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D <br />s <br />m <br />Asbestos Survey Form <br />Inspector: <br />William Reid <br />Quantity <br />20,000 ft <br />License: <br />11977 <br />Date: <br />11/29/2010 <br />Sample <br />22,000 ft` <br />Friable <br />No. <br />Homogeneous Material Description <br />Sample Location <br />1 -1 <br />11 2 "x12" Brown Floor tile and Mastic <br />Rohm 200 <br />1 -2 <br />12"x12" Brawn Floor the and Mastic <br />Corridor Behind Auditorium <br />1 -3 <br />12 "x12" Brown Floor tile and Mastic <br />Third Floor Corridor <br />2 -1 <br />2'x 4' Ceiling Tiles <br />Second Floor Corridor <br />2 -2 <br />2'x 4" Ceiling Tiles <br />Third Floor Corridor <br />2 -3 <br />2'x 4' Ceilin Tiles <br />Auditorium <br />3 -1 <br />Plaster <br />Room 201 <br />3 -2 <br />Plaster <br />Auditorium <br />3 -3 <br />Piaster <br />Principals Office <br />3 -4 <br />Plaster <br />Room 301 <br />3 -5 <br />Plaster <br />Room 303 <br />3 -6 <br />Plaster <br />Room 306 <br />3 -7 <br />Plaster <br />Room 307 <br />4 -1 <br />Black Mastic Dots <br />Whiteboard Behind Room 201 <br />4 -2 <br />Black Mastic Dots <br />Whiteboard Behind Room 201 <br />4 -3 <br />Black Mastic Dots <br />Whiteboard Behind Room 201 <br />5 -1 <br />12 "x12" Ceiling Tiles <br />Room 306 <br />5 -2 <br />12 "x12" Ceiling Tiles <br />Room 306 <br />5 -3 <br />12 "x12 " Ceiling Tiles <br />Room 306 <br />6 -1 <br />Black Cove Base and Mastic <br />Second Floor Corridor <br />6 -2 <br />Black Cove Base and Mastic <br />Third Floor Corridor <br />6 -3 <br />Black Cove Base and Mastic <br />Room 303 <br />7 -1 <br />12"x12" White and Grey Floor file and Mastic <br />Room 206 <br />7 -2 <br />12 "x12" White and Grey Floor tile and Mastic <br />Room 206 <br />7 -3 <br />12 "x12" White and Grey Floor the and Mastic <br />Room 206 <br />8 -1 <br />12 "x12" Brown /Dark Brown Floor tile and Mastic <br />Principals Bathroom <br />8 -2 <br />12 "x12" Brown /Dark Brown Floor tile and Mastic <br />Principals Bathroom <br />8 -3 <br />12 "x12" Brown /Dark Brown Floor tile and Mastic <br />Principals Bathroom <br />9 -1 <br />Carpet Glue <br />Classrooms <br />9 -2 <br />Carpet Glue <br />Classrooms <br />9 -3 <br />Carpet Glue <br />Classrooms <br />- oQ <br />L = Damaged <br />SD = Significantly Damaged <br />G -6 <br />Job Name: Old Bethel ES <br />Job Number: 71107253 <br />Area A Building <br />Floor <br />2 <br />2 <br />Condition <br />D <br />Quantity <br />20,000 ft <br />Friable/ <br />Non- Friable <br />Non - Friable <br />3 <br />2 <br />3 <br />2 <br />2 <br />2 <br />2 <br />3 <br />D <br />D <br />22,000 ft` <br />Friable <br />300.000 ft <br />Friable <br />3 <br />3 <br />3 <br />2 <br />2 <br />2 <br />4 3 3 <br />]E;D <br />3 <br />3 <br />2 <br />2 <br />2 <br />2 <br />2 <br />2 <br />D <br />4,000 ft <br />Non - Friable <br />ft 8,000 <br />Friable <br />D <br />D <br />D <br />10.000 ft <br />Non - Friable <br />3.000 ft <br />Non- Friable <br />3,000 ft <br />Non - Friable <br />8,000 ft <br />Non - Friable <br />P .005of 2 <br />