### EPA ICR No. 1715.11; OMB Control No. 2070 - 0155

ATTACHMENT 8 Optional Recordkeeping Checklist for FirmsDraft optional Recordkeeping Checklist for Firms:

Name of Firm :________________________________________________________________ Date and Location of Renovation:_________________________________________________ Brief Description of Renovation: _________________________________________________

_________________________ ___________________________________________________ Name of Assigned Renovator:____________________________________________________ Name(s) of Trained Workers, if used:______________________________________________

_________________________________________ ___________________________________ Name of Dust Sampling Technician, Inspector, or Risk Assessor, if used:__________________

_____________________________________________________________________________  Copies of renovator and dust sampling technician qualifications (training certificates, certifications) on file.  Certified renovator provided training to workers on (check all that apply):  Posting warning signs  Setting u p plastic containment barriers  Maintaining containment  Avoiding spread of dust to adjacent areas  Waste handling  Post -renovation cleaning  Test kits used by certified renovator to determine whether lead was present on com ponents affected by renovation (identify kits used and describe sampling locations and results):_____________________________________________________________

_______________________________________________________________________

________________________ _______________________________________________  Warning signs posted at entrance to work area.  Work area contained to prevent spread of dust and debris  All objects in the work area removed or covered (interiors)  HVAC ducts in the work area closed and covered (interiors)  Windows in the work area closed (interiors)  Windows in and within 20 feet of the work area closed (exteriors)  Doors in the work area closed and sealed (interiors)  Doors in and within 20 feet of the work area closed and sealed (exteriors)  Doors that must be used in the work area covered to allow passage but prevent spread of dust  Floors in the work area covered with taped- down plastic (interiors)  Ground covered by plastic extending 10 feet from work area

— plastic anchored to building and weighted down by he avy objects (exteriors)  If necessary, vertical containment installed to prevent migration of dust and debris to adjacent property (exteriors)  Waste contained on - site and while being transported off - site  Work site properly cleaned after renovation  All chips and debris picked up, protective sheeting misted, folded dirty side inward, and taped for removal  Work area surfaces and objects cleaned using HEPA vacuum and/or wet cloths or mops (interiors)  Certified renovator performed post -renovation cleaning verification (describe results, including the number of wet and dry cloths used):________________________________

___________________________________________________________________ _____  If dust clearance testing was performed instead, attach a copy of report.  I certify under penalty of law that the above information is true and complete.

_________________________________________________ ________________________

Name and Title Date