THREE-YEAR RE-INSPECTION 2018-2019 · Mary McLeod Bethune School The 20182019 inspection process -...

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Asbestos Hazard Emergency Response Act “AHERA” THREE-YEAR RE-INSPECTION 2018-2019 and ASBESTOS MANAGEMENT PLAN for the Mary McLeod Bethune School ULCS# 7510 Building # B751001-1 3301 Old York Road Philadelphia, Pennsylvania 19140 Year Built: 1970 October 2018 Conducted by: Acer Associates, LLC Batta Environmental Associates, Inc. Criterion Laboratories, Inc. G&C Environmental Services, Inc. KEM Partners, Inc. React Environmental Professional Services Group, Inc. Synertech, Inc. USA Environmental Management, Inc. The Vertex Companies, Inc. Westchester Environmental LLC Management Plan Prepared by: School District of Philadelphia Batta Environmental Associates, Inc. Criterion Laboratories, Inc. This report must remain in the Main Office as mandated by the US EPA AHERA Regulations.

Transcript of THREE-YEAR RE-INSPECTION 2018-2019 · Mary McLeod Bethune School The 20182019 inspection process -...

Page 1: THREE-YEAR RE-INSPECTION 2018-2019 · Mary McLeod Bethune School The 20182019 inspection process - included the addition and/or an update of a comprehensive Room by Room Inventory

Asbestos Hazard Emergency Response Act “AHERA”

THREE-YEAR RE-INSPECTION 2018-2019

and ASBESTOS MANAGEMENT PLAN

for the

Mary McLeod Bethune School

ULCS# 7510 Building # B751001-1 3301 Old York Road

Philadelphia, Pennsylvania 19140

Year Built: 1970

October 2018

Conducted by: Acer Associates, LLC

Batta Environmental Associates, Inc. Criterion Laboratories, Inc.

G&C Environmental Services, Inc. KEM Partners, Inc.

React Environmental Professional Services Group, Inc. Synertech, Inc.

USA Environmental Management, Inc. The Vertex Companies, Inc.

Westchester Environmental LLC

Management Plan Prepared by: School District of Philadelphia

Batta Environmental Associates, Inc. Criterion Laboratories, Inc.

This report must remain in the Main Office as mandated by the US EPA AHERA Regulations.

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AHERA THREE-YEAR REINSPECTION VOLUME X

Table of Contents

Transmittal Letter

Executive Summary I. Summary list of Confirmed Asbestos Containing Building Materials

II. Summary list of Assumed Asbestos Contain Building Materials III. Summary list of Non-Asbestos Containing Building Materials IV. Summary list of Non Suspect Asbestos Containing Building Materials V. Summary List of Auditorium DATA for this location

VI. Summary list of Attic and/or Crawlspace DATA for this location VII. Summary list of Pipe Chase/Pipe Shaft DATA for this location

Section I Report of Re-Inspection A. Introduction B. Three-Year Re-inspection X Overview C. Post- Management Plan Activities and Changes

C.1 - Sampling and Analysis C.2 - New Floor Tile Sampling C.3 - Abatement Activity

C.4 - Periodic (Six-Month) Surveillance (Damaged Materials)

Section II Re-Inspection Data

A. Introduction B. Re-Inspection Key Definitions C. Room by Room Location Log Report

Section III Certificates

A. Management Planner/Building Inspector Certificates

Section IV Cross Reference Table Page 1-8

Asbestos Management Program Page 9-20

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2018/2019 Asbestos Hazard Emergency Response Act (AHERA) Management Report Mary McLeod Bethune School

Executive Summary This Asbestos Hazard Emergency Response Act (AHERA) Three-Year Re-inspection “Volume # X” Management Plan at this location, has been completed and the report of re-inspection submitted to the School District of Philadelphia. The re-inspections in all School District of Philadelphia buildings of 2018-2019 were conducted and completed between May 2018 through April 2019 as a joint project by Acer Associates, LLC., Batta Environmental Associates, Inc., Criterion Laboratories, Inc., G & C Environmental Services, Inc., KEM Partners, Inc., React Environmental Professional Services Group, Inc., Synertech, Inc., USA Environmental Management Inc., The Vertex Companies, Inc., and Westchester Environmental LLC. In general, the School District of Philadelphia Office of Environmental Management and Services conducts Environmental Impact Evaluations and provides Asbestos Inspection Reports prior to any renovation, demolition and/or maintenance activities. The AHERA report must be reviewed prior to any renovation, demolition and/or maintenance activities in order to avoid the unknowing disturbance to Asbestos Containing Building Materials identified within this location. In addition, prior to work activities above all drop ceilings this report should be reviewed to avoid potential disturbances to Asbestos Containing Materials. Refer to Section IV of the Cross Reference Table, for additional Asbestos Management Program information. Contact the Office of Environmental Management and Services to have an Environmental Impact Evaluation conducted prior to any renovation, demolition and/or maintenance activities within this facility. The information contained in this report was obtained from the original Asbestos Management Plan for the school, from update reports on changes and activities since the completion of the 1st Management Plan for each location and from all prior inspections performed and documented in Volume # I through Volume IX (dated respectively 1992, 1995, 1998, 2001, 2004, 2007, 2010, 2013 and 2015) (if applicable) - and by this Three-Year Re-inspection of this school. The re-inspection report/Management Plan of 2018-2019 were reviewed and prepared collectively by Management Planner Megan Vala and Julie Mui, of Criterion Laboratories, Inc., Jennifer Donovan of Batta Environmental Associates, Inc and under the direction of the District’s AHERA Manager Monique Causley

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The 2018-2019 inspection process included the addition and/or an update of a comprehensive Room by Room Inventory of all Thermal (T), Surfacing (S) and Miscellaneous (M) Materials specific to each room of this facility. Inspections of each room’s thermal, ceilings, walls, floors and miscellaneous items regardless of Asbestos Content are categorized on the Room by Room Location Log Report for this location. Rooms or areas of the facility that were not accessible at the time of the inspection are marked with an “X”. The Room by Room Location Log Report is found in Section II C of this Management Plan. All Presumed or Suspect Asbestos Containing Building Materials (ACBMs), listed in the following summary charts are categorized as Confirmed, Assumed, Non-Asbestos, and/or Non-Suspect (ACBMs) were identified in the original Management Plan, or in the Volume I through Volume IX AHERA Three-Year Re-inspection reports, and were re-inspected as part of this project. As mandated by the U S EPA AHERA regulations, periodic Six-Month inspections and Three-Year Re-inspections of this location will be performed and the Inspection Data in this report will be updated accordingly. Please feel free to contact the School District of Philadelphia’s Office of Environmental Management and Services (OEMS) regarding any comments, questions, or concerns regarding this report or any Environmental related topic. OEMS staff can be reached at (215) 400 4750, via fax at (215) 400 4751 or via e-mail at [email protected] and/or [email protected]. Additional information can be found on our website. Here is the link to the OEMS website. http://webgui.phila.k12.pa.us/offices/e/environmental

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I. Summary list of Confirmed Asbestos Containing Building Materials within this facility

These charts are to be used for a quick reference* in order to avoid the unknowing disturbance of Asbestos Containing Materials during any and all Operations, Maintenance, Renovation, and/or Demolition activities at this location. These materials have been sampled and Laboratory Analysis has CONFIRMED the presence of Asbestos. Contact OEMS prior to the disturbance of any of the following materials.

Confirmed Asbestos Containing Building Materials for this location

Mastic a/w Floor Tile VAT 12" x 12" Floor Tile VAT 9" x 9" Fireproofing

Pipe Packing Insulation

* Always refer to the Room by Room Logs for each specific material classification as the material classification findings may be different in various rooms throughout this facility. ** Some Materials may have multiple classifications (Confirmed, Assumed, NAD and Non Suspect) within this facility.

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II. Summary list of Assumed Asbestos Containing Building Materials within this facility

These charts are to be used for a quick reference* in order to avoid the unknowing disturbance of Asbestos Containing Materials during any and all Operations, Maintenance, Renovation, and/or Demolition activities at this location. These materials have not been sampled and should not be disturbed until verification of Asbestos Content. Contact OEMS for assessment and sampling prior to the disturbance of these materials.

Assumed Asbestos Containing Building Materials for this location

Floor Tile VAT 12" x 12" Light Reflection Paper Vibration Damper Cloth Blackboard Glue Dots Floor Tile VAT 16" x 16" Floor Tile Mastic Pipe Fitting Insulation Heat Shield Insulation

* Always refer to the Room by Room Logs for each specific material classification as the material classification findings may be different in various rooms throughout this facility. ** Some Materials may have multiple classifications (Confirmed, Assumed, NAD and Non Suspect) within this facility.

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III. Summary list of Non-Asbestos Containing Building Materials within this facility These charts are to be used for a quick reference* in order to avoid the unknowing disturbance of Asbestos Containing Materials during any and all Operations, Maintenance, Renovation, and/or Demolition activities at this location. These materials have been sampled and Laboratory Analysis has indicated NO Asbestos present or NO ASBESTOS DETECTED (NAD).

Non- Asbestos Containing Building Materials for this location

Acoustical Plaster Ceiling Acoustical Ceiling Plaster Plaster Ceiling Floor Tile VAT 12" x 12" Fiberglass Ceiling Tile 2' x 4' Plaster Walls

* Always refer to the Room by Room Logs for each specific material classification as the material classification findings may be different in various rooms throughout this facility. ** Some Materials may have multiple classifications (Confirmed, Assumed, NAD and Non Suspect) within this facility.

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IV. Summary list of Non-Suspect Asbestos Containing Building Materials within this facility These charts are to be used for a quick reference* in order to avoid the unknowing disturbance of Asbestos Containing Materials during any and all Operations, Maintenance, Renovation, and/or Demolition activities at this location. These materials are not typically known to contain Asbestos.

Non-Suspect Asbestos Containing Building Materials for this location

CMU Fiberglass Pipe Fitting Insulation Ceramic Tile Floors Fiberglass Ceiling Tile 2' x 4' Cement Floor Ceramic Tile Walls

Fiberglass Pipe Insulation Concrete Ceiling Concrete Wall Concrete Floor Ceiling Tile 2' x 4' Sheetrock Wall

CMU Walls Carpet

* Always refer to the Room by Room Logs for each specific material classification as the material classification findings may be different in various rooms throughout this facility. ** Some Materials may have multiple classifications (Confirmed, Assumed, NAD and Non Suspect) within this facility.

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V. Summary list of Auditorium DATA for this location

These charts are to be used for a quick reference of the Auditorium DATA within this facility. Sampling of the Auditorium Ceilings throughout the District is more difficult because of the various ceiling heights. As sampling occurs this information is updated on a case by case basis for each specific location and facility.

This is a list of known materials for this location’s Auditorium

Auditorium

Auditorium CMU Non Suspect ACM Auditorium Concrete Ceiling Non Suspect ACM Auditorium Acoustical Plaster Ceiling NAD Auditorium Ceramic Tile Walls Non Suspect ACM Auditorium Fireproofing Confirmed Auditorium Floor Tile VAT 12" x 12" Assumed Auditorium Light Reflection Paper Assumed

* Always refer to the Room by Room Logs for each specific material classification as the material classification findings may be different in various rooms throughout this facility. ** Some Materials may have multiple classifications (Confirmed, Assumed, NAD and Non Suspect) within this facility.

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VI. Summary list of Attic and/or Crawlspace DATA for this location

These charts are to be used for a quick reference regarding the Attics and/or Crawlspaces inspection DATA within this facility. Contact OEMS prior to entering any attic or crawlspace within this facility and refer to the below chart and legend for Category Rank determination. The Data relative to these spaces is updated as conditions change regarding Abatement or Renovation activity on a case by case basis for each specific location and facility. In general, Crawlspaces are below the basement or 1st floor and Attics are above the floor space.

Category Rank Legend

"A" - No Asbestos Containing Materials - Sample Results indicate NO ACM on pipes, fittings, elbows, or equipment located within this functional space, and NO VISIBLE DEBRIS or DAMAGE observed at time of this inspection. "B" - Asbestos Containing Materials Exist - Sample Results indicate ACM on pipes, fittings, elbows, or equipment located within this functional space, HOWEVER, NO VISIBLE DEBRIS or DAMAGE observed at time of this inspection. "C" - Asbestos Containing Materials Exist - Sample Results indicate ACM on pipes, fittings, elbows, or equipment located within this functional space, and LOCALIZED VISIBLE DEBRIS or DAMAGE observed at time of this inspection. "D" - Asbestos Containing Materials Exist - Sample Results indicate ACM on pipes, fittings, elbows, or equipment located within this functional space and DISTRIBUTED VISIBLE DEBRIS or SIGNIFICANT DAMAGE observed at time of this inspection. "E" - No Bulk Sample Results Available SUSPECT ACM OBSERVED. Contact OEMS immediately for additional instructions.

Attic/Crawlspace Access Area Floor Surface

Category Rank Comments

Attic X X X No Attic

Crawlspace X X X No Crawlspace

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VII. Summary list of Pipe Chase/Pipe Shaft DATA for this location

These charts are to be used for a quick reference regarding the information known about the Pipe Chases and/or Pipe Shafts inspection DATA within this facility. Contact OEMS prior to performing renovation activities any Pipe Chase and/or Pipe Shaft within this facility and refer to the below chart and legend for Asbestos Content of various materials identified within each space. The Data relative to these spaces is updated as conditions change regarding Inspection, Abatement and/or Renovation activity on a case by case basis for each specific location and facility. In general, Pipe Chases are horizontal spaces and Pipe Shafts are vertical spaces.

Pipe Chases and Pipe Shafts need to be assessed.

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Section I Report of Re-Inspection

A. Introduction B. Three-Year Re-Inspection X Overview C. Post-Management Plan Activities and Changes

C.1 Sampling and Analysis C.2 New Floor Tile Sampling C.3 Abatement Activity C.4 Periodic Six-Month Surveillance (Damaged Materials)

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Section I - A

Report of Re-inspection Introduction

The Three-Year Re-inspection X was performed to fulfill the requirements of 40 CFR Part 763 - the Asbestos Hazard Emergency Response Act (AHERA). As required by AHERA, each Local Education Agency (LEA) must re-inspect all known confirmed or assumed Asbestos Containing Building Material (ACBM) located in the LEA's facilities. This re-inspection is intended to update the original Asbestos Management Plan for the LEA's facilities.

Multiple Building Inspectors of several firms performed the 2018-2019 re-inspection. The re-inspection report/Management Plan of 2018-2019 were reviewed and prepared collectively by Management Planner Megan Vala and Julie Mui, of Criterion Laboratories, Inc., Jennifer Donovan of Batta Environmental Associates, Inc. and Monique Causley, of the School District of Philadelphia.

All of the certificates can be found in Section III.

During the re-inspection of each School District of Philadelphia facility, all of the Management Plans for that facility were reviewed. Information from the conclusions section of that report is included in this report. Additionally, information on activities such as abatements, cleanings, sampling and inspections, which have taken place since the completion of the original Management Plan, were reviewed during the re-inspection. Information on those activities is included in this report.

As mandated by the U S EPA AHERA regulations, all future periodic Six-Month inspections and Three-Year Re-inspections of this location will be performed and the Inspection Data in this report will be updated accordingly.

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2018/2019 Asbestos Hazard Emergency Response Act (AHERA) Management Report Mary McLeod Bethune School

Section I - B

Three-Year Re-inspection X Overview Each homogeneous area of Asbestos Containing Building Material (ACBM) listed in the original Management Plan or in the 1992, 1995, 1998, 2001, etc., Three-Year Re-inspection reports were inspected for the AHERA Three-Year Re-inspection Volume X, and the information for that material verified. Any changes to a homogeneous area listed in the updates to the Management Plans were verified. Any area of suspected ACBM found in the course of the re-inspection, and not listed in the Management Plan or updates, were either assumed to contain asbestos or sampled and analyzed to determine their asbestos content. Any such new areas either assumed to contain asbestos or determined through analysis to contain asbestos were included in the report of the Three-Year Re-inspection. The results of the AHERA Three-Year Re-inspection X are tabulated in the Room by Room log reports located in Section II-C of this report. As previously noted, all future periodic Six-Month inspections and Three-Year Re-inspections of this location will be performed and the Inspection Data in this report will be updated accordingly.

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2018/2019 Asbestos Hazard Emergency Response Act (AHERA) Management Report Mary McLeod Bethune School

Section I – C.1

Post Management Plan Activities/Changes

Information on activities affecting Asbestos Containing Building Materials (ACBMs) at this location is contained in updates to the Management Plan. These updates are kept on file by the School District of Philadelphia and were reviewed for this project. Updates to the Management Plan include the following: Sampling and Analysis, New Tile Installation, Abatement Activity and Periodic Six-Month Surveillance Data.

Sampling and Analysis

Date

Floor Location Material Color Results

12/13/2016 1st Gymnasium / Auditorium / Cafeteria Fireproofing Grey Confirmed

09/25/2018 R Cooling Tower Gray and Tan Caulking Grey/Tan NAD

09/25/2018 BS Storage Room Adjacent to Boiler Room Pipe Vibration Insulation Grey Confirmed

10/22/2018 1st Classroom 101 Floor Tile VAT 12" x 12" Tan Negative

10/22/2018 1st Classroom 101 Mastic a/w Floor Tile Black Confirmed

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2018/2019 Asbestos Hazard Emergency Response Act (AHERA) Management Report Mary McLeod Bethune School

Section I – C.2 Information on the installation of new floor tiles/renovation activities affecting Asbestos Containing Building Materials (ACBMs) at this location is contained in updates to the Management Plan. These updates are kept on file by the School District of Philadelphia and were reviewed for this project. Updates to the Management Plan include the following:

New Floor Tile Sampling

In the event that new tile is installed, the material must be tested prior to installation.

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2018/2019 Asbestos Hazard Emergency Response Act (AHERA) Management Report Mary McLeod Bethune School

Section I – C.3 Information on the Asbestos Abatement and renovation activities affecting Asbestos Containing Building Materials (ACBMs) at this location is contained in updates to the Management Plan. These updates are kept on file by the School District of Philadelphia and were reviewed for this project. Updates to the Management Plan include the following:

Abatement Activity

Date

Floor Location Material Color

Removed or Encapsulated Quantity

02/02/2018 2nd Classroom 219 Floor Tile VAT 9” x 9” Tan Removed 250 SF

02/02/2018 BS Classroom 1 Floor Tile VAT 9” x 9” Tan Removed 200 SF

10/25/2018 2nd Assistant Principal's Office 221 Floor Tile VAT 9" x 9" Tan Removed 418 SF

10/25/2018 2nd Assistant Principal's Office 221 Floor Tile VAT 9" x 9" Grey Removed 419 SF

10/25/2018 2nd Counselor's Office 216A Floor Tile VAT 9" x 9" Tan Removed 450 SF

10/25/2018 2nd Classroom 201 Floor Tile VAT 9" x 9" Green Removed 891 SF

11/01/2018 1st Classroom 106 Floor Tile VAT 9" x 9" Grey Removed 32 SF

11/01/2018 1st Classroom 101 Floor Tile VAT 9" x 9" Green Removed 75 SF

11/01/2018 2nd Team Planning next to Classroom 206 Floor Tile VAT 9" x 9" Grey Removed 275 SF

11/01/2018 2nd Fan Room adjacent to Classroom 200 Pipe Fitting Insulation N/A Removed 2 LF

11/02/2018 2nd Room 216 Floor Tile VAT 9" x 9" Brown Removed 15 SF

11/02/2018 2nd Room 216 Sink Undercoat Mastic Removed 4 SF

11/02/2018 1st Cafeteria Floor Tile VAT 12" x 12" Tan Removed 24 SF

11/02/2018 1st Hallway adjacent Room 123A Pipe Fitting Insulation Removed 8 LF

11/13/2018 1st Room 106A Pipe Insulation 2-6 inch N/A Removed 6 LF

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2018/2019 Asbestos Hazard Emergency Response Act (AHERA) Management Report Mary McLeod Bethune School

Section I – C.4 Information on the AHERA inspection that noted damage to various Building Materials at this location is contained in updates to the Management Plan. These updates are kept on file by the School District of Philadelphia and were reviewed for this project. Work orders are created for Corrective Action responses and tracked for completion. Updates to the Management Plan include the following:

Periodic (Six-Month) Surveillance (Damaged Materials)

Date

Elem

ent

Floor On Site Room Name Material

Amount of

Material

Amount of

Damage 11/08/2016 1 1st Classroom 109 Floor Tile VAT 12" x 12" 952 SF 2 SF 11/08/2016 1 2nd Classroom 200 Technology Closet Floor Tile VAT 9" x 9" 25 SF 2 SF 11/08/2016 1 2nd City Year Office 219 Floor Tile VAT 12" x 12" 6 SF 4 SF 11/08/2016 1 2nd Team Planning next to Classroom 206 Floor Tile VAT 9" x 9" 304 SF 2 SF 11/08/2016 1 2nd Room 216 Music Floor Tile VAT 12" x 12" 932 SF 15 SF 11/08/2016 1 BS Classroom 5 Floor Tile VAT 12" x 12" 891 SF 2 SF 11/08/2016 1 BS Hallway from Classrooms 1 to 5 Floor Tile VAT 12" x 12" 300 SF 3 SF 11/08/2016 1 BS Storage Room Adjacent to Boiler Room Pipe Packing Insulation 2 SF 2 SF 11/08/2016 1 BS Elevator Floor Tile VAT 12" x 12" 24 SF 2 SF 05/02/2017 1 1st Classroom 109 Floor Tile VAT 12" x 12" 952 SF 2 SF 05/02/2017 1 2nd Classroom 200 Technology Closet Floor Tile VAT 9" x 9" 25 SF 2 SF 05/02/2017 1 2nd City Year Office 219 Floor Tile VAT 12" x 12" 6 SF 4 SF 05/02/2017 1 2nd Team Planning next to Classroom 206 Floor Tile VAT 9" x 9" 304 SF 2 SF 05/02/2017 1 2nd Room 216 Music Floor Tile VAT 12" x 12" 932 SF 15 SF 05/02/2017 1 BS Classroom 5 Floor Tile VAT 12" x 12" 891 SF 2 SF 05/02/2017 1 BS Hallway from Classrooms 1 to 5 Floor Tile VAT 12" x 12" 300 SF 3 SF 05/02/2017 1 BS Storage Room Adjacent to Boiler Room Pipe Packing Insulation 2 SF 2 SF 05/02/2017 1 BS Elevator Floor Tile VAT 12" x 12" 24 SF 2 SF 11/14/2017 1 1st Classroom 103 Floor Tile VAT 12" x 12" 1054 SF 2 SF 11/14/2017 1 1st Book Storage Room Floor Tile VAT 9" x 9" 200 SF 1 SF 11/14/2017 1 1st Classroom 109 Floor Tile VAT 12" x 12" 952 SF 2 SF 11/14/2017 1 1st Classroom 114 Floor Tile VAT 12" x 12" 891 SF 1 SF 11/14/2017 1 2nd Classroom 200 Technology Closet Floor Tile VAT 9" x 9" 25 SF 2 SF 11/14/2017 1 2nd Room 219 City Year Office Floor Tile VAT 12" x 12" 6 SF 4 SF 11/14/2017 1 2nd Team Planning next to Classroom 206 Floor Tile VAT 9" x 9" 304 SF 2 SF 11/14/2017 1 2nd Room 221 Diagnostic Center Floor Tile VAT 9" x 9" 418 SF 4 SF 11/14/2017 1 2nd Room 216 Music Floor Tile VAT 12" x 12" 932 SF 15 SF 11/14/2017 1 BS Classroom 5 Floor Tile VAT 12" x 12" 891 SF 5 SF

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Periodic (Six-Month) Surveillance (Damaged Materials) continued

Date

Elem

ent

Floor On Site Room Name Material

Amount of

Material

Amount of

Damage 11/14/2017 1 BS Hallway from Classrooms 1 to 5 Floor Tile VAT 12" x 12" 300 SF 1 SF 11/14/2017 1 BS Hallway from Classrooms 1 to 5 Floor Tile VAT 12" x 12" 300 SF 3 SF 11/14/2017 1 BS Storage Room Adjacent to Boiler Room Pipe Packing Insulation 2 SF 2 SF 11/14/2017 1 BS Elevator Floor Tile VAT 12" x 12" 24 SF 2 SF 10/25/2018 1 2nd Team Planning next to Classroom 206 Floor Tile VAT 9" x 9" 304 SF 304 SF 10/25/2018 1 BS Storage Room Adjacent to Boiler Room Pipe Packing Insulation 2 SF 2 SF

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Section II Re-Inspection Data

A. Introduction B. Re-Inspection Key Definitions C. Room by Room Location Log Report

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Section II - A

Re-inspection Data Introduction The following information documents the Three-Year Re-inspection X of the subject school/facility. The Homogeneous Area Reports were produced using the building inspector's field data on the facility. The key to the Homogeneous Area Report is outlined in the following pages of this report.

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Section II - B (page 1 of 4)

SCHOOL DISTRICT OF PHILADELPHIA AHERA THREE YEAR RE-INSPECTION X

ITEM DEFINITION __________________________________________________________________________________________________ ULCS# Individual identification number assigned to each school within the School District of

Philadelphia. HOMOGENEOUS Identification number assigned to each homogeneous area in a AREA ID# school/facility. Each section of the homogeneous area ID is significant.

1010/01/01/01 A B C D

A. Is the ULCS# for the school. B. Designates the specific building/building area within the school. C. Designates the floor or level within the building/building area.

D. Designates the homogeneous material within that floor or level. Note: Item D may be a number or a letter.

SYSTEM Corresponds to the AHERA system for classifying materials. AFFECTED

T : Thermal System S : Surfacing System M : Miscellaneous

ITEM AFFECTED Is a description of the homogeneous material. ORIGINAL This section contains the information found in the original INSPECTION Management Plan (1988-1989). DATA AMOUNT OF Quantity of material, and measuring unit. MATERIAL/ Units include: Square Feet (SF) Each (EA) Linear Feet (LF) Cubic Feet (CF). UNIT

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(page 2 of 4)

SCHOOL DISTRICT OF PHILADELPHIA AHERA THREE YEAR RE-INSPECTION X

RE-INSPECTION FORM KEY

ITEM DEFINITION __________________________________________________________________________________________________ CND Corresponds to AHERA condition rating for materials. Condition

0 : No Damage 1 : Damage 2 : Significant Damage

DP Corresponds to the AHERA material assessment system. Damage Potential

1 : Potential for Damage 2 : Potential for Significant Damage

ASMD This means that a material was not sampled for asbestos content Assumed during the original Management Plan inspection. Asbestos RA This corresponds to the AHERA system of response action rating for materials. Response Action 1 : Establish O&M Program

2 : Repair and Establish O&M Program 3 : Enclose 4 : Encapsulate 5 : Remove 6 : Partial Removal and Establish O&M Program

CHANGES This section describes changes to the homogeneous material in the twenty-four years since the

original AHERA inspection. The abbreviations are defined below.

RMVD : Removed ENCL : Enclosed ENCP : Encapsulated DMGD : Damaged SMPLD : Sampled

MTRL : Material RPRD : Repaired N/L : None Located RPLCD : Replaced

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2018/2019 Asbestos Hazard Emergency Response Act (AHERA) Management Report Mary McLeod Bethune School

(page 3 of 4)

SCHOOL DISTRICT OF PHILADELPHIA AHERA THREE-YEAR RE-INSPECTION X

RE-INSPECTION FORM KEY

ITEM DEFINITION __________________________________________________________________________________________________ THREE YEAR RE-INSPECTION

This section contains the information obtained from the Three-Year Re-inspection X. With three exceptions, the information categories are identical in format and meaning to those found in the original inspection data section. The three exceptions are defined below.

DMGD AMT This section gives the quantity of damaged material in a Amount Damaged homogeneous area. The quantity is shown in the same format as the amount of material/unit section. NF This section identifies materials in the original Management Plan Newly Friable which have since become friable. RA This rating is based on the AHERA regulations, and is comparable Response Action to the RA rating found in the "Original Inspection Data" section. The following table details the

response actions.

1. Establish O&M Program 2. Repair and Establish O&M Program 3. Enclose 4. Encapsulate 5. Remove 6. Partial Removal and Establish O&M Program

a. High Priority Response

The homogeneous material has been scheduled for abatement or other response action. b. Medium Priority Response

The homogeneous material will be scheduled for abatement or other response action as soon as the high priority responses have been addressed.

c. Low Priority Response

The homogeneous material will be scheduled for abatement or other response action as soon as the medium priority responses have been addressed.

d. On-Going Response/Operations and Maintenance

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2015/2016 Asbestos Hazard Emergency Response Act (AHERA) Management Report Mary McLeod Bethune School

The homogeneous material does not require abatement or other response action at present, and should be included in the facility's on-going operations and maintenance program.

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2018/2019 Asbestos Hazard Emergency Response Act (AHERA) Management Report Mary McLeod Bethune School

(page 4 of 4)

SCHOOL DISTRICT OF PHILADELPHIA AHERA THREE-YEAR RE-INSPECTION X

RE-INSPECTION FORM KEY

__________________________________________________________________________________________________

The information presented in the changes section has been compiled from a variety of sources, including the Re-inspection and the following: * Quality Control/Quality Assurance Reports of asbestos abatement projects, prepared by consultants to the School District. * Permit and Notification Forms for asbestos abatement projects. * Periodic Surveillance Forms * Operations and Maintenance activities performed by School District personnel. * Verbal information from School District personnel. * Reports of sampling and analysis of suspected materials by both School District personnel and outside consultants.

ROOM BY This section gives information, including damage amount and location, ROOM for a specific homogeneous material on a room-by-room basis and LOCATION LOG follows the Re-inspection form. REPORT NOTE: The disparate nature of the above sources of information prohibits the verification of much information within the scope of the AHERA Three-Year Re-inspection. Discrepancies and omissions may exist in this information, and therefore is included on an "as is" basis. The inspectors for the Three-Year Re-inspection X evaluated homogeneous areas based on the materials current condition and location, as evidenced during the inspector's site visit. .

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2015/2016 Asbestos Hazard Emergency Response Act (AHERA) Management Report Mary McLeod Bethune School

Section II - C

Room by Room Location Log Report These charts are to be used for a quick reference* in order to avoid the unknowing disturbance of Asbestos Containing Materials during any and all Operations, Maintenance, Renovation, and/or Demolition activities at this location. NOTE: Contact OEMS prior to the disturbance of any of the materials that are listed as Confirmed and/or Assumed. The quantities listed for (NAD) non-asbestos containing materials and/or Non-Suspect Materials are only estimated and were not measured for the purpose of this report. Field verification of quantities for renovation purposes would be necessary.

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7510 Mary McLeod Bethune ES 2018-2019 Location Log Report

1

School District of Philadelphia AHERA Three-Year Reinspection 2018-2019 Reinspection Dates: 10/25/2018Mary McLeod Bethune Elementary School Room by Room Location Log Report Building Inspector: Kristen Masotes

3301 Old York Road, Philadelphia, PA 19140 Certification Number: ACC-0618-6-019

ULCS# 7510 Management Planner: Monique Causley

Year Built: 1970 Certification Number: 745897

ULCS#

Element

Floor On Site Room Name

System Affected Material Description HID#

Confirmed Assumed NAD Non Suspect ACM

Amount of Material

SF LF EA

Amount of Damage

SF LF EA Comments/Description/Notes

Attic/ Crawl Space

RankingDamage

Potential (DP)

Newly Friable

(NF)Response Action (RA)

7510 1 1 Community Room 100 N/A CMU Non Suspect ACM 1240 SF 0 SF N/A N/A N/A7510 1 1 Community Room 100 N/A Acoustical Plaster Ceiling NAD 38 SF 0 SF N/A N/A N/A7510 1 1 Teacher's Lounge 100 N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 897 SF 0 SF N/A N/A N/A7510 1 1 Teacher's Lounge 100 M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 897 SF 0 SF 1 No 1/D7510 1 1 Classroom 101 N/A Fiberglass Pipe Insulation Non Suspect ACM 34 LF 0 LF N/A N/A N/A7510 1 1 Classroom 101 N/A CMU Non Suspect ACM 1200 SF 0 SF N/A N/A N/A7510 1 1 Classroom 101 N/A Acoustical Plaster Ceiling NAD 891 SF 0 SF N/A N/A N/A7510 1 1 Classroom 101 N/A Floor Tile VAT 12" x 12" NAD 891 SF 60 SF (Floor Tile) sampled negative KM/Acer 10/2018 N/A N/A N/A7510 1 1 Classroom 101 M Mastic a/w Floor Tile VAT 12" x 12" 7510/01/01/ACER/KM/2500 Confirmed 891 SF 0 SF (Mastic) Sampled 09/2018 B. Bryson Synertech 1 No 1/D7510 1 1 Classroom 101 M Blackboard Glue Dots 7510/01/01/ACER/WG/2600 Assumed 3 EA 0 EA 1 No 1/D7510 1 1 Special Needs Room N/A Concrete Floor Non Suspect ACM 300 SF 0 SF N/A N/A N/A7510 1 1 Special Needs Room N/A Acoustical Plaster Ceiling NAD 300 SF 0 SF N/A N/A N/A7510 1 1 Special Needs Room N/A CMU Non Suspect ACM 600 SF 0 SF N/A N/A N/A7510 1 1 Girl's Restroom across from Classroom 101 N/A Acoustical Ceiling Plaster NAD 160 SF 0 SF N/A N/A N/A7510 1 1 Girl's Restroom across from Classroom 101 N/A Concrete Floor Non Suspect ACM 160 SF 0 SF N/A N/A N/A7510 1 1 Girl's Restroom across from Classroom 101 N/A CMU Non Suspect ACM 450 SF 0 SF N/A N/A N/A7510 1 1 Storage Room behind Building Enginner's Office X X X X X X X X X X7510 1 1 Building Enginner's Office x x x x x x x This is the BE's Office x x x7510 1 1 Building Enginner's Office N/A Fiberglass Ceiling Tile 2' x 4' NAD 300 SF 0 SF This is the BE's Office N/A N/A N/A7510 1 1 Building Enginner's Office N/A CMU Walls Non Suspect ACM 625 SF 0 SF This is the BE's Office N/A N/A N/A7510 1 1 Hallway adjacent to Classroom 101 N/A Fiberglass Pipe Insulation Non Suspect ACM 20 LF 0 LF N/A N/A N/A7510 1 1 Hallway adjacent to Classroom 101 N/A CMU Non Suspect ACM 1980 SF 0 SF N/A N/A N/A7510 1 1 Hallway adjacent to Classroom 101 N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 810 SF 0 SF N/A N/A N/A7510 1 1 Hallway adjacent to Classroom 101 M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 405 SF 0 SF 1 No 1/D7510 1 1 Hallway adjacent to Classroom 101 M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 405 SF 0 SF 1 No 1/D7510 1 1 Classroom 102 N/A CMU Non Suspect ACM 1200 SF 0 SF N/A N/A N/A7510 1 1 Classroom 102 N/A Acoustical Plaster Ceiling NAD 891 SF 0 SF N/A N/A N/A7510 1 1 Classroom 102 M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 891 SF 0 SF 1 No 1/D7510 1 1 Classroom 102 M Blackboard Glue Dots 7510/01/01/ACER/WG/2600 Assumed 3 EA 0 EA 1 No 1/D7510 1 1 Classroom 103 N/A CMU Non Suspect ACM 1300 SF 0 SF N/A N/A N/A7510 1 1 Classroom 103 N/A Acoustical Plaster Ceiling NAD 1054 SF 0 SF N/A N/A N/A7510 1 1 Classroom 103 M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 1054 SF 0 SF 1 No 1/D7510 1 1 Classroom 103 M Blackboard Glue Dots 7510/01/01/ACER/WG/2600 Assumed 4 EA 0 EA 1 No 1/D7510 1 1 Hallway adjacent to Classroom 103 N/A CMU Non Suspect ACM 1300 SF 0 SF N/A N/A N/A7510 1 1 Hallway adjacent to Classroom 103 N/A Acoustical Plaster Ceiling NAD 1056 SF 0 SF N/A N/A N/A7510 1 1 Hallway adjacent to Classroom 103 M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 1056 SF 0 SF 1 No 1/D7510 1 1 Classroom 104 N/A Fiberglass Pipe Fitting Insulation Non Suspect ACM 3 EA 0 EA N/A N/A N/A7510 1 1 Classroom 104 N/A Fiberglass Pipe Insulation Non Suspect ACM 19 LF 0 LF N/A N/A N/A7510 1 1 Classroom 104 N/A CMU Non Suspect ACM 1280 SF 0 SF N/A N/A N/A7510 1 1 Classroom 104 N/A Acoustical Plaster Ceiling NAD 1020 SF 0 SF N/A N/A N/A7510 1 1 Classroom 104 M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 1020 SF 0 SF 1 No 1/D7510 1 1 Classroom 104 M Blackboard Glue Dots 7510/01/01/ACER/WG/2600 Assumed 3 EA 0 EA 1 No 1/D7510 1 1 Classroom 105 N/A Fiberglass Pipe Fitting Insulation Non Suspect ACM 5 EA 0 EA N/A N/A N/A7510 1 1 Classroom 105 N/A Fiberglass Pipe Insulation Non Suspect ACM 36 LF 0 LF N/A N/A N/A7510 1 1 Classroom 105 N/A CMU Non Suspect ACM 1280 SF 0 SF N/A N/A N/A7510 1 1 Classroom 105 N/A Acoustical Plaster Ceiling NAD 1020 SF 0 SF N/A N/A N/A7510 1 1 Classroom 105 M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 1020 SF 0 SF 1 No 1/D7510 1 1 Classroom 105 M Blackboard Glue Dots 7510/01/01/ACER/WG/2600 Assumed 3 EA 0 EA 1 No 1/D7510 1 1 Boy's Restroom across from Classroom 105 N/A Acoustical Plaster Ceiling NAD 120 SF 0 SF N/A N/A N/A7510 1 1 Boy's Restroom across from Classroom 105 N/A Cement Floor Non Suspect ACM 120 SF 0 SF N/A N/A N/A7510 1 1 Boy's Restroom across from Classroom 105 N/A CMU Non Suspect ACM 310 SF 0 SF N/A N/A N/A7510 1 1 Closet in Boy's Restroom across from Classroom 105 N/A Acoustical Plaster Ceiling NAD 12 SF 0 SF N/A N/A N/A7510 1 1 Closet in Boy's Restroom across from Classroom 105 N/A Cement Floor Non Suspect ACM 12 SF 0 SF N/A N/A N/A7510 1 1 Closet in Boy's Restroom across from Classroom 105 N/A CMU Non Suspect ACM 110 SF 0 SF N/A N/A N/A

7510 1 1Pipe Chase in Closet in Boy's Restroom across from Classroom 105 N/A Acoustical Plaster Ceiling NAD 12 SF 0 SF N/A N/A N/A

7510 1 1Pipe Chase in Closet in Boy's Restroom across from Classroom 105 N/A Cement Floor Non Suspect ACM 12 SF 0 SF N/A N/A N/A

7510 1 1Pipe Chase in Closet in Boy's Restroom across from Classroom 105 N/A CMU Non Suspect ACM 110 SF 0 SF N/A N/A N/A

7510 1 1Pipe Chase in Closet in Boy's Restroom across from Classroom 105 N/A Fiberglass Pipe Insulation Non Suspect ACM 12 LF 0 SF N/A N/A N/A

7510 1 1Pipe Chase in Closet in Boy's Restroom across from Classroom 105 N/A Fiberglass Pipe Fitting Insulation Non Suspect ACM 2 LF 0 SF N/A N/A N/A

7510 1 1 Stairwell A next to Classroom 105 N/A CMU Non Suspect ACM 640 SF 0 SF N/A N/A N/A7510 1 1 Stairwell A next to Classroom 105 N/A Concrete Ceiling Non Suspect ACM 96 SF 0 SF N/A N/A N/A7510 1 1 Stairwell A next to Classroom 105 N/A Cement Floor Non Suspect ACM 120 SF 0 SF N/A N/A N/A7510 1 1 Stairwell A next to Classroom 105 M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 48 SF 0 SF 1 No 1/D7510 1 1 Stairwell A next to Classroom 105 M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 48 SF 0 SF 1 No 1/D

Page 30: THREE-YEAR RE-INSPECTION 2018-2019 · Mary McLeod Bethune School The 20182019 inspection process - included the addition and/or an update of a comprehensive Room by Room Inventory

7510 Mary McLeod Bethune ES 2018-2019 Location Log Report

2

School District of Philadelphia AHERA Three-Year Reinspection 2018-2019 Reinspection Dates: 10/25/2018Mary McLeod Bethune Elementary School Room by Room Location Log Report Building Inspector: Kristen Masotes

3301 Old York Road, Philadelphia, PA 19140 Certification Number: ACC-0618-6-019

ULCS# 7510 Management Planner: Monique Causley

Year Built: 1970 Certification Number: 745897

ULCS#

Element

Floor On Site Room Name

System Affected Material Description HID#

Confirmed Assumed NAD Non Suspect ACM

Amount of Material

SF LF EA

Amount of Damage

SF LF EA Comments/Description/Notes

Attic/ Crawl Space

RankingDamage

Potential (DP)

Newly Friable

(NF)Response Action (RA)

7510 1 1 Classroom 106 N/A Fiberglass Pipe Fitting Insulation Non Suspect ACM 7 EA 0 EA N/A N/A N/A7510 1 1 Classroom 106 N/A Fiberglass Pipe Insulation Non Suspect ACM 47 LF 0 LF N/A N/A N/A7510 1 1 Classroom 106 N/A CMU Non Suspect ACM 1240 SF 0 SF N/A N/A N/A7510 1 1 Classroom 106 N/A Acoustical Plaster Ceiling NAD 952 SF 0 SF N/A N/A N/A7510 1 1 Classroom 106 M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 952 SF 0 SF 1 No 1/D7510 1 1 Classroom 106 M Blackboard Glue Dots 7510/01/01/ACER/WG/2600 Assumed 4 EA 0 EA 1 No 1/D7510 1 1 Hallway adjacent to Classroom 106 N/A CMU Non Suspect ACM 2120 SF 0 SF N/A N/A N/A7510 1 1 Hallway adjacent to Classroom 106 N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 873 SF 0 SF N/A N/A N/A7510 1 1 Hallway adjacent to Classroom 106 M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 436 SF 0 SF 1 No 1/D7510 1 1 Hallway adjacent to Classroom 106 M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 437 SF 0 SF 1 No 1/D7510 1 1 Storage Room adjacent to Classroom 106 X X X X X X X X X X7510 1 1 Storage Room adjacent to Classroom 106 N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 320 SF 0 SF N/A N/A N/A7510 1 1 Storage Room adjacent to Classroom 106 N/A Fiberglass Pipe Fitting Insulation Non Suspect ACM 4 LF 0 LF N/A N/A N/A7510 1 1 Storage Room adjacent to Classroom 106 N/A Fiberglass Pipe Insulation Non Suspect ACM 20 LF 0 LF N/A N/A N/A7510 1 1 Storage Room adjacent to Classroom 106 N/A CMU Non Suspect ACM 600 SF 0 SF N/A N/A N/A7510 1 1 Office across from Classroom 106 X X X X X X X X X X7510 1 1 Classroom 107 N/A Fiberglass Pipe Fitting Insulation Non Suspect ACM 6 EA 0 EA N/A N/A N/A7510 1 1 Classroom 107 N/A Fiberglass Pipe Insulation Non Suspect ACM 45 LF 0 LF N/A N/A N/A7510 1 1 Classroom 107 N/A CMU Non Suspect ACM 1300 SF 0 SF N/A N/A N/A7510 1 1 Classroom 107 N/A Acoustical Plaster Ceiling NAD 1050 SF 0 SF N/A N/A N/A7510 1 1 Classroom 107 M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 1050 SF 0 SF 1 No 1/D7510 1 1 Classroom 107 M Blackboard Glue Dots 7510/01/01/ACER/WG/2600 Assumed 3 EA 0 EA 1 No 1/D7510 1 1 IMC Library N/A CMU Non Suspect ACM 2500 SF 0 SF N/A N/A N/A7510 1 1 IMC Library N/A Ceiling Tile 2' x 4' Non Suspect ACM 3816 SF 0 SF N/A N/A N/A7510 1 1 IMC Library N/A Carpet Non Suspect ACM 3816 SF 0 SF N/A N/A N/A7510 1 1 IMC Library M Blackboard Glue Dots 7510/01/01/ACER/WG/2600 Assumed 1 EA 0 EA 1 No 1/D7510 1 1 Office within the IMC Library X X X X X X X X X X7510 1 1 Office within the IMC Library N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 252 SF 0 SF N/A N/A N/A7510 1 1 Office within the IMC Library N/A CMU Non Suspect ACM 360 SF 0 SF N/A N/A N/A7510 1 1 Book Storage Room M Floor Tile VAT 9" x 9" 7510/01/01/14 Confirmed 200 SF 0 SF 1 No 1/D7510 1 1 Book Storage Room N/A Fiberglass Pipe Fitting Insulation Non Suspect ACM 10 EA 0 EA N/A N/A N/A7510 1 1 Book Storage Room N/A Fiberglass Pipe Insulation Non Suspect ACM 50 LF 0 LF N/A N/A N/A7510 1 1 Classroom 108 N/A CMU Non Suspect ACM 1300 SF 0 SF N/A N/A N/A7510 1 1 Classroom 108 N/A Acoustical Plaster Ceiling NAD 1050 SF 0 SF N/A N/A N/A7510 1 1 Classroom 108 M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 1050 SF 0 SF 1 No 1/D7510 1 1 Classroom 108 M Blackboard Glue Dots 7510/01/01/ACER/WG/2600 Assumed 3 EA 0 EA 1 No 1/D7510 1 1 Classroom 109 N/A Fiberglass Pipe Fitting Insulation Non Suspect ACM 6 EA 0 EA N/A N/A N/A7510 1 1 Classroom 109 N/A Fiberglass Pipe Insulation Non Suspect ACM 45 LF 0 LF N/A N/A N/A7510 1 1 Classroom 109 N/A CMU Non Suspect ACM 1240 SF 0 SF N/A N/A N/A7510 1 1 Classroom 109 N/A Acoustical Plaster Ceiling NAD 952 SF 0 SF N/A N/A N/A7510 1 1 Classroom 109 M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 952 SF 0 SF 1 No 1/D7510 1 1 Classroom 109 M Blackboard Glue Dots 7510/01/01/ACER/WG/2600 Assumed 2 EA 0 EA 1 No 1/D7510 1 1 Storage Next to Elevator N/A Cement Floor Non Suspect ACM 240 SF 0 SF N/A N/A N/A7510 1 1 Storage next to Elevator N/A CMU Non Suspect ACM 512 SF 0 SF N/A N/A N/A7510 1 1 Storage next to Elevator N/A Acoustical Plaster Ceiling NAD 240 SF 0 SF N/A N/A N/A7510 1 1 Storage next to Elevator N/A Fiberglass Pipe Insulation Non Suspect ACM 70 LF 0 LF N/A N/A N/A7510 1 1 storage next to Elevator N/A Fiberglass Pipe Fitting Insulation Non Suspect ACM 6 LF 0 LF N/A N/A N/A7510 1 1 Hallway adjacent to Classroom 109 N/A CMU Non Suspect ACM 2120 SF 0 SF N/A N/A N/A7510 1 1 Hallway adjacent to Classroom 109 N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 873 SF 0 SF N/A N/A N/A7510 1 1 Hallway adjacent to Classroom 109 M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 436 SF 0 SF 1 No 1/D7510 1 1 Hallway adjacent to Classroom 109 M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 437 SF 0 SF 1 No 1/D7510 1 1 Stairwell B next to Classroom 110 N/A CMU Non Suspect ACM 640 SF 0 SF N/A N/A N/A7510 1 1 Stairwell B next to Classroom 110 N/A Concrete Ceiling Non Suspect ACM 96 SF 0 SF N/A N/A N/A7510 1 1 Stairwell B next to Classroom 110 N/A Cement Floor Non Suspect ACM 120 SF 0 SF N/A N/A N/A7510 1 1 Stairwell B next to Classroom 110 M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 48 SF 0 SF 1 No 1/D7510 1 1 Stairwell B next to Classroom 110 M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 48 SF 0 SF 1 No 1/D7510 1 1 Classroom 110 N/A Fiberglass Pipe Fitting Insulation Non Suspect ACM 4 EA 0 EA N/A N/A N/A7510 1 1 Classroom 110 N/A Fiberglass Pipe Insulation Non Suspect ACM 34 LF 0 LF N/A N/A N/A7510 1 1 Classroom 110 N/A CMU Non Suspect ACM 1280 SF 0 SF N/A N/A N/A7510 1 1 Classroom 110 N/A Acoustical Plaster Ceiling NAD 1020 SF 0 SF N/A N/A N/A7510 1 1 Classroom 110 M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 1020 SF 0 SF 1 No 1/D7510 1 1 Classroom 110 M Blackboard Glue Dots 7510/01/01/ACER/WG/2600 Assumed 3 EA 0 EA 1 No 1/D7510 1 1 Boy's Restroom across from Classroom 110 X X X X X X X X X X7510 1 1 Boy's Restroom across from Classroom 110 N/A Cement Floor Non Suspect ACM 120 SF 0 SF N/A N/A N/A7510 1 1 Boy's Restroom across from Classroom 110 N/A CMU Non Suspect ACM 310 SF 0 SF N/A N/A N/A7510 1 1 Closet in Boy's Restroom across from Classroom 110 N/A Acoustical Plaster Ceiling NAD 12 SF 0 SF N/A N/A N/A7510 1 1 Closet in Boy's Restroom across from Classroom 110 N/A Cement Floor Non Suspect ACM 12 SF 0 SF N/A N/A N/A7510 1 1 Closet in Boy's Restroom across from Classroom 110 N/A CMU Non Suspect ACM 110 SF 0 SF N/A N/A N/A

7510 1 1Pipe Chase in Closet in Boy's Restroom across from Classroom 110 N/A Acoustical Plaster Ceiling NAD 12 SF 0 SF N/A N/A N/A

Page 31: THREE-YEAR RE-INSPECTION 2018-2019 · Mary McLeod Bethune School The 20182019 inspection process - included the addition and/or an update of a comprehensive Room by Room Inventory

7510 Mary McLeod Bethune ES 2018-2019 Location Log Report

3

School District of Philadelphia AHERA Three-Year Reinspection 2018-2019 Reinspection Dates: 10/25/2018Mary McLeod Bethune Elementary School Room by Room Location Log Report Building Inspector: Kristen Masotes

3301 Old York Road, Philadelphia, PA 19140 Certification Number: ACC-0618-6-019

ULCS# 7510 Management Planner: Monique Causley

Year Built: 1970 Certification Number: 745897

ULCS#

Element

Floor On Site Room Name

System Affected Material Description HID#

Confirmed Assumed NAD Non Suspect ACM

Amount of Material

SF LF EA

Amount of Damage

SF LF EA Comments/Description/Notes

Attic/ Crawl Space

RankingDamage

Potential (DP)

Newly Friable

(NF)Response Action (RA)

7510 1 1Pipe Chase in Closet in Boy's Restroom across from Classroom 110 N/A Cement Floor Non Suspect ACM 12 SF 0 SF N/A N/A N/A

7510 1 1Pipe Chase in Closet in Boy's Restroom across from Classroom 110 N/A CMU Non Suspect ACM 110 SF 0 SF N/A N/A N/A

7510 1 1Pipe Chase in Closet in Boy's Restroom across from Classroom 110 N/A Fiberglass Pipe Insulation Non Suspect ACM 12 LF 0 SF N/A N/A N/A

7510 1 1Pipe Chase in Closet in Boy's Restroom across from Classroom 110 N/A Fiberglass Pipe Fitting Insulation Non Suspect ACM 2 LF 0 SF N/A N/A N/A

7510 1 1Storage Room adjacent to Boy's Restroom across from Classroom 110 X X X X X X X X X X

7510 1 1 Classroom 111 N/A CMU Non Suspect ACM 1280 SF 0 SF N/A N/A N/A7510 1 1 Classroom 111 N/A Acoustical Plaster Ceiling NAD 1020 SF 0 SF N/A N/A N/A7510 1 1 Classroom 111 M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 1020 SF 0 SF 1 No 1/D7510 1 1 Classroom 111 M Blackboard Glue Dots 7510/01/01/ACER/WG/2600 Assumed 3 EA 0 EA 1 No 1/D7510 1 1 Classroom 112 N/A Fiberglass Pipe Fitting Insulation Non Suspect ACM 4 EA 0 EA N/A N/A N/A7510 1 1 Classroom 112 N/A Fiberglass Pipe Insulation Non Suspect ACM 32 LF 0 LF N/A N/A N/A7510 1 1 Classroom 112 N/A CMU Non Suspect ACM 1300 SF 0 SF N/A N/A N/A7510 1 1 Classroom 112 N/A Acoustical Plaster Ceiling NAD 1054 SF 0 SF N/A N/A N/A7510 1 1 Classroom 112 M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 1054 SF 0 SF 1 No 1/D7510 1 1 Classroom 112 M Blackboard Glue Dots 7510/01/01/ACER/WG/2600 Assumed 4 EA 0 EA 1 No 1/D7510 1 1 Hallway between Classrooms 110 to 114 N/A CMU Non Suspect ACM 1300 SF 0 SF N/A N/A N/A7510 1 1 Hallway between Classrooms 110 to 114 N/A Acoustical Plaster Ceiling NAD 1056 SF 0 SF N/A N/A N/A7510 1 1 Hallway between Classrooms 110 to 114 M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 1056 SF 0 SF 1 No 1/D7510 1 1 Classroom 113 N/A CMU Non Suspect ACM 1200 SF 0 SF N/A N/A N/A7510 1 1 Classroom 113 N/A Acoustical Plaster Ceiling NAD 891 SF 0 SF N/A N/A N/A7510 1 1 Classroom 113 M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 891 SF 0 SF 1 No 1/D7510 1 1 Classroom 113 M Blackboard Glue Dots 7510/01/01/ACER/WG/2600 Assumed 3 EA 0 EA 1 No 1/D7510 1 1 Classroom 114 N/A Fiberglass Pipe Fitting Insulation Non Suspect ACM 7 EA 0 EA N/A N/A N/A7510 1 1 Classroom 114 N/A Fiberglass Pipe Insulation Non Suspect ACM 46 LF 0 LF N/A N/A N/A7510 1 1 Classroom 114 N/A CMU Non Suspect ACM 1200 SF 0 SF N/A N/A N/A7510 1 1 Classroom 114 N/A Acoustical Plaster Ceiling NAD 891 SF 0 SF N/A N/A N/A7510 1 1 Classroom 114 M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 891 SF 0 SF 1 No 1/D7510 1 1 Classroom 114 M Blackboard Glue Dots 7510/01/01/ACER/WG/2600 Assumed 3 EA 0 EA 1 No 1/D7510 1 1 SBTL Office 114A N/A CMU Non Suspect ACM 760 SF 0 SF N/A N/A N/A7510 1 1 SBTL Office 114A N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 352 SF 0 SF N/A N/A N/A7510 1 1 SBTL Office 114A M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 352 SF 0 SF 1 No 1/D7510 1 1 Girl's Restroom across from Classroom 114 X X X X X X X X X X7510 1 1 Girls Restroom across from Classroom 114 N/A Cement Floor Non Suspect ACM 126 SF 0 SF N/A N/A N/A7510 1 1 Girls Restroom across from Classroom 114 N/A CMU Non Suspect ACM 368 SF 0 SF N/A N/A N/A7510 1 1 Hallway adjacent to Classroom 114 N/A Fiberglass Pipe Insulation Non Suspect ACM 20 LF 0 LF N/A N/A N/A7510 1 1 Hallway adjacent to Classroom 114 N/A CMU Non Suspect ACM 1980 SF 0 SF N/A N/A N/A7510 1 1 Hallway adjacent to Classroom 114 N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 810 SF 0 SF N/A N/A N/A7510 1 1 Hallway adjacent to Classroom 114 M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 405 SF 0 SF 1 No 1/D7510 1 1 Hallway adjacent to Classroom 114 M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 405 SF 0 SF 1 No 1/D7510 1 1 School Therapeutic Service (STS) Office N/A Fiberglass Pipe Fitting Insulation Non Suspect ACM 6 EA 0 EA N/A N/A N/A7510 1 1 School Therapeutic Service (STS) Office N/A Fiberglass Pipe Insulation Non Suspect ACM 84 LF 0 LF N/A N/A N/A7510 1 1 School Therapeutic Service (STS) Office N/A CMU Non Suspect ACM 1260 SF 0 SF N/A N/A N/A7510 1 1 School Therapeutic Service (STS) Office N/A Acoustical Plaster Ceiling NAD 936 SF 0 SF N/A N/A N/A7510 1 1 School Therapeutic Service (STS) Office M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 936 SF 0 SF 1 No 1/D7510 1 1 School Therapeutic Service (STS) Office M Blackboard Glue Dots 7510/01/01/ACER/WG/2600 Assumed 1 EA 0 EA 1 No 1/D7510 1 1 Hallway adjacent to STS Office N/A CMU Non Suspect ACM 680 SF 0 SF N/A N/A N/A7510 1 1 Hallway adjacent to STS Office N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 225 SF 0 SF N/A N/A N/A7510 1 1 Hallway adjacent to STS Office M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 112 SF 0 SF 1 No 1/D7510 1 1 Hallway adjacent to STS Office M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 113 SF 0 SF 1 No 1/D7510 1 1 Stairwell C by Gym N/A Fiberglass Pipe Insulation Non Suspect ACM 4 LF 0 LF N/A N/A N/A7510 1 1 Stairwell C by Gym N/A CMU Non Suspect ACM 720 SF 0 SF N/A N/A N/A7510 1 1 Stairwell C by Gym N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 193 SF 0 SF N/A N/A N/A7510 1 1 Stairwell C by Gym M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 97 SF 0 SF 1 No 1/D7510 1 1 Stairwell C by Gym M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 96 SF 0 SF 1 No 1/D7510 1 1 Nurse's Office N/A CMU Non Suspect ACM 660 SF 0 SF N/A N/A N/A7510 1 1 Nurse's Office N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 272 SF 0 SF N/A N/A N/A7510 1 1 Nurse's Office M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 136 SF 0 SF 1 No 1/D7510 1 1 Nurse's Office M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 136 SF 0 SF 1 No 1/D7510 1 1 Storage Room adjacent to Nurse's Office X X X X X X X X X X7510 1 1 Nurse's Patient Room N/A Fiberglass Pipe Insulation Non Suspect ACM 10 LF 0 LF N/A N/A N/A7510 1 1 Nurse's Patient Room N/A Fiberglass Pipe Fitting Insulation Non Suspect ACM 10 LF 0 LF N/A N/A N/A7510 1 1 Nurse's Patient Room N/A CMU Non Suspect ACM 560 SF 0 SF N/A N/A N/A7510 1 1 Nurse's Patient Room N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 192 SF 0 SF N/A N/A N/A7510 1 1 Nurse's Patient Room M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 96 SF 0 SF 1 No 1/D7510 1 1 Nurse's Patient Room M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 96 SF 0 SF 1 No 1/D

Page 32: THREE-YEAR RE-INSPECTION 2018-2019 · Mary McLeod Bethune School The 20182019 inspection process - included the addition and/or an update of a comprehensive Room by Room Inventory

7510 Mary McLeod Bethune ES 2018-2019 Location Log Report

4

School District of Philadelphia AHERA Three-Year Reinspection 2018-2019 Reinspection Dates: 10/25/2018Mary McLeod Bethune Elementary School Room by Room Location Log Report Building Inspector: Kristen Masotes

3301 Old York Road, Philadelphia, PA 19140 Certification Number: ACC-0618-6-019

ULCS# 7510 Management Planner: Monique Causley

Year Built: 1970 Certification Number: 745897

ULCS#

Element

Floor On Site Room Name

System Affected Material Description HID#

Confirmed Assumed NAD Non Suspect ACM

Amount of Material

SF LF EA

Amount of Damage

SF LF EA Comments/Description/Notes

Attic/ Crawl Space

RankingDamage

Potential (DP)

Newly Friable

(NF)Response Action (RA)

7510 1 1 Nurse's Storage Room N/A CMU Non Suspect ACM 360 SF 0 SF N/A N/A N/A7510 1 1 Nurse's Storage Room N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 72 SF 0 SF N/A N/A N/A7510 1 1 Nurse's Storage Room M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 72 SF 0 SF 1 No 1/D7510 1 1 Nurse's Storage Room Closet N/A CMU Non Suspect ACM 100 SF 0 SF N/A N/A N/A7510 1 1 Nurse's Storage Room Closet N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 6 SF 0 SF N/A N/A N/A7510 1 1 Nurse's Storage Room Closet M Floor Tile VAT 9" x 9" 7510/01/01/14 Confirmed 6 SF 0 SF 1 No 1/D7510 1 1 Nurse's Storage Room Closet M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 6 SF 0 SF 1 No 1/D7510 1 1 Nurse's Office Restroom N/A CMU Non Suspect ACM 180 SF 0 SF N/A N/A N/A7510 1 1 Nurse's Office Restroom N/A Plaster Ceiling NAD 20 SF 0 SF N/A N/A N/A7510 1 1 Nurse's Office Restroom N/A Ceramic Tile Floors Non Suspect ACM 20 SF 0 SF N/A N/A N/A7510 1 1 Hallway to Gym adjacent to STS Office N/A CMU Non Suspect ACM 460 SF 0 SF N/A N/A N/A7510 1 1 Hallway to Gym adjacent to STS Office N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 126 SF 0 SF N/A N/A N/A7510 1 1 Hallway to Gym adjacent to STS Office M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 63 SF 0 SF 1 No 1/D7510 1 1 Hallway to Gym adjacent to STS Office M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 63 SF 0 SF 1 No 1/D7510 1 1 Gym N/A CMU Non Suspect ACM 5560 SF 0 SF N/A N/A N/A7510 1 1 Gym N/A Concrete Ceiling Non Suspect ACM 4720 SF 0 SF N/A N/A N/A7510 1 1 Gym N/A Acoustical Plaster Ceiling NAD 1668 SF 0 SF Associated with the soffit N/A N/A N/A7510 1 1 Gym M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 3145 SF 0 SF 1 No 1/D7510 1 1 Gym M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 1575 SF 0 SF 1 No 1/D

7510 1 1 Gym T Fireproofing 7510/01/01/12 Confirmed 0 SF 0 SF

Sampled 12/13/16 (ACER-SM). Kristen Masotes/ACER did no see this material during F2018 reinspection. Leaving material on log per Monique. 1 No 1/D

7510 1 1 Gym Office N/A CMU Non Suspect ACM 500 SF 0 SF N/A N/A N/A7510 1 1 Gym Office N/A Acoustical Plaster Ceiling NAD 154 SF 0 SF N/A N/A N/A7510 1 1 Gym Office N/A Fiberglass Pipe Fitting Insulation Non Suspect ACM 1 EA 0 EA N/A N/A N/A7510 1 1 Gym Office N/A Fiberglass Pipe Insulation Non Suspect ACM 6 LF 0 LF N/A N/A N/A7510 1 1 Gym Office T Pipe Fitting Insulation 7510/01/01/CC Assumed 40 LF 0 LF Associated with a roof drain 1 No 1/D7510 1 1 Gym Office M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 77 SF 0 SF 1 No 1/D7510 1 1 Gym Office M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 77 SF 0 SF 1 No 1/D7510 1 1 Gym Office Restroom N/A CMU Non Suspect ACM 240 SF 0 SF N/A N/A N/A7510 1 1 Gym Office Restroom N/A Plaster Ceiling NAD 32 SF 0 SF N/A N/A N/A7510 1 1 Gym Office Restroom N/A Fiberglass Pipe Fitting Insulation Non Suspect ACM 5 EA 0 EA N/A N/A N/A7510 1 1 Gym Office Restroom N/A Fiberglass Pipe Insulation Non Suspect ACM 12 LF 0 LF N/A N/A N/A7510 1 1 Gym Office Restroom N/A Ceramic Tile Floors Non Suspect ACM 32 SF 0 SF N/A N/A N/A7510 1 1 Girl's Locker Room X X X X X X X X X X7510 1 1 Boy's Locker Room X X X X X X X X X X7510 1 1 Gym Storage N/A CMU Non Suspect ACM 520 SF 0 SF N/A N/A N/A7510 1 1 Gym Storage N/A Concrete Ceiling Non Suspect ACM 168 SF 0 SF N/A N/A N/A7510 1 1 Gym Storage N/A Fiberglass Pipe Fitting Insulation Non Suspect ACM 2 EA 0 EA N/A N/A N/A7510 1 1 Gym Storage N/A Fiberglass Pipe Insulation Non Suspect ACM 48 LF 0 LF N/A N/A N/A7510 1 1 Gym Storage N/A Cement Floor Non Suspect ACM 168 SF 0 SF N/A N/A N/A7510 1 1 Hallway to Gym adjacent to Main Entrance N/A CMU Non Suspect ACM 460 SF 0 SF N/A N/A N/A7510 1 1 Hallway to Gym adjacent to Main Entrance N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 126 SF 0 SF N/A N/A N/A7510 1 1 Hallway to Gym adjacent to Main Entrance M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 63 SF 0 SF 1 No 1/D7510 1 1 Hallway to Gym adjacent to Main Entrance M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 63 SF 0 SF 1 No 1/D7510 1 1 Main Entrance Hallway N/A CMU Non Suspect ACM 1420 SF 0 SF N/A N/A N/A7510 1 1 Main Entrance Hallway N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 1050 SF 0 SF N/A N/A N/A7510 1 1 Main Entrance Hallway M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 525 SF 0 SF 1 No 1/D7510 1 1 Main Entrance Hallway M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 525 SF 0 SF 1 No 1/D7510 1 1 Hallway adjacent to Main Office N/A CMU Non Suspect ACM 2280 SF 0 SF N/A N/A N/A7510 1 1 Hallway adjacent to Main Office N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 945 SF 0 SF N/A N/A N/A7510 1 1 Hallway adjacent to Main Office M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 472 SF 0 SF 1 No 1/D7510 1 1 Hallway adjacent to Main Office M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 473 SF 0 SF 1 No 1/D

7510 1 1Storage Room between Storage Room adjacent to Main Office and Storage Room adjacent to Nurse's Office X X X X X X X X X X

7510 1 1 Storage Room adjacent to Main Office X X X X X X X X X X7510 1 1 Main Office N/A CMU Non Suspect ACM 1020 SF 0 SF N/A N/A N/A7510 1 1 Main Office N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 620 SF 0 SF N/A N/A N/A7510 1 1 Main Office M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 310 SF 0 SF 1 No 1/D7510 1 1 Main Office M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 310 SF 0 SF 1 No 1/D7510 1 1 Main Office Storage Room N/A CMU Non Suspect ACM 480 SF 0 SF N/A N/A N/A7510 1 1 Main Office Storage Room N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 144 SF 0 SF N/A N/A N/A7510 1 1 Main Office Storage Room M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 144 SF 0 SF 1 No 1/D7510 1 1 Main Office Storage Room Closet N/A CMU Non Suspect ACM 160 SF 0 SF N/A N/A N/A7510 1 1 Main Office Storage Room Closet N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 16 SF 0 SF N/A N/A N/A7510 1 1 Main Office Storage Room Closet M Floor Tile VAT 9" x 9" 7510/01/01/14 Confirmed 16 SF 0 SF 1 No 1/D7510 1 1 Principal's Office N/A CMU Non Suspect ACM 640 SF 0 SF N/A N/A N/A7510 1 1 Principal's Office N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 252 SF 0 SF N/A N/A N/A7510 1 1 Principal's Office M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 126 SF 0 SF 1 No 1/D7510 1 1 Principal's Office M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 126 SF 0 SF 1 No 1/D

Page 33: THREE-YEAR RE-INSPECTION 2018-2019 · Mary McLeod Bethune School The 20182019 inspection process - included the addition and/or an update of a comprehensive Room by Room Inventory

7510 Mary McLeod Bethune ES 2018-2019 Location Log Report

5

School District of Philadelphia AHERA Three-Year Reinspection 2018-2019 Reinspection Dates: 10/25/2018Mary McLeod Bethune Elementary School Room by Room Location Log Report Building Inspector: Kristen Masotes

3301 Old York Road, Philadelphia, PA 19140 Certification Number: ACC-0618-6-019

ULCS# 7510 Management Planner: Monique Causley

Year Built: 1970 Certification Number: 745897

ULCS#

Element

Floor On Site Room Name

System Affected Material Description HID#

Confirmed Assumed NAD Non Suspect ACM

Amount of Material

SF LF EA

Amount of Damage

SF LF EA Comments/Description/Notes

Attic/ Crawl Space

RankingDamage

Potential (DP)

Newly Friable

(NF)Response Action (RA)

7510 1 1 Principal's Office Closet N/A CMU Non Suspect ACM 160 SF 0 SF N/A N/A N/A7510 1 1 Principal's Office Closet N/A Ceiling Tile 2' x 4' Non Suspect ACM 25 SF 0 SF N/A N/A N/A7510 1 1 Principal's Office Closet M Floor Tile VAT 9" x 9" 7510/01/01/14 Confirmed 25 SF 0 SF 1 No 1/D7510 1 1 Principal's Office Restroom N/A CMU Non Suspect ACM 200 SF 0 SF N/A N/A N/A7510 1 1 Principal's Office Restroom N/A Ceiling Tile 2' x 4' Non Suspect ACM 32 SF 0 SF N/A N/A N/A7510 1 1 Principal's Office Restroom M Ceramic Tile Floors Non Suspect ACM 32 SF 0 SF N/A N/A N/A7510 1 1 Conference Room A adjacent to Principal's Office N/A CMU Non Suspect ACM 620 SF 0 SF N/A N/A N/A7510 1 1 Conference Room A adjacent to Principal's Office N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 240 SF 0 SF N/A N/A N/A7510 1 1 Conference Room A adjacent to Principal's Office M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 120 SF 0 SF 1 No 1/D7510 1 1 Conference Room A adjacent to Principal's Office M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 120 SF 0 SF 1 No 1/D7510 1 1 Server Room 122A N/A CMU Non Suspect ACM 440 SF 0 SF N/A N/A N/A7510 1 1 Server Room 122A N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 112 SF 0 SF N/A N/A N/A7510 1 1 Server Room 122A M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 112 SF 0 SF 1 No 1/D7510 1 1 Main Office Copy Room N/A CMU Non Suspect ACM 400 SF 0 SF N/A N/A N/A7510 1 1 Main Office Copy Room N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 96 SF 0 SF N/A N/A N/A7510 1 1 Main Office Copy Room M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 96 SF 0 SF 1 No 1/D7510 1 1 Hallway from Server Room to Psychologist's Office N/A CMU Non Suspect ACM 680 SF 0 SF N/A N/A N/A7510 1 1 Hallway from Server Room to Psychologist's Office N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 145 SF 0 SF N/A N/A N/A7510 1 1 Hallway from Server Room to Psychologist's Office M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 72 SF 0 SF 1 No 1/D7510 1 1 Hallway from Server Room to Psychologist's Office M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 73 SF 0 SF 1 No 1/D7510 1 1 Psychologist's Office 118A N/A CMU Non Suspect ACM 440 SF 0 SF N/A N/A N/A7510 1 1 Psychologist's Office 118A N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 112 SF 0 SF N/A N/A N/A7510 1 1 Psychologist's Office 118A M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 56 SF 0 SF 1 No 1/D7510 1 1 Psychologist's Office 118A M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 56 SF 0 SF 1 No 1/D7510 1 1 Counselor's Office 118B N/A CMU Non Suspect ACM 440 SF 0 SF N/A N/A N/A7510 1 1 Counselor's Office 118B N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 120 SF 0 SF N/A N/A N/A7510 1 1 Counselor's Office 118B M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 60 SF 0 SF 1 No 1/D7510 1 1 Counselor's Office 118B M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 60 SF 0 SF 1 No 1/D7510 1 1 Room 118C Conference Room B N/A CMU Non Suspect ACM 440 SF 0 SF N/A N/A N/A7510 1 1 Room 118C Conference Room B N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 120 SF 0 SF N/A N/A N/A7510 1 1 Room 118C Conference Room B M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 60 SF 0 SF 1 No 1/D7510 1 1 Room 118C Conference Room B M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 60 SF 0 SF 1 No 1/D7510 1 1 Hallway adjacent to Conference Room B N/A CMU Non Suspect ACM 420 SF 0 SF N/A N/A N/A7510 1 1 Hallway adjacent to Conference Room B N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 68 SF 0 SF N/A N/A N/A7510 1 1 Hallway adjacent to Conference Room B M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 34 SF 0 SF 1 No 1/D7510 1 1 Hallway adjacent to Conference Room B M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 34 SF 0 SF 1 No 1/D7510 1 1 Office adjacent to Conference Room B X X X X X X X X X X7510 1 1 Office adjacent to Conference Room B N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 160 SF 0 SF N/A N/A N/A7510 1 1 Office adjacent to Conference Room B N/A CMU Non Suspect ACM 416 SF 0 SF N/A N/A N/A7510 1 1 Office adjacent to Conference Room B N/A Acoustical Plaster Ceiling NAD 160 SF 0 SF N/A N/A N/A7510 1 1 Stairwell D by Cafeteria N/A CMU Non Suspect ACM 500 SF 0 SF N/A N/A N/A7510 1 1 Stairwell D by Cafeteria N/A Concrete Ceiling Non Suspect ACM 156 SF 0 SF N/A N/A N/A7510 1 1 Stairwell D by Cafeteria M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 78 SF 0 SF 1 No 1/D7510 1 1 Hallway to Cafeteria N/A CMU Non Suspect ACM 440 SF 0 SF N/A N/A N/A7510 1 1 Hallway to Cafeteria N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 120 SF 0 SF N/A N/A N/A7510 1 1 Hallway to Cafeteria M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 120 SF 0 SF 1 No 1/D7510 1 1 Cafeteria N/A CMU Non Suspect ACM 3320 SF 0 SF N/A N/A N/A7510 1 1 Cafeteria N/A Concrete Ceiling Non Suspect ACM 3024 SF 0 SF N/A N/A N/A7510 1 1 Cafeteria N/A Acoustical Plaster Ceiling NAD 2718 SF 0 SF N/A N/A N/A7510 1 1 Cafeteria N/A Ceramic Tile Walls Non Suspect ACM 650 SF 0 SF N/A N/A N/A

7510 1 1 Cafeteria T Fireproofing 7510/01/01/12 Confirmed 3000 SF 0 SFLocated above hard ceiling - visible through small access panel - Sampled 12/13/16 (ACER-SM) 1 No 1/D

7510 1 1 Cafeteria M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 1512 SF 0 SF 1 No 1/D7510 1 1 Cafeteria M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 1512 SF 0 SF 1 No 1/D7510 1 1 Cafeteria M Light Reflection Paper 7510/01/01/ACER/SM/1651 Assumed 15 EA 0 EA 1 No 1/D7510 1 1 Kitchen X X X X X X X X X X7510 1 1 Kitchen N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 360 SF 0 SF N/A N/A N/A7510 1 1 Kitchen N/A CMU Non Suspect ACM 672 SF 0 SF N/A N/A N/A7510 1 1 Kitchen N/A Fiberglass Pipe Insulation Non Suspect ACM 4 LF 0 LF N/A N/A N/A7510 1 1 Dishwashing Room X X X X X X X X X X7510 1 1 Dishwashing Room N/A Fiberglass Pipe Fitting Insulation Non Suspect ACM 12 LF 0 LF N/A N/A N/A7510 1 1 Dishwashing Room N/A Fiberglass Pipe Insulation Non Suspect ACM 40 LF 0 LF N/A N/A N/A7510 1 1 Dishwashing Room N/A CMU Non Suspect ACM 576 SF 0 SF N/A N/A N/A7510 1 1 Dishwashing Room N/A Acoustical Plaster Ceiling NAD 288 SF 0 SF N/A N/A N/A7510 1 1 Hallway at Office adjacent to the Kitchen N/A CMU Non Suspect ACM 640 SF 0 SF N/A N/A N/A7510 1 1 Hallway at Office adjacent to the Kitchen N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 156 SF 0 SF N/A N/A N/A7510 1 1 Hallway at Office adjacent to the Kitchen M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 156 SF 0 SF 1 No 1/D7510 1 1 Lost and Found N/A CMU Non Suspect ACM 440 SF 0 SF N/A N/A N/A7510 1 1 Lost and Found N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 117 SF 0 SF N/A N/A N/A7510 1 1 Lost and Found M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 59 SF 0 SF 1 No 1/D

Page 34: THREE-YEAR RE-INSPECTION 2018-2019 · Mary McLeod Bethune School The 20182019 inspection process - included the addition and/or an update of a comprehensive Room by Room Inventory

7510 Mary McLeod Bethune ES 2018-2019 Location Log Report

6

School District of Philadelphia AHERA Three-Year Reinspection 2018-2019 Reinspection Dates: 10/25/2018Mary McLeod Bethune Elementary School Room by Room Location Log Report Building Inspector: Kristen Masotes

3301 Old York Road, Philadelphia, PA 19140 Certification Number: ACC-0618-6-019

ULCS# 7510 Management Planner: Monique Causley

Year Built: 1970 Certification Number: 745897

ULCS#

Element

Floor On Site Room Name

System Affected Material Description HID#

Confirmed Assumed NAD Non Suspect ACM

Amount of Material

SF LF EA

Amount of Damage

SF LF EA Comments/Description/Notes

Attic/ Crawl Space

RankingDamage

Potential (DP)

Newly Friable

(NF)Response Action (RA)

7510 1 1 Lost and Found M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 58 SF 0 SF 1 No 1/D7510 1 1 Women's Restroom Entrance Lobby X X X X X X X X X X7510 1 1 Women's Restroom Entrance Lobby N/A Acoustical Plaster Ceiling NAD 50 SF 0 SF N/A N/A N/A7510 1 1 Women's Restroom Entrance Lobby N/A CMU Non Suspect ACM 224 SF 0 SF N/A N/A N/A7510 1 1 Men's Restroom in Entrance Lobby N/A Ceramic Tile Floors Non Suspect ACM 50 SF 0 SF N/A N/A N/A7510 1 1 Men's Restroom in Entrance Lobby X X X X X X X X X X7510 1 1 Men's Restroom in Entrance Lobby N/A CMU Non Suspect ACM 224 SF 0 SF N/A N/A N/A7510 1 1 Cafeteria Storage Closet N/A CMU Non Suspect ACM 220 SF 0 SF N/A N/A N/A7510 1 1 Cafeteria Storage Closet N/A Plaster Ceiling NAD 30 SF 0 SF N/A N/A N/A7510 1 1 Cafeteria Storage Closet M Floor Tile VAT 9" x 9" 7510/01/01/14 Confirmed 30 SF 0 SF 1 No 1/D7510 1 1 Cafeteria Storage Room X X X X X X X X X X7510 1 1 Auditorium N/A CMU Non Suspect ACM 3600 SF 0 SF N/A N/A N/A7510 1 1 Auditorium N/A Concrete Ceiling Non Suspect ACM 3600 SF 0 SF N/A N/A N/A7510 1 1 Auditorium N/A Acoustical Plaster Ceiling NAD 2210 SF 0 SF N/A N/A N/A7510 1 1 Auditorium N/A Ceramic Tile Walls Non Suspect ACM 200 SF 0 SF N/A N/A N/A

7510 1 1 Auditorium T Fireproofing 7510/01/01/12 Confirmed 3000 SF 0 SFMay be located above hard ceiling/please estimate material amounts 1 No 1/D

7510 1 1 Auditorium M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 1800 SF 0 SF new tiles-replaced summer of 2015 1 No 1/D7510 1 1 Auditorium M Light Reflection Paper 7510/01/01/ACER/SM/1651 Assumed 15 EA 0 EA 1 No 1/D7510 1 1 Auditorium Dressing Room B X X X X X X X X X X7510 1 1 Auditorium Dressing Room A X X X X X X X X X X7510 1 1 Hallway from the TOCFWH Office to Teacher's Lounge N/A CMU Non Suspect ACM 1240 SF 0 SF N/A N/A N/A7510 1 1 Hallway from the TOCFWH Office to Teacher's Lounge N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 336 SF 0 SF N/A N/A N/A7510 1 1 Hallway from the TOCFWH Office to Teacher's Lounge M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 168 SF 0 SF 1 No 1/D7510 1 1 Hallway from the TOCFWH Office to Teacher's Lounge M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 168 SF 0 SF 1 No 1/D7510 1 1 Hallway to Stairwell D N/A CMU Non Suspect ACM 740 SF 0 SF N/A N/A N/A7510 1 1 Hallway to Stairwell D N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 286 SF 0 SF N/A N/A N/A7510 1 1 Hallway to Stairwell D M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 143 SF 0 SF 1 No 1/D7510 1 1 Hallway to Stairwell D M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 143 SF 0 SF 1 No 1/D7510 1 1 Hallway adjacent to Teacher's Lounge 100 N/A CMU Non Suspect ACM 580 SF 0 SF N/A N/A N/A7510 1 1 Hallway adjacent to Teacher's Lounge 100 N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 180 SF 0 SF N/A N/A N/A7510 1 1 Hallway adjacent to Teacher's Lounge 100 M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 90 SF 0 SF 1 No 1/D7510 1 1 Hallway adjacent to Teacher's Lounge 100 M Floor Tile VAT 12" x 12" 7510/01/01/AA Assumed 90 SF 0 SF 1 No 1/D7510 1 1 Teacher's Lounge 123 N/A CMU Non Suspect ACM 1040 SF 0 SF N/A N/A N/A7510 1 1 Teacher's Lounge 123 N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 612 SF 0 SF N/A N/A N/A7510 1 1 Teacher's Lounge 123 N/A Fiberglass Pipe Insulation Non Suspect ACM 220 LF 0 LF N/A N/A N/A7510 1 1 Teacher's Lounge 123 M Floor Tile VAT 9" x 9" 7510/01/01/14 Confirmed 306 SF 0 SF 1 No 1/D7510 1 1 Teacher's Lounge 123 M Floor Tile VAT 9" x 9" 7510/01/01/14 Confirmed 306 SF 0 SF 1 No 1/D7510 1 1 TOCFWH Office X X X X X X X X X X7510 1 2 Classroom 200 Technology T Pipe Fitting Insulation 7510/01/02/20 Assumed 1 EA 0 EA Associated with a roof drain 1 No 1/D7510 1 2 Classroom 200 Technology N/A Fiberglass Pipe Insulation Non Suspect ACM 10 LF 0 LF N/A N/A N/A7510 1 2 Classroom 200 Technology N/A CMU Non Suspect ACM 1240 SF 0 SF N/A N/A N/A7510 1 2 Classroom 200 Technology N/A Acoustical Plaster Ceiling NAD 897 SF 0 SF N/A N/A N/A7510 1 2 Classroom 200 Technology M Floor Tile VAT 12" x 12" 7510/01/02/BB Assumed 831 SF 0 SF 1 No 1/D7510 1 2 Classroom 200 Technology M Floor Tile VAT 9" x 9" 7510/01/02/17 Confirmed 66 SF 0 SF 1 No 1/D7510 1 2 Classroom 200 Technology M Blackboard Glue Dots 7510/01/02/ACER/WG/2600 Assumed 2 EA 0 EA 1 No 1/D7510 1 2 Classroom 200 Technology Closet N/A Concrete Ceiling Non Suspect ACM 25 SF 0 SF N/A N/A N/A7510 1 2 Classroom 200 Technology Closet N/A CMU Non Suspect ACM 200 SF 0 SF N/A N/A N/A7510 1 2 Classroom 200 Technology Closet M Floor Tile VAT 9" x 9" 7510/01/02/17 Confirmed 25 SF 0 SF 1 No 1/D7510 1 2 Stairwell D next to Classroom 200 M Floor Tile VAT 12" x 12" 7510/01/02/BB Assumed 78 SF 0 SF 1 No 1/D7510 1 2 Stairwell D next to Classroom 200 N/A CMU Non Suspect ACM 1000 SF 0 SF N/A N/A N/A7510 1 2 Stairwell D next to Classroom 200 N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 100 SF 0 SF N/A N/A N/A7510 1 2 Stairwell D next to Classroom 200 N/A Cement Floor Non Suspect ACM 100 SF 0 SF N/A N/A N/A7510 1 2 Fan Room adjacent to Classroom 200 X X X X X X X X X X7510 1 2 Hallway adjacent to Classroom 200 N/A CMU Non Suspect ACM 580 SF 0 SF N/A N/A N/A7510 1 2 Hallway adjacent to Classroom 200 N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 180 SF 0 SF N/A N/A N/A7510 1 2 Hallway adjacent to Classroom 200 M Floor Tile VAT 12" x 12" 7510/01/02/BB Assumed 90 SF 0 SF 1 No 1/D7510 1 2 Hallway adjacent to Classroom 200 M Floor Tile VAT 12" x 12" 7510/01/02/BB Assumed 90 SF 0 SF 1 No 1/D7510 1 2 Classroom 201 N/A CMU Non Suspect ACM 1200 SF 0 SF N/A N/A N/A7510 1 2 Classroom 201 N/A Acoustical Plaster Ceiling NAD 891 SF 0 SF N/A N/A N/A

7510 1 2 Classroom 201 M Floor Tile VAT 9" x 9" 7510/01/02/17 Confirmed 891 SF 0 SFWO# 1776809/1775446- work order request by John Parker 1 No 1/D

7510 1 2 Classroom 201 M Blackboard Glue Dots 7510/01/02/ACER/WG/2600 Assumed 1 EA 0 EA 1 No 1/D7510 1 2 Office adjacent to Classroom 201 X X X X X X X X X X7510 1 2 Girl's Restroom across from Classroom 201 X X X X X X X X X X7510 1 2 Hallway adjacent to Classroom 201 N/A CMU Non Suspect ACM 1980 SF 0 SF N/A N/A N/A7510 1 2 Hallway adjacent to Classroom 201 N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 810 SF 0 SF N/A N/A N/A7510 1 2 Hallway adjacent to Classroom 201 M Floor Tile VAT 12" x 12" 7510/01/02/BB Assumed 405 SF 0 SF 1 No 1/D7510 1 2 Hallway adjacent to Classroom 201 M Floor Tile VAT 12" x 12" 7510/01/02/BB Assumed 405 SF 0 SF 1 No 1/D7510 1 2 Classroom 202 N/A CMU Non Suspect ACM 1200 SF 0 SF N/A N/A N/A

Page 35: THREE-YEAR RE-INSPECTION 2018-2019 · Mary McLeod Bethune School The 20182019 inspection process - included the addition and/or an update of a comprehensive Room by Room Inventory

7510 Mary McLeod Bethune ES 2018-2019 Location Log Report

7

School District of Philadelphia AHERA Three-Year Reinspection 2018-2019 Reinspection Dates: 10/25/2018Mary McLeod Bethune Elementary School Room by Room Location Log Report Building Inspector: Kristen Masotes

3301 Old York Road, Philadelphia, PA 19140 Certification Number: ACC-0618-6-019

ULCS# 7510 Management Planner: Monique Causley

Year Built: 1970 Certification Number: 745897

ULCS#

Element

Floor On Site Room Name

System Affected Material Description HID#

Confirmed Assumed NAD Non Suspect ACM

Amount of Material

SF LF EA

Amount of Damage

SF LF EA Comments/Description/Notes

Attic/ Crawl Space

RankingDamage

Potential (DP)

Newly Friable

(NF)Response Action (RA)

7510 1 2 Classroom 202 N/A Acoustical Plaster Ceiling NAD 891 SF 0 SF N/A N/A N/A7510 1 2 Classroom 202 M Floor Tile VAT 12" x 12" 7510/01/02/BB Assumed 891 SF 0 SF 1 No 1/D7510 1 2 Classroom 202 M Blackboard Glue Dots 7510/01/02/ACER/WG/2600 Assumed 2 EA 0 EA 1 No 1/D7510 1 2 Classroom 203 N/A CMU Non Suspect ACM 1300 SF 0 SF N/A N/A N/A7510 1 2 Classroom 203 N/A Acoustical Plaster Ceiling NAD 1054 SF 0 SF N/A N/A N/A7510 1 2 Classroom 203 M Floor Tile VAT 12" x 12" 7510/01/02/BB Assumed 1054 SF 0 SF 1 No 1/D7510 1 2 Classroom 203 M Blackboard Glue Dots 7510/01/02/ACER/WG/2600 Assumed 2 EA 0 EA 1 No 1/D7510 1 2 Hallway between Classrooms 201 to 205 N/A CMU Non Suspect ACM 1300 SF 0 SF N/A N/A N/A7510 1 2 Hallway between Classrooms 201 to 205 N/A Acoustical Plaster Ceiling NAD 1056 SF 0 SF N/A N/A N/A7510 1 2 Hallway between Classrooms 201 to 205 M Floor Tile VAT 12" x 12" 7510/01/02/BB Assumed 1056 SF 0 SF 1 No 1/D7510 1 2 Classroom 204 N/A CMU Non Suspect ACM 1280 SF 0 SF N/A N/A N/A7510 1 2 Classroom 204 N/A Acoustical Plaster Ceiling NAD 1020 SF 0 SF N/A N/A N/A7510 1 2 Classroom 204 M Floor Tile VAT 12" x 12" 7510/01/02/BB Assumed 1020 SF 0 SF 1 No 1/D7510 1 2 Classroom 204 M Blackboard Glue Dots 7510/01/02/ACER/WG/2600 Assumed 2 EA 0 EA 1 No 1/D7510 1 2 Classroom 205 N/A CMU Non Suspect ACM 1280 SF 0 SF N/A N/A N/A7510 1 2 Classroom 205 N/A Acoustical Plaster Ceiling NAD 1020 SF 0 SF N/A N/A N/A7510 1 2 Classroom 205 M Floor Tile VAT 12" x 12" 7510/01/02/BB Assumed 1020 SF 0 SF 1 No 1/D7510 1 2 Classroom 205 M Blackboard Glue Dots 7510/01/02/ACER/WG/2600 Assumed 1 EA 0 EA 1 No 1/D7510 1 2 Boy's Restroom across from Classroom 205 X X X X X X X X X X7510 1 2 Stairwell A next to Classroom 205 N/A CMU Non Suspect ACM 640 SF 0 SF N/A N/A N/A7510 1 2 Stairwell A next to Classroom 205 N/A Concrete Ceiling Non Suspect ACM 240 SF 0 SF N/A N/A N/A7510 1 2 Stairwell A next to Classroom 205 M Floor Tile VAT 12" x 12" 7510/01/02/BB Assumed 18 SF 0 SF 1 No 1/D7510 1 2 Stairwell A next to Classroom 205 M Floor Tile VAT 12" x 12" 7510/01/02/BB Assumed 18 SF 0 SF 1 No 1/D7510 1 2 Room 219 City Year Office N/A CMU Non Suspect ACM 1780 SF 0 SF N/A N/A N/A7510 1 2 Room 219 City Year Office N/A Acoustical Plaster Ceiling NAD 1924 SF 0 SF N/A N/A N/A7510 1 2 Room 219 City Year Office M Floor Tile VAT 9" x 9" 7510/01/02/17 Confirmed 962 SF 0 SF WO# 1710094 1 No 1/D7510 1 2 Room 219 City Year Office M Floor Tile VAT 9" x 9" 7510/01/02/17 Confirmed 962 SF 0 SF 1 No 1/D7510 1 2 Room 219 City Year Office M Floor Tile VAT 12" x 12" 7510/01/02/BB Assumed 6 SF 0 SF 1 No 1/D7510 1 2 Room 219 City Year Office M Blackboard Glue Dots 7510/01/02/ACER/WG/2600 Assumed 1 EA 0 EA 1 No 1/D7510 1 2 City Year Office 219 Storage Room N/A CMU Non Suspect ACM 440 SF 0 SF N/A N/A N/A7510 1 2 City Year Office 219 Storage Room N/A Acoustical Plaster Ceiling NAD 120 SF 0 SF N/A N/A N/A7510 1 2 City Year Office 219 Storage Room M Floor Tile VAT 9" x 9" 7510/01/02/17 Confirmed 120 SF 0 SF 1 No 1/D7510 1 2 City Year Office 219 Storage Room N/A Fiberglass Pipe Insulation Non Suspect ACM 3 LF 0 LF N/A N/A N/A7510 1 2 Team Planning next to Classroom 206 N/A CMU Non Suspect ACM 700 SF 0 SF N/A N/A N/A7510 1 2 Team Planning next to Classroom 206 N/A Acoustical Plaster Ceiling NAD 304 SF 0 SF N/A N/A N/A7510 1 2 Team Planning next to Classroom 206 M Floor Tile VAT 9" x 9" 7510/01/02/17 Confirmed 304 SF 304 SF WO 1779502 1 Yes 5/B7510 1 2 Team Planning next to Classroom 206 N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 304 SF 0 SF N/A N/A N/A7510 1 2 Team Planning next to Classroom 206 M Blackboard Glue Dots 7510/01/02/ACER/WG/2600 Assumed 1 EA 0 EA 1 No 1/D7510 1 2 Classroom 206 N/A CMU Non Suspect ACM 1240 SF 0 SF N/A N/A N/A7510 1 2 Classroom 206 N/A Acoustical Plaster Ceiling NAD 952 SF 0 SF N/A N/A N/A7510 1 2 Classroom 206 M Floor Tile VAT 12" x 12" 7510/01/02/BB Assumed 952 SF 0 SF 1 No 1/D7510 1 2 Classroom 206 M Blackboard Glue Dots 7510/01/02/ACER/WG/2600 Assumed 2 EA 0 EA 1 No 1/D7510 1 2 Classroom 207 N/A CMU Non Suspect ACM 1300 SF 0 SF N/A N/A N/A7510 1 2 Classroom 207 N/A Acoustical Plaster Ceiling NAD 1050 SF 0 SF N/A N/A N/A7510 1 2 Classroom 207 M Floor Tile VAT 12" x 12" 7510/01/02/BB Assumed 1050 SF 0 SF 1 No 1/D7510 1 2 Classroom 207 M Blackboard Glue Dots 7510/01/02/ACER/WG/2600 Assumed 3 EA 0 EA 1 No 1/D7510 1 2 Storage Room across from Classrooms 206 and 207 X X X X X X X X X X7510 1 2 Hallway from Classrooms 205 to 207 N/A CMU Non Suspect ACM 2120 SF 0 SF N/A N/A N/A7510 1 2 Hallway from Classrooms 205 to 207 N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 873 SF 0 SF N/A N/A N/A7510 1 2 Hallway from Classrooms 205 to 207 M Floor Tile VAT 12" x 12" 7510/01/02/BB Assumed 436 SF 0 SF 1 No 1/D7510 1 2 Hallway from Classrooms 205 to 207 M Floor Tile VAT 12" x 12" 7510/01/02/BB Assumed 437 SF 0 SF 1 No 1/D7510 1 2 Classroom 208 N/A CMU Non Suspect ACM 1300 SF 0 SF N/A N/A N/A7510 1 2 Classroom 208 N/A Acoustical Plaster Ceiling NAD 1050 SF 0 SF N/A N/A N/A7510 1 2 Classroom 208 M Floor Tile VAT 12" x 12" 7510/01/02/BB Assumed 1050 SF 0 SF 1 No 1/D7510 1 2 Classroom 208 M Blackboard Glue Dots 7510/01/02/ACER/WG/2600 Assumed 3 EA 0 EA 1 No 1/D7510 1 2 Classroom 209 N/A CMU Non Suspect ACM 1240 SF 0 SF N/A N/A N/A7510 1 2 Classroom 209 N/A Acoustical Plaster Ceiling NAD 952 SF 0 SF N/A N/A N/A7510 1 2 Classroom 209 M Floor Tile VAT 12" x 12" 7510/01/02/BB Assumed 952 SF 0 SF 1 No 1/D7510 1 2 Classroom 209 M Blackboard Glue Dots 7510/01/02/ACER/WG/2600 Assumed 2 EA 0 EA 1 No 1/D7510 1 2 Storage Room Adjacent to Elevator X X X X X X X X X X7510 1 2 Classroom 220 T Pipe Fitting Insulation 7510/01/02/20 Assumed 2 EA 0 EA Associated with a roof drain 1 No 1/D7510 1 2 Classroom 220 N/A Fiberglass Pipe Insulation Non Suspect ACM 22 LF 0 LF N/A N/A N/A7510 1 2 Classroom 220 N/A CMU Non Suspect ACM 1430 SF 0 SF N/A N/A N/A7510 1 2 Classroom 220 N/A Plaster Walls NAD 350 SF 0 SF N/A N/A N/A7510 1 2 Classroom 220 N/A Acoustical Plaster Ceiling NAD 1890 SF 0 SF N/A N/A N/A7510 1 2 Classroom 220 M Floor Tile VAT 16" x 16" 7510/01/02/BB Assumed 1890 SF 0 SF 1 No 1/D7510 1 2 Classroom 220 M Blackboard Glue Dots 7510/01/02/ACER/WG/2600 Assumed 1 EA 0 EA 1 No 1/D7510 1 2 Classroom 220 Storage Room N/A Fiberglass Pipe Fitting Insulation Non Suspect ACM 2 EA 0 EA N/A N/A N/A7510 1 2 Classroom 220 Storage Room N/A Fiberglass Pipe Insulation Non Suspect ACM 18 LF 0 LF N/A N/A N/A

Page 36: THREE-YEAR RE-INSPECTION 2018-2019 · Mary McLeod Bethune School The 20182019 inspection process - included the addition and/or an update of a comprehensive Room by Room Inventory

7510 Mary McLeod Bethune ES 2018-2019 Location Log Report

8

School District of Philadelphia AHERA Three-Year Reinspection 2018-2019 Reinspection Dates: 10/25/2018Mary McLeod Bethune Elementary School Room by Room Location Log Report Building Inspector: Kristen Masotes

3301 Old York Road, Philadelphia, PA 19140 Certification Number: ACC-0618-6-019

ULCS# 7510 Management Planner: Monique Causley

Year Built: 1970 Certification Number: 745897

ULCS#

Element

Floor On Site Room Name

System Affected Material Description HID#

Confirmed Assumed NAD Non Suspect ACM

Amount of Material

SF LF EA

Amount of Damage

SF LF EA Comments/Description/Notes

Attic/ Crawl Space

RankingDamage

Potential (DP)

Newly Friable

(NF)Response Action (RA)

7510 1 2 Classroom 220 Storage Room N/A CMU Non Suspect ACM 620 SF 0 SF N/A N/A N/A7510 1 2 Classroom 220 Storage Room N/A Concrete Ceiling Non Suspect ACM 198 SF 0 SF N/A N/A N/A7510 1 2 Classroom 220 Storage Room M Floor Tile VAT 16" x 16" 7510/01/02/BB Assumed 198 SF 0 SF 1 No 1/D7510 1 2 Classroom 220 Storage Closet at Entrance X X X X X X X X X X7510 1 2 Classroom 220 Storage Closet in Corner N/A CMU Non Suspect ACM 120 SF 0 SF N/A N/A N/A7510 1 2 Classroom 220 Storage Closet in Corner N/A Concrete Ceiling Non Suspect ACM 8 SF 0 SF N/A N/A N/A7510 1 2 Classroom 220 Storage Closet in Corner M Floor Tile VAT 16" x 16" 7510/01/02/BB Assumed 8 SF 0 SF 1 No 1/D7510 1 2 Stairwell B next to Classroom 210 N/A CMU Non Suspect ACM 640 SF 0 SF N/A N/A N/A7510 1 2 Stairwell B next to Classroom 210 N/A Concrete Ceiling Non Suspect ACM 240 SF 0 SF N/A N/A N/A7510 1 2 Stairwell B next to Classroom 210 M Floor Tile VAT 12" x 12" 7510/01/02/BB Assumed 18 SF 0 SF 1 No 1/D7510 1 2 Stairwell B next to Classroom 210 M Floor Tile VAT 12" x 12" 7510/01/02/BB Assumed 18 SF 0 SF 1 No 1/D7510 1 2 Boy's Restroom across from Classroom 210 X X X X X X X X X X7510 1 2 Hallway from Classrooms 208 to 210 N/A CMU Non Suspect ACM 2120 SF 0 SF N/A N/A N/A7510 1 2 Hallway from Classrooms 208 to 210 N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 873 SF 0 SF N/A N/A N/A7510 1 2 Hallway from Classrooms 208 to 210 M Floor Tile VAT 12" x 12" 7510/01/02/BB Assumed 436 SF 0 SF 1 No 1/D7510 1 2 Hallway from Classrooms 208 to 210 M Floor Tile VAT 12" x 12" 7510/01/02/BB Assumed 437 SF 0 SF 1 No 1/D7510 1 2 Classroom 210 N/A CMU Non Suspect ACM 1280 SF 0 SF N/A N/A N/A7510 1 2 Classroom 210 N/A Acoustical Plaster Ceiling NAD 1020 SF 0 SF N/A N/A N/A7510 1 2 Classroom 210 M Floor Tile VAT 12" x 12" 7510/01/02/BB Assumed 1020 SF 0 SF 1 No 1/D7510 1 2 Classroom 210 M Blackboard Glue Dots 7510/01/02/ACER/WG/2600 Assumed 1 EA 0 EA 1 No 1/D7510 1 2 Classroom 211 N/A CMU Non Suspect ACM 1280 SF 0 SF N/A N/A N/A7510 1 2 Classroom 211 N/A Acoustical Plaster Ceiling NAD 1020 SF 0 SF N/A N/A N/A7510 1 2 Classroom 211 M Floor Tile VAT 12" x 12" 7510/01/02/BB Assumed 1020 SF 0 SF 1 No 1/D7510 1 2 Classroom 211 M Blackboard Glue Dots 7510/01/02/ACER/WG/2600 Assumed 2 EA 0 EA 1 No 1/D7510 1 2 Classroom 212 N/A CMU Non Suspect ACM 1300 SF 0 SF N/A N/A N/A7510 1 2 Classroom 212 N/A Acoustical Plaster Ceiling NAD 1054 SF 0 SF N/A N/A N/A7510 1 2 Classroom 212 M Floor Tile VAT 12" x 12" 7510/01/02/BB Assumed 1054 SF 0 SF 1 No 1/D7510 1 2 Classroom 212 M Blackboard Glue Dots 7510/01/02/ACER/WG/2600 Assumed 2 EA 0 EA 1 No 1/D7510 1 2 Hallway between Classrooms 210 to 214 N/A CMU Non Suspect ACM 1300 SF 0 SF N/A N/A N/A7510 1 2 Hallway between Classrooms 210 to 214 N/A Acoustical Plaster Ceiling NAD 1056 SF 0 SF N/A N/A N/A7510 1 2 Hallway between Classrooms 210 to 214 M Floor Tile VAT 12" x 12" 7510/01/02/BB Assumed 1056 SF 0 SF 1 No 1/D7510 1 2 Classroom 213 N/A CMU Non Suspect ACM 1200 SF 0 SF N/A N/A N/A7510 1 2 Classroom 213 N/A Acoustical Plaster Ceiling NAD 891 SF 0 SF N/A N/A N/A7510 1 2 Classroom 213 M Floor Tile VAT 12" x 12" 7510/01/02/BB Assumed 891 SF 0 SF 1 No 1/D7510 1 2 Classroom 213 M Blackboard Glue Dots 7510/01/02/ACER/WG/2600 Assumed 2 EA 0 EA 1 No 1/D7510 1 2 Classroom 214 N/A CMU Non Suspect ACM 1200 SF 0 SF N/A N/A N/A7510 1 2 Classroom 214 N/A Acoustical Plaster Ceiling NAD 891 SF 0 SF N/A N/A N/A7510 1 2 Classroom 214 M Floor Tile VAT 12" x 12" 7510/01/02/BB Assumed 891 SF 0 SF new tiles installed summer of 2015 1 No 1/D7510 1 2 Classroom 214 M Blackboard Glue Dots 7510/01/02/ACER/WG/2600 Assumed 1 EA 0 EA 1 No 1/D7510 1 2 Hallway adjacent to Classroom 214 N/A CMU Non Suspect ACM 1980 SF 0 SF N/A N/A N/A7510 1 2 Hallway adjacent to Classroom 214 N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 810 SF 0 SF N/A N/A N/A7510 1 2 Hallway adjacent to Classroom 214 M Floor Tile VAT 12" x 12" 7510/01/02/BB Assumed 405 SF 0 SF 1 No 1/D7510 1 2 Hallway adjacent to Classroom 214 M Floor Tile VAT 12" x 12" 7510/01/02/BB Assumed 405 SF 0 SF 1 No 1/D7510 1 2 Office adjacent to Classroom 214 X X X X X X X X X X7510 1 2 Girl's Restroom across from Classroom 214 X X X X X X X X X X7510 1 2 Classroom 215 N/A Fiberglass Pipe Fitting Insulation Non Suspect ACM 2 EA 0 EA N/A N/A N/A7510 1 2 Classroom 215 N/A Fiberglass Pipe Insulation Non Suspect ACM 8 LF 0 LF N/A N/A N/A7510 1 2 Classroom 215 N/A CMU Non Suspect ACM 1260 SF 0 SF N/A N/A N/A7510 1 2 Classroom 215 N/A Acoustical Plaster Ceiling NAD 936 SF 0 SF N/A N/A N/A7510 1 2 Classroom 215 M Floor Tile VAT 12" x 12" 7510/01/02/BB Assumed 936 SF 0 SF 1 No 1/D7510 1 2 Classroom 215 M Blackboard Glue Dots 7510/01/02/ACER/WG/2600 Assumed 1 EA 0 EA 1 No 1/D7510 1 2 Classroom 215 Closet X X X X X X X X X X7510 1 2 Room 221 Diagnostic Center N/A CMU Non Suspect ACM 1160 SF 0 SF N/A N/A N/A7510 1 2 Room 221 Diagnostic Center N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 837 SF 0 SF N/A N/A N/A7510 1 2 Room 221 Diagnostic Center M Floor Tile VAT 9" x 9" 7510/01/02/17 Confirmed 418 SF 0 SF 1 No 1/D7510 1 2 Room 221 Diagnostic Center M Floor Tile VAT 9" x 9" 7510/01/02/17 Confirmed 419 SF 0 SF 1 No 1/D7510 1 2 Room 221 Diagnostic Center M Blackboard Glue Dots 7510/01/02/ACER/WG/2600 Assumed 1 EA 0 EA 1 No 1/D7510 1 2 Stairwell C next to Classroom 215 N/A CMU Non Suspect ACM 720 SF 0 SF N/A N/A N/A7510 1 2 Stairwell C next to Classroom 215 N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 120 SF 0 SF N/A N/A N/A7510 1 2 Stairwell C next to Classroom 215 N/A Cement Floor Non Suspect ACM 120 SF 0 SF N/A N/A N/A7510 1 2 Fan Room adjacent to Classroom 215 X X X X X X X X X X7510 1 2 Hallway adjacent to Classroom 215 N/A CMU Non Suspect ACM 680 SF 0 SF N/A N/A N/A7510 1 2 Hallway adjacent to Classroom 215 N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 225 SF 0 SF N/A N/A N/A7510 1 2 Hallway adjacent to Classroom 215 M Floor Tile VAT 12" x 12" 7510/01/02/BB Assumed 112 SF 0 SF 1 No 1/D7510 1 2 Hallway adjacent to Classroom 215 M Floor Tile VAT 12" x 12" 7510/01/02/BB Assumed 113 SF 0 SF 1 No 1/D7510 1 2 Team Planning Room Adjacent to Classroom 218 X X X X X X X X X X7510 1 2 Room 216 Music N/A CMU Non Suspect ACM 830 SF 0 SF N/A N/A N/A7510 1 2 Room 216 Music N/A Concrete Wall Non Suspect ACM 430 SF 0 SF N/A N/A N/A7510 1 2 Room 216 Music N/A Acoustical Plaster Ceiling NAD 962 SF 0 SF N/A N/A N/A

Page 37: THREE-YEAR RE-INSPECTION 2018-2019 · Mary McLeod Bethune School The 20182019 inspection process - included the addition and/or an update of a comprehensive Room by Room Inventory

7510 Mary McLeod Bethune ES 2018-2019 Location Log Report

9

School District of Philadelphia AHERA Three-Year Reinspection 2018-2019 Reinspection Dates: 10/25/2018Mary McLeod Bethune Elementary School Room by Room Location Log Report Building Inspector: Kristen Masotes

3301 Old York Road, Philadelphia, PA 19140 Certification Number: ACC-0618-6-019

ULCS# 7510 Management Planner: Monique Causley

Year Built: 1970 Certification Number: 745897

ULCS#

Element

Floor On Site Room Name

System Affected Material Description HID#

Confirmed Assumed NAD Non Suspect ACM

Amount of Material

SF LF EA

Amount of Damage

SF LF EA Comments/Description/Notes

Attic/ Crawl Space

RankingDamage

Potential (DP)

Newly Friable

(NF)Response Action (RA)

7510 1 2 Room 216 Music M Floor Tile VAT 12" x 12" 7510/01/02/BB Assumed 932 SF 0 SF 1 No 1/D7510 1 2 Room 216 Music M Floor Tile VAT 9" x 9" 7510/01/02/17 Confirmed 30 SF 0 SF 1 No 1/D7510 1 2 Room 216 Music M Blackboard Glue Dots 7510/01/02/ACER/WG/2600 Assumed 2 EA 0 EA 1 No 1/D7510 1 2 Room 216 Music Closet N/A CMU Non Suspect ACM 40 SF 0 SF N/A N/A N/A7510 1 2 Room 216 Music Closet N/A Concrete Wall Non Suspect ACM 50 SF 0 SF N/A N/A N/A7510 1 2 Room 216 Music Closet N/A Concrete Ceiling Non Suspect ACM 20 SF 0 SF N/A N/A N/A7510 1 2 Room 216 Music Closet M Floor Tile VAT 9" x 9" 7510/01/02/17 Confirmed 20 SF 0 SF 1 No 1/D7510 1 2 Room 217 Technology N/A CMU Non Suspect ACM 830 SF 0 SF N/A N/A N/A7510 1 2 Room 217 Technology N/A Concrete Wall Non Suspect ACM 430 SF 0 SF N/A N/A N/A7510 1 2 Room 217 Technology N/A Acoustical Plaster Ceiling NAD 962 SF 0 SF N/A N/A N/A7510 1 2 Room 217 Technology M Floor Tile VAT 12" x 12" 7510/01/02/BB Assumed 962 SF 0 SF 1 No 1/D7510 1 2 Room 217 Technology M Blackboard Glue Dots 7510/01/02/ACER/WG/2600 Assumed 2 EA 0 EA 1 No 1/D7510 1 2 Room 217 Technology Closet X X X X X X X X X X7510 1 2 Hallway adjacent to Classrooms 216 and 217 N/A CMU Non Suspect ACM 2280 SF 0 SF N/A N/A N/A7510 1 2 Hallway adjacent to Classrooms 216 and 217 N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 945 SF 0 SF N/A N/A N/A7510 1 2 Hallway adjacent to Classrooms 216 and 217 M Floor Tile VAT 12" x 12" 7510/01/02/BB Assumed 472 SF 0 SF 1 No 1/D7510 1 2 Hallway adjacent to Classrooms 216 and 217 M Floor Tile VAT 12" x 12" 7510/01/02/BB Assumed 473 SF 0 SF 1 No 1/D7510 1 2 Art Room 218 N/A CMU Non Suspect ACM 1240 SF 0 SF N/A N/A N/A7510 1 2 Art Room 218 N/A Acoustical Plaster Ceiling NAD 962 SF 0 SF N/A N/A N/A7510 1 2 Art Room 218 N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 960 SF 0 SF N/A N/A N/A7510 1 2 Art Room 218 M Floor Tile VAT 12" x 12" 7510/01/02/BB Assumed 960 SF 0 SF 1 No 1/D7510 1 2 Art Room 218 M Blackboard Glue Dots 7510/01/02/ACER/WG/2600 Assumed 3 EA 0 EA 1 No 1/D7510 1 2 Storage Closet Room 218A N/A CMU Non Suspect ACM 260 SF 0 SF N/A N/A N/A7510 1 2 Storage Closet Room 218A N/A Concrete Ceiling Non Suspect ACM 40 SF 0 SF N/A N/A N/A7510 1 2 Storage Closet Room 218A N/A Cement Floor Non Suspect ACM 40 SF 0 SF N/A N/A N/A7510 1 2 Copy Room 218B N/A CMU Non Suspect ACM 360 SF 0 SF N/A N/A N/A7510 1 2 Copy Room 218B N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 80 SF 0 SF N/A N/A N/A7510 1 2 Copy Room 218B M Floor Tile VAT 9" x 9" 7510/01/02/17 Confirmed 80 SF 0 SF 1 No 1/D7510 1 2 Hallway adjacent to Copy Room N/A CMU Non Suspect ACM 440 SF 0 SF N/A N/A N/A7510 1 2 Hallway adjacent to Copy Room N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 96 SF 0 SF N/A N/A N/A7510 1 2 Hallway adjacent to Copy Room M Floor Tile VAT 12" x 12" 7510/01/02/BB Assumed 48 SF 0 SF 1 No 1/D7510 1 2 Hallway adjacent to Copy Room M Floor Tile VAT 12" x 12" 7510/01/02/BB Assumed 48 SF 0 SF 1 No 1/D7510 1 2 Classroom 218C N/A Fiberglass Pipe Insulation Non Suspect ACM 8 LF 0 LF N/A N/A N/A7510 1 2 Classroom 218C N/A CMU Non Suspect ACM 1040 SF 0 SF N/A N/A N/A7510 1 2 Classroom 218C N/A Acoustical Plaster Ceiling NAD 672 SF 0 SF N/A N/A N/A7510 1 2 Classroom 218C N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 464 SF 0 SF N/A N/A N/A7510 1 2 Classroom 218C M Floor Tile VAT 9" x 9" 7510/01/02/17 Confirmed 672 SF 0 SF 1 No 1/D7510 1 2 Classroom 218C M Blackboard Glue Dots 7510/01/02/ACER/WG/2600 Assumed 1 EA 0 EA 1 No 1/D7510 1 2 Office across from Copy Room X X X X X X X X X X7510 1 B Classroom 1 N/A Fiberglass Pipe Insulation Non Suspect ACM 108 LF 0 LF N/A N/A N/A7510 1 B Classroom 1 N/A CMU Non Suspect ACM 780 SF 0 SF N/A N/A N/A7510 1 B Classroom 1 N/A CMU Non Suspect ACM 780 SF 0 SF N/A N/A N/A7510 1 B Classroom 1 N/A Acoustical Plaster Ceiling NAD 1296 SF 0 SF N/A N/A N/A7510 1 B Classroom 1 M Floor Tile VAT 9" x 9" 7510/001/0B/06 Confirmed 648 SF 0 SF 1 No 1/D7510 1 B Classroom 1 M Floor Tile VAT 12" x 12" 7510/01/0B/DD Assumed 648 SF 0 SF 1 No 1/D7510 1 B Classroom 1 M Blackboard Glue Dots 7510/01/0B/ACER/WG/2600 Assumed 1 EA 0 EA 1 No 1/D7510 1 B Classroom 1 Restroom N/A CMU Non Suspect ACM 300 SF 0 SF N/A N/A N/A7510 1 B Classroom 1 Restroom N/A Plaster Ceiling NAD 50 SF 0 SF N/A N/A N/A7510 1 B Classroom 1 Restroom N/A Ceramic Tile Floors Non Suspect ACM 50 SF 0 SF N/A N/A N/A7510 1 B Classroom 1 Closet N/A Fiberglass Pipe Insulation Non Suspect ACM 6 LF 0 LF N/A N/A N/A7510 1 B Classroom 1 Closet N/A CMU Non Suspect ACM 300 SF 0 SF N/A N/A N/A7510 1 B Classroom 1 Closet N/A Concrete Ceiling Non Suspect ACM 50 SF 0 SF N/A N/A N/A7510 1 B Classroom 1 Closet M Floor Tile VAT 9" x 9" 7510/001/0B/06 Confirmed 50 SF 0 SF 1 No 1/D7510 1 B Custodial Closet adjacent to Classroom 1 N/A Fiberglass Pipe Insulation Non Suspect ACM 16 LF 0 LF N/A N/A N/A7510 1 B Custodial Closet adjacent to Classroom 1 N/A CMU Non Suspect ACM 240 SF 0 SF N/A N/A N/A7510 1 B Custodial Closet adjacent to Classroom 1 N/A Concrete Ceiling Non Suspect ACM 36 SF 0 SF N/A N/A N/A7510 1 B Custodial Closet adjacent to Classroom 1 N/A Cement Floor Non Suspect ACM 36 SF 0 SF N/A N/A N/A7510 1 B Classroom 2 N/A CMU Non Suspect ACM 1540 SF 0 SF N/A N/A N/A7510 1 B Classroom 2 N/A Acoustical Plaster Ceiling NAD 1410 SF 0 SF N/A N/A N/A7510 1 B Classroom 2 M Floor Tile VAT 9" x 9" 7510/001/0B/06 Confirmed 705 SF 0 SF 1 No 1/D7510 1 B Classroom 2 M Floor Tile VAT 12" x 12" 7510/01/0B/DD Assumed 705 SF 0 SF 1 No 1/D7510 1 B Classroom 2 M Blackboard Glue Dots 7510/01/0B/ACER/WG/2600 Assumed 1 EA 0 EA 1 No 1/D7510 1 B Classroom 2 Closet X X X X X X X X X X7510 1 B Classroom 2 Restroom N/A Fiberglass Pipe Insulation Non Suspect ACM 10 LF 0 LF N/A N/A N/A7510 1 B Classroom 2 Restroom N/A CMU Non Suspect ACM 280 SF 0 SF N/A N/A N/A7510 1 B Classroom 2 Restroom N/A Plaster Ceiling NAD 48 SF 0 SF N/A N/A N/A7510 1 B Classroom 2 Restroom N/A Ceramic Tile Floors Non Suspect ACM 48 SF 0 SF N/A N/A N/A7510 1 B Classroom 2 Closet X X X X X X X X X X7510 1 B Classroom 2 Closet N/A CMU Non Suspect ACM 240 SF 0 SF N/A N/A N/A

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7510 Mary McLeod Bethune ES 2018-2019 Location Log Report

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School District of Philadelphia AHERA Three-Year Reinspection 2018-2019 Reinspection Dates: 10/25/2018Mary McLeod Bethune Elementary School Room by Room Location Log Report Building Inspector: Kristen Masotes

3301 Old York Road, Philadelphia, PA 19140 Certification Number: ACC-0618-6-019

ULCS# 7510 Management Planner: Monique Causley

Year Built: 1970 Certification Number: 745897

ULCS#

Element

Floor On Site Room Name

System Affected Material Description HID#

Confirmed Assumed NAD Non Suspect ACM

Amount of Material

SF LF EA

Amount of Damage

SF LF EA Comments/Description/Notes

Attic/ Crawl Space

RankingDamage

Potential (DP)

Newly Friable

(NF)Response Action (RA)

7510 1 B Classroom 2 Closet N/A Concrete Ceiling Non Suspect ACM 27 SF 0 SF N/A N/A N/A7510 1 B Classroom 2 Closet M Floor Tile VAT 9" x 9" 7510/001/0B/06 Confirmed 27 SF 0 SF 1 No 1/D7510 1 B Classroom 2 Closet X X X X X X X X X X7510 1 B Hallway outside Classroom 2 N/A CMU Non Suspect ACM 1180 SF 0 SF N/A N/A N/A7510 1 B Hallway outside Classroom 2 N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 408 SF 0 SF N/A N/A N/A7510 1 B Hallway outside Classroom 2 M Floor Tile VAT 12" x 12" 7510/01/0B/DD Assumed 204 SF 0 SF 1 No 1/D7510 1 B Hallway outside Classroom 2 M Floor Tile VAT 12" x 12" 7510/01/0B/DD Assumed 204 SF 0 SF 1 No 1/D7510 1 B Classroom 3 N/A CMU Non Suspect ACM 1500 SF 0 SF N/A N/A N/A7510 1 B Classroom 3 N/A Acoustical Plaster Ceiling NAD 1350 SF 0 SF N/A N/A N/A7510 1 B Classroom 3 M Floor Tile VAT 12" x 12" 7510/01/0B/DD Assumed 1350 SF 0 SF 1 No 1/D7510 1 B Classroom 3 M Blackboard Glue Dots 7510/01/0B/ACER/WG/2600 Assumed 1 EA 0 EA 1 No 1/D7510 1 B Classroom 3 Restroom N/A Fiberglass Pipe Fitting Insulation Non Suspect ACM 2 EA 0 EA N/A N/A N/A7510 1 B Classroom 3 Restroom N/A Fiberglass Pipe Insulation Non Suspect ACM 8 LF 0 LF N/A N/A N/A7510 1 B Classroom 3 Restroom N/A CMU Non Suspect ACM 320 SF 0 SF N/A N/A N/A7510 1 B Classroom 3 Restroom N/A Plaster Ceiling NAD 60 SF 0 SF N/A N/A N/A7510 1 B Classroom 3 Restroom N/A Ceramic Tile Floors Non Suspect ACM 60 SF 0 SF N/A N/A N/A7510 1 B Classroom 3 Closet N/A CMU Non Suspect ACM 220 SF 0 SF N/A N/A N/A7510 1 B Classroom 3 Closet N/A Concrete Ceiling Non Suspect ACM 30 SF 0 SF N/A N/A N/A7510 1 B Classroom 3 Closet M Floor Tile VAT 9" x 9" 7510/001/0B/06 Confirmed 30 SF 0 SF 1 No 1/D7510 1 B Classroom 3 Closet X X X X X X X X X X7510 1 B Hallway outside Classroom 3 N/A Fiberglass Pipe Insulation Non Suspect ACM 10 LF 0 LF N/A N/A N/A7510 1 B Hallway outside Classroom 3 N/A CMU Non Suspect ACM 1020 SF 0 SF N/A N/A N/A7510 1 B Hallway outside Classroom 3 N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 344 SF 0 SF N/A N/A N/A7510 1 B Hallway outside Classroom 3 M Floor Tile VAT 12" x 12" 7510/01/0B/DD Assumed 172 SF 0 SF 1 No 1/D7510 1 B Hallway outside Classroom 3 M Floor Tile VAT 12" x 12" 7510/01/0B/DD Assumed 172 SF 0 SF 1 No 1/D7510 1 B Classroom 4 N/A CMU Non Suspect ACM 1540 SF 0 SF N/A N/A N/A7510 1 B Classroom 4 N/A Acoustical Plaster Ceiling NAD 1410 SF 0 SF N/A N/A N/A7510 1 B Classroom 4 M Floor Tile VAT 9" x 9" 7510/001/0B/06 Confirmed 705 SF 0 SF 1 No 1/D7510 1 B Classroom 4 M Floor Tile VAT 12" x 12" 7510/01/0B/DD Assumed 705 SF 0 SF 1 No 1/D7510 1 B Classroom 4 M Blackboard Glue Dots 7510/01/0B/ACER/WG/2600 Assumed 1 EA 0 EA 1 No 1/D7510 1 B Classroom 4 Closet N/A CMU Non Suspect ACM 220 SF 0 SF N/A N/A N/A7510 1 B Classroom 4 Closet N/A Concrete Ceiling Non Suspect ACM 30 SF 0 SF N/A N/A N/A7510 1 B Classroom 4 Closet M Floor Tile VAT 9" x 9" 7510/001/0B/06 Confirmed 30 SF 0 SF 1 No 1/D7510 1 B Classroom 4 Restroom N/A Fiberglass Pipe Insulation Non Suspect ACM 4 LF 0 LF N/A N/A N/A7510 1 B Classroom 4 Restroom N/A CMU Non Suspect ACM 320 SF 0 SF N/A N/A N/A7510 1 B Classroom 4 Restroom N/A Plaster Ceiling NAD 60 SF 0 SF N/A N/A N/A7510 1 B Classroom 4 Restroom N/A Ceramic Tile Floors Non Suspect ACM 60 SF 0 SF N/A N/A N/A7510 1 B Classroom 4 Closet X X X X X X X X X X7510 1 B Stairwell A next to Classroom 1 N/A CMU Non Suspect ACM 640 SF 0 SF N/A N/A N/A7510 1 B Stairwell A next to Classroom 1 N/A Concrete Ceiling Non Suspect ACM 60 SF 0 SF N/A N/A N/A7510 1 B Stairwell A next to Classroom 1 N/A Cement Floor Non Suspect ACM 120 SF 0 SF N/A N/A N/A7510 1 B Stairwell A next to Classroom 1 N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 60 SF 0 SF N/A N/A N/A7510 1 B Stairwell A next to Classroom 1 M Floor Tile VAT 12" x 12" 7510/01/0B/DD Assumed 90 SF 0 SF 1 No 1/D7510 1 B Stairwell A next to Classroom 1 M Floor Tile VAT 12" x 12" 7510/01/0B/DD Assumed 90 SF 0 SF 1 No 1/D7510 1 B Storage Room Adjacent to Classroom 5 N/A CMU Non Suspect ACM 680 SF 0 SF N/A N/A N/A7510 1 B Storage Room Adjacent to Classroom 5 N/A Concrete Ceiling Non Suspect ACM 288 SF 0 SF N/A N/A N/A7510 1 B Storage Room Adjacent to Classroom 5 N/A Fiberglass Pipe Insulation Non Suspect ACM 140 LF 0 LF N/A N/A N/A7510 1 B Storage Room Adjacent to Classroom 5 N/A Cement Floor Non Suspect ACM 288 SF 0 SF N/A N/A N/A7510 1 B Classroom 5 N/A CMU Non Suspect ACM 1740 SF 0 SF N/A N/A N/A7510 1 B Classroom 5 N/A Acoustical Plaster Ceiling NAD 1782 SF 0 SF N/A N/A N/A7510 1 B Classroom 5 M Floor Tile VAT 12" x 12" 7510/01/0B/DD Assumed 891 SF 0 SF 1 No 1/D7510 1 B Classroom 5 M Floor Tile VAT 12" x 12" 7510/01/0B/DD Assumed 891 SF 0 SF 1 No 1/D7510 1 B Classroom 5 M Blackboard Glue Dots 7510/01/0B/ACER/WG/2600 Assumed 1 EA 0 EA 1 No 1/D7510 1 B Classroom 5 Restroom N/A CMU Non Suspect ACM 340 SF 0 SF N/A N/A N/A7510 1 B Classroom 5 Restroom N/A Plaster Ceiling NAD 66 SF 0 SF N/A N/A N/A7510 1 B Classroom 5 Restroom N/A Ceramic Tile Floors Non Suspect ACM 66 SF 0 SF N/A N/A N/A7510 1 B Classroom 5 Closet N/A CMU Non Suspect ACM 380 SF 0 SF N/A N/A N/A7510 1 B Classroom 5 Closet N/A Concrete Ceiling Non Suspect ACM 78 SF 0 SF N/A N/A N/A7510 1 B Classroom 5 Closet M Floor Tile VAT 9" x 9" 7510/001/0B/06 Confirmed 39 SF 0 SF 1 No 1/D7510 1 B Classroom 5 Closet M Floor Tile VAT 9" x 9" 7510/001/0B/06 Confirmed 39 SF 0 SF 1 No 1/D7510 1 B Hallway from Classrooms 1 to 5 N/A Fiberglass Pipe Insulation Non Suspect ACM 10 LF 0 LF N/A N/A N/A7510 1 B Hallway from Classrooms 1 to 5 N/A CMU Non Suspect ACM 1680 SF 0 SF N/A N/A N/A7510 1 B Hallway from Classrooms 1 to 5 N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 600 SF 0 SF N/A N/A N/A7510 1 B Hallway from Classrooms 1 to 5 M Floor Tile VAT 12" x 12" 7510/01/0B/DD Assumed 300 SF 0 SF 1 No 1/D7510 1 B Hallway from Classrooms 1 to 5 M Floor Tile VAT 12" x 12" 7510/01/0B/DD Assumed 300 SF 0 SF 1 No 1/D7510 1 B Boiler Room N/A CMU Non Suspect ACM 3120 SF 0 SF N/A N/A N/A7510 1 B Boiler Room N/A Concrete Ceiling Non Suspect ACM 2448 SF 0 SF N/A N/A N/A7510 1 B Boiler Room N/A Cement Floor Non Suspect ACM 2448 SF 0 SF N/A N/A N/A7510 1 B Boiler Room N/A Fiberglass Pipe Insulation Non Suspect ACM 736 LF 0 LF N/A N/A N/A

Page 39: THREE-YEAR RE-INSPECTION 2018-2019 · Mary McLeod Bethune School The 20182019 inspection process - included the addition and/or an update of a comprehensive Room by Room Inventory

7510 Mary McLeod Bethune ES 2018-2019 Location Log Report

11

School District of Philadelphia AHERA Three-Year Reinspection 2018-2019 Reinspection Dates: 10/25/2018Mary McLeod Bethune Elementary School Room by Room Location Log Report Building Inspector: Kristen Masotes

3301 Old York Road, Philadelphia, PA 19140 Certification Number: ACC-0618-6-019

ULCS# 7510 Management Planner: Monique Causley

Year Built: 1970 Certification Number: 745897

ULCS#

Element

Floor On Site Room Name

System Affected Material Description HID#

Confirmed Assumed NAD Non Suspect ACM

Amount of Material

SF LF EA

Amount of Damage

SF LF EA Comments/Description/Notes

Attic/ Crawl Space

RankingDamage

Potential (DP)

Newly Friable

(NF)Response Action (RA)

7510 1 B Building Engineer's Office adjacent to Boiler Room N/A CMU Walls Non Suspect ACM 380 SF 0 SF N/A N/A N/A7510 1 B Building Engineer's Office adjacent to Boiler Room M Floor Tile VAT 12" x 12" 7510/01/0B/DD Assumed 90 SF 0 SF 1 No 1/D7510 1 B Building Engineer's Office Restroom N/A CMU Walls Non Suspect ACM 340 SF 0 SF N/A N/A N/A7510 1 B Building Engineer's Office Restroom N/A Plaster Ceiling NAD 70 SF 0 SF N/A N/A N/A7510 1 B Building Engineer's Office Restroom T Heat Shield Insulation 7210/01/0B/GG Assumed 1 SF 0 SF 1 No 1/D7510 1 B Building Engineer's Office Restroom N/A Ceramic Tile Floors Non Suspect ACM 70 SF 0 SF N/A N/A N/A7510 1 B Storage Room Adjacent to Boiler Room N/A CMU Non Suspect ACM 1800 SF 0 SF N/A N/A N/A7510 1 B Storage Room Adjacent to Boiler Room N/A Concrete Ceiling Non Suspect ACM 1800 SF 0 SF N/A N/A N/A7510 1 B Storage Room Adjacent to Boiler Room N/A Cement Floor Non Suspect ACM 1800 SF 0 SF N/A N/A N/A7510 1 B Storage Room Adjacent to Boiler Room N/A Fiberglass Pipe Insulation Non Suspect ACM 487 LF 0 LF N/A N/A N/A7510 1 B Storage Room Adjacent to Boiler Room N/A Sheetrock Wall Non Suspect ACM 160 SF 0 SF N/A N/A N/A

7510 1 B Storage Room Adjacent to Boiler Room T Pipe Packing Insulation 7510/01/0B/ACER/WG/1130 Confirmed 2 SF 2 SF

1696723. abatement reported/confirm/No abatement/DDC was issued for the EIE for coolimg tower upgrade 2 Yes 5/B

7510 1 B School Supply Storage Room N/A CMU Non Suspect ACM 1400 SF 0 SF N/A N/A N/A7510 1 B School Supply Storage Room N/A Concrete Ceiling Non Suspect ACM 1000 SF 0 SF N/A N/A N/A7510 1 B School Supply Storage Room N/A Cement Floor Non Suspect ACM 1000 SF 0 SF N/A N/A N/A7510 1 B School Supply Storage Room N/A Fiberglass Pipe Insulation Non Suspect ACM 29 LF 0 LF N/A N/A N/A7510 1 B School Supply Storage Room M Vibration Damper Cloth 7510/01/0B/07 Assumed 15 SF 0 SF 1 No 1/D7510 1 B Custodial Break Room N/A CMU Non Suspect ACM 420 SF 0 SF N/A N/A N/A7510 1 B Custodial Break Room N/A Acoustical Plaster Ceiling NAD 104 SF 0 SF N/A N/A N/A7510 1 B Custodial Break Room N/A Cement Floor Non Suspect ACM 104 SF 0 SF N/A N/A N/A7510 1 B Custodial Break Room M Floor Tile Mastic 7510/01/0B/ACER/WG/2500 Assumed 104 SF 0 SF 1 No 1/D7510 1 B Custodian's Restroom N/A CMU Non Suspect ACM 220 SF 0 SF N/A N/A N/A7510 1 B Custodian's Restroom N/A Plaster Ceiling NAD 35 SF 0 SF N/A N/A N/A7510 1 B Custodian's Restroom N/A Ceramic Tile Floors Non Suspect ACM 35 SF 0 SF N/A N/A N/A7510 1 B Electrical Room N/A CMU Non Suspect ACM 320 SF 0 SF N/A N/A N/A7510 1 B Electrical Room N/A Concrete Ceiling Non Suspect ACM 63 SF 0 SF N/A N/A N/A7510 1 B Electrical Room N/A Cement Floor Non Suspect ACM 63 SF 0 SF N/A N/A N/A7510 1 B Hallway adjacent to Elevator N/A CMU Non Suspect ACM 560 SF 0 SF N/A N/A N/A7510 1 B Hallway adjacent to Elevator N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 200 SF 0 SF N/A N/A N/A7510 1 B Hallway adjacent to Elevator N/A Cement Floor Non Suspect ACM 200 SF 0 SF N/A N/A N/A7510 1 B Hallway adjacent to Elevator M Floor Tile Mastic 7510/01/0B/ACER/WG/2500 Assumed 200 SF 0 SF 1 No 1/D7510 1 B Elevator M Floor Tile VAT 12" x 12" 7510/01/0B/DD Assumed 24 SF 0 SF 1 No 1/D7510 1 B Stairwell B by Elevator N/A CMU Non Suspect ACM 640 SF 0 SF N/A N/A N/A7510 1 B Stairwell B by Elevator N/A Concrete Ceiling Non Suspect ACM 60 SF 0 SF N/A N/A N/A7510 1 B Stairwell B by Elevator N/A Cement Floor Non Suspect ACM 120 SF 0 SF N/A N/A N/A7510 1 B Stairwell B by Elevator N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 60 SF 0 SF N/A N/A N/A7510 1 B Stairwell B by Elevator M Floor Tile VAT 12" x 12" 7510/01/0B/DD Assumed 72 SF 0 SF 1 No 1/D7510 1 B Stairwell B by Elevator M Floor Tile VAT 12" x 12" 7510/01/0B/DD Assumed 72 SF 0 SF 1 No 1/D7510 1 AT Attic X X X X X X X No Attic None X X X7510 1 CS Crawlspace X X X X X X X No Crawl Space None X X X7510 1 1 TOCFWH Office N/A CMU Non Suspect ACM 1000 SF 0 SF N/A N/A N/A7510 1 1 TOCFWH Office N/A Fiberglass Ceiling Tile 2' x 4' Non Suspect ACM 500 SF 0 SF N/A N/A N/A7510 1 1 TOCFWH Office T Pipe Fitting Insulation 7510/01/01/CC Assumed 2 EA 0 EA below suspedend ceiling at radiator 1 No 1/D7510 1 1 TOCFWH Office T Pipe Fitting Insulation 7510/01/01/CC Assumed 6 EA 0 EA above suspedend ceiling 1 No 1/D

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