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ATRUE COPY <br /> CERTIFICATION ON LAST PAGE <br /> Item 4 , Other Rooms Used For Living and Halls Yes No In- EhK FinalApproval <br /> No. Pass Fail Cone. Comment Date (mm/dd/yyyy) <br /> 4 . 1 Room Code* and (Circle One) (Circle One) <br /> Room Location ❑ Right/Center/Leff ont/Center/Rear Floor Level <br /> 4 .2 Electdci /Illumination <br /> 4 .3 Electrical Hazards <br /> 4 .4 Security <br /> 4.5 Window Condition <br /> 4 . 6 Ceiling Condition <br /> 4 .7 Wall Condition <br /> 4 . 8 Floor Condition <br /> 4 . 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 /> 4 . 10 Smoke Detectors <br /> 4 . 1 Room Code * and (Circle One; (Circle One) <br /> Room Location ❑ Right/Center/L, Front/Center/Rear _Floor Level <br /> 4 .2 Electricity/Illumination <br /> 4 .3 Electrical Hazards <br /> 4 .4 Security <br /> 4 . 5 Window Condition <br /> 4 .6 Ceiling Condition <br /> 4 .7 Wall Condition <br /> 4 .8 Floor Condition <br /> 4 . 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 /> 4 . 10 Smoke Detectors <br /> 4 . 1 Room Code* and (Circle One) (Circle One) <br /> Room Location ❑ Right/Center/Left Front/Center/Rear _Floor Level <br /> 4 .2 Electricity/Illumination <br /> 4 .3 Electrical Hazards <br /> 4 .4 Security <br /> 4 .5 Window Condition <br /> 4 . 6 Ceiling Condition <br /> 4 .7 Wall Condition <br /> 4 . 8 Floor Condition <br /> 4 . 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 arid/or is more than <br /> 10% of a component? <br /> 4 . 10 Smoke Detectors <br /> Previous editions are obsolete Page 3 of 7 form HUD-52580 (3/2001 ) <br /> ref Handbook 7420 . 8 <br />