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DOEE PROFESSIONAL LEAD-BASED PAINT CERTIFICATION APPLICATION
_________________________________________________________________________________________________________________________________
a.15319.^^
15319
$350
Alex Smalley
no
13/Submitter
Step 1 (Create an Account Request)
0 Individual Docs
TYPE OF APPLICATION
Renewal Open
DC23-2461
09-05-2025
Risk Assessor
PERSONAL INFORMATION
COMPLETE ONLY FOR INDIVIDUAL DISCIPLINE CERTIFICATIONS
Alex
K
Smalley
3010 Hightower Place. Apt. 121
Fairfax
VA
22031
(703) 346-5032
The email address is used to contact professionals with compliance and enforcement updates.  DOEE is not responsible for incorrect email addresses.
asmalley@hpenviron.com
08-29-1989
Male
6
2
Lead Risk Assessor: EPA-accredited, DOEE-accredited, or accredited by an EPA approved state initial training course for lead-based paint inspectors AND an initial training course for risk assessors and any lead risk assessor refresher training course(s)
 
Alexander Smalley - photo.jpg
WORK DISCIPLINE REQUIREMENTS
Work discipline requirements are located here
Review the work discipline requirements, complete the applicable fields and attach required evidence of education and/or experience before saving this application.
Please upload a reference to provide evidence of relevant work experience (inspectors, risk assessors, supervisors, or project designers only). This must include name, company, phone number, email address, applicant position, dates of experience, detailed description of specific type of relevant work performed by the applicant, reference's signature, and date.
Education
Check box for highest level of education (risk assessors and project designers only)
 
 
Please upload your education credentials (official academic transcripts or diploma) as recognized documentation to meet this requirement (risk assessors and project designers only).
COMPANY INFORMATION
COMPLETE FOR INDIVIDUAL DISCIPLINE AND BUSINESS ENTITY CERTIFICATIONS
* The District of Columbia is not an agreement jurisdiction with the Nuclear Regulatory Commission (NRC). Contact NRC before conducting work in the District of Columbia.*
 
Affidavits-Clean Hands Form-Enforcement
FOR INDIVIDUAL DISCIPLINE APPLICANTS ONLY

  • The information that I have provided in this “DOEE Application for Lead-Based Paint Certification Form” is true, accurate, and complete to the best of my knowledge.
  • I understand that my application is subject to verification, and I agree to provide any additional documentation required to review that application.
  • I also understand that outside sources may be contacted for purposes of verifying the information contained in this application, and I hereby give permission for the disclosure
    of any information that may be needed to determine the validity of the information that I have provided and/or to determine eligibility for the certification sought.
  • I understand that failure to provide full disclosure of any requested information that may be needed to determine the validity of this application or eligibility for certification may result
    in the rejection of this application.
  • I also understand that completion of this application does not guarantee lead-based paint certification in the District of Columbia.
  • Further, I understand that if the Department finds that I have made a false statement or misrepresentation material to the issuance, modification, or renewal of a certification,
    the Department may, after notice and opportunity for hearing, suspend, revoke, modify, or refuse to issue, renew, or restore the certification. The Department may also seek to
    impose administrative, civil, or criminal penalties under D.C. Official Code § 8-231.01 et seq.
  • Finally, I understand that under D.C. Official Code § 22-2405, any person convicted of making false statements shall be fined not more than $1,000, or imprisoned for not
    more than 180 days, or both. A person commits the offense of making false statements if that person willfully makes a false statement that is in fact material, in writing directly or
    indirectly to any instrumentality of the District of Columbia Government, under circumstances in which the statement could reasonably be expected to be relied upon as true.
  • Yes  
    Yes  
     
     
    GO TO MYTAX.DC.GOV TO OBTAIN A CLEAN HANDS CERTIFICATE FROM THE OFFICE OF TAX AND REVENUE. This Clean Hands Certificate is required to be completed and submitted with any application for a certification, accreditation and/or permit or renewal by the Clean Hands Before Receiving a License or Permit Act of 1996, effective May 11, 1996 (DC Law 11-118, DC Official Code Sec. 47-2861 et seq.) as amended, effective October 21, 2000 (DC Law 13-183, sec. 2(b), DC Code sec. 47-2861 et. seq.). Tutorials on how to request a Clean Hands Certificate are located at https://otr.cfo.dc.gov/node/1198920. For individuals with no identification submit the request using the email address cleanhands.cert@dc.gov
    For Individual Applicants: Has any federal, state or local jurisdiction ever revoked, suspended, modified, or proposed to revoke or suspend, or modified any permit, license, certification, or
    approval you have held or currently hold, or has any penalty action or fine been assessed against you for failure to comply with the laws and regulations pertaining to lead-based paint?
    No
    If you answered Yes to the above question, you must provide a detailed statement to fully explain the circumstances.
    *Consent
    FOR INDIVIDUAL APPLICANTS:
    ...*DOES NOT APPLY TO DISTRICT AGENCY EMPLOYEES

    CAN DOEE LIST YOUR NAME, MAILING ADDRESS, CITY, STATE, ZIP CODE, CONTACT NUMBER, AND EMAIL ADDRESS ON OUR WEBSITE AS A CERTIFIED PROFESSIONAL WORKING IN D.C.?
    ...IF YES, INDICATE BELOW WHICH MAILING ADDRESS AND CONTACT INFORMATION IF DIFFERENT FROM ABOVE
    NO
    10-16-25-DC Cleanhands needed,payment need,training needed,emailed (VM)
    Save or Submit


    Please review your application for correctness and completeness. Once you click the Save button, you cannot return to this form.

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    No
    Please continue to process your application.
    Upon clicking save your badge number and invoice amount will be populated.
    Your new Badge Number is DC25-5319

    If you would like to process your payment for your application prior
    to receiving an invoice Please pay the amount of $350

    ...upon finishing the application and saving (use the SAVE Tab above)
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