
State of California?Health and Human Services Agency Department of Health Services LEAD HAZARD EVALUATION REPORT Section 1?Date of Lead Hazard Evaluation Section 2?Type of Lead Hazard Evaluation (Check.
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How to fill out the DHS Form 8552: Lead Hazard Evaluation Report online
Completing the DHS Form 8552: Lead Hazard Evaluation Report online is an essential step in documenting and addressing lead hazards. This guide provides clear instructions to help you navigate each section of the form with ease.
Follow the steps to complete the DHS Form 8552 online.
- Click ‘Get Form’ button to obtain the form and open it for editing.
- In Section 1, enter the date on which the lead hazard evaluation was conducted. This date is critical as it verifies when the assessment took place.
- In Section 2, select the type of lead hazard evaluation you performed by checking one box only. Your options include lead inspection, risk assessment, clearance inspection, or other (please specify).
- In Section 3, provide the address of the structure where the evaluation was conducted. Include the construction date, city, county, and ZIP code. Additionally, check the box that describes the type of structure.
- For Section 4, fill in the owner's details. If the owner is a business or agency, please also list the contact person's name and telephone number, as well as the address.
- In Section 5, indicate the results of the lead hazard evaluation by selecting the appropriate option that corresponds to your findings.
- Complete Section 6 by entering the name and contact information of the individual who conducted the evaluation, as well as any pertinent details regarding the instruments used.
- Section 7 requires you to list any attachments, such as diagrams, testing methods, and data collected. Ensure you include all necessary documentation for detail and accuracy.
- After completing all sections, review the information for accuracy. Finally, you can save your changes, download the completed form, print it for your records, or share it with relevant parties.
Complete your lead hazard evaluation by filling out the DHS Form 8552 online today.
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Lead-based paints were banned for residential use in 1978. Homes built in the U.S. before 1978 are likely to have some lead-based paint. When the paint peels and cracks, it makes lead paint chips and dust.
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