Cal. Code Regs. tit. 17, § 35095 – Application Requirements.

(a) A complete application for certification shall consist of a non-refundable $135.00 application fee per certificate requested and a completed CDPH 8488 (6/20), Application for Lead Certification, with required documentation:
1. (1) Type of certification requested and amount of fee(s) paid:
  1. (A) Certified lead inspector/assessor;
  2. (B) Certified lead supervisor;
  3. (C) Certified lead sampling technician;
  4. (D) Certified lead project monitor; or
  5. (E) Certified lead worker.
2. (2) Applicant's name, residence address, (and mailing address, if different), telephone number, date of birth, gender, race/ethnicity and photo identification number with a description of the photo identification document.
3. (3) Documentation of applicant's education, training, and experience, including:
  1. (A) An original Course Completion Form, CDPH Form 8493 (6/07), for a course issued by an accredited training provider.
  2. (B) A Proof of Experience CDPH Form 8539 (6/07) for each employer providing documentation of completion of lead-related construction or other applicable experience. Each Proof of Experience form shall contain:
    1. 1. The applicant's name;
    2. 2. The name and address of the applicant's employer;
    3. 3. The name and telephone number of the applicant's supervisor, or the names and telephone numbers of three client references, if self-employed;
    4. 4. The applicant's employment dates;
    5. 5. Descriptions of specific lead-related construction or other applicable activities performed;
    6. 6. Estimated percentage of time associated with lead-related construction or other applicable activities; and
    7. 7. The name, title, and signature of the applicant's supervisor or employer, or the applicant's signature, if self-employed, verifying, under penalty of perjury, that the information contained on the Proof of Experience CDPH Form 8539 (6/07) is true and correct.
  3. (C) Evidence of completion of postsecondary education, such as a transcript or diploma.
  4. (D) Certified Industrial Hygienists, who possess a Course Completion Form from a lead-related construction Certified Industrial Hygienist course, may substitute a copy of their American Board of Industrial Hygiene Certificate, or its equivalent, for evidence of both experience and postsecondary education documentation.
4. (4) Two passport style, 1 inch by 1 inch, photographs.
5. (5) Applicant's signature and date signed, verifying, under penalty of perjury, that all information contained on and submitted with CDPH 8488 (6/20), Application for Lead Certification, is true and correct.
(b) A complete application for certification renewal shall consist of a completed CDPH 8553 (12/21), Renewal of Lead Certification, and a non-refundable one-hundred thirty-five dollar ($135.00) application fee for each certificate renewal requested with the following required documentation:
1. (1) If not submitted to the Department in the previous year, an original Course Completion Form CDPH Form 8493 (6/07) issued by an accredited training provider for:
  1. (A) General continuing education, if the application is for renewal of inspector/assessor, project designer, sampling technician, or project monitor certification; or
  2. (B) General continuing education or continuing education for workers, if the application is for renewal of supervisor certification; or
  3. (C) Continuing education for workers, if the application is for renewal of worker certification.
2. (2) Documentation specified in subdivision (a)(2), and subdivision (a)(5); and
3. (3) Certificate number(s), expiration date(s) and amounts of fee(s) paid.
(c) Certified individuals shall notify the Department within 30 calendar days of a change of address.

Note: Authority cited: Sections 105250, 105250.1, 124160 and 131200, Health and Safety Code. Reference: Sections 105250, 105250.1, 124160 and 131051, Health and Safety Code.

History

1. New section filed 6-27-94 as an emergency; operative 6-27-94 (Register 94, No. 26). A Certificate of Compliance must be transmitted to OAL by 10-25-94 or emergency language will be repealed by operation of law on the following day.

2. New section refiled with amendment of subsection (a)(4) 10-21-94 as an emergency; operative 10-26-94 (Register 94, No. 42). A Certificate of Compliance must be transmitted to OAL by 2-24-94 or emergency language will be repealed by operation of law on the following day.

3. Certificate of Compliance as to 10-21-94 order transmitted to OAL 2-23-95 and filed 4-5-95 (Register 95, No. 14).

4. Amendment of section and Note filed 3-30-98 as an emergency; operative 3-30-98 (Register 98, No. 14). A Certificate of Compliance must be transmitted to OAL by 7-28-98 or emergency language will be repealed by operation of law on the following day.

5. Amendment of section and Note refiled 7-20-98 as an emergency; operative 7-29-98 pursuant to Government Code section 11346.1(d) (Register 98, No. 30). A Certificate of Compliance must be transmitted to OAL by 11-27-98 or emergency language will be repealed by operation of law on the following day.

6. Certificate of Compliance as to 7-20-98 order, including amendment of subsection (b)(1) and new subsections (b)(1)(A)-(C), transmitted to OAL 11-23-98 and filed 1-8-99 (Register 99, No. 2).

7. Amendment of subsections (a), (a)(1)(C), (a)(3)(A)-(B), (a)(3)(B)7. and (a)(5)-(b)(1)(A) and Note filed 4-30-2008; operative 5-30-2008 (Register 2008, No. 18).

8. Change without regulatory effect amending section and Note filed 10-10-2018 pursuant to section 100, title 1, California Code of Regulations (Register 2018, No. 41).

9. Amendment of subsections (a) and (b) filed 11-30-2020; operative 7-1-2020 pursuant to Health and Safety Code section 105250.1(b). Submitted to OAL for filing and printing only pursuant to Health and Safety Code section 105250.1(b) (Register 2020, No. 49).

10. Change without regulatory effect amending Form CDPH 8553 (incorporated by reference) and subsection (b) filed 12-22-2021 pursuant to section 100, title 1, California Code of Regulations (Register 2021, No. 52).