Lead-safe renovation job record
120 Foundry Rd, SpringfieldFirm
| Firm name | Certifying program | Firm certification number | Firm certification expiry |
|---|---|---|---|
| Avery Lund | EPA | CE-4100 | Apr 19, 2027 |
Certified renovator
| Name | Certificate number | Most recent course date | Training provider | Certificate expiry |
|---|---|---|---|---|
| Avery Lund | CE-4100 | Sep 11, 2026 | Training provider 1 | Mar 30, 2027 |
| Jordan Pike | CE-4137 | Jul 20, 2026 | Training provider 2 | Mar 30, 2027 |
On-the-job training record
| Worker | Date | Certified renovator who trained | Practices taught |
|---|---|---|---|
| Avery Lund | Sep 11, 2026 | Avery Lund | Recorded on site. |
| Jordan Pike | Jul 20, 2026 | Jordan Pike | Recorded on site. |
| Sam Okafor | May 28, 2026 | Avery Lund | Recorded on site. |
Property
- Address
- 120 Foundry Rd, Springfield
- Year built
- 1701
- Type
- Single-family
- Zero-bedroom dwelling
- Yes
and 2 more fields
Job
- Scope of work
- Recorded on site.
- Exterior painted surface disturbed
- 1 sq ft
- Includes window replacement
- Yes
- Includes demolition of painted surfaces
- Yes
and 5 more fields
Interior work by room
| Room | Painted surface disturbed in this room | Date |
|---|---|---|
| North bay | 1 sq ft | Sep 11, 2026 |
| Bay 2 | 3 sq ft | Apr 5, 2026 |
Lead determination
| Method | Test kit brand and model | Component tested | Location | Result | Lab name and address |
|---|---|---|---|---|---|
| Presumed present | KI-4100 | Component tested 1 | North bay | Positive | 120 Foundry Rd, Springfield |
| Inspector or risk assessor report | KI-4211 | Component tested 4 | Bay 2 | Negative | 171 Market St, Springfield |
Pre-renovation notice
| Recipient | Method | Delivered or mailed on |
|---|---|---|
| Owner | Signed hand delivery | Aug 2, 2026 |
| Parents or guardians (child-occupied facility) | Tenant self-certification | Aug 2, 2026 |
Consents
Client consents are recorded through the client link.
Work practices
| Warning signs posted at the work area | Pass |
| Work area contained so dust and debris stay inside | Pass |
| No prohibited practices (open-flame burning, high-speed paint removal without HEPA exhaust control, very hot heat guns) | Pass |
| Waste contained and removed at the end of each day | Pass |
Cleaning verification
| Room or area | Re-cleans |
|---|---|
| North bay | 1 |
| Bay 2 | 3 |
Close out
| Visual check: no dust, debris or residue in the work area | Pass |
| Cleaning verification done by the certified renovator | Pass |
Readings
| Cleaning verification card comparison | Pass | Pass |
Photos
No photos on file.
Signature
Not signed in the app; signed on paper if at all.