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Federal Register/Vol. 64, 178/Wednesday. September 15, 199E Iles and Regulations 50231 S tando Daze: tree ry' State: _ ZIP: _ Phone number. ( 1 . Organization: ` Street and city. Appendix D—Sample Hazard State: _ ZIP: _ Phone number U 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 Lead - Appendix B—Sample Summary Risk The following appendixwillnot Based Paint Hazard Reduction Activity Assessment Notice Format Ppeo-tare•. a in the Code of Federal Regulations ues) Address/lotatiotl'hfAroperty or structures) Note: Tito Collowhtg appendix will not Notice That Lead -Based Paint or Lead -Based this summary notice applies to: appear in the Code of Federal Regulations Paint Hazards Are Presumed to be Present Summary Notice of Lead Based Paint Risk Addressilocation of property or st mcture(s) Assessment this notice of presumption applies to: Summary of the hazard reduction activity. Addressnontion of property or structure(s) Start and completion date(s): this summary notice applies to: Activity locations and types. List at least the Type of presumption (check all that apply): Lead -based is presumed to be homing unit numbers and common areas (for multifamily housing). bare soil locations. l,ead.bausi paint risk assessment description: (a) ,_ paint present (b) lead -based paint hazard(s) Were) dust lead is Onclu and/or building or componne note Date(s) of risk assessment Summary of risk assessment results (check ,_ - presumed to be present Summary of List at least the theerialypunderneath palm), and types of hazard reduction all that apply): (,) No lead -based pair[[ hazards were presumption. housing unit numbers and common areas (for activities performed at the locations listed - _ found. multifamily housing). bare soil locations. (b) _ Lead -based paint hazards were dust -lead locations. and/or building (including type of room or found. (c) A brief summary of the findings of components space, and the material underneath the _ the risk assessment is provided below paint). and types of lead -based paint hazards (required if arty lead -based paint hazards were found). presumed to be present Date(s) of clearance testing and/or soil Summary of types and locations of lead-, based paint hazards. least the housing analyses: a� of building components with lead - m n unit rumbas and common areas (for based pit remaining in the rooms. spaces where activities were conducted - mutdfamily honasing) bare soil locations. or areas dust lead locations. and/or building . components (hwhWhV type of room or space. and the material underneath the p� and types of lead -based paint hazards Summaryor 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 was not achieved Contact for more information about . Contact person for [tore information about the presumption: Printed name:. person the hazard reduction: Contact person for mom information about the risk assessment Printed name: Organization: Street and city. State: _ ZIP:._ Phone number. U Organization Person who prepared this notice of Street and city. - presumption: Printed name: State: _ ZIP: _Phone number. U—) Person who prepared this summary notice: Printed name. Signature: - Signature: Date: 'Organization Printed name. Organization: Street and city- state. — ZIP: Phone munber. U Person who prepared this summary notice: Printed name Signatue: n?tot- Organization -. Street and city. State: _ ZIP: Phone number. U (FR Doc 99-23016 Filed 9-14-99: 8:45 am) BRIM CODE 4210 a P glTnatn4e"r 3