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Federal Register/Vol. 64, 178/Wednesday. September 15, 1W les and Regulations 50231 Date.. Street and city - Organization: State: —Zip: _ Phone number. ( 1 Street and city. Appendix D—Sample Hazard State: _ZIP: —Phone number: (_., Reduction Completion Notice Format Note: The following appendix will trot Appendix C—Sample Summary appear in the Code of Federal Regulations. presumption Notice Format Summary Notice of Completion of Lead - Appendix "ample Summary Risk Note: The following appendix will not Based Paint Hazard Reduction Activity Assessment Notice Format appear in the Code of Federal Regulations Address/loratloWW property or structure(s) Note: This following appendix will not Notice That Lead -Based Paint or lead -Baud this sue' notice applies to: appear in the Cale 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: Spy of the hazard reduction activity. Address/locadm of property or snucture(s) Start and completion date(s): this summary notice applies to. Activity locations and types. List at least the ' Type of piesvmpttan (check all that apply): housing unit numbers and common areas (for (a) Lnad-based paint is presumed to be baresoil locations. s eed.6ased paint risk assessment description: — present (b) land -based paint hazardW is(ate) dust-leadmultifamily locations, building cwtrponents (including type of room or Date(s) of risk assessment: Summary of risk assessussa results (check _ presumed to be present Summary of presumption List at least the space. and the matetial underneath the paint). and types of hazard reduction an that apply): lead -based paint (a)tna�ds were housing unit numbers and common areas (for rm activities performed at the locations fisted —No multifamily housing). bare soil locetlons. • Lead -based paint hazards were found dust lead locations. and/or bolding components (including type of room or (c) brief summary of the findings of space, and the material underneath the —A the risk assessment is provided below paint). and types of lead -based paint hazards (roqubed if any lead -based pair hazards presumed to be present: were found). Date(s) of clearance testing and/or soil Summary of types and locations of lead- analyses: — Locations of building componetas with lead - based pairs hazards. List at least the housing unit numbers and common areas Or based paint remaining in the roans. spaces multifamily housing). bare soil locations. or arras where activities were conducted: dust lead locations, and/or building components (including type of room or space, and the material underneath the _ pairmd, and types of lead -baud paint hazards found: Summary of results of clearance testing and soil analyses: (a) _ No clearance testing was perlbuned- (b) Clearance testing showed clearance was achieved. (c) —Clearance testing showed clearance was not achieved. . Concert person for more information about the presumption Contact person for more information about Printed name: the hazard reduction: Printed name: Organization: Organization: Contact person formore information about Street and city. state: —ZIP: Sued and city. .. the risk assessment: Phone number. (__-, Printed name: State: —Phone number. (_) Person who prepared this summary notice: Organization _ZIP- Printed name: Signature: Person who prepared this notice of Street and city. presumption: Printed name: Date: Organization State: _ ZIP- — Phone number LJ Street and city. State: —ZIP: Signattue• Person who prepared this summary notice: Date: Phone number: L., Printed tame: (FR Doc 99-23016 Filed 9-14-99: 8:45 am) 'Organization: arttwo coca mo•aa-a .0 Signature: grrAct*neE',r— 3