Document XzxzO7eMGb9dxa3wOg2KOpneg
ft E A ~ United States
~.,
Environmental Protectior
,
Agency
Region 6 - Enforcement & Compliance Assurance Division
INSPECTION REPORT
Inspection Date(s): Media Program: Regulatory Program(s)
12/06/2023 Toxic Substance Control Act Renovation Repair and Paint (RRP)
Company Name: Facility Name: Facility Physical Location:
(city, state, zip code) Mailing address:
(city, state, zip code) County/Parish: Facility Phone Number Facility Contact:
Philip and Melissa Kingston Philip and Melissa Kingston 5901 Palo Pinto Dallas, TX 75206
Dallas
214-643-1797 Philip Kingston
I I Property Owner
Philip@kingstonfordallas@gmail.com
FRS Number:
N/A
Identification/Permit Number: N/A
Media Identifier Number:
N/A
NAICS:
SIC:
Personnel participating in inspection:
Angela Hays
EPA Region 6
Stan Lancaster
EPA Region 6
Kiera Hancock
EPA Region 6
Philip Kingston
Resident
EPA Lead Inspector Signature/Date
ANGELA HAYS Date: 2024.01.18 10:19:03 -06'00' Digitally signed by ANGELA HAYS
Angela Hays
Inspector Inspector Inspector Home Owner
Date
Supervisor Signature/Date
Yurk, Jeff
Troy Stuckey
Digitally signed by Yurk, Jeff Date: 2024.01.18 10:56:20 -06'00'
Date
6ENFORM-019-R8.2 (02/12/2020)
1
Section I - INTRODUCTION
Palo Pinto Inspection Date 12/06/2023
PURPOSE OF THE INSPECTION
dZZZZZZdZ^ZZd^> WZZZZWZZWZ&Z^dZ ZZZZZ/ZZZ ZZZZWZWZdZ ZZZZ' ZZZ/ZZ ZZZZZW ZZZZ ZZZZ ZZZZZZ ZZZ/ZZZ ZZZ/WZZZ ZZZZZZWZZZZW ZZWZZZZZZZZ ZdZZZZZ/WZZ ZZ
FACILITY DESCRIPTION 5901 Palo Pinto Ave. Dallas TX 75206 is a single-family residence built in 1922.
Section II - OBSERVATIONS
On 12/06/2023 EPA inspectors Angela Hays, Stan Lancaster, and Kiera Hancock visited the residence of 5901 Palo Pinto Ave. Dallas TX 75206 due to a complaint stating RRP work was being performed at the residence without proper work practices. Upon arrival EPA Inspectors were met by Philip Kingston. We presented our credentials and discussed the reason for the site visit. Mr. Kingston agreed to be interviewed and signed a Notice of Inspection to document the visit.
EPA inspectors asked Mr. Kington about work done to the home within the past five years. He stated the home was painted in 2019 but could not recall who performed the work. EPA inspectors viewed the outside of the property for signs of recent work. There was no evidence on the exterior of the home that any RRP work had been recently completed.
Section III - AREAS OF CONCERN
No areas of concern were found at the time of inspection.
Section IV - FOLLOW UP
EPA Inspectors requested Mr. Kingston to provide c2ontractors information after the inspection.
Palo Pinto Inspection Date 12/06/2023
Correspondence with Mr. Kingston received on 12/07/2023 stated that Mr. and Mrs. Kingston could not locate records of who had painted the home in 2019.
No additional follow up is requested.
Appendix:
A
Notice of Inspection
B
Inspection Checklist
3
Palo Pinto Inspection Date 12/06/2023
Appendix: A Notice of Inspection
4
- - - - -- - -- - - -- - - - - -- - -
Unll I t 1
ENVIRONM N AL PROTECTION AGENCY
1~hlngton, OC 20460
Notice of Inspection
Otnc~ of Enforcement and Compllancc Assurance
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=11C (specttonNumoo
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ma! El A Us Copies oruy be mov1ded to the recIt1Ient as ackr,owledgmer,t of 11-i,~ not,ce
Reason for Inspection nd t e authority of Se:110n 11 of the Toxic Substances Control Act
01 the pu1poseof inspecting (including taklnQ samples, photographs, statements and other inspection acUVl es) an
establ shment, facility or other premises In which chemical substances or mixtures, articles containing same are
rianufactured, processed, stored or held before or after their d1stnbut1on in commerce (including records, files. pa~rs,
JI processes control and fac1ltties) and any conveyances bei ng u sed to transport chemical substance, mrxtures or articles
conta1nng same 1n connection with their d1stnbut1on 1n commerce (including records, files, papPrs, processes, controls and
fac'lllt es) bearing on whether the requirements of the Act are appltcablP to the chemical substances, mixtures or art d<>s,
w1th1n, or associated with, such premise or conveyance have been complied with.
r: In add1t1on, this 1nspect1on extends to (check appropriate blocks)
[ ] A Financial Data
n D Person nel Data
0 B Sales Data
D E Research Data
O C Pricing Data
The nature and extent of inspection of such dat a spec1f1ed m A th rough Eabove Is as follows
'fd//M ,~ /v/#J 6l-r)Mr t?n ~~ /JP,t: ikH.e /)J .ulj.
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' S ve form
fReclp1e~
Signature
Prlnt Form
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Palo Pinto Inspection Date 12/06/2023
Appendix B Inspection Checklist
5
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U.S. EPA "------ - - ~- _ __
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... - - - - J:f',\ l~,)!~Or '\llm!
~I',\ ln~r,<'_!tor I l'~phon~
~A ln,pl'cl_!)r Email
J!''P.rttion n_a!
lf!,.ll_l'ttion Tn:1l':
J..!i_'l'cction Location
N:tme
-
Addn,,
Contact 'iamc
Cont3ct Tclrphonc
I-Contact Email Manager 1\ame
Manager Telephone
._Ma!)_!g_er Email
Lc1td Rc11ov11tio11/l{cpnl1/Pni11ti11g C'o111pli11 11,< C'hccl<lisf .. J
US I NVIRONM( NrAl l'ltOHCTIOtl Mif flC'(
OIGION r,, OAII AS, l JC / 5201
I
TOXIC SU0STANCES CONTHOLI\CT
- TITLE IV LEAD ltA/ARD RCDUCTION
Ul'IIO\ ntion Jo'lnns & Rl'novnlor~ In~pcctlon Chcckli1t
I.\ ngd; Ilays
214-665 2785
_ .!.!~)s.,mgd ,1 "cpa.gov
.L.ilt.,L ,,;; ;,~
Firm Information
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EPA firm Cc_!"tification Number ~aturc/D~cription of Work
Introduction & Puroosc Permission 10 enter !!ranted
Y-NNIA
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OPENING CONFERENCE Comments
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Page 1 of33
COMPANY NAME: BiaAk IA6f!eCtion ~ fi'nko
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U.S. EPA
Lead Renovation/Repair/Painting Compliance hccklist - Renovators
US ENVIRONMENTAL PROTECTION AGENCY REGION 6, DALLAS, TX 75202
TOXIC SUBSTANCES CONTROL ACT TITLE IV-LEAD HAZARD REDUCTION
Pennission to enter document
signed
rl/11
facility/operator provided copy of
entry document
ti
I
Copy of Lead Base Paint Pamphlet
\ provided
on ,,nv
.
he items identified in this inspection have the potential to incur civil penalties in the amount identified. Your firm has 90 days in which to submit
>roof that the items identified have been corrected. These deficiencies are of a serious nature and if left uncorrected could result in formal
!nforcement action. Your response should be submitted to:
p~ [,l,f.tr1c~ /,Jc,1(.
Char-\cs Bames '1'1J'4... ll-ct.<15
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US l.:.nvironmental Protection Agency Region 6
1~45 Bass tll'en~ !Zt>1 t:Jn1 Sf
Dallas. TX 75202
Copy of inspection checklist and on-site report sent to:
Print Name: - - - - - - - - - -
Email: - - - - - - - - - - - -
Date - - - -
,_#_ Reg Ref 1 40 C.F.R.
745.84(a)(l)
INFORMATION DISTRIBUTION REQUIREMENTS
Question
Y-N-N/A Mai-Sie-Min
Renovation in Dwelling Unit: Did the
renovator/property owner/property manager provide the
owner of the unit with the EPA-approved lead hazard
,J/M
information oamohlet?
11-M-L
Potential Pcnalt)
Page 2 of 33
COMPANY NAME: Blank-tffiP&tlbn ft&-i J; '
..
-~
'V' _ U,S. EPA
I Lc:1d Rcnovntion/Rcpair/Pai,;ting CompJ~cc C hecklist - Renovato us ,.v,.o~"'"' .,oncno CY REGION 6, DALI.AS, TX 75202 TOXIC SUBSTANCES CONTROL ACT TITLE IV-LEAD HAZARD REDUCTION - - - - - - ~-
-l
i I .w l R. renovator/property owner/property manager provide the )n1111cnt~ Renovation in O,Hlling Unit: Did the 745 :4(a)(2) adult occupant of the unit (if occupant is not the owner) JI"
with the EPA-approved lead hazard infonnation
I
oamnhlct?
Ciommcnts Reno, ation in Common Arca: Did the renovator
3 40C.IR.
provide the property manager/owner of the multi-family
74 5.84(b)( I) housing with the EPA-approved lead hazard
infonnation/pamphlet and/or to post infonnational
,JI~
TtwcC >mmcnts F.R. 745. :4(b)(2)
signs?
Renovation in Common Arca: Did the renovator/property manager/property owner notify in writing, or ensure written notification of, each unit of the multi-family housing and make the pamphlet available upon request prior to the start of the renovation, and/or oost info rmational si1rns?
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Ciomments Renovation in Child-Occupied Facility: Did the
sl4oc.
renovator/property manager provide the owner of the
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745.8
b~ilding in which the child-occupied facility 1s located
with the EPA-approved lead hazard information
LJ) c,
oamohlet?
Page 3 of 33
COMPANY NAME:Blank-lospectian. 04 /~ f,rtN
l
- 6 40 C .F.R.
USEN"VIRO11NnM1E1N1T1AgLCPRoO1TnECpTIlOiaNnAGcEcNCCY hecklist. Renovators
REGION 6, DALLAs, l)( 75202
I
74 5 .84(<:)(1 )(i
toxic SUSSiANces CONTROL ACT
i)
iliLE IV-LEAD HAZARD REDUCTION
llcl\ovntion ii\ Child-Occupied Facility: Did the
teno,ator/propcrty n1anagcr/propcrty OWncr Provide an
adult "'Prcsentative of the child occupied facility With
Conun~nts lchheilPda-otncpchu\neite, difftahcei\oitwv?ner is not the operator of the
r,1/{}
7
--
40 C.F.R.
74S.&4(c)(2) Renovation in Child-Occupied Facility: Did the .
renovator/property manager/property OWner provide the
parents and/or guardians of children using the childoccupied facility with the Pamphlet and information describing the general nature and locations of the
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renovation and the anticipated completion date, by
mailing or hand-delivering the pamphlet and renovation information, or by posting informational signs
describing the general nature and locations of the
renovation and the anticipated completion date, posted
in areas where they can be seen by parents or guardians of the children frequenting the child-occupied facil ity,
and accompanied by a posted copy of the pamp_hlet or
information on how interested parents or ~uard1ans
can review a copy of the pamphlet or obtain a copy from
the renovation firm at no cost to the parents or ,uardians?
Comments
40 C. F.R . 745.85 (1)
all renovations: did the renovator post signsclearly
persons not involved in renovation activities to remain defining the work area and warning occupants and other rv/tt
outside of the work. -~rea: to oreoare, to the extent
Page 4 of 33
COMPANY NAME:-Bla11k l1tspeet-iefl
~
Lead R- enovat-ion/Repair/Painting Compliance Checklist - 1u, ._. ~
ft
US ENVIRONMENTAL PROTECTION AGENCV REGION 6, DALLAS, TX 75202
U.S. EPA I I
TOXIC SUBSTANCES CONTROL ACT
- TITLE IV-LEAD HAZARD REDUCTION --
practicable. signs in the primary lang uage _of ~he
occupants; and/or to post signs befo~e ~egmnmg the
renovation and make sure they remain m place an?
readable until the renovation and the post-renovation
cleaning verification have been comoletcd?
Comments
TEST KITS
Potential Pcnaltv
Y-N-N/A Mai-Si1?-Min H-M-L
# Re!! Ref 1 40 C.F.R.
745.88
Question
approved dust test kit when determining the presence of all renovations: did the renovator/firm use an epa Nii
lead? was there a potential where the test kit result
orovidcd a false negative result for lead (i.e., no lead)?
Comments all renovations: did the renovator/firm use an epa
2 40 C.F.R. approved dust test kit when determining the presence of
745.88
lead, where the test kit provided an accurate res ult for
fl 1~
the presence of Iead?
Comments
# Re~ Ref 1 40 C.F.R.
745.87(C)
FAILURE TO ALLOW ACCESS TO RECORDS OR REFUSAL OF AN INSPECTION Y-N-N/A Mai- Sie-Min H-M-L
Question
all renovations: did the renovator/property owner/property manager refuse to permit entry or
~ ,~
inspection? failure or refusal to permit ent ry or
insnection is also a violation of tsca &15 and tsca 409.
Potential Penaltv
Comments
Page 5 of 33
COMPANY NAME:$iAk fnspcCllOII ~ f ,aj.:V
ft U.S. EPA
Lead Renovation/Repair/Painting Compliance Checklist - Renovators
US ENVIRONMENTAL PROTECTION AGENCY REGION 6, DALLAS, TX 7S202
TOXIC SUBSTANCES CONTROL ACT TITLE IV-LEAD HAZARD REDUCTION
2 I 40 C.F.R.
745 .235(C)
'
tar get
housmg
and
.
child-occupied
facilities:
did
the
renov_ator/property owner/property manager refuse to
pcrn~it entry or inspection, as required by 40 c.f.r.
40 C.F.R. 7.4::,.237 and section \ \ of tsca (15 u.s.c. 26 \O)?
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745.237
failure lo allow entry and inspection is a prohibited act
under sections l 5 and 409 of tsca (l5 u.s.c. 2614
u~.
I I Comments
I
\ FAlLURE TO ESTABUSH AND MAINTAIN RECORDS, FAlLURE OR REFUSAL TO MAKE RECORDS AVAILABLE
I # I Reg Ref
I Question
Y-N-N/A Maj Sie:-Min H-M-L Potential Penalty
1
l 40C.F.R. All Renovations: Did the renovator/firm/property
745.237
OW1_1er/?roperty manager fail or r~fusal to establish and rJ 11\'
mamtam records, or to make available such records?
Such failure or refusal is a violation ofTSCA &409.
Comments
2 40 C.F.R. Target Housing and Child-occupied Facilities: Did
745 .225, 745 .226, and/or
the renovator/firm/property owner/property manager fail or refuse lo establish, maintain, provide, copy, or pennit access to records or reports?
tJ 1~
745.227
' Comments I
ACKNOWLEDGEMENT AND CERTIFICATION STATEMENT REQUIREMENTS
# Ree: Ref
Question
Y-N-N/A Ma.i-Si!!-Min H-M-L Potential Penalty
l 40 C.F.R. Renovation in Dwelling Un it: Did the renovator/firm/
745.84(a)(1)(i /property manager obtain, from the owner, a written
' I)
acknowledgment that the owner had received the
Page 6 of 33
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COMPANY NAME:-"B'-lffik::tmp"'-'-"e..!!!=eeti=oi:1-=-------------------------
- Lead Renovation/Repair/Painting Compliancc Checklist - 1<e11v -
US ENVIRONMENTAL PROTECTION AGENCV
REGION 6, DALI.AS, TX 75202
TOXIC SUBSTANCES CONTROL ACf
___,
TITLE IV-LEAD HAZARD REDUCflON
I U.S. EPA I
40 C.F.R. 745.84(a)(I)
pamphlet, or obtain a certificate of mailing at least 7 davs orior to the renovation?
I
I
Comments Renovation in Dwelling Unit: Did the renovator/firm/ 2 40 C.F.R. /property manager obtain, from the adult occupant, a
745.84(a)(2) written acknowledgment that the adult occupant has
40 C.F.R. received the pamphlet, or obtain acertificate of mailing
745.84(a)(2)(i at least 7 days prior to the renovation?
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)
Comments Renovation in Common Area: Did the renovator/firm/
745.84(b)(1) 3 40 C.F.R. /property manager obtain, from the owner, a written fJ /~
acknowledgment that the owner has received the
40 C.F.R. 745.84(b)(l)(i
)
pamphlet, or that information signs have been posted, or obtain a certificate of mailing at least 7 days prior to
the renovation?
1~ Comments Renovation in Common Area: Did the renovator/firm/
4 40 C.F.R. 745.84(b)(3) /property manager prepare, sign, and date a statement ~
describing the steps performed to notify all occupants of
the intended renovation activities and to provide the
pamphlet?
Comments
s 40 C.F.R. renovation in common area: did the renovator/firm/
745.84(b)(4) property manager notify, in writing, the o,1/11ers and occupants if the scope, locations or expected starting and ending dates of the planned renovation activities chane.e after the initial notification. before the renovator
'fJI A
1ge 7 of 33
COMPANY NAME:.Sla~~an ~ M"n4i:J
~ -""\!, l:om p\iancc Checklist - Rcnov~,tors
US t:.N\/11\0NME.NlAL lll\01ECTION AGtNC'< l\{.G\ON 6, OALLAS, 'TX 75101
1'0X\C S\JBSTANCE.S CONTROL ACT 1\TlE. \\J-lAO HAlARO RE.DUCT\ON
\\1\\\a\.cd wor'-'. bc-yond \\\a\ wn,ch was dcscri.bcd i.n \he
Ot\\2,\na\ t\9\\cc'? Comments
4() C.r .R. ~ n ~nova.tion h, ch\\d-occu\_)kd facility: d,d \he
145.i4<._c)(._\)(.\ rcnova\.orffmn.l \)HYperty manager ob\ai.n, from \he
) O'-.'.\ncr of \nc bui\d,ng,, a wri\ten acknow\edimen\ \ha\
\.he owner nad received the pamph\e\, or ob\ai.ned a
f-l I \-
certif\ca\c of mailing at \eas\ 7 days pri.or \o \he
renovation?
Comments
1 4() C.F .R. renovation in chi\d-occupicd facmty: di.d \he
145.il\(.c)(.\ )(1. renovator/fmn/ property owner/property manager obtain
i) facility , if \he opcra\or of the child-occupied faC\\hy i.s [rom an adu\t representa\i.ve of \he chi.\d occupied rJ (i
not the owner of the bui.\di.ng,, a written
ae\<.now\edg,ment that the operator has received the
pamph\et, or obtained a certHkate of mai\ing, at \east 7
days pr\or to the rcnovati.on'?
Comments
-~
s 40 C .f .R.
145 .%4(c)(3)
R enovation in Child-Occupied Facility: Did the renovator/fmn/ property owner/property manager prepare, sign and date a statement describing, the steps performed to notif) a\\ parents and guardians of the
\ntendcd rcnovat\on activities and to provide the
rJli
,amph\et'?
_
-~O c.o.ImRmc~nbA~ ll Renovalions: Did the ,enovator/fmn/prnp<:rtY
t-l1t
\ 142_.84\d)(_I} own_9C/ propcrt)'_m'!')a)\cr include a sta\emcn\ rccor~di::n.:"."'-,___ _ _....__ _ _ _-1-_ __1._ _ _ _ __1
Page s of33
COMt> /}.N'( N/}.\\JI~~ fl~
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-
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Lead Renovation/Repair/Painting Compliance Checklist - Renovators
US ENVIRONMENTAL PROTECTION AGENCY
REGION 6, DALLAS, TX 75202
TOXIC SUBSTANCES CONTROL ACT
TITLE IV-LEAD HAZARD REDUCTION
I U.S. EPA I
the owner/occupant's name and acknowledgment of the
1 1
pamphlet receipt prior to the start of the renovation, the
address of the unit undergoing renovation, the signature
of the owner or occupant as applicable, and the date of
I
I
signature?
I
Comments
10 40 C.F.R. All Renovations: Did the renovator/firm/property
745.84(d)(2) owner/property manager provide a written
and (3)
acknowledgment of receipt on either a separate sheet or
as part ofany written contract or service agreement for
the renovation, and be written in the same language as
the text of the contract or agreement or lease or
oamohlet?
Comments
# Ree: Ref 1 40C.F.R.
745.86
Question
Y-N-N/A RECORD RETENTION REOIDREMENTS1 Maj-Sie:-Min
/ All Renovations: Did the renovator/firm/property
manager/property owner retain all records necessary to rJ
demonstrate compliance with the residential property
renovation for a period of3 years following completion
oftl1e renovation activities?
I
H-M-L
Potential Penaltv
Comments All Renovations: Did the training program maintain
I rJ/~
2 40 C.F.R. 745.225 (i)
and make available to EPA upon request, records for a
oeriod of3 vears and 6 months?
Comments
I
Page 9 of 33
COMPANY NAME:-Blank fnspestioA- PtzlJ e, ~Jo
I
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p
, J
ii, ('
U.S. EPA
Lead Renovation/Repair/Painting Compliance Checklist - Renovators
US ENVIRONMENTAL PROTECTION AGENCY REGION 6, DALLAS, TX 75202
TOXIC SUBSTANCES CONTROL ACT TITLE IV-LEAD HAZARD REDUCTION
3 40C.F.R. \ Target Housing and Child-occupied Facilities: did the
745.225,
renovator/[irmfproperty manager/property
745.226, or owner/training activity fail or ref-use to establish,
NI\\
745.227 & maintain, provide, copy, or permit access to records or
40 C.F.R. reports?
745.235 (b)
I I Comments I I
I RENOVATION FlRM, RENOVATOR AND DlJST SAMPLlNG TECHNICIAN CERTIFICATION AND REQUlREMENTS
I # I Rel!. Ref
\ Question
Y-N-N/A Mai-Sig-Min H-M-L Potential Penalty
1 lo c.F.R. All Renovations: Did the renovator/firm that performs,
745.89(a)
offers or claims to perform renovations or dust sampling rJ I ,,_
pursuant to 40 for compensation obtain initial certification from EPA?
CFR
i~S.&l(a)(2)(i
\
I I Comments
All Renovations: Did the EPA-certified firm stop 1 \O74C5.F&R9(a& 40 renovations or dust sampling because it did not obtain
C.F.R.
recertification?
745.&9(b)(l)(i
\
ii)
\'I I Comments 40C.F.R. 745.89(b). & 40 C.F.R. 745.89(c)
\
All Renovations: Did the EPA-certified firm amend its certification within 90 days o( the date a change occurred to information included in the firm's most recent applications? Did the firm halt renovations or dust sampling until its certification was amended?
Page 10 of 33
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coMPANY NAME:-Shmk-lf\5~ P# fi'1afu
U.S. EPA
Lead Renovation/Repair/Painting Compliance Checklist - Renovators
US ENVIRONMENTAL PROTECTION AGENCY REGION 6, DALLAS, TX 75202
TOXIC SUBSTANCES CONTROL ACT TITLE IV-LEAD HAZARD REDUCTION
Com ments 4 40 C.F.R. All Renovations: Did the renovator/firm fail to carry
745.89(d)(2) out its responsibi lities during a renovation? &40 C.F.R. 745.8 Ha)(2)
rl Il-
Comments
I
5 40 C.F.R. All Renovations: Did the renovator or dust sampling
745.90(b) or technician, perform all renovator or dust sampling
(c)
responsibilities obtain a course completion certificate
~Io-
40 CFR
(proof of certification)?
745.90(a))
40 C.F.R. 745.81 (a)(3)
Comments
6 40 CFR 745.90(b)(7)
All Renovations: Did the renovator or dust sampling technician, perfonning renovator or dust sampling
responsibilities under 40 C.F.R. 745.90(b) or (c) to
maintain copies of their course completion certificate(s)
rJ/r
(oroof of certification) at the work site?
Comments
7 40 C.F.R. 745.90(b) or
(c)
All Renovations: Did the renovator or dust sampling technician with responsibilities for ensuring compliance with 40 C.F.R. 745.85 at all renovations to which they
(VI~
arc assigned, ensure those activities happened as
reauired?
Comments
COMPANY NAME:-Bla,,i< l11Spectio11
Page 11 of 33
f)d..> ft~
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ft U.S. EPA
Lead Renovation/Repair/Painting Compliance Checkli
US ENVIRONMENTAL PROTECTION AGENCY REGION 6, DALLAS, Tl( 75202
TOXIC SUBSTANCES CONTROL ACT TITLE IV-LEAD HAZARD REDUCTION
t - Renovator
8 I 40C.F.R.
745.90(c)
\ Al\ Renovations: Did the dust sampling technician to
perform optional dust clearance sampling under 745 .85(c)?
i0n
Comments
9 40C.F.R. Target Housing and Child-occupied Facilities: Did
\ 745.8l(a)(3)
the previously EPA-certified individual stop directing rJ / r+
renovations if he/she did not obtain recertification under
I
40 CFR 745.90(a)(4)?
~
\ \ \._;Omments
10 \ 40 C.F.R .
745.8 l(a)(4)
Target Housing and Child-occupied Facilities: Did the previously EPA-certified individual stop renovations or dust sampling if he/she did not obtain recertification
,_; I11
\
under 40 CFR ~ 745.90(a)(4)?
\\ \ Comments\
I
WORK PRACTICE STANDARDS FOR CONDUCTING RENOVATIONS
INTARGET HOUSING AND CHILD OCCUPIED FACILITIES
# \ Re!!. Ref
1 Question
Y-N-N/A Mai-Sig-Min
l \ 40 C.F.R. Interior Renovations: Did the renovation !inn remove 745.85(a)(2)(i all objects from the work area, including furniture, nigs,
)(A.)
and window coverings, or cover them with plastic
rJ Ir+-
sheeting or other impermeable material with all seams
\
I
\'
Comments 40 C.F.R. 745.85(a)(2)(i )(B)
I
and edges taped or otherwise sealed?
Interior Renovations: Did the renovation firm , before beginning the renovation, close and cover a\\ ducts opening in the work area with taped-down plastic sheeting or other inmcrmcable material?
Page 12 of 33
;!J/ Ii
H-M-L
COMPANY NAME:,SlaAk--l~ &v fF'IA-<l
Potential Penalty
-
U.S. EPA
. /R . / . . C 1 Checklist~ Renovators Lead Renovation epatr Pamtrng omp iancc
US ENVIRONMENTAL PROTECTION AGENCY REGION 6, DALLAS, TX 75202
TOXIC SUBSTANCES CONTROL ACT TITLE IV-LEAD HAZARD REDUCTION
I
Comments 3 40 C.F.R. Interior Renovations: Did the renovation firm close
745.85(a)(2)(i windows and doors in the work area, cover doors with
)(C) plastic sheeting or other impermeable material, and/or cover doors used as an entrance to the work with plastic r-11 /+ I
sheeting or other impermeable material in a manner that
allows workers to pass through while confining dust and
debris to the work area?
Comments
I
4 40 C.F.R. Interior Renovations: Did the renovation firm, before
I
I
745.85(a)(2)(i beginning the renovation, cover the floor surface,
rJ/1/l
I
)(D)
including installed carpet, with taped-down plastic
sheeting or other impenneable material in the work area
6 feet beyond the perimeter of surfaces undergoing renovation or a sufficient distance to contain the dust,
whichever is 1ireater?
Comments
5 40C.F.R. Interior Renovations: Did the renovation firm use
745.85(a)(2)(i precautions to ensure that all personnel, tools, and other
)(E)
items, including the exteriors of containers of waste, are
free of dust and debris before leavin!l: the work area?
vlA-
Comments
6 40 C.F.R. Exterior Renovations: Did the renovation firm, before
I
745.85(a)(2)(i beginning the renovation, close all doors and windows rv/1t
i)(A)
wit hin 20 feel of the renovation, close all doors and
windows within 20 feet of the renovation on the same
floor as the renovation on multi-storv buildin!!S, and/or
Page 13 of33
COMPANY NAME: :!!B!!!la!]:11l1t1~IA?JS@e!!e!f!ct~io~~t.---i/?,t,Ut.dLl/j/1n1:110Q..._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
U.S. EPA
Lcau RcnovationfRcpair/Painting ompliancc Checklist - Renovators
US ENVIRONMENTAL PROTECllON AGENCY REGION G, DALLAS, TX 75202
TOXICSUBSTANCES CONTROL ACT TITLE IV-LEAD HAZARD REDUCTION
I
close all doors and windows on all floors below that are \
the same horizontal distance from the renovation? Comments I 7 40 C.F.R. Exterior Renovations: Did the renovation firm before
745.85(a)(2)(i I beginning the renovation to ensure that doors ~ithin the
i)(B)
work area that will be us~d while U1e job is being
-,.) {l-
performed are covered with plastic sheeting or other
impermeable material in a manner that allows workers
to pass through while confining dust and debris to the work area?
Comments
8 40 C.F.R. Exterior Renovations: Did the renovation firm, before
745.85(a)(2)(i begirming the renovation, cover the ground with plastic
I i)(C)
sheeting or other disposable impermeable material
~/ ll
extending 10 feet beyond the perimeter of surfaces
undergoing renovation or a sufficient distance to collect
falling paint debris, whichever is greater, unless the
property line prevents 10 feet of such ground covering?
Comments
9 40 C.F.R. Exterior Renovations: Did the renovation firm, before
745.85(a)(2)(i beginning the renovations in certain situations, to take
i)(D)
extra precautions in containing the work area to ensure
that dust and debris from the renovation does not
~ / ri-
contaminate other buildings or other areas of the
property or migrate to adiacent properties?
I
I Comments I
I I
Page 14 of 33 COMPANYNAME:..R~l~a~1~i~l~IA~sa~e~e~tionil!J...._ -fp-,~~~l~A-,.ft'.L.L/.n~~,'--- - - - - -- - -- - - - - - - --
ft U.S. EPA
Lead Renovation/Repair/Painting Compliance Checklist- Renovators
US ENVIRONMENTAL PROTECTION AGENCY REGION 6, DALLAS, TX 75202
TOXIC SUBSTANCES CONTROL ACT TITLE IV-LEAD HAZARD REDUCTION
10 40 C.F.R. Prohibited and restricted practices: Did the
I
I
745.85(a)(3)(i renovator/firm prohibit the use ofopen-flame burning or ~ In,
I )
torchin!! of lead-based paint durirn1renovations?
' Comments
11 40 C.F.R. Prohibited and restricted practices: Did the
745.85(a)(3)(i renovator/firm prohibit the use of machines that remove
i)
lead-based paint through high speed operation such as
sanding, grinding, power planning, needle gun, abrasive
rv Irt
blasting, or sandblasting, unless such machines are used with ILEPA exhaust control?
I
I
Comments
12 40 C.F.R. Prohibited and restricted practices: Did the
745.85(a)(3)(i renovator/firm restrict the operating/use ofa heat gun on rJ /'A
ii)
lead-based paint to temperatures below l l 00 degrees
Fahrenheit ?
Comments
13 contain waste from renovation activities to prevent to 40 C.F.R. Waste from renovations: Did the renovator/firm r1/ ~
745.85(a)(4)(i releases ofdust and debris before the waste is removed
)
from the work area for storage or disposal and/or failure
to cover a chute if it is used to remove waste from tl1e
work area?
Comments
745.85(a)(4)(i 14 40 C.F.R. conclusion ofeach work day and/or at tl1e conclusion of Waste from renovations: Did the renovator/firm, at the ti I~
i)
the renovation, ensure that waste that had been collected
from renovation activities was stored under
containment, in an enclosure, or behind a barrier that
Page 15 of 33
COMPANY NAME. _!i81illa!:!J11~k:f!IM!11S~fJB!!,C,!!ti~gA~_ej ~~~--"e[j_/!J.n/-()'1:f!.__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
ft U.S. EPA
Lead Rcuovation/Rcpair/Painting Compliance Checklist - Reno-vators
US ENVIRONMENTAL PROTECTION AGENCY REGION 6, DALLAS, TX 75202
TOXICSUBSTANCES CONTROL ACT TITLE IV-LEAD HAZARD REDUCTION
I prevents release of dust and debris out of the work area
and orevents access to dust and debris?
Comments
15 to 40 C.F.R. Waste from renovations: Did the renovation firm
745.85(a)(4)(i contain the waste to prevent release of dust and debris
ii)
duritw. the transoort of waste from renovation activities?
Comments
\ 6 40 C.F.R. Cleaning the work area: Did the renovation firm clean
745.8S(a)(S) the work area until no dust, debris or residue remained
after the renovation had been comoleted?
Comments
17 40 C.F.R. Cleaning the work area: did the renovation firm
74S.85(a)(S)(i collect all paint chips and debris and seal the material in
)(A)
a heavv-dutv ba11. without disoersing anv of it?
~/A
yJ / Jfl
tJ ) p
Comments
18 40 C.F.R. Cleaning the work area: Did the renovation finn
745.8S(a)(S)(i remove the protective sheeting by misting the sheeting
)(B)
before folding it, folding the dirty side inward, and/or
either taping shut to seal
or sealin11. it in heaw-dutv ba11.s?
Ill
Comments
745.85(a)(S)(i 19 40 C.F.R. in place the plastic sheeting used to isolate contaminated 1'I Cleaning the work area: Did the renovation firm keep 1ft
)(B)
rooms from non-contaminated rooms until after the
cleanin11. and removal of other sheeting?
Comments
Page 16 of 33
COMPANY NAME~~pection eu /'i-,,,_f&
L
ft U.S. EPA
. . . C r cc Cliecklist - Renovators
Lead Rcnovation/Rcpa1r/Pa,nlmg omp ,an
US ENVIRONMENTAL PROTECTION AGENCY REGION 6, DALLAS, TX 75202
TOXIC SUBSTANCES CONTROL ACT TITLE IV-LEAD HAZARD REDUCTION
20 40 C.F.R.
leaning the work area: Did the renovation firm
745.85(a)(5)(i dispose of the plastic sheeting, used as occupant
)(B)
protection at the renovation site, as waste?
1
rJ /.t-
I
I I
Comments
21 40 C.F.R. Cleaning the work area: Did the renovation firm clean
I
745.85(a)(5)(i all objects and surfaces in the work area and within 2 / tr
i)
feet of the work area, cleanirrn from hiilher to lower?
Comments
22 40 C.F.R. Cleaning the work area: Did the renovation firm clean
I
I I
I
I
i)(A) working down to the floor, by either vacuuming with a 745.85(a)(5)(i walls in the work area, starting at the ceiling and ~,~
HEPA vacuum or wiping with a damp cloth? Comments 23 40 C.F.R. Cleaning the work area: Did the renovation firm
I I
I
745.85(a)(5)(i thoroughly vacuum all remaining surfaces and objects in
HEPA vacuum and/or failure to use a HEPA vacuum i)(B) the work area, including furniture and fixtures, with a ~ / l't
equipped with a beater bar when vacuuming carpets and
I rugs?
I
Comments I
24 40 C.F.R. Cleaning the work area: Did the renovation firm to I
I
745.85(a)(5)(i
I I i)(C)
wipe all remaining surfaces and objects in the work area, except for carpeted or upholstered surfaces, with a damp cloth and/or failure to mop uncarpeted floors thoroughly, using a mopping method that keeps the
,(11 {!ft
wash water separate from the rinse water. such as the 2-
bucket mopping method, or using a wet mopping
svstcm?
'
Page 17 of 33
COMPANY NAME: 8/ank-lnspE!WOA- fd/2 ft 1Y:<i
ft
U.S. EPA
Lead Renovation/Repair/Painting Compliance Checklist - Renovator
US ENVIRONMENTAL PROTECTION AGENCY REGION 6, DALLAS, TX 75202
TOXIC SUBSTANCES CONTROL ACT TITLE IV-LEAD HAZARD REDUCTION
I
Comn,cnts
25 40 C.F.R. Standt\rds for post-renovation cleaning verification:
74S.8S(b)(l)(i Did the renovator perform a visual inspection of the ) interior work area to detennine whether dust, debris or
residue is still present, to remove dust, debris or residue
~/~
by re-cleaning if necessary, and/or perform another
visual inspection?
Comments
26 40 C.F.R. Standards for post-renovation cleaning verification:
745.SS(b)(l)(i Did the renovator verify that each interior windowsill in
i)(A)
the work area has been adequately cleaned using a
disposable cleaning cloth(s) compared to the cleaning
verification card following the prescribed procedures, NI~
pursuant to 40 C.F.R. 745.85 (b)(l)(ii) (A) or failure
by a certified renovator to arrange for the collection dust
I I
clearance samples as part of optional dust clearance testing?
Co mm ents
27 40 C.F.R. Standards for post-renovation cleaning verification:
745.85(b)(\)(i Failure by a renovator to verify that each interior noor
disposable cleaning cloth(s) compared to the cleaning i)(B) in the work area has been adequately cleaned using a tJ/}
verification card followin g the prescribed procedures
pursuant to 40 C.F.R. 745.85 (b)(l)(ii) (B) or failure by
a cerll fied renovator to arrange for the collection dust
clearance samples as part of optional dust clearance
testing'?
Commcnts
Page 18 of 33
COMPANY NAME:!,!JBla~'A-"~"k"--lf"m"-re"'g""loi "-'n_ ___.p__.,,a,,,,b:;__+-e---'rvth)~---- - - - - - - - - - - - -
r e Checklist - Renovators
.
. IP t' g Comp ,anc
ft
Lead Rcnovat1on/Rcpair am '"
cnoNAGENCY
US ENVIRONMENTAL PROTE
REGION 6, DAI.LAS, TX 75202
TOXIC SUBSTANCES CONTROL ACT
U.S. EPA
-
TITLE IV-LEAD HAZARD REDUCTION
28 40 C.F.R. Standards for post-renovation cleaning verification:
745,85(6)(1 )(i Did t11c renovator wait until interior work area passes y/#
ii) post-renovation cleaning verification before removing I signs?
Comments
29 40 C.F.R Standards for post-renovation cleaning verification: 745.85(6)(2) Did the renovator perform a visual inspection of the
residue is still present, to remove dust, debris or residue exterior work area to determine whether dust, debris or l-71
visual inspection? I by re-cleaning if necessary, and/or perform another I I
Comments
30 40 C.F.R. Standards for post-renovation cleaning verification:
I
745.85(6)(2) Did the renovator to wait until exterior work area passes t,1/A
visual insoection before removing signs?
Comments
31 40 C.F.R. Standards for post-renovation cleaning verification:
745.85(c)
Did the renovation firm arrange for performance of
optional dust clearance testing at the conclusion of the y/il
renovation if required to do so by the person contracting
for the renovation, a Federal, State, Territorial, Tribal,
or local law or resrulation?
Comments
32 40 C.F.R. Standards for post-renovation cleaning verification:
745.85(c)(2) Did the renovator have the optional dust clearance
;Jltt
testing perfonned by a certified inspector, risk assessor
or dust sampling technician at the conclusion of the
renovation?
Page 19 of 33
I
I
I
I
I
T
I
I
I
I I
I
I
COMPANY NAME: Qwlk-111,,,ect10n Pde g~,.,W
L- - - j
ft U.S. E.PA
Lead Renovation/Repair/Painting Compliance Checklist - Renovator
US ENVIRONMENTAL PROTECTION AGENCY REGION 6, DALLAS. TX 75202
TOXIC SUBSTANCES CONTROL ACT TITLE IV-LEAD HAZARD REDUCTION
I I Comments
33 40 C.F.R.
7 4 5 .&5(c)(3)
Standards for post-renovation cleaning verification:
Did the renovation firm re-clean the work area until dust tJ/n
clearance results are below clearance standards?
Comments
WORK PRACTICE STANDARDS FOR CONDUCTING LEAD-BASED PAINT ACTIVITIS
# Rel! Ref
IN TARGET HOUSING ANO CHlLD-OCCUPIED FACILlTIES
Potential Penaltv
I
Y-N-N/A Mai-Sig-Min 11-M-L
Oucstion
\ 40 C .F.R. Target Housing and Child-occupied Facilities: Did
745.227la)(I) the renovator/firm perform all lead-based paint activities pursuant to the work practice standards, appropriate rJ/ tr
requirements, methodologies and clearance levels
snecified and referenced?
Comments l 40 C.F.R. Target Housing and Child-occupied Fi1cilities: Did
745.227(a)(2) the renovator/firm ensure lead-based paint activity described by the certified individual as an inspection, lcad-haz.ard screen, risk assessment or abatement, was
~In
nerformed by a certilied individual?
Comments
3 40 C.F.R.
Target Housing and Child-occupied Facilities: Did the renovator/firm ensure an mspeclion was conducted
rJ I~
745.227(b)(I) only by a person certified by EPA as an inspector or nsk
assessor and, if conducted, must be conducted accordmg
to the nrescribed procedures?
Comments
Page 20 of 33
COMPANYNAME:~~uPt:.:tll,,~~eL!.,1:1..!:::Uf)~-- - - - - - - - - - - - - - - - -
ft U.S. EPA
Lead Renovation/Repair/Painting Compliance Checklist - Renovators
US ENVIRONMENTAL PROTECTION AGENCY REGION 6, DALLAS, TX 75202
TOXIC SUBSTANCES CONTROL ACT TITLE IV-LEAD HAZARD REDUCTION
4 40 C.F.R. Target Housing and Child-occupied Facilities: Did
745.227(b)(2) the renovator/firm conduct an inspection at select
fl) 1~
locations according to documented methodologies to be
tested for the presence of lead-based paint? Comments
s 40 C.F.R. Target Housing and Child-occupied Facilities: Did (i) and/or exterior component with a distinct painting 745.227(b)(2) the renovator/firm test for lead-based paint each interior {'l I ~
history in a residential dwelling and/or child occupied
facilitv?
Comments 6 40 C.F.R. Target Housing and Child-occupied Facilities: Did
(ii) and/or exterior component with a distinct painting 745.227(b)(2) the renovator/firm test for lead-based paint each interior ~ , i
historv in a multi-familv dwelling?
Comments
;\~ 7 40 C.F.R. Target Housing and Child-occupied Facilities: Did
745.227(b)(3) the renovator/firm ensure that paint sampled for analysis
(i)
to determine the presence of lead was conducted using
documented methodologies which incorporate adequate
aualitv control orocedures?
Comments
8 40 C.F.R. Target Housing and Child-occupied Facilities: Did
745.227(b)(3) the renovator/firm ensure that all collected paint chip
(ii)
san1ples were analyzed according to 40 C.F.R.
745.227(1) to determine if they contain detectable
levels of lead that can be quantified numerically?
~\~
Comments
Page 21 of 33
COMPANY NAME: Blank-l05f!eY0Ll f?z/4 f'11 l-1-d
I
I
l
ft U.S. EPA
Lead Renovation/Repair/Painting Compliance ChcckJist - Ren~vators
US ENVIRONMENTAL PROTECTION AGENCY REGION 6, DALLAS, TX 75202
TOXIC SUBSTANCES CONTROL ACT TITLE IV-LEAD HAZARD REDUCTION
\9 40 C.F .R. I Target Housing and Child-occupied Facilities: Did
74S.227(b)(4) the inspector or risk assessor prepare an inspection
~, r..
report that includes the reauired information?
I
Comments
I \0 40C.F.R. Target Housing and Child-occupied Facilities: Did
74S.227(c)(\) the renovator/firm ensure that a lead hazard screen was N/Jl.
conducted only by a person certified by EPA as a risk
assessor?
I I Comments
1\ \40 C.F.R. Target Housing and Child-occupied Facilities: Did
745.227(c)(2) the renovator/firm ensure that a lead hazard screen
\ (i)
included the collection of background information regarding the physical characteristics of the residential ,;/ r+
dwelling or child-occupied facility and occupant use
patterns that may cause lead-based paint exposure to one
or more children age 6 years and under?
Comments
\2 40 C.F.R. Target Housing and Child-occupied Facilities: Did
745.227(C)(2) the renovator/firm ensure a lead hazard screen includes
(ii)lA)
a visual inspection to determine the presence of
deteriorated paint?
rJ IP
Co mments
13 40 C.F.R. Target Housing and Child-occupied Facilities: Did
745 .227(c)(2) the renovator/linn ensure a lead hazard screen includes
(ii)(B)
a visual inspection to locate at least two dust samples
nerformed accordinl!. to the orescribed methodolol!.ies?
rJ1~
\
Commcnts I
Page 22 of 33
COMPANY NAMf: B\enk..JAmetlon fttb ~tt/:V
[ U.S. EPA
c r1anee Checklist - Renovators
LcHd Rcnovntion/Rcp:ur/P:untmg omp
US ENVIRONMENTAL PROTECTION AGENCY REGION 6, DAI.LAS, TX 7S202
TOXIC SUBSTANCES CONTROL ACT TITLE IV-LEAD HAZARD REDUCTION
r-- -
14 40 C.F.R.
Target Housing and Child-occupied Facilities: Did
the collection and analysis of dust samples according to 745.227(c)(3) the renovator/firm ensure a lead hazard screen includes rJ '~
the prescribed methodologies?
I
I
I
I
Comments
15 40 C.F.R. Target Housing and Child-occupied Facilities: Did
745.227(c)(4) the renovator/firm ensure a lead hazard screen includes rJ / p
the collection and analysis of paint samples according lo
the J)rescribed methodologies?
Comments
I
I
I
I
16 40 C.F.R. Target Housing and Child-occupied Facilities: Did
745.227(c)(5) the renovator/firm ensure a risk assessor prepared a lead f\l /p
hazard screen report that includes the required
infomiation found in the regulation?
I
Comments
17 40 C.F.R. Target Housing and Child-occupied Facilities: Did 745.227(d)(l) the renovator/linn ensure a risk assessment was conducted only by a person certified by EPA as a risk
(Ii I~
assessor?
Comments
18 40 C.F.R. Target Housing and Child-occupied Facilities: Did
745.227(d)(2) the renovator/fim1 ensure that a risk assessment includes
a visual inspection of the residential dwelling or child- ~IP
occupied facility to locate the existence of deteriorated
paint, assess the extent and causes of the deterioration,
and other potential lead-based oaint hazards?
Comments
COMPANY NAME:-Blank-fnsp&tiG,1 1 4.(,
Page 23 of 33
/2/t,0
....
ft U.S. EPA
Lead Renovation/Repair/Painting Compliance hcckli
US ENVIRONMENTAL PROTECTION AGENCY REGION 6, DALLAS, TX 75202
TOXIC SUBSTANCES CONTROL ACT TITLE IV-LEAD HAZARD REDUCTION
t - Renovators
\9 \ 40 C.F.R. Target Housing and Child-occupied Facilities: Did 745.227(d)(3) lhe rcnovator/lirm ensure that a lead hazard screen
includes the collection of background information regarding the physical characteristics of the residential
~\~
dwelling or child-occupied facility and occupant use
patterns that may cause lead-based paint exposure to one
or more children aae 6 years and under?
Comments
10 40 C.F.R. Target Housing and Child-occupied Facilities: Did 745.227(d)(4) the renovator/iirm test for the presence of lead on each
rJ Ifl-
surface determined to have a distinct painting history?
Comments
11 40 C.F.R. Residential Dwellings: Did the renovator/lirm collect
745.227(d)(S) and analyze for lead concentration dust samples (either
composite or single-surface samples) from the interior window sill(s) and lloor(s) in all living areas where one
fJ) ~
or more children, age 6 and under, are most likely 10
come into contact with dust?
Comments
22 40 C.F.R. Multi-family Dwellings and Child-occupied 745.227(d)(6) Facilities: Did the renovator/lirm collect and analyze interior window sill and floor dust samples (either
rv I,._
composite or single-surface samples) for lead
concentration from the orescribed locations?
Comments 23 40 c.r.R. Child-occupied Facilities: Did the renovator/fim1
745.227(d)(7) collect and analyze interior window sill and floor dust samples (either comoosite or single-surface samples) for
rJ I'A'
Page 24 of 33
COMPANY NAME:.Bla~n Pa~ ft it+<J
~
Lead Rcnovation/Rcpair/Paintin~ Complia-;;cc Checklist - Rcnova~ rs o
US ENVIRONMCNTAL PROTECTION AGENCY
U.S. EPA
I
I
I
J REGION 6, DALLAS, TX 7S202
TOXIC SUBSTANCES CONTROL ACT TITLE IV-LEAD HAZARD REDUCTION
I 19 1 40C.F.R. 1 Target Housing and Child-occupied Facilities: Di<l
745.227(d)(3) the renovator/finn ensure that a lead hazard screen
inc\udcs the collection of background infonnation regarding the physical characteristics of the residential dwe\\ing or child-occupied facility and occupant use
~ \~
patterns that may cause lead-based paint exposure to one
or more children age 6 years and under?
1 t I Comments .
\ 10 \ 40 C.F.R. Target Housing and Child-occupied Facilities: Did
l 745.227(d)(4) the renovator/fmn test for the presence of lead on each rJlf\-
surface detennined to have a distinct painting historv? Com ments
21 40 C.F.R. Residential Dwellings: Did the renovator/fim1 collect 745.227(d)(S) and analyze for lead concentration dust samples (either composite or single-surface samples) from the interior
window sill(s) and fioor(s) in all living areas where one or more children, age 6 and under, are most likely to
come into contact with dust?
I Comments 1
\ 22 40 C.F.R. Multi-family Dwe\\ings and Child-occupied 745.227(d)(6) Facilities: Did the rcnovator/iim1collect and analyze interior window sill and floor dust samples (either
composite or single-surface samples) for lead concentration from the prescribed locations?
,v) f< rJ / ti
Comments
23 40 C.F.R. Child-occupied Facilities: Did the renovator/finn
745.227(d)(7) collect and analyze interior window sill and floor dust
I
samples (either composite or single-surface samples) for
rJ I~
Page 24 of33
COMPANY NAME:.Blank los@@n Pal~ Pol-+,:)
~. - ----------------
Lend RcnovHtion/1<.cpUaS1E1N,V..IRO NMENTAL PRU 1~'-, , _
REGION 6, DALLAS, TX 75202
TOXIC SUBSTANCES coNTROL ACT
I
~ - ;PA
I
- TITLE IV-LEAD HAZARD REDUCTION
-
. .
I1 11way or stairWcll
lend concentrat1on 111 enc11room, a 6 d under and tn
utili1cd by one or mo.re childr_cn. age _an . t ?
other common areas tn the cluld occuo1cd fac1h .v.
Comments
24 40 c.r.R. * 745.227(d)(8)
I
rs ~ mmcnts 40 C.F.R.
745.227( d)(9)
Target Housing and Child-occupied F~cilitics: Did the renovator/firm collect and analyze s01l samples for lead concentrations in the orcscribed locations?
Target Housing and Child-occupied Facilities: Did the renovator/finn conduct all paint, dust, or soil sampling or testing using documented methodologies that incomorate adequate aualitv control orocedures?
rJ IriiJ ,~
Comments Target Housing and Child-occupied Facilities: Did 26 -tO C.F.R. the renovator/firm analyze any collected paint chip,
745.227(d)( I0 dust, or soil samples according to 40 C.F.R. 745.227(f) ) to determine if they contain detectable levels of lead that
can be quantified numericallv?
Comments
27 40 C.F.R. Target Housing and Child-occupied Facilities: Did
745.227(d)( 11 the renovator/firm/risk assessor prepare a risk
)
assessment report that includes the required
infonnation?
Comments 28 40 C.F.R. Target Housing and Child-occupied Facilities: Did
745.227(e)(I) the renovator/finn ensure that an abatement is conducted onlv bv a person certified bv EPA, and, if
;J ,~ f'l /\fx
~ \ fl
COMPANY NAME: BIJm:kjnspeGtifi tt&
Page 25 of 33
/hlfo
ft U.S. EPA
Lead Renovation/Repair/Painting Compliance Checklist - Renovator~
US ENVIRONMCNTAL PROTECTION AGENCY REGION 6, DALLAS, TX 7S202
TOXIC SUBSTANCES CONTROL ACT
TITLE IV-LEAD HAZARD REDUCTION
conducted, is conducted according to the prescribed
procedures?
Comments
29 40 C.F.R. Target Housing and Child-occupied Facilities: Did
74S.227(c)(2) the firm ensure a certified renovator was available to be
onsitc for each abatement project during all work site
preparation, during the post-abatement cleanup of work
areas, and to be onsite at other times during the
abatement or available by telephone, pager or answering
service and able to be present at the work site in no
more than 2 hours?
Comments
30 40 C.F.R. Target Housing and Child-occupied Facilities: Did
745.227(e)(3) the fim1 ensure a certified renovator was available to
.
direct activities and ensure that all abatement activities
are conducted according to the requirements of 40
C.F.R. 745.227(e) and all other Federal, State and
local requirements?
Comments
31 40 C.F.R. Target Housing and Child-occupied Facilities: Did
745.227(e)(4) the renovation firm notify EPA oflead-based paint
(i-v)
abatement activities or to update notification as
prescribed and by the designated deadline?
Comments
32 40 C.F.R. Target Housing and Child-occupied Facilities: Did
745.227(e)(4) the renovation firm include the designated information
(vi)
in each notification?
Comments
Page 26 of 33
COMPANY NAME:.alaAk. lg59&tiefl ;P,111 f/n,,t-d
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Lead Renovation, ,,..,1JU-SE NVIRONMENTAL .-n- . -
REGION 6, oAIJ.AS, TX 75202
TOXIC SUBSTANCES coNTROL ACT TITLE IV-LEAD HAZARD REDUcTION
---- U.S. EPA \
rrt . d Child-occupied Facilities: Did
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Target Housing nn
.
40 C.F.R. the certified ftnn accomplish written or electronic
745.227(e)(4) notification via one of the prescribed methods?
(\ ii)
Comments
40 C.F.R. 745.227(e)(4)
Target Housing and Child-occupied ~acilities: Did the renovation finn begin lead-based patnt a~atem_ent activities on the date and at the location specified tn
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(viii)
either the oril!inal or uodated Notification?
I
Comments Target Housing and Child-occupied Facilities: Did
35 40 C.F.R. the certified renovation firm or individual notify EPA 745.227(e)(4) before engaging in lead-based paint abatement activities
(ix)
defined in 40 C.F.R. & 745.223?
Comments Target Housing and Child-occupied Facilities: Did 36 40C.F.R. the certified renovation firm or individual develop a
745.227(e)(S) written occupant protection plan for all abatement projects and in accordance with the prescribed orocedures?
Comments Target Housing and Child-occupied Facilities: Did 37 40 C.F.R. the certi lied finn/renovator prohibit the use of open-
745.227(e)(6) Dame burning or torching of lead-based paint during (i)
abatement activities? Comments 38 40 C.F.R. Target Housing and Child-occupied Facilities: Did 745.227(e)(6) the certified firm/renovator prohibit the use of machines (ii) that remove lead-based paint through sanding, grinding,
,ge 27 of 33
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COMPANY NAME: Blan)Ho.spect.i@ l?a./4 ib,Mfe
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U.S. EPA
Lead Rcnovation/Rcpnir/Painting Compliance Checklist:-Rcoovators
US CNVIRONMENTAL PROTECTION AGENCY REGION 6, DALLAS, TX 7S202
TOXIC SUBSTANCES CONTROL ACT TITLE IV-LEAD HAZARD REDUCTION
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abrasivc blasting, or sandblasting, unless such machines
arc used with l lEPA exhaust control which removes
particles of 0.3 microns or larger from the air at 99.97
percent or greater efficiency?
Comments
39 40 C.F.R. Target Housing and Child-occupied Facilities: Did
745.227(c)(6) the certified fimvrcnovator prohibit the dry scraping of
(iii)
lead-based paint unless it is used in conjunction with
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heat guns or around electrical outlets or when treating
defective paint spots totaling no more than 6 square feet
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in any one room, hallway, or stairwell or totaling no more than 20 square feet on exterior surfaces?
Comments
40 40 C.F.R. Target Housing and Child-occupied Facilities: Did
745.227(e)(6) the certified firm/renovator restrict the operating of a
(iv)
heat gun on lead-based paint at temperatures below
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l l 00 dep,,rees Fahrenheit?
Comments
41 40 C.F.R. Target Housing and Child-occupied Facilities: Did 745.227(e)(7) the certified lirm/renovator conduct soil abatement, when necessary, according to the prescribed methods?
ti/1t
Comments
42 to 40 C.F.R. Target Housing and Child-occupied Facilities: Did 745.227(e)(8) the certiued firm/renovator have a certified inspector or risk assessor perform the post-abatement clearance
/;r
orocedures?
Commcnts
Page 28 of 33
Pat.ti frfld-0
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U.S. EPA
Lead Renovation/Repair/PaintingCompliance CJ1ccklist - Renovators-
US ENVIRONMENTAL PROTECTION AGENCY REGION 6, DALLAS, TX 75202
TOXIC SUBSTANCES CONTROL ACT TITLE IV-LEAD HAZARD RfDUCTION
43 40 C.F. R. Target Housing and Child-occupied Facilities: Did
745.227(c)(8) the certified firm have an inspector or risk assessor to
(i)
perform a visual inspection after abatement 10 determine t-11 A-
if deteriorated painted surfaces and/or visible amounts
of dust, debris or residue are still present and to remove
any hazards that still remain?
Comments
44 40 C.F.R. Target Housing and Child-occupied Facilities: Did
(ii) inspection and any necessary post-abatement cleanups 745.227(e)(8) the certified finn/renovator wai t until the required visual ~I P
were completed before performing clearance sampling
for lead in dust?
Comments
45 40 C.F.R. Target Housing and Child-occupied Facilities: Did
745.227(e)(8) the certified finn/renovator take dust samples for
(iii)
clearance purposes using documented methodologies
t1 It-
that incorporate adequate quality control procedures?
Comments
46 40 C.F.R. Target Housing and Child-occupied Facilities: Did
745.227(c)(8) the certified /inn/renovator wait a minimum of I-hour
(iv)
after completion offinal post-abatement cleanup
~/
activities to collect dust samples for clearance purposes?
Com ments
47 40 C. F.R. 745 .227(e)(8) (v)(A)
Target Housing and Child-occupied Facilities: Did the certified finn/renovator collect the required dust samples from the prescribed surfaces in the designated
~1 fr
rooms after conducting an abatement with containment
between abated and unabated areas?
Page 29 of 33
COMPANY NAME:-Blmik-lnsf>W!efr: /Jat, /1nh>
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-... ''Pair/l'ainfutg Corn~ circc~-- Ren~
US ENVIRONMENTAL PROTECTION AGENCY
48 Cotn.n,~l\ts
40 C.F.R.
74s.221(e)(&)
REGION 6, DALLAS, T)( 75202
lox,c SU8STANCEs CONTROL ACT TITLE IV-LEAD HAZARD REDUCTION
(v)(B)
Target l\ousing and Child-Occupied Facilities: Did
the certified finnJrenovator collect !he required dust
samples from the prescribed surfaces in the designated - rcooonmtasinamfteernct?onducting an abatement With no
Comments 40 C .F.R.
fJI 'A
74S.227(e)(8)
(v)(C)
Target lI---.,using and Child-oecupied Facilities: Did
the certified finnJrenovator conduct a visual inspecrion
and clean horizontal, outdoor surfaces ofvisible dust \ fl / A
and debris, perfonn visual inspection for paint chips on
the dripline and remove and properly dispose or any
Comments aint chins found followino an exterior naint abatement? 40 C.F.R.
74S .227(e)(8) (vi)
Target Rousing and Child-occupied Facilities: Did the certified firm/renovator select the rooms, hallways
or stairwe lls for sampling according to documented methodologies? Comments
40 C.F.R.
74S.227(e)(8) ( v i1 )
Target I-lousing and Child-occupied Facilities: Didthe certified inspector or risk assessor compare the
residual lead level from dust samples with clearance
levels to determine if level exceeds the applicable clearance level?..:..______________ Comments
40 C.F.R. 745.227(e)(8) {vii
Target Housing and- C-h uuII-o- c-c-u- -p- 1eo J._.....<ac-i-lities: D1ct a certi f1ed inspector or risk assessor re-clean and retest the
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N/rr
Page 30 of 33
COMPANY NAME: Blank Inspection p..,(k 8i-i-lr-<J
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l.,c:Hl Re novauv" ~
usENVlflCJ1'4IVI~ .
REGION 6, DALI.AS, TX 1:,1.v~
TOXIC SUBSTANCES coNTROL ACT
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TITLE IV-LEAD HAZARD REDUCTION
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L I I surface of cornponents that were d ned to have eterm1 failed clearance testinc. af1er abatement? r
_l - ,__ Comment~ Target Jlom,ing and Child-occupied Facilities: Did
rJ It: 53 40 C.F.R. the certified {inn/renovator use the standard clearance 745.227(c)(8) levels for lead in dust of 40 ~1g/Jl2 fo r floors, 250 g/ft2
(viii)
for interior "indow sills, and 400 g/ft2 fo r window
I
troughs to determ ine if a level in a sample exceeds the
anolicable clearance level?
Co mm e nts 54 40 C.F.R.
745.227(c)(9)
Co mm e nts 55 40 C.F.R.
745.227(e)( 10
)
Co mm ents 56 40 C.F.R.
745.227(()
I I Co mments
Taroet Housing and Child-occupied Facilities: Did a
"
certified finn/renovator perform random sampling m a
multifamily dwell ing wi th similarly constructed and
maintained residential dwellings according to the
orescribed methods?
Target Housing and Child-occupied Facilities: Did a certified renovator/supervisor or project designer prepare an abatement report that includes the required
information?
Target Housing and Child-occupied Facilities : Did a certified renovator ensure that all paint chip, dust, or soil samples obtained are collected by a certified risk assessor or paint inspector and analyzed by an EPA recounized laboratorv?
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Page 31 of 33
COMPANY NAME:i31ank lnseectieR /izl~ !117-lo
ft U.S. EPA
Lead Renovation/Repair/Painting Compliance Checklist - Renovators
US ENVIRONMENTAL PROTECTION AGENCY REGION 6, DALLAS, TX 75202
TOXIC SUBSTANCES CONTROL ACT TITLE IV-LEAD HAZARD REDUCTION
57 40 C.F.R. 745 .227(g)
Target Housing and Child-occupied Facilities: Did the certified renovator limit composite dust sampling to
only those situations soccified?
Comments
58 40 C.F.R. Target Housing ;1nd Child-occupied Facilities: Did
745.227(h) the certified renovator make a determination on the
presence of lead-based paint?
Comments
59 40 CFR
Target Housing and Child-occupied Facilities: Is the
745.233
lirm certilied performs, offers or claims to perform
renovations or dust sampling for compensation to obtain
initial certilication from EPA, under 40 C.F.R.
745.226?
Comments
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LEAD-BASED PAINT RISK ASSESSMENTS
# Reg Ref
Question
Y-N-N/A Maj-Sig-Min 11-M-L Potential Pcnalt),
1 40 C.F.R. ls the person performing a risk assessment certified by 745.227(d)(l) EPA as a risk assessor?
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Comments
2 40 C.f .R. Did a certified renovator conduct a visual inspection for
745.227(d)(2) risk assessment of a child-occupied facility to locate the existence of deteriorated paint, assess extent and causes
N)k
of deterioration, and other potential lead based paint
hazards?
Comments
Total Proposed Pcnalt) Amount:
,_
so
-
Page 32 of33
COMPANY NAME'.131a11k inspection j/,,b ft~il-c:)
U.S. EPA
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Lead Renovation/Repair/Painting Compliance Checklist - Renovators
US ENVIRONMENTAL PROTECTION AGENCY
REGION 6, DALLAS, TX 75202
TOXIC SUBSTANCES CONTROL ACT
TITLE IV-LEAD HAZARD REDUCTION
Target Housing
Major= one or more occupants under age 6 and/or pregnant woman Significant= no information about age of the youngest occupant, or one or more occupants between ages of 6 and 17 Minor= no occupants under age 18
Child Occupied Facility Major= one or more occupants under age 6 (by definition, a child-occupied facility is regularly visited by one or more children under 6) Minor= renovation activities were completed during a period when children did not access the facility (e.g., as summer vacation) and there is no continuity of enrollment (i.e., the same children are not returning after the break).
COMPANY NAME:131imkjmpettiefl-' A t ,
Page 33 of33 /bzk,