Lead-Based Paint Hazard Re-Occupancy Notice

LEAD-BASED PAINT HAZARD RE-OCCUPANCY NOTICE

Administrator: Contract/RSP Number: Beneficiary Name: Project Address:

TO: (Head of Household)

As a result of environmental dust lead sampling conducted on / / , your house (or apartment) has successfully passed the dust lead level clearance thresholds for floors, interior window sills, and

window troughs.

Therefore, you are hereby authorized to re-enter the site for final inspection and subsequent re-occupancy as of

: _AM on / / .

For additional information on the work done in your unit and the dust sampling results, you may request a copy

of the clearance report from at ( ) - .

______Signature of Administrator Date

Reasonable accommodations will be made for persons with disabilities and language assistance will be made available for persons with limited English proficiency. TEXAS DEPARTMENT OF HOUSING AND COMMUNITY AFFAIRS Street Address: 221 East 11th Street, Austin, TX 78701 Mailing Address: PO Box 13941, Austin, TX 78711 Main Number: 512-475-3800 Toll Free: 1-800-525-0657 Email: [email protected] Web: www.tdhca.state.tx.us

TDHCA HOME Investment Partnerships Program Page 1 of 1 Lead-Based Paint Hazard Re-Occupancy Notice March 2013