Lead Risk Assessment Template

LEAD RISK ASSESSMENT TEMPLATE

WHEREAS

WHEREAS Client Name: owns or controls the property located at Property Address: (the "Property");

WHEREAS Assessor Name: (the "Assessor") is a qualified lead hazard assessor and will perform an inspection and risk assessment for the purpose of identifying potential lead-based paint hazards and recommending actions.

PROPERTY & ASSESSMENT DETAILS

INSPECTION CHECKLIST & OBSERVATIONS

Visual inspection performed: Yes No

Peeling, chipping, or flaking paint observed at locations:

Soil near foundation with bare soil or suspected contamination: Yes No    If yes, describe:

SAMPLE COLLECTION & LAB RESULTS

Document sample collection details and laboratory results below. Samples were collected according to accepted field methods; chain-of-custody maintained as required by the Assessor's procedures.

HAZARD DETERMINATION & FINDINGS

Based on the inspection and laboratory results, the Assessor determines the following hazard classification: No hazard detected Suspected hazard (requires further testing) Confirmed lead-based paint hazard

RECOMMENDED REMEDIAL ACTIONS

Immediate recommended action level (select all that apply): Interim controls (stabilization/repair) Abatement (professional removal) Containment and cleaning Periodic monitoring and cleaning

PAYMENT TERMS

TERM AND TERMINATION

This Assessment engagement begins on Start Date: and terminates on End Date: unless earlier terminated in accordance with this section.

CONFIDENTIALITY

The Assessor and Client each agree that all non-public information obtained in the course of the inspection, including laboratory results, occupant information, and proprietary methods, shall be treated as confidential and shall not be disclosed to third parties except as required by law or with the prior written consent of the other party. The Assessor may disclose required information to contractors engaged to perform remedial work provided such contractors sign confidentiality and chain-of-custody acknowledgements.

GOVERNING LAW

This Agreement shall be governed by and construed in accordance with the laws of the state/jurisdiction where the Property is located. Any action to enforce or interpret this Agreement shall be brought in the courts of that jurisdiction.

ENTIRE AGREEMENT

This document, together with any attached sampling reports and work orders signed by the parties, constitutes the entire agreement between the Client and the Assessor with respect to the subject matter hereof and supersedes all prior negotiations, representations, or agreements, whether written or oral, relating to the subject matter.

LIMITATIONS & CERTIFICATION

The Assessor warrants that the inspection and sampling were performed in accordance with recognized field procedures and applicable professional standards. Notwithstanding, the assessment is limited to visible and accessible areas and to the samples collected; unobserved or concealed lead hazards may exist. Recommendations provided are professional opinions and further testing, interim controls, or abatement may be required to achieve clearance standards.

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