TITLE 77: PUBLIC HEALTH
CHAPTER I: DEPARTMENT OF PUBLIC HEALTH
SUBCHAPTER p: HAZARDOUS AND POISONOUS SUBSTANCE
PART 855 ASBESTOS ABATEMENT FOR PUBLIC AND PRIVATE SCHOOLS AND COMMERCIAL AND PUBLIC BUILDINGS IN ILLINOIS
SECTION 855.APPENDIX B ILLUSTRATIONS – INSPECTION AND MANAGEMENT PLAN FORMS



 Section 855.APPENDIX B   Illustrations – Inspection and Management Plan Forms

 

Section 855.ILLUSTRATION C   Sampling Area Diagram (Ceiling and Floor)

 

Descriptions                                        Sampling Area I.D.#1

Classroom Annex (Constructed in 1962)

Friable Ceiling Material - First Floor Classroom

Gray textured spray finish

Stuccoed in appearance

 

All ceiling areas sketched below comprise sampling area (1),

with one exception noted.

 

(Measurements are

inside dimensions)

 

(1)  Water Damage

(2)  Ceiling broken and falling

(3)  Stairwell ceiling not friable - not in sampling area (1)

 

Note:  Do not sample the above as one sample area

School I.D.#

 

School Name

 

Address

 

Phone Number

 

Inspector Name & I.D.#

 

Date of Inspection

 

Diagram Prepared by

 

Date