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AHERA 6 MONTH PERIODIC INSPECTION AND ASSESSMENT OF ACBM

INSPECTION DATE__October 6, 2008_______LEA_St. Michael’s School_______Building Name____________________________


(Please make additional copies of this page for buildings with more homogeneous areas than spaces provided. Please number pages in the space below.)
PERIODIC INSPECTION RESULTS
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Inspectors Name: Lee Carlson Training: Building Inspector Cert. #AI3706
Location and Homogeneous Asbestos Containing Building Material Assessment/ Recommendation
Materials Area
Visually Inspected? Assumed Friable Change in Damage Recommendation:
ACBM? ACBM? condition. Condition Repair/O&M/
Yes No Yes No Yes No No D SD Remove
Yes No
St. Michael’s Pipe Insulation X Repair
Church Boiler
Room
Through out Sheetrock and X O&M
mud
12X12 floor tile Basement X O&M
Library
Boiler Room Door Fire door X Repair then
O&M

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