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childhood lead poisoning prevention branch

CDPH Form 8551 and 8552

Lead-related construction professionals are required to submit CDPH form 8551 and 8552 depending on the type of lead related activity being performed.

Where to submit:

There are several ways to submit CDPH forms 8551 and 8552 to CDPH.

  • Fax: (510) 620-5656. Coversheets are not required.
  • Mail: California Department of Public Health

Childhood Lead Poisoning Prevention Branch Reportsā€‹ā€‹

850 Marina Bay Parkway, Building P, Third Floorā€‹ā€‹ā€‹ā€‹ā€‹

Richmond, CA 94804-6403ā€‹ā€‹ā€‹ā€‹

  • ā€‹Email: CDPH_CE@CDPH.CA.GOV. Note, this email is not monitored for correspondence. If you have questions, please call the main branch line at (510) 620-5600. 

The Abatement of Lead Hazards Notification (CDPH form 8551) Form

ā€‹ā€‹The following weblink will take you to CDPH form 8551: Abatement of Lead Hazards Notification, CDPH Form 8551 (6/07)ā€‹ (PDF). Visit the Guidelines for filling in the Abatement of Lead Hazards Notification (CDPH form 8551) formā€‹ webpage for more information.

ā€‹Who must file CDPH ā€‹form 8551?

ā€‹Any individual who performs abatement or any set of measures designed to reduce or eliminate lead hazards or lead-based paint for public and residential buildings, but not including containment or cleaning, must submit the Abatement of Lead Hazards Notification form to the California Department of Public Health (CDPH). 

Important - ā€œAbatementā€ means any set of measures designed to reduce or eliminate lead hazards or lead-based paint for public and residential buildings but does not include containment or cleaning (Title 17, California Code of Regulations, Division 1, Chapter 8 Ā§35001).

Reporting Requirementā€‹ā€‹s

See Title 17, California Code of Regulations, Division 1, Chapter 8 Ā§36100(c) under Article 16ā€‹. Requirements for Abatement for Public and Residential Buildings for more details on notification requirements.

The Lead Hazard Evaluation Report (CDPH form 8552) Form
The following weblink will take you to CDPH form 8552: Lead Hazard Evaluation Report CDPH Form 8552 (6/07)ā€‹ (PDF) Visit the Guidelines for filling in the Lead Hazard Evaluation Report (CDPH form 8552) formā€‹ webpage for more information.

Who must file CDPH form 8552? 

Any compensated individual who performs an on-site investigation of lead-based paint or lead hazards, including testing and sampling but not the three exceptions in Title 17, California Code of Regulations, Ā§35038, from any public or residential building must submit the Lead Hazard Evaluation Report to the California Department of Public Health (CDPH). 

Important - ā€œLead hazard evaluationā€ means the on-site investigation, for compensation, of lead-based paint or lead hazards for public and residential buildings, but does not include: (a) activities intended to determine adequacy of containment; or (b) air monitoring for lead, as specified in Title 8, California Code of Regulations, section 1532.1, and Title 17, California Code of Regulations, sections 70100 and 70200; or (c) testing components removed from a residential or public building for lead to determine the applicability of hazardous waste requirements specified in Title 22, California Code of Regulations, Division 4.5, Chapters 10, 11, 12, 13, and 18, and California Health and Safety Code, section 25163, subdivision (c). (Title 17, California Code of Regulations, Division 1, Chapter 8 Ā§35038. Lead Hazard Evaluation)

Reporting Requirements

See Title 17, California Code of Regulations, Division 1, Chapter 8 Ā§36000 under Article 16. Requirements for Lead Hazard Evaluation for Public and Residential Buildings for more details on reporting requirements.

Additional Information

ā€‹General Instructions for Filling Out the Forms

The CDPH form 8551 and 8552 will be scanned and entered into a database. Please carefully fill out the form as the applicant shall be held responsible for any mistakes that result in an unreadable form. See the following general guidelines for filling out the form:

  • Use standard fonts and avoid stylized writing. 
  • Use black or blue ball point pen only. Do NOT fill the application form with pencil. 
  • It is acceptable to utilize a computer program to add text to the designated text boxes on the Lead Hazard Evaluation Report form. 
  • Write as clearly as possible. Use a pen with the thinnest possible tip. 
  • Put a check (āˆš) in the boxes where you must choose one or more options as your answer and leave the other option(s) blank. Do NOT put dots (ā€¢), cross marks (įµ”), etc., in the boxes, to choose the appropriate option as your answer. 
  • Write clearly within the boxes without touching the boundaries. Try to write in the center of the box. 
  • Avoid folding the Lead Hazard Evaluation Report form more than three times. 
  • Do NOT smudge the Lead Hazard Evaluation Report form. 
  • Do NOT write ā€œNAā€ or ā€œN/Aā€ or ā€œNOT APPLICABLEā€ in any boxes on the form. If the field does not apply, leave it blank.

I have more questions about CDPH form 8551 and 8552, where do I go?

Please visit the CDPH Childhood Lead Poisoning Prevention Branch Frequently Asked Questions document (PDF) for more answers. 
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