AsbestosPERIODIC5 27 2010

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AHERA 6 MONTH PERIODIC INSPECTION AND ASSESSMENT OF ACBM

INSPECTION DATE May27 6, 2010_______LEA_St. Michael’s School_______Building Name____________________________


(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
St. Michael’s Pipe Insulation X Repaired
Church Boiler
Room
Through out Sheetrock and X O&M
mud
12X12 floor tile Basement X O&M
Library
Boiler Room Door Fire door X O&M

Note: The asbestos located at the church boiler room has been removed. Electric boilers have been installed. The floor tile in the dining room
has been covered with carpeting and should prevent any hazards from asbestos exposure. Lee Carlson

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