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Federal Register/Vol. 64. < 178/Wednesday, September 15, 199( iies and Regulations 50231 Date: Street and city: Organization: State: _ ZIP: _ Phone number. L_) Street and city: Appendix D—Sample Hazard State: _ZIP: _Phone number: (_) Reduction Completion Notice Format Appendix B—Sample Summary Risk Assessment Notice Format Now This [ollowfng 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: Dates) of risk assessment: Summary of risk assessment results (check all that apply): (a) _, No lead4msed paint hazards were found. - (b) _ Lead -based paint hazards were found. (c) _ A brief summary of the findings of the risk assessment is provided below (required 9 any lead -based paint hazards were fotmd). Summary of types and locations of lead-. lined paint hazards. List at least the housing unknumbers and common areas (for multifamily housing) bare soil locations. dug 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 more information about the risk assessment: Printed nacre: a 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 Hazards Are Presumed to be Present Addressnocation 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) prey sited to be present Surmnary 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: L-j Person who prepared this notice of Street and city. presumption: Printed State: _-„ 21P: _ Phone number. L—j Person who prepared this summary, notice: Printed name: Signature: name. Signature: Date: 'Organization 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/locatioiffaf property or structures) this summary, notice applies to: Summary of the hazard reduction activity - Start and completion date(s): Activity locations and types. List at least the housing unit numbers and common areas (for multifamily housing). bare soil locations. dust -lead locationsand/or building cornponents (including type of room or space. and the material underneath the paint). and types of hazard reduction activities performed at the locations lister: DateW of clearance testing and/or soil analotat� fns of building componems with lead - based paint remaining in the moms, spaces or areas where activities wets conducted: Summary of results of clearance testing and soil analyses: (a) _ No clearance testing was performed- (b) _ Clearance tcsdng showed clearance was achieved. (c) _ Clearance testing showed clearance was not achieved Contact person for more, information about the hazard reduction: Printed name Organized= Street and city: State: _ 23P: Phone number. Person who prepared this summary notice: Printed name: Signature: Date: Organization: Street and city. State, _ ZIP: Phone number: )FR Doc 99-23016 Filed 9-14-99: 8:45 am) Batuo woe 4210a2-e A-aACttiue nr, - 3