Fix Lead SF: CA Lead Certified Professional Form
Contact Info
Type of CDPH Certification
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Inspector
Supervisor
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Company Name
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CDPH Certification Number
LRC-
CDPH Certification Expiration Date
EPA RRP Certified Firm Number
EPA RRP Expiration Date
CA State Contractor License Number
CA Contractor License Expiration Date
Upload your required documents below:
Upload your CDPH lead certification here:
Upload your Certificates of Liability Insurance here:
Upload your Participation Agreement form here:
Upload your EPA Certified Firm Certificate here (for Lead-Certified Supervisors only):
Upload your CA State Contractor License here
(for Lead-Certified Supervisors only):
If needed, upload additional required certificate of insurance here
:
If needed, upload additional required certificate of insurance here
:
Referral
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