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CERTIFIED RENOVATOR COMPLIANCE FORM Date: Agency: Street Address of Renovation: Brief Description of Renovation: Name of Assigned Renovator: EPA Certified Renovator# Name(s) of trained workers: Occupant
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How to fill out certified renovator compliance form

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How to fill out certified renovator compliance form

01
To fill out the certified renovator compliance form, follow these steps:
02
Start by entering your personal information in the appropriate fields. This includes your name, contact information, and any relevant certification numbers.
03
Identify the property where the renovation work is being performed. Provide the address and specify whether it is a residential or public building.
04
Fill in the details of the renovation project. Include information such as the start and end dates, the type of renovation work being done, and the estimated amount of disturbed lead-based paint.
05
Indicate whether the work is being conducted by a certified renovator or a non-certified worker. If it's the latter, provide details on the certified renovator's oversight.
06
Document the various compliance measures that will be taken during the renovation. This includes steps to minimize dust and debris, containment procedures, and cleaning verification methods.
07
Ensure that all required records are maintained, including documentation of the certified renovator's training and any testing or sampling results.
08
Review the completed form for accuracy and completeness.
09
Finally, sign and date the form to certify its accuracy and to affirm that you understand the potential penalties for non-compliance.
10
Make sure to keep a copy of the completed form for your records.

Who needs certified renovator compliance form?

01
The certified renovator compliance form is required for individuals or companies who perform renovation, repair, or painting activities that may disturb lead-based paint in residential or public buildings. This includes contractors, subcontractors, painters, and other professionals involved in these types of projects.
02
The form ensures that the renovator is familiar with lead-safe work practices and will follow the necessary steps to minimize the risk of lead exposure during the renovation process.
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Certified renovator compliance form is a document that certifies that renovation work has been done in compliance with lead-based paint regulations.
Contractors and renovators who work on properties built before 1978 and disturb painted surfaces are required to file the certified renovator compliance form.
The certified renovator compliance form should be filled out by providing details of the renovation work, including the date, location, and methods used to comply with lead-based paint regulations.
The purpose of the certified renovator compliance form is to ensure that renovation work involving lead-based paint is done safely and in compliance with regulations to protect the health of occupants.
Information such as the date of renovation work, location of the property, methods used for lead-based paint compliance, and signature of the certified renovator must be reported on the certified renovator compliance form.
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