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Federal Register/Vol, 64, 8/Wednesday, September 15. 1W A 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 Address/location 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 paint hazards were - found. (c) _ A brief summary of the findings of the risk assessment is provided below (required if arty lead -based paint hazards were found). Srunmary of types and locations of lead- - .based paint hazards. List at least the homing unit numnbers and common areas (tor multifamily housing), bare soil locations, dust -lead locatiom and/or building components (including type of room or space. and the materialt�mea paint). and types of found Contact person for more information about the risk assessment: Printed name Date: Organization: Street and city. Street and city State: _ ZIP: _ Phone number. (_ ) Appendix D—Sample Hazard State: _ZIP: _Phone number: (_) Reduction Completion Notice Format Appendix C—Sample Summary Presumption Notice Format Note: 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) is(are) presumed to be present summary of presumption List at least the housing tacit numbers aril 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: Note: The following appendix will not appear in the Code of Federal Regulations. Summary Notice of Completion of Lead - Based Paint Hazard Reduction Activity Address/locatiOW'Of property or struclure(s) this summary notice applies to: Street and city. State: _ ZIP: _ Phone number. (_) 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: Organization Summaryof the hazard reduction activity. Stan 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 spam and the material underneath the paint), and types of hazard reduction activities performed at the locations listed: Dates) of clearance testing and/or soil. analyses: — Locatioms 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 achieved Contact person for more information about the hazard reduction: Printed name: Organization: Street and city - State: _ ZIP - Phone number. L—) - Person who prepared this summary notice: Printed name: Signature: _ Organization Street and city. State: _ ZIP: Phone number. (— ) (FR Doc 99-23016 Filed 9-14-99; 8:45 aml BILLING CODE 4210-a2-P A Roc Lucke sr 3