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SMEDA (2) - 2011
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SMEDA (2) - 2011
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Last modified
3/6/2017 2:01:21 PM
Creation date
9/20/2011 3:00:48 PM
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Template:
Contracts
Company Name
SMEDA
Contract #
A-2011-085
Agency
COMMUNITY DEVELOPMENT
Council Approval Date
3/21/2011
Expiration Date
6/30/2012
Insurance Exp Date
3/25/2012
Destruction Year
2017
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Printed name:-------------------------------------------------------- <br />L---------------------------------------------------------------------- <br />Organization:-------------------------------------------------------- <br />---------------------------------------------------------------------- <br />Street and city:----------------------------------------------------- <br />----------------------------------------------------------------------- <br />State: ZIP: Phone number: ( )--------------------------- <br />---------------------------------------------------------------------- <br />Person who prepared this notice of presumption: <br />Printed name: -------------------------------------------------------- <br />---------------------------------------------------------------------- <br />Signature: ----------------------------------------------------------- <br />Date: ---------------------------------------------------------------- <br />----------------------------------------------------------------------- <br />Organization: -------------------------------------------------------- <br />---------------------------------------------------------------------- <br />Street and city:----------------------------------------------------- <br />J---------------------------------------------------------------------- <br />State: ZIP: Phone number: ( )--------------------------- <br />�---------------------------------------------------------------------- <br />Appendix D-- Sample Hazard Reduction Completion Notice Format <br />Note: The following appendix will not appear in the Code of <br />Federal Regulations. <br />Summary Notice of Completion of Lead -Based Paint Hazard Reduction <br />Activity <br />Address /location of property or structure(s) this summary notice <br />applies to: <br />7---------------------------------------------------------------------- <br />7---------------------------------------------------------------------- <br />--------------------------------------------------------------- - - - - -- <br />Summary of the hazard reduction activity: <br />Start and completion date( s):---------------------------------- - - - - -- <br />Activity locations and types. List at least the housing unit numbers <br />and common areas (for multifamily housing), bare soil locations, <br />dust -lead locations, and /or building components (including type of <br />room or space, and the material underneath the paint), and types of <br />hazard reduction activities performed at the locations listed: <br />---------------------------------------------------------------- - - - - -- <br />C---------------------------------------------------------------------- <br />---------------------------------------------------------------- - - - - -- <br />Date(s) of clearance testing and /or soil analyses: <br />Locations of building components with lead -based paint remaining in <br />the rooms, spaces or areas where activities were conducted: <br />-J---------------------------------------------------------------------- <br />Attachment 3 <br />Page 4 of 5 <br />
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