EP 1110-1-29
31 Aug 01
APPENDIX C - STANDARD CLEARANCE FORMS
This appendix contains example forms to be used in completing lead hazard control clearance activities.
These forms are adapted from those presented in the HUD guidelines. These forms include:
Figure C-1
Lead Hazard Control Visual Clearance Form 1
Figure C-2
Lead Hazard Control Clearance Dust Sampling Form 2 (single-surface sampling)
Figure C-3
Lead Hazard Control Clearance Soil Sampling Form 3 (composite sampling)
Figure C-4
Chain-of-Custody Form For Lead Clearance Inspection
C-1
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