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AsbestosPERIODICINSPECTIONELE10 11 2010
AsbestosPERIODICINSPECTIONELE10 11 2010
INSPECTION DATE_10/11/2010____ LEA_Tracy Public Schools Building Name Tracy 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.#AI 11154
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
T.S.I. 4,5,6,7, X x x x O&M
x
12”X12” Floor Tile 3 X x x x O&M
coving and mastic x
Boiler gaskets 9 X x x x O&M
x
Sink liner 11 X x x x O&M
x
Carpet mastic 12 X x x O&M
x x