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

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

 

Section 855.ILLUSTRATION D   Sampling Area Diagram (Boiler Room)

 

Description of Boiler Room               Sampling Area I.D.# A,B,C

Construction 1957

Damaged friable pipe and boiler insulation

Grayish-white chalky material

 

Each should be a separate diagram and sampling area

 

Sample Area "A" - Pipe Insulation

Sample Area "B" - Pipe Joints

Sample Area "C" - Boiler Insulation

 

Note:  Do not sample the above as one sample area

School I.D.#

 

School Name

 

Address

 

Phone Number

 

Inspector Name & I.D.#

 

Date of Inspection

 

Diagram Prepared by

 

Date