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To obtain a copy of this document in an accessible format (electronic ASCII text, Was the work ordered by a public health agency? Yes I have completed lead safe work practice training as required by Minnesota Rules, 4761.2220, item A. Lead Poisoning Prevention - Contractor Information - EH: Minnesota Forms has the required applications for certification and licensing as well as other MDH Fact Sheets and Brochures; Lead in Water; Other Resources; Translated Fact Sheets. Lead Educational Materials Order Form (PDF) Minnesota Department of Natural Resources Lead in Your Home" (Spanish, Vietnamese, Russian, Arabic, Somali); New York State Department of Health (Bosnian, Chinese, Farsi, A. Fill in this form in black or blue ink only. Asbestos/Lead Compliance Unit Call 651-201-4620 or visit the MDH website (www.health.state.mn.us/lead). Information about testing for elevated blood lead, reporting to MDH and other lead-based health Forms used by lead abatement professionals in Minnesota. To apply for lead worker, lead supervisor, lead inspector, lead project designer or lead risk assessor license, the following form must be completed and The Blood Lead Screening Guidelines for Minnesota were officially released in In August 2015, the Minnesota Department of Health updated their “Blood Lead Appendix F: Educational Encounter & Assessment Form (PDF: 315KB/4 New Homeowners Lead poisoning is a concern for both children and adults - breathing or eating anything that contains too much lead can cause serious health A. Fill in this form with black or blue ink only. A separate form must be submitted for each license. Allow 2-4 weeks for processing. B. Include a passport quality The lead program's data collection activities protect the health of the public to the Minnesota Department of Health (MDH) Blood Lead Information System (BLIS). If data must be submitted on paper, the Blood Lead Report Form (PDF) can
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