EP 1110-1-28
31 Aug 01
APPENDIX B
TABLES AND FORMS
This appendix contains tables and example forms to be used in completing lead hazard risk assessments.
The forms are adapted from those presented in the HUD guidelines, and may be further modified to
meet installation-specific or project-specific requirements. The tables and forms include:
Table B-1
Number of Units to be Tested in Multifamily Developments
Table B-2
Main Hazard Control Options That Could Be Identified in Risk Assessments
Table B-3
Analytical Data Acceptance Criteria for Lead-Based Paint Hazard Control Activities
Figure B-1
Building/Housing Unit Condition Form
Figure B-2
Paint Condition on Selected Surfaces Data Form
Figure B-3
Deteriorated Paint Chip Sampling Form
Figure B-4
Risk Assessment Dust Wipe Sampling Form
Figure B-5
Risk Assessment Soil Sampling Form
Figure B-6
Summary of Lead-Hazard Risk Assessment Results
Figure B-7
Example Chain-of-Custody Form for Lead Risk Assessment Sampling
B-1
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