HomeMy WebLinkAbout265 CHINQUAPIN AVE; ; CBR2020-1783; PermitBuilding Permit Finaled
Residential Permit
Print Date: 12/15/2023
Job Address: 265 CHINQUAPIN AVE, CARLSBAD, CA 92008-7410
Permit Type: BLDG-Residential Work Class:
Parcel#: 2060803800 Track#:
Valuation: $2,747.36 Lot#:
Occupancy Group: Project#:
#of Dwelling Units: Plan#:
Bedrooms: Construction Type:
Bathrooms: Orig. Plan Check#:
Occupant Load: Plan Check#:
Code Edition:
Sprinkled:
Project Title: BROWN RESIDENCE
Description: BROWN: 446 SF DEMO OF GARAGE
Applicant:
BA WORTHING INC
ALENA BLASIO
3864 WESTHAVEN DR
CARLSBAD, CA 92008-2754
(760) 533-8380
FEE
BUILDING PERMIT FEE ($2000+)
BUILDING PLAN CHECK FEE (BLDG)
Property Owner:
BELDEN BROWN
265 CHINQAPUIN AVE
CARLSBAD, CA 92008-7410
SB1473 GREEN BUILDING STATE STANDARDS FEE
STRONG MOTION-RESIDENTIAL
Demo
DEV2020-010 4
Total Fees: $91.38 Total Payments To Date: $91.38
NOTICE:
Permit No:
Status:
{city of
Carlsbad
CBR2020-1783
Closed -Finaled
Applied: 08/04/2020
Issued: 11/13/2020
Finaled Close Out: 12/15/2023
Final Inspection: 12/13/2023
INSPECTOR: Burnette, Paul
Renfro, Chris
Contractor:
BA WORTHING INC
5145 AVENIDA ENCINAS, # STE I
CARLSBAD, CA 92008-4322
(760) 729-3965
Balance Due:
AMOUNT
$52.87
$37.01
$1.00
$0.50
$0.00
Please take NOTICE that approval of your project includes the "imposition" of fees, dedications, reservations, or other exactions
collectively referred to as "fees." You have 90 days from the date this permit was issued to protest the imposition of these fees. To protest
the imposed fees, you must follow the protest procedures set forth in Government Code Section 66020(a) and file the protest with the City
Manager. Failure to timely follow the required procedures will bar any subsequent legal action to attack, review, set aside, void, or annul
the imposition of these fees.
You are FURTHER NOTIFIED of your right to request an audit to review the fees imposed on your project. To request an audit, follow the
procedures provided in Government Code Section 66023(a). Additionally, you may file a written request for mailed notice for the public
meeting to review the fee account or fund information related to certain fees that are imposed as a result of the approved permit.
You are FURTHER NOTIFIED that your right to protest the specified fees DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project, NOR DOES
IT APPLY to any fees of which you have previously been given a NOTICE similar to this, and the statute of limitation has expired.
Building Division Page 1 of 1
1635 Faraday Avenue, Carlsbad CA 92008-7314 I 442-339-2719 I 760-602-8560 f 1 www.carlsbadca.gov
RESIDENTIAL
BUILDING PERMIT
APPLICATION
B-1
Plan Check CB1<lo2,.0--I 1-CJ
Est. Value J>2 1 7-L/'l-.¾----
PC Deposit--,.--------
D ate ___...t_-..,,.3'--.,..--'2..=-o_2_D_
Job Address 265 Chinquapin Ave Suite: APN: 206-080-38-00 ----
CT/Project#: _________ Lot#: ____ Fire Sprinklers: yes /Gia Air Conditioning: uia
BRIEF DESCRIPTION OF WORK: Demolish existing detached garage.
J8'.: Addition/New: _____ Living SF, ___ Deck SF, ___ Patio SF, ___ Garage SF
Is this to create an Accessory Dwelling Unit? £3 New Fireplace? Yes /IE@, if yes how many? __
Remodel: ____ SF of affected area Is the area a conversion or change of use ? Yes/ 6Iol
0 Pool/Spa: ____ SF Additional Gas or Electrical Features? ___________ _
□Solar: ___ KW, ___ Modules, Mounted: Roof/ Ground, Tilt: Yes/ No, RMA: Yes/ No, Battery: Yes/ No
Panel Upgrade: Yes/ No
D Reroof: ------------------------------------
□ Plumbing/Mechanical/Electrical Only: ________________________ _
ther: __ lj.__'---'-f _.._G~.· __,_$ ............... E:_-=D----"e'------'/:Y1:::Lx--==--~..._) -------------
APPLICANT (PRIMARY CONTACT)
Name: Alena Brooks Blasio
Address: 5145 AVENIDA ENCINAS, SUITE I
City: CARLSBAD State: CA Zip: 92008
Phone: 760-729-3965
Email: INFO@THISISBAWINC.COM
DESIGN PROFESSIONAL
Name: BROOKS WORTHING
Address: 5145 AVENIDA ENCINAS, SUITE I
City: CARLSBAD State: CA Zip: 92008
Phone: 760-729-3965
Email: INFO@THISISBAWINC.COM
Architect State License: 392894 -~~--------
PROPERTY OWNER
Name: Beldon Brown
Address: 265 Chinquapin Ave. Carlsbad, CA 92008
City: Carlsbad State: CA Zip: 92008
Phone: (760) 729-5676
Email: INFO@THISISBAWINC.COM
CONTRACTOR BUSINESS
Name: B.A. WORTHING INC.
Address: 5145 AVENIDA ENCINAS. SUITE I
City: CARLSBAD State: CA Zip: __.._92=-0=0,,_,8.___ __
Phone: 760-729-3965
Email: INFO@THISISBAWINC.COM
State License: 398764 Bus. License: 549200
(Sec. 7031.5 Business and Profess·Ions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair any structure, prior to its
issuance, also requires the applicant for such permit to file a signed statement that he/she is licensed pursuant to the provisions of the Contractor's License Law
(Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code} or that he/she is exempt therefrom, and the basis for the alleged
exemption. Any violation of Section 7031.S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500)).
1635 Faraday Ave Carlsbad, CA 92008 Ph: 760-602-2719 Fax: 760-602-8558 Email: Building@carlsbadca.gov
B-1 Page 1 of 2 Rev. 06/18
( OPTION A): WORKERS'COMPENSATION DECLARATION:
I hearby affirm under penalty af perjury one of the following declarations: □ I have and will maintain a certificate of consent to self-insure for workers' compensation provided by Section 3700 of the Labor Code, for the performance of the
work which this permit is issued.
}( I have and will maintain worker's compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My workers' compensation insurance carrier and policy number are: Insurance Company Name: _ilJ..CLW"--"-'G-'"RlilO..l..ll_,JLP:._ ____________ _
Policy No. WSD 5052565 00 Expiration Date: 01 /Q1 /?021
□ Certificate of Exemption: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to be come
subject to the workers' compensation Laws of California. WARNING: Failure to secure workers compensation coverage is unlawful, and shall subject an employer to
criminal penalties and civil fines up to $100,000.00, in addition the to the cost of compensation, damages as provided for in Section 3706 of the Labor Code,
interest and attorney's fees.
CONTRACTOR SIGNATURE: ----~-=~,5-·;..;c..··=··-d··-i-__ =c.. __ '-9-1------LJAGfNT DATE: 05/28/2020
( OPTION B ): OWNER-BUILDER DECLARATION:
I hereby affirm that I am exempt from Contractor's License Law for the following reason:
□ I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec.
7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work
himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within
one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale}.
D I, as owner of the property, am exclusively contracting with licensed contractors to construct the project {Sec. 7044, Business and Professions Code: The
Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed
pursuant to the Contractor's License Law).
□ I am exempt under Section ________ ,Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. D Yes D No
2. I (have/ have not) signed an application for a building permit for the proposed work.
3.1 have contracted with the following person (firm) to provide the proposed construction (include name address/ phone/ contractors' license number):
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work {include name/ address/ phone/
contractors' license number):
S. I will provide some of the work, but I have contracted (hired) the following persons to provide the work indicated (include name/ address/ phone/ type of work):
OWNER SIGNATURE: □AGENT DATE: _____ _ ---------------------
CONSTRUCTION LENDING AGENCY, IF ANY:
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec. 3097 (i) Civil Code).
Lender's Name: ____________________ _ Lender's Address: ____________________ _
ONLY COMPLETE THE FOLLOWING SECTION FOR NON-RESIDENTIAL BUILDING PERMITS ONLY:
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 25505, 25533 or 25534 of the Presley-Tanner Hazardous Substance Account Act? □ Yes □ No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? □ Yes □ No
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site? □ Yes □ No
IF ANY OF THE ANSWERS ARE YES, A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
APPLICANT CERTIFICATION:
I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate. I agree to comply with all
City ordinances and State laws relating to building construction.
I hereby authorize representative of the City of Carlsbad to enter upon the above mentioned property for inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP
HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, jUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF
THE GRANTING OF THIS PERMIT.OSHA: An OSHA permit is required for excavations over 5'0' deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the Building Official under the provisions of this Code shall expire by limitation and become null and void if the building or work authorized
by such permit is not commenced within 180 days from the date of such permit or if the building or work authorized by such permit is suspended or abandoned at anytime
after the work is commenced for a period of 180 days (Section 106.4.4 Uoifor ·tding Code).
APPLICANT SIGNATURE:
1635 Faraday Ave Carlsbad, CA 92008
B-1
Ph: 760-602-2719 Fax: 760-602-8558
Page 2 of2
Email: Building@carlsbadca.gov
Rev. 06/18
Building Permit Inspection History Finaled
(cityof
Carlsbad
PERMIT INSPECTION HISTORY for (CBR2020-1783)
Permit Type: BLDG-Residential
Work Class: Demo
Application Date: 08/04/2020 Owner: BELDEN BROWN
Issue Date: 11/13/2020 Subdivision: CARLSBAD TCT#99-01
CARLSBAD BEACH ESTATES
Status: Closed -Finaled Expiration Date: 11/15/2021
IVR Number: 27835
Address: 265 CHINQUAPIN AVE
CARLSBAD, CA 92008-7410
Scheduled Actual Inspection Type Inspection No. Inspection Primary Inspector Reinspectlon Inspection
Date Start Date
11124/2020 11/24/2020 BLDG-SW-Pre-Con
Checklist Item
144650-2020
COMMENTS
BLDG-Building Deficiency
12/13/2023 12/13/2023 BLDG-Final Inspection 233685-2023
Checklist Item COMMENTS
Status
Passed Paul Burnette
Passed Chris Renfro
BLDG-Building Deficiency Building demo completed at earlier date in
2020
Friday, December 15, 2023
BLDG-Plumbing Final
BLDG-Structural Final
BLDG-Electrical Final
Passed
Yes
Passed
Yes
Yes
Yes
Yes
Complete
Complete
Page 1 of 1
AUG lJ 3 2020
CITY CF C!\HLSBMJ
BU!LDif'--JC:; i.J1\/i~iON
LEAD-BASED PAINT
SURVEY REPORT
Residential Property
265 Chinquapin A venue
Carlsbad, California 92008
Prepared for:
Ms. Alena Blasio
B.A. Worthing, Inc.
5145 Avenida Encinas Street
Carlsbad, California 92104
Prepared by:
MTGL, Inc.
6295 Ferris Square, Suite C
San Diego, California 92121
858-537-3999
Project Number:
SDPE-20-128.lCT
Michelle Ehres an, A:C, LIA/LPM, IC
Certifi ation Number: CDPH# 0459
Report Issuance Date: June 19, 2020
}·,
~-t,
TABLE OF CONTENTS
SECTION
INTRODUCTION........................................................................................................ 1
General Information
Authorization
Performance
WARRANTY................................................................................................................ 2
METHODOLOGY ...................................................................................................... 3
General References
Lead Sampling Procedures
Performance Characteristic Sheets
SUMMARY of FINDINGS ......................................................................................... 4
Lead-Based Paint Summary
HAZARD CONTROL AND ABATEMENT OPTIONS&..................................... 5
LEAD SAFE WORK PRACTICES
LEAD BASED PAINT DISCLOSURE................................................... 6
APPENDICES.............................................................................................................. 7
Appendix 1 -XRF Data Report
Appendix 2 -Site Drawing
Appendix 3 -Glossary
Appendix 4 -Inspector Certification
Appendix 5 -CDPH Lead Hazard Evaluation Form
Appendix 6 -EPA Renovate Right
,r ... ' s, ,,..
·, ,.,.. ~-" 'i • ' ' ,., "" "'• ' -.. .i,,. a.·• (..' , ~ " ,· ,,
GENERAL INFORMATION
SECTION 1
Introduction
MTGL was retained by Ms. Alena Blasio to conduct a lead-based paint inspection at the
residential property located at Chinquapin Avenue in Carlsbad, California 92008. All inspections
were in accordance with the guidelines set forth in the U.S. Department of Housing and Urban
Development. This document is prepared for the sole use of Ms. Alena Blasio and/or any
Regulatory or Governmental agencies that may directly become involved with this project.
MTGL's scope of work was limited to the following structures located at the property address:
• 265 Chinquapin Avenue, Carlsbad, California (Single story, wood framed, Built in 1953
with detached wood framed garage.)
PURPOSE
The purpose of this inspection is to identify and assess accessible interior and exterior painted
components or lead containing components at the subject location above specified regulatory
action levels.
AUTHORIZATION
Authorization to perform the survey was given by Ms. Alena Blasio with a notice to proceed
referencing proposal SDPE-20-128.1 CT.
PERFORMANCE
All visual inspections and component testing was performed in accordance with Federal, State
and local requirements. The inspection was performed on June 8, 2020, by Ms. Michelle
Ehresman, a CDPH Certified Lead Inspector/Assessor #0459.
Lead-Based Paint Inspection• 265 Chinguapin Ave., Carlsbad CA• Alena Blasio. • June 19, 2020
I
LEAD-BASED PAINT SURVEY
SECTION2
Warranty
MTGL, Inc. warrants that the findings contained herein have been prepared with the level of care
and skill exercised by experienced and knowledgeable environmental consultants who are
appropriately licensed or otherwise trained to perform lead-based paint assessments pursuant to
the scope of work required on this project.
MTGL, Inc. warrants that the findings contained herein have been prepared in general
accordance with accepted professional practices as applied by similar professionals in the
community at the time of its preparation. Changes in the state of the art or in applicable
regulations cannot be anticipated and have not been addressed in this report.
The survey included the inspection of accessible materials only. MTGL did not inspect or
sample inaccessible areas such as behind walls or within ductwork, and did not dismantle any
part of the structure to survey inaccessible areas. For the purpose of this warranty, inaccessible is
defined as areas of the building that could not be tested ( sampled) without destruction of the
structure or a portion of the structure. Inaccessible materials that are visible to MTGL inspectors
shall be assumed to be lead-based paint coated.
It is the owner's legal obligation to disclose the inspection results to tenants and/or purchasers
before obligation under 24 CFR part 35 and 40 CFR part 745 (published in the Federal Register,
Volume 61, Number 45, March 6, 1996, starting on P. 9064; copies of the regulations and related
materials can be obtained from the National Lead Information Center Clearinghouse, (1-800-424-
LEAD)
Lead•Based Paint Inspection • 265 Chinquapin Ave. Carlsbad CA• Alena Blasio. • June 19 2020
2
GENERAL REFERENCES
LEAD-BASED PAINT
SECTION3
Methodology
Lead-based paint testing was conducted in accordance with the Title 17, California Code of
Regulations, Division I, Chapter 8, Accreditation, Certification and Work Practices in Lead-
Related Construction, Section 36000 and the United States Department of Housing and Urban
Developments Guidelines for the Evaluation and Control of Lead-Based Paint Hazards in
Housing, Chapter 7 Lead-Based Paint Inspections, as published in June 1995 and revised in
1997.
The State of California, HUD and the EPA currently define lead-based paint as paints or other
surface coatings, which contain lead equal to or greater than 1.0 milligrams of lead per square
centimeter of surface area (mg/cm2), or equal to or greater than 0.5% by weight..
Lead-based paint was conducted utilizing the INNOVX model DELTA Series which is an X-ray
fluorescence (XRF) spectrum analyzer running software version 1.4 or higher, with an X-ray tube
utilized in the K&L Spectrum mode to determine the concentration of lead in paint. The
spectrum analyzer is self-calibrated each time the instrument is turned on and/or after a battery
change. An initial calibration and ending calibration is validated each day with a laminated Lead
Paint Standards testing card which is provided by the manufacturer. The card is a direct
comparison to the paint standard to NIST kit SRM2579a with a spectrum analyzer. If an
instrument does not maintain consistent calibrations after following the manufacturer's
recommendation, the unit is removed from the site and sent back to the manufacturer for service.
In the instance where paint chip samples are collected, sample collections are conducted by the
requirements of the American Society of Testing and Materials standard E 1729, Standard
Practice for Field Collection of Dried Paint Samples for Lead Determination by Atomic
Spectrometry Techniques and HUD Guidelines.
Performance Characteristic Sheet (PCS)
Performance Characteristic Sheets for most XRF models can be found on the U.S. Department of
Housing and Urban Developments Office of Healthy Homes and Lead Hazard Control website,
specifically HUD Guidelines for the Evaluation and Control of Lead-Based Paint Hazards in
Housing.(http://www.hud.gov/offices/lead/lbp/hudguidelines/index.cfrn ).Operating specification
and procedures for the XRF used for this survey can be downloaded at the website above. PCS's
can also be obtained by calling toll free to the National Lead Information Clearinghouse, at 800-
424-LEAD. Persons with hearing or speech impediments may access the above number via TTY
by calling the Federal Information Relay Service at 800-887-8339, toll free.
Lead-Based Paint Inspection • 265 Chinguapin Ave. Carlsbad CA • Alena Blasio. • June 19, 2020
3
GENERAL SUMMARY
Lead-Based Paint Inspection Results
SECTION 4
Summary of Findings
The purpose of the lead-based paint survey was to evaluate the referenced facility's pre 1978
building to identify interior building components that may contain lead-based paint. Suspect
components identified during the survey included but not limited to the following:
• Interior/Exterior: Door and Window Components
• Interior/Exterior Walls and Ceilings and Floors
The following is a summary of the lead based paint components identified that are greater
thanl.0 mg/cm2:
Main House
• Side A: Exterior: Window I , Muntin Bar (Intact)
• Side A: Exterior: Window 2, Munlin Bar (Intact)
**MTGL, Inc. is not responsi'blefor actual quantity of the material(~). MTGL recommends bidding contractors to calculate
quantities for estimated abatement costs. When evaluating this report, it is assumed that according to Chapter 7 HUD
guidelines, that if one testing combination (i.e. window, door) is positive for lead in an interior or exterior room equivalent,
that all other similar testing combinations in those areas are assumed to he positive.
Lead-Based Paint Inspection• 265 Chinguapin Ave. Carlsbad CA• Alena Blasio. • June 19 2020
4
Intact ( entire surface is intact) lead-based paint was identified on the accessible components
tested. At the time of the inspection, the lead-based components were smooth and did not show
signs of cracking, bubbling, or flaking from the substrate. No visible paint chip debris was
observed on the surface below the lead based paint component nor observed on the ground at the
dripline. Currently, wood chip cover and bushes were observed with no bare soil at the dripline.
The component is not on an impact or friction surface and poses little risk for creating a lead
hazard by releasing lead contaminated dust in the condition it is in as of the time of the
inspection.
When evaluating this report, it is assumed that according to Chapter 7 HUD guidelines, that if
one testing combination (i.e. window, door) is positive for lead in an interior or exterior room
equivalent, that all other similar testing combinations in those areas are assumed to be positive.
Current EPA and Cal/EPA regulations do not require lead-based paint to be removed prior to
demolition, unless found to be loose and peeling. Provided that paints are securely adhered to the
substrates, deposal of the debris can be handled in California as non-hazardous and non-RCRA
waste, pending characterization of the waste. Loose and peeling paints or other wastes exceeding
the Total Threshold Level Concentration (TTLC) of 1,000 ppm (µgig) would be required to be
disposed of as non-RCRA hazardous waste. However, if the leachable lead contents of the wasted
exceed the Soluble Threshold Level Concentrations (STLC) of 5 mg/liter, the wastes must be
disposed ofas RCRA waste.
Several government agencies have definitions for what amount of lead constitutes paint to be
considered "lead-based". The Department of Housing and Urban Development (HUD) has
designated the amount to be 1.0 mg/cm2• 0.5% by weight or 5000 ppm (parts per million). The
HUD regulations are related to potential hazards in the home environment and not to construction
activities.
Lead Safe Work Practice Requirements for Maintenance, Renovation or Remodeling
EPA's RRP Rule requires anyone (remodeling, renovation and painting contractors and most
other trades) who works in pre-1978 housing for compensation and who might disturb painted
surfaces to become an EPA Certified Renovator by taking an 8-hour RRP "Lead Safe Work
Practices" class from an EPA accredited training provider. The initial certification is good for
five (5) years. To "renew" contractors must take a 4-hour RRP Refresher class before their initial
certification expires. The RRP rule applies to anyone who works for compensation in pre-I 978
housing and/or child-occupied facilities who might disturb painted surfaces, including:
• General contractors
• Demolition workers
• Remodeling contractors
• Maintenance workers in multi-family housing
• Painters, plumbers and most specialty trades.
Lead-Based Paint Inspection• 265 Chinguapin Ave., Carlsbad CA• Alena Blasio. • June 19, 2020
5
The RRP rule covers a lot of jobs: renovation, remodeling, pamtmg, window replacement,
plumbing, electrical work, heating & air-conditioning, demolition, plus work performed by trades
like carpenters, electricians and handymen. The rule also applies to persons working for rental
property owners, schools, and day care providers. And, it applies to non-profits and
governmental agencies. The RRP Rule requires that "Lead Safe Work Practices" be used when
disturbing more than 6 square feet per room or 20 square feet outside.
It shall be noted that California's lead-based paint regulations cover ALL pre-78 structures that
have not been tested -not just Target Housing and Child-Occupied Facilities. (Title 17, CCR,
Div I, Ch 8). Since 2003, California law (Title 17) has required that "Lead Safe Work Practices"
be used in ALL pre-1978 structures when disturbing any amount of known or "presumed" lead-
based paint. Contractors may have taken additional training to meet State of California
requirements for Lead-Related Construction and obtain the required California Department of
Public Health-Lead Related Construction Certifications for permanent abatement. This
certification supplements but does not replace the EPA RRP certification. CDPH State Certified
Lead Abatement Supervisors and Workers must also become RRP certified and abatement firms
must also be RRP Certified if they do non-abatement jobs.
Contractors and renovators who work or compensation in pre-1978 housing and/or a child-
occupied facility that will disturb painted surfaces greater than 6 square feet per room or 20
square feet outside must give Clients a pamphlet called "Renovate Right" and get a signed receipt
before beginning a job. Contractors can call (800) 424-5323 and ask for free copies of "Renovate
Right" and the "Small Entity Compliance Guide to Renovate Right" or both can be downloaded
as PDF files from the EPA website.
For project that lie within the City of San Diego, Renovators are required to use lead-safe work
practices when disturbing lead paint that contains lead concentrations equal or greater than I 000
ppm or 0.5 mg/cm2 on all pre-1979 buildings. When the work activities disturb or remove paint,
a Lead Paint Activity Visual Inspection Form (form ESS-127) must be completed and remain
available to City of San Diego for a period of three (3) years following the visual clearance date.
Chapter 5, Article 4, Division IO of the City of San Diego Municipal Code Requires this form to
be completed when work is performed inside the City of San Diego and when the work activities
disturb or remove paint that is presumed lead-based paint or where the paint has been tested and
found to contain lead levels greater than l000 ppm or 0.5 mg/cm2. A copy of this report must be
made available to City of San Diego for a period of three (3) years following the visual clearance
date. Upon request, the form must be sent to: City of San Diego; Lead Safe Neighborhoods
Program; 9601 Ridge haven Ct. #320; San Diego, CA 92123,
The Consumer Product Safety Commission (CPSC) has defined lead-based paint as surface
coatings containing lead concentrations greater than 90 ppm. All children's products, and some
furniture, for adult and children, must not contain a concentration of lead greater than 0.009
percent (90 parts per million) in paint or any similar surface coatings. Household paint must also
meet this requirement. In 1978, the CPSC banned the sale of lead-based paint to consumers and the
use of lead-based paint in residences and public buildings.
Lead-Based Paint Inspection• 265 Chinguapin Ave. Carlsbad CA• Alena Blasio. • June 19 2020
6
Please note that the detection of any amount of lead in the paint will trigger numerous
requirements from the California Occupations Safety and Health Administration (Cal-OSHA)
lead in construction standard ( e.g., Title 8, CCR Section I 532. I), even with common tasks such
as drywall demolition, manual paint scraping, and manual paint sanding. The employer is
required to conduct air sampling to determine the exposure to lead during these tasks and during
other tasks that could result in lead exposure. Until actual exposures are determined, workers are
required to wear respirators that are appropriate to the task. Detailed requirements are published
in the Cal-OSHA standard for lead in construction.
All workers who may be exposed to lead must be trained in the hazards of lead. The results of air
sampling are used to determine if workers are exposed to lead above the action level (AL) of 30
micrograms per cubic meter of air or above the permissible exposure limit (PEL) of 50
micrograms of lead per cubic meter of air, averaged over an 8-hour shift. Exposures above the
AL or PEL will trigger additional requirements including engineering controls, proper
housekeeping, washing facilities for hand and face washing, additional worker training,
respiratory protection, medical monitoring, and additional air sampling. The employer must have
a written compliance plan.
Lead-Based Paint Inspection• 265 Chinguapin Ave., Carlsbad CA• Alena B]asio. • June 19, 2020
7
Lead Paint
SECTIONS
Hazard Control and Abatement Options
Interim controls which are temporary measures may include the following:
• Paint Film Stabilization: "scrape off the loose and flakey paint and reapply with regular
house paint".
• Friction (places that rub) and Impact (places that are bumped or banged) Surface
Treatments (Doors, windows, cabinets, floors, etc): treated by covering the surfaces with
an abrasion-resistant material, or by repairing to an intact working condition in order to
minimize dust.
• Special Cleaning: reduction of lead hazard by cleaning up visible dust by HEPA
vacuuming, washing and HEP A vacuuming again.
Interim controls typically last less than 20 years and will require the reevaluation of components
on a periodic basis.
As of April 22, 2010, the EPA passed the Renovator, Repair and Paint Rule (RRP) (40 CFR Part
745.90) which states all renovation and painting contractors and other trades who work in pre-
1978 housing and who might disturb painted surfaces must become Lead Certified Renovators
by taking a one-day course about using "Lead Safe Work Practices" on the job.
Abatement methods which eliminate or put a barrier in front of lead hazards may include the
following:
• Encapsulation: covering lead paint with a special liquid or thick coating (not regular
paint). Works well on surfaces that are in good condition and should not be used on
friction or impact surfaces.
• Enclosure: covering lead paint with a solid, dust-tight barrier that is usually mechanically
attached (sheetrock, paneling, drywall).
• Replacement: removal of lead covered components (doors, windows, molding) and
replacing with lead free components.
• Removal: recommended when other options may not be feasible; removal of lead paint by
means of heat guns, scraping and sanding, power tools, chemical stripping and/or use of
abrasives and hydro blasting.
Abatement controls typically last more than 20 years. Abatement methods that will result in the
smallest amount of dust generated are preferred. Workers who partake in the above abatement
methods should be California State Certified Lead Supervisors and Workers. Clearance sampling
after abatement must be conducted by a certified lead-based paint inspector
Lead-Based Paint Inspection• 265 Chinquapin Ave. Carlsbad CA• Alena Blasio. • June 19 2020
8
Lead Safe Work Practice Requirements for Maintenance, Renovation or Remodeling
Lead-based paint, deteriorated paint or lead-based hazards require lead safe work practices.
These practices are necessary for regular lead based paint hazard controls, repair, remodeling,
renovation or other work activities that may disturb lead based paint above HUD's de minimis
levels. HUD describes de minimus levels as follows:
• 20 square feet on exterior surfaces
• 2 square feet in any one interior room or space
• 10% of a type of building component with a small surface area (such as painted
windowsills) on interior or exterior surfaces
Workers who may disturb lead-based paint above the de minimis level during repair, renovation
or maintenance activities or any other work efforts that disturbs a known or assumed lead-based
paint above HUD's de minimis shall be trained in lead safe work practices.
Firms providing abatement services must be certified as an abatement firm by the EPA or the
State. Workers conducting abatement must be trained and certified as abatement workers by a
training provider accredited by the EPA or State.
Lead-Based Paint Inspection • 265 Chinguapin Ave. Carlsbad CA• Alena Blasio. • June 19 2020
9
SECTION6
DISCLOSURE
A copy of this summary must be provided to new lessees (tenants) and purchasers of this
property under Federal Law (24 CFR part 35 and 40 CFR part 745) before they become obligated
under a lease or sales contract. The complete report must also be provided to new purchasers and
it must be made available to new tenants. Landlords (lessors) and sellers are also required to
distribute an educational pamphlet and include standard warning language in their leases or sales
contracts to ensure that parents have the information they need to protect their children from
lead-based paint hazards.
It is the owner's legal obligation to disclose the inspection results to tenants and/or purchasers
before obligation under 24 CFR part 35 and 40 CFR part 745 (published in the Federal Register,
Volume 61, Number 45, March 6, 1996, starting on P. 9064; copies of the regulations and related
materials can be obtained from the National Lead Information Center Clearinghouse, (1-800-424-
LEAD).
Lead-Based Paint Inspection• 265 Chinguapin Ave. Carlsbad CA• Alena Blasio. • June 19 2020
10
Lead-Based Paint Inspection • 265 Chinquapin Ave. Carlsbad CA• Alena Blasio. • June 19 2020
II
SECTION7
Appendices
Appendix 1
XRF Data Report
Calibration Check Test Form
Project Name: 265 Chinguapin Avenue, Carlsbad, California 92008
Equipment: INNOVX, Model CX6500 Series (XRF} Serial#: 10681
Inspector: Michelle Ehresman, CDPH #0549
Date: 6/8/2020
XRF Calibration Check Limits: 1.0 to 1.1 mg/cm2 (inclusive)
Calibration ofXRF Equipment checked using the NIST SRM Standard.
Calibration Check
1st Readin 2nd Readin 3rd Readin
1.0 1.0 1.1
Calibration Check
1st Readin 2nd Readin 3rd Rcadin
I.0 1.0 1.0
(Using the 20 Second K&L Mode Reading)
Time: 8: 15 a.m.
pt Avera e
1.0
Time: 12:30 p.m.
1st Avera e
1.0
Lead Based Testing Data Sheet
Inspection Date: June 8, 2020
Sample Location Wall Room Test Component
ID# (Side) Location Structure Member
1 Main House A Room I Door Door, R
2 Main House A Room I Door Frame R
3 Main House A Room 1 Wall, Left
4 Main House B Room I Wall, Left
5 Main House C Room I Wall, Left
6 Main House D Room I Wall, Left
7 Main House A Room 1 Wall, Left Baseboard
8 Main House A Room 1 Wall, Left CR. Mold
9 Main House A Room 1 Floor
10 Main House A Room 1 Ceiling
11 Main House A Room 1 Window I Sill, L
12 Main House A Room I Window I Sash, L
13 Main House B Room I Fireplace Hearth
14 Main House B Room I Fireplace Mantle
15 Main House B Room 1 Fireplace Facing
16 Main House C Room 1 Ceiling Vent Cover
17 Main House B Room2 Window 1 Sill
18 Main House B Room2 Window 1 Frame
19 Main House B Room2 Wall, Left
20 Main House C Room2 Wall, Left
21 Main House B Room2 Wall, C Baseboard
22 Main House B Room2 Window Sill
23 Main House D Room2 Door Door, R
24 Main House D Room2 Door Frame R
25 Main House C Room3 Window I Sill
26 Main House C Room3 Window 1 Frame
27 Main House B Room3 Window l Sill
28 Main House B Room3 Window I Frame
29 Main House C Room3 Door Door,R
30 Main House C Room3 Door Frame R
Project: 265 Chinquapin Avenue
Carlsbad, California 92008
(<LOD=Below Level of Detection)
(Regulated Lead-Based Paint= 1.0 mg/cm2)
Paint XRF Classificati
Condition Substrate Color Reading on
(mg/cm2) (pos, neg,
inc.)
Intact Wood White <LOD Negative
Intact Wood White <LOD Negative
Intact Drywall White <LOD Negative
Intact Drywall White <LOD Negative
Intact Drywall White <LOD Negative
Intact Drywall White <LOD Negative
Intact Wood White <LOD Negative
Intact Wood White <LOD Negative
Intact Wood Brown <LOD Negative
Intact Drywall White <LOD Negative
Intact Wood White <LOD Negative
Intact Wood White <LOD Negative
Intact Stone Tan <LOD Negative
Intact Brick Tan <LOD Negative
Intact Stone Tan <LOD Negative
Intact Metal White <LOD Negative
Intact Wood White <LOD Negative
Intact Wood White <LOD Negative
Intact Drywall White <LOD Negative
Intact Drywall White <LOD Negative
Intact Wood White <LOD Negative
Intact Drywall White <LOD Negative
Intact Vinyl White <LOD Negative
Intact Vinyl White <LOD Negative
Intact Wood White <LOD Negative
Intact Wood White <LOD Negative
Intact Wood White <LOD Negative
Intact Wood White <LOD Negative
Intact Wood White <LOD Negative
Intact Wood White <LOD Negative
Lead Based Testing Data Sheet
Inspection Date: June 8, 2020
Sample Location Wall Room Test
ID# {Side) Location
31 Main House C Room3 Floor
32 Main House A Room3 Wall, Left
33 Main House C Room3 Wall, Right
34 Main House D Room3 Wall, Left
35 Main House C Room3 Ceiling
36 Main House C Room3 Ceiling
37 Main House D Room3 Cabinet
38 Main House D Room3 Cabinet
39 Main House A Room3 Bottom Cab
40 Main House A Room3 Bottom Cab
41 Main House D Room4 Door
42 Main House D Room4 Door
43 Main House A Room4 Wall, R
44 Main House B Room4 Wall, C
45 Main House C Room4 Wall, C
46 Main House D Room4 Wall, R
47 Main House B Room4 Wall, L
48 Main House B Room4 Floor
49 Main House A Room4 Shower
50 Main House C Room4 Wall
51 Main House C Room4 Ceiling
52 Main House D Room4A Door
53 Main House D Room4A Door
54 Main House A Room4A Wall, C
55 Main House B Room4A Wall, C
56 Main House D Room4A Wall,C
57 Main House D Room4A Wall
58 Main House D Room4A Ceiling
59 Main House D Room4A Floor
60 Main House A Room4 Wall, TR
Component
Structure Member
Vent Cover
Door 1
Casing
Door 1
Casing
Door, L
Frame L
Tile
Tile
Wall Tile
Baseboard
Vent Cvr
Door, R
FrameR
Baseboard
Project: 265 Chinquapin Avenue
Carlsbad, California 92008
(<LOD=Below Level of Detection)
<Re2ulated Lead-Based Paint= 1.0 m2/cm2)
Paint XRF Classificati
Condition Substrate Color Reading on
(mg/cm2) (pos, neg,
inc.)·
Intact Wood Brown <LOD Ne2ative
Intact Drywall White <LOD Negative
Intact Drywall White <LOD Negative
Intact Drywall White <LOD Negative
Intact Metal White <LOD Negative
Intact Drywall White <LOD Ne2ative
Intact Wood Brown <LOD Negative
Intact Wood Brown <LOD Ne!rative
Intact Wood Brown <LOD Negative
Intact Wood Brown <LOO Negative
Intact Wood White <LOD Negative
Intact Wood White <LOO Negative
Intact Drywall White <LOD Negative
Intact Drywall White <LOD Negative
Intact Drywall White <LOD Negative
Intact Drywall White <LOD Negative
Intact Ceramic Tan <LOD Negative
Intact Ceramic Tan <LOD Ne2ative
Intact Ceramic White <LOD Negative
Intact Wood White <LOD Negative
Intact Metal White <LOD Negative
Intact Wood White <LOD Ne2ative
Intact Wood White 0.09 Negative
Intact Drywall White <LOD Negative
Intact Drywall White <LOD Negative
Intact Drvwall White <LOD Neirative
Intact Wood White <LOD Negative
Intact Wood White <LOD Negative
Intact Wood Brown <LOD Negative
Intact Drywall White <LOD NeJ?;ative
Lead Based Testing Data Sheet Project: 265 Chinquapin Avenue
Carlsbad, California 92008
Inspection Date: June 8, 2020 ( <LOD=Below Level of Detection)
<Re2ulated Lead-Based Paint= 1.0 m2/cm1)
Sample Location Wall Room Test Component Paint XRF Classification
ID# (Side) Location Structure Member Condition Substrate Color Reading (pos, neg,
(mg/cm2) inc.)
61 Main House A Room5 Cabinet Door I Intact Wood Brown <LOD Negative
62 Main House A Room5 Cabinet Casing Intact Wood Brown <LOD Negative
63 Main House A Room5 Wall, C Intact Drvwall White 0.07 Negative
64 Main House B Room5 Wall, C Intact Drvwall White 0.02 Negative
65 Main House C Rooms Wall, C Intact Drvwall White 0.06 Negative
66 Main House D Room5 Wall, C Intact Drywall White 0.02 Negative
67 Main House D Room5 Ceiling Intact Drywall White <LOD Negative
68 Main House C Room5 Wall Baseboard Intact Wood White <LOD Negative
69 Main House C Room5 Window Sill Intact Wood White <LOD Negative
70 Main House C Room5 Window Frame Intact Vinyl White <LOD Negative
71 Main House D Rooms Window Sill Intact Wood White <LOD Negative
72 Main House D Room5 Window Frame Intact Vinyl White <LOD Negative
73 Main House A Room5 Closet Shelf Intact Wood White <LOD Negative
74 Main House A Rooms Closet Shelf Sun. Intact Wood White <LOD Negative
75 Main House A Room6 Door Door, R Intact Wood White <LOD Negative
76 Main House A Room6 Door Frame R Intact Wood White <LOD Neirative
77 Main House D Room6 Floor Intact Ceramic Tan <LOD Negative
78 Main House A Room6 Wall Intact Drywall White <LOD Neg;ative
79 Main House B Room6 Wall Intact Drywall White <LOD Negative
80 Main House C Room6 Wall Intact Drywall White <LOD Negative
81 Main House D Room6 Wall Intact Drywall White <LOD Negative
82 Main House A Room 6 Cabinet Door 1 Intact Wood Brown <LOD Negative
83 Main House B Room6 Vanity Door l Intact Wood Brown <LOD Negative
84 Main House D Room6 Window Sill Intact Drvwall White <LOD Negative
85 Main House C Room6 Wall Tile Intact Ceramic Brown <LOD Negative
86 Main House B Room? Door Door, L Intact Wood White <LOD Negative
87 Main House B Room7 Door Frame L Intact Wood White <LOD Negative
88 Main House A Room7 Wall Intact Drywall White <LOD Negative
89 Main House B Room7 Wall Intact Drywall White <LOD Negative
90 Main House C Room7 Wall Intact Drywall White <LOD Negative
Lead Based Testing Data Sheet Project: 265 Chinquapin A venue
Carlsbad, California 92008
Inspection Date: June 8, 2020 (<LOD=Below Level of Detection)
.(Regulated Lead-Based Paint= 1.0 me/cur)
Sample Location wan Room Test Component Paint XRF Classification
ID# (Side) Location Structure Member Condition Substrate Color Reading (pos, neg,
(mg/cm2) inc.)
91 Main House D Room7 Wall Intact Drywall White <LOD Negative
92 Main House B Room7 Wall Base Intact Wood White <LOD Negative
93 Main House B Room7 Wall Cr. Mold Intact Wood White <LOD Negative
94 Main House B Room7 Floor Intact Wood Brown <LOD Negative
95 Main House D Room7 Window Sill Intact Wood White <LOD Negative
96 Main House D Room7 Window Frame Intact Vinyl White <LOD Negative
97 Main House A Room7 Window Sill Intact Wood White <LOD Negative
98 Main House A Room7 Window Frame Intact Wood White <LOD Negative
99 Main House C Room7 Ceiling Vent Intact Metal White <LOD Negative
100 Main House A Exterior Wall, L Intact Stone Tan <LOD Negative
101 Main House A Exterior Wall, C Intact Stucco Tan <LOD Negative
102 Main House A Exterior Wall Gutter Spout Intact Metal Tan <LOD Negative
103 Main House A Exterior Wall, L Fascia Intact Wood Blue <LOD Negative
104 Main House Exterior Wall, L Gutter Intact Metal Blue <LOD Negative
105 Main House A Exterior Wall, L Eaves Intact Wood Tan 0.04 Negative
106 Main House A Exterior Wall, L Eaves Sunoort Intact Wood Tan 0.06 Negative
107 Main House A Exterior Window Sill Intact Wood Blue 0.04 Neeative
108 Main House A Exterior Window Sash Intact Wood Blue 0.18 Negative
109 Main House A Exterior Window,C Muntin Intact Wood Blue 1.8 Positive
1 IO Main House A Exterior Entry Door Door Intact Wood Blue 0.02 Negative
I II Main House A Exterior Entry Door Frame Intact Wood Blue 0.06 Negative
112 Main House A Exterior Overhane; Eaves Intact Wood Tan 0.06 Negative
113 Main House A Exterior Overhang Eaves Sunnort Intact Wood Tan 0.08 Negative
114 Main House A Exterior Overhang Post l Intact Wood Blue 0.06 Negative
115 Main House A Exterior Overhang Post 1 Base Intact Wood Tan 0.08 Neirative
116 Main House A Exterior Window2 Sill Intact Wood Blue 0.02 Negative
117 Main House A Exterior Window2 Sash Intact Wood Blue 0.11 Neirative
118 Main House A Exterior Window2 Muntin Intact Wood Blue 1.3 Positive
119 Main House A Exterior Window2 Shutter 1 Intact Wood Blue <LOD Negative
120 Main House A Exterior Wall, R Vent Intact Metal Tan <LOD Negative
121 Main House D Exterior Wall, L Intact Stucco Tan <LOD Negative
Lead Based Testing Data Sheet
Inspection Date: June 8, 2020
Sample Location Wall Room Test Component
ID# (Side) Location Structure Member
122 Main House D Exterior Wall, L Crawlspace Frame
124 Main House D Exterior Window I Shutter
124 Main House D Exterior Window 1 Frame
125 Main House D Exterior Window2 Shutter
126 Main House D Exterior Window2 Frame
127 Main House C Exterior Wall, L
128 Main House C Exterior Wall, L Vent Cover
129 Main House C Exterior Wall, L Panel Cover
130 Main House C Exterior Window 1 Frame
131 Main House C Exterior Window 2 Frame
132 Main House C Exterior Window2 Shutter
133 Main House C Exterior Door 1 Door
134 Main House C Exterior Door 1 Frame
135 Main House C Exterior Window3 Sill
136 Main House C Exterior Window3 Muntin, C
137 Main House C Exterior Wall Gutter
138 Main House C Exterior Wall Fascia
139 Main House C Exterior Wall Eaves
140 Main House C Exterior Wall Eaves Support
141 Main House .Q Exterior Door I Door
442 Main House D Exterior Door I Frame
143 Main House D Exterior Door2 Door
144 Main House D Exterior Door2 Frame
145 Main House D Exterior Deck Floor
146 Main House B Exterior Wall, L
Project: 265 Chinquapin Avenue
Carlsbad, California 92008
(<LOD=Below Level of Detection)
(Regulated Lead-Based Paint= 1.0 mg/cm2)
Paint XRF Classificati
Condition Substrate Color Reading on
(mg/cm2) (pos, neg,
inc,)
Intact Metal Tan <LOD Negative
Intact Vinyl Blue <LOD Negative
Intact Vinyl Blue <LOD Negative
Intact Vinyl Blue <LOD Negative
Intact Vinyl Blue <LOD Negative
Intact Stucco Tan <LOD Negative
Intact Metal Tan <LOD Negative
Intact Metal Tan <LOD Negative
Intact Vinyl White <LOD Ne1,?;ative
Intact Vinyl White <LOD Negative
Intact Metal Blue <LOD Negative
Intact Wood White <LOD Negative
Intact Wood White <LOD Negative
Intact Wood Blue <LOD Negative
Intact Wood Blue 0.67 Negative
Intact Vinyl Blue <LOD Negative
Intact Wood Blue <LOD Negative
Intact Wood Tan <LOD Negative
Intact Wood Tan <LOD Negative
Intact Vinyl White <LOD Negative
Intact Vinyl White <LOD Negative
Intact Wood White <LOD Negative
Intact Wood White <LOD Negative
Intact Wood Gray 0.03 Negative
Intact Stucco Tan <LOD Negative
Lead Based Testing Data Sheet
Inspection Date: June 8, 2020
Sample Location Wall Room Test
ID# (Side} Location
147 Main House B Exterior Window I
148 Main House B Exterior Window2
149 Main House B Exterior Window 3
150 Main House B Exterior Window3
151 Main House B Exterior Wall, C
152 Main House A Exterior Gate
153 Main House A Exterior Gate
54 Main House A Exterior Gate
155 Main House B Exterior Fence
156 Main House B Exterior Fence
157 Main House B Exterior Fence
158 Garage C Exterior Wall, C
159 Garage C Exterior Wall, L
160 Garage C Exterior Wall, L
161 Gara1?e C Exterior Wall, L
162 Garage C Exterior Wall, L
163 Garage C Exterior Wall, L
164 Gara.e:e D Exterior Wall, R
165 Garage D Exterior Window
166 Garage ll Exterior Window
167 Garage D Exterior Door
168 Garage D Exterior Door
169 Garage B Exterior Gate
170 Garage A Exterior Door, L
171 Garage A Exterior Door, L
172 Garage A Garage Floor
173 Garage B Garage Door
174 Garage B Garage Door
175 Garage B Garage Window
END OF Report
ComPonent
Structure Member
Frame
Frame
Sill
Frame
Crawlspace Cover
Door
Frame
Post
Wall
Post
Rail
Gutter Spout
Gutter
Fascia
Eaves
Eaves SUDnort
Sill
Frame
Door
Frame
Door
Frame
Door
Frame
Frame
Project: 265 Chinquapin Avenue
Carlsbad, California 92008
(<LOD=Below Level of Detection)
latedLead-Based Paint= l.O m /cm2
Paint XRF
Condition Substrate Color Reading
(mg/cm2)
Intact Vinyl White <LOD
Intact Vinyl White <LOD
Intact Wood Blue <LOD
Intact Wood Blue 0.14
Intact Metal Tan <LOD
Intact Wood Brown <LOD
Intact Wood Brown <LOD
Intact Wood Brown <LOD
Intact Wood Brown <LOD
Intact Wood Brown <WD
Intact Wood Brown <LOD
Intact Stucco Tan <LOD
Intact Metal Tan <LOD
Intact Vinyl Blue <LOD
Intact Wood Blue <LOD
Intact Wood Tan <LOD
Intact Wood Tan <LOD
Intact Stucco Tan 0.02
Intact Wood Blue 0.07
Intact Wood Blue 0.6
Intact Wood White <LOD
Intact Wood White <LOD
Intact Metal Black 0.05
Intact Wood White 0.05
Intact Wood Tan 0.15
Poor Concrete Gray <LOD
Intact Wood White 0.03
Intact Wood White 0.11
Fair Wood White 0.34
Classificati
on
(pos, neg,
inc.)
Ne.e:ative
Negative
Negative
Negative
Negative
Negative
Negative
Negative
Negative
Negative
Negative
Negative
Negative
Negative
Negative
Negative
Ne.e:ative
Negative
Negative
Negative
Negative
Negative
Negative
Negative
Negative
Negative
Negative
Negative
Negative
INNOV-X LBP4000 PCS, December 1, 2006, Edition 1
Performance Characteristic Sheet
EFFECTIVE DATE: December 1, 2006
MANUFACTURER AND MODEL:
Make: lnnov-X Systems, Inc.
Models:
Source:
LBP4000 with software version 1.4 and higher
X-ray tube
FIELD OPERATION GUIDANCE
OPERATING PARAMETERS:
Inspection mode, variable reading time.
XRF CALIBRATION CHECK LIMITS:
i 1.0 to 1.1 mg/cm2 (inclusive)
SUBSTRATE CORRECTION:
Not applicable
INCONCLUSIVE RANGE OR THRESHOLD·
INSPECTION MODE SUBSTRATE
READING DESCRIPTION
Results not corrected for substrate bias on any Brick
substrate Concrete
Drywall
Metal
Plaster
Wood
BACKGROUND INFORMATION
EVALUATION DATA SOURCE AND DATE:
EDITION NO.: 1
I
INCONCLUSIVE
RANGE (mg/cm2)
0.6 to 1.1
0.6to 1.1
0.6to1.1
0.6 to 1.1
0.6to 1.1
0.6 to 1.1
This sheet is supplemental information to be used in conjunction with Chapter 7 of the HUD Guidelines for
the Evaluation and Control of Lead-Based Paint Hazards in Housing {"HUD Guidelines"). Performance
parameters shown on this sheet are calculated from the EPNHUD evaluation using archived building
components. Testing was conducted on 146 test locations, with two separate instruments, in December
2005.
Page 1 of 4
INNOV-X LBP4000 PCS, December 1, 2006, Edition 1
OPERATING PARAMETERS:
Performance parameters shown in this sheet are applicable only when properly operating the instrument
using the manufacturer's instructions and procedures described in Chapter 7 of the HUD Guidelines.
XRF CALIBRATION CHECK:
The calibration of the XRF instrument should be checked using the paint film nearest 1.0 mg/cm2 in the
NIST Standard Reference Material (SRM) used (e.g., for NIST SRM 2579, use the 1.02 mg/cm2 film).
If the average (rounded to 1 decimal place) of three readings is outside the acceptable calibration check
range, follow the manufacturer's instructions to bring the instrument into control before XRF testing
proceeds.
SUBSTRATE CORRECTION VALUE COMPUTATION:
Chapter 7 of the HUD Guidelines provides guidance on correcting XRF results for substrate bias.
Supplemental guidance for using the paint film nearest 1.0 mg/cm2 for substrate correction is provided:
XRF results are corrected for substrate bias by subtracting from each XRF result a correction value
determined separately in each house for single-family housing or in each development for multifamily
housing, for each substrate. The correction value is an average of XRF readings taken over the NIST SRM
paint film nearest to 1.0 mg/cm2 at test locations that have been scraped bare of their paint covering.
Compute the correction values as follows:
Using the same XRF instrument, take three readings on a .bam substrate area covered with the
NIST SRM paint film nearest 1 mg/cm2. Repeat this procedure by taking three more readings on
a second .bam substrate area of the same substrate covered with the NIST SRM.
Compute the correction value for each substrate type where XRF readings indicate substrate
correction is needed by computing the average of all six readings as shown below.
For eacb s11bstrate type (the 1.02 mg/cm2 NIST SRM is shown in this example; use the actual
lead loading of the NIST SRM used for substrate correction):
Correction value = (1st+ 2nd + 3rd + 4th + 5th + 6th Reading)/ 6 -1.02 mg/cm2
Repeat this procedure for each substrate requiring substrate correction in the house or housing
development.
EVALUATING THE QUALITY OF XRF TESTING:
Randomly select ten testing combinations for retesting from each house or from two randomly selected
units in multifamily housing.
Conduct XRF re-testing at the ten testing combinations selected for retesting.
Determine if the XRF testing in the units or house passed or failed the test by applying the steps below.
Compute the Retest Tolerance Limit by the following steps:
Determine XRF results for the original and retest XRF readings. Do not correct the
original or retest results for substrate bias. In single-family and multi-family housing,
a result is defined as a single reading. Therefore, there will be ten original and ten
retest XRF results for each house or for the two selected units.
Calculate the average of the original XRF result and the retest XRF result for each testing
combination.
Square the average for each testing combination.
Add the ten squared averages together. Call this quantity C.
Page 2 of4
INNOV-X LBP4000 PCS, December 1, 2006, Edition 1
Multiply the number C by 0.0072. Call this quantity D.
Add the number 0.032 to D. Call this quantity E.
Take the square root of E. Call this quantity F.
Multiply F by 1.645. The result is the Retest Tolerance Limit.
Compute the average of all ten original XRF readings.
Compute the average of all ten re-test XRF readings.
Find the absolute difference of the two averages.
If the difference is less than the Retest Tolerance Limit, the inspection has passed the retest. If
the difference of the overall averages equals or exceeds the Retest Tolerance Limit, this
procedure should be repeated with ten new testing combinations. If the difference of the overall
averages is equal to or greater than the Retest Tolerance Limit a second time, then the
inspection should be considered deficient.
Use of this procedure is estimated to produce a spurious result approximately 1 % of the time. That is,
results of this procedure will call for further examination when no examination is warranted in
approximately 1 out of 100 dwelling units tested.
TESTING TIMES:
For the variable-time inspection paint test mode, the instrument continues to read until it has determined
whether the result is positive or negative (with respect to the 1.0 mg/cm2 Federal standard), with 95%
confidence. The following table provides testing time information for this testing mode.
Testina Times Usina Variable Readina Time lnsoection Mode tSeconds\
All Data Median for laboratory-measured lead levels
(ma/cm2)
25th 75th
Substrate Percentile Median Percentile Pb< 0.25 0.25 <Pb< 1.0 1.0 < Pb
Wood Drvwall 2.1 2.3 5.4 2.2 5.4 2.2
Metal 2.6 3.2 5.3 2.7 5.1 5.1
Brick, Concrete, 3.1 4.0 5.7 3.2 4.0 5.9
Plaster
CLASSIFICATION OF RESULTS:
When an inconclusive range is specified on the Performance Characteristic Sheet, XRF results are
classified as positive if they are greater than the upper boundary of the inconclusive range, negative if
they are less than the lower boundary of the inconclusive range, or inconclusive if in between. The
inconclusive range includes both its upper and lower bounds. If the instrument reads "> x mg/cm2", the
value "x" should be used for classification purposes, ignoring the">". For example, a reading reported as
">1.0 mg/cm2" is classified as 1.0 mg/cm2 , or jncondusive. When the inconclusive range reported in this
PCS is used to classify the readings obtained in the EPA/HUD evaluation, the following False Positive, False
Negative and Inconclusive rates are obtained:
FALSE POSITIVE RATE:
FALSE NEGATIVE RATE:
INCONCLUSIVE RATE:
2.5% (2/80)
1.9% (4/212)
16.4% {48/212)
Page 3 of 4
INNOV-X LBP4000 PCS, December 1, 2006, Edition 1
DOCUMENTATION:
A document titled Methodology for XRF Performance Characteristic Sheets provides an explanation of
the statistical methodology used to construct the data in the sheets, and provides empirical results from
using the recommended inconclusive ranges or thresholds for specific XRF instruments. For a copy of
this document call the National Lead Information Center Clearinghouse at 1-800-424-LEAD.
This XRF Performance Characteristic Sheet was developed by the Midwest Research Institute (MRI)
and QuanTech, Inc., under a contract between MRI and the XRF manufacturer. XRF Performance
Characteristic Sheets were originally developed by the MRI under a grant from the U.S. Environmental
Protection Agency and the U.S. Department of Housing and Urban Development. HUD has
determined that the information provided here is acceptable when used as guidance in conjunction
with Chapter 7, Lead-Based Paint Inspection, of HUD's Guidelines for the Evaluation and Control of
Lead-Based Paint Hazards in Housina.
Page 4 of 4
APPENDIX2
SITE DRAWINGS/MAPS
1{t'l1· 5
• -------· ---
Appendix 3
Glossary
♦:♦-----------------------------~
Glossary
AALA: American Association for Laboratory
Accreditation. Also known as A2LA.
Abatement: A measure or set of measures de-
signed to permanently eliminate lead-based
paint hazards or lead-based paint. Abatement
strategies include the removal of lead-based
paint, enclosure, encapsulation, replacement
of building components coated with lead-based
paint, removal of lead-contaminated dust, and
removal of lead-contaminated soil or overlaying
of soil with a durable covering such as asphalt
(grass and sod are considered interim control
measures). All of these strategies require prepa-
ration; cleanup; waste disposal; postabatement
clearance testing; recordkeeping; and, if appli-
cable, monitoring. See also Complete abate-
ment and Interim controls.
Abrasion resistance: Resistance of the paint
to wear by rubbing or friction; related to both
toughness and gloss.
Accessible surface: Any protruding interior
or exterior surface, such as an interior window
sill, that a young child can mouth or chew.
Accreditation: A formal recognition that an
organization, such as a laboratory, is competent
to carry out specific tasks or types of tests.
Accredited laboratory: A laboratory that has
been evaluated and approved by the National
Lead Laboratory Accreditation Program
(NLLAP), to perform lead measurement or
analysis, usually over a specified period of
time.
Accredited training provider: A training pro-
vider who meets the standards established by
EPA for the training of risk assessors, inspectors,
lead-based paint hazard control contractors,
and workers.
Accuracy: The degree of agreement between an
observed value and an accepted reference value
(a "true" value); a data quality indicator. Accu-
racy includes a combination of random errors
(precision) and systematic errors (bias) due to
sampling and analysis.
Acrylic: A synthetic resin used in high-
performance waterborne coatings; a coating
whose binder contains acrylic resins.
Adhesion: The ability of dry paint or other
coating to attach to a surface and remain fixed
on it without blistering, flaking, cracking, or
being susceptible to removal by tape.
Administrative removal: The temporary
removal of workers from the job to prevent
the concentration of lead in their blood from
reaching levels requiring medical removal.
AIHA: American Industrial Hygiene
Association.
ALC: See Apparent Lead Concentration.
Aliquot: See Subsample.
Alkali: A chemical, such as lye, soda, lime, etc.,
that will neutralize an acid. Oi I paint films can
be destroyed by alkalies. Some paint removal
products contain alkaline substances.
Alkyd: Synthetic resin modified with oil;
coating that contains alkyd resins in the binder.
Apparent Lead Concentration (ALC): The
x-ray fluorescence (XRF) reading or average of
more than one reading on a painted surface. See
also XRF analyzer, Substrate Equivalent Lead
(SEL), and Corrected Lead Concentration
(CLC).
Bare soil: Soil not covered with grass, sod,
some other similar vegetation, or paving,
including the sand in sandboxes.
G-1
G-2
Glossary---------------
Bias: A systematic error in the measurement
process. For XRF readings, one source of bias
is the substrate effect. See also Substrate effect
and XRF analyzer.
Biennial report (for hazardous waste): A
report (EPA Form 8700-13A) submitted by
generators of hazardous waste to the EPA Re-
gional Administrator. The report is due on
March 1 of even-numbered years. The report
includes information on the generator's activi-
ties during the previous calendar year. The
owners and operators of treatment, storage,
and disposal facilities must also prepare and
submit biennial reports using EPA Form
8700-1313.
Binder: Solid ingredients in a coating that hold
the pigment particles in suspension and bind
them to the substrate. Binders used in paints
and coatings include oil, alkyd, acrylic, latex,
and epoxy. The nature and amount of binder
determines many of the coating's performance
properties-washability, toughness, adhesion,
gloss, etc. See also Pigment.
Biological monitoring: The analysis of blood,
urine, or both to determine the level of lead
contamination in the body. Blood lead levels
are expressed in micrograms of lead per deciliter
(one-tenth of a liter) of blood, or µg/dl. They
are also expressed in micromoles per liter
(µmol/L).
Blank: A nonexposed sample of the medium
being used for testing (i.e., wipe or filter)
that is analyzed to determine if the medium
has been contaminated with lead (e.g., at the
factory or during transport).
Blind sample: A subsample submitted for analy-
sis with a composition and identity known to
the submitter but not to the analyst; used to
test the analyst's or laboratory's proficiency in
conducting measurements. See also Spiked
sample.
Blood lead threshold: Any blood lead level
greater than or equal to 10 µg/dl as defined
by the Centers for Disease Control and Pre-
vention. See also Elevated Blood Lead level
(EBL) child.
Building component: Any element of a build-
ing that may be painted or have dust on its
surface, e.g. walls, stair treads, floors, railings,
doors, window sills, etc.
Building component replacement: See
Replacement.
Cementitious material: A material that is
mixed with water, either with or without aggre-
gate, to provide the plasticity, cohesion, and
adhesion necessary for the placement and for-
mation of a rigid mass (ASTM Standard C 11).
Centimeter: See cm.
Certification: The process of testing and evalu-
ating against certain specifications the compe-
tence of a person, organization, or other entity
in performing a function or service, usually for
a specified period of time.
Certified: The designation for contractors who
have completed training and other require-
ments to allow them to safely undertake risk
assessments, inspections, or abatement work.
Risk assessors, inspectors, and abatement con-
tractors should be certified by the appropriate
local, State or Federal agency.
Certified Industrial Hygienist (CIH): A
person who has passed the 2-day certification
exam of the American Board of Industrial Hy-
giene, and who has at least 4 years of experi-
ence in industrial hygiene and a graduate de-
gree or a total of 5 years of experience. See
also Industrial hygienist.
Certified reference material (CRM): Refer-
ence material that has at least one of its prop-
erty values established by a technically val id
procedure and is accompanied by or traceable
to a certificate or other documentation issued
by a certifying body. See also Standard refer-
ence material.
CFR: See Code of Federal Regulations.
Chalking: The photo-oxidation of paint
binders-usually due to weathering-that
causes a powder to form on the film surface.
♦:♦--------------Glossary
Characteristics (of hazardous waste): EPA
has identified four characteristics of hazardous
waste: ignitability, corrosivity, reactivity, and
toxicity (as determined by the TCLP test).
Any solid waste that exhibits at least one of
these characteristics may be classified as hazard-
ous under the Resource Conservation and Re-
covery Act (RCRA), depending on how the
waste is produced and what quantities are
generated. See also Toxicity Characteristic
Leaching Procedure (TCLP).
Chewable surface: See Chewed surface and
Accessible surface.
Chewed surface: Any painted surface that
shows evidence of having been chewed or
mouthed by a young child. A chewed surface
is usually a protruding, horizontal part of a
building, such as an interior window sill.
See also Accessible surface.
CLC: See Corrected lead Concentration (CLC).
Cleaning: The process of using a HEPA vacuum
and wet cleaning agents to remove leaded dust;
the process includes the removal of bulk debris
from the work area. OSHA prohibits the use of
compressed air to clean lead-contaminated dust
from a surface.
Clearance examination: Visual examination
and collection of environmental samples by
an inspector or risk assessor and analysis by an
accredited laboratory upon completion of an
abatement project, interim control intervention,
or maintenancejob that disturbs lead-based
paint (or paint suspected of being lead-based).
The clearance examination is performed to
ensure that lead exposure levels do not exceed
standards established by the EPA Administrator
pursuant to Title IV of the Toxic Substances
Control Act, and that any cleaning following
such work adequately meets those standards.
Clearance examiner: A person who conducts
clearance examinations following lead-based
paint hazard control and cleanup work, usually
a certified risk assessor or a certified inspector.
cm: Centimeter; 1/100 of a meter.
Code of Federal Regulations (CFR): The codi-
fication of the regulations of Federal agencies.
The regulations are published in the Federal
Register. See also Federal Register (FR).
Cohesion: Ability of a substance to adhere to
itself; internal adhesion; the force holding a
substance together.
Common area: A room or area that is accessible
to all residents in a community (e.g., hallways
or lobbies); in general, any area not kept
locked.
Competent person: As defined in the OSHA
Lead Construction Standard (29 CFR 1926.62),
a person who is capable of identifying or pre-
dicting hazardous working conditions and
work areas, and who has authorization to take
prompt, corrective measures to eliminate the
hazards. A competent person is not necessarily
a risk assessor, inspector, or abatement project
supervisor.
Complete abatement: Abatement of all
lead-based paint inside and outside a dwelling
or building and reduction of any lead-
contaminated dust or soil hazards. All of
these strategies require preparation; cleanup;
waste disposal; postabatement clearance
testing; recordkeeping; and, if applicable,
reevaluation and on-going monitoring. See
also Abatement.
Compliance plan: A document that describes
the types of tasks, workers, protective mea-
sures, and tools and other materials that may
be employed in lead-based paint hazard control
to comply with the OSHA Lead Exposure in
Construction standard.
Composite sample: A single sample made up
of individual subsamples. Analysis of a com-
posite sample produces the arithmetic mean
of all subsamples.
Containment: A process to protect workers and
the environment by controlling exposures to
the lead-contaminated dust and debris created
during abatement. See Worksite preparation
level.
G-3
G-4
Glossary
Contingency plan: A document that describes
an organized, planned, and coordinated course
of action to be taken during any event that
threatens human health or the environment,
such as a fire, explosion, or the release of haz-
ardous waste or its constituents from a treat-
ment, storage, or disposal facility.
Corrected Lead Concentration (CLC): The
absolute difference between the Apparent Lead
Concentration and the Substrate Equivalent
Lead. See also Apparent Lead Concentration
(ALC) and Substrate Equivalent Lead (SEL).
Detection limit: The minimum amount of a
substance that can be reliably measured by a
particular method.
Deteriorated lead-based paint: Any lead-based
paint coating on a damaged or deteriorated sur-
face or fixture, or any interior or exterior lead-
based paint that is peeling, chipping, blistering,
flaking, worn, chalking, alligatoring, cracking,
or otherwise becoming separated from the
substrate.
Digestion blank: A mixture of the reagents
used for digesting of paint, soil, or dust matrixes
but without the matrix. The blank undergoes all
the steps of the analysis, starting with digestion.
The blank is used to evaluate the contamina-
tion process from a laboratory.
Direct-reading XRF: An analyzer that provides
the operator with a display of lead concentra-
tions calculated from the lead K x ray intensity
without a graphic of the spectrum usually in
mg/cm2 (milligrams of lead per square centime-
ter of painted surface area). See also XRF
analyzer.
Disposal (of hazardous waste): The discharge,
deposit, injection, dumping, spilling, leaking,
or placement of solid or hazardous waste on
land or in water so that none of its constituents
can pollute the environment by being emitted
into the air or discharged into a body of water,
including groundwater.
Disposal facility: A facility or part of one in
which hazardous waste is placed on land or in
water to remain there after the facility closes.
Door mat: See Walk-off mat.
Dust removal: A form of interim control that
involves initial cleaning followed by periodic
monitoring and recleaning, as needed. Depend-
ing on the severity of lead-based paint hazards,
dust removal may be the primary activity or
just one element of a broader control effort.
Dust trap: A surface, component, or fur-
nishing that serves as a reservoir where dust
can accumulate.
EBL child: See Elevated Blood Lead level
(EBL) child.
Efflorescence: The salt rising to the surface of
a material, such as masonry, plaster, or cement,
caused by the movement of water through the
material. Paint or encapsulants may not adhere
to a surface contaminated with efflorescence.
Elastomeric: A group of pliable, elastic liquid
encapsulant coatings. An elastomer is a macro-
molecular material which, at room temperature,
is capable of substantially recovering its size and
shape after the force causing its deformation is
removed (see ASTM D 907, D-14).
Elevated Blood Lead level (EBL) child: A
child who has a blood lead level greater than
or equal to 20 µg/dL or a persistent 15 µg/dl.
See also Blood lead threshold.
Encapsulation: Any covering or coating that
acts as a barrier between lead-based paint and
the environment, the durability of which relies
on adhesion and the integrity of the existing
bonds between multiple layers of paint and
between the paint and the substrate. See also
Enclosure.
Enclosure: The use of rigid, durable construc-
tion materials that are mechanically fastened
to the substrate to act as a barrier between the
lead-based paint and the environment.
♦:♦------------Glossary
Engineering controls: Measures other than res-
piratory protection or administrative controls
that are implemented at the work site to con-
tain, control, and/or otherwise reduce exposure
to lead-contaminated dust and debris usually in
the occupational health setting. The measures
include process and product substitution, isola-
tion, and ventilation.
Epoxy paint: Paint based on an epoxy resin. An
epoxy resin is a cross-linking resin the reactivity
of which depends on the epoxide group.
Evaluation: Risk assessment, paint inspection,
reevaluation, investigation, clearance examina-
tion, or risk assessment screen.
Examination: See Clearance examination.
Examiner: A person certified to conduct clear-
ance examinations or reevaluations, usually a
certified inspector or certified risk assessor.
Exposure monitoring: The sampling and analy-
sis of air both inside and outside the work area
to determine the degree of worker and resident
exposure to lead or other airborne contaminants,
often involving air sampling inside a worker's breath-
ing zone.
Exterior work area: For lead hazard control
work, the exterior work area includes any
exterior building components, such as a porch
or stairway; the safety perimeter; and access
barriers.
Facility (pertaining to hazardous waste): All
buildings, contiguous land, structures, and other
appurtenances, as well as any improvements,
where lead-based paint or hazardous waste is
treated, stored, or disposed. A facility may con-
sist of several different treatment, storage, or
disposal units, such as landfills and surface
impoundments.
Federal Register (FR): A daily Federal
publication that contains proposed and final
regulations, rules, and notices.
Fibermat: A semirigid woven material attached
with a liquid adhesive to a surface or substrate.
Field blank: A clean sample of the matrix
(e.g., filter, or wipe) that has been exposed
to the sampling conditions; returned to the
laboratory; and analyzed as an environmental
sample. Clean quaru sand, air sampling filters
and cassettes, and clean wipes can be used as
field blanks. The field blank, which should be
treatedjust like the sample, indicates possible
sources of contamination.
FR: See Federal Register (FR).
Friction surface: Any interior or exterior
surface, such as a window or stair tread,
subject to abrasion or friction.
Generator: Any person whose act or operation
produces hazardous waste identified or listed in
40 CFR Part 261 or whose act causes a hazard-
ous waste to come under regulation (40 CFR
260.10).
Generator identification number: The unique
number assigned by EPA to each generator;
transporter of hazardous waste; and treatment,
storage, or disposal facility.
Hazardous waste: As defined in EPA regula-
tions (40 CFR 261.3), hazardous waste is solid
waste or a combination of solid wastes that be-
cause of its quantity; concentration; or physical,
chemical, or infectious characteristics may
cause or significantly contribute to increases
in mortality, serious and irreversible or inca-
pacitating but reversible illnesses, or pose a
substantial present or potential hazard to hu-
man health or the environment when improp-
erly treated, stored, transported, or disposed.
As defined in the regulations, solid waste is
hazardous if it meets one of four conditions:
(1) exhibits a characteristic of hazardous waste
{40 CFR Sections 261.20 through 262.24); (2)
has been listed as hazardous (40 CFR Section
261.31 through 261.33); (3) is a mixture con-
taining a listed hazardous waste combined with
a nonhazardous solid waste, unless the mixture
is specifically excluded or no longer exhibits
any of the characteristics of hazardous waste;
and (4) is not excluded from regulation as haz-
ardous waste. For lead-based paint abatement
G-5
♦:♦ ---------------Glossary---------------
G-6
waste, hazardous waste is waste that contains
more than 5 ppm of leachable lead as deter-
mined by the TCLP test, or is waste that is
corrosive, ignitable, or reactive and not other-
wise excluded.
Hazardous Waste Manifest: See Manifest.
Heat gun: A device capable of heating lead-
based paint causing it to separate from the
substrate. For lead hazard control work, the
heat stream leaving the gun should not ex-
ceed 1,100 °F (some authorities may use a
different temperature).
HEPA filter: See High-Efficiency Particulate
Air (HEPA} filter.
HEPA/wet wash/HEPA cycle: The cleaning
cycle that begins with HEPA vacuuming, fol-
lowed by a wet wash with a lead-specific clean-
ing agent, such as trisodium phosphate deter-
gent or another liquid cleaning agent, followed
by a final pass with a HEPA vacuum over the
surface.
High-Efficiency Particulate Air (HEPA)
filter: A filter capable of removing particles
of 0.3 microns or larger from air at 99.97
percent or greater efficiency.
High phosphate detergent: See Trisodium
phosphate (TSP) detergent.
Impact surface: An interior or exterior surface
(such as surfaces on doors) subject to damage
by repeated impact or contact.
Incinerator: An enclosed device using con-
trolled flame combustion that neither meets
the criteria for classification as a boiler nor is
I isted as an industrial furnace.
Industrial hygienist: A person having a col-
lege or university degree in engineering, chem-
istry, physics, medicine, or a related physical
or biological science who, by virtue of special
training, is qualified to anticipate, recognize,
evaluate, and control environmental and occu-
pational health hazards and the impact of those
hazards on the community and workers.
In-place management: See Interim controls.
Inspection (of paint): A surface-by-surface
investigation to determine the presence of
lead-based paint (in some cases including dust
and soil sampling) and a report of the results.
Inspector: An individual who has completed
training from an accredited program and
been I icensed or certified by the appropriate
State or local agency to (1) perform inspec-
tions to determine and report the presence of
lead-based paint on a surface-by-surface basis
through onsite testing, (2) report the findings
of such an inspection, (3) collect environmen-
tal samples for laboratory analysis, (4) perform
clearance testing, and (5) document successful
compliance with lead-based paint hazard con-
trol requirements or standards.
Interim controls: A set of measures designed
to temporarily reduce human exposure or pos-
sible exposure to lead-based paint hazards. Such
measures include specialized cleaning, repairs,
maintenance, painting, temporary containment,
and management and resident education pro-
grams. Monitoring, conducted by owners, and
reevaluations, conducted by professionals, are
integral elements of interim control. Interim
controls include dust removal; paint fi Im stabi li-
zation; treatment of friction and impact sur-
faces; installation of soil coverings, such as grass
or sod; and land-use controls. See also Monitor-
ing, Reevaluation, and Abatement.
Interior window sill: The portion of the hori-
zontal window ledge that protrudes into the in-
terior of the room, adjacent to the window sash
when the window is closed; often called the
window stool.
Investigation (pertaining to EBL case): The
process of determining the source of lead ex-
posure for a child or other resident with an el-
evated blood lead level. Investigation consists
of administration of a questionnaire, compre-
hensive environmental sampling, case manage-
ment, and other measures.
♦:♦ --------------Glossary
Investigator: A person who conducts an inves-
tigation of a dwelling where a resident has an
elevated blood lead level. The investigator must
be proficient in interviewing techniques, envi-
ronmental sampling, and the interpretation of
risk assessment and environmental sampling
data.
Laboratory analysis: A determination of the
lead content by atomic absorption spectros-
copy, inductively coupled plasma emission
spectroscopy, or laboratory-based K or L
x-ray fluorescence, or an equivalent method.
Landfill: A State-licensed or State-permitted
disposal facility that meets municipal solid
waste standards (see Federal regulations at
40 CFR 258).
Landfill liner: A continuous layer of natural
or synthetic materials placed beneath and
sometimes around a surface impoundment,
landfill, or landfill eel I. The layer restricts the
downward or lateral escape of hazardous waste,
hazardous waste constituents, or leachate
(40 CFR Part 258).
Latex: A waterborne emulsion paint made with
synthetic binders, such as 100-percent acrylic,
vinyl acrylic, terpolymer, or styrene acrylic; a
stable emulsion of polymers and pigment in
water.
Lead: Lead includes metallic lead and inorganic
and organic compounds of lead.
Lead-based paint: Any paint, varnish, shellac,
or other coating that contains lead equal to or
greater than 1.0 mg/cm2 as measured by XRF
or laboratory analysis, or 0.5 percent by weight
(5,000 µg/g, 5,000 ppm, or 5,000 mg/kg) as mea-
sured by laboratory analysis. (Local definitions
may vary.)
Lead-based paint hazard: A condition in which
exposure to lead from lead-contaminated dust,
lead-contaminated soil, or deteriorated lead-
based paint would have an adverse effect on
human health (as established by the EPA Ad-
ministrator under Title IV of the Toxic Sub-
stances Control Act). Lead-based paint hazards
include for example, deteriorated lead-based
paint, leaded dust levels above applicable stan-
dards, and bare leaded soil above applicable
standards.
Lead-based paint hazard control: Activities to
control and eliminate lead-based paint hazards,
including interim controls, abatement, and
complete abatement.
Lead-based paint abatement planner/designer:
An individual who has completed an accred-
ited training program on planning and design-
ing lead-based paint abatement projects.
Lead-based paint abatement worker: See
Worker.
Lead carbonate: A pigment used in some lead-
based paints as a hiding agent; also known as
white lead.
Lead-contaminated dust: Surface dust in resi-
dences that contains an area or mass concen-
tration of lead in excess of the standard estab-
1 ished by the EPA Administrator, pursuant to
Title IV of the Toxic Substances Control Act.
Until the EPA standards are set, the HUD-
recommended clearance and risk assessment
standards for leaded dust are 100 µg/ft2 on
floors, 500 µg/ft2 on interior window sills,
and 800 µg/ft2 on window troughs. The re-
commended standard for lead hazard screens
for floors is 50 µg/ft2 and for window troughs
is 400 µg/ft2 .
Lead-contaminated soil: Bare soil on residen-
tial property that contains lead in excess of the
standard established by the EPA Administrator,
pursuant to Title IV of the Toxic Substances
Control Act. The HUD-recommended stan-
dard and interim EPA guidance is 400 µg/g for
high-contact play areas and 2,000 µgig in other
bare areas of the yard. Soi I contaminated with
lead at levels greater than or equal to 5,000 µgig
should be abated by removal or paving.
Lead-free dwelling: A lead-free dwelling con-
tains no lead-based paint and has interior dust
and exterior soil lead levels below the appli-
cable HUD and EPA standards.
G-7
♦:♦--------------Glossary
G-8
Lead hazard screen: A means of determining
whether residences in good condition should
have a full risk assessment. Also called a risk
assessment screen.
Lead-poisoned child: A child with a single
blood lead level that is greater than or equal
to 20 µg/dL or consecutive blood lead levels
greater than or equal to 15 µg/dl. Local def-
initions may vary.
Lead-specific detergent: A cleaning agent
manufactured specifically for cleaning and
removing leaded dust or other lead
contamination.
Leaded dust: See Lead-contaminated dust.
Leaded zinc: A paint primer made from zinc
oxide and lead sulfates.
Licensed: Holding a valid license or certifica-
tion issued by EPA or by an EPA-approved
State program pursuant to Title IV of the
Toxic Substances Control Act. The license
is based on certification for lead-based paint
hazard control work. See also Certified.
Listed waste: A hazardous waste that has
been placed on one of three lists developed
by EPA: nonspecific source wastes, specific
source wastes, and commercial chemical prod-
ucts. The lists were developed by examining
different types of waste and chemical products
to determine if they exhibited one of the four
characteristics of hazardous waste (toxicity,
corrosivity, ignitability, or reactivity), met the
statutory definition of hazardous waste, were
acutely toxic or acutely hazardous, or were
otherwise toxic.
Maintenance: Work intended to maintain ad-
equate living conditions in a dwelling, which
has the potential to disturb lead-based paint
or paint that is suspected of being lead-based.
Manifest: The shipping document (EPA Form
8700-22 or a comparable form required by the
State or locality) used for identifying the quan-
tity, composition, origin, routing, and destina-
tion of hazardous waste during its transport
from the point of generation to the point of
treatment, storage, or disposal. Also, a shipping
document used to keep track of items being
transported. All hazardous waste must be
accompanied by a manifest. See Hazardous
waste.
Mat: See Walk-off mat.
Matrix blank: A sample of the matrix (paint
chips, soil, or dust) that does not contain the
analyte lead. This sample goes through the
complete analysis, including digestion.
MDL: See Method detection limit (MDL).
Mean: The arithmetic average of a series of nu-
merical data values; for example, the algebraic
sum of the data values divided by the number
of data values.
Medical removal: The temporary removal of
workers from the job because of the occurrence
of elevated blood lead levels as defined in the
OSHA Lead Exposure in Construction standard
(29 CFR 1926.62).
Method blank: See Digestion blank.
Method detection limit (MDL): The minimum
concentration of an analyte that, for a given
matrix and method, has a 99-percent probabil-
ity of being identified, qualitatively or quantita-
tively measured, and reported to be greater than
zero.
mg: Milligram; 1/1,000 of a gram.
Microgram: See µg.
Mil: 1/1,000 of an inch; used to measure
thickness.
Milligram: See mg.
Monitoring: Surveillance to determine (1) that
known or suspected lead-based paint is not de-
teriorating, (2) that lead-based paint hazard
controls, such as paint stabilization, enclosure,
or encapsulation have not failed, (3) that struc-
tural problems do not threaten the integrity
of hazard controls or of known or suspected
♦:♦ --------------Glossary
lead-based paint, and (4) that dust lead levels
have not risen above applicable standards.
There are two types of monitoring activities;
visual surveys by property owners and reevalua-
tions by certified risk assessors. Visual surveys
are generally conducted annually for the pur-
pose of making the first three determinations
listed above. Reevaluations are conducted in
accordance with the Standard Reevaluation
Schedule {or more frequently, if needed) for
the purpose of making all four determinations.
Monitoring is not required in properties known
to be free of lead-based paint. See also Reevalu-
ation and Standard reevaluation schedule.
Monofil: A State-approved landfill that accepts
only construction debris.
Mouthable surface: See Chewed surface.
Multifamily housing: Housing that contains
more than one dwelling unit per location.
NLLAP requirements: Requirements, specified
by the EPA National Lead Laboratory Accredi-
tation Program (NLLAP), for accreditation for
the lead analysis of paint, soil, and dust matrixes
by an EPA-recognized laboratory accreditation
organization.
Offsite paint removal: The process of removing
a component from a building and stripping the
paint from the component at an offsite paint-
stripping facility.
Ongoing monitoring: See Monitoring.
Owner: A person, firm, corporation, guardian,
conservator, receiver, trustee, executor, govern-
ment agency or entity, or other judicial officer
who, alone or with others, owns, holds, or con-
trols the freehold or leasehold title or part of
the title to property, with or without actually
possessing it. This definition includes a vendee
who possesses the title, but does not include a
mortgagee or an owner of a reversionary interest
under a ground rent lease.
Oxidation: A chemical reaction that occurs
upon exposure to oxygen. Some coatings cure
by oxidation; oxygen enters the liquid coating
and crosslinks (attaches) the resin molecules.
This film-forming method is also called "air
cure" or "air dry." Oxidation also causes rust
to form on metals and paint to chalk.
Paint film stabilization: The process of wet
scraping, priming, and repainting surfaces
coated with deteriorated lead-based paint;
paint film stabilization includes cleanup and
clearance.
Paint removal: An abatement strategy that
entails the removal of lead-based paint from
surfaces. For lead hazard control work, this
can mean using chemicals, heat guns below
1,100 °F, and certain contained abrasive meth-
ods. Open flame burning, open abrasive blast-
ing, sandblasting, water blasting, and extensive
dry scraping are prohibited paint removal meth-
ods. (Methylene chloride paint removers and
dry scraping are also not recommended.)
Patch test: A test method or procedure to
assess the adhesion of an encapsulant coating
to a substrate covered with a layer or layers
of lead-based paint.
Personal breathing zone samples: Air samples
collected from the breathing zone of a worker
(within a 1-foot radius of the worker's mouth)
but outside the respirator. The samples are
collected with a personal sampling pump oper-
ating at 2 liters per minute, drawing air through
a 37 mm mixed cellulose ester filter housed
in a closed-face cassette with a pore size of
0.8 microns. See Exposure monitoring.
Personal Protective Equipment (PPE): Equip-
ment for protecting the eyes, face, head, and/or
extremities; includes protective clothing, respir-
atory devices, and protective shields; used when
hazards capable of causing bodily injury or im-
pairment are encountered.
G-9
♦:♦ --------------Glossary
G-10
PHA: See Public Housing Agency (PHA).
Pigment: Insoluble, finely ground materials
that give paint its properties of color and hide.
Pigment Volume Concentration (PVC): Pig-
ment volume as a percentage of the total non-
volatile ingredients.
Pilot project: In multifamily housing, the test-
ing of a lead-based paint hazard control strategy
on a limited number of dwellings, usually those
that are vacant, to determine the feasibility of
carrying out such a strategy in the entire multi-
family housing development; usually involves
paint testing, air sampling, wipe sampling,
worksite preparation, and a variety of lead-
based paint hazard control treatments.
Plastic: See Polyethylene plastic.
Polyethylene plastic: All references to poly-
ethylene plastic refer to 6-mil plastic sheeting
or polyethylene bags (or doubled bags if using
4-mil polyethylene bags), or any other thick
plastic material shown to demonstrate at least
equivalent performance. Plastic used to contain
waste should be capable of completely contain-
ing the waste and, after being properly sealed,
should remain leak-tight with no visible signs
of discharge during movement or relocation.
Polyurethane: An exceptionally hard and
wear-resistant coating created by the reaction
of polyols with a multifunctional isocyanate;
often used to seal wood floors following lead-
based paint hazard control work and cleaning.
Precision: The degree to which a set of observa-
tions or measurements of the same property,
usually obtained under similar conditions,
conform to themselves; a data quality indi-
cator. Precision is usually expressed in either
absolute or relative terms as standard devi-
ation, variance, or range. Often known as
"reproducibility."
Primary prevention: The process of controlling
lead hazards to prevent exposure before a child
is poisoned. See Secondary prevention and
Tertiary prevention.
Primary standard: A substance or device with
a property or value that is unquestionably ac-
cepted, within specified limits, in establishing
the value of the same or related property of
another substance or device.
Public Housing Agency (PHA): Any State,
county, municipality, or other government en·
tity or public body, or agency or instrumentality
thereof, authorized to engage or assist in the
development or operation of housing for low-
income families.
PVC: See Pigment Volume Concentration
(PVC).
Quality Assurance (QA): An integrated sys-
tem of activities involving planning, quality
control, quality assessment, reporting, and
quality improvement to ensure that a product
or service meets defined standards of quality
within a stated level of confidence.
Quality Control (QC): The overall system of
technical activities whose purpose is to measure
and control the quality of a product or service
so that it meets the needs of users. The aim is
to provide a level of quality that is satisfactory,
adequate, dependable, and economical.
Random sample: A sample drawn from a popu-
lation in a way that allows each member of the
population to have an equal chance of being
selected, Random sampling is a process used
to identify locations for the lead-based paint
inspections in multifamily dwellings. See also
Targeted sample and Worst-case sample.
RCRA: See Resource Conservation and
Recovery Act (RCRA).
Reevaluation: In lead hazard control work, the
combination of a visual assessment and collec-
tion of environmental samples performed by a
certified risk assessor to determine if a previ-
ously implemented lead-based paint hazard con-
trol measure is still effective and if the dwelling
remains lead-safe.
♦:♦ -------------Glossary
Reference material: A material or substance
that has at least one sufficiently well established
property that can be used to calibrate an appa-
ratus, assess a measurement method, or assign
values to materials.
Reinspection: See Reevaluation.
Removal: See Paint removal.
Renovation: Work that involves construction
and/or home or building improvement measures
such as window replacement, weatherization,
remodeling, and repainting.
Replacement: A strategy of abatement that en-
tails the removal of building components coated
with lead-based paint (such as windows, doors,
and trim) and the installation of new compo-
nents free of lead-based paint.
Representative sample: A sample of a uni-
verse or whole (e.g., waste sample pile, lagoon,
groundwater, or waste stream) that can be ex-
pected to exhibit the average properties of the
entire universe or whole.
Resident: A person who lives in a dwelling.
Resource Conservation and Recovery Act
(RCRA): The primary Federal statute govern-
ing waste management from generation to dis-
posal. RCRA defines the criteria for hazardous
and nonhazardous waste.
Risk assessment: An onsite investigation of a
residential dwelling to discover any lead-based
paint hazards. Risk assessments include an in-
vestigation of the age, history, management,
and maintenance of the dwelling, and the num-
ber of children under age 6 and women of child-
bearing age who are residents; a visual assess-
ment; limited environmental sampling (i.e.,
collection of dust wipe samples, soil samples,
and deteriorated paint samples); and prepara-
tion of a report identifying acceptable abate-
ment and interim control strategies based on
specific conditions.
Risk assessment screen: A type of risk assess-
ment performed only in buildings in good con-
dition using fewer samples but more stringent
evaluation criteria (standards) to determine
lead hazards.
Risk assessor: A certified individual who has
completed training with an accredited training
program and who has been certified to (1) per-
form risk assessments, (2) identify acceptable
abatement and interim control strategies for
reducing identified lead-based paint hazards,
(3) perform clearance testing and reevaluations,
and ( 4) document the successful completion
of lead-based paint hazard control activities.
Sample site: A specific spot on a surface being
tested for lead concentration.
Saponification: The chemical reaction between
alkalies and oil that produces a type of soap.
Because of saponification, oil and alkyd coat-
ings will not adhere to masonry substrates,
galvanized metals, or zinc-rich primers. Also
a form of incompatibility between types of
coatings.
Screen: See Risk assessment screen or Lead
hazard screen.
Screening: The process of testing children to
determine if they have elevated blood lead
revels.
Secondary prevention: The process of identi-
fying children who have elevated blood lead
levels through screening and controlling or
eliminating the sources of further exposure.
See also Primary prevention and Tertiary
prevention.
SEL: See Substrate Equivalent Lead (SEL).
Site: The land or body of water where a facility
is located or an activity is conducted. The site
includes adjacent land used in connection with
the facility or activity.
G-11
♦:♦ --------------Glossary
G-12
Small-quantity generator: Owners, contractors
{generators), or both who produce less than
100 kg of hazardous waste per month and accu-
mulate less than 100 kg of hazardous waste at
any one time, or who produce less than 1 kg of
acutely hazardous waste per month and accumu-
late less than 1 kg of acutely hazardous waste at
any one time.
Soil: See Bare soil.
Solid waste: As defined by RCRA, the term
so/id waste means garbage; refuse; sludge from a
waste treatment plant, water supply treatment
plant, or air pollution control facility; or other
discarded materials, including solid, liquid,
semisolid, or contained gaseous material result-
ing from industrial, commercial, mining, and
agricultural operations or from community ac-
tivities. The term does not include solid or dis-
solved material in domestic sewage or solid or
dissolved material in irrigation return flows or
industrial discharges (which are point sources
subject to permits under the Clean Water Act),
nor does the term include special nuclear or
byproduct material as defined by the Atomic
Energy Act of 1954.
Spectrum analyzer: A type of XRF analyzer
that provides the operator with a plot of the
energy and intensity, or counts of both K
and L x-ray spectra, as well as a calculated
lead concentration. See also XRF analyzer.
Spiked matrix: See Spiked sample.
Spiked sample: A sample prepared by adding a
known mass of the target analyte (e.g., leaded
dust) to a specific amount of matrix sample
(e.g., one dust wipe) for which an independent
estimate of the target analyte concentration
is avai I able. Spiked samples are used to deter-
mine, for example, the effect of the matrix on
a method's recovery efficiency. See also Blind
sample.
Spot-prime: To apply a paint primer to localized
areas of exposed substrate.
Standard deviation: A measure of the precision
of a reading; the spread of the deviation from
the mean. The smaller the standard deviation,
the more precise the analysis. The standard
deviation is calculated by first obtaining the
mean, or the arithmetic average, of all of the
readings. A formula is then used to calculate
how much the individual values vary from the
mean-the standard deviation is the square root
of the arithmetic average of the squares of the
deviation from the mean. Many hand calcula-
tors have an automatic standard deviation
function. See also Mean.
Standard reevaluation schedule (SRS): A
schedule that determines the frequency that
reevaluations should be performed on a
property.
Standard reference material ($RM): A
certified reference material produced by the
National Institute of Standards and Technol-
ogy (U.S. Department of Commerce) and
characterized for absolute content indepen-
dent of analytical method. See also Certified
reference material.
Subsample: A representative portion of a
sample. A subsample may be either a field
sample or a laboratory sample. A subsample
is often combined with other subsamples to
produce a composite sample. See also Com-
posite sample.
Substrate: A surface on which paint, varnish,
or other coating has been applied or may be
applied. Examples of substrates include wood,
plaster, metal, and drywall.
Substrate effect: The radiation returned to
an XRF analyzer by the paint, substrate, or un-
derlying material, in addition to the radiation
returned by any lead present. This radiation,
when counted as lead x-rays by an XRF analyzer
contributes to substrate equivalent lead (bias).
The inspector may have to compensate for this
effect when using XRF analyzers. See also XRF
analyzer.
•:• --------------Glossary
Substrate Equivalent Lead (SEL): The XRF
measurement taken on an unpainted surface;
used to calculate the corrected lead concentra-
tion on a surface by using the following for-
mula: Apparent Lead Concentration-Substrate
Equivalent Lead= Corrected Lead Concentra-
tion. See also Apparent Lead Concentration
(ALC), Corrected Lead Concentration
(CLC), and XRF analyzer.
Target housing: Any residential unit con-
structed before 1978, except dwellings that do
not contain bedrooms or dwellings that were
developed specifically for the elderly or persons
with disabilities-unless a child younger than 6
resides or is expected to reside in the dwelling.
In the case of jurisdictions that banned the sale
or use of lead-based paint before 1978, the Sec-
retary of HUD may designate an earlier date for
defining target housing.
Targeted sample: A sample of dwelling units
selected from an apartment building or housing
development using information supplied by the
owner. The units selected are likely to have the
greatest probability of containing lead-based
paint hazards. A targeted sample is usually se-
lected for performing risk assessments in multi-
family housing when it is not possible to select a
worst-case sample. See also Worst-case sample
and Random sample.
TCLP: See Toxicity Characteristic Leaching
Procedure (TCLP).
Tertiary prevention: Providing medical treat-
ment to children with elevated blood lead
levels to prevent more serious injury or death.
Testing combination: A unique surface to be
tested that is characterized by the room equiva-
lent, component, substrate, and visible color.
Test location: A specific area on a testing com-
bination where XRF instruments will test for
lead-based paint.
Toxicity Characteristic Leaching Procedure
(TCLP): A laboratory test to determine if ex-
cessive levels of lead or other hazardous materi-
als could leach from a sample into groundwater;
usually used to determine if waste is hazardous
based on its toxicity characteristics.
Trained: Successful completion ofa training
course in a particular discipline. For lead hazard
control work, the training course must be ac-
credited by EPA or by an EPA-approved State
program, pursuant to Title IV of the Toxic Sub-
stances Control Act.
Transporter: A person who transports hazard-
ous waste, requiring a manifest under 40 CFR
Part 260.10, within the United States by air,
rail, highway, or water.
Treatment: In residential lead-based paint
hazard control work, any method designed to
control lead-based paint hazards. Treatment
includes interim controls, abatement, and
removal. Hazardous waste "treatment" is a
method, technique, or process (such as neutral-
ization) that is designed to change the physical,
chemical, or biological character or composi-
tion of hazardous waste to neutralize it; render
it nonhazardous or less hazardous; recover it;
make it safer to transport, store, or dispose; or
allow for easier recovery, storage, or volume
reduction.
Treatment, Storage, and Disposal (TSO)
facility: A facility licensed to handle hazardous
waste.
Trisodium phosphate (TSP) detergent: A
detergent that contains trisodium phosphate.
Trough: See Window trough.
Truck-mounted vacuum unit: A vacuum sys-
tem whose components, except for hoses and
attachments, are located outside the building
undergoing dust removal. The exhaust is vented
outside so that the interior dust is not disturbed.
TSO: See Treatment, Storage, and Disposal
(TSD) facility.
TSP: See Trisodium phosphate (TSP)
detergent.
µg (or ug): Micrograms. The prefix micro-
means 1/1,000,000 (or one-millionth); a micro-
gram is 1/1,000,000 of a gram and 1/1,000 of
a milligram; equal to about 35/1,000,000,000
(35 billionths) of an ounce (an ounce is equal
to 28,400,000 µg).
G-13
G-14
Glossary
Urethane-modified alkyd: An alkyd molecule
that has been chemically modified by the incor-
poration of a urethane; a coating, often a var-
nish, that uses a urethane-modified alkyd resin
in the binder.
Useful life: The life expectancy of a coating
before it requires refinishing or some other
form of maintenance.
voe: See Volatile Organic Compound
(VOC).
Volatile Organic Compound (VOC): Sub-
stances that vaporize or evaporate from a
coating during the coating or curing process.
Walk-off mat: A washable, fibrous material
(preferably with a rubber or vinyl backing)
positioned at main entryways to reduce trans-
port of lead dust and lead soil into a building
or residence.
White lead: A white pigment, usually lead
carbonate. See also Lead carbonate.
Window sill: See Interior window sill.
Window stool: See Interior window sill.
Window trough: For a typical double-hung
window, the portion of the exterior window si 11
between the interior window sill (or stool) and
the frame of the storm window. If there is no
storm window, the window trough is the area
that receives both the upper and lower window
sashes when they are both lowered. Sometimes
inaccurately called the window "well." See also
Window well.
Window well: The space that provides exterior
access and/or light to a window that is below
grade, i.e., below the level of the surrounding
earth or pavement. See also Window trough.
Worker: An individual who has completed
training in an accredited program to perform
lead-based paint hazard control in housing.
Worksite: Any interior or exterior area where
lead-based paint hazard control work takes
place.
Worksite preparation level: A set of measures
designed to protect residents and the environ-
ment from leaded dust, paint chips, or other
forms of lead contamination through the erec-
tion of barriers and the establishment of access
control, resident relocation or movement re-
strictions, warning signs, ventilation, and other
measures.
Worst-case sample: A sample of dwelling units
having the greatest probability of containing
lead-based paint hazards selected by a risk asses-
sor on the basis of a visual examination of all
dwelling units in a housing development or
apartment building. See also Targeted sample
and Random sample.
XRF analyzer: An instrument that determines
lead concentration in milligrams per square
centimeter (mg/cm2) using the principle of
x-ray fluorescence (XRF). Two types of XRF
analyzers are used-direct readers and spectrum
analyzers. In these Guidelines, the term XRF
analyzer only refers to portable instruments
manufactured to analyze paint, and does not
refer to laboratory-grade units or portable
instruments designed to analyze soil.
Appendix 4
Inspector Certification
STATE OF CALIFORNIA
DEPARTMENT OF PUBLIC HEAL TH
LEAD-RELATED CONSTRUCTION CERTIFICATE
INDIVIDUAL:
Michelle Ehresman
CERTIFICATE TYPE:
Lead Inspector/ Assessor
Lead Project Monitor
NUMBER:
LRC-00000459
LRC-00000458
EXPIRATION DA TE:
5/16/2021
5/16/2021
Disclaimer: This document alone should not be relied upon to confinn certification status. Compare the individual's photo and name to another valid form of
government issued photo identification. Verify the individual's certification status by searching for Lead-Related Construction Professionals at
www.cdph.ca.gov/programs/clppb or calling (800) 597-LEAD.
Appendix 5
CDPH 8552 Inspection Form
State of CaMfomla-Health and Human Services Agency Califomla Department of Pubic Health
LEAD HAZARD EVALUATION REPORT
Section 1 -Date of Lead Hazard EvaluaUon 616/2020 --------
Section 2 -lype of Lead Hazard Evalu.Uon (Check one box only)
E] Lead Inspection D Risk assessment D Clearance Inspection D Other (specify) __________ _
Section 3 -Structure Where Lead Hazard Evaluation Was Conducted
Address [number, street, apartment (If applicable)] Qty County ~Code
265 Chinquapin Avnene Carlsbad San Diego 92008
Construction date (year)
of structure Type of structure Otien MlQ in structure?
Multi~nit bulking D School or daycare 0 Yes 0 No
1953 0 Single family dweling □ Olher Oon1Know
Section 4 -Owner of Structure (If business/agency, list conlact person)
Name Telephone number
c/o Alena Blasio (B.A. Worthing, Inc.) (760) 729-3965
Address [number, street, apartment (If applcable)] Qty State ~Code
5145 Avenida Encinas Street Carlsbad CA 92104
Section 5 -Results of Lead Hazard Evaluation (check all that apply)
0 No lead-based paint detected 0 Intact lead-based pai1t detected D Deteriorated lead-based paint detected
D No lead hazards detected D Leac:k:ontaminated dust found D Lead~nated soil found D Other ______ _
Section 6 -lndlvldual ConducUng Lead Hazard Evaluation
Name
Michelle Ehresman
Address [number, street, apartment (If applicable)] Qty
6295 Ferris Sq. Ste. C San Diego
CDPH oef1ification number Slgnalun,
0459
Name and COPH certification number of any other individuals
Section 7 -Attachments
Telephone number
858-537-3999
State
CA
~Code
92121
0..
6/19/20
A. A foundation diagram or sketch of the structure indicating the specifc locations of each lead hazard or presence of
lead-based paint;
8. Each testing method, device, and sampling procedure used;
C. Al data collected, including quality control data, laboratory resulls, including laboratory name, address, and phone number.
Fll'St oopy and attachments retained by inspector
Second oopy and attachments retained by owner
CDl'lt ISSl (61117)
1hin:I oopy only (no attachments) malled or faxed to:
Califomia Department of Public Health
Childhood Lead Poisoning Prevention Branch Reports
850 Marina Bay Parkway, Building P, Third Floor
Flictwnond, CA 94804-6403
Fax: (510) 620-5656
App ndix 6
Renovate Right
CAUTION CAUTION
/,...,.,Q,,
1.11;\
\, ... It~ .. /
&EPA
1-800-424-lEAD (5323)
www.epa.gov/getleadsafe
EPA-740-K-10-001
Ap1112010
G
LWAR
LEADWO
POIS
NOSH OREA
CAUTION
rtant lead hazard info
child care provide
IT'S THE LAW!
Federal law requires contractors that disturb painted surfaces
in homes, child care facilities and schools, built before 1978 to
be certified and follow specific work practices to prevent lead
contamination. Always ask to see your contractor's certification.
Federal law requires that individuals receive certain information
before renovating more than six square feet of pa inted surfaces
in a room for interior projects or more than twenty square feet of
painted surfaces for exterior projects or window replacement
or demolition in housing, child care facilities and schools built
before 1978.
• Homeowners and tenants: renovators must give you this
pamphlet before starting work.
• Child care facilities, including preschools and kindergarten
classrooms, and the families of children under six years of age
that attend those facilities: renovators must provide a copy
of this pamphlet to child care facilities and general renovation
information to families whose children attend those facilities.
WHO SHOULD READ THIS PAMPHLET?
This pamphlet is for you if you:
• Reside in a home built before 1978.
• Own or operate a child care facility, including preschools and kindergarten
classrooms, built before 1978, or
• Have a child under six years of age who attends a child care facility built before 1978.
You will learn:
• Basic facts about lead and your health.
• How to choose a contractor, if you are a property owner.
• What tenants, and parents/guardians of a child in a child care facility or school
should consider.
• How to prepare for the renovation or repair job.
• What to look for during the job and aher the job is done.
, Where to get more information about lead.
This pamphlet is not for:
• Abatement projects. Abatement is a set of activities aimed specifically at
eliminating lead or lead hazards. EPA has regulations for certification and training of
abatement professionals. If your goal is to eliminate lead or lead hazards, contact the
National Lead Information Center at 1·800-424-LEAD (S323) for more information.
• •co-it-yourself" projects. If you plan to do renovation work yourself, this document
is a good start, but you will need more information to complete the work safely. Call
the National Lead Information Center at 1-800-424-LEAD (5323) and ask for more
information on how to work safely
in a home with lead-based paint.
• Contractor education. Contractors
who want information about working
safely with lead should contact
the National Lead Information
Center at 1-800-424-LEAD (5323)
for information about courses and
resources on lead-safe work practices.
2
RENOVATING, REPAIRING, OR PAINTING?
• Is your home, your building, or the child care facility
or school your children attend being renovated,
repaired, or painted?
• Was your home, your building, or the child care facility
or school where your children under six years of age
attend built before 1978?
If the answer to these questions is YES, there are a
few important things you need to know about
lead-based paint.
This pamphlet provides basic facts about lead and
information about lead safety when work is being
done in your home, your building or the child care
facility or school your children attend.
The Facts About Lead
• Lead can affect children's brains and developing nervous systems, causing reduced
IQ, learning disabilities, and behavioral problems. Lead is also harmful to adults.
• Lead in dust is the most common way people are exposed to lead. People can also
get lead in their bodies from lead in soil or paint chips. Lead dust is often invisible.
• Lead-based paint was used in more than 38 million homes until it was banned for
residential use in 1978.
• Projects that disturb painted surfaces can create dust and endanger you and your
family. Don't let this happen to you. Follow the practices described in this pamphlet
to protect you and your family.
LEAD AND YOUR HEALTH
Lead is especially dangerous to children
under six years of age.
Lead can affect children's brains and developing
nervous systems, causing:
• Reduced IQ and learning disabilities.
• Behavior problems.
Even children who appear healthy can have
dangerous levels of lead in their bodies.
Lead is also harmful to adults. In adults, low levels
of lead can pose many dangers, including:
• High blood pressure and hypertension.
• Pregnant women exposed to lead can transfer lead to their fetuses. Lead gets into
the body when it is swallowed or inhaled.
• People, especially children, can swallow lead dust as they eat, play, and do other
normal hand-to-mouth activities.
• People may also breathe in lead dust or fumes if they disturb lead-based paint.
People who sand, scrape, burn, brush or blast or otherwise disturb lead-based
paint risk unsafe exposure to lead.
What should I do if I am concerned about my family's exposure to lead?
• Call your local health department for advice on reducing and eliminating
exposures to lead inside and outside your home, child care facility or school.
• Always use lead-safe work practices when renovation or repair will disturb
painted surfaces.
• A blood test is the only way to find out if you or a family member already has lead
poisoning. Call your doctor or local health department to arrange for a blood test.
For more information about the health effects of exposure to lead, visit the EPA lead
website at www.epa.gov/lead/pubs/leadinfo.htm or call 1-800-424-LEAD (S323).
There are other things you can do to protect yourfamily every day.
• Regularly clean floors, window sills, and other surfaces.
• Wash children's hands, bottles, pacifiers, and toys often.
• Make sure children eat a healthy, nutritious diet consistent with the USDA's dietary
guidelines, that helps protect children from the effects of lead.
• Wipe off shoes before entering house.
3
4
WHERE DOES THE LEAD COME FROM?
Dust is the main problem.
The most common way to get lead in the body is from dust. Lead dust comes from
deteriorating lead-based paint and lead-contaminated soil that gets tracked into
your home. This dust may accumulate to unsafe levels. Then, normal hand to-mouth
activities, like playing and eating (especially in young children), move that dust from
surfaces like floors and window sills into the body.
Home renovation creates dust.
Common renovation activities like sanding, cutting, and demolition can create
hazardous lead dust and chips.
Proper work practices protect you from the dust.
The key to protecting yourself and your family during a renovation, repair or painting
job is to use lead-safe work practices such as containing dust inside the work area,
using dust-minimizing work methods, and conducting a careful cleanup, as described
in this pamphlet.
Other sources of lead.
Remember, lead can also come from outside soil, your water, or household items
(such as lead-glazed pottery and lead crystal). Contact the National Lead Information
Center at 1-800-424-LEAD (5323) for more information on these sources.
1/)
Gl E 0 J: -0
(I)
C)
<(
CHECKING YOUR HOME FOR LEAD-BASED PAINT
Percentage of Homes Likely to Contain Lead
Between
1960-1978 .fflAlAl 24%
Between
1940-1960
Before 1940
.fflAlAlAtlAlAl.fflAlAtl 69%
.aA1AtAtlAlAtl.fflAlAtl.ffl.ffl.ffl s7%
10 20 30 40 50 60 70 BO
Older homes, child care facilities, and schools are more likely to contain
lead-based paint.
90 100
Homes may be single-family homes or apartments. They may be private, government-
assisted, or public housing. Schools are preschools and kindergarten classrooms. They
may be urban, suburban, or rural.
You have the following options:
You may decide to assume your home, child care facility, or school contains lead.
Especially in older homes and buildings, you may simply want to assume lead-based
paint is present and follow the lead-safe work practices described in this brochure
during the renovation, repair, or painting job.
You can hire a certified professional to check for lead-based paint.
These professionals are certified risk assessors or inspectors, and can determine if
your home has lead or lead hazards ..
• A certified inspector or risk assessor can conduct an inspection telling you whether
your home, or a portion of your home, has lead-based paint and where it is located.
This will tell you the areas in your home where lead-safe work practices are needed.
• A certified risk assessor can conduct a risk assessment telling you if your home
currently has any lead hazards from lead in paint, dust, or soil. The risk assessor
can also tell you what actions to take to address any ha.zards.
, For help finding a certified risk assessor or inspector, call the National Lead
Information Center at 1-800-424-LEAD (5323).
You may also have a certified renovator test the surfaces or components being
disturbed for lead using a lead test kit. Test kits must be EPA-recognized and are
available at hardware stores. They include detailed instructions for their use.
5
6
FOR PROPERTY OWNERS
You have the ultimate responsibility for the safety of your family, tenants, or children
in your care.
This means properly preparing for the renovation and keeping persons out of the work
area (see p. 8). It also means ensuring the contractor uses lead-safe work practices.
Federal law requires that contractors performing renovation, repair and painting projects
that disturb painted surfaces in homes, child care facilities, and schools built before 1978
be certified and follow specific work practices to prevent lead contamination.
Make sure your contractor Is certified, and can explain clearly the details of the job
and how the contractor will minimize lead hazards during the work.
• You can verify that a contractor is certified by checking EPA's website at
epa.gov/getleadsafe or by calling the National Lead Information Center at
1-800-424-LEAD (5323). You can also ask to see a copy of the contractor's
firm certification.
• Ask if the contractor is trained to perform lead-safe work practices and to see a
copy of their training certificate.
• Ask them what lead-safe methods they will use to set up and perform the job in your
home, child care facility or school.
• Ask for references from at least three recent jobs involving homes built before 1978,
and speak to each personally.
Always make sure the contract is clear about how the work will be set up,
performed, and cleaned.
• Share the results of any previous lead tests with the contractor.
• You should specify in the contract that they follow the work practices described on
pages 9 and 10 of this brochure.
• The contract should specify which parts of your home are part of the work area and
specify which lead-safe work practices will be used in those areas. Remember, your
contractor should confine dust and debris to the work area and should minimize
spreading that dust to other areas of the home.
• The contract should also specify that the contractor will clean the work area, verify
that it was cleaned adequately, and re-clean it if necessary.
If you think a worker is not doing what he is supposed to do or is doing something
that is unsafe, you should:
, Direct the contractor to comply with regulatory and contract requirements.
• Call your local health or building department, or
• Call EPA's hotline 1-800-424-LEAD (5323).
If your property receives housing assistance from HUD (or a state or local agency that
uses HUD funds), you must follow the requirements of HUD's Lead-Safe Housing Rule
and the ones described in this pamphlet.
FOR TENANTS AND FAMILIES OF CHILDREN UNDER SIX
YEARS OF AGE IN CHILD CARE FACILITIES AND SCHOOLS
You play an important role ensuring the ultimate
safety of your family.
This means properly preparing for the renovation
and staying out of the work area (see p. 8).
Federal law requires that contractors performing
renovation, repair and painting projects that disturb
painted surfaces in homes built before 1978 and in
child care facilities and schools built before 1978, that
a child under six years of age visits regularly, to be
certified and follow specific work practices to prevent
lead contamination.
The law requires anyone hired to renovate, repair, or do
painting preparation work on a property built before
1978 to follow the steps described on pages 9 and 10 unless the area where the work
will be done contains no lead-based paint.
If you think a worker is not doing what he is supposed to do or is doing something
that is unsafe, you should:
• Contact your landlord.
• Call your local health or building department, or
• Call EPA's hotline 1-800-424-LEAD (5323).
If you are concerned about lead hazards left behind after the job is over, you can
check the work yourself (see page 10).
7
8
PREPARING FOR A RENOVATION
The work areas should not be accessible to occupants while the work occurs.
The rooms or areas where work is being done may need to be blocked off or sealed
with plastic sheeting to contain any dust that is generated. Therefore, the contained
area may not be available to you until the work in that room or area is complete,
cleaned thoroughly, and the containment has been removed. Because you may not
have access to some areas during the renovation, you should plan accordingly.
You may need:
• Alternative bedroom, bathroom, and kitchen arrangements if work is occurring in
those areas of your home.
• A safe place for pets because they too can be poisoned by lead and can track lead
dust into other areas of the home.
• A separate pathway for the contractor from the work area to the outside in order to
bring materials in and out of the home. Ideally, it should not be through the same
entrance that your family uses.
• A place to store your furniture. All furniture and belongings may have to be moved
from the work area while the work is being done. Items that can't be moved, such as
cabinets, should be wrapped in plastic.
• To turn off forced-air heating and air conditioning systems while the work is being
done. This prevents dust from spreading through vents from the work area to the
rest of your home. Consider how this may affect your living arrangements.
You may even want to move out of your home temporarily while all or part of the
work is being done.
Child care facilities and schools may want to consider alternative accommodations
for children and access to necessary facilities.
DURING THE WORK
Federal law requires contractors that are hired to perform renovation, repair and painting
projects in homes, child care facilities, and schools built before 1978 that disturb painted
surfaces to be certified and follow specific work practices to prevent lead contamination.
The work practices the contractor must follow include these three simple procedures,
described below:
1. Contain the work area. The area must be contained so that dust and debris do not escape
from that area. Warning signs must be put up and plastic or other impermeable material
and tape must be used as appropriate to:
• Cover the floors and any furniture that cannot be moved.
• Seal off doors and heating and cooling system vents.
These will help prevent dust or debris from getting outside the work area.
2. Avoid renovation methods that generate large amounts of lead-contaminated dust.
Some methods generate so much lead-contaminated dust that their use is prohibited.
They are:
• Open flame burning or torching.
• Sanding, grinding, planing, needle gunning,
or blasting with power tools and equipment
not equipped with a shroud and HEPA
vacuum attachment.
• Using a heat gun at temperatures greater
than 1100°F.
There is no way to eliminate dust, but some renovation methods make less dust than others.
Contractors may choose to use various methods to minimize dust generation, in duding
using water to mist areas before sanding or scraping; scoring paint before separating
components; and prying and pulling apart components instead of breaking them.
3. Clean up thoroughly. The work area should be cleaned up daily to keep it as clean as
possible. When all the work is done, the area must be cleaned up using special cleaning
methods before taking down any plastic that isolates the work area from the rest of the
home. The special cleaning methods should indude:
• Using a HEPA vacuum to clean up dust and debris on all surfaces, followed by
• Wet wiping and wet mopping with plenty of rinse water.
When the final deaning is done, look around. There should be no dust paint chips, or debris
in the work area. If you see any dust paint chips, or debris, the area must be re-cleaned.
9
10
FOR PROPERTY OWNERS: AFTER THE WORK IS DONE
When all the work is finished, you will want to know if your home, child care facility, or
school has been cleaned up properly. Here are some ways to check.
Ask about your contractor's final cleanup check. Remember, lead dust is often
invisible to the naked eye. It may still be present even if you cannot see it. The
contractor must use disposable cleaning cloths to wipe the floor of the work area
and compare them to a cleaning verification card to determine if the work area was
adequately cleaned.
To order a cleaning verification card and detailed instructions visit the EPA lead
website at www.epa.gov/lead or contact the National Lead Information Center at
1-800-424-LEAD (5323) or visit their website at www.epa.gov/lead/nlic.htm.
You also may choose to have a lead-dust test. Lead-dust tests are wipe samples sent
to a laboratory for analysis.
• You should specify in your contract that a lead-dust test will be done. In this case,
make it clear who will do the testing.
• Testing should be done by a lead professional.
If you choose to do the testing, some EPA-recognized lead laboratories will send you
a kit that allows you to collect samples and send them back to the lab for analysis.
Contact the National Lead Information Center at 1-800-424-LEAD (5323) for lists of
qualified professionals and EPA-recognized lead labs.
If your home, child care facility, or school fails the dust test, the area should be
re-cleaned and tested again.
Where the project is done by contract, it is a good idea to specify in the contract that
the contractor is responsible for re-cleaning if the home, child care facility, or school
fails the test.
FOR ADDITIONAL INFORMATION
You may need additional information on how to protect yourself and your children
while a job is going on in your home, your building, or child care facility.
The National Lead Information Center at 1-800-424-LEAD (5323) or
www.epa.gov/lead/nlic.htm can tell you how to contact your state, local, and/or
tribal programs or get general information about lead poisoning prevention.
• State and tribal lead poisoning prevention or environmental protection programs
can provide information about lead regulations
and potential sources of financial aid for reducing
lead hazards. If your state or local government has
requirements more stringent than those described in
this pamphlet, you must follow those requirements.
• Local building code officials can tell you the
regulations that apply to the renovation work that you
are planning.
• State, county, and local health departments can
provide information about local programs, including
assistance for lead-poisoned children and advice on
ways to get your home checked for lead.
The National Lead Information Center can also provide
a variety of resource materials, including the following
guides to lead-safe work practices. Many of these
materials are also available at
www.epa.gov/lead/pubs/brochure.htm.
• Steps to lead Safe Renovation, Repair and Painting.
• Protect Your Family from Lead in Your Home
• lead in Your Home: A Parent's Reference Guide
For the hearing impaired, call the Federal Information Relay Service at 1-800-877-8339
to access any of the phone numbers in this brochure.
11
12
EPA CONTACTS
EPA Regional Offices
EPA addresses residential lead hazards through several different regulations.
EPA requires training and certification for conducting abatement and renovations,
education about hazards associated with renovations, disclosure about known lead
paint and lead hazards in housing, and sets lead-paint hazard standards.
Your Regional EPA Office can provide further information regarding lead safety and
lead protection programs at epa.gov/lead.
Region 1
(Connecticut, Massachusetts,
Maine, New Hampshire,
Rhode Island, Vermont)
Regional Lead Contact
U.S. EPA Region 1
Suite 1100
One Congress Street
Boston, MA 02114-2023
(888) 372-7341
Region2
(New Jersey, New York,
Puerto Rico, Virgin Islands)
Regional Lead Contact
U.S. EPA Region 2
2890 Woodbridge Avenue
Building 205, Mail Stop 225
Edison, NJ 08837-3679
(732) 321-6671
Region3
(Delaware, Maryland,
Pennsylvania, Virginia,
Washington, DC, West
Virginia)
Regional Lead Contact
U.S. EPA Region 3
1650 Arch Street
Philadelphia, PA
19103-2029
(215) 814-5000
Region4
(Alabama, Florida, Georgia,
Kentucky, Mississippi, North
Carolina, South Carolina,
Tennessee)
Regional Lead Contact
U.S. EPA Region 4
61 Forsyth Street, SW
Atlanta, GA 30303-8960
(404) 562-9900
Region S
(Illinois, Indiana, Michigan,
Minnesota, Ohio, Wisconsin)
Regional Lead Contact
U.S. EPA Region 5
77 West Jackson Boulevard
Chicago, IL 60604-3507
(312) 886-6003
Region6
(Arkansas, Louisiana, New
Mexico, Oklahoma, Texas)
Reg ional Lead Contact
U.S. EPA Region 6
1445 Ross Avenue,
12th Floor
Dallas, TX 75202-2733
(214) 665-6444
Region 7
(Iowa, Kansas, Missouri,
Nebraska)
Regional Lead Contact
U.S. EPA Region 7
901 N. 5th Street
Kansas City, KS 66101
(913) 551-7003
Region 8
(Colorado, Montana,
North Dakota, South Dakota,
Utah, Wyoming)
Regional Lead Contact
U.S. EPA Region 8
1595 Wynkoop Street
Denver, CO 80202
(303) 312-6312
Region9
(Arizona, California, Hawaii,
Nevada)
Regional Lead Contact
U.S. Region 9
75 Hawthorne Street
San Francisco, CA 94105
(415) 947-8021
Region 10
(Alaska, Idaho,
Oregon, Washington)
Regional Lead Contact
U.S. EPA Region 10
1200 Sixth Avenue
Seattle, WA 98101-1128
(206) 553-1200
OTHER FEDERAL AGENCIES
CPSC
The Consumer Product Safety
Commission (CPSC) protects the public
from the unreasonable risk of injury or
death from 15,000 types of consumer
products under the agency's jurisdiction.
CPSC warns the public and private
sectors to reduce exposure to lead and
increase consumer awareness. Contact
CPSC for further information regarding
regulations and consumer product safety.
CPSC
4330 East West Highway
Bethesda, MD 20814
Hotline 1-(800) 638-2772
www.cpsc.gov
CDC Childhood lead Poisoning
Prevention Branch
The Centers for Disease Control and
Prevention (CDC) assists state and local
childhood lead poisoning prevention
programs to provide a scientific basis
for policy decisions, and to ensure that
health issues are addressed in decisions
about housing and the environment.
Contact CDC Childhood Lead Poisoning
Prevention Program for additional
materials and links on the topic oflead.
CDC Childhood Lead Poisoning
Prevention Branch
4770 Buford Highway, MS F-40
Atlanta, GA 30341
(770) 488-3300
www.cdc.gov/nceh/lead
HUD Office of Healthy Homes and lead
Hazard Control
The Department of Housing and Urban
Development (HUD) provides funds
to state and local governments to
develop cost-effective ways to reduce
lead-based paint hazards in America's
privately-owned low-income housing. In
addition, the office enforces the rule on
disclosure of known lead paint and lead
hazards in housing, and HUD's lead safety
regulations in HUD-assisted housing,
provides public outreach and technical
assistance, and conducts technical
studies to help protect children and their
families from health and safety hazards
in the home. Contact the HUD Office of
Healthy Homes and Lead Hazard Control
for information on lead regulations,
outreach efforts, and lead hazard control
research and outreach grant programs.
U.S. Department of Housing and Urban
Development
Office of Healthy Homes and
Lead Hazard Control
451 Seventh Street, SW, Room 8236
Washington, DC 20410-3000
HUD's Lead Regulations Hotline
(202) 402-7698
www.hud.gov/offices/lead/
13
SAMPLE PRE-RENOVATION FORM
This sample form may be used by renovation firms to document compliance with the Federal
pre-renovation education and renovation, repair, and painting regulations.
Occupant Confirmation
Pamphlet Receipt
□ I have received a copy ofthe lead hazard information pamphlet informing me of the
potential risk of the lead hazard exposure from renovation activity to be performed in my
dwelling unit. I received this pamphlet before the work began.
Printed Name of Owner-occupant
Signature of Owner-occupant Signature Date
Renovator's Self Certification Option (for tenant-occupied dwellings only)
Instructions to Renovator: If the lead hazard information pamphlet was delivered but a tenant
signature was not obtainable, you may check the appropriate box below.
□ Dedined -I certify that I have made a good faith effort to deliver the lead hazard information
pamphlet to the rental dwelling unit listed below at the date and time indicated and that the
occupant declined to sign the confirmation of receipt. I further certify that I have left a copy
of the pamphlet at the unit with the occupant.
□ Unavailable for signature-I certify that I have made a good faith effort to deliver the lead
hazard information pamphlet to the rental dwelling unit listed below and that the occupant
was unavailable to sign the confirmation of receipt. I further certify that I have left a copy of
the pamphlet at the unit by sliding it under the door or by (fill in how pamphlet was left).
Printed Name of Person Certifying Delivery Attempted Delivery Date
Signature of Person Certifying Lead Pamphlet Delivery
Unit Address
Note Regarding Mailing Option -As an alternative to delivery in person, you may mail the
lead hazard information pamphlet to the owner and/or tenant. Pamphlet must be mailed at
least seven days before renovation. Mailing must be documented by a certificate of mailing
from the post office.
DEMOLITION ASBESTOS CERTIFICATION
ADDREss: Zu 17 GM, Na \-2 .A:f?'h-J ..;,,,...ye
usE oF BUILDING To BE DEMOLISHED= M Ae Awos.
SQUARE FEET __ ....,___...:'::t__._{p,_______ X NUMBER OF STORIES --""\t----
PROPERTY owNER: _ ... e&.~-...L-t2:::::...:=•~tJ=-♦-.3'G:a-.... c~tJ=-s.,,.~.:oBR-=;,.i~-C¥u1~ac....;it:J=:..,.._-
ADDREss: ';::?"t::.J\'i:. PHONE-1(.,O,l;;f,2Z Js,;2,5,o
APPLICANT: '2,A. \6,, toJ2..,-i..1h)C:;t, l1>1C .. ,
ADDRESS:$ t.,.;\-S AYE.t,., UC>A EtJC,b...\AS., PHONE-;:ll..t():::1-'2.9, 3,qloS
-----------------------------------------~~e._ __ t,_.-CA.~-0-,---C..A
Section 19827.5 of California Health and Safety Code states in part:
"A demolition permit shall not be issued by any city ... as to any building or other
structure except upon receipt from the permit applicant of a copy of each written
asbestos notification regarding the building that has been required to be submitted
to the United States Environmental Protection Agency or to a designated state
agency, or both, pursuant to Part 61 of Title 40 of the Code of Federal Regulations,
or the successor to that part. The permit may be issued without the applicant
submitting a copy of the written notification if the applicant declares that the
notification is not applicable to the scheduled demolition project."
As applicant for a demolition permit in the City of Carlsbad, I certify that; I have
read the excerpt from Section 19827 .5 of the Health and Safety Code provided
above; the information I have provided on this form is true and correct; and I further
certify the following:
( ) On the attached ___ pages are copies of all written asbestos notifications
regarding the above referenced building that are required to be submitted to
the United States Environmental Protection Agency or to Part 61 of Title 40
of the Code of Federal Regulations, or successor to that part.
~ I declare that the written asbestos notification is not applicable to the
scheduled dem.olition project_ ----~-··· ,-..,.. .. -•-~-. . ,.. .
Applic
0
ltfli:':il
ar.,~-·~
Rev. 11112118
SAN DIEGO REGIONAL
HAZARDOUS MATERIALS
QUESTIONNAIRE
Business Name B.A. Worthing, Inc.
Project Address (include suite)
265 Chinquapin Ave.
Mailing Address (include suite)
5145 Avenida Encinas. Ste I
Project Contact
Alena Blasio
Business Contact Alena Blasio
City
Carlsbad
City
Carlsbad
Applicant E-mail
alena thlsisbawinc.com
OFFICE USE ONLY
RECORD ID# _________________ _
PLAN CHECK# _________________ _
Slate
Ca
State
Ca
Telephone#
760-729-3965
Zip Code
92008
Zip Code
92008
Telephone#
760--729-3965
BP DATE
APN#
Plan File#
The following questions represent the facility's activities, NOT the specific project description.
PART I: FIRE DEPARTMENT -HAZARDOUS MATERIALS DIVISION: OCCUPANCY CLASSIFICATION: {not required for projects within the City of San
Diegol: Indicate by circiing the item, whether your business will use. process, or store any of the following hazardous materials. If any of the items are circled,
applicant must contac_t the Fire Protection Agency with jurisdiction prior to plan submittal.
Occupancy Rating: Faclllty's Square Footage (including proposed project):
1. Explosive or Blasting Agents 5. Organic Peroxides 9. Water Reactives 13. Corrosives
2. Compressed Gases 6. Oxidizers 10. Cryogenics 14. Other Health Hazards
3. Flammable/Combustible liquids 7. Pyrophorics 11. Highly Toxic or Toxic Materials 15. None of These.
4. Flammable Solids 8. Unstable Reactives 12. Radioactives
PART II: SAN DIEGO COUNTY DEPARTMENT OF ENVIRONMENTAL HEAL TH -HAZARDOUS MATERIALS DIVISION {HMO): If the answer to any of the
questions is yes, applicant must contact the County of San Diego Hazardous Materials Division, 5500 Overland Avenue, Suite 170, San Diego, CA 92123.
Call (858) 505-6700 prior to the issuance of a building permit.
FEES ARE REQUIRED Project Completion Date: Expected Date of Occupancy· 0 CalARP Exempt
I
1.
2.
3.
4.
5.
6.
7.
8
YES NO
8 i □ [J
□ □ □ □ □
~
IX)
(j!
~ l2ll
(for new construction or remodeling projects)
Is your bus·1ness listed on the reverse side of this form? (check all that apply).
Will your business dispose of Hazardous Substances or Medical Waste in any amount?
Wlll your business store or handle Hazardous Substances in quantities greater than or equal to 55 gallons, 500
pounds and/or 200 cubic feet?
Will your business store or handle carcinogens/reproductive toxins in any quantily?
Will your business use an existing or install an underground storage tank?
Will your business store or handle Regulated Substances (CalARP)?
Will your business use or install a Hazardous Waste Tank Syslem (Title 22, Article 10)?
Will your business store petroleum ln tanks or containers at your facility with a total facility storage capacity equal to
or greater than 1,320 gallons? (California's Aboveground Petroleum Storage Act).
Date Initials
0 CalARP Required
I
Dale Initials
0 CalARP Complete
{
Date lnit,als
PART Ill: SAN DIEGO COUNTY AIR POLLUTION CONTROL DISTRICT /APCp); The following questions are intended to identify the majority of air pollution
issues at the planning stage. Your project may require additional measures not identified by these questions. Some residential projects may be exempt from APCD
requirements. If yes is answered for either questions 1, 2 or 5 or for more comprehensive requirements, please contact APCD at apcdcomp@sdcounty.ca.gov:
(858) 586-2650; or 10124 Old Grove Road, San Diego, CA 92131 .
1.
2.
3
YES NO
~ □ □ □
00 □
Will the project disturb 100 square feet or more of existing building materials?
Will any load supporting structural members be removed?
(ANSWER ONLY IF QUESTION 1 or 2 IS YES) Has an asbestos survey been performed by an individual that has passed an EPA~approved
building inspector course?
4. □ &J (ANSWER ONLY IF QUESTION 1 or 2 IS YES) Based on the survey results, will the project disturb any asbestos containing material? If yes, a
5.
6
□
□
□
□
notification may be required at least 10 working days prior to commencing asbestos removal. Additionally, a notification may be required prior lo
the removal of a load supporting structural member(s) regardless of the presence of asbestos.
Will the project or associated construction equipment emit air contaminants? See the reverse side of this form for typical equipment requiring an
APCD permit. If yes, contact APCD prior to the issuance of a building permit
(ANSWER ONLY IF QUESTION 5 IS YES) Will the project or associated construction equipment be located within 1,000 feet of a school
bounda ?
Briefly describe business activities: Brielly describe proposed project
Gon~rnl Corilraclor
AlonaBla•io -_;:_(_ ~-----......_) 07 / 24 /2079
Name of Owner or Authorized AJlent S-~Agent ----'-D-at_e_'""'=---
I deda1e m1t1 pe1,any or 1-R31Ja1y c1rat to ctte beStf35WX~f98dM':"" JGSDOtiktts 111aae 11e1en, are uue at1ucu,1ecc.
FIRE DEPARTMENT OCCUPANCY CLASSIFICATION·
BY: DATE: I I
EXEMPT OR NO FURTHER INFORMATION REQUIRED RELEASED FOR BUILDlNG PERMIT BUT NOT FOR OCCUPANCY RELEASED FOR OCCUPANCY
COUNTY-HMO• APCD COUNTY-HMD I APCD COUNTY-HMO APCD
I
/\,pi; Cc .. •r,.c-_:,
,t A:~•v1~"1-C'.1" j
~?:~tWhiit;;~,i
!·•ts~•'
I MJA approved 16-f>CD 8-4-20
"A stamp 1n this box only exempts businesses from completing or updating a Hazardous Materials Business Plan. Other permt!ttng requirements may still apply
HM-9171 (9118) County of San Diego -DEH -Hazardous Materials Division
STORM WATER POLLUTION PREVENTION NOTES
1 AU. 1€CESSARY EWf'M(NT oVIO IIAltRIALS SHAU BE
AVM.Nil ON Silt 1ll f.l.Cl.lTAlE RAl'IO INSTAIJ.AllON
rE mo510N M> SOMIIT OOIITROl llMPo 9iEN RAN IS Olfflll.
2. 11IE CJalOljCOlJRACltll! SKl,U RESTORE AU. EROSl(li
CU<lllQ. OE'IICES 10 IIOll<lHG alO£R ID Tl«: SAWACJa<
rE 111E IJlY NSPCCTOR AFTER E/.Oi RIJN-.ITT PROIJUClllG RAN'AU..
3. TIC 09£R,'WITRACTllR SHAI.L ll<STAU. AD!llllON,ll EROSION
C(fllR!l_ MEASlllES ~ IIAY IE R(IJJIIOJ 8Y 1H( IJlY
INSl'Eelal DUE 11l liCOMPl£Tt CRAllltiC Ol'!JIATIONS OR l.lfFIIIC5UII caaM,TN,ICU ll!ICH MAY NIISL
4. N.1. REMO'IAIILE PROTEClM llE\ICES SIW.I. 8£ t,i Pl.<C(
Al 11£ Ell) rE EAQj ,._ DAY Ill-EN 11£ FlVE (~)
jl,\Y ....... PII08,\8IJTY l'Ol!£CAST trcEOlS Ftl!TY P(/:(NT \~ SILT WJ OllO -5 SHAU. IE ROl(Ml} AFTER
EAO<-N.J..
5. AU. i:IIA\1(1. tlA(:S SHAU. CON"TNH J/< INCi! -AGCIIEllAIE.
11-~TE IJIQllttl Nil $11111£HT canln JI() PEJlll£IIR PII01lC1D IDT loWlliQIEIT P!IAC1IC£ ll(ASl.ll£S IIJST
1IE IIISTAUJD NCI """T--
7. 11£ IJlY -ClOR SHALL HAl'E TIC A!JlllOAITY "fO ALTER
lllS Pl.AH -OR ll(fM£ CJJNS!AIJCTICN AS IIIDED ID Ell'UIE COUPI.WQ: 11111< mY STORII WATER QJAUTY RmU-llOIIS.
OWNJ!a'S CElmflC',l!l,
I INJEllffllll ,-, -"""°"'.[tJ lHAT I IIUSl: (I) U'UIOOIT
""" ---JU$ (!IFS) OOIINI> ~ AC!MlU lll M ,.._.. OOVff Plt>,C1IC'a£ TO AWlll
ll£ lllallA-IF P(WJT»ns ,uQj "" 5EDIIOIT .... "' AIOI> 11£ _,,.. IIF S1lAI .. El lll CCIIS1liUc:n<ti RWllBI l'WIIWITS: 11111) (I) ,llll£li£ 1ll. ..., At All lllES. ~TWJlljlltS(m~1DICl'.»IS1RUl:!l-
lllRQlQ-IQIT M OORA110H 11F 1l£ OOl<SlRllC1'ICI ACIMlES UNall£CCll51llOClOI-IS<Uli\ElE...,.,_
"' 11£ CITT Cl' CIIUW).
STORM WATER COMPLIANCE FORM
TIER 1 CONSTRUCTION SWPPP
8EST IMNo'.GEMa;T PllACTICES{81,f'J sa..ECTION TA!li _.,... -""""'-,_.. --,..........,..fl ....... _.,,,..._ -.,......,. --
j 1 f ll 1 1
L It i j
!1 ~ i ;1 I i f!J I iii I
!1 -~-· jf I i ;, A -IJ u }j n n (8MP)Dll<t\,lon ➔ !J i i ;j l J ; II I Ii f iJ u
CAIi>',-➔ ~ i ~ J -.., J ~ T ~ ., 0 i N ~ ~ ~ ; I i i 1 'i' I ' ~ ~ ' ................ w w ~ w Ill ii ~ ' ---•
-
!~ ... -·---.... _,_ -!. a..:t ...... t. .. l,ft<f .. ~-aotMtt(ht ....... )_... ........ __
t. ~-=-~t':!.I::; ~,:;.•:J•~ =-=-="'~~-=~ r;,.z..-· ..,_ -
J. _._.,. ___ t,..-~-..><!dot.r.ot111<_ ........ ~ .. ...., ........ 1M .... :,,ct
~~'i1'm,J~_pi
-------~ 08)2-'.3 --<Ill--C,.1a<t
Nome Alena B(as10
2' """ --~7 29·39£5 --,·--~ (a-h)
□-OOUlll
l
• ,r -! L
"I' ii
REV 11/17