Description of Boiler RoomSampling 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 | __________________ |
Ill. Admin. Code tit. 77, pt. 855, subpt. F, app B, ILLUSTRATION D