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5.2. SR 07-22-2002
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5.2. SR 07-22-2002
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1/21/2008 8:31:54 AM
Creation date
9/24/2002 2:57:50 PM
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SR
date
7/22/2002
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HOUSE MOVE---IN OUT--INSPECTION FORM FOR ~ <br />DATE: HHC MEMBER FAMILY <br /> <br />KITCHEN: <br /> <br />Electricity. (bulbs/fixtures) <br /> <br />Electrical Hazards <br /> <br />Window condition (Glass/Screens) <br /> <br />Window blinds/shades <br /> <br />Ceiling condition <br /> <br />Wall condition <br /> <br />Floor condition <br /> <br />Stove (Broiler Pan) <br /> <br />Microwave <br /> <br />Refrigerator (Racks Y or N/Bras Y or N) <br /> <br />Sink <br /> <br />Plumbing <br /> <br />Moisture <br /> <br />Food storage/prep area (counter tops) <br /> <br />Cabinetry. <br /> <br />Door <br /> <br />LIVING ROOM: <br /> <br />Electricity (bulbs/fixtures) <br /> <br />Electrical Hazards <br /> <br />Window condition (Glass/Screens) <br /> <br />Window blinds/shades <br /> <br />Ceiling condition <br /> <br />Wall condition <br /> <br />Floor condition <br /> <br />Door <br /> <br />BATHROOM: <br />Electricity (bulbs/fixtures) <br /> <br />Electrical Hazards <br /> <br />Window condition (Glass/Screens) <br />Window blinds/shades <br /> <br />Ceiling condition <br /> <br />Wall condition <br /> <br />Floor condition <br /> <br />Indications of moisture <br />Conditions of tub/shower <br />Conditions of sink <br /> <br />Condition of toilet <br /> <br />Door <br /> <br />BEDROOM (1) <br /> <br />Electricity (bulbs/fixtures) <br />Electrical Hazards <br /> <br />Window condition (Glass/Screens) <br />Window blinds/shades <br /> <br />Ceiling condition <br /> <br />Wall condition <br /> <br />Floor condition <br /> <br />Closet condition <br /> <br />Door <br /> <br />ItALLWAY <br /> <br />Electricity (bulbs/fixtures) <br />Electrical Hazards <br /> <br />Ceiling condition <br /> <br />Wall condition <br /> <br />Floor condition <br /> <br />Linen closet condition <br /> <br /> <br />
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