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. L � •Federal Register/Vol. 64. 178/Wednesday, September 15, 199( Iles and Regulations 50231 Date: Street and cloy: . Organi ation: State. _. ZIP: _ Phone number. (_) . ` Street and city. Appendix D—Sample Hazard State: _ZIP: _Phone number. (_, Reduction Completion Notice Format Note The following appendix will not Appendix C—Sample Stnnmary appear in the Code of Federal Regulations. presumption Notice Format Summary Notice of Completion of Lead - Appendix B—Sample Summary Risk Note: The following appendix will not Based Paint Hazard Reduction Activity Assessment Notice Format appear in the Code of Federal Regulations AddressnoratioW%of property 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 this notice of presumption applies to: Sir, of the hazard reduction activity. AddressAotatfon of property or structure(s) Stan and completion date(s): this summary notice applies to: Activity locations and types. List at least the Type orpresumption (check all that apply): housing unit numbers and common areas (for (a) Lead -based paint is presumed to be multifamily housing). bare soil locations, Lead -based paint risk assessment description: ,_ present. (b) Lead -based paint hazard(s) s(are) dust lead locations. and/or building componentscoom or cl d al Date(s) of risk assessmaitc Summary of risk assessment results (check _ presumed to be pit Summery of presumption List at least the and the underneath the paint). and types of hazard reduction all that apply): (a) lead -based paint hazards were housing unit numbers and common areas (for activities perforated at the locations listed: —No found. multifamily housing). bare soil locations. . (b)paint hazards ware dust -lead locationm and/or building —Lead4wsed - found. components (including type of room or (c) brief summary tithe findings of space, and the material underneath the —A the risk assessment is provided below paint), and types of lead -based paint hazards (required ff any lead -based paint hazards presuned to be present: were found). Date(s) of clearance testing and/or soil Summary of types and locations of lead- based paint hazards. List at least the housing analyses — Locations of building components with lead - unit numbers and common areas (for bated paten remaining in the rooms, spaces multifamily horsing) bare soil locations. or, where activities were conducted: dust lead locations, and/or building components (including type of room or . space. and the material underneath the paint). and types of lead4msed paint hazards found: - Summary of reads 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 person for more information about was not achieved the presumption: Contact person for nuwe information about Printed name: the hazard reduction: Printed name: Organization: Organization: . Contact person for more information about Street mid city: Street and city. State:—M. the risk assessment Phone number - Printed name State: _ZIP: _Phone number. (—j Person who prepared this summary notice: Printed name: Organhatlon: Person who prepared this notice of Signature: Street and city: - presumption: Printed name Date: Organization: State: _ ZIP: — Phone number: (—J Penton who prepared this summary notice: Printed name: • Signature: Street and city. Signature: State: _ ZIP: Date: Phone number: (--) 'Organaation: (FR Doc 99-23016 Filed 9-14-99: 8:45 am] 6a1rNn CODE 421"" - AnActtw eNA- 3