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Federal Register/Vol. 64. 178/Wednesday, September 15. 199E iles and Regulations 50231 <br />Appendix B—Sample Summary Risk <br />Assessment Notice Format <br />Note: This following appendix will not <br />appear in the Code of Federal Regulations <br />Summary Notice of Lead -Based Paint Risk <br />Assessment <br />Address/location of property or structure(s) <br />this summary notice applies to: <br />Lead -baud paint risk assessment description: <br />Date(s) of risk assessment <br />Summary of risk assessment results (check <br />all that apply): <br />(a) _ No lmd-based paint hazards were <br />found. <br />(b) _ Lead -based paint hazards were <br />found. <br />(c) , A brief summary of the findings of <br />the risk assessment is provided below <br />(required if any lead -baud 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 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 />found: <br />Contact person for more information about <br />the risk assessment <br />Printed name: <br />Organization <br />Date: <br />Street and city. <br />Organization: State: _ ZIP: , Phone number. (__, <br />Street and city. <br />Appendix D—Sample Hazard <br />State: _ ZIP: _ Phone number: L.__) 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 Present <br />Addresspocation of property or structure(s) <br />this notice of presumption applies to: <br />Type of Presumption (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. (_ j <br />rerson wno prepared tr s nonce or <br />Street and city. - presumption: <br />Printed name: <br />State: _ ZIP: _ Phone number. L_) <br />Person who prepared this stnnmary notice: Date. <br />Printed r w <br />I* Signature: <br />"Organization: <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/locatio?f`bf property or structure(s) <br />this summary notice applies to: <br />Summary of the hazard reduction activity. <br />Start and completion date(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 soli <br />analyses: <br />Locations of building 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 riot 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: `ZIP: <br />Phone number. L__j <br />(FR Doc. 99-23016 Filed 9-14-99: 8:45 aml <br />&LUNG CODE 427P32-A <br />ATrActttu e"T- 3 <br />