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Federal Register/Vol. ll""INo. 178/Wednesday. September 15. IVRules and Regulations 50231 . Appendix B-Sample Summary Risk Assessment Notice Format Note: 1his following appendix will not appear in the Code of Federal Regulations Sununary Notice of Lead-Based Paint Risk Assessment Addressl1ocation of property or structure{s) this summary notice applies to: Lead-based paint risk assessment description: Date(s) of risk assessment: Sununary of risk assessment results (check all that apply): (a) _ No lead-based paint hazands were foond. (h) _ Lead-based paint hazands were found. (c) _ A brief sununary of the findings of the risk assessment Is provided below (required If any lead-based paint huands were found). Sununary of types and locations of lead- . .. based paint hazands. Ust at least the housing ,., unit numbers and common aieas (for multlfamlly housing). bare soil locations. dust-lead locations. and/or building components (lncludlng type of room or space. and the material underneath the palnt). and types of lead-based paint hazands found: Contact person for more lnfonnation about the risk assessment: Printed name: Organization: Street and city: 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-.) 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 he Presumed to be Present Address/location of property or structure(s) this notice of preswnption applies to: Type of presumption (check all that apply): (a) _ Lead-based paint is presumed to be present. (h) _ Lead-based paint hazard(s) is(are) presumed to be present. Sununary of presumption. Ust at least the housing unit numbers and common areas (for multifamily housing). bare soli locations. dust-lead locations. and/or buIldlng 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: L-l Person who prepared this notice of presumption: Printed name: Signature: Date: 'Organization: A nAC.m.e.Jr 3, Street and dty: State: ZIP: Phone number L-J 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 AddressllocatioI'ft:tf property or structure(s) this summary notice applies to: Summary of the hazard reduction activity: Start and completion date(s}: Activity locations and types. Ust at least the housing unit numbers and cornman areas (for multifamily housing). bare soil locations. dust-lead locations. andlor building components (includf:ng 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 building components with \ead- based paint remaining In the rooms. spaces or areas where aCtivities were conducted: Sununary of results of clearance testing and soil analyses: (a) _ No clearance testing was performed. (h) _ 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-l Person who prepared this swnmary notice: Printed name: Signature: Date: Organization: Street and city: State: _ ZIP: Phone number: L-J [FR Doc. 99-23016 Flied 9-14-99: 8:45 amI BIUJNG CODE 421o-32-P