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Federal Register/Vol. 64, . 178/Wednesday. September 15, 199E Iles and Regulations 50231 • Appendix B—Sample Summary Risk Assessment Notice Format Note: This following appendix will not appear in the Code of Federal Regulations Summary Notice of Lead -Based Paint Risk Assessment Address/location of property or structure(s) this summary notice applies to: Lead -based paint risk assessment description: Date(s) of risk assessment: Summary of risk assessment results (check all that apply): (a) _ No lead -based paint hazards were found. (b) _. Lead based paint hazards were found. (c) _, A brief summary of the fumdings of the risk assessment is provided below 0egtured if any lead -based pnfnt hazards were found). Summary of types and locations of lead - based paint hazards. List at last the housing urdtnumbers and common areas (for multifamily housing). bare soil locations. dust lead locations, and/or building components (including type of room or space, and the material underneath the paint). and types of lead -based paint hazards found: Contact person for mom information about the risk assessment: Printed name: Organization: Date: Street and city: Organizauon: State: _ ZIP: _ Phone number. (—) Street and city: Appendix D—Sample Hazard State: —ZIP: —Phone number: (__-_) Reduction Completion Notice Format Appendix C—Sample Summary Presumption Notice Format Note: The following appendix will not appear in the Code of Federal Regulations Notice That Lead -Based Paint or Lead -Based Paint liazards Are Presumed to be Present Address/location of property or structure(s) this notice of presumption applies to: Type of presumption (check all that apply): (a) _ Lead -based paint is presumed to be present. (b) `Lead -based paint hazard(s) is(are) presumed to be present. Summary of presumption. list at least the housing unit numbers and common areas (for multifamily housing), bare soil locations. dust -lead locations, and/or building components (including type of room or space. and the material underneath the paint). and types of lead -based paint hazards presumed to be present: Contact person for more information about the presumption: Printed name Organization: Street and city: State: ZIP. _ Phone number. (_ Person who prepared this notice of Street and city: presumption: PrnnKM name• State: , ZIP: _ Phone number. L__) Person who prepared this summary notice: Printed name: . Signature: Signature: Date: Note: The following appendix will not appear in the Code of Federal Regulations. Summary Notice of Completion of Lead - Based Paint Hazard Reduction Activity Address/loratioWlef property or structure(s) this summary notice applies to: Summary of the hazard reduction activity. Stan and completion date(s): Activity locations and types. List at least the housing unit numbers and common are (for multifamily housing), bare soil locations. dust -lead locations, and/or building components (including type of room or space. and the material underneath the paint), and types of hazard reduction activities performed at the locations listed: Date(s) of clearance testing and/or soil artalysex -4 Locations of building components with lead - based paint remaining in the rooms. spaces or areas wham activities were conducted: - Summary of results of clearance testing and soil analyses: (a) _ No cleaartce testing was performed. (b) , Clearance testing showed clearance was achieved. (c) _Clearance testing showed clearance was not achieved. Contact person for more information about the hazard reduction: Printed name: Organization: Street and city. State: _ ZB+: Phone number. Person who prepared this summary notice: Printed name: Signature: Data. — Organization: Street and city: State: _ ZIP: Phone number. (..__j 'Organization: 1FR Doc. 99-23016 Filed 9-14-99; 8:45 aml 6a1M0 COVE 421042-P AiTAct•ti e"r 3