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Lead Clearance Examination Report Performed On: [Date], [Time]For site located at: [Street address], [Unit number, if applicable] [City, WI Zip code] Owners Name: [Owner\'s name](insert picture of
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Lead-Safe Wisconsin is a program implemented by the Wisconsin Department of Health Services (DHS) to address lead exposure and poisoning in Wisconsin.
Property owners and landlords in Wisconsin are required to file with Lead-Safe Wisconsin if they have properties that may contain lead hazards.
To fill out Lead-Safe Wisconsin forms, property owners and landlords must provide information about their properties, any lead hazards present, and any lead abatement or remediation measures taken.
The purpose of Lead-Safe Wisconsin is to protect residents, especially children, from the harmful effects of lead exposure by identifying and remediating lead hazards in properties.
Information such as property details, lead hazard assessment results, lead abatement or remediation actions taken, and certification of lead-safe status must be reported on Lead-Safe Wisconsin forms.
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