Mount Vernon School Chief Judith Johnson Hides Asbestos Report From Taxpayers

7/27/2019 Mount Vernon School Chief Judith Johnson Hides Asbestos Report From Taxpayers

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NewYork stateDepartmenlof llealth AHllRAAudit/InspectlionReportMountVernonCitYSchoolDistrict '.JudithJohnsonnuPerintendent165NorthColumbusvenue, ountVernon' Y 10553December,7017

) Inspected:CeeilH. ParkerElementary chool

OBJ IVEThe iveof thisAsbestosHazafiEmergencyesponsect (AHERA) nspectionat !? determinef thenonityschoorist,[lisi;;fiiffi; wrtnHnRn$']1iii::^.]:::i:t'ih this bjective'il1":"idffirl"i"*.a and walk-throughnspectionas onductedllCecil 'ParkerstiEI School nDecembet,2012.

ND INFOR]VIATION

due o moisture ndmold ssues.

BA(ThecomThe

tment receiveda complaint rom the united statesErnvironmental rotectlonAgency(EPA)' Theori i atedhan""";t;;; phonealrece'yd"lLltY::l'"l*ll:: l#" T::l'L?:lli#*'ilH,f!}}fiffiffi;;ffi;;,fiil rbiir"e"ff"r;ciosetoorhatadbeensedosealffrntaininsmaterialipaclassroomcloset.Uponinspection,itwasdetermiTl,tllllT5&'!|ifi:?iiffi'dffi;ffiffi;;ffiil;' oJ*ie'"thetosets.he losetsereapedffto

audDe1

r of AHERA nspection asprovidedo the Vlount ernon ity schoolDistrictvia U's' mailon13,2012. n Decembr5,20l2NewYorkstaieD:partmen!f

HealthNYsDoH) nspectorssee;ffi#:,ffiffiilffiil;;;;;".oJ*,,ui**. porrions.fhe ecilH.Parkerchoold andaclosing onferJnceasheld o reviewhepreliminaryindings f theAHERA:ieswere dentifieduringheaudi'inspectionhatmust eaddressedsperAHERA egulations'ficiencies longwithothJrobservations/recommendalionsreoutlinedbelow'Please ote hatalltuilOing oJationswerenot nspected,herefore therdeficiencies ayexist'

Y OF FINDINGSANDRECOMMENDATION$Asbestosontaining aterialsACM)arebeing ooily.managednd heresa ackof surveillance'nseof surveitlances to identifydamageduitiiil" anaaOdrellaccordingly'n;riofic.s-11i:t]lT::.t:every6 monthsand hishasnoi been ,erform"d in"r, 2005' Therearedamagedmaterialshatexist

n;taing, whichshouldbe a priority fo i response. he last riennial e-inspection2010) wasnot-emenfBecauseof this, the Uuiiding inlentoriei of ACM ar:eunreliable making asbestosmanagementSignificant pdatesreneedid o theAsbestos anagementlan'ote hat deficiencies,bservationsnd recornmendlationsentioned lbove re or thosespecificreviewedand ocations isited;however,is stronglyrecommendedllat ft: 1Et,l"]3 i"-':^::il-observationsndrecommendationsnAuru lium o matri mprovementsn rl l LEA records


2/25

Ne!ryork stateDepartmentofHmrthArl*RAAudit/*spoetion ReportCTOSINGCON},ERENCESIGN.INSIIEET

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3/25

Mount VernonCi{g SchoolDistrict165NorthColumbus venueMountVernonNY 10553NYSDOHCorningTower, Room 1325Empire StirtePlazaAlbany, NY L2737

Dateof IruPectiion:Nameof lndividual to WhomNotice s Given:SuperintendentJudith Johtlson

ffi F "86-*"iendent/ LEA RepresentativeIVIountVernon City Schooi listrict165North ColumbusAveuueMount Vernon NY 10553The folthereto list

of potentialdeviationsrom the ffi ffi d regulationsromulgated

DesignatedPen;on:Notincation:- 7/ge"/

/' /tut+ 4-a q}/"fr/ /'+'o*'17l,,:::",------r:-*' */:4 ':- /ft ,."'l'/A\ -fo'r* req.utr4/../.-" ,&fr art tj '; r-7'tt fRe-inspection:Bulk Sampling:periodicsuweilianqe:.noa< fui.f C^/*/ '4te/ 16 /"f " ;trrei//roalManagementlan: 4 < .b c-/ /o#Response ctions:operationsndMaintenance:4 v-/ I /t ''4tr'warninglabeki:{ort( /q//i n&A/:::-:rrrEa=--T h e S u m m a r y o f o b , " * u s e a r . a s o f c o n c e r n a t t h e e a r 1 i e s t p o s s i b l e t i m e . I t i sintended o bLa complereist of p;bntial deviatiois fiom therequirements f theToxic Substances onlrol Act and egulationsthereto,ut rather ist of those onclitionsf imme{iate oncern nd/orhoseeadily pparent'

lintr to nHfRA guidance ools are ocatedat the fQllowingEPA websiLte: ltlr: rvu'iv.epa.gov'rrestouu-4/alreraName/Titleof LEA Representative: 'l5o\^,.-r^b"Ll, wylwneevin Malone, Section Chief


4/25

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FOR]1{i!u::r:.:r YorkStrteDeDOCUMENTS

of llealth AttERAAudit/.InspectionRlrporr

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$'tsFFgrsftl{to,r{{* usr|.f$Eifr#A nn,f,. rug$wrcnrooecs* d, i.f;r l(rn+Fssliifs$r vsr!fi flry SrdrsolOfrlr{eil{it f*n*t f rdnarh.| A}trra*f,{u*uf.?rlenr, li{y t0tciI

FidrHffi0f{ lFA VSi Snp*ru fUris*rn mEy erilofirlol@fdBeffin&fion ,Srtcs d&dto,c$*rffi *b rmfuqryhdgn$rtl th*, oeum;,S r*dlrlcwsrtibsy nnfnr'frmenrt rl situXSactJiiriiiiOrsaon* *aiFESCffTBE0$Hlffikxl*i*-i SF.$ SR lFT l f ] t t f . - f f i ' ' " r I ' ' ' %SfcfirPToFoCIcufignt#cLt ;"a,f i ,t" ' t , ".:-*i '" t*,s i ,d;d:' \. rr x- " { tx*+**,.,. *;1 :i i* ,i+so.*." ,L"r.^-^.., _i"*y.,c,""*t Lu" r 1*, *t;.u. "' ] . \ h i ' d , i . i ; . . -

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5/25

+9y -Asbestos-ContainingMarerial+!Py

-Asbestos-containiigil;i;;;"f fl*o-lsbesros*il fi;;;;+|[A -American"orrrri.rTyeiil"ilyl - Asbestos anagemenrlanllso -NySDoLzN-ycnn uit'souDP-AHERA Designatederson3,,OO,-, t'ironmeitaf f.aUo*toiyIIA -_u.s.nvironmen,"til;;;",tFS * FunptionalSpaceI]?PA High- ffi iencyarricutateAirHA - HomogeneousArea

!.E.1t^..".a1Ed carinAgencylY]gsg - Nationalnstitut"eoiOccuparicilYl*k *t'i:"ir, :"n,u",uuo.J,J.,N_YsDoHNew*t sr"ir"n urr*ili,liIlDOL - New orkState*O**r", "yYlEDNeworkstateJd;;;9*y - OperarionsndMaint"nun."g:Ij -occuparionarur"iy-iJ iJattir:i:l"r - rresumedAsbestos_ContaininE+vourrrsurrsoeslos_Uontaining Ml9lrl - PhaseContrasrvticroscof;- "llM - polarizedLightMicros;$iTEM Transmissionlectronttior.opyTSI - ThermalSystemnsulationVAT- VinylAsbestos ile (FloorTile)

ERA Acronyms

Actiationregulations

al Program

SafetyandH.ealthccreditation rogram'HealthLabor

inistrationial


6/25

Newrrbrk State t of HestthAHERAAUdit/InspectionReport

for custodittlandmaintenanceing information? f* Yes [;i No f N/ATraining; ecordsshouldinclude ourse imesandshow hata minimumof 2hours s dedicated o asbestosawarenssraining.

763.ea(a)(t)

it; 763.e2(a)(2)

-t63.94(c) Do the traistaff ncludehePprson'sameDate rainingLocationof trainNumberof hours

job title?

pleted?Note:Course also recomm,endedo show

short-term orkerswhomayith asbestosn tlhe chool)withthe ocationsfACBM?

in writing pargnts.eaghers.ndof theavailabilitvf theas equired?s here dated oPY f

f* Yes 17No f N/Aid heLEAcomentoinformationNote: Sign-in

|ir Yes f- No f N/AThenotificationsprovidedyearlynr heschool alendar.

Did heLEAmanagementthenotification?

|7 Yes f- No f N/A

f* ves |7 No r* N/AMustdevelop plan ortraining ithin60days fhire.

f* Yes [- No 17N/AO&M is not conductedYschool mployees.

minimumfqllowingopics:Informationeffectsoocationswhich hey work,and ocationofWashis raining

asbestoswarenessrainingon heing asbestos sesand orms,healthACBM in eachschoolbuilding nition of damage,he DPname

within69d.aysf hire?

resultn thedisturbancef ACBMof additionalraining, here

55O&M(minimum)icensingired

aativities hatwi lreceivedheapplicable?Note:NYSDOLand ertification

complianceith .e2(aXl)


7/25

l* Yes l- No F N/A

I* Yes f* No |7 N/A

assesEmentgf friablematerialdate andaccreditati-6n?

t forclassiffingheACBMandassumedo beAIOMn theschoolf the following categories?damagedSIACM.

friable surfacingACM.icantly arnagedriablemisc.ACM.ial for damage.ial or significantamage.bleor suspectedlACBM.Actions763.90)or requirements

#24

#25

New York State t of HealthAllERAAudit/InspectionRerport

mpling areawh,erematerialwasand, fpossible, he exact ocations

?63.88(aX2)763.85(a)(a)ff)

763.88(b)

( l )(:2)(3)(4)(s)(6)(7\'/63.93(eX2)

(i)(i )

the nspectoratrd ncludea

Did he nspectorwrittensrirspectedCBblrilding nto oneDamagedr siQamagedriableSignificantlyQamagedr siACBMwithACBMwithAnyremainingNote: SeeFor each conducted efirreJ2114/87,bestlle management include:'llhedateof the ton. [* Yes [* No P N/A

f* Yes [- No |7 NiAblueprint, or writtendescriptionf eachschoolbuilding identifies learlyeachocation ndor linear ootage fanYpproximatelpmogeneousrspmpledorACIIwhere ulkepllection. werecollectecl, nd he datesofA copyofthe yses f anybulk. amPles,ates f f- Yes l* No |7 N/Aanalyses, nda ofanyother aboratoryePortspertainingo the

(iv)29 A descriptionf l- Yes l- No F N/Arneasuresakenif possible,he and addresses fall contractorsinvolved,tart completionat,esf thework,andrBsultsf anyai analyzeduringanduPoncompletionf work.A descriptionfqnder 763.88, requriredobemade f- Yes

[* No la N/Amaterialthatwas dentifiedbeforeDecember 4. IquspectedCB , as riableACBM or friableassumedo be A,CM,and he nameand signature, S of accreditation,and if applicable,accreditation

ly response ctionsor preventivereduceasbestos xposure,ncluding

theassessments. of eachaccncditedersonmaking


8/25

NewYork State of ,HealthAIIERA Audit/InspeetionRtrport

#37 763.85(bXr) Did heLEAconrnonfiiable nownbuildinghat heyschool uilding,

ucta reinspecliotlf all friableandor assumedCBM in each choollease, wn,or otlrerwiseseasa: east once everv three vears?

l* Yes [- No 17N/A

#38 763.85(bX2)763.e3(eX3Xi) Were ll reinspecinspector ndareplan?onsconductedyanaccreditedhere ignatures;n hemanagement lF Yes [* No T N1A

Signedbut not dated.

#39#40

#41

#42

#43

#44

763.8s(bX3)

(i)(i )

( i i i)

(iv)

(v)

(vi)

Foreacheie4chperson

areaof a scltoolbuilding,didga reinspection:

Visuallyeinspeci,nd eassessonder 763'88,hecondition f all frfiablenown rat;sumedCBM?Visuallynspect iraterialhatwaspreviouslyconsideredonfrifible CBM and ouchhematerialodetermine hethdrt hasbecomerriableincehe astinspectionr rein$pection?Identiffanyhomfgeneousreas ithmaterialthatasbpcomeriable ihcehe ast nsperctionrreinspection?Cofectbulksamplesndsubmitur analysis763,86and763.8?)or e[chhomogeneousrea f newlyfriablematerial$at s already ssumedo beACBM?Assess,nder 7Ol.gt, hecondition f thenewlyfriablematerialit areas here amplesrecollected,andnewly riabl! materialsn area,shatareassumedobeACBM?Reassess,nder 763.88,hecondition f friableknown r assumld CBMpreviouslydentified?

The Ins;oector id not conducta thorourghe-inspectionorthe2010 riennial.

l* Yes F No f N1A

[- Yes F No T N/A

f* Yes f- No P- N/A

l* Yes [* No |7 NiA

l* Yes [- No l7 N/A

l* Yes l* No P N/A


9/25

NewYork StateDepa t ofiHealth,AlflERA udi#InspectionR:eport


10/25

\ NewYork StateDepartmentof HealthAIIERAAUdit/InspectionR,eport

#98 763.e4(g) Foreachime hr763.91{e)asSname, ignature,performingheaof theactivity,hoccurred, descrname nd ocaticACM?Note:NESHAPf

t rnajor sbestosctivitY nderrformed, idtheJLEA rovidehemdacmeditationf each ersonrtivity,hestartandcompletionatesI locations here,suchctivityptionand fACElM is removed,her ofstorage rdisposaliteofthenotification requrired

f- Yes [- No |7 N/A

#99 763.er(fx|) Did heLEA useminor iber eleathedescribedroceduresftera;eepisodefallingor dislodgingf 3nc dental isturbancerocedures

l- Yes f* No 17NiAsq. tllf or less)?Note:NYSDOL

#100 763.el(f)(2) Did theLEA usefibqr release pirthan 3 sq. ft/lf)?Note:AHERA clincidental istut:

the describedprccedures fter a majotrde(fallingor dislodging f more

]arance ampling ndNYSDOL,ance rocedures

[- Yes l- No F N/A

# l 0 r 763.94(h) Does he manag(fiber release pitDateand ocatioMethodof repairPreventivemeasNameof eachptIfACBM sremstoragenddisp

ment lan nclud,e record f eachde with he olkrwingnformation:roftheepisode?)re or responsectionaken?sonperformin$hework?ved, hename nrdocation f thesalsiteof theACM?

l- Yes l- No F N/A

sl+";ltj:ifi#ffiffi&.s#102 763.95(a)763.84(e) Did the LEA attaadjacent o any fin routinemaintt

ni. air"n"rrllocationsand rerlabeleds remov

chwaryrineabel:immediatelYriableandnonfrizrbleCBM locatedInance reas?

;;;[dt;qh],ec-in readiy visiblenainposted ntiltheACBMthat s

l* Yes F No f NiASome labels have been Placeddirectly nACBM Picture4). Laloelings missingnsome reaspicture ).

#t03 763.e5(b) l* Yes f- No tr N/A

#104 763.95(c) Does hewarninvisible n largesCAUTION:AS IDO NOT DISTITRAININCAN

l label ead, n printwhieh s readilyzeor bright colorr?ESTOS.HAZATI.DOUS.RB WITHOUT PROPER) EQUIPMENT.

F Yer; l- No T N/A

N/A= NotApplicable r NotAssessed


11/25

NewYorkState of HealthAIIERA AudiUlnspectionReport

#82 763.eo(ix2xi)Wereaggressiveaccreditedersorclearanceir samplesollectedbyanr)after esponsections? [- Yes [- No |a N/A

#83 763.e0(ixzxii) Did heLEA use(AIHA)or TEManalysis ftera rm accreditedaboratoryor PCMNVLAP)air clearanceamplingsponse ction?

f- Yes [- No l7 N/A

#84 763.e0(ix3) For esponsectwere J air samlrnsgreaterhan l60sq; t./260f.,escollectedndanalyled yTEM? l* Yes l- No |7 N/A#85#86

763.eO(ix4)763.e0(ix5)

FoTTEManalys

For esponsectft.12601f.0ereby PCM NloslNote orNYSUliters ollected?

;was 199 itersor greaterollected?rns esshanor equalo 160 q.air$amplesollectedndanalyzed7400)?L Part 6:was>2LPMand>1200

f- Yes l* No ta NiA

[* Yes l* No tu NiA

#87 763.94(a) Did heLEA retireinspectionorACBM hasbeenin recordsor 3 y'earsfter henextrach omogeneoutsreawhere llrernoved?

l* Yes [* lto 17N/A

#88

#89

763.e4(b)

( l )

(2\

Did rhe LEA manea.su-rend reslnonfriableACBIACBM assumedA detailedwritteincludingmethomeasure r actiomeasure r actiowork, namesantand f applicableaccreditationnurnameand ocitirACM.The nameand siair sample equiof certain resp"orlocationswherecollection,he n;analyzingthesaof theanalysis,signature f thestatementhat threquirementsf

rtain records or eachBrplrentiveonseaction taken or friable andI and riable andnonfriablesuspectedio beACM including:r description f tlhemeasure r action,s used, he ocationwhere her wastaken, easonsor selecting her,startandcomplletion atesof theaddressesf al l r;ontractorsnvolved,their Stateof ac,oreditation,ndrbers. nd fACIlM is removed,hen of storage r disposal iteof the

inature f anyperson ollectingany:d to be collected t thecomPletionie actions pecified y $ 763.90(i), heampleswerecolllected, ateofme and address f the aboratorYrples, he dateof analysis,he resultsremethodof anallysis,he narneandersonperforming heanalysis,and ar aboratorymeets he aPPlicable763.e0(ix2xii),

l* Yes f- No |7 N/A

Yes l-- No |a N/A

t-.-


12/25

NewYork StateDepartmeirt f Health AllERA.Audit/InspectionBleport

#qs'#66#67#68

763.e3(e)(e) Does hemanagerecommendationrA plan or reins!A plan fbr(includingA plan or ppfiodA descriptionfrecommendation763.91(c)(2),s1program,nd hethat ecommenda

mentplan ncludehe ollowing

octionequired;nder63.85?ionUandmaintenancegtivitiescleaning)equirerdnder 63.91?ic suwejll4ircqequired nder 63.92?the naJragementlannefsforadditionalle4ningnderrartof anoperatirlnsndmaintenanceresponsef the ,EAto:ion?

l* Yesr * No Fr N/Af- Yesi [- No li' N/Af* Yes l- No F N/Al* Yesr * No |7 N/A

#69 763.93(eXl) Does he manageresourc.eseededreinspections,pperiodic urveillrment lan nclud,enevalu4tionfto carryout response ctionsoerationsand maintenance. ndnce and rainingll

[* Yesr f* No 17N/A

#70 763.e3(g(2) Did heLEAmaicomplete, pdateschoolundertsntain n itsadministrativegffiped copy of a management lan for eachrdministrativeontrol rdirection?

f" Yesr F No l* NleNot updated/complete-

#71 763.e3(eX3) Did each ntain in its admiqistrAtive ffice acomplete, copy of the marnagementlan forthatschool,and ke theplanavailablewithoutcostorrestriction s

f* Yesr Ii' No f N/ANot updated/complete.

ffiffi#72#73

#7i

763.90(a)

?63.r06t--*-

ffiDid the LEA coriduct esponse cl;ionsn a time.lymanne{ onsisteftwith assessmenits?Were hese esp{nseactionssufficient to protecthumanhealthand heenvironment?For Category) damage{ r. ignificantlydam4gedTSl, didtheLEAat east eoair hedamagedreaorremovehedamriged aterial ndmaintain ll TSI andits coveringn ari ntac! tate ndgndamagedcondition?

f* Yes f* No |7 N/Al* Yes [* No |7 N/A

f* Yes Fl No f N/ATSI in custodial toragerea(pictures and5)andn thebasementear heelevator(picture ).


13/25

New York Sta$e of HealthATIERAAudit/InspectionReport

763.e2(b)(t) Did heLEAcorfducteriodicurveillangqn eachbuildinghat t l$ases,wns, rotherwiseses saschool uildinghatcontainsCIIM or s assumedocontain CBM dt g3st nc.e verysix monjhs?[* Yer; |7 No f N/ATherehaven't een nY ince2005andmanyarmissingprior o thatyear.l* Yes F No T N/A63.e2(b)(2)763.94(d) Did theperson periodic urveillancevisually that are identified n themanagement asACBM, record he datqof thesurveillance,i andanyqhangqsn theconditionof the andsutrmit recordo theDP or i in the management lan?

[* Yes I- No l7 N/Aid theLEA akeandhaveanalyzedufficient ulksamplesromea$h omogeneousrea, ot assumedobeasbestos?3 samples inimum up o 1000 q. t.5 samples inimum100l-5000q. t.7 samples inimum>5000 q. t.TSI3 samples inimumI sample inimqm fpatches 6 sq. t. or f.In a mannerufficiento determin,e2 rnin.) or fittingsM sc-elaneouSfriable)ln amannerufficiento determino2min.)ln a manner ufficient o determine2 min.)

includehe ollowinginformation nttJrenalysis f thebulksamplesndhasit been ubmiuedo heDP or nc;lusionn theplanwithin30days f theanalysis:Copies f theanflysis f anybulk. amplesollectedandanalyzed, {meandaddressf any aboratoryhatanalyzedulk safnples, statementhatany aboratoryusedmeetshealplicableaboratoryccreditationrequirementsf p0CFR$ 763.87(a),ates f anyanalyses erforniedand he nameand signatureof thepersonperformifigeachanalysis

#s3

(aXl)(aX2)(aX3)(bxl)(bx2)(bx3)(c)(d )763.87(d)763.93(eX3Xiv)

l- Yes l- No F N/A

lg!1rE:III F":rry.d"d


14/25

,NewYork StateDepartme4t of HealthAllERAAudit/Inrpection Report

SUMMARYOF OBSERVATIONS

L*"{Nlfis't$kwfl*larilt Ycrreq fllt} 6ehml tltrlttrt165 iorfr Cs{xwttl* Armutllluurt Urmce ilY l{'Ss.}Crrdnglbnrr,H${s lffiif,b$rt$al*FkrrAllnnyn YT ltl?

$rtd.t*vf Ql $4lds't{itffltf xt: i.$..'l }L"$lwmrc$w:k{$rint \iilnsh tlrr-t fi*tcrltr llrl*rr klIrdrkls*l tor,ti-huijN$ti*{ i} {:ht*:sctrsh&sd.nt Jnffdih rrhrrn

!{srtfts&n:ifti{ $ &re$f 4a r*/i*&/ }*2s*,$n t#,X- \\,-* /tn*! *ffo*$ (/try* \\.$ir,ar ,tr**^/.r*&* $rfr**,n .i rTtrf

lfft|$$d r$be l ronrplere itt $f tt$tsn$al Lrnrr*nftn$linrtmilerrrar olsoaM n{SK*{rliic$fpfftiitfttfifin lt l*ostfrr,nrAe ffid;t s$sn{.q}f |hc {$(h $[b$*{tt&ssrofi* .{{t attl nr{Plilffithcrdn,hut{dxrr lirr rr{ttn}xcsrndnirnaof cnnffm ilxU{il.dlrxr n'onli{ypprurnr,

r", ir-.*;gn.*,".;*4*e4ii"Jlijt:frilj$S&!lt*e' tgpp"af,.fixairCfl$rh ill||om. $$driot ( ht4f

5 f t * --^,.-^-,6,.- , 'L--****,s"***" ' -- , "",. I


15/25

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NeryYorh$tateDepr"t**f of1lealthA1il0RAAndit/InspetionReport

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OPENING CONFERENCESIGN-IN SHEET


16/25

NewYork$tateDepadmentof HealthAfitERAAudit/InspectionReport

Has.hedeS!nalederson.receiveddequaterai ingon hehealth ffects fasbestos,etection,identification,ndassessmentfACM,optionsorcontrollingACBM,sbestosanagemenfrogramsand egulationsoncemingsbestosin orderoproperly erform is/her uties?

Has psrsgn.beenesisnatedo ensurehatrequirementsf theAHERA egulationsreproperlyimplemented?F Yes f* No f NiAJohn ambellis hedesignatr:derson.763.84(g)(2) P Yes l- No f N/AMr.Zambelli as adO&Mtraining.We ecommendDesignatedersonraining.

763.e3(e)@) Doeshernanagementlancontainhename, ddress,and elephoneumber f theDesigmatedersonandthecourse amennddates ndhours f trainingaken?

l- Yes [* No ta N/A

[* Yes |7 No T N/AThe "Consultantand LEAInformationand Sign:off'provided n the2010 riennialdoesnot comply with theexpectations rovidedby theEPA or anAHERA TrueandCoffectSlatement.

Doesheman4gementlancontain trueandqgrrectstate{nenl,^sjgneUythe ndividual lesignatedeison,whichcertifieshanhegeneral EAresponsiUititieshave eenmetor will bemet?Note:Statementhould esigned y c.urrent p

763.e3(e)(0)

763.e3(g(a)

Does he managemgnt lan havea glrssripjionolstepgfo:

Inform workersandbuildinqoccupar[g.or their legalguardrans,bout nqpections,einsperctions,esponseactions, ndpost,responsectionactivities,nciudingperiodic einspectionsndsurveillancectivities haiareplannedor in progress?Notift in writing,at easr nceayear;parent.teacher.managementlan or review?Havegplkpfs 4nd buildingoccqpants, G.i. f"gulguardians, een nbrmed at leasionei:eachschoolysalabout inspections,esponse ctions,andpost_response ctionactivities,ncludingprariodireinspectionndsurveillancectivities hatareplannedor in progress?

The2010 e-inspectioneportdiscussesotification, utadesmiptionf stepssnotincluded.rleedo developanddefine teps/ roceduresfornotifications.f-- Yes Fi No f* N/A

f* Yes l" No f N/A

l* Yes f- No l"- N/A763.84(c)


17/25

NewYork stateDepartment fHealthAllERAAudit/InepectionReport

f- Yes [- tVo 17NiA

f* Yes f* No Fr N/A

tVas ach nspectiqnonductedy anaccreditedinspectornd sthgre signaturen themanagementplan?f- Yes l* No |7 NiA

l- Yes l* No |7 N/A

[- Yes [- No F N/A

f- Yes [* No ls N/Af- Yes f- No l? N/A

f- Yes [-'No |7 N1A

f* Yes l* No |i' N/A

# t 7

# r 8

# t 9#20

#21#22

(A)(B)

(c)(D)

763.8s(aXaXvi)

Did theLEA visually nspect ll arers o idgntiqv ll_locations f suspectmaterials, oth I'riable nd non-friable, n eachschbolbuilding?For eachhomogengousrea hat is n,otassumedto beACM,did theLEA collect ndsubmit oranalysis ulk sampfes?Has he ollowine ;rforFatiqn,abouthe nspectionbeen ecorded ndgubmittedo the Dp for inclusion nthe managementl4nwithin30 daysof the nspection?Dated nspection eportsignedby acr:reditednspector.Inventoryof the exqct ocationsof the homogeneousareaswheresampleB erecollectedanddates hatsamples erecolleoted.Description f thernanner sed o determine amplinglocations.List of whetherhe homogeneousreimdentifiedaresurfacingmaterial,hermal ystemnsulation, rmiscellaneousaterial.Assessmentsadeof friablematerialis.

(E)23

# r 4 763.85(aX) Did heLEA nspbctach chool uilding.thatheylease,wn,or othprwisese saschool uildingbeforeOctober 2,1988o dentify ll locationsffriable ndnonfriableCBM?School uildingmeans: ) Any structureuitablr,.br use sa classroom.including schoolbcility uch sa laboratoryibrary, chool atinglacility,or fhcilityusedor thepreparationf'food.flAny.gymnasium rother bcilitywhich sspeciallyesignedirralhl,.tic r recrealionaladtivities'or nacadernigoum in physicaldu:ation.3)Anyothertacilityused 'orhe nstnfctionrhousingfstudents r or theadministrationf educatibnalrleTar.qhrogrlms.4)Ar,lynaintenance,torage,r utility ircility,including.anyallway,sscntialorheoperatioi fanyhiility d*cribed inthisdellnition f "schoot uitding" nder oragnrphsi), 2):or (J). (5)Any.ponico r coveredxterior alluayor ualkr.ray.6)Anyexteriorportion fa mechanicalystem sedoconditionnterior pace.763.85(a)(2) For buildings easgd r acquiredon or afterOctober12,1988, id heUEAnspecthese uildingsrior ouse saschool uilding?f emergerncyse f anuninspecteduilding asnecessitatr;d,as hebuildingnspectedithin30days?763.8s(aX3)763.e3(eX3Xi)

763.85(a)(a)(i)

763.8s(aXaXiv)

f- Yes l* No |7 N/A


18/25

mqntof HealthA|IERAAudi#InspqetionReportewbrk StateDepart

763.e3(e)(3)(i )

Foreach conductedlutt .2l4187doeshe#31

managementlarl nclude:Thedate f the nspectionrreinspectionnd henameandstgnature,tate f accreditatiorind, f applicable,theaccreditationumber f eachacueditednspectorerforminghrenspectionor relnspection.Ablueprint,.diagram,r wiittendescriptionf eachschoolbuildinghatdentifieslearlyach oc4tion ndapproximatequare r linear ootatrp f homogeneousareas heremateriial assamplcdbr ACM,t6eexactlocationwhere ach ulksample ascollecied, ateof:*k:tjgn, homogpneousreilswhereriable uspected

f* Yes [- No Ia NiA

l- Yes l- No |7 N/A

f- Yes l* No |7 N/A

f- Yes [- No 17N/A

l* Yes f* No lir N/A

f_ Yes |7 No T N/AAn exclusionary tatementexists or a2002abatement roject.However, heredoesnotappear o an exclusionarvstatementor the parkerElementary ddition hatwascompletedn ZOO7.3:1i"mayemissings

ACBM sassumedo beACM,andwhere onfriablesuspectedACBMisassumedo beA,cM.(iii)33

(iv)34

A descriptionf themanner sedodeterminesamplingocations,nd hename ndsignaturef eachaccreditednspectqrol ecti gsam es,-theState f accreditation,nd f ippticuUle,ri, or heraccreditationumber.A c:py of the analyses f any bulk sramplesollectedandanalyzed,he nameand address fany laboratorythatanalyzedbulk samples, statementtT,-,F lt9".ratorymeeisheapplcalbleequirementsof 763.87(a)hed4te fanalyiis,nd henarnendsignatureftheperponerformingheanalysis.A descriptionof assessments,equird o bemadeunder 763.88, f al l ACBM andsusprectedCBM

11ume! to beACI\,f,and he name, ignature,State f accreditation,nd f applicab,li, ccreditationnumberof eachaccredited ursonmaking heassessments.

#35 (v)

#36 763.9e(a[7)


19/25

763.85(b)(3)(vii)

#45 l(A)

763.88(aX2)

Has he ollowingnformationbouteinspectionseenrecordedndsubmittedo ttleDp for inclusionn themanagementlqnwithin30daysof the einspections:Dateof reinspection,ame/signature/ccreditationflnspector.al{unyhangesntheconditionf known rassumedCBM?Exactocationwhere amples erecollected,lXrf::r::f^1h1 man1e1sedo determnesampngrocatlonsnd hename/signature/ccreditationfinspector hocollectedimples?Anyassessmentsr reassessmentsf friablematerial,dateof theassesspnentamelsignafure/ccreditationfinspector?

NewYork $fateDepartmpnt f-trearthATTERAAudit/InspcfionReport

This nformationsfor the2010riennialnlv.

763.e3(e)(3)(i)

|7 Yes l* No T N/A

f* Yes f- No F N/a

FYes I No f N/A

This nformations for the2010riennial nly.F Yes l- No f N/Al* Yes |7 No f NiAAccordingo the nformationprovidedn rhe2010trienniaf,heZO04

Foreacheinspec[iononducted tte, Zil+tfr, Gornemanagementlan nclude:The d,a1ef the nspectionor reinspection ndname/stgnature/acreditation f ealh inspector?A blueprint,.diaqram,or written escriptionf eachscnoot urtdinghat dentifieslearllyachocation ndapproxtmatequarp r linearootage f homogeneousareas.herematerialwassampledm nCU, tfreexact9:lll." wfereeach utk,u*pt" *uu,of r.i"d, date f

:oj[:tjgn, homogqneousreaswherc riablesuspectedACBM isassumedo beACM,*nO frrrc nlnfriablesuspectedCBM passumedo be CM.A des.criptionf themanner sedodetermine:lTpl,.ng ocations,_ndname/signalrure/ccreditationorme nspectorollectingamples?A copy,ofheanalysesf anybulksarmples,henameandaddressf any aboratory,statemCnt,1"j T:_ t$ratory meetsheapplcable equremenrsof g 763.s7(a),hedate f anaiysis,nd f,J"r*, #signaturef theperson erformng'th" r"ili, fAdescriptionof assessmentsnder7ti3.gg, f al ll:-:lyl ilg suspecredCBM assumedo beACM, andrne. ame/slgnature/ccreditation f each nspectormakingassessments?

reinspectionasconductedwithout uitding rawings/oragrams.unctionalpacesshould eusedo identirulocationss oomnumberscanchange.f- Yes f- No |7 N/A

f* Yes l- No F N/A

f* Yes [* No |a N/A


20/25

M*t* h*"**un' o, *oun r\Hf,RAAud,rlnspectionReport

F Yeb I- No r N/Al* Yes |7 No f N/ASignificantupdatesreneededo themanagementptan.The nventorvpresentedn theplan s

#63 763.93(e)(6) Doeshe unus"r.nt ;;;;;- -;;;,esnrin+i^- ^c ____ ..plan contain a $etailed l- Yes f* No 17N/A

noeshe1ugesemcItebn;;tai;hs .--..-.-resommendatio-rumadeoltreliGjlilicationagencyegardng esponsections,nder e;:.gid;'ihsname,ignature,tateru".r"Jituu._"iX.t, personmakinghe ecommenoutionr,unJjiroo,ari,.,his reraccreditationumberDid a^Ir::raleT,entolaqner{e.vie-wfireesutts f eachInspectton,.reinspection,andissfimunt no.O*, o::::lT"ig inwitingo he EA tr*;;;iu,"response ctions?

andactionwill be taken- "r"^," ;; *:::::^rrrtr't5urssresonsecro ".o,*,t;;fr:f#::'ff :-.:'?, ,3: i:g:11,1*ndompretirsil;;;dffi measre

Inaccurate.

l7 Yes I- No f N/AF Yes f* No f N/A

f- Yes f- No |7 N/A

f* Yes f". No l;| NIA

and esponsection?#64 763.e3(e{8) ?::, *: ::asemnpdil; i;;]ffi f- Yes P No f N/AFloorplansdonot ndicatewnere CBMcanbe ound.j..l.J,lno:tdbeupdaredsingrunctional

^oj^ttf,!lleYeppn,r,besta$r;ffi ffiH** j::ly,* urouffiffi r,^",wn, rotherwisese s chooriliilirepi3tl^* Leemaintainana.qpdate'rr r*8,*rr pt*o Keept currentwith ongorng perationsndTl il*i:*, periodcsurieilini,i ;ro.d;,rernspection,ndesponsectivitis Jl*q"i*or

Y:^*:gasemenrpt;;e;er,op,Ju,* *r.Jir"aanags:mentlanner?

763.e3(d)

763.e3(e)(t) Doeshemanagementfl31,"rt,,J:;tir,"f ,t" r*r-Manoicenffi'etherthechootudng a5ffiffi& ;: fi :lfr;ililT|Hil,l3lf and on-friabteuspecedCBM ssumedobe763.e3(e)(s)

spaces/homogeneousareas.


21/25

#7s f763.e0(c) ff;'!::[Te.ilffiffi:t,o,n"ll^-t *^.'n'up'uufr ,Eiiffiffi uut,,repatr f thedamagedmaterial?notnecessaryoprotect umanreaittr nd hlenvtronmentND removehematerialn thefunctionalpaer,dependingprrn*t rtt ", enclosureor encapsulationouldbesufucientop.oi..t humanhealth nd heenvironment,nclosierrnruprutut"f

f9r.lCategory ) ,friabte.surfacingACfrA,Sf eCfr4,"ii"fl: misc.CMhat as oi",ii,,joiouiuee, iollre.L.EAt eastimplemenrnopemtionsndmatntenanceO&M)program?

NewYorkstateDepartment f HearthcTHERAAudit/InspecfionReport

f91(cate_eory)friabte.urfr;i"s GM, TSIACM,friabte isc. CM har as oi.n?iuio,,ie;nrun,damase,id heLEA:lTll.r:l anO.SM rogram,nsriture;rreventiveeasuresappropriateoeliminatehe easonablenxettnoodnat heACM or itscoveringwill becomelqnincllurdamaged;ererioratea,ritelur-Nui.oNnremove.thematerialas soonas possible f appropriatelfLl"rll.^:^:ll-s cannoreffectivetyrnir"lr"nt ,o,unlessther.response"",ion" " o.i"r,ii."i'i" p-""human ealth nd heenrareaandres*ict"d;ilf#,:Sfil:jf 1li,llfllT:,'h,ubstantialndangermento humai t "Jrt *,f,""'

{* Yed f- No |7 N/A

f* Yes P No f N/A

I- Yes f* No ta N/A

f- Yes l-- No |7 N/A

f- Yes f- No |a N/A

f- Yes l- No 17N/A

f* Yes f- No |7 N/A

Ceilingplaster n the boilerroom( picture3) andwaterdamageo plasteraroundawindow in the weststairwell(picture6)Kindergartenlosetmayneedresponsectionpendingresultsf samplingpicturesand2)

envrronment.#79 763.90(e)

#80 763.9l(e)

763.eO(ix)

Wereesponsections,(otfr".},*ESOIG ien.dbypersonscmeditedodesignprojectDeiigner;andconductesponsectionsWeremaintenancectivities other hanSSSD):::ls:93. personsccedtedoa"sln orion."actionsprojectDesigner)na"onoui,'t?of'p.oon.a_ccreditedocond ct-responsection?At theconclusionfanyac_tionoremovern.uprufu*,or encloseCBMor material ssumedoL"eCgM,was here visgalnspectiuof eachin.tionur pu.ewhere uch ctionwa,conductedod,tterminehethertheactionrasbeen roperlyo*piet.,j'iirr"j'..tMonitor)?


22/25

NewYorkStateDepartment f HealthAHERAAudit/Inspction Report

763.91(a) Did the LEAdevelop nd mplementnoperationsndmaintenanceO&M)planwheneverny iiableACBMispresentr assurnedo bepresentna buildinghattheLEA eases,wns, r otherwise ses sa schoolbuilding?

Did heLEAcomplywitheitherheOSHAAsbesrosConstructiontandard29CFR 1926.110l)r theAsbestos orker rotectionule 40CFR763.120)?

l* Yes F No f N/ASomeof the informationprovided n the O&Mprogram s incorrect. Thisshouldbe updatedo reflectcurrentpractices,procedures,and regulations.763.erb) [* Yes l* No 17N/A

763.91(cXl)

763.e1(c)(2)

763.e4(e)

763.9t(d)

763.94(f)

763.90(g\763.9t(e)

Did heLEAconductn nitialcleaningrior o theinitiationfaresponsection?Did the management lannermake vrittenrecommendationss o whetheraddiitional leaning sneededond fso, themethods nd irequencyfsuchcleaning?

Foreachime hatcleaningnder 6;3.91(c)asperformed,id theLEArecordhe name f eachperson erforminghecleaning,he datef suchcleaning,he ocationsleaned,nd hemethods sedto performuch leaning?Did theLEA follow described roceduresor al l O&Mactivities?

Note:NYSDOL part56 requirements

Were esponse ctionsor maintenance ctivities

Foreach ime hatoperationsnd maintenanceactivitiesunder763.91(d)wereperfo,rmed,id theLEA record he nameof eachperson erformingheacfivity, the start andcompletiondaters f the activity,the ocationswhere uchactivityoccurred,description f theactivity ncludingprreventivemeasuressed, nd fACBM is removed,henameandlocationof storage r disposal iteof theACM?

[- Yes l- No |7 NiA

l- Yes l- No |7 NiA

[- Yes [* No 17N/A

I- Yes l- No |7 N/A

I* Yes [- No F N/A

conductedypersonsccreditedo conductesponseactionsO&M,Handleletc.)?#97 f* Yes [- No |7 N/A


23/25

NewYorkState.Departmentf HealthAlHERAAudit/J[nspectioneportINSPECTIONPICTURES CecllH. ParkerElernentarg chosl Decemberr,Z$12


24/25

NewYorkStateDepartment f HcalthAllERAAndit/InspectionReportNOTICE OF INSPECTION

taso.l tofl ${s9ecfl fiillrndor uthor{y! $cct,a* 0f hcToxhSutctnri:,:$Jsnrrul/iit:Forti* puryd${f*urra*trnglnclucrirrqilri'q$$;'g*:rdffiffi^;-,ars{,*nf.!r an{,o1nor$s6*odr,lrviFiilansl*blitr,nent.acti-I,,,.rotllsr remrsjsn vi,;.ni.*i.,*hu.ii#[il;iilffi, iirtfr,cf,grrtanings{mratran0t**{uro{.0lo(t'$!ttid.rctedr tJra*i"'" oir;1..r1ng,1sr,,i.,ur;r}nncer'".r.src+,,rdild;rgacords,ilas. dper$,of*{og. cofitrols.. n{, ta{itrio$l dn$ &r,y i.,l!?}rn{:9$ beiFq lEsl 1o r6njpon dranlkJaa UbslAncA, i}ttrt& Olfhlog ccnifltylingae,-lr] 'l i(.:r't{;!;.f,i1 irilr :ilrtit ii.;l,r}JL{t.rr i.r'6c,li o,{e ii,1s,u.i!ir*tg{rcL.{.Js,Fs. Da"}fs. procsrtft,dtlrolt. and fsci*'ti*;i Srtarri! ur. /rt*lir._,r i. I .s,c..,lr*.r:rr;,..tst, ..1..1+:i qtc'nipti;el;t iO ttg chgm*Al EU[gtanCfC.ikfurcf' or irtrl'$is$wi:htl, rjt 'lsf Pcia?Edr,!h. .i'rrJr remiri6ar ;onvoynncshavs betx *grfipttsdnai$|.

Th8 nelur0 and oxionrot rfte filioctior ol guchuari, o*ciligc +rovo rs as trlila$ilIo |.trbtbh c(lrnplhjNll yllh {0 r}"FR prrt :$J .,,ir$B+r$c,it $$tr.ri,s,{tl.ui.it,oftf1i.!cgA}|!.8A/ASHARA

Sep*! j f r , { tF .q r t , t , i { - ,r i ( . , ; :r \ t ." j I r ' .a td?i, i.!i{r: n if .:.1: f.Jtl

r.oxlt $us$I$rr\ls s&ltTio|. A6"f',{;ltc oF lr{,*!f cRoffI lil'.1[gTl0litrlr{ tOIHTtFi;i?}O\ 3l[.4t1:{[tE

llloult V*r'non {:{ry .\thfirri l}lrtrkt

d, rilspEgrsls^DDfif$s.TY$TN)HCOrnfilSu$rn tlur]n l.ttIf,[|Fl'r $t*tf nrre.*llrnri itili ttl.r?

$ lfrr AOnnficE1|i::i;i r, ' . ' ..;*t tll i i a*t..r,iltlf.*rflI 'r ! . i r . r r - . r .v ; t i r i i Wlt . . tJ t {lI l+5 Slrth i 'o irrrrrb lr i , trr6gsf lhurr irrlnru liy TUSSSIII

fl:dd fPA.3rd. _Ccgrerat*ii '.rdr r.ff t,r;iow,:sJ ", rf,iicr{ *n slt,,o,*.:or*fi,"U ,i;;;

Kavln Matona

Ssctlon Chtot


25/25

AHERA Audit/InsPer:tiqnRecordsThefollowingrecords(ifavailable)shouldbeaccessibtrreduringtheAHERAAudit/Inspection:

\ List of SchoolBuildings\ Datesbuildings/schoolsoccupied\ Datesof originalconstruction\ Datesof additions/renovations

Diagrams/FloorPlans\\ Numberof students ndstaffby districtandbuilding

original rnspection/Managementlans Initial inspectioneportand hemanagementlan developed

for eachschoolbuilding'6 monthperiodicsurveillanceecords Periodicsurve:illanceeports'conducted t leasteverysixmonths,n buildings hat containACBM'3year(triennial)re-inspections_Re-inspectionreporl;sfrominspectionsconductedeverythreeby a certified nspector/managementlanner' $

Annualreporting/notifications copiesof annualnotifications egar:dingvailabilityof managementPlansandany resPonsections'Stafftrainingrecords/listof personnel-Documentati'sn f maintenancendcustodialstaff 2- hourasbestoswarenessrainingandany ,ooiri"r"ii+ hc,urrainin! for staffwho conductactivities hatwill result n disturbance'Designated erson_ The nameof the nclividualhat hasbeendesignatedo oversee sbestosctivitiesandJnsure ompliancewith AHERA requirements'

a Trueandconectstatement Statementigned ythedesignatedersonlhat ertifieshat hegeneral1, t.tpo"tiuilitiesof theLEAhave eenmetorwill bemet'Asbestosbatementecords Documentationf anyabatementorkcompletedy thedistrict'

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