Form 5.7 Format for an Executive Summary of a Lead Hazard Risk Assessment. Page 1 of 2 Property address: Date of risk assessment: / / Building or Apt. Designation: (either) No lead-based paint (LBP) hazards were found paint (LBP) hazards were found; below is a summary of Summary of Results: -or-Lead-based findings. (if applicable) Paint-Lead Hazards: Unit Number Common Area, Lead Level or Exterior Room or Room (mg/cm2or Location Equivalent Building Component Type of Hazard* µg/g)** Options for Corrective Action * LBP on friction surface with dust-lead hazard beneath, impact surface, chewable surface with teeth marks, or other deteriorated LBP. ** Milligrams per square centimeter (mg/cm2), or micrograms per gram (µg/g; parts per million; ppm). NOTE: EPA standard for LBP: 1.0 mg/cm2, or 5,000 µg/g. (if applicable) Dust-Lead Hazards: Unit Number or Lead Level Common Area Room or Room Equivalent Surface* (µg/ft2)** Options for Corrective Action * Floor, or interior window sill. ** Micrograms per square foot (µg/ft2) NOTE: EPA dust-lead hazard standards: 40 µg/ft.2 (floors); 250 µg/ft.2 (interior window sills). (if applicable) Summary of Results: Soil-Lead Hazards (bare soil only): Lead Level Type of Area* Location (ppm or µg/g)** Options for Corrective Action * Play area, dripline/foundation area, or rest of the yard. ** Parts per million, or micrograms per gram. EPA standards: 400 ppm (play areas); 1,200 ppm (non-play areas in the dripline/foundation area or the rest of the yard).
Form 5.7 Format for an Executive Summary of a Lead Hazard Risk Assessment. Page 1 of 2 Property address: Date of risk assessment: / / Building or Apt. Designation: Summary of Results: (either) No lead-based paint (LBP) hazards were found -or-Lead-based paint (LBP) hazards were found; below is a summary of findings. Paint-Lead Hazards: (if applicable) Unit Number Common Area, or Exterior Location Room or Room Equivalent Building Component Type of Hazard* Lead Level (mg/cm2or µg/g)** Options for Corrective Action * LBP on friction surface with dust-lead hazard beneath, impact surface, chewable surface with teeth marks, or other deteriorated LBP. ** Milligrams per square centimeter (mg/cm2), or micrograms per gram (µg/g; parts per million; ppm). NOTE: EPA standard for LBP: 1.0 mg/cm2, or 5,000 µg/g. Dust-Lead Hazards: (if applicable) Unit Number or Common Area Room or Room Equivalent Surface* Lead Level (µg/ft2)** Options for Corrective Action * Floor, or interior window sill. ** Micrograms per square foot (µg/ft2) NOTE: EPA dust-lead hazard standards: 40 µg/ft.2 (floors); 250 µg/ft.2 (interior window sills). Summary of Results: Soil-Lead Hazards (bare soil only): (if applicable) Type of Area* Location Lead Level (ppm or µg/g)** Options for Corrective Action * Play area, dripline/foundation area, or rest of the yard. ** Parts per million, or micrograms per gram. EPA standards: 400 ppm (play areas); 1,200 ppm (non-play areas in the dripline/foundation area or the rest of the yard).