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Federal Register/Vol. 64, 178/Wednesday, September 15, 199( 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 Addressnocation of property or structure(s) this summary notice applies to: Lead-based paint risk assessment description Date(s) of risk 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 fundings of the tisk assessment is provided below (required if any lead-based pain hazards were found). Summary of types and locations of lead- based pain hazards. List at least the housing unit numbers and common aim Uor multifamily henaing). bare soil locations. dust lead locations, and/or building components (including type of Loom m space, and the material underneath the paint). and types of lead-based paint hazards found Date: Street and city Organization: State: _ ZIP: `Phone number. (_-j Street and city. Appendix I)—Sample Hazard State:— ZIP:_ Phone number. (_) Reduction Completion Notice Format Appendix C—Sample Summary Presumption Notice Format Nae: The following appendix will not appear in the Code of Federal Regulations Notice That Lead -Based Paint or Lead -Based Paint Hazards Are Presumed to be Present Address/location of property or structure(s) 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) Ware) presumed to be present. Summary of presumption. Litt at least the housing unit numbers and common areas (for multifamily housing), 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: Contact person for more information about the presumption Printed name: Organization Cornett person for more information about the risk assessment Street and city. Printed name State: — ZIP: _ Phone number- Organization: umberOrganization Person who prepared this notice of Street and city. - presumption: Printed name: State: _ ZIP: „Phone number- Person umber Person who prepared this summary notice: Date: Printed name: . Signature: 'Organization gnActtmer,q- 3 Note The following appendix will rot appear in the Cade of Federal Regulations. Summary Notice of Completion of Lead - Based Paint Hazard Reduction Activity Address/locatimftf property or structure(s) this summary notice applies to: Summary of the hazard reduction activity. Start 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 (Including 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 soil analyses: _ Locano s of building components with lead- based paint 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 was not xltieved. Contact person for more information about the hazard reduction: Primed name Organization: Street and city. State -_M Phone number. L -j Person who prepared this summary notice Pried name Signature: Date: Organization: Street and city. State: _ ZIP: Phone number: (,) (FR Doc. 99-23016 Filed 9-14-99-,8:45 am) BnIMG CODE 4210 -az -v