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' Federal Register/Vol. 64. 178/Wednesday. September 15, 199( Iles and Regulations 50231 - Date: Street and city: s Organization: State: _ ZIP: _ Phone number. C_ 1 . Street and city. Appendix D—Sample Hazard State: — ZIP: _ Phone number. (_� Reduction Completion Notice Format Note: The following appendix will not Appendix C—Sample Summary appear in the Code of Federal Regulations. Presumption Notice Format Summary Notice of Completion of Lead - Appendix S - Sample Summary Risk Note: The following appendix will not Paint Hazard Reduction Activity Assessment Notice Format appear in the Code of Federal Regulations Address/locatloWWproperty or structure(s) Note: This following appendix will not Notice That Lead -Based Paint or Lead -Based this summary notice applies to: appear in the Code of Federal Regulations Paint Hazards Are Presumed to be Present Summary Notice of Lead -Based Paint Risk Address/location of property or structure(s) Assessment Address/location of property or structures) this notice of presumption applies to: Summary of the hazard reduction activity. this summary notice applies to: Start and completion date(s): Activity locations and types. List at least the Ty(p�.�e of Presumption (check all that apply): housing unit numbers and common areas (for ' " — bead -based palet is presumed to be multifamfly housing), bare soil locations. Lead-based paha risk assessment description: dust lead �(inclluding Date(s) of risk assessment (b) `Lead-based paint hazards) is(are) components type of room or Summary of tisk assessment results (d Teck - presumed to be present space. and the material underneath the all that apply): Summary of presumption. List at lest the paint. and types of hazard reduction (a)—No lead-based palet hazards were housing unit numbers arid conanonareas (for activities performed at the locations listed f (b) _ Lead-based paint hazards were dust iced locations, and/or building found. components (including type of room or (d) _ A brief summary of the findings of space. and the material underneath the the risk assessment is provided below paint). and types of lead-based paint hazards kegrdred ff any lead-based palm hazards presumed to be present were fiXW4. analyse of clearance testing and/or soil Summary of types and locations of led analyses: based paint hazards. List at least the housing . Locations of building components with lead - unit numbers and coumoorn ares (for based paint nnwbdng in the rooms, spaces mmklfaadly housing). bare soil locations, or area where activities were conducted: dust lead locations, arW/or building components (including type of toom or space, and the material underneath the . paint), and types of lead-based paint hazards found Summary of results of clearance testing and soil analyses: (a) _No clearance testing was performed. (b) `Clearance testing showed clearance was achieved. (c), Clearance testing showed clearance " Contact pesos for more information about was not achieved the presumption: Cordaetpersot for more information about Printed name: the hazard reduction: Printed name: Organization OtgaWzation: ' . Contact person for moa information about Street arta city. .. the risk assessment Street and city: State.—M. Printed thane: Phone number. L—J State: —ZIP. —Phone number. (_) Person who prepared this summary notice: Organization: Printed name: Person who prepared thisnotice of Signnanne: Street and city: - presumption: Date: Printed name,. Organization: State: _ ZIP: _ Phone number. (—j Street and city. Signattare: state. ZIP: Person who prepared this summary notice: Date: — Phone number. Printed name: 'Organization: (FR Doc. 99-23016 Filed 9-14-99; 8:45 aml . Signature: SLUNG coca 4210a2 -P MrActimeKsr 3