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Federal Register/Vol. 64, 178/Wednesday. September 15, 199E Iles and Regulations 50231 Date: Street and city Appendix B—Sample Summary Risk Assessment Notice Format Note: This Collowing appendix will not appear in the Code of Federal Regulations Summary Notice of Lead -Based Paint Risk Assessment Address location of property or awaure(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 findings of the risk assessment is provided below (required if any lead -based paint hazards were found). Summary of types and locations of lead- . based paint hazards. List at least the horning unit numbers and common areas (for multifamily housing). bare soil hrcadons. dust -lead locations. and/or building components (including type of mom or space. and the material underneath the paint), and types of lead -based paint hazards found: Contact person for more information about the riskassessment: Printed name: Organization: resinrs of clearance State: _ ZIP: _ Phone number. L� Street and city. Appendix D--Sample Hazard State: _ ZIP: _ Phone number: 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 - Note: The following appendix will not Based Paint Hazard Reduction Activity Address/locatimWbf property or swaure(s) appear in the Code of Federal Regulations this summary nOdCa applies to: 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: Summary of the hazard reduction activity Start and completion date(s): - Activity locations and types. List at least the Type of piesumpti (check all that apply): housing unit numbers and common areas (for (a) _ Lead -based paint is presumed to be ul itif dilYy�onn. and/or soil locations. multifamily ding present. (b) -based paint hazards) is(are) components (including type of room or _Lead - presumed to be present Summary of presumption List at least the space. and the material tmdemeath the paint), and types of hazard reduction housing unit numbers and common areas (for activities performed at the locations listed: multifamily housing), bare soil locations. dust -lead locations. and/or building components (including type of room or Spam and the material underneath the paint), and types of lead -based paint hazards presmred to be present Date(s) of clearance testing and/or soil analyses: — Locations of building components with lead - based paint remaining in the rooms. spaces or areas where activities were conducted: testing and Summary of soil analyses: (a) _ No clearance testing was performed- (b) _ Clearance testing showed clearance was achieved. (c) _ Clearance testing showed clearance Contact person for more information about was not achieve(. the presumption: Contact person for more information about Printed name' - the hazard reduction: Printed name: Organization: Organization Street and city. Street and city. State: _ ZIP: Phone number. L—) State: ZIP: Person who prepared this summary notice: Printed name: Organization' Person who prepared this notice of Signature: Street and city. State: _ Z—V _ Phone number _ � Person who prepared this summary notice: Printed name: . Signature: presumption: Date: Printed name: Organization Street and city - Signature: State: _ ZIP: Date: Phone number. L—) (FR Doc 99-23016 Filed 9-14-99: 8:45 am] Organization. - BIWNG CAGE al10-32-e gT(Acome"T- 3