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Federal Register/Vol. 64, 178/Wednesday, September 15. 199E il�and <br />50231 <br />Date: <br />Street and city: <br />Organization: State: _ZIP: _Phone number. ( 1 <br />Street and city: Appendix D—Sample Hazard <br />State: _ ZIP: _ Phone number: U Reduction Completion Notice Format <br />Note: The following appendix will not <br />Appendix C—Sample Sumrtrary appear in the Code of Federal Regulations. <br />presumption Notice Format Summary Notice of Completion of Lead - <br />Appendix B—Sample Summary Risk Fiarard lteducrton Activity <br />Assessment Notice Format <br />Now This Coilowlng appendix will not <br />appear in the Code of Federal Regulations <br />Summary Notice of Lead -Based Paint Risk <br />Assessment <br />AddrenAocatton of property or structure(s) <br />this summary notice applies to: <br />Note: The following appendix will not <br />appear in the Code of Federal Regulations <br />Based Paint <br />Addrrss/l property o: structure(s) <br />Notice That Lead -Based Paint or Lead -Based <br />ary notice <br />this summary notice applies to: <br />Paint Hazards Are Presumed to be Present <br />Addresstloration of property or suucture(s) <br />this notice of presumption applies to: <br />5ummary of the hazard reduction activity' <br />Stan and completion date(s): <br />- <br />Activity locations and types. List at least the <br />Lead -band paint tick assessment descriptions: <br />Dates) of risk assessment <br />Summary of risk assessment results WID& <br />all that apply): <br />(a) _ No lead -bared PaSm hazards were <br />0) _ Lead -based palm hazards were <br />found. <br />(c) _ A brief summary of the findings of <br />the risk assessment is provided below <br />(required if any lad -based pain hazards <br />Ira) _of presumption (cm <br />iprazmptyo): be (b) _ Lead -based paint hazards) ls(are) <br />presumed to be present <br />Su =nay of presumption List at least the <br />housing unit numbers and common areas (for <br />nultifamily housing). line soil locations, <br />dust lead locationsand/or building <br />components (hncludhug type of room or <br />space. and the material underneath the <br />paint), and typesead-based paint hazards <br />presumed to be present: <br />housing unit numbers and common areas (for <br />multifamily housing), bare still locations. <br />dust -lead Wutions, and/or building <br />components (including type of room or <br />space. and the material underneath the <br />paint), and types of hazard reduction <br />acthinrs performed at the locations listed: <br />were f =4. <br />DateO) or Clearance te5ung arw.ut wu_ <br />Summary Oftypes and locations of lead - <br />based print hoards. List at least the housing <br />(for <br />analysts: _ <br />Locations of building components with lead - <br />based paint mnalning in the rooms. spaces <br />unit numbers and contort sieea <br />housing). bare soil locations. <br />or arms where aetivida were conducted: <br />multifamily <br />dust -lad locationsamf/or building <br />' <br />components (indudkrg type of room or <br />space, and the material underneath the <br />pair, and types of lad -based paint hazards <br />found: <br />Sum mary orresults of dearence testing and <br />soil analyses: <br />(a) _No clearance testing was <br />performed- <br />(b) once testing showed <br />clearance was addeved. <br />. <br />W _ Clearance testing showed clearance <br />Contact person for mote information about <br />.. the risk assessment: <br />Printed name. <br />Contact person for more information about <br />the presumption: <br />Printed name: <br />Organization <br />Street and city: <br />State: ZIP: _Phone number: CU <br />was not achtwed <br />Contact person for more information about <br />the hazard reduction: <br />Printed name: <br />Organizatin <br />et Streand** dty. <br />State. —ZIP.' <br />Phone numuber. U1 <br />Person who prepared this sumnmary notice: <br />. <br />red <br />Printed name: <br />Organization: <br />Person who prepared this noticeof <br />Signature: <br />Street and city: <br />presumption: <br />Printed name: <br />Date: <br />Organization <br />State: _ ZIP: _ home number. (_.j <br />Street and city. <br />State: ZIP: <br />Signature: <br />_ <br />Phone number: (— ) <br />this summary notice: <br />Date: <br />Person wlo Preps <br />Permed name: Organization (FR Doc 99-23016 Filed 9-14-99: 6:45 aml <br />etimti CODE 4210-32-P <br />• Signature: <br />q>TActtnte7,�3 <br />