Housing Choice Voucher Program Inspection Checklist (Omb Approval No. 2577-0169) Page 8

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E. Inspection Summary/Comments (Optional)
Provide a summary description of each item which resulted in a rating of "Fail" or "Pass with Comments."
Tenant ID Number
Inspector
Date of Inspection (mm/dd/yyyy) Address of Inspected Unit
Type of Inspection
Initial
Special
Reinspection
Item Number
Reason for "Fail" or "Pass with Comments" Rating
Continued on additional page
Yes
No
Page 8 of 8
Previous editions are obsolete
form HUD-52580 (3/2001)
ref Handbook 7420.8

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