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A TRUE COPY <br /> CERTIFICATION ON LAST PAGE <br /> J . K . BARTON , CLERK <br /> Item Yes No In- Final Approval <br /> No. 1 , Living Room (Continued) Pass Fail Cond. Comment Date (mm/dd/yyyy ) <br /> 1 . 9 Lead - Based Paint El Not Applicable <br /> Are all painted surfaces free of deteriorated <br /> paint? <br /> If not, do deteriorated surfaces exceed two <br /> square feet per room and/or is more than . <br /> 10 % of a component? <br /> 2. Kitchen <br /> 2 . 1 Kitchen Area Present <br /> 2 . 2 Electricity <br /> 2 . 3 Electrical Hazards <br /> 2 . 4 . Security <br /> 2 .5 Window Condition <br /> 2 . 6 Ceiling Condition <br /> 2 . 7 Wall Condition <br /> 2 .8 Floor Condition <br /> 2 . 9 Lead - Based Paint Not Applicable <br /> Are all painted surfaces free of deteriorated <br /> paint? <br /> If not, do deteriorated surfaces exceed two <br /> square feet per room and/or is more than <br /> 10% of a component? <br /> 2. 10 Stove or Range with Oven <br /> 2. 11 Refrigerator <br /> 2. 12 Sink <br /> 2 . 13 Space for Storage, Preparation , and Serving of <br /> Food <br /> 3 , Bathroom <br /> 3 . 1 Bathroom Present <br /> 3 . 2 Electricity <br /> 3 .3 Electrical Hazards <br /> 3 . 4 Security <br /> 3 . 5 Window Condition <br /> 3 . 6 Ceiling Condition <br /> 3 .7 Wall Condition <br /> 3 . 8 Floor Condition <br /> 3 . 9 Lead - Based Paint Not Applicable <br /> Are all painted surfaces free of deteriorated <br /> paint? <br /> If not, do deteriorated surfaces exceed two <br /> square feet per room and/or is more than <br /> 10% of a component? <br /> 3 . 10 Flush Toilet in Enclosed Room in Unit <br /> 3 . 11 Fixed Wash Basin or Lavatory in Unit <br /> 3 . 12 Tub or Shower in Unit <br /> 3 . 13 Ventilation <br /> , Previous editions are obsolete Page 2 of 7 form HUD-52580 (3/2001 ) <br /> ref Handbook 7420 .8 <br />