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