EP 1110-1-31
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
XRF Reading/Results Record Form 1
Figure B-2
Multifamily Decision Flowchart
Figure B-3
Building/Housing Unit Condition Form 2
Figure B-4
Paint Condition on Selected Surfaces Data Form 3
Figure B-5
Deteriorated Paint Chip Sampling Form 4
Figure B-6
Risk Assessment Dust Wipe Sampling Form 5
Figure B-7
Risk Assessment Soil Sampling Form 6
Figure B-8
Example Chain-of-Custody Form 7 for Lead Risk Assessment Sampling
Figure B-9
Lead Hazard Identification Results Summary Form 8
B-1
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