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<body lang=3DEN-US style=3D'tab-interval:.5in'>

<div class=3DSection1>

<p class=3DMsoTitle style=3D'margin-left:0in;text-indent:0in'>GUEST HOUSE =
STANDARD
REPORT<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span><span style=3D'font-size:10.0pt;font-weight:normal'><o:p></o:p></sp=
an></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:0in;text-align:left;=
text-indent:
0in'><span style=3D'font-size:10.0pt;font-weight:normal'><o:p>&nbsp;</o:p>=
</span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:0in;text-align:left;=
text-indent:
0in'><u><span style=3D'font-size:10.0pt;font-weight:normal'>REFRIGERATOR</=
span></u><span
style=3D'font-size:10.0pt;font-weight:normal'>:<span style=3D'mso-tab-coun=
t:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp; </span>GE
/ KA / SUBZ / HOTPT / AMANA / FRIG / WHRL / KEN / W-WEST / ROPER /
JENN-AIR<span style=3D'mso-spacerun:yes'>&nbsp; </span><span style=3D'mso-=
tab-count:
2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; =
</span><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>M-CHEF<o:p></o:p></span>=
</p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:0in;text-align:left;=
text-indent:
0in'><span style=3D'font-size:10.0pt;font-weight:normal'><span style=3D'ms=
o-tab-count:
3'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><o:=
p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-bottom:6.0pt;text-align:l=
eft'><span
style=3D'font-size:10.0pt;font-weight:normal'>MODEL:
_________________________________________________________________________<=
o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-bottom:6.0pt;text-align:l=
eft'><span
style=3D'font-size:10.0pt;font-weight:normal'>CAPACITY: (APPROXIMATELY)
___________________________________________________<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-bottom:6.0pt;text-align:l=
eft'><span
style=3D'font-size:10.0pt;font-weight:normal'>ICE MAKER: ___WORKING / NOT =
WORKING
/ NONE / NOT IN SVC / NOT VERIFIED / UN<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-bottom:6.0pt;text-align:l=
eft'><span
style=3D'font-size:10.0pt;font-weight:normal'>ICE DISPENSER:
_________________________________________________________________<o:p></o:=
p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-bottom:6.0pt;text-align:l=
eft'><span
style=3D'font-size:10.0pt;font-weight:normal'>ICE CRUSHER: _______________=
___________________________________________________<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-bottom:6.0pt;text-align:l=
eft'><span
style=3D'font-size:10.0pt;font-weight:normal'>WATER DISPENSER:
_____________________________________________________________<o:p></o:p></=
span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-bottom:6.0pt;text-align:l=
eft'><span
style=3D'font-size:10.0pt;font-weight:normal'>NICHE LIGHT:
________________________________ <span class=3DGramE>NONE<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/</span><span
style=3D'mso-spacerun:yes'>&nbsp; </span>WORKING<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>NOT WORKING<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-bottom:6.0pt;text-align:l=
eft'><span
style=3D'font-size:10.0pt;font-weight:normal'>BOX LIGHT: _________________=
_____________________
WORKING / NOT <span class=3DGramE>WORKING<span style=3D'mso-spacerun:yes'>=
&nbsp;
</span>/</span><span style=3D'mso-spacerun:yes'>&nbsp; </span>UN<o:p></o:p=
></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-bottom:6.0pt;text-align:l=
eft'><span
style=3D'font-size:10.0pt;font-weight:normal'>BOX GASKET: ________________=
___
GC<span style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>FAIR<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>OLD<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>WORN<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>TORN<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>NFA<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-bottom:6.0pt;text-align:l=
eft'><span
style=3D'font-size:10.0pt;font-weight:normal'>BOX CASE: ________________ <=
span
class=3DGramE>GC<span style=3D'mso-spacerun:yes'>&nbsp; </span>/</span><sp=
an
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>FAIR<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>POOR<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>RUSTY<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>WORN<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>NFA /<span
style=3D'mso-spacerun:yes'>&nbsp; </span>NSW<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-bottom:6.0pt;text-align:l=
eft'><span
style=3D'font-size:10.0pt;font-weight:normal'>COOLING COILS: _____<span
class=3DGramE>GOOD<span style=3D'mso-spacerun:yes'>&nbsp; </span>/</span><=
span
style=3D'mso-spacerun:yes'>&nbsp; </span>FAIR CONDITION<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>DIRTY-DUSTY<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>NEED CLEANING<o:p></o:p></span></=
p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-bottom:6.0pt;text-align:l=
eft'><span
style=3D'font-size:10.0pt;font-weight:normal'>UNIT WORKING AT TIME OF INSP=
ECTION<span
class=3DGramE>..</span><o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-bottom:6.0pt;text-align:l=
eft'><span
style=3D'font-size:10.0pt;font-weight:normal'>EQUIPMENT IS _______________=
 <span
class=3DGramE>OLD<span style=3D'mso-spacerun:yes'>&nbsp; </span>/</span><s=
pan
style=3D'mso-spacerun:yes'>&nbsp; </span>ORIGINAL<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>RATHER NEW<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>REPLACEMENT<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:1.5in;text-align:lef=
t;
text-indent:0in'><span style=3D'font-size:10.0pt;font-weight:normal'>EQUIP=
MENT
COULD REQUIRE REPAIRS / REPLACEMENT AT ANYTIME DUE TO AGE / CONDITION.<o:p=
></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:1.5in;text-align:lef=
t;
text-indent:0in'><span style=3D'font-size:10.0pt;font-weight:normal'><o:p>=
&nbsp;</o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'text-align:left'><st1:City w:st=
=3D"on"><st1:place
 w:st=3D"on"><span style=3D'font-size:10.0pt;font-weight:normal'>NORMAL</s=
pan></st1:place></st1:City><span
style=3D'font-size:10.0pt;font-weight:normal'> FOR AGE ________________<sp=
an
style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp; </span>UNSATISFACTORY
____________<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'text-align:left'><span style=3D'=
font-size:
10.0pt;font-weight:normal'>ROUTINE MAINTENANCE _______________<span
style=3D'mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>NOT
OPERATING ______________ <o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:0in;text-align:left;=
text-indent:
0in'><span style=3D'font-size:10.0pt;font-weight:normal'><o:p>&nbsp;</o:p>=
</span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:0in;text-align:left;=
text-indent:
0in'><span style=3D'font-size:10.0pt;font-weight:normal'><o:p>&nbsp;</o:p>=
</span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:1.5in;text-align:lef=
t;
text-indent:-1.5in'><u><span style=3D'font-size:10.0pt;font-weight:normal'=
>RANGE/</span></u><span
style=3D'font-size:10.0pt;font-weight:normal'><span style=3D'mso-tab-count=
:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>GE
/ KA / HOTPT / <span class=3DGramE>AMANA<span style=3D'mso-spacerun:yes'>&=
nbsp;
</span>/</span> FRIG / WHIRL / <st1:place w:st=3D"on">KENMORE</st1:place><=
span
style=3D'mso-spacerun:yes'>&nbsp; </span>/ W-WEST / ROPER / JENN-AIR<o:p><=
/o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:1.5in;text-align:lef=
t;
text-indent:-1.5in'><u><span style=3D'font-size:10.0pt;font-weight:normal'=
>WALL
OVEN:</span></u><span style=3D'font-size:10.0pt;font-weight:normal'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp; </span>ASKO
/ MIELE / DACOR / GAGGENAU / TAPPAN / THERM / UNKNOWN<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-bottom:6.0pt;text-align:l=
eft'><span
style=3D'font-size:10.0pt;font-weight:normal'>MODEL:
_________________________________________________________________________<=
o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-bottom:6.0pt;text-align:l=
eft'><span
style=3D'font-size:10.0pt;font-weight:normal'>SURFACE ELEMENTS / BURNERS (=
4<span
class=3DGramE>)<span style=3D'mso-spacerun:yes'>&nbsp; </span>(</span>5)<s=
pan
style=3D'mso-spacerun:yes'>&nbsp; </span>(6):
_______________________________________<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>UPPER
BROIL ELEMENT: _________________________________________________________<o=
:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>UPPER
BAKE ELEMENT: __________________________________________________________<o=
:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>UPPER
OVEN LIGHT: ____________________ <span class=3DGramE>NONE<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/</span><span
style=3D'mso-spacerun:yes'>&nbsp; </span>WORKING<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>NOT WORKING<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>UN<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>UPPER
OVEN GASKET: _______________ GC<span style=3D'mso-spacerun:yes'>&nbsp;
</span>/<span style=3D'mso-spacerun:yes'>&nbsp; </span>FAIR<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>POOR<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>WORN<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>TORN<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>NFA<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>UPPER
OVEN CASE: _________ GC<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<sp=
an
style=3D'mso-spacerun:yes'>&nbsp; </span>FAIR<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>POOR<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>WORN<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>RUSTY<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>NFA<span style=3D'mso-spacerun:ye=
s'>&nbsp;
</span>/<span style=3D'mso-spacerun:yes'>&nbsp; </span>NSW<o:p></o:p></spa=
n></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>LOWER
BROIL ELEMENT: ________________________________________________________<o:=
p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>LOWER
BAKE ELEMENT: _________________________________________________________<o:=
p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-bottom:6.0pt;text-align:l=
eft'><span
style=3D'font-size:10.0pt;font-weight:normal'>LOWER OVEN LIGHT:
___________________ <span class=3DGramE>NONE<span style=3D'mso-spacerun:ye=
s'>&nbsp;
</span>/</span><span style=3D'mso-spacerun:yes'>&nbsp; </span>WORKING<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>NOT WORKING<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>UN<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>LOWER
OVEN GASKET: _______ GC<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<sp=
an
style=3D'mso-spacerun:yes'>&nbsp; </span>FAIR<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>WORN<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>POOR<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>TORN<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>NFA<span style=3D'mso-spacerun:ye=
s'>&nbsp;
</span>/<span style=3D'mso-spacerun:yes'>&nbsp; </span>NSW<o:p></o:p></spa=
n></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>LOWER
OVEN CASE: ________ GC<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>FAIR<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>POOR<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>WORN<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>RUSTY<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>NFA<span style=3D'mso-spacerun:ye=
s'>&nbsp;
</span>/<span style=3D'mso-spacerun:yes'>&nbsp; </span>NSW<o:p></o:p></spa=
n></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>SURFACE
LIGHT: ____________________ NONE<span style=3D'mso-spacerun:yes'>&nbsp;&nb=
sp;
</span>/<span style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>WORKING<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>NOT <span class=3DGramE>WOR=
KING<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/</span><span
style=3D'mso-spacerun:yes'>&nbsp; </span>UN<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>CLOCK:
_________________________________________________________________________<=
o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>TIMER:
__________________________________________________________________________=
<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>EXHAUST
FAN:<span style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>(1<span class=3DG=
ramE>,<span
style=3D'mso-spacerun:yes'>&nbsp; </span>2</span>,<span
style=3D'mso-spacerun:yes'>&nbsp; </span>V SPEED);<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>WORKING AT INSPECTION
______________________<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-bottom:6.0pt;text-align:l=
eft'><span
style=3D'font-size:10.0pt;font-weight:normal'>TYPE:<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>RECIRCULATING / EXTERIOR VE=
NTING /
DUCT NEEDS SEALING<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span
class=3DGramE>UNIT WORKING AT TIME OF INSPECTION.</span><o:p></o:p></span>=
</p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>EQUIPMENT
IS _________________<span class=3DGramE>OLD<span style=3D'mso-spacerun:yes=
'>&nbsp;
</span>/</span><span style=3D'mso-spacerun:yes'>&nbsp; </span>ORIGINAL<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>RATHER NEW<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>REPLACEMENT<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:1.5in;text-align:lef=
t;
text-indent:0in'><span style=3D'font-size:10.0pt;font-weight:normal'>EQUIP=
MENT
COULD REQUIRE REPAIRS / REPLACEMENT AT ANYTIME DUE TO AGE / CONDITION.<o:p=
></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:0in;text-align:left;=
text-indent:
0in'><span style=3D'font-size:10.0pt;font-weight:normal'><span style=3D'ms=
o-tab-count:
3'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><o:=
p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:1.5in;text-align:lef=
t;
text-indent:0in'><st1:City w:st=3D"on"><st1:place w:st=3D"on"><span
  style=3D'font-size:10.0pt;font-weight:normal'>NORMAL</span></st1:place><=
/st1:City><span
style=3D'font-size:10.0pt;font-weight:normal'> FOR AGE ________________<sp=
an
style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp; </span>UNSATISFACTORY
____________<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:1.5in;text-align:lef=
t;
text-indent:0in'><span style=3D'font-size:10.0pt;font-weight:normal'>ROUTI=
NE
MAINTENANCE _______________<span style=3D'mso-tab-count:2'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>NOT
OPERATING ______________<span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><o:p></o:p><=
/span></p>

<p class=3DMsoTitle align=3Dleft style=3D'text-align:left'><span style=3D'=
font-size:
10.0pt;font-weight:normal'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:1.5in;text-align:lef=
t;
text-indent:0in'><span style=3D'font-size:10.0pt;font-weight:normal'>SELF-=
CLEAN
OVEN:<span style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>HOME CHECK SYSTE=
MS,
INC. DOES NOT VERIFY THIS FEATURE.<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:1.5in;text-align:lef=
t;
text-indent:0in'><span style=3D'font-size:10.0pt;font-weight:normal'><o:p>=
&nbsp;</o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:1.5in;text-align:lef=
t;
text-indent:0in'><span style=3D'font-size:10.0pt;font-weight:normal'><o:p>=
&nbsp;</o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:1.5in;text-align:lef=
t;
text-indent:-1.5in'><span style=3D'font-size:10.0pt;font-weight:normal'><s=
pan
style=3D'mso-tab-count:11'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Pg. 2<o:p=
></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:1.5in;text-align:lef=
t;
text-indent:-1.5in'><u><span style=3D'font-size:10.0pt;font-weight:normal'=
><o:p><span
 style=3D'text-decoration:none'>&nbsp;</span></o:p></span></u></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:1.5in;text-align:lef=
t;
text-indent:-1.5in'><u><span style=3D'font-size:10.0pt;font-weight:normal'=
><o:p><span
 style=3D'text-decoration:none'>&nbsp;</span></o:p></span></u></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:1.5in;text-align:lef=
t;
text-indent:-1.5in'><u><span style=3D'font-size:10.0pt;font-weight:normal'=
><o:p><span
 style=3D'text-decoration:none'>&nbsp;</span></o:p></span></u></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:1.5in;text-align:lef=
t;
text-indent:-1.5in'><u><span style=3D'font-size:10.0pt;font-weight:normal'=
>COOK
TOP:</span></u><span style=3D'font-size:10.0pt;font-weight:normal'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span
class=3DGramE>GE<span style=3D'mso-spacerun:yes'>&nbsp; </span>/</span><sp=
an
style=3D'mso-spacerun:yes'>&nbsp; </span>KA<span style=3D'mso-spacerun:yes=
'>&nbsp;
</span>/ HOTPT /<span style=3D'mso-spacerun:yes'>&nbsp; </span>WHIRL /<span
style=3D'mso-spacerun:yes'>&nbsp; </span><st1:place w:st=3D"on">KENMORE</s=
t1:place>
/<span style=3D'mso-spacerun:yes'>&nbsp; </span>JENN-AIR /<span
style=3D'mso-spacerun:yes'>&nbsp; </span>MIELE /<span
style=3D'mso-spacerun:yes'>&nbsp; </span>DACOR / GAGGENAU /<span
style=3D'mso-spacerun:yes'>&nbsp; </span>THERM<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>MODEL:
________________________________________________________________________<o=
:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>SURFACE
<span class=3DGramE>ELEMENT<span style=3D'mso-spacerun:yes'>&nbsp; </span>=
(</span>2)<span
style=3D'mso-spacerun:yes'>&nbsp; </span>(4)<span style=3D'mso-spacerun:ye=
s'>&nbsp;
</span>(5)<span style=3D'mso-spacerun:yes'>&nbsp; </span>(6):
_______________________________________________<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>GRILL
<span class=3DGramE>ELEMENT<span style=3D'mso-spacerun:yes'>&nbsp; </span>=
(</span>1)<span
style=3D'mso-spacerun:yes'>&nbsp; </span>(2):
_________________________________________________________<o:p></o:p></span=
></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>EXHAUST
FAN:<span style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>(1<span class=3DG=
ramE>,<span
style=3D'mso-spacerun:yes'>&nbsp; </span>2</span>,<span
style=3D'mso-spacerun:yes'>&nbsp; </span>3,<span style=3D'mso-spacerun:yes=
'>&nbsp;
</span>V SPEED);<span style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>WORKI=
NG AT
INSPECTION ___________________<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>EXHAUST
DUCT:<span style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp; </span>GC<s=
pan
style=3D'mso-spacerun:yes'>&nbsp; </span><span
style=3D'mso-spacerun:yes'>&nbsp;</span>/<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>NEEDS RESEALING
____________________________________<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span
class=3DGramE>UNIT WORKING AT TIME OF INSPECTION.</span><o:p></o:p></span>=
</p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>EQUIPMENT
IS _________________<span class=3DGramE>OLD<span style=3D'mso-spacerun:yes=
'>&nbsp;
</span>/</span><span style=3D'mso-spacerun:yes'>&nbsp; </span>ORIGINAL<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>RATHER NEW<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>REPLACEMENT<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:1.5in;text-align:lef=
t;
text-indent:0in'><span style=3D'font-size:10.0pt;font-weight:normal'>EQUIP=
MENT
COULD REQUIRE REPAIRS / REPLACEMENT AT ANYTIME DUE TO AGE / CONDITION.<o:p=
></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:0in;text-align:left;=
text-indent:
0in'><span style=3D'font-size:10.0pt;font-weight:normal'><span style=3D'ms=
o-tab-count:
3'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><o:=
p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:1.5in;text-align:lef=
t;
text-indent:0in'><st1:City w:st=3D"on"><st1:place w:st=3D"on"><span
  style=3D'font-size:10.0pt;font-weight:normal'>NORMAL</span></st1:place><=
/st1:City><span
style=3D'font-size:10.0pt;font-weight:normal'> FOR AGE ________________<sp=
an
style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp; </span>UNSATISFACTORY
____________<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:1.5in;text-align:lef=
t;
text-indent:0in'><span style=3D'font-size:10.0pt;font-weight:normal'>ROUTI=
NE
MAINTENANCE _______________<span style=3D'mso-tab-count:2'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>NOT
OPERATING ______________<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:0in;text-align:left;=
text-indent:
0in'><span style=3D'font-size:10.0pt;font-weight:normal'><o:p>&nbsp;</o:p>=
</span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:0in;text-align:left;=
text-indent:
0in'><u><span style=3D'font-size:10.0pt;font-weight:normal'><o:p><span
 style=3D'text-decoration:none'>&nbsp;</span></o:p></span></u></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:0in;text-align:left;=
text-indent:
0in'><u><span style=3D'font-size:10.0pt;font-weight:normal'>HOOD:</span></=
u><span
style=3D'font-size:10.0pt;font-weight:normal'><span style=3D'mso-tab-count=
:3'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>GE<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>WHIRL<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>KENMORE<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>MIELE<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>DACOR<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>GAGGENAU<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>THERM<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>BEST<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span><o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span
class=3DGramE>BROAN<span style=3D'mso-spacerun:yes'>&nbsp; </span>/</span>=
<span
style=3D'mso-spacerun:yes'>&nbsp; </span>NUTONE<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>RANGAIR<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>VENT-A-HOOD<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>UNKNOWN<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>MODEL:
_________________________________________________________________________<=
o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>FAN:<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>(1<span class=3DGramE>,<span
style=3D'mso-spacerun:yes'>&nbsp; </span>2</span>,<span
style=3D'mso-spacerun:yes'>&nbsp; </span>3,<span style=3D'mso-spacerun:yes=
'>&nbsp;
</span>V SPEED);<span style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>WORKI=
NG AT
INSPECTION _____________________________<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>LIGHT:
____________________________ NONE<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp; </span>WORKING<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp; </span>NOT <span class=3DGra=
mE>WORKING<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/</span><span
style=3D'mso-spacerun:yes'>&nbsp; </span>UN<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-bottom:6.0pt;text-align:l=
eft'><span
style=3D'font-size:10.0pt;font-weight:normal'>TYPE:<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </sp=
an><span
class=3DGramE>RECIRCULATING<span style=3D'mso-spacerun:yes'>&nbsp; </span>/=
</span><span
style=3D'mso-spacerun:yes'>&nbsp; </span>EXTERNAL VENTING<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>NEEDS SEALING<o:p></o:p></s=
pan></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-bottom:6.0pt;text-align:l=
eft'><span
class=3DGramE><span style=3D'font-size:10.0pt;font-weight:normal'>UNIT WOR=
KING
PROPERLY AT TIME OF INSPECTION.</span></span><span style=3D'font-size:10.0=
pt;
font-weight:normal'><span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp; </span><o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:0in;text-align:left;=
text-indent:
0in'><span style=3D'font-size:10.0pt;font-weight:normal'><span style=3D'ms=
o-tab-count:
3'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><sp=
an
class=3DGramE>WORN<span style=3D'mso-spacerun:yes'>&nbsp; </span>/</span><=
span
style=3D'mso-spacerun:yes'>&nbsp; </span>NOISY BEARINGS.<o:p></o:p></span>=
</p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:1.5in;text-align:lef=
t;
text-indent:0in'><span style=3D'font-size:10.0pt;font-weight:normal'><o:p>=
&nbsp;</o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>EQUIPMENT
IS _________________<span class=3DGramE>OLD<span style=3D'mso-spacerun:yes=
'>&nbsp;
</span>/</span><span style=3D'mso-spacerun:yes'>&nbsp; </span>ORIGINAL<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>RATHER NEW<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>REPLACEMENT<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:1.5in;text-align:lef=
t;
text-indent:0in'><span style=3D'font-size:10.0pt;font-weight:normal'>EQUIP=
MENT
COULD REQUIRE REPAIRS / REPLACEMENT AT ANYTIME DUE TO AGE / CONDITION.<o:p=
></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'text-align:left'><span style=3D'=
font-size:
10.0pt;font-weight:normal'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'text-align:left'><st1:City w:st=
=3D"on"><st1:place
 w:st=3D"on"><span style=3D'font-size:10.0pt;font-weight:normal'>NORMAL</s=
pan></st1:place></st1:City><span
style=3D'font-size:10.0pt;font-weight:normal'> FOR AGE ________________<sp=
an
style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp; </span>UNSATISFACTORY
____________<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'text-align:left'><span style=3D'=
font-size:
10.0pt;font-weight:normal'>ROUTINE MAINTENANCE _______________<span
style=3D'mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>NOT
OPERATING ______________<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'text-align:left'><span style=3D'=
font-size:
10.0pt;font-weight:normal'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:1.5in;text-align:left;text-indent:-1.5in'><u><span
style=3D'font-size:10.0pt;font-weight:normal'><o:p><span style=3D'text-dec=
oration:
 none'>&nbsp;</span></o:p></span></u></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:1.5in;text-align:left;text-indent:-1.5in'><u><span
style=3D'font-size:10.0pt;font-weight:normal'>EXHAUST FAN:</span></u><span
style=3D'font-size:10.0pt;font-weight:normal'><span style=3D'mso-tab-count=
:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>GE<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>WHIRL<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>KENMORE<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>MIELE<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>DACOR<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>GAGGENAU<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>THERM<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>BEST<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>BROAN<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>NUTONE<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>RANGAIR<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>VENT-A-HOOD<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>UNKNOWN<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>MODEL:
_________________________________________________________________________<=
o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>FAN:<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>(1<span class=3DGramE>,<span
style=3D'mso-spacerun:yes'>&nbsp; </span>2</span>,<span
style=3D'mso-spacerun:yes'>&nbsp; </span>3,<span style=3D'mso-spacerun:yes=
'>&nbsp;
</span>V SPEED);<span style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>WORKI=
NG AT
INSPECTION _____________________________<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>LIGHT:
___________________________ NONE<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>WORKING<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp; </span>NOT WORKING<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>UN<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-bottom:6.0pt;text-align:l=
eft'><span
style=3D'font-size:10.0pt;font-weight:normal'>TYPE:<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </sp=
an><span
class=3DGramE>RECIRCULATING<span style=3D'mso-spacerun:yes'>&nbsp; </span>=
/</span><span
style=3D'mso-spacerun:yes'>&nbsp; </span>EXTERNAL VENTING<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>NEEDS SEALING<o:p></o:p></s=
pan></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-bottom:6.0pt;text-align:l=
eft'><span
class=3DGramE><span style=3D'font-size:10.0pt;font-weight:normal'>UNIT WOR=
KING
PROPERLY AT TIME OF INSPECTION.</span></span><span style=3D'font-size:10.0=
pt;
font-weight:normal'><span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp; </span><o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span
class=3DGramE>WORN<span style=3D'mso-spacerun:yes'>&nbsp; </span>/</span><=
span
style=3D'mso-spacerun:yes'>&nbsp; </span>NOISY BEARINGS.<o:p></o:p></span>=
</p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>EQUIPMENT
IS _________________<span class=3DGramE>OLD<span style=3D'mso-spacerun:yes=
'>&nbsp;
</span>/</span><span style=3D'mso-spacerun:yes'>&nbsp; </span>ORIGINAL<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>RATHER NEW<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>REPLACEMENT<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:1.5in;text-align:left;text-indent:0in'><span
style=3D'font-size:10.0pt;font-weight:normal'>EQUIPMENT COULD REQUIRE REPA=
IRS /
REPLACEMENT AT ANYTIME DUE TO AGE / CONDITION.<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'text-align:left'><st1:City w:st=
=3D"on"><st1:place
 w:st=3D"on"><span style=3D'font-size:10.0pt;font-weight:normal'>NORMAL</s=
pan></st1:place></st1:City><span
style=3D'font-size:10.0pt;font-weight:normal'> FOR AGE &#8211; (<u>UNIT ON=
LY</u><span
class=3DGramE>)_</span>__<span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>UNS=
ATISFACTORY
____________<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:0in;text-align:left;=
text-indent:
0in'><span style=3D'font-size:10.0pt;font-weight:normal'><span style=3D'ms=
o-tab-count:
3'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>ROU=
TINE
MAINTENANCE ______________<span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>NOT
OPERATING ______________<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:0in;text-align:left;=
text-indent:
0in'><span style=3D'font-size:10.0pt;font-weight:normal'><o:p>&nbsp;</o:p>=
</span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:0in;text-align:left;=
text-indent:
0in'><span style=3D'font-size:10.0pt;font-weight:normal'><o:p>&nbsp;</o:p>=
</span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:1.5in;text-align:left;text-indent:-1.5in'><u><span
style=3D'font-size:10.0pt;font-weight:normal'>MICROWAVE:</span></u><span
style=3D'font-size:10.0pt;font-weight:normal'><span style=3D'mso-tab-count=
:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>GE<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>KA<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>HOTPT<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>FRIG<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>WHIRL<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>KENMORE<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>JENN-AIR<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>PANAS<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>QUASAR / SANYO<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>SHARP<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>MODEL:
________________________________________________________________________<o=
:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>TIMER:
_________________________________________________________________________<=
o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>CASE:
________________ GC<span style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>/<=
span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>FAIR<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>OLD<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>WORN<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>POOR<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>NFA<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>NSW<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:13'>&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Pg.=
 3<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-bottom:6.0pt;text-align:l=
eft'><span
style=3D'font-size:10.0pt;font-weight:normal'>LIGHT: _____________________=
_______
NONE<span style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>WORKING<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp; </span>NOT WORKING <span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;</span>/<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>UN<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>SURFACE
LIGHT: __________________NONE<span style=3D'mso-spacerun:yes'>&nbsp;&nbsp;=
&nbsp;
</span>/<span style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp; </span>WORKING=
<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp; </span>NOT WORKING<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>UN<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>VENT:<span
style=3D'mso-spacerun:yes'>&nbsp; </span>_______EXTERIOR VENTING<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>RECIRCULATING VENTING<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>DUCT LEAKING<o:p></o:p></sp=
an></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>EQUIPMENT
IS _________________<span class=3DGramE>OLD<span style=3D'mso-spacerun:yes=
'>&nbsp;
</span>/</span><span style=3D'mso-spacerun:yes'>&nbsp; </span>ORIGINAL<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>RATHER NEW<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>REPLACEMENT<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:1.5in;text-align:left;text-indent:0in'><span
style=3D'font-size:10.0pt;font-weight:normal'>EQUIPMENT COULD REQUIRE REPA=
IRS /
REPLACEMENT AT ANYTIME DUE TO AGE / CONDITION.<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;
</span><o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'text-align:left'><st1:City w:st=
=3D"on"><st1:place
 w:st=3D"on"><span style=3D'font-size:10.0pt;font-weight:normal'>NORMAL</s=
pan></st1:place></st1:City><span
style=3D'font-size:10.0pt;font-weight:normal'> FOR AGE ________________<sp=
an
style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp; </span>UNSATISFACTORY
____________<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'text-align:left'><span style=3D'=
font-size:
10.0pt;font-weight:normal'>ROUTINE MAINTENANCE _______________<span
style=3D'mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>NOT
OPERATING ______________<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:0in;text-align:left;=
text-indent:
0in'><span style=3D'font-size:10.0pt;font-weight:normal'><o:p>&nbsp;</o:p>=
</span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:0in;text-align:left;=
text-indent:
0in'><span style=3D'font-size:10.0pt;font-weight:normal'><o:p>&nbsp;</o:p>=
</span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:1.5in;text-align:left;text-indent:-1.5in'><u><span
style=3D'font-size:10.0pt;font-weight:normal'>DISPOSAL:</span></u><span
style=3D'font-size:10.0pt;font-weight:normal'><span style=3D'mso-tab-count=
:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp; </span>GE<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>KA<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>FRIGIDAIRE<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>JENN-AIR<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>MAYTAG<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>ISE<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>WASTE KING<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>SEARS<span style=3D'mso-spacerun:yes'>&nbsp; </span>/ ACE<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>EMERSON<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>MODEL:
______________________________________________________________________<o:p=
></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>H.P.:<span
style=3D'mso-spacerun:yes'>&nbsp; </span>_______________<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp; </span>1/4<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp; </span>1/3<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp; </span>1/2<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp; </span>5/8<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp; </span>3/4<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp; </span>1<span style=3D'mso-t=
ab-count:
1'>&nbsp;&nbsp; </span><o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-bottom:6.0pt;text-align:l=
eft'><span
class=3DGramE><span style=3D'font-size:10.0pt;font-weight:normal'>UNIT WOR=
KING
PROPERLY AT INSPECTION TIME.</span></span><span style=3D'font-size:10.0pt;
font-weight:normal'><o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:1.5in;text-align:left;text-indent:0in'><span
style=3D'font-size:10.0pt;font-weight:normal'>EQUIPMENT IS ______OLD /<span
style=3D'mso-spacerun:yes'>&nbsp; </span>RUSTY<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>ORIGINAL<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>RATHER NEW<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>REPLACEMENT<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>NOISY<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>BADLY WORN<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:1.5in;text-align:left;text-indent:0in'><span
style=3D'font-size:10.0pt;font-weight:normal'>EQUIPMENT COULD REQUIRE REPA=
IRS /
REPLACEMENT AT ANYTIME DUE TO AGE / CONDITION.<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:1.5in;text-align:left;text-indent:0in'><span
style=3D'font-size:10.0pt;font-weight:normal'>CHOPPER BASKET IS RUSTY.<o:p=
></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'text-align:left'><st1:City w:st=
=3D"on"><st1:place
 w:st=3D"on"><span style=3D'font-size:10.0pt;font-weight:normal'>NORMAL</s=
pan></st1:place></st1:City><span
style=3D'font-size:10.0pt;font-weight:normal'> FOR AGE ________________<sp=
an
style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp; </span>UNSATISFACTORY
____________<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'text-align:left'><span style=3D'=
font-size:
10.0pt;font-weight:normal'>ROUTINE MAINTENANCE _______________<span
style=3D'mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>NOT
OPERATING ______________<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:0in;text-align:left;=
text-indent:
0in'><span style=3D'font-size:10.0pt;font-weight:normal'><o:p>&nbsp;</o:p>=
</span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:0in;text-align:left;=
text-indent:
0in'><span style=3D'font-size:10.0pt;font-weight:normal'><o:p>&nbsp;</o:p>=
</span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:0in;text-align:left;=
text-indent:
0in'><u><span style=3D'font-size:10.0pt;font-weight:normal'>KITCHEN SINK:<=
/span></u><span
style=3D'font-size:10.0pt;font-weight:normal'><span style=3D'mso-tab-count=
:1'>&nbsp; </span>PORC-<span
class=3DGramE>CI<span style=3D'mso-spacerun:yes'>&nbsp; </span>/</span><sp=
an
style=3D'mso-spacerun:yes'>&nbsp; </span>PORC-STEEL<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>STAINLESS STEEL /<span style=3D'mso-spacerun:yes'>&nbsp; </span>COR=
IAN
/<span style=3D'mso-spacerun:yes'>&nbsp; </span>QUARTZ /<span
style=3D'mso-spacerun:yes'>&nbsp; </span>AMERICAST<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>COMPOSITE<o:p></o:p><=
/span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>BOWL:<span
style=3D'mso-spacerun:yes'>&nbsp; </span>GC<span style=3D'mso-spacerun:yes=
'>&nbsp;
</span>/<span style=3D'mso-spacerun:yes'>&nbsp; </span>FAIR<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>POOR<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>CHIPPED<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>RUSTY<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>WORN SURFACE<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>NFA<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>NSW<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>FAUCET:<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>GC<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>FAIR<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>OLD<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>NOL<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>LKS AT STEM<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>NFA ________________<o:p></=
o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>SPRAY:<span
style=3D'mso-spacerun:yes'>&nbsp; </span>NONE<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>WINSP<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>NOT WK<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>LKS<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>NOT WK PROP<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>WEAK FLOW ________<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:0in;text-align:left;=
text-indent:
0in'><span style=3D'font-size:10.0pt;font-weight:normal'><span style=3D'ms=
o-tab-count:
3'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>CUT=
-OFFS:<span
style=3D'mso-spacerun:yes'>&nbsp; </span>FROZEN<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>WINSP<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>STIFF<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>OLD<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>ORIGINAL<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>LKS WHEN ACTIVATED<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span
class=3DGramE>DEFECTIVE<span style=3D'mso-spacerun:yes'>&nbsp; </span>/</s=
pan><span
style=3D'mso-spacerun:yes'>&nbsp; </span>H-C<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>WATER
DISPENSER:<span style=3D'mso-spacerun:yes'>&nbsp; </span><span class=3DGra=
mE>WINSP<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/</span><span
style=3D'mso-spacerun:yes'>&nbsp; </span>NOT WK<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>LKS<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>FILTERED ________________________=
<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:0in;text-align:left;=
text-indent:
0in'><span style=3D'font-size:10.0pt;font-weight:normal'><span style=3D'ms=
o-tab-count:
3'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>DRA=
IN:<span
style=3D'mso-spacerun:yes'>&nbsp; </span>GC<span style=3D'mso-spacerun:yes=
'>&nbsp;
</span>/<span style=3D'mso-spacerun:yes'>&nbsp; </span>NOL<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>OLD<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>CORRODED<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>LKS<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>COULD LEAK AT ANYTIME ______<o:p>=
</o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:0in;text-align:left;=
text-indent:
0in'><span style=3D'font-size:10.0pt;font-weight:normal'><o:p>&nbsp;</o:p>=
</span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:0in;text-align:left;=
text-indent:
0in'><span style=3D'font-size:10.0pt;font-weight:normal'><o:p>&nbsp;</o:p>=
</span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:1.5in;text-align:left;text-indent:-1.5in'><u><span
style=3D'font-size:10.0pt;font-weight:normal'>DISHWASHER:</span></u><span
style=3D'font-size:10.0pt;font-weight:normal'><span style=3D'mso-tab-count=
:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>GE<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>KA<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>HOTPT<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>FRIG<span style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>WHIRL<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>KENMORE<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>ROPER<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>JENN-AIR<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>ASKO<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>MIELE<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>THERM<span style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>MAYTAG<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>ISE<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>BOSCH<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>MODEL:
_________________________________________________________________________<=
o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>CYCLES:
________________________________________________________________________<o=
:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:0in;text-align:left;=
text-indent:
0in'><span style=3D'font-size:10.0pt;font-weight:normal'><span style=3D'ms=
o-tab-count:
3'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>CASE
LINER:<span style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>PORC / VINYL / =
S-<span
class=3DGramE>S ;</span><span style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </sp=
an>GC /
FAIR / POOR / RUSTY / STAINS / NFA / NSW<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:2'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp; </span><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span
class=3DGramE>COULD LEAK AT ANYTIME DUE TO CONDITION.</span><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp; </span>UNSATISFACTORY<o:p></=
o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-bottom:6.0pt;text-align:l=
eft'><span
style=3D'font-size:10.0pt;font-weight:normal'>RACK:<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span><span class=3DGramE>GC<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/</span><span
style=3D'mso-spacerun:yes'>&nbsp; </span>FAIR<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>MINOR RUST<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>RUSTY<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>NFA ______________________________<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>SOAP
DISPENSER:<span style=3D'mso-spacerun:yes'>&nbsp; </span><span class=3DGra=
mE>WINSP<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/</span><span
style=3D'mso-spacerun:yes'>&nbsp; </span>NOT WK
_____________________________________________<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>GASKET:<span
style=3D'mso-spacerun:yes'>&nbsp; </span>GC<span style=3D'mso-spacerun:yes=
'>&nbsp;
</span>/<span style=3D'mso-spacerun:yes'>&nbsp; </span>FAIR<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>POOR<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>WORN<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>OLD<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>NFA _____________________________=
<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>ELEMENT:
______________________________________________________________________<o:p=
></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span
class=3DGramE>UNIT WORKING AT TIME OF INSPECTION.</span><o:p></o:p></span>=
</p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>EQUIPMENT
IS _________________<span class=3DGramE>OLD<span style=3D'mso-spacerun:yes=
'>&nbsp;
</span>/</span><span style=3D'mso-spacerun:yes'>&nbsp; </span>ORIGINAL<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>RATHER NEW<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>REPLACEMENT<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:1.5in;text-align:lef=
t;
text-indent:0in'><span style=3D'font-size:10.0pt;font-weight:normal'>EQUIP=
MENT
COULD REQUIRE REPAIRS / REPLACEMENT AT ANYTIME DUE TO AGE / CONDITION.<o:p=
></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:1.5in;text-align:lef=
t;
text-indent:0in'><span style=3D'font-size:10.0pt;font-weight:normal'><o:p>=
&nbsp;</o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:1.5in;text-align:lef=
t;
text-indent:0in'><span style=3D'font-size:10.0pt;font-weight:normal'><span
style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp; </span><o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'text-align:left'><st1:City w:st=
=3D"on"><st1:place
 w:st=3D"on"><span style=3D'font-size:10.0pt;font-weight:normal'>NORMAL</s=
pan></st1:place></st1:City><span
style=3D'font-size:10.0pt;font-weight:normal'> FOR AGE ________________<sp=
an
style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp; </span>UNSATISFACTORY
____________<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'text-align:left'><span style=3D'=
font-size:
10.0pt;font-weight:normal'>ROUTINE MAINTENANCE _______________<span
style=3D'mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>NOT
OPERATING ______________<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:0in;text-align:left;=
text-indent:
0in'><span style=3D'font-size:10.0pt;font-weight:normal'><o:p>&nbsp;</o:p>=
</span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:0in;text-align:left;=
text-indent:
0in'><u><span style=3D'font-size:10.0pt;font-weight:normal'><o:p><span
 style=3D'text-decoration:none'>&nbsp;</span></o:p></span></u></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:13'>&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Pg.=
 4<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><u><span
style=3D'font-size:10.0pt;font-weight:normal'><o:p><span style=3D'text-dec=
oration:
 none'>&nbsp;</span></o:p></span></u></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><u><span
style=3D'font-size:10.0pt;font-weight:normal'>WET BAR:</span></u><span
style=3D'font-size:10.0pt;font-weight:normal'><span style=3D'mso-tab-count=
:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp; </span><span
class=3DGramE>FIBERGLASS<span style=3D'mso-spacerun:yes'>&nbsp; </span>/</=
span>
STAINLESS STEEL<span style=3D'mso-spacerun:yes'>&nbsp; </span>/ PORCELAIN<=
span
style=3D'mso-spacerun:yes'>&nbsp; </span>/ CORIAN<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/ CM<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/ BRASS<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/ CERAMIC<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>BOWL:<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>GC<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>FAIR<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>POOR<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>CHIPPED<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>NFA<span style=3D'mso-spacerun:ye=
s'>&nbsp;
</span>/<span style=3D'mso-spacerun:yes'>&nbsp; </span>NSW
____________________________<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>FAUCET:<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>GC<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>FAIR<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>POOR<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>NOL<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>LEAKING<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>NFA __________________________<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>DRAIN:<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp; </span><span class=3DGramE>G=
C<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/</span><span
style=3D'mso-spacerun:yes'>&nbsp; </span>OLD<span style=3D'mso-spacerun:ye=
s'>&nbsp;
</span>/<span style=3D'mso-spacerun:yes'>&nbsp; </span>NOL<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>CORRODED<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>LEAKING _________________________=
____<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:0in;text-align:left;=
text-indent:
0in'><span style=3D'font-size:10.0pt;font-weight:normal'><span style=3D'ms=
o-tab-count:
3'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>CUT=
-OFFS:<span
style=3D'mso-spacerun:yes'>&nbsp; </span>FROZEN<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>WINSP<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>OLD<span style=3D'mso-spacerun:ye=
s'>&nbsp;
</span>/<span style=3D'mso-spacerun:yes'>&nbsp; </span>STIFF<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>ORIGINAL<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>LKS WHEN ACTIVATED<o:p></o:p></sp=
an></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:0in;text-align:left;=
text-indent:
0in'><span style=3D'font-size:10.0pt;font-weight:normal'><span style=3D'ms=
o-tab-count:
3'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><sp=
an
class=3DGramE>DEFECTIVE<span style=3D'mso-spacerun:yes'>&nbsp; </span>/</s=
pan><span
style=3D'mso-spacerun:yes'>&nbsp; </span>H-C<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:0in;text-align:left;=
text-indent:
0in'><span style=3D'font-size:10.0pt;font-weight:normal'><o:p>&nbsp;</o:p>=
</span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:0in;text-align:left;=
text-indent:
0in'><span style=3D'font-size:10.0pt;font-weight:normal'><o:p>&nbsp;</o:p>=
</span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:1.5in;text-align:left;text-indent:-1.5in'><u><span
style=3D'font-size:10.0pt;font-weight:normal'>MASTER BATH:</span></u><span
style=3D'font-size:10.0pt;font-weight:normal'><span style=3D'mso-tab-count=
:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp; </span>LAVATORY
(2):<span style=3D'mso-spacerun:yes'>&nbsp; </span>PORC / PORC-STEEL / CER=
AMIC /
CM / CO / CORIAN / <st1:country-region w:st=3D"on"><st1:place w:st=3D"on">=
CHINA</st1:place></st1:country-region>
/ WALL- HUNG / PEDESTAL<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>BOWL
(2):<span style=3D'mso-spacerun:yes'>&nbsp; </span>GC<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>FAIR<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>POOR<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>WORN<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>CHIPPED<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>RUSTY<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>NFA<span style=3D'mso-spacerun:ye=
s'>&nbsp;
</span>/<span style=3D'mso-spacerun:yes'>&nbsp; </span>NSW _______<o:p></o=
:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>FAUCET
(2):<span style=3D'mso-spacerun:yes'>&nbsp; </span>GC<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>FAIR<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>POOR<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>OLD<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>NOL<span style=3D'mso-spacerun:ye=
s'>&nbsp;
</span>/<span style=3D'mso-spacerun:yes'>&nbsp; </span>LEAKING<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>NFA _________________<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:0in;text-align:left;=
text-indent:
0in'><span style=3D'font-size:10.0pt;font-weight:normal'><span style=3D'ms=
o-tab-count:
3'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>DRA=
IN
(2):<span style=3D'mso-spacerun:yes'>&nbsp; </span>GC<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/ <span
style=3D'mso-spacerun:yes'>&nbsp;</span>FAIR<span style=3D'mso-spacerun:ye=
s'>&nbsp;
</span>/<span style=3D'mso-spacerun:yes'>&nbsp; </span>POOR<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>OLD<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>CORRODED<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>NOL<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>LEAKING<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>COULD<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>LEAK
AT ANYTIME<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:0in;text-align:left;=
text-indent:
0in'><span style=3D'font-size:10.0pt;font-weight:normal'><span style=3D'ms=
o-tab-count:
3'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>CUT=
-OFFS:<span
style=3D'mso-spacerun:yes'>&nbsp; </span>FROZEN<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>WINSP<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>OLD<span style=3D'mso-spacerun:ye=
s'>&nbsp;
</span>/<span style=3D'mso-spacerun:yes'>&nbsp; </span>STIFF<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>ORIGINAL<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>LKS WHEN ACTIVATED<o:p></o:p></sp=
an></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span
class=3DGramE>DEFECTIVE<span style=3D'mso-spacerun:yes'>&nbsp; </span>/</s=
pan><span
style=3D'mso-spacerun:yes'>&nbsp; </span>H-C <o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:0in;text-align:left;=
text-indent:
0in'><span style=3D'font-size:10.0pt;font-weight:normal'><span style=3D'ms=
o-tab-count:
3'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>TOI=
LET:<span
style=3D'mso-spacerun:yes'>&nbsp; </span>_________________<span class=3DGr=
amE>_<span
style=3D'mso-spacerun:yes'>&nbsp; </span>LOOSE</span> AT BASE<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>NOT GROUTED<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>UNSATISFACTORY<o:p></o:p></span><=
/p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>DEFECTIVE
<span class=3DGramE>BALLCOCK<span style=3D'mso-spacerun:yes'>&nbsp; </span=
>/</span><span
style=3D'mso-spacerun:yes'>&nbsp; </span>FLUSH VALVE<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:0in;text-align:left;=
text-indent:
0in'><span style=3D'font-size:10.0pt;font-weight:normal'><span style=3D'ms=
o-tab-count:
3'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>NO
LEAKS / NO CRACKS<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'text-align:left'><span style=3D'=
font-size:
10.0pt;font-weight:normal'>TOILET CUT-OFFS:<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span><span class=3DGramE>FROZEN<=
span
style=3D'mso-spacerun:yes'>&nbsp; </span>/</span><span
style=3D'mso-spacerun:yes'>&nbsp; </span>WINSP<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>OLD<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>STIFF<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>LKS WHEN ACTIVATED<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<=
o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-left:0in;text-align:left;=
text-indent:
0in'><span style=3D'font-size:10.0pt;font-weight:normal'><span style=3D'ms=
o-tab-count:
3'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>DEF=
ECTIVE<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-bottom:6.0pt;text-align:l=
eft'><span
style=3D'font-size:10.0pt;font-weight:normal'>BIDET:<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp; </span>_________________<span
class=3DGramE>_<span style=3D'mso-spacerun:yes'>&nbsp; </span>LOOSE</span>=
 AT
BASE<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>NOT GROUTED<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>UNSATISFACTORY<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-bottom:6.0pt;text-align:l=
eft'><span
style=3D'font-size:10.0pt;font-weight:normal'>NO LEAKS / NO CRACKS<o:p></o=
:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'text-align:left'><span style=3D'=
font-size:
10.0pt;font-weight:normal'>CUT-OFFS:<span style=3D'mso-spacerun:yes'>&nbsp=
;&nbsp;
</span>FROZEN<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>WINSP<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>OLD<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>STIFF<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>ORIGINAL<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>LKS WHEN ACTIVATED<o:p></o:p></sp=
an></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-bottom:6.0pt;text-align:l=
eft'><span
class=3DGramE><span style=3D'font-size:10.0pt;font-weight:normal'>DEFECTIV=
E<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/</span></span><span style=3D'fon=
t-size:
10.0pt;font-weight:normal'><span style=3D'mso-spacerun:yes'>&nbsp; </span>=
H-C<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-bottom:6.0pt;text-align:l=
eft'><span
style=3D'font-size:10.0pt;font-weight:normal'>SHOWER:<span
style=3D'mso-spacerun:yes'>&nbsp; </span>CM<span style=3D'mso-spacerun:yes=
'>&nbsp;
</span>/<span style=3D'mso-spacerun:yes'>&nbsp; </span>TILE<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>FIBERGL<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>MARBLE<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>GC<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>NFA<span style=3D'mso-spacerun:ye=
s'>&nbsp;
</span>/<span style=3D'mso-spacerun:yes'>&nbsp; </span>NSW _______________=
__<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>TUB:<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>PORC / <span class=3DGramE>=
FIBERGL<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/</span> CM<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/ GC / FAIR<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/ WORN GLAZE-PORC CHIPPED / NFA /=
 NSW<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>TUB/SHOWER
VALVE:<span style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span><span class=3DG=
ramE>NOL<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/</span><span
style=3D'mso-spacerun:yes'>&nbsp; </span>STEM LEAKS<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>STIFF<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>LOOSE AT <st1:place w:st=3D"on"><=
st1:PlaceType
 w:st=3D"on">MOUNT</st1:PlaceType> <st1:PlaceName w:st=3D"on">__________</=
st1:PlaceName></st1:place><o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>ENCLOSURE:<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp; </span><span class=3DGramE>N=
ONE<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/</span> GC<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>OLD<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>ORIGINAL<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'=
>&nbsp;
</span>LEAKING<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>NFA _________________<o:p></o:p><=
/span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top:0in;margin-right:0in;=
margin-bottom:
6.0pt;margin-left:0in;text-align:left;text-indent:0in'><span style=3D'font=
-size:
10.0pt;font-weight:normal'><span style=3D'mso-tab-count:3'>&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>SPA:<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp; </span>WINSP / NOT <sp=
an
class=3DGramE>WK<span style=3D'mso-spacerun:yes'>&nbsp; </span>_</span>___=
_____________________________________________________<o:p></o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'margin-top: