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Federal Register/Vol. 64. 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 structuie(s) this summary notice applies to: Lead -based paint risk assessment description: Date(s) of risk assessment Summary of risk assessment retorts (check all that apply): (a) _ No lead -teased paint hazards were found. (b) _ Leath -based Paint hazards were found. (c) _ A brief summary of the findings of the risk assessment is provided below (required if any lead -based paint hazards were found). Summary of types and tomdorss of lead- - .based paint hazards. List at least the housing unit numbers and common arras (fox multifamily housing). bare soil locations, dust -lead locations. and/or building components (including type of room or spam and the material underneath the paint). and types of lead -baud paint hazards found- Contact person for more information about the risk assessment: Printed name: .8/Wednesday. September 15, 19T i and Regulations 50231 Date: Street and city. Organization: State: _ ZIP: Phone number. (— Street and city. Appendix D—Sample Hazard State: _ZIP: _Phone number: L_ Reduction Completion Notice Format Note: The following appendix will not Appendix C—Sample Summary appear in the Code of Federal Regulations. Presumption Notice Format Summary Notice of Completion of l.ead- Based Paint Hazard Reduction Activity Note The following appendix will not in the Code of Federal Regulations Adoiress/loxatioi't+f property or swcture(s) appear Notice That Lead -Baud Paint or Lead -Based this summary notice applies to: Paint Hazards Are Presumed to be Present Address/loation of property or structure(s) this notice of presumption applies to: Summary of the hazard reduction activity: Start and completion date(s): Activity locations and types. List at least the Type of presumption (check all that apply): housing unit numbers and common areas (for housing). bare soil locations. (a) — Lead -based paint is presumed to be - multif unfly dust -lead locations, and/or building present (b) Lead -based paint hazard(s) Ware) components (including type of room or _ presumed to be present of list at least the Summary presumption. anti the material underneath the paint), and types of hazard reduction housing unit numbers and common areas (for activities performed at the locations listed: 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 lead -based paint hazards presumed to be present Date(s) of clearance testing and/or soil. analyses: — Locations of building components with lead - based paint remaining In the rooms. spates or areas where activities were conducted: Contact person for more information about the presumption Printed name: Organization and city. State: ZIP: _ Phone number. (—) Organization: Person who prepared this notice of Scree[ and city. presumption: Printed name: State: W number. (_j _--Phone Signature: Person who prepared this summary notice: Date: Printed name: 0 Signature: Organization: - Summary of results of clearance testing and soil 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: Organization Street and city - State: — ZIP-. Phone number. (__, Perron who prepared this summary notice: Printed name: Signature: Date: Organization Street and city: State: _ ZIP: Phone number. C--J ]FR Doc 99-Z3016 Filed 9-14-99: 8:45 am] Ba1WG CODE �1D-aa-e ATTActtmeN-sr- 3