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Federal Register/Vol. 64, 178/Wednesday, September I5, 199E iles and Regulations 50231 IA 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 Addressno ation of property or structure(s) this summary notice applies to: Lead -based palm risk assessment description: Date(s) of task assessment Summary of risk assessment results (check all that apply): (a) _ No lead -based paint hazards were found (b) —Lead-based 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 farad). Summary oftypes and locations of lead - based paint hazards. List at least the housing unit numbers and common areas (for muWamily housing), bare soil locations, dust lead locationand/orbuilding components (including type of room or space, and the material underneath the paint), id and types of lead -based paint hazards Contact person for more information about the risk assessment: Printed name: Organization: Street and city. State: ^ 21P: _ Phone number. (__) Person who prepared this summary notice: Printed name: . Signature: Date: Street and city Organization: State: —ZIP: _ Phone number. ( 1 Street and city: - - Appendix f)---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 Hazards Ate Presumed to be Present Address/location of property or structures) this notice of presumption applies to: Type of presumption (check all that apply): (a) — Lead -based paint is presumed to be Present. (b) _ Lead -based paint hazard(s) s(are) presumed to be present. Summary of presumption. List at least the housing unit numbers and common areas (for multifamily housing), bare soil locations, dim -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 Contact person for more information about the presumption: Printed name: Organization: Street and city. State: _ ZIP: Phone number. L� Person who prepared this notice of presumption: Printed name: Signature: Date: 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/locatioWW property or structure(s) this summary notice applies to: Summary of the hazard reduction activity - Stan and completion date(s): Activity locations and types. List at least the housing unit numbers and common areas (for multifamily housing), bare soil locations, dust -lead locations, and(or building components (lncludfng type of room or space, and the material underneath the paint), and types of hazard reduction activities performed at the locations listed: Date(s) of clearance testing and/or sou analyses: — 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 soil analyses: (a) _ No clearance testing was performed- (b) —Clearance testing showed clearance was achieved. W _ Clearance testing showed clearance was not achieved. Contact person for more information about the hazard reduction: Printed name: Organization Street and city. State: _ ZIP - Phone number. L_j Person who prepared this summary notice: Printed tame: Signature: Date: Organization Street and city. State: — 2 . Prone number: U 'Organization _ (FR Doc 99-23016 Filed 9-14-99: 8:45 am] BRA 4G CODE 4210-32 P AnAci me"r- 3