MERCY HOUSE - REGINA 1 - Laserfiche WebLink

Home Browse Search

Federal Register/Vol. 64, 178/Wednesday, September 15, 199( Iles and Regulations 50231 Date: Street and city: ' Organization: State: _ 21P: _ Phone number: f 1 Street and city: Appendix B--Sample hazard State: _ZIP: _Phone number: Reduction Completion Notice Format 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 Paint Risk Assessment Address/location of property or structure(s) this summary notice applies to. Lead -based paint risk assessment description: Date(s) of risk assessment Summary of risk assessment reads (deck all that apply): (a) No lead -based paint hazards were found. (b) _ lead -based paint hazards were found. (d _ A brief summary of the findings of the risk assessment is provided below (requited if any lead -based paint hazards were forma). Summary oftypes and locations of lad- - .based palm hazards. list at least the horsing unit numbers and common arras ([or multifamily housing). bare soil locations. dust lead locations, and/or building components (including type of room or space, and the material underneath the paktt). ared types of had -based palm hazards found: Contact person for more information about the tick assessment Printed name: Sure and city. State: _ M _ Phone number. C_] Person who prepared this summary notice: Printed name:. • Signature: Appendix C—Sample Stnmmary 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 sttucmre(s) this notice of presumption applies to: Tyne of presumption (check all that apply): (a) _ Lad -based paint is presumed to be (b ad -based paint hazard(s) Is(are) presumed to be present. Summary of presumption 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 lad -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 notice of presuroption: Printed near Signature: Date: Note: The following appendix will not appear in the Code or Federal Regulations. Summary Notice of Completion of Lead - Based Paint Hazard Reduction Activity Address/locaticWW 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: Data(s) of clearance testing and/or sou analyses:— Locations obuilding components with lead - based paint remaining in the rooms, spaces or arty where activities were conducted: Summary or results of clearance testing and Soil analyses: (a) _No clearance testing was performed. (b)—Clarance testing showed clearance was achieved. (c) —Clearance testing showed clearance was not achieved Contact person for more information abeam the hazard reduction. Printed mane: Organization Streetand chy. State: ^ 21P. Phone number: Person who prepared this summary notice: Printed name: Signature: Date Organization _ Street and city- State- _ M _ Phone number. C_--) 'Organization: (FR Doc. 99-23016 Filed 9-14-99; 8:45 am] MLM CODE 4210-3x-r A,TAcitwte)s-- 3