAGE REASON:

DISTURBANCE POTENTIAL: Low

MATERIAL LOCATION: 1st & 2nd floor corridors-1937 building

MATERIAL QUANTITY: MATERIAL UNITS:

DAMAGE QUANTITY: DAMAGE UNITS:

COMMENTS:

Inspector's Signature: Date: 03/23/2016




Management Planner Review FormLEA NAME: Chicago Public Schools UNIT NUMBER: 23971 BUIDLING ID: 4240

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

SCHOOL NAME: Kellogg School REVIEW DATE: 7/5/2016



MATERIAL DESCRIPTION: 12x12 orange speckled floor tile (ABATED)

MATERIAL LOCATION: 1st & 2nd floor corridors-1937 building



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

The RESPONSE ACTION recommendation is:

Comments:

Management Planner's Signature: Date: 07/05/2016









HOMOGENEOUS AREA: 01B

MATERIAL DESCRIPTION: 12x12 taupe floor tile

HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with the potential for damage


HISTORICAL RESPONSE ACTION: Follow O&M Plan

ASBESTOS TYPE: Assumed FRIABLE: No



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

DAMAGE REASON:

DISTURBANCE POTENTIAL: MODERATE

MATERIAL LOCATION: Rm 205((Rooms 200, 201, 201B, 203, 100, 101, 103 -abated))

MATERIAL QUANTITY: 500 MATERIAL UNITS: SF

DAMAGE QUANTITY: DAMAGE UNITS: SF

COMMENTS:













DAMAGE QUANTITY: 0 DAMAGE UNITS: SF



Follow O&M Plan

Comments:










HOMOGENEOUS AREA: 01C

MATERIAL DESCRIPTION: 12x12 crème floor tile








DAMAGE REASON:


MATERIAL LOCATION: Room 200



COMMENTS:










MATERIAL DESCRIPTION: 12x12 crème floor tile

MATERIAL LOCATION: Room 200





Follow O&M Plan

Comments:










HOMOGENEOUS AREA: 01D

MATERIAL DESCRIPTION: 12x12 blue floor tile








DAMAGE REASON:


MATERIAL LOCATION: room 201 ((202, teacher's lounge- abated))



COMMENTS:










MATERIAL DESCRIPTION: 12x12 blue floor tile

MATERIAL LOCATION: room 201 ((202, teacher's lounge- abated))





Follow O&M Plan

Comments:










HOMOGENEOUS AREA: 02

MATERIAL DESCRIPTION: White hardcoat plaster

HISTORICAL AHERA DAMAGE CATEGORY



ASBESTOS TYPE: No ACBM FRIABLE:




DAMAGE REASON:

DISTURBANCE POTENTIAL:

MATERIAL LOCATION: 1937 building walls



COMMENTS:










MATERIAL DESCRIPTION: White hardcoat plaster

MATERIAL LOCATION: 1937 building walls





Comments:











MATERIAL DESCRIPTION: Hardcoat plaster








DAMAGE REASON:


MATERIAL LOCATION: 1954 addtion-walls



COMMENTS:










MATERIAL DESCRIPTION: Hardcoat plaster

MATERIAL LOCATION: 1954 addtion-walls





Comments:











MATERIAL DESCRIPTION: 12x12 orange speckled floor tile mastic (ABATED)








DAMAGE REASON:


MATERIAL LOCATION: 1st & 2nd floor corridor-1937 building



COMMENTS:










MATERIAL DESCRIPTION: 12x12 orange speckled floor tile mastic (ABATED)

MATERIAL LOCATION: 1st & 2nd floor corridor-1937 building





Comments:











MATERIAL DESCRIPTION: 12x12 Taupe floor tile mastic




ASBESTOS TYPE: Chrysotile FRIABLE: No




DAMAGE REASON:

DISTURBANCE POTENTIAL: LOW




COMMENTS:










MATERIAL DESCRIPTION: 12x12 Taupe floor tile mastic






Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: 12x12 crème floor tile mastic (not observed)








DAMAGE REASON:


MATERIAL LOCATION: room 200



COMMENTS:










MATERIAL DESCRIPTION: 12x12 crème floor tile mastic (not observed)

MATERIAL LOCATION: room 200





Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: 12x12 blue floor tile mastic








DAMAGE REASON:


MATERIAL LOCATION: Rooms: 201 & 202, teachers lounge



COMMENTS:










MATERIAL DESCRIPTION: 12x12 blue floor tile mastic

MATERIAL LOCATION: Rooms: 201 & 202, teachers lounge





Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: 12x12 orange speckled floor tile mastic-ABATED








DAMAGE REASON:


MATERIAL LOCATION: 1st & 2nd floor corridors-1954 addition



COMMENTS:










MATERIAL DESCRIPTION: 12x12 orange speckled floor tile mastic-ABATED






Comments:











MATERIAL DESCRIPTION: 12x12 taupe floor tile mastic








DAMAGE REASON:


MATERIAL LOCATION: Room 205, lunchroom office, stage wings



COMMENTS:










MATERIAL DESCRIPTION: 12x12 taupe floor tile mastic






Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: 12x12 orange speckled floor tile-ABATED








DAMAGE REASON:





COMMENTS:










MATERIAL DESCRIPTION: 12x12 orange speckled floor tile-ABATED






Comments:



















DAMAGE REASON:





COMMENTS:
















Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: 1x1 acoustical ceiling tile mastic




ASBESTOS TYPE: Assumed FRIABLE: Yes




DAMAGE REASON:


MATERIAL LOCATION: Library



COMMENTS:










MATERIAL DESCRIPTION: 1x1 acoustical ceiling tile mastic

MATERIAL LOCATION: Library





Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: 9x9 black floor tile (under existing floor tile)- ABATED








DAMAGE REASON:


MATERIAL LOCATION: 2nd floor corridor-1937 building



COMMENTS:










MATERIAL DESCRIPTION: 9x9 black floor tile (under existing floor tile)- ABATED






Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: 9x9 red floor tile (under existing Floor Tile)- ABATED








DAMAGE REASON:





COMMENTS:










MATERIAL DESCRIPTION: 9x9 red floor tile (under existing Floor Tile)- ABATED






Comments:











MATERIAL DESCRIPTION: 9x9 black floor tile mastic-ABATED








DAMAGE REASON:


MATERIAL LOCATION: 2nd floor corridor-1937 building (under existing Floor Tile)



COMMENTS:










MATERIAL DESCRIPTION: 9x9 black floor tile mastic-ABATED






Comments:











MATERIAL DESCRIPTION: 9x9 red floor tile mastic-ABATED








DAMAGE REASON:





COMMENTS:










MATERIAL DESCRIPTION: 9x9 red floor tile mastic-ABATED






Comments:











MATERIAL DESCRIPTION: Interior window glazing - (ABATED 2002)








DAMAGE REASON:


MATERIAL LOCATION: All windows-1937 building - abated



COMMENTS:










MATERIAL DESCRIPTION: Interior window glazing - (ABATED 2002)

MATERIAL LOCATION: All windows-1937 building - abated





Comments:











MATERIAL DESCRIPTION: Interior window glazing (ABATED 2002)








DAMAGE REASON:


MATERIAL LOCATION: All windows-1954 addition



COMMENTS:










MATERIAL DESCRIPTION: Interior window glazing (ABATED 2002)

MATERIAL LOCATION: All windows-1954 addition





Comments:











MATERIAL DESCRIPTION: Brown hardcoat plaster

HISTORICAL AHERA DAMAGE CATEGORY 6 ACBM with potential for significant damage







DAMAGE REASON:


MATERIAL LOCATION: 1937 building-Walls



COMMENTS:











MATERIAL LOCATION: 1937 building-Walls





Follow O&M Plan

Comments:



















DAMAGE REASON:


MATERIAL LOCATION: 1954 addition-Walls



COMMENTS:











MATERIAL LOCATION: 1954 addition-Walls





Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: Blue carpet mastic (not observed)








DAMAGE REASON:


MATERIAL LOCATION: Room 102, 204 (library)



COMMENTS:










MATERIAL DESCRIPTION: Blue carpet mastic (not observed)

MATERIAL LOCATION: Room 102, 204 (library)





Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: Violet carpet Mastic








DAMAGE REASON:


MATERIAL LOCATION: Main office, principal's office



COMMENTS:










MATERIAL DESCRIPTION: Violet carpet Mastic

MATERIAL LOCATION: Main office, principal's office





Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: Brown Baseboard








DAMAGE REASON:


MATERIAL LOCATION: Principal's office

MATERIAL QUANTITY: 14 MATERIAL UNITS: LF

DAMAGE QUANTITY: DAMAGE UNITS: LF

COMMENTS:










MATERIAL DESCRIPTION: Brown Baseboard



DAMAGE QUANTITY: 0 DAMAGE UNITS: LF



Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: Brown baseboard mastic








DAMAGE REASON:





COMMENTS:










MATERIAL DESCRIPTION: Brown baseboard mastic






Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: 2x2 ceiling tile








DAMAGE REASON:


MATERIAL LOCATION: Gym



COMMENTS:










MATERIAL DESCRIPTION: 2x2 ceiling tile

MATERIAL LOCATION: Gym





Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: 12"X 12" White Floor Tile








DAMAGE REASON:


MATERIAL LOCATION: Rms 001, 002, 003, 004, Corridor, Water Heater Closet , Closets (MOBILE UNIT)



COMMENTS:










MATERIAL DESCRIPTION: 12"X 12" White Floor Tile

MATERIAL LOCATION: Rms 001, 002, 003, 004, Corridor, Water Heater Closet , Closets (MOBILE UNIT)





Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: 12"X 12" White Floor Tile Mastic








DAMAGE REASON:


MATERIAL LOCATION: Rms 001,002,003,004, Corridor, Water Heater Closet, Closets (MOBILE UNIT)



COMMENTS:










MATERIAL DESCRIPTION: 12"X 12" White Floor Tile Mastic

MATERIAL LOCATION: Rms 001,002,003,004, Corridor, Water Heater Closet, Closets (MOBILE UNIT)





Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: Vinyl Flooring Mastic








DAMAGE REASON:


MATERIAL LOCATION: Washrooms (Mobile Unit)



COMMENTS:










MATERIAL DESCRIPTION: Vinyl Flooring Mastic

MATERIAL LOCATION: Washrooms (Mobile Unit)





Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: 2'X 2' Ceiling Tile








DAMAGE REASON:


MATERIAL LOCATION: Throughout Mobile Unit



COMMENTS:










MATERIAL DESCRIPTION: 2'X 2' Ceiling Tile

MATERIAL LOCATION: Throughout Mobile Unit





Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: Brown, Orange & Tan Patterned Ceramic Tile Grout








DAMAGE REASON:


MATERIAL LOCATION: 1st & 2nd Floor Girl's & Boy's Washrooms, Gym Washrooms, West-Northeast-Southeast & Gym Entrances



COMMENTS:










MATERIAL DESCRIPTION: Brown, Orange & Tan Patterned Ceramic Tile Grout






Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: Brown, Orange & Tan Patterned Ceramic Tile Adhesive








DAMAGE REASON:





COMMENTS:










MATERIAL DESCRIPTION: Brown, Orange & Tan Patterned Ceramic Tile Adhesive






Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: Grey Speckled Terrazzo








DAMAGE REASON:


MATERIAL LOCATION: North & South Stairwells



COMMENTS:










MATERIAL DESCRIPTION: Grey Speckled Terrazzo

MATERIAL LOCATION: North & South Stairwells





Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: 1'x1' White Ceiling Tile

HISTORICAL AHERA DAMAGE CATEGORY 6 Any remaining friable ACBM or friable suspect ACBM







DAMAGE REASON:


MATERIAL LOCATION: 2nd Floor Library



COMMENTS:










MATERIAL DESCRIPTION: 1'x1' White Ceiling Tile

MATERIAL LOCATION: 2nd Floor Library





Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: 12x12 Tan Streaked VFT








DAMAGE REASON:


MATERIAL LOCATION: 1st Floor Corridor-1937 Building



COMMENTS:











MATERIAL LOCATION: 1st Floor Corridor-1937 Building





Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: 12x12 Tan Streaked VFT Mastic








DAMAGE REASON:


MATERIAL LOCATION: 1st Floor Corridor- 1937 Building



COMMENTS:
















Follow O&M Plan

Comments:



















DAMAGE REASON:





COMMENTS:
















Follow O&M Plan

Comments:



















DAMAGE REASON:


MATERIAL LOCATION: 1st Floor Corridor- 1954 Addition



COMMENTS:











MATERIAL LOCATION: 1st Floor Corridor- 1954 Addition





Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: 12x12 Blue Streaked VFT








DAMAGE REASON:


MATERIAL LOCATION: 2nd Floor Corridor, Room 100, 101, 102, 103, 200, 201, 201B, 203 - 1937 Building



COMMENTS:











MATERIAL LOCATION: 2nd Floor Corridor, Room 100, 101, 102, 103, 200, 201, 201B, 203 - 1937 Building





Follow O&M Plan

Comments:











MATERIAL DESCRIPTION: 12x12 Blue Streaked VFT Mastic








DAMAGE REASON:


MATERIAL LOCATION: 2nd Floor Corridor, Room 102 r-1937 Building



COMMENTS:











MATERIAL LOCATION: 2nd Floor Corridor, Room 102 r-1937 Building





Follow O&M Plan

Comments:



















DAMAGE REASON:


MATERIAL LOCATION: 2nd Floor Corridor -1954 Addition



COMMENTS:











MATERIAL LOCATION: 2nd Floor Corridor -1954 Addition





Follow O&M Plan

Comments:



















DAMAGE REASON:


MATERIAL LOCATION: 2nd Floor Corridor- 1954 Addition



COMMENTS:











MATERIAL LOCATION: 2nd Floor Corridor- 1954 Addition





Follow O&M Plan

Comments:










HOMOGENEOUS AREA: C

MATERIAL DESCRIPTION: Aircell pipe insulation




ASBESTOS TYPE: Chrysotile FRIABLE: Yes




DAMAGE REASON:


MATERIAL LOCATION: 1937 building-basement



COMMENTS:









HOMOGENEOUS AREA: C







Follow O&M Plan

Comments:










HOMOGENEOUS AREA: D

MATERIAL DESCRIPTION: Aircell joints








DAMAGE REASON:





COMMENTS:









HOMOGENEOUS AREA: D







Follow O&M Plan

Comments:










HOMOGENEOUS AREA: E

MATERIAL DESCRIPTION: Cardboard pipe insulation








DAMAGE REASON:

DISTURBANCE POTENTIAL: Moderate

MATERIAL LOCATION: 1954-crawlspace (No Access)



COMMENTS:









HOMOGENEOUS AREA: E


MATERIAL LOCATION: 1954-crawlspace (No Access)





Follow O&M Plan

Comments:










HOMOGENEOUS AREA: F

MATERIAL DESCRIPTION: Cardboard joints








DAMAGE REASON:



MATERIAL QUANTITY: 84 MATERIAL UNITS: FITTING

DAMAGE QUANTITY: DAMAGE UNITS: FITTING

COMMENTS:









HOMOGENEOUS AREA: F




DAMAGE QUANTITY: 0 DAMAGE UNITS: FITTING



Follow O&M Plan

Comments:










HOMOGENEOUS AREA: G

MATERIAL DESCRIPTION: Mag block pipe insulation








DAMAGE REASON:


MATERIAL LOCATION: Basement-1937 building



COMMENTS:









HOMOGENEOUS AREA: G

MATERIAL DESCRIPTION: Mag block pipe insulation






Follow O&M Plan

Comments:










HOMOGENEOUS AREA: H

MATERIAL DESCRIPTION: Aircell duct insulation








DAMAGE REASON:





COMMENTS:









HOMOGENEOUS AREA: H

MATERIAL DESCRIPTION: Aircell duct insulation






Follow O&M Plan

Comments:










HOMOGENEOUS AREA: I

MATERIAL DESCRIPTION: Horse Hair Duct Insulation








DAMAGE REASON:





COMMENTS:









HOMOGENEOUS AREA: I

MATERIAL DESCRIPTION: Horse Hair Duct Insulation






Follow O&M Plan

Comments:










HOMOGENEOUS AREA: K

MATERIAL DESCRIPTION: Insulation in Fire Rated Doors








DAMAGE REASON:


MATERIAL LOCATION: Gym & Basement

MATERIAL QUANTITY: 6 MATERIAL UNITS: EA

DAMAGE QUANTITY: DAMAGE UNITS: EA

COMMENTS:









HOMOGENEOUS AREA: K

MATERIAL DESCRIPTION: Insulation in Fire Rated Doors

MATERIAL LOCATION: Gym & Basement

MATERIAL QUANTITY: 6 MATERIAL UNITS: EA

DAMAGE QUANTITY: 0 DAMAGE UNITS: EA



Follow O&M Plan

Comments:










HOMOGENEOUS AREA: L









DAMAGE REASON:


MATERIAL LOCATION: Basement-1954 addition



COMMENTS:









HOMOGENEOUS AREA: L







Follow O&M Plan

Comments:










HOMOGENEOUS AREA: M









DAMAGE REASON:





COMMENTS:









HOMOGENEOUS AREA: M







Follow O&M Plan

Comments:










HOMOGENEOUS AREA: N









DAMAGE REASON:


MATERIAL LOCATION: Basement-1937 Building



COMMENTS:









HOMOGENEOUS AREA: N


MATERIAL LOCATION: Basement-1937 Building





Follow O&M Plan

Comments:










HOMOGENEOUS AREA: O









DAMAGE REASON:





COMMENTS:









HOMOGENEOUS AREA: O







Follow O&M Plan

Comments:










HOMOGENEOUS AREA: P

MATERIAL DESCRIPTION: Incinerator insulation (Not Observed)








DAMAGE REASON:





COMMENTS:









HOMOGENEOUS AREA: P

MATERIAL DESCRIPTION: Incinerator insulation (Not Observed)






Comments:










HOMOGENEOUS AREA: Q

MATERIAL DESCRIPTION: Boiler gasket (ABATED 2002)








DAMAGE REASON:





COMMENTS:









HOMOGENEOUS AREA: Q

MATERIAL DESCRIPTION: Boiler gasket (ABATED 2002)






Comments:










HOMOGENEOUS AREA: R

MATERIAL DESCRIPTION: Boiler brick (ABATED 2002)








DAMAGE REASON:





COMMENTS:









HOMOGENEOUS AREA: R

MATERIAL DESCRIPTION: Boiler brick (ABATED 2002)






Comments:










HOMOGENEOUS AREA: S

MATERIAL DESCRIPTION: Horse hair duct insulation








DAMAGE REASON:


MATERIAL LOCATION: Basement-1954 additon



COMMENTS:









HOMOGENEOUS AREA: S

MATERIAL DESCRIPTION: Horse hair duct insulation

MATERIAL LOCATION: Basement-1954 additon





Follow O&M Plan

Comments:










HOMOGENEOUS AREA: T

MATERIAL DESCRIPTION: Mag Duct insulation








DAMAGE REASON:


MATERIAL LOCATION: 1937 crawlspace (No Access)



COMMENTS:









HOMOGENEOUS AREA: T

MATERIAL DESCRIPTION: Mag Duct insulation

MATERIAL LOCATION: 1937 crawlspace (No Access)





Follow O&M Plan

Comments:





Inspector Assessment Form (New Homogeneous Area)

LEA NAME: Chicago Public Schools UNIT NUMBER: 23971 BUIDLING ID: 4240




INFORMATION FROM CURRENT INSPECTIONHOMOGENEOUS AREA: 36A

MATERIAL DESCRIPTION: 12x12 Gray VFT Mastic

MATERIAL LOCATION: Rm 202


MATERIAL CATEGORY: MISC FRIABLE: No

ASBESTOS TYPE: Assumed

DISTURBANCE POTENTIAL: LOW CONDITION:

AHERA DAMAGE CATEGORY: 6 ACBM with the potential for damage

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


COMMENTS:










MATERIAL DESCRIPTION: 12x12 Gray VFT Mastic




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:










INFORMATION FROM CURRENT INSPECTIONHOMOGENEOUS AREA: 35A

MATERIAL DESCRIPTION: 12x12 Yellow VFT Mastic

MATERIAL LOCATION: Teachers lounge




DISTURBANCE POTENTIAL: LOW CONDITION:


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


COMMENTS:










MATERIAL DESCRIPTION: 12x12 Yellow VFT Mastic

MATERIAL LOCATION: Teachers lounge





COMMENTS:










INFORMATION FROM CURRENT INSPECTIONHOMOGENEOUS AREA: 35

MATERIAL DESCRIPTION: 12x12 Yellow VFT

MATERIAL LOCATION: Teachers Lounge




DISTURBANCE POTENTIAL: MODERATE CONDITION:


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


COMMENTS:










MATERIAL DESCRIPTION: 12x12 Yellow VFT

MATERIAL LOCATION: Teachers Lounge





COMMENTS:










INFORMATION FROM CURRENT INSPECTIONHOMOGENEOUS AREA: 36

MATERIAL DESCRIPTION: 12x12 Gray VFT





DISTURBANCE POTENTIAL: MODERATE CONDITION:


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


COMMENTS:










MATERIAL DESCRIPTION: 12x12 Gray VFT






COMMENTS:


APPENDIX B

Inspector and Management Planner Licenses

APPENDIX C

Laboratory Accreditations

APPENDIX D

Laboratory Results

APPENDIX E

Chain of Custody Forms

Three-Year Reinspection Key to Terms

CODE KEYMATERIAL

ACBM Asbestos Containing Building MaterialsMATERIAL CATEGORY

MISC Miscellaneous

SURF Surfacing

TSI Thermal System InsulationMATERIAL UNITS

LF Linear Feet

SF Square Feet

CF Cubic FeetDAMAGE TYPE

Loc Localized

Dist Distributed

ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR...

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