b'TOTAL LEAD CONTAINMENTRRP COMPLETIONCERTIFICATION FORM Customer Name:Address: Telephone: E-mail: (Home)Official RRP Lead Test Results Date of TestHome Kit (Brand)Certified LBP Inspectors or Certification No.Risk Assessors (Name)ItemLocation Test Result ItemLocation Test Result1Yes No 11Yes No2Yes No 12Yes No3Yes No 13Yes No4Yes No 14Yes No5Yes No 15Yes No6Yes No 16Yes No7Yes No 17Yes No8Yes No 18Yes No9Yes No 19Yes No10Yes No 20Yes NoConfirmation of Certified Firm Compliance with Lead Containment Work Practices RRP RuleAs an EPA Certified Firm, I confirm that a Certified Renovator was assigned to the project, that the certified renovator providedon-the-job training for workers used on the project, that the certified renovator performed or directed workers who performed thetasks required by the EPA RRP final rule, and that the certified renovator performed the post-renovation cleaning verification.Firm Signature: Date:Certified Renovator:Certification No.Confirmation of Certified Renovator Compliance with Lead Containment Work Practices RRP RuleAs an EPA Certified Renovator, I confirm that the work practices as listed in745.86(b)(7), and as reviewed in this document werefollowed; and that the lead test results shown above were obtained by a good faith test, as required by the EPA RRP Rule.RenovatorSignature: Date: 2010- 2014 AWDI, LLC All Rights Reserved Do not Reproduce without Permission'