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Federal Register/Vol. 64, 178/Wednesday. September 15, 199( Iles and Regulations 50231 C 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 Address/location of property or structure(s) this summary notice applies to: Lead -based paint risk assessment destzipdom 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 paint 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 housing unit numbers and common areas (for multifamily horsing). bare soil locations. 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 risk assessment Printed name: Date: Street and city. Organization: State: _ ZIP: _ Phone number. (_, . Street and city. Appendix D—Sample Hazard State: _ ZIP: _ Phone number: L_, 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 appear in the Code of Federal Regulations Address/locatior�f property or structure(s) Notice That Lead -Based Paint or Lead -Based this summary notice applies to: 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. Stan and completion date(s): Activity locations and types. List at least the 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 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 spam 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: Street and city: State: _ ZIP: _ Phone number. (_J Organization: Person who prepared this notice of Street and city. presumption: Printed name State: — ZIP: _ Phone number. (_) Person who prepared this summary notice: Printed name: . Signature: Signature: Date: housing unit numbers and common areas (for multifamily housing), bare soil locations, dust -lead lomdors, 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 sell. analyses:_ Locations 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 dearance was not achieved Contact person for [Wore information about the hazard reduction: Printed name: Organization: Street and city. State. _ ZIP: Phone number. (_, Person who prepared this summary notice: Printed name: Signature: Date: Organization: Street and city. State-. _ ZIP Phone number: C_j Organization: (FR Doc 99-23016 Filed 9-14-99; 8:45 =1 BttttnO CODE ninaz-r A' f[Ac"m e7�i 3