Chicago Public Schools 6 Month Asbestos Surveillance Fall
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1 Chicago Public Schools 6 Month Surveillance Fall School: YCCS - Truman Middle College HS Oracle Unit: Building ID: 1121W Address: 1145 W. Wilson Ave. (1121) Region: Mail Room: Surveyor: X CHECK HERE IF NO CHANGE TO ASBESTOS Survey Date: 11/25/2015 Address: 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 X Other Parent Letter HA No Description Location Change in Assessment 01 2' x 6' Dot/wave Ceiling Tile 7000 SF Middle High School Space Miscellaneous Yes None 0 YES X NO no change = Can be crumbled, pulverized, or reduced to powder by hand pressure. Page 1
2 HA No Description Location Change in Assessment 02 12" x 12" Tan w/white Streaks VFT 7000 SF Middle High School Space no change HA No Description Location Change in Assessment 02A 12" x 12" Tan w/white streaks VFT Mastic 7000 SF Scholl Space no change = Can be crumbled, pulverized, or reduced to powder by hand pressure. Page 2
3 HA No Description Location Change in Assessment 03 Vinyl Baseboard 500 SF College Middle High no change HA No Description Location Change in Assessment 03A Vinyl Baseboard Mastic 500 SF no change = Can be crumbled, pulverized, or reduced to powder by hand pressure. Page 3
4 HA No Description Location Change in Assessment 04 Drywall/Joint Compound SF Miscellaneous No Dist 300 YES X NO no change HA No Description Location Change in Assessment 5 2'x4' Smooth Ceiling Panels 7000 SF Miscellaneous Yes None 0 YES X NO no change = Can be crumbled, pulverized, or reduced to powder by hand pressure. Page 4
5 HA No Description Location Change in Assessment 6 12"X12" Tan w/ Tan Streaks VFT 100 SF Office no change HA No Description Location Change in Assessment 6A 12"X12" Tan w/ Tan Streaks VFT Mastic 100 SF Office no change = Can be crumbled, pulverized, or reduced to powder by hand pressure. Page 5
6 ALL LEA Responsibilities, for this school, will be met. Lynn A.Crivello = Can be crumbled, pulverized, or reduced to powder by hand pressure. Page 6
7 NOTICE TO PARENTS AND STAFF REGARDING THE ASBESTOS MANAGEMENT PLAN NOTIFICATION School: Date: 9/30/2015 YCCS - Truman Middle College HS 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 X Other. Parent Letter 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 7
Chicago Public Schools 6 Month Asbestos Surveillance Fall
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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: 14-016-2990-2311
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: 14-016-2990-2160
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: 14-016-2990-2236
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: 14-016-2990-2603
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: 14-016-2990-0042
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: 14-016-2990-2825
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: 14-016-2990-2093
More informationIf the address on this form is different than the address of the building, submit a written explanation.
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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
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