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Federal Register/Vol. 64. 178/Wednesday. September 15, 199E iles and Regulations 50231 Date: Sheet and city. ' Organization: State: _ZIP: `Phone number. (_,) Street and city. Appendix D--Sample Hazard State: _zip- _Phone number. L ) Reduction Completion Notice Format Appendix B—Sample Summary Risk Assessment Notice Format Note: This following appendix will not appear in the Code of Federal Reguladons Summary Notice of Lead -Based Paint Risk Assessment Addrtssnotation of property or structures) this summary notice applies to. Lead -based palm risk assessment description: Date(s) of risk assessment: Stanntary of risk assessment results (check all that apply): (a) _ No lead -based paint hazards were found. (b) —lead-based palm hazards were found. (c) _, A brief summary of the flrdings of the risk assessmatt is provided below (required if arty lead -based paint hazards were found). Summary of types and locations of lead, .based paint hazards. List at least the housing unit numbers and common areas (for multifamily housing). bare soil locations. dust -lead locations. and/orbuilding components (ine udhg type of room or space, and the material underneath the paint). and types of lad -based paint hazards found: Appendix C—Sample Summary Presumption Notice Format Note: The following appendix will not appear in the Code of Federal Regulations Nonce That Lead -Based Paint or lead -Based Paint Hazards 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 Sunnnary 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 hhfamadon about the presumption: Printed name: Organization: Contact person for rote information about the risk assessment Street and city. Printed name: State. ZIP: _ Phone number. (---) Organization: Person who prepared this riotim of Street and city. - Presumption: Printed Sate. _ ZIP: _ Phone number. L_) Person who prepared this summary notice: Printed time: • Signature: name. Signature: Date Now The following appendix will not appear in the Code of Federal Regulations. Summary Notice of Completion of Lead - Based Paint Hazard Reduction Activity Address/locatiotlbf property or structure(s) this summary notice applies to: Summary of the hazard reduction activity - Stan and oompletion date(s): Activity locations and types. List at least the housing unit numbers and common areas (for multi amily 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 pafomed at the kecations listed: Date(s) of clearance testing and/or soil analyses: — Locations of building components with lead - based pahm remaining in the rooms. spates or areas where activities were conducted: Summary of results of clearance testing and soil analyses: (a) _No clearance testing was performed. (b) _Clearance testing showed clearance was achieved. (d—Clarance testing showed clearance was not achieved. Contact pawn for more information about die, I reduction: Printed C �nam Organization: Street and city. State _ ZB'. Phone number: L_) Person who prepared this summary notice: Printed name: Signature: Date: Organization: Street and city. Saw _ ZIP: Phone number. (_j Organization (FR Doc. 99-23016 Filed 9-14-99: 8:45 am) nmimc CODE rsno-a" ATrActtttte�r,r 3