Chicago Public Schools - CPS

[Pages:29]Chicago Public Schools

6 Month Asbestos Surveillance 2018 - Fall

School: Abraham Lincoln Elementary School Address: 615 W. Kemper Place

X CHECK HERE IF NO CHANGE TO ASBESTOS

Asbestos Surveyor: Survey Date: Email Address:

Oracle Unit: Region:

Serowski, Daniel 1/10/2019 dserowski2@cps.edu

24191 02

Building ID: 4480 Mail Room: 33

HA No

03

A copy of the2016/2017 notice to parents and staff regarding the asbestos management plan notifications was distributed via:

Each child's backpack

Material Description

Material Quantity

Notice printed in school's newsletter

Material Material Location Units

Asbestos Type

Notice printed in school's calendar

X Other emailing it to everyon

Material Category

Friable

Damage Type

Damage Quantity

Damage Change in Assessment Category Units

Carpet Mastic

1200

SF

Auditorium

Miscellaneous No

None

0

YES

X NO

2016 - Fall: No Change Comments:

2017 - Spring: No Change Comments:

2017 - Fall: No Change Comments:

2018 - Spring : No Change Comments:

2018 - Fall: No Change Comments:

VFT = Vinyl Floor Tile Friable = Can be crumbled, pulverized, or reduced to powder by hand pressure.

Oracle Unit: 24191 Page 1

HA No

Material Description

04

12"x12" White VFT - NOT OBSERVED

2016 - Fall: No Change Comments:

2017 - Spring: No Change Comments:

2017 - Fall: No Change Comments:

2018 - Spring : No Change Comments:

2018 - Fall: No Change Comments:

Material Quantity

6500

Material Units

SF

Material Location

Throughout - 1894 Bldg NOT OBSERVED

Asbestos Type

Material Category

Miscellaneous

Friable No

Damage Type

None

Damage Quantity

0

Damage Change in Assessment Category Units

YES

X NO

HA No

Material Description

05

9"x9" Beige VFT - NOT OBSERVED

2016 - Fall: No Change Comments:

2017 - Spring: No Change Comments:

2017 - Fall: No Change Comments:

2018 - Spring : No Change Comments:

2018 - Fall: No Change Comments:

Material Quantity

250

Material Units

SF

Material Location

Engineer's Office, Kitchen Storage - 1894 Bldg NOT OBSERVED

Asbestos Type

Material Category

Miscellaneous

Friable No

Damage Type

Damage Quantity

0

Damage Change in Assessment Category Units

YES

X NO

VFT = Vinyl Floor Tile Friable = Can be crumbled, pulverized, or reduced to powder by hand pressure.

Oracle Unit: 24191 Page 2

HA No

Material Description

06

12"x12" White VFT Mastic NOT OBSERVED

2016 - Fall: No Change Comments:

Material Quantity

50

Material Units

SF

Material Location

Throughout - 1894 Bldg (See Hatching Maps) NOT OBSERVED

2017 - Spring: No Change Comments:

2017 - Fall: No Change Comments:

2018 - Spring : No Change Comments:

2018 - Fall: No Change Comments:

Asbestos Material

Type

Category

Miscellaneous

Friable No

Damage Type

Damage Quantity

0

Damage Change in Assessment Category Units

YES

X NO

HA No

Material Description

07

9"x9" Beige VFT Mastic NOT OBSERVED

2016 - Fall: No Change Comments:

2017 - Spring: No Change Comments:

2017 - Fall: No Change Comments:

2018 - Spring : No Change Comments:

2018 - Fall: No Change Comments:

Material Quantity

250

Material Units

SF

Material Location

Engineer's Office, Kitchen Storage. - 1894 Bldg NOT OBSERVED

Asbestos Type

Material Category

Miscellaneous

Friable No

Damage Type

Damage Quantity

0

Damage Change in Assessment Category Units

YES

X NO

VFT = Vinyl Floor Tile Friable = Can be crumbled, pulverized, or reduced to powder by hand pressure.

Oracle Unit: 24191 Page 3

HA No

Material Description

08

9"x9" Black VFT - NOT OBSERVED

2016 - Fall: No Change Comments:

2017 - Spring: No Change Comments:

2017 - Fall: No Change Comments:

2018 - Spring : No Change Comments:

2018 - Fall: No Change Comments:

Material Quantity

250

Material Units

SF

Material Location

Engineers Office, Kitchen Storage - 1894 Bldg NOT OBSERVED

Asbestos Type

Material Category

Miscellaneous

Friable No

Damage Type

Damage Quantity

0

Damage Change in Assessment Category Units

YES

X NO

HA No

Material Description

09

9"x9" Black VFT Mastic NOT OBSERVED

2016 - Fall: No Change Comments:

2017 - Spring: No Change Comments:

2017 - Fall: No Change Comments:

2018 - Spring : No Change Comments:

2018 - Fall: No Change Comments:

Material Quantity

250

Material Units

SF

Material Location

Engineers Office, Kitchen Storage - 1894 Bldg NOT OBSERVED

Asbestos Type

Material Category

Miscellaneous

Friable No

Damage Type

Damage Quantity

0

Damage Change in Assessment Category Units

YES

X NO

VFT = Vinyl Floor Tile Friable = Can be crumbled, pulverized, or reduced to powder by hand pressure.

Oracle Unit: 24191 Page 4

HA No

Material Description

10

12"x12" Off White VFT

2016 - Fall: No Change Comments:

2017 - Spring: No Change Comments:

2017 - Fall: No Change Comments:

2018 - Spring : No Change Comments:

2018 - Fall: No Change Comments:

Material Quantity

4000

Material Units

SF

Material Location

1st, 2nd & 3rd Floor Corridors, 303 - 1939 Bldg

Asbestos Type

Material Category

Miscellaneous

Friable No

Damage Type

None

Damage Quantity

0

Damage Change in Assessment Category Units

YES

X NO

HA No

Material Description

11

12"x12" Off White VFT Mastic

2016 - Fall: No Change Comments:

2017 - Spring: No Change Comments:

2017 - Fall: No Change Comments:

2018 - Spring : No Change Comments:

2018 - Fall: No Change Comments:

Material Quantity

4000

Material Units

SF

Material Location

1st, 2nd & 3rd Floor Corridors, Rm 303 - 1939 Bldg

Asbestos Type

Material Category

Miscellaneous

Friable No

Damage Type

None

Damage Quantity

0

Damage Change in Assessment Category Units

YES

X NO

VFT = Vinyl Floor Tile Friable = Can be crumbled, pulverized, or reduced to powder by hand pressure.

Oracle Unit: 24191 Page 5

HA No

Material Description

12

Hard Coat Plaster

2016 - Fall: No Change Comments:

2017 - Spring: No Change Comments:

2017 - Fall: No Change Comments:

2018 - Spring : No Change Comments:

2018 - Fall: No Change Comments:

Material Material Material Location Quantity Units

38000

SF

Throughout - 1939 Bldg

Asbestos Type

Material Category

Miscellaneous

Friable Yes

Damage Type

None

Damage Quantity

0

Damage Change in Assessment Category Units

YES

X NO

HA No

Material Description

13

12"x12" White w/ Tan Specks VFT

2016 - Fall: No Change Comments:

2017 - Spring: No Change Comments:

2017 - Fall: No Change Comments:

2018 - Spring : No Change Comments:

2018 - Fall: No Change Comments:

Material Quantity

1900

Material Units

SF

Material Location

Basement Corridor, Room 007 (Not Observed) - 1894 Bldg

Asbestos Type

Material Category

Miscellaneous

Friable No

Damage Type

None

Damage Quantity

0

Damage Change in Assessment Category Units

YES

X NO

VFT = Vinyl Floor Tile Friable = Can be crumbled, pulverized, or reduced to powder by hand pressure.

Oracle Unit: 24191 Page 6

HA No

Material Description

14

12"x12" White w/ Tan Specks Mastic

2016 - Fall: No Change Comments:

2017 - Spring: No Change Comments:

2017 - Fall: No Change Comments:

2018 - Spring : No Change Comments:

2018 - Fall: No Change Comments:

Material Quantity

1900

Material Units

SF

Material Location

Basement Corridor; (Room 007 NOT OBSERVED)- 1894 Bldg

Asbestos Type

Material Category

Miscellaneous

Friable No

Damage Type

None

Damage Quantity

0

Damage Change in Assessment Category Units

YES

X NO

HA No

Material Description

15

12" x 12" CT w/grooves

2016 - Fall: No Change Comments:

2017 - Spring: No Change Comments:

2017 - Fall: No Change Comments:

2018 - Spring : No Change Comments:

2018 - Fall: No Change Comments:

Material Material Material Location Quantity Units

5000

SF

Corridors in Bldg 1894

Asbestos Type

Material Category

Miscellaneous

Friable Yes

Damage Type

None

Damage Quantity

0

Damage Change in Assessment Category Units

YES

X NO

VFT = Vinyl Floor Tile Friable = Can be crumbled, pulverized, or reduced to powder by hand pressure.

Oracle Unit: 24191 Page 7

HA No

16

Material Description 2x4 Ceiling Tiles with Holes

Material Quantity

350

Material Units

SF

Material Location

Room 009 Basement (Bldg 1894)

2016 - Fall: No Change Comments:

2017 - Spring: No Change Comments:

2017 - Fall: No Change Comments:

2018 - Spring : No Change Comments:

2018 - Fall: No Change Comments:

Asbestos Type

Material Category

Miscellaneous

Friable Yes

Damage Type

None

Damage Quantity

0

Damage Change in Assessment Category Units

YES

X NO

HA No

Material Description

17

Terrazo

2016 - Fall: No Change Comments:

2017 - Spring: No Change Comments:

2017 - Fall: No Change Comments:

2018 - Spring : No Change Comments:

2018 - Fall: No Change Comments:

Material Quantity

8800

Material Units

SF

Material Location

Link between bldgs 1894 and 1939 stairwells

Asbestos Type

Material Category

Miscellaneous

Friable No

Damage Type

None

Damage Quantity

0

Damage Change in Assessment Category Units

YES

X NO

VFT = Vinyl Floor Tile Friable = Can be crumbled, pulverized, or reduced to powder by hand pressure.

Oracle Unit: 24191 Page 8

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