MERCY HOUSE LIVING CENTERS (ESG 2002) (2)

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Federal Register/VOl.~. . 178/Wednesday. September IS. ....,tIf. lies and Regulations 50231 e Appendix B-Sample Summary Risk Assessment Notice Format Note: This following appendix will not appear in the Code of Fedetal Regulations Summary Notice of Lead-Based PaInt Rlsk Assessment AddreSsI1ocal1on of property or structure(s) thls summary notice applies to: Lead-based paint risk assessment desaiptlon: Date(s) of risk assessment: Summary of risk assessment results (check all that apply): (a) _ No Jead-based paint hazards were lound. (b) _ Lead-based paint hazards were found. (c) _ A brief summary of the findIngS of the risk assessment Is provlded below (requlnod If any Iead-based paint hazards were found). Summary of types and locatIOnS of lead- . ... based paint hozanls. LIst at \east the housing .. unit numbers and common aieas (for mult1famUy housing). bate soU JocaUons. dusl.1ead locations. anellor bu1\dIng components (Including type of room or space. and the mablria1 underneath the Paintl. and types of lead.based paint hazards lound: Contact person for more Information about the risk assessment: PrInted name: e OrpnlzatIon: Street and city; State: _ ZIP: _ Phone number: L.J Person who prepared this summary notice: PrInted name: Signature: Date: Organization: Street and city; State: _ ZIP: _ Phone number: L.J Appendix C-Sarnple Summary Presumption Notice Fonnat Note: The following appendix wll1 not appear in the Code of Federal Regulations Notice That Lead.Based Paint or Lead.Based Paint Hazards Are Presumed to be Present Addressl1ocation of property or structure(s) this notice of presumption applies to: Type of presumption (check all that apply): (a) _ Lead-based pail1t Is presumed to be present. (b)_ Lead.based paint hazard(s) Is(are) presumed to be presenL Surnnwy of presumption. LIst at least the housing unit numbers and common areas (for multlfamUy housing). bate soil locations. dust.lead locations. and/or building components (Including type of room or space. and the materla1 unclemeath the paint!. and types of Iead.based paint hazards presumed to be present: Contact person for more Information about the presumption: PrInted name: . OlJaDizatiOn: Street and city; State: _ ZIP: _ Phone number: L.J Person who prepared this nollee of . presumption: Printed name: Signature: Date: 'Organlzation: A1TAC~~ ~ Street and city: State: _ ZIP: _ Phone number: L-J Appendix D-Sarnple 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 flazard Reduction Activity Addressllocatloinlf property or structure(s) this summary notice applies to: Surnnwy of the hazard reduction activity; Start and completion date(s): Activity locations and types. LIst at least therhousing unit nwnbers and common areas (for multifamily housing). bare soil locations. dust-lead locations. aneIIor building components (inclu~ 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 aneIIor soil analyses: _ Locations of building components with Iead- 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 perfonned. (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: OlJaDizatlon: Street and city; Stete:_ZlP: Phone number: L-J Person who prepared this summary notice: Printed name: Signature: Date: Organization: Street and city; State:_Z\P: Phone number: L-J IFR Doc. 99-23016 Filed 9-14-99; 8:45 amI BlUING COO! 421o-3l-P