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  • Lead Hazard Evaluation Notice - Sample Form 2005

Get Lead Hazard Evaluation Notice - Sample Form 2005-2026

Mg/cm (ppm) mg/cm (ppm) mg/cm (ppm) mg/cm (ppm) mg/cm (ppm) mg/cm (ppm) mg/cm (ppm) mg/cm (ppm) mg/cm (ppm) mg/cm (ppm) mg/cm (ppm) mg/cm (ppm) * Components include but are not limited to (interior and exterior) windows, doors, trim, fences, porches, walls and floors. 2.

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How to fill out the Lead Hazard Evaluation Notice - Sample Form online

Filling out the Lead Hazard Evaluation Notice - Sample Form online is a straightforward process that ensures compliance with regulations regarding lead-based paint hazards. This guide provides detailed instructions on completing each section of the form accurately and efficiently.

Follow the steps to complete the form correctly.

  1. Press the ‘Get Form’ button to access the online version of the form.
  2. In the address section at the top of the form, input the complete address where the evaluation took place.
  3. Indicate the type of evaluation completed by circling either 'Paint Inspection', 'Paint Testing', or 'Risk Assessment'.
  4. Fill in the date when the evaluation took place in the designated field.
  5. In the 'Summary of Results' section, check the appropriate box to indicate whether lead-based paint or hazards were found. If lead-based paint hazards were found, attach further details.
  6. Provide the contact information for the person who can provide more information about the evaluation, including their printed name, signature, date, organization, street, city and state, zip code, and phone number.
  7. Next, input the information for the person who prepared the notice in the same format as step 6.
  8. Summarize the types and locations of any identified lead-based paint hazards or indicate if there are none. Ensure to cover bare soil locations, dust-lead locations, and relevant building components.
  9. Fill out the contaminated soil and dust entries clearly, including measurements in mg/g (ppm) or µg/SF as applicable.
  10. Indicate any other hazards present and note their conditions while specifying if they are friction or impact surfaces.
  11. Once all fields are completed, review the information for accuracy. You can then save your changes, download the form, print it, or share it as needed.

Complete your Lead Hazard Evaluation Notice - Sample Form online today to ensure a safe environment.

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