LDEQ FORM AAC-8 ASBESTOS MANAGEMENT PLAN FOR ROSENWALD SCHOOL 6501 BERKLEY DR., NEW ORLEANS, LA 70131 PREPARED IN ACCORDANCE WITH: LAC 27 ASBESTOS-CONTAINING MATERIALS (ACM) 1N SCHOOLS AND STATE BUILDINGS UNDER THE DIRECTION OF: LDEQ, OES, PUBLIC PARTICIPATION PERMIT SUPPORT DIVISION NOTIFICATIONS ACCREDITATIONS SECTION PO. BOX 4313 BATON ROUGE, LA 70821-4313 LOUISIANA DEPARTMENT OF ENVIRONMENTAL QUALITY OES, PUBLIC PARTICIPATION AND PERMIT SUPPORT DIVISION NOTIFICATIONS AND ACCREDITATIONS SECTION 7? DEQ LOUISIANA Required Elements for Asbestos Management Plans for School and State Buildings Form AAC-8 LAC 27 Directions: Please note that the current form is an interactive Asbestos Management Plan and the information shall be typed or legibly hand written on the form itself, not referencing another document as in the previous form. This form must be completed properly and submitted as the asbestos Management Plan required for a school (Kindergarten through Post-graduate), state owned, leased, or state?used building. A written explanation must be provided for any incomplete section. The explanation must be included in the section or if too long, attached behind the corresponding section. You may find the following link useful, complete with Most Frequently Asked Questions, forms, Training Providers, etc: Completion of the AAC-S will ensure that the Management Plan meets federal (40 CFR Part 763.93) and state (LAC 33:111. Chapter 27) requirements and will facilitate accurate and timely state review. All schools must submit their Asbestos Management Plan directly to: LDEQ, OES, Public Participation and Permit Support Division, Notifications and Accreditations Section, P.O. Box 4313, Baton Rouge, LA 70821-4313. Any Asbestos Management Plan for a state building, whether it is owned, leased, or otherwise used as a state building must submit the Asbestos Management Plan directly to: Real Estate Leasing Administrator, Division of Administration, Facility Planning and Control, Real Estate Leasing Section, P.O. Box 94095, Baton Rouge, LA 70804-9095. APPLICABILITY: This building is being used for the following purpose: School (Kindergarten through Post-Graduate) New (Constructed after October 12, 1988) '3 State building (Owned, Leased, or Used) Other: form_7082_r00 1 Revised: 9/15/2011 STATE BUILDING EXEMPTION (LAC I. If the following exemption applies, complete pages 1, 2, Section A, and provide supporting evidence as applicable. 1. This building is n_0t a school building (see definition of school building) used for grades kindergarten through post-graduate; and 2. This state building was built after 1978 and is exempt from the requirements of this Chapter because there is no possibility of the presence of asbestos (LAC or 3. El This state building was built before 1979 and is exempt from the requirements of this Chapter because an inspection was conducted in accordance with LAC and no asbestos is contained in the building, provided that: a. a copy of the inspection 1 vs of the inspection; b. a copy of the report is me f?ce; and c. no asbestos material was If an exemption is being nents of submitting an asbestos Management Plan as indica State buildings built after 1978 are exempt from the requirements of this Chapter unless there IS the possibility of the presence of asbestos or the building 18 used for education of grades k1ndei garten through post- -?graduate. The undersigned does hereby certify that the building will be used as a state building and there is no possibility of the presence of asbestos in the building as stated above (LAC Responsible Individual (printed/typed name): Responsible Individual Signature: Responsible Individual Contact Information: Phone No: Fax No: Email Address: If an exemption is being requested from the requirements of submitting an asbestos Management Plan as indicated in LAC ?This state building was built before 1979 and is exempt from the requirements of this Chapter because an inspection was conducted in accordance with LAC and no asbestos is contained in the building,? attach the inspection report as noted above and a copy of cun'ent Louisiana inspector accreditation certi?cate behind this page. (LAC 352111.270 7.A.3) Name of Louisiana Accredited Inspector: Louisiana Accredited Inspector Signature: Louisiana DEQ Accreditation No: Expiration Date: form_7082_r00 2 Revised: 9/15/2011 STATE BUILDING EXEMPTION (Continued) *Please note that, in accordance with LAC ?If ACBM is subsequently found in a homogeneous or sampling area of the state government [the responsible party for the state building] that had been identi?ed as receiving an exclusion by an accredited inspector under Paragraph A3, 4, or 5 of this Section, or an architect, project engineer, or accredited inspector under Paragraph A.7 of this Section, the state government [responsible party for the state building] shall have 180 days following the date of identi?cation of ACBM to comply with this Chapter.? form?7082_r00 3 Revised: 9/15/2011 SCHOOL BUILDING EXCLUSIONS I. If the following exclusions apply, complete pages 1, Section A, and provide supporting evidence as applicable. a. An architect or project engineer responsible for the construction of a new school building built after October 12, 1988, or an accredited inspector signs a statement that no ACBM was speci?ed as a building material in any construction document for the building or, to the best of his or her knowledge, no ACBM was used as a building material in the building. The local education agency shall submit a copy of the signed statement of the architect, project engineer, or accredited inspector to the Of?ce of Environmental Services and shall include the statement in the management plan for that school. The signed statement (supporting evidence) shall be placed behind this Section. *Please note that, in accordance with LAC ?If ACBM is subsequently found in a homogeneous or sampling area of a local education agency or the state government [responsible party for the state building] that had been identi?ed as receiving an exclusion by an accredited inspector under Paragraph A.3, 4, or 5 of this Section, or an architect, project engineer, or accredited inspector under Paragraph A7 of this Section, the local education agency or the state government [responsible party for the state building] Shall have 180 days following the date of identi?cation of ACBM to comply with this Chapter.? b. If the school or state has been abated, and a thorough reinspection has con?rmed that there is no friable and nonfriable known or assumed ACBM in each building, further reinspections are no longer required (LAC *Note in the management plan all of the information contained in the reinspection, including the inspection report, sampling and analysis report, inSpector?s name, address, contact information, including telephone no and email address, etc. c. If the school meets either a. or b. above, periodic surveillance is no longer required. *There are no exclusions from maintaining an Asbestos Management Plan for schools, which Shall be kept in the administrative office for review. The management plan shall be available, without cost or restriction, for inspection by representatives of EPA and the state, and the public, including parents, teachers, other school or public personnel, and their representatives. The local education agency or the responsible party for the state building may charge a reasonable cost to make copies of management plans. (LAC form_7082_r00 4 Revised: 9/15/2011 Section A *Print Legibly or Type* FACILITY INFORMATION 1. Building Information (Required): Name Of ROSENWALD SCHOOL City: NEW ORLEANS State: LA Zip code: 70131 Date of Construction of Building 1972 II. Mailing Information Required if for a School or School Building: Responsible Of?cial for School Print/Type Name Title ?acul eff-0d 3? School is Owned by: Name of Building Owner (School Board, other) City I Parish State El Private Orleans Parish School Board Mailing Address 6501 BERKLEY DRIVE City: NEW ORLEANS State: LA Zip code: 70131 Lessor Information (Required if building is leased): Lessor Name Louisiana Recovery School District 1615 Poydras Street, Suite 400 Lessor?s Address City: New Orleans State: LA Zip code: 70112 Lessor?s Contact Person Jeanie Decuers Lessor?s Email Address eanie.Decuers@rsdla.net Lessor?s Telephone No. 504 373?6200 Lessor?s Fax No. (504 308?3612 IV. Is Asbestos present in the building? El? Yes No V. Yes, the building contains: Friable ACBM Non?iable ACBM [E'Friable and Nont?riable suspected ACBM assumed to form_7082_r00 5 Revised: 9/15/2011 ACBM Section INSPECTIONS CONDUCTED (Check Appropriate Box) Inspections conducted before December 14, 1987 Complete all Section A and B, Part I. (LAC Inspections conducted after December 14, 1987 Complete all Sections except Section B, Part I. (LAC and 2707) If the inspection report was conducted before December 14, 1987, attach inspection report behind Section B, Part I. If the inspection report was conducted after December 14, 1987, attach inspection report behind Section B, Part II. form_7082_r00 6 Revised: 9/15/2011 Section Part I A. The following shall be included for each inspection conducted before December 14, 1987: Date of Inspection (LAC 33:111.2723.D.2.a) Bulk Sampling Location Diagram Location of Sampling Approx. Square or Linear ft of any Exact Locations where Bulk Samples Area Homogeneous or Sampling Areas were Collected where Material was Sampled for Asbestos Containing Material (ACM) Date of Collection Attach blueprints, diagrams or written descriptions of all homogeneous or sampling areas behind Section B, Part I. form_7082_r00 Revised: 9/15/2011 Section Part I Analysis (LAC - Copy of analyses of any bulk samples taken a Date of Analyses 0 Copy of any other lab reports pertaining to the analyses Response Actions/Preventative Measures (LAC Description of any response actions or preventative measures taken to reduce exposure Names and addresses of the contractors involved Start and completion dates of the work Results of any air samples analyzed during and upon completion of work A description of assessments, required to be made of material that was identi?ed before December 14, 1987, as friable Asbestos Containing Building Material (ACBM), including all Thermal System Insulation (TSI) or friable suspected ACBM (LAC form_7082_r00 8 Revised: 9/15/2011 Section Part I Accreditation information for each person making assessment (LAC Name Accreditation No Expiration Date Signature form_7082_r00 9 Revised: 9/15/2011 Section Part II. B. The following shall be included for each inspection conducted after December 14, 1987: List the following information for each accredited inSpector who performed the inspection and (LAC 2705, 2709, &2711). For state owned, leased or otherwise used state buildings only, 3 year re?inspections are n_ot required; however, 6 month surveillance is required. Please attach a copy of each inspector?s Louisiana DEQ accreditation certi?cate behind Section B, Part II. Inspection/Re?inspection Inspector?s Name (Printed or Typed) Louisiana Date Accreditation No May 19, 2016 Dr. Richard Lo 71192398 May 19, 2016 Jeff Camus 61182306 Inspector?s Signature form_7082*r00 10 Revised: 9/15/2011 STATE OF LOUISIANA DEPARTMENT OF ENVIRONMENTAL QU certi?es; that Jeff Camus ments of the Louisiana Department. of and is authorized to perform the duties of ASBESTOS INSPECTOR Accreditation N0. 511 82306 ALITY Has complied with all require nvironmental Quality Al No. Milo: Dateol? issuance 141912015.? Expiration 112312QLL 5.E. (1 1(a) and La. R.S. 2025.F. nl actions by the Stale. Failure to comply with all applieuhle provisions of La. RS. 202 may result in civil and/or criminal enforceme CW Emir. . Permit Support Sank?65? Division Of?ce of Environmental Services yin-pun.? If it; f. s? Timf?ijtg rmitrnit if? - CW Permit Support Satire? Section Part Sampling: A. Attach a blueprint 0r diagram of the building which identi?es each location where material was sampled for ACM. Assign a sample identi?er to each sample collected. Attach the document behind Section B, Part (LAC 33111.2 709) B. Attach a table of all the bulk samples collected, including the following: Attach the document behind Section B, Part (LAC 1. The corresponding sample identi?er. The approximate square or linear footage where material was sampled for ACM. The date of collection for each sample. Identify whether the sample collected was friable, non?iable or assumed ACBM. Schematic of the building of ?oor documenting the location of the samples taken. Meww C. Describe the manner used to determine sampling location. Attach written statement behind Section B, Part (LAC Name of Louisiana Inspector Collecting Samples: Dr.? Richard L0 Mr, eff Camus Accredited Inspector?s Signature: 0 A Louisiana Accreditation No: 7f19239?8 61182306- Date of Expiration: 3/30/17 7/23/16 form_7082_r00 1 Revised: 9/15/201 1 LDEQ FORM AAC-8 ASBESTOS MANAGEMENT PLAN: 3-YEAR RE-INSPECTION REPORT (JUNE 2016) FOR ROSENWALD SCHOOL 6501 BERKLEY DR. NEW ORLEANS, LA 70131 PREPARED IN ACCORDANCE WITH: LAC 27 ASBESTOS-CONTAINING MATERIALS (ACM) IN SCHOOLS AND STATE BUILDINGS UNDER THE DIRECTION OF: LDEQ, OES, PUBLIC PARTICIPATION PERMIT SUPPORT DIVISION NOTIFICATIONS ACCREDITATIONS SECTION P.O. BOX 4313 BATON ROUGE, LA 70821-4313 ACM Inspection Report June 10, 2016 Algiers Tech. (Rosenwald), 6501 Berkley Dr., New Orleans, LA 70131 3596 RSD Table of Contents 1.0 Introduction 1 2.0 ACM Inspection and Bulk Sampling 2 3.0 Categorization of ACM and Future Recommendations 5 Appendices Appendix A: Photographs Appendix B: Map Appendix C: Chain of Custody Forms Appendix D: Laboratory Results Appendix E: Certifications and Accreditations Materials Management Group, Inc. Page i (504) 368-0568 ACM Inspection Report June 10, 2016 Algiers Tech. (Rosenwald), 6501 Berkley Dr., New Orleans, LA 70131 3596 RSD 1.0 Introduction Materials Management Group, Inc. (MMG) was retained by the Recovery School District (RSD) to perform an asbestos-containing materials (ACM) 3-year re-inspection and update the asbestos management plan (ACM MP) for the facilities and school buildings associated with Algiers Technology Academy (Rosenwald), located at 6501 Berkley Drive, New Orleans, LA 70131 (School). The ACM 3-year re-inspection and update of the School?s ACM MP was performed pursuant to the requirements and regulations contained in Title 33 Environmental Quality, Part AIR, Chapter 27 Asbestos Containing Materials (ACM) in Schools and Public Buildings and 40 CFR Part 763, "Asbestos Containing Materials in Schools: Final Rule and Notice.? All ACM inspection and ACM MP expansion activities were performed by accredited asbestos inspectors and/or management planners in compliance with the Asbestos Hazard Emergency Response Act (AHERA) and all other relevant state and/or federal statutes. This report constitutes the 3-year ACM re-inspection report for Algiers Technology Academy (Rosenwald), 6501 Berkley Drive, New Orleans, LA 70131 in compliance with the requirements outlined in LAC 27. Summary of ACM Inspection Findings . LDEQ-accredited ACM Inspectors, Dr. Richard Lo and Mr. Jeff Camus, identified asbestos-containing thermal systems insulation (TSI) on an 8? pipe elbow located in the closet nearbv Room 600 durinq the May 19, 2016 MMG inspection. 0 This material was deemed by ACM inspectors to be friable TSI in good condition. 0 This material was classified as EPA Hazard Category 7 ?friable 0 This material was not in areas which were generally accessible to students, staff, or general building occupants. This material is located in general maintenance areas and requires appropriate asbestos hazard warning labels. 0 Due to friability, condition, and location, this ACM does not require an immediate response action on the part of the local educational agency (LEA) beyond appropriate hazard labeling, periodic surveillance, and inclusion into the School?s Operation and Maintenance Plan. . Category non-friable ACM (resilient floor covering) and Category II non-friable ACM (mastic underneath resilient floor covering) was identified at the School as a result of the 3-vear ACM Inspection performed by MMG on May 19L2016. Materials Management Group, Inc. Page 1 (504) 368-0568 ACM lnspection Report June 10, 2016 Algiers Tech. (Rosenwald), 6501 Berkley Dr., New Orleans, LA 70131 3596 RSD The ACM was considered a ?miscellaneous material? which did not fall under the description of thermal systems insulation (TSI) or surfacing material. 0 The ACM was classified as ?Category 5 ACBM with the potential for damage.? 0 The ACM was in reasonable condition and showed limited evidence of wear, tear, de?lamination, and/or water damage; 0 This material was located in the Lobby and Cafeteria areas; 0 Due to friability, condition, and location, this material does not require an immediate response action beyond periodic surveillance and inclusion into the School?s Plan. 0 No friable materials assumed to be ACM but inaccessible for bulk sampling were identified as a result of this inspection; . No non-friable materials assumed to be ACM but inaccessible for bulk sampling were identified as a results of this inspection. Summary of Actions Taken in Response to ACM Inspection Findings 0 The School was notified of the 3-year ACM re-inspection findings, provided with appropriate documentation of inspection protocols, as well as copies of all bulk sampling results; . An updated LDEQ form was completed for the School; and . Recommendations for appropriate response actions, ongoing maintenance, notification, staff training, and recordkeeping were made by an accredited ACM management planner to the School for inclusion in the ACM MP. . The School responded to the ACM management planner?s recommendations; a copy of the School?s response was then included in the ACM MP as required by LAC 27. 2.0 ACM Inspection and Bulk Sampling 2.1 Inspector and/or Management Planner Information All ACM inspection and bulk sampling activities were performed by Dr. Richard L0 and Mr. Jeff Camus of MMG. Dr. Lo and Mr. Camus are both accredited by the Louisiana Department of Environmental Quality (LDEQ) as ACM Inspectors and/or ACM Management Planners. See the table Materials Management Group, Inc. Page 2 (504) 368-0568 ACM Inspection Report June 10, 2016 Algiers Tech. (Rosenwald), 6501 Berkley Dr., New Orleans, LA 70131 3596 RSD below for the relevant certification information. See also Appendix for a COpy of all certifications. Names and Credentials for Persons Performing the ACM Inspection Name Certification Certification Date of Expiratlon Number Issuance Date Richard LDEQ ACM Inspector 7 192398 4/18/2016 4/1/2017 Lo LDEQ ACM Management Planner 7P192398 4/18/2016 4/1/2017 Jeff Camus LDEQ ACM Inspector 6I182306 7/29/15 7/23/16 2.2 Field Investigation and Bulk Materials Sampling Activities Field investigation and bulk materials sampling activities were performed at the School on May 19, 2016. For the purposes of this inspection, the School is defined as the school buildings and associated facilities located at 6501 Berkley Drive, New Orleans, LA 70131 as identified by administrators of the Recovery School District. MMG was not provided with an independent map or property assessment of the School. Per Inspections and Re-inspections, LDEQ-accredited ACM Inspectors Dr. Lo and Mr. Camus: Visually inspected the area to identify the locations of all suspected . Touched all suspected ACM to determine whether it was friable; Identified all homogeneous areas (HAs) of friable, suspected ACM and all HAs of non-friable suspected and Collected and submitted bulk samples for analysis under the regulations and guidelines outlined in LAC and 2711. Bulk samples were collected from suspected ACM as determined by Dr. Lo and Mr. Camus based on their EPA-certified training, professional experience, and best judgment. The number of bulk materials samples taken was determined by Dr. Lo and Mr. Camus based on the number of homogeneous areas (HA) identified, the magnitude of the HAs, the accessibility of suspect materials, and the regulations contained in LAC Materials Management Group, Inc. Page 3 (504) 368-0568 ACM Inspection Report June 10, 2016 Algiers Tech. (Rosenwald), 6501 Berkley Dr., New Orleans, LA 70131 3596 RSD 2.3 2.4 Materials Management Group, Inc. 27. HAs were determined by Dr. Lo and Mr. Camus; LAC defines a ?homogeneous area" as an ?area of surfacing material, thermal systems insulation material, or miscellaneous material that is uniform in color, texture, and [date of application].? Sampling locations were chosen to be representative of given HAs. While an effort was made to collect samples randomly, bulk samples were taken preferentially from areas that were previously damaged, subject to restricted access, and/or easily repaired. It should be noted that ACM which had been tested, confirmed, and included in the previous ACM MP was not re-sampled or retested by MMG during this 3-year re-inspection investigation. Per LAC 27, MMG's ACM Inspector and Management Planner confirmed the type, location, and condition of previously identified ACM, noted any changes in the area or amount of the material, and documented any change in condition, friability, or accessibility. Conclusions and recommendations made regarding previously identified ACM as a result of this 3-year re- inspection investigation are included in Section 3 of this report. Bulk Sample Analysis Dr. Lo and Mr. Camus took a total of ten (10) bulk samples of suspected ACM during their investigation at the School on May 19, 2016. Samples were sent to EMSL Analytical Laboratories, 11931 Industriplex, Suite 100, Baton Rouge, LA 70809 for analysis. Samples were analyzed on May 25, 2016. EMSL is a LDEQ LELAP-accredited laboratory that analyzes suspected ACM using Polarized Light Microscopy (PLM) with dispersion staining techniques. Samples which contained more than one suspect material (adhesive mastic used to secure resilient floor tile, for example) were separated by EMSL so that each substrate could be analyzed individually, whenever possible. See Appendix for copies of the certifications for EMSL Analytical Laboratories. Bulk Sampling Results Of the ten (10) bulk material samples taken by Dr. Lo and Mr. Camus, three (3) returned analytical results over the designated threshold for ?asbestos-containing material.? Per LAC ACM is defined as ?any material or product which contains more than 1 percent asbestos as determined by using the method specified in appendix E, subpart E, 40 CRF part 763, section 1, polarized light microscopy." The Page 4 (504) 368-0568 ACM Inspection Report Algiers Tech. (Rosenwald), 6501 Berkley Dr., New Orleans, LA 70131 3596 RSD June 10, 2016 positive analytical results are summarized in the following table; a full summary of analytical results are available in Appendix D. Laboratory chain of custody forms can be found in Appendix C. Summary of ACM-Positive Bulk Sampling Results Approx. Sample . . . Asbestos Hazard Number Location Description Appearance (0/0 Type) 1:3? Categorization 12 12 2 merit. Floor Tile Floor Tile Homogeneous damage Adhesive . Lobby under White NonB-Eaigtous 10% 2 tl51e? Mastic 12 12 Floor 9 Tile omogeneous damage Adhesive Black/Yellow . Cafeteria under White Non-Fibrous 5% 10 000 ti; iffmavlvg?r Mastic 12 12 Floor Heterogeneou . amage Tile 3 White . RO-BA-10- Closet near . . 8% 2 7 Friable Wrap Room 600 8 E'bow Fittings ACBM omogeneous 3.0 Categorization of ACM and Future Recommendations ACM Identified as a Result of Bulk Materials Sampling on May 19, 2016 LDEQ-accredited ACM inspectors, Dr. Lo and Mr. Camus, identified asbestos- containinq thermal systems insulation (TSI) on an 8? pipe elbow located in the closet nearby Room 600. This material was deemed by ACM inspectors to be friable TSI in good condition. 0 This material was classified as EPA Hazard Category 7 ?friable 0 This material was not in areas which were generally accessible to students, staff, or general building occupants. This material is located in general maintenance areas and requires appropriate asbestos hazard warning labels. 0 Due to friability, condition, and location, this ACM does not require an immediate response action on the part of the local educational agency (LEA) beyond appropriate hazard labeling, periodic Materials Management Group, Inc. (504) 368-0568 Page 5 ACM lnspection Report June 10, 2016 Algiers Tech. (Rosenwald), 6501 Berkley Dr., New Orleans, LA 70131 3596 RSD surveillance, and inclusion into the School?s Operation and Maintenance Plan. . LDEQ-accredited ACM Inspectors, Dr. Lo and Mr. Camus. identified Category I and Category II non-friable ACM at the School as defined by LAC 27. This was: 0 White 12? 12? floor tile located in the Lobby area and used to patch up previously broken tile. This material was judged by investigators to be Category I non-friable ACM according to LAC 27. I This material was judged to be in good condition with no areas of significant damage noted. I This material was judged to be EPA ?Category 5 ACBM with the potential for damage.? I This material was in areas which are generally accessible to staff, students, and building occupants. I Due to friability, condition, and location, this material does not require a response action beyond periodic surveillance and inclusion into the School?s plan. It should be noted that ACM which ?becomes friable? or has a ?high probability of becoming friable during demolition or renovation? should be considered regulated asbestos? containing material (RACM) and disposed of according to the regulations contained in LAC 51 regardless of the initial classification assigned. 0 Black adhesive mastic located beneath ACM White 12" 12? floor tiles used to patch up previously broken tile and located in the Lobby. This material was judged by investigators to be Category II non-friable ACM according to LAC 27. I This material was judged to be in good condition with no areas of significant damage noted. I This material was judged to be EPA ?Category 5 ACBM with the potential for damage.? I This material was in areas which are generally accessible to staff, students, and building occupants. I Due to friability, condition, and location, this material does not require a response action beyond periodic surveillance and inclusion into the School?s plan. It should be noted that ACM which ?becomes friable? or has a ?high probability of becoming friable during demolition or renovation? should be considered regulated asbestos- containing material (RACM) and disposed of according to the regulations contained in LAC 51 regardless of the initial classification assigned. Materials Management Group, Inc. Page 6 (504) 368-0568 ACM Inspection Report June 10, 2016 Algiers Tech. (Rosenwald), 6501 Berkley Dr., New Orleans, LA 70131 3596 RSD 0 Black adhesive mastic located beneath White 12? 12? floor tiles installed throughout the Cafeteria. This material was judged by investigators to be Category II non-friable ACM according to LAC 27. I This material was judged to be in good condition with no areas of significant damage noted. . This material was judged to be EPA ?Category 5 ACBM with the potential for damage.? - This material was in areas which are generally accessible to staff, students, and building occupants. - Due to friability, condition, and location, this material does not require a response action beyond periodic surveillance and inclusion into the School?s plan. . It should be noted that ACM which ?becomes friable" or has a ?high probability of becoming friable during demolition or renovation? should be considered regulated asbestos- containing material (RACM) and disposed of according to the regulations contained in LAC 51 regardless of the initial classification assigned. In general, limited exposure to intact ACM in good condition does not constitute a significant health risk unless they are being sawn, drilled, sanded, ground, or structurally altered in a way that could make them friable. For the purpose of demolition or renovation activities, Category I and Category II non-friable materials may be removed and disposed of as construction debris as long as the ACM in question does not become friable during the removal and disposal process; ACM which ?becomes friable" or has a ?high probability of becoming friable during demolition or renovation? should be considered regulated asbestos-containing material (RACM) and disposed of according to the regulations contained in LAC Chapter 51. If suspect ACM that were not identified during this asbestos inspection are encountered during abatement, renovation, or general maintenance activities, the suspect material should be sampled in order to determine asbestos content. Otherwise, it must be assumed to be ACM and treated/removed/disposed of in accordance with LDEQ regulations. Materials Management Group, Inc. Page 7 (504) 368-0568 ACM Inspection Report June 10, 2016 Algiers Tech. (Rosenwald), 6501 Berkley Dr., New Orleans, LA 70131 3596 RSD Asbestos InspectorIManagement Planner: Signatuw I \1 Printed Name: Richard Lo State of Accreditation: Louisiana Accreditation Number(s): 7I192398 7P192398 Materials Management Group, Inc. Page 8 (504) 368-0568 ACM Inspection Report June 10, 2016 Algiers Tech. (Rosenwald), 6501 Berkley Dr., New Orleans, LA 70131 3596 RSD Appendices Appendix A: Photographs Appendix B: Map Appendix C: Chain of Custody Forms Appendix D: Laboratory Results Appendix E: Certifications and Accreditations Materials Management Group, Inc. Page 9 (504) 368-0568 ACM Inspection Report June 10, 2016 Algiers Tech (Rosenwald) 6501 Berkley Dr., New Orleans, LA 70131 Appendix A: Photographs Materials Management Group, Inc. (504) 368-0568 June 10, 2016 ACM Inspection Report Investigation Photo Log Algiers Tech. (Rosenwald), 6501 Berkley On, New Orleans, LA 70131 3596 RSD Photograph #1 Algiers Technology Academy (Rosenwald) Main Entrance on 6501 Berkley Drive Photo ra h#2 Previously Identified ACM (Confirmed Present) White 12x12 Floor Tile and Mastic in Lobby Photograph #3 Previously Identified ACM (Confirmed Present) Mastic adhesive beneath White Floor tile in Cafeteria Photograph #4 Previously Identified ACM (Confirmed Present) 8 inch Pipe Elbow closet near Room 600 Materials Management Group, Inc. ACM Inspection Report June 10, 2016 Algiers Tech. (Rosenwald), 6501 Berkley Dr., New Orleans, LA 70131 3596 RSD r' Sampling Photo ng - Photograph #1 Sample Number: RO-BA-01 White FL Tile Sample Location: Lobby Analytical Results: - Floor Tile (Positive 2% Mastic (Positive 10% Sampling Photo Log - Photograph #2 Sample Number: RO-BA-02 Sample Location: Kitchen Analytical Results: - Ceiling Tile (No ACM Detected) I, Sampling Photo Log - Photograph #3 Sample Number: RO-BA-O3 White FL Tile Sample Location: Cafeteria Analytical Results: - Floor Tile (No ACM Detected) - Mastic (Positive 5% Sampling Photo Log - Photograph #4 Sample Number: RO-BA-04 Sample Location: Cafeteria Closet Analytical Results: - Ceiling Tile (No ACM Detected) Materials Management Group, Inc. ACM lnspection Report Algiers Tech. (Rosenwald), 6501 Berkley Dr., New Orleans, LA 70131 June 10, 2016 3596 RSD Sampling Photo Log - Photograph #5 Sample Number: RO-BA-05 Sample Location: Cafeteria Closet Analytical Results: - Ceiling Tile (No ACM Detected) Sampling Photo Loq - Photograph #6 Sample Number: Green FL Tile Sample Location: Room 901 Analytical Results: - Floor Tile (No ACM Detected) .{z?wfut' -- 3? A. - . iaxlml??o?? Sampling Photo Log - Photograph #7 Sample Number: RO-BA-07 Green FL Tile Sample Location: Cyber Cafe Analytical Results: - Floor Tile (No ACM Detected) - Mastic (No ACM Detected) Sampling Photo Log - Photograph #8 Sample Number: RO-BA-O8 Green FL Tile Sample Location: Cyber Cafe Analytical Results: - Floor Tile (No ACM Detected) - Mastic (No ACM Detected) Materials Management Group, Inc. ACM Inspection Report June 10, 2016 Algiers Tech. (Rosenwald), 6501 Berkley Dr., New Orleans, LA 70131 3596 RSD Sampling Photo Log - Photograph #9 Sampling Photo Log - Photograph #10 Sample Number: Sample Number: Pipe Elbow Sample Location: Hallway Sample Location: Closet near Room 600 Analytical Results: Analytical Results: - Ceiling Tile (No ACM Detected) - Wrap (Positive 8% - Insulation (No ACM Detected) Materials Management Group, Inc. ACM Inspection Report June 10, 2016 Algiers Tech (Rosenwald) 6501 Berkley Dr., New Orleans, LA 70131 Appendix B: Maps Materials Management Group, Inc. (504) 368-0568 Section Part IV A. Laboratory and Analysis Information (LAC 33.111127] 1) In accordance with LAC 33:1.Chapter 45, LELAP Accreditation is required by laboratories performing analysis. Attach a copy of the LELAP accreditation certi?cate behind Section B, Part Attach a copy of the analyses of any bulk samples collected and analyzed. Place analyses report behind Section B, Part IV of the application. The Lab analysis MUST include the following: El Name of Laboratory that analyzed the bulk samples; Address of Laboratory; Statement that Laboratory meets the requirements of LA Date of Analysis; Name of person performing the analysis; and Signature of person performing the analysis. B. Assessment (LAC Within 30 days of the assessment, an accredited inspector shall provide a written assessment required by LAC for a_lI ACBM and suspected ACBM assumed to be ACM. Classi?cation shall be given as indicated in LAC eg. indicate whether the ACM is damaged or significantly damaged thermal system insulation, damaged friable surfacing, etc. Write in space below or attach written statement behind Section B, Part IV. Check if there is no ACM is in the building: Name of Louisiana Inspector Collecting Samples: Dr. Richard Lo Mr. Jeff Camus? Accredited Inspector?s Signature: . Louisiana Accreditation No: 7?1192398 Date of Expiration: _3/30/17 7/23/16 form_7082_r00 1 2 Revised: 9/15/2011 ACM Inspection Report June 10, 2016 Algiers Tech (Rosenwald) 6501 Berkley Dr., New Orleans, LA 70131 Appendix C: Chain of Custody Forms Materials Management Group, Inc. (504) 368-0568 QrderID: 251603120 I QMSL IANALVTICAL, mu. Asbestos Chain of Custody EMSL Order Number (Lab Use Only) i Eompaw :Materials Management Group, inc Street: 3520 General Drive Suite 3010 3/920 to: if Bill to :5 Different no a instructions in Com EMSL Ana yncai, inc Suite 100 11931 industi?ipiex Baton Rouge; LA 70809 ?3 (225)755-1920 (225)755-1989 Different Same 1 Third Party Billing requires written authorization from thii'd party Orleans i StateiProvince: LA leiPostal Code:70114 i Country: United St?tes Report To (Name): igi?q rail-L ?afi'ef Telephone at; 504-353-0553 Purchase Order: 354029 en au_thorizatim form for We service. Analysis convicted in accordance with Tenn: and Cmditions located in the Mama! Price Email Address: ma MM?/i/nii. C. om Fax lit: Prefect NameiNumher: Please Provide Results: i FAX I LIE'mail Mail 1.1.5. State Samples Takeh: Connecticut Samples: CI Commercial Residential Turnaround Time (TAT tions' - Please Cheat . 3 Hour 6 Hour 24 Hour I 48 Hou? 7?2 Hour 1 Cl 95 Hour I 1Week 2 Week ?For TEM M3 hr through 6 hr; please call ahead to schedule. 'There is a charge fora Hour TEM AHERA or EPA Level ii TA T. You wn'i be asked to Sign Ewes. gem - Air Check it samples are from NY IEE an; 4-4.5hr TAT only) [3 AHERA 40 CFR, Part 763 TEM- 05433 Microvac ASTM 5755 Wipe - ASTM 06430 1] Carpet Sonica?on (EPA 6001J-93i167) El NIOSH 7400 w! OSHA 8hr. TWA NIOSH 7402 31,51 [mm EPA Level ii BB PLM EPA 600iR-931116 (cm) El 130 10312 El PLM EPA NOB - 3qu Point Count CI TEM EPA NOB NIOSH 9002 400 1000 Point Count lerawmetric 400 1000 i CI NY8193.1 (friable in NY) NYS 198.6 NOB (non-friable-NY) NYS NOB 198.4 (non-friabie-NY) Ci Chat?eid SOP TEM Mass Analysis-EPA 600 sec. 2.5 [Eu - Wager; EPA 100.2 Fibers >tOpm [3 Waste Drinking All Fiber Sizes Waste Drinking JR ermic lite PLM CARE 435 - A (0.25% sensitivity) PLM CARE 435 - (01% sensitivity) TEM CARE 435 - sensitivity) 13 TEM CARE 435 - CI TEM Qual. via Filtration Technique TEM Qual. via Drop-Mount Technique Other: 4 Ci Check For Positive Stop - Clearly ldentile-lomogenous Group Filter Pore Size (Air Samples): 0.30m ill-35pm Samplers Name: Ewe! 41, Samplers Signature: 3 33ml?? it Sample Description Vol?gg?r?kir?ir) giggma lib-M All} this gym/n 51min. Lam Rhea.? kiiLLm ?at/jail: Mari: -1 3 (El-jab? ?Ag'ig ?own ?ak 13 130qu Cm?fu$?lnseaf caiingfit 34134. We no-M- 05 6W0: Mr 141-00634 WM. - {10-64?00 RM Qoi tr v-i 90614-01 Cu it: amide Lam Realm}; L) Client Sample?c): 9?9 '54 QL - {0 Tota?of Samples: lb (cu-n1); am, 5/14! i i. um; 15:00 Received (Lab?f om; 11mg: Commeanpecial' par-Page l. 2 @79r0 9294.? 527055 QrderID: 251603120 - IMOL ANALYTICAL. INC. mm-m-m Additional Pages of the Chain of Custody are only necessary if needed for additional sample information Asbestos Chain of Custody EMSL Order Number (Lab Use Only): 11931 Boulevard we Baton Rouge} LA 70809 (225) 755-1920 W: (225) 755-1939 liJateiTime VolumeiArea (Air) Sample Sample Description HA (Bulk) Sampled Cult/1.3 wid- 051? 20-5440 5? Wig/i ?COmmentsiSpeclal Instructions: Materials Management Group 3520 Genera! DeGeulIe Drive. Suite 3010. New Orleans. LA. 70114. United States Attention. Mimi Le Phone: 5043680568 Email; Purchase Order: 6325 CNO Page of 33 pages Controlled Document Asbeslos COG - R9 -10i3&'2014 Page 2 Of 2 ACM Inspection Report June 10, 2016 Algiers Tech (Rosenwald) 6501 Berkley Dr., New Orleans, LA 70131 Appendix D: Laboratory Results Materials Management Group, Inc. (504) 368-0568 Attention: Paul Lo Management Group, Inc. 3520 General Drive Suite 3010 New Orleans, LA 70114 Project: Rosenwold Test Report: Asbestos Analysis of Bulk Materials via EPA Method using Polarized Light Non-Asbestos Fax: Received Date: Analysis Date: Collected Date: ?/11 Non-Fibrous (504) 368-8409 EMSL Analytica' Inc EMSL Order: 251603120 I 11931 Industriplex, Suite 100 Baton Rouge, LA 70809 cusmme? MATM50 TellFax: (225) 755-1920 i (225) 755-1989 Customer P0: 3596RSD batonrougelab@emsi.com Project ID: Phone: (504) 368-0568 05l20/2016 9:45 AM 05/25/2016 As bestos Type 98% Non-?brous (Other) 2% 90% Non-?brous (Other) 10% 98% Non-?brous (Other) None Detected 100% Non??brous (Other) None Detected 95% Non-?brous (Other) 5% 30% Non-?brous (Other) None Detected 55% Non-?brous (Other) None Detected 100% Non-?brous (Other) None Detected 100% Non-?brous (Other) None Detected 100% Non-?brous (Other) None Detected 100% Non~?brous (Other) None Detected 100% Non-?brous (Other) None Detected 45% Non-?brous (Other) None Detected 82% Non-?brous (Other) 8% Microscopy Sample Description Appearance Fibrous Tile Lobby - 12x12 Grainhite Non-Fibrous 2510031200001 Homogeneous RO-BA-01-Mastio Lobby - 12x12 Black Non-Fibrous 25100312000001 Homogeneous RO-BA-OZ Kitchen - CT White 2% Glass Sheetrock Non-Fibrous 2515031200002 Homogeneous Tile Cafeteria - 12x12 White Non-Fibrous 2510031200003 Homogeneous Cafeteria - 12x12 BIackiYellow Non-Fibrous 003120000311 Heterogeneous Cafeteria Closet - CT White 10% Cellulose Fibrous 60% Glass 2515031200004 Homogeneous Cafeteria Closet - CT TanlWhite 40% Cellulose Fibrous 5% Glass 2510031200005 Homogeneous RO-BA-06 Rm 901 - 12x12 FT Green Non-Fibrous 25100312010005 Homogeneous Tile Cyber Cafe - 12x12 Green Non-Fibrous 2510031200007 Homogeneous Cyber Cafe - 12x12 Yellow Non-Fibrous 25100312000070 Homogeneous Tile Cyber Cafe - 12x12 Green Non-Fibrous 2515031200000 Homogeneous Cyber Cafe - 12x12 Yellow Non-Fibrous 25100312000001 Homogeneous CT TanlWhite 40% Cellulose Fibrous 15% Glass 2510031200009 Homogeneous Closet - Pipe Elbow White 10% Glass 8" Wrap Fibrous 2515031200010 Homogeneous RO-BA-10-lnsulation Closet - Pipe Elbow Yellow 98% Glass 8" Wrap Fibrous 25100312000100 Homogeneous 2% Non~?brous (Other) None Detected [Initial Report From: 05i25l2016 10:33:11 PLM - 1.69 Printed: 51?251?2016 9:33 AM Page 1 of 2 EMSL Analytical, Inc_ EMSL Order: 251603120 11931 lndustriplex, Suite 100 Baton Rouge, LA 70809 cusmmer MATM5O TeIrFax: (225) 755-1920 I (225) 755?1989 Customer P0: 3596RSD 1? batonrougelab@emsl.com Project ID: fl I 16L- l. rut/L Analyst(s) I Brett Heitzmann, Laboratory Manager or Other Approved Signatory Leah Delahoussa ye (15) EMSL maintains liability limited to cost of analysis. This report relates only to the samples reported and may not be reproduced, except in full, without written approval by EMSL. EMSL bears no responsibility for sample collection activities or analytical method limitations. Interpretation and use of test results are the responsibility of the client. This report must not be used by the client to claim product certi?cation, approval. or endorsement by NVLAP, NIST or any agency of the federal government. Non-friable organically bound materials present a problem matrix and therefore EMSL ?commends gravimetric reduction prior to analysis. Samples received in good condition unless otherwise noted. Estimated accuracy, precision and uncertainty data available upon request. Unless aquested by the client, building materials manufactured with multiple layers (to. linoleum, wallboard, etc.) are reported as a single sample. Reporting limit is 1% [Samples analyzed by EMSL Analytical, Inc. Baton Rouge, LA NVLAP Lab Code 200375-01 LELAP 01950, TX 300238 [Initial Report From: 05:25r201e 10:33:11 PLM - 1.69 Printed: 51252016 9:33 AM Page 2 of 2 ACM Inspection Report June 10, 2016 Algiers Tech (Rosenwald) 6501 Berkley Dr., New Orleans, LA 70131 Appendix E: Certifications and Accreditations Materials Management Group, Inc. (504) 368-0568 STATE OF LOUISIANA DEPARTMENT OF ENVIRONMENTAL QUALITY certi?es that Jeff Camus Ilas complied with all requirements of the Louisiana Department. 01' Environmental Qualit}r and is authorized to perform the duties of ASBESTOS INSPECTOR Accreditation No, 611 82306 Al N0. 1823.616. Date 01? Issuance 1429.42015? Expiration 112312111; 5.13. (lit-.1} and La. RS. 2025!". (2)13) ent actions by the State. Failure to comply with all applicable provisions of La. RS. 202 may result in civil amllur criminal enl?oreem Permit Support Division Of?ce of Environmental Services 3? gig} . Ea r?s?w? J. ?31 Permit Sup'port wsm?? if?" en a; . gun?.? United States Department of Commerce National Institute of Standards and Technology twig Certificate of Accreditation to 17025:2005 NVLAP LAB CODE: 200375-0 EMSL Analytical, Inc. Baton Rouge, LA is accredited by the National Voluntary Laboratory Accreditation Program for specific services, listed on the Scope of Accreditation, for: Asbestos Fiber Analysis This laboratory is accredited in accordance with the recognized International Standard 17025:2005. This accreditation demonstrates technical competence for a de?ned scope and the operation of a laboratory quality management system (refer to joint Communique dated January 2009). ?@681 OF CO I, Q. 4?4; 132in (1 1? - it For the National ccreditation Program 574755 a? a. ?ii. 2016?01-01 through 2016-12?31 Effective Dates "m 13:? .xl?u . uv-QAsL?? 1 ?n?u?l ?1 4,4! . . - .. American Association for Laboratory Accreditation Accredited Lahorato ry AZLA has accredited EMSL ANALYTICAL, INC. Baton Rouge, LA for technical competence in the ?eld of Environmental Testing This laboratory is accredited in accordance with the recognized International Standard 170252005 General requirements for the competence of testing and calibration laboratories Th1 nical competence for a de?ned scope and the Communique dated 8 January 2009). Presented this 23th day of February 2015. 19: date President CEO 1 For the Accreditation Council Certi?cate Number 2845.03 Valid to March 31, 2017 For the tests to which this accreditation applies, please refer to the laboratory ?3 Environmental Scope of Accreditation. -. .4 STATE OF LOUISIANA DEPARTMENT OF ENVIRONMENTAL QUALITY Is hereby granting a Louisiana Environmental Laboratory Accreditation to EMSL Analytical Inc 11931 Indu-stltiplcx Ste 100 BatonRouge, Louisiana, 70809 .. Agency Interest No. 30659 '1 According to the Louisiana Administrative recognizes that this Code, Title 33, Part I, Subpart 3, LABORATORYACCREDITATION, the State of Louisiana formally attachment. laboratory is technically competent to perform theenvironmental analyses listed on the scope of accreditation detailed in the contact the Department of Environmental scope of accreditation and accreditation status: Accreditation by the State of Louisiana is initially and maintain accreditation, the la year for each field of testing for which it not an en-dOrsement or a guarantee of validityrofa-the data generated by the laboratory. To be accredited boratory agreesetoparticipate in two single-blind; single-concentration PT studies, where available, per seeks accreditationf'or maintainsaccreditation as required in LAC 331471 1. P?s/f l/ Lourdes lturralde, Administrator Expiration Date: June 30, 2016 Noti?cations and Accreditations Section Issued On: July I, 2015 Public Participation Permit Support Services Division Certi?cate Number: 01950 Section ESIG TED (LAC 7 and 270544.82 Name of Designated Person: 79a W?f?a/e/ Address of Designated Person: $374229 era ?94964 fa; Mew ?r/f'art hi max/{I Phone Number: 679?) 30,? 2:90? Fax Number: ?29 0 3 02 7057 E-mail of Designated Person: #59391, f4", ?alcvo/ Attach c0py of the training certi?cate received by the Designated Person front a recognized trainer. Place the certi?cate behind Section C. You may ?nd a list of Training Providers that teach this course on the Asbestos Web page at Course Name: 24 ?71715? ?g 53:9? i1 Wafm?ng r5 Date of Training: Ma 0/5 Length of Training (hours): A a f5 Training Organization: M??ajfm??dj- 6/0 if Instructo if: it ?at 0 Note: Training must be completed within 6 months of submitting the Management Plan to LDEQ. fonn_7082_r00 13 Revised: 911 512011 TIE-4 Materials Management Group, Inc. 3520 General DeGaulle Drive, Suite 3010, New Orleans, LA 70114 Phone: (504) 368-0568 Fax: (504) 368-8403 Certificate of Achievement Initial 8-Hour AHERA Designated Person Training LAC 33, Part Chapte March 10, 2016 cm 4AA i. Tracy Mercadel Driver?s License 000048630 Has successfully completed 4g In compliance with the requirements outlined in 27: Asbestos-Containing Materials (ACM) in Schools State Buildings Date C. Paul Lo Certi?cate Training Coordinator Primary Language of Instruction: English 4 Lv_v_.v_v_v_ Materials Management Group, Inc. 3520 General DeGaulle Drive, Suite 3010, New Orleans, LA 70114 Phone: (504) 368-0568 Fax: (504) 368-8403 Certificate of A chievement Gwendolyn J. Barnes Driver?s License 003705244 Initial 8-Hour AHERA Designated Person Training In compliance with the requirements outlined in LAC 33, Part Chapter 27: Asbestos-Containing Materials (ACM) in Schools State Buildings March 10, 2016 . Date Dr. C. Paul Lo Certi?cate No. MMGACMDP-016 Training Coordinator Primary Language of Instruction: English - Has successfully completed Mr; a Section RESPONSE ACTIONS A. Attach recommendations made to the local education agency (LEA) regarding Response Actions under LAC 33.11127] 7. Attach recommendations behind Section D. Check if the building is NOT used for Educational purposes. [3 Check ifthere is no ACM in the building. Name of Person Making Recommendation: _Dr. Richard Lo Recommendation Person?s Signature: A VAV Louisiana DEQ Accreditation No: 98 Date of Expiration: 4/1/17 form_7082_r00 14 Revised: Section B. Provide the following written detailed description of preventive measures/response actions to be taken for any friable ACBM, including the following: (LAC Recordkeeping Requirements are to be maintained as plan (LA part of the management Methods to be used Location where measure or action will be taken Reason for selecting response action or preventive measure Beginning date Completion date form_7082_r00 Revised: 9/15/2011 15 Document Title: Management Planner?s Recommendations to Algiers Tech. (Rosenwald) School Pertinent Regulation: LAC Summary: Friable thermal systems insulation (TSI) in good condition was identified at Algiers Tech. (Rosenwald) School located at 6501 Berkley Dr., New Orleans, LA 70131 (School) during the 3-year ACM re-inspection performed by MMG in May 2016. ACM inspectors deemed the friable ACM (pipe elbow) to be in intact and present only in general maintenance areas that are not subject to disturbance, damage, or casual contact by staff, students, or other non-maintenance personnel. Due to condition, friability, and location, LAC 27 states that the asbestos-containing pipe elbow identified at the School during the May 2016 ACM re-inspection can be managed in place until such time as renovations on the homogeneous areas containing the ACM are conducted or until the condition, accessibility, and/or likelihood of damage to the ACM changes. If friable ACM at the School becomes damaged, generally accessible, or altered in any way which might lead to a major or minor fiber release, the LEA is required to taken an immediate response action which is adequate to protect human hea?h. Category and Category II non-friable ACM (resilient floor tile and the associated adhesive mastic) were also present at the School. ACM Inspector and ACM Management Planner deemed these materials to be in good condition with no evidence of significant wear, delamination, damage, or changes in friability. Therefore, these materials may also be managed in place until such time as renovations on the homogeneous areas containing the materials are conducted or until the condition, accessibility, and/or likely hood of damage to the ACM changes. If non-friable ACM at the School becomes damaged, generally accessible, or made friable in any way which might lead to a major or minor fiber release, the LEA is required to taken an immediate response action which is adequate to protect human health. General Recommendations: 1) The designated person (DP) shall ensure that all friable TSI at the School is surveyed at least once every six (6) months for changes in condition, accessibility, and/or friability. Any changes in condition, location, and/or friability require an immediate response action on the part of the LEA. 2) The DP shall ensure that all non?friable, Category and Category ll ACM at the School is surveyed every six (6) months for changes in condition, accessibility or friability. Any changes in condition, location, and/or friability require an immediate response action on the part of the LEA. 3) In the event that the condition, accessibility, and/or friability of known or suspect ACM identified at the School changes, the DP shall ensure that an immediate response action designed to limit potential exposure to airborne asbestos fibers is taken. Response actions which exceed the definition of ?small- Materials Management Group, Inc. (504) 368-0568 scale-short-duration? actions outlined in LAC 27 must be conducted by appropriately trained and accredited personnel. 4) Appropriate response actions include: i. Removal and disposal of the damaged ACM conducted by appropriately trained and accredited personnel under the provisions outlined in LAC 33: ll Chapter 51. ii. Encapsulation of the damaged ACM by treating it with a material that surrounds or embeds ACM fibers in an adhesive matrix. Repair of the damaged ACM which returns the ACM to an undamaged condition or intact state. 5) Under no circumstances should any ACM be removed or disturbed in a way that makes it friable. Prohibited actions may include, but are not limited to, sawing, grinding, sanding, high-speed buffing, or other dust-generating disturbance. 6) Upon completion of a response action, the DP shall retain such records as are necessary and add them to Section of the asbestos management plan. These may include but are not limited to: a. The date associated with the change in condition, accessibility, and/or friability of ACM. b. The name, contact information, and training records of the person(s) who identified the change in condition, accessibility, and/or friability of the ACM. 0. A general description of the change in condition, accessibility, and/or friability of ACM. d. The name(s), signature(s), and proof of accreditation of the LDEQ- accredited ACM personnel conducting the response action. e. The condition, accessibility, and/or friability of any ACM remaining after the completion of the response action. 7) Due to the location, class, and condition of this ACM additional cleaning of areas containing it, as described in LAC is not recommended or required underthe terms outlined in LAC 27. Materials Management Group, Inc. (504) 368-0568 Section C. Provide a detailed description in the form of blueprint, diagram, or written location description of ACBM, or assumed ACM, that does or will remain after response action. Attachment, if any should be placed behind Section D. (LAC 723.0. 8) El Check ifthere is no ACM in the building. D. The undersigned does hereby certify that he/she is accredited under the provision of Appendix A of LAC A. (This applies to the person who inspected for ACBM and who will design or carry out response action, except 0 M). (LAC 33 723.D. 7) Louisiana Accredited Inspector?s Name: Dr/?Riehard Lo Mr. Jeff Camus_ Inspector?s Signature: . jg? Louisiana DEQ Accreditation No: _7119239?8 NM 82306?! Date of Expiration: 3/30/17 7/23/16 Louisiana Accredited Project Designer?s Name: Project Designer?s Signature: Louisiana DEQ Accreditation No: Date of Expiration: form_7082_r00 16 Revised: 9/15/2011 Section ACTIVITY PLANS (LA 723.1). 9) Check ifthere is no ACM in the building. If there is ACM in the building, attach the following: A. Attach a written plan for Re-inspection behind Section (Required only for schools, including post graduate facilities, i.e. universities, etc. in accordance with LAC B. Attach a written plan for Periodic Surveillance behind Section (Required for a_ll schools Ed state owned, leased, or otherwise used buildings LAC 721. B). C. Attach a copy of the Operations and Maintenance plan behind Section E. The plan must be completed in accordance with LAC D. Attach a copy of the Management Planner?s recommendation regarding additional cleaning under LAC 33.111271 9. C.2 as part of an operations, maintenance, and repair program. E. Attach a copy of the Response to the Management Planner?s recommendation by the local education agency (LEA) or owner or responsible party of the state owned, leased or used building. form_7082_r00 1 7 Revised: 9/15/2011 AAC-8 Form Section June 2016 Algiers Tech. (Rosenwald) 6501 Berkley Drive New Orleans, LA 70131 Section E, Subsection A: Re-Inspection Plan Materials Management Group, Inc. (504) 368-0568 AAC-8 Form Section June 2016 Algiers Tech. (Rosenwald) 6501 Berkley Dr., New Orleans, LA 70131 Document Title: Re-Inspection Plan Algiers Tech. (Rosenwald) School Frequency: Every 3 years Pertinent Requlation: LAC Plan Summary: At least once every three (3) years after an ACM MP is in effect, each LEA shall conduct a re-inspection of all friable and non-friable known or assumed ACBM in each school building that they lease, own, or use for head start, pre-K programs, elementary, or secondary education. MMG conducted a 3-year ACM re-inspection at Algiers Tech. (Rosenwald) School located on 6501 Berkley Dr., New Orleans, LA 70131 in May 2016; the next 3-year re-inspection shall be due in May 2019. General Requirements: 1) The designated person (DP) shall ensure that the LEA secures the services of a licensed and accredited ACM Inspector to conduct the ACM inspection at the School. a. The accredited ACM Inspector shall: i. Review previous inspection data in the School?s ACM MP, compare to current conditions, and correct for any changes. ii. Review the ACM MP to ensure it meets the requirements of LAC and reflects current conditions. Visually re-inspect and reassess the condition of all friable known or assumed ACMB. iv. Inspect and touch materials previously considered non-friable to determine if they have become friable. v. Identify any homogenous areas of material that has become friable. vi. Collect bulk samples of materials, if necessary. vii. Inspect, sample, analyze, and/or assess the condition of building materials that have been added to the school since the last inspection as required by law. Assess condition of newly friable materials. ix. Reassess the condition of friable known or assumed ACBM previously identified. 2) Upon completion of the re-inspection, the accredited inspector shall record and submit to the DP copies of the followinq information for inclusion in the MP Within 30 da ys: a. The date of the re-inspection b. The name, signature, and proof of accreditation of the ACM Inspector who conducted the re-inspection. Materials Management Group, Inc. (504) 368-0568 AAC-8 Form Section June 2016 Algiers Tech. (Rosenwald) 6501 Berkley Dr., New Orleans, LA 70131 c. Any changes in the condition of known or assumed ACBM. d. A description of: Sampling locations and a description of how sampling locations were chosen (if applicable) ii. Signature and proof of accreditation of sampling inspector (if applicable) Any assessment or reassessment made of friable material Additional Resources: Re-inspection of ACBM: Findings and Management Planner Recommendations Worksheet included in Section E, Subsection A of the ACM MP. Materials Management Group, Inc. (504) 368-0568 Re-lnspection of ACBM: Findings and Recommendations School: Algiers Tech. [Rosenwaldl School Building: 6501 Berkley Dr., New Orleans LA 70131 Date of Re-lnspection: Homogeneous Sampling Area/Material Description: 1) 8? Pipe Elbow Page 1 of 1 RE-INSPECTION FINDINGS FOR ACBM MANAGEMENT PLANNER RECOMMENDATIONS Assessment Justification of Location(s) Description of Category Assessment Change in Known ACBM Quantity Friability (1-7) Category Condition Preventive measures, Schedule response actions, and initial/additional cleanings Begin Complete 1) Yes Closet nearby Room 600 7 Friable ACM NF No Were additional samples of this ACBM collected? Yes No Date of management planner review: Inspector name Inspector signature Accreditation State Expiration date Management planner name Management planner signature Accreditation State Expiration date AAC-8 Form Section June 2016 Algiers Tech. (Rosenwald) 6501 Berkley Drive New Orleans, LA 70131 Section E, Subsection B: Periodic Surveillance Plan Materials Management Group, Inc. (504) 368-0568 Document Title: Periodic Surveillance Plan ?Algiers Tech. (Rosenwald) School Freguency: Every 6 months Pertinent Requlation: LAC Plan Summam: At least once every six months after an ACM MP is in effect, each LEA will ensure that periodic surveillance is conducted in each building that it leases, owns, or uses as a school that contains ACBM or is assumed to contain ACBM. MMG conducted a 3-year re-inspection at Algiers Tech. (Rosenwald) School located at 6501 Berkley Dr., New Orleans, LA 70131 in May 2016; the first 6-month periodic inspection at Algiers Tech. (Rosenwald) School is due in November 2016. General Requirements: 1) The designated person (DP) shall ensure that periodic surveillance, conducted by a person with sufficient training and familiarity with the School's ACM MP, is performed in all buildings associated with the School that contain or are assumed to contain ACBM. a. Each person conducting periodic surveillance shall: i. Visually inspect all areas in each school building that are identified in the ACM MP as containing ACBM or assumed ACBM. ii. Visually inspect all materials that have been previously identified to contain asbestos or assumed to contain asbestos and document any changes in the physical condition of those materials. Record his or her name, the date of the inspection, and any changes in material condition on the ?Periodic Surveillance Form.? 2) Upon completion of the periodic surveillance, the person conducting periodic surveillance shall record and submit to the DP the ?Periodic Surveillance Form? for inclusion in the MP within 30 days: Additional Notes: The law does not require that periodic surveillance is conducted by an accredited ACM Inspector and/or Management Planner, although the LEA is encouraged to engage one for this purpose. Periodic surveillance can be conducted by a person of the choosing who has sufficient training and is sufficiently familiar with the School?s ACM MP to be aware of and adequately document changes to known and suspected ACBM. Additional Resources: The Periodic Surveillance Form included in Section E, Subsection of the ACM MP. Materials Management Group, Inc. (504) 368-0568 Periodic Surveillance Form Six Month Surveillance Requirements: A visual inspection of all areas that are indentified in the ACM MP as ACBM or assumed ACBM. 2. The date the surveillance was completed, the name and signature of the person conducting the surveillance, and any changes in the condition of the ACBM or assumed ACBM surveyed. 3. A copy of the completed surveillance record must be submitted to the ACM DP for inclusion in the ACM MP. Date of Periodic Surveillance: Building Name: Algiers Tech. lRosenwald) Address: 6501 Berkley Dr., New Orleans, LA 70131 Name of Person Conducting Periodic Surveillance: Description of area(s) covered by periodic surveillance: Previous condition of ACBM as recorded in ACM MP: Changes in condition of ACM since last inspection or periodic survey: Additional Notes: Signature of Person Completing the Periodic Surveillance Title of Person Completing the Report AAC-8 Form Section June 2016 Algiers Tech. (Rosenwald) 6501 Berkley Drive New Orleans, LA 70131 Section E, Subsection C: Operations Maintenance Plan Materials Management Group, Inc. (504) 368-0568 Operations and Maintenance Plan The term ?building owner? is meant to include the following person or agents as applicable: Local Education Agency (LEA) or LEA Designated Person; Louisiana State Public Building Authority (LSPBA) or LSPBA Designated Person; Building or Facility Owner or Authorized Agent or Responsible Person. Applicability The Building Owner shall implement an Operations, Maintenance, and Repair Program under this section whenever any Friable ACBM is present or assumed to be present in a building that it leases, owns, or otherwise uses. Any material identified as non-friable ACBM or non-friable assumed ACBM must be treated as friable ACBM for purposes of this section when the material is about to become friable as a result of activities performed in the building. Worker Protection The protection provided by EPA at 40 CFR 763.121 for worker protection during asbestos abatement projects is extended to employees of the ?building owner? who performed operations, maintenance, and repair (OM) activities involving ACBM and who are not covered by the ASHA Asbestos Construction Standard at 29 CF 1926.58 or an asbestos worker approved by OSHA under Section 19 of the Occupational Safety and Health Act. The ?building owner? may reference Appendix of this subpart if their employees are performing operations, maintenance, and repair activities that are small- scale, short duration. Cleaning-Initial Cleaning Unless the building has been cleaned using equivalent methods within the previous six (6) months, all areas of a building where friable ACBM, damaged or significantly damaged thermal system insulation ACBM, or friable suspected ACBM assumed to be ACM are present shall be cleaned at least once after the completion of the inspection required by Section 763.85 and before the initiation of any response action other than activities or repair, according to the following procedures: 1. HEPA-vacuum or steam-clean all carpets. 2. HEPA-vacuum or wet-clean all other floors and all other horizontal surfaces. 3. Dispose of all debris, filters, mop heads, and clothes in sealed, leak-tight containers. Cleaning- Additional Cleaning The accredited Management Planner shall make a written recommendation to the Building Owner whether additional cleaning is needed, and if so, the methods and frequency of such cleaning. Operations and Maintenance Activities The Building Owner shall ensure that the procedure described below to protect building occupants shall be followed for an operations and maintenance activities disturbing friable ACBM: 1. Restrict entry into area by persons other than those necessary to perform the maintenance project, either by physically isolating the area or by scheduling. 2. Post signs to prevent entry by unauthorized persons. 3. Shut off or temporarily modify the air- handling system and restrict other sources of air movement. 4. Use work practices or other controls such as wet-methods, protective clothing, HEPA?vacuums, mini-enclosures, or glove bags, as necessary to inhibit the spread of any released fibers. 5. Clean all fixtures or other components in the immediate work area. 6. Place the asbestos debris and other cleaning materials in a sealed, leak-tight container. Maintenance Activities Other Than Small-Scale, Short Duration The response action for any maintenance activities disturbed friable ACBM, other than small-scale, short duration maintenance activities, shall be designed by persons accredited to design response actions and conducted by persons accredited to conduct response actions. Fiber Release Episodes- Minor Fiber Release The Building owner shall ensure that the procedures described below are followed in the event of a minor fiber release episode the falling or dislodging of three square or lineal feel or less friable ACBM): Thoroughly saturate the debris using wet-methods Clean the area as described in paragraph of this section Place the asbestos debris in a seal, leak-tight container Repair the area of damaged ACM with materials such as: asbestos-free spackling, plaster, cement, or insulation. The damaged area can be sealed with latex paint or an encapsulate, or immediately have the appropriate response action implemented as required by Section 2719.F. Fiber Release Episodes- Major Fiber Release Episodes The Building Owner shall ensure that the procedures described below are followed in the event of a major fiber release (Le. the falling or dislodging of three square or lineal feet or less of friable ACBM): 1. Restrict entry into the area an post signs to prevent entry into the area by persons other than those necessary to perform the response action 2. Shut off or temporarily modify the air-handling system to percent the distribution of fibers to other areas of the area or building. 3. The response action for any major fiber release episode must be designated by persons accredited to design response actions and conducted by persons accredited to conduct response actions. Training of Custodial and Maintenance Workers Before implementing the operations, maintenance, and repair provisions of the Management Plan, all members of the maintenance and custodial staff who may work in a building that contains ACBM, must receive at least two (2) hours of General Awareness Training, regardless of whether or not they are required to work with ACBM. Providing Information Regarding the Location of ACBM to Short-Term Workers Information regarding the location of all ACBM and assumed ACBM must be provided to short-term workers, such as telephone repairmen or building repair contractors, before they start work in the area or building. Survey and Testing Limitations All surveys and testing methodologies have limitations which must be understood in order to make proper use of the information in the survey report. This report is based on the requirement of AHERA regulation and LAC Ill Charter 27. However, there are many items not specifically addressed under AHREA that the RSD may have to consider in order to meet other regulations or property protect its employees and contractors. The items listed below are examples of known limitations: 1. No exterior materials are covered under AHERA with exception of soffits under covered walkways. This specifically included all roofing materials, exterior facings such as cement boards, or cooling tower components. 2. Interior components of equipment are not included. This includes boilers, tanks, exhaust hoods, fire doors, or refrigeration equipment, etc. that must be disassembled to sample interior parts, fall into this category. 3. Furnishings and other non-building materials are not included. Draperies, curtains, fire cabinets, laboratory equipment, etc. 4. Small areas of patching materials are miscellaneous materials such as ceiling or floor tiles may not have been tested. Before these materials are disturbed, the report should be reviewed to determine not only that the material is not declared an ACBM, but also to verify that it was checked and shown not to contain asbestos. Response Action Resources The Designated Person will be notified whenever custodial personnel discover asbestos containing materials appear to damaged. The area will be secured and professional asbestos workers will be employed to handle the situation. The LEA has retained an environmental consulting firm who has LDEQ Certified Asbestos Contractor Supervisors, Inspectors, and a Management Planner on staff and the school has retained an LDEQ Certified Designer. AAC-8 Form Section I June 2016 Algiers Tech. (Rosenwald) 6501 Berkley Drive New Orleans, LA 70131 Section E, Subsection D: Management Planner?s Recommendations to the LEA Materials Management Group, Inc. (504) 368-0568 Document Title: Management Planner's Recommendations to Algiers Tech. (Rosenwald) School Pertinent Regulation: LAC Summam: riable thermal systems insulation (TSI) in good condition was identified at Algiers Tech. (Rosenwald) School located at 6501 Berkley Dr., New Orleans, LA 70131 (School) during the 3-year ACM re-inspection performed by MMG in May 2016. ACM inspectors deemed the friable ACM (pipe elbow) to be in intact and present only in general maintenance areas that are not subject to disturbance, damage, or casual contact by staff, students, or other non-maintenance personnel. Due to condition, friability, and location, LAC 27 states that the asbestos-containing pipe elbow identified at the School during the May 2016 ACM re~inspection can be managed in place until such time as renovations on the homogeneous areas containing the ACM are conducted or until the condition, accessibility, and/or likelihood of damage to the ACM changes. If friable ACM at the School becomes damaged, generally accessible, or altered in any way which might lead to a major or minor fiber release, the LEA is required to taken an immediate response action which is adequate to protect human hea?h. Category I and Category II non-friable ACM (resilient floor tile and the associated adhesive mastic) were also present at the School. ACM Inspector and ACM Management Planner deemed these materials to be in good condition with no evidence of significant wear, delamination, damage, or changes in friability. Therefore, these materials may also be managed in place until such time as renovations on the homogeneous areas containing the materials are conducted or until the condition, accessibility, and/or likely hood of damage to the ACM changes. If non-friable ACM at the School becomes damaged, generally accessible, or made friable in any way which might lead to a major or minor fiber release, the LEA is required to taken an immediate response action which is adequate to protect human health. General Recommendations: 1) The designated person (DP) shall ensure that all friable at the School is surveyed at least once every six (6) months for changes in condition, accessibility, and/or friability. Any changes in condition, location, and/or friability require an immediate response action on the part of the LEA. 2) The DP shall ensure that all non-friable, Category and Category II ACM at the School is surveyed every six (6) months for changes in condition, accessibility or friability. Any changes in condition, location, and/or friability require an immediate response action on the part of the LEA. 3) In the event that the condition, accessibility, and/or friability of known or suspect ACM identified at the School changes, the DP shall ensure that an immediate response action designed to limit potential exposure to airborne asbestos fibers is taken. Response actions which exceed the definition of ?small- Materials Management Group, Inc. (504) 368-0568 scale-short-duration? actions outlined in LAC 27 must be conducted by appropriately trained and accredited personnel. 4) Appropriate response actions include: i. Removal and disposal of the damaged ACM conducted by appropriately trained and accredited personnel under the provisions outlined in LAC Chapter 51. ii. Encapsulation of the damaged ACM by treating it with a material that surrounds or embeds ACM fibers in an adhesive matrix. Repair of the damaged ACM which returns the ACM to an undamaged condition or intact state. 5) Under no circumstances should any ACM be removed or disturbed in a way that makes it friable. Prohibited actions may include, but are not limited to, sawing, grinding, sanding, high-speed buffing, or other dust-generating disturbance. 6) Upon completion of a response action, the DP shall retain such records as are necessary and add them to Section of the asbestos management plan. These may include but are not limited to: a. The date associated with the change in condition, accessibility, and/or friability of ACM. b. The name, contact information, and training records of the person(s) who identified the change in condition, accessibility, and/or friability of the ACM. c. A general description of the change in condition, accessibility, and/or friability of ACM. d. The name(s), signature(s), and proof of accreditation of the LDEQ- accredited ACM personnel conducting the response action. e. The condition, accessibility, and/or friability of any ACM remaining after the completion of the response action. 7) Due to the location, class, and condition of this ACM additional cleaning of areas containing it, as described in LAC is not recommended or required under the terms outlined in LAC 27. Materials Management Group, Inc. (504) 368-0568 AAC-8 Form Section June 2016 Algiers Tech. (Rosenwald) 6501 Berkley Drive New Orleans, LA 70131 Section E, Subsection E: Response to the Management Planner?s Recommendations Materials Management Group, Inc. (504) 368-0568 CHOQL I . AigEr-zrs Technology facnejcimy Martin new kl: .r for Creative- Ari; and Science [might C?se oi Giulia! Studies \?r'illiaan .E. l'i'lsci?ics'Aciceleratecl Learning Ara-acetic; ?5 (Limiter Scl'iooi - Lorri liizasmnsiieid {antic}! . (3. Perry Walker (Italian-gm and (Egret-3r Prepauator?y 'r-iigji: Stilton? Document Title: Management Pianner?s Recommendations to Algiers Tech. (Rosenwald) Schooi Pertinent Reguiation: LAC Sir??rm Friable thermal systems insulation in good condition was identified at Algiers Tech. (Rosenwald) School located at 6501 Berkley Dr., New Orleans, LA 70131 (School) during the 3?year ACM re-inspection performed by MMG in May 2016. ACM inspectors deemed the friable ACM (pipe elbow) to be in intact and present only in general maintenance areas that are not subject to disturbance, damage, or casual contact by staff, students, or other non-maintenance personnel. Due to condition, friability, and location, LAC 27 states that the asbestos~containing pipe elbow identi?ed at the School during the May 2016 ACM re-inspection can be managed in place until such time as renovations on the homogeneous areas containing the ACM are conducted or until the condition, accessibility, and/or likelihood of damage to the ACM changes. if friable ACM at the School becomes damaged, generally accessible, or altered in any way which might lead to a major or minor fiber release, the LEA is required to taken an immediate response action which is adequate to protect human health. Category I and Category ll non?friable ACM (resilient floor tile and the associated adhesive mastic) were also present at the School. ACM Inspector and ACM Management Planner deemed these materials to be in good condition with no evidence of significant wear, delamination, damage, or changes in friability. Therefore, these materials may also be managed in place until such time as renovations on the homogeneous areas containing the materials are conducted or until the condition, accessibility, and/or likely hood of damage to the ACM changes. If non-friable ACM at the School becomes damaged, generally accessible, or made friable in any way which might lead to a major or minor ?ber release, the LEA is required to taken an immediate response action which is adequate to protect human health. General Recommendations: 1) The designated person (DP) shall ensure that all friable at the School is surveyed at least once every six (6) months for changes in condition, accessibility, and/or friability. Any changes in condition, location, and/or friability require an immediate response action on the part of the LEA. 3520 General De?nulle Dr., Ste 2001 . New Orienns, EA 70114 . (504)302 7001 - Fax: (504)302-7051 HARTER SSDCIATION Algiers 'l ecimolog? Acariorriy 0 Martin matter Acacler?ny for Creative Arts and Science Dwight D. LisenhowerAcademy of Global Studies 5 J. Fischer Accelerated learning Acnden?iy 32 Literacy Charter School . Lord Beacon afield 0. Perry Walker ('jollege and Career Preparatory High Scliooi 2) The DP shall ensure that all nonvfriable, Category and Category li ACM at the School is surveyed every six months for changes in condition, accessibility or friability. Any changes in condition, location, and/or friability require an immediate response action on the part of the LEA. 3) in the event that the condition, accessibility, and/or of known or suspect ACM identified at the School changes, the DP shall ensure that an immediate response action designed to limit potential exposure to airborne asbestos ?bers is taken. Response actions which exceed the definition of ?small-seaIe-short-duration? actions outlined in LAC 33zlil.Chapter 27 must be concluded by appropriately trained and accredited personnel. 4) Appropriate response actions include: i. Removal and disposal of the damaged ACM conducted by appropriately trained and accredited personnel under the provisions outlined in LAC Chapter 51. ii. Encapsulation of the damaged ACM by treating it with a material that surrounds or embeds ACM fibers in an adhesive matrix. Repair of the damaged ACM which returns the ACM to an undamaged condition or intact state. 5) Under no circumstances should any ACM be removed or disturbed in a way that makes it friable. Prohibited actions may include, but are not limited to, sawing, grinding, sanding, high-speed buffing, or other dust- generating disturbance. 6) Upon completion of a response action, the DP shall retain such records as are necessary and add them to Section of the asbestos management plan. These may include but are not limited to: a. The date associated with the change in condition, accessibility, and/or friability of ACM. b. The name, contact information, and training records of the person(s) who identified the change in condition, accessibility, and/or friability of the ACM. c. A general description of the change in condition, and/or friability of ACM. d. The name(s), signature(s), and proof of accreditation of the LDEQ~accredited ACM personnel conducting the response action. The condition, accessibility, and/or friability of any ACM remaining after the completion of the response action. 7) Due to the location, class, and condition of this ACM additional cleaning of areas containing it, as described in LAC 33:lil.2719.C is not recommended or required under the terms outlined Tracy ercadel, Designated Person 3520 General DeGauile Dr,, Ste 2001 - New Orleans, LA 70114 . Office: (504) 3027001 i'i'ax: (504)302-7051 Section NOTIFICATIONS AND RESOURCES EVALUATION Attach the following behind Section F: NOTIFICATION Attach a copy of the noti?cation letter sent to parents, teachers, and employees concerning the availability of the Management Plan, including any response actions or activities that took place. Attach behind Section F. (LAC and LAC RESOURCES EVALUATION Attach an evaluation of resources needed to complete response actions successfully and carry out operations and maintenance activities, periodic surveillance, and training. Attach behind Section F. (LAC I I) form_7082_r00 1 8 Revised: 9/15/2011 is ALGIERS CHARTER 9 SCHOOL ASSOCIATION Algiers Technology Academy Martin Behrman Charter Academy for Creative Arts and Science Dwight D. Eisenhower Academy of Global Studies - William J. Fischer Accelerated Learning Academy McDonogh it" 3: Literacy Charter School . Lord Beaconsfield Landry - 0. Perry Walker College and Career Preparatory High School 1.3 ASBESTOS DISCLOSURE July 14, 2014 To: Algiers Charter Schools Employees. Students and Occupants From: Tracy Mercadei; Director of Operations Re: Asbestos Management Plan-Annual Noti?cation The Asbestos Hazard Emergency Response Act (AHERA) and Louisiana Department of Environmental Quality (LDEQ) require annual noti?cation to building occupants. employees, and visiting workers regarding our existing Asbestos Management Plans. The School Board completed initial asbestos material inspections in 1988 and developed Management Plans for each school site and its? corresponding buildings. The Management Plan is updated every six-months with surveillance inspections and every three years with a complete reinspection. The documents for the above inspections are filed within the Management Plans for each school. The Management Plan for a particular school site is available for viewing at that school site. Any facility renovations including asbestos materials are completed using licensed and trained personnel. Documentation regarding any abatement activities is also maintained within the Management Plans. Tracy Mercadel Director of Site Services 53 Document Title: Evaluation of Resources Pertinent Requlation: LAC Summary: Per LAC the ACM MP should include ?an evaluation of resources needed to complete response actions successfully and carry out re? inspection(s), operations and maintenance activities period surveillance and training. This document includes a brief summary of the personnel equipment and/or professional expertise required for each of the aforementioned activities. This document is for reference only; always consult and/or engage the appropriate LDEQ-accredited individuals required for response action design, inspection, re-inspection, and/orACM abatement work. General Requirements: 1) Resources required when conducting an ACM response action. vi. The ACM in order to make an initial determination as to the type, condition, and friability of the ACM in question and inform any decision(s) as to what type of response action is appropriate. The ACM DP to engage the necessary response personnel and collect appropriate documentation of the response action for inclusion into the ACM MP. . An LDEQ-Accredited ACM Inspector if additional bulk materials sampling is required. An LDEQ-Accredited ACM Proiect Desiqner if the ACM response action in questions exceeds the LDEQ designation of ?small-scale- short-duration,? will disturb friable ACM in excess of the quantities outlined in LAC 51, or will generate asbestos- containing debris (ACD) or recognized asbestos containing material (RACM) in quantities that requires disposal in a specialized landfill. An LDEQ-Accredited ACM Contractor/Supervisor to perform response action work, take asbestos air samples (if necessary), and properly dispose of ACD or RACM after the completion of the response action or abatement work. Sufficient funds to cover the cost of required personnel, abatement and disposal work, and any required deliverables (reports, maps, etc Resources required to conduct inspections or re- -inspections: on The ACM MP to refer to or update as applicable. The ACM DP to engage the appropriate LDEQ- accredited personnel. An LDEQ-accredited ACM Inspector to perform the inspection, take bulk materials samples (if necessary), and generate the required deliverables. Materials Management Group, Inc. (504) 368-0568 iv. Sufficient funds to cover the cost of inspection and deliverables. 3) Resources required for operations and maintenance activities: i. The ACM for reference. ii. The ACM DP to coordinate, oversee, and document activities for inclusion into the ACM MP, as applicable. Appropriate personnel - to conduct activities. iv. Sufficient funds to cover the cost of activities including materials salaries incidentals etc. 4) Resources required to conduct periodic surveillance. i. The ACM MP for reference. ii. The ACM DP to coordinate, oversee, and document periodic surveillance for inclusion into the ACM MP. Appropriate personnel - to conduct periodic surveillance. iv. Sufficient funds to cover the cost of periodic surveillance including materials, personnel salaries, incidentals etc. 5) Resources required to conduct training: i. The ACM MP for referencecoordinate, oversee, and document training and certification activities for inclusion into the ACM MP, as necessary. Outside or contract resources - including state agencies, environmental consulting firms, or other third-party entities qualified to offer custodial and other personnel training. iv. Sufficient funds to cover the cost of training within the period specified by LAC 27 (within 60 days of date?of?hire for custodial staff). Additional Notes: Monetary costs to the LEA may vary greatly by activity, scope of work, and type of personnel required; the LEA is encouraged to do adequate research into the average costs, work practices, personnel, and accreditations of any and all firms employed to perform or administrate any of the work covered by this resource evaluation. Remember, any and all work performed on or affecting ACM at the School by any person must be documented and that documentation must be included in the appropriate section of the ACM MP. This may include documentation of abatement and/or waste disposal costs. This also includes documentation of training events and certification classes as well as contract and/or abatement work performed by an outside firm. Maintaining an up-to-date ACM MP on site is the primary responsibility of the School's ACM DP. Materials Management Group, Inc. (504) 368-0568 MANAGEMENT PLAN CONTRIBUTORS A. List the accredited management planner and all other consultants who contributed to the Management Plan. Attach Louisiana accreditation certi?cate for current asbestos management planner behind Section F. (LAC Name Accreditation No. Expiration Date Si ture Email address Dr. Richard Lo 7P192398 4/1/17 richardl@mmgnola.com form_7082_r00 19 Revised: 9/15/201 1 "ental' Qnaf (1W Permit Support Ser?t?" Divisi' Off? ce .of Environmental Services B. THIRD PARTY ASBESTOS MANAGEMENT PLAN REVIEWER (optional) A local education agency or the responsible party for the state building my require each management plan to contain a statement signed by a third party accredited management planner as a reviewer to the current accredited management planner, that such person has prepared or assisted in the preparation of such plan or has reviewed such plan, and that such plan is in compliance with LAC 33:111. Chapter 27. (LAC 33.111.223.15) Statement is Required by LEA or State 8 Statement is NOT Required by LEA or State The undersigned does hereby certify that they have reviewed the management plan and testify that the plan complies with LAC 33:111.2723 of the Louisiana Air Quality regulations. (Statement may NOT be signed by a person who, in addition to preparing or assisting in preparing the Management Plan, also implements or will implement the Management Plan). If signed, attach copy of current management planner accreditation certi?cate behind Section F. (optional as part of LAC Name of Louisiana Accredited Reviewing Management Planner: Reviewing Management Planner Signature: Louisiana DEQ Accreditation No: Expiration Date: form?7082_r00 20 Revised: 9/15/2011 Section Part I RECORDKEEPING PREVENTATIVE RESPONSE ACTIONS For each preventative measure and response action performed after December 14, 1987, the local education agency or responsible party for the state building shall provide the following information: A. A detailed written description of the action taken. The description should include the following information. Attach behind Section G, Part I. (LAC Methods Used Location of Measure or Action Reason for Selection of Action Names and Addresses of all Contractors Involved Louisiana Accreditation Number of Contractor/Supewisor(s) 0 Storage or Disposal Site if ACM was Removed form__7082_r00 21 Revised: 9/15/2011 B. The name and signature of any person collecting air samples required at the completion of response actions. (LAC Note that the person conducting air monitoring must be LDEQ accredited as an asbestos Contractor/ Supervisor. Name Accreditation No Expiration Date Signature form_7082_r00 22 Revised: 9/15/2011 C. A written description of the locations where samples were collected. The following information should be included in the description. Attach behind Section G, Part 1. (LA 725. B. 2) Note that the laboratory conducting analysis of air samples must be a LELAP accredited lab. Attach a copy of the LELAP certi?cate behind Section G, Part I. 0 Date of Collection 0 Name and Address of Analyzing Laboratory 0 Date of Analysis Results of Analysis Methods of Analysis Name and Signature of Analyst LELAP Laboratory Accreditation Certi?cate form_7082_r00 23 Revised: 9/15/2011 EMPLOYEE TRAINING: List each person required to be trained under LAC 33:111.2 721.A.1-3 and for supervisors who direct workers who may disturb ACM. Note: all members of its custodial and maintenance staff who may work in a building that contains ACBM, whether or not they are required to disturb ACBM, shall receive at least two hours of awareness training within 60 days after commencement of employment; and staff who conduct any activities that will result in disturbance of 3 square or linear feet of ACBM shall receive 14 hours of additional training. The following information must be provided for each employee trained. (LAC C) Attach behind Section G, Part I. Name Job Title Date of Location of Training Trainer/ Number of Training Trainer Provider Hours Completed Completed form_7082_r00 24 Revised: 9/15/2011 Section Part II SURVEILLANCE List each time that a periodic surveillance under LAC is performed. (LA Date of Name Louisiana Expiration Changes in Conditions Periodic (Printed or Typed) Accreditation Date Surveillance No. form_7082_r00 2 5 Revised: 9/15/2011 Section Part CLEANING List each time that cleaning under LAC is performed. (LA Date of Name Locations Cleaned Methods used to perform cleaning Cleaning (Printed or Type) form_7082_r00 26 Revised: 9/15/2011 Section Part IV 0 ACTIVITIES List the following information for each Operation and Maintenance activity conducted after December 14, 1987: (LAC 725.17) Attach behind Section G, Part IV. Name of Person(s) Performing the Activity I I Start and Completion Dates for each Activity 0 Location where Such Activity Occurred 0 Description of Activity 0 If Asbestos was Removed, the Name and Location of Storage or Disposal Site form_7082_r00 27 Revised: 9/15/2011 MAINTENANCE ACTIVITIES OTHER THAN SMALL SCALE SHORT DURATION List the following information for each time a major asbestos activity under LAC 33:111.2 71 9.13 is performed: (LAC Attach behind Section G, Part IV. Name of the Person Start/Completion Location Description of the If Asbestos was Removed Name and Performing the Activity Dates Activity Location of Storage and Disposal Site form_7082_r00 28 Revised: 9/15/2011 FIBER RELEASE EPISODE For each ?ber release episode that has occurred post December 14, 1987, list the following information: (LAC 725.11) Attach behind Section G, Part IV. Date and Location of Episode 0 0 Method of Repair 0 Preventive Measures or Response 0 Name of Person Performing the Work 0 If Asbestos was Removed, the Name and Location of Storage and Disposal Site form_7082?r00 29 Revised: 9/15/2011 DESIGNATED PERSON GENERAL RESPONSIBILITIES UNDER LAC 33:111. Chapter 27 Pursuant to LAC and LAC of the Louisiana Air Quality Regulations, (Asbestos?Containing Materials in Schools and State Buildings), each Management Plan must contain a true and correct statement, signed by the Designated Person, that certi?es that the general Management Plan responsibilities have been met. This form is provided to assist you in complying with this portion of LAC 33:111. Chapter 27. School/Agency: Algiers Technology Academy/Rosenwald School Building Address: 6501 Berkley Drive, New Orleans, LA 70131 Designated Person: Tracy Mercadel Designated Person?s 3520 General DeGaulle Drive, Suite 2001 Address: City: New Orleans State: LA Zip Code: 70114 Phone No: 504-302-7004 Email: tracy.mercadel@theasca.org ASSURANCES This asbestos Management Plan was developed and has been submitted pursuant to LAC 33:111. Chapter 27 of the Louisiana Air Regulations, Asbestos-Containing Materials is Schools and States Buildings, and the undersigned does hereby certify that the Designated Person has and will ensure the following: I: 1) The activities of any person, who performs inspections, re-inspections, and periodic surveillance, develops and updates Management Plans, and develops and implements response actions, including operations and maintenance, are carried out in accordance with LA 33:111. Chapter 2 7. D2) All custodial and maintenance employees are properly trained as required in LAC 33:111.Chapter 27 and all other applicable federal and/or state regulations the Occupational Safety and Health Administration Asbestos Standard for Construction, the EPA Worker Protection Rule, or applicable state regulations). 3) All workers and building occupants, or their legal guardians, are informed annually about inspections, response actions, post?response action activities, including periodic re- inspection, if applicable, and surveillance activities, that are planned or in progress. 4) All short-term workers telephone repair workers, utility workers, or exterminators etc.) who may come in contact with asbestos in a school are provided information form_7082_r00 30 Revised: 9/15/2011 regarding the locations and suspected ACBM assumed to be ACM. 5) All warning labels are posted in accordance with LAC 6) All management plans are available for insPection and that noti?cation of such availability has been provided as speci?ed in the Management Plan under LAC 723. F. El 7) The undersigned Designated Person pursuant to LAC 7 received adequate training as stipulated in LAC 8) The Designated Person will consider whether any con?ict of interest may arise from the interrelationship among accredited personnel and whether that should in?uence the selection of accredited personnel to perform activities under LAC 33:111. Chapter 27. Signature: ?Zn/4.7 Phone No: (910 LC) 30,) 2009 Des' ated Person, pursuant to LAC 723.17 Fax No. (<29 lg) 30;) 7037 Email Address: 71/42 rT/yr Merdda??g/C?Q my fonn_7082_roo 31 Revised: 911512011