FORM 2
EP 1110-1-28
PAINT CONDITION ON SELECTED SURFACES DATA
31 Aug 01
Radiator (or
radiator cover)
Kitchen cabinets
Bathroom
cabinets
Other surfaces:
Mini blinds
*Types of deterioration: surface deterioration (chalking, mildew, or friction/impact damage); bulk
deterioration (checking, cracking and flaking, and alligatoring); layered deterioration (blistering, scaling
or flaking (peeling), peeling from metal, peeling from exterior wood, peeling from plaster walls, and
peeling from masonry surfaces); or a combination. If the overall condition of a component is similar
throughout a dwelling, that condition should be recorded. The specific sites of the deteriorated paint
should be noted. Record-specific locations of any component with bite marks.
(Table adapted from 1995 HUD Guidelines, Form 5.2)
Figure B-2: Paint Condition on Selected Surfaces Data Form
B-12
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