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 10000 Sq. Ft. NONE DETECTED 2' x 2' Look 01309 MV 07 2 I3A 2' x 4' Ceiling Tile THROUGHOUT BUILDING 8000 Sq. Ft. NONE DETECTED Dents & Pin Holes In Concentric Pattern (1999) 01309 MV 06 3 R0C Baseboard/Mopboard Adhesive THROUGHOUT BUILDING 1200 Sq. Ft. NONE DETECTED Brown Baseboard 2001 1901 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 20131001 Page 1
7 R0F Baseboard/Mopboard Adhesive THROUGHOUT BUILDING 100 Sq. Ft. NEW 4" Blue Baseboard (2011) 8 P0A Fire Door BOILER ROOM 0102 40 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 0102 100 Sq. Ft. 0 Sq. Ft. N ASSUMED Box Refractory 10 L0A Flexible Duct Connector BOILER ROOM 0102 22 Sq. Ft. NONE DETECTED Dark Green THREE (3) JOINTS. 2001 101 J1 11 X0A Miscellaneous TUNNEL 0102B OFF SOUTHEAST CORNER OF Tar on Fiberboard BOILER ROOM 80 Sq. Ft. NONE DETECTED 2001 101 J13 12 P0A Fire Door CUSTODIAL OFFICE 0101 20 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 01309 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 01309 MV 10 16 W1AA 1' x 1' Ceiling Tile Adhesive HALLWAY 1400 OUTSIDE ROOMS 1401 & 1402 1 Sq. Ft. NONE DETECTED Tan Adhesive ABOVE CEILING. MOST MATERIAL REMOVED. RESIDUAL ADHESIVE. 01309 MV 19 17 X0B Miscellaneous KINDERGARTEN WING TUNNEL 480 Sq. Ft. NONE DETECTED Tar on Walls ACCESS THROUGH FLOOR GRATE AT WEST END OF HALLWAY. 1 09 18 K2K 12" x 12" Vinyl Floor Tile & Mastic ROOM 1402 60 Sq. Ft. NEW Beige Mottle (2011) Riverview Elementary 20131001 Page 2
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. 2001 101 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. 2001 101 J14 22 K2L 12" x 12" Vinyl Floor Tile & Mastic ROOM 1401 60 Sq. Ft. NEW 23 X0C Miscellaneous ROOM 1401 Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Chalkboard (193) 24 X0D Miscellaneous ROOM 1401 10 Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Corkboard (193) 2 K2L 12" x 12" Vinyl Floor Tile & Mastic ROOM 1113 120 Sq. Ft. NEW INCLUDES SERVER & RESTROOM 26 X0D Miscellaneous ROOM 1113 30 Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Corkboard (193) 27 J1A Cementitious Panels ROOM 1113 7 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 1111 60 Sq. Ft. NEW 30 J1A Cementitious Panels ROOM 1111 7 Sq. Ft. 0 Sq. Ft. N 60 CH Radiator Shields (193) Riverview Elementary 20131001 Page 3
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 1106 10 Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Corkboard (193) 3 K2M 12" x 12" Vinyl Floor Tile & Mastic ROOM 1004 72 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 1003 10 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. 01309 MV 17 39 K0D 9" x 9" Vinyl Floor Tile & Mastic ROOM 1003 10 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. 01309 MV 16; 2001 011 4 40 K2L 12" x 12" Vinyl Floor Tile & Mastic ROOM 1109 60 Sq. Ft. NEW 41 X0C Miscellaneous ROOM 1109 10 Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Chalkboard (193) 42 X0D Miscellaneous ROOM 1109 20 Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Corkboard (193) Riverview Elementary 20131001 Page 4
43 J1A Cementitious Panels ROOM 1109 0 Sq. Ft. 0 Sq. Ft. N 60 CH Radiator Shields (193) 44 K2L 12" x 12" Vinyl Floor Tile & Mastic ROOM 1107 60 Sq. Ft. NEW 4 X0C Miscellaneous ROOM 1107 40 Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Chalkboard (193) 46 J1A Cementitious Panels ROOM 1107 0 Sq. Ft. 0 Sq. Ft. N 60 CH Radiator Shields (193) 47 K2L 12" x 12" Vinyl Floor Tile & Mastic ROOM 110 60 Sq. Ft. NEW 48 X0C Miscellaneous ROOM 110 20 Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Chalkboard (193) 49 X0D Miscellaneous ROOM 110 30 Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Corkboard (193) 0 J1A Cementitious Panels ROOM 110 0 Sq. Ft. 0 Sq. Ft. N 60 CH Radiator Shields (193) 1 K2L 12" x 12" Vinyl Floor Tile & Mastic ROOM 1103 60 Sq. Ft. NEW 2 J1A Cementitious Panels ROOM 1103 0 Sq. Ft. 0 Sq. Ft. N 60 CH Radiator Shields (193) LOOSE PANEL. 3 X0C Miscellaneous ROOM 1103 20 Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Chalkboard (193) 4 X0D Miscellaneous ROOM 1103 30 Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Corkboard (193) Riverview Elementary 20131001 Page
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) 01309 MV 11 7 N0B Drywall/Joint Compound 1997 ELEVATOR ADDITION 400 Sq. Ft. NONE DETECTED 1997 Addition 01309 MV 13 8 K2M 12" x 12" Vinyl Floor Tile & Mastic GYMNASIUM 1202 2200 Sq. Ft. NEW White w/black Smears (2011) 9 I1A 1' x 1' Acoustical Ceiling Tile GYMNASIUM 1202 2200 Sq. Ft. NONE DETECTED Large & Small Random Holes 206E 9A 60 W1A 1' x 1' Ceiling Tile Adhesive GYMNASIUM 1202 00 Sq. Ft. 0 Sq. Ft. N CH Associated w/i1a RECOMMEND SAMPLING IN THIS AREA TO CONFIRM ACM. 1 04 61 T0A Light Cord Insulation GYMNASIUM 1202 4 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 1204 00 Sq. Ft. 0 Sq. Ft. N ASSUMED 193 Original Building (Elevated) 63 K0C 9" x 9" Vinyl Floor Tile & Mastic UNDER STAGE 1204 10 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. 01309 MV 01; 2001 011 6 64 L0A Flexible Duct Connector MECHANICAL ROOM 1203 BY GYMNASIUM 3 Sq. Ft. NONE DETECTED Dark Green ONE (1) JOINT. 1 16 6 L0B Flexible Duct Connector MECHANICAL ROOM 1203 BY GYMNASIUM 1 Sq. Ft. NONE DETECTED Black Vinyl THREE (3) JOINTS. 1 17 66 K2G 12" x 12" Vinyl Floor Tile & Mastic THROUGHOUT 1999 ADDITION 2000 Sq. Ft. NONE DETECTED Light Green Mottle (1999) 01309 MV 02 Riverview Elementary 20131001 Page 6
67 K2H 12" x 12" Vinyl Floor Tile & Mastic THROUGHOUT 1999 ADDITION 100 Sq. Ft. NONE DETECTED Dark Green Mottle (1999) 01309 MV 03 68 K2I 12" x 12" Vinyl Floor Tile & Mastic THROUGHOUT 1999 ADDITION 100 Sq. Ft. NONE DETECTED Yellow Mottle (1999) 01309 MV 04 69 R0D Baseboard/Mopboard Adhesive THROUGHOUT 1999 ADDITION 400 Sq. Ft. NONE DETECTED Green Baseboard (1999) 01309 MV 0 70 V0A Sink Undercoating THROUGHOUT 1999 ADDITION 40 Sq. Ft. NONE DETECTED Rough Gray (1999) EIGHT (8) SINKS. 01309 MV 08 71 I3C 2' x 4' Ceiling Tile KITCHEN 1301 700 Sq. Ft. NSM Vinyl coated Gypsum 72 K2J 12" x 12" Vinyl Floor Tile & Mastic 2ND FLOOR HALLWAY 2100 2000 Sq. Ft. NONE DETECTED White w/gray & Black Flecks 73 K2M 12" x 12" Vinyl Floor Tile & Mastic 2ND FLOOR HALLWAY 2100 10 Sq. Ft. NEW White w/black Smears (2011) SOUTH END BY ELEVATOR. 74 K2M 12" x 12" Vinyl Floor Tile & Mastic ROOM 2102 7 Sq. Ft. NEW White w/black Smears (2011) 7 N0A Drywall/Joint Compound ROOMS 2103 & 210 600 Sq. Ft. NONE DETECTED Renovation COMMON WALL. 1 01 76 K2L 12" x 12" Vinyl Floor Tile & Mastic ROOM 2103 60 Sq. Ft. NEW 77 J1A Cementitious Panels ROOM 2103 0 Sq. Ft. 0 Sq. Ft. N 60 CH Radiator Shields (193) 2001 0301 DT 2 78 K2L 12" x 12" Vinyl Floor Tile & Mastic ROOM 210 60 Sq. Ft. NEW Riverview Elementary 20131001 Page 7
79 J1A Cementitious Panels ROOM 210 0 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 2106 10 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 2108 10 Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Corkboard (193) 84 K2L 12" x 12" Vinyl Floor Tile & Mastic ROOM 2107 60 Sq. Ft. NEW 8 X0C Miscellaneous ROOM 2107 30 Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Chalkboard (193) 86 X0D Miscellaneous ROOM 2107 20 Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Corkboard (193) 87 J1A Cementitious Panels ROOM 2107 0 Sq. Ft. 0 Sq. Ft. N 60 CH Radiator Shields (193) 88 K2L 12" x 12" Vinyl Floor Tile & Mastic ROOM 2109 60 Sq. Ft. NEW 89 X0C Miscellaneous ROOM 2109 30 Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Chalkboard (193) 90 X0D Miscellaneous ROOM 2109 20 Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Corkboard (193) Riverview Elementary 20131001 Page 8
91 J1A Cementitious Panels ROOM 2109 0 Sq. Ft. 0 Sq. Ft. N 60 CH Radiator Shields (193) 92 X0C Miscellaneous ROOM 2112 10 Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Chalkboard (193) 93 X0D Miscellaneous ROOM 2112 10 Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Corkboard (193) 94 K2L 12" x 12" Vinyl Floor Tile & Mastic ROOM 2111 60 Sq. Ft. NEW 9 X0C Miscellaneous ROOM 2111 60 Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Chalkboard (193) 96 X0D Miscellaneous ROOM 2111 20 Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Corkboard (193) 97 J1A Cementitious Panels ROOM 2111 0 Sq. Ft. 0 Sq. Ft. N 60 CH Radiator Shields (193) 98 K2L 12" x 12" Vinyl Floor Tile & Mastic ROOM 2113 60 Sq. Ft. NEW 99 X0C Miscellaneous ROOM 2113 30 Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Chalkboard (193) 100 X0D Miscellaneous ROOM 2113 20 Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Corkboard (193) 101 J1A Cementitious Panels ROOM 2113 0 Sq. Ft. 0 Sq. Ft. N 60 CH Radiator Shields (193) 102 K2L 12" x 12" Vinyl Floor Tile & Mastic ROOM 211 60 Sq. Ft. NEW Riverview Elementary 20131001 Page 9
103 X0C Miscellaneous ROOM 211 30 Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Chalkboard (193) 104 X0D Miscellaneous ROOM 211 20 Sq. Ft. 0 Sq. Ft. N ASSUMED Wood Frame Corkboard (193) 10 J1A Cementitious Panels ROOM 211 0 Sq. Ft. 0 Sq. Ft. N 60 CH Radiator Shields (193) Riverview Elementary 20131001 Page 10