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Federal Register/Vol. 64. < 178/Wednesday. September 15. 199E iles and Regulations 50231 Appendix B—Sample Summary Risk Assessment Notice Format Note: This following appendix will not appear in the Code of Federal Regulations Summary Notice of Lead -Based Paint Risk Assessment Address/location of property or structure(s) this summary notice applies to: Lead -based paint risk assessment description: Date(s) of risk assessment: Summary of tick assessment results (check all that apply): (a),_ No lead -based paint hazards were found (b) —Lead-based paint hazards were found. (c) _ A brief summary of the findings of the risk assessment is provided below (required if any lead -eased paint hazards were fotmid). Summary of types and locations of lead - based paint hazards. List at least the housing unit numbers and common areas (for multifamily housing). bare soil locado s. dust lead locations, and/or building components (including type of room or space. and the material underneath the pabrQ. and types of lead -based paint hazards found Contact person for more information about . the risk assessment Printed name, Organization: and city. Date: Street and city - Organization: State: _ ZIP: _ Phone number. ( ) . Street and city: Appendix D--Sample Hazard State: _ ZIP: _ Phone number: (_, Reduction Completion Notice Format Appendix C—Sample Summary Presumption Notice Format Note: The following appendix will not appear in the Code of Federal Regulations Notice That Lead -Based Paint or Lead -Based Paint }Wards Are Presumed to be Present Address/location of property o structure(s) this notice of presumption applies to: Note: The following appendix will not appear in the Code of Federal Regulations. Summary Notice of Completion of Lead - Based Paint Hazard Reduction Activity Address/locatio?I f property or strucrum(s) this smmnary notice applies to: Summary of the hazard reduction activity. Stan and completion date(s): Acdi try locations and types. List at least the Type of presumption (check all that apply) - (a) _ Lead -based paint is presumed to be present (b) ,_ Lead-bassed paint hazard(s) is(are) presumed to be present Summary of presumption. list at least the housing unit numbers and common areas (for multifamily housing). bare soil locations. dustleadlocations, and/or building components (including type of room m span, and the material underneath the paint), and types of lead -based paint hazards presumed to be present housing unit numbers and common areas (for multifamily lousing). bare soil locations, dust -lead locations. and/or building components (including type of room or space and the material underneath the paint), and types of hazard reduction activities performed at the locations listed: DateW of clearance testing and/or soil anabsesc l of building components with lead - based palm remaining In the rooms. spaces or areas where activities were conducted: 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 Contact person for more information about the presumption Printed name: - Organization: Street and city. State: _ ZIP: _ Phone number. (_) Person who prepared this notice of presumption: Printed name: State: — ZIP: _ Phone number. L_j Signature: Person who prepared this summary notice: Date: _ Pruned name Signature: was no achieved Contact person for mote information about the hazard reduction: Printed names Organization: Street and city. State: _ ZIP: Phone number:. (—, Person who prepared this summary notice: Printed name: Signature: Date: Organization: Street and city. State: _ ZIP: Phone number: U Organization (FR Doc. 99-23016 Filed 9-14-99: 8:45 am) BtLUNc twoe mo-ax-e AnAcvu et r, - 3