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Federal Register/Vol~. . 178/Wednesday. September 15...,.er lIes and Regulations 50231 e Appendix B-Sample SumJI1311' Risk Assessment Notice Format Note: ThIs following appendix will not appear In the Code of Fedoral Regulations Swnmary Notice of Lead-Based Pain' Risk Assessmen' Addressl1ocation of property or structure(s) this swnmary notice applies to: Lead-based paint risk assessment desa1ptlon: Date(s) of risk assessment: Swnmary of risk assessment results (check all that apply): (0) _ No 1e8d-based paint hazards were found. (b) _ Lead-based paint hazards were found. (e) _ A brief summa<y of the findings of the risk assmment Is provided below (requirecllf any lead-based paint hazards were found). Swnmary of types and locations of lead- . .. besecI pain' hazards. Ust at least the housing .. unltnwnbers and common aieas (for multifamily housing). bare so1l1ocatlons. dust-lead loc:atlons. aneIIor bul1dlng components (lncludlng type of room or space. and the material underneath the paIn~. and types of lead-besecI pain' hazards found: Contact person for more Information about the risk assessment: Prlnted name: OtganlzatIon: Street and city: State: _ ZIP: _ Phone number: L-l Person who prepared this summary notice: Prln.ed name: e Signature: Date: Organization: Street and city: State: _ ZIP: _ Phone number: L-l Appendix C-Sample Summary Presumption Notice Format Note: The following appendix wUl not appear In the Code of Federal Regulations Notice That Lead-Based Paint or Lead-Based Pain. 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): (0) _ Lead-based paint Is presumed to be present. (b) _ Lead-based paint hazaI'd(s) Is(are) presumed to be presenL Summa<y of presumption. Ust at least the hOusing unlt numbers and common areas (for multlfaml1y housing). bare soil locations. dust-lead locations. aneIIor building components (Including type of room or space. and the material underneath the paln~. and types oflead-besecI paint hazards presumed to be present: Contact person for more Information about the presumption: Prlnted name: . Organization: Street and city: State: _ ZIP: _ Phone number: L-l Person who prepared this notice of presumption: Printed name: Signature: Date: .Organlzatlon: A'lTAC~el'Jr ~ Street and city: State: _ ZIP: _ Phone number: L-l Appendix D-Sample Hazard Reduction Completion Notice Format Note: The following appendix will not appear In the Code of Federal Regulations. Summary Notice of Completion of Lead- Based Paint Hazard Reduction Activity Addressllocatlolnlf property or structure(s) this summary notice applies '0: Summary of the hazard reduction activity: Start and completion date(s): Activity locations and types. List at leas. the housing unit numbers and common areas (for multifamily housing). bare solllocallons. dust-lead locallons. and/or building componentS (1ncIud1?8 type of room or space. and the material underneath the paint). and types ofhazal'd reduction aclIvllles performed at the locations listed: Date(s) of clearance testing and/or soU analyses: _ Locations of buI1dlng components with lead- based paint remaining In the rooms. spaces or...... where ai:tlvllles were conductecl: Summary of results of clearance testing and soU analyses: (0) _ No clearance tesling was performed. (b) _ Clearance tesling showed clearance was achieved. (c) _ Clearance testing showed clearance was not achieved. Contact person for more information about the hazald reduction: Prlnted name: Organlzallon: Street and dty: State: _ ZIP: Phone number: L-l Person who prepared this summary notice: Printed name: Signature: Date: OrganiZation: Street and city: State: _ ZIP: Phone number: L-l (FR Doc. 99-23016 FUed 9-14-99: 8:45 amI BtLLING COOl 4210-32-11