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I Ierracvn <br />Inspector. Russell Harrings <br />License: 12222 <br />Date: 11/2912010 <br />Asbestos Survey Form <br />Job Name; Old Bethel ES <br />Job Number: 71107253 <br />Area: Exte rior <br />Sample <br />No. <br />Homogeneous Material i�escriptlon <br />Sample Location <br />Floor <br />Condition <br />Quantity <br />Friable/ <br />Non - Friable <br />1 -1 <br />Grey 1 Green Shingles <br />South Dug Out, East Ball Field <br />Ext <br />G <br />240 <br />Non- Friable <br />1 -2 <br />Grey 1 Green Shingles <br />East Dug Out, East Ball Field <br />Ext <br />2 -1 <br />Grey 1 Black Shingles <br />South West Fiend, North Dug Out <br />Ext <br />G <br />240 <br />Non - Friable <br />2 -2 <br />Grey 1 Black Shingles <br />South West Field, East Dug Out <br />Ext <br />3 -1 <br />Black 1 Brown Shingles <br />South West Field, Press Box <br />Ext <br />G <br />50 ft <br />Non - Friable <br />3 -2 <br />Black 1 Brown Shingles <br />South West Field, Press Box <br />Ext <br />4 -1 <br />Dark Grey Shingles <br />ConcessionlRestrooms <br />Ext <br />G <br />700 ft <br />Non - Friable <br />4 -2 <br />Dark Grey Shingles <br />Concession /Restrooms <br />Ext <br />4 -3 <br />Dark Grey Shingles <br />ConcessionlRestrooms <br />Ext <br />5 -1 <br />Green 1 Brown Shingles <br />South East Field, North Stands <br />Ext <br />G <br />500 ft <br />Non- Friable <br />5 -2 <br />Green 1 Brown Shingles <br />South East Field, North Dugout <br />Ext <br />5 -3 <br />Green 1 Brown Shingles <br />South East Field, West Stands <br />Ext <br />5 -4 <br />Green 1 Brown Shingles <br />South East Field, West Dugout <br />Ext <br />6 -1 <br />Green 1 Brown Shingles <br />South East Field, Press Box <br />Ext <br />G <br />50 ft <br />Non - Friable <br />6 -2 <br />Green f Brown Shingles <br />South East Field, Press Box <br />Ext <br />D <br />v <br />0 <br />3 <br />m <br />c <br />3 <br />s <br />J <br />G = Good <br />D = Damaged <br />SD = Significantly Damaged <br />G -6 <br />Pa p %6 g of 1 <br />