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Federal Register/Vol. 64, 178/Wednesday. September I5. 199( Iles and Regulations 50231 <br />Appendix B—Sample Summary Risk <br />Assessment Notice Format <br />Notc This following appendix will not <br />appear in the Code of Federal Regulations <br />Summary Notice of Lead -Based Paint Risk <br />Assessment <br />Addressnoration of property or structures) <br />this summary notice applies to: <br />Lead -based paint risk assessment description: <br />Date(s) of risk assessment <br />Summary of risk assessment results (check <br />an that apply): <br />(a) _ No lead -based paint hazards were <br />found <br />(b) _ Lead•based paint hazards were <br />found. <br />(c) _ A brief summary or the findings of <br />the risk assessment is provided below <br />(required N any lead -based paint hazards <br />were found). <br />Summary of types and locations of lead- - <br />based paint hazards. List at least the housing <br />unit numbers and common on areas (for <br />mutifamily, housing). bare soil locations. <br />dust lead locationsand/or building <br />components (including type of room or <br />space. and the material underneath the <br />paint), and types of lead -based paint hazards <br />found <br />Contact person for more information about <br />the risk assessment: <br />Printed name: <br />Ongardzation: <br />Street and city. <br />State: _ ZIP: _ Phone number. C_j <br />Person who prepared this summary notice: <br />Printed name: <br />. Signature: <br />Date: <br />Organization: <br />Street and city: <br />State: _ ZIP, _ Phone number. <br />Street and city. <br />Appendix D—Sample Hazard <br />State: —ZIP: —Phone number. (_j Reduction Completion Notice Format <br />Appendix C--Sample Summary <br />Presumption Notice Format <br />Note: The following appendix will not <br />appear in the Code of Federal Regulations <br />Notice That Lead -Based Paint or Lead -Based <br />Paint Hazards Are Presumed to be Resent <br />Address/location of property or structure(s) <br />this notice of presumption applies to: <br />Type otpiesumption (check all that apply): <br />(a) _ Lead -based paint is presumed to be <br />present <br />(b) _ Lead -based paint hazard(s) is(are) <br />Presumed to be present. <br />Summary of presumption List at least the <br />housing unit numbers and common areas (for <br />multifamily housing). bare soil locations. <br />dust -lead locations, and/or building <br />components (including type of room or <br />space. and the material underneath the <br />paint), and types of lead -based paint hazards <br />presumed to be present: <br />Contact person for more information about <br />the presumption <br />Printed name <br />Organization: <br />Street and city. <br />State: — ZIP: -_ Phone number: (_) <br />!rson who prepared this notice of <br />presumption: <br />Printed time., <br />Signature: <br />Date: <br />Note The following appendix will not <br />appear in the Code of Federal Regulations. <br />Summary Notice of Completion of Lead - <br />Based Paint Hazard Reduction Activity <br />Address/locatioWW property or structure(s) <br />this summary notice applies to: <br />Summary of the hazard reduction activity. <br />Start and completion daie(s): <br />Activity locations and types. List at least the <br />housing unit numbers and common areas (for <br />multifamily housing), bare soil locations. <br />dust -lead locations. 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 />activities performed at the locations listed: <br />Date(s) of clearance testing and/or soil. <br />analyses: — <br />Locations of budding components with lead - <br />based paint remaining in the rooms. spaces <br />or areas where activities were conducted: <br />- Summary of results of clearance testing and <br />soil analyses: <br />(a) —No clearance testing was <br />performed. <br />(b) — Clearance testing showed <br />clearance was achieved. <br />(c) _ Clearance testing showed clearance <br />was not achieved. <br />Contact person for more information about <br />the hazard reduction: <br />Printed name: <br />Organization: . <br />Street and city. <br />State -._ZIP. <br />Phone number. (__-J <br />Person who prepared this summary notice: <br />Printed name: <br />Signature: <br />Date <br />Organization: <br />Street and city. <br />State- _ 2IP: <br />Phone number. <br />'Organization IFR Doc 99-23016 Filed 9-14-99: 8:45 am] <br />BUJNG CODE 42103" <br />ATracvuuer.ir- 3 <br />