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Suite 630 Baltimore Maryland 21230 410 537-3825 1-800-633-6101 x3825 www. mde. state. md. us FORM C- DUST INSPECTION VISUAL REVIEW / DUST SAMPLE COLLECTION ANALYSIS The lead paint inspection contractor/inspector is to submit a copy of the Lead Paint Risk Reduction Inspection Certificate Form 330 with this Form C which includes the diagram a copy of the lab results to Maryland Department of the Environment and the property owner WITHIN 10 CALEN.

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