WOMEN'S TRANSITIONAL LIVING 8 -2002

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Federal Register/Vol. 64. "o,.178/Wednesday. September 15. 199( ~ and Regulations 50231 e Appendix B-Sample Summary Risk Assessment Notice Formal Note: This following appendix will not appear In the Code of Federal Regulations Sumrnmy Notice of Lead-Based Paint RIsk Assessment AcIdreSs11ocation of property or struCtW'O(s) this surnnwy notice applies to: Lead-based paint risk assessment desalption: Date(s) of risk assessment: Sumrnmy of risk assessment results (check all that apply): (0) _ 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 any Iead-based paint hazards were folUld). Sumrnmy of types and \ocatIOns of lead- . .. based paint hazards. LIst at \east the housing .. unit numbetS and common oieas (for multifamily houstnsl. bare soli locations. dust-lead locations. and/or building components (including type of room or spaee. and the materlallUldemeath the paIntl. and types of lead-based paint hazards found: . Contact person for more lnfotmatlon about the risk assessment: Printed name: OrganIzatIon: Street and city: State: _ ZIP: _ Phone number: L-J Person who prepared this summery notice: PrInted 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 will not appear In the Code of Federal Regulations Notice That Lead-Based Paint or Lead-Based Paint Hazards Are Presumed to be Present Addressllocation 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 unit numbetS and common areas (for mulllfamily houstnsl. bare soli locations. dust-lead locations. and/or bul1dlng components (Including type of room or spaee. 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-J Person who prepared this notice of presumption: Printed name: Signature: Date: 'Organlzation: A1TAC~~ 'is Street and city: State: _ ZIP: _ Phone number: L-> Appendix D-Sample Hazard Reduction Completion Notice Format Note: The following appendix will not appear In the Cade of Federal Regulations. Summary Notice of Completion of Lead- Based Paint Hazard Reduction Activity Addressllocatioil'bf property or structure(s) this summary notice applies to: Summary of the hazard reduction activity: Start and mmpletion dete(s): Activity locations and types. LIst at least the houSing wtit numbers and common areas (for multifamily housing). bare soli locations. dust-lead locations. and/or buUding components (lncludlng type of room or space. and the materia!lUldemeath the paint). and types of hazard reduction activities performed at the locations listed: Date(s) of clearance testing and/or soU analyses: _ Locations ofbulldlng mmponents with Iead- based paint remaining In the rooms. spaces or areas where ai::tlvlties were conducted: Summary of results of clearance testing and soli 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: Organlzatlon: Street and city: State: _ ZIP: Phone number: L-J person who prepared this summery notice: Printed name: SlgnatW'O: Date: Organization: Street and city: State: _ ZIP: Phone number: L-l [FR Doc. 99-23016 Flied 9-14-99: 8:45 am! B1LL.lNCi CODE 421D-32-P