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Federal Register/Vol. 64, 178/Wednesday. September 15. 1W iles and Regulations 50231 + Dace: Street and city. ' Organization: State: _ ZIP: _ Phone number. L- Street and city. Appendix D-Sample Hazard State: _ ZIP. _ Phone number: U Reduction Completion Notice Format Note: The following appendix will not A endix CrSanrt le S appear in the Code of Federal Regulations. PP p ttmmary Presumption Notice Fortaat Summary Notice of Completion of Lead Appendix $--Sample Sunimary Risk Note: The following appendix will not Based Paint Hazard Reduction Mdvtry Address/loratio?ftf or structure(s) Assessment Notice Format appear in the Code of Federal Regulations property this summary, notice applies to: owirng pperndix Note: This foll a will not Notice That Lead-BasedPalm oLead-Based appear in the Code of Federal Regulations Paint Hazards Are Presumed to be Present Summary Notice of Lead -Based Paint Risk Address/location of properry or structure(s) Assessment this notice of presumption applies to: Summary of the hazard reduction activity- Address/location of property or structure(s) Stan and completion date(s): this summary notice applies to: Activity locations and types. List at least the Lend -based paint risk assessment description: Dates) of risk assessment summary �ris assessment results (dw& all that (a) fNo ka-based paint hazards vim urAL (b) _ Lmd-based Paint hazards were found. (t) _ A brief summary of the findings of the risk assessment is provided below (regWred if any lead -based paint hazards Type of presumption (check aU that apply): (a) _Lead -based paint is presumed topresem be (b) _ Lead -based paint hazards) Ware) presumed to be preset. 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 painbe pit based paint hazards presumed housing unit numbers and common area (for multifamily housing). bare soil locations. dust -lead k cads s, and/or building components (including type of room or Spam. and the material underneath the pairs), and types of hazard reduction activities performed at the kxatkuts listed: were found). paint/ Date(s) of clearance testing and/or soil Summary oE• azar and stators of Wad- based palm hazards. list area the housing Loanalcations of building components with lead - rmmily andbre areas (for unit common munitlfamnily hosinng), bare soil locations. based I� r 6 in the rooms. spaces or suns while activities were conducted: dust -lead locations, and/or building components (including type of room or _ space, and the material underneath the and types of lad -based paint hazards found Contact person for more infomtiation about the risk assessment: Printed name: Contact person for more ird .. . about the presumption: Printed name: Organization Street and city. State: _ ZM _ Phone number. U Organization: Person who prepared this notice of Street and city. presumption: Printed name: State: _ 21P: _ Phone number: L-J Signature: P who prepared this summary notice: Daze: 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 was not achieved. Contact person for more information about the hazard reduction: Printed name: moSuva d. Store. _ ZIP: Phone number.C-) Person who prepared this summary notice: Printed name: Signauve: Datc Organization: Street and city. State: _ ZIP: Person Plane number: L—) Printed name: 'Organization: (FR Doc. 99-23016 Filed 9-14-99: 8:45 am) Signatue: en.ttno coo¢ ritoax-a - gnAct-kme�?.n- 3