FORM 2
EP 1110-1-28
PAINT CONDITION ON SELECTED SURFACES DATA
31 Aug 01
Installation
POC
Housing Group
Street Address
Unit No.
City
State
Name of risk assessor
Location of
Deterioratio
Paint condition:
Deteriorati
painted
Building
Location
n due to
type of
on due to
component with
Component
Notes
friction or
moisture?
visible bite
impact?
marks
Building siding
Exterior trim
Exterior
windows
Exterior doors
Railings
Porch floors
Other
porch
surfaces
Interior doors
Ceilings
Walls
Interior
windows
Interior floors
Interior trim
Stairways
B-11
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