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AHERA 6 MONTH PERIODIC INSPECTION AND ASSESSMENT OF ACBM


INSPECTION DATE 7/10/2011 LEA
LEAHutchinson
HutchinsonPublic
PublicSchools
Schools Building
Building
Name
Name
ParkHigh
Elementary
School
(Please make additional copies of this page for buildings with more homogeneous areas than spaces provided. Please number pages in the space below.)
PERIODIC INSPECTION RESULTS
Page 1 of 1
Inspectors Name: Brian Parrie Training: Building Inspector Cert. #AI11154
Location and Homogeneous Asbestos Containing Building Material Assessment/ Recommendation
Materials Area
Visually Inspected? Assumed Friable Change in Damage Recommendation:
ACBM? ACBM? condition. Condition Repair/O&M/
Yes No Yes No Yes No No D SD Remove
Yes No
Hardfloor
9X9 fittings
tile& Through out X x x x x x Elbow by boiler
O&M
mastic x room, Repair
9X9 floor
Pipe Lagging
tile& Throughout X xx x x x x A few
O&Mjoints
mastic x shrinking
Hardfloor
9X9 pipetile&
fittings KOA-F X x x x O&M
mastic x
Millboard
12”X12” floor tile KOD X x x x O&M
Insulation
and mastic xx
Preformed
Misc. TSI lagging X x xx O&M
x xx
Preformed lagging
Vibration boots X xx x O&M
x xx
TSI
Sink liner X x x O&M
x xx
Jointsdrains
Roof and fittings X x x O&M
xx xx
Spray-on
Coving acoustic
and mastic X x xx O&M
x xx

Note:

Note:

Advanced Health, Safety and Security


Page 2 of 2

AHERA 6 MONTH PERIODIC INSPECTION AND ASSESSMENT OF ACBM


INSPECTION DATE: 7/10/2011 LEA: Hutchinson Public School Building Name: West Elementary
(Please make additional copies of this page for buildings with more homogeneous areas than spaces provided. Please number pages in the space below.)
PERIODIC INSPECTION RESULTS
Page 1 of 1
Inspectors Name: Brian Parrie Training: Building Inspector Cert. #AI11154
Location and Homogeneous Asbestos Containing Building Material Assessment/ Recommendation
Materials Area
Visually Inspected? Assumed Friable Change in Damage Recommendation:
ACBM? ACBM? condition. Condition Repair/O&M/
Yes No Yes No Yes No No D SD Remove
Yes No
Floor Tile and 18 X x x x O&M
Mastic x

Advanced Health, Safety and Security

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