AHERA 6 MONTH PERIODIC INSPECTION AND ASSESSMENT OF ACBM

INSPECTION DATE_05/20/2008 LEA_Mt Lake Public schools Building Name: Main Structure
(Please make additional copies of this page for buildings with more homogeneous areas than spaces provided. Please number pages in the space below.)
PERIODIC INSPECTION RESULTS
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Inspectors Name: Lee Carlson Training: Building Inspector Cert. #AI3706
Location and Homogeneous Asbestos Containing Building Material Assessment/ Recommendation
Materials Area
Visually Inspected? Assumed Friable Change in Damage Recommendation:
ACBM? ACBM? condition. Condition Repair/O&M/
Yes No Yes No Yes No No D SD Remove
Yes No
Hard joints 3,7,17,20,21,3 X Repair/ O&M
1,32,38,40,41.
42.43,45, 47-50
Floor tile & mastic 5,9,14,1923,30 X Repair/ O&M
Boiler lagging 34 X O&M

Water tank lagging 35 X O&M

Stack lagging 37 X O&M

Tank lagging 39 X O&M

Vibration boot 74 X O&M

Transite 24 X O&M

Note: Damage was observed to TSI in the basement hall in the 1895 building. Several areas of T.S.I. damage were
observed in the boiler room. 9”X9” floor tile were breaking loose from substrate in the choir room in 1895 building.