courses are approved for purpose of certification under
TRANSCRIPT
Albert L. Smith, Training Manager
Courses are approved for purpose of certification under Section 402 of TSCA
Important: The Renovator – Initial course is being offered as a one day, 8 hour course, (8:00 am. to 5:00 PM.) and the 8 hour course can also be offered in the evening over two days, from 6:00 PM to 10:00 PM, each day. Attendance for the entire 8 hour course is mandatory for certification. The refresher course is a 4 hour course, and you must submit your last EPA RRP Class certification. The EPA RRP Class includes two hours of required handson exercises. Comfortable work attire should be worn. At the discretion of the Training Manager, classes with less than three participants, may be canceled or moved to a different date. No refund will be issued if student cancel or
is a no show, within 4 days of scheduled class date.
Course Discipline: Course Type:
Renovator Initial Refresher
Lead Abatement Contractor Initial Refresher
OSHA - Construction 10 hours 30 hours
OSHA – General Industries 10 hours 30 hours
Other Training:
Student Name: _____________________________________________________________________________________
Student Address: _______________________________________________________________________________________
City: ___________________________ State: ____________________ Zip Code: _____________________
Telephone Number: (_______) __________- __________ Work Best time to call ______________ am pm
Telephone Number: (_______) __________- __________ Cell Best time to call ______________ am pm
Telephone Number: (_______) __________- __________ Home Best time to call ______________ am pm
Date of Birth: __________/___________/____________ Email Address: ______________________________
Please indicate the date of the class you want to attend:
1. _____________________________________________ 2. _____________________________________________
Billing Address: ________________________________________________________________________________________
Payment: Mail the registration form and class fee to: Lianna Development Corp., Checks are accepted, but must be received at least 4 days prior to the actual class. Credit card payment is also accepted. Enter your card information below. Or, you may call and give your card information over the phone
Credit Card Number: _________/__________/_________/_________ Type of Card (MC, Visa and AmEx):___________________
Name as shown on Card: ________________________________________________________________________________
Security Code (Last three numbers on back of credit card) & Exp. Date:____________________________________________
Normally classes will be held at:
650 Eva Avenue, Akron, OH 44306 - (at the corner of Eva Avenue and Coventry Street)