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Federal Register/Vol. 64, .8/Wednesday, September 15, 199E i 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 Palm Risk Address/location of property or structu m(s) this summary notice applies to: Lead-based palm tisk 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 summaty of the findings of the risk a ssessmerit 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 lousing unit numbers and common areas (for multifamily hotLdng), 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 found: Contact person for more information about the risk assessment: Printed name: Organization: Street and city- State: ityState: ; ZIP: _ Phone number. L—) Personwho prepared this suunnary notice: Printed name: 0 Signature: Date: Street and city Organization: State: _ ZIP: _ Phone number. L_j Street and city: Appendix D—Sample Hazard State: _ ZIP: _ Phone number: L_) 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 prewmption (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 umit numbers and common arras (for multifamily housb*. 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: Street and city. State: _ ZIP: ` Phone number. (_) Person who prepared this Presumption; Printed name: Signature: Date: 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/locaticif'of 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: Locations of budding components with lead- based paint remaining in the rooms, spaces m arras where activities were conducted: Summary of results of clearance testing and soil analyses: (a) _ No clearance testing was person ed. (b) _Clearance testing showed clearance was achieved (c) _ Clearance testing showed clearance was not achieved. Contact person for more information about the hazard reduction: Primed name; Organization Street and city. State: __ZIP: Phone number. L_, - Person who prepared this summary notice: Printed name: Signature: Date: Organization Street and city. State: — ZIP: Phone number: L_) 'Organization: (FR Doc 99-23016 Filed 944-99: 8:45 am) A,TActtme7,-r 3 erLteaG CODE �ro-az-v