AHERA 6 MONTH PERIODIC INSPECTION AND ASSESSMENT OF ACBM

INSPECTION DATE Mar, 2010 LEA Hutchinson Public Schools Building Name Park 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
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Inspectors Name: Lee Carlson Training: Building Inspector Cert. #AI3706
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
Hard fittings Through out X Elbow by boiler
room, Repair
Pipe Lagging Throughout X O&M

9X9 floor tile& KOA-F X O&M

mastic
12”X12” floor tile KOD X O&M
and mastic
Misc. TSI X O&M

Vibration boots X O&M

Sink liner X O&M

Roof drains X O&M

Coving and mastic X O&M

Note: A number of hard fitting were removed and or repaired during the summer of 2009. The existing TSI was further reinforced with plaster
based material along with a hard surface plastic wrapping at areas with a high potential for damage.