Chicago Public Schools 6 Month Asbestos Surveillance Fall
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1 Chicago Public Schools 6 Month Surveillance Fall School: UNO Charter School - PFC Omar E. Torres Campus Oracle Unit: Building ID: 3345 Address: 4248 W 47th St. Region: 04 Mail Room: 44 Surveyor: Sales, Mr. Olcher-Prins C. CHECK HERE IF NO CHANGE TO ASBESTOS Survey Date: 11/24/2015 Address: ocsales@cps.edu A copy of the 2013/2014 notice to parents and staff regarding the asbestos management plan notifications was distributed via: Each child's backpack Notice printed in school's newsletter Notice printed in school's calendar Other HA No Description Location Change in Assessment 1 Drywall SF Throughout 2nd Floor No change All ACM abated during original construction = Can be crumbled, pulverized, or reduced to powder by hand pressure. Page 1
2 HA No Description Location Change in Assessment 2 Drywall Joint Compound 9000 SF Throughout 2nd Floor No change All ACM abated during original construction HA No Description Location Change in Assessment 8 12" X 12" Light Green Mix Floor Tile SF 2nd Floor halls, Classrooms, Teacher office, Bathrooms No change All ACM abated during original construction = Can be crumbled, pulverized, or reduced to powder by hand pressure. Page 2
3 HA No Description Location Change in Assessment 8M 12" X 12" Light Green Mix Floor Tile Mastic SF 2nd Floor Halls, Classrooms, Teacher office, Bathrooms No change All ACM abated during original construction HA No Description Location Change in Assessment 9 12" X 12" Green Mix Floor Tile 1250 SF 2nd Floor Halls, Engineers office No change All ACM abated during original construction = Can be crumbled, pulverized, or reduced to powder by hand pressure. Page 3
4 HA No Description Location Change in Assessment 9M 12" X 12" Green Floor Tile Mastic 1250 SF 2nd Floor Halls, Engineers office No change All ACM abated during original construction HA No Description Location Change in Assessment 10 12" X 12" Dark Green Mix Floor Tile 50 SF 2nd Floor Halls and Engineers Office No change All ACM abated during original construction = Can be crumbled, pulverized, or reduced to powder by hand pressure. Page 4
5 HA No Description Location Change in Assessment 10M 12" X 12" Dark Green Mix Floor Tile Mastic 50 SF 2nd Floor Halls and Engineers Office No change Filled out by Mark Nagode HA No Description Location Change in Assessment 11 12" X 12" White with Green Specks Floor Tile SF 2nd Floor Halls, teachers offices, bathrooms, resource room, and multipurpose room Miscellaneous Yes None YES X NO No change All ACM abated during original construction = Can be crumbled, pulverized, or reduced to powder by hand pressure. Page 5
6 HA No Description Location Change in Assessment 11M 12" X 12" White with Green Specks Floor Tile Mastic SF 2nd Floor halls, teachers offices, bathrooms, resource room, and multipurpose room Miscellaneous Yes None YES X NO No change All ACM abated during original construction HA No Description Location Change in Assessment 14 Carpet Adhesive for Green/Yellow Striped Carpet Tile 275 SF 2nd Floor Small Corner Offices No change All ACM abated during original construction = Can be crumbled, pulverized, or reduced to powder by hand pressure. Page 6
7 HA No Description Location Change in Assessment 16 4" Light Green baseboards 5520 LF Throughout 2nd Floor No change All ACM abated during original construction HA No Description Location Change in Assessment 17 Mastic used for baseboards LF Throughout 2nd Floor No change All ACM abated during original construction = Can be crumbled, pulverized, or reduced to powder by hand pressure. Page 7
8 HA No Description Location Change in Assessment 18 2' X 2' White Ceiling Tiles SF 2nd Floor Halls, Vestibule, Teachers Offices No change All ACM abated during original construction HA No Description Location Change in Assessment 19 2' X 4' Drop Face White with Pin Dots Ceiling Tile SF 2nd Floor Classrooms and Multi- Purpose room No change All ACM abated during original construction = Can be crumbled, pulverized, or reduced to powder by hand pressure. Page 8
9 HA No Description Location Change in Assessment 20 Sinks 14 2 Classrooms ( Art Room & Science Room) in 2nd Floors, and Multi Purpose Room Miscellaneous Yes None YES X NO No change All ACM abated during original construction = Can be crumbled, pulverized, or reduced to powder by hand pressure. Page 9
10 ALL LEA Responsibilities, for this school, will be met. Lynn A.Crivello = Can be crumbled, pulverized, or reduced to powder by hand pressure. Page 10
11 NOTICE TO PARENTS AND STAFF REGARDING THE ASBESTOS MANAGEMENT PLAN NOTIFICATION School: Date: 12/4/2015 UNO Charter School - PFC Omar E. Torres Campus This is to notify you in accordance with Illinois and Federal Regulations, that a copy of the Management Plan is available at each school during school hours by appointment. Requests to review the Management Plan must be made at least 24 hours in advance. Also please be advised that CPS conducts asbestos inspections of all Schools every three years. The last inspection was completed in surveillances are conducted every six months. CHECK ONE A copy of this notice was sent home in each child's backpack. A copy of this notice was printed in the school's newsletter and sent home with each child A copy of this notice was printed in the school's calendar and sent home with each child Other. A COPY OF THIS NOTICE MUST BE PLACED IN THE SCHOOL'S ASBESTOS MANAGEMENT PLAN. = Can be crumbled, pulverized, or reduced to powder by hand pressure. Page 11
Chicago Public Schools 6 Month Asbestos Surveillance Fall
Chicago Public Schools 6 Month Surveillance 2015 - Fall School: UNO Charter School - SPC Daniel Zizumbo Campus Oracle Unit: 66395 Building ID: 3344 Address: 4248 W 47th St. Region: 04 Mail Room: 44 Surveyor:
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-3743
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-2603
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-2311
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-2236
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-2160
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-0042
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-2429
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-1220
More informationIf the address on this form is different than the address of the building, submit a written explanation.
ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: CHICAGO SCHOOL DIST 299 SCHOOL ID NUMBER: 14-016-2990-2825
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ILLINOIS DEPARTMENT OF PUBLIC HEALTH AHERA THREE YEAR REINSPECTION ASBESTOS ABATEMENT PROGRAM SCHOOL INFORMATION FORM SECTION I NAME OF SCHOOL DISTRICT: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
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More informationIf the address on this form is different than the address of the building, submit a written explanation.
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