PURPOSE: This rule establishes the requirements for the accreditation of training programs for lead inspectors, lead abatement workers, and lead abatement contractorslsuperuisors. Editor’s Note: The secretary of state has determined that the publication of this rule in its entirety would be unduly cumbersome OT ezpensiue. The entire text of the material referenced has been filed with the secretary of state. This material may be found at the Office of the Secretary of Stateorat the headquarters of the agency and is auailable to any interested person at a cost established by state law.

1. (1) Any individual or organization providing accredited training programs for lead inspeetars, lead abatement workers or lead abatement contractors/supervisors shall meet the requirements of this rule. A training provider is any individual, corporation, partnership or other unincorporated association or public entity that offers lead.related courses for inspectors/risk assessors, contractors/supervisors or workers.
2. (2) Applicants for accreditation of a lead training program for lead inspectors, lead abatement workers or lead abatement contractors/supervisors shall complete application form MO 580.1957 (9.94). Each application form shall be accompanied by a fee of one thousand dollars ($1,000) made payable to the Missouri Public Health Services Fund and ., mailed to the Department of Health, P.O. Box 570, Jefferson City, MO 65102. Accreditation shall be renewed every two (2) years upon submission of a completed appli,cation form and payment of a fee of one thousand dollars ($1,000) made payable to the Missouri Public Health Services Fund and mailed to the Department of Health.

3. (3) Within thirty (30) calendar days of receipt of an application for a lead training program accreditation or renewal, the Department of Health (DOH) shall inform the applicant in writing that the application is either complete or incomplete. If an application is incomplete, the DOH shall include a list of additional information or documentation required to complete the application.

   s~clel~‘y 0, stata

   1. (A) An application shall be considered to be abandoned when an applicant fails to respond to a writtennotice of anincomplete application within thirty (30) calendar days after the issuance date of the notice.

   2. (B) Within sixty (60) calendar days from the issuance date of the notice of a complete application, DOH shall grant or deny training program accreditation. If denied, DOH shall state, in writing, the reasons. (Q In making a determination of whether to grant or deny accreditation, DOH shall take into eonsideration-

      1. 1. Failure to satisfy eligibility require-

ments;

1. 2. Type and amount of lead training;
2. 3. Past history of citations for violations of existing lead training accreditation standards; and
3. 4. False or misleading statements in the application. ,iIJ Accreditation may be revoked by DOH _“_
4. 1. Failure to properly administer, score or

maintain security of a required examination;

1. 2. Falsification of accreditation records,

instructor qualification, or other accreditation information;

1. 3. Failure to provide the required accredi-

tated course contact hours, course content or coverage;

1. 4. Failure to maintain required records; or
2. 5. Failure to comply with the reqmremats of this rule.

1. (4) A lead inspector training program shall include at least eighteen (18) hours of classroom training and six (6) hours of field training.

   1. (A) The training shall include, but shall not be limited to:

      1. 1. Background information on lead: his-

tory of lead use and sources of environmental lead contamination;

1. 2. Health effects of lead: how lead enters and affects the body; levels of concern; and symptoms, diagnosis and treatments;
2. 3. Regulatory background on lead in 29 CFR part 1926.62; Title X: Residential Lead- Based Paint Hazard Reduction Act of 1992; 29 CFR part 1926.59; 40 CFR part 745; and Interim Guidelines for Hazard Identification and Abatement in Public and Indian Housing;

3. 4. Lead-based paint testing or X-ray fluorescence paint analyzer (XRF) use: types of XRF units and basic operation and interpretation of XRF results, including substrate correction. If an inspector uses an XRF, s/he must have comoleted tranine nrovided bv the ~;$urer or other trai&g approveb by

   COOEOFSTATE REGULATIONS 19 CSR 20-8 , m

4. 5. Preinspection planning and review:

developing a schematic site plan, obtaining information on the age and history of the housing and occupancy by children under six (6) years of age; and reviewing previous testing for lead-based paint or other lead-related hazards:

1. 6. Visual inspection techniques;

2. 7. Sampling and inspection guidelines-

   1. A. Determining inspection criteria and

locations to collect samples in apartment units, scattered site housing, commcm areas, other program spaces accessible to children, and management offices;

1. B. Soil sample collection including

sources, soil clearance levels, soil sampling techniques, number and location of soil samples, and interpretation of soil sampling results;

1. C. Dust sample collection techniques

includine sources. Housing and Urban Devel- 0pmOnt (HUD) post-ahate&nt C~~IIU~ guidelines, clearance wipe sampling for lead in dust, number and location of wipe samples, and interpretation of test results;

1. D. Sources of lead in drinking water,

sampling techniques for lead in drinking water, and interpretation of sampling results; and

1. E. Lead hazards from paint including

sources; sampling techniques-XRF or chemical testing; number and location of samples; and interpretation of sampling results;

1. 8. Recordkeeping and writing an inspec-

tion report;

1. 9. Hazard identification and prioritiza-

tion;

1. 10. Recommendation to control lead hazards;
2. 11. Interim control activities, their limitations and drawbacks;
3. 12. Quality control and assurance procedures in testing analysis;
4. 13. Legal liabilities and obligations; and
5. 14. A final examination.
6. (B) Providers of training programs shall develop a quality control program which includes provisions for training information to remain current, an annual review ofinstructor competency, a. review to ensure validity and integrity of the examination and adequacy of the facilities and equipment, and provisions to administer the hands-on assessment,
7. (C) An accredited training provider shall maintain, at its principal place ofbusiness, for at least five (5) years, accurate records of attendance; examination results and instruc. tar’s name(s) and qualifications.
8. (D) Accredited training program providers may apply for approval to provide annual refresher training. The request for approval shall be included on the application for accreditation. The refresher training shall be a 19CSR20-8-HEALTH

minimum of seven (7) training hours. The minimum requirements shall include an overview of key safety practices, an update on new laws and regulations, an update on new technologies and a final examination,

1. (5) Aleadabatementworkertrainingprogram shall include at least sixteen (16) hours of classroom training and eight (8) hours of field training.

   1. (A) The training shall include, but shall not be limited to-

      1. 1. Background information on lead, his-

tory of lead use, and sources of environmental lead contamination;

1. 2. Regulatory background on lead in 29

CFR part 1926.62; Title X: Residential Lead- Based Paint Hazard Reduction Act of 1992; 29 CFR 1926.59; 40 CFR part 745; and l&rim Guidelines for Hazard Identification and Abatement in Public and Indian Housing;

1. 3. Health effects of lead exposure;
2. 4. Hazard recognition and control tech-

niques: site characterization, exposure measurements, material identification, safety and health planning, medical surveillance, and engineering and work practices;

1. 5. Personalprotectiveequipmentinforma-

tion including respiratory equipment selection, &purifying respirators, care and cleaning of respirators, respiratory program, protective clothing and equipment, and hygienic practices;

1. 6. Lead paint abatement methods;
2. 7. Interior dust abatement methods and

cleanup techniques;

1. 8. Soil and exterior dust abatement

methods;

1. 9. Waste disposal; and
2. 10. A final examination.
3. (B) Providers of training programs shall develop a quality control program which includes provisions for training information to remain current, an annual review ofinstructor competency, a review to ensure validity and integrity ofthe examination and the adequacy of the facilities and equipment, and provisions to administer the hands-on assessment.
4. (C) An accredited training provider shall maintain, at its principal place of business, for at least five (5) years, accurate records of attendance; examination results and instructor’s name(s) and qualifications.
5. (D) Providers of accredited training programs may apply for approval to provide annual refresher training. The request for approval shall be included on the application for accreditation. The training shall be a minimum of seven (7) training hours. The minimum requirements shall include an overview of key safety practices, an update on new laws and regulations, an update on new technologies and a final examination. Division ZO-Division of Environmental Health and Epidemiology

1. (6) A lead abatement contractor/supervisor trainingprogramshallincludeatleasttwenty six (26) hours of classroom training and six (6) hours of field training.

   1. (A) The training shall include, but shall not be limited to-

      1. 1. Background information on lead: his-

tory of lead use and sources of environmental lead contamination;

1. 2. Regulatory background OII lead in 29

CFR part 1925.62; Title X: Residential Lead. Based Paint Hazard Reduction Act of 1992; 29 CFR part 1926.59; 40 CFR part 745; and Interim Gidelines for Hazard Identification and Abatement in Public and Indian Housing;

1. 3. Legal liability and insurance issues;
2. 4. Develonment of me-abatement work

plan; -

1. 5. Cost estimation:
2. 6. Health effects &ad;
3. I. Hazard recognition and control tech-

niques: site characterization, exposure measurements, material identification, safety and health planning, medical surveillance, and engineering and work practices;

1. 8. Personalprotectiveequipmentinforma-

tion regarding respiratory equipment selection, air-purifying respirators, care and cleaning of respirators, respiratory program, protective clothing and equipment, and hygienic practices;

1. 9. Employee information and training;
2. 10. Project management including overview of abatement process, contractor specifications and supervisory techniques;
3. 11. Lead paint abatement practices;
4. 12. Interior dust abatement and cleanup;
5. 13. Soil and exterior dust abatement;
6. 14. Environmental monitoring including soil, dust and air sampling, and clearance standards;
7. 15. Waste disposal;
8. 16. Community relations process; and
9. 17. A final examination.
10. (B) Providers of training programs shall develop a quality control program which includes provisions for updating training information to remain current, an annual review of instructor competency, a review to ensure validity and integrity of the examination and the adequacy of the facilities and equipment, and provisions to administer the hands-on assessment.
11. (C) An accredited training provider shall maintain, at its principal place ofbusiness, for at least five (5) years, accurate records of attendance; examination results and instruetor’s name(s) and qualifications.

12. (D) Providers of accredited training programs may apply for approval to provide annual refresher training. The request for approval shall be included on the application for accreditation. The training shall be a

    COOEOFSTATEREGULATIONS

minimum of seven (7) training hours. The minimum requirements shall include an overview of key safety practices, an update on new laws and regulations, an update on new technologies and a final examination. (7) A training provider shall satisfy eligibility requirements for accreditation including at least one (1) of the following:

1. (A) A minimum of one (1) year of experience teaching or training adults;
2. (B) An associate degree or higher from a post-secondary educational institution in building construction technology, engineering or industrial hygiene;
3. (C) Successful completion of a minimum of twentyfour (24) training hours of leadabatement instruction;
4. (D) A minimum of one (1) year of experience related to health, safety or regulatory aspects of lead abatement; or
5. (E) A minimum of one (1) year of lead abatement experience in construction-related health and safety inspection, lead abatement assessment, abatement project design, or abatement work. Auth: section 701.314, RSMo (1994J.* Emergency rule filed Nou. 2, 1994, effectiue NW. 12,1994, erpiredMarchl1, 1995. Emergency rule f&d March 1,1995, effectiue March 12,1995, expired July 9, 1995. Original rule filed Nov. 2, 1994, effective June 30,1995.

*Original authority 1993

(5/X/95) Rebecca McDowell Cook

Chaoter 8-Lead Proeram

. . . . MISSOURI LEAD LICENSING TRAINING COURSE ACCREDITATION

Persons intending to provide Sections 701.312 and 701.314, RSMo and 19 CSR 20-8.010 must complete are required for each specialty area. and a fee of one thousand dollars ($1000) per training cowe have more than three courses Please print legibly or type the application Where separate pages are required to provide supplemental page attached.

A training course shall be accredited by the Director when all tees and information by the department and written verification

Training course accredition must be reviewed biennially as required as defined in U.S. EP& Model Accreditation Plan. Sections 701.312 and 701.314. RSMo and 19 CSR 20-8.010.

The completed application MISSOUR, DEPARTMENT OF HEALTH, LEAD LICENSING &ACCREDITATION P.O. BOX 570

,

o”TCoME

0 STATE NOTE: The following trainina course. I hereby certify that the information accurate to the best of my knowledge and understandina. SlGNATURE b PRiNT OR TIPE NAME

Rebecca McDowell Cook SICWBIY Of state

- -__- _--- .--.-... -~- .--.-.., DEPARTMENT &ACCREDITATION

training to meet the Missouri statutory and regulatory

reviewed for accreditation,

form(s). training certiticaie

statement must be Signed by the administrator or operating officer of the entity seeking approval of the

included in this application and any supplemental

-___._ 19CSR20-8 -

OF HEALTH PROGRAM APPLICATION

requirements for lead course accreditation under

this training course accreditation form. Separate applications is required. If a training provider desires 10

the maximum fee lo the state for review will be three thousand dollars ($3000).

form. informztian requested by this application, the part and item number should be indicated on th<

required in this form have been submitted and reviewed

for accreditation has been reviewed by the Department.

in Missouri statute and rule. Training courses must meet the criteria

(5). and fees shall be mailed to the following address: PROGRAM

information attached to it is true and DATE

TITLE

19CSR20-8-HEALTH

The following course curriculum materials must be submitted for review CSR 20-8.010 and U.S. Environmental Protection Aqency’s (EPA) Model Accreditation Plan. Enclose additional paqes as necessary. 1. TITLE OF THE COURSE t 2. LEAD OCCUPATlON FOR WHICH THE COURSE 3. LIST THE PERSONS PRESENTING THE COURSE. SHOW HOW THESE QUALIFICATIONS MEETTHE REQUIREMENTS AND U.S. EPA’S MODEL ACCREDITATION PLAN.

I 6 THE DATES AND TIME PERIODS OVER WHICH AN lNDl”lDUAL 7. THE NAMES AND AUTHORS OF ANY TEST OR AUDIO-VISUAL MATERIAL TO SE USED, lNCL”D,NG THE PUSLlSHER AND EDITION. OR IF NO TEXT IS TO SE USED. A LIST OF ANY WRiTTEN MATERIALS TO BE USED, ,NCLUDlNG THE SOURCE OF SUCH MATERIALS

I 8 SPEC,F,C OBJECTIVES FOR THE COURSE

1. 9. THE “NITS TO SE COVERED DESCRIPTION OFTHE NATVRE OFTHE
2. 10. THE METHOD OF INSTRUCTION AND TRA,N,NG A,DS FOR EACH “NIT LlSTED IN THE U.S. EPA‘s AHERA MODEL ACCREDITATION

1,. THE LENGTH OF TIME TO SE SPENT ON EACH UNIT LISTED IN 19 CSR 20-8.010

I 12 A DESCRIPTION OF THE PRACTlCAL HANDS-ON TRAINING TO BE PROVIDED FOR EACH “N,T

I 13 LIST OF READING ASSIGNMENTS FOR THE COURSE 14. A DESCRlPTlON AND AN EXAMPLE OF NUMBERED CERTIFICATES COURSE

1. 15. EXPLANATION OF HOW STUDENTS WILL SE EVALVATED BY A COMPREHENSlVE COURSE
2. 16. EXPLANATlON OF THE GRADlNG SYSTEM TO SE USED FOR WRlTTEN EXAMlNATlONS AND PROFICIENCY EVALUATIONS

3. 17. LIST OF TASKS AND DUTIES CONNECTED WITH EACH “NIT ALONG WITH GUIDELINES FOR EXAMlNATlONS TO SE USED WHICH SHALL INCLUDE. AT A MINIMUM:

   1. A. Procedures
   2. S. Procedures to the number of time* a palticular examination will be used.
   3. C. Procedures
   4. D. Procedures

NOTE The department may deny accreditation of a course if the applicant fails lo provide information departmental written notice that the applicant

Training course providers shall have thrity (30) days to correct the identified deficiencies issues final notice that their accreditation M0580-1951 ill-94 IS DESIGNED INCLUDING THE,R EXPERIENCE. EDUCATION, AND OTHER QUALlFlCATlONE

(SUBMIT A COPY OF THE WRITTEN PORTION OF YOUR TRAINING COilRSE WITH THlS APPLICATION.

IN THE COURSE FOR EACH RESPECTIVE SPECIALTY COURSE. ,NFORMATlON TO BE PRESENTED

PLAN, E.G. LECTURE, DEMONSTRATION SIMULATION. SLlDE PRESENTATION, FILM STRIP. ETC.

to be followed in administering examinations. to be followed to ensure security of examinations. both during administration and otherwise, to be followed lo validate examinations as testing competency to be followed in reponing the grades to individual and the department. PLEASE INCLUDE ANY OTHER INFORMATION RELEVANT TO THlS APPLICATION

is deficient.

is withdrawn.

in accordance with Sections 701.312 and 701.314, RSMo, and 19

IN SECTIONS 701.312 AND 701.314, RSMo, 19 CSR 20-8.010

TRAlNlNG OR REVIEW COURSE WILL SE PRESENTED

lNCL”D,NG A GENERAL

lSS”ED TO STUDENTS WHO ATTEND AND PASS THE

EXAMlNATlON AT THE END OF THE

IN WHICH STUDENTS WILL SE EVALUATED FOR COMPETENCY,

inlcuding but not limited

in the unit to be tested:

required within 30 days of receipt of

in their training course(s) before the department

PAGE

19CSR20-8-HEALTH

19 CSR 2043.020 Licensing of Lead Inspectors,LeadAbatementWorkersand Lead Abatement SupervisorsXontractom PURPOSE: This rule establishes the requirements for licensing lead inspectors, lead abatement workers and lead abatement supervisors/contractors. Editor’s Note: The secretary of state has determined that the publication of this rule in its entirety would be unduly cumbersome or expensive. The entire text of the material referenced has been filed with the secretary of state. This material may be found at the Office of the SecretaryofStateor at the headquarters oftheagencyand is available toanyinterested person at a cost established by state law. (1) An applicant for a license as a lead inspector shall complete an accredited lead inspector training program (see 19 CSR 20. 8.010(4)). An applicant for a license as a lead abatement worker shall complete an acereditedleadabatementworker training program (see 19 CSR 20.8.010(5)). An applicant for a license as a lead abatement contractor/ suuervisor shall eomulete an accredited lead adatement contractor/supervisor program (see 19 CSR 20.8.010(6)). (2) An applicant for a license or license renewal as a lead inspector, a lead abatement worker or a lead abatement contractor/ supervisor shall complete application form MO 580.1956 (S-94). (A) An applicant for licensing shall apply to theDepartmentofHealth(DOH) withinone(1) year from the date of the training program completion certificate of required instruction or the date of written proof of completion of the required training program. Applicants failing to apply withinone(l)yearfrom the dateofthe training program completion certificate or the date of written proof of completion of the required training program shall complete a seven (ii)-hour refresher training course accredited by the Department of Health or the United States Environmental Protection Agency (U.S. EPA).

1. (B) An application for licensing as a lead inspector or a lead abatement supervisor/ contractor shall be accompanied by a nonrefundable fee of one hundred dollars ($100). An application for licensing as a lead abatement worker shall be accompanied by a nonrefundable fee of fifty dollars ($50). License fees shall be made payable to the Missouri Public Health Services Fund and mailed with a completed application form to the Department of Health, P.O. Box 570, Jefferson City, MO 65102. A copy of the training program completion certificate or written proof of completion of the required training program and two (2) passport-size color photographs shall also accompany an application form.

1. (C) An application for license renewal shall be mailed at least sixty (60) days prior to the expiration date on the license accompanied by a nonrefundable renewal fee of fifty dollars ($50) for lead inspector or lead abatement contractor/supervisor or twentyfive dollars ($25) for lead abatement worker. Renewal fees shall be made :,ayable to the Missouri Public Health Services Fund and mailed with a completed application form to the Department of Health, P.O. Box 570, Jefferson City, MO 65102. Each applicantforlicenserenewal shall complete, as a student, a seven (7).hour accredited refresher training program, accredited by DOH and U.S. EPA, and shall successfully complete the examination with a score of seventy percent (70%) or more, and shall include a copy of the refresher training program completion certificate or written proof of completion of the refresher training program application.

2. (3) Within thirty (30) calendar days of receipt of an application for license or licenserenewal, the DOH shall inform the applicant in writing that the application is either complete or incomplete. If an application is incomplete, DOH shall include a list of additional information or documentation reauired to comolete the application.

   1. (A) An application shall be considered to be abandoned when an applicant fails to respond to awritten notice of anincomplete application within thirty (30) calendar days after the issuance date of the notice.
   2. (B) Within sixty (60) calendar days after the issuance date of the notice of a complete application, DOH shall grant or deny a two (2). year license. If denied, DOH shall state, in writing, the reasons.

   3. (C) Inmakingadeterminationofwhetherto grant or deny licensing, DOH shall take into consideration the following:

      1. 1. Failure to satisfv eliaibilitv reauire- ” ” I I . . . .

mats; mats;

1. 2. Type and amount of training; 2. Type and amount of training;
2. 3. Past history of citations or violation of 3. Past history of citations or violation of

existing lead abatement regulations or stanexisting lead abatement regulations or standards; or

1. 4. False or misleading statements in the

application.

1. (0) A license may be revoked by the DOH.

   1. 1. Reasons for revoking a license shall

include any false information in the application; prior violations of 29 CFRpart 1926.62, or 29 CFRpart 1926.59; fraud orfailureto disclose relevant facts; or failure to comply with any part of this rule.

COOEOFSTATEREGULATIONS

of Environmental Health and Epidemiology

1. 2. Prior to revoking a license, an individual shall be given written notice. The individual may take steps to request a written or oral internal hearing by DOH accordingto Chapter 536 of Administrative Procedures Act.

1. (4) Any individual applying to be licensed as a lead inspector shall complete, as a. student, a lead inspector training program accredited by DOH or U.S. EPA and shall successfully complete the examination with a score of seventy percent (70%) or more. Additional requirements shall include at least one (1) of the following:

   1. (A) Completing a bachelor of science degree in addition to at least two (2) years of experience in a related field such as construction or environmental hazards;
   2. (B) Being a licensed industrial hygienist, an environmental engineer, a registered architect or a professional in a related scientific field; or
   3. (C) Having a high school diploma or certificate of high school equivalency (GED) and three (3) years of experience in a related field such as housing specialist.

2. (5) Any individual applying to be licensed as a lead abatement worker shall complete, as a student, a lead abatement worker program accredited by the DOH or U.S. EPA and shall successfully complete the examination with a score of seventy percent (70%) or more. Additional requirements include:

   1. (A) One (1) year of experience as a lead abatement worker; or
   2. (B) At least two (2) years of experience in asbestos abatement work, the building trades, or as an environmental technician.

3. (6) Any individual applying to be licensed as a lead abatement contractor/supervisor shall complete, as a student, a lead abatement contractor/supervisor program accredited by the DOH and U.S. EPA and successfully complete the examination with a score of seventy percent (70%) or more. Additional requirements include-

   1. (A) One(l) yearofexperienceasalicensed

lead abatement worker; or

1. (B) At least two (2) years of experience in

lead abatement work, asbestos abatement work or as a construction manager or superintendent. (7) This rule shall not preclude homeowners from conducting abatement projects on their own property as long as it is conducted in such a manner as to not cause injury to human health or the environment.

Auth: section 701.314, RSMo (1994/.* Emergency rule filed NW. 2, 1994, effective Nou. l&1994, expiredMarch II, 1995. Emergency rule filed March 1,199x5,

Rebecca McDowell Cook s.~l&ly (1, state 19 CSR 20-8 ,

Chapter &-Lead Program m

effectiue March 11,1995, expired July 9, 1995. Original rule filed Nov. 2, 1994, effective June 30,1995.

*Oiginal asthoritr 1993.

SeCIebly Of stat

19CSR20-8-HEALTH Division 20-Division of Environmental Health and Epidemiology

MISSOURI DEPARTMENT OF HEALTH LEAD LICENSING & ACCREDITATION PROGRAM LEAD OCCUPATION LICENSE APPLICATION

FOR OFFICE USE ONLY

DATE OF INITIAL CERTlFIC4TION

$loo.oa I

0 INSPECTOR

1. 10. I hereby certify that all of the information provided in this application is complete and true to the best of my knowledge. I further certify that I will comply with Sections 701.312 and 701.314, RSMo, and with 19 CSR 20-8.010 and 19 CSR 20-8.020.

   (S/31/95) Rebecca McDowell Cook

‘rovide the training information ,ay be enclosed.

,ttach copies of your OUI refresher training xth in Sections 701.312 and 701.314, RSMo.

INITIAL TRAINING “E OF TRAINING COMPLETED

1 WORKER ,ME OFTRAINING PROVIDER

CREDiTATlON OF TRAiNlNG PROVIDER BY (CHECK ONE) ENVlRONMENTAL M,SSO”Rl DEPARTMENT OF HEALTH

CREDITATION OF TRANNG PROVIDER BY iCHECK ONEi ENVIRONMENTAL PROTECTION AGENCY MISSOURI DEPARTMENT OF HEALTH i ITE: SUBMIT COPIES OF YOUR TRAINING CERTIFICATES WITH THIS APPLICATION TO THE DEPARTMENT

lis section is desiqnated SPECIALTY AREA YOU ARE SPECIFYING Q”ALIFICAIIONS FOR

1 SUPERVISOR IF YOU ARE MAKING APPLICATION XPERIENCE IN LEAD ABATEMENT WORK OR GENERAL CONSTRUCTION OCUMENTATION THAT PROVIDES ,F YOU ARE MAKING APPLlCATlON AS AN INSPECTOR. PROVIDE PROOF OF ONE OF THE FOLLOWlNG

0 .. 8 s PLUS Two YEARS EXPERIENCE

q M.S. IN INDUSTRIAL HYGIENE

0 C / H BY AMERICAN BOARD OF INDUSTRIAL HYGIENE

THREE YEARS PRACTICAL EXPERIENCE HOUSlNG REHASILlTATlON AND BUlLDlNG

Rebecca McDowell Cook SPCretaR 0‘ state that relates

initial training cenificate course must be fully approved

INFORMATION (CHECK ONE)

q SUPERVISOR

PROTECTlON AGENCY

for individuals makina application

INSPECTOR AS A SUPERVISOR

EVIDENCE OF THIS EXPERIENCE WITH THIS APPLICATIONL.

(5/U/95)’ to the type of licensing

and ail refresher by U.S. EPA or Missouri

/CONTRACTOR

(EPA)

(EPA)

for licensure

IN THE FIELD

IN THE FIELD OF INDUSTRIAL HYGIENE INSPECTION. 19 CSR 20-8 ,

m

for which you are making application. Supplemental sheet

training certificates. In order to qualify for license renewal. state approved, and meet the requirements set

iNSPECTOR

17’

(SPECIFY)

q EPA APPROVED STATE PROGRAM

EPA APPROVED STATE PROGRAM (SPECIFY)

as supervisor I contractor or inspector.

PLEASE PROVIDE PROOF OF: ONE YEAR OF PRIOR WORK. PLEASE ATTACH ALL

INCLUDING SlGNlFlCANT

19CSR20-8-HEALTH

PAGE :

12 CODEOFSTATEREGULATIONS (S/31/95) Rebecca McDowellCook