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Federal Register/Vol. 64, 178/Wednesday, September 15. 199E Iles and Regulations 50231 Appendix B—Sample Summary Risk Assessmmt Notice Format Note: This following appendix will not appear in the Code of Federal Regulations Sununaty Notice of Lead -Based Paint Risk Assessment Address/location of property or structures) this summary notice applies to: Lead4msed paint risk assessment desaipdon: Date(s) of risk assessment Summary of risk assessment results (check all that apply): (a) _ No lead -based paint hazards were found. - (b) _• Lead4msed palm hazards were found. (c) — A brief summary of the findings of the risk assessment is provided below (required if any lead -based paint hazards were fared). Summary of types and locations of lead - based paint hazards. List at least the housing unit numbers acid common areas (for multifamily housing). bare soil locations. dun -lead locations. and/or building components (including type of room or space. and the material underneath the paint), and types of lead -baud paint hazards found Contact person for more information about the risk assessment Printed name Organization Street and city. State'— ZIP: _ Phone number. (_) Person who prepared this summary notice: Printed name: 10 Signature: 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 not Appendix C—Sample Summary appear in the Code of Federal Regulations. Presumption Notice Format Summary Notice of Completion of I.ead- Note. The following appendix will not Based Paint Hazard Reduction Activity appear in the Code of Federal Regulations Address/locatioirtif property or aructure(s) Notice That Lead -Based Paint or Lead -Based this summary nonce applies to: Paint Hazards Are Presumed to be Present Address/location of property or structure(s) this notice of presumption applies to: Summary of the hazard reduction activity. Start and completion date(s): Activity locations and types. List at least the Type of presumption (check all that apply): housing unit numbers and common areas (for (a) _ Lead -based paint is presumed to be multifamily housing), bare soil locations. present dun -lead locations, and/or building (b) _ Lead4wed paint hazards) is(are) components (including type of room or - presumed to be present space. and the material underneath the Summary of Presumption. l in at least the paint), and types of hazard reduction hawing unit numbers and common areas (for activities performed at the locations listed: multifamily housingh 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 lead -based paint hazards presumed to be present Date(s) of clearance testing and/or soil anal Locations of building components with lead. based paint remaining in the rooms. spaces or area where activities were conducted: Summary of results of clearance testing and son analyses: (a) _ No clearance testing was ' craned. (b) _ Clearance testing showed clearance was achleved. (c) _ Clearance testing showed clearance Contact person for more information about was not achieved the presumption: Contact person for more information about Printed name: - the hazard reduction: Printed name: Organization: Organization: Street and city: Street and dry. State: —ZIP, Phone number (_� State: `ZIP: Phone number: L� Person who r o prepared this summary notice: Printed name: Signature: Person who prepared this notice of presumption Date: Printed name: Organization Signature: - Street and city. State: ZIP: Date: _ Phone number. L ) 'Organization: IFR Doc. 99-23016 Filed 9-14-99: 8:45 am] MI NG CODE 4210-3" q lTActtm en-q - 3