Lead-Based Paint Disclosure N/A Are housing activities associated with the Yes Finding project? If yes, continue. If no, skip to Section 15 No Concern If yes, are structures built prior to January 1, 1978 included within the project activities? If Yes N/A yes, continue. If no, activities are exempt from No Finding N/A Concern lead-based paint requirements and completion of this Section of the checklist is not required. Is Grantee/ Recipient/ Subrecipient ensuring that Yes N/A tenants are provided with the Lead Hazard No Finding Information Pamphlet or an EPA-approved N/A Concern equivalent? Is Grantee/ Recipient/ Subrecipient ensuring that Yes N/A tenants are provided a disclosure form prior to No Finding N/A Concern signing a lease? Asbestos and Mold N/A Is renovation or demolition involved with the Yes Finding project? No Concern Were structures inspected prior to performing Yes N/A any renovation or demolition activities to No Finding N/A Concern determine the presence of asbestos? Were Clean Air Act and Occupational Safety and Yes N/A Health Administration regulations employed if No Finding N/A Concern asbestos was found or disturbed? Were structures inspected prior to performing Yes N/A any renovation or demolition activities to No Finding N/A Concern determine the presence of mold?
Lead-Based Paint Disclosure Are housing activities associated with the project? If yes, continue. If no, skip to Section 15 Yes No N/A Finding Concern If yes, are structures built prior to January 1, 1978 included within the project activities? If yes, continue. If no, activities are exempt from lead-based paint requirements and completion of this Section of the checklist is not required. Yes No N/A N/A Finding Concern Is Grantee/ Recipient/ Subrecipient ensuring that tenants are provided with the Lead Hazard Information Pamphlet or an EPA-approved equivalent? Yes No N/A N/A Finding Concern Is Grantee/ Recipient/ Subrecipient ensuring that tenants are provided a disclosure form prior to signing a lease? Yes No N/A N/A Finding Concern Asbestos and Mold Is renovation or demolition involved with the project? Yes No N/A Finding Concern Were structures inspected prior to performing any renovation or demolition activities to determine the presence of asbestos? Yes No N/A N/A Finding Concern Were Clean Air Act and Occupational Safety and Health Administration regulations employed if asbestos was found or disturbed? Yes No N/A N/A Finding Concern Were structures inspected prior to performing any renovation or demolition activities to determine the presence of mold? Yes No N/A N/A Finding Concern
Exhibit%2012-4.docx