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<br />3. Bathroom <br /> <br />For each numbered item, check one box only. <br /> <br /> ._- <br /> Decision <br />Item Description ~ If Failor <br /> 00 ." <br />No. 00 ~ If Fail, what repairs are necessary? Inconclusive, <br /> '" <br /> "- .~ <J If Inconclusive, give details. date (mm/ddlyywJ <br /> u. 5 <br /> '" If Pass with comments, give details. of final approval <br /> ~ ci 0 <br /> Z 0 <br />3.1 Bathroom Present (See description) DO <br />Is there a bathroom? <br />3.2 Electricity <br />Is there at least one permanently installed light fixture?, 0 00 <br />3.3 Electrical Hazards <br />Is the bathroom free from electrical hazards? 000 <br />3.4 Security <br />Are a/I windows and doors that are accessible from DO <br />the outside lockable? <br />3.5 Window Condition <br />Are all windows free of signs of deterioration or DO <br />missing or broken out panes? <br />3.6 CeiHng Condition <br />Is the ceiling sound and free from hazardous defects? 00 <br />3.7 Wall Condition <br />Are the walls sound and free from hazardous defects? DO <br />3.8 Floor Condition <br />Is the floor sound and free from hazardous defects? DO <br />3.9 Lead-Based Paint 00 <br />Are all painted surfaces free of deteriorated paint? <br />If no, does deteriorated surfaces exceed two square 00 o Not Applicable <br />feet and/or more than 10% of a component? <br />3.10 Flush Toilet in Enclosed Room in Unit <br />Is there a working toilet in the unit for the exclusive <br />private use of the tenant? ODD <br />3.11 Fixed Wash Basin or lavatory in Unit <br />Is there a working, permanently installed wash basin <br />with hot and cold running water in the unit? ODD <br />3.12 Tub or Shower <br />Is there a working tub or shower with hot and cold 000 <br />running water in the unit? <br />3.13 Ventilation <br />Are there openable windows or a working vent sys- 000 <br />tem? <br />~~ <br /> <br />Additional Comments: (Give Item Number)(Use an additional page if necessary) <br /> <br />Comments continued on a separate page Yes 0 <br /> <br />No D <br /> <br />Previous editions are obsolete <br /> <br />Page 7 of 20 <br /> <br />form HUD-52580-A (9//2000) <br />ref Handbook 7420.8 <br />