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Federal Register/Vol. 64, ; 178/Wednesday, September 15, 199f lles and Regulations 5023! <br /> <br />Appe~iix B--Sam, ple Summary Risk <br />Assessment Notice Format <br /> Note: This ¥ollowmg appendix will not <br />app~r in the Code of Federal Regulations <br />Summa~ Notice of Leed-Based Paint P<~k <br />Assessment <br />Addr~oca~ion of prope~y or su~cu~e(s) <br /> <br />S~et a~d city:. <br /> <br />S~ate:__ZIP: . Phone number: ( .. ) <br /> <br />Appendix C~Sample Summary <br />Presumption Notice Format <br /> <br /> Note: The following appendix will not <br />appear in the Code of Federal Regulations <br />Notice That Lead-Based Paint or Lead~Based <br />paint H~ls A~ P~sun~d to be Present <br />Address/location of proper~ or slructure(s) <br />this riotice of presumption applie~ to: <br /> <br />Sueet and city:. <br /> <br />State:__~P: Phonenumbec.~ { . <br /> <br />Appendix D--Sample l~rd <br />Reduction Completion Notice Format <br /> <br /> Note: The following appendix will not <br />appear in the Code of Federal Regulations. <br />Sunu'nary Notice of Completion of Lead- <br />Based Paint I-la~rd Reduction Activity <br />Address/loca~io~'~f propotty or structure(s) <br />this summary notice appli~ to: <br /> <br />Summary of the hazard ~ductton activity:. <br /> Start and completion da~e(s): <br />Activity locetiotm.m and types. List at least the <br /> <br />l~ad-h~ed paint risk assistant d~crlplion: <br />Dat~(S) of risk assi~,-,ehc <br />Summa~ of risk esses~nont results (~ <br />· 11 ~hat apply): <br /> (a) No lead4~sed paint hazards wece <br /> <br /> found. <br /> <br />Type of presumption (check all that apply): housing unit numbers and cemmon areas (for <br /> (a) Leed-ba,sed pain~ ~s p~esumed to be multifamily h~lng), bern soft locations. <br /> <br />__ Leed-b.-,~ p~tnt hazard(s} t~(are) c~r~ononts ( U w. 1 u d'"'"~ ~ type of room or <br />p~u~d to be present, space, and the matel°,~, underneath the <br />F~mimary of presumption. Ltst at least the palm), and typ~ of ha~,~ reduction <br />~ unit mmlbe~ and common areas (for activtti~ performed at ~e locations IL~ted: <br /> <br />components 0ncludt~ typ~ of room or <br /> <br />unit numbe~ and ~munon e~eas (for <br /> <br />dust-leed ~ end/or building <br />~ On~ type orax, m or <br /> <br />paia0, and types o~ leed-besnd paint h~-~.ds <br />found: <br /> <br />Street and city;, <br /> <br />ZIP: phone numbel': ( ) <br /> <br />Organization: <br /> <br />Sm~et and dt~. <br /> <br />Stat~: ZIP:.. Phone numbe~. ( <br /> <br />person who pr~ ~his n?Uce of <br /> presumption: <br /> Printed name: <br /> <br />Signature: <br />Date: <br /> <br />Sisrmture: <br /> <br /> <br />