Title Page
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Building Name
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Conducted On
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Prepared by
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Accrediation Number
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Click To Add New ACM
Asbestos Containing Material
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Material Description
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Material Location
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Approximate Quantity
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Confirmed or PACM?
- Asbestos Containing Material
- Presumed Asbestos Containing Material
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Material Category
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Friability?
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Damage Assessment
- 1 - Significant Damage/Potential For Disturbance
- 2 - Damage/High Potential For Disturbance
- 3 - Damage/Moderate Potential For Disturbance
- 4 - Damaged/Low Potential For Disturbance
- 5 - Good/High Potential For Significant Damage
- 6 - Good/Moderate Potential For Damage
- 7 - Good/Low Potential For Damage
- N/A
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Photo of ACM.
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Change in Assesment
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Preventative Measures/Response Actions
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Additional Comments/Concerns
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Additional Photos
