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Federal Register/Vol. 64. , 178/Wednesday. September 15, 199! lies and Regulations 50231 þ Appendix B-Sample Summary Risk Assessment Notice Format Note: This fallowing appendix will not appear In the Code of Federal Regu1aIions Summary Notice af Lead-Based Paint RIsk Assessment AddressIlocat!on of property or sttucnue(s) this swrmwy notice applies to: Lead-based paint rtsIt assessment desalption: DateOO of risk assessment: Summary of rtsIt assessment JeSUits (check all thatapp1y): (a) - No lead-based paint hazards were found. . (h) - Lead-based paint hazards were found. . (e) - A brief SUItIII1aIy of the fIndings af the rtsIt assessment Is provided below (required If any lead-based paint hazards were £ound), Summary of types and \ocatIons of lead- . a based paint hazanIs. LIst at least the housing ., unit IIWIIbers and common aìeas (for mu1tIfàmIJy housIng). bare soil_ems. dust-lead lo<:atIons, and/or buI1dIng componentS (including 1;YP" of room or space. and the material underneath the ~ and typeS of lead-based paint hazards Contact peISOJ1 for more information about the rtsIt assessment: PrInted name: OrganIzatIon: Street and city: State: ~ ZIP: - Phone number. L-J . Person who prepared this summary notice: PrInted name: Signature: Date: Organization: Street and city: State: - ZIP: - Phone number. L-J Appendix C-Sample Summary Preswnption Notice Format Note: The following appendix wID not appear In the Code of Federal Regulations Notice That Lead-Based Paint or Lead-Based Paint Hazards Are Presumed to be Present Addressllocation of property or structure(s) this notice of presumption applies to: Type ofpiesumption (check all that apply): (a) - Lead-based paÙ\l Is presumed to be present. . (h) - Lead-based paint hazanI(s) Is(are) presumed to be present. Summary of presumption. LIst at least the housing unit numbers and common areas (for multIfamUy housIng). bare soU locations. dUSt-lead locations. and/or builc1ing componems (including type of room or space. and the material underneath the paint), and types of lead-based paint hazards presumed to be present: Contact peISOJ1 for more Information about the presumption: PrInted name: Organization: Street and city: State: - ZIP: - Phone number: L-J Person who prepared this notice of presumption: . Printed name: Signature: Date: .Organlzation: Air AC."", eur ~ Street and City: State: - ZIP: - Phone number: L-J . Appendix D-Sample Hazard Reduction Completion Notice Format Note: The foUowlng appendix will not appear In the Code of Federal Regulations. Summary Notice of Completion of Lead- Based Paint fIazard Reduction ActMty Addressllocatloìrbf property or sttucture(s) 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 multIfamUy bbuslng). bare soll locations. dust-lead locations. and/or building componentS (including type of room or space. and the materÌa\ underneath the paint). and types of hazard reduction activities peñormed at the locations listed: Date(s) of clearance testing and/or soil analyses: - Locations of building componenIS with Jead.. based paint romaInIng In the rooms. spaces or areas where aCtivities wen! conducted: , Summary of JeSUits of clearance testing and soU analyses: (a) - No cIearan<:e testing was performed. (h) - Clearance testing showed clearance was achieved. (e) - Clearance testing showed cIearan<:e was not aclUeved. Contact person for more Infonnation about the hazard redUCtion: Prtnted name: Organization: Street and city: State: - ZIP: Phone number: L-J Person who prepare<:! this summary DDtIce: Prtnted name: Signature: Date: Organization: Street and city: ~:::. num~ L-J IFR Doc. 99-23016 riled 9-14-99: 8:45 amI BIUJNG COO£ "'1>-32-1'