SAINT PAUL PUBLIC SCHOOLS Six Month Periodic Surveillance Report for Riverview Elementary 271 Belvidere Street East Saint Paul, MN Key
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1 SAINT PAUL PUBLIC SCHOOLS Six Month Periodic Surveillance Report for Riverview Elementary Located at: 271 Belvidere Street East Saint Paul, MN 107 Key Conducted On: Conducted By: 8/20/2013 James Paulzine % of Asbestos CH Chrysotile AM Amosite CR Crocidolite ACT Actinolite TR Tremolite ANT Anthophyllite Assumed Suspect materials that have not been tested None Detected s that have been tested and have been found to not contain asbestos. NSM Nonsuspect material NEW installed since original AHERA inspection (1988/ 1989). Tracked for clients' benefit for inventory purposes. Assessment 1 = d or significantly damaged TSI ACM. 2 = d friable surfacing ACM. 3 = Significantly damaged friable surfacing ACM. 4 = d or significantly damaged friable miscellaneous ACM. = ACBM with potential for damage. 6 = ACBM with potential for significant damage. 7 = Remaining friable ACBM or friable suspect ACBM. A = Cleanup ACM debris. B = Encapsulate slight damage on TSI. C = Patch TSI and/or repair ACM cover. D = Enclose or protect accessible sections with protective barrier. E = Remove section of damaged ACM. F = Remove ACM and replace with non ACM. G = Isolate area until repaired/removed. H = Encapsulate slight damage. I = Remove and replace damaged or loose tile section(s). J = Monitor condition of material(s). 1 I3B 2' x 4' Ceiling Tile THROUGHOUT BUILDING Sq. Ft. NONE DETECTED 2' x 2' Look MV 07 2 I3A 2' x 4' Ceiling Tile THROUGHOUT BUILDING 8000 Sq. Ft. NONE DETECTED Dents & Pin Holes In Concentric Pattern (1999) MV 06 3 R0C Baseboard/Mopboard Adhesive THROUGHOUT BUILDING 1200 Sq. Ft. NONE DETECTED Brown Baseboard XX 21B 4 Q0B Carpet Adhesive THROUGHOUT BUILDING 1000 Sq. Ft. NEW Brown Carpet (2011) V0B Sink Undercoating THROUGHOUT BUILDING 100 Sq. Ft. NEW Smooth Black (2010) APPROXIMATELY TWENTY (20) SINKS. 6 R0E Baseboard/Mopboard Adhesive THROUGHOUT BUILDING 00 Sq. Ft. NEW 4" Black Baseboard (2011) Riverview Elementary Page 1
2 7 R0F Baseboard/Mopboard Adhesive THROUGHOUT BUILDING 100 Sq. Ft. NEW 4" Blue Baseboard (2011) 8 P0A Fire Door BOILER ROOM Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Composite 1 Hr Rating (Weyerhaeuser) TWO (2) DOORS. TAGS MISSING. 9 D2B Interior Boiler Insulation BOILER ROOM Sq. Ft. 0 Sq. Ft. N ASSUMED Box Refractory 10 L0A Flexible Duct Connector BOILER ROOM Sq. Ft. NONE DETECTED Dark Green THREE (3) JOINTS J1 11 X0A Miscellaneous TUNNEL 0102B OFF SOUTHEAST CORNER OF Tar on Fiberboard BOILER ROOM 80 Sq. Ft. NONE DETECTED J13 12 P0A Fire Door CUSTODIAL OFFICE Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Composite 1 Hr Rating (Weyerhaeuser) 13 M0A Plaster THROUGHOUT 193 ORIGINAL BUILDING 4000 Sq. Ft. NONE DETECTED 193 Original Building MV 1,19,22; 10 S2; 1 02,13 14 J3A Miscellaneous Cementitious THROUGHOUT 193 ORIGINAL BUILDING 600 Sq. Ft. NONE DETECTED Slate Window Sills (193) 1 03,08 1 K2J 12" x 12" Vinyl Floor Tile & Mastic 1ST FLOOR HALLWAYS & NORTH STAIRWELL 3200 Sq. Ft. NONE DETECTED White w/gray & Black Flecks MV W1AA 1' x 1' Ceiling Tile Adhesive HALLWAY 1400 OUTSIDE ROOMS 1401 & Sq. Ft. NONE DETECTED Tan Adhesive ABOVE CEILING. MOST MATERIAL REMOVED. RESIDUAL ADHESIVE MV X0B Miscellaneous KINDERGARTEN WING TUNNEL 480 Sq. Ft. NONE DETECTED Tar on Walls ACCESS THROUGH FLOOR GRATE AT WEST END OF HALLWAY K2K 12" x 12" Vinyl Floor Tile & Mastic ROOM Sq. Ft. NEW Beige Mottle (2011) Riverview Elementary Page 2
3 19 X0C Miscellaneous ROOM 1402 Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Chalkboard (193) 20 B2A Millboard Pipe Insulation ROOMS 1401 & 1402 PIPE CHASE 20 Lin. Ft. 0 Lin. Ft. N CH 193 Original Building INACCESSIBLE IN RESTROOM WALL & WALL BEHIND SINKS J7 21 A2A Mudded Pipe Joints on Millboard Insulation ROOMS 1401 & 1402 PIPE CHASE 10 Joints 0 Joints N 20 CH, AM 193 Original Building INACCESSIBLE IN RESTROOM WALL & BEHIND SINKS J14 22 K2L 12" x 12" Vinyl Floor Tile & Mastic ROOM Sq. Ft. NEW 23 X0C Miscellaneous ROOM 1401 Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Chalkboard (193) 24 X0D Miscellaneous ROOM Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Corkboard (193) 2 K2L 12" x 12" Vinyl Floor Tile & Mastic ROOM Sq. Ft. NEW INCLUDES SERVER & RESTROOM 26 X0D Miscellaneous ROOM Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Corkboard (193) 27 J1A Cementitious Panels ROOM Sq. Ft. 0 Sq. Ft. N 60 CH Radiator Shields (193) 28 I3D 2' x 4' Ceiling Tile RESTROOM 1113A 3 Sq. Ft. NSM Fiberglass 29 K2L 12" x 12" Vinyl Floor Tile & Mastic ROOM Sq. Ft. NEW 30 J1A Cementitious Panels ROOM Sq. Ft. 0 Sq. Ft. N 60 CH Radiator Shields (193) Riverview Elementary Page 3
4 31 K1B Sheet Vinyl Flooring & Adhesive RESTROOM 1111A 3 Sq. Ft. NEW Tan & White (2010) 32 I3E 2' x 4' Ceiling Tile RESTROOM 1111A 3 Sq. Ft. NSM Vinyl Coated Cellulose (2011) 33 X0C Miscellaneous ROOM 1106 Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Chalkboard (193) 34 X0D Miscellaneous ROOM Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Corkboard (193) 3 K2M 12" x 12" Vinyl Floor Tile & Mastic ROOM Sq. Ft. NEW White w/black Smears (2011) 36 X0D Miscellaneous ROOM 100 (NURSE) 10 Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Corkboard (193) 37 K2L 12" x 12" Vinyl Floor Tile & Mastic RESTROOM 100B 20 Sq. Ft. NEW 38 K2F 12" x 12" Vinyl Floor Tile & Mastic ROOM Sq. Ft. NONE DETECTED Gray w/mauve & White Mottle (1997) GRAY FILLER AND 9" TILE MASTIC (K0D) UNDERNEATH AT SAMPLE LOCATION. MAY BE 9" TILE IN ROOM AS WELL MV K0D 9" x 9" Vinyl Floor Tile & Mastic ROOM Sq. Ft. 0 Sq. Ft. N 12 CH (TILE) Tan w/brown & Beige Streaks ASSUMED PRESENT UNDER 12" TILES. ONLY GRAY FILLER AND BLACK MASTIC IDENTIFIED AT SAMPLE LOCATION MV 16; K2L 12" x 12" Vinyl Floor Tile & Mastic ROOM Sq. Ft. NEW 41 X0C Miscellaneous ROOM Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Chalkboard (193) 42 X0D Miscellaneous ROOM Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Corkboard (193) Riverview Elementary Page 4
5 43 J1A Cementitious Panels ROOM Sq. Ft. 0 Sq. Ft. N 60 CH Radiator Shields (193) 44 K2L 12" x 12" Vinyl Floor Tile & Mastic ROOM Sq. Ft. NEW 4 X0C Miscellaneous ROOM Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Chalkboard (193) 46 J1A Cementitious Panels ROOM Sq. Ft. 0 Sq. Ft. N 60 CH Radiator Shields (193) 47 K2L 12" x 12" Vinyl Floor Tile & Mastic ROOM Sq. Ft. NEW 48 X0C Miscellaneous ROOM Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Chalkboard (193) 49 X0D Miscellaneous ROOM Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Corkboard (193) 0 J1A Cementitious Panels ROOM Sq. Ft. 0 Sq. Ft. N 60 CH Radiator Shields (193) 1 K2L 12" x 12" Vinyl Floor Tile & Mastic ROOM Sq. Ft. NEW 2 J1A Cementitious Panels ROOM Sq. Ft. 0 Sq. Ft. N 60 CH Radiator Shields (193) LOOSE PANEL. 3 X0C Miscellaneous ROOM Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Chalkboard (193) 4 X0D Miscellaneous ROOM Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Corkboard (193) Riverview Elementary Page
6 K2M 12" x 12" Vinyl Floor Tile & Mastic 1997 ELEVATOR ADDITION 100 Sq. Ft. NEW White w/black Smears (2011) 6 I2A 2' x 2' Acoustical Ceiling Tile 1997 ELEVATOR ADDITION 100 Sq. Ft. NONE DETECTED Dents & Pin Holes (1997) MV 11 7 N0B Drywall/Joint Compound 1997 ELEVATOR ADDITION 400 Sq. Ft. NONE DETECTED 1997 Addition MV 13 8 K2M 12" x 12" Vinyl Floor Tile & Mastic GYMNASIUM Sq. Ft. NEW White w/black Smears (2011) 9 I1A 1' x 1' Acoustical Ceiling Tile GYMNASIUM Sq. Ft. NONE DETECTED Large & Small Random Holes 206E 9A 60 W1A 1' x 1' Ceiling Tile Adhesive GYMNASIUM Sq. Ft. 0 Sq. Ft. N CH Associated w/i1a RECOMMEND SAMPLING IN THIS AREA TO CONFIRM ACM T0A Light Cord Insulation GYMNASIUM Lin. Ft. 0 Lin. Ft. N ASSUMED Spotlights FOUR (4) LIGHTS NEAR STAGE. INACCESSIBLE DUE TO HEIGHT. 62 S0A Wood Floor Felt / Vapor Barrier STAGE Sq. Ft. 0 Sq. Ft. N ASSUMED 193 Original Building (Elevated) 63 K0C 9" x 9" Vinyl Floor Tile & Mastic UNDER STAGE Sq. Ft. 0 Sq. Ft. N 12 CH (TILE) Green w/beige Streaks UNDER WOOD 2" X 4"S. ONLY 1 SF OF TILE REMAINS. MOSTLY MASTIC MV 01; L0A Flexible Duct Connector MECHANICAL ROOM 1203 BY GYMNASIUM 3 Sq. Ft. NONE DETECTED Dark Green ONE (1) JOINT L0B Flexible Duct Connector MECHANICAL ROOM 1203 BY GYMNASIUM 1 Sq. Ft. NONE DETECTED Black Vinyl THREE (3) JOINTS K2G 12" x 12" Vinyl Floor Tile & Mastic THROUGHOUT 1999 ADDITION 2000 Sq. Ft. NONE DETECTED Light Green Mottle (1999) MV 02 Riverview Elementary Page 6
7 67 K2H 12" x 12" Vinyl Floor Tile & Mastic THROUGHOUT 1999 ADDITION 100 Sq. Ft. NONE DETECTED Dark Green Mottle (1999) MV K2I 12" x 12" Vinyl Floor Tile & Mastic THROUGHOUT 1999 ADDITION 100 Sq. Ft. NONE DETECTED Yellow Mottle (1999) MV R0D Baseboard/Mopboard Adhesive THROUGHOUT 1999 ADDITION 400 Sq. Ft. NONE DETECTED Green Baseboard (1999) MV 0 70 V0A Sink Undercoating THROUGHOUT 1999 ADDITION 40 Sq. Ft. NONE DETECTED Rough Gray (1999) EIGHT (8) SINKS MV I3C 2' x 4' Ceiling Tile KITCHEN Sq. Ft. NSM Vinyl coated Gypsum 72 K2J 12" x 12" Vinyl Floor Tile & Mastic 2ND FLOOR HALLWAY Sq. Ft. NONE DETECTED White w/gray & Black Flecks 73 K2M 12" x 12" Vinyl Floor Tile & Mastic 2ND FLOOR HALLWAY Sq. Ft. NEW White w/black Smears (2011) SOUTH END BY ELEVATOR. 74 K2M 12" x 12" Vinyl Floor Tile & Mastic ROOM Sq. Ft. NEW White w/black Smears (2011) 7 N0A Drywall/Joint Compound ROOMS 2103 & Sq. Ft. NONE DETECTED Renovation COMMON WALL K2L 12" x 12" Vinyl Floor Tile & Mastic ROOM Sq. Ft. NEW 77 J1A Cementitious Panels ROOM Sq. Ft. 0 Sq. Ft. N 60 CH Radiator Shields (193) DT 2 78 K2L 12" x 12" Vinyl Floor Tile & Mastic ROOM Sq. Ft. NEW Riverview Elementary Page 7
8 79 J1A Cementitious Panels ROOM Sq. Ft. 0 Sq. Ft. N 60 CH Radiator Shields (193) 80 X0C Miscellaneous ROOM 2106 Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Chalkboard (193) 81 X0D Miscellaneous ROOM Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Corkboard (193) 82 X0C Miscellaneous ROOM 2108 Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Chalkboard (193) 83 X0D Miscellaneous ROOM Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Corkboard (193) 84 K2L 12" x 12" Vinyl Floor Tile & Mastic ROOM Sq. Ft. NEW 8 X0C Miscellaneous ROOM Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Chalkboard (193) 86 X0D Miscellaneous ROOM Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Corkboard (193) 87 J1A Cementitious Panels ROOM Sq. Ft. 0 Sq. Ft. N 60 CH Radiator Shields (193) 88 K2L 12" x 12" Vinyl Floor Tile & Mastic ROOM Sq. Ft. NEW 89 X0C Miscellaneous ROOM Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Chalkboard (193) 90 X0D Miscellaneous ROOM Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Corkboard (193) Riverview Elementary Page 8
9 91 J1A Cementitious Panels ROOM Sq. Ft. 0 Sq. Ft. N 60 CH Radiator Shields (193) 92 X0C Miscellaneous ROOM Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Chalkboard (193) 93 X0D Miscellaneous ROOM Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Corkboard (193) 94 K2L 12" x 12" Vinyl Floor Tile & Mastic ROOM Sq. Ft. NEW 9 X0C Miscellaneous ROOM Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Chalkboard (193) 96 X0D Miscellaneous ROOM Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Corkboard (193) 97 J1A Cementitious Panels ROOM Sq. Ft. 0 Sq. Ft. N 60 CH Radiator Shields (193) 98 K2L 12" x 12" Vinyl Floor Tile & Mastic ROOM Sq. Ft. NEW 99 X0C Miscellaneous ROOM Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Chalkboard (193) 100 X0D Miscellaneous ROOM Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Corkboard (193) 101 J1A Cementitious Panels ROOM Sq. Ft. 0 Sq. Ft. N 60 CH Radiator Shields (193) 102 K2L 12" x 12" Vinyl Floor Tile & Mastic ROOM Sq. Ft. NEW Riverview Elementary Page 9
10 103 X0C Miscellaneous ROOM Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Chalkboard (193) 104 X0D Miscellaneous ROOM Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Corkboard (193) 10 J1A Cementitious Panels ROOM Sq. Ft. 0 Sq. Ft. N 60 CH Radiator Shields (193) Riverview Elementary Page 10
If 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
If 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
If 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
If 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: 14-016-2990-2093
If 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
If 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: SCHOOL ID NUMBER: ADDRESS OF SCHOOL: CITY: CHICAGO
If 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
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Chicago Public Schools 6 Month Asbestos Surveillance Fall
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If 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
If 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
If 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: 14-016-2990-0037
If 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
If 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: 14-016-2990-2385
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